| Major joint replacement w/o MCC | MS-DRG | 470 | 6 | $16,946 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 6 | $12,823 |
| Heart failure & shock w MCC | MS-DRG | 291 | 5 | $14,600 |
| Heart failure & shock w CC | MS-DRG | 292 | 5 | $11,344 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 5 | $9,224.88 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 5 | $10,824 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 5 | $14,002 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 5 | $10,496 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 5 | $9,225.63 |
| AMI discharged alive w MCC | MS-DRG | 280 | 5 | $16,998 |
| AMI discharged alive w CC | MS-DRG | 281 | 5 | $11,869 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 5 | $10,401 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 5 | $12,552 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 5 | $10,111 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 5 | $11,021 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 5 | $9,692.89 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 5 | $16,688 |
| COPD w MCC | MS-DRG | 190 | 5 | $13,281 |
| COPD w CC | MS-DRG | 191 | 5 | $11,299 |
| COPD w/o CC/MCC | MS-DRG | 192 | 5 | $9,793.98 |
| GI hemorrhage w CC | MS-DRG | 378 | 5 | $12,330 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 5 | $9,707.12 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 5 | $26,794 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 5 | $39,406 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 5 | $22,937 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 5 | $17,588 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 5 | $17,654 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 5 | $15,214 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 5 | $30,500 |
| Major joint replacement w MCC | MS-DRG | 469 | 5 | $27,700 |
