| Sepsis, with major complications 871 | 382 | $128,876 | $28,764 |
| $75,122 | $24,263only 2 plans |
| Heart failure, with major complications 291 | 309 | $94,327 | $18,556 |
| $56,294 | $12,091only 1 plan |
| Lung infection, with major complications 177 | 216 | $104,573 | $22,724 |
| $55,634 | $14,635only 1 plan |
| Heart valve replacement through a catheter (TAVR) 267 | 185 | $140,885 | $55,727 |
| $106,587 | $57,403only 2 plans |
| Major Chest Procedures with Cc 164 | 178 | $114,103 | $29,260 |
| $85,392 | $31,470only 2 plans |
| Craniotomy and Endovascular Intracranial Procedures with Mcc 025 | 174 | $195,745 | $52,037 |
| $131,580 | $56,537only 2 plans |
| Hip or knee replacement 470 | 167 | $85,392 | $23,665 |
| $63,826 | $17,975only 1 plan |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 219 | 158 | $327,057 | $93,788 |
| $217,107 | $95,348only 2 plans |
| Stroke, with major complications 064 | 137 | $101,775 | $25,496 |
| $60,673 | $18,724only 1 plan |
| Heart procedure through a catheter (e.g. ablation, valve clip) 274 | 134 | $106,478 | $36,294 |
| $74,664 | – |
| Bowel surgery, with complications 330 | 127 | $107,510 | $28,886 |
| $73,473 | $22,247only 1 plan |
| Other kidney and urinary problems, with major complications 698 | 122 | $83,542 | $21,200 |
| $47,639 | $15,471only 1 plan |
| Spinal fusion (lower or mid back) 460 | 121 | $124,550 | $44,521 |
| – | – |
| Heart catheterization, with major complications 286 | 120 | $194,760 | $36,500 |
| $115,385 | $27,613only 2 plans |
| Stomach and digestive disorders 392 | 114 | $47,996 | $10,894 |
| $28,674 | $7,491only 1 plan |
| Stomach and digestive disorders, with major complications 391 | 103 | $72,854 | $16,784 |
| $43,640 | $11,949only 1 plan |
| Hip or thigh bone surgery (not replacement), with complications 481 | 102 | $116,551 | $25,251 |
| $92,431 | $26,147only 2 plans |
| Infection needing surgery, with major complications 853 | 101 | $310,159 | $68,282 |
| $213,683 | $60,452only 2 plans |
| Coronary Bypass Without Cardiac Catheterization with Mcc 235 | 98 | $265,531 | $65,162 |
| $212,076 | – |
| Major Chest Procedures with Mcc 163 | 97 | $231,951 | $55,995 |
| $147,545 | – |
| Heart attack, with major complications 280 | 96 | $113,770 | $21,437 |
| $77,967 | $15,013only 1 plan |
| Other Digestive System Diagnoses with Mcc 393 | 96 | $85,738 | $21,566 |
| $52,482 | $14,969only 1 plan |
| Dehydration and electrolyte problems, with major complications 640 | 93 | $89,028 | $20,476 |
| $47,377 | $12,563only 1 plan |
| Other digestive problems, with complications 394 | 92 | $50,178 | $12,938 |
| $28,940 | $8,915only 1 plan |
| Other circulation problems, with major complications 314 | 91 | $152,395 | $33,187 |
| $66,796 | $19,401only 1 plan |
| Pneumonia, with major complications 193 | 90 | $77,969 | $17,624 |
| $47,036 | $12,370only 1 plan |
| Heart valve replacement through a catheter (TAVR), with major complications 266 | 90 | $283,730 | $77,365 |
| $176,835 | $76,140only 2 plans |
| Major Chest Procedures Without Cc/Mcc 165 | 89 | $93,507 | $22,457 |
| $65,807 | $17,841only 1 plan |
| Irregular heartbeat, with complications 309 | 89 | $40,016 | $10,280 |
| $27,666 | $7,091only 1 plan |
| Combined Anterior and Posterior Spinal Fusion with Cc 454 | 88 | $168,552 | $71,423 |
| – | – |
| Heart stent, with major complications or 4+ stents 321 | 81 | $177,755 | $35,983 |
| $121,826 | $25,199only 1 plan |
| Other Respiratory System Diagnoses with Mcc 205 | 77 | $145,141 | $36,944 |
| $55,936 | $17,082only 1 plan |
| Kidney failure, with major complications 682 | 77 | $90,544 | $20,996 |
| $56,086 | $13,890only 1 plan |
| Stomach or intestinal bleeding, with major complications 377 | 75 | $117,687 | $24,980 |
| $62,497 | $17,055only 1 plan |
| Kidney failure, with complications 683 | 73 | $39,346 | $12,134 |
| $30,932 | $8,369only 1 plan |
| Other kidney and urinary problems, with complications 699 | 73 | $50,314 | $13,090 |
| $34,104 | $9,639only 1 plan |
| Ecmo or Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Nec 003 | 72 | $1,222,379 | $305,848 |
| $824,571 | $193,998only 1 plan |
| Heart stent 322 | 71 | $112,019 | $22,494 |
| $81,829 | $21,882only 2 plans |
| Heart catheterization 287 | 69 | $96,796 | $15,861 |
| $58,789 | $10,141only 1 plan |
| Stomach or intestinal bleeding, with complications 378 | 69 | $53,958 | $13,654 |
| $34,785 | $9,326only 1 plan |
| Lymphoma and Non-Acute Leukemia with Mcc 840 | 68 | $192,770 | $45,589 |
| $104,686 | $39,007only 2 plans |
| Urinary tract infection 690 | 66 | $42,191 | $10,542 |
| $27,732 | $7,764only 1 plan |
| Complications of Treatment with Mcc 919 | 66 | $124,251 | $31,528 |
| $58,143 | $17,081only 1 plan |
| Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Cc 847 | 65 | $58,254 | $16,790 |
| $26,518 | – |
| Stroke, with complications or clot-busting drug 065 | 64 | $64,411 | $13,632 |
| $45,640 | Not in dollars (1 plan) |
| Stomach, Esophageal and Duodenal Procedures with Cc 327 | 64 | $154,583 | $33,481 |
| $83,283 | $36,642only 1 plan |
| Irregular heartbeat, with major complications 308 | 63 | $90,135 | $17,977 |
| $46,539 | – |
| Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis with Mcc O 023 | 61 | $202,088 | $66,835 |
| $161,727 | $52,652only 1 plan |
| Respiratory Neoplasms with Mcc 180 | 61 | $104,689 | $25,853 |
| $68,991 | – |
| Major Bladder Procedures with Cc 654 | 61 | $144,451 | $35,600 |
| $121,136 | $25,915only 1 plan |
| Bowel surgery, with major complications 329 | 60 | $170,485 | $52,623 |
| $133,713 | $57,155only 2 plans |
| Back problems (no surgery) 552 | 60 | $50,102 | $12,645 |
| $38,027 | $9,149only 1 plan |
| Coagulation Disorders 813 | 60 | $147,584 | $35,779 |
| $54,743 | – |
| Malignancy of Hepatobiliary System or Pancreas with Mcc 435 | 59 | $88,882 | $23,517 |
| $58,223 | $17,134only 1 plan |
| Fainting 312 | 58 | $53,132 | $11,085 |
| $35,317 | $8,331only 1 plan |
| Pancreas, Liver and Shunt Procedures with Cc 406 | 58 | $158,372 | $34,917 |
| $124,023 | $42,382only 1 plan |
| Urinary tract infection, with major complications 689 | 58 | $87,541 | $17,196 |
| $45,466 | – |
| Acute Leukemia with Mcc 834 | 58 | $283,061 | $78,563 |
| $188,286 | – |
| Stomach, Esophageal and Duodenal Procedures with Mcc 326 | 57 | $252,495 | $61,765 |
| $165,871 | – |
| Seizures with Mcc 100 | 56 | $123,268 | $26,496 |
| $53,917 | $18,048only 1 plan |
| Chimeric Antigen Receptor (car) T-Cell and Other Immunotherapies 018 | 55 | $1,772,622 | $431,392 |
| $1,756,375 | Not in dollars (1 plan) |
| Revision of Hip or Knee Replacement with Cc 467 | 55 | $140,722 | $39,629 |
| $98,510 | $32,550only 1 plan |
| Degenerative nerve disorders (e.g. Parkinson's, dementia) 057 | 54 | $83,076 | $21,010 |
| $35,525 | – |
| Gastrointestinal Obstruction with Mcc 388 | 53 | $106,783 | $21,889 |
| $59,460 | $13,851only 1 plan |
| Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Mcc 846 | 53 | $143,446 | $35,201 |
| $58,823 | $24,029only 1 plan |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 981 | 53 | $282,919 | $74,825 |
| $170,715 | $43,179only 1 plan |
| Lung infection, with complications 178 | 52 | $60,388 | $13,631 |
| $39,113 | – |
| Bowel obstruction, with complications 389 | 52 | $41,725 | $10,859 |
| $27,645 | $7,584only 1 plan |
| Skin infection (cellulitis) 603 | 52 | $48,178 | $11,760 |
| $29,383 | $8,324only 1 plan |
| Cervical Spinal Fusion with Cc 472 | 51 | $129,644 | $37,780 |
| $91,698 | $35,488only 2 plans |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Cc 543 | 51 | $64,922 | $13,825 |
| $46,950 | $9,757only 1 plan |
| Dehydration and electrolyte problems 641 | 51 | $55,466 | $11,477 |
| $33,940 | $7,479only 1 plan |
| Other Disorders of Nervous System with Mcc 091 | 49 | $80,363 | $21,805 |
| $64,327 | $16,400only 1 plan |
| Digestive Malignancy with Mcc 374 | 49 | $103,586 | $26,622 |
| $66,642 | – |
| Other Disorders of Nervous System with Cc 092 | 48 | $65,296 | $13,611 |
| $43,111 | $9,712only 1 plan |
| Disorders of the Biliary Tract with Mcc 444 | 48 | $84,505 | $22,379 |
| $57,063 | $15,622only 1 plan |
| Seizures 101 | 47 | $66,538 | $11,817 |
| $46,440 | $8,613only 1 plan |
| Hip or thigh bone surgery (not replacement), with major complications 480 | 47 | $174,108 | $35,216 |
| $111,781 | $44,383only 1 plan |
| Nervous System Neoplasms with Mcc 054 | 46 | $113,787 | $25,490 |
| $45,041 | $14,308only 1 plan |
| Complications of Treatment with Cc 920 | 45 | $48,715 | $13,933 |
| $29,866 | $9,523only 1 plan |
| Pneumonia, with complications 194 | 44 | $52,425 | $12,037 |
| $30,775 | $7,731only 1 plan |
| Other Circulatory System Diagnoses with Cc 315 | 44 | $76,688 | $14,621 |
| $37,062 | $9,167only 1 plan |
| Disorders of the Biliary Tract with Cc 445 | 43 | $56,183 | $14,708 |
| $39,797 | $10,363only 1 plan |
| Major Chest Trauma with Cc 184 | 42 | $47,827 | $14,350 |
| $34,149 | $10,087only 1 plan |
| Signs and Symptoms Without Mcc 948 | 42 | $62,064 | $11,297 |
| $32,077 | $7,682only 1 plan |
| Pulmonary Embolism with Mcc or Acute Cor Pulmonale 175 | 41 | $89,340 | $17,917 |
| $51,984 | – |
| Heart attack, with complications 281 | 41 | $65,390 | $11,312 |
| $45,991 | $8,764only 1 plan |
| Anemia and blood disorders, with major complications 811 | 41 | $81,525 | $18,726 |
| $59,203 | $13,190only 1 plan |
| Allogeneic Bone Marrow Transplant 014 | 40 | $355,350 | $148,347 |
| $285,099 | $188,248only 1 plan |
| Craniotomy and Endovascular Intracranial Procedures Without Cc/Mcc 027 | 40 | $108,420 | $28,653 |
| $91,153 | $30,318only 2 plans |
| Coronary Bypass with Cardiac Catheterization or Open Ablation with Mcc 233 | 40 | $350,100 | $107,270 |
| $271,248 | $119,754only 1 plan |
| Peripheral Vascular Disorders with Mcc 299 | 40 | $129,497 | $24,885 |
| $53,194 | $15,274only 1 plan |
| Major Small and Large Bowel Procedures Without Cc/Mcc 331 | 40 | $73,418 | $21,057 |
| $56,588 | – |
| Kidney and Ureter Procedures for Non-Neoplasm with Cc 660 | 40 | $83,320 | $18,348 |
| $56,578 | – |
| Major Gastrointestinal Disorders and Peritoneal Infections with Mcc 371 | 39 | $91,478 | $24,709 |
| $59,479 | – |
| COPD, with major complications 190 | 38 | $77,445 | $16,208 |
| $43,335 | $10,484only 1 plan |
| Other Cardiothoracic Procedures with Mcc 228 | 38 | $227,800 | $68,695 |
| $134,338 | $60,357only 2 plans |
| Permanent Cardiac Pacemaker Implant with Cc 243 | 38 | $89,514 | $26,587 |
| $64,238 | – |
| Anemia and blood disorders 812 | 38 | $65,791 | $13,981 |
| $34,418 | $8,756only 1 plan |
| Other Cardiothoracic Procedures Without Mcc 229 | 37 | $113,928 | $37,222 |
| $74,778 | – |
| Peripheral Vascular Disorders with Cc 300 | 37 | $44,216 | $13,451 |
| $34,514 | $10,118only 1 plan |
| Postoperative and Post-Traumatic Infections with Mcc 862 | 37 | $112,587 | $28,647 |
| $44,351 | $17,016only 1 plan |
| Craniotomy and Endovascular Intracranial Procedures with Cc 026 | 36 | $136,078 | $35,139 |
| $106,278 | $37,450only 2 plans |
| Other Heart Assist System Implant 215 | 36 | $375,973 | $136,470 |
| $316,144 | $123,588only 2 plans |
| Postoperative and Post-Traumatic Infections Without Mcc 863 | 36 | $39,080 | $12,574 |
| $26,884 | $9,483only 1 plan |
| Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 809 | 35 | $63,978 | $16,097 |
| $38,466 | $11,928only 1 plan |
| Septicemia or Severe Sepsis with Mv >96 Hours 870 | 35 | $357,251 | $86,620 |
| $293,414 | $63,430only 1 plan |
| Digestive Malignancy with Cc 375 | 34 | $49,489 | $17,564 |
| $34,683 | $11,414only 1 plan |
| Hip replacement after a hip fracture 522 | 34 | $117,020 | $26,753 |
| $93,623 | $19,698only 1 plan |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Mcc 542 | 34 | $119,400 | $23,168 |
| $76,822 | $16,494only 1 plan |
| Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 808 | 34 | $150,063 | $36,797 |
| $89,339 | – |
| Degenerative Nervous System Disorders with Mcc 056 | 33 | $93,002 | $28,770 |
| $61,617 | – |
| Other Vascular Procedures with Cc 253 | 33 | $164,245 | $32,954 |
| $122,219 | – |
| Back and Neck Procedures Except Spinal Fusion with Cc 519 | 33 | $107,722 | $24,981 |
| $70,572 | – |
| Traumatic Stupor and Coma >1 Hour with Mcc 082 | 32 | $139,108 | $37,162 |
| $64,281 | $21,229only 1 plan |
| Endocrine Disorders with Mcc 643 | 32 | $86,265 | $20,600 |
| $50,653 | $15,396only 1 plan |
| Uterine and Adnexa Procedures for Ovarian or Adnexal Malignancy with Cc 737 | 32 | $127,561 | $25,189 |
| $114,579 | $25,727only 2 plans |
| Sepsis 872 | 32 | $59,398 | $14,256 |
| $41,302 | $9,714only 1 plan |
| Other Vascular Procedures with Mcc 252 | 31 | $231,475 | $50,653 |
| $147,773 | $32,200only 1 plan |
| Kidney and Ureter Procedures for Neoplasm with Cc 657 | 31 | $85,625 | $24,454 |
| $69,677 | – |
| Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Mcc 441 | 30 | $109,242 | $26,270 |
| $58,860 | $16,751only 1 plan |
| Combined Anterior and Posterior Spinal Fusion Without Cc/Mcc 455 | 30 | $121,340 | $52,399 |
| – | – |
| Diabetes, with complications 638 | 30 | $61,637 | $12,355 |
| $34,737 | – |
| Cranial and Peripheral Nerve Disorders Without Mcc 074 | 29 | $64,892 | $14,019 |
| $45,240 | $9,783only 1 plan |
| Respiratory failure 189 | 29 | $93,858 | $16,974 |
| $61,287 | $11,649only 1 plan |
| Endocrine Disorders with Cc 644 | 29 | $41,364 | $13,247 |
| $32,304 | $11,485only 1 plan |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis or with High Dose Chemotherapy a 837 | 29 | $292,357 | $78,296 |
| $100,043 | – |
| Other Respiratory System Diagnoses Without Mcc 206 | 28 | $49,453 | $11,613 |
| $31,176 | $8,965only 1 plan |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 457 | 28 | $166,059 | $70,122 |
| $123,950 | $70,695only 2 plans |
| Medical Back Problems with Mcc 551 | 28 | $135,697 | $28,783 |
| $48,486 | $15,669only 1 plan |
| Lymphoma and Non-Acute Leukemia with Cc 841 | 28 | $93,785 | $20,604 |
| $61,225 | $15,262only 1 plan |
| Percutaneous and Other Intracardiac Procedures with Mcc 273 | 27 | $196,616 | $50,410 |
| $128,969 | $38,013only 1 plan |
| Stomach, Esophageal and Duodenal Procedures Without Cc/Mcc 328 | 27 | $95,807 | $20,079 |
| $58,784 | – |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Cc 493 | 27 | $125,325 | $28,651 |
| $98,058 | $36,233only 1 plan |
| Signs and Symptoms with Mcc 947 | 27 | $110,218 | $24,113 |
| $60,691 | $11,959only 1 plan |
| Breathing problem needing a ventilator (up to 4 days) 208 | 26 | $208,969 | $42,490 |
| $103,390 | $32,977only 2 plans |
| Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 216 | 26 | $455,017 | $116,733 |
| $333,159 | $89,620only 1 plan |
| Other Major Cardiovascular Procedures with Mcc 270 | 26 | $374,470 | $79,827 |
| $221,237 | $77,462only 1 plan |
| Major Gastrointestinal Disorders and Peritoneal Infections with Cc 372 | 26 | $63,303 | $13,974 |
| $34,093 | – |
| Diabetes, with major complications 637 | 26 | $75,771 | $17,554 |
| $63,016 | $13,486only 1 plan |
| Pulmonary Embolism Without Mcc 176 | 25 | $47,649 | $11,006 |
| $33,126 | – |
| Interstitial Lung Disease with Mcc 196 | 25 | $124,208 | $28,056 |
| $65,834 | $17,595only 1 plan |
| Bone Diseases and Arthropathies Without Mcc 554 | 25 | $44,119 | $11,532 |
| $33,421 | $7,952only 1 plan |
| Other O.r. Procedures for Injuries with Mcc 907 | 25 | $211,318 | $55,989 |
| $126,855 | – |
| Respiratory Neoplasms with Cc 181 | 24 | $68,166 | $16,016 |
| $38,603 | – |
| Postoperative or Post-Traumatic Infections with O.r. Procedures with Mcc 856 | 24 | $198,652 | $52,294 |
| $149,756 | – |
| Delirium and other mental confusion 884 | 24 | $112,653 | $30,238 |
| $48,963 | – |
| Other O.r. Procedures for Injuries with Cc 908 | 24 | $121,826 | $23,594 |
| $66,406 | – |
| Traumatic Stupor and Coma >1 Hour with Cc 083 | 23 | $59,385 | $17,867 |
| $36,465 | – |
| Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Cc 442 | 23 | $55,185 | $14,259 |
| $35,527 | – |
| Connective Tissue Disorders with Mcc 545 | 23 | $209,244 | $49,976 |
| $74,392 | $23,018only 1 plan |
| Adrenal and Pituitary Procedures with Cc/Mcc 614 | 23 | $99,224 | $27,088 |
| $66,598 | $20,374only 1 plan |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 982 | 23 | $127,143 | $32,482 |
| $79,869 | – |
| Spinal Procedures with Cc or Spinal Neurostimulators 029 | 22 | $147,169 | $40,828 |
| $114,543 | – |
| Atherosclerosis Without Mcc 303 | 22 | $45,967 | $9,727 |
| $31,132 | – |
| Hernia Procedures Except Inguinal and Femoral with Cc 354 | 22 | $84,486 | $23,463 |
| $70,918 | $20,699only 2 plans |
| Disorders of Pancreas Except Malignancy with Mcc 438 | 22 | $94,778 | $20,188 |
| $56,874 | $15,251only 1 plan |
| Revision of Hip or Knee Replacement Without Cc/Mcc 468 | 22 | $92,539 | $32,378 |
| $75,636 | – |
| Poisoning and Toxic Effects of Drugs with Mcc 917 | 22 | $99,489 | $23,594 |
| $60,078 | $14,687only 1 plan |
| Other Respiratory System O.r. Procedures with Mcc 166 | 21 | $160,746 | $43,146 |
| $118,101 | $58,547only 1 plan |
| High blood pressure 305 | 21 | $48,468 | $10,498 |
| $35,028 | – |
| Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical 402 | 21 | $117,165 | $46,871 |
| $91,072 | $37,055only 1 plan |
| Other Kidney and Urinary Tract Procedures with Mcc 673 | 21 | $251,018 | $60,986 |
| $130,660 | $38,707only 1 plan |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 827 | 21 | $121,911 | $30,727 |
| $102,718 | $28,833only 2 plans |
| Ventricular Shunt Procedures Without Cc/Mcc 033 | 20 | $75,182 | $19,059 |
| $64,283 | $15,549only 1 plan |
| Traumatic Stupor and Coma <1 Hour with Mcc 085 | 20 | $102,312 | $28,234 |
| $56,820 | – |
| Bronchitis and Asthma with Cc/Mcc 202 | 20 | $51,155 | $12,925 |
| $30,536 | – |
| Permanent Cardiac Pacemaker Implant with Mcc 242 | 20 | $153,155 | $41,898 |
| $90,357 | – |
| Other Digestive System O.r. Procedures with Mcc 356 | 20 | $213,722 | $55,616 |
| $149,033 | $40,451only 1 plan |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 464 | 20 | $176,658 | $38,831 |
| $128,776 | – |
| Heart Transplant or Implant of Heart Assist System with Mcc 001 | 19 | $1,507,223 | $397,882 |
| $1,153,382 | $179,000only 1 plan |
| Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Mcc 020 | 19 | $296,119 | $100,848 |
| $205,313 | – |
| Other Respiratory System O.r. Procedures with Cc 167 | 19 | $111,583 | $23,292 |
| $59,799 | $16,831only 1 plan |
| Other Major Cardiovascular Procedures with Cc 271 | 19 | $169,488 | $44,953 |
| $108,147 | – |
| Pancreas, Liver and Shunt Procedures with Mcc 405 | 19 | $199,280 | $57,364 |
| $199,529 | $67,986only 2 plans |
| Malignancy of Hepatobiliary System or Pancreas with Cc 436 | 19 | $69,180 | $14,242 |
| $35,614 | – |
| Single Level Spinal Fusion Except Cervical Without Mcc 451 | 19 | $116,607 | $37,341 |
| $86,731 | $40,224only 2 plans |
| Spinal Fusion Except Cervical with Mcc 459 | 19 | $153,791 | $71,066 |
| – | – |
| Hip Replacement with Principal Diagnosis of Hip Fracture with Mcc 521 | 19 | $186,178 | $37,716 |
| $132,768 | – |
| Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Neck Withou 004 | 18 | $665,337 | $133,246 |
| $562,848 | $216,968only 1 plan |
| Ventricular Shunt Procedures with Cc 032 | 18 | $92,201 | $24,988 |
| $67,025 | $19,819only 1 plan |
| Major Chest Trauma with Mcc 183 | 18 | $65,775 | $20,153 |
| $53,026 | – |
| Cardiac Defibrillator Implant with Mcc or Carotid Sinus Neurostimulator 276 | 18 | $299,740 | $75,313 |
| $174,740 | – |
| Lymphoma and Leukemia with Major O.r. Procedures with Cc 821 | 18 | $120,749 | $28,920 |
| $86,473 | – |
| Postoperative or Post-Traumatic Infections with O.r. Procedures with Cc 857 | 18 | $113,986 | $27,730 |
| $76,026 | $19,915only 1 plan |
| Autologous Bone Marrow Transplant with Cc/Mcc 016 | 17 | $207,784 | $92,227 |
| $166,995 | $73,677only 2 plans |
| Cardiac Defibrillator Implant Without Mcc 277 | 17 | $201,512 | $58,365 |
| $132,120 | – |
| Heart Failure and Shock with Cc 292 | 17 | $50,365 | $12,924 |
| $50,669 | $8,125only 1 plan |
| Peritoneal Adhesiolysis with Cc 336 | 17 | $119,434 | $29,852 |
| $89,149 | $33,031only 1 plan |
| Laparoscopic Cholecystectomy Without C.d.e. with Cc 418 | 17 | $101,430 | $21,897 |
| $70,398 | – |
| Cellulitis with Mcc 602 | 17 | $82,856 | $19,184 |
| $55,908 | – |
| Minor Skin Disorders Without Mcc 607 | 17 | $42,921 | $11,404 |
| $34,465 | $8,648only 1 plan |
| Reticuloendothelial and Immunity Disorders with Mcc 814 | 17 | $149,700 | $33,865 |
| $56,796 | – |
| Acute Leukemia with Cc 835 | 17 | $142,204 | $33,203 |
| $79,755 | $32,233only 1 plan |
| Fever and Inflammatory Conditions 864 | 17 | $48,675 | $11,200 |
| $25,880 | – |
| Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 987 | 17 | $208,905 | $47,553 |
| $154,615 | $42,257only 2 plans |
| Carotid Artery Stent Procedures Without Cc/Mcc 036 | 16 | $89,324 | $20,661 |
| $67,055 | – |
| Revision of Hip or Knee Replacement with Mcc 466 | 16 | $166,065 | $53,344 |
| $169,505 | – |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures Without Cc/Mcc 517 | 16 | $80,632 | $22,203 |
| $53,832 | – |
| Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses with Mc 843 | 16 | $153,116 | $33,825 |
| $52,163 | – |
| Acute Adjustment Reaction and Psychosocial Dysfunction 880 | 16 | $44,488 | $11,939 |
| $33,734 | $9,139only 1 plan |
| Lung Transplant 007 | 15 | $877,982 | $189,219 |
| $602,083 | $202,852only 1 plan |
| Traumatic Stupor and Coma <1 Hour with Cc 086 | 15 | $59,423 | $16,301 |
| $32,785 | – |
| Chronic Obstructive Pulmonary Disease with Cc 191 | 15 | $45,567 | $10,963 |
| $32,336 | $8,070only 1 plan |
| Pneumothorax with Mcc 199 | 15 | $98,619 | $25,453 |
| $52,522 | – |
| Cervical Spinal Fusion with Mcc 471 | 15 | $205,417 | $61,643 |
| $128,692 | – |
| O.r. Procedures for Obesity with Cc 620 | 15 | $67,782 | $19,769 |
| $40,233 | $14,978only 1 plan |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Cc 740 | 15 | $113,191 | $27,210 |
| $88,775 | – |
| Peripheral, Cranial Nerve and Other Nervous System Procedures with Mcc 040 | 14 | $232,438 | $53,012 |
| $127,333 | – |
| Precerebral Occlusion Without Infarction Without Mcc 068 | 14 | $62,772 | $11,041 |
| $27,655 | – |
| Cardiac Congenital and Valvular Disorders with Mcc 306 | 14 | $103,034 | $19,695 |
| $64,861 | – |
| Complicated Peptic Ulcer with Mcc 380 | 14 | $131,370 | $27,763 |
| $56,226 | $18,279only 1 plan |
| Gastrointestinal Obstruction Without Cc/Mcc 390 | 14 | $24,260 | $7,791 |
| $17,658 | $5,342only 1 plan |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Cc 427 | 14 | $165,043 | $84,177 |
| $128,210 | $66,229only 1 plan |
| Combined Anterior and Posterior Spinal Fusion with Mcc 453 | 14 | $227,274 | $98,262 |
| – | – |
| Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with Mcc or Tota 469 | 14 | $162,732 | $38,563 |
| $89,260 | – |
| Hip and Femur Procedures Except Major Joint Without Cc/Mcc 482 | 14 | $87,143 | $18,859 |
| $71,471 | – |
| Connective Tissue Disorders with Cc 546 | 14 | $76,326 | $16,875 |
| $49,950 | – |
| Adrenal and Pituitary Procedures Without Cc/Mcc 615 | 14 | $71,919 | $16,965 |
| $54,944 | – |
| Kidney Transplant 652 | 14 | $371,332 | $36,637 |
| $265,418 | $65,675only 2 plans |
| Kidney and Ureter Procedures for Non-Neoplasm with Mcc 659 | 14 | $213,848 | $46,130 |
| $72,484 | – |
| Transurethral Procedures with Cc 669 | 14 | $64,353 | $18,586 |
| $56,693 | – |
| Major Male Pelvic Procedures Without Cc/Mcc 708 | 14 | $71,652 | $19,371 |
| $61,976 | – |
| Ventricular Shunt Procedures with Mcc 031 | 13 | $161,439 | $46,535 |
| $108,095 | – |
| Extracranial Procedures Without Cc/Mcc 039 | 13 | $77,491 | $13,348 |
| $74,820 | – |
| Amputation for Circulatory System Disorders Except Upper Limb and Toe with Mcc 239 | 13 | $372,484 | $80,590 |
| $214,136 | – |
| Other Circulatory System O.r. Procedures 264 | 13 | $213,585 | $44,639 |
| $89,765 | – |
| Hypertension with Mcc 304 | 13 | $50,140 | $14,834 |
| $51,726 | $11,235only 1 plan |
| Chest pain 313 | 13 | $54,093 | $9,506 |
| $26,066 | – |
| Peritoneal Adhesiolysis with Mcc 335 | 13 | $182,531 | $45,481 |
| $115,676 | – |
| Major Esophageal Disorders with Mcc 368 | 13 | $83,980 | $20,962 |
| $58,042 | $14,901only 1 plan |
| Major Joint or Limb Reattachment Procedures of Upper Extremities 483 | 13 | $120,968 | $29,291 |
| $86,698 | – |
| Soft Tissue Procedures with Cc 501 | 13 | $134,780 | $23,819 |
| $95,918 | – |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures with Mcc 515 | 13 | $179,663 | $39,835 |
| $106,538 | – |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures with Cc 516 | 13 | $92,143 | $33,613 |
| $81,903 | – |
| Back and Neck Procedures Except Spinal Fusion Without Cc/Mcc 520 | 13 | $66,486 | $16,651 |
| $57,777 | – |
| Fracture or sprain (not hip or thigh) 563 | 13 | $43,507 | $11,005 |
| $41,188 | – |
| Trauma to the Skin, Subcutaneous Tissue and Breast Without Mcc 605 | 13 | $42,139 | $11,420 |
| $23,037 | $8,736only 1 plan |
| Extracranial Procedures with Cc 038 | 12 | $140,679 | $19,357 |
| $100,977 | – |
| Nervous System Neoplasms Without Mcc 055 | 12 | $50,967 | $14,969 |
| $45,813 | – |
| Headaches Without Mcc 103 | 12 | $52,808 | $11,455 |
| $30,382 | $8,009only 1 plan |
| Major Head and Neck Procedures with Cc 141 | 12 | $114,349 | $34,661 |
| $90,766 | – |
| Pleural Effusion with Mcc 186 | 12 | $87,280 | $20,015 |
| $63,759 | – |
| Aortic and Heart Assist Procedures Except Pulsation Balloon Without Mcc 269 | 12 | $172,222 | $47,338 |
| $107,676 | – |
| Acute Myocardial Infarction, Expired with Mcc 283 | 12 | $130,384 | $25,177 |
| $76,386 | $29,509only 1 plan |
| Other Digestive System O.r. Procedures with Cc 357 | 12 | $127,249 | $24,151 |
| $79,462 | $21,593only 1 plan |
| Cirrhosis and Alcoholic Hepatitis with Mcc 432 | 12 | $159,848 | $30,773 |
| $79,040 | $24,582only 2 plans |
| Multiple Level Spinal Fusion Except Cervical Without Mcc 448 | 12 | $117,221 | $49,294 |
| $103,536 | $39,065only 1 plan |
| Minor Skin Disorders with Mcc 606 | 12 | $97,750 | $18,248 |
| $70,073 | – |
| Kidney and Ureter Procedures for Neoplasm with Mcc 656 | 12 | $194,531 | $53,112 |
| $142,004 | – |
| Uterine and Adnexa Procedures for Non-Malignancy with Cc/Mcc 742 | 12 | $109,751 | $21,822 |
| $71,850 | – |
| Reticuloendothelial and Immunity Disorders with Cc 815 | 12 | $69,460 | $13,461 |
| $33,974 | – |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 828 | 12 | $99,091 | $22,204 |
| $70,921 | $24,189only 1 plan |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures Wi 829 | 12 | $124,255 | $41,125 |
| $94,793 | – |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis with Cc or High Dose Chemotherap 838 | 12 | $60,949 | $24,393 |
| $64,505 | – |
| Viral Illness with Mcc 865 | 12 | $93,943 | $20,796 |
| $51,774 | – |
| Other Multiple Significant Trauma with Mcc 963 | 12 | $115,613 | $33,826 |
| $73,433 | – |
| Other Cerebrovascular Disorders with Mcc 070 | 11 | $99,256 | $30,667 |
| $50,725 | – |
| Respiratory System Diagnosis with Ventilator Support >96 Hours 207 | 11 | $455,448 | $99,619 |
| $249,683 | – |
| Coronary Intravascular Lithotripsy with Intraluminal Device Without Mcc 324 | 11 | $146,852 | $37,354 |
| $108,729 | – |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 463 | 11 | $248,090 | $68,722 |
| $204,477 | $81,506only 1 plan |
| Back and Neck Procedures Except Spinal Fusion with Mcc or Disc Device or Neurostimulator 518 | 11 | $224,896 | $49,400 |
| $117,939 | – |
| Skin Graft Except for Skin Ulcer or Cellulitis with Cc 577 | 11 | $87,344 | $31,805 |
| $83,514 | $24,560only 1 plan |
| Other Skin, Subcutaneous Tissue and Breast Procedures with Mcc 579 | 11 | $108,507 | $36,149 |
| $115,813 | – |
| Major Bladder Procedures with Mcc 653 | 11 | $288,896 | $73,532 |
| $135,089 | – |
| Urinary Stones Without Mcc 694 | 11 | $43,748 | $12,021 |
| $35,337 | – |
| Major Male Pelvic Procedures with Cc/Mcc 707 | 11 | $92,425 | $22,812 |
| $68,428 | – |
| Lymphoma and Non-Acute Leukemia with Other Procedures with Cc 824 | 11 | $112,719 | $26,932 |
| $66,450 | – |
| Psychoses 885 | 11 | $155,814 | $32,451 |
| $71,620 | $13,122only 1 plan |
| Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 988 | 11 | $92,016 | $20,914 |
| $76,922 | – |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Mcc 011 | – | – | – | | $249,971 | – |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Cc 012 | – | – | – | | $259,939 | – |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy Without Cc/Mcc 013 | – | – | – | | $186,798 | – |
| Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Cc 021 | – | – | – | | $195,123 | – |
| Ms-Drg 022 022 | – | – | – | | $115,766 | – |
| Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis Without Mc 024 | – | – | – | | $112,351 | – |
| Spinal Procedures with Mcc 028 | – | – | – | | $215,938 | – |
| Spinal Procedures Without Cc/Mcc 030 | – | – | – | | $84,412 | – |
| Carotid Artery Stent Procedures with Mcc 034 | – | – | – | | $89,575 | – |
| Carotid Artery Stent Procedures with Cc 035 | – | – | – | | $78,270 | – |
| Extracranial Procedures with Mcc 037 | – | – | – | | $131,532 | $30,411only 1 plan |
| Peripheral, Cranial Nerve and Other Nervous System Procedures with Cc or Peripheral Neur 041 | – | – | – | | $76,117 | – |
| Peripheral, Cranial Nerve and Other Nervous System Procedures Without Cc/Mcc 042 | – | – | – | | $72,632 | – |
| Ms-Drg 052 052 | – | – | – | | $50,651 | – |
| Ms-Drg 053 053 | – | – | – | | $12,405 | – |
| Ms-Drg 058 058 | – | – | – | | $40,390 | – |
| Ms-Drg 059 059 | – | – | – | | $36,692 | – |
| Ms-Drg 060 060 | – | – | – | | $32,789 | $8,770only 1 plan |
| Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 061 | – | – | – | | $107,140 | – |
| Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 062 | – | – | – | | $85,262 | – |
| Intracranial Hemorrhage or Cerebral Infarction Without Cc/Mcc 066 | – | – | – | | $32,790 | – |
| Ms-Drg 067 067 | – | – | – | | $37,229 | – |
| Mini-stroke (TIA) 069 | – | – | – | | $36,672 | – |
| Other Cerebrovascular Disorders with Cc 071 | – | – | – | | $49,183 | – |
| Cranial and Peripheral Nerve Disorders with Mcc 073 | – | – | – | | $46,445 | $15,014only 1 plan |
| Ms-Drg 075 075 | – | – | – | | $35,362 | – |
| Nontraumatic Stupor and Coma with Mcc 080 | – | – | – | | $62,526 | – |
| Ms-Drg 081 081 | – | – | – | | $28,873 | – |
| Traumatic Stupor and Coma >1 Hour Without Cc/Mcc 084 | – | – | – | | $24,354 | – |
| Traumatic Stupor and Coma <1 Hour Without Cc/Mcc 087 | – | – | – | | $18,605 | – |
| Other Disorders of Nervous System Without Cc/Mcc 093 | – | – | – | | $29,091 | – |
| Bacterial and Tuberculous Infections of Nervous System with Mcc 094 | – | – | – | | $93,333 | – |
| Ms-Drg 095 095 | – | – | – | | $76,511 | – |
| Ms-Drg 096 096 | – | – | – | | $49,926 | – |
| Non-Bacterial Infection of Nervous System Except Viral Meningitis with Mcc 097 | – | – | – | | $112,175 | – |
| Ms-Drg 098 098 | – | – | – | | $62,892 | $21,314only 1 plan |
| Ms-Drg 099 099 | – | – | – | | $43,150 | – |
| Headaches with Mcc 102 | – | – | – | | $38,265 | $10,605only 1 plan |
| Extraocular Procedures Except Orbit 115 | – | – | – | | $53,726 | – |
| Acute Major Eye Infections with Cc/Mcc 121 | – | – | – | | $34,972 | – |
| Neurological Eye Disorders 123 | – | – | – | | $24,091 | – |
| Other Disorders of the Eye with Mcc or Thrombolytic Agent 124 | – | – | – | | $34,244 | – |
| Other Disorders of the Eye Without Mcc 125 | – | – | – | | $27,024 | – |
| Ms-Drg 135 135 | – | – | – | | $104,267 | – |
| Ms-Drg 137 137 | – | – | – | | $38,179 | – |
| Ms-Drg 138 138 | – | – | – | | $26,127 | – |
| Ms-Drg 139 139 | – | – | – | | $45,774 | – |
| Ms-Drg 140 140 | – | – | – | | $106,455 | – |
| Major Head and Neck Procedures Without Cc/Mcc 142 | – | – | – | | $69,896 | – |
| Ms-Drg 143 143 | – | – | – | | $101,993 | – |
| Other Ear, Nose, Mouth and Throat O.r. Procedures with Cc 144 | – | – | – | | $77,886 | – |
| Other Ear, Nose, Mouth and Throat O.r. Procedures Without Cc/Mcc 145 | – | – | – | | $64,551 | $17,880only 1 plan |
| Ear, Nose, Mouth and Throat Malignancy with Mcc 146 | – | – | – | | $66,824 | – |
| Ear, Nose, Mouth and Throat Malignancy with Cc 147 | – | – | – | | $47,809 | – |
| Dysequilibrium 149 | – | – | – | | $28,764 | – |
| Ms-Drg 150 150 | – | – | – | | $64,166 | – |
| Otitis Media and Uri with Mcc 152 | – | – | – | | $40,176 | – |
| Otitis Media and Uri Without Mcc 153 | – | – | – | | $25,410 | – |
| Other Ear, Nose, Mouth and Throat Diagnoses with Mcc 154 | – | – | – | | $41,787 | – |
| Other Ear, Nose, Mouth and Throat Diagnoses with Cc 155 | – | – | – | | $30,433 | – |
| Ms-Drg 156 156 | – | – | – | | $20,986 | – |
| Dental and Oral Diseases with Mcc 157 | – | – | – | | $52,833 | – |
| Dental and Oral Diseases with Cc 158 | – | – | – | | $30,309 | $8,679only 1 plan |
| Other Respiratory System O.r. Procedures Without Cc/Mcc 168 | – | – | – | | $48,239 | – |
| Respiratory Infections and Inflammations Without Cc/Mcc 179 | – | – | – | | $28,048 | – |
| Ms-Drg 182 182 | – | – | – | | $26,442 | – |
| Major Chest Trauma Without Cc/Mcc 185 | – | – | – | | $17,981 | – |
| Pleural Effusion with Cc 187 | – | – | – | | $29,562 | – |
| Ms-Drg 188 188 | – | – | – | | $52,584 | – |
| Chronic Obstructive Pulmonary Disease Without Cc/Mcc 192 | – | – | – | | $20,604 | – |
| Simple Pneumonia and Pleurisy Without Cc/Mcc 195 | – | – | – | | $23,453 | – |
| Interstitial Lung Disease with Cc 197 | – | – | – | | $53,968 | – |
| Ms-Drg 198 198 | – | – | – | | $29,942 | – |
| Pneumothorax with Cc 200 | – | – | – | | $28,559 | – |
| Ms-Drg 201 201 | – | – | – | | $25,052 | – |
| Bronchitis and Asthma Without Cc/Mcc 203 | – | – | – | | $23,962 | – |
| Respiratory Signs and Symptoms 204 | – | – | – | | $29,691 | $7,745only 1 plan |
| Concomitant Aortic and Mitral Valve Procedures 212 | – | – | – | | $390,577 | – |
| Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 217 | – | – | – | | $206,421 | – |
| Ms-Drg 218 218 | – | – | – | | $198,698 | – |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 220 | – | – | – | | $152,271 | – |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 221 | – | – | – | | $83,281 | – |
| Coronary Bypass with Ptca with Mcc 231 | – | – | – | | $383,303 | – |
| Coronary Bypass with Cardiac Catheterization or Open Ablation Without Mcc 234 | – | – | – | | $222,712 | – |
| Coronary Bypass Without Cardiac Catheterization Without Mcc 236 | – | – | – | | $217,808 | – |
| Amputation for Circulatory System Disorders Except Upper Limb and Toe with Cc 240 | – | – | – | | $106,319 | $43,948only 1 plan |
| Ms-Drg 241 241 | – | – | – | | $85,459 | – |
| Permanent Cardiac Pacemaker Implant Without Cc/Mcc 244 | – | – | – | | $51,803 | – |
| Ms-Drg 245 245 | – | – | – | | $101,127 | – |
| Percutaneous Cardiovascular Procedures Without Intraluminal Device with Mcc 250 | – | – | – | | $97,087 | – |
| Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 251 | – | – | – | | $91,973 | – |
| Other Vascular Procedures Without Cc/Mcc 254 | – | – | – | | $76,618 | – |
| Ms-Drg 255 255 | – | – | – | | $70,047 | – |
| Ms-Drg 256 256 | – | – | – | | $106,394 | – |
| Ms-Drg 258 258 | – | – | – | | $48,152 | – |
| Ms-Drg 259 259 | – | – | – | | $39,579 | – |
| Cardiac Pacemaker Revision Except Device Replacement with Mcc 260 | – | – | – | | $145,879 | – |
| Cardiac Pacemaker Revision Except Device Replacement with Cc 261 | – | – | – | | $64,383 | – |
| Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 262 | – | – | – | | $71,882 | – |
| Ms-Drg 263 263 | – | – | – | | $155,640 | – |
| Ms-Drg 265 265 | – | – | – | | $89,551 | – |
| Aortic and Heart Assist Procedures Except Pulsation Balloon with Mcc 268 | – | – | – | | $226,826 | – |
| Other Major Cardiovascular Procedures Without Cc/Mcc 272 | – | – | – | | $90,478 | – |
| Cardiac Defibrillator Implant with Cardiac Catheterization and Mcc 275 | – | – | – | | $252,359 | – |
| Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures Without 279 | – | – | – | | $111,694 | – |
| Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 282 | – | – | – | | $39,177 | $6,976only 1 plan |
| Ms-Drg 288 288 | – | – | – | | $102,365 | – |
| Ms-Drg 289 289 | – | – | – | | $55,245 | – |
| Heart Failure and Shock Without Cc/Mcc 293 | – | – | – | | $31,391 | – |
| Cardiac Arrest, Unexplained with Mcc 296 | – | – | – | | $138,905 | – |
| Peripheral Vascular Disorders Without Cc/Mcc 301 | – | – | – | | $30,887 | – |
| Atherosclerosis with Mcc 302 | – | – | – | | $60,033 | $11,295only 1 plan |
| Cardiac Congenital and Valvular Disorders Without Mcc 307 | – | – | – | | $32,666 | – |
| Irregular heartbeat 310 | – | – | – | | $18,961 | – |
| Angina Pectoris 311 | – | – | – | | $30,792 | $6,783only 1 plan |
| Other Circulatory System Diagnoses Without Cc/Mcc 316 | – | – | – | | $28,844 | – |
| Concomitant Left Atrial Appendage Closure and Cardiac Ablation 317 | – | – | – | | $142,673 | – |
| Other Endovascular Cardiac Valve Procedures with Mcc 319 | – | – | – | | $178,182 | – |
| Other Endovascular Cardiac Valve Procedures Without Mcc 320 | – | – | – | | $62,521 | – |
| Coronary Intravascular Lithotripsy with Intraluminal Device with Mcc 323 | – | – | – | | $158,016 | – |
| Ms-Drg 325 325 | – | – | – | | $125,923 | – |
| Ms-Drg 332 332 | – | – | – | | $115,598 | – |
| Ms-Drg 333 333 | – | – | – | | $83,731 | – |
| Ms-Drg 334 334 | – | – | – | | $56,823 | – |
| Peritoneal Adhesiolysis Without Cc/Mcc 337 | – | – | – | | $66,041 | – |
| Ms-Drg 344 344 | – | – | – | | $112,356 | $40,457only 1 plan |
| Ms-Drg 345 345 | – | – | – | | $50,948 | – |
| Anal and Stomal Procedures with Mcc 347 | – | – | – | | $39,906 | – |
| Ms-Drg 348 348 | – | – | – | | $36,849 | – |
| Ms-Drg 349 349 | – | – | – | | $31,669 | – |
| Inguinal and Femoral Hernia Procedures with Mcc 350 | – | – | – | | $94,722 | – |
| Inguinal and Femoral Hernia Procedures with Cc 351 | – | – | – | | $59,975 | – |
| Inguinal and Femoral Hernia Procedures Without Cc/Mcc 352 | – | – | – | | $55,486 | – |
| Hernia Procedures Except Inguinal and Femoral with Mcc 353 | – | – | – | | $100,206 | – |
| Hernia Procedures Except Inguinal and Femoral Without Cc/Mcc 355 | – | – | – | | $51,175 | – |
| Ms-Drg 358 358 | – | – | – | | $54,378 | – |
| Major Esophageal Disorders with Cc 369 | – | – | – | | $40,652 | – |
| Major Gastrointestinal Disorders and Peritoneal Infections Without Cc/Mcc 373 | – | – | – | | $25,402 | – |
| Ms-Drg 376 376 | – | – | – | | $49,054 | – |
| Gastrointestinal Hemorrhage Without Cc/Mcc 379 | – | – | – | | $23,810 | $6,130only 1 plan |
| Complicated Peptic Ulcer with Cc 381 | – | – | – | | $31,833 | – |
| Ms-Drg 382 382 | – | – | – | | $22,672 | – |
| Uncomplicated Peptic Ulcer Without Mcc 384 | – | – | – | | $33,301 | – |
| Inflammatory Bowel Disease with Mcc 385 | – | – | – | | $60,492 | – |
| Inflammatory Bowel Disease with Cc 386 | – | – | – | | $41,242 | – |
| Ms-Drg 387 387 | – | – | – | | $24,118 | – |
| Other Digestive System Diagnoses Without Cc/Mcc 395 | – | – | – | | $21,762 | – |
| Ms-Drg 397 397 | – | – | – | | $70,294 | – |
| Appendix Procedures with Cc 398 | – | – | – | | $60,162 | – |
| Appendix Procedures Without Cc/Mcc 399 | – | – | – | | $45,218 | – |
| Pancreas, Liver and Shunt Procedures Without Cc/Mcc 407 | – | – | – | | $93,317 | $20,627only 1 plan |
| Ms-Drg 408 408 | – | – | – | | $69,889 | – |
| Ms-Drg 409 409 | – | – | – | | $73,104 | – |
| Ms-Drg 410 410 | – | – | – | | $24,241 | – |
| Ms-Drg 412 412 | – | – | – | | $204,183 | – |
| Ms-Drg 413 413 | – | – | – | | $132,576 | – |
| Ms-Drg 414 414 | – | – | – | | $120,324 | – |
| Cholecystectomy Except by Laparoscope Without C.d.e. with Cc 415 | – | – | – | | $71,338 | – |
| Laparoscopic Cholecystectomy Without C.d.e. with Mcc 417 | – | – | – | | $84,769 | $35,864only 1 plan |
| Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 419 | – | – | – | | $62,606 | – |
| Hepatobiliary Diagnostic Procedures with Mcc 420 | – | – | – | | $130,918 | – |
| Ms-Drg 421 421 | – | – | – | | $52,934 | – |
| Other Hepatobiliary or Pancreas O.r. Procedures with Mcc 423 | – | – | – | | $188,442 | – |
| Ms-Drg 424 424 | – | – | – | | $53,412 | – |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Mcc or 426 | – | – | – | | $206,851 | – |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical Without Cc/ 428 | – | – | – | | $111,078 | – |
| Ms-Drg 429 429 | – | – | – | | $283,867 | – |
| Combined Anterior and Posterior Cervical Spinal Fusion Without Mcc 430 | – | – | – | | $136,134 | – |
| Cirrhosis and Alcoholic Hepatitis with Cc 433 | – | – | – | | $40,884 | $10,015only 1 plan |
| Ms-Drg 437 437 | – | – | – | | $31,835 | – |
| Disorders of Pancreas Except Malignancy with Cc 439 | – | – | – | | $31,021 | – |
| Disorders of Pancreas Except Malignancy Without Cc/Mcc 440 | – | – | – | | $24,800 | $6,048only 1 plan |
| Ms-Drg 443 443 | – | – | – | | $26,495 | – |
| Disorders of the Biliary Tract Without Cc/Mcc 446 | – | – | – | | $25,412 | – |
| Ms-Drg 447 447 | – | – | – | | $171,389 | – |
| Ms-Drg 450 450 | – | – | – | | $97,080 | $48,997only 1 plan |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 456 | – | – | – | | $207,667 | – |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 458 | – | – | – | | $102,959 | – |
| Bilateral or Multiple Major Joint Procedures of Lower Extremity Without Mcc 462 | – | – | – | | $107,057 | – |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 465 | – | – | – | | $61,120 | – |
| Cervical Spinal Fusion Without Cc/Mcc 473 | – | – | – | | $82,266 | – |
| Amputation for Musculoskeletal System and Connective Tissue Disorders with Mcc 474 | – | – | – | | $87,745 | – |
| Amputation for Musculoskeletal System and Connective Tissue Disorders with Cc 475 | – | – | – | | $140,825 | – |
| Ms-Drg 476 476 | – | – | – | | $58,862 | – |
| Biopsies of Musculoskeletal System and Connective Tissue with Mcc 477 | – | – | – | | $116,214 | – |
| Biopsies of Musculoskeletal System and Connective Tissue with Cc 478 | – | – | – | | $74,233 | $22,813only 1 plan |
| Biopsies of Musculoskeletal System and Connective Tissue Without Cc/Mcc 479 | – | – | – | | $33,011 | – |
| Knee Procedures with Principal Diagnosis of Infection with Mcc 485 | – | – | – | | $147,900 | – |
| Knee Procedures with Principal Diagnosis of Infection with Cc 486 | – | – | – | | $79,934 | – |
| Knee Procedures with Principal Diagnosis of Infection Without Cc/Mcc 487 | – | – | – | | $64,078 | – |
| Knee Procedures Without Principal Diagnosis of Infection with Cc/Mcc 488 | – | – | – | | $110,979 | $16,516only 1 plan |
| Knee Procedures Without Principal Diagnosis of Infection Without Cc/Mcc 489 | – | – | – | | $89,787 | – |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Mcc 492 | – | – | – | | $132,488 | – |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur Without Cc/Mcc 494 | – | – | – | | $78,665 | $31,430only 1 plan |
| Ms-Drg 495 495 | – | – | – | | $97,678 | – |
| Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with Cc 496 | – | – | – | | $81,273 | – |
| Local Excision and Removal of Internal Fixation Devices Except Hip and Femur Without Cc/ 497 | – | – | – | | $66,944 | – |
| Ms-Drg 498 498 | – | – | – | | $102,378 | – |
| Ms-Drg 499 499 | – | – | – | | $67,805 | – |
| Soft Tissue Procedures with Mcc 500 | – | – | – | | $142,037 | – |
| Soft Tissue Procedures Without Cc/Mcc 502 | – | – | – | | $53,288 | – |
| Ms-Drg 503 503 | – | – | – | | $145,782 | $25,841only 1 plan |
| Foot Procedures with Cc 504 | – | – | – | | $86,458 | – |
| Ms-Drg 506 506 | – | – | – | | $31,098 | – |
| Ms-Drg 510 510 | – | – | – | | $121,392 | $27,933only 1 plan |
| Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures with Cc 511 | – | – | – | | $101,722 | – |
| Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc 512 | – | – | – | | $63,558 | – |
| Hand or Wrist Procedures, Except Major Thumb or Joint Procedures with Cc/Mcc 513 | – | – | – | | $63,522 | – |
| Ms-Drg 533 533 | – | – | – | | $38,993 | – |
| Fractures of Hip and Pelvis with Mcc 535 | – | – | – | | $35,036 | – |
| Fractures of Hip and Pelvis Without Mcc 536 | – | – | – | | $51,630 | – |
| Ms-Drg 537 537 | – | – | – | | $43,643 | – |
| Osteomyelitis with Mcc 539 | – | – | – | | $63,562 | $18,348only 1 plan |
| Osteomyelitis with Cc 540 | – | – | – | | $41,069 | $12,205only 1 plan |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy Without Cc/M 544 | – | – | – | | $29,354 | – |
| Connective Tissue Disorders Without Cc/Mcc 547 | – | – | – | | $35,792 | $8,008only 1 plan |
| Ms-Drg 548 548 | – | – | – | | $214,742 | – |
| Ms-Drg 549 549 | – | – | – | | $56,553 | – |
| Bone Diseases and Arthropathies with Mcc 553 | – | – | – | | $50,316 | $12,205only 1 plan |
| Signs and Symptoms of Musculoskeletal System and Connective Tissue with Mcc 555 | – | – | – | | $47,478 | – |
| Signs and Symptoms of Musculoskeletal System and Connective Tissue Without Mcc 556 | – | – | – | | $26,041 | – |
| Tendonitis, Myositis and Bursitis with Mcc 557 | – | – | – | | $51,862 | $13,944only 1 plan |
| Tendonitis, Myositis and Bursitis Without Mcc 558 | – | – | – | | $26,320 | – |
| Aftercare, Musculoskeletal System and Connective Tissue with Mcc 559 | – | – | – | | $43,706 | $17,392only 1 plan |
| Aftercare, Musculoskeletal System and Connective Tissue with Cc 560 | – | – | – | | $40,816 | – |
| Aftercare, Musculoskeletal System and Connective Tissue Without Cc/Mcc 561 | – | – | – | | $16,322 | – |
| Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with Mcc 562 | – | – | – | | $64,035 | – |
| Other Musculoskeletal System and Connective Tissue Diagnoses with Mcc 564 | – | – | – | | $49,490 | – |
| Other Musculoskeletal System and Connective Tissue Diagnoses with Cc 565 | – | – | – | | $40,815 | $9,268only 1 plan |
| Ms-Drg 566 566 | – | – | – | | $19,636 | – |
| Skin Debridement with Mcc 570 | – | – | – | | $71,431 | – |
| Skin Debridement with Cc 571 | – | – | – | | $75,391 | $15,792only 1 plan |
| Ms-Drg 572 572 | – | – | – | | $61,768 | – |
| Skin Graft for Skin Ulcer or Cellulitis with Mcc 573 | – | – | – | | $246,980 | $60,142only 1 plan |
| Skin Graft for Skin Ulcer or Cellulitis with Cc 574 | – | – | – | | $60,413 | – |
| Ms-Drg 575 575 | – | – | – | | $48,689 | – |
| Ms-Drg 576 576 | – | – | – | | $81,435 | – |
| Ms-Drg 578 578 | – | – | – | | $69,073 | – |
| Other Skin, Subcutaneous Tissue and Breast Procedures with Cc 580 | – | – | – | | $83,144 | $26,756only 1 plan |
| Other Skin, Subcutaneous Tissue and Breast Procedures Without Cc/Mcc 581 | – | – | – | | $144,179 | $21,719only 1 plan |
| Ms-Drg 582 582 | – | – | – | | $200,073 | – |
| Ms-Drg 583 583 | – | – | – | | $198,525 | $27,011only 1 plan |
| Ms-Drg 584 584 | – | – | – | | $185,657 | $32,305only 1 plan |
| Breast Biopsy, Local Excision and Other Breast Procedures Without Cc/Mcc 585 | – | – | – | | $195,669 | – |
| Skin Ulcers with Mcc 592 | – | – | – | | $55,456 | – |
| Skin Ulcers with Cc 593 | – | – | – | | $36,518 | $11,201only 1 plan |
| Ms-Drg 595 595 | – | – | – | | $126,935 | – |
| Major Skin Disorders Without Mcc 596 | – | – | – | | $35,086 | – |
| Malignant Breast Disorders with Mcc 597 | – | – | – | | $54,596 | – |
| Ms-Drg 598 598 | – | – | – | | $29,829 | – |
| Ms-Drg 600 600 | – | – | – | | $23,945 | – |
| Ms-Drg 601 601 | – | – | – | | $20,209 | – |
| Trauma to the Skin, Subcutaneous Tissue and Breast with Mcc 604 | – | – | – | | $35,529 | – |
| Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Mcc 616 | – | – | – | | $175,172 | $32,192only 1 plan |
| Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Cc 617 | – | – | – | | $83,339 | – |
| Ms-Drg 619 619 | – | – | – | | $74,747 | – |
| O.r. Procedures for Obesity Without Cc/Mcc 621 | – | – | – | | $46,268 | $14,140only 1 plan |
| Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 622 | – | – | – | | $90,867 | – |
| Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 623 | – | – | – | | $74,131 | – |
| Ms-Drg 624 624 | – | – | – | | $41,377 | – |
| Thyroid, Parathyroid and Thyroglossal Procedures with Cc 626 | – | – | – | | $92,438 | – |
| Thyroid, Parathyroid and Thyroglossal Procedures Without Cc/Mcc 627 | – | – | – | | $55,271 | – |
| Other Endocrine, Nutritional and Metabolic O.r. Procedures with Mcc 628 | – | – | – | | $111,283 | $34,376only 1 plan |
| Other Endocrine, Nutritional and Metabolic O.r. Procedures with Cc 629 | – | – | – | | $79,784 | $34,129only 1 plan |
| Ms-Drg 630 630 | – | – | – | | $47,427 | – |
| Inborn and Other Disorders of Metabolism 642 | – | – | – | | $35,404 | – |
| Endocrine Disorders Without Cc/Mcc 645 | – | – | – | | $18,132 | – |
| Kidney Transplant with Hemodialysis with Mcc 650 | – | – | – | | $332,679 | – |
| Kidney Transplant with Hemodialysis Without Mcc 651 | – | – | – | | $226,900 | – |
| Major Bladder Procedures Without Cc/Mcc 655 | – | – | – | | $110,614 | – |
| Kidney and Ureter Procedures for Neoplasm Without Cc/Mcc 658 | – | – | – | | $62,839 | – |
| Kidney and Ureter Procedures for Non-Neoplasm Without Cc/Mcc 661 | – | – | – | | $46,902 | – |
| Ms-Drg 662 662 | – | – | – | | $65,642 | – |
| Minor Bladder Procedures with Cc 663 | – | – | – | | $60,813 | – |
| Ms-Drg 664 664 | – | – | – | | $43,809 | – |
| Prostatectomy with Mcc 665 | – | – | – | | $137,323 | – |
| Ms-Drg 666 666 | – | – | – | | $60,980 | – |
| Transurethral Procedures with Mcc 668 | – | – | – | | $199,989 | – |
| Ms-Drg 670 670 | – | – | – | | $36,856 | – |
| Ms-Drg 671 671 | – | – | – | | $108,069 | – |
| Other Kidney and Urinary Tract Procedures with Cc 674 | – | – | – | | $81,032 | $21,713only 1 plan |
| Renal Failure Without Cc/Mcc 684 | – | – | – | | $21,772 | – |
| Kidney and Urinary Tract Neoplasms with Mcc 686 | – | – | – | | $87,431 | – |
| Kidney and Urinary Tract Neoplasms with Cc 687 | – | – | – | | $31,449 | – |
| Ms-Drg 693 693 | – | – | – | | $35,925 | – |
| Ms-Drg 695 695 | – | – | – | | $31,054 | – |
| Kidney and Urinary Tract Signs and Symptoms Without Mcc 696 | – | – | – | | $14,495 | – |
| Ms-Drg 697 697 | – | – | – | | $16,892 | – |
| Other Kidney and Urinary Tract Diagnoses Without Cc/Mcc 700 | – | – | – | | $18,808 | – |
| Ms-Drg 709 709 | – | – | – | | $58,943 | – |
| Ms-Drg 710 710 | – | – | – | | $16,111 | – |
| Ms-Drg 711 711 | – | – | – | | $90,582 | – |
| Transurethral Prostatectomy with Cc/Mcc 713 | – | – | – | | $38,586 | – |
| Transurethral Prostatectomy Without Cc/Mcc 714 | – | – | – | | $28,049 | – |
| Ms-Drg 715 715 | – | – | – | | $63,283 | – |
| Other Male Reproductive System O.r. Procedures Except Malignancy with Cc/Mcc 717 | – | – | – | | $56,321 | – |
| Malignancy, Male Reproductive System with Mcc 722 | – | – | – | | $81,142 | – |
| Ms-Drg 723 723 | – | – | – | | $35,049 | – |
| Benign Prostatic Hypertrophy Without Mcc 726 | – | – | – | | $37,238 | – |
| Ms-Drg 727 727 | – | – | – | | $60,952 | – |
| Inflammation of the Male Reproductive System Without Mcc 728 | – | – | – | | $26,751 | – |
| Ms-Drg 729 729 | – | – | – | | $25,737 | – |
| Ms-Drg 735 735 | – | – | – | | $84,485 | – |
| Ms-Drg 736 736 | – | – | – | | $201,959 | – |
| Ms-Drg 738 738 | – | – | – | | $99,430 | – |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Mcc 739 | – | – | – | | $154,246 | – |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy Without Cc/Mcc 741 | – | – | – | | $71,871 | – |
| Uterine and Adnexa Procedures for Non-Malignancy Without Cc/Mcc 743 | – | – | – | | $61,480 | – |
| D&c, Conization, Laparoscopy and Tubal Interruption with Cc/Mcc 744 | – | – | – | | $93,591 | – |
| Vagina, Cervix and Vulva Procedures with Cc/Mcc 746 | – | – | – | | $69,181 | – |
| Vagina, Cervix and Vulva Procedures Without Cc/Mcc 747 | – | – | – | | $47,671 | – |
| Ms-Drg 749 749 | – | – | – | | $122,897 | – |
| Malignancy, Female Reproductive System with Mcc 754 | – | – | – | | $80,322 | – |
| Malignancy, Female Reproductive System with Cc 755 | – | – | – | | $64,320 | $13,528only 2 plans |
| Ms-Drg 756 756 | – | – | – | | $89,993 | Not in dollars (1 plan) |
| Ms-Drg 757 757 | – | – | – | | $28,390 | – |
| Ms-Drg 758 758 | – | – | – | | $33,932 | $9,310only 1 plan |
| Ms-Drg 759 759 | – | – | – | | $25,001 | – |
| Ms-Drg 760 760 | – | – | – | | $28,925 | – |
| Ms-Drg 761 761 | – | – | – | | $24,805 | – |
| Ms-Drg 768 768 | – | – | – | | $30,254 | – |
| Ms-Drg 776 776 | – | – | – | | $12,812 | – |
| Ms-Drg 783 783 | – | – | – | | $42,842 | – |
| C-section, with major complications 786 | – | – | – | | $41,316 | $15,427only 1 plan |
| C-section, with complications 787 | – | – | – | | $34,973 | – |
| C-section 788 | – | – | – | | $33,457 | – |
| Ms-Drg 790 790 | – | – | – | | $253,143 | $89,713only 1 plan |
| Ms-Drg 791 791 | – | – | – | | $97,349 | $63,580only 1 plan |
| Ms-Drg 792 792 | – | – | – | | $12,611 | – |
| Ms-Drg 793 793 | – | – | – | | $12,241 | – |
| Ms-Drg 794 794 | – | – | – | | $7,128 | – |
| Newborn care (healthy baby) 795 | – | – | – | | $6,445 | – |
| Ms-Drg 800 800 | – | – | – | | $83,372 | – |
| Ms-Drg 802 802 | – | – | – | | $192,169 | – |
| Ms-Drg 803 803 | – | – | – | | $59,481 | – |
| Vaginal birth, with major complications 805 | – | – | – | | $30,908 | – |
| Vaginal birth, with complications 806 | – | – | – | | $29,148 | $7,258only 1 plan |
| Vaginal birth 807 | – | – | – | | $28,348 | – |
| Ms-Drg 810 810 | – | – | – | | $25,299 | – |
| Ms-Drg 816 816 | – | – | – | | $28,498 | – |
| Lymphoma and Leukemia with Major O.r. Procedures with Mcc 820 | – | – | – | | $253,948 | $53,879only 1 plan |
| Lymphoma and Leukemia with Major O.r. Procedures Without Cc/Mcc 822 | – | – | – | | $65,430 | – |
| Lymphoma and Non-Acute Leukemia with Other Procedures with Mcc 823 | – | – | – | | $158,909 | – |
| Ms-Drg 825 825 | – | – | – | | $57,589 | – |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 826 | – | – | – | | $246,917 | – |
| Ms-Drg 830 830 | – | – | – | | $66,985 | – |
| Ms-Drg 831 831 | – | – | – | | $27,846 | – |
| Ms-Drg 832 832 | – | – | – | | $18,248 | $6,962only 1 plan |
| Ms-Drg 833 833 | – | – | – | | $14,662 | – |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis Without Cc/Mcc 839 | – | – | – | | $35,618 | – |
| Lymphoma and Non-Acute Leukemia Without Cc/Mcc 842 | – | – | – | | $39,510 | – |
| Ms-Drg 844 844 | – | – | – | | $47,833 | $11,485only 1 plan |
| Ms-Drg 845 845 | – | – | – | | $35,591 | – |
| Ms-Drg 848 848 | – | – | – | | $11,525 | – |
| Radiotherapy 849 | – | – | – | | $79,338 | – |
| Ms-Drg 850 850 | – | – | – | | $201,013 | – |
| Infectious and Parasitic Diseases with O.r. Procedures with Cc 854 | – | – | – | | $78,945 | $18,607only 1 plan |
| Ms-Drg 858 858 | – | – | – | | $51,526 | – |
| Viral Illness Without Mcc 866 | – | – | – | | $37,392 | $8,312only 1 plan |
| Other Infectious and Parasitic Diseases Diagnoses with Mcc 867 | – | – | – | | $142,092 | – |
| Other Infectious and Parasitic Diseases Diagnoses with Cc 868 | – | – | – | | $48,928 | – |
| O.r. Procedures with Principal Diagnosis of Mental Illness 876 | – | – | – | | $117,318 | $47,469only 2 plans |
| Depressive Neuroses 881 | – | – | – | | $28,548 | – |
| Neuroses Except Depressive 882 | – | – | – | | $29,052 | – |
| Disorders of Personality and Impulse Control 883 | – | – | – | | $41,567 | – |
| Ms-Drg 887 887 | – | – | – | | $60,612 | – |
| Alcohol, Drug Abuse or Dependence, Left Ama 894 | – | – | – | | $31,173 | $6,007only 1 plan |
| Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy with Mcc 896 | – | – | – | | $50,123 | – |
| Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy Without Mcc 897 | – | – | – | | $33,241 | $8,433only 1 plan |
| Ms-Drg 901 901 | – | – | – | | $84,303 | – |
| Wound Debridements for Injuries with Cc 902 | – | – | – | | $100,669 | – |
| Ms-Drg 903 903 | – | – | – | | $39,430 | – |
| Skin Grafts for Injuries with Cc/Mcc 904 | – | – | – | | $72,220 | – |
| Ms-Drg 905 905 | – | – | – | | $78,469 | – |
| Ms-Drg 906 906 | – | – | – | | $141,061 | – |
| Other O.r. Procedures for Injuries Without Cc/Mcc 909 | – | – | – | | $46,134 | – |
| Traumatic Injury with Mcc 913 | – | – | – | | $42,352 | $15,291only 1 plan |
| Traumatic Injury Without Mcc 914 | – | – | – | | $36,915 | – |
| Ms-Drg 915 915 | – | – | – | | $31,923 | – |
| Allergic Reactions Without Mcc 916 | – | – | – | | $32,123 | – |
| Poisoning and Toxic Effects of Drugs Without Mcc 918 | – | – | – | | $29,640 | $8,198only 1 plan |
| Complications of Treatment Without Cc/Mcc 921 | – | – | – | | $19,488 | – |
| Other Injury, Poisoning and Toxic Effect Diagnoses with Mcc 922 | – | – | – | | $134,886 | $16,338only 1 plan |
| Other Injury, Poisoning and Toxic Effect Diagnoses Without Mcc 923 | – | – | – | | $25,511 | – |
| Ms-Drg 927 927 | – | – | – | | $442,892 | – |
| Full Thickness Burn with Skin Graft or Inhalation Injury with Cc/Mcc 928 | – | – | – | | $224,675 | $65,810only 1 plan |
| Full Thickness Burn Without Skin Graft or Inhalation Injury 934 | – | – | – | | $25,132 | – |
| Non-Extensive Burns 935 | – | – | – | | $33,983 | $19,171only 1 plan |
| Ms-Drg 939 939 | – | – | – | | $185,643 | – |
| O.r. Procedures with Diagnoses of Other Contact with Health Services with Cc 940 | – | – | – | | $67,401 | – |
| O.r. Procedures with Diagnoses of Other Contact with Health Services Without Cc/Mcc 941 | – | – | – | | $43,749 | – |
| Rehabilitation with Cc/Mcc 945 | – | – | – | | $13,656 | – |
| Aftercare with Cc/Mcc 949 | – | – | – | | $13,334 | – |
| Other Factors Influencing Health Status 951 | – | – | – | | $9,556 | – |
| Ms-Drg 955 955 | – | – | – | | $496,008 | – |
| Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma 956 | – | – | – | | $129,330 | – |
| Other O.r. Procedures for Multiple Significant Trauma with Mcc 957 | – | – | – | | $190,407 | – |
| Other O.r. Procedures for Multiple Significant Trauma with Cc 958 | – | – | – | | $165,880 | – |
| Other Multiple Significant Trauma with Cc 964 | – | – | – | | $42,607 | $14,360only 1 plan |
| Ms-Drg 965 965 | – | – | – | | $21,207 | – |
| Hiv with Major Related Condition with Mcc 974 | – | – | – | | $208,432 | – |
| Hiv with Major Related Condition with Cc 975 | – | – | – | | $37,435 | $12,193only 1 plan |
| Ms-Drg 977 977 | – | – | – | | $48,398 | $12,218only 1 plan |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis Without Cc/Mcc 983 | – | – | – | | $60,680 | – |
| Ms-Drg 989 989 | – | – | – | | $45,088 | – |