| Psychoses | MS-DRG 885 | $13,720 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG 064 | $29,041 |
| Intracranial hemorrhage/CVA w CC | MS-DRG 065 | $14,786 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG 066 | $10,143 |
| Respiratory infections & inflammations w MCC | MS-DRG 177 | $22,655 |
| COPD w MCC | MS-DRG 190 | $6,631.1 |
| COPD w CC | MS-DRG 191 | $43,676 |
| COPD w/o CC/MCC | MS-DRG 192 | $17,410 |
| Simple pneumonia & pleurisy w CC | MS-DRG 194 | $11,874 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG 195 | $9,346.91 |
| AMI discharged alive w MCC | MS-DRG 280 | $6,652.85 |
| AMI discharged alive w CC | MS-DRG 281 | $4,294.84 |
| AMI discharged alive w/o CC/MCC | MS-DRG 282 | $3,525.64 |
| Heart failure & shock w MCC | MS-DRG 291 | $18,682 |
| Heart failure & shock w CC | MS-DRG 292 | $12,488 |
| Heart failure & shock w/o CC/MCC | MS-DRG 293 | $8,456.59 |
| Cardiac arrhythmia w MCC | MS-DRG 308 | $14,301 |
| Cardiac arrhythmia w CC | MS-DRG 309 | $7,880.79 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG 310 | $9,055.35 |
| GI hemorrhage w CC | MS-DRG 378 | $14,364 |
| GI hemorrhage w/o CC/MCC | MS-DRG 379 | $9,373.97 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG 392 | $11,499 |
| Fractures of femur w/o MCC | MS-DRG 533 | $22,726 |
| Kidney/UTI w MCC | MS-DRG 689 | $16,922 |
| Kidney/UTI w/o MCC | MS-DRG 690 | $11,571 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG 871 | $28,065 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG 872 | $14,971 |
| Upper GI endoscopy diagnostic | CPT 43235 | $942.36 |
| Upper GI endoscopy with biopsy | CPT 43239 | $942.36 |
| Sigmoidoscopy diagnostic | CPT 45330 | $916.38 |
| Sigmoidoscopy with biopsy | CPT 45331 | $916.38 |
| Colonoscopy diagnostic | CPT 45378 | $916.38 |
| Colonoscopy with biopsy | CPT 45380 | $1,185.12 |
| Colonoscopy with polyp removal | CPT 45385 | $1,189.08 |
| Total shoulder arthroplasty | CPT 23472 | $18,546 |
| PCI w drug-eluting stent w MCC | MS-DRG 246 | $5,466.43 |
| PCI w drug-eluting stent w/o MCC | MS-DRG 247 | $5,469.39 |
| Total hip replacement | CPT 27130 | $13,223 |
| Total knee replacement | CPT 27447 | $14,056 |
| Knee revision arthroplasty single component | CPT 27486 | $3,273.11 |
| Knee revision arthroplasty all components | CPT 27487 | $3,968.87 |
| Shoulder arthroscopy with decompression | CPT 29826 | $2,238.66 |
| Shoulder arthroscopy with rotator cuff repair | CPT 29827 | $7,204.33 |
| Knee arthroscopy with meniscectomy | CPT 29881 | $3,250.31 |
| Major small/large bowel procedures w MCC | MS-DRG 329 | $65,871 |
| Major small/large bowel procedures w CC | MS-DRG 330 | $34,542 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG 331 | $24,367 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG 418 | $24,491 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG 419 | $19,850 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG 420 | $48,928 |
| Laparoscopic appendectomy | CPT 44970 | $5,883.85 |
| Spinal fusion (non-cervical) w MCC | MS-DRG 459 | $17,344 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG 460 | $9,909.57 |
| Major joint replacement w MCC | MS-DRG 469 | $43,602 |
| Major joint replacement w/o MCC | MS-DRG 470 | $27,871 |
| Laparoscopic cholecystectomy | CPT 47562 | $5,883.85 |
| Hip & femur procedures except major joint w MCC | MS-DRG 480 | $41,880 |
| Hip & femur procedures except major joint w CC | MS-DRG 481 | $30,230 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG 482 | $23,628 |
| Lap inguinal hernia repair | CPT 49650 | $5,883.85 |
| Total abdominal hysterectomy | CPT 58150 | $2,331.19 |
| Vaginal hysterectomy | CPT 58260 | $5,073.15 |
| Lap-assisted vaginal hysterectomy >250g | CPT 58552 | $10,500 |
| Lap salpingo-oophorectomy | CPT 58661 | $5,883.85 |
| OR procedure for obesity w MCC | MS-DRG 619 | $41,525 |
| OR procedure for obesity w CC | MS-DRG 620 | $23,190 |
| OR procedure for obesity w/o CC/MCC | MS-DRG 621 | $21,881 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG 743 | $18,068 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG 744 | $23,915 |
