| Upper GI endoscopy diagnostic | CPT | 43235 | 2 | $741.15 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 2 | $748.36 |
| Laparoscopic appendectomy | CPT | 44970 | 2 | $4,064.72 |
| Heart failure & shock w MCC | MS-DRG | 291 | 2 | $13,171 |
| Heart failure & shock w CC | MS-DRG | 292 | 2 | $8,954.85 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 2 | $6,210.7 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 2 | $8,281.91 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 2 | $12,397 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 2 | $7,856.22 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 2 | $6,211.67 |
| AMI discharged alive w MCC | MS-DRG | 280 | 2 | $16,277 |
| AMI discharged alive w CC | MS-DRG | 281 | 2 | $9,634.59 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 2 | $7,734.04 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 2 | $20,222 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 2 | $10,519 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 2 | $7,358.78 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 2 | $8,536.93 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 2 | $6,816.74 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 2 | $15,875 |
| COPD w MCC | MS-DRG | 190 | 2 | $11,463 |
| COPD w CC | MS-DRG | 191 | 2 | $8,896.67 |
| COPD w/o CC/MCC | MS-DRG | 192 | 2 | $6,947.65 |
| GI hemorrhage w CC | MS-DRG | 378 | 2 | $10,232 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 2 | $6,835.16 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 2 | $45,293 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 2 | $23,967 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 2 | $17,041 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 2 | $17,125 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 2 | $13,966 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 2 | $33,760 |