| Knee arthroscopy with meniscectomy | CPT | 29881 | 5 | $4,249.94 |
| Total hip replacement | CPT | 27130 | 5 | $18,491 |
| Total knee replacement | CPT | 27447 | 5 | $18,491 |
| Total shoulder arthroplasty | CPT | 23472 | 5 | $18,491 |
| Hip hemiarthroplasty | CPT | 27125 | 5 | $18,491 |
| Knee revision arthroplasty single component | CPT | 27486 | 5 | $18,491 |
| Knee revision arthroplasty all components | CPT | 27487 | 5 | $18,491 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 5 | $9,407 |
| ACL reconstruction | CPT | 29888 | 5 | $9,407 |
| Heart failure & shock w MCC | MS-DRG | 291 | 5 | $14,778 |
| Heart failure & shock w CC | MS-DRG | 292 | 5 | $10,451 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 5 | $8,097.47 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 5 | $21,060 |
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 5 | $32,099 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 5 | $13,403 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 5 | $9,036.92 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 5 | $7,183.25 |
| AMI discharged alive w MCC | MS-DRG | 280 | 5 | $17,546 |
| AMI discharged alive w CC | MS-DRG | 281 | 5 | $10,810 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 5 | $8,804.97 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 5 | $20,330 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 5 | $11,646 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 5 | $8,663.28 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 5 | $10,139 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 5 | $8,217.81 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 5 | $19,673 |
| COPD w MCC | MS-DRG | 190 | 5 | $12,671 |
| COPD w CC | MS-DRG | 191 | 5 | $10,335 |
| COPD w/o CC/MCC | MS-DRG | 192 | 5 | $8,507.99 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 5 | $48,837 |
