| Knee arthroscopy with meniscectomy | CPT | 29881 | 2 | $3,471.66 |
| Total hip replacement | CPT | 27130 | 2 | $13,622 |
| Total knee replacement | CPT | 27447 | 2 | $13,622 |
| Total shoulder arthroplasty | CPT | 23472 | 2 | $18,604 |
| Knee revision arthroplasty single component | CPT | 27486 | 2 | $13,622 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 2 | $7,699.01 |
| ACL reconstruction | CPT | 29888 | 2 | $7,699.01 |
| Heart failure & shock w MCC | MS-DRG | 291 | 2 | $11,474 |
| Heart failure & shock w CC | MS-DRG | 292 | 2 | $7,723.53 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 2 | $5,282.36 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 2 | $10,786 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 2 | $6,746.2 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 2 | $5,283.22 |
| AMI discharged alive w MCC | MS-DRG | 280 | 2 | $14,237 |
| AMI discharged alive w CC | MS-DRG | 281 | 2 | $8,328.23 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 2 | $6,637.51 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 2 | $17,747 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 2 | $9,114.92 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 2 | $6,303.67 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 2 | $7,351.75 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 2 | $5,821.49 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 2 | $13,880 |
| COPD w MCC | MS-DRG | 190 | 2 | $9,955.11 |
| COPD w CC | MS-DRG | 191 | 2 | $7,671.78 |
| COPD w/o CC/MCC | MS-DRG | 192 | 2 | $5,937.93 |
| GI hemorrhage w CC | MS-DRG | 378 | 2 | $8,859.6 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 2 | $5,837.86 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 2 | $40,050 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 2 | $21,078 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 2 | $14,917 |