| Psychoses | MS-DRG 885 | $14,619 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG 064 | $22,219 |
| Intracranial hemorrhage/CVA w CC | MS-DRG 065 | $11,275 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG 066 | $7,626.44 |
| Respiratory infections & inflammations w MCC | MS-DRG 177 | $18,678 |
| COPD w MCC | MS-DRG 190 | $12,224 |
| COPD w CC | MS-DRG 191 | $9,417.96 |
| COPD w/o CC/MCC | MS-DRG 192 | $7,119.49 |
| Simple pneumonia & pleurisy w CC | MS-DRG 194 | $9,120.66 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG 195 | $6,939.78 |
| AMI discharged alive w MCC | MS-DRG 280 | $18,823 |
| AMI discharged alive w CC | MS-DRG 281 | $10,571 |
| AMI discharged alive w/o CC/MCC | MS-DRG 282 | $8,315.24 |
| Heart failure & shock w MCC | MS-DRG 291 | $14,242 |
| Heart failure & shock w CC | MS-DRG 292 | $9,501.15 |
| Heart failure & shock w/o CC/MCC | MS-DRG 293 | $6,228.72 |
| Cardiac arrhythmia w MCC | MS-DRG 308 | $13,336 |
| Cardiac arrhythmia w CC | MS-DRG 309 | $8,260.96 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG 310 | $6,134.43 |
| GI hemorrhage w CC | MS-DRG 378 | $10,913 |
| GI hemorrhage w/o CC/MCC | MS-DRG 379 | $7,024.09 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG 392 | $5,783.74 |
| Fractures of femur w/o MCC | MS-DRG 533 | $17,792 |
| Kidney/UTI w MCC | MS-DRG 689 | $13,028 |
| Kidney/UTI w/o MCC | MS-DRG 690 | $8,950.94 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG 871 | $21,993 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG 872 | $11,425 |
| Office visit, established patient, 30-39 minutes | CPT 99214 | $228.43 |
| Upper GI endoscopy diagnostic | CPT 43235 | $1,414.66 |
| Upper GI endoscopy with biopsy | CPT 43239 | $1,414.66 |
| Sigmoidoscopy diagnostic | CPT 45330 | $255.25 |
| Sigmoidoscopy with biopsy | CPT 45331 | $1,340.61 |
| Colonoscopy diagnostic | CPT 45378 | $1,374.98 |
| Colonoscopy with biopsy | CPT 45380 | $1,807.6 |
| Colonoscopy with polyp removal | CPT 45385 | $1,807.6 |
| Knee arthroscopy with meniscectomy | CPT 29881 | $4,681.04 |
| Major small/large bowel procedures w MCC | MS-DRG 329 | $50,105 |
| Major small/large bowel procedures w CC | MS-DRG 330 | $26,314 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG 331 | $18,548 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG 418 | $18,134 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG 419 | $14,567 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG 420 | $35,506 |
| Open appendectomy | CPT 44950 | $4,974.95 |
| Laparoscopic appendectomy | CPT 44970 | $7,153.89 |
| Spinal fusion (non-cervical) w MCC | MS-DRG 459 | $73,572 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG 460 | $40,577 |
| Major joint replacement w MCC | MS-DRG 469 | $36,937 |
| Major joint replacement w/o MCC | MS-DRG 470 | $24,184 |
| Laparoscopic cholecystectomy | CPT 47562 | $7,733.94 |
| Lap cholecystectomy with cholangiography | CPT 47563 | $7,733.94 |
| Hip & femur procedures except major joint w MCC | MS-DRG 480 | $32,712 |
| Hip & femur procedures except major joint w CC | MS-DRG 481 | $23,017 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG 482 | $17,620 |
| Lap inguinal hernia repair | CPT 49650 | $7,153.89 |
| Total abdominal hysterectomy | CPT 58150 | $1,840.54 |
| Vaginal hysterectomy | CPT 58260 | $6,834.46 |
| Lap-assisted vaginal hysterectomy >250g | CPT 58552 | $12,451 |
| Lap salpingo-oophorectomy | CPT 58661 | $7,153.89 |
| OR procedure for obesity w MCC | MS-DRG 619 | $28,797 |
| OR procedure for obesity w CC | MS-DRG 620 | $17,995 |
| OR procedure for obesity w/o CC/MCC | MS-DRG 621 | $16,831 |
| Complex cataract surgery | CPT 66982 | $3,457.38 |
| Cataract surgery with lens implant | CPT 66984 | $3,457.38 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG 743 | $12,890 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG 744 | $20,881 |
