| Colonoscopy diagnostic | CPT | 45378 | 6 | $834.85 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 6 | $2,971.09 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 6 | $6,541.51 |
| Total hip replacement | CPT | 27130 | 6 | $11,782 |
| Total knee replacement | CPT | 27447 | 6 | $11,782 |
| Upper GI endoscopy diagnostic | CPT | 43235 | 6 | $858.52 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 6 | $931.73 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 6 | $834.85 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 6 | $834.85 |
| Total shoulder arthroplasty | CPT | 23472 | 6 | $16,840 |
| Knee revision arthroplasty single component | CPT | 27486 | 6 | $1,257.86 |
| Knee revision arthroplasty all components | CPT | 27487 | 6 | $1,566.25 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 6 | $6,541.51 |
| ACL reconstruction | CPT | 29888 | 6 | $6,541.51 |
| Laparoscopic appendectomy | CPT | 44970 | 6 | $5,342.52 |
| Heart failure & shock w MCC | MS-DRG | 291 | 6 | $11,066 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 6 | $10,510 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 6 | $6,064.02 |
| AMI discharged alive w MCC | MS-DRG | 280 | 6 | $13,299 |
| AMI discharged alive w CC | MS-DRG | 281 | 6 | $8,524.47 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 6 | $7,158.32 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 6 | $7,735.46 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 6 | $6,498.97 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 6 | $13,010 |
| COPD w/o CC/MCC | MS-DRG | 192 | 6 | $6,593.05 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 6 | $34,156 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 6 | $18,827 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 6 | $13,848 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 6 | $13,909 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 6 | $25,866 |
