| Colonoscopy diagnostic | CPT | 45378 | 3 | $893.28 |
| Upper GI endoscopy diagnostic | CPT | 43235 | 3 | $918.6 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 3 | $918.6 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 3 | $893.28 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 3 | $893.28 |
| Major joint replacement w MCC | MS-DRG | 469 | 3 | $21,811 |
| Heart failure & shock w MCC | MS-DRG | 291 | 3 | $9,231.44 |
| Heart failure & shock w CC | MS-DRG | 292 | 3 | $6,104.92 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 3 | $4,069.95 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 3 | $5,605.88 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 3 | $8,657.62 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 3 | $5,290.21 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 3 | $4,070.66 |
| AMI discharged alive w MCC | MS-DRG | 280 | 3 | $11,535 |
| AMI discharged alive w CC | MS-DRG | 281 | 3 | $6,608.98 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 3 | $5,199.61 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 3 | $5,794.99 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 3 | $4,519.36 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 3 | $11,237 |
| COPD w MCC | MS-DRG | 190 | 3 | $7,965.15 |
| COPD w CC | MS-DRG | 191 | 3 | $6,061.77 |
| COPD w/o CC/MCC | MS-DRG | 192 | 3 | $4,616.44 |
| GI hemorrhage w CC | MS-DRG | 378 | 3 | $7,051.93 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 3 | $4,533.03 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 3 | $33,052 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 3 | $17,238 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 3 | $12,101 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 3 | $12,164 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 3 | $9,821.08 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 3 | $24,499 |
