Neonate birthwt >2499g, normal newborn or neonate w other problem |
978 |
$7,996 |
$1,181 |
$7,819,934 |
$1,155,206 |
2.03 |
Vaginal delivery |
732 |
$11,692 |
$6,645 |
$8,558,740 |
$4,864,166 |
2.26 |
Septicemia & disseminated infections |
729 |
$38,313 |
$11,638 |
$27,930,302 |
$8,484,372 |
6.99 |
Chronic obstructive pulmonary disease |
572 |
$25,879 |
$7,641 |
$14,802,778 |
$4,370,613 |
5.31 |
Depression except major depressive disorder |
457 |
$14,777 |
$4,356 |
$6,752,913 |
$1,990,912 |
4.36 |
Heart failure |
451 |
$28,205 |
$8,374 |
$12,720,273 |
$3,776,637 |
5.40 |
Cesarean delivery |
352 |
$19,438 |
$11,406 |
$6,842,045 |
$4,015,048 |
3.57 |
Other pneumonia |
270 |
$27,206 |
$8,405 |
$7,345,606 |
$2,269,331 |
5.51 |
Cellulitis & other skin infections |
263 |
$26,621 |
$8,090 |
$7,001,227 |
$2,127,765 |
5.70 |
Knee joint replacement |
229 |
$41,754 |
$14,920 |
$9,561,714 |
$3,416,693 |
3.19 |
Cardiac arrhythmia & conduction disorders |
214 |
$19,728 |
$5,505 |
$4,221,797 |
$1,177,968 |
3.50 |
Bipolar disorders |
210 |
$18,248 |
$5,418 |
$3,832,030 |
$1,137,785 |
5.34 |
Acute Kidney Injury |
208 |
$37,776 |
$11,638 |
$7,857,453 |
$2,420,731 |
7.39 |
Respiratory Failure |
202 |
$45,835 |
$14,527 |
$9,258,710 |
$2,934,495 |
7.24 |
Major depressive disorders & other/unspecified psychoses |
183 |
$18,015 |
$4,833 |
$3,296,752 |
$884,448 |
5.72 |
Schizophrenia |
180 |
$32,190 |
$8,925 |
$5,794,260 |
$1,606,437 |
9.66 |
CVA & precerebral occlusion w infarct |
170 |
$27,473 |
$7,744 |
$4,670,444 |
$1,316,469 |
5.02 |
Kidney & urinary tract infections |
170 |
$24,893 |
$7,435 |
$4,231,893 |
$1,264,024 |
5.35 |
Hip joint replacement |
166 |
$47,934 |
$16,461 |
$7,957,036 |
$2,732,542 |
4.47 |
Lower extremity arterial procedures |
160 |
$66,143 |
$22,342 |
$10,582,931 |
$3,574,647 |
5.98 |
Major small & large bowel procedures |
151 |
$59,287 |
$20,085 |
$8,952,348 |
$3,032,874 |
7.89 |
Laparoscopic cholecystectomy |
129 |
$25,735 |
$7,687 |
$3,319,866 |
$991,634 |
3.24 |
Other disorders of nervous system |
120 |
$49,533 |
$17,834 |
$5,943,944 |
$2,140,047 |
13.00 |
Acute myocardial infarction |
120 |
$29,831 |
$8,866 |
$3,579,722 |
$1,063,898 |
3.65 |
Major respiratory infections & inflammations |
117 |
$39,390 |
$12,026 |
$4,608,590 |
$1,407,088 |
8.23 |
Rehabilitation |
117 |
$42,720 |
$16,331 |
$4,998,240 |
$1,910,779 |
10.27 |
Other gastroenteritis, nausa & vomiting |
116 |
$15,230 |
$4,546 |
$1,766,705 |
$527,339 |
3.33 |
Disorders of pancreas except malignancy |
115 |
$22,283 |
$6,391 |
$2,562,586 |
$735,022 |
4.64 |
Hip and femur fracture repair |
112 |
$40,284 |
$12,757 |
$4,511,780 |
$1,428,803 |
5.34 |
Alcohol abuse & dependence |
111 |
$22,228 |
$6,444 |
$2,467,295 |
$715,323 |
4.72 |
Diabetes |
110 |
$26,246 |
$8,008 |
$2,887,016 |
$880,839 |
4.05 |
Diverticulitis & diverticulosis |
108 |
$23,368 |
$6,609 |
$2,523,783 |
$713,724 |
4.38 |
Extracranial vascular procedures |
102 |
$24,733 |
$8,250 |
$2,522,804 |
$841,520 |
2.29 |
Infectious & parasitic diseases including HIV w O.R. procedure |
102 |
$104,639 |
$34,231 |
$10,673,186 |
$3,491,518 |
13.67 |
Percutaneous coronary intervention w AMI |
99 |
$45,446 |
$14,804 |
$4,499,148 |
$1,465,565 |
4.73 |
Other digestive system diagnoses |
98 |
$24,670 |
$6,779 |
$2,417,706 |
$664,294 |
4.77 |
Signs, symptoms & other factors influencing health status |
96 |
$27,395 |
$8,269 |
$2,629,956 |
$793,829 |
6.49 |
Intestinal obstruction |
89 |
$20,454 |
$5,816 |
$1,820,419 |
$517,661 |
4.64 |
Other back & neck disorders, fractures & injuries |
88 |
$26,042 |
$7,307 |
$2,291,668 |
$643,008 |
6.07 |
Other musculoskeletal system & connective tissue diagnoses |
85 |
$18,604 |
$5,197 |
$1,581,366 |
$441,766 |
4.06 |
Poisoning of medicinal agents |
84 |
$22,399 |
$6,791 |
$1,881,534 |
$570,475 |
3.33 |
Appendectomy |
82 |
$24,529 |
$8,129 |
$2,011,389 |
$666,540 |
2.15 |
Hypovolemia & related electrolyte disorders |
81 |
$20,491 |
$6,641 |
$1,659,769 |
$537,894 |
4.35 |
Other anemia & disorders of blood & blood-forming organs |
81 |
$20,235 |
$5,461 |
$1,639,039 |
$442,352 |
3.23 |
Peptic ulcer & gastritis |
79 |
$26,161 |
$7,262 |
$2,066,681 |
$573,722 |
4.34 |
Pulmonary embolism |
78 |
$24,789 |
$7,229 |
$1,933,543 |
$563,831 |
4.28 |
Infections of upper respiratory tract |
71 |
$15,817 |
$5,151 |
$1,122,978 |
$365,740 |
3.30 |
Electrolyte disorders except hypovolemia related |
70 |
$28,052 |
$8,366 |
$1,963,667 |
$585,617 |
4.64 |
Other peripheral vascular procedures |
68 |
$83,234 |
$29,995 |
$5,659,903 |
$2,039,642 |
4.81 |
Asthma |
65 |
$15,447 |
$4,949 |
$1,004,072 |
$321,708 |
2.71 |
Malfunction, reaction, complic of genitourinary device or proc |
64 |
$33,553 |
$10,080 |
$2,147,391 |
$645,139 |
8.84 |
Cardiac catheterization for other non-coronary conditions |
63 |
$33,040 |
$9,298 |
$2,081,519 |
$585,790 |
4.41 |
Peripheral & other vascular disorders |
62 |
$25,365 |
$7,607 |
$1,572,635 |
$471,612 |
4.82 |
Syncope & collapse |
61 |
$17,653 |
$4,637 |
$1,076,841 |
$282,883 |
4.36 |
Respiratory signs, symptoms & minor diagnoses |
56 |
$18,951 |
$5,249 |
$1,061,243 |
$293,922 |
3.66 |
Mastectomy procedures |
55 |
$36,650 |
$13,232 |
$2,015,730 |
$727,748 |
1.35 |
Major gastrointestinal & peritoneal infections |
53 |
$33,387 |
$10,263 |
$1,769,535 |
$543,930 |
7.58 |
Other Chemotherapy |
51 |
$30,312 |
$10,876 |
$1,545,913 |
$554,698 |
3.92 |
Seizure |
50 |
$22,322 |
$6,324 |
$1,116,118 |
$316,175 |
3.38 |
Respiratory malignancy |
49 |
$44,043 |
$13,656 |
$2,158,110 |
$669,166 |
8.41 |
Foot & toe procedures |
49 |
$35,888 |
$11,217 |
$1,758,513 |
$549,611 |
6.16 |
Degenerative nervous system disorders exc mult sclerosis |
47 |
$71,831 |
$22,612 |
$3,376,052 |
$1,062,749 |
19.85 |
Transient ischemia |
47 |
$16,881 |
$4,040 |
$793,409 |
$189,868 |
2.87 |
Neonate birthwt >2499g w other significant condition |
47 |
$32,668 |
$4,443 |
$1,535,385 |
$208,830 |
4.79 |
Moderately extensive procedure unrelated to principal diagnosis |
47 |
$61,079 |
$19,499 |
$2,870,714 |
$916,449 |
11.21 |
Bronchiolitis & RSV pneumonia |
43 |
$12,185 |
$5,525 |
$523,951 |
$237,583 |
2.58 |
Abdominal pain |
43 |
$15,329 |
$3,985 |
$659,156 |
$171,342 |
2.77 |
Other & unspecified gastrointestinal hemorrhage |
43 |
$27,143 |
$7,699 |
$1,167,142 |
$331,038 |
4.40 |
Cardiac catheterization for coronary artery disease |
42 |
$25,182 |
$7,192 |
$1,057,658 |
$302,052 |
2.38 |
Other small & large bowel procedures |
42 |
$55,917 |
$18,691 |
$2,348,497 |
$785,014 |
10.29 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
40 |
$22,207 |
$6,597 |
$888,282 |
$263,878 |
4.38 |
Other skin, subcutaneous tissue & related procedures |
40 |
$31,025 |
$9,431 |
$1,241,010 |
$377,243 |
5.43 |
Other infectious & parasitic diseases |
40 |
$26,374 |
$7,851 |
$1,054,971 |
$314,030 |
4.93 |
Organic mental health disturbances |
40 |
$63,594 |
$20,257 |
$2,543,760 |
$810,276 |
19.08 |
Major chest & respiratory trauma |
39 |
$22,990 |
$6,170 |
$896,627 |
$240,620 |
4.85 |
Gastrointestinal vascular insufficiency |
39 |
$24,247 |
$6,517 |
$945,646 |
$254,169 |
6.87 |
Major abdominal vascular procedures |
38 |
$68,005 |
$23,370 |
$2,584,196 |
$888,064 |
5.13 |
Angina pectoris & coronary atherosclerosis |
36 |
$16,235 |
$4,330 |
$584,446 |
$155,868 |
2.83 |
Neonate birthwt >2499g w major anomaly |
36 |
$10,155 |
$1,477 |
$365,579 |
$53,172 |
2.36 |
Disorders of gallbladder & biliary tract |
35 |
$19,660 |
$5,328 |
$688,085 |
$186,473 |
3.37 |
Neonate bwt 2000-2499g, normal newborn or neonate w other problem |
35 |
$24,176 |
$3,300 |
$846,143 |
$115,510 |
3.80 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
35 |
$24,281 |
$6,714 |
$849,846 |
$234,982 |
4.66 |
Other circulatory system diagnoses |
34 |
$23,264 |
$6,488 |
$790,963 |
$220,599 |
3.85 |
Other esophageal disorders |
34 |
$25,802 |
$7,288 |
$877,274 |
$247,789 |
4.53 |
Other antepartum diagnoses |
34 |
$8,863 |
$3,124 |
$301,348 |
$106,214 |
2.15 |
Alcoholic liver disease |
33 |
$25,283 |
$7,397 |
$834,330 |
$244,093 |
4.48 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
33 |
$37,346 |
$11,700 |
$1,232,415 |
$386,100 |
7.33 |
Urinary stones & acquired upper urinary tract obstruction |
33 |
$15,465 |
$4,210 |
$510,330 |
$138,929 |
2.39 |
Perm cardiac pacemaker implant w/o AMI, heart failure or shock |
32 |
$44,879 |
$15,256 |
$1,436,127 |
$488,187 |
8.19 |
Percutaneous coronary intervention w/o AMI |
31 |
$40,922 |
$12,655 |
$1,268,590 |
$392,296 |
3.71 |
Digestive malignancy |
31 |
$41,308 |
$12,464 |
$1,280,552 |
$386,390 |
8.42 |
Nervous system malignancy |
30 |
$49,317 |
$16,561 |
$1,479,503 |
$496,834 |
9.40 |
Major respiratory & chest procedures |
30 |
$51,148 |
$17,133 |
$1,534,438 |
$513,977 |
7.07 |
Fractures & dislocations except femur, pelvis & back |
30 |
$23,943 |
$6,620 |
$718,281 |
$198,606 |
5.63 |
Extensive procedure unrelated to principal diagnosis |
30 |
$85,476 |
$28,002 |
$2,564,266 |
$840,071 |
13.53 |
Knee & lower leg procedures except foot |
29 |
$45,003 |
$14,575 |
$1,305,078 |
$422,686 |
6.07 |
Urethral & transurethral procedures |
29 |
$22,710 |
$6,668 |
$658,595 |
$193,371 |
3.10 |
Post-operative, post-traumatic, other device infections |
29 |
$30,997 |
$9,729 |
$898,903 |
$282,138 |
5.79 |
Behavioral disorders |
29 |
$14,929 |
$6,210 |
$432,941 |
$180,093 |
4.34 |
Other digestive system & abdominal procedures |
28 |
$45,058 |
$13,646 |
$1,261,636 |
$382,099 |
5.82 |
Adjustment disorders & neuroses except depressive diagnoses |
28 |
$12,548 |
$4,722 |
$351,346 |
$132,227 |
3.64 |
Peripheral, cranial & autonomic nerve disorders |
27 |
$23,041 |
$6,203 |
$622,119 |
$167,486 |
5.11 |
Other respiratory & chest procedures |
27 |
$51,013 |
$16,409 |
$1,377,358 |
$443,055 |
8.19 |
Other hepatobiliary, pancreas & abdominal procedures |
27 |
$49,507 |
$15,021 |
$1,336,700 |
$405,557 |
12.74 |
Thyroid, parathyroid & thyroglossal procedures |
27 |
$19,001 |
$6,317 |
$513,036 |
$170,570 |
1.30 |
Lymphoma, myeloma & non-acute leukemia |
27 |
$60,450 |
$19,500 |
$1,632,138 |
$526,499 |
9.93 |
Post-op, post-trauma, other device infections w O.R. procedure |
27 |
$61,382 |
$20,185 |
$1,657,309 |
$544,986 |
9.26 |
Hypertension |
26 |
$27,595 |
$8,151 |
$717,468 |
$211,933 |
5.15 |
Malignancy of hepatobiliary system & pancreas |
26 |
$36,040 |
$11,121 |
$937,048 |
$289,157 |
7.54 |
Amputation of lower limb except toes |
26 |
$55,966 |
$17,954 |
$1,455,110 |
$466,797 |
14.46 |
Hepatic coma & other major acute liver disorders |
25 |
$29,022 |
$8,652 |
$725,545 |
$216,294 |
5.28 |
Other disorders of the liver |
25 |
$20,129 |
$5,261 |
$503,230 |
$131,525 |
3.84 |
Other kidney & urinary tract diagnoses, signs & symptoms |
25 |
$18,939 |
$5,382 |
$473,464 |
$134,548 |
3.60 |
Postpartum & post abortion diagnoses w/o procedure |
25 |
$9,667 |
$3,589 |
$241,674 |
$89,734 |
2.08 |
Skin ulcers |
24 |
$27,939 |
$8,449 |
$670,546 |
$202,783 |
5.75 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
24 |
$22,672 |
$6,165 |
$544,121 |
$147,955 |
4.42 |
Vaginal delivery w sterilization &/or D&C |
24 |
$16,454 |
$7,947 |
$394,901 |
$190,734 |
2.13 |
Neonate, transferred < 5 days old, born here |
24 |
$8,736 |
$1,292 |
$209,663 |
$31,003 |
1.17 |
Acute anxiety & delirium states |
24 |
$17,715 |
$5,037 |
$425,163 |
$120,877 |
4.54 |
Fracture of pelvis or dislocation of hip |
23 |
$24,216 |
$6,903 |
$556,970 |
$158,776 |
6.00 |
Uterine & adnexa procedures for non-malignancy except leiomyoma |
23 |
$24,650 |
$8,347 |
$566,960 |
$191,988 |
1.87 |
Nonextensive procedure unrelated to principal diagnosis |
23 |
$55,394 |
$16,930 |
$1,274,051 |
$389,401 |
9.83 |
Shoulder, upper arm & forearm procedures except joint replacement |
22 |
$41,582 |
$14,599 |
$914,808 |
$321,169 |
2.45 |
Tendon, muscle & other soft tissue procedures |
22 |
$59,727 |
$19,065 |
$1,313,999 |
$419,425 |
12.73 |
Other skin, subcutaneous tissue & breast disorders |
22 |
$19,619 |
$5,738 |
$431,621 |
$126,225 |
4.14 |
Male reproductive system diagnoses except malignancy |
22 |
$23,214 |
$6,768 |
$510,704 |
$148,900 |
4.68 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
22 |
$13,892 |
$8,270 |
$305,613 |
$181,931 |
2.77 |
Fever |
21 |
$23,326 |
$6,299 |
$489,841 |
$132,269 |
3.95 |
Other complications of treatment |
21 |
$24,695 |
$7,512 |
$518,586 |
$157,743 |
4.14 |
Migraine & other headaches |
20 |
$21,779 |
$6,304 |
$435,571 |
$126,084 |
4.95 |
Vertigo & other labyrinth disorders |
20 |
$15,250 |
$4,209 |
$304,993 |
$84,188 |
3.15 |
Inflammatory bowel disease |
20 |
$19,427 |
$5,233 |
$388,534 |
$104,650 |
4.10 |
Malnutrition, failure to thrive & other nutritional disorders |
20 |
$40,015 |
$9,452 |
$800,296 |
$189,030 |
7.20 |
Intracranial hemorrhage |
19 |
$29,225 |
$8,094 |
$555,273 |
$153,792 |
4.89 |
Malfunction, reaction & complication of GI device or procedure |
19 |
$25,188 |
$7,385 |
$478,571 |
$140,318 |
5.00 |
Viral illness |
19 |
$24,158 |
$6,650 |
$458,997 |
$126,357 |
4.42 |
Hernia procedures except inguinal, femoral & umbilical |
17 |
$48,002 |
$16,097 |
$816,032 |
$273,643 |
4.88 |
Fracture of femur |
17 |
$23,631 |
$6,858 |
$401,725 |
$116,583 |
5.24 |
Other endocrine disorders |
16 |
$22,474 |
$6,496 |
$359,586 |
$103,939 |
4.13 |
Chest pain |
15 |
$12,805 |
$3,309 |
$192,079 |
$49,630 |
1.93 |
Kidney & urinary tract procedures for nonmalignancy |
15 |
$46,863 |
$14,875 |
$702,951 |
$223,122 |
6.87 |
Nontraumatic stupor & coma |
14 |
$35,536 |
$10,846 |
$497,501 |
$151,840 |
7.50 |
Kidney & urinary tract procedures for malignancy |
14 |
$61,443 |
$21,387 |
$860,201 |
$299,415 |
4.79 |
Drug & alcohol abuse or dependence, left against medical advice |
14 |
$12,195 |
$3,265 |
$170,724 |
$45,708 |
2.29 |
Shoulder & elbow joint replacement |
13 |
$47,491 |
$17,269 |
$617,382 |
$224,498 |
2.62 |
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms |
13 |
$94,872 |
$30,028 |
$1,233,330 |
$390,368 |
14.54 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
13 |
$56,426 |
$17,837 |
$733,541 |
$231,875 |
8.38 |
Head trauma w coma >1 hr or hemorrhage |
12 |
$24,097 |
$6,632 |
$289,166 |
$79,578 |
3.83 |
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma |
12 |
$17,141 |
$3,982 |
$205,691 |
$47,785 |
3.00 |
Ear, nose, mouth, throat, cranial/facial malignancies |
12 |
$42,512 |
$13,583 |
$510,141 |
$162,990 |
8.42 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
12 |
$18,426 |
$5,440 |
$221,107 |
$65,280 |
3.75 |
Respiratory system diagnosis w ventilator support 96+ hours |
12 |
$124,049 |
$42,047 |
$1,488,584 |
$504,558 |
13.75 |
Peritoneal adhesiolysis |
12 |
$54,456 |
$16,951 |
$653,466 |
$203,407 |
9.33 |
Intervertebral disc excision & decompression |
12 |
$25,259 |
$8,141 |
$303,104 |
$97,696 |
3.58 |
Connective tissue disorders |
12 |
$16,820 |
$4,363 |
$201,842 |
$52,359 |
3.83 |
Allergic reactions |
12 |
$50,503 |
$16,670 |
$606,036 |
$200,035 |
5.50 |
Multiple sclerosis & other demyelinating diseases |
11 |
$27,081 |
$8,951 |
$297,891 |
$98,458 |
5.91 |
Interstitial & alveolar lung diseases |
11 |
$30,142 |
$8,954 |
$331,559 |
$98,492 |
5.55 |
Major stomach, esophageal & duodenal procedures |
11 |
$70,422 |
$23,896 |
$774,644 |
$262,859 |
6.36 |
Malfunction, reaction, complic of orthopedic device or procedure |
11 |
$19,869 |
$6,037 |
$218,557 |
$66,407 |
4.18 |
Eye disorders except major infections |
10 |
$19,144 |
$4,748 |
$191,439 |
$47,480 |
3.10 |
Other circulatory system procedures |
10 |
$60,309 |
$19,675 |
$603,093 |
$196,750 |
7.70 |
Procedure w diag of rehab, aftercare or oth contact w health service |
10 |
$48,186 |
$17,644 |
$481,858 |
$176,442 |
5.90 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
9 |
$32,704 |
$9,581 |
$294,340 |
$86,228 |
5.44 |
Inguinal, femoral & umbilical hernia procedures |
9 |
$41,581 |
$13,000 |
$374,233 |
$117,003 |
6.56 |
Other musculoskeletal system & connective tissue procedures |
9 |
$34,864 |
$10,904 |
$313,776 |
$98,134 |
5.33 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
9 |
$48,439 |
$15,446 |
$435,947 |
$139,012 |
11.89 |
Other female reproductive system & related procedures |
9 |
$35,902 |
$11,254 |
$323,122 |
$101,286 |
6.67 |
Female reproductive system malignancy |
9 |
$39,726 |
$12,048 |
$357,530 |
$108,435 |
9.89 |
Coagulation & platelet disorders |
9 |
$25,925 |
$8,206 |
$233,325 |
$73,853 |
3.33 |
Other aftercare & convalescence |
9 |
$26,786 |
$9,339 |
$241,077 |
$84,050 |
6.78 |
Dental & oral diseases & injuries |
8 |
$16,341 |
$5,531 |
$130,725 |
$44,248 |
3.13 |
Major esophageal disorders |
8 |
$21,512 |
$5,748 |
$172,096 |
$45,982 |
3.13 |
Renal dialysis access device procedure only |
8 |
$94,430 |
$30,646 |
$755,436 |
$245,169 |
16.50 |
Menstrual & other female reproductive system disorders |
8 |
$16,326 |
$4,972 |
$130,611 |
$39,773 |
2.25 |
Other mental health disorders |
8 |
$9,920 |
$2,609 |
$79,360 |
$20,871 |
2.88 |
Opioid abuse & dependence |
8 |
$22,212 |
$6,539 |
$177,694 |
$52,313 |
5.00 |
Other nervous system & related procedures |
7 |
$27,973 |
$8,769 |
$195,814 |
$61,380 |
3.57 |
Non-bacterial infections of nervous system exc viral meningitis |
7 |
$73,282 |
$24,352 |
$512,975 |
$170,466 |
9.14 |
Other ear, nose, mouth & throat procedures |
7 |
$40,114 |
$12,676 |
$280,800 |
$88,730 |
5.00 |
Cardiac defibrillator & heart assist implant |
7 |
$121,071 |
$43,355 |
$847,497 |
$303,483 |
6.71 |
Skin graft for skin & subcutaneous tissue diagnoses |
7 |
$46,632 |
$16,224 |
$326,427 |
$113,571 |
4.71 |
Kidney & urinary tract malignancy |
7 |
$36,872 |
$10,656 |
$258,106 |
$74,595 |
6.14 |
Malignancy, male reproductive system |
7 |
$22,549 |
$6,523 |
$157,846 |
$45,658 |
4.71 |
Uterine & adnexa procedures for leiomyoma |
7 |
$28,200 |
$9,830 |
$197,400 |
$68,807 |
2.29 |
Female reproductive system infections |
7 |
$19,591 |
$5,632 |
$137,136 |
$39,423 |
4.00 |
Acute leukemia |
7 |
$24,552 |
$6,922 |
$171,863 |
$48,456 |
5.00 |
Disorders of personality & impulse control |
7 |
$16,324 |
$4,111 |
$114,270 |
$28,775 |
5.43 |
Other stomach, esophageal & duodenal procedures |
6 |
$112,397 |
$36,270 |
$674,382 |
$217,619 |
17.50 |
Other kidney, urinary tract & related procedures |
6 |
$68,933 |
$22,843 |
$413,599 |
$137,056 |
9.00 |
Chronic Kidney Disease |
6 |
$19,575 |
$5,538 |
$117,449 |
$33,225 |
3.17 |
Preterm labor |
6 |
$3,903 |
$2,841 |
$23,419 |
$17,046 |
1.00 |
Cocaine abuse & dependence |
6 |
$15,517 |
$4,115 |
$93,104 |
$24,692 |
3.67 |
O.R. procedure for other complications of treatment |
6 |
$53,339 |
$17,395 |
$320,031 |
$104,367 |
8.33 |
Tracheostomy w MV 96+ hours w/o extensive procedure |
5 |
$305,530 |
$107,026 |
$1,527,648 |
$535,131 |
35.40 |
Spinal disorders & injuries |
5 |
$19,753 |
$5,113 |
$98,765 |
$25,566 |
4.20 |
Hand & wrist procedures |
5 |
$49,568 |
$15,384 |
$247,838 |
$76,918 |
8.60 |
D&C, aspiration curettage or hysterotomy for obstetric diagnoses |
5 |
$13,756 |
$5,502 |
$68,778 |
$27,511 |
1.40 |
Toxic effects of non-medicinal substances |
5 |
$28,993 |
$9,635 |
$144,966 |
$48,177 |
4.00 |
Multiple significant trauma w/o O.R. procedure |
5 |
$24,523 |
$6,401 |
$122,614 |
$32,005 |
3.80 |
Tracheostomy w MV 96+ hours w extensive procedure or ECMO |
4 |
$395,626 |
$139,105 |
$1,582,505 |
$556,420 |
34.00 |
Craniotomy except for trauma |
4 |
$27,370 |
$9,751 |
$109,478 |
$39,005 |
1.50 |
Spinal procedures |
4 |
$61,742 |
$23,219 |
$246,966 |
$92,877 |
2.50 |
Viral meningitis |
4 |
$21,917 |
$6,084 |
$87,669 |
$24,334 |
4.25 |
Other cardiothoracic & thoracic vascular procedures |
4 |
$67,543 |
$20,562 |
$270,172 |
$82,248 |
4.75 |
Acute & subacute endocarditis |
4 |
$88,613 |
$28,291 |
$354,453 |
$113,162 |
19.25 |
Cardiac arrest and shock |
4 |
$17,080 |
$4,325 |
$68,320 |
$17,299 |
1.25 |
Major biliary tract procedures |
4 |
$30,108 |
$8,826 |
$120,432 |
$35,302 |
5.75 |
Other significant hip and femur surgery |
4 |
$44,066 |
$14,334 |
$176,262 |
$57,335 |
7.00 |
Breast procedures except mastectomy |
4 |
$26,832 |
$8,521 |
$107,328 |
$34,083 |
3.00 |
Inborn errors of metabolism |
4 |
$16,328 |
$6,021 |
$65,310 |
$24,084 |
2.75 |
Transurethral prostatectomy |
4 |
$59,892 |
$18,005 |
$239,568 |
$72,018 |
13.25 |
Neonate bwt 2000-2499g w other significant condition |
4 |
$46,213 |
$6,228 |
$184,852 |
$24,913 |
6.00 |
Bacterial & tuberculous infections of nervous system |
3 |
$189,488 |
$68,657 |
$568,464 |
$205,970 |
21.67 |
Cardiac structural & valvular disorders |
3 |
$10,080 |
$2,416 |
$30,241 |
$7,248 |
1.67 |
Cholecystectomy except laparoscopic |
3 |
$34,263 |
$11,100 |
$102,790 |
$33,299 |
4.33 |
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses |
3 |
$143,321 |
$46,558 |
$429,962 |
$139,675 |
26.00 |
Cervical spinal fusion & other back/neck proc exc disc excis/decomp |
3 |
$37,583 |
$12,623 |
$112,748 |
$37,868 |
4.00 |
Malignant breast disorders |
3 |
$34,702 |
$10,545 |
$104,106 |
$31,636 |
7.67 |
Other procedures for endocrine, nutritional & metabolic disorders |
3 |
$47,193 |
$15,011 |
$141,580 |
$45,032 |
6.33 |
Nephritis & nephrosis |
3 |
$13,458 |
$3,468 |
$40,373 |
$10,404 |
2.33 |
Neonate bwt 1500-1999g w or w/o other significant condition |
3 |
$40,480 |
$5,417 |
$121,440 |
$16,252 |
6.00 |
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond |
3 |
$17,627 |
$2,515 |
$52,882 |
$7,545 |
2.67 |
Other procedures of blood & blood-forming organs |
3 |
$26,281 |
$7,442 |
$78,844 |
$22,325 |
3.00 |
Other injury, poisoning & toxic effect diagnoses |
3 |
$24,042 |
$7,171 |
$72,127 |
$21,512 |
4.67 |
HIV w one signif HIV cond or w/o signif related cond |
3 |
$52,589 |
$16,037 |
$157,766 |
$48,110 |
15.00 |
Nonspecific CVA & precerebral occlusion w/o infarct |
2 |
$45,609 |
$12,882 |
$91,218 |
$25,763 |
11.50 |
Major skin disorders |
2 |
$16,334 |
$4,583 |
$32,667 |
$9,165 |
3.50 |
Other bladder procedures |
2 |
$13,452 |
$4,181 |
$26,904 |
$8,361 |
1.50 |
Major male pelvic procedures |
2 |
$26,484 |
$8,544 |
$52,968 |
$17,087 |
2.00 |
False labor |
2 |
$3,580 |
$2,783 |
$7,159 |
$5,565 |
1.00 |
Mental illness diagnosis w O.R. procedure |
2 |
$24,917 |
$7,310 |
$49,834 |
$14,620 |
5.50 |
Other drug abuse & dependence |
2 |
$28,380 |
$10,036 |
$56,760 |
$20,072 |
4.00 |
Partial thickness burns without skin graft |
2 |
$12,656 |
$3,207 |
$25,312 |
$6,414 |
2.00 |
Neonatal aftercare |
2 |
$45,806 |
$5,934 |
$91,612 |
$11,868 |
6.00 |
Ventricular shunt procedures |
1 |
$36,792 |
$13,425 |
$36,792 |
$13,425 |
1.00 |
Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma |
1 |
$20,980 |
$4,815 |
$20,980 |
$4,815 |
2.00 |
Sinus & mastoid procedures |
1 |
$41,652 |
$15,744 |
$41,652 |
$15,744 |
1.00 |
Cystic fibrosis - pulmonary disease |
1 |
$76,321 |
$23,797 |
$76,321 |
$23,797 |
10.00 |
Cardiac pacemaker & defibrillator revision except device replacement |
1 |
$9,128 |
$2,861 |
$9,128 |
$2,861 |
2.00 |
Cardiomyopathy |
1 |
$22,736 |
$6,513 |
$22,736 |
$6,513 |
2.00 |
Anal procedures |
1 |
$16,196 |
$5,129 |
$16,196 |
$5,129 |
3.00 |
Major bladder procedures |
1 |
$47,838 |
$14,304 |
$47,838 |
$14,304 |
7.00 |
Penis procedures |
1 |
$13,838 |
$3,599 |
$13,838 |
$3,599 |
1.00 |
Testes & scrotal procedures |
1 |
$13,546 |
$3,898 |
$13,546 |
$3,898 |
1.00 |
Other male reproductive system & related procedures |
1 |
$49,926 |
$15,166 |
$49,926 |
$15,166 |
9.00 |
Female reproductive system reconstructive procedures |
1 |
$31,613 |
$12,068 |
$31,613 |
$12,068 |
1.00 |
Dilation & curettage for non-obstetric diagnoses |
1 |
$17,382 |
$4,592 |
$17,382 |
$4,592 |
3.00 |
Other O.R. proc for obstetric diagnoses except delivery diagnoses |
1 |
$9,628 |
$5,799 |
$9,628 |
$5,799 |
2.00 |
Neonate birthwt 1500-1999g w major anomaly |
1 |
$9,295 |
$1,443 |
$9,295 |
$1,443 |
1.00 |
Neonate bwt 2000-2499g w major anomaly |
1 |
$158,183 |
$21,033 |
$158,183 |
$21,033 |
20.00 |
Neonate birthwt >2499g w other major procedure |
1 |
$10,002 |
$1,538 |
$10,002 |
$1,538 |
3.00 |
Neonate birthwt >2499g w congenital/perinatal infection |
1 |
$19,678 |
$15,176 |
$19,678 |
$15,176 |
5.00 |
Splenectomy |
1 |
$81,877 |
$26,979 |
$81,877 |
$26,979 |
8.00 |
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms |
1 |
$195,838 |
$63,130 |
$195,838 |
$63,130 |
41.00 |
Radiotherapy |
1 |
$71,605 |
$23,086 |
$71,605 |
$23,086 |
17.00 |
Chemotherapy for acute leukemia |
1 |
$73,121 |
$25,786 |
$73,121 |
$25,786 |
10.00 |
HIV w multiple major HIV related conditions |
1 |
$97,076 |
$31,869 |
$97,076 |
$31,869 |
21.00 |
HIV w major HIV related condition |
1 |
$11,275 |
$3,006 |
$11,275 |
$3,006 |
2.00 |
Musculoskeletal & other procedures for multiple significant trauma |
1 |
$44,459 |
$14,442 |
$44,459 |
$14,442 |
6.00 |
Ungroupable |
1 |
$6,246 |
$934 |
$6,246 |
$934 |
2.00 |