| Knee arthroscopy with meniscectomy | CPT | 29881 | 4 | $6,093.25 |
| Total hip replacement | CPT | 27130 | 4 | $24,163 |
| Total knee replacement | CPT | 27447 | 4 | $24,163 |
| Total shoulder arthroplasty | CPT | 23472 | 4 | $34,536 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 4 | $13,416 |
| ACL reconstruction | CPT | 29888 | 4 | $13,416 |
| Heart failure & shock w MCC | MS-DRG | 291 | 4 | $16,188 |
| Heart failure & shock w CC | MS-DRG | 292 | 4 | $11,293 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 4 | $7,844.22 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 4 | $10,400 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 4 | $15,097 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 4 | $9,947.71 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 4 | $7,963.44 |
| AMI discharged alive w MCC | MS-DRG | 280 | 4 | $19,903 |
| AMI discharged alive w CC | MS-DRG | 281 | 4 | $11,962 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 4 | $9,790.98 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 4 | $23,741 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 4 | $13,011 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 4 | $9,384.88 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 4 | $10,838 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 4 | $8,660.93 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 4 | $19,628 |
| COPD w MCC | MS-DRG | 190 | 4 | $14,182 |
| COPD w CC | MS-DRG | 191 | 4 | $11,270 |
| COPD w/o CC/MCC | MS-DRG | 192 | 4 | $8,931.28 |
| GI hemorrhage w CC | MS-DRG | 378 | 4 | $12,669 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 4 | $8,815.42 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 4 | $52,464 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 4 | $27,874 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 4 | $20,009 |
