| Colonoscopy diagnostic | CPT | 45378 | 3 | $884.35 |
| Upper GI endoscopy diagnostic | CPT | 43235 | 3 | $909.41 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 3 | $909.41 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 3 | $884.35 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 3 | $884.35 |
| Major joint replacement w MCC | MS-DRG | 469 | 3 | $21,593 |
| Heart failure & shock w MCC | MS-DRG | 291 | 3 | $9,139.12 |
| Heart failure & shock w CC | MS-DRG | 292 | 3 | $6,043.87 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 3 | $4,029.25 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 3 | $5,549.82 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 3 | $8,571.04 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 3 | $5,237.31 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 3 | $4,029.95 |
| AMI discharged alive w MCC | MS-DRG | 280 | 3 | $11,419 |
| AMI discharged alive w CC | MS-DRG | 281 | 3 | $6,542.89 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 3 | $5,147.61 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 3 | $5,737.04 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 3 | $4,474.16 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 3 | $11,125 |
| COPD w MCC | MS-DRG | 190 | 3 | $7,885.5 |
| COPD w CC | MS-DRG | 191 | 3 | $6,001.15 |
| COPD w/o CC/MCC | MS-DRG | 192 | 3 | $4,570.27 |
| GI hemorrhage w CC | MS-DRG | 378 | 3 | $6,981.41 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 3 | $4,487.7 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 3 | $32,722 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 3 | $17,065 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 3 | $11,980 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 3 | $12,042 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 3 | $9,722.87 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 3 | $24,254 |
