| Knee arthroscopy with meniscectomy | CPT | 29881 | 6 | $648.02 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 6 | $212.4 |
| Total hip replacement | CPT | 27130 | 6 | $1,629.95 |
| Total knee replacement | CPT | 27447 | 6 | $1,589.64 |
| Total shoulder arthroplasty | CPT | 23472 | 6 | $1,747.06 |
| Hip hemiarthroplasty | CPT | 27125 | 6 | $1,360.86 |
| Knee revision arthroplasty single component | CPT | 27486 | 6 | $1,731.49 |
| Knee revision arthroplasty all components | CPT | 27487 | 6 | $2,115.32 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 6 | $1,300.46 |
| ACL reconstruction | CPT | 29888 | 6 | $1,206.74 |
| Heart failure & shock w MCC | MS-DRG | 291 | 6 | $6,569.61 |
| Heart failure & shock w CC | MS-DRG | 292 | 6 | $7,898 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 6 | $7,898 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 6 | $4,482.43 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 6 | $4,986.58 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 6 | $5,742.81 |
| AMI discharged alive w MCC | MS-DRG | 280 | 6 | $8,623.62 |
| AMI discharged alive w CC | MS-DRG | 281 | 6 | $7,624.79 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 6 | $7,624.79 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 6 | $8,263.22 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 6 | $9,192.61 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 6 | $10,653 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 6 | $5,447.66 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 6 | $5,323.99 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 6 | $8,908.29 |
| COPD w MCC | MS-DRG | 190 | 6 | $6,822.25 |
| COPD w CC | MS-DRG | 191 | 6 | $7,077.63 |
| COPD w/o CC/MCC | MS-DRG | 192 | 6 | $5,960.34 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 6 | $15,407 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 6 | $15,407 |
