| Psychoses | MS-DRG 885 | $14,129 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG 064 | $23,524 |
| Intracranial hemorrhage/CVA w CC | MS-DRG 065 | $11,989 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG 066 | $8,231.65 |
| Respiratory infections & inflammations w MCC | MS-DRG 177 | $18,357 |
| COPD w MCC | MS-DRG 190 | $6,461.21 |
| COPD w CC | MS-DRG 191 | $42,557 |
| COPD w/o CC/MCC | MS-DRG 192 | $16,964 |
| Simple pneumonia & pleurisy w CC | MS-DRG 194 | $9,632.29 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG 195 | $7,587.25 |
| AMI discharged alive w MCC | MS-DRG 280 | $6,482.4 |
| AMI discharged alive w CC | MS-DRG 281 | $4,184.81 |
| AMI discharged alive w/o CC/MCC | MS-DRG 282 | $3,435.32 |
| Heart failure & shock w MCC | MS-DRG 291 | $15,141 |
| Heart failure & shock w CC | MS-DRG 292 | $10,129 |
| Heart failure & shock w/o CC/MCC | MS-DRG 293 | $6,866.77 |
| Cardiac arrhythmia w MCC | MS-DRG 308 | $13,935 |
| Cardiac arrhythmia w CC | MS-DRG 309 | $7,678.89 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG 310 | $8,823.35 |
| GI hemorrhage w CC | MS-DRG 378 | $11,647 |
| GI hemorrhage w/o CC/MCC | MS-DRG 379 | $7,609.16 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG 392 | $9,329.09 |
| Fractures of femur w/o MCC | MS-DRG 533 | $18,414 |
| Kidney/UTI w MCC | MS-DRG 689 | $13,718 |
| Kidney/UTI w/o MCC | MS-DRG 690 | $9,673.77 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG 871 | $22,735 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG 872 | $12,138 |
| Upper GI endoscopy diagnostic | CPT 43235 | $943.98 |
| Upper GI endoscopy with biopsy | CPT 43239 | $943.98 |
| Sigmoidoscopy diagnostic | CPT 45330 | $917.95 |
| Sigmoidoscopy with biopsy | CPT 45331 | $917.95 |
| Colonoscopy diagnostic | CPT 45378 | $917.95 |
| Colonoscopy with biopsy | CPT 45380 | $1,187.15 |
| Colonoscopy with polyp removal | CPT 45385 | $1,198.46 |
| Total shoulder arthroplasty | CPT 23472 | $18,516 |
| PCI w drug-eluting stent w MCC | MS-DRG 246 | $5,326.38 |
| PCI w drug-eluting stent w/o MCC | MS-DRG 247 | $5,329.27 |
| Total hip replacement | CPT 27130 | $19,741 |
| Total knee replacement | CPT 27447 | $17,314 |
| Knee revision arthroplasty single component | CPT 27486 | $7,488.49 |
| Knee revision arthroplasty all components | CPT 27487 | $7,952.29 |
| Shoulder arthroscopy with decompression | CPT 29826 | $2,655.58 |
| Shoulder arthroscopy with rotator cuff repair | CPT 29827 | $7,329.63 |
| Knee arthroscopy with meniscectomy | CPT 29881 | $3,258.56 |
| ACL reconstruction | CPT 29888 | $7,192.63 |
| Major small/large bowel procedures w MCC | MS-DRG 329 | $48,762 |
| Major small/large bowel procedures w CC | MS-DRG 330 | $27,976 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG 331 | $19,742 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG 418 | $19,842 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG 419 | $16,087 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG 420 | $39,618 |
| Open appendectomy | CPT 44950 | $6,402.13 |
| Laparoscopic appendectomy | CPT 44970 | $5,986.19 |
| Spinal fusion (non-cervical) w MCC | MS-DRG 459 | $16,900 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG 460 | $9,655.69 |
| Major joint replacement w MCC | MS-DRG 469 | $33,018 |
| Major joint replacement w/o MCC | MS-DRG 470 | $22,578 |
| Laparoscopic cholecystectomy | CPT 47562 | $5,986.19 |
| Lap cholecystectomy with cholangiography | CPT 47563 | $5,986.19 |
| Hip & femur procedures except major joint w MCC | MS-DRG 480 | $33,914 |
| Hip & femur procedures except major joint w CC | MS-DRG 481 | $24,487 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG 482 | $19,144 |
| Lap inguinal hernia repair | CPT 49650 | $5,986.19 |
| Total abdominal hysterectomy | CPT 58150 | $5,025.66 |
| Lap salpingo-oophorectomy | CPT 58661 | $5,986.19 |
| OR procedure for obesity w MCC | MS-DRG 619 | $33,627 |
| OR procedure for obesity w CC | MS-DRG 620 | $18,790 |
| OR procedure for obesity w/o CC/MCC | MS-DRG 621 | $17,731 |
| Complex cataract surgery | CPT 66982 | $2,985.47 |
| Cataract surgery with lens implant | CPT 66984 | $2,318.21 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG 743 | $14,645 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG 744 | $23,227 |
