| Colonoscopy diagnostic | CPT | 45378 | 5 | $2,093.14 |
| Colonoscopy with biopsy | CPT | 45380 | 5 | $2,693.39 |
| Colonoscopy with polyp removal | CPT | 45385 | 5 | $2,693.39 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 5 | $7,364.59 |
| Upper GI endoscopy diagnostic | CPT | 43235 | 5 | $2,041.44 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 5 | $2,041.44 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 5 | $2,093.14 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 5 | $2,093.14 |
| Total shoulder arthroplasty | CPT | 23472 | 5 | $39,465 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 5 | $16,332 |
| ACL reconstruction | CPT | 29888 | 5 | $16,332 |
| Laparoscopic appendectomy | CPT | 44970 | 5 | $13,607 |
| Laparoscopic cholecystectomy | CPT | 47562 | 5 | $13,607 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 5 | $13,607 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 5 | $19,702 |
| Major joint replacement w MCC | MS-DRG | 469 | 5 | $30,823 |
| Heart failure & shock w MCC | MS-DRG | 291 | 5 | $13,205 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 5 | $12,401 |
| AMI discharged alive w MCC | MS-DRG | 280 | 5 | $16,431 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 5 | $20,529 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 5 | $10,451 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 5 | $16,014 |
| COPD w MCC | MS-DRG | 190 | 5 | $11,432 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 5 | $21,369 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 5 | $16,702 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 5 | $46,567 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 5 | $24,418 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 5 | $17,224 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 5 | $17,312 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 5 | $14,031 |
