| Knee arthroscopy with meniscectomy | CPT | 29881 | 4 | $4,966 |
| Total hip replacement | CPT | 27130 | 4 | $19,693 |
| Total knee replacement | CPT | 27447 | 4 | $19,693 |
| Total shoulder arthroplasty | CPT | 23472 | 4 | $28,147 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 4 | $10,934 |
| ACL reconstruction | CPT | 29888 | 4 | $10,934 |
| Heart failure & shock w MCC | MS-DRG | 291 | 4 | $13,355 |
| Heart failure & shock w CC | MS-DRG | 292 | 4 | $9,316.69 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 4 | $6,471.48 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 4 | $8,580.09 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 4 | $12,455 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 4 | $8,206.86 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 4 | $6,569.84 |
| AMI discharged alive w MCC | MS-DRG | 280 | 4 | $16,420 |
| AMI discharged alive w CC | MS-DRG | 281 | 4 | $9,868.41 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 4 | $8,077.56 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 4 | $19,587 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 4 | $10,734 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 4 | $7,742.53 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 4 | $8,941.57 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 4 | $7,145.27 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 4 | $16,193 |
| COPD w MCC | MS-DRG | 190 | 4 | $11,700 |
| COPD w CC | MS-DRG | 191 | 4 | $9,297.57 |
| COPD w/o CC/MCC | MS-DRG | 192 | 4 | $7,368.31 |
| GI hemorrhage w CC | MS-DRG | 378 | 4 | $10,452 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 4 | $7,272.72 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 4 | $43,283 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 4 | $22,996 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 4 | $16,507 |
