Neonate birthwt >2499g, normal newborn or neonate w other problem |
1562 |
$8,433 |
$4,682 |
$13,172,342 |
$7,313,241 |
2.76 |
Septicemia & disseminated infections |
1163 |
$43,930 |
$15,269 |
$51,091,140 |
$17,758,345 |
6.38 |
Vaginal delivery |
1110 |
$13,839 |
$8,977 |
$15,361,206 |
$9,964,352 |
2.44 |
Cesarean delivery |
631 |
$24,784 |
$17,415 |
$15,638,480 |
$10,989,031 |
4.38 |
Heart failure |
420 |
$35,125 |
$12,675 |
$14,752,305 |
$5,323,595 |
5.31 |
Cellulitis & other skin infections |
334 |
$24,902 |
$9,239 |
$8,317,304 |
$3,085,812 |
4.05 |
Kidney & urinary tract infections |
332 |
$24,077 |
$8,289 |
$7,993,647 |
$2,751,948 |
3.61 |
Cardiac arrhythmia & conduction disorders |
305 |
$25,964 |
$8,107 |
$7,918,970 |
$2,472,537 |
2.95 |
Other pneumonia |
284 |
$27,753 |
$9,998 |
$7,881,787 |
$2,839,494 |
4.21 |
Acute Kidney Injury |
267 |
$31,347 |
$11,166 |
$8,369,741 |
$2,981,415 |
4.81 |
Respiratory Failure |
263 |
$38,259 |
$14,004 |
$10,062,059 |
$3,682,957 |
5.74 |
CVA & precerebral occlusion w infarct |
237 |
$50,847 |
$14,949 |
$12,050,755 |
$3,542,886 |
4.62 |
Seizure |
235 |
$26,180 |
$10,671 |
$6,152,318 |
$2,507,601 |
3.78 |
Chest pain |
235 |
$17,838 |
$5,325 |
$4,191,989 |
$1,251,477 |
1.40 |
Chronic obstructive pulmonary disease |
226 |
$33,299 |
$12,025 |
$7,525,539 |
$2,717,624 |
4.85 |
Other gastroenteritis, nausa & vomiting |
225 |
$21,755 |
$7,021 |
$4,894,907 |
$1,579,769 |
2.84 |
Knee joint replacement |
207 |
$65,599 |
$21,930 |
$13,578,927 |
$4,539,429 |
3.32 |
Laparoscopic cholecystectomy |
203 |
$46,441 |
$13,763 |
$9,427,454 |
$2,793,952 |
3.28 |
Other digestive system diagnoses |
190 |
$25,482 |
$8,479 |
$4,841,534 |
$1,611,097 |
3.25 |
Hip joint replacement |
184 |
$71,434 |
$23,996 |
$13,143,915 |
$4,415,353 |
3.70 |
Other back & neck disorders, fractures & injuries |
184 |
$26,293 |
$9,014 |
$4,837,909 |
$1,658,542 |
3.45 |
Diverticulitis & diverticulosis |
182 |
$26,960 |
$8,724 |
$4,906,680 |
$1,587,703 |
3.75 |
Hypovolemia & related electrolyte disorders |
181 |
$21,760 |
$7,669 |
$3,938,583 |
$1,388,106 |
3.17 |
Major small & large bowel procedures |
175 |
$97,336 |
$32,368 |
$17,033,730 |
$5,664,481 |
8.79 |
Angina pectoris & coronary atherosclerosis |
164 |
$19,074 |
$5,527 |
$3,128,177 |
$906,495 |
1.59 |
Appendectomy |
160 |
$38,971 |
$10,822 |
$6,235,377 |
$1,731,544 |
1.91 |
Infectious & parasitic diseases including HIV w O.R. procedure |
153 |
$103,898 |
$34,754 |
$15,896,467 |
$5,317,360 |
11.37 |
Syncope & collapse |
150 |
$21,857 |
$6,874 |
$3,278,522 |
$1,031,064 |
2.25 |
Intestinal obstruction |
147 |
$30,458 |
$10,140 |
$4,477,253 |
$1,490,529 |
4.94 |
Asthma |
144 |
$23,460 |
$9,300 |
$3,378,253 |
$1,339,244 |
3.35 |
Major respiratory infections & inflammations |
139 |
$37,956 |
$14,413 |
$5,275,881 |
$2,003,367 |
6.37 |
Other anemia & disorders of blood & blood-forming organs |
139 |
$24,838 |
$8,315 |
$3,452,439 |
$1,155,835 |
2.83 |
Other musculoskeletal system & connective tissue diagnoses |
127 |
$26,532 |
$9,342 |
$3,369,513 |
$1,186,371 |
3.70 |
Diabetes |
121 |
$27,071 |
$9,413 |
$3,275,547 |
$1,138,964 |
3.58 |
Dorsal & lumbar fusion proc except for curvature of back |
116 |
$102,750 |
$34,018 |
$11,918,962 |
$3,946,058 |
3.41 |
Peripheral & other vascular disorders |
114 |
$28,732 |
$9,790 |
$3,275,495 |
$1,116,114 |
4.06 |
Peptic ulcer & gastritis |
114 |
$43,094 |
$15,004 |
$4,912,708 |
$1,710,490 |
4.93 |
Hip and femur fracture repair |
113 |
$64,286 |
$21,763 |
$7,264,319 |
$2,459,272 |
6.71 |
Uterine & adnexa procedures for leiomyoma |
110 |
$34,347 |
$11,195 |
$3,778,204 |
$1,231,429 |
1.92 |
Other & unspecified gastrointestinal hemorrhage |
108 |
$31,005 |
$10,632 |
$3,348,510 |
$1,148,264 |
3.60 |
Hypertension |
99 |
$23,601 |
$7,586 |
$2,336,527 |
$750,976 |
2.77 |
Transient ischemia |
96 |
$26,606 |
$7,479 |
$2,554,211 |
$717,982 |
2.07 |
Acute myocardial infarction |
95 |
$44,932 |
$10,735 |
$4,268,565 |
$1,019,855 |
3.67 |
Signs, symptoms & other factors influencing health status |
93 |
$26,353 |
$9,425 |
$2,450,856 |
$876,540 |
3.56 |
Percutaneous coronary intervention w AMI |
91 |
$125,076 |
$23,542 |
$11,381,951 |
$2,142,299 |
3.73 |
Infections of upper respiratory tract |
89 |
$19,244 |
$7,145 |
$1,712,711 |
$635,897 |
3.13 |
Major respiratory & chest procedures |
89 |
$73,892 |
$23,988 |
$6,576,353 |
$2,134,973 |
5.65 |
Electrolyte disorders except hypovolemia related |
89 |
$29,462 |
$11,081 |
$2,622,138 |
$986,225 |
4.19 |
Abdominal pain |
88 |
$21,500 |
$6,692 |
$1,892,004 |
$588,897 |
2.36 |
Disorders of gallbladder & biliary tract |
87 |
$27,168 |
$8,969 |
$2,363,589 |
$780,271 |
3.45 |
Pulmonary embolism |
86 |
$40,008 |
$12,795 |
$3,440,692 |
$1,100,409 |
4.97 |
Percutaneous coronary intervention w/o AMI |
86 |
$103,524 |
$19,340 |
$8,903,028 |
$1,663,278 |
3.23 |
Major gastrointestinal & peritoneal infections |
83 |
$25,919 |
$8,877 |
$2,151,283 |
$736,776 |
3.81 |
Other antepartum diagnoses |
83 |
$15,340 |
$6,969 |
$1,273,212 |
$578,430 |
2.51 |
Cardiac catheterization for other non-coronary conditions |
81 |
$64,162 |
$15,173 |
$5,197,122 |
$1,229,045 |
4.67 |
Degenerative nervous system disorders exc mult sclerosis |
78 |
$30,317 |
$11,065 |
$2,364,741 |
$863,036 |
4.78 |
Alcohol abuse & dependence |
77 |
$26,640 |
$9,321 |
$2,051,274 |
$717,705 |
4.55 |
Lower extremity arterial procedures |
76 |
$103,995 |
$35,476 |
$7,903,585 |
$2,696,144 |
8.33 |
Other esophageal disorders |
72 |
$23,311 |
$7,191 |
$1,678,373 |
$517,760 |
2.51 |
Disorders of pancreas except malignancy |
71 |
$28,832 |
$9,473 |
$2,047,063 |
$672,592 |
4.21 |
Nontraumatic stupor & coma |
69 |
$32,603 |
$11,922 |
$2,249,616 |
$822,647 |
4.72 |
Respiratory signs, symptoms & minor diagnoses |
69 |
$28,357 |
$9,439 |
$1,956,649 |
$651,277 |
3.67 |
Neonate birthwt >2499g w other significant condition |
69 |
$20,125 |
$9,856 |
$1,388,608 |
$680,049 |
4.54 |
Other male reproductive system & related procedures |
68 |
$57,413 |
$18,530 |
$3,904,061 |
$1,260,016 |
3.15 |
Urinary stones & acquired upper urinary tract obstruction |
65 |
$26,216 |
$7,375 |
$1,704,008 |
$479,387 |
1.88 |
Vertigo & other labyrinth disorders |
63 |
$20,403 |
$6,556 |
$1,285,411 |
$413,029 |
2.14 |
Malfunction, reaction, complic of genitourinary device or proc |
63 |
$34,533 |
$12,616 |
$2,175,550 |
$794,789 |
5.46 |
Fractures & dislocations except femur, pelvis & back |
61 |
$24,636 |
$8,393 |
$1,502,822 |
$511,974 |
3.39 |
Other disorders of nervous system |
60 |
$29,519 |
$10,200 |
$1,771,136 |
$611,976 |
3.75 |
Respiratory malignancy |
60 |
$51,842 |
$17,630 |
$3,110,507 |
$1,057,804 |
6.62 |
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond |
60 |
$30,996 |
$15,306 |
$1,859,744 |
$918,366 |
6.27 |
Uterine & adnexa procedures for non-malignancy except leiomyoma |
59 |
$38,464 |
$12,179 |
$2,269,354 |
$718,549 |
2.08 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
56 |
$32,195 |
$11,615 |
$1,802,894 |
$650,419 |
4.11 |
Other circulatory system diagnoses |
56 |
$31,320 |
$10,214 |
$1,753,912 |
$571,992 |
3.39 |
Neonate bwt 2000-2499g, normal newborn or neonate w other problem |
55 |
$18,290 |
$9,374 |
$1,005,958 |
$515,559 |
4.55 |
Peripheral, cranial & autonomic nerve disorders |
53 |
$26,583 |
$8,650 |
$1,408,912 |
$458,470 |
3.02 |
Post-operative, post-traumatic, other device infections |
52 |
$35,274 |
$11,782 |
$1,834,252 |
$612,689 |
5.06 |
Viral illness |
51 |
$20,838 |
$7,716 |
$1,062,738 |
$393,513 |
2.78 |
Perm cardiac pacemaker implant w/o AMI, heart failure or shock |
50 |
$77,815 |
$18,889 |
$3,890,733 |
$944,442 |
3.66 |
Fever |
50 |
$24,040 |
$7,960 |
$1,202,008 |
$397,993 |
3.14 |
Organic mental health disturbances |
50 |
$28,880 |
$11,543 |
$1,444,018 |
$577,149 |
5.62 |
Inflammatory bowel disease |
49 |
$34,960 |
$11,021 |
$1,713,031 |
$540,036 |
4.27 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
49 |
$43,931 |
$14,414 |
$2,152,629 |
$706,275 |
5.53 |
Cardiac catheterization for coronary artery disease |
47 |
$51,710 |
$9,617 |
$2,430,387 |
$452,005 |
2.60 |
Mastectomy procedures |
47 |
$72,290 |
$21,497 |
$3,397,610 |
$1,010,382 |
2.23 |
Kidney & urinary tract procedures for malignancy |
47 |
$74,643 |
$25,492 |
$3,508,212 |
$1,198,119 |
4.87 |
Other respiratory & chest procedures |
46 |
$70,386 |
$23,641 |
$3,237,738 |
$1,087,492 |
6.24 |
Poisoning of medicinal agents |
46 |
$18,045 |
$6,154 |
$830,086 |
$283,100 |
2.07 |
Migraine & other headaches |
45 |
$18,919 |
$5,602 |
$851,371 |
$252,084 |
1.73 |
Kidney & urinary tract procedures for nonmalignancy |
45 |
$61,446 |
$20,216 |
$2,765,067 |
$909,713 |
4.87 |
Head trauma w coma >1 hr or hemorrhage |
44 |
$38,444 |
$12,521 |
$1,691,521 |
$550,928 |
4.52 |
Knee & lower leg procedures except foot |
43 |
$52,266 |
$17,573 |
$2,247,452 |
$755,623 |
4.33 |
Cervical spinal fusion & other back/neck proc exc disc excis/decomp |
43 |
$72,368 |
$23,301 |
$3,111,820 |
$1,001,924 |
3.67 |
Procedures for obesity |
43 |
$45,298 |
$12,172 |
$1,947,801 |
$523,398 |
1.47 |
Nervous system malignancy |
42 |
$30,398 |
$10,590 |
$1,276,701 |
$444,761 |
4.50 |
Malignancy of hepatobiliary system & pancreas |
42 |
$31,630 |
$11,103 |
$1,328,440 |
$466,313 |
4.64 |
Other complications of treatment |
42 |
$27,666 |
$8,749 |
$1,161,952 |
$367,459 |
2.74 |
Other peripheral vascular procedures |
41 |
$78,475 |
$27,927 |
$3,217,457 |
$1,145,011 |
3.41 |
Digestive malignancy |
41 |
$41,657 |
$14,221 |
$1,707,919 |
$583,074 |
5.88 |
Sickle cell anemia crisis |
41 |
$30,035 |
$11,747 |
$1,231,438 |
$481,625 |
5.54 |
Moderately extensive procedure unrelated to principal diagnosis |
41 |
$93,772 |
$32,328 |
$3,844,636 |
$1,325,465 |
9.85 |
Intracranial hemorrhage |
40 |
$40,655 |
$14,427 |
$1,626,204 |
$577,071 |
4.95 |
Malnutrition, failure to thrive & other nutritional disorders |
39 |
$25,784 |
$10,370 |
$1,005,579 |
$404,432 |
5.46 |
Other small & large bowel procedures |
38 |
$75,238 |
$25,874 |
$2,859,044 |
$983,226 |
9.26 |
Other endocrine disorders |
37 |
$32,575 |
$11,163 |
$1,205,283 |
$413,039 |
4.35 |
Major male pelvic procedures |
37 |
$52,256 |
$16,690 |
$1,933,482 |
$617,548 |
2.35 |
Neonate bwt 2000-2499g w resp dist synd/oth maj resp cond |
37 |
$56,856 |
$28,234 |
$2,103,668 |
$1,044,674 |
11.57 |
Other kidney & urinary tract diagnoses, signs & symptoms |
36 |
$30,068 |
$9,937 |
$1,082,438 |
$357,720 |
3.61 |
Major stomach, esophageal & duodenal procedures |
35 |
$90,984 |
$30,849 |
$3,184,426 |
$1,079,728 |
7.80 |
Hernia procedures except inguinal, femoral & umbilical |
35 |
$48,858 |
$15,622 |
$1,710,015 |
$546,772 |
3.20 |
Menstrual & other female reproductive system disorders |
35 |
$31,591 |
$9,895 |
$1,105,691 |
$346,335 |
1.77 |
Extracranial vascular procedures |
34 |
$34,238 |
$11,891 |
$1,164,094 |
$404,308 |
1.74 |
Malfunction, reaction & complication of GI device or procedure |
34 |
$37,362 |
$12,432 |
$1,270,312 |
$422,680 |
5.24 |
Chronic Kidney Disease |
34 |
$33,368 |
$14,578 |
$1,134,499 |
$495,639 |
5.59 |
Fracture of pelvis or dislocation of hip |
33 |
$28,980 |
$10,502 |
$956,330 |
$346,576 |
4.79 |
Acute anxiety & delirium states |
33 |
$21,825 |
$7,653 |
$720,230 |
$252,535 |
2.39 |
Nonextensive procedure unrelated to principal diagnosis |
33 |
$50,645 |
$16,296 |
$1,671,280 |
$537,762 |
5.45 |
Major chest & respiratory trauma |
32 |
$28,586 |
$9,261 |
$914,752 |
$296,343 |
4.09 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
32 |
$14,234 |
$8,971 |
$455,493 |
$287,058 |
2.47 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
31 |
$25,008 |
$8,299 |
$775,254 |
$257,268 |
2.90 |
Bronchiolitis & RSV pneumonia |
31 |
$16,282 |
$10,270 |
$504,752 |
$318,364 |
2.77 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
31 |
$45,321 |
$17,115 |
$1,404,947 |
$530,550 |
7.39 |
Extensive procedure unrelated to principal diagnosis |
31 |
$110,501 |
$36,855 |
$3,425,546 |
$1,142,500 |
8.71 |
Other skin, subcutaneous tissue & related procedures |
30 |
$38,503 |
$13,874 |
$1,155,087 |
$416,206 |
5.77 |
Postpartum & post abortion diagnoses w/o procedure |
30 |
$20,780 |
$8,042 |
$623,402 |
$241,255 |
2.37 |
Other digestive system & abdominal procedures |
29 |
$74,270 |
$25,833 |
$2,153,822 |
$749,169 |
8.41 |
Shoulder, upper arm & forearm procedures except joint replacement |
29 |
$62,011 |
$20,482 |
$1,798,309 |
$593,987 |
3.66 |
Connective tissue disorders |
29 |
$45,538 |
$15,204 |
$1,320,603 |
$440,921 |
5.52 |
Other skin, subcutaneous tissue & breast disorders |
29 |
$20,625 |
$7,386 |
$598,120 |
$214,197 |
2.79 |
Post-op, post-trauma, other device infections w O.R. procedure |
29 |
$82,479 |
$28,923 |
$2,391,878 |
$838,754 |
8.97 |
Lymphoma, myeloma & non-acute leukemia |
28 |
$39,023 |
$12,576 |
$1,092,650 |
$352,128 |
4.89 |
Intervertebral disc excision & decompression |
27 |
$48,498 |
$15,643 |
$1,309,442 |
$422,363 |
2.96 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
27 |
$57,040 |
$19,152 |
$1,540,083 |
$517,097 |
6.74 |
Urethral & transurethral procedures |
27 |
$44,095 |
$13,719 |
$1,190,577 |
$370,403 |
4.11 |
Neonate birthwt >2499g w major anomaly |
27 |
$25,963 |
$12,917 |
$701,002 |
$348,748 |
6.00 |
Foot & toe procedures |
26 |
$61,458 |
$22,059 |
$1,597,914 |
$573,540 |
8.23 |
Skin ulcers |
26 |
$33,443 |
$11,925 |
$869,526 |
$310,058 |
5.15 |
Male reproductive system diagnoses except malignancy |
25 |
$30,747 |
$10,564 |
$768,666 |
$264,112 |
4.12 |
Other infectious & parasitic diseases |
25 |
$37,027 |
$13,344 |
$925,678 |
$333,597 |
4.68 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
24 |
$23,901 |
$8,306 |
$573,612 |
$199,334 |
2.92 |
O.R. procedure for other complications of treatment |
24 |
$58,020 |
$19,789 |
$1,392,490 |
$474,940 |
5.21 |
Toxic effects of non-medicinal substances |
24 |
$26,707 |
$8,577 |
$640,978 |
$205,853 |
3.42 |
Gastrointestinal vascular insufficiency |
23 |
$27,346 |
$8,943 |
$628,959 |
$205,683 |
3.74 |
Other hepatobiliary, pancreas & abdominal procedures |
23 |
$80,377 |
$26,977 |
$1,848,671 |
$620,474 |
9.52 |
Other musculoskeletal system & connective tissue procedures |
23 |
$58,381 |
$19,317 |
$1,342,758 |
$444,282 |
4.43 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
23 |
$34,203 |
$11,598 |
$786,661 |
$266,745 |
4.09 |
Multiple sclerosis & other demyelinating diseases |
21 |
$50,065 |
$15,707 |
$1,051,362 |
$329,843 |
4.81 |
Major abdominal vascular procedures |
19 |
$128,817 |
$37,875 |
$2,447,516 |
$719,619 |
5.26 |
Major biliary tract procedures |
19 |
$94,487 |
$32,912 |
$1,795,260 |
$625,323 |
10.47 |
Breast procedures except mastectomy |
19 |
$69,390 |
$22,390 |
$1,318,412 |
$425,411 |
3.05 |
Thyroid, parathyroid & thyroglossal procedures |
19 |
$63,138 |
$20,424 |
$1,199,628 |
$388,063 |
4.32 |
Vaginal delivery w sterilization &/or D&C |
19 |
$15,536 |
$9,297 |
$295,190 |
$176,650 |
2.63 |
Respiratory system diagnosis w ventilator support 96+ hours |
18 |
$138,195 |
$55,260 |
$2,487,507 |
$994,675 |
18.11 |
Interstitial & alveolar lung diseases |
18 |
$31,332 |
$10,995 |
$563,972 |
$197,903 |
4.78 |
Inguinal, femoral & umbilical hernia procedures |
18 |
$39,343 |
$12,033 |
$708,165 |
$216,587 |
2.50 |
Major pancreas, liver & shunt procedures |
18 |
$82,595 |
$26,692 |
$1,486,714 |
$480,462 |
5.72 |
Hepatic coma & other major acute liver disorders |
18 |
$22,876 |
$6,985 |
$411,763 |
$125,734 |
2.50 |
Alcoholic liver disease |
18 |
$39,439 |
$12,780 |
$709,899 |
$230,035 |
5.11 |
Other disorders of the liver |
18 |
$39,276 |
$13,843 |
$706,972 |
$249,171 |
6.39 |
Non-bacterial infections of nervous system exc viral meningitis |
17 |
$68,517 |
$22,078 |
$1,164,787 |
$375,321 |
9.00 |
Coagulation & platelet disorders |
17 |
$39,164 |
$12,733 |
$665,793 |
$216,469 |
4.18 |
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms |
17 |
$50,267 |
$15,175 |
$854,547 |
$257,980 |
4.29 |
Other Chemotherapy |
17 |
$47,177 |
$15,291 |
$802,008 |
$259,945 |
6.00 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
16 |
$49,477 |
$16,237 |
$791,627 |
$259,797 |
7.13 |
Fracture of femur |
16 |
$23,809 |
$8,309 |
$380,948 |
$132,941 |
3.50 |
Malfunction, reaction, complic of orthopedic device or procedure |
16 |
$27,512 |
$9,269 |
$440,199 |
$148,299 |
3.75 |
Uterine & adnexa procedures for non-ovarian & non-adnexal malig |
16 |
$58,729 |
$18,715 |
$939,671 |
$299,434 |
4.06 |
Female reproductive system malignancy |
16 |
$35,089 |
$11,951 |
$561,424 |
$191,212 |
4.50 |
Preterm labor |
16 |
$21,458 |
$14,799 |
$343,326 |
$236,783 |
5.19 |
Eye disorders except major infections |
14 |
$21,801 |
$6,718 |
$305,214 |
$94,046 |
1.93 |
Other circulatory system procedures |
14 |
$53,245 |
$18,152 |
$745,435 |
$254,133 |
4.64 |
Peritoneal adhesiolysis |
14 |
$74,387 |
$25,348 |
$1,041,414 |
$354,874 |
7.64 |
Tendon, muscle & other soft tissue procedures |
14 |
$52,918 |
$18,593 |
$740,848 |
$260,302 |
7.07 |
Kidney & urinary tract malignancy |
14 |
$45,879 |
$15,805 |
$642,311 |
$221,271 |
6.00 |
Neonate bwt 2000-2499g w other significant condition |
14 |
$37,613 |
$18,507 |
$526,580 |
$259,096 |
7.50 |
Craniotomy except for trauma |
13 |
$110,569 |
$38,253 |
$1,437,402 |
$497,287 |
9.23 |
Shoulder & elbow joint replacement |
13 |
$56,064 |
$18,790 |
$728,829 |
$244,276 |
2.00 |
Major bladder procedures |
13 |
$78,488 |
$27,780 |
$1,020,346 |
$361,138 |
5.92 |
Renal dialysis access device procedure only |
13 |
$80,046 |
$31,877 |
$1,040,599 |
$414,406 |
8.92 |
Nonspecific CVA & precerebral occlusion w/o infarct |
12 |
$35,847 |
$10,695 |
$430,165 |
$128,334 |
2.25 |
Skin graft for skin & subcutaneous tissue diagnoses |
12 |
$59,218 |
$20,143 |
$710,619 |
$241,716 |
3.50 |
Malignancy, male reproductive system |
12 |
$46,204 |
$18,278 |
$554,448 |
$219,341 |
9.33 |
Procedure w diag of rehab, aftercare or oth contact w health service |
12 |
$80,139 |
$26,881 |
$961,666 |
$322,575 |
4.42 |
Anal procedures |
11 |
$44,021 |
$14,267 |
$484,226 |
$156,935 |
3.73 |
Transurethral prostatectomy |
11 |
$37,350 |
$11,960 |
$410,852 |
$131,559 |
3.27 |
Uterine & adnexa procedures for ovarian & adnexal malignancy |
11 |
$39,134 |
$12,088 |
$430,471 |
$132,970 |
2.36 |
Other female reproductive system & related procedures |
10 |
$46,892 |
$14,165 |
$468,921 |
$141,649 |
2.50 |
Neonate bwt 1250-1499g w resp dist synd/oth maj resp or maj anom |
10 |
$202,369 |
$91,992 |
$2,023,686 |
$919,921 |
40.00 |
Dental & oral diseases & injuries |
9 |
$23,335 |
$8,159 |
$210,011 |
$73,434 |
4.00 |
Cardiac defibrillator & heart assist implant |
9 |
$198,872 |
$38,809 |
$1,789,849 |
$349,278 |
3.78 |
Cardiac structural & valvular disorders |
9 |
$24,238 |
$7,686 |
$218,144 |
$69,175 |
3.22 |
Major esophageal disorders |
9 |
$28,515 |
$9,216 |
$256,639 |
$82,942 |
3.67 |
Female reproductive system infections |
9 |
$22,434 |
$7,202 |
$201,910 |
$64,814 |
3.00 |
HIV w major HIV related condition |
9 |
$70,173 |
$25,225 |
$631,556 |
$227,027 |
10.11 |
Craniotomy for trauma |
8 |
$92,667 |
$34,379 |
$741,334 |
$275,029 |
8.88 |
Other procedures for endocrine, nutritional & metabolic disorders |
8 |
$67,378 |
$25,363 |
$539,024 |
$202,901 |
7.13 |
Neonate, transferred < 5 days old, born here |
8 |
$9,035 |
$3,566 |
$72,276 |
$28,526 |
1.38 |
Neonate bwt 1500-1999g w resp dist synd/oth maj resp cond |
8 |
$108,300 |
$52,166 |
$866,403 |
$417,327 |
21.75 |
Neonate bwt 1500-1999g w or w/o other significant condition |
8 |
$68,017 |
$33,598 |
$544,136 |
$268,787 |
14.00 |
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms |
8 |
$121,344 |
$38,404 |
$970,752 |
$307,233 |
9.25 |
Allergic reactions |
8 |
$18,800 |
$6,574 |
$150,401 |
$52,591 |
2.63 |
Other injury, poisoning & toxic effect diagnoses |
8 |
$14,198 |
$5,516 |
$113,583 |
$44,124 |
2.38 |
HIV w multiple major HIV related conditions |
8 |
$82,584 |
$25,526 |
$660,668 |
$204,208 |
9.25 |
HIV w one signif HIV cond or w/o signif related cond |
8 |
$27,864 |
$9,020 |
$222,913 |
$72,159 |
4.00 |
Multiple significant trauma w/o O.R. procedure |
8 |
$39,747 |
$12,458 |
$317,976 |
$99,666 |
4.88 |
Bacterial & tuberculous infections of nervous system |
7 |
$87,086 |
$25,251 |
$609,599 |
$176,755 |
6.86 |
Other cardiothoracic & thoracic vascular procedures |
7 |
$97,311 |
$29,520 |
$681,174 |
$206,643 |
6.14 |
Amputation of lower limb except toes |
7 |
$137,776 |
$56,471 |
$964,435 |
$395,298 |
20.86 |
Acute leukemia |
7 |
$33,561 |
$11,845 |
$234,929 |
$82,913 |
4.00 |
Major depressive disorders & other/unspecified psychoses |
7 |
$36,604 |
$12,481 |
$256,227 |
$87,370 |
5.86 |
Other mental health disorders |
7 |
$23,995 |
$9,146 |
$167,962 |
$64,024 |
4.14 |
Tracheostomy w MV 96+ hours w/o extensive procedure |
6 |
$388,896 |
$165,047 |
$2,333,376 |
$990,279 |
46.50 |
Viral meningitis |
6 |
$29,108 |
$9,316 |
$174,645 |
$55,893 |
4.50 |
Other stomach, esophageal & duodenal procedures |
6 |
$114,411 |
$39,626 |
$686,463 |
$237,755 |
15.00 |
Other significant hip and femur surgery |
6 |
$88,454 |
$29,930 |
$530,723 |
$179,582 |
7.67 |
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses |
6 |
$74,745 |
$28,141 |
$448,471 |
$168,845 |
9.50 |
Pituitary & adrenal procedures |
6 |
$56,460 |
$17,261 |
$338,761 |
$103,566 |
3.33 |
D&C, aspiration curettage or hysterotomy for obstetric diagnoses |
6 |
$35,967 |
$12,403 |
$215,800 |
$74,416 |
1.67 |
Spinal procedures |
5 |
$52,205 |
$16,425 |
$261,024 |
$82,125 |
3.20 |
Other bladder procedures |
5 |
$49,207 |
$16,587 |
$246,034 |
$82,933 |
4.40 |
Neonate birthwt >2499g w congenital/perinatal infection |
5 |
$18,189 |
$8,940 |
$90,945 |
$44,698 |
3.60 |
Other procedures of blood & blood-forming organs |
5 |
$69,998 |
$24,060 |
$349,991 |
$120,300 |
5.00 |
Schizophrenia |
5 |
$44,153 |
$15,882 |
$220,766 |
$79,409 |
8.60 |
Opioid abuse & dependence |
5 |
$29,610 |
$9,609 |
$148,051 |
$48,044 |
3.40 |
Musculoskeletal & other procedures for multiple significant trauma |
5 |
$68,900 |
$22,564 |
$344,500 |
$112,819 |
5.40 |
Tracheostomy w MV 96+ hours w extensive procedure or ECMO |
4 |
$491,900 |
$183,185 |
$1,967,599 |
$732,738 |
49.00 |
Other nervous system & related procedures |
4 |
$73,665 |
$25,764 |
$294,658 |
$103,054 |
11.50 |
Spinal disorders & injuries |
4 |
$36,295 |
$12,435 |
$145,178 |
$49,740 |
4.75 |
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma |
4 |
$23,993 |
$7,263 |
$95,972 |
$29,051 |
3.25 |
Acute major eye infections |
4 |
$28,822 |
$10,256 |
$115,289 |
$41,022 |
5.50 |
Other major head & neck procedures |
4 |
$40,380 |
$13,470 |
$161,520 |
$53,881 |
1.75 |
Tonsil & adenoid procedures |
4 |
$60,289 |
$22,283 |
$241,155 |
$89,130 |
5.75 |
Other ear, nose, mouth & throat procedures |
4 |
$57,687 |
$20,297 |
$230,747 |
$81,188 |
6.75 |
Ear, nose, mouth, throat, cranial/facial malignancies |
4 |
$56,504 |
$19,956 |
$226,016 |
$79,823 |
7.75 |
Cardiac arrest and shock |
4 |
$33,882 |
$10,106 |
$135,529 |
$40,425 |
1.75 |
Hand & wrist procedures |
4 |
$53,780 |
$18,370 |
$215,119 |
$73,479 |
7.25 |
Malignant breast disorders |
4 |
$18,400 |
$5,525 |
$73,598 |
$22,098 |
1.25 |
Other kidney, urinary tract & related procedures |
4 |
$88,268 |
$32,521 |
$353,071 |
$130,083 |
8.00 |
Female reproductive system reconstructive procedures |
4 |
$39,064 |
$12,103 |
$156,254 |
$48,412 |
1.25 |
Other O.R. proc for obstetric diagnoses except delivery diagnoses |
4 |
$21,046 |
$8,463 |
$84,182 |
$33,851 |
2.00 |
Cocaine abuse & dependence |
4 |
$12,984 |
$3,761 |
$51,937 |
$15,044 |
1.50 |
Facial bone procedures except major cranial/facial bone procedures |
3 |
$76,822 |
$25,946 |
$230,466 |
$77,837 |
1.67 |
Cardiac pacemaker & defibrillator device replacement |
3 |
$83,510 |
$19,714 |
$250,530 |
$59,141 |
3.67 |
Dorsal & lumbar fusion proc for curvature of back |
3 |
$215,232 |
$72,579 |
$645,696 |
$217,737 |
5.00 |
Major skin disorders |
3 |
$18,115 |
$7,022 |
$54,346 |
$21,065 |
3.33 |
Pelvic evisceration, radical hysterectomy & other radical GYN procs |
3 |
$44,040 |
$13,434 |
$132,119 |
$40,303 |
2.67 |
Dilation & curettage for non-obstetric diagnoses |
3 |
$30,725 |
$8,974 |
$92,176 |
$26,923 |
2.00 |
False labor |
3 |
$9,869 |
$4,936 |
$29,608 |
$14,808 |
1.67 |
Neonate birthwt 750-999g w/o major procedure |
3 |
$341,410 |
$163,360 |
$1,024,231 |
$490,080 |
68.67 |
Depression except major depressive disorder |
3 |
$25,414 |
$7,758 |
$76,242 |
$23,275 |
3.00 |
Drug & alcohol abuse or dependence, left against medical advice |
3 |
$13,196 |
$4,048 |
$39,587 |
$12,143 |
1.67 |
Other drug abuse & dependence |
3 |
$17,817 |
$5,796 |
$53,451 |
$17,387 |
3.00 |
Other aftercare & convalescence |
3 |
$20,510 |
$6,162 |
$61,529 |
$18,487 |
2.67 |
Sinus & mastoid procedures |
2 |
$141,241 |
$52,397 |
$282,482 |
$104,794 |
16.00 |
Cystic fibrosis - pulmonary disease |
2 |
$31,385 |
$11,189 |
$62,770 |
$22,377 |
4.00 |
Cardiomyopathy |
2 |
$15,014 |
$5,695 |
$30,027 |
$11,389 |
1.50 |
Cholecystectomy except laparoscopic |
2 |
$63,874 |
$20,714 |
$127,748 |
$41,428 |
4.50 |
Nephritis & nephrosis |
2 |
$227,777 |
$82,004 |
$455,553 |
$164,007 |
39.00 |
Neonate bwt <500g or GA <24 weeks |
2 |
$3,756 |
$1,952 |
$7,511 |
$3,903 |
1.00 |
Neonate birthwt 500-749g w/o major procedure |
2 |
$408,636 |
$188,336 |
$817,272 |
$376,672 |
85.50 |
Neonate birthwt 1500-1999g w major anomaly |
2 |
$151,182 |
$72,248 |
$302,364 |
$144,495 |
29.50 |
Splenectomy |
2 |
$102,955 |
$33,084 |
$205,909 |
$66,167 |
7.00 |
Eating disorders |
2 |
$13,849 |
$3,450 |
$27,698 |
$6,899 |
1.00 |
Ventricular shunt procedures |
1 |
$50,111 |
$16,272 |
$50,111 |
$16,272 |
4.00 |
Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma |
1 |
$9,321 |
$2,508 |
$9,321 |
$2,508 |
1.00 |
Major cranial/facial bone procedures |
1 |
$37,813 |
$12,141 |
$37,813 |
$12,141 |
2.00 |
Major larynx & trachea procedures |
1 |
$86,874 |
$34,738 |
$86,874 |
$34,738 |
10.00 |
Permanent cardiac pacemaker implant w AMI, heart failure or shock |
1 |
$90,026 |
$20,561 |
$90,026 |
$20,561 |
6.00 |
Cardiac pacemaker & defibrillator revision except device replacement |
1 |
$43,498 |
$11,097 |
$43,498 |
$11,097 |
5.00 |
Acute & subacute endocarditis |
1 |
$39,420 |
$11,240 |
$39,420 |
$11,240 |
4.00 |
Inborn errors of metabolism |
1 |
$7,412 |
$2,570 |
$7,412 |
$2,570 |
1.00 |
Penis procedures |
1 |
$30,490 |
$12,424 |
$30,490 |
$12,424 |
5.00 |
Neonate bwt 1000-1249g w resp dist synd/oth maj resp or maj anom |
1 |
$4,724 |
$2,226 |
$4,724 |
$2,226 |
1.00 |
Mental illness diagnosis w O.R. procedure |
1 |
$27,083 |
$8,163 |
$27,083 |
$8,163 |
2.00 |
Disorders of personality & impulse control |
1 |
$20,629 |
$6,866 |
$20,629 |
$6,866 |
1.00 |
Adjustment disorders & neuroses except depressive diagnoses |
1 |
$29,523 |
$11,005 |
$29,523 |
$11,005 |
7.00 |
Behavioral disorders |
1 |
$5,957 |
$3,371 |
$5,957 |
$3,371 |
1.00 |
Extensive abdominal/thoracic procedures for mult significant trauma |
1 |
$51,107 |
$14,349 |
$51,107 |
$14,349 |
1.00 |