| Psychoses | MS-DRG 885 | $10,049 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG 064 | $17,033 |
| Intracranial hemorrhage/CVA w CC | MS-DRG 065 | $8,707.63 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG 066 | $5,893.85 |
| Respiratory infections & inflammations w MCC | MS-DRG 177 | $13,842 |
| COPD w MCC | MS-DRG 190 | $9,616.16 |
| COPD w CC | MS-DRG 191 | $7,356.41 |
| COPD w/o CC/MCC | MS-DRG 192 | $5,541.92 |
| Simple pneumonia & pleurisy w CC | MS-DRG 194 | $7,021.59 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG 195 | $5,332.13 |
| AMI discharged alive w MCC | MS-DRG 280 | $15,256 |
| AMI discharged alive w CC | MS-DRG 281 | $8,779.41 |
| AMI discharged alive w/o CC/MCC | MS-DRG 282 | $6,905.25 |
| Heart failure & shock w MCC | MS-DRG 291 | $11,173 |
| Heart failure & shock w CC | MS-DRG 292 | $7,374.39 |
| Heart failure & shock w/o CC/MCC | MS-DRG 293 | $4,698.48 |
| Cardiac arrhythmia w MCC | MS-DRG 308 | $10,326 |
| Cardiac arrhythmia w CC | MS-DRG 309 | $6,330.57 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG 310 | $4,790.95 |
| GI hemorrhage w CC | MS-DRG 378 | $8,442.18 |
| GI hemorrhage w/o CC/MCC | MS-DRG 379 | $5,452.00 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG 392 | $6,681.65 |
| Fractures of femur w/o MCC | MS-DRG 533 | $13,058 |
| Kidney/UTI w MCC | MS-DRG 689 | $10,021 |
| Kidney/UTI w/o MCC | MS-DRG 690 | $6,872.60 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG 871 | $16,801 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG 872 | $8,828.36 |
| Upper GI endoscopy diagnostic | CPT 43235 | $1,020.86 |
| Upper GI endoscopy with biopsy | CPT 43239 | $1,020.86 |
| Sigmoidoscopy diagnostic | CPT 45330 | $880.45 |
| Sigmoidoscopy with biopsy | CPT 45331 | $1,006.22 |
| Colonoscopy diagnostic | CPT 45378 | $1,029.28 |
| Colonoscopy with biopsy | CPT 45380 | $1,328.98 |
| Colonoscopy with polyp removal | CPT 45385 | $1,328.98 |
| Total shoulder arthroplasty | CPT 23472 | $17,098 |
| Total hip replacement | CPT 27130 | $13,886 |
| Total knee replacement | CPT 27447 | $13,886 |
| Knee revision arthroplasty single component | CPT 27486 | $6,546.00 |
| Knee revision arthroplasty all components | CPT 27487 | $6,546.00 |
| Shoulder arthroscopy with decompression | CPT 29826 | $5,668.00 |
| Shoulder arthroscopy with rotator cuff repair | CPT 29827 | $7,712.21 |
| Knee arthroscopy with meniscectomy | CPT 29881 | $3,645.27 |
| ACL reconstruction | CPT 29888 | $7,219.94 |
| Major small/large bowel procedures w MCC | MS-DRG 329 | $39,320 |
| Major small/large bowel procedures w CC | MS-DRG 330 | $20,240 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG 331 | $14,137 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG 418 | $14,201 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG 419 | $11,282 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG 420 | $30,223 |
| Laparoscopic appendectomy | CPT 44970 | $6,352.49 |
| 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 | $32,019 |
| Major joint replacement w/o MCC | MS-DRG 470 | $18,094 |
| Laparoscopic cholecystectomy | CPT 47562 | $6,352.49 |
| Lap cholecystectomy with cholangiography | CPT 47563 | $6,352.49 |
| Hip & femur procedures except major joint w MCC | MS-DRG 480 | $25,060 |
| Hip & femur procedures except major joint w CC | MS-DRG 481 | $17,680 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG 482 | $13,517 |
| Lap inguinal hernia repair | CPT 49650 | $6,293.75 |
| Total abdominal hysterectomy | CPT 58150 | $5,369.00 |
| Vaginal hysterectomy | CPT 58260 | $5,369.00 |
| Lap-assisted vaginal hysterectomy | CPT 58550 | $6,473.75 |
| Lap-assisted vaginal hysterectomy >250g | CPT 58552 | $9,916.29 |
| Lap salpingo-oophorectomy | CPT 58661 | $6,498.07 |
| OR procedure for obesity w MCC | MS-DRG 619 | $23,711 |
| OR procedure for obesity w CC | MS-DRG 620 | $13,888 |
| OR procedure for obesity w/o CC/MCC | MS-DRG 621 | $12,713 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG 743 | $10,264 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG 744 | $16,732 |
