| Knee arthroscopy with meniscectomy | CPT | 29881 | 5 | $2,092.58 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 5 | $3,045.16 |
| Upper GI endoscopy diagnostic | CPT | 43235 | 5 | $1,457.33 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 5 | $1,133.51 |
| Total shoulder arthroplasty | CPT | 23472 | 5 | $3,169.94 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 5 | $2,327.01 |
| ACL reconstruction | CPT | 29888 | 5 | $3,412.36 |
| Laparoscopic appendectomy | CPT | 44970 | 5 | $24,189 |
| Heart failure & shock w MCC | MS-DRG | 291 | 5 | $18,370 |
| Heart failure & shock w CC | MS-DRG | 292 | 5 | $12,148 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 5 | $8,098.89 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 5 | $11,155 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 5 | $17,228 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 5 | $10,527 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 5 | $8,100.32 |
| AMI discharged alive w MCC | MS-DRG | 280 | 5 | $22,953 |
| AMI discharged alive w CC | MS-DRG | 281 | 5 | $13,151 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 5 | $28,775 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 5 | $14,456 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 5 | $9,793.08 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 5 | $11,532 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 5 | $8,993.21 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 5 | $22,361 |
| COPD w MCC | MS-DRG | 190 | 5 | $15,850 |
| COPD w CC | MS-DRG | 191 | 5 | $12,062 |
| COPD w/o CC/MCC | MS-DRG | 192 | 5 | $9,186.38 |
| GI hemorrhage w CC | MS-DRG | 378 | 5 | $14,033 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 5 | $9,020.39 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 5 | $24,205 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 5 | $19,543 |
