| Psychoses | MS-DRG 885 | $10,988 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG 064 | $16,746 |
| Intracranial hemorrhage/CVA w CC | MS-DRG 065 | $8,807.63 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG 066 | $6,171.92 |
| Respiratory infections & inflammations w MCC | MS-DRG 177 | $13,126 |
| COPD w MCC | MS-DRG 190 | $9,287.71 |
| COPD w CC | MS-DRG 191 | $7,315.93 |
| COPD w/o CC/MCC | MS-DRG 192 | $5,693.18 |
| Simple pneumonia & pleurisy w CC | MS-DRG 194 | $7,016.4 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG 195 | $5,584.18 |
| AMI discharged alive w MCC | MS-DRG 280 | $13,461 |
| AMI discharged alive w CC | MS-DRG 281 | $7,930.31 |
| AMI discharged alive w/o CC/MCC | MS-DRG 282 | $6,520.92 |
| Heart failure & shock w MCC | MS-DRG 291 | $10,776 |
| Heart failure & shock w CC | MS-DRG 292 | $7,353.83 |
| Heart failure & shock w/o CC/MCC | MS-DRG 293 | $5,104.19 |
| Cardiac arrhythmia w MCC | MS-DRG 308 | $10,000 |
| Cardiac arrhythmia w CC | MS-DRG 309 | $6,297.83 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG 310 | $4,923.76 |
| GI hemorrhage w CC | MS-DRG 378 | $8,427.65 |
| GI hemorrhage w/o CC/MCC | MS-DRG 379 | $5,599.54 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG 392 | $6,603.18 |
| Fractures of femur w/o MCC | MS-DRG 533 | $14,138 |
| Kidney/UTI w MCC | MS-DRG 689 | $9,877.64 |
| Kidney/UTI w/o MCC | MS-DRG 690 | $6,654.67 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG 871 | $16,193 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG 872 | $8,771.55 |
| Upper GI endoscopy diagnostic | CPT 43235 | $911.73 |
| Upper GI endoscopy with biopsy | CPT 43239 | $911.73 |
| Sigmoidoscopy diagnostic | CPT 45330 | $886.59 |
| Sigmoidoscopy with biopsy | CPT 45331 | $886.59 |
| Colonoscopy diagnostic | CPT 45378 | $886.59 |
| Colonoscopy with biopsy | CPT 45380 | $1,146.59 |
| Colonoscopy with polyp removal | CPT 45385 | $1,146.59 |
| Total shoulder arthroplasty | CPT 23472 | $17,883 |
| Total hip replacement | CPT 27130 | $12,512 |
| Total knee replacement | CPT 27447 | $12,512 |
| Knee revision arthroplasty all components | CPT 27487 | $2,687.75 |
| Shoulder arthroscopy with decompression | CPT 29826 | $265.32 |
| Shoulder arthroscopy with rotator cuff repair | CPT 29827 | $6,946.9 |
| Knee arthroscopy with meniscectomy | CPT 29881 | $3,155.22 |
| ACL reconstruction | CPT 29888 | $6,946.9 |
| Major small/large bowel procedures w MCC | MS-DRG 329 | $36,642 |
| Major small/large bowel procedures w CC | MS-DRG 330 | $19,864 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG 331 | $14,097 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG 418 | $14,167 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG 419 | $11,537 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG 420 | $30,725 |
| Laparoscopic appendectomy | CPT 44970 | $5,673.61 |
| Major joint replacement w MCC | MS-DRG 469 | $24,305 |
| Major joint replacement w/o MCC | MS-DRG 470 | $15,267 |
| Laparoscopic cholecystectomy | CPT 47562 | $5,673.61 |
| Lap cholecystectomy with cholangiography | CPT 47563 | $5,673.61 |
| Hip & femur procedures except major joint w MCC | MS-DRG 480 | $25,454 |
| Hip & femur procedures except major joint w CC | MS-DRG 481 | $17,855 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG 482 | $13,678 |
| Lap inguinal hernia repair | CPT 49650 | $5,673.61 |
| Total abdominal hysterectomy | CPT 58150 | $1,392.55 |
| Vaginal hysterectomy | CPT 58260 | $4,800.44 |
| Lap-assisted vaginal hysterectomy | CPT 58550 | $5,673.61 |
| Lap-assisted vaginal hysterectomy >250g | CPT 58552 | $10,124 |
| Lap salpingo-oophorectomy | CPT 58661 | $5,673.61 |
| OR procedure for obesity w MCC | MS-DRG 619 | $23,821 |
| OR procedure for obesity w CC | MS-DRG 620 | $13,430 |
| OR procedure for obesity w/o CC/MCC | MS-DRG 621 | $12,688 |
| Cataract surgery with lens implant | CPT 66984 | $2,217.89 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG 743 | $10,527 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG 744 | $15,897 |
