| Psychoses | MS-DRG 885 | $12,659 |
| EKG tracing only | CPT 93005 | $72.34 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG 064 | $19,154 |
| Intracranial hemorrhage/CVA w CC | MS-DRG 065 | $10,211 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG 066 | $7,068.19 |
| Respiratory infections & inflammations w MCC | MS-DRG 177 | $15,783 |
| COPD w MCC | MS-DRG 190 | $11,107 |
| COPD w CC | MS-DRG 191 | $8,674.86 |
| COPD w/o CC/MCC | MS-DRG 192 | $6,624 |
| Simple pneumonia & pleurisy w CC | MS-DRG 194 | $8,368.96 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG 195 | $6,438.11 |
| AMI discharged alive w MCC | MS-DRG 280 | $16,149 |
| AMI discharged alive w CC | MS-DRG 281 | $9,575.21 |
| AMI discharged alive w/o CC/MCC | MS-DRG 282 | $7,771.28 |
| Heart failure & shock w MCC | MS-DRG 291 | $12,865 |
| Heart failure & shock w CC | MS-DRG 292 | $8,722.14 |
| Heart failure & shock w/o CC/MCC | MS-DRG 293 | $5,797.9 |
| Cardiac arrhythmia w MCC | MS-DRG 308 | $11,940 |
| Cardiac arrhythmia w CC | MS-DRG 309 | $7,624.67 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG 310 | $5,798.64 |
| GI hemorrhage w CC | MS-DRG 378 | $9,910.65 |
| GI hemorrhage w/o CC/MCC | MS-DRG 379 | $6,535.74 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG 392 | $7,005.4 |
| Fractures of femur w/o MCC | MS-DRG 533 | $14,926 |
| Kidney/UTI w MCC | MS-DRG 689 | $11,606 |
| Kidney/UTI w/o MCC | MS-DRG 690 | $8,215.65 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG 871 | $18,911 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG 872 | $10,341 |
| Office visit, established patient, 30-39 minutes | CPT 99214 | $229.63 |
| Upper GI endoscopy diagnostic | CPT 43235 | $1,163.16 |
| Upper GI endoscopy with biopsy | CPT 43239 | $1,163.16 |
| Sigmoidoscopy diagnostic | CPT 45330 | $904.31 |
| Sigmoidoscopy with biopsy | CPT 45331 | $1,130.54 |
| Colonoscopy diagnostic | CPT 45378 | $1,130.54 |
| Colonoscopy with biopsy | CPT 45380 | $1,486.25 |
| Colonoscopy with polyp removal | CPT 45385 | $1,486.25 |
| Total shoulder arthroplasty | CPT 23472 | $17,561 |
| Total hip replacement | CPT 27130 | $14,262 |
| Total knee replacement | CPT 27447 | $14,262 |
| Knee revision arthroplasty single component | CPT 27486 | $2,629.85 |
| Knee revision arthroplasty all components | CPT 27487 | $3,290.87 |
| Shoulder arthroscopy with decompression | CPT 29826 | $5,460 |
| Shoulder arthroscopy with rotator cuff repair | CPT 29827 | $8,030.4 |
| Knee arthroscopy with meniscectomy | CPT 29881 | $4,051.43 |
| ACL reconstruction | CPT 29888 | $7,415.64 |
| Major small/large bowel procedures w MCC | MS-DRG 329 | $42,511 |
| Major small/large bowel procedures w CC | MS-DRG 330 | $22,515 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG 331 | $16,106 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG 418 | $16,175 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG 419 | $12,985 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG 420 | $32,779 |
| Laparoscopic appendectomy | CPT 44970 | $6,688 |
| Spinal fusion (non-cervical) w MCC | MS-DRG 459 | $72,673 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG 460 | $40,081 |
| Major joint replacement w MCC | MS-DRG 469 | $34,573 |
| Major joint replacement w/o MCC | MS-DRG 470 | $19,538 |
| Laparoscopic cholecystectomy | CPT 47562 | $7,153.89 |
| Lap cholecystectomy with cholangiography | CPT 47563 | $7,153.89 |
| Hip & femur procedures except major joint w MCC | MS-DRG 480 | $27,696 |
| Hip & femur procedures except major joint w CC | MS-DRG 481 | $19,923 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG 482 | $15,464 |
| Lap inguinal hernia repair | CPT 49650 | $6,791.36 |
| Total abdominal hysterectomy | CPT 58150 | $1,887.73 |
| Vaginal hysterectomy | CPT 58260 | $6,321.88 |
| Lap-assisted vaginal hysterectomy >250g | CPT 58552 | $11,155 |
| Lap salpingo-oophorectomy | CPT 58661 | $6,791.36 |
| OR procedure for obesity w MCC | MS-DRG 619 | $25,906 |
| OR procedure for obesity w CC | MS-DRG 620 | $15,634 |
| OR procedure for obesity w/o CC/MCC | MS-DRG 621 | $14,421 |
| Complex cataract surgery | CPT 66982 | $2,992.35 |
| Cataract surgery with lens implant | CPT 66984 | $2,992.35 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG 743 | $11,756 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG 744 | $18,838 |
