| Knee arthroscopy with meniscectomy | CPT | 29881 | 6 | $597.15 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 6 | $189.69 |
| Total hip replacement | CPT | 27130 | 6 | $1,403.45 |
| Total knee replacement | CPT | 27447 | 6 | $1,335.6 |
| Total shoulder arthroplasty | CPT | 23472 | 6 | $1,579.27 |
| Hip hemiarthroplasty | CPT | 27125 | 6 | $1,239.89 |
| Knee revision arthroplasty single component | CPT | 27486 | 6 | $1,606.72 |
| Knee revision arthroplasty all components | CPT | 27487 | 6 | $1,911.39 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 6 | $1,198.21 |
| ACL reconstruction | CPT | 29888 | 6 | $1,120.37 |
| Heart failure & shock w MCC | MS-DRG | 291 | 6 | $3,561.35 |
| Heart failure & shock w CC | MS-DRG | 292 | 6 | $3,350.84 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 6 | $3,350.84 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 6 | $2,716.69 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 6 | $2,687.21 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 6 | $2,574.35 |
| AMI discharged alive w MCC | MS-DRG | 280 | 6 | $4,266.33 |
| AMI discharged alive w CC | MS-DRG | 281 | 6 | $4,621.19 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 6 | $4,621.19 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 6 | $5,008.12 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 6 | $4,953.78 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 6 | $4,737.58 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 6 | $2,987.81 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 6 | $3,389.06 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 6 | $4,673.01 |
| COPD w MCC | MS-DRG | 190 | 6 | $3,564.12 |
| COPD w CC | MS-DRG | 191 | 6 | $3,523.65 |
| COPD w/o CC/MCC | MS-DRG | 192 | 6 | $3,794.14 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 6 | $9,700.15 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 6 | $9,700.15 |
