Table 6P.4c - Base MS-DRG data analysis for the 141 (47x3=141) MS-DRGs with a current three-way split and application of the NonCC Subgroup criteria 																																																																		
Current Base DRG v41	Current Level Type v41	Level Type v42 FY2025	Level Type v41 FY2024	Cases FY2025	Cases FY2025 MCC	Cases FY2025 CC	Cases FY2025 Non CC	 Avg Cost FY2025 No Split 	 Avg Cost FY2025 MCC 	 Avg Cost FY2025 CC 	 Avg Cost FY2025 Non CC 	 Avg Cost FY2025 MCC/CC combo 	 Avg Cost FY2025 CC/NonCC combo 	Crit1 MCC	Crit1 CC	Crit1 NonCC	Crit1 MCC/CC combo	Crit1 CC/NonCC combo	Crit2 MCC	Crit2 CC	Crit2 NonCC	Crit2 MCC/CC combo	Crit2 CC/NonCC combo	Crit3 MCC	Crit3 CC	Crit3 MCC/CC combo	Crit3 CC/NonCC combo	Crit4 MCC	Crit4 CC	Crit4 MCC/CC combo	Crit4 CC/NonCC combo	Crit5 R2 MCC	Crit5 R2 MCC/CC	Crit5 R2 CC/NonCC	Base DRG v41 Description	Cases FY2024	Cases FY2024 MCC	Cases FY2024 CC	Cases FY2024 Non CC	 Avg Cost FY2024 No Split 	 Avg Cost FY2024 MCC 	 Avg Cost FY2024 CC 	 Avg Cost FY2024 Non CC 	 Avg Cost FY2024 MCC/CC combo 	 Avg Cost FY2024 CC/NonCC combo 	FY2024 Crit1 MCC	FY2024 Crit1 CC	FY2024 Crit1 NonCC	FY2024 Crit1 MCC/CC combo	FY2024 Crit1 CC/NonCC combo	FY2024 Crit2 MCC	FY2024 Crit2 CC	FY2024 Crit2 NonCC	FY2024 Crit2 MCC/CC combo	FY2024 Crit2 CC/NonCC combo	FY2024 Crit3 MCC	FY2024 Crit3 CC	FY2024 Crit3 MCC/CC combo	FY2024 Crit3 CC/NonCC combo	FY2024 Crit4 MCC	FY2024 Crit4 CC	FY2024 Crit4 MCC/CC combo	FY2024 Crit4 CC/NonCC combo	FY2024 Crit5 R2 MCC	FY2024 Crit5 R2  MCC/CC	FY2024 Crit5 R2 CC/NonCC
011	123	1_23	1_23	"3,356"	"1,562"	"1,477"	317	" $40,427 "	" $47,897 "	" $36,169 "	" $23,457 "	" $42,197 "	" $33,923 "	T	T	-	T	T	T	T	T	T	T	T	T	T	T	T	T	T	T	0.00	0.00	4.05	"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY "	"3,614"	"1,664"	"1,559"	391	" $37,366 "	" $43,743 "	" $34,163 "	" $22,998 "	" $39,109 "	" $31,924 "	T	T	-	T	T	T	T	T	T	T	T	T	T	T	T	T	T	T	0.00	0.00	3.59
020	123	1_23	1_23	"3,075"	"2,182"	603	290	" $62,463 "	" $71,216 "	" $48,422 "	" $25,793 "	" $66,281 "	" $41,074 "	T	T	-	T	T	T	T	T	T	T	T	T	T	T	T	T	T	T	0.00	0.00	6.22	INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE 	"3,049"	"2,157"	594	298	" $64,098 "	" $72,099 "	" $52,103 "	" $30,091 "	" $67,782 "	" $44,749 "	T	T	-	T	T	T	T	T	T	T	T	T	T	T	T	T	T	T	0.00	0.00	4.66
077	123	1_23	1_23	"3,463"	"1,358"	"1,910"	195	" $10,594 "	" $13,628 "	" $8,915 "	" $5,903 "	" $10,873 "	" $8,636 "	T	T	-	T	T	T	T	T	T	T	T	T	T	T	T	T	T	T	0.00	0.00	5.83	HYPERTENSIVE ENCEPHALOPATHY 	"3,690"	"1,527"	"1,891"	272	" $10,258 "	" $12,905 "	" $8,685 "	" $6,329 "	" $10,571 "	" $8,389 "	T	T	-	T	T	T	T	T	T	T	T	T	T	T	T	T	T	T	0.00	0.00	5.31
088	123	1	1	"2,012"	481	"1,195"	336	" $9,962 "	" $12,675 "	" $9,562 "	" $7,500 "	" $10,455 "	" $9,109 "	-	T	-	T	T	T	T	T	T	T	T	T	T	T	T	T	T	T	0.00	1.70	3.24	CONCUSSION 	"2,014"	508	"1,162"	344	" $10,333 "	" $13,083 "	" $9,831 "	" $7,967 "	" $10,820 "	" $9,405 "	T	T	-	T	T	T	T	T	T	T	T	T	T	T	T	-	T	T	0.00	0.00	2.63
097	123	1_23	1_23	"3,027"	"1,682"	"1,098"	247	" $24,989 "	" $30,624 "	" $19,195 "	" $12,375 "	" $26,110 "	" $17,942 "	T	T	-	T	T	T	T	T	T	T	T	T	T	T	T	T	T	T	0.00	0.00	5.30	NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS	"3,144"	"1,755"	"1,091"	298	" $24,292 "	" $30,347 "	" $18,130 "	" $11,192 "	" $25,664 "	" $16,641 "	T	T	-	T	T	T	T	T	T	T	T	T	T	T	T	T	T	T	0.00	0.00	6.65
146	123	1_23	1_23	"1,879"	"1,089"	643	147	" $15,745 "	" $19,856 "	" $10,799 "	" $6,922 "	" $16,494 "	" $10,077 "	T	T	-	T	T	T	T	T	T	T	T	T	T	T	T	T	T	T	0.00	0.00	6.00	"EAR, NOSE, MOUTH AND THROAT MALIGNANCY "	"1,900"	"1,143"	622	135	" $14,708 "	" $17,842 "	" $10,493 "	" $7,600 "	" $15,252 "	" $9,977 "	T	T	-	T	T	T	T	T	T	T	T	T	T	T	T	T	T	T	0.00	0.00	4.41
180	123	1_23	1_23	"19,300"	"14,084"	"4,967"	249	" $13,846 "	" $15,355 "	" $9,887 "	" $7,416 "	" $13,930 "	" $9,769 "	T	T	-	T	T	T	T	-	T	T	T	T	T	T	T	T	T	T	0.00	0.00	3.23	RESPIRATORY NEOPLASMS 	"21,340"	"15,415"	"5,632"	293	" $13,253 "	" $14,793 "	" $9,389 "	" $6,466 "	" $13,347 "	" $9,245 "	T	T	-	T	T	T	T	-	T	T	T	T	T	T	T	T	T	T	0.00	0.00	3.36
196	123	1	1	"10,545"	"8,763"	"1,487"	295	" $14,685 "	" $15,999 "	" $8,665 "	" $5,995 "	" $14,935 "	" $8,223 "	T	T	-	T	T	T	T	-	T	T	T	T	T	T	T	T	T	T	0.00	0.00	0.75	INTERSTITIAL LUNG DISEASE 	"11,415"	"9,326"	"1,745"	344	" $14,178 "	" $15,538 "	" $8,396 "	" $6,632 "	" $14,412 "	" $8,106 "	T	T	-	T	T	T	T	-	T	T	T	T	T	T	T	-	T	T	0.00	0.00	0.89
216	123	1_23	1_23	"6,943"	"5,033"	"1,635"	275	" $76,931 "	" $84,176 "	" $58,381 "	" $54,624 "	" $77,851 "	" $57,840 "	T	T	-	T	T	T	T	-	T	T	T	-	T	T	T	T	T	T	0.00	0.00	4.70	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION 	"7,870"	"5,683"	"1,862"	325	" $74,776 "	" $82,951 "	" $54,385 "	" $48,654 "	" $75,901 "	" $53,533 "	T	T	-	T	T	T	T	-	T	T	T	-	T	T	T	T	T	T	0.00	0.00	6.58
239	123	1_23	1_23	"12,021"	"6,435"	"5,235"	351	" $31,693 "	" $39,284 "	" $23,642 "	" $12,616 "	" $32,267 "	" $22,950 "	T	T	-	T	T	T	T	-	T	T	T	T	T	T	T	T	T	T	0.00	0.00	5.83	AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC	"13,766"	"7,531"	"5,831"	404	" $29,502 "	" $36,438 "	" $21,810 "	" $11,232 "	" $30,054 "	" $21,124 "	T	T	-	T	T	T	T	-	T	T	T	T	T	T	T	T	T	T	0.00	0.00	6.34
255	123	1_23	1_23	"2,426"	"1,269"	"1,100"	57	" $17,998 "	" $21,615 "	" $14,404 "	" $6,841 "	" $18,266 "	" $14,031 "	T	T	-	T	T	T	T	-	T	T	T	T	T	T	T	T	T	T	0.00	0.00	5.91	UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS 	"2,745"	"1,387"	"1,290"	68	" $17,612 "	" $21,936 "	" $13,455 "	" $8,293 "	" $17,849 "	" $13,197 "	T	T	-	T	T	T	T	-	T	T	T	T	T	T	T	T	T	T	0.00	0.00	4.82
283	123	1	1	"9,101"	"8,333"	631	137	" $16,266 "	" $17,179 "	" $6,670 "	" $4,897 "	" $16,439 "	" $6,354 "	T	T	-	T	T	T	T	-	T	T	T	T	T	T	T	-	T	T	0.00	0.00	1.79	"ACUTE MYOCARDIAL INFARCTION, EXPIRED "	"10,384"	"9,463"	729	192	" $15,875 "	" $16,848 "	" $6,322 "	" $4,177 "	" $16,095 "	" $5,875 "	T	T	-	T	T	T	T	-	T	T	T	T	T	T	T	T	T	T	0.00	0.00	0.41
288	123	1_23	1_23	"1,504"	993	481	30	" $19,032 "	" $22,098 "	" $13,370 "	" $8,323 "	" $19,250 "	" $13,074 "	T	-	-	T	T	T	T	-	T	T	T	T	T	T	T	T	T	T	0.00	0.00	5.35	ACUTE AND SUBACUTE ENDOCARDITIS 	"1,675"	"1,097"	546	32	" $17,429 "	" $20,451 "	" $11,885 "	" $8,430 "	" $17,604 "	" $11,694 "	T	T	-	T	T	T	T	-	T	T	T	T	T	T	T	T	T	T	0.00	0.00	6.29
296	123	1	1	"2,700"	"2,432"	195	73	" $13,636 "	" $14,517 "	" $6,264 "	" $3,967 "	" $13,905 "	" $5,638 "	T	-	-	T	-	T	T	-	T	T	T	T	T	T	T	T	T	T	0.00	0.00	0.00	"CARDIAC ARREST, UNEXPLAINED "	"3,287"	"2,892"	280	115	" $12,715 "	" $13,700 "	" $6,227 "	" $3,751 "	" $13,040 "	" $5,506 "	T	-	-	T	-	T	T	-	T	T	T	T	T	T	T	T	T	T	0.00	0.00	0.00
368	123	1_23	1_23	"8,348"	"4,568"	"3,443"	337	" $12,015 "	" $14,739 "	" $8,975 "	" $6,159 "	" $12,262 "	" $8,724 "	T	T	-	T	T	T	T	-	T	T	T	T	T	T	T	T	T	T	0.00	0.00	5.68	MAJOR ESOPHAGEAL DISORDERS 	"10,644"	"6,409"	"3,840"	395	" $11,753 "	" $14,079 "	" $8,426 "	" $6,344 "	" $11,961 "	" $8,231 "	T	T	-	T	T	T	T	-	T	T	T	T	T	T	T	T	T	T	0.00	0.00	5.11
408	123	1_23	1_23	"1,567"	721	660	186	" $23,855 "	" $31,195 "	" $18,677 "	" $13,771 "	" $25,213 "	" $17,599 "	T	T	-	T	T	T	T	T	T	T	T	T	T	T	T	T	T	T	0.00	0.00	8.20	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E.	"1,664"	706	725	233	" $22,540 "	" $31,595 "	" $16,682 "	" $13,335 "	" $24,039 "	" $15,868 "	T	T	-	T	T	T	T	T	T	T	T	T	T	T	T	T	T	T	0.00	0.00	12.81
411	123	1	1	436	157	178	101	" $19,889 "	" $24,385 "	" $18,719 "	" $14,963 "	" $21,374 "	" $17,359 "	-	-	-	-	-	T	T	T	T	T	T	T	T	T	T	T	T	T	0.00	0.00	0.00	CHOLECYSTECTOMY WITH C.D.E. WITH MCC	503	154	231	118	" $18,465 "	" $24,319 "	" $17,403 "	" $12,901 "	" $20,170 "	" $15,881 "	-	-	-	-	-	T	T	T	T	T	T	T	T	T	T	T	T	T	0.00	0.00	0.00
420	123	1_23	1_23	"1,255"	610	507	138	" $20,804 "	" $27,559 "	" $14,794 "	" $13,028 "	" $21,765 "	" $14,416 "	T	T	-	T	T	T	T	T	T	T	T	-	T	T	T	-	T	T	0.00	0.00	8.74	HEPATOBILIARY DIAGNOSTIC PROCEDURES 	"1,346"	648	567	131	" $20,408 "	" $27,192 "	" $14,587 "	" $12,042 "	" $21,310 "	" $14,109 "	T	T	-	T	T	T	T	T	T	T	T	T	T	T	T	T	T	T	0.00	0.00	8.11
423	123	1_23	1_23	"1,956"	"1,311"	577	68	" $29,936 "	" $35,019 "	" $20,259 "	" $14,031 "	" $30,508 "	" $19,603 "	T	T	-	T	T	T	T	-	T	T	T	T	T	T	T	T	T	T	0.00	0.00	5.28	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES 	"2,036"	"1,360"	594	82	" $27,911 "	" $33,197 "	" $17,771 "	" $13,690 "	" $28,507 "	" $17,276 "	T	T	-	T	T	T	T	-	T	T	T	T	T	T	T	T	T	T	0.00	0.00	6.02
432	123	1_23	1_23	"22,805"	"14,090"	"8,432"	283	" $14,205 "	" $17,162 "	" $9,535 "	" $6,141 "	" $14,306 "	" $9,425 "	T	T	-	T	T	T	T	-	T	T	T	T	T	T	T	T	T	T	0.00	0.00	4.78	CIRRHOSIS AND ALCOHOLIC HEPATITIS 	"27,176"	"17,837"	"8,946"	393	" $13,672 "	" $16,291 "	" $8,799 "	" $5,717 "	" $13,788 "	" $8,670 "	T	T	-	T	T	T	T	-	T	T	T	T	T	T	T	T	T	T	0.00	0.00	5.11
435	123	1_23	1_23	"17,600"	"12,145"	"5,103"	352	" $14,214 "	" $16,164 "	" $10,069 "	" $7,030 "	" $14,361 "	" $9,873 "	T	T	-	T	T	T	T	-	T	T	T	T	T	T	T	T	T	T	0.00	0.00	3.66	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS 	"18,801"	"12,878"	"5,525"	398	" $13,154 "	" $14,962 "	" $9,378 "	" $7,078 "	" $13,286 "	" $9,223 "	T	T	-	T	T	T	T	-	T	T	T	T	T	T	T	T	T	T	0.00	0.00	4.10
474	123	1_23	1_23	"5,767"	"2,587"	"2,810"	370	" $25,093 "	" $35,224 "	" $17,739 "	" $10,115 "	" $26,120 "	" $16,852 "	T	T	-	T	T	T	T	T	T	T	T	T	T	T	T	T	T	T	0.00	0.00	11.59	AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS 	"6,084"	"2,821"	"2,802"	461	" $23,872 "	" $32,942 "	" $17,053 "	" $9,813 "	" $25,025 "	" $16,030 "	T	T	-	T	T	T	T	T	T	T	T	T	T	T	T	T	T	T	0.00	0.00	10.79
539	123	1_23	1_23	"5,630"	"2,756"	"2,559"	315	" $13,554 "	" $16,467 "	" $11,119 "	" $7,843 "	" $13,892 "	" $10,760 "	T	T	-	T	T	T	T	T	T	T	T	T	T	T	T	T	T	T	0.00	0.00	3.87	OSTEOMYELITIS 	"5,614"	"2,916"	"2,379"	319	" $13,014 "	" $15,589 "	" $10,646 "	" $7,146 "	" $13,368 "	" $10,232 "	T	T	-	T	T	T	T	T	T	T	T	T	T	T	T	T	T	T	0.00	0.00	3.97
548	123	1_23	1_23	"1,864"	589	"1,035"	240	" $12,381 "	" $17,494 "	" $10,585 "	" $7,578 "	" $13,091 "	" $10,019 "	T	T	-	T	T	T	T	T	T	T	T	T	T	T	T	T	T	T	0.00	0.00	8.78	SEPTIC ARTHRITIS 	"1,867"	573	"1,046"	248	" $11,719 "	" $16,287 "	" $10,157 "	" $7,750 "	" $12,327 "	" $9,696 "	T	T	-	T	T	T	T	T	T	T	T	T	T	T	T	T	T	T	0.00	0.00	7.19
573	123	1_23	1_23	"1,577"	548	938	91	" $34,301 "	" $47,561 "	" $28,259 "	" $16,724 "	" $35,377 "	" $27,239 "	T	T	-	T	T	T	T	T	T	T	T	T	T	T	T	T	T	T	0.00	0.00	5.86	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS 	"1,635"	566	955	114	" $32,531 "	" $45,969 "	" $26,442 "	" $16,822 "	" $33,708 "	" $25,416 "	T	T	-	T	T	T	T	T	T	T	T	T	T	T	T	T	T	T	0.00	0.00	5.98
592	123	1	1	"5,993"	"2,625"	"3,090"	278	" $12,690 "	" $16,247 "	" $10,146 "	" $7,389 "	" $12,948 "	" $9,918 "	T	T	-	T	T	T	T	-	T	T	T	T	T	T	T	T	T	T	0.00	0.00	2.38	SKIN ULCERS 	"6,337"	"2,730"	"3,281"	326	" $12,382 "	" $16,245 "	" $9,717 "	" $6,862 "	" $12,682 "	" $9,459 "	T	T	-	T	T	T	T	T	T	T	T	T	T	T	T	T	T	T	0.00	0.00	1.37
616	123	1_23	1_23	"13,321"	"2,678"	"10,592"	51	" $19,493 "	" $31,261 "	" $16,559 "	" $10,811 "	" $19,526 "	" $16,531 "	T	T	-	T	T	T	T	-	T	T	T	T	T	T	T	T	T	T	0.00	0.00	9.26	"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS "	"14,386"	"3,035"	"11,307"	44	" $19,328 "	" $30,918 "	" $16,255 "	" $9,625 "	" $19,358 "	" $16,229 "	T	T	-	T	T	T	T	-	T	T	T	T	T	T	T	T	T	T	0.00	0.00	9.23
622	123	1_23	1_23	"5,731"	"1,788"	"3,820"	123	" $20,366 "	" $29,883 "	" $16,270 "	" $9,203 "	" $20,610 "	" $16,050 "	T	T	-	T	T	T	T	-	T	T	T	T	T	T	T	T	T	T	0.00	0.00	7.37	"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS "	"6,349"	"2,074"	"4,142"	133	" $19,702 "	" $29,430 "	" $15,157 "	" $9,581 "	" $19,919 "	" $14,983 "	T	T	-	T	T	T	T	-	T	T	T	T	T	T	T	T	T	T	0.00	0.00	8.46
628	123	1_23	1_23	"6,212"	"2,487"	"3,612"	113	" $24,731 "	" $33,184 "	" $19,288 "	" $12,668 "	" $24,955 "	" $19,088 "	T	T	-	T	T	T	T	-	T	T	T	T	T	T	T	T	T	T	0.00	0.00	4.38	"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES "	"6,874"	"2,769"	"3,982"	123	" $23,964 "	" $32,382 "	" $18,483 "	" $11,900 "	" $24,184 "	" $18,286 "	T	T	-	T	T	T	T	-	T	T	T	T	T	T	T	T	T	T	0.00	0.00	5.76
662	123	1_23	1_23	"2,924"	880	"1,628"	416	" $17,212 "	" $27,334 "	" $13,626 "	" $9,831 "	" $18,436 "	" $12,854 "	T	T	-	T	T	T	T	T	T	T	T	T	T	T	T	T	T	T	0.00	0.00	9.14	MINOR BLADDER PROCEDURES 	"2,652"	785	"1,490"	377	" $15,843 "	" $25,533 "	" $12,450 "	" $9,073 "	" $16,965 "	" $11,768 "	T	T	-	T	T	T	T	T	T	T	T	T	T	T	T	T	T	T	0.00	0.00	3.85
665	123	1_23	1_23	"2,042"	576	"1,165"	301	" $18,103 "	" $29,638 "	" $14,682 "	" $9,267 "	" $19,630 "	" $13,571 "	T	T	-	T	T	T	T	T	T	T	T	T	T	T	T	T	T	T	0.00	0.00	13.81	PROSTATECTOMY 	"2,113"	632	"1,190"	291	" $17,368 "	" $26,311 "	" $14,672 "	" $8,970 "	" $18,709 "	" $13,551 "	T	T	-	T	T	T	T	T	T	T	T	T	T	T	T	T	T	T	0.00	0.00	10.56
686	123	1_23	1_23	"3,599"	"1,538"	"1,898"	163	" $12,120 "	" $16,331 "	" $9,187 "	" $6,536 "	" $12,385 "	" $8,977 "	T	T	-	T	T	T	T	-	T	T	T	T	T	T	T	T	T	T	0.00	0.00	6.53	KIDNEY AND URINARY TRACT NEOPLASMS 	"3,951"	"1,807"	"1,989"	155	" $11,900 "	" $15,661 "	" $8,892 "	" $6,663 "	" $12,114 "	" $8,731 "	T	T	-	T	T	T	T	-	T	T	T	T	T	T	T	T	T	T	0.00	0.00	6.67
722	123	1_23	1_23	"1,815"	745	"1,033"	37	" $12,158 "	" $15,396 "	" $10,035 "	" $6,220 "	" $12,281 "	" $9,903 "	T	T	-	T	T	T	T	-	T	T	T	T	T	T	T	T	T	T	0.00	0.00	4.22	"MALIGNANCY, MALE REPRODUCTIVE SYSTEM "	"1,831"	789	982	60	" $12,205 "	" $15,969 "	" $9,505 "	" $6,902 "	" $12,385 "	" $9,355 "	T	T	-	T	T	T	T	-	T	T	T	T	T	T	T	T	T	T	0.00	0.00	5.51
754	123	1_23	1_23	"3,434"	"1,625"	"1,685"	124	" $12,576 "	" $15,734 "	" $9,814 "	" $8,736 "	" $12,720 "	" $9,740 "	T	T	-	T	T	T	T	-	T	T	T	-	T	T	T	-	T	T	0.00	0.00	5.07	"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM "	"3,821"	"1,750"	"1,909"	162	" $12,162 "	" $15,706 "	" $9,222 "	" $8,513 "	" $12,323 "	" $9,167 "	T	T	-	T	T	T	T	-	T	T	T	-	T	T	T	-	T	T	0.00	0.00	4.33
757	123	1_23	1_23	"1,731"	704	835	192	" $9,991 "	" $12,582 "	" $8,805 "	" $5,653 "	" $10,533 "	" $8,215 "	T	T	-	T	T	T	T	T	T	T	T	T	T	T	T	T	T	T	0.00	0.00	5.24	"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM "	"1,887"	830	872	185	" $10,043 "	" $12,722 "	" $8,447 "	" $5,544 "	" $10,532 "	" $7,939 "	T	T	-	T	T	T	T	T	T	T	T	T	T	T	T	T	T	T	0.00	0.00	5.12
799	123	1	1	749	477	213	59	" $35,952 "	" $42,801 "	" $26,484 "	" $14,758 "	" $37,764 "	" $23,940 "	-	-	-	T	-	T	T	T	T	T	T	T	T	T	T	T	T	T	0.00	2.69	5.76	SPLENIC PROCEDURES 	566	320	181	65	" $34,643 "	" $44,017 "	" $25,273 "	" $14,581 "	" $37,245 "	" $22,448 "	-	-	-	T	-	T	T	T	T	T	T	T	T	T	T	T	T	T	0.00	0.00	0.00
814	123	1_23	1_23	"3,952"	"1,616"	"1,980"	356	" $12,494 "	" $18,351 "	" $8,889 "	" $5,960 "	" $13,141 "	" $8,443 "	T	T	-	T	T	T	T	T	T	T	T	T	T	T	T	T	T	T	0.00	0.00	6.49	RETICULOENDOTHELIAL AND IMMUNITY DISORDERS 	"3,820"	"1,526"	"1,934"	360	" $12,042 "	" $17,976 "	" $8,473 "	" $6,059 "	" $12,664 "	" $8,094 "	T	T	-	T	T	T	T	T	T	T	T	T	T	T	T	T	T	T	0.00	0.00	4.06
823	123	1_23	1_23	"4,426"	"2,235"	"1,764"	427	" $29,229 "	" $40,587 "	" $19,262 "	" $10,959 "	" $31,180 "	" $17,644 "	T	T	-	T	T	T	T	T	T	T	T	T	T	T	T	T	T	T	0.00	0.00	11.45	LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES 	"4,820"	"2,434"	"1,933"	453	" $28,003 "	" $38,273 "	" $19,047 "	" $11,037 "	" $29,763 "	" $17,526 "	T	T	-	T	T	T	T	T	T	T	T	T	T	T	T	T	T	T	0.00	0.00	10.94
834	123	1_23	1_23	"6,006"	"4,094"	"1,682"	230	" $39,830 "	" $49,986 "	" $19,023 "	" $11,225 "	" $40,969 "	" $18,085 "	T	T	-	T	T	T	T	-	T	T	T	T	T	T	T	T	T	T	0.00	0.00	6.44	ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES 	"6,327"	"4,319"	"1,764"	244	" $37,243 "	" $46,471 "	" $18,431 "	" $9,902 "	" $38,340 "	" $17,395 "	T	T	-	T	T	T	T	-	T	T	T	T	T	T	T	T	T	T	0.00	0.00	7.01
843	123	1_23	1_23	"3,530"	"2,022"	"1,334"	174	" $13,758 "	" $16,506 "	" $10,397 "	" $7,589 "	" $14,078 "	" $10,073 "	T	T	-	T	T	T	T	-	T	T	T	T	T	T	T	T	T	T	0.00	0.00	4.82	OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES 	"3,839"	"2,153"	"1,510"	176	" $13,103 "	" $15,850 "	" $9,849 "	" $7,421 "	" $13,376 "	" $9,595 "	T	T	-	T	T	T	T	-	T	T	T	T	T	T	T	T	T	T	0.00	0.00	4.86
846	123	1_23	1_23	"10,378"	"2,936"	"7,329"	113	" $14,448 "	" $22,705 "	" $11,250 "	" $7,347 "	" $14,526 "	" $11,191 "	T	T	-	T	T	T	T	-	T	T	T	T	T	T	T	T	T	T	0.00	0.00	8.93	CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS 	"11,105"	"2,880"	"8,089"	136	" $13,038 "	" $20,863 "	" $10,362 "	" $6,478 "	" $13,119 "	" $10,298 "	T	T	-	T	T	T	T	-	T	T	T	T	T	T	T	T	T	T	0.00	0.00	7.00
853	123	1_23	1_23	"95,676"	"76,311"	"19,250"	115	" $36,368 "	" $41,165 "	" $17,484 "	" $14,140 "	" $36,395 "	" $17,464 "	T	T	-	T	T	T	T	-	T	T	T	T	T	T	T	T	T	T	0.00	0.00	5.34	INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES 	"100,326"	"79,988"	"20,181"	157	" $35,306 "	" $39,950 "	" $17,065 "	" $14,311 "	" $35,339 "	" $17,044 "	T	T	-	T	T	T	T	-	T	T	T	-	T	T	T	T	T	T	0.00	0.00	4.82
867	123	1_23	1_23	"3,891"	"2,229"	"1,449"	213	" $14,233 "	" $18,300 "	" $9,159 "	" $6,194 "	" $14,698 "	" $8,779 "	T	T	-	T	T	T	T	T	T	T	T	T	T	T	T	T	T	T	0.00	0.00	6.62	OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES 	"3,791"	"2,332"	"1,276"	183	" $13,979 "	" $17,253 "	" $9,164 "	" $5,836 "	" $14,393 "	" $8,747 "	T	T	-	T	T	T	T	-	T	T	T	T	T	T	T	T	T	T	0.00	0.00	5.21
901	123	1_23	1_23	"2,568"	843	"1,390"	335	" $23,082 "	" $38,256 "	" $16,765 "	" $11,108 "	" $24,878 "	" $15,666 "	T	T	-	T	T	T	T	T	T	T	T	T	T	T	T	T	T	T	0.00	0.00	9.39	WOUND DEBRIDEMENTS FOR INJURIES 	"2,640"	805	"1,495"	340	" $21,739 "	" $36,913 "	" $16,090 "	" $10,652 "	" $23,378 "	" $15,083 "	T	T	-	T	T	T	T	T	T	T	T	T	T	T	T	T	T	T	0.00	0.00	8.02
939	123	1	1	"1,799"	441	965	393	" $21,065 "	" $28,636 "	" $19,170 "	" $17,224 "	" $22,139 "	" $18,607 "	-	T	-	T	T	T	T	T	T	T	T	-	T	T	T	-	T	T	0.00	1.04	4.71	O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES 	"1,881"	450	957	474	" $19,977 "	" $27,422 "	" $18,515 "	" $15,862 "	" $21,364 "	" $17,636 "	-	T	-	T	T	T	T	T	T	T	T	-	T	T	T	T	T	T	0.00	0.00	0.00
957	123	1_23	1_23	"3,427"	"1,932"	"1,380"	115	" $52,311 "	" $65,659 "	" $36,023 "	" $23,526 "	" $53,311 "	" $35,061 "	T	T	-	T	T	T	T	-	T	T	T	T	T	T	T	T	T	T	0.00	0.00	9.26	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA 	"4,215"	"2,413"	"1,659"	143	" $49,388 "	" $61,297 "	" $34,464 "	" $21,591 "	" $50,365 "	" $33,442 "	T	T	-	T	T	T	T	-	T	T	T	T	T	T	T	T	T	T	0.00	0.00	9.67
974	123	1_23	1_23	"3,580"	"2,455"	"1,015"	110	" $21,543 "	" $25,870 "	" $12,473 "	" $8,674 "	" $21,951 "	" $12,101 "	T	T	-	T	T	T	T	-	T	T	T	T	T	T	T	T	T	T	0.00	0.00	5.36	HIV WITH MAJOR RELATED CONDITION 	"4,322"	"3,038"	"1,115"	169	" $20,730 "	" $24,807 "	" $11,669 "	" $7,223 "	" $21,280 "	" $11,084 "	T	T	-	T	T	T	T	-	T	T	T	T	T	T	T	T	T	T	0.00	0.00	5.05
