Neonate birthwt >2499g, normal newborn or neonate w other problem |
858 |
$9,832 |
$7,816 |
$8,436,243 |
$6,705,913 |
2.86 |
Vaginal delivery |
601 |
$17,005 |
$10,060 |
$10,219,979 |
$6,046,042 |
3.11 |
Cesarean delivery |
538 |
$37,283 |
$16,064 |
$20,058,177 |
$8,642,213 |
4.68 |
Heart failure |
467 |
$35,348 |
$26,684 |
$16,507,669 |
$12,461,287 |
6.56 |
Septicemia & disseminated infections |
397 |
$59,599 |
$44,625 |
$23,660,758 |
$17,715,940 |
9.99 |
Seizure |
277 |
$21,700 |
$19,798 |
$6,010,986 |
$5,483,944 |
3.43 |
Sickle cell anemia crisis |
270 |
$30,353 |
$25,619 |
$8,195,235 |
$6,917,100 |
6.30 |
Other antepartum diagnoses |
243 |
$21,827 |
$7,270 |
$5,303,916 |
$1,766,637 |
4.67 |
Asthma |
199 |
$15,982 |
$16,616 |
$3,180,336 |
$3,306,508 |
2.85 |
Chronic obstructive pulmonary disease |
194 |
$29,631 |
$21,785 |
$5,748,397 |
$4,226,213 |
5.65 |
CVA & precerebral occlusion w infarct |
180 |
$56,031 |
$41,476 |
$10,085,623 |
$7,465,688 |
8.75 |
Diabetes |
176 |
$30,559 |
$24,179 |
$5,378,417 |
$4,255,503 |
5.31 |
Percutaneous coronary intervention w AMI |
171 |
$70,428 |
$34,288 |
$12,043,210 |
$5,863,216 |
4.84 |
Other disorders of nervous system |
158 |
$55,665 |
$33,744 |
$8,795,023 |
$5,331,628 |
10.55 |
Cardiac arrhythmia & conduction disorders |
151 |
$26,672 |
$19,203 |
$4,027,422 |
$2,899,703 |
4.01 |
Other pneumonia |
139 |
$26,872 |
$20,503 |
$3,735,209 |
$2,849,975 |
4.83 |
Rehabilitation |
127 |
$66,533 |
$36,041 |
$8,449,631 |
$4,577,221 |
13.02 |
Other anemia & disorders of blood & blood-forming organs |
118 |
$25,598 |
$18,014 |
$3,020,606 |
$2,125,640 |
4.24 |
Kidney & urinary tract infections |
116 |
$25,685 |
$18,869 |
$2,979,468 |
$2,188,789 |
5.03 |
Acute myocardial infarction |
112 |
$44,704 |
$31,114 |
$5,006,819 |
$3,484,804 |
6.24 |
Cardiac catheterization for other non-coronary conditions |
109 |
$54,522 |
$38,227 |
$5,942,894 |
$4,166,705 |
7.59 |
Acute Kidney Injury |
109 |
$45,464 |
$29,681 |
$4,955,625 |
$3,235,278 |
8.45 |
Cellulitis & other skin infections |
104 |
$27,265 |
$20,203 |
$2,835,589 |
$2,101,107 |
5.20 |
Knee joint replacement |
102 |
$89,491 |
$39,415 |
$9,128,090 |
$4,020,333 |
5.08 |
Other gastroenteritis, nausa & vomiting |
101 |
$19,567 |
$15,129 |
$1,976,234 |
$1,528,019 |
3.25 |
Other & unspecified gastrointestinal hemorrhage |
101 |
$33,778 |
$24,592 |
$3,411,569 |
$2,483,764 |
5.17 |
Percutaneous coronary intervention w/o AMI |
97 |
$65,876 |
$32,419 |
$6,390,018 |
$3,144,653 |
4.78 |
Angina pectoris & coronary atherosclerosis |
95 |
$20,844 |
$15,515 |
$1,980,227 |
$1,473,925 |
3.61 |
Syncope & collapse |
95 |
$25,852 |
$18,756 |
$2,455,965 |
$1,781,803 |
4.49 |
Moderately extensive procedure unrelated to principal diagnosis |
91 |
$130,974 |
$99,324 |
$11,918,609 |
$9,038,462 |
19.46 |
Respiratory Failure |
90 |
$41,283 |
$33,359 |
$3,715,500 |
$3,002,353 |
6.69 |
Infectious & parasitic diseases including HIV w O.R. procedure |
90 |
$124,045 |
$89,093 |
$11,164,069 |
$8,018,386 |
17.29 |
Electrolyte disorders except hypovolemia related |
88 |
$25,045 |
$17,958 |
$2,203,999 |
$1,580,313 |
4.39 |
Malfunction, reaction, complic of genitourinary device or proc |
86 |
$45,153 |
$32,306 |
$3,883,191 |
$2,778,354 |
7.69 |
Uterine & adnexa procedures for leiomyoma |
86 |
$42,287 |
$22,802 |
$3,636,648 |
$1,960,935 |
3.41 |
Other musculoskeletal system & connective tissue diagnoses |
78 |
$39,680 |
$28,413 |
$3,095,044 |
$2,216,221 |
7.46 |
Hypertension |
76 |
$20,063 |
$15,295 |
$1,524,772 |
$1,162,388 |
3.14 |
Intestinal obstruction |
73 |
$18,838 |
$11,701 |
$1,375,174 |
$854,158 |
3.25 |
Other digestive system diagnoses |
70 |
$23,798 |
$17,004 |
$1,665,846 |
$1,190,247 |
3.70 |
Peripheral, cranial & autonomic nerve disorders |
67 |
$27,374 |
$18,789 |
$1,834,084 |
$1,258,856 |
4.93 |
Bronchiolitis & RSV pneumonia |
65 |
$12,478 |
$15,614 |
$811,097 |
$1,014,929 |
2.29 |
Peripheral & other vascular disorders |
64 |
$31,444 |
$22,248 |
$2,012,404 |
$1,423,850 |
5.80 |
Pulmonary embolism |
63 |
$44,780 |
$32,362 |
$2,821,166 |
$2,038,799 |
7.48 |
Disorders of pancreas except malignancy |
62 |
$23,019 |
$15,302 |
$1,427,163 |
$948,753 |
3.90 |
Other peripheral vascular procedures |
61 |
$67,703 |
$45,842 |
$4,129,878 |
$2,796,340 |
8.15 |
Neonate birthwt >2499g w other significant condition |
61 |
$27,912 |
$22,372 |
$1,702,637 |
$1,364,679 |
4.72 |
Infections of upper respiratory tract |
58 |
$18,551 |
$15,621 |
$1,075,973 |
$905,990 |
2.97 |
Peptic ulcer & gastritis |
58 |
$37,775 |
$27,797 |
$2,190,947 |
$1,612,231 |
5.64 |
Diverticulitis & diverticulosis |
57 |
$26,186 |
$18,967 |
$1,492,603 |
$1,081,112 |
4.00 |
Kidney & urinary tract procedures for nonmalignancy |
54 |
$57,896 |
$39,840 |
$3,126,373 |
$2,151,380 |
5.85 |
Major small & large bowel procedures |
53 |
$105,107 |
$71,181 |
$5,570,697 |
$3,772,604 |
11.72 |
Connective tissue disorders |
53 |
$33,829 |
$27,665 |
$1,792,952 |
$1,466,227 |
5.83 |
Chronic Kidney Disease |
53 |
$37,992 |
$26,919 |
$2,013,592 |
$1,426,730 |
6.30 |
Preterm labor |
52 |
$19,573 |
$6,216 |
$1,017,808 |
$323,211 |
4.19 |
Hip joint replacement |
51 |
$95,085 |
$49,001 |
$4,849,310 |
$2,499,073 |
6.96 |
Uterine & adnexa procedures for non-malignancy except leiomyoma |
50 |
$44,606 |
$23,717 |
$2,230,314 |
$1,185,828 |
3.42 |
Cardiac catheterization for coronary artery disease |
49 |
$32,576 |
$20,673 |
$1,596,232 |
$1,012,977 |
3.29 |
Signs, symptoms & other factors influencing health status |
49 |
$20,630 |
$13,722 |
$1,010,849 |
$672,374 |
3.37 |
Kidney transplant |
47 |
$215,452 |
$127,835 |
$10,126,230 |
$6,008,226 |
10.98 |
Neonate birthwt >2499g w major anomaly |
45 |
$53,911 |
$39,718 |
$2,426,007 |
$1,787,308 |
8.78 |
Respiratory signs, symptoms & minor diagnoses |
43 |
$16,938 |
$12,583 |
$728,351 |
$541,078 |
2.56 |
Neonate bwt 2000-2499g, normal newborn or neonate w other problem |
43 |
$25,906 |
$21,331 |
$1,113,964 |
$917,229 |
4.88 |
HIV w major HIV related condition |
43 |
$31,019 |
$20,005 |
$1,333,813 |
$860,232 |
5.07 |
Transient ischemia |
42 |
$27,120 |
$18,696 |
$1,139,058 |
$785,242 |
3.57 |
Chest pain |
41 |
$11,708 |
$8,243 |
$480,043 |
$337,955 |
1.80 |
Major gastrointestinal & peritoneal infections |
40 |
$26,933 |
$20,667 |
$1,077,310 |
$826,683 |
5.30 |
Hypovolemia & related electrolyte disorders |
39 |
$31,455 |
$23,787 |
$1,226,736 |
$927,679 |
5.90 |
Postpartum & post abortion diagnoses w/o procedure |
39 |
$23,018 |
$9,949 |
$897,714 |
$387,993 |
3.72 |
Other Chemotherapy |
34 |
$28,273 |
$22,679 |
$961,292 |
$771,077 |
4.09 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
33 |
$37,794 |
$28,168 |
$1,247,202 |
$929,560 |
6.45 |
Cardiac defibrillator & heart assist implant |
33 |
$147,492 |
$65,909 |
$4,867,236 |
$2,174,989 |
10.70 |
Tonsil & adenoid procedures |
32 |
$18,200 |
$14,618 |
$582,394 |
$467,762 |
1.38 |
Vertigo & other labyrinth disorders |
32 |
$24,991 |
$17,235 |
$799,716 |
$551,504 |
4.31 |
Disorders of gallbladder & biliary tract |
32 |
$30,674 |
$21,462 |
$981,583 |
$686,798 |
4.19 |
Neonate birthwt >2499g w congenital/perinatal infection |
32 |
$48,086 |
$36,755 |
$1,538,746 |
$1,176,159 |
7.34 |
Degenerative nervous system disorders exc mult sclerosis |
31 |
$49,557 |
$37,628 |
$1,536,255 |
$1,166,474 |
10.61 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
31 |
$48,946 |
$28,033 |
$1,517,332 |
$869,038 |
6.42 |
Fever |
31 |
$20,106 |
$14,798 |
$623,290 |
$458,742 |
3.23 |
Migraine & other headaches |
30 |
$20,378 |
$13,598 |
$611,344 |
$407,944 |
2.87 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
30 |
$29,440 |
$19,203 |
$883,189 |
$576,090 |
3.80 |
Appendectomy |
30 |
$32,704 |
$23,862 |
$981,108 |
$715,870 |
2.80 |
Laparoscopic cholecystectomy |
30 |
$40,923 |
$27,157 |
$1,227,700 |
$814,703 |
3.93 |
Other endocrine disorders |
30 |
$23,556 |
$16,856 |
$706,684 |
$505,680 |
3.93 |
Alcohol abuse & dependence |
30 |
$20,978 |
$15,082 |
$629,340 |
$452,461 |
3.87 |
Other circulatory system diagnoses |
29 |
$32,058 |
$22,097 |
$929,684 |
$640,800 |
5.34 |
Abdominal pain |
28 |
$17,906 |
$12,246 |
$501,379 |
$342,896 |
2.86 |
Other back & neck disorders, fractures & injuries |
28 |
$34,583 |
$24,675 |
$968,335 |
$690,913 |
6.79 |
Coronary bypass w/o AMI or complex PDX |
26 |
$164,962 |
$113,260 |
$4,289,008 |
$2,944,768 |
11.08 |
Major respiratory infections & inflammations |
25 |
$47,743 |
$37,408 |
$1,193,576 |
$935,211 |
9.76 |
Other small & large bowel procedures |
25 |
$39,859 |
$27,940 |
$996,464 |
$698,495 |
4.48 |
Other kidney & urinary tract diagnoses, signs & symptoms |
24 |
$39,413 |
$27,740 |
$945,906 |
$665,770 |
6.67 |
HIV w multiple major HIV related conditions |
24 |
$81,983 |
$58,289 |
$1,967,584 |
$1,398,935 |
12.58 |
Respiratory malignancy |
23 |
$54,257 |
$37,513 |
$1,247,917 |
$862,801 |
8.78 |
Coronary bypass w AMI or complex PDX |
23 |
$192,679 |
$134,324 |
$4,431,620 |
$3,089,457 |
13.70 |
Perm cardiac pacemaker implant w/o AMI, heart failure or shock |
23 |
$88,174 |
$49,176 |
$2,028,001 |
$1,131,041 |
8.57 |
Cardiac pacemaker & defibrillator device replacement |
23 |
$132,111 |
$49,559 |
$3,038,553 |
$1,139,867 |
7.00 |
Other esophageal disorders |
23 |
$14,776 |
$11,211 |
$339,856 |
$257,842 |
2.30 |
Inflammatory bowel disease |
23 |
$25,073 |
$29,124 |
$576,686 |
$669,844 |
4.74 |
Amputation of lower limb except toes |
23 |
$151,441 |
$111,870 |
$3,483,150 |
$2,573,000 |
23.48 |
Male reproductive system diagnoses except malignancy |
23 |
$14,428 |
$10,929 |
$331,833 |
$251,357 |
2.35 |
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond |
23 |
$56,433 |
$39,898 |
$1,297,968 |
$917,653 |
7.70 |
Lower extremity arterial procedures |
22 |
$101,604 |
$69,627 |
$2,235,285 |
$1,531,798 |
9.86 |
Other complications of treatment |
22 |
$30,053 |
$24,556 |
$661,168 |
$540,239 |
5.23 |
Nontraumatic stupor & coma |
21 |
$23,023 |
$17,708 |
$483,486 |
$371,878 |
3.62 |
Digestive malignancy |
21 |
$56,747 |
$38,661 |
$1,191,696 |
$811,877 |
9.05 |
Skin ulcers |
21 |
$34,273 |
$24,317 |
$719,735 |
$510,667 |
6.29 |
Tracheostomy w MV 96+ hours w/o extensive procedure |
20 |
$459,030 |
$380,188 |
$9,180,599 |
$7,603,768 |
60.30 |
Other circulatory system procedures |
20 |
$65,138 |
$45,937 |
$1,302,766 |
$918,743 |
6.90 |
Malnutrition, failure to thrive & other nutritional disorders |
20 |
$29,152 |
$30,229 |
$583,032 |
$604,574 |
6.25 |
Lymphoma, myeloma & non-acute leukemia |
20 |
$50,686 |
$29,248 |
$1,013,712 |
$584,963 |
7.15 |
Viral illness |
20 |
$18,758 |
$17,579 |
$375,169 |
$351,570 |
3.35 |
Other aftercare & convalescence |
20 |
$56,346 |
$30,563 |
$1,126,910 |
$611,269 |
10.90 |
Other digestive system & abdominal procedures |
19 |
$81,558 |
$49,521 |
$1,549,600 |
$940,903 |
11.21 |
Malignancy of hepatobiliary system & pancreas |
19 |
$51,987 |
$34,657 |
$987,747 |
$658,477 |
8.63 |
Other skin, subcutaneous tissue & breast disorders |
19 |
$22,596 |
$18,345 |
$429,317 |
$348,547 |
4.89 |
Uterine & adnexa procedures for non-ovarian & non-adnexal malig |
19 |
$65,056 |
$34,072 |
$1,236,072 |
$647,373 |
5.37 |
Post-op, post-trauma, other device infections w O.R. procedure |
19 |
$89,821 |
$60,490 |
$1,706,600 |
$1,149,302 |
13.53 |
Post-operative, post-traumatic, other device infections |
19 |
$37,805 |
$24,227 |
$718,292 |
$460,308 |
6.16 |
Cardiac valve procedures w/o AMI or complex PDX |
18 |
$172,541 |
$111,494 |
$3,105,732 |
$2,006,888 |
10.11 |
Other stomach, esophageal & duodenal procedures |
18 |
$75,994 |
$52,564 |
$1,367,900 |
$946,145 |
10.94 |
Other hepatobiliary, pancreas & abdominal procedures |
18 |
$47,846 |
$33,093 |
$861,228 |
$595,665 |
7.56 |
Hip and femur fracture repair |
18 |
$120,341 |
$82,009 |
$2,166,130 |
$1,476,156 |
15.94 |
Nephritis & nephrosis |
18 |
$35,605 |
$39,189 |
$640,890 |
$705,403 |
5.78 |
Tracheostomy w MV 96+ hours w extensive procedure or ECMO |
17 |
$493,552 |
$333,095 |
$8,390,379 |
$5,662,607 |
46.24 |
Multiple sclerosis & other demyelinating diseases |
17 |
$70,376 |
$47,489 |
$1,196,393 |
$807,305 |
11.06 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
17 |
$22,915 |
$17,589 |
$389,562 |
$299,010 |
4.18 |
Other significant hip and femur surgery |
17 |
$100,629 |
$62,136 |
$1,710,700 |
$1,056,307 |
9.41 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
17 |
$53,622 |
$39,009 |
$911,582 |
$663,148 |
9.65 |
Coagulation & platelet disorders |
17 |
$35,712 |
$25,901 |
$607,110 |
$440,316 |
5.29 |
Nonextensive procedure unrelated to principal diagnosis |
17 |
$113,027 |
$72,572 |
$1,921,457 |
$1,233,724 |
14.29 |
Hernia procedures except inguinal, femoral & umbilical |
16 |
$49,898 |
$31,645 |
$798,366 |
$506,319 |
4.63 |
Dorsal & lumbar fusion proc for curvature of back |
16 |
$128,968 |
$57,210 |
$2,063,484 |
$915,367 |
3.44 |
Interstitial & alveolar lung diseases |
15 |
$44,568 |
$30,328 |
$668,515 |
$454,914 |
7.87 |
Menstrual & other female reproductive system disorders |
15 |
$26,745 |
$15,877 |
$401,173 |
$238,157 |
4.60 |
HIV w one signif HIV cond or w/o signif related cond |
15 |
$25,034 |
$17,090 |
$375,508 |
$256,344 |
3.73 |
Intracranial hemorrhage |
14 |
$25,163 |
$18,143 |
$352,277 |
$254,002 |
3.43 |
Respiratory system diagnosis w ventilator support 96+ hours |
14 |
$195,662 |
$158,378 |
$2,739,272 |
$2,217,296 |
25.86 |
Other cardiothoracic & thoracic vascular procedures |
14 |
$101,615 |
$64,960 |
$1,422,610 |
$909,441 |
10.64 |
Inguinal, femoral & umbilical hernia procedures |
14 |
$26,156 |
$18,520 |
$366,190 |
$259,274 |
2.14 |
Other disorders of the liver |
14 |
$31,563 |
$21,501 |
$441,880 |
$301,007 |
4.00 |
Dorsal & lumbar fusion proc except for curvature of back |
14 |
$138,045 |
$56,256 |
$1,932,628 |
$787,585 |
3.64 |
Other skin, subcutaneous tissue & related procedures |
14 |
$32,147 |
$23,475 |
$450,052 |
$328,648 |
4.64 |
Urinary stones & acquired upper urinary tract obstruction |
14 |
$21,523 |
$14,565 |
$301,319 |
$203,911 |
2.43 |
Major male pelvic procedures |
14 |
$67,838 |
$44,648 |
$949,735 |
$625,073 |
3.29 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
14 |
$16,365 |
$8,844 |
$229,106 |
$123,810 |
3.14 |
Malfunction, reaction, complic of orthopedic device or procedure |
13 |
$73,396 |
$55,078 |
$954,143 |
$716,010 |
13.77 |
Neonate bwt 1500-1999g w or w/o other significant condition |
13 |
$87,642 |
$72,487 |
$1,139,344 |
$942,337 |
14.31 |
Organic mental health disturbances |
13 |
$61,746 |
$48,486 |
$802,699 |
$630,317 |
14.54 |
Other male reproductive system & related procedures |
12 |
$61,790 |
$40,055 |
$741,474 |
$480,657 |
2.58 |
Pelvic evisceration, radical hysterectomy & other radical GYN procs |
12 |
$71,785 |
$36,716 |
$861,421 |
$440,591 |
5.58 |
Extensive procedure unrelated to principal diagnosis |
12 |
$190,771 |
$128,559 |
$2,289,252 |
$1,542,707 |
22.75 |
Knee & lower leg procedures except foot |
11 |
$101,543 |
$55,900 |
$1,116,971 |
$614,895 |
7.45 |
Uterine & adnexa procedures for ovarian & adnexal malignancy |
11 |
$79,875 |
$37,952 |
$878,620 |
$417,475 |
7.73 |
Other female reproductive system & related procedures |
11 |
$44,311 |
$24,895 |
$487,425 |
$273,844 |
5.27 |
Female reproductive system malignancy |
11 |
$61,480 |
$31,520 |
$676,279 |
$346,717 |
11.45 |
Neonate bwt 2000-2499g w other significant condition |
11 |
$62,247 |
$44,706 |
$684,720 |
$491,763 |
8.64 |
Extracranial vascular procedures |
10 |
$191,862 |
$136,828 |
$1,918,616 |
$1,368,284 |
27.40 |
Other ear, nose, mouth & throat procedures |
10 |
$44,941 |
$34,696 |
$449,411 |
$346,964 |
4.20 |
Malfunction, reaction & complication of GI device or procedure |
10 |
$33,216 |
$22,326 |
$332,161 |
$223,262 |
6.80 |
Cholecystectomy except laparoscopic |
10 |
$64,267 |
$43,113 |
$642,667 |
$431,131 |
7.20 |
Alcoholic liver disease |
10 |
$44,517 |
$29,880 |
$445,171 |
$298,804 |
8.50 |
Foot & toe procedures |
10 |
$57,094 |
$41,041 |
$570,939 |
$410,414 |
10.10 |
Cervical spinal fusion & other back/neck proc exc disc excis/decomp |
10 |
$92,958 |
$44,974 |
$929,581 |
$449,738 |
2.50 |
Fractures & dislocations except femur, pelvis & back |
10 |
$46,113 |
$34,238 |
$461,126 |
$342,381 |
8.20 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
10 |
$70,332 |
$49,845 |
$703,315 |
$498,454 |
11.60 |
Thyroid, parathyroid & thyroglossal procedures |
10 |
$31,016 |
$21,808 |
$310,161 |
$218,076 |
3.10 |
Kidney & urinary tract procedures for malignancy |
10 |
$86,537 |
$60,810 |
$865,374 |
$608,096 |
6.20 |
Female reproductive system infections |
10 |
$21,166 |
$7,993 |
$211,657 |
$79,934 |
3.60 |
Neonate bwt 1000-1249g w resp dist synd/oth maj resp or maj anom |
10 |
$470,224 |
$331,431 |
$4,702,240 |
$3,314,306 |
60.00 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
10 |
$36,030 |
$19,008 |
$360,300 |
$190,076 |
7.10 |
Acute anxiety & delirium states |
10 |
$17,079 |
$15,065 |
$170,793 |
$150,652 |
2.60 |
O.R. procedure for other complications of treatment |
10 |
$94,537 |
$45,638 |
$945,365 |
$456,376 |
11.00 |
Eye disorders except major infections |
9 |
$18,100 |
$14,496 |
$162,896 |
$130,461 |
2.56 |
Cardiac structural & valvular disorders |
9 |
$43,020 |
$33,997 |
$387,181 |
$305,977 |
6.67 |
Kidney & urinary tract malignancy |
9 |
$23,237 |
$15,605 |
$209,137 |
$140,442 |
4.22 |
Neonate bwt 1500-1999g w resp dist synd/oth maj resp cond |
9 |
$185,123 |
$135,483 |
$1,666,103 |
$1,219,350 |
25.00 |
Poisoning of medicinal agents |
9 |
$34,300 |
$23,285 |
$308,696 |
$209,569 |
5.00 |
Major respiratory & chest procedures |
8 |
$100,204 |
$75,861 |
$801,630 |
$606,890 |
8.75 |
Peritoneal adhesiolysis |
8 |
$62,224 |
$44,016 |
$497,792 |
$352,125 |
7.75 |
Other kidney, urinary tract & related procedures |
8 |
$85,499 |
$59,419 |
$683,991 |
$475,355 |
11.13 |
Testes & scrotal procedures |
8 |
$18,050 |
$13,975 |
$144,398 |
$111,798 |
1.00 |
Neonate bwt 2000-2499g w major anomaly |
8 |
$69,306 |
$47,579 |
$554,444 |
$380,628 |
10.75 |
Drug & alcohol abuse or dependence, left against medical advice |
8 |
$8,220 |
$5,411 |
$65,761 |
$43,291 |
1.38 |
Alcohol & drug dependence w rehab or rehab/detox therapy |
8 |
$14,886 |
$10,381 |
$119,086 |
$83,046 |
2.88 |
Procedure w diag of rehab, aftercare or oth contact w health service |
8 |
$123,776 |
$70,665 |
$990,207 |
$565,316 |
14.50 |
Spinal procedures |
7 |
$49,233 |
$31,609 |
$344,632 |
$221,260 |
5.14 |
Non-bacterial infections of nervous system exc viral meningitis |
7 |
$146,079 |
$111,199 |
$1,022,556 |
$778,392 |
22.29 |
Dental & oral diseases & injuries |
7 |
$11,149 |
$11,263 |
$78,040 |
$78,843 |
2.14 |
Other respiratory & chest procedures |
7 |
$105,775 |
$77,740 |
$740,425 |
$544,178 |
11.71 |
BPD & oth chronic respiratory diseases arising in perinatal period |
7 |
$14,967 |
$17,500 |
$104,769 |
$122,500 |
2.57 |
Hepatic coma & other major acute liver disorders |
7 |
$116,849 |
$82,142 |
$817,940 |
$574,996 |
19.86 |
Tendon, muscle & other soft tissue procedures |
7 |
$64,003 |
$45,359 |
$448,021 |
$317,512 |
9.14 |
Other musculoskeletal system & connective tissue procedures |
7 |
$62,154 |
$33,627 |
$435,081 |
$235,386 |
3.71 |
Malignant breast disorders |
7 |
$35,752 |
$23,383 |
$250,262 |
$163,680 |
4.86 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
7 |
$14,509 |
$12,955 |
$101,561 |
$90,683 |
2.43 |
Urethral & transurethral procedures |
7 |
$55,825 |
$32,531 |
$390,778 |
$227,715 |
6.43 |
D&C, aspiration curettage or hysterotomy for obstetric diagnoses |
7 |
$23,055 |
$10,737 |
$161,383 |
$75,161 |
2.29 |
Neonate bwt 2000-2499g w resp dist synd/oth maj resp cond |
7 |
$93,796 |
$74,571 |
$656,569 |
$521,995 |
14.00 |
Nervous system malignancy |
6 |
$30,316 |
$18,798 |
$181,895 |
$112,788 |
4.50 |
Bacterial & tuberculous infections of nervous system |
6 |
$55,319 |
$44,203 |
$331,912 |
$265,217 |
8.17 |
Eye procedures except orbit |
6 |
$31,056 |
$21,190 |
$186,334 |
$127,141 |
2.67 |
Acute major eye infections |
6 |
$35,111 |
$29,307 |
$210,663 |
$175,841 |
7.33 |
Major stomach, esophageal & duodenal procedures |
6 |
$71,311 |
$50,190 |
$427,868 |
$301,141 |
7.33 |
Major biliary tract procedures |
6 |
$60,905 |
$39,546 |
$365,430 |
$237,277 |
7.33 |
Shoulder, upper arm & forearm procedures except joint replacement |
6 |
$61,242 |
$32,395 |
$367,450 |
$194,367 |
2.67 |
Mastectomy procedures |
6 |
$69,111 |
$41,954 |
$414,667 |
$251,726 |
3.00 |
Major skin disorders |
6 |
$30,605 |
$28,462 |
$183,632 |
$170,770 |
6.00 |
Vaginal delivery w sterilization &/or D&C |
6 |
$24,821 |
$13,650 |
$148,924 |
$81,902 |
3.67 |
Neonate bwt 2000-2499g w congenital/perinatal infection |
6 |
$45,744 |
$37,432 |
$274,466 |
$224,589 |
7.33 |
Other infectious & parasitic diseases |
6 |
$24,090 |
$20,435 |
$144,539 |
$122,609 |
4.17 |
Major pancreas, liver & shunt procedures |
5 |
$271,332 |
$184,410 |
$1,356,661 |
$922,051 |
35.40 |
Fracture of femur |
5 |
$31,416 |
$28,410 |
$157,079 |
$142,052 |
6.20 |
Renal dialysis access device procedure only |
5 |
$27,555 |
$17,690 |
$137,773 |
$88,449 |
2.40 |
Dilation & curettage for non-obstetric diagnoses |
5 |
$46,367 |
$27,224 |
$231,833 |
$136,119 |
7.20 |
Acute leukemia |
5 |
$73,203 |
$44,459 |
$366,015 |
$222,295 |
11.40 |
HIV w multiple significant HIV related conditions |
5 |
$38,454 |
$26,768 |
$192,268 |
$133,839 |
7.80 |
Viral meningitis |
4 |
$17,258 |
$14,404 |
$69,031 |
$57,616 |
3.00 |
Ear, nose, mouth, throat, cranial/facial malignancies |
4 |
$38,319 |
$26,536 |
$153,276 |
$106,144 |
7.25 |
Major abdominal vascular procedures |
4 |
$260,127 |
$153,380 |
$1,040,506 |
$613,520 |
20.50 |
Major esophageal disorders |
4 |
$32,457 |
$21,702 |
$129,826 |
$86,807 |
4.00 |
Breast procedures except mastectomy |
4 |
$93,415 |
$50,352 |
$373,660 |
$201,408 |
3.25 |
Other procedures for endocrine, nutritional & metabolic disorders |
4 |
$170,459 |
$120,957 |
$681,836 |
$483,827 |
25.00 |
Malignancy, male reproductive system |
4 |
$83,568 |
$60,034 |
$334,271 |
$240,135 |
18.00 |
Female reproductive system reconstructive procedures |
4 |
$37,875 |
$20,855 |
$151,499 |
$83,421 |
1.50 |
False labor |
4 |
$18,353 |
$5,761 |
$73,413 |
$23,044 |
4.00 |
Neonate bwt <1500g w major procedure |
4 |
$784,412 |
$513,153 |
$3,137,647 |
$2,052,613 |
71.50 |
Neonate bwt 1250-1499g w resp dist synd/oth maj resp or maj anom |
4 |
$259,983 |
$197,446 |
$1,039,930 |
$789,785 |
35.75 |
Neonate birthwt 1500-1999g w major anomaly |
4 |
$149,951 |
$123,535 |
$599,803 |
$494,141 |
23.75 |
Neonate birthwt >2499g w other major procedure |
4 |
$509,570 |
$377,592 |
$2,038,280 |
$1,510,369 |
64.50 |
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms |
4 |
$78,077 |
$49,497 |
$312,309 |
$197,989 |
13.00 |
Spinal disorders & injuries |
3 |
$37,823 |
$21,140 |
$113,468 |
$63,421 |
5.33 |
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma |
3 |
$8,754 |
$6,765 |
$26,261 |
$20,295 |
1.00 |
Cardiac pacemaker & defibrillator revision except device replacement |
3 |
$435,946 |
$310,480 |
$1,307,839 |
$931,440 |
66.67 |
Acute & subacute endocarditis |
3 |
$55,187 |
$42,484 |
$165,560 |
$127,451 |
11.00 |
Cardiomyopathy |
3 |
$43,043 |
$25,445 |
$129,130 |
$76,336 |
8.67 |
Gastrointestinal vascular insufficiency |
3 |
$52,827 |
$42,733 |
$158,480 |
$128,199 |
7.00 |
Intervertebral disc excision & decompression |
3 |
$140,316 |
$114,998 |
$420,949 |
$344,994 |
21.00 |
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses |
3 |
$124,102 |
$91,139 |
$372,306 |
$273,418 |
12.33 |
Skin graft for skin & subcutaneous tissue diagnoses |
3 |
$66,022 |
$47,467 |
$198,065 |
$142,402 |
9.00 |
Other bladder procedures |
3 |
$45,292 |
$36,075 |
$135,877 |
$108,225 |
9.67 |
Other O.R. proc for obstetric diagnoses except delivery diagnoses |
3 |
$17,319 |
$8,125 |
$51,956 |
$24,374 |
2.00 |
Neonate birthwt 750-999g w/o major procedure |
3 |
$547,275 |
$420,765 |
$1,641,825 |
$1,262,294 |
76.33 |
Neonate birthwt 1500-1999g w congenital/perinatal infection |
3 |
$60,438 |
$50,008 |
$181,314 |
$150,023 |
10.00 |
Other procedures of blood & blood-forming organs |
3 |
$42,073 |
$34,435 |
$126,218 |
$103,305 |
4.67 |
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms |
3 |
$114,437 |
$66,353 |
$343,312 |
$199,059 |
16.67 |
Major depressive disorders & other/unspecified psychoses |
3 |
$17,242 |
$12,996 |
$51,725 |
$38,987 |
3.33 |
Orbital procedures |
2 |
$40,099 |
$28,497 |
$80,197 |
$56,993 |
3.00 |
Major cranial/facial bone procedures |
2 |
$261,022 |
$197,301 |
$522,043 |
$394,602 |
27.50 |
Other major head & neck procedures |
2 |
$168,725 |
$119,878 |
$337,449 |
$239,755 |
10.50 |
Cardiac valve procedures w AMI or complex PDX |
2 |
$263,598 |
$158,171 |
$527,196 |
$316,341 |
13.00 |
Shoulder & elbow joint replacement |
2 |
$78,080 |
$34,989 |
$156,159 |
$69,978 |
2.50 |
Fracture of pelvis or dislocation of hip |
2 |
$105,884 |
$77,020 |
$211,768 |
$154,039 |
21.50 |
Inborn errors of metabolism |
2 |
$10,835 |
$7,212 |
$21,670 |
$14,424 |
2.00 |
Neonate bwt <500g or GA <24 weeks |
2 |
$1,079,905 |
$659,747 |
$2,159,810 |
$1,319,493 |
82.00 |
Neonate birthwt 500-749g w/o major procedure |
2 |
$273,539 |
$203,815 |
$547,077 |
$407,630 |
35.00 |
Behavioral disorders |
2 |
$7,307 |
$9,403 |
$14,614 |
$18,806 |
1.00 |
Other mental health disorders |
2 |
$11,451 |
$9,853 |
$22,901 |
$19,706 |
1.50 |
Other nervous system & related procedures |
1 |
$258,993 |
$339,541 |
$258,993 |
$339,541 |
45.00 |
Nonspecific CVA & precerebral occlusion w/o infarct |
1 |
$46,841 |
$36,527 |
$46,841 |
$36,527 |
6.00 |
Head trauma w coma >1 hr or hemorrhage |
1 |
$3,564 |
$3,026 |
$3,564 |
$3,026 |
1.00 |
Major chest & respiratory trauma |
1 |
$13,412 |
$9,836 |
$13,412 |
$9,836 |
2.00 |
Permanent cardiac pacemaker implant w AMI, heart failure or shock |
1 |
$74,738 |
$36,306 |
$74,738 |
$36,306 |
4.00 |
Hand & wrist procedures |
1 |
$33,978 |
$23,860 |
$33,978 |
$23,860 |
4.00 |
Procedures for obesity |
1 |
$322,480 |
$472,565 |
$322,480 |
$472,565 |
69.00 |
Penis procedures |
1 |
$57,245 |
$22,235 |
$57,245 |
$22,235 |
1.00 |
Transurethral prostatectomy |
1 |
$63,883 |
$39,007 |
$63,883 |
$39,007 |
4.00 |
Neonate, transferred < 5 days old, born here |
1 |
$23,020 |
$10,511 |
$23,020 |
$10,511 |
1.00 |
Neonate birthwt 1000-1249g w or w/o other significant condition |
1 |
$346,397 |
$264,464 |
$346,397 |
$264,464 |
48.00 |
Mental illness diagnosis w O.R. procedure |
1 |
$14,636 |
$8,070 |
$14,636 |
$8,070 |
2.00 |
Disorders of personality & impulse control |
1 |
$13,062 |
$7,672 |
$13,062 |
$7,672 |
1.00 |
Toxic effects of non-medicinal substances |
1 |
$7,375 |
$6,731 |
$7,375 |
$6,731 |
1.00 |
Partial thickness burns without skin graft |
1 |
$93,755 |
$69,263 |
$93,755 |
$69,263 |
20.00 |