| Knee arthroscopy with meniscectomy | CPT | 29881 | 2 | $3,579.73 |
| Total hip replacement | CPT | 27130 | 2 | $14,046 |
| Total knee replacement | CPT | 27447 | 2 | $14,046 |
| Total shoulder arthroplasty | CPT | 23472 | 2 | $19,183 |
| Hip hemiarthroplasty | CPT | 27125 | 2 | $14,046 |
| Knee revision arthroplasty single component | CPT | 27486 | 2 | $14,046 |
| Knee revision arthroplasty all components | CPT | 27487 | 2 | $19,183 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 2 | $7,938.66 |
| ACL reconstruction | CPT | 29888 | 2 | $7,938.66 |
| Heart failure & shock w MCC | MS-DRG | 291 | 2 | $11,163 |
| Heart failure & shock w CC | MS-DRG | 292 | 2 | $7,382.35 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 2 | $4,921.56 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 2 | $6,778.89 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 2 | $10,469 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 2 | $6,397.16 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 2 | $4,922.44 |
| AMI discharged alive w MCC | MS-DRG | 280 | 2 | $13,948 |
| AMI discharged alive w CC | MS-DRG | 281 | 2 | $7,991.89 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 2 | $6,287.61 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 2 | $7,007.58 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 2 | $5,465.03 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 2 | $13,588 |
| COPD w MCC | MS-DRG | 190 | 2 | $9,631.84 |
| COPD w CC | MS-DRG | 191 | 2 | $7,330.18 |
| COPD w/o CC/MCC | MS-DRG | 192 | 2 | $5,582.41 |
| GI hemorrhage w CC | MS-DRG | 378 | 2 | $8,527.53 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 2 | $5,481.55 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 2 | $39,968 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 2 | $20,844 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 2 | $14,633 |