| Knee arthroscopy with meniscectomy | CPT | 29881 | 4 | $1,929 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 4 | $1,609 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 4 | $2,177 |
| ACL reconstruction | CPT | 29888 | 4 | $1,609 |
| Heart failure & shock w MCC | MS-DRG | 291 | 4 | $11,955 |
| Heart failure & shock w CC | MS-DRG | 292 | 4 | $7,766.28 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 4 | $5,456.16 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 4 | $17,136 |
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 4 | $26,003 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 4 | $6,150.33 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 4 | $9,626.85 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 4 | $6,253.2 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 4 | $4,556.25 |
| AMI discharged alive w MCC | MS-DRG | 280 | 4 | $13,427 |
| AMI discharged alive w CC | MS-DRG | 281 | 4 | $7,976.88 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 4 | $6,144.66 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 4 | $14,325 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 4 | $8,351.91 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 4 | $6,047.46 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 4 | $7,558.92 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 4 | $5,750.19 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 4 | $14,991 |
| COPD w MCC | MS-DRG | 190 | 4 | $9,336.06 |
| COPD w CC | MS-DRG | 191 | 4 | $7,432.56 |
| COPD w/o CC/MCC | MS-DRG | 192 | 4 | $5,884.65 |
| GI hemorrhage w CC | MS-DRG | 378 | 4 | $7,859.43 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 4 | $5,221.26 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 4 | $39,798 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 4 | $19,998 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 4 | $13,574 |
