Lincoln Medical & Mental Health Center

2017 Age Distribution

2017 Patient Race:

Black/African American6,850
Other Race14,096
White486

2017 Payers:

Blue Cross/Blue Shield 437
Department of Corrections 28
Federal/State/Local/VA 18
Managed Care, Unspecified 258
Medicaid 13,484
Medicare 5,154
Miscellaneous/Other 338
Private Health Insurance 1,207
Self-Pay 507
Unknown 1

Conditions treated in 2017

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 1677 $6,296 $3,271 $10,557,665 $5,486,031 2.51
Vaginal delivery 1231 $12,172 $6,325 $14,983,239 $7,785,818 2.42
Asthma 1196 $13,064 $6,789 $15,624,834 $8,119,173 2.16
Cesarean delivery 695 $20,786 $10,801 $14,446,388 $7,506,818 3.74
Schizophrenia 583 $27,233 $14,151 $15,876,993 $8,250,208 17.33
Chronic obstructive pulmonary disease 555 $18,193 $9,454 $10,097,262 $5,246,873 3.11
Heart failure 539 $21,162 $10,997 $11,406,527 $5,927,199 3.56
Other pneumonia 482 $18,952 $9,848 $9,134,970 $4,746,827 3.22
Cellulitis & other skin infections 468 $19,305 $10,032 $9,034,746 $4,694,749 3.32
Seizure 446 $16,303 $8,471 $7,271,052 $3,778,278 2.57
Diabetes 335 $17,918 $9,311 $6,002,658 $3,119,175 3.01
Poisoning of medicinal agents 311 $20,798 $10,807 $6,468,252 $3,361,105 3.36
Alcohol abuse & dependence 294 $31,736 $16,491 $9,330,308 $4,848,335 4.86
Kidney & urinary tract infections 291 $21,038 $10,932 $6,121,968 $3,181,173 3.70
Contusion, open wound & other trauma to skin & subcutaneous tissue 283 $13,762 $7,151 $3,894,628 $2,023,773 2.00
Cardiac arrhythmia & conduction disorders 281 $14,381 $7,473 $4,041,038 $2,099,859 2.30
Other gastroenteritis, nausa & vomiting 280 $14,730 $7,654 $4,124,416 $2,143,182 2.37
Toxic effects of non-medicinal substances 278 $17,029 $8,849 $4,734,059 $2,459,971 2.63
Chest pain 256 $10,222 $5,312 $2,616,959 $1,359,868 1.52
Septicemia & disseminated infections 243 $53,436 $27,767 $12,984,891 $6,747,369 9.07
Bipolar disorders 222 $16,952 $8,809 $3,763,281 $1,955,519 10.47
Bronchiolitis & RSV pneumonia 219 $16,548 $8,599 $3,624,046 $1,883,172 2.97
Angina pectoris & coronary atherosclerosis 213 $10,156 $5,277 $2,163,270 $1,124,102 1.49
Other antepartum diagnoses 208 $10,276 $5,340 $2,137,344 $1,110,636 2.51
Laparoscopic cholecystectomy 202 $28,550 $14,835 $5,767,010 $2,996,720 4.05
Acute Kidney Injury 186 $22,835 $11,866 $4,247,287 $2,207,033 3.85
CVA & precerebral occlusion w infarct 180 $35,648 $18,524 $6,416,574 $3,334,254 6.17
Major depressive disorders & other/unspecified psychoses 178 $22,265 $11,570 $3,963,146 $2,059,382 12.52
Other musculoskeletal system & connective tissue diagnoses 177 $20,872 $10,846 $3,694,366 $1,919,709 3.60
Hypertension 173 $13,243 $6,881 $2,290,983 $1,190,470 2.01
Other anemia & disorders of blood & blood-forming organs 173 $14,599 $7,586 $2,525,673 $1,312,424 2.29
Syncope & collapse 167 $12,541 $6,517 $2,094,376 $1,088,302 1.93
Electrolyte disorders except hypovolemia related 167 $16,148 $8,391 $2,696,650 $1,401,263 2.62
Peptic ulcer & gastritis 159 $17,152 $8,913 $2,727,199 $1,417,141 2.75
Acute myocardial infarction 148 $11,803 $6,133 $1,746,822 $907,709 1.76
Signs, symptoms & other factors influencing health status 146 $24,447 $12,704 $3,569,280 $1,854,714 4.12
Appendectomy 145 $19,225 $9,990 $2,787,625 $1,448,544 2.37
Other digestive system diagnoses 144 $17,873 $9,288 $2,573,737 $1,337,400 2.92
Respiratory signs, symptoms & minor diagnoses 142 $13,331 $6,927 $1,892,945 $983,637 2.08
Other back & neck disorders, fractures & injuries 133 $20,848 $10,833 $2,772,845 $1,440,853 3.40
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma 129 $14,025 $7,288 $1,809,274 $940,159 1.91
Other skin, subcutaneous tissue & related procedures 126 $30,086 $15,634 $3,790,814 $1,969,830 4.31
Hypovolemia & related electrolyte disorders 117 $14,950 $7,769 $1,749,189 $908,940 2.41
Sickle cell anemia crisis 117 $20,705 $10,759 $2,422,443 $1,258,784 3.63
Diverticulitis & diverticulosis 115 $22,748 $11,821 $2,616,074 $1,359,393 3.77
Urinary stones & acquired upper urinary tract obstruction 113 $15,346 $7,974 $1,734,133 $901,109 1.99
Infections of upper respiratory tract 111 $12,856 $6,680 $1,427,004 $741,518 2.11
Vertigo & other labyrinth disorders 103 $12,027 $6,250 $1,238,814 $643,730 1.83
Disorders of pancreas except malignancy 100 $18,622 $9,677 $1,862,179 $967,650 2.93
Other ear, nose, mouth,throat & cranial/facial diagnoses 98 $14,209 $7,384 $1,392,477 $723,586 2.06
Peripheral & other vascular disorders 97 $23,080 $11,993 $2,238,798 $1,163,351 4.06
Transient ischemia 92 $11,837 $6,151 $1,088,975 $565,865 1.64
Fractures & dislocations except femur, pelvis & back 91 $22,098 $11,483 $2,010,953 $1,044,963 3.62
Opioid abuse & dependence 90 $15,619 $8,116 $1,405,754 $730,480 7.32
Depression except major depressive disorder 89 $13,035 $6,774 $1,160,158 $602,849 7.04
Migraine & other headaches 87 $11,368 $5,907 $988,998 $513,912 1.56
Other skin, subcutaneous tissue & breast disorders 82 $21,357 $11,098 $1,751,283 $910,022 3.76
Neonate bwt 2000-2499g, normal newborn or neonate w other problem 82 $18,313 $9,516 $1,501,678 $780,314 4.33
Respiratory system diagnosis w ventilator support 96+ hours 80 $105,704 $54,927 $8,456,350 $4,394,184 17.34
Peripheral, cranial & autonomic nerve disorders 79 $15,492 $8,050 $1,223,854 $635,953 2.43
Tracheostomy w MV 96+ hours w/o extensive procedure 77 $270,859 $140,747 $20,856,134 $10,837,515 48.08
Chronic Kidney Disease 75 $28,496 $14,807 $2,137,187 $1,110,548 5.31
Head trauma w coma >1 hr or hemorrhage 74 $30,078 $15,629 $2,225,757 $1,156,577 4.80
Tracheostomy w MV 96+ hours w extensive procedure or ECMO 73 $331,887 $172,459 $24,227,771 $12,589,521 52.86
Knee & lower leg procedures except foot 73 $56,541 $29,380 $4,127,458 $2,144,758 9.86
Major small & large bowel procedures 72 $79,255 $41,183 $5,706,326 $2,965,186 12.15
Other & unspecified gastrointestinal hemorrhage 72 $22,823 $11,860 $1,643,282 $853,904 3.88
Lower extremity arterial procedures 71 $54,927 $28,542 $3,899,824 $2,026,473 9.07
Cocaine abuse & dependence 71 $13,894 $7,220 $986,448 $512,591 7.83
HIV w major HIV related condition 71 $41,383 $21,504 $2,938,192 $1,526,778 7.44
Other disorders of nervous system 69 $20,820 $10,819 $1,436,603 $746,503 3.48
Other esophageal disorders 68 $12,631 $6,563 $858,888 $446,305 1.93
Abdominal pain 66 $11,183 $5,811 $738,056 $383,514 1.56
Drug & alcohol abuse or dependence, left against medical advice 65 $15,518 $8,064 $1,008,655 $524,129 2.37
Moderately extensive procedure unrelated to principal diagnosis 65 $56,941 $29,588 $3,701,145 $1,923,235 10.05
Other kidney & urinary tract diagnoses, signs & symptoms 64 $31,181 $16,203 $1,995,581 $1,036,964 5.61
Other drug abuse & dependence 64 $12,462 $6,476 $797,591 $414,455 6.97
Infectious & parasitic diseases including HIV w O.R. procedure 63 $102,929 $53,485 $6,484,498 $3,369,552 16.84
Pulmonary embolism 61 $24,131 $12,539 $1,471,980 $764,889 3.66
Eye disorders except major infections 60 $14,170 $7,363 $850,182 $441,782 2.02
Alcoholic liver disease 60 $27,051 $14,057 $1,623,063 $843,392 4.32
Disorders of gallbladder & biliary tract 60 $22,410 $11,645 $1,344,602 $698,697 3.75
Intestinal obstruction 59 $27,302 $14,187 $1,610,842 $837,045 4.68
Major chest & respiratory trauma 57 $26,465 $13,752 $1,508,478 $783,854 4.35
Skin ulcers 57 $28,276 $14,693 $1,611,756 $837,517 5.19
Urethral & transurethral procedures 57 $18,070 $9,390 $1,029,962 $535,207 2.33
Knee joint replacement 55 $23,419 $12,169 $1,288,060 $669,317 3.13
Foot & toe procedures 55 $55,001 $28,580 $3,025,047 $1,571,912 10.29
Uterine & adnexa procedures for leiomyoma 55 $26,306 $13,670 $1,446,857 $751,833 3.13
Acute anxiety & delirium states 55 $14,810 $7,696 $814,548 $423,265 3.02
HIV w one signif HIV cond or w/o signif related cond 54 $23,196 $12,054 $1,252,606 $650,897 3.93
Facial bone procedures except major cranial/facial bone procedures 53 $24,770 $12,872 $1,312,832 $682,192 3.06
Vaginal delivery w sterilization &/or D&C 53 $13,443 $6,985 $712,461 $370,218 2.34
Hip and femur fracture repair 52 $68,554 $35,623 $3,564,827 $1,852,402 12.06
Male reproductive system diagnoses except malignancy 52 $22,878 $11,888 $1,189,645 $618,180 3.94
Kidney & urinary tract procedures for nonmalignancy 51 $28,362 $14,738 $1,446,448 $751,623 3.92
Hepatic coma & other major acute liver disorders 50 $32,861 $17,076 $1,643,047 $853,781 5.74
Uterine & adnexa procedures for non-malignancy except leiomyoma 50 $19,132 $9,942 $956,623 $497,088 2.02
Viral illness 50 $14,232 $7,395 $711,586 $369,765 2.30
Postpartum & post abortion diagnoses w/o procedure 48 $13,634 $7,085 $654,433 $340,062 2.35
Respiratory Failure 47 $27,026 $14,044 $1,270,243 $660,054 4.47
Digestive malignancy 47 $35,852 $18,630 $1,685,028 $875,600 6.49
HIV w multiple major HIV related conditions 46 $68,383 $35,534 $3,145,598 $1,634,556 12.22
Dental & oral diseases & injuries 45 $15,009 $7,799 $675,420 $350,971 2.24
Other respiratory diagnoses except signs, symptoms & minor diagnoses 45 $23,694 $12,312 $1,066,251 $554,061 4.04
Organic mental health disturbances 45 $157,169 $81,670 $7,072,619 $3,675,158 23.42
Respiratory malignancy 43 $37,371 $19,419 $1,606,951 $835,020 6.51
Other circulatory system diagnoses 43 $16,897 $8,780 $726,556 $377,541 2.65
Osteomyelitis, septic arthritis & other musculoskeletal infections 42 $64,927 $33,738 $2,726,952 $1,417,012 12.93
Menstrual & other female reproductive system disorders 42 $10,610 $5,513 $445,631 $231,561 1.48
Post-operative, post-traumatic, other device infections 42 $30,472 $15,834 $1,279,820 $665,036 5.57
Neonate birthwt >2499g w other significant condition 41 $47,684 $24,778 $1,955,042 $1,015,902 9.12
Degenerative nervous system disorders exc mult sclerosis 40 $41,548 $21,590 $1,661,930 $863,592 8.00
Cervical spinal fusion & other back/neck proc exc disc excis/decomp 38 $64,485 $33,509 $2,450,435 $1,273,323 10.55
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond 38 $47,486 $24,675 $1,804,471 $937,664 8.47
Other endocrine disorders 37 $14,963 $7,775 $553,620 $287,683 2.38
Inguinal, femoral & umbilical hernia procedures 36 $18,594 $9,662 $669,373 $347,828 2.39
Nonextensive procedure unrelated to principal diagnosis 35 $34,546 $17,951 $1,209,093 $628,284 5.71
Craniotomy except for trauma 34 $52,244 $27,148 $1,776,281 $923,015 7.71
Amputation of lower limb except toes 34 $123,964 $64,416 $4,214,783 $2,190,135 23.88
Major gastrointestinal & peritoneal infections 33 $28,662 $14,894 $945,843 $491,491 5.06
Other disorders of the liver 33 $25,989 $13,505 $857,637 $445,656 4.33
Allergic reactions 33 $12,695 $6,597 $418,927 $217,690 1.94
HIV w multiple significant HIV related conditions 33 $30,247 $15,717 $998,144 $518,667 5.33
Other peripheral vascular procedures 32 $34,562 $17,960 $1,105,987 $574,707 5.66
Other hepatobiliary, pancreas & abdominal procedures 32 $33,144 $17,223 $1,060,621 $551,129 5.66
Intracranial hemorrhage 31 $48,190 $25,041 $1,493,905 $776,281 8.42
Major respiratory infections & inflammations 31 $54,713 $28,431 $1,696,101 $881,352 10.65
Hip joint replacement 31 $39,695 $20,627 $1,230,532 $639,424 6.23
Penis procedures 31 $19,010 $9,878 $589,319 $306,231 2.42
Transurethral prostatectomy 31 $21,896 $11,378 $678,771 $352,711 2.90
Breast procedures except mastectomy 30 $14,342 $7,453 $430,267 $223,577 1.20
Intervertebral disc excision & decompression 29 $26,665 $13,856 $773,292 $401,829 3.52
Extensive procedure unrelated to principal diagnosis 29 $80,275 $41,714 $2,327,989 $1,209,698 14.55
Anal procedures 28 $16,227 $8,432 $454,359 $236,099 2.18
Skin graft for skin & subcutaneous tissue diagnoses 28 $38,261 $19,881 $1,071,300 $556,681 6.46
Nontraumatic stupor & coma 27 $46,220 $24,018 $1,247,946 $648,475 7.52
Dorsal & lumbar fusion proc except for curvature of back 27 $54,314 $28,223 $1,466,489 $762,033 8.04
Other infectious & parasitic diseases 27 $24,927 $12,953 $673,022 $349,724 4.37
Other complications of treatment 27 $20,508 $10,657 $553,717 $287,729 3.30
Other ear, nose, mouth & throat procedures 25 $20,394 $10,597 $509,843 $264,930 2.92
Other small & large bowel procedures 25 $52,756 $27,414 $1,318,903 $685,345 8.60
Vaginal delivery w complicating procedures exc sterilization &/or D&C 25 $13,979 $7,264 $349,474 $181,598 2.72
False labor 25 $5,969 $3,102 $149,226 $77,541 1.24
Hernia procedures except inguinal, femoral & umbilical 24 $35,442 $18,417 $850,612 $442,007 5.00
Female reproductive system infections 24 $15,759 $8,189 $378,217 $196,532 2.50
Interstitial & alveolar lung diseases 23 $21,464 $11,154 $493,677 $256,531 3.74
Other digestive system & abdominal procedures 22 $63,909 $33,209 $1,405,998 $730,602 10.68
Shoulder, upper arm & forearm procedures except joint replacement 22 $36,482 $18,957 $802,608 $417,059 5.14
Tendon, muscle & other soft tissue procedures 22 $70,577 $36,674 $1,552,691 $806,828 13.27
Craniotomy for trauma 21 $64,891 $33,719 $1,362,702 $708,102 10.52
Connective tissue disorders 21 $36,222 $18,822 $760,670 $395,269 6.48
Other female reproductive system & related procedures 20 $15,907 $8,266 $318,134 $165,311 2.00
Other injury, poisoning & toxic effect diagnoses 20 $15,083 $7,837 $301,657 $156,748 2.45
Extensive abdominal/thoracic procedures for mult significant trauma 20 $69,572 $36,152 $1,391,449 $723,043 11.70
Malignancy of hepatobiliary system & pancreas 19 $33,294 $17,301 $632,590 $328,714 5.74
Hand & wrist procedures 19 $20,046 $10,417 $380,874 $197,915 2.95
Neonate birthwt >2499g w major anomaly 19 $27,775 $14,433 $527,724 $274,220 6.11
Musculoskeletal & other procedures for multiple significant trauma 19 $103,319 $53,688 $1,963,055 $1,020,065 18.26
Tonsil & adenoid procedures 18 $10,383 $5,395 $186,901 $97,118 1.50
Mastectomy procedures 18 $17,428 $9,056 $313,710 $163,015 1.67
Fever 18 $16,546 $8,598 $297,822 $154,758 2.83
Behavioral disorders 18 $12,387 $6,437 $222,964 $115,860 3.33
Other respiratory & chest procedures 17 $74,607 $38,768 $1,268,315 $659,057 12.18
Neonate bwt 1500-1999g w or w/o other significant condition 17 $113,641 $59,052 $1,931,903 $1,003,878 20.35
Neonate bwt 2000-2499g w other significant condition 17 $58,540 $30,419 $995,178 $517,124 10.47
Other mental health disorders 17 $17,989 $9,348 $305,816 $158,913 9.00
Multiple significant trauma w/o O.R. procedure 17 $34,212 $17,778 $581,610 $302,224 5.47
Extracranial vascular procedures 16 $40,235 $20,907 $643,759 $334,519 6.50
Inflammatory bowel disease 16 $17,868 $9,285 $285,889 $148,558 3.00
Cardiac arrest and shock 15 $27,510 $14,295 $412,654 $214,429 4.07
Cholecystectomy except laparoscopic 15 $46,054 $23,931 $690,813 $358,969 7.07
Musculoskeletal malignancy & pathol fracture d/t muscskel malig 15 $35,350 $18,369 $530,243 $275,531 5.93
Malnutrition, failure to thrive & other nutritional disorders 15 $35,575 $18,486 $533,625 $277,289 6.87
Coagulation & platelet disorders 15 $34,230 $17,787 $513,448 $266,804 6.20
Major abdominal vascular procedures 14 $68,819 $35,761 $963,466 $500,648 11.14
Major biliary tract procedures 14 $51,992 $27,017 $727,892 $378,235 8.64
Major male pelvic procedures 14 $44,014 $22,871 $616,189 $320,191 5.57
Major hematologic/immunologic diag exc sickle cell crisis & coagul 14 $21,967 $11,415 $307,534 $159,804 3.71
Post-op, post-trauma, other device infections w O.R. procedure 14 $31,177 $16,201 $436,480 $226,810 5.21
Other circulatory system procedures 13 $105,781 $54,967 $1,375,155 $714,575 20.38
Malfunction,reaction,complication of cardiac/vasc device or procedure 13 $20,290 $10,544 $263,776 $137,068 3.46
Thyroid, parathyroid & thyroglossal procedures 13 $23,471 $12,197 $305,127 $158,556 1.46
Malfunction, reaction, complic of genitourinary device or proc 13 $32,117 $16,689 $417,520 $216,955 6.00
Malignancy, male reproductive system 13 $33,073 $17,186 $429,951 $223,414 5.92
Lymphoma, myeloma & non-acute leukemia 13 $26,945 $14,002 $350,291 $182,023 4.15
Adjustment disorders & neuroses except depressive diagnoses 13 $14,353 $7,458 $186,593 $96,958 8.92
Procedure w diag of rehab, aftercare or oth contact w health service 13 $42,717 $22,197 $555,323 $288,562 7.08
Other O.R. proc for obstetric diagnoses except delivery diagnoses 12 $7,842 $4,075 $94,098 $48,896 1.25
Neonate bwt 1500-1999g w resp dist synd/oth maj resp cond 12 $156,320 $81,229 $1,875,843 $974,749 27.83
Other stomach, esophageal & duodenal procedures 11 $106,207 $55,189 $1,168,282 $607,078 20.09
Kidney & urinary tract procedures for malignancy 11 $48,206 $25,050 $530,271 $275,548 5.91
Neonate bwt 1250-1499g w resp dist synd/oth maj resp or maj anom 11 $250,807 $130,327 $2,758,881 $1,433,601 44.64
O.R. procedure for other complications of treatment 11 $23,492 $12,207 $258,407 $134,276 3.91
Spinal procedures 10 $94,836 $49,280 $948,362 $492,800 17.30
Major stomach, esophageal & duodenal procedures 10 $89,522 $46,519 $895,222 $465,186 15.20
Major pancreas, liver & shunt procedures 10 $45,097 $23,434 $450,974 $234,340 6.80
Preterm labor 10 $8,187 $4,254 $81,865 $42,540 1.80
Neonate, transferred < 5 days old, born here 10 $11,705 $6,082 $117,052 $60,824 2.00
Other aftercare & convalescence 10 $32,430 $16,852 $324,300 $168,517 6.10
Cardiomyopathy 9 $14,918 $7,752 $134,263 $69,767 2.00
Other musculoskeletal system & connective tissue procedures 9 $38,603 $20,060 $347,429 $180,536 6.00
Malfunction, reaction, complic of orthopedic device or procedure 9 $91,408 $47,499 $822,672 $427,488 18.33
Malignant breast disorders 9 $41,741 $21,690 $375,673 $195,212 7.44
Kidney & urinary tract malignancy 9 $44,439 $23,092 $399,953 $207,829 8.22
Other nervous system & related procedures 8 $31,650 $16,446 $253,201 $131,570 4.38
Nervous system malignancy 8 $42,633 $22,153 $341,061 $177,227 8.13
Peritoneal adhesiolysis 8 $81,026 $42,104 $648,211 $336,832 12.50
Fracture of pelvis or dislocation of hip 8 $40,544 $21,068 $324,352 $168,543 7.50
Renal dialysis access device procedure only 8 $86,878 $45,144 $695,022 $361,155 16.75
Nephritis & nephrosis 8 $28,318 $14,715 $226,545 $117,719 5.38
Neonate birthwt 750-999g w/o major procedure 8 $335,468 $174,320 $2,683,746 $1,394,560 58.88
Neonate bwt 1000-1249g w resp dist synd/oth maj resp or maj anom 8 $329,482 $171,209 $2,635,855 $1,369,675 58.00
Lymphatic & other malignancies & neoplasms of uncertain behavior 8 $32,478 $16,876 $259,823 $135,011 5.38
Spinal disorders & injuries 7 $62,686 $32,574 $438,804 $228,016 11.86
Bacterial & tuberculous infections of nervous system 7 $54,035 $28,078 $378,247 $196,549 10.14
Cardiac structural & valvular disorders 7 $13,125 $6,820 $91,873 $47,740 2.00
Fracture of femur 7 $47,932 $24,907 $335,522 $174,348 9.29
Testes & scrotal procedures 7 $18,271 $9,494 $127,900 $66,461 2.29
Female reproductive system reconstructive procedures 7 $11,922 $6,195 $83,456 $43,367 1.14
Dilation & curettage for non-obstetric diagnoses 7 $14,494 $7,531 $101,457 $52,718 1.86
Neonate bwt 2000-2499g w resp dist synd/oth maj resp cond 7 $73,505 $38,195 $514,533 $267,367 12.86
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms 7 $64,764 $33,653 $453,347 $235,574 11.14
Disorders of personality & impulse control 7 $11,353 $5,899 $79,468 $41,294 7.29
Non-bacterial infections of nervous system exc viral meningitis 6 $83,564 $43,423 $501,382 $260,535 15.33
Orbital procedures 6 $20,301 $10,549 $121,808 $63,296 2.83
Eye procedures except orbit 6 $21,972 $11,418 $131,834 $68,505 3.33
Acute major eye infections 6 $19,493 $10,129 $116,959 $60,775 3.33
Major cranial/facial bone procedures 6 $23,104 $12,006 $138,625 $72,034 3.17
Gastrointestinal vascular insufficiency 6 $28,931 $15,033 $173,584 $90,200 4.83
Malfunction, reaction & complication of GI device or procedure 6 $15,400 $8,002 $92,401 $48,014 2.50
Other significant hip and femur surgery 6 $58,080 $30,180 $348,477 $181,081 10.00
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses 6 $56,641 $29,432 $339,843 $176,594 10.17
Pituitary & adrenal procedures 6 $58,597 $30,449 $351,583 $182,694 9.17
Uterine & adnexa procedures for non-ovarian & non-adnexal malig 6 $24,208 $12,579 $145,250 $75,475 3.17
Female reproductive system malignancy 6 $28,887 $15,011 $173,323 $90,063 5.17
Partial thickness burns without skin graft 6 $16,023 $8,326 $96,135 $49,955 2.67
Multiple sclerosis & other demyelinating diseases 5 $81,091 $42,137 $405,457 $210,687 13.20
Ear, nose, mouth, throat, cranial/facial malignancies 5 $50,173 $26,071 $250,864 $130,357 9.20
Major respiratory & chest procedures 5 $115,912 $60,232 $579,559 $301,158 22.00
Acute & subacute endocarditis 5 $19,028 $9,887 $95,138 $49,437 2.80
Major skin disorders 5 $56,058 $29,130 $280,292 $145,648 10.60
Other procedures for endocrine, nutritional & metabolic disorders 5 $62,733 $32,598 $313,663 $162,990 12.20
Major bladder procedures 5 $52,683 $27,376 $263,417 $136,880 9.00
Other bladder procedures 5 $38,061 $19,778 $190,305 $98,889 5.20
Neonate bwt 2000-2499g w major anomaly 5 $65,564 $34,069 $327,818 $170,344 11.60
Other male reproductive system & related procedures 4 $32,394 $16,833 $129,575 $67,331 4.25
D&C, aspiration curettage or hysterotomy for obstetric diagnoses 4 $9,279 $4,822 $37,115 $19,287 1.00
Acute leukemia 4 $23,342 $12,130 $93,369 $48,518 2.25
Other cardiothoracic & thoracic vascular procedures 3 $134,767 $70,029 $404,302 $210,088 26.00
Major esophageal disorders 3 $17,340 $9,010 $52,021 $27,031 3.00
Inborn errors of metabolism 3 $15,396 $8,000 $46,189 $24,001 2.67
Other kidney, urinary tract & related procedures 3 $77,995 $40,528 $233,985 $121,585 14.00
Neonate birthwt >2499g w congenital/perinatal infection 3 $45,550 $23,669 $136,651 $71,008 8.00
Other procedures of blood & blood-forming organs 3 $34,258 $17,802 $102,774 $53,405 6.00
Mental illness diagnosis w O.R. procedure 3 $72,290 $37,564 $216,870 $112,693 11.67
Nonspecific CVA & precerebral occlusion w/o infarct 2 $26,020 $13,521 $52,039 $27,041 4.50
Viral meningitis 2 $31,006 $16,112 $62,011 $32,223 6.00
Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma 2 $12,226 $6,353 $24,451 $12,706 1.50
Sinus & mastoid procedures 2 $20,919 $10,870 $41,837 $21,740 2.50
Neonate birthwt 500-749g w/o major procedure 2 $424,466 $220,566 $848,932 $441,132 74.00
Neonate bwt 1250-1499g w or w/o other significant condition 2 $187,067 $97,206 $374,133 $194,412 33.50
Neonate birthwt 1500-1999g w major anomaly 2 $114,763 $59,635 $229,526 $119,269 20.00
Major larynx & trachea procedures 1 $178,221 $92,609 $178,221 $92,609 34.00
BPD & oth chronic respiratory diseases arising in perinatal period 1 $177,623 $92,299 $177,623 $92,299 32.00
Permanent cardiac pacemaker implant w AMI, heart failure or shock 1 $18,453 $9,589 $18,453 $9,589 2.00
Shoulder & elbow joint replacement 1 $12,902 $6,704 $12,902 $6,704 1.00
Pelvic evisceration, radical hysterectomy & other radical GYN procs 1 $24,413 $12,686 $24,413 $12,686 3.00
Neonate bwt <500g or GA <24 weeks 1 $6,416 $3,334 $6,416 $3,334 1.00
Neonate birthwt 1000-1249g w or w/o other significant condition 1 $381,527 $198,254 $381,527 $198,254 68.00
Splenectomy 1 $37,992 $19,742 $37,992 $19,742 6.00
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms 1 $57,499 $29,878 $57,499 $29,878 9.00
Craniotomy for multiple significant trauma 1 $67,727 $35,193 $67,727 $35,193 10.00