| Knee arthroscopy with meniscectomy | CPT | 29881 | 6 | $8,230.83 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 6 | $6,706.19 |
| Total hip replacement | CPT | 27130 | 6 | $16,356 |
| Total knee replacement | CPT | 27447 | 6 | $16,356 |
| Total shoulder arthroplasty | CPT | 23472 | 6 | $22,337 |
| Knee revision arthroplasty single component | CPT | 27486 | 6 | $16,356 |
| Knee revision arthroplasty all components | CPT | 27487 | 6 | $22,337 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 6 | $9,244.03 |
| ACL reconstruction | CPT | 29888 | 6 | $11,615 |
| Heart failure & shock w MCC | MS-DRG | 291 | 6 | $12,515 |
| Heart failure & shock w CC | MS-DRG | 292 | 6 | $8,405.27 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 6 | $11,761 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 6 | $7,334.32 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 6 | $5,731.21 |
| AMI discharged alive w MCC | MS-DRG | 280 | 6 | $15,543 |
| AMI discharged alive w CC | MS-DRG | 281 | 6 | $9,067.88 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 6 | $7,215.23 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 6 | $19,389 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 6 | $9,929.94 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 6 | $6,849.43 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 6 | $7,997.88 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 6 | $6,321.03 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 6 | $15,151 |
| COPD w MCC | MS-DRG | 190 | 6 | $10,851 |
| COPD w CC | MS-DRG | 191 | 6 | $8,348.55 |
| COPD w/o CC/MCC | MS-DRG | 192 | 6 | $6,448.64 |
| GI hemorrhage w CC | MS-DRG | 378 | 6 | $9,650.14 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 6 | $43,828 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 6 | $23,039 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 6 | $16,288 |
