| Fetal non-stress test | CPT | 59025 | 2 | $177.41 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 2 | $18,936 |
| Major joint replacement w MCC | MS-DRG | 469 | 2 | $32,282 |
| Heart failure & shock w MCC | MS-DRG | 291 | 2 | $13,333 |
| Heart failure & shock w CC | MS-DRG | 292 | 2 | $9,053.16 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 2 | $6,038.01 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 2 | $8,272.6 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 2 | $12,379 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 2 | $7,877.01 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 2 | $6,142.21 |
| AMI discharged alive w MCC | MS-DRG | 280 | 2 | $16,581 |
| AMI discharged alive w CC | MS-DRG | 281 | 2 | $9,637.86 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 2 | $7,740 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 2 | $19,937 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 2 | $10,555 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 2 | $7,384.95 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 2 | $8,655.65 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 2 | $6,752.01 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 2 | $16,341 |
| COPD w MCC | MS-DRG | 190 | 2 | $14,709 |
| COPD w CC | MS-DRG | 191 | 2 | $9,032.9 |
| GI hemorrhage w CC | MS-DRG | 378 | 2 | $10,256 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 2 | $29,120 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 2 | $20,764 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 2 | $16,050 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 2 | $45,049 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 2 | $23,550 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 2 | $16,674 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 2 | $16,745 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 2 | $13,457 |