| behavioral |
| Psychoses | MS-DRG | 885 | 14 | — | — | $80 | $13,629 | $37,207 |
| inpatient |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 14 | — | — | $80 | $18,255 | $49,835 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 14 | — | — | $80 | $10,718 | $29,261 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 14 | — | — | $80 | $8,264.02 | $22,561 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 14 | — | — | $80 | $14,878 | $40,618 |
| COPD w MCC | MS-DRG | 190 | 14 | — | — | $80 | $11,452 | $31,264 |
| COPD w CC | MS-DRG | 191 | 14 | — | — | $80 | $9,458.42 | $25,821 |
| COPD w/o CC/MCC | MS-DRG | 192 | 14 | — | — | $80 | $7,944.7 | $21,689 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 14 | — | — | $80 | $9,179.03 | $25,059 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 14 | — | — | $80 | $7,843.04 | $21,412 |
| AMI discharged alive w MCC | MS-DRG | 280 | 14 | — | — | $80 | $15,190 | $41,469 |
| AMI discharged alive w CC | MS-DRG | 281 | 14 | — | — | $80 | $10,032 | $27,386 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 14 | — | — | $80 | $8,555.46 | $23,356 |
| Heart failure & shock w MCC | MS-DRG | 291 | 14 | — | — | $80 | $12,778 | $34,884 |
| Heart failure & shock w CC | MS-DRG | 292 | 14 | — | — | $80 | $9,503.61 | $25,945 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 14 | — | — | $80 | $7,372.35 | $20,127 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 14 | — | — | $80 | $12,177 | $33,243 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 14 | — | — | $80 | $8,650.35 | $23,615 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 14 | — | — | $80 | $7,373.11 | $20,129 |
| GI hemorrhage w CC | MS-DRG | 378 | 14 | — | — | $80 | $10,495 | $28,653 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 14 | — | — | $80 | $7,857.35 | $21,451 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 14 | — | — | $80 | $8,980.96 | $24,518 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 14 | — | — | $80 | $14,916 | $40,721 |
| Kidney/UTI w MCC | MS-DRG | 689 | 14 | — | — | $80 | $11,848 | $32,345 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 14 | — | — | $80 | $9,206.14 | $25,133 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 14 | — | — | $80 | $17,739 | $48,427 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 14 | — | — | $80 | $10,816 | $29,528 |
| maternity |
| Cesarean section w CC/MCC | MS-DRG | 765 | 3 | — | — | $80 | $84.2 | $90 |
| Cesarean section w/o CC/MCC | MS-DRG | 766 | 3 | — | — | $80 | $84.2 | $90 |
| Vaginal delivery w complicating dx | MS-DRG | 774 | 3 | — | — | $80 | $84.2 | $90 |
| Vaginal delivery w/o complicating dx | MS-DRG | 775 | 3 | — | — | $80 | $84.2 | $90 |
| surgery |
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 3 | — | — | $80 | $84.2 | $90 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 3 | — | — | $80 | $84.2 | $90 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 14 | — | — | $80 | $37,726 | $102,991 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 14 | — | — | $80 | $21,163 | $57,775 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 14 | — | — | $80 | $15,784 | $43,089 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 14 | — | — | $80 | $15,849 | $43,268 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 14 | — | — | $80 | $13,396 | $36,570 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 14 | — | — | $80 | $28,769 | $78,538 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 3 | — | — | $80 | $84.2 | $90 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 3 | — | — | $80 | $84.2 | $90 |
| Major joint replacement w MCC | MS-DRG | 469 | 14 | — | — | $80 | $25,953 | $70,851 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 14 | — | — | $80 | $17,636 | $48,147 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 14 | — | — | $80 | $25,042 | $68,365 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 14 | — | — | $80 | $18,883 | $51,552 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 14 | — | — | $80 | $15,393 | $42,022 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 14 | — | — | $80 | $24,855 | $67,853 |
| OR procedure for obesity w CC | MS-DRG | 620 | 14 | — | — | $80 | $15,162 | $41,391 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 14 | — | — | $80 | $14,470 | $39,502 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 14 | — | — | $80 | $12,453 | $33,998 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 14 | — | — | $80 | $18,541 | $50,618 |
