| Knee arthroscopy with meniscectomy | CPT | 29881 | 6 | $2,015.51 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 6 | $2,933.01 |
| Upper GI endoscopy diagnostic | CPT | 43235 | 6 | $1,595.88 |
| Total shoulder arthroplasty | CPT | 23472 | 6 | $3,053.2 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 6 | $2,241.3 |
| ACL reconstruction | CPT | 29888 | 6 | $3,286.68 |
| Heart failure & shock w MCC | MS-DRG | 291 | 6 | $23,558 |
| Heart failure & shock w CC | MS-DRG | 292 | 6 | $15,579 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 6 | $10,386 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 6 | $14,306 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 6 | $22,093 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 6 | $13,500 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 6 | $10,388 |
| AMI discharged alive w MCC | MS-DRG | 280 | 6 | $29,435 |
| AMI discharged alive w CC | MS-DRG | 281 | 6 | $16,865 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 6 | $36,902 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 6 | $18,539 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 6 | $12,559 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 6 | $14,788 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 6 | $11,533 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 6 | $28,676 |
| COPD w MCC | MS-DRG | 190 | 6 | $20,326 |
| COPD w CC | MS-DRG | 191 | 6 | $15,469 |
| COPD w/o CC/MCC | MS-DRG | 192 | 6 | $11,781 |
| GI hemorrhage w CC | MS-DRG | 378 | 6 | $17,996 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 6 | $11,568 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 6 | $43,989 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 6 | $30,881 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 6 | $31,041 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 6 | $25,062 |
