| behavioral |
| Psychoses | MS-DRG | 885 | 11 | — | — | $65 | $16,630 | $26,393 |
| inpatient |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 11 | — | — | $65 | $21,161 | $37,760 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 11 | — | — | $65 | $13,780 | $19,161 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 11 | — | — | $65 | $11,376 | $12,961 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 11 | — | — | $65 | $17,854 | $31,980 |
| COPD w MCC | MS-DRG | 190 | 11 | — | — | $65 | $14,498 | $21,034 |
| COPD w CC | MS-DRG | 191 | 11 | — | — | $65 | $12,546 | $16,087 |
| COPD w/o CC/MCC | MS-DRG | 192 | 11 | — | — | $65 | $11,063 | $12,119 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 11 | — | — | $65 | $12,272 | $15,500 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 11 | — | — | $65 | $10,963 | $11,794 |
| AMI discharged alive w MCC | MS-DRG | 280 | 11 | — | — | $65 | $18,159 | $30,737 |
| AMI discharged alive w CC | MS-DRG | 281 | 11 | — | — | $65 | $13,107 | $17,261 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 11 | — | — | $65 | $11,661 | $13,578 |
| Heart failure & shock w MCC | MS-DRG | 291 | 11 | — | — | $65 | $15,797 | $26,924 |
| Heart failure & shock w CC | MS-DRG | 292 | 11 | — | — | $65 | $12,590 | $17,771 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 11 | — | — | $65 | $10,363 | $11,327 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 11 | — | — | $65 | $15,208 | $22,664 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 11 | — | — | $65 | $11,754 | $14,039 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 11 | — | — | $65 | $10,293 | $11,081 |
| GI hemorrhage w CC | MS-DRG | 378 | 11 | — | — | $65 | $13,561 | $18,546 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 11 | — | — | $65 | $10,977 | $11,937 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 11 | — | — | $65 | $12,078 | $14,810 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 11 | — | — | $65 | $17,891 | $30,755 |
| Kidney/UTI w MCC | MS-DRG | 689 | 11 | — | — | $65 | $14,886 | $22,140 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 11 | — | — | $65 | $12,298 | $15,212 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 11 | — | — | $65 | $20,656 | $37,376 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 11 | — | — | $65 | $13,875 | $19,415 |
| maternity |
| Cesarean section w CC/MCC | MS-DRG | 765 | 3 | — | — | $65 | $72 | $85 |
| Cesarean section w/o CC/MCC | MS-DRG | 766 | 3 | — | — | $65 | $72 | $85 |
| Vaginal delivery w complicating dx | MS-DRG | 774 | 3 | — | — | $65 | $72 | $85 |
| Vaginal delivery w/o complicating dx | MS-DRG | 775 | 3 | — | — | $65 | $72 | $85 |
| surgery |
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 5 | — | — | $65 | $30,096 | $56,469 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 5 | — | — | $65 | $19,822 | $35,998 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 11 | — | — | $65 | $40,231 | $85,981 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 11 | — | — | $65 | $24,009 | $44,718 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 11 | — | — | $65 | $18,741 | $31,520 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 11 | — | — | $65 | $18,805 | $34,219 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 11 | — | — | $65 | $16,402 | $27,186 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 11 | — | — | $65 | $31,458 | $66,085 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 4 | — | — | $65 | $97,218 | $122,404 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 4 | — | — | $65 | $53,618 | $67,509 |
| Major joint replacement w MCC | MS-DRG | 469 | 11 | — | — | $65 | $28,701 | $62,773 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 11 | — | — | $65 | $20,555 | $43,140 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 11 | — | — | $65 | $27,809 | $55,592 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 11 | — | — | $65 | $21,777 | $39,116 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 11 | — | — | $65 | $18,358 | $29,944 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 11 | — | — | $65 | $28,316 | $51,052 |
| OR procedure for obesity w CC | MS-DRG | 620 | 11 | — | — | $65 | $18,585 | $47,036 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 11 | — | — | $65 | $17,890 | $47,036 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 11 | — | — | $65 | $15,479 | $24,730 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 11 | — | — | $65 | $21,442 | $36,587 |
