| behavioral |
| Psychoses | MS-DRG | 885 | 13 | — | — | $75 | $19,565 | $33,116 |
| inpatient |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 13 | — | — | $75 | $27,777 | $46,734 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 13 | — | — | $75 | $14,398 | $23,894 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 13 | — | — | $75 | $10,040 | $16,172 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 13 | — | — | $75 | $21,783 | $38,217 |
| COPD w MCC | MS-DRG | 190 | 13 | — | — | $75 | $15,700 | $26,392 |
| COPD w CC | MS-DRG | 191 | 13 | — | — | $75 | $12,161 | $20,185 |
| COPD w/o CC/MCC | MS-DRG | 192 | 13 | — | — | $75 | $9,422.27 | $15,206 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 13 | — | — | $75 | $11,665 | $19,266 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 13 | — | — | $75 | $9,184.43 | $14,633 |
| AMI discharged alive w MCC | MS-DRG | 280 | 13 | — | — | $75 | $22,337 | $38,567 |
| AMI discharged alive w CC | MS-DRG | 281 | 13 | — | — | $75 | $13,178 | $21,658 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 13 | — | — | $75 | $10,542 | $17,036 |
| Heart failure & shock w MCC | MS-DRG | 291 | 13 | — | — | $75 | $18,054 | $30,659 |
| Heart failure & shock w CC | MS-DRG | 292 | 13 | — | — | $75 | $12,241 | $20,236 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 13 | — | — | $75 | $8,243.38 | $12,899 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 13 | — | — | $75 | $16,987 | $28,335 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 13 | — | — | $75 | $10,726 | $17,370 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 13 | — | — | $75 | $8,118.59 | $13,145 |
| GI hemorrhage w CC | MS-DRG | 378 | 13 | — | — | $75 | $14,002 | $23,164 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 13 | — | — | $75 | $9,296.01 | $14,957 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 13 | — | — | $75 | $11,313 | $18,333 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 13 | — | — | $75 | $21,850 | $36,752 |
| Kidney/UTI w MCC | MS-DRG | 689 | 13 | — | — | $75 | $16,403 | $27,499 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 13 | — | — | $75 | $11,713 | $18,857 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 13 | — | — | $75 | $26,861 | $46,104 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 13 | — | — | $75 | $14,571 | $24,223 |
| maternity |
| Cesarean section w CC/MCC | MS-DRG | 765 | 1 | — | — | $75 | $75 | $75 |
| Cesarean section w/o CC/MCC | MS-DRG | 766 | 1 | — | — | $75 | $75 | $75 |
| Vaginal delivery w complicating dx | MS-DRG | 774 | 1 | — | — | $75 | $75 | $75 |
| Vaginal delivery w/o complicating dx | MS-DRG | 775 | 1 | — | — | $75 | $75 | $75 |
| surgery |
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 7 | — | — | $75 | $59,261 | $70,377 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 7 | — | — | $75 | $37,778 | $44,864 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 13 | — | — | $75 | $62,346 | $107,882 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 13 | — | — | $75 | $32,941 | $55,535 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 13 | — | — | $75 | $23,390 | $38,790 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 13 | — | — | $75 | $23,507 | $38,966 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 13 | — | — | $75 | $19,151 | $30,957 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 13 | — | — | $75 | $46,444 | $82,919 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 8 | — | — | $75 | $126,014 | $155,826 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 8 | — | — | $75 | $70,264 | $85,942 |
| Major joint replacement w MCC | MS-DRG | 469 | 13 | — | — | $75 | $34,969 | $76,793 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 13 | — | — | $75 | $26,523 | $44,300 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 13 | — | — | $75 | $39,828 | $69,099 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 13 | — | — | $75 | $28,894 | $48,750 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 13 | — | — | $75 | $22,697 | $37,272 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 13 | — | — | $75 | $38,207 | $64,057 |
| OR procedure for obesity w CC | MS-DRG | 620 | 13 | — | — | $75 | $22,286 | $37,519 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 13 | — | — | $75 | $21,057 | $34,343 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 13 | — | — | $75 | $17,059 | $28,161 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 13 | — | — | $75 | $27,636 | $45,907 |
