| Knee arthroscopy with meniscectomy | CPT | 29881 | 3 | $1,193.85 |
| Total hip replacement | CPT | 27130 | 3 | $2,845.5 |
| Total knee replacement | CPT | 27447 | 3 | $2,807.7 |
| Total shoulder arthroplasty | CPT | 23472 | 3 | $3,327.45 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 3 | $2,367.75 |
| ACL reconstruction | CPT | 29888 | 3 | $2,156.7 |
| Heart failure & shock w MCC | MS-DRG | 291 | 3 | $10,285 |
| Heart failure & shock w CC | MS-DRG | 292 | 3 | $6,788.43 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 3 | $4,325.14 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 3 | $6,150.74 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 3 | $9,505.53 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 3 | $5,827.55 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 3 | $4,410.28 |
| AMI discharged alive w MCC | MS-DRG | 280 | 3 | $12,938 |
| AMI discharged alive w CC | MS-DRG | 281 | 3 | $7,266.11 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 3 | $5,715.62 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 3 | $15,680 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 3 | $8,015.74 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 3 | $5,425.54 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 3 | $6,463.67 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 3 | $4,908.45 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 3 | $12,742 |
| COPD w MCC | MS-DRG | 190 | 3 | $8,852.07 |
| COPD w CC | MS-DRG | 191 | 3 | $6,771.87 |
| COPD w/o CC/MCC | MS-DRG | 192 | 3 | $5,101.57 |
| GI hemorrhage w CC | MS-DRG | 378 | 3 | $7,771.38 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 3 | $5,018.81 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 3 | $36,196 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 3 | $18,632 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 3 | $13,014 |
