| Psychoses | MS-DRG 885 | $10,980 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG 064 | $15,633 |
| Intracranial hemorrhage/CVA w CC | MS-DRG 065 | $8,051.31 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG 066 | $5,582.20 |
| Respiratory infections & inflammations w MCC | MS-DRG 177 | $12,236 |
| COPD w MCC | MS-DRG 190 | $6,772.15 |
| COPD w CC | MS-DRG 191 | $44,605 |
| COPD w/o CC/MCC | MS-DRG 192 | $17,780 |
| Simple pneumonia & pleurisy w CC | MS-DRG 194 | $6,502.72 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG 195 | $5,158.67 |
| AMI discharged alive w MCC | MS-DRG 280 | $6,794.36 |
| AMI discharged alive w CC | MS-DRG 281 | $4,386.19 |
| AMI discharged alive w/o CC/MCC | MS-DRG 282 | $3,600.64 |
| Heart failure & shock w MCC | MS-DRG 291 | $10,123 |
| Heart failure & shock w CC | MS-DRG 292 | $6,829.25 |
| Heart failure & shock w/o CC/MCC | MS-DRG 293 | $4,685.17 |
| Cardiac arrhythmia w MCC | MS-DRG 308 | $14,606 |
| Cardiac arrhythmia w CC | MS-DRG 309 | $8,048.42 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG 310 | $9,247.96 |
| GI hemorrhage w CC | MS-DRG 378 | $7,827.05 |
| GI hemorrhage w/o CC/MCC | MS-DRG 379 | $5,173.08 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG 392 | $6,303.47 |
| Fractures of femur w/o MCC | MS-DRG 533 | $12,274 |
| Kidney/UTI w MCC | MS-DRG 689 | $9,187.74 |
| Kidney/UTI w/o MCC | MS-DRG 690 | $6,529.99 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG 871 | $15,114 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG 872 | $8,149.80 |
| Upper GI endoscopy diagnostic | CPT 43235 | $916.18 |
| Upper GI endoscopy with biopsy | CPT 43239 | $916.18 |
| Sigmoidoscopy diagnostic | CPT 45330 | $890.91 |
| Sigmoidoscopy with biopsy | CPT 45331 | $890.91 |
| Colonoscopy diagnostic | CPT 45378 | $890.91 |
| Colonoscopy with biopsy | CPT 45380 | $1,152.18 |
| Colonoscopy with polyp removal | CPT 45385 | $1,180.38 |
| Total shoulder arthroplasty | CPT 23472 | $18,349 |
| PCI w drug-eluting stent w MCC | MS-DRG 246 | $65,161 |
| PCI w drug-eluting stent w/o MCC | MS-DRG 247 | $41,539 |
| Total hip replacement | CPT 27130 | $12,924 |
| Total knee replacement | CPT 27447 | $13,047 |
| Knee revision arthroplasty all components | CPT 27487 | $6,361.34 |
| Shoulder arthroscopy with decompression | CPT 29826 | $2,447.12 |
| Shoulder arthroscopy with rotator cuff repair | CPT 29827 | $7,175.52 |
| Knee arthroscopy with meniscectomy | CPT 29881 | $3,170.60 |
| ACL reconstruction | CPT 29888 | $7,127.68 |
| Major small/large bowel procedures w MCC | MS-DRG 329 | $35,221 |
| Major small/large bowel procedures w CC | MS-DRG 330 | $18,559 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG 331 | $13,147 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG 418 | $13,213 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG 419 | $10,745 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG 420 | $26,210 |
| Open appendectomy | CPT 44950 | $6,267.52 |
| Laparoscopic appendectomy | CPT 44970 | $5,860.33 |
| Spinal fusion (non-cervical) w MCC | MS-DRG 459 | $144,293 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG 460 | $81,925 |
| Major joint replacement w MCC | MS-DRG 469 | $23,377 |
| Major joint replacement w/o MCC | MS-DRG 470 | $15,011 |
| Laparoscopic cholecystectomy | CPT 47562 | $5,860.33 |
| Lap cholecystectomy with cholangiography | CPT 47563 | $5,860.33 |
| Hip & femur procedures except major joint w MCC | MS-DRG 480 | $22,461 |
| Hip & femur procedures except major joint w CC | MS-DRG 481 | $16,266 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG 482 | $12,754 |
| Lap inguinal hernia repair | CPT 49650 | $5,860.33 |
| Vaginal hysterectomy | CPT 58260 | $4,958.43 |
| Lap-assisted vaginal hysterectomy >250g | CPT 58552 | $10,388 |
| Lap salpingo-oophorectomy | CPT 58661 | $5,860.33 |
| OR procedure for obesity w MCC | MS-DRG 619 | $22,273 |
| OR procedure for obesity w CC | MS-DRG 620 | $12,521 |
| OR procedure for obesity w/o CC/MCC | MS-DRG 621 | $11,825 |
| Complex cataract surgery | CPT 66982 | $2,290.88 |
| Cataract surgery with lens implant | CPT 66984 | $2,283.25 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG 743 | $9,796.87 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG 744 | $15,922 |
