| Knee arthroscopy with meniscectomy | CPT | 29881 | 6 | $351.95 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 6 | $346.97 |
| Total hip replacement | CPT | 27130 | 6 | $858.46 |
| Total knee replacement | CPT | 27447 | 6 | $863.06 |
| Total shoulder arthroplasty | CPT | 23472 | 6 | $929.71 |
| Hip hemiarthroplasty | CPT | 27125 | 6 | $623.74 |
| Knee revision arthroplasty single component | CPT | 27486 | 6 | $770.09 |
| Knee revision arthroplasty all components | CPT | 27487 | 6 | $986.6 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 6 | $670.39 |
| ACL reconstruction | CPT | 29888 | 6 | $599.39 |
| Heart failure & shock w MCC | MS-DRG | 291 | 6 | $3,831.52 |
| Heart failure & shock w CC | MS-DRG | 292 | 6 | $3,635.66 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 6 | $3,635.66 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 6 | $3,010.52 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 6 | $2,868.48 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 6 | $2,805.75 |
| AMI discharged alive w MCC | MS-DRG | 280 | 6 | $4,454.3 |
| AMI discharged alive w CC | MS-DRG | 281 | 6 | $5,121.02 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 6 | $5,121.02 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 6 | $5,549.8 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 6 | $5,287.95 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 6 | $5,160.15 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 6 | $3,404.56 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 6 | $3,576.06 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 6 | $5,102.83 |
| COPD w MCC | MS-DRG | 190 | 6 | $3,838.92 |
| COPD w CC | MS-DRG | 191 | 6 | $3,745.11 |
| COPD w/o CC/MCC | MS-DRG | 192 | 6 | $4,003.48 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 6 | $10,287 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 6 | $10,287 |
