| Knee arthroscopy with meniscectomy | CPT | 29881 | 4 | $1,093.76 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 4 | $341.98 |
| Total hip replacement | CPT | 27130 | 4 | $2,559.8 |
| Total knee replacement | CPT | 27447 | 4 | $2,557.47 |
| CABG single arterial graft | CPT | 33533 | 4 | $3,618.7 |
| Total shoulder arthroplasty | CPT | 23472 | 4 | $2,889.99 |
| Hip hemiarthroplasty | CPT | 27125 | 4 | $2,261.49 |
| Knee revision arthroplasty single component | CPT | 27486 | 4 | $2,799.87 |
| Knee revision arthroplasty all components | CPT | 27487 | 4 | $3,488.19 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 4 | $2,145.38 |
| ACL reconstruction | CPT | 29888 | 4 | $1,961.44 |
| Heart failure & shock w MCC | MS-DRG | 291 | 4 | $17,362 |
| Heart failure & shock w CC | MS-DRG | 292 | 4 | $11,482 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 4 | $16,283 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 4 | $9,949.61 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 4 | $7,655.94 |
| AMI discharged alive w MCC | MS-DRG | 280 | 4 | $21,694 |
| AMI discharged alive w CC | MS-DRG | 281 | 4 | $12,430 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 4 | $9,779.2 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 4 | $27,197 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 4 | $13,663 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 4 | $9,255.83 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 4 | $10,899 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 4 | $8,499.83 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 4 | $21,134 |
| COPD w MCC | MS-DRG | 190 | 4 | $14,981 |
| COPD w CC | MS-DRG | 191 | 4 | $11,401 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 4 | $62,163 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 4 | $32,420 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 4 | $22,760 |
