Neonate birthwt >2499g, normal newborn or neonate w other problem |
1032 |
$3,584 |
$1,384 |
$3,698,816 |
$1,428,282 |
2.24 |
Vaginal delivery |
804 |
$6,783 |
$6,170 |
$5,453,677 |
$4,960,378 |
2.20 |
Septicemia & disseminated infections |
397 |
$33,150 |
$11,880 |
$13,160,431 |
$4,716,242 |
6.29 |
Knee joint replacement |
374 |
$27,473 |
$11,020 |
$10,274,863 |
$4,121,600 |
2.17 |
Cesarean delivery |
347 |
$9,487 |
$7,936 |
$3,292,003 |
$2,753,760 |
3.43 |
Chronic obstructive pulmonary disease |
337 |
$19,056 |
$6,792 |
$6,421,968 |
$2,288,974 |
3.91 |
Heart failure |
308 |
$22,310 |
$8,919 |
$6,871,392 |
$2,747,139 |
5.19 |
Respiratory Failure |
264 |
$32,074 |
$10,426 |
$8,467,631 |
$2,752,360 |
5.45 |
Cardiac arrhythmia & conduction disorders |
253 |
$16,057 |
$5,868 |
$4,062,471 |
$1,484,619 |
3.51 |
Acute myocardial infarction |
250 |
$27,050 |
$9,271 |
$6,762,464 |
$2,317,671 |
4.74 |
Hip joint replacement |
232 |
$32,547 |
$12,863 |
$7,550,901 |
$2,984,191 |
3.01 |
Other pneumonia |
221 |
$17,834 |
$6,709 |
$3,941,212 |
$1,482,611 |
4.01 |
Cellulitis & other skin infections |
215 |
$13,123 |
$5,749 |
$2,821,426 |
$1,235,939 |
3.78 |
Kidney & urinary tract infections |
207 |
$15,013 |
$5,803 |
$3,107,749 |
$1,201,297 |
3.62 |
Procedures for obesity |
198 |
$25,608 |
$7,617 |
$5,070,458 |
$1,508,178 |
1.94 |
CVA & precerebral occlusion w infarct |
177 |
$30,998 |
$9,768 |
$5,486,664 |
$1,728,925 |
4.53 |
Percutaneous coronary intervention w AMI |
154 |
$59,416 |
$17,251 |
$9,150,075 |
$2,656,591 |
3.18 |
Acute Kidney Injury |
127 |
$18,143 |
$7,655 |
$2,304,114 |
$972,232 |
4.71 |
Major respiratory infections & inflammations |
118 |
$25,624 |
$9,982 |
$3,023,587 |
$1,177,910 |
5.98 |
Other & unspecified gastrointestinal hemorrhage |
101 |
$18,969 |
$7,313 |
$1,915,864 |
$738,614 |
3.69 |
Diabetes |
97 |
$16,777 |
$6,010 |
$1,627,332 |
$582,955 |
3.57 |
Cardiac catheterization for other non-coronary conditions |
94 |
$27,651 |
$8,744 |
$2,599,167 |
$821,952 |
3.96 |
Intestinal obstruction |
83 |
$17,406 |
$6,554 |
$1,444,685 |
$544,002 |
4.71 |
Diverticulitis & diverticulosis |
79 |
$18,009 |
$7,026 |
$1,422,711 |
$555,065 |
4.65 |
Disorders of pancreas except malignancy |
79 |
$17,905 |
$6,568 |
$1,414,495 |
$518,879 |
4.24 |
Major small & large bowel procedures |
78 |
$67,358 |
$23,416 |
$5,253,920 |
$1,826,462 |
9.26 |
Hip and femur fracture repair |
75 |
$34,685 |
$13,483 |
$2,601,408 |
$1,011,228 |
5.77 |
Other digestive system diagnoses |
73 |
$16,162 |
$5,767 |
$1,179,846 |
$421,015 |
3.40 |
Electrolyte disorders except hypovolemia related |
69 |
$16,003 |
$5,984 |
$1,104,197 |
$412,903 |
3.26 |
Knee & lower leg procedures except foot |
63 |
$28,150 |
$10,744 |
$1,773,430 |
$676,859 |
4.37 |
Other antepartum diagnoses |
63 |
$6,759 |
$3,324 |
$425,846 |
$209,390 |
2.17 |
Hypertension |
61 |
$15,120 |
$5,110 |
$922,296 |
$311,727 |
2.98 |
Pulmonary embolism |
57 |
$23,231 |
$7,674 |
$1,324,188 |
$437,443 |
4.05 |
Neonate bwt 2000-2499g, normal newborn or neonate w other problem |
57 |
$13,626 |
$5,566 |
$776,692 |
$317,256 |
6.54 |
Nontraumatic stupor & coma |
56 |
$23,445 |
$8,685 |
$1,312,930 |
$486,366 |
4.82 |
Laparoscopic cholecystectomy |
56 |
$32,464 |
$10,029 |
$1,817,966 |
$561,650 |
3.98 |
Cervical spinal fusion & other back/neck proc exc disc excis/decomp |
55 |
$54,108 |
$19,309 |
$2,975,919 |
$1,061,993 |
4.96 |
Perm cardiac pacemaker implant w/o AMI, heart failure or shock |
54 |
$54,356 |
$14,537 |
$2,935,211 |
$785,007 |
3.89 |
Other musculoskeletal system & connective tissue diagnoses |
54 |
$15,642 |
$5,821 |
$844,643 |
$314,347 |
3.54 |
Poisoning of medicinal agents |
54 |
$19,161 |
$6,165 |
$1,034,680 |
$332,891 |
3.33 |
Other gastroenteritis, nausa & vomiting |
53 |
$13,646 |
$4,797 |
$723,215 |
$254,219 |
2.92 |
Neonate birthwt >2499g w other significant condition |
53 |
$23,343 |
$9,767 |
$1,237,199 |
$517,639 |
11.32 |
Percutaneous coronary intervention w/o AMI |
51 |
$63,247 |
$18,370 |
$3,225,595 |
$936,868 |
3.45 |
Cardiac catheterization for coronary artery disease |
50 |
$22,405 |
$6,693 |
$1,120,262 |
$334,631 |
2.66 |
Infectious & parasitic diseases including HIV w O.R. procedure |
50 |
$71,249 |
$25,872 |
$3,562,447 |
$1,293,597 |
10.98 |
Peripheral & other vascular disorders |
48 |
$16,413 |
$6,676 |
$787,837 |
$320,446 |
3.46 |
Dorsal & lumbar fusion proc except for curvature of back |
48 |
$85,924 |
$31,394 |
$4,124,360 |
$1,506,902 |
5.65 |
Seizure |
47 |
$19,156 |
$6,329 |
$900,318 |
$297,484 |
3.40 |
Peptic ulcer & gastritis |
47 |
$20,086 |
$7,554 |
$944,065 |
$355,051 |
3.68 |
Major gastrointestinal & peritoneal infections |
46 |
$21,241 |
$8,263 |
$977,063 |
$380,085 |
5.00 |
Other back & neck disorders, fractures & injuries |
46 |
$16,889 |
$6,232 |
$776,906 |
$286,651 |
3.80 |
Malfunction, reaction, complic of genitourinary device or proc |
45 |
$19,666 |
$7,526 |
$884,948 |
$338,655 |
4.13 |
Shoulder, upper arm & forearm procedures except joint replacement |
44 |
$39,267 |
$15,475 |
$1,727,766 |
$680,921 |
2.16 |
Intervertebral disc excision & decompression |
41 |
$42,595 |
$14,064 |
$1,746,386 |
$576,630 |
5.34 |
Lower extremity arterial procedures |
40 |
$58,446 |
$27,495 |
$2,337,842 |
$1,099,809 |
7.25 |
Urinary stones & acquired upper urinary tract obstruction |
36 |
$16,339 |
$5,365 |
$588,192 |
$193,140 |
2.42 |
Respiratory malignancy |
35 |
$28,961 |
$11,213 |
$1,013,634 |
$392,465 |
5.91 |
Signs, symptoms & other factors influencing health status |
35 |
$16,854 |
$5,782 |
$589,881 |
$202,384 |
3.00 |
Disorders of gallbladder & biliary tract |
34 |
$19,158 |
$6,609 |
$651,383 |
$224,708 |
3.74 |
Other anemia & disorders of blood & blood-forming organs |
34 |
$17,768 |
$6,919 |
$604,103 |
$235,247 |
3.47 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
33 |
$15,196 |
$6,330 |
$501,467 |
$208,881 |
3.67 |
Other circulatory system diagnoses |
33 |
$17,722 |
$5,805 |
$584,816 |
$191,567 |
3.06 |
Asthma |
32 |
$20,427 |
$6,706 |
$653,664 |
$214,600 |
3.66 |
Post-operative, post-traumatic, other device infections |
32 |
$23,358 |
$9,104 |
$747,441 |
$291,316 |
5.03 |
Moderately extensive procedure unrelated to principal diagnosis |
32 |
$56,508 |
$20,196 |
$1,808,265 |
$646,277 |
8.03 |
Extracranial vascular procedures |
31 |
$27,138 |
$7,787 |
$841,268 |
$241,407 |
2.52 |
Angina pectoris & coronary atherosclerosis |
31 |
$16,276 |
$5,113 |
$504,541 |
$158,511 |
2.32 |
Syncope & collapse |
31 |
$17,316 |
$5,296 |
$536,784 |
$164,165 |
2.39 |
Kidney & urinary tract procedures for nonmalignancy |
31 |
$37,989 |
$18,467 |
$1,177,662 |
$572,477 |
5.65 |
Respiratory signs, symptoms & minor diagnoses |
30 |
$23,325 |
$8,114 |
$699,744 |
$243,430 |
5.27 |
Alcoholic liver disease |
30 |
$24,636 |
$9,825 |
$739,084 |
$294,755 |
5.07 |
Alcohol abuse & dependence |
29 |
$15,906 |
$6,428 |
$461,274 |
$186,405 |
4.10 |
Respiratory system diagnosis w ventilator support 96+ hours |
26 |
$125,316 |
$37,183 |
$3,258,228 |
$966,751 |
15.96 |
Vaginal delivery w sterilization &/or D&C |
26 |
$13,344 |
$8,570 |
$346,935 |
$222,817 |
3.00 |
Coagulation & platelet disorders |
26 |
$20,562 |
$7,612 |
$534,617 |
$197,901 |
3.35 |
Transient ischemia |
25 |
$18,543 |
$4,935 |
$463,570 |
$123,372 |
2.00 |
Coronary bypass w AMI or complex PDX |
25 |
$132,010 |
$37,903 |
$3,300,261 |
$947,569 |
11.96 |
Other peripheral vascular procedures |
25 |
$58,555 |
$32,605 |
$1,463,869 |
$815,118 |
5.28 |
Chest pain |
25 |
$14,501 |
$4,022 |
$362,522 |
$100,544 |
1.68 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
25 |
$27,252 |
$12,579 |
$681,305 |
$314,477 |
7.88 |
Hypovolemia & related electrolyte disorders |
25 |
$13,780 |
$4,897 |
$344,493 |
$122,424 |
2.76 |
Migraine & other headaches |
24 |
$20,962 |
$6,859 |
$503,093 |
$164,624 |
2.79 |
Head trauma w coma >1 hr or hemorrhage |
24 |
$27,839 |
$8,877 |
$668,141 |
$213,042 |
4.88 |
Coronary bypass w/o AMI or complex PDX |
24 |
$110,395 |
$30,845 |
$2,649,475 |
$740,275 |
9.29 |
Cholecystectomy except laparoscopic |
24 |
$34,353 |
$11,405 |
$824,468 |
$273,717 |
5.21 |
Other infectious & parasitic diseases |
24 |
$18,988 |
$6,919 |
$455,705 |
$166,066 |
3.79 |
Intracranial hemorrhage |
23 |
$22,799 |
$7,801 |
$524,380 |
$179,413 |
3.96 |
Infections of upper respiratory tract |
23 |
$12,219 |
$4,966 |
$281,035 |
$114,207 |
3.30 |
Urethral & transurethral procedures |
23 |
$30,033 |
$10,227 |
$690,757 |
$235,225 |
4.48 |
Chronic Kidney Disease |
23 |
$18,262 |
$7,995 |
$420,022 |
$183,883 |
4.26 |
Transurethral prostatectomy |
23 |
$19,511 |
$7,102 |
$448,758 |
$163,349 |
3.52 |
Appendectomy |
22 |
$31,011 |
$10,096 |
$682,238 |
$222,108 |
4.36 |
Fractures & dislocations except femur, pelvis & back |
22 |
$14,855 |
$5,943 |
$326,818 |
$130,754 |
3.91 |
Male reproductive system diagnoses except malignancy |
22 |
$13,590 |
$5,016 |
$298,985 |
$110,357 |
3.41 |
Other small & large bowel procedures |
21 |
$46,270 |
$16,898 |
$971,677 |
$354,863 |
8.10 |
Amputation of lower limb except toes |
21 |
$38,001 |
$15,022 |
$798,023 |
$315,465 |
8.43 |
Neonate bwt 2000-2499g w other significant condition |
21 |
$29,195 |
$12,383 |
$613,105 |
$260,053 |
14.24 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
21 |
$22,768 |
$9,143 |
$478,119 |
$191,996 |
4.62 |
Nonextensive procedure unrelated to principal diagnosis |
21 |
$32,452 |
$12,234 |
$681,502 |
$256,915 |
5.48 |
Other complications of treatment |
20 |
$16,627 |
$6,587 |
$332,534 |
$131,732 |
3.55 |
Bronchiolitis & RSV pneumonia |
19 |
$14,159 |
$5,041 |
$269,022 |
$95,781 |
3.53 |
Cardiac defibrillator & heart assist implant |
19 |
$122,717 |
$39,210 |
$2,331,617 |
$744,984 |
5.58 |
Abdominal pain |
19 |
$15,663 |
$4,731 |
$297,599 |
$89,888 |
2.42 |
Tendon, muscle & other soft tissue procedures |
19 |
$20,733 |
$8,580 |
$393,924 |
$163,021 |
4.42 |
Post-op, post-trauma, other device infections w O.R. procedure |
19 |
$41,421 |
$15,618 |
$786,996 |
$296,738 |
7.16 |
Hernia procedures except inguinal, femoral & umbilical |
18 |
$35,169 |
$11,591 |
$633,035 |
$208,639 |
4.94 |
Inflammatory bowel disease |
18 |
$17,236 |
$6,991 |
$310,244 |
$125,832 |
4.72 |
Other musculoskeletal system & connective tissue procedures |
18 |
$32,361 |
$11,690 |
$582,498 |
$210,421 |
4.67 |
Shoulder & elbow joint replacement |
18 |
$33,346 |
$12,799 |
$600,236 |
$230,374 |
1.50 |
Skin ulcers |
18 |
$22,867 |
$9,663 |
$411,612 |
$173,934 |
5.39 |
Craniotomy except for trauma |
17 |
$82,031 |
$26,380 |
$1,394,527 |
$448,461 |
9.00 |
Nervous system malignancy |
17 |
$24,340 |
$8,323 |
$413,776 |
$141,492 |
4.53 |
Other disorders of nervous system |
17 |
$23,305 |
$8,091 |
$396,178 |
$137,550 |
4.88 |
Major chest & respiratory trauma |
17 |
$20,026 |
$6,875 |
$340,439 |
$116,869 |
4.29 |
Neonate bwt 1500-1999g w or w/o other significant condition |
17 |
$43,175 |
$18,821 |
$733,972 |
$319,962 |
21.00 |
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond |
17 |
$23,108 |
$7,493 |
$392,831 |
$127,373 |
6.53 |
Peripheral, cranial & autonomic nerve disorders |
16 |
$23,475 |
$8,265 |
$375,593 |
$132,244 |
4.88 |
Malignancy of hepatobiliary system & pancreas |
16 |
$23,767 |
$9,684 |
$380,276 |
$154,936 |
5.56 |
Foot & toe procedures |
16 |
$46,474 |
$24,908 |
$743,577 |
$398,524 |
13.44 |
Other skin, subcutaneous tissue & related procedures |
16 |
$26,283 |
$11,486 |
$420,529 |
$183,777 |
6.56 |
Other endocrine disorders |
16 |
$23,307 |
$8,409 |
$372,918 |
$134,547 |
5.13 |
Other kidney & urinary tract diagnoses, signs & symptoms |
16 |
$20,040 |
$7,173 |
$320,633 |
$114,767 |
3.69 |
Uterine & adnexa procedures for non-malignancy except leiomyoma |
16 |
$22,491 |
$6,926 |
$359,848 |
$110,809 |
2.00 |
Neonate birthwt >2499g w major anomaly |
16 |
$31,481 |
$10,896 |
$503,694 |
$174,332 |
10.13 |
Organic mental health disturbances |
16 |
$19,646 |
$8,900 |
$314,341 |
$142,395 |
6.31 |
Peritoneal adhesiolysis |
15 |
$37,610 |
$14,443 |
$564,147 |
$216,645 |
7.73 |
Other digestive system & abdominal procedures |
15 |
$32,233 |
$14,316 |
$483,488 |
$214,739 |
6.73 |
Other skin, subcutaneous tissue & breast disorders |
15 |
$15,587 |
$6,873 |
$233,808 |
$103,098 |
4.20 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
15 |
$6,948 |
$5,957 |
$104,222 |
$89,361 |
2.13 |
Degenerative nervous system disorders exc mult sclerosis |
14 |
$16,722 |
$7,544 |
$234,110 |
$105,612 |
5.07 |
Cardiac structural & valvular disorders |
14 |
$34,994 |
$12,808 |
$489,920 |
$179,309 |
9.07 |
Malfunction, reaction & complication of GI device or procedure |
14 |
$17,969 |
$6,969 |
$251,569 |
$97,568 |
4.00 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
14 |
$18,254 |
$6,731 |
$255,561 |
$94,237 |
4.00 |
Neonate bwt 2000-2499g w resp dist synd/oth maj resp cond |
14 |
$35,931 |
$12,938 |
$503,039 |
$181,128 |
12.93 |
Lymphoma, myeloma & non-acute leukemia |
14 |
$28,291 |
$11,433 |
$396,070 |
$160,066 |
4.86 |
Digestive malignancy |
13 |
$26,410 |
$10,564 |
$343,334 |
$137,335 |
5.77 |
Other disorders of the liver |
13 |
$22,642 |
$8,672 |
$294,352 |
$112,739 |
4.46 |
Tracheostomy w MV 96+ hours w extensive procedure or ECMO |
12 |
$243,755 |
$72,367 |
$2,925,054 |
$868,402 |
23.58 |
Cardiac valve procedures w/o AMI or complex PDX |
12 |
$122,313 |
$37,632 |
$1,467,757 |
$451,585 |
11.00 |
Inguinal, femoral & umbilical hernia procedures |
12 |
$30,197 |
$10,151 |
$362,367 |
$121,812 |
4.42 |
Other esophageal disorders |
12 |
$38,833 |
$16,512 |
$466,001 |
$198,141 |
11.50 |
Fracture of femur |
12 |
$19,468 |
$8,675 |
$233,612 |
$104,095 |
5.83 |
Malnutrition, failure to thrive & other nutritional disorders |
12 |
$18,195 |
$9,221 |
$218,334 |
$110,646 |
7.58 |
Bipolar disorders |
12 |
$20,907 |
$8,422 |
$250,887 |
$101,062 |
6.42 |
Extensive procedure unrelated to principal diagnosis |
12 |
$97,822 |
$41,386 |
$1,173,869 |
$496,626 |
10.75 |
O.R. procedure for other complications of treatment |
11 |
$41,670 |
$14,007 |
$458,369 |
$154,075 |
6.00 |
Allergic reactions |
11 |
$21,785 |
$6,929 |
$239,632 |
$76,216 |
3.27 |
Acute & subacute endocarditis |
10 |
$35,135 |
$14,245 |
$351,346 |
$142,451 |
7.70 |
Other significant hip and femur surgery |
10 |
$36,936 |
$14,767 |
$369,363 |
$147,674 |
5.50 |
Malfunction, reaction, complic of orthopedic device or procedure |
10 |
$17,524 |
$8,709 |
$175,235 |
$87,087 |
5.90 |
Kidney & urinary tract procedures for malignancy |
10 |
$39,196 |
$13,357 |
$391,963 |
$133,570 |
5.60 |
Major male pelvic procedures |
10 |
$46,080 |
$15,049 |
$460,803 |
$150,488 |
5.50 |
Postpartum & post abortion diagnoses w/o procedure |
10 |
$9,160 |
$3,541 |
$91,599 |
$35,412 |
2.30 |
Fever |
10 |
$13,340 |
$4,983 |
$133,404 |
$49,832 |
2.50 |
Procedure w diag of rehab, aftercare or oth contact w health service |
10 |
$31,488 |
$12,370 |
$314,884 |
$123,701 |
3.10 |
Non-bacterial infections of nervous system exc viral meningitis |
9 |
$30,302 |
$12,214 |
$272,717 |
$109,927 |
7.11 |
Tonsil & adenoid procedures |
9 |
$14,486 |
$5,036 |
$130,376 |
$45,328 |
2.33 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
9 |
$15,233 |
$5,758 |
$137,093 |
$51,825 |
3.67 |
Other respiratory & chest procedures |
9 |
$66,805 |
$23,514 |
$601,246 |
$211,622 |
11.56 |
Major abdominal vascular procedures |
9 |
$55,999 |
$25,495 |
$503,990 |
$229,453 |
4.44 |
Major biliary tract procedures |
9 |
$33,033 |
$15,800 |
$297,293 |
$142,204 |
5.89 |
Hepatic coma & other major acute liver disorders |
9 |
$28,951 |
$10,948 |
$260,558 |
$98,536 |
5.22 |
Connective tissue disorders |
9 |
$17,557 |
$5,973 |
$158,009 |
$53,759 |
3.44 |
Uterine & adnexa procedures for leiomyoma |
9 |
$21,474 |
$6,898 |
$193,266 |
$62,085 |
2.22 |
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma |
8 |
$16,401 |
$5,370 |
$131,209 |
$42,960 |
3.13 |
Fracture of pelvis or dislocation of hip |
8 |
$14,995 |
$6,437 |
$119,961 |
$51,497 |
4.75 |
Neonate, transferred < 5 days old, born here |
8 |
$9,874 |
$2,506 |
$78,991 |
$20,044 |
1.38 |
Neonate birthwt 750-999g w/o major procedure |
8 |
$287,185 |
$87,411 |
$2,297,477 |
$699,288 |
77.25 |
Bacterial & tuberculous infections of nervous system |
7 |
$37,543 |
$13,752 |
$262,802 |
$96,266 |
6.86 |
Major respiratory & chest procedures |
7 |
$41,525 |
$12,140 |
$290,672 |
$84,982 |
5.29 |
Cardiac pacemaker & defibrillator device replacement |
7 |
$70,608 |
$20,620 |
$494,253 |
$144,338 |
5.43 |
Other stomach, esophageal & duodenal procedures |
7 |
$24,134 |
$9,123 |
$168,936 |
$63,861 |
5.00 |
Gastrointestinal vascular insufficiency |
7 |
$16,700 |
$5,858 |
$116,898 |
$41,005 |
3.57 |
Major bladder procedures |
7 |
$59,041 |
$20,922 |
$413,285 |
$146,456 |
7.57 |
Menstrual & other female reproductive system disorders |
7 |
$11,748 |
$4,194 |
$82,238 |
$29,356 |
1.71 |
Viral illness |
7 |
$14,515 |
$4,689 |
$101,604 |
$32,821 |
2.14 |
Vertigo & other labyrinth disorders |
6 |
$14,105 |
$4,406 |
$84,628 |
$26,434 |
2.33 |
Dental & oral diseases & injuries |
6 |
$19,037 |
$7,224 |
$114,223 |
$43,342 |
4.83 |
Interstitial & alveolar lung diseases |
6 |
$18,148 |
$7,590 |
$108,887 |
$45,540 |
4.67 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
6 |
$22,991 |
$11,294 |
$137,945 |
$67,764 |
6.17 |
Major stomach, esophageal & duodenal procedures |
6 |
$72,309 |
$26,395 |
$433,851 |
$158,372 |
11.50 |
Major esophageal disorders |
6 |
$22,266 |
$10,298 |
$133,597 |
$61,785 |
5.17 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
6 |
$12,444 |
$6,060 |
$74,663 |
$36,360 |
4.00 |
Skin graft for skin & subcutaneous tissue diagnoses |
6 |
$31,047 |
$13,147 |
$186,282 |
$78,884 |
8.00 |
Acute anxiety & delirium states |
6 |
$16,404 |
$5,556 |
$98,425 |
$33,336 |
3.17 |
Opioid abuse & dependence |
6 |
$28,379 |
$11,346 |
$170,276 |
$68,073 |
9.67 |
Other nervous system & related procedures |
5 |
$28,659 |
$8,008 |
$143,297 |
$40,041 |
2.60 |
Multiple sclerosis & other demyelinating diseases |
5 |
$19,216 |
$5,785 |
$96,079 |
$28,927 |
2.60 |
Viral meningitis |
5 |
$11,851 |
$4,890 |
$59,253 |
$24,449 |
3.20 |
Other ear, nose, mouth & throat procedures |
5 |
$17,330 |
$5,594 |
$86,649 |
$27,971 |
2.20 |
Cardiac arrest and shock |
5 |
$22,165 |
$5,945 |
$110,826 |
$29,725 |
2.20 |
Mastectomy procedures |
5 |
$32,845 |
$10,333 |
$164,226 |
$51,665 |
2.60 |
Female reproductive system infections |
5 |
$13,700 |
$5,089 |
$68,498 |
$25,443 |
2.80 |
Neonate birthwt 500-749g w/o major procedure |
5 |
$232,757 |
$75,732 |
$1,163,786 |
$378,662 |
63.00 |
Neonate bwt 1000-1249g w resp dist synd/oth maj resp or maj anom |
5 |
$204,143 |
$65,919 |
$1,020,717 |
$329,594 |
55.40 |
Neonate bwt 1250-1499g w resp dist synd/oth maj resp or maj anom |
5 |
$98,286 |
$39,018 |
$491,431 |
$195,090 |
39.80 |
Neonate birthwt 1500-1999g w major anomaly |
5 |
$77,687 |
$31,100 |
$388,433 |
$155,500 |
31.20 |
Neonate bwt 2000-2499g w major anomaly |
5 |
$60,869 |
$21,810 |
$304,347 |
$109,050 |
22.60 |
Neonate birthwt >2499g w congenital/perinatal infection |
5 |
$25,137 |
$9,493 |
$125,687 |
$47,467 |
9.00 |
Toxic effects of non-medicinal substances |
5 |
$21,635 |
$6,788 |
$108,173 |
$33,940 |
3.40 |
Ventricular shunt procedures |
4 |
$47,802 |
$17,564 |
$191,206 |
$70,257 |
6.75 |
Cardiac pacemaker & defibrillator revision except device replacement |
4 |
$63,605 |
$22,781 |
$254,418 |
$91,124 |
9.75 |
Other circulatory system procedures |
4 |
$80,147 |
$27,208 |
$320,588 |
$108,833 |
11.75 |
Cardiomyopathy |
4 |
$20,368 |
$6,434 |
$81,471 |
$25,736 |
3.00 |
Other hepatobiliary, pancreas & abdominal procedures |
4 |
$35,500 |
$18,892 |
$141,998 |
$75,569 |
9.25 |
Hand & wrist procedures |
4 |
$21,262 |
$7,817 |
$85,047 |
$31,269 |
3.75 |
Other kidney, urinary tract & related procedures |
4 |
$45,284 |
$23,776 |
$181,134 |
$95,103 |
4.00 |
Kidney & urinary tract malignancy |
4 |
$20,036 |
$6,633 |
$80,145 |
$26,533 |
2.75 |
Female reproductive system reconstructive procedures |
4 |
$15,028 |
$5,006 |
$60,112 |
$20,024 |
1.75 |
Preterm labor |
4 |
$7,935 |
$6,231 |
$31,741 |
$24,925 |
5.00 |
False labor |
4 |
$2,971 |
$1,942 |
$11,882 |
$7,769 |
1.00 |
Neonate bwt 1500-2499g w major procedure |
4 |
$41,191 |
$15,589 |
$164,763 |
$62,355 |
15.00 |
Neonatal aftercare |
4 |
$117,710 |
$39,511 |
$470,840 |
$158,042 |
41.00 |
Tracheostomy w MV 96+ hours w/o extensive procedure |
3 |
$242,826 |
$70,586 |
$728,478 |
$211,758 |
26.00 |
Cystic fibrosis - pulmonary disease |
3 |
$10,127 |
$4,148 |
$30,380 |
$12,444 |
2.67 |
Permanent cardiac pacemaker implant w AMI, heart failure or shock |
3 |
$93,486 |
$33,269 |
$280,459 |
$99,806 |
16.00 |
Anal procedures |
3 |
$14,098 |
$5,501 |
$42,294 |
$16,502 |
3.00 |
Malignant breast disorders |
3 |
$18,665 |
$5,625 |
$55,995 |
$16,874 |
3.00 |
Other female reproductive system & related procedures |
3 |
$16,147 |
$6,484 |
$48,441 |
$19,451 |
3.67 |
Female reproductive system malignancy |
3 |
$12,092 |
$4,592 |
$36,276 |
$13,777 |
3.00 |
Neonate bwt 1500-1999g w resp dist synd/oth maj resp cond |
3 |
$54,501 |
$21,410 |
$163,502 |
$64,231 |
21.00 |
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms |
3 |
$43,939 |
$15,890 |
$131,817 |
$47,669 |
9.00 |
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms |
3 |
$49,507 |
$21,162 |
$148,521 |
$63,487 |
9.00 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
3 |
$32,698 |
$13,727 |
$98,093 |
$41,180 |
5.00 |
Schizophrenia |
3 |
$8,614 |
$4,915 |
$25,841 |
$14,746 |
3.33 |
Musculoskeletal & other procedures for multiple significant trauma |
3 |
$72,416 |
$23,090 |
$217,249 |
$69,269 |
7.33 |
Spinal procedures |
2 |
$63,993 |
$16,005 |
$127,986 |
$32,010 |
3.50 |
Nonspecific CVA & precerebral occlusion w/o infarct |
2 |
$26,325 |
$7,351 |
$52,649 |
$14,702 |
3.00 |
Eye disorders except major infections |
2 |
$17,546 |
$5,685 |
$35,092 |
$11,369 |
2.50 |
Major cranial/facial bone procedures |
2 |
$26,052 |
$7,219 |
$52,104 |
$14,437 |
2.00 |
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses |
2 |
$27,037 |
$9,594 |
$54,073 |
$19,188 |
4.50 |
Breast procedures except mastectomy |
2 |
$15,928 |
$4,980 |
$31,855 |
$9,960 |
2.00 |
Other procedures for endocrine, nutritional & metabolic disorders |
2 |
$104,674 |
$44,089 |
$209,347 |
$88,178 |
22.00 |
Penis procedures |
2 |
$34,010 |
$11,914 |
$68,019 |
$23,828 |
3.50 |
Testes & scrotal procedures |
2 |
$20,658 |
$8,243 |
$41,315 |
$16,485 |
4.50 |
Malignancy, male reproductive system |
2 |
$15,368 |
$5,300 |
$30,736 |
$10,600 |
3.50 |
Pelvic evisceration, radical hysterectomy & other radical GYN procs |
2 |
$60,162 |
$18,119 |
$120,324 |
$36,237 |
5.50 |
Dilation & curettage for non-obstetric diagnoses |
2 |
$44,043 |
$16,192 |
$88,085 |
$32,383 |
6.50 |
D&C, aspiration curettage or hysterotomy for obstetric diagnoses |
2 |
$9,351 |
$3,091 |
$18,701 |
$6,181 |
1.00 |
Other O.R. proc for obstetric diagnoses except delivery diagnoses |
2 |
$11,700 |
$3,849 |
$23,400 |
$7,697 |
1.00 |
Neonate, transferred <5 days old, not born here |
2 |
$23,516 |
$5,757 |
$47,031 |
$11,514 |
2.00 |
Neonate bwt <500g or GA <24 weeks |
2 |
$284,555 |
$80,629 |
$569,109 |
$161,257 |
57.00 |
Neonate bwt 1250-1499g w or w/o other significant condition |
2 |
$119,118 |
$49,170 |
$238,236 |
$98,340 |
53.00 |
Neonate birthwt >2499g w major cardiovascular procedure |
2 |
$23,833 |
$7,691 |
$47,665 |
$15,381 |
6.00 |
Splenectomy |
2 |
$129,658 |
$42,072 |
$259,316 |
$84,144 |
11.50 |
Sickle cell anemia crisis |
2 |
$11,621 |
$5,722 |
$23,241 |
$11,444 |
3.50 |
Major depressive disorders & other/unspecified psychoses |
2 |
$9,881 |
$2,358 |
$19,762 |
$4,715 |
1.00 |
Adjustment disorders & neuroses except depressive diagnoses |
2 |
$18,791 |
$5,662 |
$37,581 |
$11,324 |
3.00 |
Other mental health disorders |
2 |
$11,876 |
$3,877 |
$23,752 |
$7,754 |
4.50 |
Drug & alcohol abuse or dependence, left against medical advice |
2 |
$11,302 |
$3,195 |
$22,603 |
$6,390 |
1.50 |
Other aftercare & convalescence |
2 |
$19,098 |
$8,108 |
$38,195 |
$16,216 |
5.00 |
Craniotomy for trauma |
1 |
$107,388 |
$36,243 |
$107,388 |
$36,243 |
16.00 |
Ear, nose, mouth, throat, cranial/facial malignancies |
1 |
$21,170 |
$9,794 |
$21,170 |
$9,794 |
4.00 |
Other cardiothoracic & thoracic vascular procedures |
1 |
$71,957 |
$30,079 |
$71,957 |
$30,079 |
10.00 |
Major skin disorders |
1 |
$23,297 |
$10,670 |
$23,297 |
$10,670 |
7.00 |
Thyroid, parathyroid & thyroglossal procedures |
1 |
$30,059 |
$8,747 |
$30,059 |
$8,747 |
2.00 |
Other bladder procedures |
1 |
$38,278 |
$12,597 |
$38,278 |
$12,597 |
6.00 |
Nephritis & nephrosis |
1 |
$10,951 |
$5,113 |
$10,951 |
$5,113 |
2.00 |
Uterine & adnexa procedures for non-ovarian & non-adnexal malig |
1 |
$30,066 |
$7,749 |
$30,066 |
$7,749 |
1.00 |
Neonate bwt <1500g w major procedure |
1 |
$215,032 |
$79,539 |
$215,032 |
$79,539 |
74.00 |
Acute leukemia |
1 |
$19,234 |
$9,680 |
$19,234 |
$9,680 |
6.00 |
Depression except major depressive disorder |
1 |
$14,228 |
$4,242 |
$14,228 |
$4,242 |
4.00 |
Eating disorders |
1 |
$14,914 |
$3,859 |
$14,914 |
$3,859 |
3.00 |
Other injury, poisoning & toxic effect diagnoses |
1 |
$27,233 |
$5,921 |
$27,233 |
$5,921 |
1.00 |
Partial thickness burns without skin graft |
1 |
$6,375 |
$4,364 |
$6,375 |
$4,364 |
4.00 |
HIV w multiple major HIV related conditions |
1 |
$49,990 |
$24,638 |
$49,990 |
$24,638 |
12.00 |
HIV w major HIV related condition |
1 |
$10,542 |
$4,490 |
$10,542 |
$4,490 |
2.00 |
HIV w one signif HIV cond or w/o signif related cond |
1 |
$17,656 |
$11,728 |
$17,656 |
$11,728 |
8.00 |
Extensive abdominal/thoracic procedures for mult significant trauma |
1 |
$39,040 |
$13,661 |
$39,040 |
$13,661 |
1.00 |