| Knee arthroscopy with meniscectomy | CPT | 29881 | 5 | $3,824.94 |
| Total hip replacement | CPT | 27130 | 5 | $16,642 |
| Total knee replacement | CPT | 27447 | 5 | $16,642 |
| Total shoulder arthroplasty | CPT | 23472 | 5 | $16,642 |
| Hip hemiarthroplasty | CPT | 27125 | 5 | $16,642 |
| Knee revision arthroplasty single component | CPT | 27486 | 5 | $16,642 |
| Knee revision arthroplasty all components | CPT | 27487 | 5 | $16,642 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 5 | $8,466.3 |
| ACL reconstruction | CPT | 29888 | 5 | $8,466.3 |
| Heart failure & shock w MCC | MS-DRG | 291 | 5 | $13,300 |
| Heart failure & shock w CC | MS-DRG | 292 | 5 | $9,405.86 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 5 | $7,287.72 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 5 | $18,954 |
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 5 | $28,889 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 5 | $12,063 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 5 | $8,133.23 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 5 | $6,464.92 |
| AMI discharged alive w MCC | MS-DRG | 280 | 5 | $15,792 |
| AMI discharged alive w CC | MS-DRG | 281 | 5 | $9,729.05 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 5 | $7,924.47 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 5 | $18,297 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 5 | $10,481 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 5 | $7,796.95 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 5 | $9,125.48 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 5 | $7,396.03 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 5 | $17,705 |
| COPD w MCC | MS-DRG | 190 | 5 | $11,404 |
| COPD w CC | MS-DRG | 191 | 5 | $9,301.05 |
| COPD w/o CC/MCC | MS-DRG | 192 | 5 | $7,657.2 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 5 | $43,953 |