| Knee arthroscopy with meniscectomy | CPT | 29881 | 6 | $575.36 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 6 | $178.21 |
| Total hip replacement | CPT | 27130 | 6 | $1,346.93 |
| Total knee replacement | CPT | 27447 | 6 | $1,345 |
| Upper GI endoscopy diagnostic | CPT | 43235 | 6 | $193.13 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 6 | $238.11 |
| CABG single arterial graft | CPT | 33533 | 6 | $1,912.98 |
| CABG 2 arterial grafts | CPT | 33534 | 6 | $2,246.33 |
| CABG 3 arterial grafts | CPT | 33535 | 6 | $2,496.42 |
| CABG 4+ arterial grafts | CPT | 33536 | 6 | $2,690.09 |
| Total shoulder arthroplasty | CPT | 23472 | 6 | $1,515.67 |
| Hip hemiarthroplasty | CPT | 27125 | 6 | $1,189.96 |
| Knee revision arthroplasty single component | CPT | 27486 | 6 | $1,472.83 |
| Knee revision arthroplasty all components | CPT | 27487 | 6 | $1,834.42 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 6 | $1,125.72 |
| ACL reconstruction | CPT | 29888 | 6 | $1,027 |
| Open appendectomy | CPT | 44950 | 6 | $670.4 |
| Heart failure & shock w MCC | MS-DRG | 291 | 6 | $22,729 |
| Heart failure & shock w CC | MS-DRG | 292 | 6 | $15,163 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 6 | $9,940.33 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 6 | $13,908 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 6 | $13,184 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 6 | $9,789.85 |
| AMI discharged alive w MCC | MS-DRG | 280 | 6 | $28,086 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 6 | $17,994 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 6 | $12,171 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 6 | $14,556 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 6 | $30,032 |
| COPD w MCC | MS-DRG | 190 | 6 | $19,509 |
| COPD w CC | MS-DRG | 191 | 6 | $15,030 |
