| Knee arthroscopy with meniscectomy | CPT | 29881 | 6 | $4,208.34 |
| Upper GI endoscopy diagnostic | CPT | 43235 | 6 | $1,166.53 |
| Total shoulder arthroplasty | CPT | 23472 | 6 | $22,551 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 6 | $9,332.7 |
| ACL reconstruction | CPT | 29888 | 6 | $9,332.7 |
| Heart failure & shock w MCC | MS-DRG | 291 | 6 | $13,037 |
| Heart failure & shock w CC | MS-DRG | 292 | 6 | $8,755.87 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 6 | $5,969.69 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 6 | $8,072.6 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 6 | $12,251 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 6 | $7,640.41 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 6 | $5,970.68 |
| AMI discharged alive w MCC | MS-DRG | 280 | 6 | $16,190 |
| AMI discharged alive w CC | MS-DRG | 281 | 6 | $9,446 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 6 | $20,196 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 6 | $10,344 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 6 | $7,135.35 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 6 | $8,331.52 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 6 | $6,585.01 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 6 | $15,782 |
| COPD w MCC | MS-DRG | 190 | 6 | $11,303 |
| COPD w CC | MS-DRG | 191 | 6 | $8,696.8 |
| COPD w/o CC/MCC | MS-DRG | 192 | 6 | $6,717.92 |
| GI hemorrhage w CC | MS-DRG | 378 | 6 | $10,052 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 6 | $6,603.72 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 6 | $45,650 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 6 | $23,998 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 6 | $16,966 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 6 | $17,051 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 6 | $13,844 |
