| Major joint replacement w/o MCC | MS-DRG | 470 | 4 | $17,799 |
| Major joint replacement w MCC | MS-DRG | 469 | 4 | $27,499 |
| Heart failure & shock w MCC | MS-DRG | 291 | 4 | $12,132 |
| Heart failure & shock w CC | MS-DRG | 292 | 4 | $8,312.82 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 4 | $5,826.91 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 4 | $7,703.2 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 4 | $11,431 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 4 | $7,317.58 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 4 | $5,827.79 |
| AMI discharged alive w MCC | MS-DRG | 280 | 4 | $14,946 |
| AMI discharged alive w CC | MS-DRG | 281 | 4 | $8,928.59 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 4 | $7,206.9 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 4 | $18,520 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 4 | $9,729.71 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 4 | $6,866.95 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 4 | $7,934.23 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 4 | $6,375.92 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 4 | $14,582 |
| COPD w MCC | MS-DRG | 190 | 4 | $10,585 |
| COPD w CC | MS-DRG | 191 | 4 | $8,260.12 |
| COPD w/o CC/MCC | MS-DRG | 192 | 4 | $6,494.5 |
| GI hemorrhage w CC | MS-DRG | 378 | 4 | $9,469.69 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 4 | $6,392.61 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 4 | $26,437 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 4 | $41,231 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 4 | $21,912 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 4 | $15,638 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 4 | $15,714 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 4 | $12,852 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 4 | $30,784 |
