| Knee arthroscopy with meniscectomy | CPT | 29881 | 4 | $3,093.35 |
| Total hip replacement | CPT | 27130 | 4 | $12,267 |
| Total knee replacement | CPT | 27447 | 4 | $12,267 |
| Total shoulder arthroplasty | CPT | 23472 | 4 | $17,533 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 4 | $6,810.69 |
| ACL reconstruction | CPT | 29888 | 4 | $6,810.69 |
| Heart failure & shock w MCC | MS-DRG | 291 | 4 | $10,058 |
| Heart failure & shock w CC | MS-DRG | 292 | 4 | $6,854.09 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 4 | $4,768.88 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 4 | $6,342.75 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 4 | $9,469.82 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 4 | $6,019.26 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 4 | $4,769.62 |
| AMI discharged alive w MCC | MS-DRG | 280 | 4 | $12,418 |
| AMI discharged alive w CC | MS-DRG | 281 | 4 | $7,370.6 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 4 | $5,926.44 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 4 | $15,416 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 4 | $8,042.59 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 4 | $5,641.27 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 4 | $6,536.52 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 4 | $5,229.39 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 4 | $12,113 |
| COPD w MCC | MS-DRG | 190 | 4 | $8,760.26 |
| COPD w CC | MS-DRG | 191 | 4 | $6,809.89 |
| COPD w/o CC/MCC | MS-DRG | 192 | 4 | $5,328.86 |
| GI hemorrhage w CC | MS-DRG | 378 | 4 | $7,824.5 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 4 | $5,243.4 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 4 | $34,467 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 4 | $18,262 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 4 | $12,998 |
