| Psychoses | MS-DRG 885 | $12,761 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG 064 | $18,163 |
| Intracranial hemorrhage/CVA w CC | MS-DRG 065 | $9,361.71 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG 066 | $6,495.24 |
| Respiratory infections & inflammations w MCC | MS-DRG 177 | $14,220 |
| COPD w MCC | MS-DRG 190 | $10,451 |
| COPD w CC | MS-DRG 191 | $10,451 |
| COPD w/o CC/MCC | MS-DRG 192 | $10,451 |
| Simple pneumonia & pleurisy w CC | MS-DRG 194 | $7,563.89 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG 195 | $6,003.55 |
| AMI discharged alive w MCC | MS-DRG 280 | $10,451 |
| AMI discharged alive w CC | MS-DRG 281 | $10,451 |
| AMI discharged alive w/o CC/MCC | MS-DRG 282 | $10,451 |
| Heart failure & shock w MCC | MS-DRG 291 | $11,767 |
| Heart failure & shock w CC | MS-DRG 292 | $7,942.98 |
| Heart failure & shock w/o CC/MCC | MS-DRG 293 | $5,453.84 |
| Cardiac arrhythmia w MCC | MS-DRG 308 | $10,451 |
| Cardiac arrhythmia w CC | MS-DRG 309 | $10,451 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG 310 | $10,451 |
| GI hemorrhage w CC | MS-DRG 378 | $9,101.37 |
| GI hemorrhage w/o CC/MCC | MS-DRG 379 | $6,020.28 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG 392 | $7,332.58 |
| Fractures of femur w/o MCC | MS-DRG 533 | $14,264 |
| Kidney/UTI w MCC | MS-DRG 689 | $10,681 |
| Kidney/UTI w/o MCC | MS-DRG 690 | $7,595.57 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG 871 | $17,561 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG 872 | $9,476.03 |
| Upper GI endoscopy diagnostic | CPT 43235 | $977.6 |
| Upper GI endoscopy with biopsy | CPT 43239 | $977.6 |
| Sigmoidoscopy diagnostic | CPT 45330 | $950.64 |
| Sigmoidoscopy with biopsy | CPT 45331 | $950.64 |
| Colonoscopy diagnostic | CPT 45378 | $950.64 |
| Colonoscopy with biopsy | CPT 45380 | $1,229.43 |
| Colonoscopy with polyp removal | CPT 45385 | $1,230.02 |
| Total shoulder arthroplasty | CPT 23472 | $18,044 |
| PCI w drug-eluting stent w MCC | MS-DRG 246 | $10,451 |
| PCI w drug-eluting stent w/o MCC | MS-DRG 247 | $10,451 |
| Total hip replacement | CPT 27130 | $12,719 |
| Total knee replacement | CPT 27447 | $12,878 |
| Knee revision arthroplasty single component | CPT 27486 | $8,662.41 |
| Knee revision arthroplasty all components | CPT 27487 | $10,059 |
| Shoulder arthroscopy with decompression | CPT 29826 | $3,737 |
| Shoulder arthroscopy with rotator cuff repair | CPT 29827 | $7,009.22 |
| Knee arthroscopy with meniscectomy | CPT 29881 | $3,340.07 |
| ACL reconstruction | CPT 29888 | $7,009.22 |
| Major small/large bowel procedures w MCC | MS-DRG 329 | $40,904 |
| Major small/large bowel procedures w CC | MS-DRG 330 | $21,560 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG 331 | $15,278 |
| CABG single arterial graft | CPT 33533 | $14,111 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG 418 | $15,354 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG 419 | $12,489 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG 420 | $30,443 |
| Open appendectomy | CPT 44950 | $6,361.96 |
| Laparoscopic appendectomy | CPT 44970 | $5,948.62 |
| Spinal fusion (non-cervical) w MCC | MS-DRG 459 | $10,451 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG 460 | $10,451 |
| Major joint replacement w MCC | MS-DRG 469 | $27,154 |
| Major joint replacement w/o MCC | MS-DRG 470 | $17,774 |
| Laparoscopic cholecystectomy | CPT 47562 | $6,006.01 |
| Lap cholecystectomy with cholangiography | CPT 47563 | $6,006.01 |
| Hip & femur procedures except major joint w MCC | MS-DRG 480 | $26,091 |
| Hip & femur procedures except major joint w CC | MS-DRG 481 | $18,898 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG 482 | $14,821 |
| Lap inguinal hernia repair | CPT 49650 | $5,724.51 |
| Vaginal hysterectomy | CPT 58260 | $5,147.24 |
| Lap-assisted vaginal hysterectomy | CPT 58550 | $6,169.58 |
| Lap-assisted vaginal hysterectomy >250g | CPT 58552 | $10,215 |
| Lap salpingo-oophorectomy | CPT 58661 | $5,839.29 |
| OR procedure for obesity w MCC | MS-DRG 619 | $25,872 |
| OR procedure for obesity w CC | MS-DRG 620 | $14,551 |
| OR procedure for obesity w/o CC/MCC | MS-DRG 621 | $13,743 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG 743 | $11,388 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG 744 | $18,498 |
