| Sepsis, with major complications 871 | 640 | $107,566 | $26,691 |
| $65,231 | $18,392only 1 plan |
| Heart failure, with major complications 291 | 466 | $78,997 | $18,760 |
| $52,466 | $12,391only 1 plan |
| Lung infection, with major complications 177 | 329 | $89,121 | $22,336 |
| $54,277 | $14,932only 1 plan |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 219 | 263 | $337,937 | $95,850 |
| $226,486 | $95,461only 2 plans |
| Heart procedure through a catheter (e.g. ablation, valve clip) 274 | 256 | $98,766 | $36,196 |
| $68,520 | – |
| Heart catheterization, with major complications 286 | 200 | $152,627 | $32,104 |
| $97,572 | $27,128only 2 plans |
| Heart valve replacement through a catheter (TAVR), with major complications 266 | 196 | $245,368 | $74,300 |
| $158,521 | $76,262only 2 plans |
| Craniotomy and Endovascular Intracranial Procedures with Mcc 025 | 192 | $169,716 | $48,963 |
| $119,093 | $56,669only 2 plans |
| Stroke, with major complications 064 | 181 | $108,296 | $28,513 |
| $59,049 | $19,016only 1 plan |
| Heart valve replacement through a catheter (TAVR) 267 | 179 | $169,160 | $54,662 |
| $130,730 | – |
| Other kidney and urinary problems, with major complications 698 | 163 | $101,771 | $24,709 |
| $50,017 | $15,767only 1 plan |
| Pneumonia, with major complications 193 | 149 | $70,792 | $17,882 |
| $40,354 | $12,670only 1 plan |
| Bowel surgery, with complications 330 | 147 | $110,176 | $29,434 |
| $70,952 | $22,535only 1 plan |
| Infection needing surgery, with major complications 853 | 143 | $283,332 | $70,713 |
| $171,081 | $61,523only 2 plans |
| Stomach and digestive disorders 392 | 131 | $52,115 | $11,778 |
| $28,379 | $7,797only 1 plan |
| Hip or thigh bone surgery (not replacement), with complications 481 | 131 | $118,023 | $27,050 |
| $83,776 | $26,293only 2 plans |
| Major Chest Procedures with Cc 164 | 127 | $96,764 | $30,723 |
| $70,847 | – |
| Other kidney and urinary problems, with complications 699 | 126 | $53,545 | $14,181 |
| $31,914 | $9,942only 1 plan |
| Heart catheterization 287 | 119 | $83,545 | $16,405 |
| $55,975 | $10,444only 1 plan |
| Heart stent, with major complications or 4+ stents 321 | 110 | $171,861 | $38,710 |
| $126,208 | $34,051only 2 plans |
| Bowel surgery, with major complications 329 | 108 | $196,810 | $58,827 |
| $114,313 | $57,286only 2 plans |
| Irregular heartbeat, with complications 309 | 107 | $38,144 | $10,249 |
| $26,353 | $7,397only 1 plan |
| Heart stent 322 | 107 | $109,221 | $23,939 |
| $80,803 | $16,757only 1 plan |
| Spinal fusion (lower or mid back) 460 | 106 | $133,105 | $43,655 |
| – | – |
| Kidney failure, with major complications 682 | 106 | $81,669 | $20,159 |
| $46,828 | $14,187only 1 plan |
| Heart attack, with major complications 280 | 102 | $120,476 | $24,695 |
| $70,871 | $20,218only 2 plans |
| Other circulation problems, with major complications 314 | 99 | $103,129 | $28,131 |
| $72,836 | $19,692only 1 plan |
| Degenerative nerve disorders (e.g. Parkinson's, dementia) 057 | 97 | $70,561 | $18,822 |
| $38,178 | $186only 1 plan |
| Hip or knee replacement 470 | 97 | $82,926 | $24,357 |
| $58,443 | $18,268only 1 plan |
| Dehydration and electrolyte problems, with major complications 640 | 95 | $95,743 | $20,170 |
| $51,224 | $12,863only 1 plan |
| Fainting 312 | 93 | $66,947 | $13,590 |
| $33,256 | $8,635only 1 plan |
| Stomach and digestive disorders, with major complications 391 | 92 | $66,559 | $17,038 |
| $48,501 | $12,250only 1 plan |
| Kidney failure, with complications 683 | 92 | $49,977 | $12,861 |
| $34,073 | $8,674only 1 plan |
| Urinary tract infection, with major complications 689 | 92 | $69,204 | $16,215 |
| $39,757 | $11,266only 1 plan |
| Lung infection, with complications 178 | 91 | $61,942 | $14,128 |
| $39,043 | $9,586only 1 plan |
| Pneumonia, with complications 194 | 89 | $43,603 | $12,361 |
| $28,268 | $8,037only 1 plan |
| Coronary Bypass Without Cardiac Catheterization with Mcc 235 | 89 | $265,221 | $71,369 |
| $199,673 | $71,480only 2 plans |
| Stomach or intestinal bleeding, with major complications 377 | 89 | $106,674 | $24,509 |
| $58,620 | – |
| Other digestive problems, with complications 394 | 89 | $56,155 | $13,424 |
| $32,168 | $9,219only 1 plan |
| Coagulation Disorders 813 | 88 | $93,192 | $23,706 |
| $45,768 | $14,591only 1 plan |
| Sepsis 872 | 88 | $58,567 | $14,257 |
| $36,231 | $10,017only 1 plan |
| Other Digestive System Diagnoses with Mcc 393 | 86 | $89,463 | $24,050 |
| $50,748 | $15,265only 1 plan |
| Stomach or intestinal bleeding, with complications 378 | 79 | $48,312 | $13,557 |
| $35,945 | $9,629only 1 plan |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 981 | 79 | $255,017 | $67,027 |
| $141,175 | $58,466only 2 plans |
| Urinary tract infection 690 | 78 | $42,477 | $10,908 |
| $28,013 | $8,070only 1 plan |
| Stroke, with complications or clot-busting drug 065 | 77 | $62,540 | $14,645 |
| $39,484 | $9,899only 1 plan |
| COPD, with major complications 190 | 74 | $62,036 | $15,094 |
| $36,561 | $10,786only 1 plan |
| Dehydration and electrolyte problems 641 | 72 | $53,741 | $12,157 |
| $30,861 | $7,784only 1 plan |
| Kidney Transplant 652 | 71 | $294,194 | $44,154 |
| $220,095 | $60,000$52,470–$80,000 · 3 plans |
| Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Cc 847 | 71 | $54,922 | $16,480 |
| $33,577 | – |
| Complications of Treatment with Mcc 919 | 67 | $91,711 | $25,518 |
| $48,697 | $17,374only 1 plan |
| Malignancy of Hepatobiliary System or Pancreas with Mcc 435 | 65 | $85,378 | $24,805 |
| $54,739 | $17,428only 1 plan |
| Back and Neck Procedures Except Spinal Fusion with Cc 519 | 65 | $94,343 | $24,361 |
| $75,654 | $25,124only 2 plans |
| Degenerative Nervous System Disorders with Mcc 056 | 64 | $128,797 | $34,908 |
| $58,295 | $188only 1 plan |
| Permanent Cardiac Pacemaker Implant with Cc 243 | 64 | $80,438 | $27,507 |
| $53,500 | $20,108only 1 plan |
| Other Vascular Procedures with Mcc 252 | 64 | $209,493 | $48,358 |
| $145,353 | $42,122only 2 plans |
| Ecmo or Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Nec 003 | 63 | $1,201,916 | $288,440 |
| $739,041 | $263,271only 2 plans |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Cc 493 | 63 | $118,743 | $29,081 |
| $94,132 | $30,017only 2 plans |
| Pancreas, Liver and Shunt Procedures with Cc 406 | 62 | $135,211 | $34,288 |
| $96,697 | $42,382only 1 plan |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures with Cc 516 | 62 | $120,991 | $27,380 |
| $76,825 | $30,359only 1 plan |
| Bowel obstruction, with complications 389 | 60 | $46,958 | $12,037 |
| $24,672 | – |
| Skin infection (cellulitis) 603 | 60 | $52,166 | $12,970 |
| $33,157 | $8,629only 1 plan |
| Other Major Cardiovascular Procedures with Mcc 270 | 58 | $364,725 | $77,447 |
| $198,768 | $63,114only 2 plans |
| Delirium and other mental confusion 884 | 58 | $131,370 | $27,321 |
| $42,848 | – |
| Major Joint or Limb Reattachment Procedures of Upper Extremities 483 | 56 | $111,855 | $31,863 |
| $82,993 | $25,948only 1 plan |
| Lymphoma and Non-Acute Leukemia with Mcc 840 | 56 | $211,302 | $46,866 |
| $116,699 | $30,167only 1 plan |
| Craniotomy and Endovascular Intracranial Procedures Without Cc/Mcc 027 | 55 | $108,956 | $27,603 |
| $93,470 | $31,599only 2 plans |
| Coronary Bypass with Cardiac Catheterization or Open Ablation with Mcc 233 | 55 | $336,032 | $92,348 |
| $255,806 | – |
| Peripheral Vascular Disorders with Cc 300 | 55 | $63,716 | $14,398 |
| $40,442 | – |
| Irregular heartbeat, with major complications 308 | 55 | $76,445 | $16,677 |
| $46,988 | $11,664only 1 plan |
| Seizures with Mcc 100 | 54 | $146,431 | $28,871 |
| $60,160 | $18,340only 1 plan |
| Hip or thigh bone surgery (not replacement), with major complications 480 | 54 | $188,923 | $39,848 |
| $120,035 | $35,805only 2 plans |
| Percutaneous and Other Intracardiac Procedures with Mcc 273 | 52 | $195,044 | $52,230 |
| $134,725 | – |
| Craniotomy and Endovascular Intracranial Procedures with Cc 026 | 51 | $116,948 | $36,168 |
| $102,421 | $37,589only 2 plans |
| Other Vascular Procedures with Cc 253 | 51 | $150,221 | $30,923 |
| $107,537 | $31,435only 2 plans |
| Peripheral Vascular Disorders with Mcc 299 | 50 | $106,326 | $23,061 |
| $55,566 | – |
| Anemia and blood disorders, with major complications 811 | 50 | $97,974 | $20,721 |
| $51,265 | $13,489only 1 plan |
| Anemia and blood disorders 812 | 50 | $54,692 | $12,615 |
| $33,638 | $9,060only 1 plan |
| Other Disorders of Nervous System with Mcc 091 | 49 | $114,291 | $27,602 |
| $52,947 | $16,695only 1 plan |
| Respiratory failure 189 | 49 | $69,445 | $17,800 |
| $44,661 | $11,950only 1 plan |
| Other Circulatory System Diagnoses with Cc 315 | 49 | $57,747 | $14,246 |
| $40,900 | $9,471only 1 plan |
| Disorders of the Biliary Tract with Mcc 444 | 49 | $82,356 | $21,389 |
| $57,558 | $15,918only 1 plan |
| Signs and Symptoms Without Mcc 948 | 49 | $54,067 | $11,793 |
| $33,203 | $183only 1 plan |
| Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis with Mcc O 023 | 48 | $220,856 | $69,565 |
| $154,420 | $52,901only 1 plan |
| Chimeric Antigen Receptor (car) T-Cell and Other Immunotherapies 018 | 47 | $1,653,572 | $432,573 |
| $1,764,517 | $394,120only 1 plan |
| Major Chest Procedures with Mcc 163 | 47 | $180,896 | $56,164 |
| $112,296 | $55,865only 2 plans |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 220 | 47 | $242,992 | $66,724 |
| $180,569 | $49,280only 1 plan |
| Other Circulatory System O.r. Procedures 264 | 47 | $228,730 | $62,705 |
| $117,203 | $41,728only 2 plans |
| Cirrhosis and Alcoholic Hepatitis with Mcc 432 | 47 | $139,688 | $30,352 |
| $72,918 | $18,626only 1 plan |
| Cervical Spinal Fusion with Cc 472 | 47 | $135,560 | $37,461 |
| $100,336 | $43,722only 1 plan |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Cc 543 | 47 | $60,877 | $14,123 |
| $44,519 | – |
| Allogeneic Bone Marrow Transplant 014 | 46 | $292,942 | $145,239 |
| $358,287 | $149,217only 2 plans |
| Stomach, Esophageal and Duodenal Procedures with Cc 327 | 46 | $123,652 | $29,917 |
| $90,209 | $38,286only 1 plan |
| Major Small and Large Bowel Procedures Without Cc/Mcc 331 | 46 | $70,375 | $20,403 |
| $55,315 | – |
| Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Mcc 441 | 46 | $104,994 | $26,501 |
| $58,073 | $17,045only 1 plan |
| Hip replacement after a hip fracture 522 | 46 | $111,978 | $25,375 |
| $90,630 | – |
| Septicemia or Severe Sepsis with Mv >96 Hours 870 | 46 | $300,925 | $78,681 |
| $210,272 | $63,666only 1 plan |
| Back problems (no surgery) 552 | 45 | $51,627 | $12,510 |
| $38,625 | $9,453only 1 plan |
| Ventricular Shunt Procedures with Cc 032 | 44 | $80,392 | $25,347 |
| $64,581 | – |
| Major Chest Procedures Without Cc/Mcc 165 | 44 | $73,733 | $23,341 |
| $57,489 | – |
| Heart attack, with complications 281 | 44 | $69,253 | $12,363 |
| $46,316 | $9,068only 1 plan |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Mcc 542 | 44 | $92,568 | $23,199 |
| $57,396 | $16,788only 1 plan |
| Endocrine Disorders with Mcc 643 | 44 | $79,924 | $21,205 |
| $58,666 | – |
| Nervous System Neoplasms with Mcc 054 | 43 | $68,890 | $20,258 |
| $46,883 | $14,606only 1 plan |
| Other Disorders of Nervous System with Cc 092 | 43 | $60,150 | $14,603 |
| $36,274 | $10,015only 1 plan |
| Combined Anterior and Posterior Spinal Fusion with Cc 454 | 43 | $196,408 | $71,424 |
| – | – |
| Postoperative and Post-Traumatic Infections with Mcc 862 | 43 | $81,888 | $24,666 |
| $40,730 | – |
| Pulmonary Embolism with Mcc or Acute Cor Pulmonale 175 | 42 | $101,101 | $20,451 |
| $55,947 | $13,209only 1 plan |
| Other Respiratory System Diagnoses with Mcc 205 | 42 | $104,631 | $23,876 |
| $55,495 | $17,376only 1 plan |
| Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Mcc 846 | 42 | $87,940 | $35,752 |
| $57,854 | $24,314only 1 plan |
| Other Major Cardiovascular Procedures with Cc 271 | 41 | $168,170 | $42,638 |
| $121,074 | $44,400only 2 plans |
| Stomach, Esophageal and Duodenal Procedures with Mcc 326 | 41 | $239,552 | $67,687 |
| $170,777 | $46,133only 1 plan |
| Diabetes, with complications 638 | 41 | $71,439 | $14,732 |
| $35,949 | $8,859only 1 plan |
| Seizures 101 | 40 | $80,829 | $13,595 |
| $37,031 | $8,918only 1 plan |
| Respiratory Neoplasms with Mcc 180 | 40 | $118,077 | $23,247 |
| $59,594 | $16,784only 1 plan |
| Digestive Malignancy with Mcc 374 | 40 | $114,668 | $29,187 |
| $75,503 | – |
| Diabetes, with major complications 637 | 40 | $109,430 | $22,640 |
| $58,123 | $13,784only 1 plan |
| Pancreas, Liver and Shunt Procedures with Mcc 405 | 39 | $300,625 | $74,102 |
| $167,926 | $66,230only 2 plans |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 457 | 39 | $226,211 | $68,950 |
| $204,099 | $70,818only 2 plans |
| Kidney and Ureter Procedures for Neoplasm with Cc 657 | 39 | $99,049 | $22,434 |
| $72,549 | – |
| Postoperative or Post-Traumatic Infections with O.r. Procedures with Cc 857 | 39 | $121,578 | $29,583 |
| $68,902 | $20,205only 1 plan |
| Complications of Treatment with Cc 920 | 39 | $67,949 | $15,464 |
| $30,090 | $9,826only 1 plan |
| Extracranial Procedures with Cc 038 | 38 | $122,094 | $19,771 |
| $80,564 | $24,316only 1 plan |
| Breathing problem needing a ventilator (up to 4 days) 208 | 38 | $159,806 | $39,771 |
| $74,905 | $25,737only 1 plan |
| Acute Leukemia with Mcc 834 | 38 | $409,570 | $92,685 |
| $252,754 | – |
| Aortic and Heart Assist Procedures Except Pulsation Balloon Without Mcc 269 | 37 | $176,526 | $47,311 |
| $146,576 | – |
| Gastrointestinal Obstruction with Mcc 388 | 37 | $91,330 | $20,432 |
| $45,957 | – |
| Digestive Malignancy with Cc 375 | 36 | $60,773 | $17,019 |
| $43,852 | $11,715only 1 plan |
| Postoperative or Post-Traumatic Infections with O.r. Procedures with Mcc 856 | 36 | $261,496 | $62,836 |
| $127,905 | – |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures Without Cc/Mcc 517 | 35 | $87,676 | $18,398 |
| $65,308 | $14,695only 1 plan |
| Revision of Hip or Knee Replacement with Cc 467 | 34 | $173,629 | $44,068 |
| $118,676 | $32,824only 1 plan |
| Lymphoma and Non-Acute Leukemia with Cc 841 | 34 | $94,109 | $21,051 |
| $80,399 | – |
| Traumatic Stupor and Coma >1 Hour with Mcc 082 | 33 | $100,224 | $29,007 |
| $65,645 | – |
| Interstitial Lung Disease with Mcc 196 | 33 | $142,131 | $28,077 |
| $58,084 | $17,888only 1 plan |
| Traumatic Stupor and Coma <1 Hour with Mcc 085 | 32 | $109,287 | $29,136 |
| $67,793 | – |
| Coronary Intravascular Lithotripsy with Intraluminal Device Without Mcc 324 | 31 | $153,131 | $36,489 |
| $121,101 | $48,217only 1 plan |
| Medical Back Problems with Mcc 551 | 31 | $91,427 | $21,881 |
| $61,017 | – |
| Cellulitis with Mcc 602 | 31 | $114,158 | $28,186 |
| $50,871 | $13,643only 1 plan |
| Uterine and Adnexa Procedures for Ovarian or Adnexal Malignancy with Cc 737 | 31 | $119,193 | $28,328 |
| $88,289 | $32,277only 1 plan |
| Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 809 | 31 | $109,313 | $22,640 |
| $42,124 | $12,228only 1 plan |
| Heart Transplant or Implant of Heart Assist System with Mcc 001 | 30 | $1,365,024 | $343,244 |
| $1,093,569 | Not in dollars (1 plan) |
| Pulmonary Embolism Without Mcc 176 | 30 | $50,209 | $11,901 |
| $35,401 | $8,029only 1 plan |
| Coronary Intravascular Lithotripsy with Intraluminal Device with Mcc 323 | 30 | $245,273 | $58,216 |
| $187,022 | $40,120only 1 plan |
| Other Digestive System O.r. Procedures with Mcc 356 | 30 | $225,767 | $60,128 |
| $166,876 | – |
| Adrenal and Pituitary Procedures with Cc/Mcc 614 | 30 | $82,825 | $26,881 |
| $60,486 | – |
| Other Kidney and Urinary Tract Procedures with Mcc 673 | 30 | $132,509 | $47,196 |
| $126,701 | $38,974only 1 plan |
| Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy Without Mcc 897 | 30 | $79,526 | $15,272 |
| $33,804 | $159only 1 plan |
| Cranial and Peripheral Nerve Disorders Without Mcc 074 | 29 | $69,244 | $14,797 |
| $46,214 | $10,086only 1 plan |
| Permanent Cardiac Pacemaker Implant with Mcc 242 | 29 | $150,255 | $42,484 |
| $105,642 | – |
| Disorders of the Biliary Tract with Cc 445 | 29 | $68,745 | $15,115 |
| $39,229 | – |
| Kidney and Ureter Procedures for Non-Neoplasm with Mcc 659 | 29 | $148,852 | $32,639 |
| $101,578 | $23,844only 1 plan |
| Ventricular Shunt Procedures Without Cc/Mcc 033 | 28 | $74,679 | $20,718 |
| $54,764 | – |
| Major Gastrointestinal Disorders and Peritoneal Infections with Cc 372 | 28 | $56,118 | $14,233 |
| $36,011 | $9,996only 1 plan |
| Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 808 | 28 | $95,696 | $32,247 |
| $62,626 | – |
| Psychoses 885 | 28 | $117,766 | $25,028 |
| $67,266 | $168only 1 plan |
| Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy with Mcc 896 | 28 | $106,897 | $24,660 |
| $50,034 | $168only 1 plan |
| Extracranial Procedures Without Cc/Mcc 039 | 27 | $86,732 | $14,149 |
| $68,898 | – |
| Chronic Obstructive Pulmonary Disease with Cc 191 | 27 | $45,157 | $11,251 |
| $30,193 | $8,375only 1 plan |
| Other Cardiothoracic Procedures with Mcc 228 | 27 | $233,453 | $67,371 |
| $160,466 | $45,769only 1 plan |
| Kidney and Ureter Procedures for Non-Neoplasm with Cc 660 | 27 | $71,927 | $16,360 |
| $56,887 | – |
| Poisoning and Toxic Effects of Drugs with Mcc 917 | 27 | $118,689 | $25,001 |
| $50,869 | $200only 1 plan |
| Major Chest Trauma with Cc 184 | 26 | $53,538 | $14,018 |
| $41,071 | $10,389only 1 plan |
| Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 216 | 26 | $525,945 | $131,681 |
| $311,494 | – |
| Major Gastrointestinal Disorders and Peritoneal Infections with Mcc 371 | 26 | $76,140 | $22,303 |
| $52,610 | $16,849only 1 plan |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 464 | 26 | $154,852 | $36,412 |
| $99,181 | $29,072only 1 plan |
| Endocrine Disorders with Cc 644 | 26 | $53,198 | $13,912 |
| $32,155 | – |
| Bronchitis and Asthma with Cc/Mcc 202 | 25 | $48,792 | $12,474 |
| $27,314 | $9,543only 1 plan |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 456 | 25 | $319,209 | $106,364 |
| $247,429 | – |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures with Mcc 515 | 25 | $133,314 | $38,319 |
| $109,165 | $29,729only 1 plan |
| Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Neck Withou 004 | 24 | $680,249 | $182,103 |
| $430,932 | $216,968only 1 plan |
| Respiratory System Diagnosis with Ventilator Support >96 Hours 207 | 24 | $323,213 | $92,421 |
| $195,264 | $59,319only 1 plan |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur Without Cc/Mcc 494 | 24 | $97,632 | $22,116 |
| $74,327 | $18,975only 1 plan |
| Kidney Transplant with Hemodialysis with Mcc 650 | 24 | $393,407 | $64,535 |
| $232,000 | $43,527only 1 plan |
| High blood pressure 305 | 23 | $35,537 | $9,972 |
| $27,627 | $7,574only 1 plan |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 463 | 23 | $334,279 | $85,205 |
| $204,723 | $52,621only 1 plan |
| Hip Replacement with Principal Diagnosis of Hip Fracture with Mcc 521 | 23 | $183,316 | $38,566 |
| $121,569 | $35,415only 2 plans |
| Bone Diseases and Arthropathies Without Mcc 554 | 23 | $44,940 | $12,550 |
| $31,656 | $8,257only 1 plan |
| Infectious and Parasitic Diseases with O.r. Procedures with Cc 854 | 23 | $109,893 | $30,966 |
| $82,365 | $18,899only 1 plan |
| Traumatic Stupor and Coma >1 Hour with Cc 083 | 22 | $61,263 | $17,911 |
| $37,253 | – |
| Atherosclerosis Without Mcc 303 | 22 | $55,210 | $9,343 |
| $31,476 | $6,828only 1 plan |
| Disorders of Pancreas Except Malignancy with Mcc 438 | 22 | $130,079 | $23,659 |
| $55,724 | $15,547only 1 plan |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 827 | 22 | $129,447 | $29,273 |
| $87,776 | $35,613only 1 plan |
| Acute Adjustment Reaction and Psychosocial Dysfunction 880 | 22 | $85,030 | $19,159 |
| $37,925 | $181only 1 plan |
| Other O.r. Procedures for Injuries with Mcc 907 | 22 | $212,905 | $51,472 |
| $173,962 | $47,906only 2 plans |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 982 | 22 | $148,429 | $36,680 |
| $87,198 | $23,093only 1 plan |
| Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 987 | 22 | $256,103 | $60,490 |
| $143,972 | $31,930only 1 plan |
| Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Mcc 020 | 21 | $143,467 | $96,855 |
| $163,163 | – |
| Major Chest Trauma with Mcc 183 | 21 | $99,999 | $20,596 |
| $68,144 | – |
| Gastrointestinal Obstruction Without Cc/Mcc 390 | 21 | $26,914 | $8,712 |
| $16,982 | – |
| Disorders of Pancreas Except Malignancy with Cc 439 | 21 | $61,025 | $13,074 |
| $37,707 | $8,358only 1 plan |
| Soft Tissue Procedures with Cc 501 | 21 | $82,580 | $21,195 |
| $83,288 | $21,777only 2 plans |
| Postoperative and Post-Traumatic Infections Without Mcc 863 | 21 | $39,546 | $14,113 |
| $29,741 | $9,786only 1 plan |
| Viral Illness with Mcc 865 | 21 | $99,634 | $26,765 |
| $44,279 | $14,345only 1 plan |
| Viral Illness Without Mcc 866 | 21 | $54,732 | $12,567 |
| $26,904 | $8,617only 1 plan |
| Signs and Symptoms with Mcc 947 | 21 | $73,145 | $17,528 |
| $40,340 | $188only 1 plan |
| Respiratory Neoplasms with Cc 181 | 20 | $72,773 | $16,909 |
| $50,664 | $10,452only 1 plan |
| Hernia Procedures Except Inguinal and Femoral with Cc 354 | 20 | $92,806 | $21,798 |
| $63,109 | $16,022only 1 plan |
| Laparoscopic Cholecystectomy Without C.d.e. with Cc 418 | 20 | $94,876 | $20,417 |
| $61,220 | – |
| Major Bladder Procedures with Cc 654 | 20 | $188,284 | $35,788 |
| $141,095 | – |
| Other O.r. Procedures for Injuries with Cc 908 | 20 | $119,474 | $24,977 |
| $64,887 | $18,872only 1 plan |
| Pneumothorax with Mcc 199 | 19 | $96,004 | $24,848 |
| $66,219 | $16,767only 1 plan |
| Pneumothorax with Cc 200 | 19 | $45,428 | $14,243 |
| $26,164 | – |
| Acute Myocardial Infarction, Expired with Mcc 283 | 19 | $166,303 | $28,581 |
| $51,745 | – |
| Pancreas, Liver and Shunt Procedures Without Cc/Mcc 407 | 19 | $111,058 | $30,202 |
| $88,062 | – |
| Combined Anterior and Posterior Spinal Fusion Without Cc/Mcc 455 | 19 | $124,514 | $51,409 |
| – | – |
| Back and Neck Procedures Except Spinal Fusion Without Cc/Mcc 520 | 19 | $88,052 | $22,311 |
| $64,941 | – |
| Connective Tissue Disorders with Mcc 545 | 19 | $140,221 | $32,981 |
| $106,355 | – |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures Wi 829 | 19 | $308,481 | $69,682 |
| $76,984 | – |
| Full Thickness Burn with Skin Graft or Inhalation Injury with Cc/Mcc 928 | 19 | $224,834 | $87,782 |
| $137,799 | $85,234only 2 plans |
| Other Respiratory System O.r. Procedures with Mcc 166 | 18 | $180,358 | $44,017 |
| $129,021 | $34,747only 1 plan |
| Amputation for Circulatory System Disorders Except Upper Limb and Toe with Mcc 239 | 18 | $362,893 | $82,868 |
| $168,724 | $77,094only 1 plan |
| Malignancy of Hepatobiliary System or Pancreas with Cc 436 | 18 | $49,529 | $14,484 |
| $44,910 | $11,000only 1 plan |
| Revision of Hip or Knee Replacement Without Cc/Mcc 468 | 18 | $80,173 | $30,161 |
| $66,935 | $25,731only 1 plan |
| Irregular heartbeat 310 | 17 | $25,381 | $9,169 |
| $16,479 | – |
| Other Digestive System Diagnoses Without Cc/Mcc 395 | 17 | $30,019 | $9,130 |
| $19,221 | – |
| Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Cc 442 | 17 | $58,475 | $14,085 |
| $41,424 | – |
| Lung Transplant 007 | 16 | $962,281 | $187,530 |
| $811,050 | $170,000only 1 plan |
| Peripheral, Cranial Nerve and Other Nervous System Procedures with Cc or Peripheral Neur 041 | 16 | $91,802 | $26,956 |
| $65,249 | – |
| Other Respiratory System O.r. Procedures with Cc 167 | 16 | $79,967 | $21,030 |
| $55,346 | – |
| Other Respiratory System Diagnoses Without Mcc 206 | 16 | $57,029 | $11,929 |
| $32,989 | $9,269only 1 plan |
| Other Cardiothoracic Procedures Without Mcc 229 | 16 | $134,221 | $42,190 |
| $120,255 | – |
| Percutaneous Cardiovascular Procedures Without Intraluminal Device with Mcc 250 | 16 | $188,179 | $31,273 |
| $121,548 | $20,579only 1 plan |
| Cardiac Defibrillator Implant with Cardiac Catheterization and Mcc 275 | 16 | $305,475 | $84,972 |
| $253,303 | – |
| Cardiac Congenital and Valvular Disorders with Mcc 306 | 16 | $85,660 | $21,758 |
| $59,123 | – |
| Peritoneal Adhesiolysis with Cc 336 | 16 | $108,815 | $26,062 |
| $88,611 | – |
| Connective Tissue Disorders with Cc 546 | 16 | $72,809 | $16,076 |
| $52,454 | – |
| Trauma to the Skin, Subcutaneous Tissue and Breast Without Mcc 605 | 16 | $37,194 | $11,550 |
| $26,125 | $9,040only 1 plan |
| Lymphoma and Non-Acute Leukemia with Other Procedures with Mcc 823 | 16 | $330,246 | $84,669 |
| $178,043 | $71,816only 1 plan |
| Other Multiple Significant Trauma with Mcc 963 | 16 | $125,106 | $33,774 |
| $88,969 | – |
| Peripheral, Cranial Nerve and Other Nervous System Procedures with Mcc 040 | 15 | $294,596 | $72,663 |
| $138,176 | $60,482only 1 plan |
| Traumatic Stupor and Coma <1 Hour with Cc 086 | 15 | $33,268 | $15,416 |
| $39,487 | $12,563only 1 plan |
| Heart Failure and Shock with Cc 292 | 15 | $41,425 | $12,523 |
| $37,848 | $8,429only 1 plan |
| Hernia Procedures Except Inguinal and Femoral Without Cc/Mcc 355 | 15 | $75,163 | $16,088 |
| $60,333 | – |
| Cholecystectomy Except by Laparoscope Without C.d.e. with Cc 415 | 15 | $101,777 | $24,975 |
| $72,569 | $19,524only 1 plan |
| Laparoscopic Cholecystectomy Without C.d.e. with Mcc 417 | 15 | $101,571 | $28,135 |
| $85,487 | $29,150only 2 plans |
| Revision of Hip or Knee Replacement with Mcc 466 | 15 | $262,085 | $73,939 |
| $172,058 | $76,883only 1 plan |
| Biopsies of Musculoskeletal System and Connective Tissue with Mcc 477 | 15 | $213,289 | $43,400 |
| $145,475 | $32,168only 1 plan |
| Biopsies of Musculoskeletal System and Connective Tissue with Cc 478 | 15 | $120,396 | $32,162 |
| $95,999 | – |
| Aftercare, Musculoskeletal System and Connective Tissue with Cc 560 | 15 | $49,048 | $14,043 |
| $29,650 | $10,954only 1 plan |
| Other Skin, Subcutaneous Tissue and Breast Procedures with Cc 580 | 15 | $96,020 | $22,004 |
| $61,686 | – |
| Adrenal and Pituitary Procedures Without Cc/Mcc 615 | 15 | $69,691 | $16,835 |
| $52,469 | – |
| Coronary Bypass Without Cardiac Catheterization Without Mcc 236 | 14 | $200,944 | $50,468 |
| $163,911 | – |
| Cirrhosis and Alcoholic Hepatitis with Cc 433 | 14 | $77,252 | $14,252 |
| $43,028 | Not in dollars (1 plan) |
| Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with Mcc or Tota 469 | 14 | $168,386 | $39,529 |
| $131,548 | – |
| Amputation for Musculoskeletal System and Connective Tissue Disorders with Cc 475 | 14 | $143,667 | $26,731 |
| $111,697 | – |
| Fracture or sprain (not hip or thigh) 563 | 14 | $53,298 | $11,485 |
| $32,619 | – |
| Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 623 | 14 | $105,351 | $24,390 |
| $66,271 | $17,038only 1 plan |
| Reticuloendothelial and Immunity Disorders with Mcc 814 | 14 | $201,859 | $49,108 |
| $68,804 | $20,070only 1 plan |
| Lymphoma and Non-Acute Leukemia with Other Procedures with Cc 824 | 14 | $130,567 | $28,286 |
| $107,545 | $21,336only 1 plan |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis with Cc or High Dose Chemotherap 838 | 14 | $83,727 | $24,424 |
| $63,990 | – |
| Liver Transplant with Mcc or Intestinal Transplant 005 | 13 | $808,624 | $151,329 |
| $591,394 | Not in dollars (1 plan) |
| Ventricular Shunt Procedures with Mcc 031 | 13 | $161,482 | $47,598 |
| $87,151 | – |
| Aortic and Heart Assist Procedures Except Pulsation Balloon with Mcc 268 | 13 | $499,103 | $92,630 |
| $241,777 | – |
| Atherosclerosis with Mcc 302 | 13 | $55,485 | $14,655 |
| $43,728 | – |
| Other Digestive System O.r. Procedures with Cc 357 | 13 | $92,928 | $25,459 |
| $78,627 | $21,881only 1 plan |
| Inflammatory Bowel Disease with Cc 386 | 13 | $48,440 | $12,701 |
| $44,483 | $9,589only 1 plan |
| Other Musculoskeletal System and Connective Tissue Diagnoses with Mcc 564 | 13 | $167,000 | $36,808 |
| $97,477 | $14,758only 1 plan |
| Skin Graft for Skin Ulcer or Cellulitis with Cc 574 | 13 | $140,550 | $39,919 |
| $88,508 | $32,321only 1 plan |
| Skin Graft Except for Skin Ulcer or Cellulitis with Cc 577 | 13 | $142,747 | $37,186 |
| $102,752 | – |
| Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Cc 617 | 13 | $111,475 | $26,535 |
| $80,792 | $17,734only 1 plan |
| Other Kidney and Urinary Tract Procedures with Cc 674 | 13 | $73,023 | $26,807 |
| $68,352 | – |
| Other Factors Influencing Health Status 951 | 13 | $42,904 | $8,693 |
| $8,765 | – |
| Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 988 | 13 | $103,190 | $21,975 |
| $77,815 | $20,707only 2 plans |
| Spinal Procedures with Cc or Spinal Neurostimulators 029 | 12 | $115,477 | $37,820 |
| $97,228 | $31,776only 1 plan |
| Non-Bacterial Infection of Nervous System Except Viral Meningitis with Mcc 097 | 12 | $168,707 | $51,035 |
| $181,076 | – |
| Cardiac Defibrillator Implant Without Mcc 277 | 12 | $155,915 | $54,512 |
| $127,112 | $42,772only 1 plan |
| Chest pain 313 | 12 | $80,541 | $8,638 |
| $31,404 | – |
| Disorders of the Biliary Tract Without Cc/Mcc 446 | 12 | $47,246 | $11,091 |
| $36,577 | – |
| Cervical Spinal Fusion with Mcc 471 | 12 | $188,028 | $58,246 |
| $143,646 | – |
| Other Skin, Subcutaneous Tissue and Breast Procedures with Mcc 579 | 12 | $120,226 | $35,557 |
| $103,475 | – |
| Minor Skin Disorders Without Mcc 607 | 12 | $54,808 | $13,467 |
| $36,755 | $8,952only 1 plan |
| Kidney and Ureter Procedures for Non-Neoplasm Without Cc/Mcc 661 | 12 | $50,651 | $12,860 |
| $41,116 | – |
| Transurethral Procedures with Cc 669 | 12 | $64,546 | $18,967 |
| $50,905 | – |
| Uterine and Adnexa Procedures for Non-Malignancy with Cc/Mcc 742 | 12 | $136,308 | $30,778 |
| $69,470 | – |
| Reticuloendothelial and Immunity Disorders with Cc 815 | 12 | $68,339 | $14,526 |
| $44,360 | – |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 828 | 12 | $77,718 | $22,772 |
| $50,623 | – |
| Intracranial Hemorrhage or Cerebral Infarction Without Cc/Mcc 066 | 11 | $50,834 | $10,947 |
| $30,607 | – |
| Other Cerebrovascular Disorders with Mcc 070 | 11 | $109,510 | $28,463 |
| $77,890 | $15,862only 1 plan |
| Other Disorders of the Eye Without Mcc 125 | 11 | $53,337 | $11,660 |
| $30,596 | $7,690only 1 plan |
| Otitis Media and Uri Without Mcc 153 | 11 | $32,081 | $10,120 |
| $18,729 | $7,420only 1 plan |
| Pleural Effusion with Cc 187 | 11 | $53,265 | $13,480 |
| $35,611 | – |
| Other Heart Assist System Implant 215 | 11 | $509,050 | $131,412 |
| $387,355 | – |
| Amputation for Circulatory System Disorders Except Upper Limb and Toe with Cc 240 | 11 | $148,735 | $35,797 |
| $113,318 | – |
| Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 282 | 11 | $53,025 | $11,520 |
| $37,813 | – |
| Hypertension with Mcc 304 | 11 | $117,271 | $17,261 |
| $54,952 | $11,536only 1 plan |
| Peritoneal Adhesiolysis Without Cc/Mcc 337 | 11 | $93,697 | $18,497 |
| $55,957 | – |
| Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical 402 | 11 | $143,527 | $46,615 |
| $105,761 | $50,151only 2 plans |
| Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 419 | 11 | $71,660 | $15,792 |
| $57,008 | – |
| Multiple Level Spinal Fusion Except Cervical Without Mcc 448 | 11 | $147,291 | $48,954 |
| $116,885 | $61,624only 1 plan |
| Single Level Spinal Fusion Except Cervical Without Mcc 451 | 11 | $115,701 | $39,616 |
| $83,714 | $30,126only 1 plan |
| Soft Tissue Procedures Without Cc/Mcc 502 | 11 | $109,132 | $18,600 |
| $58,151 | – |
| Skin Debridement with Cc 571 | 11 | $94,207 | $19,912 |
| $61,454 | $16,087only 1 plan |
| Inborn and Other Disorders of Metabolism 642 | 11 | $156,311 | $24,005 |
| $38,557 | – |
| Kidney and Ureter Procedures for Neoplasm with Mcc 656 | 11 | $276,076 | $56,370 |
| $101,972 | – |
| Major Male Pelvic Procedures with Cc/Mcc 707 | 11 | $99,190 | $23,538 |
| $66,629 | $18,919only 1 plan |
| Major Male Pelvic Procedures Without Cc/Mcc 708 | 11 | $77,611 | $19,230 |
| $62,022 | – |
| Fever and Inflammatory Conditions 864 | 11 | $34,703 | $10,911 |
| $26,004 | – |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis Without Cc/Mcc 983 | 11 | $83,557 | $19,324 |
| $61,235 | – |
| Liver Transplant Without Mcc 006 | – | – | – | | $436,867 | – |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Mcc 011 | – | – | – | | $166,789 | – |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Cc 012 | – | – | – | | $155,175 | – |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy Without Cc/Mcc 013 | – | – | – | | $97,637 | – |
| Autologous Bone Marrow Transplant with Cc/Mcc 016 | – | – | – | | $135,460 | $92,883only 1 plan |
| Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Cc 021 | – | – | – | | $206,825 | $48,925only 1 plan |
| Ms-Drg 022 022 | – | – | – | | $60,417 | – |
| Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis Without Mc 024 | – | – | – | | $174,545 | – |
| Spinal Procedures with Mcc 028 | – | – | – | | $168,033 | – |
| Spinal Procedures Without Cc/Mcc 030 | – | – | – | | $87,433 | $33,584only 1 plan |
| Carotid Artery Stent Procedures with Mcc 034 | – | – | – | | $124,700 | – |
| Carotid Artery Stent Procedures with Cc 035 | – | – | – | | $60,655 | – |
| Carotid Artery Stent Procedures Without Cc/Mcc 036 | – | – | – | | $45,863 | – |
| Extracranial Procedures with Mcc 037 | – | – | – | | $127,275 | $30,688only 1 plan |
| Peripheral, Cranial Nerve and Other Nervous System Procedures Without Cc/Mcc 042 | – | – | – | | $64,912 | – |
| Ms-Drg 052 052 | – | – | – | | $32,150 | – |
| Nervous System Neoplasms Without Mcc 055 | – | – | – | | $36,375 | – |
| Ms-Drg 058 058 | – | – | – | | $33,840 | – |
| Ms-Drg 059 059 | – | – | – | | $34,287 | – |
| Ms-Drg 060 060 | – | – | – | | $35,974 | – |
| Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 061 | – | – | – | | $123,537 | – |
| Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 062 | – | – | – | | $77,214 | $16,704only 1 plan |
| Ms-Drg 063 063 | – | – | – | | $63,730 | – |
| Ms-Drg 067 067 | – | – | – | | $26,775 | – |
| Precerebral Occlusion Without Infarction Without Mcc 068 | – | – | – | | $30,310 | $8,570only 1 plan |
| Mini-stroke (TIA) 069 | – | – | – | | $29,191 | $7,972only 1 plan |
| Other Cerebrovascular Disorders with Cc 071 | – | – | – | | $45,849 | – |
| Other Cerebrovascular Disorders Without Cc/Mcc 072 | – | – | – | | $25,694 | – |
| Cranial and Peripheral Nerve Disorders with Mcc 073 | – | – | – | | $77,802 | $15,311only 1 plan |
| Nontraumatic Stupor and Coma with Mcc 080 | – | – | – | | $35,726 | – |
| Ms-Drg 081 081 | – | – | – | | $25,601 | – |
| Traumatic Stupor and Coma >1 Hour Without Cc/Mcc 084 | – | – | – | | $19,199 | – |
| Traumatic Stupor and Coma <1 Hour Without Cc/Mcc 087 | – | – | – | | $15,771 | – |
| Concussion with Cc 089 | – | – | – | | $34,204 | – |
| Other Disorders of Nervous System Without Cc/Mcc 093 | – | – | – | | $21,470 | – |
| Bacterial and Tuberculous Infections of Nervous System with Mcc 094 | – | – | – | | $107,164 | $32,759only 1 plan |
| Ms-Drg 095 095 | – | – | – | | $74,910 | – |
| Ms-Drg 096 096 | – | – | – | | $38,469 | – |
| Ms-Drg 098 098 | – | – | – | | $60,660 | – |
| Ms-Drg 099 099 | – | – | – | | $33,250 | – |
| Headaches with Mcc 102 | – | – | – | | $37,804 | $10,907only 1 plan |
| Headaches Without Mcc 103 | – | – | – | | $25,455 | $8,314only 1 plan |
| Orbital Procedures with Cc/Mcc 113 | – | – | – | | $83,457 | $22,115only 1 plan |
| Ms-Drg 114 114 | – | – | – | | $64,442 | – |
| Extraocular Procedures Except Orbit 115 | – | – | – | | $71,010 | – |
| Intraocular Procedures with Cc/Mcc 116 | – | – | – | | $64,756 | – |
| Acute Major Eye Infections with Cc/Mcc 121 | – | – | – | | $57,477 | – |
| Neurological Eye Disorders 123 | – | – | – | | $32,917 | – |
| Other Disorders of the Eye with Mcc or Thrombolytic Agent 124 | – | – | – | | $50,800 | – |
| Ms-Drg 135 135 | – | – | – | | $56,383 | – |
| Ms-Drg 137 137 | – | – | – | | $37,804 | – |
| Ms-Drg 140 140 | – | – | – | | $166,828 | – |
| Major Head and Neck Procedures with Cc 141 | – | – | – | | $125,856 | $20,566only 1 plan |
| Major Head and Neck Procedures Without Cc/Mcc 142 | – | – | – | | $99,332 | $23,729only 1 plan |
| Ms-Drg 143 143 | – | – | – | | $119,440 | $34,829only 1 plan |
| Other Ear, Nose, Mouth and Throat O.r. Procedures with Cc 144 | – | – | – | | $59,900 | – |
| Ear, Nose, Mouth and Throat Malignancy with Mcc 146 | – | – | – | | $85,607 | – |
| Ear, Nose, Mouth and Throat Malignancy with Cc 147 | – | – | – | | $22,230 | – |
| Ms-Drg 148 148 | – | – | – | | $14,420 | – |
| Dysequilibrium 149 | – | – | – | | $36,769 | $7,542only 1 plan |
| Ms-Drg 150 150 | – | – | – | | $24,703 | – |
| Otitis Media and Uri with Mcc 152 | – | – | – | | $38,551 | – |
| Other Ear, Nose, Mouth and Throat Diagnoses with Mcc 154 | – | – | – | | $50,144 | – |
| Other Ear, Nose, Mouth and Throat Diagnoses with Cc 155 | – | – | – | | $30,239 | $9,044only 1 plan |
| Ms-Drg 156 156 | – | – | – | | $21,087 | – |
| Dental and Oral Diseases with Mcc 157 | – | – | – | | $64,774 | $16,336only 1 plan |
| Dental and Oral Diseases with Cc 158 | – | – | – | | $37,478 | – |
| Ms-Drg 159 159 | – | – | – | | $29,650 | – |
| Other Respiratory System O.r. Procedures Without Cc/Mcc 168 | – | – | – | | $48,137 | – |
| Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolis 173 | – | – | – | | $117,289 | – |
| Respiratory Infections and Inflammations Without Cc/Mcc 179 | – | – | – | | $20,622 | – |
| Ms-Drg 182 182 | – | – | – | | $28,604 | – |
| Major Chest Trauma Without Cc/Mcc 185 | – | – | – | | $25,027 | – |
| Pleural Effusion with Mcc 186 | – | – | – | | $46,183 | – |
| Chronic Obstructive Pulmonary Disease Without Cc/Mcc 192 | – | – | – | | $24,383 | – |
| Simple Pneumonia and Pleurisy Without Cc/Mcc 195 | – | – | – | | $16,687 | – |
| Interstitial Lung Disease with Cc 197 | – | – | – | | $34,428 | $9,341only 1 plan |
| Ms-Drg 198 198 | – | – | – | | $13,192 | – |
| Ms-Drg 201 201 | – | – | – | | $16,070 | – |
| Bronchitis and Asthma Without Cc/Mcc 203 | – | – | – | | $14,174 | $6,799only 1 plan |
| Respiratory Signs and Symptoms 204 | – | – | – | | $30,160 | – |
| Concomitant Aortic and Mitral Valve Procedures 212 | – | – | – | | $386,153 | – |
| Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 217 | – | – | – | | $193,706 | – |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 221 | – | – | – | | $179,324 | – |
| Coronary Bypass with Ptca with Mcc 231 | – | – | – | | $315,468 | – |
| Coronary Bypass with Cardiac Catheterization or Open Ablation Without Mcc 234 | – | – | – | | $226,536 | – |
| Permanent Cardiac Pacemaker Implant Without Cc/Mcc 244 | – | – | – | | $45,232 | – |
| Ms-Drg 245 245 | – | – | – | | $92,575 | – |
| Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 251 | – | – | – | | $85,601 | – |
| Other Vascular Procedures Without Cc/Mcc 254 | – | – | – | | $82,069 | – |
| Ms-Drg 255 255 | – | – | – | | $73,994 | – |
| Ms-Drg 256 256 | – | – | – | | $77,749 | – |
| Ms-Drg 258 258 | – | – | – | | $99,868 | – |
| Ms-Drg 259 259 | – | – | – | | $42,981 | – |
| Cardiac Pacemaker Revision Except Device Replacement with Mcc 260 | – | – | – | | $119,790 | $40,641only 2 plans |
| Cardiac Pacemaker Revision Except Device Replacement with Cc 261 | – | – | – | | $73,625 | – |
| Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 262 | – | – | – | | $48,595 | – |
| Ms-Drg 265 265 | – | – | – | | $132,538 | – |
| Other Major Cardiovascular Procedures Without Cc/Mcc 272 | – | – | – | | $88,326 | – |
| Cardiac Defibrillator Implant with Mcc or Carotid Sinus Neurostimulator 276 | – | – | – | | $171,114 | – |
| Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with Mcc 278 | – | – | – | | $154,471 | $51,406only 1 plan |
| Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures Without 279 | – | – | – | | $132,704 | $33,551only 1 plan |
| Ms-Drg 288 288 | – | – | – | | $83,907 | – |
| Heart Failure and Shock Without Cc/Mcc 293 | – | – | – | | $17,775 | – |
| Cardiac Arrest, Unexplained with Mcc 296 | – | – | – | | $50,531 | – |
| Peripheral Vascular Disorders Without Cc/Mcc 301 | – | – | – | | $27,544 | – |
| Cardiac Congenital and Valvular Disorders Without Mcc 307 | – | – | – | | $25,907 | – |
| Angina Pectoris 311 | – | – | – | | $46,656 | $7,089only 1 plan |
| Other Circulatory System Diagnoses Without Cc/Mcc 316 | – | – | – | | $25,987 | – |
| Concomitant Left Atrial Appendage Closure and Cardiac Ablation 317 | – | – | – | | $149,219 | – |
| Other Endovascular Cardiac Valve Procedures with Mcc 319 | – | – | – | | $127,548 | – |
| Other Endovascular Cardiac Valve Procedures Without Mcc 320 | – | – | – | | $113,536 | – |
| Ms-Drg 325 325 | – | – | – | | $116,035 | – |
| Stomach, Esophageal and Duodenal Procedures Without Cc/Mcc 328 | – | – | – | | $52,676 | – |
| Ms-Drg 333 333 | – | – | – | | $79,418 | – |
| Ms-Drg 334 334 | – | – | – | | $51,281 | – |
| Peritoneal Adhesiolysis with Mcc 335 | – | – | – | | $132,874 | – |
| Ms-Drg 344 344 | – | – | – | | $117,864 | – |
| Ms-Drg 345 345 | – | – | – | | $54,872 | – |
| Ms-Drg 346 346 | – | – | – | | $63,569 | – |
| Anal and Stomal Procedures with Mcc 347 | – | – | – | | $147,780 | – |
| Ms-Drg 348 348 | – | – | – | | $41,469 | – |
| Ms-Drg 349 349 | – | – | – | | $55,747 | – |
| Inguinal and Femoral Hernia Procedures with Mcc 350 | – | – | – | | $54,479 | $23,397only 1 plan |
| Inguinal and Femoral Hernia Procedures with Cc 351 | – | – | – | | $63,845 | – |
| Inguinal and Femoral Hernia Procedures Without Cc/Mcc 352 | – | – | – | | $55,026 | – |
| Hernia Procedures Except Inguinal and Femoral with Mcc 353 | – | – | – | | $77,178 | Not in dollars (1 plan) |
| Ms-Drg 358 358 | – | – | – | | $49,039 | – |
| Major Esophageal Disorders with Mcc 368 | – | – | – | | $46,367 | $15,198only 1 plan |
| Major Esophageal Disorders with Cc 369 | – | – | – | | $36,935 | – |
| Ms-Drg 370 370 | – | – | – | | $23,504 | – |
| Major Gastrointestinal Disorders and Peritoneal Infections Without Cc/Mcc 373 | – | – | – | | $23,980 | – |
| Ms-Drg 376 376 | – | – | – | | $25,199 | – |
| Gastrointestinal Hemorrhage Without Cc/Mcc 379 | – | – | – | | $14,261 | – |
| Complicated Peptic Ulcer with Mcc 380 | – | – | – | | $64,202 | – |
| Complicated Peptic Ulcer with Cc 381 | – | – | – | | $36,934 | $10,566only 1 plan |
| Ms-Drg 382 382 | – | – | – | | $38,520 | – |
| Ms-Drg 383 383 | – | – | – | | $55,141 | – |
| Uncomplicated Peptic Ulcer Without Mcc 384 | – | – | – | | $42,851 | – |
| Inflammatory Bowel Disease with Mcc 385 | – | – | – | | $47,238 | – |
| Ms-Drg 387 387 | – | – | – | | $33,283 | – |
| Ms-Drg 397 397 | – | – | – | | $59,448 | – |
| Appendix Procedures with Cc 398 | – | – | – | | $50,245 | – |
| Appendix Procedures Without Cc/Mcc 399 | – | – | – | | $38,896 | – |
| Ms-Drg 408 408 | – | – | – | | $131,671 | – |
| Ms-Drg 409 409 | – | – | – | | $98,072 | – |
| Ms-Drg 410 410 | – | – | – | | $71,872 | – |
| Ms-Drg 412 412 | – | – | – | | $116,928 | – |
| Ms-Drg 413 413 | – | – | – | | $61,500 | – |
| Ms-Drg 414 414 | – | – | – | | $99,756 | $33,152only 1 plan |
| Ms-Drg 416 416 | – | – | – | | $57,639 | – |
| Hepatobiliary Diagnostic Procedures with Mcc 420 | – | – | – | | $94,742 | $48,303only 1 plan |
| Ms-Drg 421 421 | – | – | – | | $68,483 | – |
| Ms-Drg 422 422 | – | – | – | | $65,538 | – |
| Other Hepatobiliary or Pancreas O.r. Procedures with Mcc 423 | – | – | – | | $126,569 | – |
| Ms-Drg 424 424 | – | – | – | | $68,521 | – |
| Ms-Drg 425 425 | – | – | – | | $69,037 | – |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Mcc or 426 | – | – | – | | $243,609 | – |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Cc 427 | – | – | – | | $166,229 | – |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical Without Cc/ 428 | – | – | – | | $116,565 | – |
| Ms-Drg 429 429 | – | – | – | | $263,687 | – |
| Combined Anterior and Posterior Cervical Spinal Fusion Without Mcc 430 | – | – | – | | $195,014 | – |
| Ms-Drg 437 437 | – | – | – | | $38,090 | – |
| Disorders of Pancreas Except Malignancy Without Cc/Mcc 440 | – | – | – | | $24,789 | – |
| Ms-Drg 443 443 | – | – | – | | $29,652 | – |
| Ms-Drg 447 447 | – | – | – | | $196,232 | – |
| Ms-Drg 450 450 | – | – | – | | $145,955 | $49,251only 1 plan |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 458 | – | – | – | | $180,090 | – |
| Ms-Drg 461 461 | – | – | – | | $458,530 | – |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 465 | – | – | – | | $65,716 | – |
| Cervical Spinal Fusion Without Cc/Mcc 473 | – | – | – | | $81,101 | – |
| Amputation for Musculoskeletal System and Connective Tissue Disorders with Mcc 474 | – | – | – | | $167,548 | $39,806only 1 plan |
| Ms-Drg 476 476 | – | – | – | | $68,645 | $11,447only 1 plan |
| Biopsies of Musculoskeletal System and Connective Tissue Without Cc/Mcc 479 | – | – | – | | $61,263 | – |
| Hip and Femur Procedures Except Major Joint Without Cc/Mcc 482 | – | – | – | | $64,502 | – |
| Knee Procedures with Principal Diagnosis of Infection with Mcc 485 | – | – | – | | $72,338 | – |
| Knee Procedures with Principal Diagnosis of Infection with Cc 486 | – | – | – | | $100,159 | – |
| Knee Procedures Without Principal Diagnosis of Infection with Cc/Mcc 488 | – | – | – | | $81,918 | – |
| Knee Procedures Without Principal Diagnosis of Infection Without Cc/Mcc 489 | – | – | – | | $69,689 | – |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Mcc 492 | – | – | – | | $159,512 | – |
| Ms-Drg 495 495 | – | – | – | | $88,938 | – |
| Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with Cc 496 | – | – | – | | $75,884 | – |
| Local Excision and Removal of Internal Fixation Devices Except Hip and Femur Without Cc/ 497 | – | – | – | | $64,639 | – |
| Ms-Drg 498 498 | – | – | – | | $101,295 | – |
| Ms-Drg 499 499 | – | – | – | | $49,573 | – |
| Soft Tissue Procedures with Mcc 500 | – | – | – | | $118,290 | $29,528only 1 plan |
| Ms-Drg 503 503 | – | – | – | | $173,562 | – |
| Foot Procedures with Cc 504 | – | – | – | | $67,240 | $17,724only 1 plan |
| Ms-Drg 505 505 | – | – | – | | $62,890 | – |
| Ms-Drg 507 507 | – | – | – | | $84,595 | – |
| Ms-Drg 508 508 | – | – | – | | $60,332 | – |
| Ms-Drg 510 510 | – | – | – | | $113,427 | – |
| Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures with Cc 511 | – | – | – | | $84,200 | – |
| Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc 512 | – | – | – | | $66,296 | – |
| Hand or Wrist Procedures, Except Major Thumb or Joint Procedures with Cc/Mcc 513 | – | – | – | | $74,933 | – |
| Ms-Drg 514 514 | – | – | – | | $54,631 | – |
| Back and Neck Procedures Except Spinal Fusion with Mcc or Disc Device or Neurostimulator 518 | – | – | – | | $98,396 | $58,541only 1 plan |
| Ms-Drg 534 534 | – | – | – | | $34,655 | – |
| Fractures of Hip and Pelvis with Mcc 535 | – | – | – | | $49,612 | – |
| Fractures of Hip and Pelvis Without Mcc 536 | – | – | – | | $34,493 | – |
| Ms-Drg 537 537 | – | – | – | | $34,738 | $9,389only 1 plan |
| Osteomyelitis with Mcc 539 | – | – | – | | $71,346 | – |
| Osteomyelitis with Cc 540 | – | – | – | | $38,380 | – |
| Ms-Drg 541 541 | – | – | – | | $33,142 | – |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy Without Cc/M 544 | – | – | – | | $22,143 | – |
| Connective Tissue Disorders Without Cc/Mcc 547 | – | – | – | | $36,215 | – |
| Ms-Drg 548 548 | – | – | – | | $40,953 | – |
| Ms-Drg 549 549 | – | – | – | | $70,746 | – |
| Bone Diseases and Arthropathies with Mcc 553 | – | – | – | | $39,552 | – |
| Signs and Symptoms of Musculoskeletal System and Connective Tissue with Mcc 555 | – | – | – | | $58,881 | – |
| Signs and Symptoms of Musculoskeletal System and Connective Tissue Without Mcc 556 | – | – | – | | $22,926 | – |
| Tendonitis, Myositis and Bursitis with Mcc 557 | – | – | – | | $68,024 | $14,241only 1 plan |
| Tendonitis, Myositis and Bursitis Without Mcc 558 | – | – | – | | $29,804 | – |
| Aftercare, Musculoskeletal System and Connective Tissue with Mcc 559 | – | – | – | | $48,031 | – |
| Aftercare, Musculoskeletal System and Connective Tissue Without Cc/Mcc 561 | – | – | – | | $20,704 | – |
| Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with Mcc 562 | – | – | – | | $53,044 | $13,675only 1 plan |
| Other Musculoskeletal System and Connective Tissue Diagnoses with Cc 565 | – | – | – | | $34,875 | $9,572only 1 plan |
| Ms-Drg 566 566 | – | – | – | | $20,619 | – |
| Skin Debridement with Mcc 570 | – | – | – | | $91,654 | $27,490only 1 plan |
| Ms-Drg 572 572 | – | – | – | | $48,803 | – |
| Skin Graft for Skin Ulcer or Cellulitis with Mcc 573 | – | – | – | | $97,243 | – |
| Ms-Drg 575 575 | – | – | – | | $102,977 | – |
| Ms-Drg 576 576 | – | – | – | | $116,629 | – |
| Other Skin, Subcutaneous Tissue and Breast Procedures Without Cc/Mcc 581 | – | – | – | | $48,645 | – |
| Ms-Drg 582 582 | – | – | – | | $376,070 | – |
| Breast Biopsy, Local Excision and Other Breast Procedures Without Cc/Mcc 585 | – | – | – | | $52,772 | – |
| Skin Ulcers with Mcc 592 | – | – | – | | $92,431 | $18,326only 1 plan |
| Skin Ulcers with Cc 593 | – | – | – | | $35,608 | – |
| Ms-Drg 594 594 | – | – | – | | $19,897 | – |
| Ms-Drg 595 595 | – | – | – | | $50,564 | – |
| Major Skin Disorders Without Mcc 596 | – | – | – | | $25,270 | – |
| Malignant Breast Disorders with Mcc 597 | – | – | – | | $48,470 | – |
| Ms-Drg 598 598 | – | – | – | | $52,409 | – |
| Ms-Drg 600 600 | – | – | – | | $23,652 | – |
| Trauma to the Skin, Subcutaneous Tissue and Breast with Mcc 604 | – | – | – | | $67,681 | – |
| Minor Skin Disorders with Mcc 606 | – | – | – | | $38,899 | – |
| Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Mcc 616 | – | – | – | | $157,625 | – |
| Ms-Drg 619 619 | – | – | – | | $36,750 | – |
| O.r. Procedures for Obesity with Cc 620 | – | – | – | | $42,971 | – |
| O.r. Procedures for Obesity Without Cc/Mcc 621 | – | – | – | | $35,703 | – |
| Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 622 | – | – | – | | $99,487 | $33,121only 1 plan |
| Ms-Drg 625 625 | – | – | – | | $102,982 | – |
| Thyroid, Parathyroid and Thyroglossal Procedures with Cc 626 | – | – | – | | $69,043 | $14,355only 1 plan |
| Thyroid, Parathyroid and Thyroglossal Procedures Without Cc/Mcc 627 | – | – | – | | $57,785 | – |
| Other Endocrine, Nutritional and Metabolic O.r. Procedures with Mcc 628 | – | – | – | | $135,887 | $34,648only 1 plan |
| Other Endocrine, Nutritional and Metabolic O.r. Procedures with Cc 629 | – | – | – | | $73,760 | $20,545only 1 plan |
| Ms-Drg 630 630 | – | – | – | | $32,974 | – |
| Endocrine Disorders Without Cc/Mcc 645 | – | – | – | | $20,483 | – |
| Kidney Transplant with Hemodialysis Without Mcc 651 | – | – | – | | $232,488 | – |
| Major Bladder Procedures with Mcc 653 | – | – | – | | $174,235 | $81,396only 1 plan |
| Major Bladder Procedures Without Cc/Mcc 655 | – | – | – | | $76,944 | – |
| Kidney and Ureter Procedures for Neoplasm Without Cc/Mcc 658 | – | – | – | | $63,724 | – |
| Minor Bladder Procedures with Cc 663 | – | – | – | | $79,872 | – |
| Prostatectomy with Mcc 665 | – | – | – | | $111,317 | – |
| Transurethral Procedures with Mcc 668 | – | – | – | | $114,729 | – |
| Ms-Drg 670 670 | – | – | – | | $20,022 | – |
| Renal Failure Without Cc/Mcc 684 | – | – | – | | $18,062 | – |
| Kidney and Urinary Tract Neoplasms with Mcc 686 | – | – | – | | $67,196 | – |
| Kidney and Urinary Tract Neoplasms with Cc 687 | – | – | – | | $31,080 | – |
| Ms-Drg 693 693 | – | – | – | | $61,174 | $12,944only 1 plan |
| Urinary Stones Without Mcc 694 | – | – | – | | $28,665 | $7,816only 1 plan |
| Kidney and Urinary Tract Signs and Symptoms Without Mcc 696 | – | – | – | | $32,774 | – |
| Other Kidney and Urinary Tract Diagnoses Without Cc/Mcc 700 | – | – | – | | $15,951 | – |
| Ms-Drg 709 709 | – | – | – | | $42,708 | – |
| Ms-Drg 710 710 | – | – | – | | $46,116 | – |
| Transurethral Prostatectomy with Cc/Mcc 713 | – | – | – | | $36,924 | – |
| Ms-Drg 715 715 | – | – | – | | $70,027 | – |
| Ms-Drg 716 716 | – | – | – | | $78,332 | – |
| Other Male Reproductive System O.r. Procedures Except Malignancy with Cc/Mcc 717 | – | – | – | | $109,020 | – |
| Malignancy, Male Reproductive System with Mcc 722 | – | – | – | | $12,410 | – |
| Ms-Drg 723 723 | – | – | – | | $34,393 | – |
| Ms-Drg 725 725 | – | – | – | | $28,809 | – |
| Benign Prostatic Hypertrophy Without Mcc 726 | – | – | – | | $18,623 | – |
| Ms-Drg 727 727 | – | – | – | | $58,974 | – |
| Inflammation of the Male Reproductive System Without Mcc 728 | – | – | – | | $38,040 | – |
| Pelvic Evisceration, Radical Hysterectomy and Radical Vulvectomy with Cc/Mcc 734 | – | – | – | | $74,549 | – |
| Ms-Drg 736 736 | – | – | – | | $136,934 | $33,261only 1 plan |
| Ms-Drg 738 738 | – | – | – | | $64,123 | – |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Mcc 739 | – | – | – | | $148,450 | – |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Cc 740 | – | – | – | | $81,645 | – |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy Without Cc/Mcc 741 | – | – | – | | $58,764 | – |
| Uterine and Adnexa Procedures for Non-Malignancy Without Cc/Mcc 743 | – | – | – | | $65,265 | – |
| D&c, Conization, Laparoscopy and Tubal Interruption with Cc/Mcc 744 | – | – | – | | $53,979 | – |
| Vagina, Cervix and Vulva Procedures with Cc/Mcc 746 | – | – | – | | $68,651 | $16,521only 1 plan |
| Vagina, Cervix and Vulva Procedures Without Cc/Mcc 747 | – | – | – | | $37,549 | – |
| Female Reproductive System Reconstructive Procedures 748 | – | – | – | | $64,068 | – |
| Ms-Drg 749 749 | – | – | – | | $91,748 | – |
| Malignancy, Female Reproductive System with Mcc 754 | – | – | – | | $58,333 | – |
| Malignancy, Female Reproductive System with Cc 755 | – | – | – | | $41,117 | – |
| Ms-Drg 757 757 | – | – | – | | $50,923 | – |
| Ms-Drg 758 758 | – | – | – | | $39,147 | – |
| Ms-Drg 760 760 | – | – | – | | $40,552 | – |
| Ms-Drg 761 761 | – | – | – | | $35,111 | – |
| Ms-Drg 768 768 | – | – | – | | $30,500 | – |
| Ms-Drg 784 784 | – | – | – | | $33,901 | $10,353only 1 plan |
| C-section, with complications 787 | – | – | – | | $35,560 | – |
| Ms-Drg 789 789 | – | – | – | | $87,376 | $27,203only 1 plan |
| Ms-Drg 790 790 | – | – | – | | $192,004 | $90,548only 1 plan |
| Ms-Drg 799 799 | – | – | – | | $119,643 | – |
| Ms-Drg 802 802 | – | – | – | | $95,161 | – |
| Ms-Drg 803 803 | – | – | – | | $68,166 | – |
| Vaginal birth, with major complications 805 | – | – | – | | $30,339 | – |
| Vaginal birth, with complications 806 | – | – | – | | $28,999 | – |
| Ms-Drg 810 810 | – | – | – | | $32,048 | – |
| Lymphoma and Leukemia with Major O.r. Procedures with Mcc 820 | – | – | – | | $266,437 | – |
| Lymphoma and Leukemia with Major O.r. Procedures with Cc 821 | – | – | – | | $112,156 | – |
| Lymphoma and Leukemia with Major O.r. Procedures Without Cc/Mcc 822 | – | – | – | | $53,306 | – |
| Ms-Drg 825 825 | – | – | – | | $44,158 | – |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 826 | – | – | – | | $140,239 | – |
| Ms-Drg 830 830 | – | – | – | | $53,489 | – |
| Ms-Drg 831 831 | – | – | – | | $31,534 | – |
| Ms-Drg 832 832 | – | – | – | | $19,928 | – |
| Acute Leukemia with Cc 835 | – | – | – | | $165,448 | – |
| Ms-Drg 836 836 | – | – | – | | $24,080 | – |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis or with High Dose Chemotherapy a 837 | – | – | – | | $194,753 | – |
| Lymphoma and Non-Acute Leukemia Without Cc/Mcc 842 | – | – | – | | $48,587 | – |
| Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses with Mc 843 | – | – | – | | $63,038 | – |
| Ms-Drg 844 844 | – | – | – | | $53,892 | – |
| Ms-Drg 850 850 | – | – | – | | $359,291 | – |
| Ms-Drg 858 858 | – | – | – | | $62,937 | – |
| Other Infectious and Parasitic Diseases Diagnoses with Mcc 867 | – | – | – | | $98,204 | – |
| Other Infectious and Parasitic Diseases Diagnoses with Cc 868 | – | – | – | | $40,517 | – |
| Ms-Drg 869 869 | – | – | – | | $19,262 | – |
| O.r. Procedures with Principal Diagnosis of Mental Illness 876 | – | – | – | | $111,535 | $216only 1 plan |
| Depressive Neuroses 881 | – | – | – | | $44,019 | $178only 1 plan |
| Neuroses Except Depressive 882 | – | – | – | | $41,852 | $171only 1 plan |
| Disorders of Personality and Impulse Control 883 | – | – | – | | $45,976 | – |
| Ms-Drg 887 887 | – | – | – | | $30,579 | $168only 1 plan |
| Alcohol, Drug Abuse or Dependence, Left Ama 894 | – | – | – | | $20,875 | $144only 1 plan |
| Ms-Drg 901 901 | – | – | – | | $146,029 | $38,928only 1 plan |
| Wound Debridements for Injuries with Cc 902 | – | – | – | | $75,982 | $28,637only 1 plan |
| Ms-Drg 903 903 | – | – | – | | $50,272 | – |
| Skin Grafts for Injuries with Cc/Mcc 904 | – | – | – | | $121,828 | – |
| Ms-Drg 905 905 | – | – | – | | $49,965 | – |
| Ms-Drg 906 906 | – | – | – | | $84,802 | – |
| Other O.r. Procedures for Injuries Without Cc/Mcc 909 | – | – | – | | $53,280 | – |
| Traumatic Injury with Mcc 913 | – | – | – | | $431,418 | – |
| Traumatic Injury Without Mcc 914 | – | – | – | | $24,511 | – |
| Ms-Drg 915 915 | – | – | – | | $55,229 | – |
| Allergic Reactions Without Mcc 916 | – | – | – | | $18,932 | – |
| Poisoning and Toxic Effects of Drugs Without Mcc 918 | – | – | – | | $27,033 | $188only 1 plan |
| Complications of Treatment Without Cc/Mcc 921 | – | – | – | | $17,131 | – |
| Other Injury, Poisoning and Toxic Effect Diagnoses with Mcc 922 | – | – | – | | $50,384 | $16,633only 1 plan |
| Other Injury, Poisoning and Toxic Effect Diagnoses Without Mcc 923 | – | – | – | | $22,132 | – |
| Ms-Drg 929 929 | – | – | – | | $73,940 | – |
| Ms-Drg 933 933 | – | – | – | | $60,644 | – |
| Full Thickness Burn Without Skin Graft or Inhalation Injury 934 | – | – | – | | $35,406 | – |
| Non-Extensive Burns 935 | – | – | – | | $31,128 | – |
| Ms-Drg 939 939 | – | – | – | | $75,363 | – |
| O.r. Procedures with Diagnoses of Other Contact with Health Services with Cc 940 | – | – | – | | $100,725 | – |
| O.r. Procedures with Diagnoses of Other Contact with Health Services Without Cc/Mcc 941 | – | – | – | | $48,492 | – |
| Aftercare with Cc/Mcc 949 | – | – | – | | $31,986 | – |
| Aftercare Without Cc/Mcc 950 | – | – | – | | $25,023 | – |
| Ms-Drg 955 955 | – | – | – | | $295,206 | – |
| Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma 956 | – | – | – | | $212,777 | – |
| Other O.r. Procedures for Multiple Significant Trauma with Mcc 957 | – | – | – | | $223,252 | – |
| Other O.r. Procedures for Multiple Significant Trauma with Cc 958 | – | – | – | | $146,118 | $39,086only 1 plan |
| Other Multiple Significant Trauma with Cc 964 | – | – | – | | $42,743 | – |
| Ms-Drg 965 965 | – | – | – | | $23,991 | – |
| Ms-Drg 969 969 | – | – | – | | $172,460 | $56,464only 1 plan |
| Ms-Drg 970 970 | – | – | – | | $42,300 | $24,723only 1 plan |
| Hiv with Major Related Condition with Mcc 974 | – | – | – | | $80,342 | $26,988only 1 plan |
| Hiv with Major Related Condition with Cc 975 | – | – | – | | $48,332 | $12,493only 1 plan |
| Ms-Drg 977 977 | – | – | – | | $45,456 | – |
| Ms-Drg 989 989 | – | – | – | | $42,738 | – |