| Major joint replacement w/o MCC | MS-DRG | 470 | 5 | $16,066 |
| Major joint replacement w MCC | MS-DRG | 469 | 5 | $24,644 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 5 | $16,171 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 5 | $9,030.64 |
| Heart failure & shock w MCC | MS-DRG | 291 | 5 | $11,054 |
| Heart failure & shock w CC | MS-DRG | 292 | 5 | $7,676.62 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 5 | $5,478.19 |
| Psychoses | MS-DRG | 885 | 5 | $11,932 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 5 | $7,137.5 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 5 | $10,434 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 5 | $6,796.47 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 5 | $5,478.96 |
| AMI discharged alive w MCC | MS-DRG | 280 | 5 | $13,542 |
| AMI discharged alive w CC | MS-DRG | 281 | 5 | $8,221.18 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 5 | $6,698.59 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 5 | $7,341.81 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 5 | $5,963.71 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 5 | $13,221 |
| COPD w MCC | MS-DRG | 190 | 5 | $9,686.29 |
| COPD w CC | MS-DRG | 191 | 5 | $7,630.01 |
| COPD w/o CC/MCC | MS-DRG | 192 | 5 | $6,068.58 |
| GI hemorrhage w CC | MS-DRG | 378 | 5 | $8,699.71 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 5 | $5,978.47 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 5 | $36,788 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 5 | $19,704 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 5 | $14,155 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 5 | $14,222 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 5 | $11,691 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 5 | $27,549 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 5 | $16,999 |
