| Major joint replacement w/o MCC | MS-DRG | 470 | 4 | $28,335 |
| Major joint replacement w MCC | MS-DRG | 469 | 4 | $49,083 |
| Heart failure & shock w MCC | MS-DRG | 291 | 4 | $26,874 |
| Heart failure & shock w CC | MS-DRG | 292 | 4 | $18,844 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 4 | $15,534 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 4 | $20,446 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 4 | $28,110 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 4 | $16,496 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 4 | $15,534 |
| AMI discharged alive w MCC | MS-DRG | 280 | 4 | $29,947 |
| AMI discharged alive w CC | MS-DRG | 281 | 4 | $21,544 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 4 | $16,424 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 4 | $44,249 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 4 | $23,129 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 4 | $16,205 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 4 | $18,276 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 4 | $15,888 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 4 | $29,480 |
| COPD w MCC | MS-DRG | 190 | 4 | $22,982 |
| COPD w CC | MS-DRG | 191 | 4 | $21,482 |
| COPD w/o CC/MCC | MS-DRG | 192 | 4 | $20,342 |
| GI hemorrhage w CC | MS-DRG | 378 | 4 | $21,893 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 4 | $19,907 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 4 | $33,910 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 4 | $57,944 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 4 | $29,922 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 4 | $25,873 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 4 | $28,085 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 4 | $26,239 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 4 | $37,652 |
