| Knee arthroscopy with meniscectomy | CPT | 29881 | 4 | $1,065.27 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 4 | $340.89 |
| Total hip replacement | CPT | 27130 | 4 | $2,540.31 |
| Total knee replacement | CPT | 27447 | 4 | $2,536.99 |
| CABG single arterial graft | CPT | 33533 | 4 | $3,739.35 |
| Total shoulder arthroplasty | CPT | 23472 | 4 | $2,848.86 |
| Hip hemiarthroplasty | CPT | 27125 | 4 | $2,235.49 |
| Knee revision arthroplasty single component | CPT | 27486 | 4 | $2,775.23 |
| Knee revision arthroplasty all components | CPT | 27487 | 4 | $3,464.44 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 4 | $2,102.23 |
| ACL reconstruction | CPT | 29888 | 4 | $1,915.57 |
| Heart failure & shock w MCC | MS-DRG | 291 | 4 | $10,747 |
| Heart failure & shock w CC | MS-DRG | 292 | 4 | $7,106.98 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 4 | $10,079 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 4 | $6,158.54 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 4 | $4,738.82 |
| AMI discharged alive w MCC | MS-DRG | 280 | 4 | $13,428 |
| AMI discharged alive w CC | MS-DRG | 281 | 4 | $7,693.79 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 4 | $6,053.07 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 4 | $16,834 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 4 | $8,457.22 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 4 | $5,729.11 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 4 | $6,746.19 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 4 | $5,261.17 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 4 | $13,081 |
| COPD w MCC | MS-DRG | 190 | 4 | $9,272.56 |
| COPD w CC | MS-DRG | 191 | 4 | $7,056.75 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 4 | $38,477 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 4 | $20,067 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 4 | $14,088 |
