| Knee arthroscopy with meniscectomy | CPT | 29881 | 6 | $1,780.24 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 6 | $398.98 |
| Total hip replacement | CPT | 27130 | 6 | $5,203 |
| Total knee replacement | CPT | 27447 | 6 | $3,941.23 |
| Total shoulder arthroplasty | CPT | 23472 | 6 | $4,001.99 |
| Hip hemiarthroplasty | CPT | 27125 | 6 | $2,707.83 |
| Knee revision arthroplasty single component | CPT | 27486 | 6 | $3,106.81 |
| Knee revision arthroplasty all components | CPT | 27487 | 6 | $4,368.57 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 6 | $1,887.58 |
| ACL reconstruction | CPT | 29888 | 6 | $3,600.98 |
| Heart failure & shock w MCC | MS-DRG | 291 | 6 | $5,406.95 |
| Heart failure & shock w CC | MS-DRG | 292 | 6 | $5,130.56 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 6 | $5,130.56 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 6 | $4,248.38 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 6 | $4,091.22 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 6 | $3,959.4 |
| AMI discharged alive w MCC | MS-DRG | 280 | 6 | $6,492.76 |
| AMI discharged alive w CC | MS-DRG | 281 | 6 | $7,226.68 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 6 | $7,226.68 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 6 | $7,831.76 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 6 | $7,542.04 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 6 | $7,281.89 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 6 | $4,555.12 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 6 | $5,046.45 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 6 | $7,117.59 |
| COPD w MCC | MS-DRG | 190 | 6 | $5,417.39 |
| COPD w CC | MS-DRG | 191 | 6 | $5,364.26 |
| COPD w/o CC/MCC | MS-DRG | 192 | 6 | $5,649.62 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 6 | $14,517 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 6 | $14,517 |
