| Knee arthroscopy with meniscectomy | CPT | 29881 | 5 | $7,154.18 |
| Upper GI endoscopy diagnostic | CPT | 43235 | 5 | $1,983.11 |
| Total shoulder arthroplasty | CPT | 23472 | 5 | $38,337 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 5 | $15,866 |
| ACL reconstruction | CPT | 29888 | 5 | $15,866 |
| Heart failure & shock w MCC | MS-DRG | 291 | 5 | $15,615 |
| Heart failure & shock w CC | MS-DRG | 292 | 5 | $10,434 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 5 | $7,062.11 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 5 | $9,607.37 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 5 | $14,665 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 5 | $9,084.26 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 5 | $7,063.3 |
| AMI discharged alive w MCC | MS-DRG | 280 | 5 | $19,432 |
| AMI discharged alive w CC | MS-DRG | 281 | 5 | $11,270 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 5 | $24,281 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 5 | $12,356 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 5 | $8,472.97 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 5 | $9,920.76 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 5 | $7,806.86 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 5 | $18,939 |
| COPD w MCC | MS-DRG | 190 | 5 | $13,517 |
| COPD w CC | MS-DRG | 191 | 5 | $10,363 |
| COPD w/o CC/MCC | MS-DRG | 192 | 5 | $7,967.73 |
| GI hemorrhage w CC | MS-DRG | 378 | 5 | $12,004 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 5 | $7,829.51 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 5 | $55,090 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 5 | $28,883 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 5 | $20,371 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 5 | $20,475 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 5 | $16,593 |
