| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 27 | $28,110 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 26 | $12,864 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 26 | $13,073 |
| Transvaginal ultrasound | CPT | 76830 | 25 | $148.05 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 25 | $15,959 |
| Heart failure & shock w MCC | MS-DRG | 291 | 25 | $20,080 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 25 | $28,665 |
| Abdominal ultrasound limited | CPT | 76705 | 25 | $127.29 |
| Obstetric ultrasound first trimester | CPT | 76801 | 25 | $149.22 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 25 | $13,211 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 25 | $23,522 |
| COPD w MCC | MS-DRG | 190 | 25 | $17,410 |
| GI hemorrhage w CC | MS-DRG | 378 | 25 | $15,319 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 25 | $32,782 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 25 | $63,672 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 25 | $23,893 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 25 | $19,927 |
| Kidney/UTI w MCC | MS-DRG | 689 | 25 | $18,080 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 25 | $19,236 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 25 | $13,115 |
| AMI discharged alive w MCC | MS-DRG | 280 | 25 | $24,560 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 25 | $16,458 |
| ACL reconstruction | CPT | 29888 | 24 | $6,179.84 |
| Total knee replacement | CPT | 27447 | 24 | $10,742 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 24 | $11,146 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 24 | $24,042 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 24 | $2,916.71 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 24 | $10,358 |
| COPD w/o CC/MCC | MS-DRG | 192 | 24 | $11,647 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 24 | $32,794 |