NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM |
3991 |
$9,911 |
$1,349 |
$39,556,142 |
$5,382,894 |
1.92 |
VAGINAL DELIVERY |
3063 |
$18,673 |
$8,863 |
$57,194,066 |
$27,148,259 |
2.19 |
SEPTICEMIA & DISSEMINATED INFECTIONS |
1680 |
$89,721 |
$24,255 |
$150,731,392 |
$40,747,865 |
9.45 |
CESAREAN SECTION W/O STERILIZATION |
1317 |
$26,422 |
$11,826 |
$34,797,263 |
$15,575,326 |
3.22 |
MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS |
1074 |
$64,538 |
$16,562 |
$69,313,340 |
$17,787,754 |
8.33 |
HEART FAILURE |
858 |
$57,590 |
$14,828 |
$49,412,494 |
$12,722,466 |
6.88 |
PERCUTANEOUS CARDIAC INTERVENTION W/O AMI |
346 |
$111,214 |
$30,978 |
$38,480,139 |
$10,718,545 |
4.24 |
KIDNEY & URINARY TRACT INFECTIONS |
344 |
$43,010 |
$11,205 |
$14,795,415 |
$3,854,460 |
5.15 |
REHABILITATION |
343 |
$94,839 |
$34,205 |
$32,529,606 |
$11,732,243 |
13.03 |
CVA & PRECEREBRAL OCCLUSION W INFARCT |
334 |
$84,881 |
$19,516 |
$28,350,243 |
$6,518,322 |
6.77 |
SICKLE CELL ANEMIA CRISIS |
328 |
$37,988 |
$10,935 |
$12,460,074 |
$3,586,748 |
5.08 |
DIABETES |
318 |
$39,820 |
$10,882 |
$12,662,817 |
$3,460,469 |
4.59 |
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS |
298 |
$41,096 |
$10,143 |
$12,246,648 |
$3,022,559 |
4.13 |
OTHER PNEUMONIA |
291 |
$43,929 |
$11,795 |
$12,783,338 |
$3,432,478 |
5.39 |
ANTEPARTUM W/O O.R. PROCEDURE |
274 |
$20,543 |
$5,352 |
$5,628,883 |
$1,466,351 |
2.44 |
ACUTE KIDNEY INJURY |
250 |
$64,397 |
$16,445 |
$16,099,185 |
$4,111,332 |
7.41 |
PERIPHERAL & OTHER VASCULAR DISORDERS |
248 |
$48,655 |
$12,039 |
$12,066,496 |
$2,985,707 |
5.63 |
OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS |
248 |
$33,921 |
$9,332 |
$8,412,446 |
$2,314,331 |
3.50 |
KNEE JOINT REPLACEMENT |
244 |
$50,848 |
$22,081 |
$12,406,965 |
$5,387,814 |
3.30 |
CHRONIC OBSTRUCTIVE PULMONARY DISEASE |
243 |
$48,219 |
$12,207 |
$11,717,187 |
$2,966,287 |
6.01 |
CELLULITIS & OTHER SKIN INFECTIONS |
241 |
$40,082 |
$10,202 |
$9,659,723 |
$2,458,570 |
4.80 |
CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS |
241 |
$85,672 |
$20,991 |
$20,646,876 |
$5,058,739 |
7.24 |
OTHER DIGESTIVE SYSTEM DIAGNOSES |
236 |
$44,169 |
$12,265 |
$10,423,955 |
$2,894,523 |
4.94 |
SEIZURE |
233 |
$42,270 |
$12,913 |
$9,848,950 |
$3,008,671 |
4.03 |
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS |
224 |
$56,958 |
$15,262 |
$12,758,503 |
$3,418,793 |
7.12 |
OTHER GASTROENTERITIS, NAUSEA & VOMITING |
223 |
$33,477 |
$9,078 |
$7,465,295 |
$2,024,363 |
3.86 |
ASTHMA |
205 |
$31,490 |
$9,483 |
$6,455,457 |
$1,944,036 |
3.95 |
PEPTIC ULCER & GASTRITIS |
196 |
$47,931 |
$14,055 |
$9,394,476 |
$2,754,697 |
4.92 |
INFECTIONS OF UPPER RESPIRATORY TRACT |
194 |
$27,204 |
$8,128 |
$5,277,510 |
$1,576,848 |
3.36 |
OTHER DISORDERS OF NERVOUS SYSTEM |
185 |
$73,154 |
$22,133 |
$13,533,516 |
$4,094,546 |
8.58 |
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS |
183 |
$43,443 |
$11,731 |
$7,950,074 |
$2,146,716 |
4.36 |
INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE |
183 |
$168,793 |
$50,234 |
$30,889,092 |
$9,192,909 |
16.21 |
OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES |
181 |
$51,654 |
$11,922 |
$9,349,420 |
$2,157,865 |
5.56 |
SYNCOPE & COLLAPSE |
173 |
$38,184 |
$9,124 |
$6,605,829 |
$1,578,467 |
3.66 |
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES |
168 |
$40,730 |
$10,301 |
$6,842,713 |
$1,730,620 |
4.76 |
NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM |
164 |
$18,321 |
$3,484 |
$3,004,629 |
$571,394 |
2.62 |
MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC |
157 |
$59,437 |
$16,275 |
$9,331,586 |
$2,555,104 |
6.83 |
HYPERTENSION |
144 |
$36,687 |
$8,803 |
$5,282,891 |
$1,267,617 |
3.69 |
HIP JOINT REPLACEMENT |
143 |
$65,305 |
$25,748 |
$9,338,629 |
$3,681,994 |
4.64 |
OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE |
142 |
$58,007 |
$16,593 |
$8,236,942 |
$2,356,229 |
6.11 |
DISORDERS OF PANCREAS EXCEPT MALIGNANCY |
137 |
$45,896 |
$11,153 |
$6,287,808 |
$1,527,972 |
4.67 |
DISORDERS OF GALLBLADDER & BILIARY TRACT |
134 |
$40,443 |
$10,203 |
$5,419,348 |
$1,367,151 |
4.13 |
INTESTINAL OBSTRUCTION |
128 |
$37,995 |
$9,343 |
$4,863,421 |
$1,195,843 |
4.58 |
PROCEDURES FOR OBESITY |
127 |
$23,414 |
$12,072 |
$2,973,599 |
$1,533,105 |
1.21 |
NEONATE BIRTHWT >2499G W MAJOR ANOMALY |
126 |
$49,000 |
$11,431 |
$6,173,962 |
$1,440,262 |
4.44 |
RESPIRATORY FAILURE |
125 |
$60,707 |
$16,621 |
$7,588,432 |
$2,077,618 |
6.68 |
DIVERTICULITIS & DIVERTICULOSIS |
123 |
$46,510 |
$12,778 |
$5,720,688 |
$1,571,686 |
5.01 |
ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS |
122 |
$26,654 |
$6,224 |
$3,251,782 |
$759,274 |
2.66 |
CHEST PAIN |
121 |
$22,007 |
$5,032 |
$2,662,875 |
$608,851 |
2.33 |
DIGESTIVE MALIGNANCY |
121 |
$78,754 |
$20,851 |
$9,529,285 |
$2,522,975 |
8.44 |
UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA |
121 |
$39,483 |
$17,227 |
$4,777,461 |
$2,084,451 |
2.98 |
ALCOHOL ABUSE & DEPENDENCE |
121 |
$51,599 |
$12,951 |
$6,243,422 |
$1,567,107 |
5.67 |
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS |
121 |
$255,191 |
$77,925 |
$30,878,092 |
$9,428,973 |
21.03 |
PERCUTANEOUS CARDIAC INTERVENTION W AMI |
118 |
$119,093 |
$29,033 |
$14,052,955 |
$3,425,864 |
4.57 |
CHOLECYSTECTOMY |
117 |
$54,086 |
$20,043 |
$6,328,097 |
$2,345,066 |
4.28 |
PULMONARY EMBOLISM |
116 |
$51,539 |
$12,166 |
$5,978,552 |
$1,411,260 |
5.08 |
RESPIRATORY MALIGNANCY |
112 |
$74,178 |
$18,348 |
$8,307,925 |
$2,054,943 |
7.92 |
HIP & FEMUR FRACTURE REPAIR |
112 |
$74,664 |
$26,489 |
$8,362,331 |
$2,966,735 |
5.96 |
MAJOR SMALL BOWEL PROCEDURES |
111 |
$110,785 |
$36,659 |
$12,297,098 |
$4,069,185 |
10.51 |
MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS |
106 |
$78,533 |
$19,871 |
$8,324,487 |
$2,106,333 |
8.38 |
OTHER ESOPHAGEAL DISORDERS |
104 |
$33,406 |
$8,898 |
$3,474,260 |
$925,385 |
3.59 |
PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS |
104 |
$47,895 |
$11,476 |
$4,981,076 |
$1,193,546 |
5.27 |
NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION |
103 |
$35,963 |
$8,260 |
$3,704,142 |
$850,763 |
3.74 |
CESAREAN SECTION W STERILIZATION |
100 |
$26,619 |
$12,184 |
$2,661,878 |
$1,218,356 |
2.82 |
SCHIZOPHRENIA |
98 |
$107,561 |
$37,240 |
$10,540,956 |
$3,649,560 |
18.94 |
KNEE & LOWER LEG PROCEDURES EXCEPT FOOT |
96 |
$60,581 |
$23,236 |
$5,815,790 |
$2,230,700 |
4.80 |
MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
96 |
$128,708 |
$39,669 |
$12,356,011 |
$3,808,191 |
10.81 |
HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE |
95 |
$54,145 |
$13,724 |
$5,143,759 |
$1,303,733 |
3.92 |
PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK |
95 |
$90,494 |
$23,458 |
$8,596,967 |
$2,228,502 |
5.17 |
OTHER PERIPHERAL VASCULAR PROCEDURES |
94 |
$83,324 |
$29,288 |
$7,832,410 |
$2,753,053 |
6.86 |
SKIN ULCERS |
94 |
$50,901 |
$13,247 |
$4,784,730 |
$1,245,212 |
6.18 |
AMPUTATION OF LOWER LIMB EXCEPT TOES |
93 |
$102,878 |
$32,585 |
$9,567,626 |
$3,030,447 |
10.66 |
ACUTE MYOCARDIAL INFARCTION |
90 |
$60,379 |
$14,676 |
$5,434,154 |
$1,320,826 |
4.84 |
MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES |
85 |
$66,649 |
$22,600 |
$5,665,180 |
$1,920,988 |
10.99 |
CHRONIC KIDNEY DISEASE |
84 |
$48,421 |
$13,975 |
$4,067,382 |
$1,173,908 |
5.26 |
POISONING OF MEDICINAL AGENTS |
81 |
$35,852 |
$9,178 |
$2,904,040 |
$743,388 |
3.47 |
VAGINAL DELIVERY W O.R. PROCEDURE EXCEPT STERILIZATION &/OR D&C |
81 |
$19,357 |
$7,862 |
$1,567,925 |
$636,815 |
2.36 |
OTHER CIRCULATORY SYSTEM DIAGNOSES |
80 |
$55,037 |
$14,237 |
$4,402,954 |
$1,138,959 |
5.49 |
MAJOR LARGE BOWEL PROCEDURES |
78 |
$92,284 |
$31,715 |
$7,198,159 |
$2,473,789 |
8.53 |
OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES |
78 |
$40,309 |
$10,357 |
$3,144,084 |
$807,862 |
3.96 |
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS |
76 |
$26,843 |
$11,881 |
$2,040,093 |
$902,986 |
1.34 |
TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE |
74 |
$583,138 |
$186,838 |
$43,152,237 |
$13,825,987 |
48.84 |
TRANSIENT ISCHEMIA |
74 |
$49,131 |
$9,870 |
$3,635,702 |
$730,354 |
3.49 |
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS |
74 |
$64,582 |
$18,007 |
$4,779,088 |
$1,332,535 |
7.39 |
SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS |
74 |
$34,914 |
$9,149 |
$2,583,665 |
$677,054 |
4.08 |
HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS |
71 |
$35,120 |
$8,831 |
$2,493,494 |
$627,009 |
4.04 |
OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES |
71 |
$51,265 |
$15,745 |
$3,639,829 |
$1,117,924 |
4.92 |
VERTIGO & OTHER LABYRINTH DISORDERS |
69 |
$34,142 |
$6,871 |
$2,355,798 |
$474,124 |
3.28 |
FOOT & TOE PROCEDURES |
69 |
$66,269 |
$22,079 |
$4,572,557 |
$1,523,449 |
6.35 |
ALCOHOLIC LIVER DISEASE |
68 |
$72,271 |
$18,207 |
$4,914,400 |
$1,238,051 |
7.46 |
DEFIBRILLATOR IMPLANTS |
67 |
$232,656 |
$66,443 |
$15,587,963 |
$4,451,657 |
9.39 |
CONNECTIVE TISSUE DISORDERS |
66 |
$85,052 |
$23,031 |
$5,613,453 |
$1,520,021 |
8.56 |
COAGULATION & PLATELET DISORDERS |
66 |
$67,675 |
$16,489 |
$4,466,539 |
$1,088,255 |
5.50 |
MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS |
65 |
$47,663 |
$12,653 |
$3,098,071 |
$822,428 |
6.05 |
NON-HYPOVOLEMIC SODIUM DISORDERS |
65 |
$50,098 |
$11,834 |
$3,256,397 |
$769,224 |
5.68 |
DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK |
62 |
$99,499 |
$42,005 |
$6,168,961 |
$2,604,292 |
4.74 |
URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION |
62 |
$31,616 |
$10,649 |
$1,960,218 |
$660,252 |
2.65 |
OTHER DISORDERS OF THE LIVER |
62 |
$65,687 |
$16,670 |
$4,072,595 |
$1,033,527 |
7.05 |
LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA |
61 |
$82,475 |
$19,932 |
$5,030,997 |
$1,215,856 |
7.69 |
BIPOLAR DISORDERS |
61 |
$64,376 |
$22,649 |
$3,926,920 |
$1,381,600 |
10.82 |
SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT |
60 |
$46,861 |
$18,925 |
$2,811,684 |
$1,135,513 |
2.82 |
ALTERATION IN CONSCIOUSNESS |
60 |
$69,691 |
$20,554 |
$4,181,455 |
$1,233,259 |
8.28 |
MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS |
58 |
$50,721 |
$13,044 |
$2,941,824 |
$756,539 |
6.40 |
MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL |
58 |
$69,986 |
$16,456 |
$4,059,213 |
$954,449 |
7.40 |
INTRACRANIAL HEMORRHAGE |
57 |
$109,996 |
$30,491 |
$6,269,784 |
$1,737,990 |
8.75 |
NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND |
56 |
$73,708 |
$18,502 |
$4,127,661 |
$1,036,116 |
6.34 |
CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE |
55 |
$47,097 |
$10,646 |
$2,590,329 |
$585,538 |
3.02 |
FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK |
55 |
$49,743 |
$12,421 |
$2,735,844 |
$683,182 |
5.78 |
HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS |
54 |
$130,621 |
$34,266 |
$7,053,511 |
$1,850,366 |
11.28 |
BRONCHIOLITIS & RSV PNEUMONIA |
53 |
$31,298 |
$17,454 |
$1,658,771 |
$925,078 |
3.64 |
MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE |
53 |
$63,421 |
$18,239 |
$3,361,334 |
$966,647 |
6.62 |
INTERSTITIAL & ALVEOLAR LUNG DISEASES |
53 |
$52,724 |
$12,626 |
$2,794,352 |
$669,164 |
5.75 |
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES |
52 |
$42,234 |
$11,489 |
$2,196,169 |
$597,414 |
4.63 |
PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES |
52 |
$201,218 |
$84,934 |
$10,463,339 |
$4,416,544 |
5.08 |
OTHER COMPLICATIONS OF TREATMENT |
51 |
$35,322 |
$9,559 |
$1,801,414 |
$487,500 |
3.86 |
MAJOR CHEST & RESPIRATORY TRAUMA |
50 |
$50,778 |
$12,408 |
$2,538,923 |
$620,418 |
4.70 |
THYROID DISORDERS |
50 |
$55,743 |
$13,233 |
$2,787,168 |
$661,649 |
6.52 |
OTHER RESPIRATORY & CHEST PROCEDURES |
50 |
$108,892 |
$37,709 |
$5,444,609 |
$1,885,427 |
9.28 |
MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE |
50 |
$52,307 |
$15,173 |
$2,615,363 |
$758,650 |
6.28 |
MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG |
50 |
$110,462 |
$25,458 |
$5,523,118 |
$1,272,913 |
11.76 |
OTHER AFTERCARE & CONVALESCENCE |
49 |
$83,647 |
$28,960 |
$4,098,714 |
$1,419,043 |
11.06 |
EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
49 |
$151,639 |
$45,118 |
$7,430,305 |
$2,210,770 |
10.06 |
OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS |
49 |
$40,852 |
$11,465 |
$2,001,746 |
$561,780 |
4.49 |
FEVER & INFLAMMATORY CONDITIONS |
49 |
$24,471 |
$7,713 |
$1,199,090 |
$377,936 |
2.98 |
ACUTE ANXIETY & DELIRIUM STATES |
47 |
$34,159 |
$9,547 |
$1,605,481 |
$448,732 |
4.02 |
INTENTIONAL SELF-HARM & ATTEMPTED SUICIDE |
46 |
$36,972 |
$11,239 |
$1,700,728 |
$516,998 |
4.30 |
UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA |
45 |
$43,940 |
$18,374 |
$1,977,318 |
$826,808 |
3.13 |
URETHRAL & TRANSURETHRAL PROCEDURES |
43 |
$55,782 |
$19,090 |
$2,398,613 |
$820,852 |
5.37 |
LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR |
41 |
$74,971 |
$17,688 |
$3,073,822 |
$725,197 |
8.27 |
KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY |
40 |
$45,674 |
$17,764 |
$1,826,950 |
$710,565 |
4.18 |
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES |
40 |
$37,439 |
$9,841 |
$1,497,541 |
$393,632 |
3.50 |
NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
39 |
$111,500 |
$33,540 |
$4,348,519 |
$1,308,045 |
10.92 |
RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES |
39 |
$32,466 |
$8,193 |
$1,266,188 |
$319,526 |
3.85 |
OTHER ENDOCRINE DISORDERS |
39 |
$68,865 |
$17,168 |
$2,685,736 |
$669,559 |
6.21 |
OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS |
39 |
$61,565 |
$17,020 |
$2,401,026 |
$663,771 |
7.36 |
HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS |
39 |
$82,258 |
$20,741 |
$3,208,062 |
$808,906 |
8.69 |
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY |
38 |
$49,067 |
$12,451 |
$1,864,546 |
$473,126 |
5.05 |
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY |
38 |
$73,860 |
$19,126 |
$2,806,663 |
$726,797 |
8.16 |
OPEN CRANIOTOMY EXCEPT TRAUMA |
38 |
$133,255 |
$42,101 |
$5,063,683 |
$1,599,834 |
8.45 |
OTHER CIRCULATORY SYSTEM PROCEDURES |
38 |
$115,739 |
$36,452 |
$4,398,064 |
$1,385,187 |
11.37 |
VIRAL ILLNESS |
37 |
$40,703 |
$10,138 |
$1,506,016 |
$375,123 |
4.38 |
ALLERGIC REACTIONS |
37 |
$21,122 |
$6,962 |
$781,505 |
$257,577 |
2.16 |
OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS |
37 |
$60,916 |
$15,335 |
$2,253,905 |
$567,384 |
7.24 |
TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE |
36 |
$696,920 |
$218,388 |
$25,089,106 |
$7,861,975 |
50.92 |
HIV W MAJOR HIV RELATED CONDITION |
36 |
$56,093 |
$12,477 |
$2,019,353 |
$449,181 |
5.89 |
MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES |
36 |
$71,729 |
$16,919 |
$2,582,249 |
$609,088 |
7.19 |
ACUTE BRONCHITIS & RELATED SYMPTOMS |
35 |
$25,645 |
$6,495 |
$897,574 |
$227,318 |
2.94 |
CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE |
35 |
$45,349 |
$10,953 |
$1,587,215 |
$383,368 |
4.23 |
LOWER EXTREMITY ARTERIAL PROCEDURES |
35 |
$143,247 |
$46,191 |
$5,013,642 |
$1,616,699 |
14.14 |
OTHER CHEMOTHERAPY |
35 |
$54,405 |
$14,304 |
$1,904,170 |
$500,636 |
6.63 |
INTERVERTEBRAL DISC EXCISION & DECOMPRESSION |
35 |
$71,901 |
$25,821 |
$2,516,522 |
$903,749 |
6.49 |
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS |
34 |
$39,859 |
$18,611 |
$1,355,221 |
$632,783 |
3.47 |
CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP |
34 |
$85,720 |
$32,528 |
$2,914,482 |
$1,105,954 |
6.18 |
PERCUTANEOUS INTRA & EXTRACRANIAL VASCULAR PROCEDURES |
33 |
$148,701 |
$51,609 |
$4,907,139 |
$1,703,100 |
8.18 |
MAJOR PANCREAS, LIVER & SHUNT PROCEDURES |
33 |
$132,591 |
$44,875 |
$4,375,505 |
$1,480,875 |
10.18 |
NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION |
32 |
$118,097 |
$29,229 |
$3,779,117 |
$935,316 |
10.75 |
UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG |
32 |
$71,946 |
$27,187 |
$2,302,260 |
$869,996 |
5.50 |
TRANSURETHRAL PROSTATECTOMY |
32 |
$32,614 |
$13,343 |
$1,043,659 |
$426,978 |
2.72 |
DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE |
32 |
$21,055 |
$4,813 |
$673,748 |
$154,001 |
2.09 |
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES |
31 |
$88,373 |
$28,368 |
$2,739,559 |
$879,415 |
8.13 |
THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES |
29 |
$33,151 |
$15,718 |
$961,379 |
$455,824 |
1.76 |
MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA |
29 |
$166,738 |
$50,696 |
$4,835,402 |
$1,470,198 |
12.45 |
NERVOUS SYSTEM MALIGNANCY |
29 |
$75,415 |
$17,664 |
$2,187,045 |
$512,270 |
7.62 |
RENAL DIALYSIS ACCESS DEVICE PROCEDURES & VESSEL REPAIR |
29 |
$112,082 |
$35,423 |
$3,250,389 |
$1,027,256 |
10.38 |
MIGRAINE & OTHER HEADACHES |
28 |
$32,851 |
$6,698 |
$919,822 |
$187,555 |
2.75 |
MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES |
28 |
$134,701 |
$44,825 |
$3,771,615 |
$1,255,090 |
13.32 |
INFLAMMATORY BOWEL DISEASE |
28 |
$42,193 |
$10,691 |
$1,181,409 |
$299,347 |
4.93 |
FRACTURE OF PELVIS OR DISLOCATION OF HIP |
27 |
$48,105 |
$12,177 |
$1,298,830 |
$328,774 |
5.59 |
PERITONEAL ADHESIOLYSIS |
27 |
$65,727 |
$22,992 |
$1,774,636 |
$620,796 |
6.41 |
CORONARY BYPASS W/O AMI OR COMPLEX PDX |
27 |
$161,466 |
$56,162 |
$4,359,579 |
$1,516,384 |
9.93 |
POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE |
26 |
$106,976 |
$33,874 |
$2,781,379 |
$880,724 |
10.85 |
OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES |
26 |
$121,400 |
$37,608 |
$3,156,412 |
$977,817 |
11.23 |
MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
25 |
$107,395 |
$35,077 |
$2,684,883 |
$876,930 |
11.20 |
ABDOMINAL PAIN |
25 |
$30,847 |
$8,169 |
$771,175 |
$204,232 |
2.92 |
NEONATE BWT 1500-1999G W RESP DIST SYND/OTH MAJ RESP COND |
25 |
$290,813 |
$73,464 |
$7,270,317 |
$1,836,589 |
25.80 |
MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE |
24 |
$44,690 |
$13,073 |
$1,072,571 |
$313,758 |
4.63 |
MASTECTOMY PROCEDURES |
24 |
$48,267 |
$19,439 |
$1,158,398 |
$466,527 |
1.92 |
CARDIAC STRUCTURAL & VALVULAR DISORDERS |
24 |
$49,569 |
$16,592 |
$1,189,662 |
$398,212 |
4.75 |
FEMALE REPRODUCTIVE SYSTEM INFECTIONS |
23 |
$28,409 |
$6,113 |
$653,412 |
$140,604 |
2.87 |
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS |
23 |
$26,296 |
$6,558 |
$604,801 |
$150,831 |
2.61 |
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL |
23 |
$64,166 |
$24,456 |
$1,475,823 |
$562,490 |
4.43 |
OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS |
23 |
$106,041 |
$28,277 |
$2,438,953 |
$650,365 |
10.26 |
TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES |
22 |
$64,172 |
$22,759 |
$1,411,784 |
$500,703 |
6.00 |
NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND |
22 |
$127,300 |
$32,870 |
$2,800,606 |
$723,144 |
10.77 |
OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES |
22 |
$42,477 |
$20,780 |
$934,487 |
$457,170 |
2.09 |
OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES |
21 |
$43,199 |
$15,642 |
$907,170 |
$328,475 |
3.57 |
EYE INFECTIONS & OTHER EYE DISORDERS |
21 |
$30,421 |
$5,842 |
$638,839 |
$122,684 |
2.52 |
OTHER SIGNIFICANT HIP & FEMUR SURGERY |
21 |
$79,885 |
$28,869 |
$1,677,594 |
$606,253 |
7.00 |
SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES |
21 |
$71,844 |
$23,547 |
$1,508,714 |
$494,497 |
7.43 |
DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER |
21 |
$44,115 |
$16,623 |
$926,415 |
$349,081 |
7.33 |
OTHER INFECTIOUS & PARASITIC DISEASES |
21 |
$42,508 |
$12,642 |
$892,670 |
$265,486 |
4.90 |
HAND & WRIST PROCEDURES |
21 |
$32,556 |
$14,460 |
$683,676 |
$303,670 |
1.76 |
MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE |
21 |
$106,450 |
$26,982 |
$2,235,455 |
$566,629 |
8.67 |
OTHER NERVOUS SYSTEM & RELATED PROCEDURES |
20 |
$99,841 |
$28,884 |
$1,996,816 |
$577,687 |
8.60 |
CARDIAC VALVE PROCEDURES W/O AMI OR COMPLEX PDX |
20 |
$257,544 |
$82,428 |
$5,150,889 |
$1,648,554 |
16.10 |
NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION |
20 |
$55,999 |
$13,831 |
$1,119,978 |
$276,620 |
4.85 |
INSERTION, REVISION & REPLACEMENTS OF PACEMAKER & OTHER CARDIAC DEVICES |
19 |
$173,842 |
$49,099 |
$3,303,006 |
$932,880 |
8.42 |
SPINAL PROCEDURES |
18 |
$120,331 |
$37,289 |
$2,165,959 |
$671,199 |
9.83 |
OPIOID ABUSE & DEPENDENCE |
17 |
$48,116 |
$13,116 |
$817,971 |
$222,979 |
6.35 |
MAJOR RESPIRATORY & CHEST PROCEDURES |
17 |
$99,171 |
$37,325 |
$1,685,902 |
$634,527 |
6.88 |
INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES |
17 |
$50,098 |
$18,146 |
$851,669 |
$308,486 |
3.76 |
NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION |
17 |
$113,216 |
$27,397 |
$1,924,666 |
$465,751 |
10.59 |
FRACTURE OF FEMUR |
16 |
$52,101 |
$14,996 |
$833,618 |
$239,930 |
6.50 |
NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM |
16 |
$608,398 |
$156,950 |
$9,734,372 |
$2,511,206 |
51.50 |
ANTEPARTUM W O.R. PROCEDURE |
16 |
$40,236 |
$14,263 |
$643,776 |
$228,209 |
2.75 |
HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION |
15 |
$38,207 |
$11,056 |
$573,100 |
$165,840 |
4.33 |
SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES |
15 |
$93,685 |
$29,599 |
$1,405,279 |
$443,980 |
9.47 |
UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY |
15 |
$71,559 |
$26,420 |
$1,073,384 |
$396,295 |
5.93 |
MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS |
15 |
$81,934 |
$27,947 |
$1,229,004 |
$419,200 |
7.13 |
OTHER SMALL & LARGE BOWEL PROCEDURES |
15 |
$72,651 |
$25,995 |
$1,089,758 |
$389,924 |
6.27 |
EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES |
15 |
$136,442 |
$34,563 |
$2,046,636 |
$518,445 |
12.47 |
NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE |
15 |
$20,430 |
$4,953 |
$306,449 |
$74,291 |
1.20 |
KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY |
14 |
$53,444 |
$21,959 |
$748,220 |
$307,420 |
3.43 |
MAJOR ESOPHAGEAL DISORDERS |
14 |
$42,189 |
$13,548 |
$590,641 |
$189,677 |
3.79 |
CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA |
14 |
$38,644 |
$7,791 |
$541,010 |
$109,071 |
3.00 |
NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE |
14 |
$1,004,556 |
$264,438 |
$14,063,785 |
$3,702,126 |
83.43 |
NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS |
14 |
$76,020 |
$20,171 |
$1,064,284 |
$282,400 |
7.29 |
OPEN CRANIOTOMY FOR TRAUMA |
14 |
$185,089 |
$61,822 |
$2,591,242 |
$865,502 |
10.14 |
ACUTE LEUKEMIA |
13 |
$89,147 |
$21,898 |
$1,158,912 |
$284,678 |
9.77 |
SPINAL DISORDERS & INJURIES |
13 |
$146,545 |
$35,196 |
$1,905,085 |
$457,546 |
14.08 |
MALIGNANT BREAST DISORDERS |
13 |
$83,712 |
$19,874 |
$1,088,256 |
$258,366 |
9.31 |
TONSIL & ADENOID PROCEDURES |
13 |
$29,547 |
$14,456 |
$384,107 |
$187,925 |
2.15 |
PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS |
12 |
$46,568 |
$18,722 |
$558,812 |
$224,662 |
2.75 |
NEONATE BWT 2000-2499G W MAJOR ANOMALY |
12 |
$103,009 |
$24,866 |
$1,236,111 |
$298,395 |
8.58 |
DENTAL DISEASES & DISORDERS |
12 |
$18,850 |
$8,164 |
$226,196 |
$97,972 |
2.50 |
KIDNEY & URINARY TRACT MALIGNANCY |
12 |
$79,943 |
$21,696 |
$959,312 |
$260,354 |
9.42 |
GASTROINTESTINAL VASCULAR INSUFFICIENCY |
12 |
$44,107 |
$10,797 |
$529,287 |
$129,568 |
4.75 |
FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES |
11 |
$38,250 |
$17,792 |
$420,754 |
$195,710 |
1.91 |
EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
11 |
$158,694 |
$46,918 |
$1,745,636 |
$516,095 |
14.82 |
CARDIAC ARREST & SHOCK |
11 |
$96,441 |
$27,870 |
$1,060,849 |
$306,567 |
7.82 |
NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM |
11 |
$788,363 |
$206,465 |
$8,671,989 |
$2,271,111 |
65.73 |
HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND |
10 |
$40,532 |
$9,401 |
$405,321 |
$94,005 |
4.20 |
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT |
10 |
$82,768 |
$19,779 |
$827,680 |
$197,794 |
6.90 |
CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT |
10 |
$154,017 |
$41,340 |
$1,540,172 |
$413,396 |
9.40 |
OTHER DRUG ABUSE & DEPENDENCE |
10 |
$30,907 |
$9,514 |
$309,071 |
$95,138 |
4.60 |
OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES |
10 |
$104,984 |
$34,040 |
$1,049,841 |
$340,404 |
11.50 |
PENIS, TESTES & SCROTAL PROCEDURES |
9 |
$41,418 |
$16,134 |
$372,764 |
$145,204 |
3.22 |
ANAL PROCEDURES |
9 |
$41,548 |
$16,358 |
$373,932 |
$147,221 |
3.67 |
OTHER MENTAL HEALTH DISORDERS |
9 |
$41,281 |
$15,480 |
$371,527 |
$139,318 |
6.00 |
OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES |
9 |
$85,037 |
$28,059 |
$765,336 |
$252,527 |
8.00 |
MALIGNANCY, MALE REPRODUCTIVE SYSTEM |
9 |
$86,970 |
$20,548 |
$782,730 |
$184,929 |
10.00 |
MAJOR MALE PELVIC PROCEDURES |
9 |
$47,758 |
$21,490 |
$429,822 |
$193,408 |
2.78 |
OPEN EXTRACRANIAL VASCULAR PROCEDURES |
9 |
$88,484 |
$32,091 |
$796,352 |
$288,819 |
4.33 |
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM |
9 |
$193,165 |
$60,735 |
$1,738,482 |
$546,615 |
19.44 |
PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE |
9 |
$99,593 |
$37,531 |
$896,333 |
$337,779 |
10.00 |
MAJOR SKIN DISORDERS |
8 |
$34,448 |
$9,603 |
$275,587 |
$76,823 |
4.50 |
EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA |
8 |
$91,221 |
$27,019 |
$729,769 |
$216,148 |
6.25 |
MAJOR ABDOMINAL VASCULAR PROCEDURES |
8 |
$192,081 |
$65,293 |
$1,536,644 |
$522,340 |
10.25 |
ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES |
8 |
$36,335 |
$10,256 |
$290,679 |
$82,051 |
5.00 |
OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL & METABOLIC DISORDERS |
8 |
$73,433 |
$25,523 |
$587,462 |
$204,187 |
7.25 |
NEONATE BIRTHWT 1500-1999G W MAJOR ANOMALY |
8 |
$340,121 |
$87,501 |
$2,720,969 |
$700,009 |
29.00 |
CARDIOMYOPATHY |
7 |
$38,748 |
$9,905 |
$271,237 |
$69,333 |
3.57 |
NEPHRITIS & NEPHROSIS |
7 |
$65,115 |
$16,304 |
$455,807 |
$114,125 |
6.14 |
VAGINAL DELIVERY W STERILIZATION &/OR D&C |
7 |
$20,479 |
$10,767 |
$143,354 |
$75,371 |
2.29 |
DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES |
7 |
$74,912 |
$31,878 |
$524,383 |
$223,146 |
6.29 |
BEHAVIORAL DISORDERS |
7 |
$31,328 |
$15,362 |
$219,296 |
$107,537 |
5.29 |
SHOULDER & ELBOW JOINT REPLACEMENT |
6 |
$40,229 |
$20,365 |
$241,376 |
$122,187 |
1.50 |
MAJOR BILIARY TRACT PROCEDURES |
6 |
$241,165 |
$78,618 |
$1,446,989 |
$471,707 |
16.50 |
ORGANIC MENTAL HEALTH DISTURBANCES |
6 |
$72,552 |
$20,089 |
$435,312 |
$120,532 |
12.33 |
OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES |
6 |
$175,566 |
$54,447 |
$1,053,395 |
$326,684 |
10.50 |
OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES |
6 |
$66,372 |
$19,770 |
$398,234 |
$118,620 |
7.00 |
HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS |
6 |
$52,123 |
$13,215 |
$312,735 |
$79,289 |
4.83 |
VENTRICULAR SHUNT PROCEDURES |
5 |
$71,360 |
$28,530 |
$356,798 |
$142,649 |
4.40 |
NEONATE BWT <1500G W MAJOR PROCEDURE |
5 |
$1,679,492 |
$420,601 |
$8,397,459 |
$2,103,006 |
85.60 |
OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES |
5 |
$31,031 |
$6,998 |
$155,155 |
$34,988 |
2.60 |
SPLENECTOMY |
4 |
$171,142 |
$48,699 |
$684,567 |
$194,796 |
16.25 |
OTHER BLADDER PROCEDURES |
4 |
$81,768 |
$24,573 |
$327,072 |
$98,290 |
9.75 |
CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX |
4 |
$292,444 |
$86,849 |
$1,169,774 |
$347,397 |
17.50 |
NEONATE BIRTHWT 500-749G W/O MAJOR PROCEDURE |
4 |
$632,769 |
$172,204 |
$2,531,074 |
$688,816 |
50.25 |
OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS |
4 |
$82,773 |
$26,764 |
$331,093 |
$107,057 |
7.00 |
DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK |
4 |
$123,188 |
$61,922 |
$492,751 |
$247,688 |
5.00 |
ADRENAL PROCEDURES |
4 |
$54,128 |
$23,322 |
$216,511 |
$93,289 |
3.25 |
CORONARY BYPASS W AMI OR COMPLEX PDX |
4 |
$210,643 |
$67,244 |
$842,570 |
$268,974 |
14.75 |
COCAINE ABUSE & DEPENDENCE |
4 |
$65,334 |
$15,721 |
$261,336 |
$62,882 |
8.50 |
INBORN ERRORS OF METABOLISM |
4 |
$61,374 |
$17,076 |
$245,496 |
$68,305 |
6.75 |
NEONATE BWT < 500G, OR BWT 500-999G & GESTATIONAL AGE <24 WKS, OR BWT 500-749G W MAJOR ANOMALY OR W/O LIFE SUSTAINING IN |
4 |
$401,575 |
$112,474 |
$1,606,299 |
$449,895 |
27.00 |
OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES |
3 |
$101,511 |
$31,431 |
$304,532 |
$94,294 |
7.33 |
BREAST PROCEDURES EXCEPT MASTECTOMY |
3 |
$44,004 |
$16,862 |
$132,011 |
$50,587 |
4.00 |
MAJOR CRANIAL/FACIAL BONE PROCEDURES |
3 |
$110,890 |
$45,201 |
$332,669 |
$135,602 |
7.00 |
OTHER MAJOR HEAD & NECK PROCEDURES |
3 |
$113,869 |
$41,014 |
$341,606 |
$123,042 |
9.00 |
ACUTE & SUBACUTE ENDOCARDITIS |
3 |
$39,858 |
$9,676 |
$119,574 |
$29,028 |
4.33 |
MAJOR BLADDER PROCEDURES |
3 |
$350,699 |
$100,170 |
$1,052,098 |
$300,509 |
33.00 |
PARTIAL THICKNESS BURNS W/O SKIN GRAFT |
3 |
$43,567 |
$14,512 |
$130,702 |
$43,537 |
5.67 |
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES |
3 |
$35,963 |
$20,460 |
$107,888 |
$61,379 |
2.00 |
RADIOTHERAPY |
3 |
$104,682 |
$28,630 |
$314,047 |
$85,891 |
8.67 |
OTHER OPEN CRANIOTOMY |
2 |
$370,576 |
$124,766 |
$741,151 |
$249,531 |
17.00 |
UNGROUPABLE |
2 |
$8,800 |
$969 |
$17,599 |
$1,937 |
2.00 |
NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION |
2 |
$152,561 |
$37,780 |
$305,122 |
$75,559 |
14.00 |
NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
2 |
$99,967 |
$25,347 |
$199,934 |
$50,693 |
4.50 |
CYSTIC FIBROSIS - PULMONARY DISEASE |
2 |
$80,152 |
$23,011 |
$160,304 |
$46,022 |
7.50 |
ANOXIC & OTHER SEVERE BRAIN DAMAGE |
2 |
$94,927 |
$32,307 |
$189,854 |
$64,613 |
12.50 |
ORBIT & EYE PROCEDURES |
2 |
$35,477 |
$16,446 |
$70,954 |
$32,892 |
2.00 |
BURNS W SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS |
1 |
$104,500 |
$29,098 |
$104,500 |
$29,098 |
12.00 |
EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) |
1 |
$2,125,031 |
$595,655 |
$2,125,031 |
$595,655 |
120.00 |
VIRAL MENINGITIS |
1 |
$86,066 |
$19,204 |
$86,066 |
$19,204 |
11.00 |
PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK |
1 |
$352,332 |
$115,478 |
$352,332 |
$115,478 |
19.00 |
EXTENSIVE 3RD DEGREE BURNS W/O SKIN GRAFT |
1 |
$13,590 |
$3,607 |
$13,590 |
$3,607 |
2.00 |
NEONATE BWT 2000-2499G W CONGENITAL/PERINATAL INFECTION |
1 |
$23,755 |
$5,762 |
$23,755 |
$5,762 |
2.00 |
CHEMOTHERAPY FOR ACUTE LEUKEMIA |
1 |
$52,948 |
$23,499 |
$52,948 |
$23,499 |
3.00 |
OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES |
1 |
$223,213 |
$72,710 |
$223,213 |
$72,710 |
12.00 |
NEONATE BIRTHWT 1500-1999G W CONGENITAL/PERINATAL INFECTION |
1 |
$413,217 |
$102,890 |
$413,217 |
$102,890 |
37.00 |
NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION |
1 |
$550,832 |
$144,008 |
$550,832 |
$144,008 |
47.00 |
BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD |
1 |
$24,625 |
$13,399 |
$24,625 |
$13,399 |
2.00 |