| Knee arthroscopy with meniscectomy | CPT | 29881 | 6 | $890.34 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 6 | $465.52 |
| Total hip replacement | CPT | 27130 | 6 | $2,121.11 |
| Total knee replacement | CPT | 27447 | 6 | $2,156.38 |
| Total shoulder arthroplasty | CPT | 23472 | 6 | $2,255.44 |
| Hip hemiarthroplasty | CPT | 27125 | 6 | $1,860.89 |
| Knee revision arthroplasty single component | CPT | 27486 | 6 | $2,318.08 |
| Knee revision arthroplasty all components | CPT | 27487 | 6 | $2,906.26 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 6 | $1,652.54 |
| ACL reconstruction | CPT | 29888 | 6 | $1,589.39 |
| Heart failure & shock w MCC | MS-DRG | 291 | 6 | $22,382 |
| Heart failure & shock w CC | MS-DRG | 292 | 6 | $14,932 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 6 | $9,788.73 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 6 | $20,958 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 6 | $12,982 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 6 | $9,640.55 |
| AMI discharged alive w MCC | MS-DRG | 280 | 6 | $27,658 |
| AMI discharged alive w CC | MS-DRG | 281 | 6 | $15,916 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 6 | $12,519 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 6 | $34,919 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 6 | $17,719 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 6 | $11,985 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 6 | $14,334 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 6 | $10,906 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 6 | $29,574 |
| COPD w MCC | MS-DRG | 190 | 6 | $19,211 |
| COPD w CC | MS-DRG | 191 | 6 | $14,801 |
| COPD w/o CC/MCC | MS-DRG | 192 | 6 | $12,750 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 6 | $78,742 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 6 | $41,353 |
