| Knee arthroscopy with meniscectomy | CPT | 29881 | 5 | $2,202 |
| Heart failure & shock w MCC | MS-DRG | 291 | 5 | $16,897 |
| Heart failure & shock w CC | MS-DRG | 292 | 5 | $11,552 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 5 | $8,359.27 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 5 | $28,984 |
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 5 | $45,194 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 5 | $9,487.07 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 5 | $15,116 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 5 | $9,588.8 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 5 | $7,061.93 |
| AMI discharged alive w MCC | MS-DRG | 280 | 5 | $20,812 |
| AMI discharged alive w CC | MS-DRG | 281 | 5 | $12,303 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 5 | $9,406.69 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 5 | $23,475 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 5 | $12,955 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 5 | $9,127.88 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 5 | $11,306 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 5 | $8,625.52 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 5 | $23,119 |
| COPD w MCC | MS-DRG | 190 | 5 | $14,954 |
| COPD w CC | MS-DRG | 191 | 5 | $11,478 |
| COPD w/o CC/MCC | MS-DRG | 192 | 5 | $9,093.97 |
| GI hemorrhage w CC | MS-DRG | 378 | 5 | $12,437 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 5 | $8,203.54 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 5 | $69,668 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 5 | $35,210 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 5 | $23,648 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 5 | $23,222 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 5 | $18,199 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 5 | $49,085 |
