| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $12,352 | $11,217 | 110% | — | 3 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $11,615 | $8,272 | 140% | — | 3 |
| Basic metabolic panelCPT 80048 | $15 | $8 | 182% | ~$32 | 22 |
| COPD with MCCMS-DRG 190 | $8,529 | $7,377 | 116% | — | 5 |
| CT abdomen and pelvis with contrastCPT 74177 | $708 | $389 | 182% | ~$1,768 | 22 |
| CT head without contrastCPT 70450 | $242 | $116 | 207% | ~$663 | 22 |
| CT pelvis with contrastCPT 72193 | $356 | $195 | 182% | ~$746 | 22 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $4,359 | $3,269 | 133% | — | 3 |
| Cardiac stress testCPT 93017 | $519 | $241 | 216% | $383 | 22 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $75,328 | — | — | — | 5 |
| Cataract surgery with IOL insertionCPT 66984 | $2,892 | $2,572 | 112% | — | 13 |
| Cellulitis, no MCCMS-DRG 603 | $6,706 | $5,675 | 118% | — | 3 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $63,564 | $16,343 | 389% | — | 3 |
| Cesarean section, no CC/MCCMS-DRG 788 | $7,383 | — | — | — | 3 |
| Cesarean section, with CCMS-DRG 787 | $8,599 | — | — | — | 3 |
| Chest painMS-DRG 313 | $5,544 | — | — | — | 3 |
| Colonoscopy with biopsyCPT 45380 | $958 | $1,333 | 72% | $370 | 22 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $1,500 | $1,333 | 112% | — | 13 |
| Colonoscopy with polyp removalCPT 45385 | $1,017 | $1,333 | 76% | $426 | 22 |
| Colonoscopy, diagnosticCPT 45378 | $942 | $1,036 | 91% | $335 | 22 |
| Complete blood count with differentialCPT 85025 | $14 | $8 | 182% | ~$30 | 22 |
| Complete blood count, automatedCPT 85027 | $12 | $6 | 182% | ~$20 | 22 |
| Comprehensive metabolic panelCPT 80053 | $19 | $11 | 182% | ~$51 | 22 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $32,254 | $29,950 | 108% | — | 3 |
| Diagnostic mammography, both breastsCPT 77066 | $330 | — | — | ~$177 | 16 |
| Diagnostic mammography, one breastCPT 77065 | $58 | — | — | — | 5 |
| ED visit, level 3CPT 99283 | $326 | $304 | 107% | $62 | 21 |
| ED visit, level 4CPT 99284 | $498 | $465 | 107% | $111 | 21 |
| ED visit, level 5CPT 99285 | $711 | $664 | 107% | $194 | 21 |
| Echocardiogram, completeCPT 93306 | $1,249 | $609 | 205% | $884 | 22 |
| Electrocardiogram with interpretationCPT 93000 | $87 | — | — | $47 | 16 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $648 | $986 | 66% | $83 | 22 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $6,003 | $4,899 | 123% | — | 3 |
| Excision of breast lesionCPT 19120 | $1,489 | $4,363 | 34% | $362 | 22 |
| Family psychotherapy, with patientCPT 90847 | $190 | $198 | 96% | $99 | 22 |
| Family psychotherapy, without patientCPT 90846 | $167 | $198 | 84% | $87 | 22 |
| Group psychotherapyCPT 90853 | $88 | $113 | 78% | $26 | 22 |
| Heart failure and shock, with CCMS-DRG 292 | $6,537 | $5,927 | 110% | — | 3 |
| Heart failure with MCCMS-DRG 291 | $9,885 | $9,905 | 100% | — | 3 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $16,128 | $13,876 | 116% | — | 3 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $9,553 | $10,098 | 95% | — | 3 |
| Inguinal hernia repair, age 5+CPT 49505 | $2,495 | $3,990 | 63% | $546 | 22 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $6,233 | $5,238 | 119% | — | 3 |
| Kidney function panelCPT 80069 | $16 | $9 | 182% | ~$41 | 22 |
| Knee arthroscopy with meniscectomyCPT 29881 | $2,106 | $3,646 | 58% | $552 | 22 |
| Laparoscopic cholecystectomyCPT 47562 | $3,497 | $6,737 | 52% | $869 | 22 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $10,517 | $8,977 | 117% | — | 3 |
| Laparoscopic radical prostatectomyCPT 55866 | $4,872 | $11,845 | 41% | $1,185 | 22 |
| Left heart catheterization, diagnosticCPT 93452 | $4,063 | $3,613 | 112% | — | 13 |
| Lipid panelCPT 80061 | $24 | $13 | 182% | ~$38 | 22 |
| Liver function panelCPT 80076 | $15 | $8 | 182% | ~$36 | 22 |
| Lumbar epidural steroid injectionCPT 62323 | $659 | $787 | 84% | $526 | 22 |
| MRI brain with and without contrastCPT 70553 | $749 | $389 | 193% | ~$1,877 | 21 |
| MRI lower extremity joint (knee)CPT 73721 | $484 | $266 | 182% | ~$942 | 22 |
| MRI lumbar spine without contrastCPT 72148 | $484 | $266 | 182% | ~$1,105 | 22 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $32,791 | $15,053 | 218% | — | 5 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $51,564 | $22,346 | 231% | — | 3 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $18,458 | $16,202 | 114% | — | 3 |
| Medical back problems, no MCCMS-DRG 552 | $7,402 | $6,142 | 121% | — | 3 |
| OB global care, VBAC deliveryCPT 59610 | $2,999 | — | — | $1,607 | 16 |
| OB global care, cesarean deliveryCPT 59510 | $4,702 | — | — | $2,519 | 16 |
| OB global care, vaginal deliveryCPT 59400 | $4,125 | — | — | $2,210 | 16 |
| OB ultrasound, 14+ weeksCPT 76805 | $212 | $116 | 182% | ~$176 | 20 |
| Obstetric blood test panelCPT 80055 | $87 | $48 | 182% | ~$198 | 22 |
| Office consultation, comprehensiveCPT 99244 | $340 | — | — | $177 | 15 |
| Office consultation, moderateCPT 99243 | $255 | — | — | $133 | 15 |
| Office visit, established patient, level 3CPT 99213 | $212 | — | — | $110 | 15 |
| Office visit, established patient, level 4CPT 99214 | $234 | — | — | $122 | 15 |
| Office visit, new patient, level 3CPT 99203 | $212 | — | — | $110 | 15 |
| Office visit, new patient, level 4CPT 99204 | $264 | — | — | $137 | 15 |
| Office visit, new patient, level 5CPT 99205 | $336 | — | — | $175 | 15 |
| PSA (prostate specific antigen), totalCPT 84153 | $33 | $18 | 182% | ~$59 | 22 |
| Partial thromboplastin timeCPT 85730 | $11 | $6 | 182% | ~$30 | 22 |
| Percutaneous cardiac stent, no MCCMS-DRG 247 | $17,138 | — | — | — | 1 |
| Physical therapy, therapeutic exerciseCPT 97110 | $54 | — | — | $29 | 16 |
| Preventive visit, new patient, 18-39CPT 99385 | $194 | — | — | $101 | 15 |
| Preventive visit, new patient, 40-64CPT 99386 | $209 | — | — | $109 | 15 |
| Prostate biopsyCPT 55700 | $243 | — | — | $126 | 15 |
| Prothrombin timeCPT 85610 | $8 | $4 | 182% | ~$19 | 22 |
| Psychotherapy, 30 minutesCPT 90832 | $108 | $198 | 54% | $56 | 22 |
| Psychotherapy, 45 minutesCPT 90834 | $152 | $198 | 77% | $79 | 22 |
| Psychotherapy, 60 minutesCPT 90837 | $217 | $198 | 110% | $113 | 22 |
| Renal failure, with CCMS-DRG 683 | $6,744 | $5,892 | 114% | — | 3 |
| Screening mammography, bilateralCPT 77067 | $309 | — | — | ~$166 | 16 |
| Sepsis with MCCMS-DRG 871 | $14,957 | $16,023 | 93% | — | 3 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $329 | — | — | $171 | 16 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $6,205 | $5,177 | 120% | — | 3 |
| Sleep study (polysomnography)CPT 95810 | $1,079 | $957 | 113% | — | 11 |
| Spinal fusion except cervical, no MCCMS-DRG 460 | $29,302 | $25,413 | 115% | — | 1 |
| Spinal fusion except cervical, with MCCMS-DRG 459 | $59,531 | $51,127 | 116% | — | 1 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $5,270 | $3,679 | 143% | — | 3 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $7,779 | $6,559 | 119% | — | 3 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $31 | $17 | 182% | ~$51 | 22 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $1,728 | $6,597 | 26% | $260 | 22 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $760 | $986 | 77% | $683 | 22 |
| Ultrasound, abdomen, completeCPT 76700 | $212 | $116 | 182% | ~$256 | 22 |
| Ultrasound, transvaginalCPT 76830 | $212 | $116 | 182% | ~$221 | 22 |
| Upper GI endoscopy with biopsyCPT 43239 | $923 | $1,011 | 91% | $150 | 22 |
| Upper GI endoscopy, diagnosticCPT 43235 | $923 | $1,011 | 91% | $270 | 22 |
| Urinalysis, automated, with microscopyCPT 81001 | $6 | $3 | 182% | ~$26 | 22 |
| Urinalysis, automated, without microscopyCPT 81003 | $4 | $2 | 182% | ~$14 | 22 |
| Urinalysis, manual, with microscopyCPT 81000 | $4 | $4 | 110% | — | 12 |
| Urinalysis, manual, without microscopyCPT 81002 | $6 | $3 | 182% | ~$7 | 22 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $5,191 | — | — | — | 3 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $5,806 | — | — | — | 3 |
| X-ray, lower back, 4+ viewsCPT 72110 | $212 | $116 | 182% | ~$261 | 22 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $689 | $613 | 112% | — | 13 |