Neonate birthwt >2499g, normal newborn or neonate w other problem |
916 |
$6,867 |
$3,371 |
$6,290,216 |
$3,087,686 |
2.56 |
Vaginal delivery |
672 |
$13,283 |
$6,520 |
$8,926,384 |
$4,381,706 |
2.80 |
Drug & alcohol abuse or dependence, left against medical advice |
541 |
$7,358 |
$3,612 |
$3,980,756 |
$1,954,040 |
2.26 |
Septicemia & disseminated infections |
534 |
$82,751 |
$40,620 |
$44,188,798 |
$21,690,996 |
13.14 |
Heart failure |
496 |
$43,199 |
$21,205 |
$21,426,717 |
$10,517,754 |
6.92 |
Alcohol abuse & dependence |
479 |
$23,369 |
$11,471 |
$11,193,889 |
$5,494,755 |
6.24 |
Schizophrenia |
429 |
$44,202 |
$21,697 |
$18,962,461 |
$9,308,135 |
28.15 |
Opioid abuse & dependence |
407 |
$9,697 |
$4,760 |
$3,946,819 |
$1,937,376 |
4.26 |
Cesarean delivery |
371 |
$20,219 |
$9,925 |
$7,501,188 |
$3,682,106 |
3.67 |
Chronic obstructive pulmonary disease |
324 |
$37,911 |
$18,609 |
$12,283,171 |
$6,029,455 |
5.98 |
Other pneumonia |
292 |
$39,521 |
$19,400 |
$11,540,036 |
$5,664,669 |
6.43 |
Cellulitis & other skin infections |
291 |
$41,566 |
$20,403 |
$12,095,675 |
$5,937,411 |
7.30 |
Kidney & urinary tract infections |
285 |
$40,269 |
$19,767 |
$11,476,670 |
$5,633,560 |
6.93 |
Seizure |
245 |
$38,478 |
$18,888 |
$9,427,027 |
$4,627,453 |
5.80 |
Syncope & collapse |
232 |
$32,999 |
$16,198 |
$7,655,788 |
$3,758,006 |
4.91 |
Cardiac arrhythmia & conduction disorders |
227 |
$34,784 |
$17,075 |
$7,896,056 |
$3,875,946 |
5.11 |
Bipolar disorders |
224 |
$27,070 |
$13,288 |
$6,063,773 |
$2,976,536 |
17.39 |
Other antepartum diagnoses |
222 |
$10,443 |
$5,126 |
$2,318,260 |
$1,137,971 |
1.99 |
Angina pectoris & coronary atherosclerosis |
205 |
$27,260 |
$13,381 |
$5,588,378 |
$2,743,169 |
3.67 |
Asthma |
204 |
$27,726 |
$13,610 |
$5,656,054 |
$2,776,392 |
4.22 |
Diabetes |
190 |
$36,706 |
$18,018 |
$6,974,068 |
$3,423,380 |
5.91 |
CVA & precerebral occlusion w infarct |
161 |
$53,159 |
$26,094 |
$8,558,638 |
$4,201,191 |
8.02 |
Acute myocardial infarction |
160 |
$42,453 |
$20,839 |
$6,792,453 |
$3,334,227 |
5.66 |
Major depressive disorders & other/unspecified psychoses |
155 |
$31,589 |
$15,506 |
$4,896,270 |
$2,403,436 |
20.76 |
Hypertension |
138 |
$33,262 |
$16,327 |
$4,590,184 |
$2,253,191 |
5.12 |
Laparoscopic cholecystectomy |
137 |
$38,868 |
$19,079 |
$5,324,914 |
$2,613,850 |
4.34 |
Other gastroenteritis, nausa & vomiting |
130 |
$28,056 |
$13,772 |
$3,647,249 |
$1,790,327 |
4.36 |
Transient ischemia |
125 |
$32,160 |
$15,786 |
$4,019,979 |
$1,973,289 |
4.28 |
Electrolyte disorders except hypovolemia related |
121 |
$32,780 |
$16,091 |
$3,966,416 |
$1,947,000 |
4.93 |
Disorders of pancreas except malignancy |
120 |
$36,076 |
$17,709 |
$4,329,133 |
$2,125,053 |
5.88 |
Other anemia & disorders of blood & blood-forming organs |
118 |
$41,353 |
$20,299 |
$4,879,649 |
$2,395,281 |
6.44 |
Chest pain |
112 |
$24,179 |
$11,869 |
$2,708,016 |
$1,329,286 |
3.41 |
Other musculoskeletal system & connective tissue diagnoses |
106 |
$40,324 |
$19,794 |
$4,274,389 |
$2,098,175 |
6.70 |
Poisoning of medicinal agents |
106 |
$44,386 |
$21,788 |
$4,704,921 |
$2,309,514 |
6.97 |
Respiratory Failure |
104 |
$61,712 |
$30,292 |
$6,418,017 |
$3,150,418 |
9.27 |
Other digestive system diagnoses |
103 |
$29,257 |
$14,361 |
$3,013,430 |
$1,479,208 |
4.50 |
Signs, symptoms & other factors influencing health status |
100 |
$45,641 |
$22,404 |
$4,564,052 |
$2,240,360 |
7.66 |
Infectious & parasitic diseases including HIV w O.R. procedure |
99 |
$138,695 |
$68,081 |
$13,730,804 |
$6,740,047 |
20.30 |
Other disorders of nervous system |
92 |
$41,279 |
$20,263 |
$3,797,682 |
$1,864,171 |
9.62 |
Other & unspecified gastrointestinal hemorrhage |
87 |
$41,590 |
$20,415 |
$3,618,335 |
$1,776,138 |
6.26 |
Peptic ulcer & gastritis |
83 |
$36,231 |
$17,785 |
$3,007,183 |
$1,476,146 |
5.52 |
Hip and femur fracture repair |
80 |
$73,254 |
$35,958 |
$5,860,324 |
$2,876,654 |
9.81 |
Rehabilitation |
76 |
$37,526 |
$18,420 |
$2,851,969 |
$1,399,945 |
16.17 |
Acute Kidney Injury |
74 |
$47,493 |
$23,313 |
$3,514,450 |
$1,725,145 |
8.07 |
Peripheral & other vascular disorders |
72 |
$33,211 |
$16,302 |
$2,391,186 |
$1,173,764 |
5.49 |
Moderately extensive procedure unrelated to principal diagnosis |
71 |
$115,522 |
$56,706 |
$8,202,042 |
$4,026,145 |
17.51 |
Neonate bwt 2000-2499g, normal newborn or neonate w other problem |
69 |
$20,837 |
$10,228 |
$1,437,749 |
$705,751 |
4.57 |
Hypovolemia & related electrolyte disorders |
66 |
$43,866 |
$21,532 |
$2,895,151 |
$1,421,144 |
7.29 |
Hip joint replacement |
64 |
$77,335 |
$37,961 |
$4,949,414 |
$2,429,526 |
10.81 |
Vertigo & other labyrinth disorders |
63 |
$24,527 |
$12,039 |
$1,545,192 |
$758,488 |
3.52 |
Infections of upper respiratory tract |
63 |
$22,449 |
$11,020 |
$1,414,295 |
$694,240 |
3.49 |
Other back & neck disorders, fractures & injuries |
63 |
$42,854 |
$21,036 |
$2,699,773 |
$1,325,241 |
7.22 |
Diverticulitis & diverticulosis |
59 |
$31,965 |
$15,691 |
$1,885,956 |
$925,760 |
5.12 |
Major respiratory infections & inflammations |
58 |
$61,531 |
$30,204 |
$3,568,773 |
$1,751,805 |
10.95 |
Alcoholic liver disease |
58 |
$42,221 |
$20,725 |
$2,448,830 |
$1,202,059 |
6.98 |
Cardiac catheterization for coronary artery disease |
57 |
$30,396 |
$14,921 |
$1,732,589 |
$850,480 |
3.56 |
Organic mental health disturbances |
57 |
$75,960 |
$37,286 |
$4,329,706 |
$2,125,325 |
13.35 |
Intestinal obstruction |
56 |
$29,072 |
$14,270 |
$1,628,009 |
$799,138 |
4.50 |
Disorders of gallbladder & biliary tract |
56 |
$35,977 |
$17,660 |
$2,014,728 |
$988,968 |
5.11 |
Sickle cell anemia crisis |
56 |
$45,606 |
$22,387 |
$2,553,956 |
$1,253,659 |
8.18 |
Major gastrointestinal & peritoneal infections |
54 |
$44,291 |
$21,741 |
$2,391,708 |
$1,174,020 |
7.54 |
Depression except major depressive disorder |
52 |
$19,378 |
$9,512 |
$1,007,632 |
$494,617 |
12.29 |
Intracranial hemorrhage |
49 |
$45,553 |
$22,361 |
$2,232,105 |
$1,095,674 |
6.69 |
Respiratory system diagnosis w ventilator support 96+ hours |
49 |
$196,798 |
$96,602 |
$9,643,079 |
$4,733,507 |
21.12 |
Cardiac catheterization for other non-coronary conditions |
47 |
$65,116 |
$31,964 |
$3,060,468 |
$1,502,297 |
7.77 |
Other endocrine disorders |
47 |
$46,552 |
$22,851 |
$2,187,926 |
$1,073,990 |
7.85 |
Appendectomy |
45 |
$33,723 |
$16,554 |
$1,517,553 |
$744,923 |
2.84 |
Major small & large bowel procedures |
43 |
$104,182 |
$51,140 |
$4,479,841 |
$2,199,023 |
14.51 |
Respiratory signs, symptoms & minor diagnoses |
42 |
$37,024 |
$18,174 |
$1,555,014 |
$763,309 |
6.17 |
Toxic effects of non-medicinal substances |
42 |
$32,045 |
$15,730 |
$1,345,884 |
$660,655 |
4.57 |
Degenerative nervous system disorders exc mult sclerosis |
38 |
$49,081 |
$24,093 |
$1,865,085 |
$915,516 |
8.34 |
Head trauma w coma >1 hr or hemorrhage |
38 |
$45,233 |
$22,204 |
$1,718,864 |
$843,743 |
6.71 |
Chronic Kidney Disease |
37 |
$42,941 |
$21,079 |
$1,588,821 |
$779,905 |
7.41 |
Peripheral, cranial & autonomic nerve disorders |
36 |
$41,993 |
$20,613 |
$1,511,739 |
$742,069 |
6.97 |
Pulmonary embolism |
35 |
$45,517 |
$22,343 |
$1,593,081 |
$782,001 |
7.17 |
Fractures & dislocations except femur, pelvis & back |
35 |
$31,905 |
$15,661 |
$1,116,667 |
$548,140 |
4.94 |
Extensive procedure unrelated to principal diagnosis |
35 |
$109,468 |
$53,735 |
$3,831,366 |
$1,880,709 |
17.06 |
Craniotomy except for trauma |
34 |
$108,835 |
$53,424 |
$3,700,402 |
$1,816,418 |
15.91 |
Malfunction, reaction, complic of genitourinary device or proc |
34 |
$45,344 |
$22,258 |
$1,541,683 |
$756,765 |
7.79 |
Preterm labor |
34 |
$6,940 |
$3,407 |
$235,972 |
$115,830 |
1.15 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
33 |
$31,796 |
$15,608 |
$1,049,271 |
$515,057 |
4.70 |
Tracheostomy w MV 96+ hours w extensive procedure or ECMO |
31 |
$543,593 |
$266,834 |
$16,851,382 |
$8,271,855 |
72.65 |
Other circulatory system diagnoses |
31 |
$23,936 |
$11,750 |
$742,027 |
$364,242 |
3.13 |
Other kidney & urinary tract diagnoses, signs & symptoms |
31 |
$45,362 |
$22,267 |
$1,406,212 |
$690,267 |
7.68 |
Cocaine abuse & dependence |
31 |
$15,320 |
$7,520 |
$474,930 |
$233,129 |
5.03 |
Knee joint replacement |
30 |
$49,423 |
$24,260 |
$1,482,690 |
$727,807 |
5.67 |
Other skin, subcutaneous tissue & related procedures |
30 |
$57,196 |
$28,076 |
$1,715,868 |
$842,270 |
9.53 |
Malnutrition, failure to thrive & other nutritional disorders |
30 |
$54,275 |
$26,642 |
$1,628,247 |
$799,263 |
9.13 |
Foot & toe procedures |
29 |
$73,532 |
$36,095 |
$2,132,414 |
$1,046,741 |
12.97 |
Fever |
29 |
$29,729 |
$14,593 |
$862,134 |
$423,198 |
4.10 |
Tracheostomy w MV 96+ hours w/o extensive procedure |
28 |
$356,185 |
$174,841 |
$9,973,166 |
$4,895,538 |
52.11 |
Respiratory malignancy |
28 |
$67,437 |
$33,103 |
$1,888,231 |
$926,879 |
11.25 |
Bronchiolitis & RSV pneumonia |
28 |
$11,968 |
$5,875 |
$335,116 |
$164,497 |
1.75 |
Other small & large bowel procedures |
28 |
$60,835 |
$29,862 |
$1,703,382 |
$836,143 |
7.07 |
Skin ulcers |
28 |
$49,017 |
$24,061 |
$1,372,485 |
$673,713 |
8.43 |
Male reproductive system diagnoses except malignancy |
28 |
$36,155 |
$17,748 |
$1,012,347 |
$496,932 |
5.79 |
Postpartum & post abortion diagnoses w/o procedure |
28 |
$17,433 |
$8,557 |
$488,118 |
$239,602 |
4.00 |
Amputation of lower limb except toes |
26 |
$107,824 |
$52,928 |
$2,803,428 |
$1,376,122 |
17.27 |
Cardiac arrest and shock |
25 |
$65,192 |
$32,001 |
$1,629,808 |
$800,028 |
8.28 |
Other disorders of the liver |
25 |
$42,543 |
$20,883 |
$1,063,568 |
$522,076 |
6.32 |
Cervical spinal fusion & other back/neck proc exc disc excis/decomp |
25 |
$56,662 |
$27,814 |
$1,416,542 |
$695,339 |
8.20 |
Perm cardiac pacemaker implant w/o AMI, heart failure or shock |
24 |
$58,471 |
$28,702 |
$1,403,309 |
$688,847 |
7.17 |
Other esophageal disorders |
24 |
$30,267 |
$14,857 |
$726,405 |
$356,570 |
4.46 |
Inflammatory bowel disease |
24 |
$38,660 |
$18,977 |
$927,841 |
$455,446 |
6.38 |
Kidney & urinary tract procedures for nonmalignancy |
24 |
$62,041 |
$30,454 |
$1,488,976 |
$730,896 |
9.54 |
Other infectious & parasitic diseases |
24 |
$44,793 |
$21,988 |
$1,075,036 |
$527,705 |
7.33 |
Major chest & respiratory trauma |
23 |
$45,902 |
$22,532 |
$1,055,752 |
$518,236 |
7.26 |
Other hepatobiliary, pancreas & abdominal procedures |
23 |
$59,051 |
$28,986 |
$1,358,164 |
$666,683 |
10.00 |
Hepatic coma & other major acute liver disorders |
23 |
$45,158 |
$22,167 |
$1,038,627 |
$509,831 |
7.39 |
Knee & lower leg procedures except foot |
23 |
$71,544 |
$35,119 |
$1,645,509 |
$807,733 |
11.26 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
23 |
$71,102 |
$34,902 |
$1,635,347 |
$802,744 |
13.30 |
Nonextensive procedure unrelated to principal diagnosis |
22 |
$122,114 |
$59,942 |
$2,686,511 |
$1,318,732 |
23.00 |
Other skin, subcutaneous tissue & breast disorders |
21 |
$29,851 |
$14,653 |
$626,863 |
$307,708 |
4.95 |
Urinary stones & acquired upper urinary tract obstruction |
21 |
$31,076 |
$15,255 |
$652,603 |
$320,345 |
3.57 |
Viral illness |
21 |
$19,907 |
$9,772 |
$418,037 |
$205,202 |
3.10 |
Interstitial & alveolar lung diseases |
20 |
$51,293 |
$25,178 |
$1,025,866 |
$503,568 |
8.45 |
Digestive malignancy |
20 |
$90,982 |
$44,660 |
$1,819,641 |
$893,208 |
16.50 |
Abdominal pain |
20 |
$25,213 |
$12,376 |
$504,252 |
$247,524 |
3.90 |
Intervertebral disc excision & decompression |
20 |
$60,425 |
$29,661 |
$1,208,498 |
$593,216 |
8.40 |
Neonate, transferred < 5 days old, born here |
20 |
$7,724 |
$3,791 |
$154,470 |
$75,825 |
1.40 |
Other peripheral vascular procedures |
19 |
$60,574 |
$29,734 |
$1,150,897 |
$564,941 |
10.11 |
Alcohol & drug dependence w rehab or rehab/detox therapy |
19 |
$14,890 |
$7,309 |
$282,914 |
$138,874 |
5.26 |
Uterine & adnexa procedures for leiomyoma |
18 |
$40,894 |
$20,074 |
$736,088 |
$361,326 |
3.00 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
18 |
$90,637 |
$44,491 |
$1,631,473 |
$800,842 |
13.50 |
Acute anxiety & delirium states |
18 |
$18,626 |
$9,143 |
$335,273 |
$164,577 |
3.94 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
17 |
$37,562 |
$18,438 |
$638,547 |
$313,444 |
5.76 |
Skin graft for skin & subcutaneous tissue diagnoses |
17 |
$52,898 |
$25,966 |
$899,270 |
$441,424 |
9.24 |
Nervous system malignancy |
16 |
$56,226 |
$27,600 |
$899,614 |
$441,594 |
9.81 |
Migraine & other headaches |
16 |
$30,413 |
$14,929 |
$486,606 |
$238,859 |
4.31 |
Malignancy of hepatobiliary system & pancreas |
16 |
$70,875 |
$34,790 |
$1,133,994 |
$556,645 |
13.13 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
16 |
$85,560 |
$41,999 |
$1,368,955 |
$671,980 |
13.56 |
Nontraumatic stupor & coma |
15 |
$79,964 |
$39,252 |
$1,199,461 |
$588,782 |
13.13 |
Lower extremity arterial procedures |
15 |
$137,524 |
$67,507 |
$2,062,863 |
$1,012,599 |
20.07 |
Hernia procedures except inguinal, femoral & umbilical |
15 |
$53,321 |
$26,174 |
$799,821 |
$392,610 |
5.07 |
Inguinal, femoral & umbilical hernia procedures |
15 |
$48,339 |
$23,728 |
$725,081 |
$355,920 |
6.87 |
Other drug abuse & dependence |
15 |
$26,007 |
$12,766 |
$390,103 |
$191,491 |
6.93 |
Allergic reactions |
15 |
$33,145 |
$16,270 |
$497,177 |
$244,051 |
4.93 |
Other complications of treatment |
15 |
$32,906 |
$16,153 |
$493,590 |
$242,289 |
4.60 |
Cardiac pacemaker & defibrillator device replacement |
14 |
$19,667 |
$9,654 |
$275,336 |
$135,155 |
1.86 |
Other circulatory system procedures |
14 |
$112,560 |
$55,252 |
$1,575,833 |
$773,530 |
19.07 |
Major esophageal disorders |
14 |
$55,831 |
$27,406 |
$781,634 |
$383,684 |
8.57 |
Urethral & transurethral procedures |
14 |
$90,689 |
$44,517 |
$1,269,651 |
$623,235 |
13.00 |
Uterine & adnexa procedures for non-malignancy except leiomyoma |
14 |
$50,515 |
$24,796 |
$707,209 |
$347,148 |
5.14 |
Neonate bwt 1500-1999g w or w/o other significant condition |
14 |
$108,820 |
$53,417 |
$1,523,482 |
$747,834 |
19.50 |
Post-operative, post-traumatic, other device infections |
14 |
$55,522 |
$27,254 |
$777,314 |
$381,562 |
9.43 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
13 |
$42,301 |
$20,764 |
$549,910 |
$269,935 |
6.46 |
Shoulder, upper arm & forearm procedures except joint replacement |
13 |
$33,033 |
$16,215 |
$429,428 |
$210,794 |
3.38 |
Other musculoskeletal system & connective tissue procedures |
13 |
$54,375 |
$26,691 |
$706,869 |
$346,982 |
7.85 |
Inborn errors of metabolism |
13 |
$86,929 |
$42,671 |
$1,130,079 |
$554,724 |
11.92 |
Menstrual & other female reproductive system disorders |
13 |
$30,116 |
$14,783 |
$391,511 |
$192,180 |
4.23 |
Adjustment disorders & neuroses except depressive diagnoses |
13 |
$13,031 |
$6,396 |
$169,403 |
$83,154 |
8.15 |
Multiple sclerosis & other demyelinating diseases |
12 |
$37,197 |
$18,259 |
$446,362 |
$219,106 |
5.92 |
Major respiratory & chest procedures |
12 |
$74,559 |
$36,599 |
$894,710 |
$439,186 |
10.33 |
Other digestive system & abdominal procedures |
12 |
$77,180 |
$37,886 |
$926,161 |
$454,626 |
12.50 |
Connective tissue disorders |
12 |
$41,859 |
$20,547 |
$502,303 |
$246,567 |
6.92 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
12 |
$39,269 |
$19,276 |
$471,228 |
$231,313 |
6.58 |
Lymphoma, myeloma & non-acute leukemia |
12 |
$99,282 |
$48,735 |
$1,191,385 |
$584,815 |
16.00 |
Other mental health disorders |
12 |
$73,261 |
$35,962 |
$879,129 |
$431,538 |
21.83 |
Eye disorders except major infections |
11 |
$35,238 |
$17,297 |
$387,616 |
$190,269 |
5.73 |
Fracture of femur |
11 |
$29,980 |
$14,716 |
$329,775 |
$161,876 |
4.91 |
HIV w major HIV related condition |
11 |
$65,540 |
$32,172 |
$720,943 |
$353,889 |
11.09 |
Other respiratory & chest procedures |
10 |
$96,766 |
$47,500 |
$967,656 |
$474,995 |
15.80 |
Cardiac structural & valvular disorders |
10 |
$33,768 |
$16,576 |
$337,679 |
$165,757 |
4.80 |
Vaginal delivery w sterilization &/or D&C |
10 |
$18,358 |
$9,011 |
$183,578 |
$90,112 |
3.30 |
Coagulation & platelet disorders |
10 |
$29,837 |
$14,646 |
$298,368 |
$146,459 |
3.90 |
Behavioral disorders |
10 |
$35,245 |
$17,301 |
$352,450 |
$173,009 |
17.10 |
Other injury, poisoning & toxic effect diagnoses |
10 |
$21,422 |
$10,515 |
$214,216 |
$105,151 |
3.00 |
Fracture of pelvis or dislocation of hip |
9 |
$34,635 |
$17,002 |
$311,719 |
$153,014 |
5.89 |
Major skin disorders |
9 |
$49,205 |
$24,153 |
$442,843 |
$217,377 |
8.89 |
False labor |
9 |
$7,610 |
$3,735 |
$68,486 |
$33,617 |
1.33 |
Neonate birthwt >2499g w other significant condition |
9 |
$36,542 |
$17,938 |
$328,881 |
$161,438 |
7.67 |
O.R. procedure for other complications of treatment |
9 |
$58,158 |
$28,548 |
$523,421 |
$256,933 |
7.44 |
Other aftercare & convalescence |
9 |
$36,470 |
$17,902 |
$328,226 |
$161,118 |
12.00 |
HIV w one signif HIV cond or w/o signif related cond |
9 |
$62,002 |
$30,435 |
$558,020 |
$273,916 |
11.67 |
Peritoneal adhesiolysis |
8 |
$56,662 |
$27,814 |
$453,299 |
$222,509 |
7.13 |
Major biliary tract procedures |
8 |
$72,060 |
$35,372 |
$576,476 |
$282,974 |
10.75 |
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses |
8 |
$255,051 |
$125,197 |
$2,040,407 |
$1,001,577 |
34.50 |
Tendon, muscle & other soft tissue procedures |
8 |
$88,626 |
$43,504 |
$709,010 |
$348,033 |
14.75 |
Neonate birthwt >2499g w major anomaly |
8 |
$6,632 |
$3,255 |
$53,053 |
$26,042 |
2.75 |
Craniotomy for trauma |
7 |
$153,296 |
$75,249 |
$1,073,074 |
$526,741 |
22.71 |
Spinal procedures |
7 |
$89,087 |
$43,730 |
$623,607 |
$306,111 |
14.57 |
Major abdominal vascular procedures |
7 |
$96,706 |
$47,470 |
$676,945 |
$332,293 |
14.86 |
Major stomach, esophageal & duodenal procedures |
7 |
$152,660 |
$74,937 |
$1,068,622 |
$524,556 |
22.86 |
Gastrointestinal vascular insufficiency |
7 |
$38,438 |
$18,868 |
$269,063 |
$132,075 |
6.43 |
Cholecystectomy except laparoscopic |
7 |
$36,174 |
$17,757 |
$253,215 |
$124,296 |
4.57 |
Dorsal & lumbar fusion proc except for curvature of back |
7 |
$61,135 |
$30,009 |
$427,945 |
$210,066 |
6.71 |
Malignant breast disorders |
7 |
$40,854 |
$20,054 |
$285,977 |
$140,378 |
7.29 |
Female reproductive system infections |
7 |
$23,498 |
$11,534 |
$164,488 |
$80,741 |
3.71 |
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond |
7 |
$28,369 |
$13,925 |
$198,580 |
$97,476 |
5.14 |
Non-bacterial infections of nervous system exc viral meningitis |
6 |
$71,859 |
$35,273 |
$431,152 |
$211,640 |
11.17 |
Other cardiothoracic & thoracic vascular procedures |
6 |
$74,071 |
$36,359 |
$444,428 |
$218,155 |
11.67 |
Other significant hip and femur surgery |
6 |
$67,145 |
$32,960 |
$402,869 |
$197,757 |
10.00 |
Shoulder & elbow joint replacement |
6 |
$59,519 |
$29,216 |
$357,112 |
$175,294 |
6.67 |
Other procedures for endocrine, nutritional & metabolic disorders |
6 |
$96,516 |
$47,378 |
$579,098 |
$284,265 |
16.33 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
6 |
$13,512 |
$6,633 |
$81,072 |
$39,797 |
2.83 |
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma |
5 |
$21,563 |
$10,585 |
$107,816 |
$52,924 |
2.80 |
Acute major eye infections |
5 |
$28,163 |
$13,824 |
$140,814 |
$69,121 |
4.60 |
Acute & subacute endocarditis |
5 |
$102,204 |
$50,169 |
$511,021 |
$250,845 |
19.20 |
Cardiomyopathy |
5 |
$23,335 |
$11,454 |
$116,673 |
$57,271 |
3.20 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
5 |
$96,726 |
$47,480 |
$483,631 |
$237,399 |
17.60 |
Malfunction, reaction, complic of orthopedic device or procedure |
5 |
$53,666 |
$26,343 |
$268,328 |
$131,715 |
8.40 |
Kidney & urinary tract malignancy |
5 |
$95,442 |
$46,850 |
$477,209 |
$234,248 |
17.20 |
Dilation & curettage for non-obstetric diagnoses |
5 |
$38,871 |
$19,081 |
$194,355 |
$95,403 |
6.20 |
Neonate bwt 1500-1999g w resp dist synd/oth maj resp cond |
5 |
$102,507 |
$50,318 |
$512,536 |
$251,590 |
18.40 |
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms |
5 |
$287,123 |
$140,940 |
$1,435,614 |
$704,701 |
38.60 |
Other Chemotherapy |
5 |
$62,316 |
$30,589 |
$311,578 |
$152,945 |
10.00 |
Post-op, post-trauma, other device infections w O.R. procedure |
5 |
$58,200 |
$28,569 |
$291,002 |
$142,845 |
8.60 |
Ventricular shunt procedures |
4 |
$109,318 |
$53,661 |
$437,270 |
$214,643 |
16.25 |
Viral meningitis |
4 |
$40,859 |
$20,056 |
$163,434 |
$80,224 |
6.75 |
Dental & oral diseases & injuries |
4 |
$15,436 |
$7,577 |
$61,742 |
$30,307 |
2.25 |
Major bladder procedures |
4 |
$54,830 |
$26,915 |
$219,318 |
$107,658 |
7.00 |
Kidney & urinary tract procedures for malignancy |
4 |
$96,156 |
$47,200 |
$384,624 |
$188,801 |
11.25 |
Other bladder procedures |
4 |
$42,771 |
$20,995 |
$171,082 |
$83,979 |
6.00 |
Transurethral prostatectomy |
4 |
$44,733 |
$21,958 |
$178,930 |
$87,832 |
5.50 |
Female reproductive system malignancy |
4 |
$35,633 |
$17,491 |
$142,530 |
$69,964 |
5.75 |
D&C, aspiration curettage or hysterotomy for obstetric diagnoses |
4 |
$16,268 |
$7,985 |
$65,070 |
$31,941 |
2.50 |
Neonate bwt 2000-2499g w resp dist synd/oth maj resp cond |
4 |
$87,898 |
$43,147 |
$351,592 |
$172,586 |
15.75 |
Acute leukemia |
4 |
$25,303 |
$12,420 |
$101,210 |
$49,681 |
4.00 |
HIV w multiple major HIV related conditions |
4 |
$106,170 |
$52,115 |
$424,678 |
$208,461 |
17.75 |
Multiple significant trauma w/o O.R. procedure |
4 |
$75,496 |
$37,059 |
$301,983 |
$148,235 |
13.25 |
Bacterial & tuberculous infections of nervous system |
3 |
$178,090 |
$87,419 |
$534,269 |
$262,257 |
35.33 |
Ear, nose, mouth, throat, cranial/facial malignancies |
3 |
$31,987 |
$15,702 |
$95,962 |
$47,105 |
5.33 |
Other stomach, esophageal & duodenal procedures |
3 |
$193,495 |
$94,981 |
$580,486 |
$284,944 |
30.33 |
Malfunction, reaction & complication of GI device or procedure |
3 |
$87,708 |
$43,053 |
$263,123 |
$129,159 |
15.67 |
Thyroid, parathyroid & thyroglossal procedures |
3 |
$110,714 |
$54,346 |
$332,142 |
$163,039 |
17.33 |
Uterine & adnexa procedures for ovarian & adnexal malignancy |
3 |
$103,768 |
$50,937 |
$311,305 |
$152,811 |
18.33 |
Other female reproductive system & related procedures |
3 |
$42,026 |
$20,629 |
$126,077 |
$61,888 |
7.67 |
Other procedures of blood & blood-forming organs |
3 |
$38,418 |
$18,859 |
$115,255 |
$56,576 |
5.67 |
Procedure w diag of rehab, aftercare or oth contact w health service |
3 |
$59,299 |
$29,108 |
$177,897 |
$87,324 |
8.33 |
Neonatal aftercare |
3 |
$97,267 |
$47,745 |
$291,801 |
$143,236 |
17.67 |
Ungroupable |
3 |
$21,477 |
$10,542 |
$64,431 |
$31,627 |
5.67 |
Other nervous system & related procedures |
2 |
$18,977 |
$9,315 |
$37,953 |
$18,630 |
1.00 |
Spinal disorders & injuries |
2 |
$44,979 |
$22,079 |
$89,958 |
$44,158 |
7.00 |
Tonsil & adenoid procedures |
2 |
$13,095 |
$6,428 |
$26,189 |
$12,855 |
1.50 |
Cystic fibrosis - pulmonary disease |
2 |
$37,303 |
$18,311 |
$74,605 |
$36,621 |
6.50 |
Permanent cardiac pacemaker implant w AMI, heart failure or shock |
2 |
$65,101 |
$31,956 |
$130,201 |
$63,912 |
9.50 |
Anal procedures |
2 |
$57,554 |
$28,252 |
$115,108 |
$56,503 |
6.50 |
Major pancreas, liver & shunt procedures |
2 |
$78,985 |
$38,772 |
$157,970 |
$77,543 |
15.00 |
Hand & wrist procedures |
2 |
$23,025 |
$11,303 |
$46,050 |
$22,605 |
2.00 |
Major male pelvic procedures |
2 |
$43,718 |
$21,460 |
$87,436 |
$42,920 |
3.50 |
Uterine & adnexa procedures for non-ovarian & non-adnexal malig |
2 |
$69,242 |
$33,989 |
$138,484 |
$67,977 |
7.00 |
Other O.R. proc for obstetric diagnoses except delivery diagnoses |
2 |
$17,069 |
$8,379 |
$34,137 |
$16,757 |
1.50 |
Neonate bwt 1250-1499g w or w/o other significant condition |
2 |
$178,100 |
$87,424 |
$356,199 |
$174,848 |
32.00 |
Nonspecific CVA & precerebral occlusion w/o infarct |
1 |
$52,367 |
$25,705 |
$52,367 |
$25,705 |
8.00 |
Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma |
1 |
$52,202 |
$25,625 |
$52,202 |
$25,625 |
9.00 |
Orbital procedures |
1 |
$35,261 |
$17,309 |
$35,261 |
$17,309 |
6.00 |
Eye procedures except orbit |
1 |
$19,968 |
$9,802 |
$19,968 |
$9,802 |
1.00 |
Major cranial/facial bone procedures |
1 |
$10,699 |
$5,252 |
$10,699 |
$5,252 |
1.00 |
Other ear, nose, mouth & throat procedures |
1 |
$88,055 |
$43,224 |
$88,055 |
$43,224 |
16.00 |
Coronary bypass w/o AMI or complex PDX |
1 |
$17,762 |
$8,719 |
$17,762 |
$8,719 |
1.00 |
Cardiac pacemaker & defibrillator revision except device replacement |
1 |
$12,239 |
$6,008 |
$12,239 |
$6,008 |
1.00 |
Mastectomy procedures |
1 |
$79,750 |
$39,147 |
$79,750 |
$39,147 |
9.00 |
Other kidney, urinary tract & related procedures |
1 |
$23,084 |
$11,331 |
$23,084 |
$11,331 |
2.00 |
Nephritis & nephrosis |
1 |
$79,333 |
$38,942 |
$79,333 |
$38,942 |
15.00 |
Penis procedures |
1 |
$151,658 |
$74,444 |
$151,658 |
$74,444 |
32.00 |
Testes & scrotal procedures |
1 |
$7,370 |
$3,617 |
$7,370 |
$3,617 |
1.00 |
Malignancy, male reproductive system |
1 |
$20,240 |
$9,935 |
$20,240 |
$9,935 |
3.00 |
Female reproductive system reconstructive procedures |
1 |
$43,404 |
$21,306 |
$43,404 |
$21,306 |
3.00 |
Neonate bwt <500g or GA <24 weeks |
1 |
$6,796 |
$3,336 |
$6,796 |
$3,336 |
3.00 |
Neonate birthwt 1000-1249g w or w/o other significant condition |
1 |
$188,965 |
$92,757 |
$188,965 |
$92,757 |
34.00 |
Neonate bwt 2000-2499g w major anomaly |
1 |
$67,895 |
$33,327 |
$67,895 |
$33,327 |
12.00 |
Neonate bwt 2000-2499g w other significant condition |
1 |
$30,120 |
$14,785 |
$30,120 |
$14,785 |
6.00 |
Neonate birthwt >2499g w other major procedure |
1 |
$18,506 |
$9,084 |
$18,506 |
$9,084 |
3.00 |
Neonate birthwt >2499g w congenital/perinatal infection |
1 |
$28,208 |
$13,846 |
$28,208 |
$13,846 |
5.00 |
Splenectomy |
1 |
$37,538 |
$18,426 |
$37,538 |
$18,426 |
3.00 |
Mental illness diagnosis w O.R. procedure |
1 |
$25,011 |
$12,277 |
$25,011 |
$12,277 |
4.00 |
Disorders of personality & impulse control |
1 |
$12,529 |
$6,150 |
$12,529 |
$6,150 |
8.00 |
HIV w multiple significant HIV related conditions |
1 |
$20,435 |
$10,031 |
$20,435 |
$10,031 |
3.00 |
Musculoskeletal & other procedures for multiple significant trauma |
1 |
$93,166 |
$45,733 |
$93,166 |
$45,733 |
10.00 |