| Psychoses | MS-DRG 885 | $10,048 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG 064 | $22,043 |
| Intracranial hemorrhage/CVA w CC | MS-DRG 065 | $11,074 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG 066 | $7,501.82 |
| Respiratory infections & inflammations w MCC | MS-DRG 177 | $17,129 |
| 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 | $8,833.6 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG 195 | $6,889.09 |
| 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 | $14,072 |
| Heart failure & shock w CC | MS-DRG 292 | $9,306.03 |
| Heart failure & shock w/o CC/MCC | MS-DRG 293 | $6,204.02 |
| 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 | $10,750 |
| GI hemorrhage w/o CC/MCC | MS-DRG 379 | $6,909.92 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG 392 | $8,545.33 |
| Fractures of femur w/o MCC | MS-DRG 533 | $17,184 |
| Kidney/UTI w MCC | MS-DRG 689 | $12,718 |
| Kidney/UTI w/o MCC | MS-DRG 690 | $8,873.06 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG 871 | $21,292 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG 872 | $11,217 |
| Upper GI endoscopy diagnostic | CPT 43235 | $914.91 |
| Upper GI endoscopy with biopsy | CPT 43239 | $914.91 |
| Sigmoidoscopy diagnostic | CPT 45330 | $889.69 |
| Sigmoidoscopy with biopsy | CPT 45331 | $889.69 |
| Colonoscopy diagnostic | CPT 45378 | $889.69 |
| Colonoscopy with biopsy | CPT 45380 | $1,150.6 |
| Colonoscopy with polyp removal | CPT 45385 | $1,178.76 |
| Total shoulder arthroplasty | CPT 23472 | $18,385 |
| 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 | $13,029 |
| Total knee replacement | CPT 27447 | $13,152 |
| Knee revision arthroplasty single component | CPT 27486 | $5,437.97 |
| Knee revision arthroplasty all components | CPT 27487 | $6,365.57 |
| Shoulder arthroscopy with decompression | CPT 29826 | $2,572.55 |
| Shoulder arthroscopy with rotator cuff repair | CPT 29827 | $7,165.63 |
| Knee arthroscopy with meniscectomy | CPT 29881 | $3,166.22 |
| Major small/large bowel procedures w MCC | MS-DRG 329 | $46,665 |
| Major small/large bowel procedures w CC | MS-DRG 330 | $26,276 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG 331 | $18,447 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG 418 | $18,542 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG 419 | $14,971 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG 420 | $37,346 |
| Laparoscopic appendectomy | CPT 44970 | $5,852.24 |
| 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 | $33,247 |
| Major joint replacement w/o MCC | MS-DRG 470 | $23,004 |
| Laparoscopic cholecystectomy | CPT 47562 | $5,852.24 |
| Lap cholecystectomy with cholangiography | CPT 47563 | $5,852.24 |
| Hip & femur procedures except major joint w MCC | MS-DRG 480 | $31,922 |
| Hip & femur procedures except major joint w CC | MS-DRG 481 | $22,958 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG 482 | $17,878 |
| Lap inguinal hernia repair | CPT 49650 | $5,852.24 |
| Vaginal hysterectomy | CPT 58260 | $4,998.74 |
| Lap salpingo-oophorectomy | CPT 58661 | $5,852.24 |
| OR procedure for obesity w MCC | MS-DRG 619 | $31,649 |
| OR procedure for obesity w CC | MS-DRG 620 | $17,541 |
| OR procedure for obesity w/o CC/MCC | MS-DRG 621 | $16,534 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG 743 | $13,600 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG 744 | $22,084 |
| PCI single major coronary artery | CPT 92920 | $5,718.99 |
| Coronary angiography with cath | CPT 93455 | $3,257 |
| Coronary angiography with bypass cath | CPT 93458 | $3,257 |
