| CT head without contrast | CPT | 70450 | 15 | $103.05 |
| Major joint replacement w MCC | MS-DRG | 469 | 15 | $29,386 |
| Heart failure & shock w MCC | MS-DRG | 291 | 15 | $12,438 |
| Heart failure & shock w CC | MS-DRG | 292 | 15 | $8,225.27 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 15 | $5,483.51 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 15 | $7,552.91 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 15 | $7,842.58 |
| Kidney/UTI w MCC | MS-DRG | 689 | 15 | $11,241 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 15 | $11,665 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 15 | $7,127.6 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 15 | $5,484.48 |
| AMI discharged alive w MCC | MS-DRG | 280 | 15 | $15,541 |
| AMI discharged alive w CC | MS-DRG | 281 | 15 | $8,904.4 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 15 | $7,005.53 |
| COPD w MCC | MS-DRG | 190 | 15 | $10,732 |
| COPD w CC | MS-DRG | 191 | 15 | $8,167.14 |
| COPD w/o CC/MCC | MS-DRG | 192 | 15 | $6,219.81 |
| GI hemorrhage w CC | MS-DRG | 378 | 15 | $9,501.2 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 15 | $6,107.43 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 15 | $28,215 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 15 | $20,292 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 15 | $15,801 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 15 | $15,188 |
| OR procedure for obesity w CC | MS-DRG | 620 | 15 | $15,504 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 15 | $44,532 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 15 | $23,225 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 15 | $16,304 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 15 | $16,389 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 15 | $13,232 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 15 | $33,009 |