| CT head without contrast | CPT | 70450 | 15 | $122.68 |
| CT head with contrast | CPT | 70460 | 15 | $205.83 |
| CT head with and without contrast | CPT | 70470 | 15 | $205.83 |
| CT neck with contrast | CPT | 70491 | 15 | $205.83 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 15 | $22,247 |
| Major joint replacement w MCC | MS-DRG | 469 | 15 | $34,984 |
| Heart failure & shock w CC | MS-DRG | 292 | 15 | $9,791.99 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 15 | $6,527.99 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 15 | $8,991.56 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 15 | $9,336.42 |
| Kidney/UTI w MCC | MS-DRG | 689 | 15 | $13,382 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 15 | $13,886 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 15 | $8,485.24 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 15 | $6,529.14 |
| AMI discharged alive w MCC | MS-DRG | 280 | 15 | $18,501 |
| AMI discharged alive w CC | MS-DRG | 281 | 15 | $10,600 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 15 | $8,339.91 |
| COPD w MCC | MS-DRG | 190 | 15 | $12,776 |
| COPD w CC | MS-DRG | 191 | 15 | $9,722.8 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 15 | $33,589 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 15 | $24,157 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 15 | $18,811 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 15 | $18,081 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 15 | $33,302 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 15 | $53,014 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 15 | $27,648 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 15 | $19,410 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 15 | $19,510 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 15 | $15,753 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 15 | $39,296 |