| Knee arthroscopy with meniscectomy | CPT | 29881 | 3 | $4,168.35 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 3 | $6,706.19 |
| Total hip replacement | CPT | 27130 | 3 | $16,356 |
| Total knee replacement | CPT | 27447 | 3 | $16,356 |
| Total shoulder arthroplasty | CPT | 23472 | 3 | $22,337 |
| Knee revision arthroplasty single component | CPT | 27486 | 3 | $16,356 |
| Knee revision arthroplasty all components | CPT | 27487 | 3 | $22,337 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 3 | $9,244.03 |
| ACL reconstruction | CPT | 29888 | 3 | $9,244.03 |
| Heart failure & shock w MCC | MS-DRG | 291 | 3 | $12,247 |
| Heart failure & shock w CC | MS-DRG | 292 | 3 | $8,219.96 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 3 | $11,508 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 3 | $7,170.66 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 3 | $5,599.97 |
| AMI discharged alive w MCC | MS-DRG | 280 | 3 | $15,213 |
| AMI discharged alive w CC | MS-DRG | 281 | 3 | $8,869.18 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 3 | $7,053.98 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 3 | $18,981 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 3 | $9,713.8 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 3 | $6,695.58 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 3 | $7,820.82 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 3 | $6,177.86 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 3 | $14,830 |
| COPD w MCC | MS-DRG | 190 | 3 | $10,616 |
| COPD w CC | MS-DRG | 191 | 3 | $8,164.39 |
| COPD w/o CC/MCC | MS-DRG | 192 | 3 | $6,302.9 |
| GI hemorrhage w CC | MS-DRG | 378 | 3 | $9,439.66 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 3 | $42,926 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 3 | $22,558 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 3 | $15,943 |
