| Knee arthroscopy with meniscectomy | CPT | 29881 | 2 | $4,718.04 |
| Total hip replacement | CPT | 27130 | 2 | $20,543 |
| Total knee replacement | CPT | 27447 | 2 | $20,543 |
| Total shoulder arthroplasty | CPT | 23472 | 2 | $20,543 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 2 | $10,435 |
| ACL reconstruction | CPT | 29888 | 2 | $10,435 |
| Heart failure & shock w MCC | MS-DRG | 291 | 2 | $17,255 |
| Heart failure & shock w CC | MS-DRG | 292 | 2 | $12,342 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 2 | $9,021.12 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 2 | $25,810 |
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 2 | $39,782 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 2 | $11,156 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 2 | $16,437 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 2 | $10,970 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 2 | $8,648.51 |
| AMI discharged alive w MCC | MS-DRG | 280 | 2 | $21,365 |
| AMI discharged alive w CC | MS-DRG | 281 | 2 | $13,156 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 2 | $10,674 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 2 | $12,347 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 2 | $9,942.34 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 2 | $24,304 |
| COPD w MCC | MS-DRG | 190 | 2 | $15,517 |
| COPD w CC | MS-DRG | 191 | 2 | $12,594 |
| COPD w/o CC/MCC | MS-DRG | 192 | 2 | $10,304 |
| GI hemorrhage w CC | MS-DRG | 378 | 2 | $13,920 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 2 | $9,595.22 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 2 | $61,166 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 2 | $32,803 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 2 | $22,622 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 2 | $22,361 |
