| behavioral |
| Psychoses | MS-DRG | 885 | 9 | — | — | $50 | $75.45 | $23,470 |
| inpatient |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 9 | — | — | $50 | $75.45 | $33,791 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 9 | — | — | $50 | $75.45 | $16,976 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 9 | — | — | $50 | $75.45 | $11,500 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 9 | — | — | $50 | $75.45 | $26,258 |
| COPD w MCC | MS-DRG | 190 | 9 | — | — | $50 | $75.45 | $18,613 |
| COPD w CC | MS-DRG | 191 | 9 | — | — | $50 | $75.45 | $14,165 |
| COPD w/o CC/MCC | MS-DRG | 192 | 9 | — | — | $50 | $75.45 | $10,788 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 9 | — | — | $50 | $75.45 | $13,542 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 9 | — | — | $50 | $75.45 | $10,561 |
| AMI discharged alive w MCC | MS-DRG | 280 | 9 | — | — | $50 | $75.45 | $26,954 |
| AMI discharged alive w CC | MS-DRG | 281 | 9 | — | — | $50 | $75.45 | $15,444 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 9 | — | — | $50 | $75.45 | $12,150 |
| Heart failure & shock w MCC | MS-DRG | 291 | 9 | — | — | $50 | $75.45 | $21,572 |
| Heart failure & shock w CC | MS-DRG | 292 | 9 | — | — | $50 | $75.45 | $14,266 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 9 | — | — | $50 | $75.45 | $9,510.5 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 9 | — | — | $50 | $75.45 | $20,231 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 9 | — | — | $50 | $75.45 | $12,362 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 9 | — | — | $50 | $75.45 | $9,512.18 |
| GI hemorrhage w CC | MS-DRG | 378 | 9 | — | — | $50 | $75.45 | $16,479 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 9 | — | — | $50 | $75.45 | $10,593 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 9 | — | — | $50 | $75.45 | $13,100 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 9 | — | — | $50 | $75.45 | $26,342 |
| Kidney/UTI w MCC | MS-DRG | 689 | 9 | — | — | $50 | $75.45 | $19,497 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 9 | — | — | $50 | $75.45 | $13,602 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 9 | — | — | $50 | $75.45 | $32,640 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 9 | — | — | $50 | $75.45 | $17,195 |
| maternity |
| Cesarean section w CC/MCC | MS-DRG | 765 | 8 | — | — | $50 | $69.45 | $85 |
| Cesarean section w/o CC/MCC | MS-DRG | 766 | 8 | — | — | $50 | $69.45 | $85 |
| Vaginal delivery w complicating dx | MS-DRG | 774 | 8 | — | — | $50 | $69.45 | $85 |
| Vaginal delivery w/o complicating dx | MS-DRG | 775 | 8 | — | — | $50 | $69.45 | $85 |
| surgery |
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 8 | — | — | $50 | $69.45 | $85 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 8 | — | — | $50 | $69.45 | $85 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 9 | — | — | $50 | $75.45 | $77,235 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 9 | — | — | $50 | $75.45 | $40,280 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 9 | — | — | $50 | $75.45 | $28,278 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 9 | — | — | $50 | $75.45 | $28,424 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 9 | — | — | $50 | $75.45 | $22,950 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 9 | — | — | $50 | $75.45 | $57,250 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 9 | — | — | $50 | $75.45 | $111,443 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 9 | — | — | $50 | $75.45 | $61,464 |
| Major joint replacement w MCC | MS-DRG | 469 | 9 | — | — | $50 | $75.45 | $50,967 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 9 | — | — | $50 | $75.45 | $32,411 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 9 | — | — | $50 | $75.45 | $48,935 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 9 | — | — | $50 | $75.45 | $35,194 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 9 | — | — | $50 | $75.45 | $27,406 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 9 | — | — | $50 | $75.45 | $48,517 |
| OR procedure for obesity w CC | MS-DRG | 620 | 9 | — | — | $50 | $75.45 | $26,890 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 9 | — | — | $50 | $75.45 | $25,346 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 9 | — | — | $50 | $75.45 | $20,847 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 9 | — | — | $50 | $75.45 | $34,431 |
