| Knee arthroscopy with meniscectomy | CPT | 29881 | 21 | $3,058.53 |
| Total hip replacement | CPT | 27130 | 21 | $11,997 |
| Total knee replacement | CPT | 27447 | 21 | $11,997 |
| Total shoulder arthroplasty | CPT | 23472 | 21 | $16,384 |
| Hip hemiarthroplasty | CPT | 27125 | 21 | $11,997 |
| Knee revision arthroplasty single component | CPT | 27486 | 21 | $11,997 |
| Knee revision arthroplasty all components | CPT | 27487 | 21 | $16,384 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 21 | $6,781.25 |
| ACL reconstruction | CPT | 29888 | 21 | $6,781.25 |
| Heart failure & shock w MCC | MS-DRG | 291 | 21 | $11,048 |
| Heart failure & shock w CC | MS-DRG | 292 | 21 | $7,356.62 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 21 | $4,953.73 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 21 | $6,767.36 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 21 | $10,371 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 21 | $6,394.61 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 21 | $4,954.58 |
| AMI discharged alive w MCC | MS-DRG | 280 | 21 | $13,768 |
| AMI discharged alive w CC | MS-DRG | 281 | 21 | $7,951.82 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 21 | $6,287.63 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 21 | $6,990.67 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 21 | $5,484.4 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 21 | $13,416 |
| COPD w MCC | MS-DRG | 190 | 21 | $9,553.18 |
| COPD w CC | MS-DRG | 191 | 21 | $7,305.67 |
| COPD w/o CC/MCC | MS-DRG | 192 | 21 | $5,599.03 |
| GI hemorrhage w CC | MS-DRG | 378 | 21 | $8,474.85 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 21 | $5,500.54 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 21 | $39,176 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 21 | $20,502 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 21 | $14,437 |