| Knee arthroscopy with meniscectomy | CPT | 29881 | 3 | $4,355.22 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 3 | $19,427 |
| Major joint replacement w MCC | MS-DRG | 469 | 3 | $30,283 |
| Heart failure & shock w MCC | MS-DRG | 291 | 3 | $13,086 |
| Heart failure & shock w CC | MS-DRG | 292 | 3 | $8,811.59 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 3 | $6,029.64 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 3 | $8,129.37 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 3 | $12,301 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 3 | $7,697.83 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 3 | $6,030.63 |
| AMI discharged alive w MCC | MS-DRG | 280 | 3 | $16,234 |
| AMI discharged alive w CC | MS-DRG | 281 | 3 | $9,500.69 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 3 | $7,573.97 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 3 | $20,234 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 3 | $10,397 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 3 | $7,193.53 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 3 | $8,387.91 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 3 | $6,644.03 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 3 | $15,827 |
| COPD w MCC | MS-DRG | 190 | 3 | $11,355 |
| COPD w CC | MS-DRG | 191 | 3 | $8,752.61 |
| COPD w/o CC/MCC | MS-DRG | 192 | 3 | $6,776.74 |
| GI hemorrhage w CC | MS-DRG | 378 | 3 | $10,106 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 3 | $6,662.71 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 3 | $45,650 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 3 | $24,031 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 3 | $17,009 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 3 | $17,095 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 3 | $13,892 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 3 | $33,958 |
