| AMI discharged alive w MCC | MS-DRG | 280 | 5 | $39,713 |
| AMI discharged alive w CC | MS-DRG | 281 | 5 | $29,778 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 5 | $22,409 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 5 | $27,237 |
| Heart failure & shock w MCC | MS-DRG | 291 | 5 | $36,495 |
| Heart failure & shock w CC | MS-DRG | 292 | 5 | $25,695 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 5 | $25,003 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 5 | $42,104 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 5 | $39,181 |
| COPD w MCC | MS-DRG | 190 | 5 | $31,054 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 5 | $28,778 |
| Kidney/UTI w MCC | MS-DRG | 689 | 5 | $30,336 |
| GI hemorrhage w CC | MS-DRG | 378 | 5 | $29,994 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 5 | $39,030 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 5 | $22,453 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 5 | $21,859 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 4 | $33,212 |
| CT head with contrast | CPT | 70460 | 4 | $6,845.58 |
| CT head with and without contrast | CPT | 70470 | 4 | $6,424.36 |
| CT neck with contrast | CPT | 70491 | 4 | $6,308.74 |
| Upper GI endoscopy diagnostic | CPT | 43235 | 4 | $24,348 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 4 | $24,181 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 4 | $26,084 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 4 | $67,625 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 4 | $37,634 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 4 | $26,343 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 4 | $29,411 |
| COPD w CC | MS-DRG | 191 | 4 | $35,812 |
| COPD w/o CC/MCC | MS-DRG | 192 | 4 | $35,372 |
| CT head without contrast | CPT | 70450 | 4 | $2,883.21 |