| Knee arthroscopy with meniscectomy | CPT | 29881 | 4 | $3,046.62 |
| Total hip replacement | CPT | 27130 | 4 | $12,082 |
| Total knee replacement | CPT | 27447 | 4 | $12,082 |
| Total shoulder arthroplasty | CPT | 23472 | 4 | $17,268 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 4 | $6,707.82 |
| ACL reconstruction | CPT | 29888 | 4 | $6,707.82 |
| Heart failure & shock w MCC | MS-DRG | 291 | 4 | $10,118 |
| Heart failure & shock w CC | MS-DRG | 292 | 4 | $7,058.1 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 4 | $4,902.64 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 4 | $6,500.07 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 4 | $9,435.62 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 4 | $6,217.32 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 4 | $4,977.15 |
| AMI discharged alive w MCC | MS-DRG | 280 | 4 | $12,439 |
| AMI discharged alive w CC | MS-DRG | 281 | 4 | $7,476.07 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 4 | $6,119.36 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 4 | $14,838 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 4 | $8,132.02 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 4 | $5,865.55 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 4 | $6,773.92 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 4 | $5,413.08 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 4 | $12,268 |
| COPD w MCC | MS-DRG | 190 | 4 | $8,863.81 |
| COPD w CC | MS-DRG | 191 | 4 | $7,043.61 |
| COPD w/o CC/MCC | MS-DRG | 192 | 4 | $5,582.05 |
| GI hemorrhage w CC | MS-DRG | 378 | 4 | $7,918.19 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 4 | $5,509.64 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 4 | $32,790 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 4 | $17,421 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 4 | $12,506 |
