| Knee arthroscopy with meniscectomy | CPT | 29881 | 6 | $2,110.36 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 6 | $3,071.03 |
| Upper GI endoscopy diagnostic | CPT | 43235 | 6 | $1,533.5 |
| Total shoulder arthroplasty | CPT | 23472 | 6 | $3,196.88 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 6 | $2,346.78 |
| ACL reconstruction | CPT | 29888 | 6 | $3,441.35 |
| Heart failure & shock w MCC | MS-DRG | 291 | 6 | $29,459 |
| Heart failure & shock w CC | MS-DRG | 292 | 6 | $19,482 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 6 | $12,988 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 6 | $17,889 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 6 | $27,628 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 6 | $16,882 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 6 | $12,990 |
| AMI discharged alive w MCC | MS-DRG | 280 | 6 | $36,809 |
| AMI discharged alive w CC | MS-DRG | 281 | 6 | $21,091 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 6 | $46,146 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 6 | $23,183 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 6 | $15,705 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 6 | $18,493 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 6 | $14,422 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 6 | $35,859 |
| COPD w MCC | MS-DRG | 190 | 6 | $25,418 |
| COPD w CC | MS-DRG | 191 | 6 | $19,344 |
| COPD w/o CC/MCC | MS-DRG | 192 | 6 | $14,732 |
| GI hemorrhage w CC | MS-DRG | 378 | 6 | $22,504 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 6 | $14,466 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 6 | $55,009 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 6 | $38,618 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 6 | $38,817 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 6 | $31,341 |
