| Knee arthroscopy with meniscectomy | CPT | 29881 | 26 | $8,450 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 26 | $1,300 |
| Total hip replacement | CPT | 27130 | 26 | $21,606 |
| Total knee replacement | CPT | 27447 | 26 | $21,606 |
| Total shoulder arthroplasty | CPT | 23472 | 26 | $21,606 |
| Hip hemiarthroplasty | CPT | 27125 | 26 | $21,606 |
| Knee revision arthroplasty single component | CPT | 27486 | 26 | $21,606 |
| Knee revision arthroplasty all components | CPT | 27487 | 26 | $21,606 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 26 | $11,780 |
| ACL reconstruction | CPT | 29888 | 26 | $11,780 |
| Heart failure & shock w MCC | MS-DRG | 291 | 26 | $23,258 |
| Heart failure & shock w CC | MS-DRG | 292 | 26 | $15,351 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 26 | $9,780.58 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 26 | $21,495 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 26 | $13,178 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 26 | $9,973.09 |
| AMI discharged alive w MCC | MS-DRG | 280 | 26 | $29,258 |
| AMI discharged alive w CC | MS-DRG | 281 | 26 | $16,431 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 26 | $12,925 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 26 | $35,457 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 26 | $18,126 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 26 | $12,269 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 26 | $14,617 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 26 | $11,100 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 26 | $28,814 |
| COPD w MCC | MS-DRG | 190 | 26 | $20,017 |
| COPD w CC | MS-DRG | 191 | 26 | $15,313 |
| COPD w/o CC/MCC | MS-DRG | 192 | 26 | $11,536 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 26 | $81,851 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 26 | $42,133 |