Montefiore New Rochelle Hospital

2020 Age Distribution

2020 Patient Race:

White2,098
Other Race892
Black/African American1,591
Multi-racial205

2020 Payers:

Medicare 2,548
Medicaid 1,162
Self-Pay 34
Private Health Insurance 531
Blue Cross/Blue Shield 482
Miscellaneous/Other 26
Department of Corrections 1
Federal/State/Local/VA 2

Conditions treated in 2020

Click on a column header to sort ascending or descending.
DRG Count Avg. Charge Avg. Cost Sum all Charges Sum all Costs Avg. LOS
SEPTICEMIA & DISSEMINATED INFECTIONS 475 $92,887 $29,570 $44,121,188 $14,045,971 8.59
MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS 340 $55,681 $17,965 $18,931,479 $6,107,980 6.87
NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM 196 $5,844 $4,148 $1,145,400 $812,934 2.39
HEART FAILURE 191 $53,436 $19,668 $10,206,216 $3,756,648 5.72
KNEE JOINT REPLACEMENT 166 $69,965 $30,240 $11,614,179 $5,019,922 3.51
VAGINAL DELIVERY 148 $14,482 $5,566 $2,143,375 $823,802 2.36
OTHER PNEUMONIA 119 $46,989 $14,630 $5,591,678 $1,740,947 5.48
HIP JOINT REPLACEMENT 118 $55,299 $21,967 $6,525,297 $2,592,097 3.30
CVA & PRECEREBRAL OCCLUSION W INFARCT 99 $63,149 $24,072 $6,251,767 $2,383,125 6.28
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS 84 $39,452 $16,650 $3,313,934 $1,398,568 4.39
KIDNEY & URINARY TRACT INFECTIONS 75 $39,337 $10,898 $2,950,264 $817,318 4.68
OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE 73 $52,595 $17,566 $3,839,450 $1,282,313 5.34
CHRONIC OBSTRUCTIVE PULMONARY DISEASE 72 $56,077 $16,989 $4,037,579 $1,223,216 5.36
DIABETES 65 $33,638 $13,243 $2,186,444 $860,763 3.89
SYNCOPE & COLLAPSE 64 $32,455 $12,525 $2,077,108 $801,568 3.27
CESAREAN SECTION W/O STERILIZATION 61 $28,004 $11,820 $1,708,264 $720,998 3.59
PEPTIC ULCER & GASTRITIS 59 $37,801 $12,288 $2,230,282 $725,009 3.81
ACUTE KIDNEY INJURY 57 $65,853 $21,113 $3,753,624 $1,203,447 7.35
OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS 57 $55,430 $19,303 $3,159,508 $1,100,274 5.09
ACUTE MYOCARDIAL INFARCTION 55 $32,967 $14,074 $1,813,191 $774,049 3.42
CELLULITIS & OTHER SKIN INFECTIONS 54 $28,477 $8,260 $1,537,735 $446,051 3.30
DISORDERS OF GALLBLADDER & BILIARY TRACT 51 $30,119 $8,937 $1,536,085 $455,773 2.90
INTESTINAL OBSTRUCTION 49 $41,913 $11,079 $2,053,717 $542,847 3.90
DISORDERS OF PANCREAS EXCEPT MALIGNANCY 49 $32,636 $9,967 $1,599,171 $488,368 3.55
DIVERTICULITIS & DIVERTICULOSIS 47 $40,604 $12,559 $1,908,409 $590,282 4.23
OTHER DIGESTIVE SYSTEM DIAGNOSES 44 $40,279 $12,347 $1,772,257 $543,266 4.41
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES 42 $34,546 $10,756 $1,450,935 $451,733 4.02
HIP & FEMUR FRACTURE REPAIR 41 $71,417 $23,654 $2,928,116 $969,814 6.22
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS 40 $53,073 $15,294 $2,122,936 $611,745 7.38
TRANSIENT ISCHEMIA 40 $32,133 $13,116 $1,285,310 $524,634 2.90
OTHER GASTROENTERITIS, NAUSEA & VOMITING 40 $27,515 $7,688 $1,100,616 $307,521 3.10
SEIZURE 40 $36,498 $14,352 $1,459,912 $574,097 4.10
CHRONIC KIDNEY DISEASE 39 $42,307 $16,255 $1,649,986 $633,955 4.56
DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK 38 $97,078 $39,147 $3,688,963 $1,487,593 5.26
RESPIRATORY FAILURE 37 $57,053 $17,934 $2,110,976 $663,546 4.62
NON-HYPOVOLEMIC SODIUM DISORDERS 36 $40,572 $13,426 $1,460,581 $483,337 4.86
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS 35 $248,592 $74,910 $8,700,711 $2,621,852 19.54
PERIPHERAL & OTHER VASCULAR DISORDERS 33 $51,741 $16,101 $1,707,438 $531,321 5.76
ALTERATION IN CONSCIOUSNESS 32 $47,562 $16,513 $1,521,989 $528,414 5.25
OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES 32 $39,029 $11,336 $1,248,934 $362,741 4.25
ASTHMA 31 $25,498 $8,096 $790,450 $250,970 2.48
INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE 30 $181,722 $58,231 $5,451,661 $1,746,925 17.53
VERTIGO & OTHER LABYRINTH DISORDERS 29 $24,031 $8,605 $696,902 $249,540 2.38
CHEST PAIN 28 $21,865 $8,172 $612,209 $228,827 2.11
PULMONARY EMBOLISM 28 $50,567 $18,644 $1,415,889 $522,031 4.68
ALCOHOL ABUSE & DEPENDENCE 27 $62,046 $21,860 $1,675,252 $590,215 6.00
MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC 26 $51,905 $15,464 $1,349,528 $402,056 5.65
FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK 26 $45,118 $12,309 $1,173,058 $320,029 4.92
CHOLECYSTECTOMY 26 $43,005 $13,461 $1,118,136 $349,977 3.35
PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS 26 $35,117 $11,443 $913,032 $297,513 3.88
ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS 25 $25,956 $11,377 $648,902 $284,426 2.80
PROCEDURES FOR OBESITY 25 $26,172 $8,397 $654,298 $209,916 1.76
HYPERTENSION 25 $32,708 $13,472 $817,710 $336,798 3.08
UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA 24 $28,961 $9,322 $695,069 $223,738 2.46
COAGULATION & PLATELET DISORDERS 24 $45,154 $15,540 $1,083,698 $372,967 4.54
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS 23 $29,507 $12,329 $678,664 $283,571 2.91
SKIN ULCERS 22 $35,021 $10,061 $770,461 $221,349 4.05
INFECTIONS OF UPPER RESPIRATORY TRACT 21 $26,226 $8,974 $550,741 $188,447 2.81
URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION 20 $30,885 $7,993 $617,692 $159,863 2.90
FOOT & TOE PROCEDURES 19 $65,108 $20,433 $1,237,061 $388,224 7.16
POISONING OF MEDICINAL AGENTS 19 $30,044 $10,328 $570,835 $196,232 2.74
OTHER DISORDERS OF THE LIVER 19 $47,213 $15,704 $897,055 $298,379 5.37
CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP 19 $86,932 $38,269 $1,651,711 $727,112 4.21
ANTEPARTUM W/O O.R. PROCEDURE 18 $11,761 $4,310 $211,698 $77,574 2.39
MAJOR LARGE BOWEL PROCEDURES 18 $109,360 $31,825 $1,968,472 $572,846 8.83
SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS 17 $42,013 $12,265 $714,214 $208,513 5.06
OTHER CIRCULATORY SYSTEM DIAGNOSES 16 $32,073 $12,908 $513,169 $206,521 2.94
HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS 16 $39,341 $15,390 $629,459 $246,236 4.63
OTHER DISORDERS OF NERVOUS SYSTEM 16 $30,598 $10,950 $489,565 $175,193 3.25
MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 15 $92,647 $31,903 $1,389,698 $478,552 9.20
INTENTIONAL SELF-HARM & ATTEMPTED SUICIDE 15 $63,600 $20,269 $953,994 $304,029 6.93
OTHER ESOPHAGEAL DISORDERS 15 $33,800 $10,738 $507,002 $161,068 3.20
SICKLE CELL ANEMIA CRISIS 15 $31,003 $9,774 $465,039 $146,609 3.93
FRACTURE OF PELVIS OR DISLOCATION OF HIP 14 $32,099 $8,595 $449,381 $120,333 3.14
DIGESTIVE MALIGNANCY 14 $60,424 $17,289 $845,936 $242,045 5.93
PERITONEAL ADHESIOLYSIS 14 $57,280 $16,399 $801,920 $229,589 5.50
OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS 14 $41,364 $12,725 $579,090 $178,147 4.86
OTHER PERIPHERAL VASCULAR PROCEDURES 13 $135,630 $45,470 $1,763,193 $591,110 12.00
MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS 13 $75,808 $20,242 $985,510 $263,146 7.92
HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS 13 $38,151 $12,125 $495,964 $157,620 4.00
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES 12 $25,137 $9,141 $301,648 $109,686 2.25
CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE 12 $32,969 $9,380 $395,623 $112,559 3.25
LOWER EXTREMITY ARTERIAL PROCEDURES 12 $97,249 $33,781 $1,166,988 $405,373 8.50
INFLAMMATORY BOWEL DISEASE 11 $30,956 $8,132 $340,521 $89,451 3.27
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS 11 $31,237 $8,677 $343,606 $95,448 1.82
MAJOR CHEST & RESPIRATORY TRAUMA 11 $40,919 $10,706 $450,109 $117,762 4.00
TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE 11 $1,082,177 $300,960 $11,903,948 $3,310,555 69.64
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES 10 $47,173 $16,985 $471,730 $169,852 5.20
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY 10 $20,132 $5,236 $201,319 $52,362 2.20
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS 10 $77,064 $25,378 $770,637 $253,777 7.80
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS 10 $19,110 $5,262 $191,095 $52,619 2.00
OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES 10 $88,827 $30,628 $888,266 $306,276 11.10
OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES 9 $28,249 $7,777 $254,237 $69,994 3.00
NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM 9 $14,433 $18,274 $129,896 $164,466 3.22
RESPIRATORY MALIGNANCY 9 $69,850 $24,487 $628,647 $220,385 6.56
MAJOR ESOPHAGEAL DISORDERS 9 $39,140 $13,956 $352,258 $125,608 3.22
TRANSURETHRAL PROSTATECTOMY 9 $32,599 $10,116 $293,388 $91,042 3.33
OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS 9 $78,479 $25,119 $706,315 $226,072 8.67
MAJOR SMALL BOWEL PROCEDURES 9 $81,946 $24,278 $737,511 $218,505 6.78
AMPUTATION OF LOWER LIMB EXCEPT TOES 9 $129,923 $39,398 $1,169,311 $354,578 15.22
INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES 9 $32,163 $9,584 $289,471 $86,253 2.00
ACUTE BRONCHITIS & RELATED SYMPTOMS 9 $25,532 $9,345 $229,785 $84,109 3.00
MIGRAINE & OTHER HEADACHES 9 $25,496 $9,178 $229,465 $82,604 2.44
CARDIAC STRUCTURAL & VALVULAR DISORDERS 8 $36,820 $13,433 $294,561 $107,464 3.63
KNEE & LOWER LEG PROCEDURES EXCEPT FOOT 8 $62,357 $21,313 $498,856 $170,506 5.75
URETHRAL & TRANSURETHRAL PROCEDURES 8 $31,848 $10,201 $254,783 $81,611 2.88
INTERSTITIAL & ALVEOLAR LUNG DISEASES 8 $57,458 $19,042 $459,660 $152,338 5.50
OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS 8 $47,939 $13,523 $383,513 $108,181 6.75
CESAREAN SECTION W STERILIZATION 8 $24,770 $10,357 $198,163 $82,856 2.88
UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA 7 $31,872 $9,587 $223,104 $67,112 2.57
ABDOMINAL PAIN 7 $22,032 $5,901 $154,221 $41,307 2.14
MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL 7 $35,334 $10,557 $247,341 $73,901 3.29
LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA 6 $35,827 $10,016 $214,964 $60,096 4.00
DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE 6 $17,645 $6,613 $105,869 $39,678 1.33
ALLERGIC REACTIONS 6 $33,434 $12,684 $200,606 $76,102 3.83
OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES 6 $56,138 $16,049 $336,826 $96,292 5.17
ACUTE ANXIETY & DELIRIUM STATES 6 $35,471 $13,122 $212,826 $78,731 4.67
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS 6 $36,276 $10,673 $217,653 $64,037 3.33
HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS 6 $76,889 $24,752 $461,334 $148,514 7.83
MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS 6 $39,062 $11,402 $234,370 $68,411 4.33
MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE 6 $31,993 $8,810 $191,956 $52,857 3.50
TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES 6 $53,118 $15,756 $318,705 $94,537 6.17
VAGINAL DELIVERY W STERILIZATION &/OR D&C 5 $20,314 $8,129 $101,571 $40,647 2.80
HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE 5 $35,332 $10,319 $176,662 $51,595 3.60
MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE 5 $55,737 $15,174 $278,683 $75,872 7.60
OTHER RESPIRATORY & CHEST PROCEDURES 5 $290,466 $85,699 $1,452,332 $428,497 30.00
POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE 5 $69,453 $24,712 $347,265 $123,558 6.00
RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES 5 $41,462 $11,845 $207,311 $59,224 4.60
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL 5 $39,069 $12,070 $195,347 $60,350 2.60
MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG 5 $67,279 $20,524 $336,397 $102,620 7.60
EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 5 $177,023 $66,064 $885,116 $330,320 19.00
NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 5 $130,644 $45,954 $653,218 $229,769 16.40
ALCOHOLIC LIVER DISEASE 5 $174,264 $53,611 $871,321 $268,053 18.60
COCAINE ABUSE & DEPENDENCE 4 $44,383 $18,686 $177,532 $74,743 5.50
OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES 4 $268,601 $77,737 $1,074,405 $310,948 26.25
INTRACRANIAL HEMORRHAGE 4 $36,585 $15,344 $146,341 $61,376 3.00
OTHER COMPLICATIONS OF TREATMENT 4 $29,648 $8,209 $118,590 $32,834 4.00
OTHER AFTERCARE & CONVALESCENCE 4 $50,718 $12,502 $202,872 $50,007 3.75
MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES 4 $88,182 $26,446 $352,727 $105,785 9.50
NEONATE BIRTHWT >2499G W MAJOR ANOMALY 3 $5,853 $3,918 $17,560 $11,753 2.33
MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES 3 $53,678 $16,985 $161,035 $50,955 4.67
THYROID DISORDERS 3 $23,007 $8,405 $69,022 $25,215 2.33
OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES 3 $79,884 $23,779 $239,653 $71,338 8.00
OTHER SMALL & LARGE BOWEL PROCEDURES 3 $59,781 $18,465 $179,343 $55,395 5.67
INTERVERTEBRAL DISC EXCISION & DECOMPRESSION 3 $33,998 $11,452 $101,995 $34,356 1.67
OTHER CIRCULATORY SYSTEM PROCEDURES 3 $96,248 $41,721 $288,744 $125,164 10.67
CONNECTIVE TISSUE DISORDERS 3 $46,810 $13,680 $140,431 $41,040 6.33
CARDIAC ARREST & SHOCK 3 $120,949 $30,547 $362,847 $91,640 6.67
PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK 3 $60,441 $26,200 $181,323 $78,599 4.00
NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE 3 $6,351 $7,907 $19,054 $23,721 1.00
FRACTURE OF FEMUR 3 $46,294 $12,664 $138,883 $37,992 5.00
OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES 3 $71,202 $17,565 $213,607 $52,694 4.00
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES 3 $66,492 $20,163 $199,477 $60,488 6.67
MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE 3 $76,144 $19,543 $228,433 $58,629 7.33
OTHER BLADDER PROCEDURES 3 $36,051 $10,978 $108,152 $32,934 3.33
GASTROINTESTINAL VASCULAR INSUFFICIENCY 3 $27,373 $7,677 $82,119 $23,031 2.67
MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 3 $74,397 $22,767 $223,190 $68,300 8.67
VIRAL ILLNESS 2 $30,842 $12,210 $61,683 $24,420 3.50
NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND 2 $31,168 $52,583 $62,335 $105,165 5.00
MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA 2 $92,756 $37,563 $185,512 $75,126 7.50
OPEN EXTRACRANIAL VASCULAR PROCEDURES 2 $18,416 $6,395 $36,832 $12,790 1.00
MAJOR BILIARY TRACT PROCEDURES 2 $38,710 $12,355 $77,419 $24,709 3.00
ORGANIC MENTAL HEALTH DISTURBANCES 2 $52,936 $18,883 $105,871 $37,765 7.00
BIPOLAR DISORDERS 2 $37,262 $10,203 $74,523 $20,406 5.50
NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION 2 $6,898 $4,842 $13,796 $9,684 3.00
SHOULDER & ELBOW JOINT REPLACEMENT 2 $24,163 $8,081 $48,325 $16,162 1.00
NEPHRITIS & NEPHROSIS 2 $88,834 $24,763 $177,667 $49,525 11.00
OTHER ENDOCRINE DISORDERS 2 $40,656 $13,734 $81,311 $27,468 5.50
NERVOUS SYSTEM MALIGNANCY 2 $71,191 $26,991 $142,382 $53,981 9.00
SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES 2 $46,829 $12,770 $93,658 $25,540 6.50
NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS 2 $40,201 $14,812 $80,402 $29,624 4.00
TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE 2 $585,640 $185,927 $1,171,279 $371,854 45.50
MALIGNANCY, MALE REPRODUCTIVE SYSTEM 2 $56,899 $15,898 $113,798 $31,795 7.00
PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE 2 $95,013 $44,235 $190,025 $88,469 5.50
OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS 2 $53,502 $14,197 $107,003 $28,393 5.00
OPIOID ABUSE & DEPENDENCE 2 $32,431 $12,414 $64,862 $24,827 4.50
OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES 2 $31,729 $12,296 $63,458 $24,592 1.50
MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS 2 $32,979 $9,961 $65,957 $19,921 3.00
MAJOR RESPIRATORY & CHEST PROCEDURES 2 $64,587 $20,917 $129,173 $41,834 5.50
ACUTE & SUBACUTE ENDOCARDITIS 2 $28,972 $10,725 $57,943 $21,449 2.50
OTHER INFECTIOUS & PARASITIC DISEASES 2 $39,558 $12,955 $79,116 $25,909 5.00
ANOXIC & OTHER SEVERE BRAIN DAMAGE 2 $127,399 $32,040 $254,797 $64,080 8.50
FEVER & INFLAMMATORY CONDITIONS 2 $24,215 $6,324 $48,430 $12,648 2.50
INBORN ERRORS OF METABOLISM 2 $46,708 $13,949 $93,415 $27,897 5.00
SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT 2 $30,802 $10,840 $61,604 $21,679 2.00
OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES 1 $258,597 $75,061 $258,597 $75,061 34.00
SCHIZOPHRENIA 1 $159,938 $49,504 $159,938 $49,504 25.00
KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY 1 $26,664 $8,994 $26,664 $8,994 2.00
HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS 1 $18,438 $4,533 $18,438 $4,533 2.00
NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND 1 $80,414 $117,681 $80,414 $117,681 11.00
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT 1 $16,251 $3,316 $16,251 $3,316 1.00
VAGINAL DELIVERY W O.R. PROCEDURE EXCEPT STERILIZATION &/OR D&C 1 $25,386 $9,501 $25,386 $9,501 3.00
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY 1 $60,955 $16,873 $60,955 $16,873 9.00
NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION 1 $46,149 $83,346 $46,149 $83,346 8.00
NEONATE BWT 1500-1999G W RESP DIST SYND/OTH MAJ RESP COND 1 $49,599 $83,961 $49,599 $83,961 8.00
CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA 1 $10,815 $2,587 $10,815 $2,587 1.00
RENAL DIALYSIS ACCESS DEVICE PROCEDURES & VESSEL REPAIR 1 $105,653 $45,953 $105,653 $45,953 11.00
LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR 1 $10,138 $2,916 $10,138 $2,916 1.00
OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL & METABOLIC DISORDERS 1 $120,178 $41,941 $120,178 $41,941 11.00
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM 1 $65,542 $17,973 $65,542 $17,973 9.00
SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES 1 $71,822 $19,599 $71,822 $19,599 9.00
HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION 1 $12,454 $5,985 $12,454 $5,985 1.00
EYE INFECTIONS & OTHER EYE DISORDERS 1 $48,105 $19,502 $48,105 $19,502 4.00
INSERTION, REVISION & REPLACEMENTS OF PACEMAKER & OTHER CARDIAC DEVICES 1 $110,258 $56,594 $110,258 $56,594 10.00
OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES 1 $35,012 $11,196 $35,012 $11,196 3.00
KIDNEY & URINARY TRACT MALIGNANCY 1 $88,630 $24,588 $88,630 $24,588 10.00
OTHER DRUG ABUSE & DEPENDENCE 1 $22,755 $10,903 $22,755 $10,903 3.00
NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION 1 $9,237 $6,466 $9,237 $6,466 4.00
VIRAL MENINGITIS 1 $61,732 $20,464 $61,732 $20,464 7.00
EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 1 $121,327 $42,183 $121,327 $42,183 8.00
HIV W MAJOR HIV RELATED CONDITION 1 $49,088 $25,413 $49,088 $25,413 6.00
FEMALE REPRODUCTIVE SYSTEM INFECTIONS 1 $22,734 $7,623 $22,734 $7,623 2.00
OTHER NERVOUS SYSTEM & RELATED PROCEDURES 1 $20,239 $5,508 $20,239 $5,508 1.00