| Knee arthroscopy with meniscectomy | CPT | 29881 | 6 | $553.56 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 6 | $174.84 |
| Total hip replacement | CPT | 27130 | 6 | $1,299.83 |
| Total knee replacement | CPT | 27447 | 6 | $1,250.95 |
| Total shoulder arthroplasty | CPT | 23472 | 6 | $1,462.67 |
| Hip hemiarthroplasty | CPT | 27125 | 6 | $1,148.35 |
| Knee revision arthroplasty single component | CPT | 27486 | 6 | $1,472.83 |
| Knee revision arthroplasty all components | CPT | 27487 | 6 | $1,770.28 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 6 | $1,104.4 |
| ACL reconstruction | CPT | 29888 | 6 | $1,027.01 |
| Heart failure & shock w MCC | MS-DRG | 291 | 6 | $3,533.7 |
| Heart failure & shock w CC | MS-DRG | 292 | 6 | $3,362.01 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 6 | $3,362.01 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 6 | $2,725.74 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 6 | $2,676.17 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 6 | $2,582.93 |
| AMI discharged alive w MCC | MS-DRG | 280 | 6 | $4,246.53 |
| AMI discharged alive w CC | MS-DRG | 281 | 6 | $4,636.6 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 6 | $4,636.6 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 6 | $5,024.82 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 6 | $4,933.43 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 6 | $4,753.37 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 6 | $2,977.57 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 6 | $3,308.73 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 6 | $4,656.41 |
| COPD w MCC | MS-DRG | 190 | 6 | $3,541.81 |
| COPD w CC | MS-DRG | 191 | 6 | $3,508.8 |
| COPD w/o CC/MCC | MS-DRG | 192 | 6 | $3,704.2 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 6 | $9,511.52 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 6 | $9,511.52 |
