SJRH - St Johns Division

2020 Age Distribution

2020 Patient Race:

White5,383
Black/African American3,032
Other Race842

2020 Payers:

Blue Cross/Blue Shield 900
Medicare 3,311
Medicaid 3,588
Private Health Insurance 837
Federal/State/Local/VA 218
Self-Pay 355
Miscellaneous/Other 48

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
NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM 1421 $10,322 $3,076 $14,667,842 $4,371,684 2.23
VAGINAL DELIVERY 913 $23,383 $9,072 $21,348,504 $8,282,881 2.23
SEPTICEMIA & DISSEMINATED INFECTIONS 605 $67,673 $24,852 $40,942,362 $15,035,168 8.73
CESAREAN SECTION W/O STERILIZATION 579 $25,994 $11,736 $15,050,580 $6,795,178 3.05
MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS 434 $51,456 $18,868 $22,332,035 $8,188,717 7.83
HEART FAILURE 368 $45,404 $16,698 $16,708,535 $6,144,869 6.18
ACUTE KIDNEY INJURY 172 $39,013 $12,980 $6,710,291 $2,232,546 5.15
KIDNEY & URINARY TRACT INFECTIONS 169 $33,462 $11,146 $5,655,132 $1,883,615 4.78
CELLULITIS & OTHER SKIN INFECTIONS 142 $33,062 $11,442 $4,694,812 $1,624,701 5.14
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS 122 $22,663 $7,681 $2,764,944 $937,133 2.72
OTHER PNEUMONIA 118 $37,030 $12,559 $4,369,505 $1,481,972 5.06
CVA & PRECEREBRAL OCCLUSION W INFARCT 109 $41,348 $13,821 $4,506,931 $1,506,491 4.89
CHRONIC OBSTRUCTIVE PULMONARY DISEASE 108 $34,382 $10,853 $3,713,251 $1,172,147 4.30
CESAREAN SECTION W STERILIZATION 94 $23,671 $10,442 $2,225,041 $981,579 2.74
SYNCOPE & COLLAPSE 93 $24,530 $7,257 $2,281,321 $674,934 2.42
DIABETES 92 $30,142 $9,853 $2,773,078 $906,454 4.02
OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS 78 $35,454 $9,970 $2,765,383 $777,669 3.42
OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE 78 $42,378 $13,282 $3,305,508 $1,035,994 4.08
ANTEPARTUM W/O O.R. PROCEDURE 75 $16,893 $5,958 $1,266,947 $446,836 2.33
OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES 75 $33,881 $10,077 $2,541,098 $755,763 4.24
CHOLECYSTECTOMY 74 $43,669 $15,501 $3,231,514 $1,147,057 4.30
OTHER DIGESTIVE SYSTEM DIAGNOSES 74 $33,361 $10,601 $2,468,740 $784,467 3.97
INTESTINAL OBSTRUCTION 72 $33,216 $10,941 $2,391,546 $787,748 4.83
UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA 71 $33,968 $12,677 $2,411,705 $900,057 2.20
HYPERTENSION 68 $21,116 $6,456 $1,435,898 $438,996 2.31
RESPIRATORY FAILURE 67 $44,317 $15,578 $2,969,220 $1,043,695 5.51
ASTHMA 67 $24,529 $7,743 $1,643,426 $518,810 3.15
OTHER GASTROENTERITIS, NAUSEA & VOMITING 66 $35,030 $11,104 $2,311,968 $732,846 4.68
NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM 64 $19,144 $5,635 $1,225,233 $360,635 4.08
SEIZURE 64 $32,507 $10,337 $2,080,472 $661,596 4.17
DISORDERS OF PANCREAS EXCEPT MALIGNANCY 62 $34,719 $10,895 $2,152,571 $675,495 4.48
DISORDERS OF GALLBLADDER & BILIARY TRACT 59 $28,509 $8,584 $1,682,048 $506,438 3.24
DIVERTICULITIS & DIVERTICULOSIS 55 $40,665 $13,428 $2,236,565 $738,523 5.24
INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE 54 $106,698 $39,614 $5,761,705 $2,139,154 13.26
OTHER PERIPHERAL VASCULAR PROCEDURES 53 $56,610 $24,395 $3,000,307 $1,292,934 5.30
PERIPHERAL & OTHER VASCULAR DISORDERS 53 $41,450 $14,000 $2,196,874 $741,974 5.70
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS 53 $38,272 $12,746 $2,028,436 $675,518 5.83
DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK 51 $133,459 $57,484 $6,806,404 $2,931,707 7.51
CHEST PAIN 49 $19,291 $5,928 $945,265 $290,461 2.06
CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP 48 $87,444 $36,871 $4,197,322 $1,769,793 4.73
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES 46 $28,538 $8,503 $1,312,751 $391,130 3.63
PEPTIC ULCER & GASTRITIS 46 $40,965 $13,619 $1,884,409 $626,469 4.61
MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC 46 $35,962 $12,746 $1,654,264 $586,324 5.30
OTHER DISORDERS OF NERVOUS SYSTEM 44 $28,456 $8,930 $1,252,048 $392,924 3.30
PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS 43 $30,474 $9,709 $1,310,362 $417,468 3.77
ALCOHOL ABUSE & DEPENDENCE 43 $29,861 $9,741 $1,284,006 $418,874 3.81
ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS 42 $19,748 $6,116 $829,415 $256,858 1.88
VERTIGO & OTHER LABYRINTH DISORDERS 41 $20,612 $5,553 $845,104 $227,659 2.00
HIP & FEMUR FRACTURE REPAIR 40 $76,685 $28,381 $3,067,391 $1,135,254 7.93
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS 39 $155,066 $62,289 $6,047,580 $2,429,287 18.92
OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS 38 $43,449 $15,011 $1,651,079 $570,421 5.79
URETHRAL & TRANSURETHRAL PROCEDURES 37 $47,458 $16,383 $1,755,938 $606,174 5.81
SKIN ULCERS 36 $37,351 $12,601 $1,344,627 $453,646 5.56
URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION 36 $20,023 $6,100 $720,810 $219,595 2.06
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS 35 $28,359 $11,464 $992,581 $401,247 2.00
POISONING OF MEDICINAL AGENTS 33 $43,262 $15,071 $1,427,635 $497,351 4.73
ALCOHOLIC LIVER DISEASE 31 $37,377 $11,351 $1,158,685 $351,894 4.61
TRANSIENT ISCHEMIA 31 $24,212 $6,291 $750,579 $195,021 2.03
NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE 30 $8,749 $2,525 $262,462 $75,752 1.37
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES 29 $33,125 $10,962 $960,618 $317,899 4.03
PULMONARY EMBOLISM 27 $44,732 $15,921 $1,207,769 $429,871 4.11
OTHER CIRCULATORY SYSTEM DIAGNOSES 27 $30,125 $9,894 $813,381 $267,141 3.67
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS 26 $20,760 $8,023 $539,753 $208,596 2.54
NON-HYPOVOLEMIC SODIUM DISORDERS 26 $38,189 $12,810 $992,903 $333,050 5.42
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS 22 $40,300 $14,275 $886,604 $314,042 5.41
INFECTIONS OF UPPER RESPIRATORY TRACT 22 $27,991 $9,016 $615,791 $198,356 3.73
HIP JOINT REPLACEMENT 21 $94,667 $35,805 $1,988,003 $751,901 7.05
HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS 20 $37,738 $12,255 $754,766 $245,090 4.60
ALTERATION IN CONSCIOUSNESS 20 $31,234 $9,366 $624,677 $187,311 3.40
RESPIRATORY MALIGNANCY 20 $66,845 $23,037 $1,336,901 $460,740 8.60
MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS 19 $48,712 $16,787 $925,524 $318,952 6.79
MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS 19 $38,350 $12,515 $728,643 $237,793 5.74
ACUTE BRONCHITIS & RELATED SYMPTOMS 18 $22,835 $6,995 $411,022 $125,916 2.67
MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE 18 $33,626 $11,224 $605,268 $202,038 3.56
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES 18 $24,152 $6,949 $434,732 $125,088 2.39
COAGULATION & PLATELET DISORDERS 18 $39,808 $13,129 $716,538 $236,313 4.28
UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA 18 $33,188 $13,273 $597,380 $238,907 2.22
VAGINAL DELIVERY W O.R. PROCEDURE EXCEPT STERILIZATION &/OR D&C 18 $31,852 $11,871 $573,343 $213,676 3.00
NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION 18 $23,309 $6,692 $419,566 $120,461 4.61
MIGRAINE & OTHER HEADACHES 17 $17,365 $4,096 $295,203 $69,624 1.41
OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES 17 $32,325 $10,931 $549,533 $185,820 3.71
CHRONIC KIDNEY DISEASE 17 $33,434 $12,513 $568,374 $212,727 3.47
TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE 17 $283,151 $111,575 $4,813,566 $1,896,770 35.06
OTHER ESOPHAGEAL DISORDERS 16 $25,170 $7,725 $402,726 $123,601 2.56
MAJOR SMALL BOWEL PROCEDURES 16 $76,333 $30,448 $1,221,330 $487,172 8.13
ABDOMINAL PAIN 16 $17,262 $4,711 $276,191 $75,380 1.75
SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS 16 $19,703 $5,781 $315,246 $92,490 2.38
MAJOR LARGE BOWEL PROCEDURES 15 $98,068 $38,163 $1,471,025 $572,447 10.87
LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA 15 $59,292 $19,206 $889,387 $288,095 6.93
OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS 15 $24,559 $8,058 $368,379 $120,876 3.47
LOWER EXTREMITY ARTERIAL PROCEDURES 15 $125,391 $48,590 $1,880,859 $728,851 12.87
DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE 15 $17,181 $4,802 $257,715 $72,024 1.87
MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 15 $110,090 $45,198 $1,651,347 $677,972 14.33
FOOT & TOE PROCEDURES 15 $57,244 $20,431 $858,667 $306,465 7.53
FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK 14 $29,761 $8,742 $416,653 $122,381 3.43
OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS 14 $33,832 $11,246 $473,646 $157,440 4.07
HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE 13 $34,335 $9,963 $446,354 $129,524 3.85
FRACTURE OF PELVIS OR DISLOCATION OF HIP 13 $37,660 $11,626 $489,583 $151,141 4.46
OTHER COMPLICATIONS OF TREATMENT 13 $51,810 $18,054 $673,531 $234,701 8.46
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL 13 $35,503 $13,959 $461,544 $181,462 2.31
DIGESTIVE MALIGNANCY 13 $83,425 $27,712 $1,084,528 $360,253 9.31
OTHER DISORDERS OF THE LIVER 13 $37,475 $11,228 $487,176 $145,961 4.38
MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG 13 $63,374 $21,515 $823,866 $279,697 8.31
AMPUTATION OF LOWER LIMB EXCEPT TOES 12 $76,794 $27,368 $921,523 $328,419 10.42
INTERSTITIAL & ALVEOLAR LUNG DISEASES 12 $34,310 $10,361 $411,724 $124,334 3.92
NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 12 $80,988 $30,548 $971,854 $366,578 10.67
THYROID DISORDERS 11 $30,466 $10,586 $335,121 $116,442 3.91
FEVER & INFLAMMATORY CONDITIONS 11 $20,682 $7,110 $227,503 $78,208 3.09
MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE 11 $28,707 $9,645 $315,782 $106,099 4.00
CHEMOTHERAPY FOR ACUTE LEUKEMIA 11 $45,398 $16,674 $499,378 $183,419 7.09
KNEE JOINT REPLACEMENT 11 $82,263 $33,214 $904,888 $365,352 5.91
CARDIOMYOPATHY 10 $37,261 $13,385 $372,607 $133,852 4.80
NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION 10 $53,157 $15,681 $531,568 $156,806 11.40
SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES 10 $61,360 $23,953 $613,603 $239,532 8.80
OPIOID ABUSE & DEPENDENCE 10 $19,112 $5,451 $191,117 $54,505 2.30
MASTECTOMY PROCEDURES 10 $68,986 $30,660 $689,858 $306,597 2.10
HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS 10 $36,335 $10,652 $363,345 $106,519 4.90
GASTROINTESTINAL VASCULAR INSUFFICIENCY 10 $37,411 $12,546 $374,105 $125,462 5.10
MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL 10 $41,700 $12,338 $416,996 $123,384 4.90
CONNECTIVE TISSUE DISORDERS 9 $94,211 $29,543 $847,897 $265,890 9.00
OTHER INFECTIOUS & PARASITIC DISEASES 9 $47,895 $15,927 $431,059 $143,347 6.89
INFLAMMATORY BOWEL DISEASE 9 $38,137 $11,482 $343,237 $103,342 5.11
MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES 9 $34,677 $10,202 $312,095 $91,815 4.33
MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 9 $52,129 $19,053 $469,159 $171,474 6.56
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS 9 $41,138 $16,138 $370,244 $145,243 4.44
TRANSURETHRAL PROSTATECTOMY 9 $48,614 $17,573 $437,528 $158,160 6.33
POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE 9 $102,162 $38,267 $919,460 $344,403 13.56
SICKLE CELL ANEMIA CRISIS 9 $24,310 $8,465 $218,791 $76,181 3.33
KNEE & LOWER LEG PROCEDURES EXCEPT FOOT 9 $70,991 $28,341 $638,920 $255,073 5.78
INTRACRANIAL HEMORRHAGE 8 $34,998 $11,115 $279,982 $88,920 4.25
OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES 8 $56,681 $19,831 $453,451 $158,646 8.63
MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE 8 $46,466 $16,559 $371,729 $132,468 7.00
CARDIAC STRUCTURAL & VALVULAR DISORDERS 8 $35,658 $11,471 $285,265 $91,767 4.00
KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY 8 $41,203 $15,276 $329,623 $122,204 5.00
MALIGNANT BREAST DISORDERS 7 $34,563 $11,588 $241,941 $81,114 4.00
NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND 7 $27,636 $8,212 $193,455 $57,486 5.43
CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE 7 $21,069 $6,332 $147,484 $44,325 2.86
VIRAL ILLNESS 7 $32,229 $10,280 $225,606 $71,958 4.71
INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES 7 $37,922 $13,587 $265,455 $95,112 3.14
KIDNEY & URINARY TRACT MALIGNANCY 7 $88,036 $28,290 $616,249 $198,030 11.43
HIV W MAJOR HIV RELATED CONDITION 7 $44,864 $14,461 $314,048 $101,228 6.29
RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES 7 $35,092 $12,815 $245,644 $89,706 5.00
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY 7 $33,524 $11,561 $234,671 $80,924 5.43
NEONATE BWT 2000-2499G W CONGENITAL/PERINATAL INFECTION 7 $36,724 $10,804 $257,070 $75,625 7.86
NERVOUS SYSTEM MALIGNANCY 7 $51,903 $17,501 $363,318 $122,508 8.57
MAJOR ESOPHAGEAL DISORDERS 6 $63,936 $19,808 $383,614 $118,845 6.00
OTHER BLADDER PROCEDURES 6 $87,157 $29,648 $522,941 $177,885 12.17
ACUTE ANXIETY & DELIRIUM STATES 6 $24,160 $5,834 $144,958 $35,004 2.00
PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK 6 $78,211 $30,717 $469,266 $184,302 4.67
OTHER CHEMOTHERAPY 6 $25,762 $8,653 $154,569 $51,917 3.17
NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION 6 $38,221 $11,426 $229,326 $68,555 8.33
OPEN CRANIOTOMY EXCEPT TRAUMA 6 $106,143 $37,914 $636,858 $227,481 10.00
PERITONEAL ADHESIOLYSIS 6 $59,299 $23,776 $355,796 $142,653 6.83
OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES 6 $104,823 $36,399 $628,939 $218,392 10.83
FEMALE REPRODUCTIVE SYSTEM INFECTIONS 6 $30,164 $9,819 $180,985 $58,916 4.83
LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR 6 $51,337 $15,750 $308,019 $94,499 6.33
ANAL PROCEDURES 6 $38,272 $13,137 $229,629 $78,820 4.83
FRACTURE OF FEMUR 6 $31,407 $7,970 $188,441 $47,819 3.17
NEONATE BIRTHWT >2499G W MAJOR ANOMALY 5 $14,454 $4,111 $72,270 $20,554 2.80
SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT 5 $75,229 $32,916 $376,146 $164,578 6.20
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS 5 $31,638 $8,240 $158,192 $41,199 2.80
HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS 5 $75,977 $32,315 $379,884 $161,575 10.00
RENAL DIALYSIS ACCESS DEVICE PROCEDURES & VESSEL REPAIR 5 $122,522 $50,581 $612,612 $252,907 17.40
SHOULDER & ELBOW JOINT REPLACEMENT 5 $76,162 $30,824 $380,808 $154,121 2.20
EYE INFECTIONS & OTHER EYE DISORDERS 5 $25,464 $7,422 $127,321 $37,108 2.20
UNGROUPABLE 5 $10,434 $3,051 $52,169 $15,257 2.20
INTENTIONAL SELF-HARM & ATTEMPTED SUICIDE 4 $17,885 $6,175 $71,539 $24,701 2.50
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT 4 $27,347 $7,517 $109,386 $30,068 2.25
DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES 4 $52,426 $14,171 $209,703 $56,683 3.50
SPINAL PROCEDURES 4 $90,434 $37,443 $361,736 $149,770 5.25
OTHER SIGNIFICANT HIP & FEMUR SURGERY 4 $117,821 $44,863 $471,283 $179,451 6.50
MAJOR CHEST & RESPIRATORY TRAUMA 4 $29,017 $7,353 $116,069 $29,413 3.25
NEONATE BWT 1500-1999G W RESP DIST SYND/OTH MAJ RESP COND 4 $108,245 $33,459 $432,980 $133,835 22.25
OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS 4 $88,072 $33,125 $352,288 $132,501 12.50
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES 4 $47,460 $17,991 $189,838 $71,965 4.00
NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 4 $63,023 $23,751 $252,091 $95,002 8.00
COCAINE ABUSE & DEPENDENCE 4 $17,290 $4,126 $69,160 $16,505 1.25
HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND 4 $32,420 $10,009 $129,680 $40,035 4.25
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY 4 $44,038 $14,415 $176,151 $57,658 4.75
TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE 4 $412,935 $175,784 $1,651,741 $703,135 44.75
DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK 4 $136,032 $57,710 $544,128 $230,841 4.25
ACUTE LEUKEMIA 3 $120,194 $43,553 $360,581 $130,659 11.33
VENTRICULAR SHUNT PROCEDURES 3 $53,413 $21,641 $160,239 $64,924 2.00
OTHER ENDOCRINE DISORDERS 3 $11,209 $3,468 $33,628 $10,403 1.00
MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE 3 $51,974 $12,937 $155,922 $38,812 3.33
MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS 3 $39,693 $12,931 $119,080 $38,794 6.33
EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES 3 $24,216 $9,292 $72,648 $27,876 3.67
NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION 3 $37,577 $11,184 $112,731 $33,551 8.00
CARDIAC ARREST & SHOCK 3 $39,975 $15,015 $119,926 $45,045 3.67
TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES 3 $74,551 $28,734 $223,653 $86,202 10.00
OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES 3 $15,354 $4,407 $46,063 $13,220 2.00
EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 3 $194,210 $76,629 $582,629 $229,888 22.33
NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND 3 $46,972 $13,971 $140,915 $41,914 10.00
EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 3 $107,784 $39,303 $323,353 $117,908 13.33
PENIS, TESTES & SCROTAL PROCEDURES 3 $56,527 $20,104 $169,580 $60,312 8.33
OTHER SMALL & LARGE BOWEL PROCEDURES 3 $75,516 $29,355 $226,548 $88,065 8.00
INBORN ERRORS OF METABOLISM 3 $29,022 $9,812 $87,066 $29,436 4.00
MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES 3 $39,985 $14,913 $119,956 $44,740 5.67
PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE 3 $73,175 $35,201 $219,525 $105,603 3.00
CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA 3 $25,091 $6,901 $75,272 $20,703 2.67
INTERVERTEBRAL DISC EXCISION & DECOMPRESSION 3 $63,274 $24,319 $189,823 $72,956 6.00
NEONATE BWT < 500G, OR BWT 500-999G & GESTATIONAL AGE <24 WKS, OR BWT 500-749G W MAJOR ANOMALY OR W/O LIFE SUSTAINING IN 2 $4,161 $1,303 $8,322 $2,606 1.00
NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS 2 $68,508 $20,003 $137,016 $40,006 9.50
MALIGNANCY, MALE REPRODUCTIVE SYSTEM 2 $25,654 $5,792 $51,307 $11,583 1.50
VIRAL MENINGITIS 2 $48,089 $13,830 $96,177 $27,660 6.50
OTHER NERVOUS SYSTEM & RELATED PROCEDURES 2 $161,239 $56,755 $322,478 $113,510 23.50
MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES 2 $190,265 $71,521 $380,530 $143,042 21.00
OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES 2 $61,952 $17,757 $123,904 $35,513 5.50
OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES 2 $346,022 $156,682 $692,043 $313,363 37.50
INSERTION, REVISION & REPLACEMENTS OF PACEMAKER & OTHER CARDIAC DEVICES 2 $80,535 $34,236 $161,070 $68,472 6.50
OTHER AFTERCARE & CONVALESCENCE 2 $40,131 $13,703 $80,262 $27,406 6.50
HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS 2 $45,892 $13,467 $91,783 $26,933 5.50
OPEN CRANIOTOMY FOR TRAUMA 2 $78,458 $29,552 $156,916 $59,104 8.00
PROCEDURES FOR OBESITY 2 $57,170 $25,879 $114,339 $51,757 3.00
OPEN EXTRACRANIAL VASCULAR PROCEDURES 2 $63,733 $22,257 $127,465 $44,514 7.00
OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES 1 $23,567 $7,706 $23,567 $7,706 4.00
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM 1 $56,284 $34,768 $56,284 $34,768 4.00
MAJOR ABDOMINAL VASCULAR PROCEDURES 1 $54,738 $21,829 $54,738 $21,829 5.00
HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION 1 $32,883 $14,601 $32,883 $14,601 5.00
OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL & METABOLIC DISORDERS 1 $50,380 $18,594 $50,380 $18,594 8.00
ACUTE & SUBACUTE ENDOCARDITIS 1 $104,319 $35,518 $104,319 $35,518 9.00
DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER 1 $20,545 $7,455 $20,545 $7,455 4.00
ANTEPARTUM W O.R. PROCEDURE 1 $16,864 $5,673 $16,864 $5,673 1.00
NEONATE BIRTHWT 1500-1999G W CONGENITAL/PERINATAL INFECTION 1 $188,612 $58,530 $188,612 $58,530 44.00
MAJOR SKIN DISORDERS 1 $20,169 $3,457 $20,169 $3,457 1.00
OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES 1 $31,403 $13,034 $31,403 $13,034 2.00
SPINAL DISORDERS & INJURIES 1 $49,292 $5,791 $49,292 $5,791 1.00
BREAST PROCEDURES EXCEPT MASTECTOMY 1 $113,854 $51,429 $113,854 $51,429 3.00
ANOXIC & OTHER SEVERE BRAIN DAMAGE 1 $62,013 $24,873 $62,013 $24,873 6.00
MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA 1 $264,438 $110,092 $264,438 $110,092 25.00
OTHER CIRCULATORY SYSTEM PROCEDURES 1 $41,847 $14,775 $41,847 $14,775 2.00
MAJOR BLADDER PROCEDURES 1 $121,422 $42,863 $121,422 $42,863 14.00
DENTAL DISEASES & DISORDERS 1 $16,347 $4,475 $16,347 $4,475 2.00
MAJOR MALE PELVIC PROCEDURES 1 $18,497 $7,041 $18,497 $7,041 2.00
BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA 1 $30,406 $8,820 $30,406 $8,820 3.00
OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES 1 $47,582 $15,858 $47,582 $15,858 8.00
THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES 1 $22,031 $8,549 $22,031 $8,549 1.00
VAGINAL DELIVERY W STERILIZATION &/OR D&C 1 $33,841 $11,157 $33,841 $11,157 2.00
BIPOLAR DISORDERS 1 $41,338 $12,496 $41,338 $12,496 6.00
OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES 1 $57,460 $17,687 $57,460 $17,687 7.00
OTHER MENTAL HEALTH DISORDERS 1 $20,167 $7,342 $20,167 $7,342 4.00
MAJOR PANCREAS, LIVER & SHUNT PROCEDURES 1 $37,121 $15,943 $37,121 $15,943 1.00