| Psychoses | MS-DRG 885 | $10,217 |
| EKG tracing only | CPT 93005 | $61.54 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG 064 | $17,175 |
| Intracranial hemorrhage/CVA w CC | MS-DRG 065 | $8,780.16 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG 066 | $5,942.95 |
| Respiratory infections & inflammations w MCC | MS-DRG 177 | $13,957 |
| COPD w MCC | MS-DRG 190 | $9,696.26 |
| COPD w CC | MS-DRG 191 | $7,417.68 |
| COPD w/o CC/MCC | MS-DRG 192 | $5,588.09 |
| Simple pneumonia & pleurisy w CC | MS-DRG 194 | $7,080.07 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG 195 | $5,376.55 |
| 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 | $11,266 |
| Heart failure & shock w CC | MS-DRG 292 | $7,435.81 |
| Heart failure & shock w/o CC/MCC | MS-DRG 293 | $4,737.6 |
| Cardiac arrhythmia w MCC | MS-DRG 308 | $10,412 |
| Cardiac arrhythmia w CC | MS-DRG 309 | $6,383.29 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG 310 | $4,830.86 |
| GI hemorrhage w CC | MS-DRG 378 | $8,512.5 |
| GI hemorrhage w/o CC/MCC | MS-DRG 379 | $5,497.42 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG 392 | $6,737.3 |
| Fractures of femur w/o MCC | MS-DRG 533 | $13,166 |
| Kidney/UTI w MCC | MS-DRG 689 | $10,105 |
| Kidney/UTI w/o MCC | MS-DRG 690 | $6,929.84 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG 871 | $16,941 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG 872 | $8,901.9 |
| Upper GI endoscopy diagnostic | CPT 43235 | $1,040.42 |
| Upper GI endoscopy with biopsy | CPT 43239 | $1,040.42 |
| Sigmoidoscopy diagnostic | CPT 45330 | $877.65 |
| Sigmoidoscopy with biopsy | CPT 45331 | $1,026.02 |
| Colonoscopy diagnostic | CPT 45378 | $1,049 |
| Colonoscopy with biopsy | CPT 45380 | $1,354.43 |
| Colonoscopy with polyp removal | CPT 45385 | $1,354.43 |
| Total shoulder arthroplasty | CPT 23472 | $17,044 |
| Total hip replacement | CPT 27130 | $14,444 |
| Total knee replacement | CPT 27447 | $14,444 |
| Knee revision arthroplasty single component | CPT 27486 | $6,546 |
| Knee revision arthroplasty all components | CPT 27487 | $7,702 |
| Shoulder arthroscopy with decompression | CPT 29826 | $5,668 |
| Shoulder arthroscopy with rotator cuff repair | CPT 29827 | $8,069 |
| Knee arthroscopy with meniscectomy | CPT 29881 | $4,379.92 |
| ACL reconstruction | CPT 29888 | $7,851.26 |
| Major small/large bowel procedures w MCC | MS-DRG 329 | $39,648 |
| Major small/large bowel procedures w CC | MS-DRG 330 | $20,409 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG 331 | $14,255 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG 418 | $14,319 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG 419 | $11,376 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG 420 | $30,475 |
| Laparoscopic appendectomy | CPT 44970 | $6,332.3 |
| Spinal fusion (non-cervical) w MCC | MS-DRG 459 | $80,553 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG 460 | $44,427 |
| Major joint replacement w MCC | MS-DRG 469 | $34,770 |
| Major joint replacement w/o MCC | MS-DRG 470 | $19,649 |
| Laparoscopic cholecystectomy | CPT 47562 | $6,477.42 |
| Lap cholecystectomy with cholangiography | CPT 47563 | $6,477.42 |
| Hip & femur procedures except major joint w MCC | MS-DRG 480 | $25,307 |
| Hip & femur procedures except major joint w CC | MS-DRG 481 | $17,855 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG 482 | $13,651 |
| Lap inguinal hernia repair | CPT 49650 | $6,332.3 |
| Vaginal hysterectomy | CPT 58260 | $5,369 |
| Lap-assisted vaginal hysterectomy >250g | CPT 58552 | $9,884.78 |
| Lap salpingo-oophorectomy | CPT 58661 | $6,622.53 |
| OR procedure for obesity w MCC | MS-DRG 619 | $23,791 |
| OR procedure for obesity w CC | MS-DRG 620 | $13,935 |
| OR procedure for obesity w/o CC/MCC | MS-DRG 621 | $12,755 |
| Vitrectomy mechanical | CPT 67042 | $4,564.34 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG 743 | $10,350 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG 744 | $16,871 |
