| Psychoses | MS-DRG 885 | $11,669 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG 064 | $17,359 |
| Intracranial hemorrhage/CVA w CC | MS-DRG 065 | $8,874.26 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG 066 | $6,006.64 |
| Respiratory infections & inflammations w MCC | MS-DRG 177 | $14,107 |
| COPD w MCC | MS-DRG 190 | $9,800.17 |
| COPD w CC | MS-DRG 191 | $7,497.18 |
| COPD w/o CC/MCC | MS-DRG 192 | $5,647.97 |
| Simple pneumonia & pleurisy w CC | MS-DRG 194 | $7,155.96 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG 195 | $5,434.17 |
| AMI discharged alive w MCC | MS-DRG 280 | $16,000 |
| AMI discharged alive w CC | MS-DRG 281 | $8,985.29 |
| AMI discharged alive w/o CC/MCC | MS-DRG 282 | $7,067.95 |
| Heart failure & shock w MCC | MS-DRG 291 | $11,387 |
| Heart failure & shock w CC | MS-DRG 292 | $7,515.51 |
| Heart failure & shock w/o CC/MCC | MS-DRG 293 | $4,788.39 |
| Cardiac arrhythmia w MCC | MS-DRG 308 | $10,524 |
| Cardiac arrhythmia w CC | MS-DRG 309 | $6,451.71 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG 310 | $4,882.63 |
| GI hemorrhage w CC | MS-DRG 378 | $8,603.73 |
| GI hemorrhage w/o CC/MCC | MS-DRG 379 | $5,556.34 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG 392 | $5,652 |
| Fractures of femur w/o MCC | MS-DRG 533 | $13,307 |
| Kidney/UTI w MCC | MS-DRG 689 | $10,213 |
| Kidney/UTI w/o MCC | MS-DRG 690 | $7,004.11 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG 871 | $17,123 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG 872 | $8,997.3 |
| Upper GI endoscopy diagnostic | CPT 43235 | $1,163.16 |
| Upper GI endoscopy with biopsy | CPT 43239 | $1,163.16 |
| Sigmoidoscopy diagnostic | CPT 45330 | $858.4 |
| 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 hip replacement | CPT 27130 | $14,030 |
| Total knee replacement | CPT 27447 | $14,030 |
| 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 | $5,250 |
| Shoulder arthroscopy with rotator cuff repair | CPT 29827 | $7,679 |
| Knee arthroscopy with meniscectomy | CPT 29881 | $4,051.43 |
| Major small/large bowel procedures w MCC | MS-DRG 329 | $40,072 |
| Major small/large bowel procedures w CC | MS-DRG 330 | $20,627 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG 331 | $14,408 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG 418 | $14,472 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG 419 | $11,498 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG 420 | $30,801 |
| Laparoscopic appendectomy | CPT 44970 | $6,335.3 |
| 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 | $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 | $25,462 |
| Hip & femur procedures except major joint w CC | MS-DRG 481 | $17,964 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG 482 | $13,734 |
| Lap inguinal hernia repair | CPT 49650 | $6,193.37 |
| Total abdominal hysterectomy | CPT 58150 | $1,887.73 |
| Vaginal hysterectomy | CPT 58260 | $6,110 |
| Lap-assisted vaginal hysterectomy | CPT 58550 | $7,153.89 |
| Lap-assisted vaginal hysterectomy >250g | CPT 58552 | $10,589 |
| Lap salpingo-oophorectomy | CPT 58661 | $6,477.23 |
| OR procedure for obesity w MCC | MS-DRG 619 | $23,982 |
| OR procedure for obesity w CC | MS-DRG 620 | $14,047 |
| OR procedure for obesity w/o CC/MCC | MS-DRG 621 | $12,858 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG 743 | $10,461 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG 744 | $17,052 |
