| Psychoses | MS-DRG 885 | $10,691 |
| EKG tracing only | CPT 93005 | $67.13 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG 064 | $17,481 |
| Intracranial hemorrhage/CVA w CC | MS-DRG 065 | $8,936.53 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG 066 | $6,048.79 |
| Respiratory infections & inflammations w MCC | MS-DRG 177 | $14,206 |
| COPD w MCC | MS-DRG 190 | $9,868.94 |
| COPD w CC | MS-DRG 191 | $7,549.78 |
| COPD w/o CC/MCC | MS-DRG 192 | $5,687.6 |
| Simple pneumonia & pleurisy w CC | MS-DRG 194 | $7,206.17 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG 195 | $5,472.29 |
| AMI discharged alive w MCC | MS-DRG 280 | $15,371 |
| AMI discharged alive w CC | MS-DRG 281 | $8,742.19 |
| AMI discharged alive w/o CC/MCC | MS-DRG 282 | $6,876.33 |
| Heart failure & shock w MCC | MS-DRG 291 | $11,467 |
| Heart failure & shock w CC | MS-DRG 292 | $7,568.23 |
| Heart failure & shock w/o CC/MCC | MS-DRG 293 | $4,821.98 |
| Cardiac arrhythmia w MCC | MS-DRG 308 | $10,597 |
| Cardiac arrhythmia w CC | MS-DRG 309 | $6,496.98 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG 310 | $4,916.89 |
| GI hemorrhage w CC | MS-DRG 378 | $8,664.1 |
| GI hemorrhage w/o CC/MCC | MS-DRG 379 | $5,595.33 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG 392 | $6,857.28 |
| Fractures of femur w/o MCC | MS-DRG 533 | $13,401 |
| Kidney/UTI w MCC | MS-DRG 689 | $10,285 |
| Kidney/UTI w/o MCC | MS-DRG 690 | $7,053.26 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG 871 | $17,243 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG 872 | $9,060.44 |
| Upper GI endoscopy diagnostic | CPT 43235 | $1,148.95 |
| Upper GI endoscopy with biopsy | CPT 43239 | $1,148.95 |
| Colonoscopy diagnostic | CPT 45378 | $1,135.61 |
| Colonoscopy with biopsy | CPT 45380 | $1,480.59 |
| Major small/large bowel procedures w MCC | MS-DRG 329 | $40,354 |
| Major small/large bowel procedures w CC | MS-DRG 330 | $20,772 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG 331 | $14,509 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG 418 | $14,574 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG 419 | $11,579 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG 420 | $31,017 |
| Spinal fusion (non-cervical) w MCC | MS-DRG 459 | $72,007 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG 460 | $39,714 |
| Major joint replacement w MCC | MS-DRG 469 | $31,461 |
| Major joint replacement w/o MCC | MS-DRG 470 | $17,953 |
| Hip & femur procedures except major joint w MCC | MS-DRG 480 | $25,669 |
| Hip & femur procedures except major joint w CC | MS-DRG 481 | $18,110 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG 482 | $13,846 |
| OR procedure for obesity w MCC | MS-DRG 619 | $24,338 |
| OR procedure for obesity w CC | MS-DRG 620 | $14,256 |
| OR procedure for obesity w/o CC/MCC | MS-DRG 621 | $13,049 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG 743 | $10,534 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG 744 | $17,172 |
| Coronary angiography with bypass cath | CPT 93458 | $4,917.18 |
