| behavioral |
| Psychoses | MS-DRG | 885 | 14 | — | — | $70 | $21,205 | $43,201 |
| inpatient |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 14 | — | — | $70 | $29,989 | $60,966 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 14 | — | — | $70 | $15,678 | $31,171 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 14 | — | — | $70 | $11,018 | $21,096 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 14 | — | — | $70 | $23,578 | $49,546 |
| COPD w MCC | MS-DRG | 190 | 14 | — | — | $70 | $17,071 | $34,429 |
| COPD w CC | MS-DRG | 191 | 14 | — | — | $70 | $13,286 | $26,331 |
| COPD w/o CC/MCC | MS-DRG | 192 | 14 | — | — | $70 | $10,412 | $19,837 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 14 | — | — | $70 | $12,755 | $25,133 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 14 | — | — | $70 | $10,219 | $19,089 |
| AMI discharged alive w MCC | MS-DRG | 280 | 14 | — | — | $70 | $24,170 | $50,312 |
| AMI discharged alive w CC | MS-DRG | 281 | 14 | — | — | $70 | $14,374 | $28,253 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 14 | — | — | $70 | $11,571 | $22,224 |
| Heart failure & shock w MCC | MS-DRG | 291 | 14 | — | — | $70 | $19,589 | $39,995 |
| Heart failure & shock w CC | MS-DRG | 292 | 14 | — | — | $70 | $13,372 | $26,399 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 14 | — | — | $70 | $9,324.77 | $16,827 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 14 | — | — | $70 | $18,448 | $36,964 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 14 | — | — | $70 | $11,752 | $22,660 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 14 | — | — | $70 | $9,326.21 | $17,149 |
| GI hemorrhage w CC | MS-DRG | 378 | 14 | — | — | $70 | $15,255 | $30,218 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 14 | — | — | $70 | $10,246 | $19,512 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 14 | — | — | $70 | $12,379 | $23,916 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 14 | — | — | $70 | $23,649 | $46,873 |
| Kidney/UTI w MCC | MS-DRG | 689 | 14 | — | — | $70 | $17,823 | $35,873 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 14 | — | — | $70 | $12,807 | $24,600 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 14 | — | — | $70 | $29,009 | $60,145 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 14 | — | — | $70 | $15,864 | $31,600 |
| maternity |
| Cesarean section w CC/MCC | MS-DRG | 765 | 1 | — | — | $70 | $70 | $70 |
| Cesarean section w/o CC/MCC | MS-DRG | 766 | 1 | — | — | $70 | $70 | $70 |
| Vaginal delivery w complicating dx | MS-DRG | 774 | 1 | — | — | $70 | $70 | $70 |
| Vaginal delivery w/o complicating dx | MS-DRG | 775 | 1 | — | — | $70 | $70 | $70 |
| surgery |
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 7 | — | — | $70 | $69,116 | $91,809 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 7 | — | — | $70 | $44,060 | $58,526 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 14 | — | — | $70 | $66,962 | $140,736 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 14 | — | — | $70 | $35,511 | $72,447 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 14 | — | — | $70 | $25,297 | $50,603 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 14 | — | — | $70 | $25,421 | $50,833 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 14 | — | — | $70 | $20,762 | $40,384 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 14 | — | — | $70 | $49,953 | $108,170 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 7 | — | — | $70 | $153,042 | $203,280 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 7 | — | — | $70 | $85,547 | $112,115 |
| Major joint replacement w MCC | MS-DRG | 469 | 14 | — | — | $70 | $44,606 | $100,180 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 14 | — | — | $70 | $28,814 | $57,791 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 14 | — | — | $70 | $42,877 | $90,142 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 14 | — | — | $70 | $31,183 | $63,596 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 14 | — | — | $70 | $24,554 | $48,623 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 14 | — | — | $70 | $42,521 | $83,564 |
| OR procedure for obesity w CC | MS-DRG | 620 | 14 | — | — | $70 | $24,115 | $48,945 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 14 | — | — | $70 | $22,801 | $44,801 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 14 | — | — | $70 | $18,973 | $36,737 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 14 | — | — | $70 | $30,533 | $59,887 |
