| Colonoscopy diagnostic | CPT | 45378 | 3 | $873.14 |
| Upper GI endoscopy diagnostic | CPT | 43235 | 3 | $897.9 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 3 | $897.9 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 3 | $873.14 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 3 | $873.14 |
| Major joint replacement w MCC | MS-DRG | 469 | 3 | $19,362 |
| Heart failure & shock w MCC | MS-DRG | 291 | 3 | $8,195.04 |
| Heart failure & shock w CC | MS-DRG | 292 | 3 | $5,419.53 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 3 | $3,613.02 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 3 | $4,976.52 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 3 | $7,685.64 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 3 | $4,696.28 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 3 | $3,613.65 |
| AMI discharged alive w MCC | MS-DRG | 280 | 3 | $10,240 |
| AMI discharged alive w CC | MS-DRG | 281 | 3 | $5,867.01 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 3 | $4,615.86 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 3 | $5,144.4 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 3 | $4,011.98 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 3 | $9,975.37 |
| COPD w MCC | MS-DRG | 190 | 3 | $7,070.92 |
| COPD w CC | MS-DRG | 191 | 3 | $5,381.23 |
| COPD w/o CC/MCC | MS-DRG | 192 | 3 | $4,098.16 |
| GI hemorrhage w CC | MS-DRG | 378 | 3 | $6,260.22 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 3 | $4,024.11 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 3 | $29,341 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 3 | $15,302 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 3 | $10,743 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 3 | $10,798 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 3 | $8,718.48 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 3 | $21,749 |
