| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $22,893 | $11,621 | 197% | — | 21 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $21,895 | $10,151 | 216% | — | 21 |
| Basic metabolic panelCPT 80048 | $9 | $8 | 109% | ~$22 | 28 |
| COPD with MCCMS-DRG 190 | $15,902 | $7,377 | 216% | — | 21 |
| CT abdomen and pelvis with contrastCPT 74177 | $656 | $389 | 169% | ~$792 | 28 |
| CT head without contrastCPT 70450 | $225 | $116 | 194% | ~$372 | 28 |
| CT pelvis with contrastCPT 72193 | $325 | $195 | 166% | ~$792 | 28 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $7,980 | $3,268 | 244% | — | 21 |
| Cardiac stress testCPT 93017 | $420 | $241 | 175% | $282 | 28 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $140,047 | — | — | — | 21 |
| Cataract surgery with IOL insertionCPT 66984 | $2,646 | $2,572 | 103% | — | 21 |
| Cellulitis, no MCCMS-DRG 603 | $12,766 | $6,140 | 208% | — | 21 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $35,506 | $16,343 | 217% | — | 21 |
| Cesarean section, no CC/MCCMS-DRG 788 | $12,338 | — | — | — | 21 |
| Cesarean section, with CCMS-DRG 787 | $13,378 | — | — | — | 21 |
| Chest painMS-DRG 313 | $10,442 | — | — | — | 21 |
| Colonoscopy with biopsyCPT 45380 | $1,372 | $1,333 | 103% | — | 21 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $1,372 | $1,333 | 103% | — | 21 |
| Colonoscopy with polyp removalCPT 45385 | $1,372 | $1,333 | 103% | — | 21 |
| Colonoscopy, diagnosticCPT 45378 | $1,066 | $1,036 | 103% | — | 21 |
| Complete blood count with differentialCPT 85025 | $8 | $8 | 109% | ~$20 | 28 |
| Complete blood count, automatedCPT 85027 | $7 | $6 | 109% | ~$17 | 28 |
| Comprehensive metabolic panelCPT 80053 | $12 | $11 | 109% | ~$28 | 28 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $58,315 | $31,457 | 185% | — | 21 |
| Diagnostic mammography, both breastsCPT 77066 | $132 | — | — | ~$104 | 28 |
| Diagnostic mammography, one breastCPT 77065 | $103 | — | — | ~$157 | 28 |
| ED visit, level 3CPT 99283 | $419 | $304 | 138% | $250 | 28 |
| ED visit, level 4CPT 99284 | $731 | $465 | 157% | $494 | 28 |
| ED visit, level 5CPT 99285 | $1,046 | $664 | 158% | $944 | 28 |
| Echocardiogram, completeCPT 93306 | $890 | $609 | 146% | $550 | 28 |
| Electrocardiogram with interpretationCPT 93000 | $32 | — | — | — | 1 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,014 | $986 | 103% | — | 21 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $11,336 | $4,710 | 241% | — | 21 |
| Excision of breast lesionCPT 19120 | $5,499 | $4,363 | 126% | $3,265 | 28 |
| Family psychotherapy, with patientCPT 90847 | $239 | $198 | 121% | — | 16 |
| Family psychotherapy, without patientCPT 90846 | $204 | $198 | 103% | — | 21 |
| Group psychotherapyCPT 90853 | $130 | $113 | 115% | — | 16 |
| Heart failure and shock, with CCMS-DRG 292 | $12,359 | $5,927 | 209% | — | 21 |
| Heart failure with MCCMS-DRG 291 | $18,527 | $9,164 | 202% | — | 21 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $29,941 | $15,195 | 197% | — | 21 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $16,768 | $10,098 | 166% | — | 21 |
| Inguinal hernia repair, age 5+CPT 49505 | $4,106 | $3,990 | 103% | — | 21 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $11,644 | $5,561 | 209% | — | 21 |
| Kidney function panelCPT 80069 | $9 | $9 | 109% | ~$22 | 28 |
| Knee arthroscopy with meniscectomyCPT 29881 | $3,752 | $3,646 | 103% | — | 21 |
| Laparoscopic cholecystectomyCPT 47562 | $6,932 | $6,737 | 103% | — | 21 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $18,949 | $8,977 | 211% | — | 21 |
| Laparoscopic radical prostatectomyCPT 55866 | $12,189 | $11,845 | 103% | — | 21 |
| Left heart catheterization, diagnosticCPT 93452 | $5,431 | $3,613 | 150% | $3,697 | 28 |
| Lipid panelCPT 80061 | $15 | $13 | 109% | ~$35 | 28 |
| Liver function panelCPT 80076 | $9 | $8 | 109% | ~$21 | 28 |
| Lumbar epidural steroid injectionCPT 62323 | $883 | $787 | 112% | $732 | 28 |
| MRI brain with and without contrastCPT 70553 | $656 | $389 | 169% | ~$1,431 | 28 |
| MRI lower extremity joint (knee)CPT 73721 | $432 | $266 | 162% | ~$769 | 28 |
| MRI lumbar spine without contrastCPT 72148 | $432 | $266 | 162% | ~$769 | 28 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $27,153 | $13,076 | 208% | — | 21 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $45,204 | $22,346 | 202% | — | 21 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $34,229 | $15,392 | 222% | — | 21 |
| Medical back problems, no MCCMS-DRG 552 | $13,944 | $6,484 | 215% | — | 21 |
| OB ultrasound, 14+ weeksCPT 76805 | $193 | $116 | 166% | ~$248 | 28 |
| Obstetric blood test panelCPT 80055 | $52 | $48 | 109% | ~$125 | 28 |
| Office visit, established patient, level 3CPT 99213 | $179 | — | — | — | 1 |
| Office visit, established patient, level 4CPT 99214 | $255 | — | — | — | 1 |
| Office visit, new patient, level 3CPT 99203 | $243 | — | — | — | 1 |
| Office visit, new patient, level 4CPT 99204 | $329 | — | — | — | 1 |
| PSA (prostate specific antigen), totalCPT 84153 | $20 | $18 | 109% | ~$48 | 28 |
| Partial thromboplastin timeCPT 85730 | $7 | $6 | 109% | ~$16 | 28 |
| Percutaneous cardiac stent, no MCCMS-DRG 247 | $23,980 | — | — | — | 3 |
| Physical therapy, therapeutic exerciseCPT 97110 | $34 | — | — | $45 | 28 |
| Prostate biopsyCPT 55700 | $3,161 | — | — | — | 11 |
| Prothrombin timeCPT 85610 | $5 | $4 | 109% | ~$10 | 28 |
| Psychotherapy, 30 minutesCPT 90832 | $239 | $198 | 121% | — | 16 |
| Psychotherapy, 45 minutesCPT 90834 | $239 | $198 | 121% | — | 16 |
| Psychotherapy, 60 minutesCPT 90837 | $239 | $198 | 121% | — | 16 |
| Renal failure, with CCMS-DRG 683 | $12,999 | $6,181 | 210% | — | 21 |
| Screening mammography, bilateralCPT 77067 | $109 | — | — | ~$158 | 28 |
| Sepsis with MCCMS-DRG 871 | $28,609 | $14,058 | 204% | — | 21 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $1,542 | — | — | — | 5 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $11,864 | $5,177 | 229% | — | 21 |
| Sleep study (polysomnography)CPT 95810 | $1,640 | $957 | 171% | $1,273 | 28 |
| Spinal fusion except cervical, no MCCMS-DRG 460 | $52,784 | $25,413 | 208% | — | 5 |
| Spinal fusion except cervical, with MCCMS-DRG 459 | $95,704 | $51,127 | 187% | — | 5 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $9,921 | $3,679 | 270% | — | 21 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $14,667 | $6,946 | 211% | — | 21 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $18 | $17 | 109% | ~$44 | 28 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $6,788 | $6,597 | 103% | — | 21 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,066 | $986 | 108% | $853 | 28 |
| Ultrasound, abdomen, completeCPT 76700 | $193 | $116 | 166% | ~$248 | 28 |
| Ultrasound, transvaginalCPT 76830 | $193 | $116 | 166% | ~$248 | 28 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,040 | $1,011 | 103% | — | 21 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,040 | $1,011 | 103% | — | 21 |
| Urinalysis, automated, with microscopyCPT 81001 | $3 | $3 | 109% | ~$8 | 28 |
| Urinalysis, automated, without microscopyCPT 81003 | $2 | $2 | 109% | ~$6 | 28 |
| Urinalysis, manual, with microscopyCPT 81000 | $4 | $4 | 109% | ~$9 | 28 |
| Urinalysis, manual, without microscopyCPT 81002 | $4 | $3 | 109% | ~$4 | 28 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $8,352 | — | — | — | 21 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $8,763 | — | — | — | 21 |
| X-ray, lower back, 4+ viewsCPT 72110 | $193 | $116 | 166% | ~$251 | 28 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $631 | $613 | 103% | — | 21 |