| Total hip replacement | CPT | 27130 | 4 | $15,000 |
| Total knee replacement | CPT | 27447 | 4 | $15,000 |
| Total shoulder arthroplasty | CPT | 23472 | 4 | $17,000 |
| Knee revision arthroplasty single component | CPT | 27486 | 4 | $15,000 |
| Knee revision arthroplasty all components | CPT | 27487 | 4 | $15,000 |
| Major joint replacement w MCC | MS-DRG | 469 | 4 | $37,155 |
| Heart failure & shock w MCC | MS-DRG | 291 | 4 | $20,771 |
| Heart failure & shock w CC | MS-DRG | 292 | 4 | $13,736 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 4 | $9,157.46 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 4 | $12,613 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 4 | $19,480 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 4 | $11,903 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 4 | $9,159.07 |
| AMI discharged alive w MCC | MS-DRG | 280 | 4 | $25,953 |
| AMI discharged alive w CC | MS-DRG | 281 | 4 | $14,870 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 4 | $11,699 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 4 | $13,039 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 4 | $10,169 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 4 | $25,283 |
| COPD w MCC | MS-DRG | 190 | 4 | $17,922 |
| COPD w CC | MS-DRG | 191 | 4 | $13,639 |
| COPD w/o CC/MCC | MS-DRG | 192 | 4 | $10,387 |
| GI hemorrhage w CC | MS-DRG | 378 | 4 | $15,867 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 4 | $10,199 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 4 | $74,368 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 4 | $38,785 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 4 | $27,228 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 4 | $27,369 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 4 | $22,098 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 4 | $55,124 |
