| Knee arthroscopy with meniscectomy | CPT | 29881 | 3 | $3,442.91 |
| Total hip replacement | CPT | 27130 | 3 | $13,653 |
| Total knee replacement | CPT | 27447 | 3 | $13,653 |
| Total shoulder arthroplasty | CPT | 23472 | 3 | $19,514 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 3 | $7,580.33 |
| ACL reconstruction | CPT | 29888 | 3 | $7,580.33 |
| Heart failure & shock w MCC | MS-DRG | 291 | 3 | $17,348 |
| Heart failure & shock w CC | MS-DRG | 292 | 3 | $13,272 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 3 | $10,456 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 3 | $12,552 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 3 | $16,480 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 3 | $12,167 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 3 | $10,530 |
| AMI discharged alive w MCC | MS-DRG | 280 | 3 | $20,418 |
| AMI discharged alive w CC | MS-DRG | 281 | 3 | $13,854 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 3 | $12,039 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 3 | $23,770 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 3 | $14,723 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 3 | $11,695 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 3 | $12,887 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 3 | $11,112 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 3 | $20,149 |
| COPD w MCC | MS-DRG | 190 | 3 | $15,682 |
| COPD w CC | MS-DRG | 191 | 3 | $13,243 |
| COPD w/o CC/MCC | MS-DRG | 192 | 3 | $11,312 |
| GI hemorrhage w CC | MS-DRG | 378 | 3 | $14,440 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 3 | $11,213 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 3 | $47,765 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 3 | $27,256 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 3 | $20,670 |
