| Fetal non-stress test | CPT | 59025 | 2 | $223.32 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 2 | $26,781 |
| Major joint replacement w MCC | MS-DRG | 469 | 2 | $46,284 |
| Heart failure & shock w MCC | MS-DRG | 291 | 2 | $18,592 |
| Heart failure & shock w CC | MS-DRG | 292 | 2 | $12,337 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 2 | $7,931.03 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 2 | $11,197 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 2 | $17,198 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 2 | $10,619 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 2 | $8,083.31 |
| AMI discharged alive w MCC | MS-DRG | 280 | 2 | $23,339 |
| AMI discharged alive w CC | MS-DRG | 281 | 2 | $13,192 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 2 | $10,418 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 2 | $28,243 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 2 | $14,533 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 2 | $9,899.45 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 2 | $11,756 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 2 | $8,974.47 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 2 | $22,987 |
| COPD w MCC | MS-DRG | 190 | 2 | $20,310 |
| COPD w CC | MS-DRG | 191 | 2 | $12,308 |
| GI hemorrhage w CC | MS-DRG | 378 | 2 | $14,096 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 2 | $41,664 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 2 | $29,451 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 2 | $22,563 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 2 | $64,942 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 2 | $33,523 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 2 | $23,474 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 2 | $23,578 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 2 | $18,773 |