| Psychoses | MS-DRG 885 | $11,863 |
| EKG tracing only | CPT 93005 | $58.74 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG 064 | $17,721 |
| Intracranial hemorrhage/CVA w CC | MS-DRG 065 | $9,091.7 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG 066 | $6,491.34 |
| Respiratory infections & inflammations w MCC | MS-DRG 177 | $14,681 |
| COPD w MCC | MS-DRG 190 | $9,868.94 |
| COPD w CC | MS-DRG 191 | $7,763.41 |
| COPD w/o CC/MCC | MS-DRG 192 | $6,185.25 |
| Simple pneumonia & pleurisy w CC | MS-DRG 194 | $7,472.19 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG 195 | $6,002.77 |
| AMI discharged alive w MCC | MS-DRG 280 | $15,470 |
| AMI discharged alive w CC | MS-DRG 281 | $9,110.59 |
| AMI discharged alive w/o CC/MCC | MS-DRG 282 | $7,275.92 |
| Heart failure & shock w MCC | MS-DRG 291 | $11,484 |
| Heart failure & shock w CC | MS-DRG 292 | $7,779.05 |
| Heart failure & shock w/o CC/MCC | MS-DRG 293 | $5,451.64 |
| Cardiac arrhythmia w MCC | MS-DRG 308 | $10,754 |
| Cardiac arrhythmia w CC | MS-DRG 309 | $6,871.16 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG 310 | $5,532.07 |
| GI hemorrhage w CC | MS-DRG 378 | $8,800.09 |
| GI hemorrhage w/o CC/MCC | MS-DRG 379 | $6,107.03 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG 392 | $7,176.54 |
| Fractures of femur w/o MCC | MS-DRG 533 | $13,934 |
| Kidney/UTI w MCC | MS-DRG 689 | $10,505 |
| Kidney/UTI w/o MCC | MS-DRG 690 | $7,342.62 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG 871 | $17,500 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG 872 | $9,212.46 |
| Tissue exam by pathologist level IV | CPT 88305 | $52.04 |
| Vaginal delivery only | CPT 59409 | $3,359.56 |
| Upper GI endoscopy diagnostic | CPT 43235 | $953.37 |
| Upper GI endoscopy with biopsy | CPT 43239 | $953.37 |
| Sigmoidoscopy diagnostic | CPT 45330 | $877.65 |
| Sigmoidoscopy with biopsy | CPT 45331 | $931.31 |
| Colonoscopy diagnostic | CPT 45378 | $961.24 |
| Colonoscopy with biopsy | CPT 45380 | $1,241.11 |
| Colonoscopy with polyp removal | CPT 45385 | $1,241.11 |
| Total shoulder arthroplasty | CPT 23472 | $17,299 |
| Total hip replacement | CPT 27130 | $13,240 |
| Total knee replacement | CPT 27447 | $13,240 |
| Knee revision arthroplasty single component | CPT 27486 | $6,546 |
| Knee revision arthroplasty all components | CPT 27487 | $6,546 |
| Shoulder arthroscopy with decompression | CPT 29826 | $5,668 |
| Shoulder arthroscopy with rotator cuff repair | CPT 29827 | $7,058.7 |
| Knee arthroscopy with meniscectomy | CPT 29881 | $3,478.29 |
| ACL reconstruction | CPT 29888 | $6,964.28 |
| Major small/large bowel procedures w MCC | MS-DRG 329 | $40,354 |
| Major small/large bowel procedures w CC | MS-DRG 330 | $20,776 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG 331 | $14,956 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG 418 | $14,622 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG 419 | $11,747 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG 420 | $30,371 |
| Open appendectomy | CPT 44950 | $7,265.01 |
| Laparoscopic appendectomy | CPT 44970 | $6,151.73 |
| Spinal fusion (non-cervical) w MCC | MS-DRG 459 | $65,965 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG 460 | $36,812 |
| Major joint replacement w MCC | MS-DRG 469 | $30,257 |
| Major joint replacement w/o MCC | MS-DRG 470 | $17,943 |
| Laparoscopic cholecystectomy | CPT 47562 | $5,886.12 |
| Lap cholecystectomy with cholangiography | CPT 47563 | $5,886.12 |
| Hip & femur procedures except major joint w MCC | MS-DRG 480 | $25,665 |
| Hip & femur procedures except major joint w CC | MS-DRG 481 | $18,327 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG 482 | $14,075 |
| Lap inguinal hernia repair | CPT 49650 | $6,068.46 |
| Total abdominal hysterectomy | CPT 58150 | $5,162 |
| Lap-assisted vaginal hysterectomy >250g | CPT 58552 | $9,884.78 |
| Lap salpingo-oophorectomy | CPT 58661 | $6,068.46 |
| OR procedure for obesity w MCC | MS-DRG 619 | $23,961 |
| OR procedure for obesity w CC | MS-DRG 620 | $14,522 |
| OR procedure for obesity w/o CC/MCC | MS-DRG 621 | $13,572 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG 743 | $10,534 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG 744 | $17,172 |
