| CT head without contrast | CPT | 70450 | 11 | $99.33 |
| CT head with contrast | CPT | 70460 | 11 | $166.65 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 11 | $18,500 |
| Major joint replacement w MCC | MS-DRG | 469 | 11 | $29,091 |
| Heart failure & shock w MCC | MS-DRG | 291 | 11 | $12,313 |
| Heart failure & shock w CC | MS-DRG | 292 | 11 | $8,142.64 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 11 | $5,428.43 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 11 | $7,477.03 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 11 | $7,763.81 |
| Kidney/UTI w MCC | MS-DRG | 689 | 11 | $11,128 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 11 | $11,547 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 11 | $7,056 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 11 | $5,429.39 |
| AMI discharged alive w MCC | MS-DRG | 280 | 11 | $15,385 |
| AMI discharged alive w CC | MS-DRG | 281 | 11 | $8,814.95 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 11 | $6,935.15 |
| COPD w MCC | MS-DRG | 190 | 11 | $10,624 |
| COPD w/o CC/MCC | MS-DRG | 192 | 11 | $6,157.33 |
| GI hemorrhage w CC | MS-DRG | 378 | 11 | $9,405.77 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 11 | $27,931 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 11 | $20,088 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 11 | $15,643 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 11 | $15,036 |
| OR procedure for obesity w CC | MS-DRG | 620 | 11 | $15,348 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 11 | $44,084 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 11 | $22,991 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 11 | $16,140 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 11 | $16,224 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 11 | $13,099 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 11 | $32,677 |