| Sigmoidoscopy diagnostic | CPT | 45330 | 4 | $410.87 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 4 | $18,453 |
| Major joint replacement w MCC | MS-DRG | 469 | 4 | $31,991 |
| Heart failure & shock w MCC | MS-DRG | 291 | 4 | $12,770 |
| Heart failure & shock w CC | MS-DRG | 292 | 4 | $8,428.56 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 4 | $5,370.13 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 4 | $7,636.8 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 4 | $11,802 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 4 | $7,235.53 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 4 | $5,475.83 |
| AMI discharged alive w MCC | MS-DRG | 280 | 4 | $16,064 |
| AMI discharged alive w CC | MS-DRG | 281 | 4 | $9,021.66 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 4 | $7,096.55 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 4 | $19,468 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 4 | $9,952.4 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 4 | $6,736.39 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 4 | $8,025.34 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 4 | $6,094.36 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 4 | $15,821 |
| COPD w MCC | MS-DRG | 190 | 4 | $10,991 |
| COPD w CC | MS-DRG | 191 | 4 | $8,408.01 |
| COPD w/o CC/MCC | MS-DRG | 192 | 4 | $6,334.15 |
| GI hemorrhage w CC | MS-DRG | 378 | 4 | $9,649 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 4 | $6,231.38 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 4 | $44,941 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 4 | $23,134 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 4 | $16,158 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 4 | $16,231 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 4 | $12,895 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 4 | $34,543 |
