| Psychoses | MS-DRG 885 | $13,155 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG 064 | $19,390 |
| Intracranial hemorrhage/CVA w CC | MS-DRG 065 | $10,553 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG 066 | $7,510.58 |
| Respiratory infections & inflammations w MCC | MS-DRG 177 | $16,155 |
| COPD w MCC | MS-DRG 190 | $11,442 |
| COPD w CC | MS-DRG 191 | $8,842.76 |
| COPD w/o CC/MCC | MS-DRG 192 | $7,173.59 |
| Simple pneumonia & pleurisy w CC | MS-DRG 194 | $8,537.78 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG 195 | $6,982.95 |
| AMI discharged alive w MCC | MS-DRG 280 | $17,339 |
| AMI discharged alive w CC | MS-DRG 281 | $10,128 |
| AMI discharged alive w/o CC/MCC | MS-DRG 282 | $7,965.88 |
| Heart failure & shock w MCC | MS-DRG 291 | $13,331 |
| Heart failure & shock w CC | MS-DRG 292 | $8,893.04 |
| Heart failure & shock w/o CC/MCC | MS-DRG 293 | $6,407.08 |
| Cardiac arrhythmia w MCC | MS-DRG 308 | $12,482 |
| Cardiac arrhythmia w CC | MS-DRG 309 | $7,908.37 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG 310 | $6,491.13 |
| GI hemorrhage w CC | MS-DRG 378 | $10,215 |
| GI hemorrhage w/o CC/MCC | MS-DRG 379 | $7,091.89 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG 392 | $8,209.32 |
| Fractures of femur w/o MCC | MS-DRG 533 | $15,372 |
| Kidney/UTI w MCC | MS-DRG 689 | $12,194 |
| Kidney/UTI w/o MCC | MS-DRG 690 | $8,402.06 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG 871 | $19,126 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG 872 | $10,693 |
| C-section with postpartum | CPT 59515 | $2,098.91 |
| Office visit, established patient, 5 min | CPT 99211 | $26.75 |
| Upper GI endoscopy diagnostic | CPT 43235 | $1,083.16 |
| Upper GI endoscopy with biopsy | CPT 43239 | $1,083.16 |
| Sigmoidoscopy diagnostic | CPT 45330 | $846.22 |
| Sigmoidoscopy with biopsy | CPT 45331 | $1,011.43 |
| Colonoscopy diagnostic | CPT 45378 | $1,070.99 |
| Colonoscopy with biopsy | CPT 45380 | $1,396.09 |
| Colonoscopy with polyp removal | CPT 45385 | $1,396.09 |
| Total shoulder arthroplasty | CPT 23472 | $16,433 |
| Total hip replacement | CPT 27130 | $12,790 |
| Total knee replacement | CPT 27447 | $12,790 |
| 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 | $5,460.00 |
| Shoulder arthroscopy with rotator cuff repair | CPT 29827 | $7,006.82 |
| Knee arthroscopy with meniscectomy | CPT 29881 | $3,816.73 |
| ACL reconstruction | CPT 29888 | $6,691.40 |
| Major small/large bowel procedures w MCC | MS-DRG 329 | $43,379 |
| Major small/large bowel procedures w CC | MS-DRG 330 | $23,040 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG 331 | $16,450 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG 418 | $16,513 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG 419 | $13,602 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG 420 | $33,234 |
| Laparoscopic appendectomy | CPT 44970 | $6,071.75 |
| Spinal fusion (non-cervical) w MCC | MS-DRG 459 | $73,572 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG 460 | $40,577 |
| Major joint replacement w MCC | MS-DRG 469 | $33,803 |
| Major joint replacement w/o MCC | MS-DRG 470 | $20,033 |
| Laparoscopic cholecystectomy | CPT 47562 | $6,385.33 |
| Lap cholecystectomy with cholangiography | CPT 47563 | $6,385.33 |
| Hip & femur procedures except major joint w MCC | MS-DRG 480 | $28,075 |
| Hip & femur procedures except major joint w CC | MS-DRG 481 | $20,148 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG 482 | $15,681 |
| Lap inguinal hernia repair | CPT 49650 | $6,071.75 |
| Total abdominal hysterectomy | CPT 58150 | $1,887.73 |
| Lap-assisted vaginal hysterectomy >250g | CPT 58552 | $9,530.73 |
| Lap salpingo-oophorectomy | CPT 58661 | $6,245.41 |
| OR procedure for obesity w MCC | MS-DRG 619 | $26,752 |
| OR procedure for obesity w CC | MS-DRG 620 | $16,683 |
| OR procedure for obesity w/o CC/MCC | MS-DRG 621 | $15,478 |
| Complex cataract surgery | CPT 66982 | $2,785.62 |
| Cataract surgery with lens implant | CPT 66984 | $2,785.62 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG 743 | $12,065 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG 744 | $19,047 |
