| Knee arthroscopy with meniscectomy | CPT | 29881 | 4 | $9,801.4 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 4 | $9,131 |
| Total hip replacement | CPT | 27130 | 4 | $16,156 |
| Total knee replacement | CPT | 27447 | 4 | $16,156 |
| Total shoulder arthroplasty | CPT | 23472 | 4 | $22,064 |
| Knee revision arthroplasty single component | CPT | 27486 | 4 | $16,156 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 4 | $9,131 |
| ACL reconstruction | CPT | 29888 | 4 | $9,131 |
| Heart failure & shock w MCC | MS-DRG | 291 | 4 | $13,092 |
| Heart failure & shock w CC | MS-DRG | 292 | 4 | $8,898.83 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 4 | $6,169.87 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 4 | $12,322 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 4 | $7,806.29 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 4 | $6,170.82 |
| AMI discharged alive w MCC | MS-DRG | 280 | 4 | $16,180 |
| AMI discharged alive w CC | MS-DRG | 281 | 4 | $9,574.81 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 4 | $7,684.79 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 4 | $20,104 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 4 | $10,454 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 4 | $7,311.61 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 4 | $8,483.22 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 4 | $6,772.54 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 4 | $15,781 |
| COPD w MCC | MS-DRG | 190 | 4 | $11,393 |
| COPD w CC | MS-DRG | 191 | 4 | $8,840.99 |
| COPD w/o CC/MCC | MS-DRG | 192 | 4 | $6,902.73 |
| GI hemorrhage w CC | MS-DRG | 378 | 4 | $10,169 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 4 | $45,036 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 4 | $23,828 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 4 | $16,940 |
