| Knee arthroscopy with meniscectomy | CPT | 29881 | 5 | $468 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 5 | $566.23 |
| Total hip replacement | CPT | 27130 | 5 | $4,786.36 |
| Total knee replacement | CPT | 27447 | 5 | $674.19 |
| CABG single arterial graft | CPT | 33533 | 5 | $1,706.76 |
| CABG 2 arterial grafts | CPT | 33534 | 5 | $1,878.79 |
| Total shoulder arthroplasty | CPT | 23472 | 5 | $4,996.61 |
| Hip hemiarthroplasty | CPT | 27125 | 5 | $728.16 |
| Knee revision arthroplasty single component | CPT | 27486 | 5 | $1,001.52 |
| Knee revision arthroplasty all components | CPT | 27487 | 5 | $1,283.04 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 5 | $548.75 |
| ACL reconstruction | CPT | 29888 | 5 | $516.51 |
| Heart failure & shock w MCC | MS-DRG | 291 | 5 | $7,135.6 |
| Heart failure & shock w CC | MS-DRG | 292 | 5 | $5,508.83 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 5 | $2,846.84 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 5 | $6,063.41 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 5 | $3,586.28 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 5 | $2,772.9 |
| AMI discharged alive w MCC | MS-DRG | 280 | 5 | $6,211.3 |
| AMI discharged alive w CC | MS-DRG | 281 | 5 | $4,621.5 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 5 | $3,179.59 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 5 | $5,028.19 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 5 | $4,769.39 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 5 | $7,579.26 |
| COPD w MCC | MS-DRG | 190 | 5 | $6,950.74 |
| COPD w CC | MS-DRG | 191 | 5 | $6,617.99 |
| COPD w/o CC/MCC | MS-DRG | 192 | 5 | $6,322.21 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 5 | $21,481 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 5 | $9,760.61 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 5 | $6,174.32 |
