| Major joint replacement w/o MCC | MS-DRG | 470 | 5 | $28,974 |
| Major joint replacement w MCC | MS-DRG | 469 | 5 | $38,692 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 5 | $29,094 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 5 | $21,005 |
| Heart failure & shock w MCC | MS-DRG | 291 | 5 | $23,297 |
| Heart failure & shock w CC | MS-DRG | 292 | 5 | $19,471 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 5 | $16,981 |
| Psychoses | MS-DRG | 885 | 5 | $24,292 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 5 | $18,860 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 5 | $22,595 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 5 | $18,474 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 5 | $16,982 |
| AMI discharged alive w MCC | MS-DRG | 280 | 5 | $26,116 |
| AMI discharged alive w CC | MS-DRG | 281 | 5 | $20,088 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 5 | $18,363 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 5 | $19,092 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 5 | $17,531 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 5 | $25,752 |
| COPD w MCC | MS-DRG | 190 | 5 | $21,748 |
| COPD w CC | MS-DRG | 191 | 5 | $19,418 |
| COPD w/o CC/MCC | MS-DRG | 192 | 5 | $17,650 |
| GI hemorrhage w CC | MS-DRG | 378 | 5 | $20,630 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 5 | $17,548 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 5 | $52,449 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 5 | $33,095 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 5 | $26,810 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 5 | $26,886 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 5 | $24,019 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 5 | $41,982 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 5 | $30,032 |
