| Knee arthroscopy with meniscectomy | CPT | 29881 | 5 | $2,116.29 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 5 | $3,079.66 |
| Total shoulder arthroplasty | CPT | 23472 | 5 | $3,205.86 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 5 | $2,353.37 |
| ACL reconstruction | CPT | 29888 | 5 | $3,451.02 |
| Heart failure & shock w MCC | MS-DRG | 291 | 5 | $29,150 |
| Heart failure & shock w CC | MS-DRG | 292 | 5 | $19,277 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 5 | $12,851 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 5 | $17,701 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 5 | $23,515 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 5 | $14,973 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 5 | $11,047 |
| AMI discharged alive w MCC | MS-DRG | 280 | 5 | $36,422 |
| AMI discharged alive w CC | MS-DRG | 281 | 5 | $20,869 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 5 | $45,661 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 5 | $22,940 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 5 | $15,540 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 5 | $15,499 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 5 | $12,087 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 5 | $35,482 |
| COPD w MCC | MS-DRG | 190 | 5 | $21,571 |
| COPD w CC | MS-DRG | 191 | 5 | $16,416 |
| COPD w/o CC/MCC | MS-DRG | 192 | 5 | $12,502 |
| GI hemorrhage w CC | MS-DRG | 378 | 5 | $22,268 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 5 | $14,314 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 5 | $91,274 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 5 | $48,819 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 5 | $33,423 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 5 | $31,976 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 5 | $25,817 |
