| Major joint replacement w/o MCC | MS-DRG | 470 | 21 | $19,410 |
| Major joint replacement w MCC | MS-DRG | 469 | 21 | $32,858 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 21 | $20,113 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 21 | $10,904 |
| Heart failure & shock w MCC | MS-DRG | 291 | 21 | $13,603 |
| Heart failure & shock w CC | MS-DRG | 292 | 21 | $9,218.85 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 21 | $6,150.84 |
| Psychoses | MS-DRG | 885 | 21 | $14,648 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 21 | $8,428.03 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 21 | $12,641 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 21 | $8,019.49 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 21 | $6,248.27 |
| AMI discharged alive w MCC | MS-DRG | 280 | 21 | $16,922 |
| AMI discharged alive w CC | MS-DRG | 281 | 21 | $9,827.32 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 21 | $7,880.31 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 21 | $8,809.22 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 21 | $6,873.33 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 21 | $16,660 |
| COPD w MCC | MS-DRG | 190 | 21 | $11,808 |
| COPD w CC | MS-DRG | 191 | 21 | $9,194.59 |
| COPD w/o CC/MCC | MS-DRG | 192 | 21 | $7,106.14 |
| GI hemorrhage w CC | MS-DRG | 378 | 21 | $10,460 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 21 | $7,001.2 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 21 | $46,173 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 21 | $24,136 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 21 | $17,078 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 21 | $17,153 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 21 | $13,792 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 21 | $35,541 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 21 | $20,135 |