| Knee arthroscopy with meniscectomy | CPT | 29881 | 4 | $2,347.21 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 4 | $1,466.11 |
| Total hip replacement | CPT | 27130 | 4 | $2,971.66 |
| Total knee replacement | CPT | 27447 | 4 | $2,968.19 |
| Total shoulder arthroplasty | CPT | 23472 | 4 | $3,346.12 |
| Hip hemiarthroplasty | CPT | 27125 | 4 | $2,630.21 |
| Knee revision arthroplasty single component | CPT | 27486 | 4 | $3,253.31 |
| Knee revision arthroplasty all components | CPT | 27487 | 4 | $4,043.61 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 4 | $3,980.07 |
| ACL reconstruction | CPT | 29888 | 4 | $3,627.26 |
| Heart failure & shock w MCC | MS-DRG | 291 | 4 | $12,232 |
| Heart failure & shock w CC | MS-DRG | 292 | 4 | $8,090.21 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 4 | $5,172.49 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 4 | $11,309 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 4 | $6,952.07 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 4 | $5,273.33 |
| AMI discharged alive w MCC | MS-DRG | 280 | 4 | $15,375 |
| AMI discharged alive w CC | MS-DRG | 281 | 4 | $8,656.01 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 4 | $6,819.48 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 4 | $18,622 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 4 | $9,543.94 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 4 | $6,475.89 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 4 | $7,705.54 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 4 | $5,863.41 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 4 | $15,142 |
| COPD w MCC | MS-DRG | 190 | 4 | $10,535 |
| COPD w CC | MS-DRG | 191 | 4 | $8,070.6 |
| COPD w/o CC/MCC | MS-DRG | 192 | 4 | $6,092.15 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 4 | $42,923 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 4 | $22,119 |
