NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM |
891 |
$17,278 |
$10,255 |
$15,394,515 |
$9,137,239 |
2.13 |
VAGINAL DELIVERY |
675 |
$25,749 |
$15,283 |
$17,380,723 |
$10,316,111 |
2.43 |
SCHIZOPHRENIA |
514 |
$79,992 |
$47,478 |
$41,115,859 |
$24,403,816 |
18.42 |
MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS |
372 |
$69,981 |
$41,537 |
$26,033,047 |
$15,451,618 |
7.07 |
SEPTICEMIA AND DISSEMINATED INFECTIONS |
269 |
$77,299 |
$45,880 |
$20,793,441 |
$12,341,703 |
7.68 |
CESAREAN SECTION WITHOUT STERILIZATION |
261 |
$43,812 |
$26,004 |
$11,434,841 |
$6,787,023 |
3.13 |
HEART FAILURE |
171 |
$46,889 |
$27,831 |
$8,018,059 |
$4,759,022 |
4.95 |
BIPOLAR DISORDERS |
161 |
$60,543 |
$35,935 |
$9,747,467 |
$5,785,499 |
13.83 |
KIDNEY AND URINARY TRACT INFECTIONS |
157 |
$33,036 |
$19,608 |
$5,186,589 |
$3,078,437 |
3.81 |
CHEST PAIN |
132 |
$21,298 |
$12,641 |
$2,811,345 |
$1,668,645 |
2.13 |
MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES |
131 |
$52,066 |
$30,903 |
$6,820,666 |
$4,048,331 |
11.92 |
ASTHMA |
131 |
$26,362 |
$15,647 |
$3,453,390 |
$2,049,716 |
2.44 |
ALCOHOL ABUSE AND DEPENDENCE |
127 |
$42,292 |
$25,102 |
$5,371,070 |
$3,187,936 |
5.01 |
SYNCOPE AND COLLAPSE |
118 |
$28,001 |
$16,620 |
$3,304,155 |
$1,961,141 |
2.86 |
ACUTE KIDNEY INJURY |
116 |
$51,608 |
$30,631 |
$5,986,564 |
$3,553,252 |
6.14 |
HYPERTENSION |
113 |
$35,380 |
$21,000 |
$3,997,978 |
$2,372,950 |
3.66 |
CELLULITIS AND OTHER SKIN INFECTIONS |
113 |
$43,212 |
$25,648 |
$4,882,918 |
$2,898,203 |
4.83 |
CHRONIC OBSTRUCTIVE PULMONARY DISEASE |
107 |
$36,850 |
$21,872 |
$3,942,911 |
$2,340,262 |
3.40 |
DIABETES |
102 |
$42,204 |
$25,050 |
$4,304,833 |
$2,555,078 |
4.25 |
OTHER GASTROENTERITIS, NAUSEA AND VOMITING |
95 |
$22,260 |
$13,212 |
$2,114,705 |
$1,255,162 |
2.37 |
ANTEPARTUM WITHOUT O.R. PROCEDURE |
88 |
$14,750 |
$8,755 |
$1,298,041 |
$770,433 |
2.36 |
ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS |
85 |
$27,040 |
$16,049 |
$2,298,401 |
$1,364,188 |
2.68 |
PEPTIC ULCER AND GASTRITIS |
82 |
$30,084 |
$17,856 |
$2,466,909 |
$1,464,206 |
3.12 |
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES |
69 |
$33,724 |
$20,017 |
$2,326,970 |
$1,381,144 |
3.93 |
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS |
69 |
$25,767 |
$15,294 |
$1,777,926 |
$1,055,268 |
2.68 |
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS |
62 |
$79,824 |
$47,378 |
$4,949,068 |
$2,937,462 |
11.79 |
OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS |
62 |
$30,061 |
$17,842 |
$1,863,785 |
$1,106,228 |
2.71 |
OTHER PNEUMONIA |
58 |
$48,515 |
$28,796 |
$2,813,898 |
$1,670,153 |
5.16 |
OTHER DIGESTIVE SYSTEM DIAGNOSES |
56 |
$29,847 |
$17,715 |
$1,671,412 |
$992,046 |
3.04 |
DIVERTICULITIS AND DIVERTICULOSIS |
55 |
$34,238 |
$20,321 |
$1,883,068 |
$1,117,677 |
3.65 |
SICKLE CELL ANEMIA CRISIS |
55 |
$21,195 |
$12,580 |
$1,165,743 |
$691,911 |
2.38 |
CHOLECYSTECTOMY |
51 |
$46,299 |
$27,480 |
$2,361,252 |
$1,401,489 |
3.04 |
NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM |
50 |
$26,533 |
$15,748 |
$1,326,656 |
$787,421 |
3.30 |
SEIZURE |
49 |
$34,181 |
$20,288 |
$1,674,875 |
$994,100 |
3.71 |
DISORDERS OF PANCREAS EXCEPT MALIGNANCY |
48 |
$39,896 |
$23,680 |
$1,915,031 |
$1,136,644 |
4.29 |
CESAREAN SECTION WITH STERILIZATION |
45 |
$42,341 |
$25,131 |
$1,905,340 |
$1,130,893 |
2.51 |
OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES |
44 |
$32,764 |
$19,447 |
$1,441,629 |
$855,663 |
3.66 |
OTHER DISORDERS OF NERVOUS SYSTEM |
44 |
$34,613 |
$20,544 |
$1,522,993 |
$903,955 |
4.02 |
VERTIGO AND OTHER LABYRINTH DISORDERS |
43 |
$22,619 |
$13,425 |
$972,604 |
$577,276 |
2.26 |
SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS |
40 |
$48,106 |
$28,553 |
$1,924,234 |
$1,142,107 |
6.38 |
DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE |
38 |
$21,061 |
$12,501 |
$800,320 |
$475,020 |
2.03 |
PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS |
38 |
$26,733 |
$15,867 |
$1,015,865 |
$602,956 |
2.79 |
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES |
36 |
$29,721 |
$17,641 |
$1,069,961 |
$635,060 |
3.14 |
ALCOHOLIC LIVER DISEASE |
36 |
$61,424 |
$36,458 |
$2,211,280 |
$1,312,477 |
6.36 |
INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE |
36 |
$171,551 |
$101,822 |
$6,175,818 |
$3,665,580 |
15.89 |
CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION |
35 |
$59,505 |
$35,318 |
$2,082,663 |
$1,236,142 |
7.06 |
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS |
35 |
$30,744 |
$18,248 |
$1,076,052 |
$638,678 |
2.97 |
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS |
31 |
$32,384 |
$19,221 |
$1,003,896 |
$595,849 |
1.58 |
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS |
31 |
$355,772 |
$211,164 |
$11,028,945 |
$6,546,097 |
27.52 |
PERIPHERAL AND OTHER VASCULAR DISORDERS |
29 |
$37,354 |
$22,171 |
$1,083,264 |
$642,957 |
4.28 |
HIV WITH MAJOR HIV RELATED CONDITION |
28 |
$46,578 |
$27,646 |
$1,304,172 |
$774,075 |
4.86 |
POISONING OF MEDICINAL AGENTS |
28 |
$35,805 |
$21,251 |
$1,002,527 |
$595,038 |
3.54 |
OTHER CIRCULATORY SYSTEM DIAGNOSES |
28 |
$24,903 |
$14,781 |
$697,287 |
$413,867 |
2.50 |
UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA |
27 |
$52,075 |
$30,909 |
$1,406,032 |
$834,535 |
2.78 |
OTHER ESOPHAGEAL DISORDERS |
27 |
$31,972 |
$18,977 |
$863,246 |
$512,367 |
3.22 |
PULMONARY EMBOLISM |
27 |
$36,508 |
$21,669 |
$985,711 |
$585,055 |
3.52 |
DISORDERS OF GALLBLADDER AND BILIARY TRACT |
27 |
$33,194 |
$19,702 |
$896,235 |
$531,951 |
3.56 |
MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE |
27 |
$68,994 |
$40,951 |
$1,862,841 |
$1,105,668 |
8.48 |
CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS |
27 |
$101,344 |
$60,151 |
$2,736,278 |
$1,624,085 |
9.74 |
TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE |
25 |
$662,931 |
$393,475 |
$16,573,286 |
$9,836,874 |
47.72 |
RESPIRATORY FAILURE |
24 |
$79,566 |
$47,225 |
$1,909,580 |
$1,133,409 |
7.38 |
OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE |
23 |
$59,750 |
$35,464 |
$1,374,244 |
$815,671 |
7.26 |
VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C |
23 |
$38,930 |
$23,106 |
$895,379 |
$531,441 |
3.09 |
NON-HYPOVOLEMIC SODIUM DISORDERS |
23 |
$110,788 |
$65,757 |
$2,548,120 |
$1,512,407 |
12.78 |
MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS |
22 |
$76,013 |
$45,117 |
$1,672,294 |
$992,568 |
9.18 |
SKIN ULCERS |
21 |
$41,932 |
$24,888 |
$880,573 |
$522,653 |
5.52 |
ABDOMINAL PAIN |
21 |
$20,075 |
$11,915 |
$421,571 |
$250,218 |
1.90 |
HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS |
21 |
$52,847 |
$31,367 |
$1,109,785 |
$658,699 |
6.43 |
HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS |
19 |
$107,288 |
$63,679 |
$2,038,467 |
$1,209,907 |
11.37 |
INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE |
19 |
$29,849 |
$17,716 |
$567,128 |
$336,612 |
3.05 |
INTESTINAL OBSTRUCTION |
19 |
$29,289 |
$17,384 |
$556,497 |
$330,302 |
2.95 |
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION |
18 |
$38,543 |
$22,877 |
$693,779 |
$411,786 |
4.61 |
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION |
18 |
$54,144 |
$32,137 |
$974,589 |
$578,457 |
6.78 |
OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS |
18 |
$35,163 |
$20,870 |
$632,930 |
$375,666 |
4.39 |
OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES |
18 |
$42,957 |
$25,497 |
$773,230 |
$458,942 |
4.50 |
VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C |
18 |
$41,505 |
$24,635 |
$747,095 |
$443,430 |
2.78 |
DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER |
17 |
$35,668 |
$21,170 |
$606,363 |
$359,898 |
8.12 |
INFECTIONS OF UPPER RESPIRATORY TRACT |
17 |
$18,750 |
$11,129 |
$318,744 |
$189,189 |
1.71 |
OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS |
16 |
$47,179 |
$28,003 |
$754,866 |
$448,044 |
5.75 |
COCAINE ABUSE AND DEPENDENCE |
16 |
$36,131 |
$21,445 |
$578,088 |
$343,118 |
5.00 |
TRANSIENT ISCHEMIA |
16 |
$28,041 |
$16,643 |
$448,648 |
$266,291 |
2.69 |
ACUTE MYOCARDIAL INFARCTION |
15 |
$36,519 |
$21,675 |
$547,778 |
$325,128 |
3.67 |
URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION |
15 |
$16,742 |
$9,937 |
$251,124 |
$149,052 |
1.60 |
HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS |
14 |
$60,323 |
$35,804 |
$844,521 |
$501,255 |
6.64 |
CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE |
14 |
$82,173 |
$48,773 |
$1,150,420 |
$682,817 |
11.36 |
OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES |
14 |
$31,961 |
$18,970 |
$447,448 |
$265,578 |
3.29 |
CHRONIC KIDNEY DISEASE |
14 |
$95,068 |
$56,426 |
$1,330,951 |
$789,970 |
9.79 |
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY |
14 |
$35,917 |
$21,318 |
$502,838 |
$298,455 |
3.86 |
OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS |
13 |
$33,114 |
$19,655 |
$430,484 |
$255,509 |
3.77 |
CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE |
13 |
$48,487 |
$28,779 |
$630,332 |
$374,126 |
4.54 |
MIGRAINE AND OTHER HEADACHES |
12 |
$29,477 |
$17,496 |
$353,724 |
$209,948 |
3.25 |
MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS |
12 |
$35,453 |
$21,043 |
$425,434 |
$252,511 |
4.17 |
DIGESTIVE MALIGNANCY |
12 |
$72,163 |
$42,831 |
$865,951 |
$513,973 |
8.17 |
ACUTE BRONCHITIS AND RELATED SYMPTOMS |
12 |
$28,471 |
$16,898 |
$341,649 |
$202,781 |
3.00 |
MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
11 |
$134,867 |
$80,049 |
$1,483,539 |
$880,538 |
14.64 |
THYROID DISORDERS |
11 |
$35,932 |
$21,327 |
$395,252 |
$234,596 |
4.36 |
FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK |
11 |
$42,271 |
$25,089 |
$464,976 |
$275,981 |
4.45 |
INFLAMMATORY BOWEL DISEASE |
11 |
$32,943 |
$19,553 |
$362,368 |
$215,079 |
4.00 |
HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS |
11 |
$21,497 |
$12,759 |
$236,465 |
$140,351 |
2.18 |
OTHER DRUG ABUSE AND DEPENDENCE |
11 |
$30,096 |
$17,863 |
$331,055 |
$196,495 |
6.27 |
ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES |
11 |
$33,625 |
$19,957 |
$369,871 |
$219,532 |
7.45 |
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION |
11 |
$92,893 |
$55,135 |
$1,021,820 |
$606,490 |
12.18 |
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES |
10 |
$43,630 |
$25,896 |
$436,302 |
$258,962 |
4.70 |
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDIT |
10 |
$47,518 |
$28,204 |
$475,181 |
$282,038 |
5.60 |
OTHER INFECTIOUS AND PARASITIC DISEASES |
10 |
$36,852 |
$21,873 |
$368,519 |
$218,729 |
3.70 |
EYE INFECTIONS AND OTHER EYE DISORDERS |
10 |
$21,140 |
$12,547 |
$211,401 |
$125,474 |
1.90 |
OTHER DISORDERS OF THE LIVER |
10 |
$43,805 |
$26,000 |
$438,049 |
$260,000 |
5.20 |
OTHER ENDOCRINE DISORDERS |
9 |
$38,032 |
$22,573 |
$342,287 |
$203,160 |
4.00 |
RESPIRATORY MALIGNANCY |
9 |
$72,806 |
$43,213 |
$655,258 |
$388,920 |
7.78 |
CONNECTIVE TISSUE DISORDERS |
9 |
$43,022 |
$25,536 |
$387,199 |
$229,820 |
5.11 |
INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES |
9 |
$44,232 |
$26,254 |
$398,092 |
$236,282 |
3.00 |
FOOT AND TOE PROCEDURES |
9 |
$89,407 |
$53,066 |
$804,660 |
$477,597 |
9.22 |
OPIOID ABUSE AND DEPENDENCE |
9 |
$39,756 |
$23,597 |
$357,806 |
$212,371 |
5.44 |
ACUTE ANXIETY AND DELIRIUM STATES |
9 |
$19,942 |
$11,836 |
$179,477 |
$106,526 |
2.89 |
NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE |
8 |
$12,927 |
$7,672 |
$103,412 |
$61,378 |
1.13 |
INBORN ERRORS OF METABOLISM |
8 |
$33,571 |
$19,926 |
$268,568 |
$159,407 |
3.25 |
MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES |
8 |
$57,182 |
$33,940 |
$457,459 |
$271,520 |
4.88 |
RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES |
8 |
$22,441 |
$13,320 |
$179,527 |
$106,557 |
2.25 |
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS |
8 |
$59,872 |
$35,536 |
$478,972 |
$284,287 |
4.50 |
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION |
8 |
$59,791 |
$35,488 |
$478,324 |
$283,904 |
7.63 |
OTHER COMPLICATIONS OF TREATMENT |
8 |
$44,652 |
$26,503 |
$357,217 |
$212,021 |
4.88 |
VIRAL ILLNESS |
8 |
$25,541 |
$15,160 |
$204,327 |
$121,277 |
2.50 |
HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS |
8 |
$35,771 |
$21,232 |
$286,168 |
$169,852 |
4.00 |
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY |
8 |
$19,881 |
$11,800 |
$159,050 |
$94,401 |
2.38 |
COAGULATION AND PLATELET DISORDERS |
8 |
$64,397 |
$38,222 |
$515,172 |
$305,773 |
3.38 |
UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA |
7 |
$41,912 |
$24,876 |
$293,381 |
$174,132 |
2.00 |
MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE |
7 |
$41,504 |
$24,634 |
$290,528 |
$172,440 |
4.57 |
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS |
7 |
$135,606 |
$80,487 |
$949,240 |
$563,410 |
10.86 |
ANAL PROCEDURES |
6 |
$44,725 |
$26,546 |
$268,350 |
$159,277 |
4.50 |
OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES |
6 |
$158,974 |
$94,357 |
$953,841 |
$566,142 |
17.00 |
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL |
6 |
$44,204 |
$26,237 |
$265,223 |
$157,420 |
2.83 |
MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE |
6 |
$32,373 |
$19,215 |
$194,239 |
$115,287 |
3.67 |
MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY |
6 |
$76,276 |
$45,273 |
$457,656 |
$271,637 |
9.00 |
OTHER SMALL AND LARGE BOWEL PROCEDURES |
6 |
$32,026 |
$19,009 |
$192,157 |
$114,052 |
2.67 |
MAJOR LARGE BOWEL PROCEDURES |
6 |
$100,719 |
$59,781 |
$604,315 |
$358,684 |
8.17 |
ALTERATION IN CONSCIOUSNESS |
6 |
$92,727 |
$55,037 |
$556,362 |
$330,222 |
10.67 |
ALLERGIC REACTIONS |
6 |
$17,359 |
$10,303 |
$104,154 |
$61,819 |
1.83 |
MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS |
6 |
$17,161 |
$10,186 |
$102,965 |
$61,115 |
1.33 |
MALIGNANCY, MALE REPRODUCTIVE SYSTEM |
5 |
$54,059 |
$32,086 |
$270,293 |
$160,429 |
6.20 |
NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
5 |
$66,929 |
$39,725 |
$334,643 |
$198,623 |
5.80 |
MAJOR SMALL BOWEL PROCEDURES |
5 |
$142,339 |
$84,483 |
$711,693 |
$422,417 |
9.40 |
INTERSTITIAL AND ALVEOLAR LUNG DISEASES |
5 |
$76,277 |
$45,273 |
$381,384 |
$226,366 |
6.40 |
OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES |
5 |
$46,520 |
$27,611 |
$232,598 |
$138,055 |
6.00 |
FEMALE REPRODUCTIVE SYSTEM INFECTIONS |
5 |
$19,901 |
$11,812 |
$99,503 |
$59,058 |
2.00 |
MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION |
4 |
$46,738 |
$27,740 |
$186,950 |
$110,961 |
6.00 |
ANTEPARTUM WITH O.R. PROCEDURE |
4 |
$35,157 |
$20,867 |
$140,629 |
$83,469 |
2.25 |
OTHER NERVOUS SYSTEM AND RELATED PROCEDURES |
4 |
$83,413 |
$49,509 |
$333,651 |
$198,035 |
6.50 |
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CON |
4 |
$160,700 |
$95,381 |
$642,799 |
$381,525 |
20.75 |
MAJOR CHEST AND RESPIRATORY TRAUMA |
4 |
$47,691 |
$28,307 |
$190,764 |
$113,226 |
3.50 |
OTHER MENTAL HEALTH DISORDERS |
4 |
$50,839 |
$30,175 |
$203,356 |
$120,699 |
7.50 |
MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS |
4 |
$55,137 |
$32,726 |
$220,549 |
$130,905 |
6.00 |
PERITONEAL ADHESIOLYSIS |
3 |
$102,605 |
$60,899 |
$307,814 |
$182,698 |
10.00 |
NERVOUS SYSTEM MALIGNANCY |
3 |
$37,314 |
$22,148 |
$111,943 |
$66,443 |
4.33 |
PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS |
3 |
$54,881 |
$32,574 |
$164,644 |
$97,723 |
7.67 |
AMPUTATION OF LOWER LIMB EXCEPT TOES |
3 |
$62,587 |
$37,148 |
$187,762 |
$111,444 |
5.67 |
INTRACRANIAL HEMORRHAGE |
3 |
$64,392 |
$38,219 |
$193,175 |
$114,657 |
5.67 |
DENTAL DISEASES AND DISORDERS |
3 |
$29,395 |
$17,447 |
$88,185 |
$52,341 |
3.00 |
FEVER AND INFLAMMATORY CONDITIONS |
3 |
$24,481 |
$14,531 |
$73,444 |
$43,592 |
2.33 |
OTHER PERIPHERAL VASCULAR PROCEDURES |
3 |
$47,819 |
$28,382 |
$143,458 |
$85,147 |
2.33 |
ORGANIC MENTAL HEALTH DISTURBANCES |
3 |
$48,884 |
$29,015 |
$146,653 |
$87,044 |
9.67 |
PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI |
3 |
$108,053 |
$64,133 |
$324,159 |
$192,400 |
6.33 |
MALIGNANT BREAST DISORDERS |
3 |
$186,538 |
$110,717 |
$559,613 |
$332,151 |
18.33 |
TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES |
2 |
$122,508 |
$72,713 |
$245,015 |
$145,426 |
12.00 |
DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES |
2 |
$21,610 |
$12,826 |
$43,220 |
$25,652 |
1.50 |
NEPHRITIS AND NEPHROSIS |
2 |
$28,687 |
$17,027 |
$57,373 |
$34,054 |
3.00 |
RENAL DIALYSIS ACCESS DEVICE PROCEDURES AND VESSEL REPAIR |
2 |
$104,449 |
$61,995 |
$208,898 |
$123,989 |
8.50 |
SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT |
2 |
$198,301 |
$117,699 |
$396,601 |
$235,398 |
16.50 |
CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA |
2 |
$64,544 |
$38,309 |
$129,087 |
$76,618 |
8.00 |
KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT |
2 |
$62,448 |
$37,065 |
$124,896 |
$74,130 |
4.00 |
CARDIAC STRUCTURAL AND VALVULAR DISORDERS |
2 |
$24,030 |
$14,263 |
$48,060 |
$28,526 |
2.50 |
ORBIT AND EYE PROCEDURES |
2 |
$17,104 |
$10,152 |
$34,207 |
$20,303 |
1.00 |
MAJOR ESOPHAGEAL DISORDERS |
2 |
$27,208 |
$16,149 |
$54,416 |
$32,298 |
3.00 |
HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION |
2 |
$21,130 |
$12,541 |
$42,259 |
$25,082 |
2.50 |
NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS |
2 |
$71,597 |
$42,496 |
$143,193 |
$84,991 |
7.00 |
UNGROUPABLE |
2 |
$34,880 |
$20,703 |
$69,759 |
$41,405 |
3.50 |
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CON |
2 |
$50,194 |
$29,792 |
$100,388 |
$59,584 |
6.50 |
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES |
2 |
$33,775 |
$20,047 |
$67,549 |
$40,093 |
3.50 |
NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION |
2 |
$26,182 |
$15,540 |
$52,364 |
$31,080 |
2.50 |
GASTROINTESTINAL VASCULAR INSUFFICIENCY |
2 |
$57,454 |
$34,101 |
$114,908 |
$68,202 |
6.50 |
LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR |
2 |
$48,800 |
$28,964 |
$97,599 |
$57,928 |
5.00 |
PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES |
1 |
$233,429 |
$138,549 |
$233,429 |
$138,549 |
27.00 |
FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES |
1 |
$82,603 |
$49,028 |
$82,603 |
$49,028 |
1.00 |
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION |
1 |
$93,564 |
$55,534 |
$93,564 |
$55,534 |
12.00 |
MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE |
1 |
$77,738 |
$46,141 |
$77,738 |
$46,141 |
4.00 |
OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES |
1 |
$56,728 |
$33,670 |
$56,728 |
$33,670 |
4.00 |
BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA |
1 |
$28,461 |
$16,892 |
$28,461 |
$16,892 |
3.00 |
PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT |
1 |
$141,951 |
$84,253 |
$141,951 |
$84,253 |
21.00 |
OTHER SIGNIFICANT HIP AND FEMUR SURGERY |
1 |
$85,968 |
$51,026 |
$85,968 |
$51,026 |
10.00 |
OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS |
1 |
$175,622 |
$104,239 |
$175,622 |
$104,239 |
21.00 |
PERCUTANEOUS CARDIAC INTERVENTION WITH AMI |
1 |
$67,028 |
$39,784 |
$67,028 |
$39,784 |
3.00 |
MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
1 |
$25,976 |
$15,418 |
$25,976 |
$15,418 |
1.00 |
OPEN CRANIOTOMY EXCEPT TRAUMA |
1 |
$186,431 |
$110,654 |
$186,431 |
$110,654 |
7.00 |
NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION |
1 |
$278,124 |
$165,077 |
$278,124 |
$165,077 |
37.00 |
CARDIOMYOPATHY |
1 |
$24,747 |
$14,688 |
$24,747 |
$14,688 |
3.00 |
BEHAVIORAL DISORDERS |
1 |
$27,839 |
$16,524 |
$27,839 |
$16,524 |
6.00 |
POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE |
1 |
$35,580 |
$21,118 |
$35,580 |
$21,118 |
2.00 |
KIDNEY AND URINARY TRACT MALIGNANCY |
1 |
$59,853 |
$35,525 |
$59,853 |
$35,525 |
7.00 |
HAND AND WRIST PROCEDURES |
1 |
$23,422 |
$13,902 |
$23,422 |
$13,902 |
2.00 |
MAJOR BILIARY TRACT PROCEDURES |
1 |
$46,379 |
$27,527 |
$46,379 |
$27,527 |
3.00 |
OTHER BLADDER PROCEDURES |
1 |
$41,056 |
$24,368 |
$41,056 |
$24,368 |
4.00 |
FRACTURE OF FEMUR |
1 |
$52,228 |
$30,999 |
$52,228 |
$30,999 |
6.00 |
FRACTURE OF PELVIS OR DISLOCATION OF HIP |
1 |
$49,053 |
$29,115 |
$49,053 |
$29,115 |
6.00 |
OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES |
1 |
$247,440 |
$146,865 |
$247,440 |
$146,865 |
31.00 |
OTHER CIRCULATORY SYSTEM PROCEDURES |
1 |
$17,039 |
$10,113 |
$17,039 |
$10,113 |
1.00 |
TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE |
1 |
$1,513,368 |
$898,242 |
$1,513,368 |
$898,242 |
113.00 |
ACUTE LEUKEMIA |
1 |
$60,239 |
$35,754 |
$60,239 |
$35,754 |
5.00 |
DISORDERS OF PERSONALITY AND IMPULSE CONTROL |
1 |
$32,247 |
$19,140 |
$32,247 |
$19,140 |
7.00 |
SPINAL DISORDERS AND INJURIES |
1 |
$52,727 |
$31,295 |
$52,727 |
$31,295 |
4.00 |
OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS |
1 |
$43,520 |
$25,831 |
$43,520 |
$25,831 |
5.00 |
ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY |
1 |
$28,968 |
$17,194 |
$28,968 |
$17,194 |
3.00 |
BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM |
1 |
$215,047 |
$127,639 |
$215,047 |
$127,639 |
7.00 |
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
1 |
$228,967 |
$135,900 |
$228,967 |
$135,900 |
14.00 |
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY |
1 |
$177,620 |
$105,424 |
$177,620 |
$105,424 |
24.00 |
NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CON |
1 |
$244,282 |
$144,991 |
$244,282 |
$144,991 |
33.00 |