Neonate birthwt >2499g, normal newborn or neonate w other problem |
596 |
$1,742 |
$1,420 |
$1,038,446 |
$846,435 |
2.14 |
Septicemia & disseminated infections |
487 |
$14,960 |
$8,110 |
$7,285,623 |
$3,949,352 |
5.86 |
Vaginal delivery |
375 |
$4,094 |
$2,925 |
$1,535,181 |
$1,097,060 |
2.28 |
Opioid abuse & dependence |
306 |
$3,411 |
$2,408 |
$1,043,757 |
$736,846 |
3.10 |
Drug & alcohol abuse or dependence, left against medical advice |
291 |
$3,260 |
$2,143 |
$948,518 |
$623,476 |
3.14 |
Heart failure |
253 |
$10,935 |
$5,980 |
$2,766,467 |
$1,512,909 |
5.02 |
Cesarean delivery |
232 |
$5,657 |
$3,499 |
$1,312,396 |
$811,712 |
3.06 |
Alcohol & drug dependence w rehab or rehab/detox therapy |
231 |
$14,728 |
$10,129 |
$3,402,087 |
$2,339,879 |
18.19 |
Respiratory Failure |
194 |
$12,434 |
$6,235 |
$2,412,157 |
$1,209,617 |
4.85 |
Alcohol abuse & dependence |
191 |
$4,832 |
$3,174 |
$922,851 |
$606,305 |
3.70 |
Chronic obstructive pulmonary disease |
159 |
$8,899 |
$4,634 |
$1,414,946 |
$736,861 |
4.01 |
Cardiac arrhythmia & conduction disorders |
135 |
$8,035 |
$3,922 |
$1,084,735 |
$529,512 |
3.12 |
Acute Kidney Injury |
130 |
$10,035 |
$5,543 |
$1,304,517 |
$720,534 |
4.85 |
Other pneumonia |
94 |
$8,886 |
$4,796 |
$835,316 |
$450,864 |
4.07 |
Diabetes |
91 |
$7,816 |
$4,285 |
$711,238 |
$389,933 |
2.82 |
Procedures for obesity |
87 |
$30,864 |
$12,936 |
$2,685,166 |
$1,125,396 |
1.25 |
Intestinal obstruction |
82 |
$7,143 |
$3,980 |
$585,760 |
$326,384 |
3.83 |
Kidney & urinary tract infections |
77 |
$7,051 |
$3,836 |
$542,900 |
$295,380 |
3.51 |
Cellulitis & other skin infections |
72 |
$7,466 |
$4,301 |
$537,580 |
$309,655 |
4.03 |
CVA & precerebral occlusion w infarct |
68 |
$12,832 |
$6,668 |
$872,594 |
$453,457 |
4.74 |
Other gastroenteritis, nausa & vomiting |
66 |
$6,173 |
$3,456 |
$407,445 |
$228,069 |
3.11 |
Hip and femur fracture repair |
65 |
$28,825 |
$14,277 |
$1,873,657 |
$928,022 |
6.17 |
Rehabilitation |
65 |
$16,988 |
$11,221 |
$1,104,198 |
$729,347 |
11.02 |
Seizure |
62 |
$8,700 |
$5,037 |
$539,394 |
$312,295 |
4.68 |
Major respiratory infections & inflammations |
57 |
$14,288 |
$8,209 |
$814,400 |
$467,930 |
6.79 |
Disorders of pancreas except malignancy |
56 |
$8,604 |
$4,885 |
$481,849 |
$273,542 |
4.55 |
Poisoning of medicinal agents |
56 |
$9,348 |
$4,775 |
$523,495 |
$267,423 |
2.88 |
Major small & large bowel procedures |
54 |
$33,511 |
$16,617 |
$1,809,588 |
$897,315 |
7.76 |
Other disorders of nervous system |
53 |
$18,720 |
$12,801 |
$992,165 |
$678,441 |
11.87 |
Acute myocardial infarction |
51 |
$11,180 |
$5,219 |
$570,161 |
$266,175 |
3.80 |
Other digestive system diagnoses |
50 |
$6,580 |
$3,739 |
$328,985 |
$186,931 |
3.54 |
Other anemia & disorders of blood & blood-forming organs |
50 |
$10,681 |
$6,064 |
$534,068 |
$303,179 |
5.04 |
Infectious & parasitic diseases including HIV w O.R. procedure |
44 |
$37,289 |
$19,915 |
$1,640,730 |
$876,242 |
11.05 |
Diverticulitis & diverticulosis |
43 |
$7,490 |
$4,247 |
$322,059 |
$182,600 |
3.91 |
Syncope & collapse |
40 |
$8,362 |
$4,694 |
$334,487 |
$187,744 |
4.45 |
Other & unspecified gastrointestinal hemorrhage |
40 |
$11,050 |
$5,668 |
$442,012 |
$226,709 |
4.05 |
Transient ischemia |
38 |
$8,752 |
$4,294 |
$332,568 |
$163,180 |
2.84 |
Pulmonary embolism |
36 |
$9,120 |
$4,470 |
$328,324 |
$160,923 |
3.56 |
Major gastrointestinal & peritoneal infections |
36 |
$8,987 |
$5,629 |
$323,529 |
$202,654 |
5.25 |
Peptic ulcer & gastritis |
35 |
$14,888 |
$8,354 |
$521,077 |
$292,389 |
6.49 |
Electrolyte disorders except hypovolemia related |
31 |
$11,207 |
$6,185 |
$347,417 |
$191,728 |
4.35 |
Cardiac catheterization for other non-coronary conditions |
30 |
$17,299 |
$7,180 |
$518,981 |
$215,387 |
4.23 |
Other musculoskeletal system & connective tissue diagnoses |
29 |
$7,201 |
$3,943 |
$208,815 |
$114,336 |
3.76 |
Vaginal delivery w sterilization &/or D&C |
28 |
$8,069 |
$4,678 |
$225,927 |
$130,978 |
2.21 |
Disorders of gallbladder & biliary tract |
27 |
$6,462 |
$3,414 |
$174,471 |
$92,191 |
3.04 |
Hypovolemia & related electrolyte disorders |
27 |
$9,268 |
$5,049 |
$250,232 |
$136,310 |
4.15 |
Malfunction, reaction, complic of genitourinary device or proc |
27 |
$10,127 |
$5,921 |
$273,426 |
$159,867 |
4.52 |
Other antepartum diagnoses |
27 |
$4,546 |
$2,890 |
$122,732 |
$78,020 |
4.26 |
Moderately extensive procedure unrelated to principal diagnosis |
27 |
$19,654 |
$9,814 |
$530,663 |
$264,990 |
4.44 |
Nontraumatic stupor & coma |
25 |
$11,023 |
$6,410 |
$275,570 |
$160,250 |
5.12 |
Angina pectoris & coronary atherosclerosis |
25 |
$6,954 |
$2,885 |
$173,849 |
$72,133 |
2.08 |
Chest pain |
25 |
$6,252 |
$2,697 |
$156,292 |
$67,436 |
1.68 |
Hip joint replacement |
25 |
$35,712 |
$17,122 |
$892,795 |
$428,045 |
6.24 |
Laparoscopic cholecystectomy |
23 |
$18,806 |
$9,145 |
$432,531 |
$210,346 |
4.30 |
Neonate, transferred < 5 days old, born here |
22 |
$2,240 |
$983 |
$49,279 |
$21,615 |
1.27 |
Inflammatory bowel disease |
21 |
$5,681 |
$3,110 |
$119,299 |
$65,309 |
3.00 |
Respiratory malignancy |
20 |
$13,935 |
$7,036 |
$278,698 |
$140,717 |
5.00 |
Asthma |
20 |
$5,800 |
$2,748 |
$116,004 |
$54,967 |
2.50 |
Degenerative nervous system disorders exc mult sclerosis |
19 |
$16,737 |
$9,751 |
$318,003 |
$185,268 |
8.58 |
Infections of upper respiratory tract |
19 |
$7,316 |
$3,800 |
$139,004 |
$72,198 |
3.53 |
Post-operative, post-traumatic, other device infections |
19 |
$13,789 |
$8,035 |
$261,998 |
$152,668 |
6.00 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
17 |
$8,696 |
$4,857 |
$147,827 |
$82,571 |
3.35 |
Hypertension |
17 |
$9,627 |
$5,454 |
$163,660 |
$92,712 |
3.06 |
Other back & neck disorders, fractures & injuries |
17 |
$10,430 |
$6,173 |
$177,306 |
$104,934 |
6.29 |
Alcoholic liver disease |
15 |
$9,065 |
$5,237 |
$135,978 |
$78,556 |
4.53 |
Knee & lower leg procedures except foot |
15 |
$30,767 |
$13,987 |
$461,498 |
$209,802 |
4.00 |
Cocaine abuse & dependence |
15 |
$5,375 |
$3,314 |
$80,626 |
$49,709 |
3.53 |
Perm cardiac pacemaker implant w/o AMI, heart failure or shock |
14 |
$40,480 |
$15,684 |
$566,714 |
$219,575 |
5.36 |
Nonextensive procedure unrelated to principal diagnosis |
14 |
$17,177 |
$9,678 |
$240,477 |
$135,490 |
6.21 |
Skin ulcers |
13 |
$8,658 |
$5,412 |
$112,555 |
$70,350 |
5.00 |
Signs, symptoms & other factors influencing health status |
13 |
$7,047 |
$4,053 |
$91,615 |
$52,689 |
4.00 |
Neonate bwt 2000-2499g, normal newborn or neonate w other problem |
12 |
$1,432 |
$1,129 |
$17,186 |
$13,549 |
2.58 |
Neonate birthwt >2499g w other significant condition |
12 |
$2,845 |
$2,177 |
$34,142 |
$26,129 |
4.42 |
Other circulatory system diagnoses |
11 |
$13,015 |
$7,240 |
$143,163 |
$79,643 |
3.55 |
Foot & toe procedures |
11 |
$17,029 |
$9,501 |
$187,323 |
$104,516 |
6.73 |
Fracture of femur |
11 |
$9,823 |
$5,501 |
$108,055 |
$60,510 |
4.91 |
Fractures & dislocations except femur, pelvis & back |
11 |
$5,798 |
$2,971 |
$63,783 |
$32,681 |
2.36 |
Other endocrine disorders |
11 |
$6,009 |
$3,295 |
$66,098 |
$36,250 |
3.27 |
Uterine & adnexa procedures for non-malignancy except leiomyoma |
11 |
$19,942 |
$9,403 |
$219,365 |
$103,430 |
2.64 |
Other small & large bowel procedures |
10 |
$35,235 |
$17,636 |
$352,351 |
$176,357 |
8.70 |
Malignancy of hepatobiliary system & pancreas |
10 |
$9,625 |
$5,518 |
$96,247 |
$55,179 |
4.70 |
Kidney & urinary tract procedures for nonmalignancy |
10 |
$22,235 |
$10,459 |
$222,350 |
$104,586 |
3.30 |
Urethral & transurethral procedures |
10 |
$17,370 |
$9,358 |
$173,698 |
$93,579 |
6.20 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
10 |
$9,945 |
$5,608 |
$99,445 |
$56,078 |
4.20 |
Peripheral, cranial & autonomic nerve disorders |
9 |
$9,146 |
$4,950 |
$82,314 |
$44,553 |
3.56 |
Cardiac catheterization for coronary artery disease |
9 |
$15,796 |
$6,293 |
$142,163 |
$56,634 |
3.33 |
Peripheral & other vascular disorders |
9 |
$14,742 |
$7,406 |
$132,674 |
$66,654 |
4.44 |
Other esophageal disorders |
9 |
$13,137 |
$6,741 |
$118,230 |
$60,668 |
4.44 |
Uterine & adnexa procedures for leiomyoma |
9 |
$19,001 |
$8,731 |
$171,009 |
$78,583 |
1.67 |
Appendectomy |
8 |
$14,229 |
$6,905 |
$113,832 |
$55,240 |
3.63 |
Other hepatobiliary, pancreas & abdominal procedures |
8 |
$28,326 |
$15,210 |
$226,611 |
$121,681 |
9.63 |
Hepatic coma & other major acute liver disorders |
8 |
$10,788 |
$6,621 |
$86,302 |
$52,968 |
4.00 |
Amputation of lower limb except toes |
8 |
$29,727 |
$16,868 |
$237,814 |
$134,940 |
9.13 |
Intervertebral disc excision & decompression |
8 |
$29,642 |
$14,282 |
$237,137 |
$114,258 |
6.00 |
Fracture of pelvis or dislocation of hip |
8 |
$5,706 |
$3,389 |
$45,644 |
$27,111 |
3.38 |
Kidney & urinary tract procedures for malignancy |
8 |
$29,507 |
$14,114 |
$236,057 |
$112,914 |
4.00 |
Coagulation & platelet disorders |
8 |
$7,960 |
$4,289 |
$63,679 |
$34,312 |
3.00 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
8 |
$10,493 |
$5,253 |
$83,943 |
$42,021 |
3.75 |
Toxic effects of non-medicinal substances |
8 |
$8,168 |
$3,904 |
$65,346 |
$31,231 |
2.50 |
Nervous system malignancy |
7 |
$13,849 |
$9,158 |
$96,945 |
$64,109 |
8.57 |
Malfunction, reaction, complic of orthopedic device or procedure |
7 |
$11,148 |
$5,548 |
$78,033 |
$38,833 |
4.00 |
Other skin, subcutaneous tissue & related procedures |
7 |
$18,982 |
$10,167 |
$132,873 |
$71,169 |
6.29 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
7 |
$6,858 |
$3,715 |
$48,008 |
$26,008 |
3.43 |
Malnutrition, failure to thrive & other nutritional disorders |
7 |
$6,302 |
$3,771 |
$44,116 |
$26,399 |
3.86 |
Other kidney & urinary tract diagnoses, signs & symptoms |
7 |
$8,304 |
$4,402 |
$58,130 |
$30,811 |
4.14 |
Other male reproductive system & related procedures |
7 |
$23,938 |
$10,893 |
$167,568 |
$76,250 |
1.43 |
Other complications of treatment |
7 |
$9,055 |
$4,624 |
$63,385 |
$32,368 |
3.86 |
Intracranial hemorrhage |
6 |
$6,492 |
$3,875 |
$38,950 |
$23,247 |
3.67 |
Respiratory system diagnosis w ventilator support 96+ hours |
6 |
$48,257 |
$22,462 |
$289,539 |
$134,774 |
11.50 |
Bronchiolitis & RSV pneumonia |
6 |
$5,778 |
$2,653 |
$34,668 |
$15,916 |
3.00 |
Interstitial & alveolar lung diseases |
6 |
$7,849 |
$3,816 |
$47,093 |
$22,898 |
3.17 |
Respiratory signs, symptoms & minor diagnoses |
6 |
$4,641 |
$2,260 |
$27,846 |
$13,558 |
2.00 |
Other stomach, esophageal & duodenal procedures |
6 |
$27,155 |
$12,474 |
$162,928 |
$74,841 |
5.00 |
Lymphoma, myeloma & non-acute leukemia |
6 |
$12,336 |
$6,865 |
$74,015 |
$41,192 |
5.50 |
Post-op, post-trauma, other device infections w O.R. procedure |
6 |
$19,393 |
$10,989 |
$116,357 |
$65,932 |
9.00 |
Acute anxiety & delirium states |
6 |
$8,105 |
$4,906 |
$48,629 |
$29,435 |
4.83 |
Other drug abuse & dependence |
6 |
$5,048 |
$3,090 |
$30,287 |
$18,541 |
3.50 |
Head trauma w coma >1 hr or hemorrhage |
5 |
$5,170 |
$3,054 |
$25,852 |
$15,271 |
3.60 |
Major chest & respiratory trauma |
5 |
$7,017 |
$3,350 |
$35,083 |
$16,751 |
3.00 |
Cardiac structural & valvular disorders |
5 |
$6,242 |
$2,946 |
$31,208 |
$14,730 |
2.20 |
Peritoneal adhesiolysis |
5 |
$17,757 |
$9,147 |
$88,784 |
$45,735 |
6.00 |
Other digestive system & abdominal procedures |
5 |
$22,050 |
$12,126 |
$110,248 |
$60,631 |
8.80 |
Digestive malignancy |
5 |
$14,566 |
$7,891 |
$72,831 |
$39,454 |
6.40 |
Other skin, subcutaneous tissue & breast disorders |
5 |
$4,783 |
$2,847 |
$23,913 |
$14,235 |
2.80 |
Female reproductive system malignancy |
5 |
$11,756 |
$6,853 |
$58,780 |
$34,264 |
6.20 |
Menstrual & other female reproductive system disorders |
5 |
$6,671 |
$3,523 |
$33,357 |
$17,617 |
2.60 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
5 |
$4,665 |
$3,345 |
$23,325 |
$16,725 |
2.60 |
Neonate birthwt >2499g w major anomaly |
5 |
$1,818 |
$1,107 |
$9,092 |
$5,537 |
2.60 |
Other infectious & parasitic diseases |
5 |
$8,787 |
$4,786 |
$43,934 |
$23,930 |
4.00 |
Organic mental health disturbances |
5 |
$12,946 |
$8,325 |
$64,731 |
$41,624 |
10.80 |
Other aftercare & convalescence |
5 |
$9,893 |
$6,098 |
$49,466 |
$30,491 |
5.80 |
Migraine & other headaches |
4 |
$7,751 |
$4,100 |
$31,005 |
$16,401 |
3.50 |
Major esophageal disorders |
4 |
$14,472 |
$7,039 |
$57,886 |
$28,155 |
3.50 |
Malfunction, reaction & complication of GI device or procedure |
4 |
$12,759 |
$6,912 |
$51,035 |
$27,649 |
5.75 |
Cervical spinal fusion & other back/neck proc exc disc excis/decomp |
4 |
$27,687 |
$13,497 |
$110,747 |
$53,986 |
7.25 |
Male reproductive system diagnoses except malignancy |
4 |
$12,376 |
$6,832 |
$49,502 |
$27,329 |
5.50 |
Fever |
4 |
$9,071 |
$4,839 |
$36,283 |
$19,355 |
4.50 |
Viral illness |
4 |
$5,343 |
$2,649 |
$21,370 |
$10,595 |
2.75 |
Extensive procedure unrelated to principal diagnosis |
4 |
$26,023 |
$12,207 |
$104,093 |
$48,828 |
4.25 |
Multiple sclerosis & other demyelinating diseases |
3 |
$8,074 |
$4,489 |
$24,223 |
$13,466 |
4.00 |
Non-bacterial infections of nervous system exc viral meningitis |
3 |
$14,419 |
$8,373 |
$43,257 |
$25,118 |
7.00 |
Vertigo & other labyrinth disorders |
3 |
$5,766 |
$3,029 |
$17,298 |
$9,088 |
3.67 |
Major stomach, esophageal & duodenal procedures |
3 |
$29,728 |
$14,603 |
$89,185 |
$43,808 |
7.67 |
Hernia procedures except inguinal, femoral & umbilical |
3 |
$16,219 |
$7,419 |
$48,656 |
$22,258 |
2.33 |
Gastrointestinal vascular insufficiency |
3 |
$18,942 |
$9,816 |
$56,826 |
$29,448 |
6.67 |
Cholecystectomy except laparoscopic |
3 |
$33,809 |
$17,153 |
$101,427 |
$51,460 |
8.00 |
Other disorders of the liver |
3 |
$13,675 |
$7,840 |
$41,026 |
$23,521 |
6.67 |
Other musculoskeletal system & connective tissue procedures |
3 |
$15,080 |
$7,264 |
$45,239 |
$21,792 |
4.00 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
3 |
$5,740 |
$3,447 |
$17,221 |
$10,341 |
3.33 |
Urinary stones & acquired upper urinary tract obstruction |
3 |
$9,462 |
$5,019 |
$28,385 |
$15,058 |
3.33 |
Transurethral prostatectomy |
3 |
$13,332 |
$8,488 |
$39,996 |
$25,464 |
9.00 |
O.R. procedure for other complications of treatment |
3 |
$9,243 |
$4,888 |
$27,728 |
$14,663 |
3.33 |
Multiple significant trauma w/o O.R. procedure |
3 |
$10,721 |
$4,895 |
$32,162 |
$14,684 |
4.00 |
Ear, nose, mouth, throat, cranial/facial malignancies |
2 |
$6,634 |
$3,687 |
$13,268 |
$7,373 |
3.00 |
Other peripheral vascular procedures |
2 |
$18,560 |
$13,750 |
$37,120 |
$27,499 |
5.00 |
Cardiac arrest and shock |
2 |
$5,694 |
$2,525 |
$11,388 |
$5,050 |
1.50 |
Abdominal pain |
2 |
$4,541 |
$2,517 |
$9,082 |
$5,033 |
2.50 |
Major biliary tract procedures |
2 |
$17,309 |
$9,560 |
$34,618 |
$19,119 |
7.50 |
Tendon, muscle & other soft tissue procedures |
2 |
$8,876 |
$5,421 |
$17,752 |
$10,841 |
5.00 |
Connective tissue disorders |
2 |
$6,080 |
$3,572 |
$12,160 |
$7,143 |
3.50 |
Major skin disorders |
2 |
$4,620 |
$2,703 |
$9,240 |
$5,406 |
2.00 |
Malignant breast disorders |
2 |
$8,335 |
$4,676 |
$16,670 |
$9,352 |
4.50 |
Other procedures for endocrine, nutritional & metabolic disorders |
2 |
$34,849 |
$20,336 |
$69,698 |
$40,671 |
7.00 |
Other kidney, urinary tract & related procedures |
2 |
$19,011 |
$8,954 |
$38,022 |
$17,908 |
2.00 |
Chronic Kidney Disease |
2 |
$12,703 |
$13,971 |
$25,405 |
$27,942 |
3.50 |
Dilation & curettage for non-obstetric diagnoses |
2 |
$11,407 |
$5,433 |
$22,814 |
$10,865 |
2.50 |
Female reproductive system infections |
2 |
$5,523 |
$2,880 |
$11,045 |
$5,760 |
2.00 |
Postpartum & post abortion diagnoses w/o procedure |
2 |
$10,464 |
$5,125 |
$20,927 |
$10,250 |
4.00 |
Preterm labor |
2 |
$1,849 |
$1,188 |
$3,697 |
$2,376 |
1.00 |
Major depressive disorders & other/unspecified psychoses |
2 |
$4,902 |
$3,127 |
$9,804 |
$6,253 |
3.50 |
Allergic reactions |
2 |
$6,125 |
$3,078 |
$12,250 |
$6,155 |
2.50 |
HIV w multiple major HIV related conditions |
2 |
$13,169 |
$7,148 |
$26,337 |
$14,296 |
6.50 |
Tracheostomy w MV 96+ hours w extensive procedure or ECMO |
1 |
$169,000 |
$82,194 |
$169,000 |
$82,194 |
42.00 |
Tracheostomy w MV 96+ hours w/o extensive procedure |
1 |
$147,532 |
$71,522 |
$147,532 |
$71,522 |
37.00 |
Spinal disorders & injuries |
1 |
$18,821 |
$13,297 |
$18,821 |
$13,297 |
14.00 |
Nonspecific CVA & precerebral occlusion w/o infarct |
1 |
$9,008 |
$3,515 |
$9,008 |
$3,515 |
4.00 |
Bacterial & tuberculous infections of nervous system |
1 |
$14,164 |
$7,579 |
$14,164 |
$7,579 |
6.00 |
Viral meningitis |
1 |
$8,030 |
$3,771 |
$8,030 |
$3,771 |
2.00 |
Dental & oral diseases & injuries |
1 |
$3,233 |
$1,587 |
$3,233 |
$1,587 |
1.00 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
1 |
$14,528 |
$8,295 |
$14,528 |
$8,295 |
7.00 |
Cardiac defibrillator & heart assist implant |
1 |
$79,167 |
$27,465 |
$79,167 |
$27,465 |
4.00 |
Other cardiothoracic & thoracic vascular procedures |
1 |
$14,202 |
$8,754 |
$14,202 |
$8,754 |
1.00 |
Cardiac pacemaker & defibrillator device replacement |
1 |
$121,234 |
$44,694 |
$121,234 |
$44,694 |
8.00 |
Other circulatory system procedures |
1 |
$93,846 |
$44,054 |
$93,846 |
$44,054 |
18.00 |
Acute & subacute endocarditis |
1 |
$13,256 |
$5,610 |
$13,256 |
$5,610 |
2.00 |
Cardiomyopathy |
1 |
$4,236 |
$2,675 |
$4,236 |
$2,675 |
3.00 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
1 |
$6,663 |
$4,167 |
$6,663 |
$4,167 |
4.00 |
Inguinal, femoral & umbilical hernia procedures |
1 |
$11,305 |
$4,986 |
$11,305 |
$4,986 |
1.00 |
Other significant hip and femur surgery |
1 |
$32,921 |
$15,574 |
$32,921 |
$15,574 |
4.00 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
1 |
$8,912 |
$4,806 |
$8,912 |
$4,806 |
4.00 |
Pituitary & adrenal procedures |
1 |
$23,559 |
$10,537 |
$23,559 |
$10,537 |
1.00 |
Thyroid, parathyroid & thyroglossal procedures |
1 |
$14,136 |
$9,185 |
$14,136 |
$9,185 |
3.00 |
Major bladder procedures |
1 |
$14,178 |
$7,019 |
$14,178 |
$7,019 |
2.00 |
Malignancy, male reproductive system |
1 |
$6,452 |
$3,401 |
$6,452 |
$3,401 |
2.00 |
D&C, aspiration curettage or hysterotomy for obstetric diagnoses |
1 |
$2,121 |
$1,586 |
$2,121 |
$1,586 |
2.00 |
Neonate bwt 1500-1999g w or w/o other significant condition |
1 |
$2,444 |
$1,986 |
$2,444 |
$1,986 |
6.00 |
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond |
1 |
$1,688 |
$1,215 |
$1,688 |
$1,215 |
3.00 |
Neonate birthwt >2499g w congenital/perinatal infection |
1 |
$9,788 |
$6,347 |
$9,788 |
$6,347 |
10.00 |
Acute leukemia |
1 |
$7,410 |
$3,933 |
$7,410 |
$3,933 |
4.00 |
Mental illness diagnosis w O.R. procedure |
1 |
$4,923 |
$2,581 |
$4,923 |
$2,581 |
4.00 |
Disorders of personality & impulse control |
1 |
$3,373 |
$1,561 |
$3,373 |
$1,561 |
1.00 |
Bipolar disorders |
1 |
$16,727 |
$6,178 |
$16,727 |
$6,178 |
3.00 |
HIV w major HIV related condition |
1 |
$7,667 |
$3,421 |
$7,667 |
$3,421 |
3.00 |
HIV w one signif HIV cond or w/o signif related cond |
1 |
$10,670 |
$6,389 |
$10,670 |
$6,389 |
6.00 |