| Knee arthroscopy with meniscectomy | CPT | 29881 | 2 | $6,580.36 |
| Total hip replacement | CPT | 27130 | 2 | $28,652 |
| Total knee replacement | CPT | 27447 | 2 | $28,652 |
| Total shoulder arthroplasty | CPT | 23472 | 2 | $28,652 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 2 | $14,554 |
| ACL reconstruction | CPT | 29888 | 2 | $14,554 |
| Heart failure & shock w MCC | MS-DRG | 291 | 2 | $24,034 |
| Heart failure & shock w CC | MS-DRG | 292 | 2 | $17,190 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 2 | $12,565 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 2 | $35,950 |
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 2 | $55,410 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 2 | $15,539 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 2 | $22,894 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 2 | $15,280 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 2 | $12,046 |
| AMI discharged alive w MCC | MS-DRG | 280 | 2 | $29,758 |
| AMI discharged alive w CC | MS-DRG | 281 | 2 | $18,325 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 2 | $14,868 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 2 | $17,197 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 2 | $13,848 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 2 | $33,852 |
| COPD w MCC | MS-DRG | 190 | 2 | $21,613 |
| COPD w CC | MS-DRG | 191 | 2 | $17,542 |
| COPD w/o CC/MCC | MS-DRG | 192 | 2 | $14,352 |
| GI hemorrhage w CC | MS-DRG | 378 | 2 | $19,388 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 2 | $13,365 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 2 | $85,196 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 2 | $45,689 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 2 | $31,509 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 2 | $31,146 |
