| Major joint replacement w/o MCC | MS-DRG | 470 | 5 | $14,415 |
| Major joint replacement w MCC | MS-DRG | 469 | 5 | $24,554 |
| Heart failure & shock w MCC | MS-DRG | 291 | 5 | $10,159 |
| Heart failure & shock w CC | MS-DRG | 292 | 5 | $6,907.63 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 5 | $4,617.11 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 5 | $6,314.66 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 5 | $9,434.16 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 5 | $6,014.14 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 5 | $4,696.28 |
| AMI discharged alive w MCC | MS-DRG | 280 | 5 | $12,626 |
| AMI discharged alive w CC | MS-DRG | 281 | 5 | $7,351.81 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 5 | $5,910.07 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 5 | $15,175 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 5 | $8,048.86 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 5 | $5,640.33 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 5 | $6,605.65 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 5 | $5,159.51 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 5 | $12,444 |
| COPD w MCC | MS-DRG | 190 | 5 | $8,826.54 |
| COPD w CC | MS-DRG | 191 | 5 | $6,892.24 |
| COPD w/o CC/MCC | MS-DRG | 192 | 5 | $5,339.09 |
| GI hemorrhage w CC | MS-DRG | 378 | 5 | $7,821.64 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 5 | $5,262.12 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 5 | $22,152 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 5 | $34,252 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 5 | $17,920 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 5 | $12,697 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 5 | $12,751 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 5 | $10,253 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 5 | $26,465 |
