| behavioral |
| Psychoses | MS-DRG | 885 | 9 | — | — | $5,362.47 | $10,988 | 0.86× | $17,464 |
| inpatient |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 9 | — | — | $14,020 | $16,746 | 0.83× | $24,811 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 9 | — | — | $7,468.42 | $8,807.63 | 0.82× | $13,048 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 9 | — | — | $5,201.06 | $6,171.92 | 0.81× | $10,193 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 9 | — | — | $10,805 | $13,126 | 0.85× | $19,448 |
| COPD w MCC | MS-DRG | 190 | 9 | — | — | $7,289.77 | $9,287.71 | 0.83× | $14,006 |
| COPD w CC | MS-DRG | 191 | 9 | — | — | $6,304.48 | $7,315.93 | 0.83× | $10,839 |
| COPD w/o CC/MCC | MS-DRG | 192 | 9 | — | — | $4,906.08 | $5,693.18 | 0.81× | $8,435.12 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 9 | — | — | $6,046.36 | $7,016.4 | 0.83× | $10,396 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 9 | — | — | $4,583.56 | $5,584.18 | 0.84× | $8,273.63 |
| AMI discharged alive w MCC | MS-DRG | 280 | 9 | — | — | $10,945 | $13,461 | 0.86× | $19,943 |
| AMI discharged alive w CC | MS-DRG | 281 | 9 | — | — | $6,833.92 | $7,930.31 | 0.82× | $11,750 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 9 | — | — | $5,470.32 | $6,520.92 | 0.84× | $10,090 |
| Heart failure & shock w MCC | MS-DRG | 291 | 9 | — | — | $8,458.13 | $10,776 | 0.84× | $16,112 |
| Heart failure & shock w CC | MS-DRG | 292 | 9 | — | — | $5,771.9 | $7,353.83 | 0.82× | $10,911 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 9 | — | — | $4,377.33 | $5,104.19 | 0.82× | $7,648.52 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 9 | — | — | $7,848.98 | $10,000 | 0.83× | $15,158 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 9 | — | — | $4,943.06 | $6,297.83 | 0.81× | $9,555.9 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 9 | — | — | $3,864.57 | $4,923.76 | 0.79× | $7,527.23 |
| GI hemorrhage w CC | MS-DRG | 378 | 9 | — | — | $7,262.5 | $8,427.65 | 0.84× | $12,487 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 9 | — | — | $4,825.38 | $5,599.54 | 0.82× | $8,296.38 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 9 | — | — | $5,182.72 | $6,603.18 | 0.82× | $10,081 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 9 | — | — | $11,346 | $14,138 | 0.93× | $22,605 |
| Kidney/UTI w MCC | MS-DRG | 689 | 9 | — | — | $8,512.02 | $9,877.64 | 0.85× | $14,635 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 9 | — | — | $4,983 | $6,654.67 | 0.80× | $10,439 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 9 | — | — | $13,954 | $16,193 | 0.87× | $23,991 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 9 | — | — | $7,149.96 | $8,771.55 | 0.85× | $12,996 |
| preventive |
| Upper GI endoscopy diagnostic | CPT | 43235 | 8 | — | — | $144 | $911.73 | 1.00× | $2,061.4 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 8 | — | — | $170.87 | $911.73 | 0.94× | $2,061.4 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 8 | — | — | $61.12 | $886.59 | 1.1× | $2,004.57 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 8 | — | — | $73.22 | $886.59 | 0.99× | $2,004.57 |
| Colonoscopy diagnostic | CPT | 45378 | 8 | — | — | $207.57 | $886.59 | 1.0× | $2,004.57 |
| Colonoscopy with biopsy | CPT | 45380 | 8 | — | — | $259.23 | $1,146.59 | 0.94× | $2,592.42 |
| Colonoscopy with polyp removal | CPT | 45385 | 8 | — | — | $308.29 | $1,146.59 | 0.95× | $2,592.42 |
| surgery |
| Total shoulder arthroplasty | CPT | 23472 | 7 | — | — | $13,150 | $17,883 | 4.3× | $40,434 |
| Total hip replacement | CPT | 27130 | 7 | — | — | $9,200.23 | $12,512 | 2.9× | $28,290 |
| Total knee replacement | CPT | 27447 | 7 | — | — | $9,200.23 | $12,512 | 3.0× | $28,290 |
| Knee revision arthroplasty all components | CPT | 27487 | 1 | — | — | $1,592.15 | $2,687.75 | 1.3× | $3,783.34 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 1 | — | — | $157.17 | $265.32 | 0.81× | $373.46 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 7 | — | — | $5,108.02 | $6,946.9 | 2.1× | $15,707 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 8 | — | — | $625.02 | $3,155.22 | 1.5× | $7,133.88 |
| ACL reconstruction | CPT | 29888 | 7 | — | — | $5,108.02 | $6,946.9 | 2.1× | $15,707 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 9 | — | — | $28,760 | $36,642 | 0.85× | $55,738 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 9 | — | — | $17,117 | $19,864 | 0.86× | $29,430 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 9 | — | — | $12,148 | $14,097 | 0.86× | $20,886 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 9 | — | — | $12,208 | $14,167 | 0.86× | $20,990 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 9 | — | — | $9,941.72 | $11,537 | 0.85× | $17,093 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 9 | — | — | $24,143 | $30,725 | 0.95× | $49,442 |
| Laparoscopic appendectomy | CPT | 44970 | 7 | — | — | $4,171.77 | $5,673.61 | 3.6× | $12,828 |
| Major joint replacement w MCC | MS-DRG | 469 | 10 | — | — | $14,225 | $24,305 | 0.82× | $37,038 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 10 | — | — | $12,043 | $15,267 | 0.81× | $23,829 |
| Laparoscopic cholecystectomy | CPT | 47562 | 7 | — | — | $4,171.77 | $5,673.61 | 3.2× | $12,828 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 7 | — | — | $4,171.77 | $5,673.61 | 3.0× | $12,828 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 9 | — | — | $20,701 | $25,454 | 0.91× | $37,710 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 9 | — | — | $15,011 | $17,855 | 0.88× | $26,452 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 9 | — | — | $11,787 | $13,678 | 0.86× | $20,265 |
| Lap inguinal hernia repair | CPT | 49650 | 7 | — | — | $4,171.77 | $5,673.61 | 5.0× | $12,828 |
| Total abdominal hysterectomy | CPT | 58150 | 1 | — | — | $824.91 | $1,392.55 | 1.4× | $1,960.18 |
| Vaginal hysterectomy | CPT | 58260 | 7 | — | — | $3,529.73 | $4,800.44 | 2.6× | $10,854 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 7 | — | — | $4,171.77 | $5,673.61 | 3.8× | $12,828 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 7 | — | — | $7,444.39 | $10,124 | 4.5× | $22,891 |
| Lap salpingo-oophorectomy | CPT | 58661 | 7 | — | — | $4,171.77 | $5,673.61 | 2.8× | $12,828 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 9 | — | — | $20,528 | $23,821 | 0.88× | $35,294 |
| OR procedure for obesity w CC | MS-DRG | 620 | 9 | — | — | $11,573 | $13,430 | 0.83× | $19,898 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 9 | — | — | $10,296 | $12,688 | 0.84× | $18,799 |
| Cataract surgery with lens implant | CPT | 66984 | 8 | — | — | $692.91 | $2,217.89 | 1.0× | $5,014.6 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 9 | — | — | $8,717.76 | $10,527 | 0.86× | $15,597 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 9 | — | — | $10,176 | $15,897 | 0.83× | $25,266 |