| Colonoscopy with polyp removal | CPT | 45385 | 3 | $1,278.73 |
| Upper GI endoscopy diagnostic | CPT | 43235 | 3 | $1,218.67 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 3 | $1,218.67 |
| Heart failure & shock w MCC | MS-DRG | 291 | 3 | $14,706 |
| Heart failure & shock w CC | MS-DRG | 292 | 3 | $9,828.81 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 3 | $6,392.72 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 3 | $8,939.28 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 3 | $13,619 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 3 | $8,488.46 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 3 | $6,511.47 |
| AMI discharged alive w MCC | MS-DRG | 280 | 3 | $18,407 |
| AMI discharged alive w CC | MS-DRG | 281 | 3 | $10,495 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 3 | $8,332.33 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 3 | $22,232 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 3 | $11,541 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 3 | $7,927.69 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 3 | $9,375.8 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 3 | $7,206.38 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 3 | $18,134 |
| COPD w MCC | MS-DRG | 190 | 3 | $12,707 |
| COPD w CC | MS-DRG | 191 | 3 | $9,805.72 |
| COPD w/o CC/MCC | MS-DRG | 192 | 3 | $7,475.78 |
| GI hemorrhage w CC | MS-DRG | 378 | 3 | $11,200 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 3 | $7,360.33 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 3 | $50,850 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 3 | $26,350 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 3 | $18,513 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 3 | $18,594 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 3 | $14,847 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 3 | $39,168 |
