| Knee arthroscopy with meniscectomy | CPT | 29881 | 4 | $7,616.56 |
| Total hip replacement | CPT | 27130 | 4 | $30,204 |
| Total knee replacement | CPT | 27447 | 4 | $30,204 |
| Total shoulder arthroplasty | CPT | 23472 | 4 | $43,170 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 4 | $16,770 |
| ACL reconstruction | CPT | 29888 | 4 | $16,770 |
| Heart failure & shock w MCC | MS-DRG | 291 | 4 | $25,294 |
| Heart failure & shock w CC | MS-DRG | 292 | 4 | $17,645 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 4 | $12,257 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 4 | $16,250 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 4 | $23,589 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 4 | $15,543 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 4 | $12,443 |
| AMI discharged alive w MCC | MS-DRG | 280 | 4 | $31,099 |
| AMI discharged alive w CC | MS-DRG | 281 | 4 | $18,690 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 4 | $15,298 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 4 | $37,096 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 4 | $20,330 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 4 | $14,664 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 4 | $16,935 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 4 | $13,533 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 4 | $30,669 |
| COPD w MCC | MS-DRG | 190 | 4 | $22,160 |
| COPD w CC | MS-DRG | 191 | 4 | $17,609 |
| COPD w/o CC/MCC | MS-DRG | 192 | 4 | $13,955 |
| GI hemorrhage w CC | MS-DRG | 378 | 4 | $19,795 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 4 | $13,774 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 4 | $81,975 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 4 | $43,553 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 4 | $31,264 |
