| Psychoses | MS-DRG 885 | $16,465 |
| EKG interpretation only | CPT 93010 | $11.3 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG 064 | $23,146 |
| Intracranial hemorrhage/CVA w CC | MS-DRG 065 | $11,939 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG 066 | $8,151.09 |
| Respiratory infections & inflammations w MCC | MS-DRG 177 | $18,850 |
| COPD w MCC | MS-DRG 190 | $13,162 |
| COPD w CC | MS-DRG 191 | $10,120 |
| COPD w/o CC/MCC | MS-DRG 192 | $7,677.35 |
| Simple pneumonia & pleurisy w CC | MS-DRG 194 | $9,669.18 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG 195 | $7,394.94 |
| AMI discharged alive w MCC | MS-DRG 280 | $19,137 |
| AMI discharged alive w CC | MS-DRG 281 | $10,843 |
| AMI discharged alive w/o CC/MCC | MS-DRG 282 | $8,575.28 |
| Heart failure & shock w MCC | MS-DRG 291 | $15,257 |
| Heart failure & shock w CC | MS-DRG 292 | $10,144 |
| Heart failure & shock w/o CC/MCC | MS-DRG 293 | $6,541.95 |
| Cardiac arrhythmia w MCC | MS-DRG 308 | $14,117 |
| Cardiac arrhythmia w CC | MS-DRG 309 | $8,738.97 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG 310 | $6,666.43 |
| GI hemorrhage w CC | MS-DRG 378 | $11,581 |
| GI hemorrhage w/o CC/MCC | MS-DRG 379 | $7,556.31 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG 392 | $9,211.59 |
| Fractures of femur w/o MCC | MS-DRG 533 | $17,795 |
| Kidney/UTI w MCC | MS-DRG 689 | $13,707 |
| Kidney/UTI w/o MCC | MS-DRG 690 | $9,468.63 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG 871 | $22,834 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG 872 | $12,101 |
| Upper GI endoscopy diagnostic | CPT 43235 | $1,198.23 |
| Upper GI endoscopy with biopsy | CPT 43239 | $1,198.23 |
| Sigmoidoscopy diagnostic | CPT 45330 | $1,165.19 |
| Sigmoidoscopy with biopsy | CPT 45331 | $1,165.19 |
| Colonoscopy diagnostic | CPT 45378 | $1,165.19 |
| Colonoscopy with biopsy | CPT 45380 | $1,506.9 |
| Colonoscopy with polyp removal | CPT 45385 | $1,506.9 |
| Total shoulder arthroplasty | CPT 23472 | $23,503 |
| Total hip replacement | CPT 27130 | $16,444 |
| Total knee replacement | CPT 27447 | $16,444 |
| Shoulder arthroscopy with decompression | CPT 29826 | $240.02 |
| Shoulder arthroscopy with rotator cuff repair | CPT 29827 | $9,129.89 |
| Knee arthroscopy with meniscectomy | CPT 29881 | $4,146.7 |
| ACL reconstruction | CPT 29888 | $9,129.89 |
| Major small/large bowel procedures w MCC | MS-DRG 329 | $53,148 |
| Major small/large bowel procedures w CC | MS-DRG 330 | $27,463 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG 331 | $19,248 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG 418 | $19,333 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG 419 | $15,405 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG 420 | $40,901 |
| Open appendectomy | CPT 44950 | $7,679.22 |
| Laparoscopic appendectomy | CPT 44970 | $7,456.48 |
| Major joint replacement w MCC | MS-DRG 469 | $37,895 |
| Major joint replacement w/o MCC | MS-DRG 470 | $21,951 |
| Laparoscopic cholecystectomy | CPT 47562 | $7,456.48 |
| Lap cholecystectomy with cholangiography | CPT 47563 | $7,456.48 |
| Hip & femur procedures except major joint w MCC | MS-DRG 480 | $34,118 |
| Hip & femur procedures except major joint w CC | MS-DRG 481 | $24,134 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG 482 | $18,503 |
| Lap inguinal hernia repair | CPT 49650 | $7,456.48 |
| Lap-assisted vaginal hysterectomy >250g | CPT 58552 | $13,306 |
| Lap salpingo-oophorectomy | CPT 58661 | $7,456.48 |
| OR procedure for obesity w MCC | MS-DRG 619 | $31,040 |
| OR procedure for obesity w CC | MS-DRG 620 | $18,447 |
| OR procedure for obesity w/o CC/MCC | MS-DRG 621 | $17,067 |
| Complex cataract surgery | CPT 66982 | $2,914.83 |
| Cataract surgery with lens implant | CPT 66984 | $2,914.83 |
| Intravitreal injection | CPT 67028 | $423.91 |
| Vitrectomy mechanical | CPT 67042 | $5,141.33 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG 743 | $14,034 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG 744 | $22,741 |
| PCI single major coronary artery | CPT 92920 | $7,286.71 |
| PCI with drug-eluting stent | CPT 92928 | $14,494 |
| PCI bypass graft | CPT 92937 | $14,494 |
| Coronary angiography with cath | CPT 93455 | $4,110.66 |
| Coronary angiography with bypass cath | CPT 93458 | $4,110.66 |
