| Knee arthroscopy with meniscectomy | CPT | 29881 | 5 | $2,134.07 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 5 | $3,105.54 |
| Upper GI endoscopy diagnostic | CPT | 43235 | 5 | $1,566.87 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 5 | $1,090.91 |
| Total shoulder arthroplasty | CPT | 23472 | 5 | $3,232.8 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 5 | $2,373.15 |
| ACL reconstruction | CPT | 29888 | 5 | $3,480.02 |
| Laparoscopic appendectomy | CPT | 44970 | 5 | $25,389 |
| Heart failure & shock w MCC | MS-DRG | 291 | 5 | $17,973 |
| Heart failure & shock w CC | MS-DRG | 292 | 5 | $11,886 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 5 | $7,924 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 5 | $10,914 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 5 | $16,856 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 5 | $10,300 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 5 | $7,925.4 |
| AMI discharged alive w MCC | MS-DRG | 280 | 5 | $22,457 |
| AMI discharged alive w CC | MS-DRG | 281 | 5 | $12,867 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 5 | $28,154 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 5 | $14,144 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 5 | $9,581.6 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 5 | $11,283 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 5 | $8,799 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 5 | $21,878 |
| COPD w MCC | MS-DRG | 190 | 5 | $15,508 |
| COPD w CC | MS-DRG | 191 | 5 | $11,802 |
| COPD w/o CC/MCC | MS-DRG | 192 | 5 | $8,988 |
| GI hemorrhage w CC | MS-DRG | 378 | 5 | $13,730 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 5 | $8,825.6 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 5 | $23,682 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 5 | $19,121 |
