| Major joint replacement w/o MCC | MS-DRG | 470 | 4 | $21,400 |
| Major joint replacement w MCC | MS-DRG | 469 | 4 | $32,213 |
| Heart failure & shock w MCC | MS-DRG | 291 | 4 | $15,084 |
| Heart failure & shock w CC | MS-DRG | 292 | 4 | $10,826 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 4 | $8,055.47 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 4 | $10,147 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 4 | $14,302 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 4 | $9,717.06 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 4 | $8,056.45 |
| AMI discharged alive w MCC | MS-DRG | 280 | 4 | $18,220 |
| AMI discharged alive w CC | MS-DRG | 281 | 4 | $11,513 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 4 | $9,593.69 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 4 | $22,204 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 4 | $12,406 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 4 | $9,214.77 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 4 | $10,404 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 4 | $8,667.43 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 4 | $17,814 |
| COPD w MCC | MS-DRG | 190 | 4 | $13,359 |
| COPD w CC | MS-DRG | 191 | 4 | $10,768 |
| COPD w/o CC/MCC | MS-DRG | 192 | 4 | $8,799.61 |
| GI hemorrhage w CC | MS-DRG | 378 | 4 | $12,116 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 4 | $8,686.03 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 4 | $31,029 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 4 | $47,519 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 4 | $25,985 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 4 | $18,991 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 4 | $19,077 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 4 | $15,887 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 4 | $35,874 |
