| Psychoses | MS-DRG 885 | $14,129 |
| EKG tracing only | CPT 93005 | $58.74 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG 064 | $19,084 |
| Intracranial hemorrhage/CVA w CC | MS-DRG 065 | $10,946 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG 066 | $8,255.23 |
| Respiratory infections & inflammations w MCC | MS-DRG 177 | $16,000 |
| COPD w MCC | MS-DRG 190 | $11,814 |
| COPD w CC | MS-DRG 191 | $9,653.69 |
| COPD w/o CC/MCC | MS-DRG 192 | $7,918.72 |
| Simple pneumonia & pleurisy w CC | MS-DRG 194 | $9,333.54 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG 195 | $7,718.11 |
| AMI discharged alive w MCC | MS-DRG 280 | $16,394 |
| AMI discharged alive w CC | MS-DRG 281 | $10,167 |
| AMI discharged alive w/o CC/MCC | MS-DRG 282 | $8,556.52 |
| Heart failure & shock w MCC | MS-DRG 291 | $13,303 |
| Heart failure & shock w CC | MS-DRG 292 | $9,670.87 |
| Heart failure & shock w/o CC/MCC | MS-DRG 293 | $7,112.23 |
| Cardiac arrhythmia w MCC | MS-DRG 308 | $12,493 |
| Cardiac arrhythmia w CC | MS-DRG 309 | $8,672.79 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG 310 | $7,200.65 |
| GI hemorrhage w CC | MS-DRG 378 | $10,692 |
| GI hemorrhage w/o CC/MCC | MS-DRG 379 | $7,832.75 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG 392 | $9,008.51 |
| Fractures of femur w/o MCC | MS-DRG 533 | $15,168 |
| Kidney/UTI w MCC | MS-DRG 689 | $12,202 |
| Kidney/UTI w/o MCC | MS-DRG 690 | $9,191.09 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG 871 | $18,875 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG 872 | $11,061 |
| Basic metabolic panel (BMP) | CPT 80048 | $8.88 |
| Tissue exam by pathologist level IV | CPT 88305 | $52.04 |
| Vaginal delivery with postpartum | CPT 59410 | $3,371.91 |
| Upper GI endoscopy diagnostic | CPT 43235 | $974.1 |
| Upper GI endoscopy with biopsy | CPT 43239 | $974.1 |
| Sigmoidoscopy diagnostic | CPT 45330 | $877.65 |
| Sigmoidoscopy with biopsy | CPT 45331 | $961.24 |
| Colonoscopy diagnostic | CPT 45378 | $982.14 |
| Colonoscopy with biopsy | CPT 45380 | $1,268.1 |
| Colonoscopy with polyp removal | CPT 45385 | $1,268.1 |
| Total shoulder arthroplasty | CPT 23472 | $17,044 |
| Hip hemiarthroplasty | CPT 27125 | $6,546 |
| Total hip replacement | CPT 27130 | $13,842 |
| Total knee replacement | CPT 27447 | $13,842 |
| 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 | $7,687.7 |
| Knee arthroscopy with meniscectomy | CPT 29881 | $3,633.7 |
| ACL reconstruction | CPT 29888 | $7,197 |
| Major small/large bowel procedures w MCC | MS-DRG 329 | $41,894 |
| Major small/large bowel procedures w CC | MS-DRG 330 | $22,392 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG 331 | $16,138 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG 418 | $16,198 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG 419 | $13,408 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG 420 | $31,518 |
| Open appendectomy | CPT 44950 | $7,265.01 |
| Laparoscopic appendectomy | CPT 44970 | $6,235 |
| 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 | $20,637 |
| Laparoscopic cholecystectomy | CPT 47562 | $6,068.46 |
| Lap cholecystectomy with cholangiography | CPT 47563 | $6,068.46 |
| Hip & femur procedures except major joint w MCC | MS-DRG 480 | $26,700 |
| Hip & femur procedures except major joint w CC | MS-DRG 481 | $19,608 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG 482 | $15,609 |
| Lap inguinal hernia repair | CPT 49650 | $6,151.73 |
| Total abdominal hysterectomy | CPT 58150 | $5,369 |
| Vaginal hysterectomy | CPT 58260 | $5,231.2 |
| Lap-assisted vaginal hysterectomy | CPT 58550 | $6,200.38 |
| Lap-assisted vaginal hysterectomy >250g | CPT 58552 | $9,884.78 |
| Lap salpingo-oophorectomy | CPT 58661 | $6,200.38 |
| OR procedure for obesity w MCC | MS-DRG 619 | $25,717 |
| OR procedure for obesity w CC | MS-DRG 620 | $15,823 |
| OR procedure for obesity w/o CC/MCC | MS-DRG 621 | $14,595 |
| Vitrectomy mechanical | CPT 67042 | $4,276.16 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG 743 | $12,434 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG 744 | $18,618 |
