| Upper GI endoscopy diagnostic | CPT | 43235 | 3 | $1,230.46 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 3 | $1,230.46 |
| Laparoscopic appendectomy | CPT | 44970 | 3 | $8,201.7 |
| Heart failure & shock w MCC | MS-DRG | 291 | 3 | $13,717 |
| Heart failure & shock w CC | MS-DRG | 292 | 3 | $9,295.79 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 3 | $6,417.89 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 3 | $8,590.05 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 3 | $12,906 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 3 | $8,143.61 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 3 | $6,418.91 |
| AMI discharged alive w MCC | MS-DRG | 280 | 3 | $16,975 |
| AMI discharged alive w CC | MS-DRG | 281 | 3 | $10,009 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 3 | $8,015.49 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 3 | $21,112 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 3 | $10,936 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 3 | $7,621.94 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 3 | $8,857.5 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 3 | $7,053.47 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 3 | $16,554 |
| COPD w MCC | MS-DRG | 190 | 3 | $11,927 |
| COPD w CC | MS-DRG | 191 | 3 | $9,234.78 |
| COPD w/o CC/MCC | MS-DRG | 192 | 3 | $7,190.76 |
| GI hemorrhage w CC | MS-DRG | 378 | 3 | $10,635 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 3 | $7,072.79 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 3 | $47,405 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 3 | $25,040 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 3 | $17,776 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 3 | $17,864 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 3 | $14,551 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 3 | $35,310 |
