| Knee joint replacement |
163 |
$51,677 |
$23,504 |
$8,423,304 |
$3,831,133 |
2.13 |
| Hip joint replacement |
99 |
$49,373 |
$21,241 |
$4,887,922 |
$2,102,881 |
2.29 |
| Dorsal & lumbar fusion proc except for curvature of back |
53 |
$70,507 |
$32,220 |
$3,736,875 |
$1,707,645 |
1.19 |
| Mastectomy procedures |
51 |
$61,948 |
$26,531 |
$3,159,328 |
$1,353,098 |
2.06 |
| Septicemia & disseminated infections |
51 |
$30,714 |
$11,273 |
$1,566,423 |
$574,899 |
5.00 |
| Cellulitis & other skin infections |
32 |
$23,313 |
$8,892 |
$746,031 |
$284,538 |
3.94 |
| Other pneumonia |
22 |
$30,397 |
$11,358 |
$668,726 |
$249,884 |
4.95 |
| Intestinal obstruction |
17 |
$19,214 |
$7,029 |
$326,640 |
$119,496 |
3.24 |
| Chronic obstructive pulmonary disease |
15 |
$31,103 |
$11,418 |
$466,538 |
$171,269 |
4.47 |
| Heart failure |
14 |
$26,011 |
$9,008 |
$364,152 |
$126,105 |
3.50 |
| Hernia procedures except inguinal, femoral & umbilical |
14 |
$28,585 |
$12,285 |
$400,194 |
$171,985 |
1.36 |
| Acute Kidney Injury |
13 |
$27,700 |
$9,586 |
$360,104 |
$124,618 |
3.54 |
| Cardiac arrhythmia & conduction disorders |
11 |
$17,537 |
$6,042 |
$192,903 |
$66,459 |
2.45 |
| Hip and femur fracture repair |
11 |
$42,431 |
$16,700 |
$466,745 |
$183,703 |
4.09 |
| Other musculoskeletal system & connective tissue diagnoses |
11 |
$23,855 |
$7,617 |
$262,404 |
$83,782 |
3.00 |
| Laparoscopic cholecystectomy |
9 |
$29,560 |
$11,157 |
$266,043 |
$100,415 |
2.78 |
| Diverticulitis & diverticulosis |
8 |
$17,849 |
$6,501 |
$142,794 |
$52,011 |
2.75 |
| Disorders of pancreas except malignancy |
8 |
$14,247 |
$5,228 |
$113,976 |
$41,827 |
2.50 |
| Procedures for obesity |
8 |
$29,478 |
$15,904 |
$235,825 |
$127,228 |
1.63 |
| CVA & precerebral occlusion w infarct |
7 |
$24,427 |
$6,642 |
$170,991 |
$46,497 |
2.43 |
| Kidney & urinary tract infections |
7 |
$22,407 |
$8,372 |
$156,846 |
$58,601 |
3.86 |
| Respiratory Failure |
6 |
$20,199 |
$7,649 |
$121,194 |
$45,896 |
3.17 |
| Hypovolemia & related electrolyte disorders |
6 |
$22,231 |
$7,346 |
$133,387 |
$44,076 |
3.33 |
| Electrolyte disorders except hypovolemia related |
6 |
$17,475 |
$6,472 |
$104,847 |
$38,831 |
2.83 |
| Other anemia & disorders of blood & blood-forming organs |
6 |
$30,742 |
$9,989 |
$184,453 |
$59,931 |
3.33 |
| Syncope & collapse |
5 |
$27,733 |
$8,759 |
$138,663 |
$43,795 |
3.20 |
| Knee & lower leg procedures except foot |
5 |
$38,530 |
$15,170 |
$192,649 |
$75,849 |
4.80 |
| Cervical spinal fusion & other back/neck proc exc disc excis/decomp |
5 |
$50,263 |
$21,916 |
$251,314 |
$109,582 |
3.60 |
| Fracture of femur |
5 |
$22,355 |
$7,677 |
$111,777 |
$38,386 |
3.40 |
| Breast procedures except mastectomy |
5 |
$62,665 |
$27,097 |
$313,327 |
$135,487 |
1.80 |
| Post-operative, post-traumatic, other device infections |
5 |
$14,678 |
$5,605 |
$73,389 |
$28,026 |
2.60 |
| Asthma |
4 |
$34,665 |
$11,388 |
$138,659 |
$45,551 |
3.75 |
| Hypertension |
4 |
$21,010 |
$7,013 |
$84,041 |
$28,052 |
3.00 |
| Chest pain |
4 |
$12,912 |
$4,002 |
$51,647 |
$16,009 |
1.25 |
| Appendectomy |
4 |
$24,988 |
$10,165 |
$99,951 |
$40,661 |
1.75 |
| Disorders of gallbladder & biliary tract |
4 |
$16,069 |
$5,194 |
$64,276 |
$20,776 |
1.75 |
| Other back & neck disorders, fractures & injuries |
4 |
$23,358 |
$8,097 |
$93,433 |
$32,387 |
3.50 |
| Other skin, subcutaneous tissue & related procedures |
4 |
$41,096 |
$16,654 |
$164,385 |
$66,615 |
3.75 |
| Diabetes |
4 |
$25,811 |
$9,710 |
$103,245 |
$38,839 |
3.75 |
| Other ear, nose, mouth,throat & cranial/facial diagnoses |
3 |
$29,749 |
$10,268 |
$89,248 |
$30,805 |
4.33 |
| Other gastroenteritis, nausa & vomiting |
3 |
$17,194 |
$5,769 |
$51,583 |
$17,307 |
2.33 |
| Other digestive system diagnoses |
3 |
$18,569 |
$5,773 |
$55,706 |
$17,320 |
2.00 |
| Other significant hip and femur surgery |
3 |
$30,972 |
$13,745 |
$92,915 |
$41,236 |
3.00 |
| Fractures & dislocations except femur, pelvis & back |
3 |
$16,404 |
$5,796 |
$49,212 |
$17,387 |
2.67 |
| Malfunction, reaction, complic of genitourinary device or proc |
3 |
$15,396 |
$6,028 |
$46,188 |
$18,085 |
2.67 |
| Infectious & parasitic diseases including HIV w O.R. procedure |
3 |
$31,382 |
$11,926 |
$94,147 |
$35,777 |
4.00 |
| Post-op, post-trauma, other device infections w O.R. procedure |
3 |
$59,028 |
$23,123 |
$177,085 |
$69,369 |
7.00 |
| Infections of upper respiratory tract |
2 |
$21,253 |
$7,343 |
$42,506 |
$14,685 |
3.00 |
| Pulmonary embolism |
2 |
$21,503 |
$6,826 |
$43,006 |
$13,652 |
3.00 |
| Major respiratory infections & inflammations |
2 |
$29,398 |
$11,208 |
$58,796 |
$22,416 |
5.00 |
| Major small & large bowel procedures |
2 |
$38,487 |
$17,040 |
$76,974 |
$34,079 |
5.50 |
| Major gastrointestinal & peritoneal infections |
2 |
$15,899 |
$5,943 |
$31,797 |
$11,886 |
2.50 |
| Other hepatobiliary, pancreas & abdominal procedures |
2 |
$25,646 |
$8,764 |
$51,291 |
$17,527 |
3.00 |
| Malignancy of hepatobiliary system & pancreas |
2 |
$79,189 |
$30,947 |
$158,377 |
$61,894 |
14.00 |
| Other skin, subcutaneous tissue & breast disorders |
2 |
$25,524 |
$9,839 |
$51,047 |
$19,677 |
5.00 |
| Kidney & urinary tract procedures for malignancy |
2 |
$53,775 |
$21,313 |
$107,549 |
$42,625 |
9.00 |
| Urinary stones & acquired upper urinary tract obstruction |
2 |
$9,782 |
$3,298 |
$19,564 |
$6,596 |
1.50 |
| Other kidney & urinary tract diagnoses, signs & symptoms |
2 |
$9,501 |
$2,648 |
$19,002 |
$5,296 |
1.00 |
| Major hematologic/immunologic diag exc sickle cell crisis & coagul |
2 |
$18,553 |
$4,983 |
$37,105 |
$9,966 |
1.00 |
| Coagulation & platelet disorders |
2 |
$21,657 |
$7,160 |
$43,313 |
$14,320 |
2.50 |
| Lymphatic & other malignancies & neoplasms of uncertain behavior |
2 |
$8,597 |
$2,722 |
$17,194 |
$5,444 |
1.00 |
| Viral illness |
2 |
$27,818 |
$9,931 |
$55,636 |
$19,861 |
4.50 |
| Alcohol abuse & dependence |
2 |
$27,703 |
$9,948 |
$55,406 |
$19,896 |
4.50 |
| Procedure w diag of rehab, aftercare or oth contact w health service |
2 |
$100,531 |
$42,413 |
$201,061 |
$84,825 |
5.50 |
| Spinal disorders & injuries |
1 |
$38,178 |
$11,176 |
$38,178 |
$11,176 |
2.00 |
| Degenerative nervous system disorders exc mult sclerosis |
1 |
$20,400 |
$6,654 |
$20,400 |
$6,654 |
3.00 |
| Non-bacterial infections of nervous system exc viral meningitis |
1 |
$17,310 |
$5,115 |
$17,310 |
$5,115 |
2.00 |
| Seizure |
1 |
$8,033 |
$2,324 |
$8,033 |
$2,324 |
1.00 |
| Head trauma w coma >1 hr or hemorrhage |
1 |
$22,831 |
$4,855 |
$22,831 |
$4,855 |
1.00 |
| Other disorders of nervous system |
1 |
$21,823 |
$6,754 |
$21,823 |
$6,754 |
3.00 |
| Other ear, nose, mouth & throat procedures |
1 |
$33,071 |
$7,972 |
$33,071 |
$7,972 |
2.00 |
| Other circulatory system procedures |
1 |
$24,951 |
$10,774 |
$24,951 |
$10,774 |
4.00 |
| Other peripheral vascular procedures |
1 |
$40,521 |
$15,119 |
$40,521 |
$15,119 |
4.00 |
| Acute myocardial infarction |
1 |
$13,640 |
$3,038 |
$13,640 |
$3,038 |
1.00 |
| Peripheral & other vascular disorders |
1 |
$9,708 |
$3,992 |
$9,708 |
$3,992 |
2.00 |
| Angina pectoris & coronary atherosclerosis |
1 |
$21,071 |
$5,694 |
$21,071 |
$5,694 |
1.00 |
| Malfunction,reaction,complication of cardiac/vasc device or procedure |
1 |
$23,633 |
$5,992 |
$23,633 |
$5,992 |
1.00 |
| Other small & large bowel procedures |
1 |
$22,252 |
$7,961 |
$22,252 |
$7,961 |
1.00 |
| Peptic ulcer & gastritis |
1 |
$26,696 |
$8,619 |
$26,696 |
$8,619 |
3.00 |
| Gastrointestinal vascular insufficiency |
1 |
$19,285 |
$6,073 |
$19,285 |
$6,073 |
2.00 |
| Abdominal pain |
1 |
$27,429 |
$10,188 |
$27,429 |
$10,188 |
4.00 |
| Alcoholic liver disease |
1 |
$13,674 |
$4,500 |
$13,674 |
$4,500 |
2.00 |
| Other disorders of the liver |
1 |
$19,360 |
$6,775 |
$19,360 |
$6,775 |
3.00 |
| Intervertebral disc excision & decompression |
1 |
$46,074 |
$18,966 |
$46,074 |
$18,966 |
5.00 |
| Shoulder, upper arm & forearm procedures except joint replacement |
1 |
$23,295 |
$10,797 |
$23,295 |
$10,797 |
2.00 |
| Tendon, muscle & other soft tissue procedures |
1 |
$16,226 |
$6,137 |
$16,226 |
$6,137 |
2.00 |
| Other musculoskeletal system & connective tissue procedures |
1 |
$20,489 |
$9,272 |
$20,489 |
$9,272 |
2.00 |
| Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
1 |
$60,304 |
$23,924 |
$60,304 |
$23,924 |
11.00 |
| Osteomyelitis, septic arthritis & other musculoskeletal infections |
1 |
$17,999 |
$7,332 |
$17,999 |
$7,332 |
2.00 |
| Skin ulcers |
1 |
$30,087 |
$8,993 |
$30,087 |
$8,993 |
4.00 |
| Malnutrition, failure to thrive & other nutritional disorders |
1 |
$23,741 |
$8,788 |
$23,741 |
$8,788 |
3.00 |
| Other endocrine disorders |
1 |
$25,146 |
$7,757 |
$25,146 |
$7,757 |
2.00 |
| Urethral & transurethral procedures |
1 |
$33,129 |
$13,187 |
$33,129 |
$13,187 |
6.00 |
| Uterine & adnexa procedures for leiomyoma |
1 |
$29,581 |
$11,871 |
$29,581 |
$11,871 |
2.00 |
| Sickle cell anemia crisis |
1 |
$25,787 |
$10,117 |
$25,787 |
$10,117 |
5.00 |
| Lymphoma, myeloma & non-acute leukemia |
1 |
$78,180 |
$29,319 |
$78,180 |
$29,319 |
10.00 |
| O.R. procedure for other complications of treatment |
1 |
$58,717 |
$29,010 |
$58,717 |
$29,010 |
3.00 |
| Toxic effects of non-medicinal substances |
1 |
$14,688 |
$4,601 |
$14,688 |
$4,601 |
2.00 |
| Partial thickness burns without skin graft |
1 |
$27,612 |
$9,224 |
$27,612 |
$9,224 |
4.00 |
| Other aftercare & convalescence |
1 |
$22,504 |
$7,297 |
$22,504 |
$7,297 |
3.00 |
| Musculoskeletal & other procedures for multiple significant trauma |
1 |
$26,356 |
$11,250 |
$26,356 |
$11,250 |
4.00 |
| Multiple significant trauma w/o O.R. procedure |
1 |
$32,376 |
$9,737 |
$32,376 |
$9,737 |
4.00 |
| Moderately extensive procedure unrelated to principal diagnosis |
1 |
$35,581 |
$13,286 |
$35,581 |
$13,286 |
5.00 |