| behavioral |
| Psychoses | MS-DRG | 885 | 11 | — | — | $69 | $11,983 | $23,967 |
| inpatient |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 11 | — | — | $69 | $16,563 | $33,791 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 11 | — | — | $69 | $9,101.49 | $18,203 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 11 | — | — | $69 | $6,671.41 | $13,343 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 11 | — | — | $69 | $13,220 | $26,441 |
| COPD w MCC | MS-DRG | 190 | 11 | — | — | $69 | $9,827.75 | $19,656 |
| COPD w CC | MS-DRG | 191 | 11 | — | — | $69 | $7,854.01 | $15,708 |
| COPD w/o CC/MCC | MS-DRG | 192 | 11 | — | — | $69 | $6,355.25 | $12,711 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 11 | — | — | $69 | $7,577.38 | $15,155 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 11 | — | — | $69 | $6,254.59 | $12,509 |
| AMI discharged alive w MCC | MS-DRG | 280 | 11 | — | — | $69 | $13,529 | $27,058 |
| AMI discharged alive w CC | MS-DRG | 281 | 11 | — | — | $69 | $8,421.46 | $16,843 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 11 | — | — | $69 | $6,959.98 | $13,920 |
| Heart failure & shock w MCC | MS-DRG | 291 | 11 | — | — | $69 | $11,141 | $22,282 |
| Heart failure & shock w CC | MS-DRG | 292 | 11 | — | — | $69 | $7,898.75 | $15,798 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 11 | — | — | $69 | $5,788.56 | $11,577 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 11 | — | — | $69 | $10,546 | $21,092 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 11 | — | — | $69 | $7,053.93 | $14,108 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 11 | — | — | $69 | $5,789.3 | $11,579 |
| GI hemorrhage w CC | MS-DRG | 378 | 11 | — | — | $69 | $8,880.78 | $17,762 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 11 | — | — | $69 | $6,268.76 | $12,538 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 11 | — | — | $69 | $7,381.27 | $14,763 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 11 | — | — | $69 | $13,258 | $26,516 |
| Kidney/UTI w MCC | MS-DRG | 689 | 11 | — | — | $69 | $10,220 | $20,440 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 11 | — | — | $69 | $7,604.22 | $15,208 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 11 | — | — | $69 | $16,052 | $32,640 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 11 | — | — | $69 | $9,198.42 | $18,397 |
| maternity |
| Cesarean section w CC/MCC | MS-DRG | 765 | 2 | — | — | $69 | $69 | $75 |
| Cesarean section w/o CC/MCC | MS-DRG | 766 | 2 | — | — | $69 | $69 | $75 |
| Vaginal delivery w complicating dx | MS-DRG | 774 | 2 | — | — | $69 | $69 | $75 |
| Vaginal delivery w/o complicating dx | MS-DRG | 775 | 2 | — | — | $69 | $69 | $75 |
| surgery |
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 2 | — | — | $69 | $69 | $75 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 2 | — | — | $69 | $69 | $75 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 11 | — | — | $69 | $35,842 | $77,235 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 11 | — | — | $69 | $19,443 | $40,280 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 11 | — | — | $69 | $14,117 | $28,278 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 11 | — | — | $69 | $14,182 | $28,424 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 11 | — | — | $69 | $11,752 | $23,505 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 11 | — | — | $69 | $26,973 | $57,250 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 2 | — | — | $69 | $69 | $75 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 2 | — | — | $69 | $69 | $75 |
| Major joint replacement w MCC | MS-DRG | 469 | 11 | — | — | $69 | $24,185 | $50,967 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 11 | — | — | $69 | $15,951 | $32,411 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 11 | — | — | $69 | $23,284 | $48,935 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 11 | — | — | $69 | $17,186 | $35,194 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 11 | — | — | $69 | $13,730 | $27,460 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 11 | — | — | $69 | $23,098 | $48,517 |
| OR procedure for obesity w CC | MS-DRG | 620 | 11 | — | — | $69 | $13,501 | $27,002 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 11 | — | — | $69 | $12,816 | $25,631 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 11 | — | — | $69 | $10,819 | $21,639 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 11 | — | — | $69 | $16,847 | $34,431 |
