Neonate birthwt >2499g, normal newborn or neonate w other problem |
1709 |
$16,092 |
$2,803 |
$27,500,751 |
$4,790,300 |
2.53 |
Vaginal delivery |
1263 |
$32,452 |
$8,102 |
$40,987,370 |
$10,233,074 |
2.65 |
Knee joint replacement |
1182 |
$90,556 |
$28,754 |
$107,037,630 |
$33,987,297 |
2.96 |
Cesarean delivery |
668 |
$49,763 |
$12,352 |
$33,241,863 |
$8,251,094 |
4.00 |
Septicemia & disseminated infections |
611 |
$119,715 |
$26,016 |
$73,145,565 |
$15,895,890 |
8.71 |
Hip joint replacement |
468 |
$91,665 |
$26,806 |
$42,899,200 |
$12,545,316 |
3.73 |
Heart failure |
399 |
$75,642 |
$19,022 |
$30,181,354 |
$7,589,831 |
5.14 |
Chest pain |
292 |
$31,341 |
$7,851 |
$9,151,621 |
$2,292,426 |
1.49 |
Chronic obstructive pulmonary disease |
259 |
$60,191 |
$12,853 |
$15,589,350 |
$3,328,889 |
4.25 |
Asthma |
259 |
$37,994 |
$8,248 |
$9,840,472 |
$2,136,116 |
2.68 |
Syncope & collapse |
245 |
$44,059 |
$10,773 |
$10,794,412 |
$2,639,393 |
2.51 |
Other disorders of nervous system |
237 |
$109,310 |
$26,945 |
$25,906,496 |
$6,385,893 |
11.58 |
Cellulitis & other skin infections |
199 |
$40,044 |
$8,046 |
$7,968,715 |
$1,601,165 |
3.31 |
Diabetes |
194 |
$58,186 |
$12,502 |
$11,288,097 |
$2,425,321 |
4.40 |
Infectious & parasitic diseases including HIV w O.R. procedure |
187 |
$240,983 |
$53,532 |
$45,063,796 |
$10,010,447 |
15.61 |
Other gastroenteritis, nausa & vomiting |
182 |
$42,011 |
$8,081 |
$7,646,020 |
$1,470,722 |
2.85 |
Other pneumonia |
165 |
$48,037 |
$9,847 |
$7,926,130 |
$1,624,692 |
3.44 |
Cardiac arrhythmia & conduction disorders |
163 |
$45,317 |
$11,950 |
$7,386,684 |
$1,947,826 |
2.54 |
Kidney & urinary tract infections |
156 |
$53,294 |
$10,898 |
$8,313,841 |
$1,700,150 |
4.29 |
Angina pectoris & coronary atherosclerosis |
148 |
$40,366 |
$10,739 |
$5,974,226 |
$1,589,353 |
2.18 |
Other antepartum diagnoses |
130 |
$29,248 |
$8,075 |
$3,802,235 |
$1,049,691 |
2.81 |
Schizophrenia |
124 |
$126,271 |
$50,013 |
$15,657,613 |
$6,201,550 |
22.56 |
Seizure |
123 |
$51,077 |
$10,843 |
$6,282,460 |
$1,333,710 |
3.67 |
CVA & precerebral occlusion w infarct |
117 |
$82,692 |
$19,470 |
$9,674,910 |
$2,278,023 |
4.36 |
Acute Kidney Injury |
112 |
$67,481 |
$14,594 |
$7,557,852 |
$1,634,564 |
5.78 |
Other musculoskeletal system & connective tissue diagnoses |
107 |
$53,123 |
$11,664 |
$5,684,201 |
$1,247,998 |
4.23 |
Peptic ulcer & gastritis |
101 |
$61,507 |
$13,109 |
$6,212,228 |
$1,324,027 |
4.18 |
Peripheral & other vascular disorders |
97 |
$56,617 |
$12,015 |
$5,491,855 |
$1,165,443 |
4.27 |
Hypertension |
95 |
$54,633 |
$13,036 |
$5,190,149 |
$1,238,438 |
3.60 |
Other digestive system diagnoses |
95 |
$46,794 |
$9,581 |
$4,445,389 |
$910,163 |
3.29 |
Other & unspecified gastrointestinal hemorrhage |
93 |
$73,208 |
$16,962 |
$6,808,326 |
$1,577,495 |
5.42 |
Infections of upper respiratory tract |
91 |
$43,816 |
$9,770 |
$3,987,243 |
$889,027 |
3.24 |
Lower extremity arterial procedures |
91 |
$170,714 |
$41,564 |
$15,534,983 |
$3,782,366 |
10.37 |
Other back & neck disorders, fractures & injuries |
89 |
$61,665 |
$12,469 |
$5,488,195 |
$1,109,698 |
4.63 |
Diverticulitis & diverticulosis |
88 |
$54,010 |
$11,077 |
$4,752,888 |
$974,742 |
3.73 |
Sickle cell anemia crisis |
88 |
$46,554 |
$9,951 |
$4,096,739 |
$875,693 |
4.07 |
Rehabilitation |
86 |
$111,241 |
$27,712 |
$9,566,698 |
$2,383,261 |
11.92 |
Vertigo & other labyrinth disorders |
80 |
$44,377 |
$9,489 |
$3,550,140 |
$759,086 |
2.64 |
Bipolar disorders |
80 |
$116,270 |
$44,980 |
$9,301,613 |
$3,598,377 |
18.23 |
Knee & lower leg procedures except foot |
74 |
$85,112 |
$21,031 |
$6,298,276 |
$1,556,292 |
5.18 |
Moderately extensive procedure unrelated to principal diagnosis |
74 |
$161,635 |
$35,857 |
$11,960,997 |
$2,653,398 |
10.24 |
Neonate birthwt >2499g w major anomaly |
72 |
$44,588 |
$6,840 |
$3,210,352 |
$492,511 |
3.99 |
Foot & toe procedures |
70 |
$89,079 |
$19,877 |
$6,235,500 |
$1,391,399 |
6.10 |
Respiratory Failure |
68 |
$100,388 |
$22,006 |
$6,826,405 |
$1,496,411 |
6.03 |
Neonate bwt 2000-2499g, normal newborn or neonate w other problem |
68 |
$39,054 |
$5,907 |
$2,655,666 |
$401,660 |
3.94 |
Uterine & adnexa procedures for leiomyoma |
67 |
$45,196 |
$9,894 |
$3,028,118 |
$662,868 |
2.30 |
Other anemia & disorders of blood & blood-forming organs |
67 |
$62,175 |
$13,429 |
$4,165,701 |
$899,763 |
4.30 |
Disorders of gallbladder & biliary tract |
65 |
$48,009 |
$9,759 |
$3,120,607 |
$634,343 |
3.45 |
Neonate birthwt >2499g w other significant condition |
64 |
$52,443 |
$7,841 |
$3,356,340 |
$501,829 |
4.48 |
Signs, symptoms & other factors influencing health status |
62 |
$39,820 |
$8,484 |
$2,468,830 |
$525,995 |
2.58 |
Disorders of pancreas except malignancy |
61 |
$53,119 |
$10,029 |
$3,240,254 |
$611,791 |
3.84 |
Hip and femur fracture repair |
61 |
$104,193 |
$25,559 |
$6,355,777 |
$1,559,123 |
5.79 |
Shoulder, upper arm & forearm procedures except joint replacement |
61 |
$89,782 |
$25,223 |
$5,476,697 |
$1,538,579 |
3.44 |
Alcohol abuse & dependence |
61 |
$54,789 |
$13,129 |
$3,342,149 |
$800,897 |
5.31 |
Respiratory signs, symptoms & minor diagnoses |
60 |
$35,877 |
$8,089 |
$2,152,635 |
$485,367 |
1.97 |
Abdominal pain |
59 |
$30,840 |
$5,996 |
$1,819,562 |
$353,780 |
1.78 |
Peripheral, cranial & autonomic nerve disorders |
58 |
$47,114 |
$9,855 |
$2,732,619 |
$571,577 |
3.36 |
Poisoning of medicinal agents |
58 |
$48,671 |
$11,690 |
$2,822,931 |
$678,038 |
3.90 |
Migraine & other headaches |
57 |
$37,860 |
$7,323 |
$2,158,008 |
$417,425 |
2.40 |
Other esophageal disorders |
55 |
$29,821 |
$7,170 |
$1,640,148 |
$394,367 |
1.62 |
Shoulder & elbow joint replacement |
54 |
$79,437 |
$23,404 |
$4,289,592 |
$1,263,801 |
2.59 |
Other circulatory system diagnoses |
53 |
$51,093 |
$12,524 |
$2,707,906 |
$663,751 |
3.26 |
Toxic effects of non-medicinal substances |
53 |
$59,968 |
$13,750 |
$3,178,301 |
$728,740 |
3.74 |
Appendectomy |
52 |
$49,906 |
$9,649 |
$2,595,128 |
$501,748 |
2.02 |
Other skin, subcutaneous tissue & related procedures |
52 |
$71,080 |
$14,670 |
$3,696,136 |
$762,827 |
6.21 |
Major depressive disorders & other/unspecified psychoses |
52 |
$108,069 |
$42,865 |
$5,619,613 |
$2,228,997 |
13.27 |
Laparoscopic cholecystectomy |
50 |
$78,229 |
$16,556 |
$3,911,430 |
$827,817 |
4.66 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
48 |
$70,997 |
$14,358 |
$3,407,856 |
$689,197 |
5.67 |
Amputation of lower limb except toes |
47 |
$139,144 |
$29,629 |
$6,539,780 |
$1,392,559 |
10.38 |
Major gastrointestinal & peritoneal infections |
44 |
$55,047 |
$10,543 |
$2,422,059 |
$463,908 |
4.34 |
Other aftercare & convalescence |
44 |
$98,344 |
$24,481 |
$4,327,115 |
$1,077,150 |
10.50 |
Bronchiolitis & RSV pneumonia |
41 |
$33,382 |
$7,857 |
$1,368,655 |
$322,140 |
2.71 |
Vaginal delivery w sterilization &/or D&C |
41 |
$43,085 |
$11,055 |
$1,766,469 |
$453,262 |
3.46 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
41 |
$32,552 |
$8,195 |
$1,334,634 |
$335,975 |
2.78 |
Transient ischemia |
40 |
$48,576 |
$10,053 |
$1,943,024 |
$402,134 |
2.33 |
Intestinal obstruction |
40 |
$54,181 |
$10,395 |
$2,167,241 |
$415,803 |
4.40 |
Electrolyte disorders except hypovolemia related |
40 |
$56,231 |
$12,290 |
$2,249,233 |
$491,616 |
4.08 |
Multiple sclerosis & other demyelinating diseases |
39 |
$82,273 |
$15,862 |
$3,208,641 |
$618,630 |
6.49 |
Uterine & adnexa procedures for non-malignancy except leiomyoma |
39 |
$40,220 |
$8,703 |
$1,568,596 |
$339,416 |
1.23 |
Degenerative nervous system disorders exc mult sclerosis |
38 |
$69,699 |
$15,274 |
$2,648,574 |
$580,410 |
6.08 |
Pulmonary embolism |
37 |
$69,488 |
$15,510 |
$2,571,045 |
$573,869 |
4.00 |
Skin ulcers |
36 |
$54,974 |
$10,826 |
$1,979,061 |
$389,727 |
4.50 |
Hypovolemia & related electrolyte disorders |
36 |
$44,561 |
$10,079 |
$1,604,207 |
$362,836 |
3.61 |
Postpartum & post abortion diagnoses w/o procedure |
36 |
$36,776 |
$9,249 |
$1,323,933 |
$332,960 |
3.39 |
Acute anxiety & delirium states |
36 |
$35,352 |
$8,637 |
$1,272,667 |
$310,918 |
2.81 |
Fractures & dislocations except femur, pelvis & back |
35 |
$48,513 |
$10,261 |
$1,697,956 |
$359,118 |
3.60 |
Malfunction, reaction, complic of genitourinary device or proc |
35 |
$67,794 |
$14,961 |
$2,372,799 |
$523,645 |
5.60 |
Major respiratory infections & inflammations |
33 |
$75,777 |
$16,293 |
$2,500,647 |
$537,677 |
6.24 |
Other peripheral vascular procedures |
33 |
$212,925 |
$43,431 |
$7,026,536 |
$1,433,209 |
10.36 |
Urinary stones & acquired upper urinary tract obstruction |
33 |
$40,373 |
$7,376 |
$1,332,310 |
$243,393 |
2.64 |
Acute myocardial infarction |
32 |
$118,162 |
$31,610 |
$3,781,180 |
$1,011,522 |
6.91 |
Tracheostomy w MV 96+ hours w extensive procedure or ECMO |
31 |
$841,007 |
$189,030 |
$26,071,207 |
$5,859,941 |
48.23 |
Connective tissue disorders |
31 |
$67,347 |
$14,703 |
$2,087,750 |
$455,784 |
5.45 |
Neonate birthwt >2499g w congenital/perinatal infection |
31 |
$107,265 |
$15,221 |
$3,325,211 |
$471,860 |
7.65 |
Post-operative, post-traumatic, other device infections |
30 |
$54,151 |
$10,740 |
$1,624,527 |
$322,204 |
4.53 |
HIV w major HIV related condition |
30 |
$70,775 |
$14,650 |
$2,123,263 |
$439,499 |
5.60 |
Malfunction, reaction & complication of GI device or procedure |
29 |
$47,066 |
$9,510 |
$1,364,911 |
$275,780 |
3.83 |
Chronic Kidney Disease |
29 |
$71,294 |
$16,501 |
$2,067,524 |
$478,521 |
5.03 |
Intracranial hemorrhage |
28 |
$124,965 |
$27,595 |
$3,499,016 |
$772,663 |
8.25 |
Respiratory system diagnosis w ventilator support 96+ hours |
28 |
$217,978 |
$48,544 |
$6,103,381 |
$1,359,218 |
15.86 |
Respiratory malignancy |
28 |
$102,000 |
$20,769 |
$2,856,011 |
$581,528 |
7.64 |
Tendon, muscle & other soft tissue procedures |
28 |
$111,127 |
$24,869 |
$3,111,552 |
$696,318 |
7.39 |
Viral illness |
28 |
$43,759 |
$9,262 |
$1,225,256 |
$259,341 |
3.46 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
27 |
$45,209 |
$8,943 |
$1,220,656 |
$241,474 |
2.78 |
Other endocrine disorders |
27 |
$50,635 |
$10,109 |
$1,367,155 |
$272,936 |
3.70 |
Other hepatobiliary, pancreas & abdominal procedures |
26 |
$184,905 |
$41,037 |
$4,807,535 |
$1,066,958 |
12.92 |
Neonate bwt 1500-1999g w or w/o other significant condition |
26 |
$192,582 |
$26,995 |
$5,007,126 |
$701,873 |
13.23 |
Major small & large bowel procedures |
25 |
$139,700 |
$29,635 |
$3,492,498 |
$740,871 |
8.84 |
Malnutrition, failure to thrive & other nutritional disorders |
25 |
$55,600 |
$11,922 |
$1,389,991 |
$298,053 |
5.00 |
Preterm labor |
25 |
$21,286 |
$6,126 |
$532,161 |
$153,153 |
2.16 |
Interstitial & alveolar lung diseases |
24 |
$97,681 |
$21,096 |
$2,344,350 |
$506,307 |
7.54 |
Inflammatory bowel disease |
24 |
$47,575 |
$8,379 |
$1,141,799 |
$201,099 |
3.21 |
Extensive procedure unrelated to principal diagnosis |
24 |
$197,785 |
$45,408 |
$4,746,829 |
$1,089,783 |
11.33 |
Head trauma w coma >1 hr or hemorrhage |
23 |
$80,138 |
$15,983 |
$1,843,172 |
$367,602 |
5.48 |
Cardiac catheterization for other non-coronary conditions |
23 |
$122,610 |
$33,875 |
$2,820,028 |
$779,136 |
7.22 |
Other disorders of the liver |
23 |
$81,774 |
$17,203 |
$1,880,811 |
$395,664 |
6.30 |
Organic mental health disturbances |
23 |
$76,341 |
$20,445 |
$1,755,837 |
$470,244 |
8.57 |
HIV w multiple major HIV related conditions |
23 |
$260,846 |
$56,429 |
$5,999,469 |
$1,297,860 |
17.91 |
Other musculoskeletal system & connective tissue procedures |
22 |
$66,880 |
$16,154 |
$1,471,352 |
$355,396 |
4.00 |
Nonextensive procedure unrelated to principal diagnosis |
22 |
$106,855 |
$24,770 |
$2,350,813 |
$544,937 |
7.09 |
Other skin, subcutaneous tissue & breast disorders |
21 |
$33,389 |
$6,650 |
$701,167 |
$139,649 |
2.43 |
Post-op, post-trauma, other device infections w O.R. procedure |
21 |
$111,258 |
$24,432 |
$2,336,417 |
$513,065 |
8.71 |
HIV w one signif HIV cond or w/o signif related cond |
21 |
$45,988 |
$8,896 |
$965,740 |
$186,823 |
3.48 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
20 |
$40,305 |
$9,305 |
$806,103 |
$186,108 |
2.30 |
Male reproductive system diagnoses except malignancy |
20 |
$54,146 |
$10,771 |
$1,082,929 |
$215,419 |
4.60 |
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond |
20 |
$95,561 |
$13,945 |
$1,911,225 |
$278,898 |
6.50 |
Eye disorders except major infections |
19 |
$46,792 |
$9,597 |
$889,045 |
$182,347 |
2.74 |
Other kidney & urinary tract diagnoses, signs & symptoms |
19 |
$51,632 |
$9,519 |
$981,004 |
$180,855 |
3.89 |
Digestive malignancy |
18 |
$124,583 |
$26,786 |
$2,242,492 |
$482,144 |
10.17 |
Alcoholic liver disease |
18 |
$117,271 |
$25,859 |
$2,110,885 |
$465,453 |
9.67 |
Other small & large bowel procedures |
17 |
$125,815 |
$25,898 |
$2,138,861 |
$440,268 |
7.65 |
Hepatic coma & other major acute liver disorders |
17 |
$126,817 |
$28,121 |
$2,155,890 |
$478,057 |
9.12 |
Depression except major depressive disorder |
17 |
$73,159 |
$27,680 |
$1,243,706 |
$470,566 |
12.65 |
Drug & alcohol abuse or dependence, left against medical advice |
17 |
$33,225 |
$7,176 |
$564,832 |
$121,991 |
1.88 |
O.R. procedure for other complications of treatment |
17 |
$76,305 |
$17,153 |
$1,297,186 |
$291,605 |
6.06 |
Procedure w diag of rehab, aftercare or oth contact w health service |
17 |
$93,578 |
$27,354 |
$1,590,831 |
$465,013 |
3.65 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
16 |
$50,290 |
$10,589 |
$804,647 |
$169,427 |
3.44 |
Percutaneous coronary intervention w/o AMI |
16 |
$178,336 |
$53,464 |
$2,853,381 |
$855,417 |
8.13 |
Other circulatory system procedures |
16 |
$152,534 |
$35,622 |
$2,440,544 |
$569,945 |
10.06 |
Other digestive system & abdominal procedures |
16 |
$158,644 |
$34,545 |
$2,538,309 |
$552,713 |
10.75 |
Fracture of femur |
16 |
$54,192 |
$12,174 |
$867,079 |
$194,790 |
4.31 |
Percutaneous coronary intervention w AMI |
15 |
$128,070 |
$38,177 |
$1,921,045 |
$572,655 |
5.33 |
Other complications of treatment |
15 |
$62,448 |
$13,063 |
$936,716 |
$195,939 |
4.93 |
Tracheostomy w MV 96+ hours w/o extensive procedure |
14 |
$661,191 |
$152,920 |
$9,256,677 |
$2,140,880 |
38.86 |
Perm cardiac pacemaker implant w/o AMI, heart failure or shock |
14 |
$180,088 |
$53,197 |
$2,521,233 |
$744,757 |
7.86 |
Malfunction, reaction, complic of orthopedic device or procedure |
14 |
$54,083 |
$11,552 |
$757,163 |
$161,729 |
4.00 |
Menstrual & other female reproductive system disorders |
14 |
$38,872 |
$7,475 |
$544,214 |
$104,643 |
2.50 |
Nervous system malignancy |
13 |
$101,326 |
$21,290 |
$1,317,244 |
$276,776 |
8.85 |
Other stomach, esophageal & duodenal procedures |
13 |
$168,005 |
$39,813 |
$2,184,060 |
$517,565 |
10.15 |
Neonate bwt 2000-2499g w major anomaly |
13 |
$71,205 |
$10,542 |
$925,668 |
$137,049 |
5.62 |
Coagulation & platelet disorders |
13 |
$237,130 |
$46,299 |
$3,082,690 |
$601,887 |
5.46 |
Other significant hip and femur surgery |
12 |
$120,786 |
$30,703 |
$1,449,431 |
$368,440 |
6.33 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
11 |
$52,701 |
$11,985 |
$579,713 |
$131,835 |
4.36 |
Hand & wrist procedures |
11 |
$74,284 |
$16,079 |
$817,126 |
$176,870 |
4.55 |
Fracture of pelvis or dislocation of hip |
11 |
$57,568 |
$13,126 |
$633,247 |
$144,385 |
4.18 |
Female reproductive system infections |
11 |
$40,690 |
$7,070 |
$447,595 |
$77,769 |
2.73 |
Neonate bwt 2000-2499g w other significant condition |
11 |
$147,174 |
$20,523 |
$1,618,916 |
$225,757 |
10.27 |
Other drug abuse & dependence |
11 |
$33,205 |
$7,786 |
$365,258 |
$85,647 |
2.82 |
Mastectomy procedures |
10 |
$62,120 |
$12,181 |
$621,196 |
$121,811 |
1.40 |
Renal dialysis access device procedure only |
10 |
$130,164 |
$29,137 |
$1,301,636 |
$291,374 |
8.90 |
Extracranial vascular procedures |
9 |
$121,286 |
$30,150 |
$1,091,574 |
$271,347 |
5.00 |
Major chest & respiratory trauma |
9 |
$64,860 |
$14,410 |
$583,742 |
$129,689 |
5.33 |
Thyroid, parathyroid & thyroglossal procedures |
9 |
$31,946 |
$7,190 |
$287,518 |
$64,708 |
1.00 |
Kidney & urinary tract procedures for nonmalignancy |
9 |
$197,434 |
$41,875 |
$1,776,906 |
$376,873 |
13.56 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
9 |
$85,480 |
$19,884 |
$769,319 |
$178,953 |
4.67 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
9 |
$106,365 |
$24,086 |
$957,282 |
$216,778 |
7.67 |
Fever |
9 |
$33,825 |
$6,420 |
$304,422 |
$57,780 |
2.67 |
Opioid abuse & dependence |
9 |
$57,512 |
$15,169 |
$517,606 |
$136,518 |
4.89 |
Nontraumatic stupor & coma |
8 |
$55,347 |
$11,182 |
$442,776 |
$89,459 |
4.38 |
Hernia procedures except inguinal, femoral & umbilical |
8 |
$88,017 |
$18,300 |
$704,138 |
$146,401 |
5.00 |
Inguinal, femoral & umbilical hernia procedures |
8 |
$68,934 |
$16,301 |
$551,472 |
$130,411 |
2.63 |
Malignancy of hepatobiliary system & pancreas |
8 |
$103,156 |
$22,415 |
$825,248 |
$179,323 |
6.25 |
Other O.R. proc for obstetric diagnoses except delivery diagnoses |
8 |
$18,246 |
$5,063 |
$145,965 |
$40,500 |
1.88 |
Neonate birthwt 1500-1999g w major anomaly |
8 |
$454,907 |
$63,967 |
$3,639,253 |
$511,734 |
30.88 |
Lymphoma, myeloma & non-acute leukemia |
8 |
$190,758 |
$38,511 |
$1,526,062 |
$308,084 |
11.00 |
Dental & oral diseases & injuries |
7 |
$30,559 |
$6,172 |
$213,913 |
$43,207 |
2.00 |
Major stomach, esophageal & duodenal procedures |
7 |
$256,575 |
$59,354 |
$1,796,028 |
$415,480 |
16.29 |
Major esophageal disorders |
7 |
$42,361 |
$8,831 |
$296,530 |
$61,818 |
2.71 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
7 |
$77,183 |
$13,838 |
$540,279 |
$96,867 |
5.71 |
Major skin disorders |
7 |
$49,742 |
$9,233 |
$348,197 |
$64,633 |
3.71 |
Female reproductive system reconstructive procedures |
7 |
$48,301 |
$12,057 |
$338,110 |
$84,400 |
1.71 |
Neonate bwt 1000-1249g w resp dist synd/oth maj resp or maj anom |
7 |
$708,722 |
$100,745 |
$4,961,055 |
$705,217 |
48.29 |
Other infectious & parasitic diseases |
7 |
$35,453 |
$7,155 |
$248,174 |
$50,083 |
3.00 |
Cocaine abuse & dependence |
7 |
$28,771 |
$6,892 |
$201,394 |
$48,242 |
2.57 |
Nonspecific CVA & precerebral occlusion w/o infarct |
6 |
$52,657 |
$9,708 |
$315,943 |
$58,247 |
2.67 |
Non-bacterial infections of nervous system exc viral meningitis |
6 |
$51,856 |
$10,102 |
$311,134 |
$60,611 |
3.67 |
Major abdominal vascular procedures |
6 |
$234,916 |
$62,539 |
$1,409,493 |
$375,231 |
13.17 |
Cardiac catheterization for coronary artery disease |
6 |
$75,015 |
$22,673 |
$450,087 |
$136,040 |
3.50 |
Gastrointestinal vascular insufficiency |
6 |
$61,096 |
$12,386 |
$366,574 |
$74,314 |
4.50 |
Neonate birthwt 750-999g w/o major procedure |
6 |
$1,283,740 |
$186,062 |
$7,702,440 |
$1,116,372 |
82.50 |
Neonate bwt 2000-2499g w resp dist synd/oth maj resp cond |
6 |
$122,171 |
$17,565 |
$733,024 |
$105,391 |
7.50 |
Allergic reactions |
6 |
$32,854 |
$6,978 |
$197,125 |
$41,865 |
2.33 |
HIV w multiple significant HIV related conditions |
6 |
$48,477 |
$8,979 |
$290,862 |
$53,871 |
3.33 |
Craniotomy except for trauma |
5 |
$336,006 |
$74,178 |
$1,680,031 |
$370,889 |
19.20 |
Acute major eye infections |
5 |
$48,404 |
$10,163 |
$242,019 |
$50,813 |
4.40 |
Facial bone procedures except major cranial/facial bone procedures |
5 |
$51,168 |
$10,562 |
$255,841 |
$52,810 |
1.80 |
Cardiac defibrillator & heart assist implant |
5 |
$344,144 |
$109,000 |
$1,720,721 |
$545,000 |
17.80 |
Other cardiothoracic & thoracic vascular procedures |
5 |
$113,466 |
$30,225 |
$567,331 |
$151,125 |
7.40 |
Peritoneal adhesiolysis |
5 |
$102,212 |
$20,473 |
$511,058 |
$102,364 |
6.80 |
Dilation & curettage for non-obstetric diagnoses |
5 |
$49,693 |
$9,812 |
$248,464 |
$49,060 |
3.20 |
Neonate bwt <500g or GA <24 weeks |
5 |
$99,525 |
$16,767 |
$497,627 |
$83,836 |
4.40 |
Neonate birthwt 500-749g w/o major procedure |
5 |
$1,390,726 |
$203,284 |
$6,953,632 |
$1,016,418 |
85.20 |
Neonate bwt 1250-1499g w resp dist synd/oth maj resp or maj anom |
5 |
$467,828 |
$66,136 |
$2,339,139 |
$330,680 |
32.00 |
Neonate bwt 1500-1999g w resp dist synd/oth maj resp cond |
5 |
$103,882 |
$14,496 |
$519,408 |
$72,479 |
7.20 |
Other mental health disorders |
5 |
$68,531 |
$24,591 |
$342,655 |
$122,954 |
11.40 |
Spinal disorders & injuries |
4 |
$118,642 |
$24,418 |
$474,569 |
$97,670 |
9.50 |
Other ear, nose, mouth & throat procedures |
4 |
$73,997 |
$18,282 |
$295,989 |
$73,128 |
5.25 |
Other respiratory & chest procedures |
4 |
$133,454 |
$27,080 |
$533,816 |
$108,320 |
8.25 |
Major pancreas, liver & shunt procedures |
4 |
$284,352 |
$66,696 |
$1,137,408 |
$266,784 |
21.00 |
Other procedures for endocrine, nutritional & metabolic disorders |
4 |
$152,181 |
$31,643 |
$608,724 |
$126,570 |
12.75 |
Malignancy, male reproductive system |
4 |
$88,913 |
$15,211 |
$355,650 |
$60,844 |
6.75 |
Neonate bwt 1250-1499g w or w/o other significant condition |
4 |
$427,543 |
$60,101 |
$1,710,172 |
$240,404 |
28.50 |
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms |
4 |
$220,640 |
$45,950 |
$882,560 |
$183,801 |
16.25 |
Spinal procedures |
3 |
$140,300 |
$33,175 |
$420,900 |
$99,524 |
11.33 |
Other nervous system & related procedures |
3 |
$67,849 |
$16,706 |
$203,546 |
$50,119 |
3.67 |
Bacterial & tuberculous infections of nervous system |
3 |
$137,767 |
$29,464 |
$413,300 |
$88,392 |
11.00 |
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma |
3 |
$25,019 |
$5,798 |
$75,057 |
$17,395 |
2.00 |
Ear, nose, mouth, throat, cranial/facial malignancies |
3 |
$125,567 |
$26,464 |
$376,701 |
$79,392 |
13.33 |
Cardiac structural & valvular disorders |
3 |
$55,570 |
$14,366 |
$166,709 |
$43,097 |
3.00 |
Cholecystectomy except laparoscopic |
3 |
$104,648 |
$23,735 |
$313,943 |
$71,205 |
6.67 |
Skin graft for skin & subcutaneous tissue diagnoses |
3 |
$104,028 |
$22,300 |
$312,084 |
$66,900 |
5.00 |
Inborn errors of metabolism |
3 |
$44,155 |
$8,927 |
$132,466 |
$26,782 |
4.00 |
Urethral & transurethral procedures |
3 |
$118,148 |
$24,744 |
$354,444 |
$74,233 |
9.00 |
Nephritis & nephrosis |
3 |
$107,068 |
$21,908 |
$321,205 |
$65,723 |
10.33 |
Testes & scrotal procedures |
3 |
$70,252 |
$13,900 |
$210,756 |
$41,701 |
4.33 |
Neonate bwt <1500g w major procedure |
3 |
$1,505,952 |
$220,306 |
$4,517,856 |
$660,919 |
94.00 |
Neonate bwt 2000-2499g w congenital/perinatal infection |
3 |
$116,450 |
$16,613 |
$349,351 |
$49,840 |
7.00 |
Alcohol & drug dependence w rehab or rehab/detox therapy |
3 |
$51,971 |
$10,690 |
$155,913 |
$32,069 |
5.00 |
Craniotomy for trauma |
2 |
$145,952 |
$31,404 |
$291,903 |
$62,807 |
9.50 |
Eye procedures except orbit |
2 |
$55,901 |
$12,899 |
$111,801 |
$25,797 |
2.50 |
Major respiratory & chest procedures |
2 |
$206,481 |
$43,477 |
$412,961 |
$86,953 |
12.50 |
Coronary bypass w AMI or complex PDX |
2 |
$304,256 |
$82,717 |
$608,511 |
$165,433 |
14.50 |
Anal procedures |
2 |
$47,413 |
$8,791 |
$94,825 |
$17,582 |
2.50 |
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses |
2 |
$195,551 |
$44,705 |
$391,101 |
$89,410 |
11.00 |
Kidney & urinary tract malignancy |
2 |
$75,764 |
$15,449 |
$151,528 |
$30,898 |
7.00 |
Penis procedures |
2 |
$31,755 |
$6,731 |
$63,510 |
$13,461 |
1.50 |
Other female reproductive system & related procedures |
2 |
$591,692 |
$135,670 |
$1,183,384 |
$271,339 |
47.50 |
False labor |
2 |
$8,895 |
$2,900 |
$17,789 |
$5,800 |
1.00 |
Neonate birthwt 1000-1249g w or w/o other significant condition |
2 |
$498,955 |
$72,252 |
$997,909 |
$144,503 |
32.00 |
Neonate bwt 1500-2499g w major procedure |
2 |
$736,535 |
$111,441 |
$1,473,070 |
$222,882 |
43.50 |
Disorders of personality & impulse control |
2 |
$86,061 |
$33,221 |
$172,122 |
$66,441 |
14.50 |
Behavioral disorders |
2 |
$55,816 |
$19,528 |
$111,631 |
$39,056 |
9.00 |
Partial thickness burns without skin graft |
2 |
$38,984 |
$8,062 |
$77,967 |
$16,124 |
4.00 |
Liver transplant &/or intestinal transplant |
1 |
$2,357,469 |
$528,907 |
$2,357,469 |
$528,907 |
81.00 |
Viral meningitis |
1 |
$44,416 |
$7,789 |
$44,416 |
$7,789 |
3.00 |
Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma |
1 |
$131,292 |
$27,445 |
$131,292 |
$27,445 |
10.00 |
Orbital procedures |
1 |
$69,726 |
$15,038 |
$69,726 |
$15,038 |
4.00 |
Major cranial/facial bone procedures |
1 |
$111,786 |
$24,129 |
$111,786 |
$24,129 |
9.00 |
Tonsil & adenoid procedures |
1 |
$17,323 |
$3,244 |
$17,323 |
$3,244 |
1.00 |
Coronary bypass w/o AMI or complex PDX |
1 |
$722,523 |
$197,742 |
$722,523 |
$197,742 |
35.00 |
Permanent cardiac pacemaker implant w AMI, heart failure or shock |
1 |
$206,609 |
$63,436 |
$206,609 |
$63,436 |
9.00 |
Acute & subacute endocarditis |
1 |
$91,144 |
$20,517 |
$91,144 |
$20,517 |
10.00 |
Cardiac arrest and shock |
1 |
$14,816 |
$3,850 |
$14,816 |
$3,850 |
1.00 |
Major biliary tract procedures |
1 |
$131,745 |
$34,650 |
$131,745 |
$34,650 |
8.00 |
Dorsal & lumbar fusion proc except for curvature of back |
1 |
$479,466 |
$132,868 |
$479,466 |
$132,868 |
21.00 |
Cervical spinal fusion & other back/neck proc exc disc excis/decomp |
1 |
$123,758 |
$28,357 |
$123,758 |
$28,357 |
5.00 |
Breast procedures except mastectomy |
1 |
$52,820 |
$10,859 |
$52,820 |
$10,859 |
3.00 |
Malignant breast disorders |
1 |
$70,999 |
$10,536 |
$70,999 |
$10,536 |
5.00 |
Pituitary & adrenal procedures |
1 |
$160,652 |
$32,127 |
$160,652 |
$32,127 |
9.00 |
Procedures for obesity |
1 |
$36,239 |
$8,292 |
$36,239 |
$8,292 |
2.00 |
Other bladder procedures |
1 |
$1,127,546 |
$261,743 |
$1,127,546 |
$261,743 |
85.00 |
Other kidney, urinary tract & related procedures |
1 |
$121,373 |
$28,274 |
$121,373 |
$28,274 |
10.00 |
Uterine & adnexa procedures for ovarian & adnexal malignancy |
1 |
$37,268 |
$7,138 |
$37,268 |
$7,138 |
1.00 |
Female reproductive system malignancy |
1 |
$39,847 |
$8,344 |
$39,847 |
$8,344 |
4.00 |
D&C, aspiration curettage or hysterotomy for obstetric diagnoses |
1 |
$81,259 |
$15,596 |
$81,259 |
$15,596 |
5.00 |
Neonate, transferred < 5 days old, born here |
1 |
$21,493 |
$3,103 |
$21,493 |
$3,103 |
2.00 |
Neonate birthwt >2499g w other major procedure |
1 |
$167,296 |
$24,876 |
$167,296 |
$24,876 |
9.00 |
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms |
1 |
$1,600,296 |
$388,462 |
$1,600,296 |
$388,462 |
111.00 |
Acute leukemia |
1 |
$418,600 |
$78,557 |
$418,600 |
$78,557 |
27.00 |
Eating disorders |
1 |
$34,759 |
$7,563 |
$34,759 |
$7,563 |
3.00 |
Other injury, poisoning & toxic effect diagnoses |
1 |
$9,800 |
$2,832 |
$9,800 |
$2,832 |
1.00 |
Multiple significant trauma w/o O.R. procedure |
1 |
$84,961 |
$22,733 |
$84,961 |
$22,733 |
5.00 |
Principal diagnosis invalid as discharge diagnosis |
1 |
$13,354 |
$2,355 |
$13,354 |
$2,355 |
1.00 |