| Psychoses | MS-DRG 885 | $11,513 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG 064 | $17,174 |
| Intracranial hemorrhage/CVA w CC | MS-DRG 065 | $8,779.44 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG 066 | $5,942.45 |
| Respiratory infections & inflammations w MCC | MS-DRG 177 | $13,956 |
| COPD w MCC | MS-DRG 190 | $9,695.45 |
| COPD w CC | MS-DRG 191 | $7,417.06 |
| COPD w/o CC/MCC | MS-DRG 192 | $5,587.61 |
| Simple pneumonia & pleurisy w CC | MS-DRG 194 | $7,079.5 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG 195 | $5,376.11 |
| AMI discharged alive w MCC | MS-DRG 280 | $15,219 |
| AMI discharged alive w CC | MS-DRG 281 | $8,546.72 |
| AMI discharged alive w/o CC/MCC | MS-DRG 282 | $6,722.97 |
| Heart failure & shock w MCC | MS-DRG 291 | $11,265 |
| Heart failure & shock w CC | MS-DRG 292 | $7,435.2 |
| Heart failure & shock w/o CC/MCC | MS-DRG 293 | $4,737.21 |
| Cardiac arrhythmia w MCC | MS-DRG 308 | $10,411 |
| Cardiac arrhythmia w CC | MS-DRG 309 | $6,382.76 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG 310 | $4,830.45 |
| GI hemorrhage w CC | MS-DRG 378 | $8,511.8 |
| GI hemorrhage w/o CC/MCC | MS-DRG 379 | $5,496.97 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG 392 | $5,695.32 |
| Fractures of femur w/o MCC | MS-DRG 533 | $13,165 |
| Kidney/UTI w MCC | MS-DRG 689 | $10,104 |
| Kidney/UTI w/o MCC | MS-DRG 690 | $6,929.25 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG 871 | $16,940 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG 872 | $8,901.15 |
| Upper GI endoscopy diagnostic | CPT 43235 | $1,163.16 |
| Upper GI endoscopy with biopsy | CPT 43239 | $1,163.16 |
| Sigmoidoscopy diagnostic | CPT 45330 | $857.42 |
| Sigmoidoscopy with biopsy | CPT 45331 | $1,078.27 |
| 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 | $16,670 |
| Total hip replacement | CPT 27130 | $13,933 |
| Total knee replacement | CPT 27447 | $13,933 |
| Knee revision arthroplasty single component | CPT 27486 | $2,629.85 |
| Shoulder arthroscopy with decompression | CPT 29826 | $5,460 |
| Shoulder arthroscopy with rotator cuff repair | CPT 29827 | $7,679 |
| Knee arthroscopy with meniscectomy | CPT 29881 | $4,051.43 |
| ACL reconstruction | CPT 29888 | $7,359.05 |
| Major small/large bowel procedures w MCC | MS-DRG 329 | $39,644 |
| Major small/large bowel procedures w CC | MS-DRG 330 | $20,407 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG 331 | $14,254 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG 418 | $14,318 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG 419 | $11,376 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG 420 | $30,472 |
| Laparoscopic appendectomy | CPT 44970 | $6,193.37 |
| 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 | $33,496 |
| Major joint replacement w/o MCC | MS-DRG 470 | $19,119 |
| Laparoscopic cholecystectomy | CPT 47562 | $6,815.56 |
| Lap cholecystectomy with cholangiography | CPT 47563 | $6,815.56 |
| Hip & femur procedures except major joint w MCC | MS-DRG 480 | $25,349 |
| Hip & femur procedures except major joint w CC | MS-DRG 481 | $17,884 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG 482 | $13,674 |
| Lap inguinal hernia repair | CPT 49650 | $6,193.37 |
| Lap-assisted vaginal hysterectomy | CPT 58550 | $6,595 |
| Lap-assisted vaginal hysterectomy >250g | CPT 58552 | $10,128 |
| Lap salpingo-oophorectomy | CPT 58661 | $6,477.23 |
| OR procedure for obesity w MCC | MS-DRG 619 | $23,786 |
| OR procedure for obesity w CC | MS-DRG 620 | $13,932 |
| OR procedure for obesity w/o CC/MCC | MS-DRG 621 | $12,753 |
| 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 | $10,349 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG 744 | $16,870 |
