| Colonoscopy diagnostic | CPT | 45378 | 18 | $889.19 |
| Colonoscopy with biopsy | CPT | 45380 | 18 | $1,149.96 |
| Colonoscopy with polyp removal | CPT | 45385 | 18 | $1,149.96 |
| CT head without contrast | CPT | 70450 | 18 | $103.71 |
| CT head with contrast | CPT | 70460 | 18 | $173.62 |
| Upper GI endoscopy diagnostic | CPT | 43235 | 18 | $914.4 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 18 | $914.4 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 18 | $889.19 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 18 | $889.19 |
| Laparoscopic cholecystectomy | CPT | 47562 | 18 | $5,690.27 |
| Lap salpingo-oophorectomy | CPT | 58661 | 18 | $5,690.27 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 18 | $17,395 |
| Heart failure & shock w MCC | MS-DRG | 291 | 18 | $11,871 |
| Heart failure & shock w CC | MS-DRG | 292 | 18 | $8,148.61 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 18 | $7,554.4 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 18 | $7,810.41 |
| Kidney/UTI w MCC | MS-DRG | 689 | 18 | $10,814 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 18 | $11,188 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 18 | $7,178.52 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 18 | $5,726.39 |
| AMI discharged alive w MCC | MS-DRG | 280 | 18 | $14,614 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 18 | $7,070.64 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 18 | $7,779.58 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 18 | $6,260.66 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 18 | $14,259 |
| COPD w MCC | MS-DRG | 190 | 18 | $10,364 |
| COPD w CC | MS-DRG | 191 | 18 | $8,097.24 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 18 | $25,815 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 18 | $18,813 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 18 | $14,844 |