| Knee arthroscopy with meniscectomy | CPT | 29881 | 4 | $521.43 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 4 | $155.89 |
| Total hip replacement | CPT | 27130 | 4 | $1,203.83 |
| Total knee replacement | CPT | 27447 | 4 | $1,201.56 |
| CABG single arterial graft | CPT | 33533 | 4 | $1,876.52 |
| Total shoulder arthroplasty | CPT | 23472 | 4 | $1,344.5 |
| Hip hemiarthroplasty | CPT | 27125 | 4 | $1,066.7 |
| Knee revision arthroplasty single component | CPT | 27486 | 4 | $1,318.23 |
| Knee revision arthroplasty all components | CPT | 27487 | 4 | $1,636.09 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 4 | $1,001.73 |
| ACL reconstruction | CPT | 29888 | 4 | $912.05 |
| Heart failure & shock w MCC | MS-DRG | 291 | 4 | $9,135.3 |
| Heart failure & shock w CC | MS-DRG | 292 | 4 | $6,041.34 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 4 | $8,567.46 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 4 | $5,235.12 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 4 | $4,028.27 |
| AMI discharged alive w MCC | MS-DRG | 280 | 4 | $11,415 |
| AMI discharged alive w CC | MS-DRG | 281 | 4 | $6,540.16 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 4 | $5,145.46 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 4 | $14,310 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 4 | $7,189.12 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 4 | $4,870.07 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 4 | $5,734.65 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 4 | $4,472.3 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 4 | $11,120 |
| COPD w MCC | MS-DRG | 190 | 4 | $7,882.2 |
| COPD w CC | MS-DRG | 191 | 4 | $5,998.64 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 4 | $32,708 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 4 | $17,058 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 4 | $11,975 |
