| Knee arthroscopy with meniscectomy | CPT | 29881 | 5 | $3,560.2 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 5 | $1,512.8 |
| Total hip replacement | CPT | 27130 | 5 | $6,504 |
| Total knee replacement | CPT | 27447 | 5 | $6,504 |
| Total shoulder arthroplasty | CPT | 23472 | 5 | $6,504 |
| Hip hemiarthroplasty | CPT | 27125 | 5 | $4,457.8 |
| Knee revision arthroplasty single component | CPT | 27486 | 5 | $6,504 |
| Knee revision arthroplasty all components | CPT | 27487 | 5 | $6,504 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 5 | $5,470.6 |
| ACL reconstruction | CPT | 29888 | 5 | $5,470.6 |
| Heart failure & shock w MCC | MS-DRG | 291 | 5 | $22,116 |
| Heart failure & shock w CC | MS-DRG | 292 | 5 | $14,811 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 5 | $10,686 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 5 | $33,055 |
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 5 | $52,030 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 5 | $19,969 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 5 | $12,478 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 5 | $9,297.96 |
| AMI discharged alive w MCC | MS-DRG | 280 | 5 | $27,016 |
| AMI discharged alive w CC | MS-DRG | 281 | 5 | $15,512 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 5 | $12,079 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 5 | $14,369 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 5 | $11,073 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 5 | $30,730 |
| COPD w MCC | MS-DRG | 190 | 5 | $18,713 |
| COPD w CC | MS-DRG | 191 | 5 | $14,704 |
| COPD w/o CC/MCC | MS-DRG | 192 | 5 | $11,570 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 5 | $80,845 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 5 | $42,296 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 5 | $28,469 |
