| Knee arthroscopy with meniscectomy | CPT | 29881 | 4 | $6,186.7 |
| Total hip replacement | CPT | 27130 | 4 | $24,534 |
| Total knee replacement | CPT | 27447 | 4 | $24,534 |
| Total shoulder arthroplasty | CPT | 23472 | 4 | $35,065 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 4 | $13,621 |
| ACL reconstruction | CPT | 29888 | 4 | $13,621 |
| Heart failure & shock w MCC | MS-DRG | 291 | 4 | $16,093 |
| Heart failure & shock w CC | MS-DRG | 292 | 4 | $10,967 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 4 | $7,630.2 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 4 | $10,148 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 4 | $15,152 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 4 | $9,630.81 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 4 | $7,631.38 |
| AMI discharged alive w MCC | MS-DRG | 280 | 4 | $19,869 |
| AMI discharged alive w CC | MS-DRG | 281 | 4 | $11,793 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 4 | $9,482.3 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 4 | $24,666 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 4 | $12,868 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 4 | $9,026.04 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 4 | $10,458 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 4 | $8,367.02 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 4 | $19,381 |
| COPD w MCC | MS-DRG | 190 | 4 | $14,016 |
| COPD w CC | MS-DRG | 191 | 4 | $10,896 |
| COPD w/o CC/MCC | MS-DRG | 192 | 4 | $8,526.18 |
| GI hemorrhage w CC | MS-DRG | 378 | 4 | $12,519 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 4 | $8,389.44 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 4 | $55,147 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 4 | $29,219 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 4 | $20,798 |
