Neonate birthwt >2499g, normal newborn or neonate w other problem |
1639 |
$6,679 |
$4,015 |
$10,946,974 |
$6,580,163 |
2.51 |
Schizophrenia |
1423 |
$29,202 |
$17,552 |
$41,553,991 |
$24,977,139 |
17.92 |
Vaginal delivery |
1234 |
$12,408 |
$7,458 |
$15,311,026 |
$9,203,129 |
2.68 |
Cesarean delivery |
654 |
$18,533 |
$11,140 |
$12,120,433 |
$7,285,331 |
4.02 |
Bipolar disorders |
630 |
$18,505 |
$11,123 |
$11,658,257 |
$7,007,531 |
11.67 |
Heart failure |
617 |
$33,245 |
$19,983 |
$20,512,140 |
$12,329,381 |
5.03 |
Alcohol & drug dependence w rehab or rehab/detox therapy |
616 |
$9,537 |
$5,732 |
$5,874,797 |
$3,531,209 |
5.48 |
Asthma |
587 |
$13,748 |
$8,264 |
$8,070,123 |
$4,850,786 |
2.13 |
Major depressive disorders & other/unspecified psychoses |
414 |
$17,701 |
$10,639 |
$7,328,070 |
$4,404,740 |
11.39 |
Sickle cell anemia crisis |
389 |
$25,890 |
$15,562 |
$10,071,050 |
$6,053,474 |
4.35 |
Drug & alcohol abuse or dependence, left against medical advice |
363 |
$6,530 |
$3,925 |
$2,370,465 |
$1,424,830 |
2.22 |
Diabetes |
341 |
$27,769 |
$16,691 |
$9,469,320 |
$5,691,789 |
4.37 |
Septicemia & disseminated infections |
336 |
$70,141 |
$42,160 |
$23,567,243 |
$14,165,713 |
11.25 |
CVA & precerebral occlusion w infarct |
334 |
$49,271 |
$29,616 |
$16,456,571 |
$9,891,669 |
6.47 |
Other disorders of nervous system |
286 |
$35,733 |
$21,478 |
$10,219,711 |
$6,142,850 |
12.75 |
Chronic obstructive pulmonary disease |
271 |
$23,014 |
$13,833 |
$6,236,927 |
$3,748,876 |
3.55 |
Seizure |
259 |
$42,752 |
$25,697 |
$11,072,735 |
$6,655,567 |
5.38 |
Kidney & urinary tract infections |
246 |
$37,200 |
$22,360 |
$9,151,159 |
$5,500,554 |
6.41 |
Other pneumonia |
240 |
$27,450 |
$16,500 |
$6,588,021 |
$3,959,914 |
4.39 |
Alcohol abuse & dependence |
228 |
$21,699 |
$13,043 |
$4,947,317 |
$2,973,719 |
4.44 |
Cellulitis & other skin infections |
226 |
$31,403 |
$18,875 |
$7,096,978 |
$4,265,823 |
5.19 |
Other antepartum diagnoses |
204 |
$19,836 |
$11,923 |
$4,046,563 |
$2,432,297 |
3.85 |
Knee & lower leg procedures except foot |
185 |
$66,488 |
$39,964 |
$12,300,261 |
$7,393,402 |
9.32 |
Other digestive system diagnoses |
183 |
$24,156 |
$14,520 |
$4,420,548 |
$2,657,088 |
4.01 |
Cardiac arrhythmia & conduction disorders |
182 |
$24,103 |
$14,488 |
$4,386,797 |
$2,636,802 |
3.55 |
Syncope & collapse |
177 |
$24,300 |
$14,606 |
$4,301,053 |
$2,585,265 |
3.58 |
Other musculoskeletal system & connective tissue diagnoses |
167 |
$35,200 |
$21,158 |
$5,878,334 |
$3,533,329 |
6.24 |
Signs, symptoms & other factors influencing health status |
165 |
$31,740 |
$19,078 |
$5,237,148 |
$3,147,932 |
5.10 |
Other gastroenteritis, nausa & vomiting |
159 |
$24,816 |
$14,916 |
$3,945,745 |
$2,371,697 |
3.81 |
Depression except major depressive disorder |
157 |
$14,487 |
$8,708 |
$2,274,456 |
$1,367,128 |
9.22 |
Electrolyte disorders except hypovolemia related |
148 |
$39,270 |
$23,604 |
$5,811,934 |
$3,493,425 |
5.91 |
Other anemia & disorders of blood & blood-forming organs |
143 |
$24,509 |
$14,732 |
$3,504,771 |
$2,106,637 |
3.94 |
Acute myocardial infarction |
140 |
$43,639 |
$26,230 |
$6,109,417 |
$3,672,225 |
5.09 |
Chest pain |
129 |
$13,950 |
$8,385 |
$1,799,540 |
$1,081,661 |
1.80 |
Acute Kidney Injury |
123 |
$51,267 |
$30,815 |
$6,305,808 |
$3,790,275 |
8.66 |
Behavioral disorders |
123 |
$23,105 |
$13,888 |
$2,841,869 |
$1,708,178 |
14.67 |
Infections of upper respiratory tract |
115 |
$12,953 |
$7,786 |
$1,489,557 |
$895,338 |
1.90 |
Other back & neck disorders, fractures & injuries |
111 |
$37,414 |
$22,489 |
$4,152,961 |
$2,496,255 |
6.61 |
Major small & large bowel procedures |
107 |
$129,451 |
$77,810 |
$13,851,215 |
$8,325,649 |
15.93 |
Appendectomy |
105 |
$28,848 |
$17,340 |
$3,029,042 |
$1,820,686 |
3.15 |
Pulmonary embolism |
104 |
$38,493 |
$23,137 |
$4,003,260 |
$2,406,262 |
5.78 |
Organic mental health disturbances |
104 |
$119,439 |
$71,792 |
$12,421,680 |
$7,466,385 |
20.40 |
Intestinal obstruction |
97 |
$30,455 |
$18,306 |
$2,954,156 |
$1,775,673 |
5.12 |
Disorders of pancreas except malignancy |
96 |
$29,582 |
$17,781 |
$2,839,845 |
$1,706,963 |
4.35 |
Fractures & dislocations except femur, pelvis & back |
93 |
$24,372 |
$14,650 |
$2,266,610 |
$1,362,406 |
3.40 |
Angina pectoris & coronary atherosclerosis |
91 |
$17,335 |
$10,419 |
$1,577,443 |
$948,168 |
2.49 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
90 |
$55,814 |
$33,548 |
$5,023,233 |
$3,019,355 |
9.91 |
Laparoscopic cholecystectomy |
89 |
$29,063 |
$17,469 |
$2,586,646 |
$1,554,773 |
3.36 |
Uterine & adnexa procedures for leiomyoma |
89 |
$38,423 |
$23,095 |
$3,419,640 |
$2,055,470 |
4.53 |
Shoulder, upper arm & forearm procedures except joint replacement |
87 |
$33,718 |
$20,267 |
$2,933,436 |
$1,763,225 |
3.66 |
Rehabilitation |
87 |
$28,708 |
$17,255 |
$2,497,553 |
$1,501,227 |
14.71 |
Head trauma w coma >1 hr or hemorrhage |
85 |
$74,025 |
$44,495 |
$6,292,143 |
$3,782,060 |
10.39 |
Cardiac catheterization for other non-coronary conditions |
85 |
$35,691 |
$21,453 |
$3,033,724 |
$1,823,503 |
5.36 |
Chronic Kidney Disease |
85 |
$42,026 |
$25,261 |
$3,572,189 |
$2,147,157 |
7.26 |
Neonate bwt 2000-2499g, normal newborn or neonate w other problem |
85 |
$15,541 |
$9,342 |
$1,321,025 |
$794,042 |
4.07 |
Other & unspecified gastrointestinal hemorrhage |
83 |
$29,657 |
$17,826 |
$2,461,511 |
$1,479,559 |
4.78 |
Bronchiolitis & RSV pneumonia |
82 |
$15,797 |
$9,495 |
$1,295,363 |
$778,620 |
2.54 |
Peripheral & other vascular disorders |
82 |
$49,403 |
$29,695 |
$4,051,075 |
$2,435,011 |
9.04 |
Hypovolemia & related electrolyte disorders |
80 |
$54,605 |
$32,822 |
$4,368,407 |
$2,625,745 |
6.31 |
Infectious & parasitic diseases including HIV w O.R. procedure |
80 |
$127,780 |
$76,806 |
$10,222,381 |
$6,144,444 |
19.51 |
Respiratory signs, symptoms & minor diagnoses |
78 |
$16,613 |
$9,986 |
$1,295,817 |
$778,889 |
2.31 |
Peptic ulcer & gastritis |
77 |
$28,179 |
$16,938 |
$2,169,780 |
$1,304,203 |
4.40 |
Diverticulitis & diverticulosis |
77 |
$24,771 |
$14,890 |
$1,907,402 |
$1,146,494 |
3.96 |
Adjustment disorders & neuroses except depressive diagnoses |
77 |
$17,696 |
$10,637 |
$1,362,628 |
$819,042 |
10.29 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
74 |
$18,613 |
$11,188 |
$1,377,330 |
$827,882 |
2.23 |
Abdominal pain |
73 |
$18,750 |
$11,270 |
$1,368,730 |
$822,713 |
2.70 |
Other endocrine disorders |
72 |
$30,315 |
$18,222 |
$2,182,676 |
$1,311,965 |
4.89 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
69 |
$22,134 |
$13,304 |
$1,527,270 |
$918,002 |
2.97 |
Transient ischemia |
68 |
$38,565 |
$23,181 |
$2,622,432 |
$1,576,284 |
4.68 |
Hip and femur fracture repair |
68 |
$75,454 |
$45,354 |
$5,130,891 |
$3,084,057 |
9.96 |
Migraine & other headaches |
67 |
$22,391 |
$13,459 |
$1,500,201 |
$901,733 |
2.37 |
Other Chemotherapy |
65 |
$36,077 |
$21,685 |
$2,345,009 |
$1,409,532 |
6.45 |
Knee joint replacement |
64 |
$44,572 |
$26,792 |
$2,852,639 |
$1,714,656 |
6.08 |
Poisoning of medicinal agents |
64 |
$16,420 |
$9,869 |
$1,050,853 |
$631,641 |
2.47 |
Respiratory Failure |
62 |
$40,107 |
$24,107 |
$2,486,618 |
$1,494,648 |
5.90 |
Other skin, subcutaneous tissue & related procedures |
62 |
$43,030 |
$25,864 |
$2,667,856 |
$1,603,590 |
6.55 |
Uterine & adnexa procedures for non-malignancy except leiomyoma |
61 |
$28,264 |
$16,989 |
$1,724,082 |
$1,036,303 |
3.07 |
Other skin, subcutaneous tissue & breast disorders |
60 |
$34,031 |
$20,455 |
$2,041,877 |
$1,227,326 |
5.97 |
Vertigo & other labyrinth disorders |
59 |
$27,298 |
$16,408 |
$1,610,553 |
$968,065 |
3.49 |
Hypertension |
59 |
$31,035 |
$18,654 |
$1,831,060 |
$1,100,605 |
4.92 |
Postpartum & post abortion diagnoses w/o procedure |
59 |
$16,719 |
$10,049 |
$986,406 |
$592,901 |
2.49 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
58 |
$33,346 |
$20,044 |
$1,934,093 |
$1,162,538 |
5.12 |
Intracranial hemorrhage |
57 |
$58,867 |
$35,383 |
$3,355,406 |
$2,016,858 |
8.39 |
Facial bone procedures except major cranial/facial bone procedures |
57 |
$34,914 |
$20,986 |
$1,990,088 |
$1,196,197 |
3.56 |
Other circulatory system diagnoses |
57 |
$30,817 |
$18,523 |
$1,756,553 |
$1,055,826 |
4.89 |
Disorders of gallbladder & biliary tract |
57 |
$29,368 |
$17,652 |
$1,673,980 |
$1,006,191 |
4.32 |
Degenerative nervous system disorders exc mult sclerosis |
56 |
$87,492 |
$52,589 |
$4,899,557 |
$2,945,008 |
16.30 |
Peripheral, cranial & autonomic nerve disorders |
55 |
$29,409 |
$17,677 |
$1,617,484 |
$972,233 |
4.73 |
Lymphoma, myeloma & non-acute leukemia |
55 |
$95,874 |
$57,627 |
$5,273,054 |
$3,169,510 |
16.33 |
Eye procedures except orbit |
53 |
$16,695 |
$10,035 |
$884,837 |
$531,855 |
1.77 |
Digestive malignancy |
53 |
$63,096 |
$37,925 |
$3,344,063 |
$2,010,037 |
10.87 |
Other small & large bowel procedures |
52 |
$58,121 |
$34,935 |
$3,022,301 |
$1,816,638 |
7.71 |
Menstrual & other female reproductive system disorders |
52 |
$16,816 |
$10,108 |
$874,447 |
$525,613 |
2.35 |
Respiratory malignancy |
51 |
$78,421 |
$47,137 |
$3,999,485 |
$2,403,998 |
12.80 |
Thyroid, parathyroid & thyroglossal procedures |
51 |
$14,063 |
$8,453 |
$717,192 |
$431,089 |
1.55 |
Moderately extensive procedure unrelated to principal diagnosis |
51 |
$89,399 |
$53,736 |
$4,559,350 |
$2,740,525 |
13.29 |
Eye disorders except major infections |
50 |
$25,539 |
$15,351 |
$1,276,927 |
$767,534 |
3.32 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
50 |
$58,306 |
$35,046 |
$2,915,291 |
$1,752,314 |
9.44 |
Fever |
50 |
$15,690 |
$9,431 |
$784,521 |
$471,558 |
2.32 |
Tendon, muscle & other soft tissue procedures |
49 |
$59,536 |
$35,785 |
$2,917,241 |
$1,753,487 |
8.84 |
Opioid abuse & dependence |
48 |
$13,497 |
$8,113 |
$647,868 |
$389,418 |
4.38 |
Skin ulcers |
47 |
$32,037 |
$19,257 |
$1,505,732 |
$905,061 |
5.55 |
Major gastrointestinal & peritoneal infections |
45 |
$48,762 |
$29,310 |
$2,194,308 |
$1,318,954 |
8.82 |
Lower extremity arterial procedures |
44 |
$107,924 |
$64,871 |
$4,748,673 |
$2,854,317 |
17.39 |
Nonextensive procedure unrelated to principal diagnosis |
43 |
$65,110 |
$39,136 |
$2,799,743 |
$1,682,863 |
10.47 |
Foot & toe procedures |
42 |
$72,833 |
$43,778 |
$3,058,985 |
$1,838,685 |
11.71 |
Other esophageal disorders |
40 |
$34,358 |
$20,652 |
$1,374,311 |
$826,067 |
5.48 |
Hip joint replacement |
40 |
$62,667 |
$37,668 |
$2,506,669 |
$1,506,705 |
8.55 |
Urinary stones & acquired upper urinary tract obstruction |
40 |
$19,733 |
$11,861 |
$789,333 |
$474,452 |
2.33 |
Other kidney & urinary tract diagnoses, signs & symptoms |
40 |
$42,602 |
$25,607 |
$1,704,061 |
$1,024,274 |
7.18 |
HIV w major HIV related condition |
40 |
$72,539 |
$43,602 |
$2,901,563 |
$1,744,063 |
13.03 |
Connective tissue disorders |
39 |
$40,330 |
$24,241 |
$1,572,855 |
$945,405 |
6.67 |
Neonate birthwt >2499g w other significant condition |
39 |
$24,597 |
$14,784 |
$959,265 |
$576,591 |
5.46 |
Tracheostomy w MV 96+ hours w/o extensive procedure |
38 |
$442,391 |
$265,911 |
$16,810,875 |
$10,104,630 |
48.26 |
Major chest & respiratory trauma |
38 |
$32,497 |
$19,533 |
$1,234,879 |
$742,260 |
4.34 |
Major respiratory infections & inflammations |
38 |
$71,142 |
$42,762 |
$2,703,408 |
$1,624,958 |
13.00 |
Malnutrition, failure to thrive & other nutritional disorders |
38 |
$39,739 |
$23,886 |
$1,510,066 |
$907,665 |
8.76 |
Preterm labor |
37 |
$15,846 |
$9,525 |
$586,298 |
$352,409 |
3.14 |
Tracheostomy w MV 96+ hours w extensive procedure or ECMO |
36 |
$525,279 |
$315,733 |
$18,910,053 |
$11,366,396 |
61.92 |
Malfunction, reaction, complic of genitourinary device or proc |
36 |
$30,047 |
$18,060 |
$1,081,682 |
$650,171 |
5.08 |
Other infectious & parasitic diseases |
36 |
$36,319 |
$21,831 |
$1,307,486 |
$785,898 |
6.22 |
Dental & oral diseases & injuries |
35 |
$24,225 |
$14,561 |
$847,886 |
$509,646 |
3.51 |
Kidney & urinary tract procedures for nonmalignancy |
35 |
$50,649 |
$30,444 |
$1,772,708 |
$1,065,538 |
7.89 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
35 |
$37,175 |
$22,345 |
$1,301,113 |
$782,070 |
6.86 |
Other respiratory & chest procedures |
34 |
$84,449 |
$50,760 |
$2,871,266 |
$1,725,850 |
12.88 |
Craniotomy except for trauma |
33 |
$120,760 |
$72,586 |
$3,985,084 |
$2,395,343 |
16.24 |
Other ear, nose, mouth & throat procedures |
33 |
$43,277 |
$26,013 |
$1,428,136 |
$858,421 |
6.30 |
Hepatic coma & other major acute liver disorders |
33 |
$62,617 |
$37,638 |
$2,066,352 |
$1,242,038 |
10.94 |
Amputation of lower limb except toes |
33 |
$151,731 |
$91,202 |
$5,007,135 |
$3,009,674 |
22.70 |
Interstitial & alveolar lung diseases |
32 |
$36,157 |
$21,733 |
$1,157,010 |
$695,454 |
6.03 |
Other digestive system & abdominal procedures |
32 |
$51,021 |
$30,668 |
$1,632,671 |
$981,366 |
6.72 |
Other drug abuse & dependence |
32 |
$11,382 |
$6,841 |
$364,214 |
$218,920 |
6.06 |
Other disorders of the liver |
31 |
$35,163 |
$21,136 |
$1,090,052 |
$655,201 |
5.52 |
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond |
31 |
$32,189 |
$19,348 |
$997,850 |
$599,782 |
5.42 |
HIV w one signif HIV cond or w/o signif related cond |
31 |
$30,957 |
$18,608 |
$959,671 |
$576,836 |
4.81 |
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma |
30 |
$27,524 |
$16,544 |
$825,713 |
$496,315 |
2.97 |
Major pancreas, liver & shunt procedures |
30 |
$119,588 |
$71,882 |
$3,587,651 |
$2,156,451 |
16.93 |
Malignancy of hepatobiliary system & pancreas |
30 |
$55,429 |
$33,317 |
$1,662,878 |
$999,517 |
9.60 |
Mastectomy procedures |
30 |
$18,829 |
$11,317 |
$564,862 |
$339,524 |
1.83 |
Other peripheral vascular procedures |
29 |
$47,224 |
$28,385 |
$1,369,500 |
$823,174 |
7.31 |
Inflammatory bowel disease |
29 |
$24,450 |
$14,696 |
$709,051 |
$426,192 |
3.90 |
Nervous system malignancy |
28 |
$58,276 |
$35,029 |
$1,631,730 |
$980,799 |
9.29 |
Male reproductive system diagnoses except malignancy |
28 |
$18,186 |
$10,931 |
$509,196 |
$306,063 |
2.50 |
Multiple sclerosis & other demyelinating diseases |
27 |
$84,207 |
$50,615 |
$2,273,594 |
$1,366,605 |
13.85 |
HIV w multiple major HIV related conditions |
27 |
$120,027 |
$72,146 |
$3,240,738 |
$1,947,932 |
20.37 |
Musculoskeletal & other procedures for multiple significant trauma |
27 |
$166,924 |
$100,334 |
$4,506,940 |
$2,709,016 |
22.30 |
Tonsil & adenoid procedures |
26 |
$11,514 |
$6,921 |
$299,365 |
$179,940 |
1.62 |
Neonate bwt 1500-1999g w or w/o other significant condition |
26 |
$55,755 |
$33,513 |
$1,449,640 |
$871,345 |
11.88 |
Extensive procedure unrelated to principal diagnosis |
26 |
$86,379 |
$51,921 |
$2,245,862 |
$1,349,935 |
12.62 |
Hernia procedures except inguinal, femoral & umbilical |
25 |
$41,201 |
$24,765 |
$1,030,017 |
$619,120 |
4.96 |
Alcoholic liver disease |
25 |
$31,535 |
$18,955 |
$788,380 |
$473,881 |
4.96 |
Female reproductive system malignancy |
25 |
$62,811 |
$37,755 |
$1,570,285 |
$943,863 |
11.08 |
Neonate birthwt >2499g w major anomaly |
24 |
$15,446 |
$9,284 |
$370,700 |
$222,822 |
3.67 |
Other musculoskeletal system & connective tissue procedures |
23 |
$67,068 |
$40,313 |
$1,542,571 |
$927,203 |
9.91 |
Cocaine abuse & dependence |
23 |
$19,918 |
$11,972 |
$458,110 |
$275,358 |
5.74 |
Inborn errors of metabolism |
22 |
$31,024 |
$18,648 |
$682,531 |
$410,257 |
5.18 |
Other female reproductive system & related procedures |
22 |
$21,130 |
$12,701 |
$464,861 |
$279,418 |
2.73 |
Coagulation & platelet disorders |
22 |
$42,132 |
$25,325 |
$926,913 |
$557,145 |
6.45 |
Other aftercare & convalescence |
22 |
$34,353 |
$20,649 |
$755,771 |
$454,277 |
13.18 |
Cardiac catheterization for coronary artery disease |
21 |
$22,125 |
$13,299 |
$464,620 |
$279,273 |
3.14 |
Peritoneal adhesiolysis |
21 |
$58,994 |
$35,460 |
$1,238,882 |
$744,662 |
8.67 |
Malfunction, reaction & complication of GI device or procedure |
21 |
$37,807 |
$22,725 |
$793,942 |
$477,220 |
6.71 |
Malignant breast disorders |
21 |
$66,131 |
$39,750 |
$1,388,743 |
$834,744 |
11.29 |
Testes & scrotal procedures |
21 |
$14,590 |
$8,769 |
$306,380 |
$184,158 |
1.10 |
Dilation & curettage for non-obstetric diagnoses |
21 |
$27,315 |
$16,419 |
$573,619 |
$344,789 |
4.10 |
Respiratory system diagnosis w ventilator support 96+ hours |
20 |
$105,765 |
$63,573 |
$2,115,297 |
$1,271,453 |
15.25 |
Inguinal, femoral & umbilical hernia procedures |
20 |
$25,508 |
$15,332 |
$510,160 |
$306,646 |
2.90 |
Female reproductive system infections |
20 |
$25,764 |
$15,486 |
$515,276 |
$309,723 |
3.80 |
Post-op, post-trauma, other device infections w O.R. procedure |
20 |
$170,376 |
$102,409 |
$3,407,527 |
$2,048,187 |
23.60 |
Viral illness |
20 |
$14,805 |
$8,899 |
$296,096 |
$177,976 |
2.30 |
Other complications of treatment |
20 |
$18,427 |
$11,076 |
$368,549 |
$221,528 |
2.60 |
Multiple significant trauma w/o O.R. procedure |
20 |
$48,050 |
$28,882 |
$960,994 |
$577,630 |
5.85 |
Major biliary tract procedures |
19 |
$101,496 |
$61,007 |
$1,928,419 |
$1,159,127 |
17.21 |
Hand & wrist procedures |
19 |
$26,018 |
$15,639 |
$494,333 |
$297,133 |
2.79 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
19 |
$15,244 |
$9,163 |
$289,643 |
$174,098 |
3.32 |
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms |
19 |
$135,830 |
$81,644 |
$2,580,774 |
$1,551,243 |
21.58 |
Acute anxiety & delirium states |
19 |
$23,454 |
$14,098 |
$445,634 |
$267,859 |
11.58 |
Cervical spinal fusion & other back/neck proc exc disc excis/decomp |
18 |
$101,938 |
$61,273 |
$1,834,885 |
$1,102,909 |
15.39 |
Fracture of pelvis or dislocation of hip |
18 |
$53,374 |
$32,082 |
$960,737 |
$577,478 |
9.28 |
Disorders of personality & impulse control |
18 |
$14,023 |
$8,429 |
$252,405 |
$151,714 |
8.89 |
Extensive abdominal/thoracic procedures for mult significant trauma |
18 |
$116,127 |
$69,801 |
$2,090,277 |
$1,256,417 |
14.44 |
Other circulatory system procedures |
17 |
$161,897 |
$97,312 |
$2,752,241 |
$1,654,308 |
20.59 |
Other hepatobiliary, pancreas & abdominal procedures |
17 |
$74,679 |
$44,888 |
$1,269,548 |
$763,097 |
11.76 |
Malfunction, reaction, complic of orthopedic device or procedure |
17 |
$44,999 |
$27,048 |
$764,981 |
$459,814 |
7.41 |
Uterine & adnexa procedures for non-ovarian & non-adnexal malig |
17 |
$60,293 |
$36,241 |
$1,024,983 |
$616,092 |
7.88 |
Post-operative, post-traumatic, other device infections |
17 |
$51,385 |
$30,886 |
$873,546 |
$525,070 |
9.53 |
O.R. procedure for other complications of treatment |
17 |
$61,371 |
$36,889 |
$1,043,305 |
$627,108 |
9.29 |
Craniotomy for trauma |
16 |
$128,764 |
$77,397 |
$2,060,222 |
$1,238,352 |
17.31 |
Major respiratory & chest procedures |
16 |
$107,341 |
$64,520 |
$1,717,451 |
$1,032,320 |
15.56 |
Toxic effects of non-medicinal substances |
16 |
$19,527 |
$11,737 |
$312,424 |
$187,790 |
3.31 |
Bacterial & tuberculous infections of nervous system |
15 |
$103,030 |
$61,929 |
$1,545,453 |
$928,936 |
16.40 |
Spinal disorders & injuries |
14 |
$63,200 |
$37,988 |
$884,794 |
$531,828 |
20.57 |
Non-bacterial infections of nervous system exc viral meningitis |
14 |
$57,499 |
$34,561 |
$804,986 |
$483,860 |
9.43 |
Acute major eye infections |
14 |
$30,396 |
$18,270 |
$425,540 |
$255,782 |
5.36 |
Major stomach, esophageal & duodenal procedures |
14 |
$121,904 |
$73,274 |
$1,706,659 |
$1,025,833 |
17.07 |
Skin graft for skin & subcutaneous tissue diagnoses |
14 |
$68,510 |
$41,180 |
$959,146 |
$576,520 |
11.57 |
Breast procedures except mastectomy |
14 |
$35,428 |
$21,295 |
$495,991 |
$298,129 |
3.29 |
Urethral & transurethral procedures |
14 |
$25,938 |
$15,590 |
$363,125 |
$218,264 |
2.86 |
Malignancy, male reproductive system |
14 |
$112,185 |
$67,432 |
$1,570,592 |
$944,046 |
20.07 |
Allergic reactions |
14 |
$12,037 |
$7,235 |
$168,515 |
$101,292 |
1.57 |
Viral meningitis |
13 |
$29,717 |
$17,862 |
$386,318 |
$232,209 |
4.54 |
Ear, nose, mouth, throat, cranial/facial malignancies |
13 |
$120,755 |
$72,583 |
$1,569,816 |
$943,579 |
21.31 |
Cardiac arrest and shock |
13 |
$49,300 |
$29,633 |
$640,899 |
$385,228 |
6.31 |
Penis procedures |
13 |
$30,441 |
$18,298 |
$395,736 |
$237,868 |
3.92 |
Neonate bwt 1500-1999g w resp dist synd/oth maj resp cond |
13 |
$162,829 |
$97,873 |
$2,116,779 |
$1,272,348 |
24.77 |
Other mental health disorders |
13 |
$18,441 |
$11,085 |
$239,739 |
$144,103 |
11.23 |
Other significant hip and femur surgery |
12 |
$81,274 |
$48,852 |
$975,286 |
$586,222 |
11.50 |
Procedure w diag of rehab, aftercare or oth contact w health service |
12 |
$52,642 |
$31,642 |
$631,706 |
$379,704 |
12.92 |
HIV w multiple significant HIV related conditions |
12 |
$52,396 |
$31,494 |
$628,753 |
$377,928 |
8.58 |
Nontraumatic stupor & coma |
11 |
$72,338 |
$43,481 |
$795,717 |
$478,287 |
10.36 |
Major cranial/facial bone procedures |
11 |
$113,345 |
$68,129 |
$1,246,791 |
$749,418 |
16.45 |
Perm cardiac pacemaker implant w/o AMI, heart failure or shock |
11 |
$59,473 |
$35,748 |
$654,205 |
$393,226 |
8.55 |
Cardiac structural & valvular disorders |
11 |
$25,592 |
$15,383 |
$281,508 |
$169,208 |
3.64 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
11 |
$18,563 |
$11,158 |
$204,189 |
$122,733 |
2.91 |
Fracture of femur |
11 |
$46,048 |
$27,678 |
$506,525 |
$304,461 |
7.36 |
Neonate birthwt 500-749g w/o major procedure |
11 |
$557,941 |
$335,366 |
$6,137,353 |
$3,689,025 |
80.55 |
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms |
11 |
$127,811 |
$76,824 |
$1,405,918 |
$845,064 |
20.45 |
Extracranial vascular procedures |
10 |
$56,665 |
$34,060 |
$566,649 |
$340,600 |
6.50 |
Kidney & urinary tract malignancy |
10 |
$41,253 |
$24,797 |
$412,534 |
$247,965 |
6.10 |
Nephritis & nephrosis |
10 |
$55,578 |
$33,407 |
$555,779 |
$334,066 |
8.50 |
Other male reproductive system & related procedures |
10 |
$56,832 |
$34,160 |
$568,315 |
$341,602 |
6.40 |
Other O.R. proc for obstetric diagnoses except delivery diagnoses |
10 |
$8,920 |
$5,361 |
$89,200 |
$53,613 |
1.30 |
Other procedures of blood & blood-forming organs |
10 |
$62,547 |
$37,595 |
$625,467 |
$375,953 |
10.20 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
10 |
$73,239 |
$44,023 |
$732,394 |
$440,226 |
12.30 |
Ungroupable |
10 |
$284,303 |
$170,888 |
$2,843,025 |
$1,708,876 |
33.40 |
Major esophageal disorders |
9 |
$29,060 |
$17,467 |
$261,541 |
$157,207 |
4.67 |
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses |
9 |
$158,736 |
$95,412 |
$1,428,620 |
$858,709 |
26.89 |
Major skin disorders |
9 |
$26,922 |
$16,182 |
$242,301 |
$145,641 |
4.78 |
Transurethral prostatectomy |
9 |
$18,233 |
$10,959 |
$164,094 |
$98,634 |
2.44 |
BPD & oth chronic respiratory diseases arising in perinatal period |
8 |
$29,149 |
$17,521 |
$233,193 |
$140,167 |
4.50 |
Pituitary & adrenal procedures |
8 |
$81,073 |
$48,731 |
$648,582 |
$389,847 |
9.63 |
Neonate bwt 1250-1499g w or w/o other significant condition |
8 |
$174,693 |
$105,004 |
$1,397,544 |
$840,030 |
31.13 |
Neonate birthwt >2499g w congenital/perinatal infection |
8 |
$15,045 |
$9,043 |
$120,358 |
$72,345 |
3.50 |
Orbital procedures |
7 |
$52,207 |
$31,380 |
$365,450 |
$219,663 |
7.43 |
Neonate birthwt 750-999g w/o major procedure |
7 |
$359,221 |
$215,919 |
$2,514,547 |
$1,511,436 |
56.00 |
Neonate bwt 2000-2499g w resp dist synd/oth maj resp cond |
7 |
$33,860 |
$20,352 |
$237,019 |
$142,466 |
6.86 |
Acute leukemia |
7 |
$126,632 |
$76,116 |
$886,424 |
$532,810 |
24.43 |
Other injury, poisoning & toxic effect diagnoses |
7 |
$18,276 |
$10,985 |
$127,932 |
$76,898 |
2.86 |
Partial thickness burns without skin graft |
7 |
$21,161 |
$12,719 |
$148,127 |
$89,036 |
3.43 |
Anal procedures |
6 |
$14,376 |
$8,641 |
$86,253 |
$51,845 |
1.67 |
Dorsal & lumbar fusion proc except for curvature of back |
6 |
$81,388 |
$48,921 |
$488,329 |
$293,523 |
10.00 |
Major male pelvic procedures |
6 |
$55,779 |
$33,528 |
$334,674 |
$201,166 |
5.67 |
D&C, aspiration curettage or hysterotomy for obstetric diagnoses |
6 |
$15,746 |
$9,464 |
$94,474 |
$56,786 |
2.33 |
Spinal procedures |
5 |
$109,549 |
$65,847 |
$547,745 |
$329,236 |
13.80 |
Other nervous system & related procedures |
5 |
$177,842 |
$106,897 |
$889,208 |
$534,484 |
33.80 |
Acute & subacute endocarditis |
5 |
$115,797 |
$69,603 |
$578,987 |
$348,014 |
20.80 |
Other stomach, esophageal & duodenal procedures |
5 |
$46,996 |
$28,249 |
$234,982 |
$141,243 |
7.40 |
Cholecystectomy except laparoscopic |
5 |
$54,672 |
$32,862 |
$273,358 |
$164,309 |
7.80 |
Intervertebral disc excision & decompression |
5 |
$43,386 |
$26,078 |
$216,928 |
$130,389 |
5.40 |
Other kidney, urinary tract & related procedures |
5 |
$45,043 |
$27,074 |
$225,213 |
$135,370 |
5.80 |
Neonate bwt <1500g w major procedure |
5 |
$402,644 |
$242,020 |
$2,013,221 |
$1,210,100 |
43.00 |
Neonate bwt 2000-2499g w major anomaly |
5 |
$60,477 |
$36,351 |
$302,385 |
$181,756 |
9.80 |
Cleft lip & palate repair |
4 |
$7,706 |
$4,632 |
$30,824 |
$18,527 |
1.25 |
Cardiac defibrillator & heart assist implant |
4 |
$52,188 |
$31,369 |
$208,751 |
$125,475 |
7.25 |
Other cardiothoracic & thoracic vascular procedures |
4 |
$35,670 |
$21,441 |
$142,680 |
$85,762 |
4.75 |
Major abdominal vascular procedures |
4 |
$50,295 |
$30,231 |
$201,178 |
$120,924 |
8.50 |
Cardiac pacemaker & defibrillator device replacement |
4 |
$45,090 |
$27,103 |
$180,361 |
$108,410 |
7.00 |
Gastrointestinal vascular insufficiency |
4 |
$28,526 |
$17,146 |
$114,104 |
$68,585 |
4.50 |
Major bladder procedures |
4 |
$133,203 |
$80,066 |
$532,811 |
$320,262 |
17.25 |
Kidney & urinary tract procedures for malignancy |
4 |
$31,759 |
$19,090 |
$127,037 |
$76,358 |
2.25 |
Vaginal delivery w sterilization &/or D&C |
4 |
$10,993 |
$6,607 |
$43,970 |
$26,429 |
2.25 |
False labor |
4 |
$14,570 |
$8,758 |
$58,280 |
$35,030 |
3.00 |
Neonate, transferred < 5 days old, born here |
4 |
$12,328 |
$7,410 |
$49,310 |
$29,640 |
1.50 |
Neonate bwt <500g or GA <24 weeks |
4 |
$221,928 |
$133,396 |
$887,713 |
$533,585 |
29.25 |
Neonate birthwt 1000-1249g w or w/o other significant condition |
4 |
$270,167 |
$162,391 |
$1,080,667 |
$649,564 |
44.00 |
Neonate bwt 2000-2499g w other significant condition |
4 |
$73,262 |
$44,036 |
$293,049 |
$176,144 |
16.75 |
Percutaneous coronary intervention w/o AMI |
3 |
$19,508 |
$11,726 |
$58,525 |
$35,177 |
2.67 |
Cardiomyopathy |
3 |
$17,241 |
$10,363 |
$51,723 |
$31,090 |
2.33 |
Dorsal & lumbar fusion proc for curvature of back |
3 |
$33,589 |
$20,190 |
$100,768 |
$60,569 |
3.33 |
Pelvic evisceration, radical hysterectomy & other radical GYN procs |
3 |
$33,862 |
$20,354 |
$101,587 |
$61,062 |
3.67 |
Neonate bwt 1000-1249g w resp dist synd/oth maj resp or maj anom |
3 |
$280,164 |
$168,400 |
$840,493 |
$505,201 |
44.33 |
Neonate bwt 1250-1499g w resp dist synd/oth maj resp or maj anom |
3 |
$156,862 |
$94,287 |
$470,587 |
$282,860 |
32.33 |
Neonate bwt 2000-2499g w congenital/perinatal infection |
3 |
$20,419 |
$12,273 |
$61,257 |
$36,820 |
5.33 |
Radiotherapy |
3 |
$33,622 |
$20,210 |
$100,867 |
$60,630 |
6.33 |
Major larynx & trachea procedures |
2 |
$266,514 |
$160,195 |
$533,027 |
$320,390 |
39.50 |
Shoulder & elbow joint replacement |
2 |
$35,750 |
$21,489 |
$71,500 |
$42,978 |
4.00 |
Other procedures for endocrine, nutritional & metabolic disorders |
2 |
$80,797 |
$48,565 |
$161,593 |
$97,130 |
10.00 |
Female reproductive system reconstructive procedures |
2 |
$12,004 |
$7,216 |
$24,008 |
$14,431 |
2.00 |
Neonate birthwt >2499g w other major procedure |
2 |
$519,594 |
$312,316 |
$1,039,188 |
$624,632 |
70.50 |
Splenectomy |
2 |
$38,427 |
$23,098 |
$76,854 |
$46,195 |
5.00 |
Ventricular shunt procedures |
1 |
$36,487 |
$21,932 |
$36,487 |
$21,932 |
3.00 |
Nonspecific CVA & precerebral occlusion w/o infarct |
1 |
$22,888 |
$13,757 |
$22,888 |
$13,757 |
1.00 |
Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma |
1 |
$10,856 |
$6,525 |
$10,856 |
$6,525 |
1.00 |
Other major head & neck procedures |
1 |
$21,685 |
$13,034 |
$21,685 |
$13,034 |
4.00 |
Cardiac pacemaker & defibrillator revision except device replacement |
1 |
$89,495 |
$53,794 |
$89,495 |
$53,794 |
17.00 |
Other bladder procedures |
1 |
$32,174 |
$19,339 |
$32,174 |
$19,339 |
1.00 |
Uterine & adnexa procedures for ovarian & adnexal malignancy |
1 |
$66,950 |
$40,242 |
$66,950 |
$40,242 |
6.00 |
Neonate bwt 1500-2499g w major procedure |
1 |
$71,402 |
$42,918 |
$71,402 |
$42,918 |
19.00 |
Neonate birthwt 1500-1999g w major anomaly |
1 |
$69,368 |
$41,695 |
$69,368 |
$41,695 |
11.00 |
Neonate birthwt 1500-1999g w congenital/perinatal infection |
1 |
$58,821 |
$35,356 |
$58,821 |
$35,356 |
9.00 |
Chemotherapy for acute leukemia |
1 |
$37,047 |
$22,268 |
$37,047 |
$22,268 |
7.00 |
Mental illness diagnosis w O.R. procedure |
1 |
$115,381 |
$69,353 |
$115,381 |
$69,353 |
18.00 |
Eating disorders |
1 |
$7,517 |
$4,518 |
$7,517 |
$4,518 |
4.00 |