NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM |
1286 |
$13,056 |
$7,749 |
$16,790,396 |
$9,965,732 |
2.28 |
SCHIZOPHRENIA |
951 |
$53,331 |
$31,654 |
$50,717,706 |
$30,102,863 |
16.34 |
SEPTICEMIA & DISSEMINATED INFECTIONS |
943 |
$96,227 |
$57,114 |
$90,742,071 |
$53,858,877 |
10.09 |
VAGINAL DELIVERY |
911 |
$23,354 |
$13,862 |
$21,275,768 |
$12,627,971 |
2.53 |
MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS |
737 |
$53,450 |
$31,725 |
$39,392,911 |
$23,381,196 |
7.28 |
CESAREAN SECTION W/O STERILIZATION |
523 |
$43,810 |
$26,003 |
$22,912,829 |
$13,599,627 |
3.66 |
BIPOLAR DISORDERS |
348 |
$36,160 |
$21,462 |
$12,583,591 |
$7,468,844 |
10.99 |
REHABILITATION |
347 |
$72,126 |
$42,810 |
$25,027,850 |
$14,854,969 |
14.00 |
HEART FAILURE |
318 |
$56,189 |
$33,351 |
$17,868,239 |
$10,605,485 |
6.47 |
MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES |
271 |
$38,645 |
$22,938 |
$10,472,924 |
$6,216,071 |
11.20 |
ASTHMA |
268 |
$20,103 |
$11,932 |
$5,387,597 |
$3,197,738 |
2.35 |
DIABETES |
250 |
$33,487 |
$19,876 |
$8,371,815 |
$4,968,988 |
4.17 |
ALCOHOL ABUSE & DEPENDENCE |
234 |
$39,334 |
$23,346 |
$9,204,227 |
$5,463,060 |
5.71 |
SYNCOPE & COLLAPSE |
210 |
$31,698 |
$18,814 |
$6,656,497 |
$3,950,886 |
3.20 |
CELLULITIS & OTHER SKIN INFECTIONS |
209 |
$32,923 |
$19,541 |
$6,880,958 |
$4,084,109 |
4.20 |
OTHER PNEUMONIA |
206 |
$29,396 |
$17,447 |
$6,055,515 |
$3,594,177 |
3.67 |
SEIZURE |
194 |
$31,771 |
$18,857 |
$6,163,500 |
$3,658,272 |
3.64 |
KIDNEY & URINARY TRACT INFECTIONS |
191 |
$30,837 |
$18,303 |
$5,889,817 |
$3,495,831 |
3.94 |
KNEE & LOWER LEG PROCEDURES EXCEPT FOOT |
187 |
$91,206 |
$54,135 |
$17,055,611 |
$10,123,152 |
7.57 |
OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES |
163 |
$45,051 |
$26,739 |
$7,343,322 |
$4,358,534 |
5.31 |
OTHER DISORDERS OF NERVOUS SYSTEM |
161 |
$55,330 |
$32,841 |
$8,908,153 |
$5,287,329 |
8.86 |
CHRONIC OBSTRUCTIVE PULMONARY DISEASE |
158 |
$34,477 |
$20,464 |
$5,447,407 |
$3,233,241 |
3.99 |
HIP & FEMUR FRACTURE REPAIR |
157 |
$93,568 |
$55,536 |
$14,690,214 |
$8,719,201 |
6.78 |
ACUTE KIDNEY INJURY |
154 |
$45,740 |
$27,148 |
$7,043,904 |
$4,180,828 |
5.64 |
PROCEDURES FOR OBESITY |
152 |
$57,357 |
$34,043 |
$8,718,217 |
$5,174,597 |
1.86 |
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES |
152 |
$32,967 |
$19,567 |
$5,010,955 |
$2,974,193 |
4.17 |
ANTEPARTUM W/O O.R. PROCEDURE |
150 |
$21,304 |
$12,645 |
$3,195,624 |
$1,896,728 |
3.20 |
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS |
145 |
$90,493 |
$53,711 |
$13,121,544 |
$7,788,143 |
9.73 |
CVA & PRECEREBRAL OCCLUSION W INFARCT |
142 |
$67,368 |
$39,985 |
$9,566,251 |
$5,677,936 |
7.48 |
CHOLECYSTECTOMY |
140 |
$48,955 |
$29,057 |
$6,853,714 |
$4,067,940 |
3.51 |
OTHER GASTROENTERITIS, NAUSEA & VOMITING |
133 |
$17,918 |
$10,635 |
$2,383,085 |
$1,414,455 |
2.12 |
ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS |
132 |
$18,876 |
$11,204 |
$2,491,636 |
$1,478,879 |
1.92 |
OTHER DIGESTIVE SYSTEM DIAGNOSES |
128 |
$33,994 |
$20,177 |
$4,351,245 |
$2,582,632 |
3.87 |
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS |
128 |
$30,104 |
$17,868 |
$3,853,339 |
$2,287,105 |
3.26 |
CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE |
128 |
$21,680 |
$12,868 |
$2,775,029 |
$1,647,080 |
2.05 |
HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE |
124 |
$57,844 |
$34,333 |
$7,172,647 |
$4,257,236 |
5.80 |
FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK |
124 |
$28,750 |
$17,064 |
$3,565,007 |
$2,115,964 |
3.14 |
DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER |
122 |
$45,362 |
$26,924 |
$5,534,112 |
$3,284,711 |
11.93 |
SICKLE CELL ANEMIA CRISIS |
117 |
$29,362 |
$17,427 |
$3,435,352 |
$2,039,005 |
3.79 |
HYPERTENSION |
113 |
$39,258 |
$23,301 |
$4,436,210 |
$2,633,056 |
4.39 |
PEPTIC ULCER & GASTRITIS |
111 |
$29,099 |
$17,271 |
$3,229,941 |
$1,917,090 |
3.07 |
OPIOID ABUSE & DEPENDENCE |
104 |
$31,536 |
$18,718 |
$3,279,729 |
$1,946,647 |
4.79 |
CHEST PAIN |
103 |
$16,521 |
$9,806 |
$1,701,641 |
$1,009,988 |
1.64 |
POISONING OF MEDICINAL AGENTS |
101 |
$26,569 |
$15,770 |
$2,683,515 |
$1,592,770 |
2.88 |
SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS |
100 |
$33,820 |
$20,074 |
$3,382,012 |
$2,007,355 |
4.37 |
SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT |
97 |
$61,632 |
$36,581 |
$5,978,303 |
$3,548,346 |
3.89 |
INFECTIONS OF UPPER RESPIRATORY TRACT |
93 |
$16,917 |
$10,041 |
$1,573,284 |
$933,805 |
2.12 |
PERIPHERAL & OTHER VASCULAR DISORDERS |
85 |
$38,584 |
$22,901 |
$3,279,666 |
$1,946,607 |
4.47 |
MAJOR CHEST & RESPIRATORY TRAUMA |
84 |
$44,322 |
$26,307 |
$3,723,021 |
$2,209,755 |
4.57 |
DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE |
83 |
$30,333 |
$18,004 |
$2,517,662 |
$1,494,325 |
4.01 |
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS |
82 |
$30,383 |
$18,034 |
$2,491,423 |
$1,478,750 |
1.29 |
NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM |
82 |
$21,805 |
$12,942 |
$1,787,998 |
$1,061,246 |
3.82 |
INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE |
81 |
$192,730 |
$114,393 |
$15,611,140 |
$9,265,806 |
17.07 |
OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS |
80 |
$38,053 |
$22,586 |
$3,044,267 |
$1,806,892 |
4.10 |
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS |
80 |
$204,855 |
$121,589 |
$16,388,434 |
$9,727,157 |
20.11 |
HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS |
78 |
$116,801 |
$69,326 |
$9,110,493 |
$5,407,427 |
11.44 |
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES |
75 |
$44,451 |
$26,383 |
$3,333,805 |
$1,978,740 |
4.19 |
MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA |
73 |
$163,532 |
$97,062 |
$11,937,811 |
$7,085,541 |
11.07 |
OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES |
72 |
$50,167 |
$29,776 |
$3,611,989 |
$2,143,852 |
4.69 |
RESPIRATORY FAILURE |
71 |
$55,268 |
$32,804 |
$3,924,047 |
$2,329,075 |
6.08 |
DISORDERS OF PANCREAS EXCEPT MALIGNANCY |
70 |
$42,327 |
$25,123 |
$2,962,890 |
$1,758,587 |
4.57 |
OTHER CIRCULATORY SYSTEM DIAGNOSES |
70 |
$35,829 |
$21,266 |
$2,508,063 |
$1,488,631 |
4.04 |
OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES |
70 |
$34,798 |
$20,654 |
$2,435,872 |
$1,445,780 |
3.40 |
OTHER PERIPHERAL VASCULAR PROCEDURES |
69 |
$207,298 |
$123,039 |
$14,303,534 |
$8,489,692 |
11.67 |
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS |
62 |
$38,218 |
$22,684 |
$2,369,496 |
$1,406,384 |
4.35 |
VERTIGO & OTHER LABYRINTH DISORDERS |
61 |
$23,347 |
$13,857 |
$1,424,161 |
$845,293 |
2.59 |
CESAREAN SECTION W STERILIZATION |
61 |
$41,028 |
$24,351 |
$2,502,682 |
$1,485,436 |
2.97 |
COCAINE ABUSE & DEPENDENCE |
59 |
$31,209 |
$18,524 |
$1,841,330 |
$1,092,901 |
6.32 |
DIVERTICULITIS & DIVERTICULOSIS |
58 |
$30,376 |
$18,029 |
$1,761,798 |
$1,045,692 |
3.36 |
INTENTIONAL SELF-HARM & ATTEMPTED SUICIDE |
58 |
$27,394 |
$16,259 |
$1,588,838 |
$943,034 |
3.21 |
PULMONARY EMBOLISM |
57 |
$59,567 |
$35,355 |
$3,395,298 |
$2,015,243 |
5.89 |
MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC |
56 |
$47,166 |
$27,995 |
$2,641,302 |
$1,567,711 |
5.61 |
PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS |
56 |
$33,685 |
$19,993 |
$1,886,375 |
$1,119,635 |
4.05 |
TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE |
54 |
$446,177 |
$264,823 |
$24,093,570 |
$14,300,451 |
41.17 |
BURNS W SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS |
53 |
$148,108 |
$87,908 |
$7,849,707 |
$4,659,098 |
14.57 |
MIGRAINE & OTHER HEADACHES |
52 |
$20,073 |
$11,914 |
$1,043,801 |
$619,538 |
2.13 |
ALCOHOLIC LIVER DISEASE |
51 |
$67,574 |
$40,108 |
$3,446,276 |
$2,045,497 |
7.71 |
OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE |
50 |
$47,330 |
$28,092 |
$2,366,485 |
$1,404,601 |
5.34 |
DISORDERS OF GALLBLADDER & BILIARY TRACT |
49 |
$44,020 |
$26,128 |
$2,156,983 |
$1,280,248 |
4.92 |
MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS |
49 |
$55,766 |
$33,099 |
$2,732,556 |
$1,621,873 |
7.55 |
INTESTINAL OBSTRUCTION |
48 |
$38,573 |
$22,895 |
$1,851,514 |
$1,098,942 |
4.60 |
AMPUTATION OF LOWER LIMB EXCEPT TOES |
46 |
$141,194 |
$83,804 |
$6,494,946 |
$3,854,997 |
14.59 |
OTHER ESOPHAGEAL DISORDERS |
45 |
$21,026 |
$12,480 |
$946,177 |
$561,589 |
2.18 |
NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION |
41 |
$22,891 |
$13,587 |
$938,528 |
$557,052 |
3.37 |
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS |
40 |
$39,162 |
$23,244 |
$1,566,487 |
$929,768 |
4.78 |
CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA |
40 |
$22,773 |
$13,517 |
$910,938 |
$540,682 |
2.20 |
HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS |
40 |
$28,701 |
$17,035 |
$1,148,047 |
$681,411 |
3.55 |
OTHER DRUG ABUSE & DEPENDENCE |
39 |
$14,881 |
$8,832 |
$580,361 |
$344,466 |
3.28 |
DIGESTIVE MALIGNANCY |
39 |
$70,047 |
$41,576 |
$2,731,841 |
$1,621,454 |
8.38 |
MAJOR SMALL BOWEL PROCEDURES |
39 |
$190,588 |
$113,121 |
$7,432,922 |
$4,411,720 |
15.64 |
URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION |
38 |
$21,955 |
$13,031 |
$834,272 |
$495,174 |
2.11 |
SKIN ULCERS |
37 |
$55,690 |
$33,054 |
$2,060,536 |
$1,223,004 |
7.32 |
BRONCHIOLITIS & RSV PNEUMONIA |
37 |
$21,507 |
$12,765 |
$795,753 |
$472,312 |
3.16 |
OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS |
37 |
$82,867 |
$49,185 |
$3,066,095 |
$1,819,847 |
10.78 |
MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS |
37 |
$36,263 |
$21,523 |
$1,341,729 |
$796,368 |
4.30 |
MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE |
37 |
$54,258 |
$32,204 |
$2,007,536 |
$1,191,553 |
4.73 |
FOOT & TOE PROCEDURES |
37 |
$75,805 |
$44,993 |
$2,804,787 |
$1,664,749 |
6.70 |
OTHER DISORDERS OF THE LIVER |
36 |
$35,141 |
$20,858 |
$1,265,087 |
$750,875 |
3.92 |
NON-HYPOVOLEMIC SODIUM DISORDERS |
36 |
$41,498 |
$24,631 |
$1,493,939 |
$886,706 |
5.08 |
HIV W MAJOR HIV RELATED CONDITION |
36 |
$92,742 |
$55,046 |
$3,338,706 |
$1,981,647 |
9.58 |
CHRONIC KIDNEY DISEASE |
36 |
$57,078 |
$33,878 |
$2,054,802 |
$1,219,604 |
6.83 |
CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS |
36 |
$88,985 |
$52,816 |
$3,203,442 |
$1,901,366 |
8.61 |
ACUTE ANXIETY & DELIRIUM STATES |
36 |
$26,491 |
$15,723 |
$953,680 |
$566,045 |
5.03 |
INTRACRANIAL HEMORRHAGE |
36 |
$169,658 |
$100,699 |
$6,107,700 |
$3,625,149 |
11.69 |
OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS |
35 |
$26,791 |
$15,902 |
$937,695 |
$556,555 |
3.23 |
ACUTE MYOCARDIAL INFARCTION |
35 |
$43,672 |
$25,921 |
$1,528,511 |
$907,231 |
4.11 |
ABDOMINAL PAIN |
34 |
$26,469 |
$15,710 |
$899,932 |
$534,140 |
2.76 |
HIP JOINT REPLACEMENT |
33 |
$103,041 |
$61,159 |
$3,400,367 |
$2,018,248 |
7.30 |
MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
33 |
$347,091 |
$206,012 |
$11,454,010 |
$6,798,389 |
23.42 |
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS |
32 |
$49,972 |
$29,660 |
$1,599,110 |
$949,133 |
4.09 |
CONNECTIVE TISSUE DISORDERS |
32 |
$58,577 |
$34,768 |
$1,874,461 |
$1,112,566 |
6.56 |
VIRAL ILLNESS |
32 |
$20,056 |
$11,904 |
$641,782 |
$380,918 |
2.53 |
MAJOR LARGE BOWEL PROCEDURES |
32 |
$142,224 |
$84,415 |
$4,551,175 |
$2,701,295 |
11.81 |
EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA |
32 |
$197,215 |
$117,054 |
$6,310,867 |
$3,745,739 |
12.94 |
PARTIAL THICKNESS BURNS W/O SKIN GRAFT |
31 |
$35,658 |
$21,164 |
$1,105,390 |
$656,091 |
4.16 |
FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES |
31 |
$76,085 |
$45,160 |
$2,358,648 |
$1,399,945 |
4.71 |
TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE |
31 |
$590,586 |
$350,535 |
$18,308,168 |
$10,866,595 |
43.90 |
VAGINAL DELIVERY W STERILIZATION &/OR D&C |
29 |
$34,860 |
$20,691 |
$1,010,930 |
$600,027 |
2.79 |
HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS |
29 |
$64,357 |
$38,199 |
$1,866,365 |
$1,107,758 |
7.69 |
RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES |
29 |
$32,556 |
$19,323 |
$944,128 |
$560,375 |
3.86 |
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES |
29 |
$51,590 |
$30,620 |
$1,496,096 |
$887,989 |
6.00 |
OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS |
28 |
$25,870 |
$15,355 |
$724,349 |
$429,927 |
2.89 |
MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE |
27 |
$38,197 |
$22,671 |
$1,031,313 |
$612,124 |
4.67 |
NEONATE BIRTHWT >2499G W MAJOR ANOMALY |
27 |
$46,757 |
$27,752 |
$1,262,450 |
$749,312 |
6.00 |
ACUTE BRONCHITIS & RELATED SYMPTOMS |
27 |
$19,609 |
$11,639 |
$529,452 |
$314,245 |
2.07 |
ALTERATION IN CONSCIOUSNESS |
27 |
$52,304 |
$31,044 |
$1,412,195 |
$838,191 |
6.44 |
UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA |
26 |
$62,342 |
$37,002 |
$1,620,885 |
$962,056 |
2.73 |
OTHER AFTERCARE & CONVALESCENCE |
26 |
$75,329 |
$44,711 |
$1,958,561 |
$1,162,482 |
12.77 |
NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND |
26 |
$48,752 |
$28,936 |
$1,267,547 |
$752,338 |
5.96 |
THYROID DISORDERS |
26 |
$27,088 |
$16,078 |
$704,284 |
$418,018 |
3.19 |
OTHER COMPLICATIONS OF TREATMENT |
25 |
$44,730 |
$26,549 |
$1,118,262 |
$663,732 |
5.24 |
OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES |
25 |
$37,223 |
$22,093 |
$930,573 |
$552,330 |
4.40 |
ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES |
25 |
$22,182 |
$13,166 |
$554,553 |
$329,150 |
6.52 |
TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES |
25 |
$81,537 |
$48,396 |
$2,038,437 |
$1,209,889 |
8.28 |
EYE INFECTIONS & OTHER EYE DISORDERS |
25 |
$27,420 |
$16,275 |
$685,490 |
$406,867 |
2.84 |
FEVER & INFLAMMATORY CONDITIONS |
25 |
$15,468 |
$9,181 |
$386,690 |
$229,517 |
1.96 |
HAND & WRIST PROCEDURES |
23 |
$57,086 |
$33,883 |
$1,312,984 |
$779,307 |
5.09 |
FEMALE REPRODUCTIVE SYSTEM INFECTIONS |
23 |
$24,677 |
$14,647 |
$567,578 |
$336,881 |
2.74 |
CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE |
23 |
$40,181 |
$23,849 |
$924,171 |
$548,532 |
3.61 |
NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
23 |
$136,491 |
$81,013 |
$3,139,288 |
$1,863,288 |
14.22 |
ALCOHOL & DRUG DEPENDENCE W REHAB OR REHAB/DETOX THERAPY |
22 |
$23,198 |
$13,769 |
$510,359 |
$302,916 |
3.73 |
VAGINAL DELIVERY W O.R. PROCEDURE EXCEPT STERILIZATION &/OR D&C |
22 |
$42,007 |
$24,933 |
$924,164 |
$548,525 |
3.41 |
MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES |
22 |
$52,755 |
$31,312 |
$1,160,620 |
$688,870 |
4.14 |
COAGULATION & PLATELET DISORDERS |
21 |
$53,338 |
$31,658 |
$1,120,092 |
$664,817 |
4.05 |
MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE |
21 |
$52,041 |
$30,888 |
$1,092,860 |
$648,657 |
6.19 |
UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA |
21 |
$48,558 |
$28,821 |
$1,019,714 |
$605,239 |
1.90 |
RESPIRATORY MALIGNANCY |
21 |
$76,586 |
$45,457 |
$1,608,313 |
$954,597 |
8.57 |
OTHER RESPIRATORY & CHEST PROCEDURES |
21 |
$172,664 |
$102,482 |
$3,625,938 |
$2,152,129 |
12.90 |
HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND |
21 |
$32,673 |
$19,393 |
$686,136 |
$407,248 |
4.33 |
MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE |
21 |
$37,768 |
$22,417 |
$793,136 |
$470,758 |
3.71 |
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES |
21 |
$102,206 |
$60,663 |
$2,146,333 |
$1,273,931 |
7.76 |
OPEN CRANIOTOMY EXCEPT TRAUMA |
20 |
$146,016 |
$86,666 |
$2,920,314 |
$1,733,315 |
9.55 |
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY |
19 |
$25,076 |
$14,883 |
$476,437 |
$282,782 |
3.05 |
OTHER ENDOCRINE DISORDERS |
19 |
$37,828 |
$22,452 |
$718,723 |
$426,592 |
4.47 |
TRANSIENT ISCHEMIA |
19 |
$33,505 |
$19,886 |
$636,588 |
$377,839 |
3.26 |
INTERSTITIAL & ALVEOLAR LUNG DISEASES |
19 |
$48,215 |
$28,617 |
$916,084 |
$543,729 |
5.00 |
ORGANIC MENTAL HEALTH DISTURBANCES |
19 |
$147,043 |
$87,276 |
$2,793,822 |
$1,658,242 |
22.79 |
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS |
19 |
$21,937 |
$13,021 |
$416,803 |
$247,390 |
2.11 |
MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL |
18 |
$59,472 |
$35,299 |
$1,070,495 |
$635,379 |
5.33 |
LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA |
17 |
$88,667 |
$52,627 |
$1,507,331 |
$894,658 |
9.06 |
MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES |
17 |
$118,903 |
$70,574 |
$2,021,354 |
$1,199,751 |
8.12 |
PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE |
17 |
$102,725 |
$60,971 |
$1,746,321 |
$1,036,507 |
15.47 |
INFLAMMATORY BOWEL DISEASE |
17 |
$37,154 |
$22,052 |
$631,610 |
$374,883 |
4.35 |
MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS |
16 |
$53,588 |
$31,807 |
$857,414 |
$508,908 |
6.69 |
EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
16 |
$146,203 |
$86,777 |
$2,339,245 |
$1,388,432 |
10.88 |
POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE |
16 |
$156,340 |
$92,794 |
$2,501,443 |
$1,484,700 |
14.94 |
OTHER NERVOUS SYSTEM & RELATED PROCEDURES |
16 |
$58,620 |
$34,793 |
$937,924 |
$556,694 |
3.81 |
LOWER EXTREMITY ARTERIAL PROCEDURES |
16 |
$197,897 |
$117,459 |
$3,166,349 |
$1,879,351 |
15.31 |
NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION |
16 |
$74,411 |
$44,166 |
$1,190,577 |
$706,653 |
12.00 |
DISORDERS OF PERSONALITY & IMPULSE CONTROL |
16 |
$31,310 |
$18,584 |
$500,958 |
$297,340 |
8.38 |
MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
16 |
$107,236 |
$63,649 |
$1,715,772 |
$1,018,376 |
9.69 |
DENTAL DISEASES & DISORDERS |
15 |
$16,629 |
$9,870 |
$249,438 |
$148,051 |
1.73 |
OTHER CHEMOTHERAPY |
15 |
$41,242 |
$24,479 |
$618,624 |
$367,179 |
5.73 |
FRACTURE OF FEMUR |
15 |
$26,654 |
$15,820 |
$399,816 |
$237,306 |
2.47 |
INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES |
15 |
$58,560 |
$34,758 |
$878,403 |
$521,363 |
3.80 |
MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG |
15 |
$59,117 |
$35,088 |
$886,761 |
$526,327 |
7.07 |
OPEN CRANIOTOMY FOR TRAUMA |
15 |
$217,907 |
$129,336 |
$3,268,612 |
$1,940,046 |
18.60 |
FRACTURE OF PELVIS OR DISLOCATION OF HIP |
14 |
$37,485 |
$22,249 |
$524,785 |
$311,481 |
4.79 |
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL |
14 |
$62,749 |
$37,244 |
$878,485 |
$521,412 |
4.57 |
OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES |
14 |
$52,011 |
$30,871 |
$728,159 |
$432,191 |
4.07 |
ORBIT & EYE PROCEDURES |
14 |
$295,085 |
$175,144 |
$4,131,184 |
$2,452,016 |
11.50 |
CARDIAC ARREST & SHOCK |
14 |
$55,566 |
$32,980 |
$777,919 |
$461,722 |
3.50 |
ALLERGIC REACTIONS |
14 |
$23,213 |
$13,778 |
$324,986 |
$192,892 |
2.43 |
SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES |
14 |
$41,902 |
$24,871 |
$586,632 |
$348,188 |
3.86 |
NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND |
14 |
$94,997 |
$56,385 |
$1,329,964 |
$789,385 |
15.00 |
OTHER CIRCULATORY SYSTEM PROCEDURES |
14 |
$101,898 |
$60,481 |
$1,426,576 |
$846,728 |
8.79 |
OTHER SMALL & LARGE BOWEL PROCEDURES |
14 |
$97,055 |
$57,606 |
$1,358,764 |
$806,478 |
6.93 |
URETHRAL & TRANSURETHRAL PROCEDURES |
13 |
$45,661 |
$27,102 |
$593,599 |
$352,325 |
4.00 |
NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION |
13 |
$87,364 |
$51,854 |
$1,135,737 |
$674,102 |
14.77 |
NERVOUS SYSTEM MALIGNANCY |
13 |
$55,370 |
$32,864 |
$719,806 |
$427,233 |
5.62 |
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM |
13 |
$125,788 |
$74,660 |
$1,635,244 |
$970,581 |
15.23 |
SPINAL DISORDERS & INJURIES |
13 |
$77,616 |
$46,068 |
$1,009,012 |
$598,887 |
16.69 |
CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP |
12 |
$128,500 |
$76,269 |
$1,541,994 |
$915,232 |
9.75 |
PENIS, TESTES & SCROTAL PROCEDURES |
12 |
$38,389 |
$22,785 |
$460,664 |
$273,422 |
2.42 |
ANTEPARTUM W O.R. PROCEDURE |
12 |
$25,021 |
$14,851 |
$300,255 |
$178,215 |
1.42 |
MAJOR SKIN DISORDERS |
12 |
$61,332 |
$36,403 |
$735,984 |
$436,835 |
7.75 |
OTHER INFECTIOUS & PARASITIC DISEASES |
12 |
$72,088 |
$42,787 |
$865,060 |
$513,447 |
5.92 |
NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM |
12 |
$358,730 |
$212,920 |
$4,304,762 |
$2,555,040 |
50.75 |
HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS |
11 |
$40,566 |
$24,077 |
$446,223 |
$264,850 |
4.82 |
OTHER SIGNIFICANT HIP & FEMUR SURGERY |
11 |
$150,166 |
$89,129 |
$1,651,821 |
$980,420 |
11.91 |
MAJOR ESOPHAGEAL DISORDERS |
11 |
$53,960 |
$32,027 |
$593,561 |
$352,301 |
5.45 |
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY |
11 |
$32,876 |
$19,513 |
$361,631 |
$214,643 |
3.64 |
MAJOR ABDOMINAL VASCULAR PROCEDURES |
11 |
$101,161 |
$60,043 |
$1,112,768 |
$660,471 |
6.82 |
INBORN ERRORS OF METABOLISM |
10 |
$24,441 |
$14,507 |
$244,405 |
$145,065 |
2.70 |
NEONATE BWT 1500-1999G W RESP DIST SYND/OTH MAJ RESP COND |
10 |
$167,139 |
$99,203 |
$1,671,389 |
$992,034 |
23.40 |
MALIGNANCY, MALE REPRODUCTIVE SYSTEM |
10 |
$69,646 |
$41,337 |
$696,456 |
$413,373 |
8.30 |
SPINAL PROCEDURES |
10 |
$181,520 |
$107,739 |
$1,815,196 |
$1,077,388 |
11.80 |
LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR |
9 |
$43,038 |
$25,544 |
$387,339 |
$229,899 |
4.56 |
DEFIBRILLATOR IMPLANTS |
9 |
$103,975 |
$61,713 |
$935,779 |
$555,419 |
5.56 |
OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES |
9 |
$135,900 |
$80,662 |
$1,223,102 |
$725,957 |
9.89 |
DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES |
9 |
$52,857 |
$31,372 |
$475,709 |
$282,351 |
5.11 |
NEONATE BIRTHWT 500-749G W/O MAJOR PROCEDURE |
8 |
$588,995 |
$349,591 |
$4,711,961 |
$2,796,728 |
74.13 |
NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM |
8 |
$203,272 |
$120,650 |
$1,626,179 |
$965,200 |
30.75 |
CARDIAC STRUCTURAL & VALVULAR DISORDERS |
8 |
$40,018 |
$23,752 |
$320,140 |
$190,016 |
4.75 |
NEONATE BIRTHWT 1500-1999G W MAJOR ANOMALY |
8 |
$242,684 |
$144,042 |
$1,941,472 |
$1,152,338 |
28.88 |
OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS |
7 |
$76,078 |
$45,155 |
$532,546 |
$316,085 |
7.86 |
KIDNEY & URINARY TRACT MALIGNANCY |
7 |
$72,072 |
$42,777 |
$504,505 |
$299,442 |
9.00 |
PERITONEAL ADHESIOLYSIS |
7 |
$116,969 |
$69,426 |
$818,782 |
$485,979 |
11.00 |
MAJOR PANCREAS, LIVER & SHUNT PROCEDURES |
7 |
$161,407 |
$95,801 |
$1,129,846 |
$670,607 |
11.43 |
BEHAVIORAL DISORDERS |
7 |
$25,756 |
$15,287 |
$180,294 |
$107,012 |
7.14 |
NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS |
7 |
$73,112 |
$43,395 |
$511,787 |
$303,766 |
8.86 |
UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG |
7 |
$70,132 |
$41,626 |
$490,924 |
$291,382 |
3.00 |
NEONATE BWT 2000-2499G W MAJOR ANOMALY |
7 |
$59,396 |
$35,254 |
$415,774 |
$246,777 |
8.00 |
OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES |
7 |
$55,969 |
$33,220 |
$391,785 |
$232,539 |
5.57 |
DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK |
6 |
$153,170 |
$90,912 |
$919,019 |
$545,472 |
10.83 |
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT |
6 |
$32,138 |
$19,075 |
$192,827 |
$114,450 |
3.17 |
OTHER MENTAL HEALTH DISORDERS |
6 |
$36,366 |
$21,585 |
$218,196 |
$129,508 |
8.50 |
EXTENSIVE 3RD DEGREE BURNS W/O SKIN GRAFT |
6 |
$44,760 |
$26,566 |
$268,558 |
$159,398 |
6.67 |
EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
6 |
$107,932 |
$64,062 |
$647,592 |
$384,370 |
7.67 |
GASTROINTESTINAL VASCULAR INSUFFICIENCY |
6 |
$55,562 |
$32,978 |
$333,370 |
$197,869 |
6.67 |
MALIGNANT BREAST DISORDERS |
6 |
$44,048 |
$26,144 |
$264,285 |
$156,863 |
5.17 |
NEPHRITIS & NEPHROSIS |
5 |
$14,786 |
$8,776 |
$73,930 |
$43,879 |
1.80 |
UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY |
5 |
$78,341 |
$46,499 |
$391,707 |
$232,493 |
4.60 |
NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION |
5 |
$39,142 |
$23,232 |
$195,711 |
$116,162 |
8.00 |
CARDIOMYOPATHY |
5 |
$31,874 |
$18,919 |
$159,371 |
$94,594 |
3.40 |
MAJOR RESPIRATORY & CHEST PROCEDURES |
4 |
$182,636 |
$108,401 |
$730,542 |
$433,604 |
10.25 |
BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA |
4 |
$37,255 |
$22,112 |
$149,020 |
$88,448 |
3.75 |
NEONATE BWT 2000-2499G W CONGENITAL/PERINATAL INFECTION |
4 |
$112,412 |
$66,721 |
$449,647 |
$266,883 |
16.50 |
NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE |
4 |
$12,619 |
$7,490 |
$50,476 |
$29,960 |
1.50 |
HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION |
4 |
$57,258 |
$33,985 |
$229,032 |
$135,939 |
8.00 |
ANOXIC & OTHER SEVERE BRAIN DAMAGE |
4 |
$89,198 |
$52,942 |
$356,790 |
$211,768 |
9.25 |
KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY |
4 |
$39,257 |
$23,300 |
$157,026 |
$93,200 |
2.75 |
ACUTE & SUBACUTE ENDOCARDITIS |
4 |
$28,691 |
$17,029 |
$114,765 |
$68,117 |
3.00 |
NEONATE, TRANSFERRED <5 DAYS OLD, NOT BORN HERE |
4 |
$12,501 |
$7,420 |
$50,003 |
$29,678 |
1.00 |
OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES |
4 |
$148,332 |
$88,040 |
$593,326 |
$352,161 |
13.25 |
ANAL PROCEDURES |
4 |
$21,941 |
$13,023 |
$87,763 |
$52,090 |
1.25 |
CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA |
4 |
$170,453 |
$101,170 |
$681,812 |
$404,681 |
12.75 |
PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK |
4 |
$43,889 |
$26,050 |
$175,557 |
$104,201 |
2.00 |
THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES |
4 |
$41,974 |
$24,913 |
$167,897 |
$99,653 |
1.25 |
TONSIL & ADENOID PROCEDURES |
4 |
$19,225 |
$11,411 |
$76,899 |
$45,642 |
1.00 |
CLEFT LIP & PALATE REPAIR |
3 |
$34,817 |
$20,666 |
$104,452 |
$61,997 |
1.00 |
OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES |
3 |
$45,498 |
$27,005 |
$136,495 |
$81,015 |
4.00 |
OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES |
3 |
$135,531 |
$80,443 |
$406,594 |
$241,329 |
13.00 |
EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT |
3 |
$553,266 |
$328,384 |
$1,659,797 |
$985,152 |
34.33 |
OPEN EXTRACRANIAL VASCULAR PROCEDURES |
3 |
$50,309 |
$29,861 |
$150,928 |
$89,582 |
5.67 |
NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
3 |
$65,002 |
$38,581 |
$195,007 |
$115,744 |
4.00 |
EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES |
3 |
$95,878 |
$56,907 |
$287,635 |
$170,722 |
12.00 |
SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES |
3 |
$65,394 |
$38,814 |
$196,183 |
$116,442 |
8.33 |
OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES |
3 |
$128,437 |
$76,232 |
$385,312 |
$228,697 |
8.33 |
MAJOR CRANIAL/FACIAL BONE PROCEDURES |
2 |
$52,058 |
$30,898 |
$104,115 |
$61,796 |
5.00 |
INTERVERTEBRAL DISC EXCISION & DECOMPRESSION |
2 |
$166,605 |
$98,887 |
$333,210 |
$197,773 |
18.50 |
SHOULDER & ELBOW JOINT REPLACEMENT |
2 |
$126,031 |
$74,804 |
$252,062 |
$149,608 |
8.00 |
ACUTE LEUKEMIA |
2 |
$68,498 |
$40,656 |
$136,996 |
$81,312 |
7.50 |
BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD |
2 |
$152,114 |
$90,286 |
$304,227 |
$180,571 |
24.00 |
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 |
$22,117 |
$13,127 |
$44,233 |
$26,254 |
1.50 |
OTHER OPEN CRANIOTOMY |
2 |
$191,728 |
$113,798 |
$383,456 |
$227,595 |
7.00 |
OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES |
2 |
$58,920 |
$34,972 |
$117,840 |
$69,943 |
5.50 |
NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION |
2 |
$101,450 |
$60,215 |
$202,899 |
$120,429 |
24.50 |
PERCUTANEOUS CARDIAC INTERVENTION W/O AMI |
2 |
$37,165 |
$22,059 |
$74,330 |
$44,118 |
3.50 |
RENAL DIALYSIS ACCESS DEVICE PROCEDURES & VESSEL REPAIR |
2 |
$1,141,973 |
$677,804 |
$2,283,946 |
$1,355,608 |
60.50 |
UNGROUPABLE |
2 |
$5,686 |
$3,375 |
$11,372 |
$6,750 |
1.00 |
VENTRICULAR SHUNT PROCEDURES |
2 |
$86,503 |
$51,343 |
$173,005 |
$102,685 |
4.50 |
SPLENECTOMY |
2 |
$75,045 |
$44,542 |
$150,090 |
$89,084 |
4.00 |
OTHER BLADDER PROCEDURES |
2 |
$189,321 |
$112,369 |
$378,642 |
$224,738 |
14.50 |
MENTAL ILLNESS DIAGNOSIS W O.R. PROCEDURE |
2 |
$219,475 |
$130,267 |
$438,949 |
$260,533 |
47.50 |
NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE |
2 |
$800,966 |
$475,404 |
$1,601,931 |
$950,808 |
88.50 |
MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS |
1 |
$46,294 |
$27,477 |
$46,294 |
$27,477 |
3.00 |
OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL & METABOLIC DISORDERS |
1 |
$430,655 |
$255,610 |
$430,655 |
$255,610 |
38.00 |
NEONATE BIRTHWT 1500-1999G W CONGENITAL/PERINATAL INFECTION |
1 |
$60,096 |
$35,669 |
$60,096 |
$35,669 |
15.00 |
VIRAL MENINGITIS |
1 |
$38,799 |
$23,029 |
$38,799 |
$23,029 |
5.00 |
BREAST PROCEDURES EXCEPT MASTECTOMY |
1 |
$23,169 |
$13,752 |
$23,169 |
$13,752 |
1.00 |
OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS |
1 |
$81,878 |
$48,597 |
$81,878 |
$48,597 |
10.00 |
EATING DISORDERS |
1 |
$27,345 |
$16,230 |
$27,345 |
$16,230 |
2.00 |
MAJOR MALE PELVIC PROCEDURES |
1 |
$79,318 |
$47,078 |
$79,318 |
$47,078 |
5.00 |
INSERTION, REVISION & REPLACEMENTS OF PACEMAKER & OTHER CARDIAC DEVICES |
1 |
$42,384 |
$25,156 |
$42,384 |
$25,156 |
2.00 |
MASTECTOMY PROCEDURES |
1 |
$85,496 |
$50,745 |
$85,496 |
$50,745 |
3.00 |
PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS |
1 |
$94,327 |
$55,987 |
$94,327 |
$55,987 |
4.00 |
NEONATE BIRTHWT >2499G W OTHER MAJOR PROCEDURE |
1 |
$96,581 |
$57,324 |
$96,581 |
$57,324 |
16.00 |
MAJOR BILIARY TRACT PROCEDURES |
1 |
$64,678 |
$38,389 |
$64,678 |
$38,389 |
5.00 |
MAJOR BLADDER PROCEDURES |
1 |
$161,209 |
$95,684 |
$161,209 |
$95,684 |
15.00 |
OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES |
1 |
$28,470 |
$16,898 |
$28,470 |
$16,898 |
2.00 |
NEONATE BWT <1500G W MAJOR PROCEDURE |
1 |
$942,555 |
$559,442 |
$942,555 |
$559,442 |
120.00 |
NEONATE BWT 1500-2499G W MAJOR PROCEDURE |
1 |
$61,131 |
$36,283 |
$61,131 |
$36,283 |
2.00 |
NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION |
1 |
$256,741 |
$152,385 |
$256,741 |
$152,385 |
34.00 |