| behavioral |
| Psychoses | MS-DRG | 885 | 3 | — | — | $90 | $93.03 | $43,767 |
| inpatient |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 3 | — | — | $90 | $93.03 | $66,622 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 3 | — | — | $90 | $93.03 | $34,338 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 3 | — | — | $90 | $93.03 | $23,598 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 3 | — | — | $90 | $93.03 | $60,132 |
| COPD w MCC | MS-DRG | 190 | 3 | — | — | $90 | $93.03 | $36,673 |
| COPD w CC | MS-DRG | 191 | 3 | — | — | $90 | $93.03 | $29,196 |
| COPD w/o CC/MCC | MS-DRG | 192 | 3 | — | — | $90 | $93.03 | $22,031 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 3 | — | — | $90 | $93.03 | $28,385 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 3 | — | — | $90 | $93.03 | $21,683 |
| AMI discharged alive w MCC | MS-DRG | 280 | 3 | — | — | $90 | $93.03 | $54,271 |
| AMI discharged alive w CC | MS-DRG | 281 | 3 | — | — | $90 | $93.03 | $31,034 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 3 | — | — | $90 | $93.03 | $24,213 |
| Heart failure & shock w MCC | MS-DRG | 291 | 3 | — | — | $90 | $93.03 | $43,237 |
| Heart failure & shock w CC | MS-DRG | 292 | 3 | — | — | $90 | $93.03 | $29,149 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 3 | — | — | $90 | $93.03 | $18,929 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 3 | — | — | $90 | $93.03 | $39,615 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 3 | — | — | $90 | $93.03 | $24,919 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 3 | — | — | $90 | $93.03 | $18,622 |
| GI hemorrhage w CC | MS-DRG | 378 | 3 | — | — | $90 | $93.03 | $33,277 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 3 | — | — | $90 | $93.03 | $21,412 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 3 | — | — | $90 | $93.03 | $26,608 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 3 | — | — | $90 | $93.03 | $48,186 |
| Kidney/UTI w MCC | MS-DRG | 689 | 3 | — | — | $90 | $93.03 | $38,754 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 3 | — | — | $90 | $93.03 | $26,879 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 3 | — | — | $90 | $93.03 | $66,122 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 3 | — | — | $90 | $93.03 | $34,730 |
| maternity |
| Cesarean section w CC/MCC | MS-DRG | 765 | 2 | — | — | $90 | $92 | $94.05 |
| Cesarean section w/o CC/MCC | MS-DRG | 766 | 2 | — | — | $90 | $92 | $94.05 |
| Vaginal delivery w complicating dx | MS-DRG | 774 | 2 | — | — | $90 | $92 | $94.05 |
| Vaginal delivery w/o complicating dx | MS-DRG | 775 | 2 | — | — | $90 | $92 | $94.05 |
| surgery |
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 3 | — | — | $90 | $93.03 | $101,197 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 3 | — | — | $90 | $93.03 | $64,511 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 3 | — | — | $90 | $93.03 | $156,194 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 3 | — | — | $90 | $93.03 | $82,953 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 3 | — | — | $90 | $93.03 | $57,730 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 3 | — | — | $90 | $93.03 | $56,115 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 3 | — | — | $90 | $93.03 | $44,088 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 3 | — | — | $90 | $93.03 | $110,176 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 3 | — | — | $90 | $93.03 | $224,089 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 3 | — | — | $90 | $93.03 | $127,231 |
| Major joint replacement w MCC | MS-DRG | 469 | 3 | — | — | $90 | $93.03 | $109,170 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 3 | — | — | $90 | $93.03 | $64,592 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 3 | — | — | $90 | $93.03 | $100,203 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 3 | — | — | $90 | $93.03 | $71,365 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 3 | — | — | $90 | $93.03 | $55,612 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 3 | — | — | $90 | $93.03 | $97,693 |
| OR procedure for obesity w CC | MS-DRG | 620 | 3 | — | — | $90 | $93.03 | $56,946 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 3 | — | — | $90 | $93.03 | $52,534 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 3 | — | — | $90 | $93.03 | $39,548 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 3 | — | — | $90 | $93.03 | $64,132 |
