| Upper GI endoscopy diagnostic | CPT | 43235 | 2 | $1,547.75 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 2 | $1,547.75 |
| Laparoscopic appendectomy | CPT | 44970 | 2 | $10,317 |
| Heart failure & shock w MCC | MS-DRG | 291 | 2 | $17,989 |
| Heart failure & shock w CC | MS-DRG | 292 | 2 | $12,223 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 2 | $8,469.68 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 2 | $11,303 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 2 | $16,931 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 2 | $10,720 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 2 | $8,471 |
| AMI discharged alive w MCC | MS-DRG | 280 | 2 | $22,237 |
| AMI discharged alive w CC | MS-DRG | 281 | 2 | $13,153 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 2 | $10,553 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 2 | $27,634 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 2 | $14,362 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 2 | $10,040 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 2 | $11,651 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 2 | $9,298.58 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 2 | $21,688 |
| COPD w MCC | MS-DRG | 190 | 2 | $15,654 |
| COPD w CC | MS-DRG | 191 | 2 | $12,143 |
| COPD w/o CC/MCC | MS-DRG | 192 | 2 | $9,477.61 |
| GI hemorrhage w CC | MS-DRG | 378 | 2 | $13,970 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 2 | $9,323.77 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 2 | $61,924 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 2 | $32,756 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 2 | $23,282 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 2 | $23,398 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 2 | $19,077 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 2 | $46,149 |