| Major joint replacement w/o MCC | MS-DRG | 470 | 3 | $10,370 |
| Major joint replacement w MCC | MS-DRG | 469 | 3 | $17,978 |
| Heart failure & shock w MCC | MS-DRG | 291 | 3 | $7,176.4 |
| Heart failure & shock w CC | MS-DRG | 292 | 3 | $4,736.6 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 3 | $3,017.85 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 3 | $4,291.65 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 3 | $6,632.45 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 3 | $4,066.15 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 3 | $3,077.25 |
| AMI discharged alive w MCC | MS-DRG | 280 | 3 | $9,027.7 |
| AMI discharged alive w CC | MS-DRG | 281 | 3 | $5,069.9 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 3 | $3,988.05 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 3 | $10,941 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 3 | $5,592.95 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 3 | $3,785.65 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 3 | $4,510 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 3 | $3,424.85 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 3 | $8,890.75 |
| COPD w MCC | MS-DRG | 190 | 3 | $6,176.5 |
| COPD w CC | MS-DRG | 191 | 3 | $4,725.05 |
| COPD w/o CC/MCC | MS-DRG | 192 | 3 | $3,559.6 |
| GI hemorrhage w CC | MS-DRG | 378 | 3 | $5,422.45 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 3 | $3,501.85 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 3 | $16,176 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 3 | $25,255 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 3 | $13,000 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 3 | $9,080.5 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 3 | $9,121.2 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 3 | $7,246.8 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 3 | $19,412 |
