| Knee arthroscopy with meniscectomy | CPT | 29881 | 6 | $509.97 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 6 | $92.95 |
| Total hip replacement | CPT | 27130 | 6 | $1,196.22 |
| Total knee replacement | CPT | 27447 | 6 | $1,166.3 |
| Total shoulder arthroplasty | CPT | 23472 | 6 | $1,346.08 |
| Hip hemiarthroplasty | CPT | 27125 | 6 | $1,056.82 |
| Knee revision arthroplasty single component | CPT | 27486 | 6 | $1,338.93 |
| Knee revision arthroplasty all components | CPT | 27487 | 6 | $1,629.18 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 6 | $1,010.59 |
| ACL reconstruction | CPT | 29888 | 6 | $933.64 |
| Heart failure & shock w MCC | MS-DRG | 291 | 6 | $9,572.47 |
| Heart failure & shock w CC | MS-DRG | 292 | 6 | $6,385.87 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 6 | $4,186.42 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 6 | $8,963.33 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 6 | $5,552.31 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 6 | $4,123.04 |
| AMI discharged alive w MCC | MS-DRG | 280 | 6 | $11,829 |
| AMI discharged alive w CC | MS-DRG | 281 | 6 | $6,807.12 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 6 | $5,353.99 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 6 | $14,934 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 6 | $7,578.05 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 6 | $5,125.84 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 6 | $6,130.14 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 6 | $4,664.33 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 6 | $12,648 |
| COPD w MCC | MS-DRG | 190 | 6 | $8,216.26 |
| COPD w CC | MS-DRG | 191 | 6 | $6,329.95 |
| COPD w/o CC/MCC | MS-DRG | 192 | 6 | $4,785.11 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 6 | $33,676 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 6 | $17,686 |
