| Psychoses | MS-DRG 885 | $11,274 |
| ED visit level 4 | CPT 99284 | $475.95 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG 064 | $17,598 |
| Intracranial hemorrhage/CVA w CC | MS-DRG 065 | $9,411.81 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG 066 | $6,599.09 |
| Respiratory infections & inflammations w MCC | MS-DRG 177 | $14,407 |
| COPD w MCC | MS-DRG 190 | $10,278 |
| COPD w CC | MS-DRG 191 | $8,057.63 |
| COPD w/o CC/MCC | MS-DRG 192 | $6,215.24 |
| Simple pneumonia & pleurisy w CC | MS-DRG 194 | $7,772.64 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG 195 | $6,039.52 |
| AMI discharged alive w MCC | MS-DRG 280 | $15,496 |
| AMI discharged alive w CC | MS-DRG 281 | $9,206.94 |
| AMI discharged alive w/o CC/MCC | MS-DRG 282 | $7,242.3 |
| Heart failure & shock w MCC | MS-DRG 291 | $11,761 |
| Heart failure & shock w CC | MS-DRG 292 | $8,102.07 |
| Heart failure & shock w/o CC/MCC | MS-DRG 293 | $5,435.81 |
| Cardiac arrhythmia w MCC | MS-DRG 308 | $10,954 |
| Cardiac arrhythmia w CC | MS-DRG 309 | $7,077.76 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG 310 | $5,438.08 |
| GI hemorrhage w CC | MS-DRG 378 | $9,158.84 |
| GI hemorrhage w/o CC/MCC | MS-DRG 379 | $6,131.97 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG 392 | $7,438.14 |
| Fractures of femur w/o MCC | MS-DRG 533 | $13,623 |
| Kidney/UTI w MCC | MS-DRG 689 | $10,664 |
| Kidney/UTI w/o MCC | MS-DRG 690 | $7,629.6 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG 871 | $17,366 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG 872 | $9,526.88 |
| Routine obstetric care with C-section | CPT 59510 | $7,340.44 |
| C-section delivery only | CPT 59514 | $3,046 |
| 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 | $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 | $6,546 |
| Shoulder arthroscopy with decompression | CPT 29826 | $5,668 |
| Shoulder arthroscopy with rotator cuff repair | CPT 29827 | $7,851.26 |
| Knee arthroscopy with meniscectomy | CPT 29881 | $3,715.1 |
| ACL reconstruction | CPT 29888 | $7,524.13 |
| Major small/large bowel procedures w MCC | MS-DRG 329 | $39,933 |
| Major small/large bowel procedures w CC | MS-DRG 330 | $20,804 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG 331 | $14,703 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG 418 | $14,766 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG 419 | $11,866 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG 420 | $30,665 |
| Laparoscopic appendectomy | CPT 44970 | $6,332.3 |
| 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 | $6,477.42 |
| Lap cholecystectomy with cholangiography | CPT 47563 | $6,477.42 |
| Hip & femur procedures except major joint w MCC | MS-DRG 480 | $25,647 |
| Hip & femur procedures except major joint w CC | MS-DRG 481 | $18,234 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG 482 | $13,941 |
| Lap inguinal hernia repair | CPT 49650 | $6,332.3 |
| Total abdominal hysterectomy | CPT 58150 | $5,369 |
| Vaginal hysterectomy | CPT 58260 | $5,369 |
| Lap-assisted vaginal hysterectomy | CPT 58550 | $6,595 |
| 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 | $24,426 |
| OR procedure for obesity w CC | MS-DRG 620 | $14,778 |
| OR procedure for obesity w/o CC/MCC | MS-DRG 621 | $13,625 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG 743 | $10,895 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG 744 | $17,297 |
