| Knee arthroscopy with meniscectomy | CPT | 29881 | 2 | $645.07 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 2 | $213.37 |
| Total hip replacement | CPT | 27130 | 2 | $1,715.18 |
| Total knee replacement | CPT | 27447 | 2 | $1,831.92 |
| CABG single arterial graft | CPT | 33533 | 2 | $2,381.79 |
| CABG 2 arterial grafts | CPT | 33534 | 2 | $2,796.5 |
| Total shoulder arthroplasty | CPT | 23472 | 2 | $1,777.76 |
| Hip hemiarthroplasty | CPT | 27125 | 2 | $1,342.05 |
| Knee revision arthroplasty single component | CPT | 27486 | 2 | $1,674.43 |
| Knee revision arthroplasty all components | CPT | 27487 | 2 | $2,100.69 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 2 | $1,277.84 |
| ACL reconstruction | CPT | 29888 | 2 | $1,172.33 |
| Heart failure & shock w MCC | MS-DRG | 291 | 2 | $13,210 |
| Heart failure & shock w CC | MS-DRG | 292 | 2 | $8,719.59 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 2 | $5,557.94 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 2 | $12,209 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 2 | $7,484.49 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 2 | $5,664.24 |
| AMI discharged alive w MCC | MS-DRG | 280 | 2 | $16,618 |
| AMI discharged alive w CC | MS-DRG | 281 | 2 | $9,332.07 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 2 | $7,340.73 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 2 | $8,301.48 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 2 | $6,305.07 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 2 | $16,365 |
| COPD w MCC | MS-DRG | 190 | 2 | $11,372 |
| COPD w CC | MS-DRG | 191 | 2 | $8,697.31 |
| COPD w/o CC/MCC | MS-DRG | 192 | 2 | $6,552.09 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 2 | $46,485 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 2 | $23,930 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 2 | $16,714 |