| Colonoscopy diagnostic | CPT | 45378 | 17 | $903.71 |
| Upper GI endoscopy diagnostic | CPT | 43235 | 17 | $929.33 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 17 | $929.33 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 17 | $903.71 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 17 | $903.71 |
| Major joint replacement w MCC | MS-DRG | 469 | 17 | $19,960 |
| Heart failure & shock w MCC | MS-DRG | 291 | 17 | $8,448.23 |
| Heart failure & shock w CC | MS-DRG | 292 | 17 | $5,586.96 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 17 | $3,724.65 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 17 | $5,130.27 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 17 | $7,923.09 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 17 | $4,841.37 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 17 | $3,725.3 |
| AMI discharged alive w MCC | MS-DRG | 280 | 17 | $10,556 |
| AMI discharged alive w CC | MS-DRG | 281 | 17 | $6,048.27 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 17 | $4,758.46 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 17 | $5,303.34 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 17 | $4,135.94 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 17 | $10,284 |
| COPD w MCC | MS-DRG | 190 | 17 | $7,289.37 |
| COPD w CC | MS-DRG | 191 | 17 | $5,547.48 |
| COPD w/o CC/MCC | MS-DRG | 192 | 17 | $4,224.77 |
| GI hemorrhage w CC | MS-DRG | 378 | 17 | $6,453.63 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 17 | $4,148.43 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 17 | $30,248 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 17 | $15,775 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 17 | $11,075 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 17 | $11,132 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 17 | $8,987.84 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 17 | $22,421 |