| MRI brain without contrast | CPT | 70551 | 15 | $246.38 |
| CT head without contrast | CPT | 70450 | 15 | $107.96 |
| CT head with contrast | CPT | 70460 | 15 | $181.13 |
| CT head with and without contrast | CPT | 70470 | 15 | $181.13 |
| CT neck with contrast | CPT | 70491 | 15 | $181.13 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 15 | $19,577 |
| Major joint replacement w MCC | MS-DRG | 469 | 15 | $30,786 |
| Heart failure & shock w CC | MS-DRG | 292 | 15 | $8,616.95 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 15 | $5,744.63 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 15 | $7,912.57 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 15 | $12,220 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 15 | $7,467.01 |
| AMI discharged alive w MCC | MS-DRG | 280 | 15 | $16,281 |
| AMI discharged alive w CC | MS-DRG | 281 | 15 | $9,328.42 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 15 | $7,339.12 |
| COPD w MCC | MS-DRG | 190 | 15 | $11,243 |
| COPD w CC | MS-DRG | 191 | 15 | $8,556.05 |
| COPD w/o CC/MCC | MS-DRG | 192 | 15 | $6,516 |
| GI hemorrhage w CC | MS-DRG | 378 | 15 | $9,953.63 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 15 | $6,398.26 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 15 | $29,558 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 15 | $21,258 |
| OR procedure for obesity w CC | MS-DRG | 620 | 15 | $16,242 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 15 | $15,310 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 15 | $46,652 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 15 | $24,330 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 15 | $17,081 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 15 | $17,169 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 15 | $13,862 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 15 | $34,580 |