| behavioral |
| Psychoses | MS-DRG | 885 | 14 | — | — | $76 | $11,077 | $25,161 |
| inpatient |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 14 | — | — | $76 | $15,822 | $36,224 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 14 | — | — | $76 | $8,091.68 | $18,199 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 14 | — | — | $76 | $5,574.27 | $12,328 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 14 | — | — | $76 | $12,359 | $28,149 |
| COPD w MCC | MS-DRG | 190 | 14 | — | — | $76 | $8,844.04 | $19,953 |
| COPD w CC | MS-DRG | 191 | 14 | — | — | $76 | $6,799.37 | $15,185 |
| COPD w/o CC/MCC | MS-DRG | 192 | 14 | — | — | $76 | $5,246.75 | $11,564 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 14 | — | — | $76 | $6,512.79 | $14,517 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 14 | — | — | $76 | $5,142.47 | $11,321 |
| AMI discharged alive w MCC | MS-DRG | 280 | 14 | — | — | $76 | $12,678 | $28,895 |
| AMI discharged alive w CC | MS-DRG | 281 | 14 | — | — | $76 | $7,387.2 | $16,556 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 14 | — | — | $76 | $5,873.21 | $13,025 |
| Heart failure & shock w MCC | MS-DRG | 291 | 14 | — | — | $76 | $10,204 | $23,125 |
| Heart failure & shock w CC | MS-DRG | 292 | 14 | — | — | $76 | $6,845.72 | $15,293 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 14 | — | — | $76 | $4,659.69 | $10,195 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 14 | — | — | $76 | $9,587.91 | $21,688 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 14 | — | — | $76 | $5,970.53 | $13,252 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 14 | — | — | $76 | $4,660.46 | $10,197 |
| GI hemorrhage w CC | MS-DRG | 378 | 14 | — | — | $76 | $7,863.03 | $17,665 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 14 | — | — | $76 | $5,157.15 | $11,355 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 15 | — | — | $76 | $6,309.64 | $14,043 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 14 | — | — | $76 | $12,397 | $28,239 |
| Kidney/UTI w MCC | MS-DRG | 689 | 14 | — | — | $76 | $9,250.35 | $20,900 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 14 | — | — | $76 | $6,540.6 | $14,582 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 14 | — | — | $76 | $15,292 | $34,990 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 14 | — | — | $76 | $8,192.1 | $18,433 |
| maternity |
| Cesarean section w CC/MCC | MS-DRG | 765 | 4 | — | — | $76 | $85 | $85 |
| Cesarean section w/o CC/MCC | MS-DRG | 766 | 4 | — | — | $76 | $85 | $85 |
| Vaginal delivery w complicating dx | MS-DRG | 774 | 4 | — | — | $76 | $85 | $85 |
| Vaginal delivery w/o complicating dx | MS-DRG | 775 | 4 | — | — | $76 | $85 | $85 |
| surgery |
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 4 | — | — | $76 | $85 | $85 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 4 | — | — | $76 | $85 | $85 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 14 | — | — | $76 | $35,793 | $82,797 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 14 | — | — | $76 | $18,805 | $43,181 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 14 | — | — | $76 | $13,287 | $30,314 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 14 | — | — | $76 | $13,354 | $30,471 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 14 | — | — | $76 | $10,838 | $24,602 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 14 | — | — | $76 | $26,606 | $61,372 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 4 | — | — | $76 | $85 | $85 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 4 | — | — | $76 | $85 | $85 |
| Major joint replacement w MCC | MS-DRG | 469 | 14 | — | — | $76 | $23,718 | $54,637 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 15 | — | — | $76 | $15,187 | $41,015 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 14 | — | — | $76 | $22,784 | $52,459 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 14 | — | — | $76 | $16,467 | $37,728 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 14 | — | — | $76 | $12,886 | $29,379 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 14 | — | — | $76 | $22,591 | $52,011 |
| OR procedure for obesity w CC | MS-DRG | 620 | 14 | — | — | $76 | $12,649 | $28,826 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 14 | — | — | $76 | $11,939 | $27,171 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 15 | — | — | $76 | $9,871.4 | $22,349 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 14 | — | — | $76 | $16,116 | $36,910 |
