| Psychoses | MS-DRG 885 | $13,712 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG 064 | $19,261 |
| Intracranial hemorrhage/CVA w CC | MS-DRG 065 | $10,728 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG 066 | $8,230.89 |
| Respiratory infections & inflammations w MCC | MS-DRG 177 | $16,146 |
| COPD w MCC | MS-DRG 190 | $11,534 |
| COPD w CC | MS-DRG 191 | $9,528.75 |
| COPD w/o CC/MCC | MS-DRG 192 | $7,918.59 |
| Simple pneumonia & pleurisy w CC | MS-DRG 194 | $9,231.63 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG 195 | $7,732.4 |
| AMI discharged alive w MCC | MS-DRG 280 | $16,480 |
| AMI discharged alive w CC | MS-DRG 281 | $10,005 |
| AMI discharged alive w/o CC/MCC | MS-DRG 282 | $8,510.5 |
| Heart failure & shock w MCC | MS-DRG 291 | $12,916 |
| Heart failure & shock w CC | MS-DRG 292 | $9,544.71 |
| Heart failure & shock w/o CC/MCC | MS-DRG 293 | $7,170.08 |
| Cardiac arrhythmia w MCC | MS-DRG 308 | $12,164 |
| Cardiac arrhythmia w CC | MS-DRG 309 | $8,618.42 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG 310 | $7,252.16 |
| GI hemorrhage w CC | MS-DRG 378 | $10,492 |
| GI hemorrhage w/o CC/MCC | MS-DRG 379 | $7,838.8 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG 392 | $8,929.97 |
| Fractures of femur w/o MCC | MS-DRG 533 | $15,231 |
| Kidney/UTI w MCC | MS-DRG 689 | $11,893 |
| Kidney/UTI w/o MCC | MS-DRG 690 | $9,099.43 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG 871 | $19,065 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG 872 | $10,835 |
| Tissue exam by pathologist level IV | CPT 88305 | $52.04 |
| Upper GI endoscopy diagnostic | CPT 43235 | $994.82 |
| Upper GI endoscopy with biopsy | CPT 43239 | $994.82 |
| Sigmoidoscopy diagnostic | CPT 45330 | $877.65 |
| Sigmoidoscopy with biopsy | CPT 45331 | $982.14 |
| Colonoscopy diagnostic | CPT 45378 | $1,003.03 |
| Colonoscopy with biopsy | CPT 45380 | $1,295.08 |
| Colonoscopy with polyp removal | CPT 45385 | $1,295.08 |
| Total shoulder arthroplasty | CPT 23472 | $17,044 |
| Total hip replacement | CPT 27130 | $13,240 |
| Total knee replacement | CPT 27447 | $13,240 |
| Shoulder arthroscopy with decompression | CPT 29826 | $5,668 |
| Shoulder arthroscopy with rotator cuff repair | CPT 29827 | $7,524.13 |
| Knee arthroscopy with meniscectomy | CPT 29881 | $3,552.29 |
| ACL reconstruction | CPT 29888 | $6,869.86 |
| Major small/large bowel procedures w MCC | MS-DRG 329 | $41,502 |
| Major small/large bowel procedures w CC | MS-DRG 330 | $22,810 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG 331 | $16,078 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG 418 | $15,719 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG 419 | $13,013 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG 420 | $31,017 |
| Laparoscopic appendectomy | CPT 44970 | $6,283.65 |
| Spinal fusion (non-cervical) w MCC | MS-DRG 459 | $68,382 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG 460 | $37,715 |
| Major joint replacement w MCC | MS-DRG 469 | $32,647 |
| Major joint replacement w/o MCC | MS-DRG 470 | $19,726 |
| Laparoscopic cholecystectomy | CPT 47562 | $6,200.38 |
| Lap cholecystectomy with cholangiography | CPT 47563 | $6,200.38 |
| Hip & femur procedures except major joint w MCC | MS-DRG 480 | $26,804 |
| Hip & femur procedures except major joint w CC | MS-DRG 481 | $19,360 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG 482 | $15,165 |
| Lap inguinal hernia repair | CPT 49650 | $6,235 |
| Total abdominal hysterectomy | CPT 58150 | $5,369 |
| Vaginal hysterectomy | CPT 58260 | $5,300.1 |
| Lap-assisted vaginal hysterectomy >250g | CPT 58552 | $9,884.78 |
| Lap salpingo-oophorectomy | CPT 58661 | $6,332.3 |
| OR procedure for obesity w MCC | MS-DRG 619 | $25,978 |
| OR procedure for obesity w CC | MS-DRG 620 | $15,951 |
| OR procedure for obesity w/o CC/MCC | MS-DRG 621 | $14,600 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG 743 | $12,109 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG 744 | $18,101 |
