| Knee arthroscopy with meniscectomy | CPT | 29881 | 4 | $1,202.93 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 4 | $384.94 |
| Total hip replacement | CPT | 27130 | 4 | $2,868.61 |
| Total knee replacement | CPT | 27447 | 4 | $2,864.85 |
| CABG single arterial graft | CPT | 33533 | 4 | $4,222.6 |
| Total shoulder arthroplasty | CPT | 23472 | 4 | $3,217.03 |
| Hip hemiarthroplasty | CPT | 27125 | 4 | $2,524.39 |
| Knee revision arthroplasty single component | CPT | 27486 | 4 | $3,133.89 |
| Knee revision arthroplasty all components | CPT | 27487 | 4 | $3,912.16 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 4 | $2,373.91 |
| ACL reconstruction | CPT | 29888 | 4 | $2,163.12 |
| Heart failure & shock w MCC | MS-DRG | 291 | 4 | $11,558 |
| Heart failure & shock w CC | MS-DRG | 292 | 4 | $7,643.55 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 4 | $10,840 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 4 | $6,623.51 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 4 | $5,096.6 |
| AMI discharged alive w MCC | MS-DRG | 280 | 4 | $14,442 |
| AMI discharged alive w CC | MS-DRG | 281 | 4 | $8,274.66 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 4 | $6,510.07 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 4 | $18,105 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 4 | $9,095.73 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 4 | $6,161.65 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 4 | $7,255.52 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 4 | $5,658.39 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 4 | $14,069 |
| COPD w MCC | MS-DRG | 190 | 4 | $9,972.62 |
| COPD w CC | MS-DRG | 191 | 4 | $7,589.53 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 4 | $41,382 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 4 | $21,582 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 4 | $15,151 |
