| Major joint replacement w/o MCC | MS-DRG | 470 | 15 | $12,937 |
| Major joint replacement w MCC | MS-DRG | 469 | 15 | $19,077 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 15 | $13,013 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 15 | $7,902.24 |
| Heart failure & shock w MCC | MS-DRG | 291 | 15 | $9,350.62 |
| Heart failure & shock w CC | MS-DRG | 292 | 15 | $6,933.14 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 15 | $5,368.72 |
| Psychoses | MS-DRG | 885 | 15 | $9,978.9 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 15 | $6,547.27 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 15 | $8,906.93 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 15 | $6,304.27 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 15 | $5,369.27 |
| AMI discharged alive w MCC | MS-DRG | 280 | 15 | $11,131 |
| AMI discharged alive w CC | MS-DRG | 281 | 15 | $7,322.89 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 15 | $6,234.81 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 15 | $6,693.5 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 15 | $5,713.28 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 15 | $10,901 |
| COPD w MCC | MS-DRG | 190 | 15 | $8,371.51 |
| COPD w CC | MS-DRG | 191 | 15 | $6,899.78 |
| COPD w/o CC/MCC | MS-DRG | 192 | 15 | $5,787.71 |
| GI hemorrhage w CC | MS-DRG | 378 | 15 | $7,665.39 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 15 | $5,723.75 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 15 | $27,769 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 15 | $15,541 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 15 | $11,570 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 15 | $11,618 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 15 | $9,806.54 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 15 | $21,156 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 15 | $13,606 |