The University of Vermont Health Network - Champlain Valley Physicians Hospital

2017 Age Distribution

2017 Patient Race:

Black/African American153
Other Race199
White8,510

2017 Payers:

Blue Cross/Blue Shield 1,337
Department of Corrections 1
Federal/State/Local/VA 83
Medicaid 1,687
Medicare 4,130
Miscellaneous/Other 49
Private Health Insurance 1,078
Self-Pay 99
Unknown 398

Conditions treated in 2017

Click on a column header to sort ascending or descending.
DRG Count Avg. Charge Avg. Cost Sum all Charges Sum all Costs Avg. LOS
Neonate birthwt >2499g, normal newborn or neonate w other problem 773 $5,999 $2,258 $4,637,598 $1,745,110 2.09
Vaginal delivery 485 $14,870 $7,122 $7,212,184 $3,454,282 2.13
Septicemia & disseminated infections 428 $56,696 $24,436 $24,265,827 $10,458,809 7.93
Chronic obstructive pulmonary disease 344 $31,480 $13,424 $10,829,012 $4,617,883 5.19
Heart failure 315 $32,298 $13,847 $10,173,921 $4,361,799 5.32
Cesarean delivery 257 $22,567 $11,252 $5,799,595 $2,891,775 2.67
Respiratory Failure 217 $47,703 $21,348 $10,351,522 $4,632,466 6.94
Percutaneous coronary intervention w AMI 206 $83,511 $23,465 $17,203,242 $4,833,863 2.67
Knee joint replacement 200 $43,990 $18,028 $8,798,044 $3,605,664 2.80
Major depressive disorders & other/unspecified psychoses 196 $24,952 $13,397 $4,890,517 $2,625,820 8.13
Other pneumonia 195 $31,943 $13,482 $6,228,852 $2,628,979 5.48
Cardiac arrhythmia & conduction disorders 192 $21,450 $8,805 $4,118,484 $1,690,627 3.09
Acute myocardial infarction 153 $35,382 $12,722 $5,413,455 $1,946,470 3.69
Diabetes 129 $27,159 $10,820 $3,503,505 $1,395,803 3.96
Acute Kidney Injury 122 $36,091 $15,481 $4,403,044 $1,888,632 6.03
CVA & precerebral occlusion w infarct 116 $38,682 $13,126 $4,487,072 $1,522,634 5.02
Depression except major depressive disorder 116 $20,968 $11,112 $2,432,269 $1,289,034 6.53
Diverticulitis & diverticulosis 114 $26,182 $10,894 $2,984,754 $1,241,897 4.28
Kidney & urinary tract infections 113 $29,255 $12,080 $3,305,808 $1,365,030 5.27
Bipolar disorders 109 $30,439 $16,611 $3,317,848 $1,810,629 10.04
Major small & large bowel procedures 108 $71,549 $32,440 $7,727,317 $3,503,476 8.62
Other & unspecified gastrointestinal hemorrhage 103 $39,543 $18,035 $4,072,973 $1,857,652 5.17
Adjustment disorders & neuroses except depressive diagnoses 99 $19,723 $10,561 $1,952,602 $1,045,531 6.33
Major respiratory infections & inflammations 98 $49,751 $21,912 $4,875,564 $2,147,381 8.52
Cellulitis & other skin infections 95 $27,482 $11,870 $2,610,819 $1,127,633 5.26
Hip joint replacement 94 $47,886 $21,130 $4,501,289 $1,986,217 4.04
Percutaneous coronary intervention w/o AMI 84 $99,941 $27,759 $8,395,078 $2,331,760 3.92
Intestinal obstruction 84 $22,244 $8,675 $1,868,498 $728,682 4.11
Lower extremity arterial procedures 83 $71,908 $33,537 $5,968,347 $2,783,552 7.34
Other digestive system diagnoses 72 $28,849 $12,181 $2,077,116 $877,044 4.86
Disorders of pancreas except malignancy 68 $31,964 $11,508 $2,173,540 $782,526 5.04
Syncope & collapse 66 $29,137 $10,373 $1,923,064 $684,585 4.68
Behavioral disorders 62 $24,402 $13,880 $1,512,950 $860,538 8.66
Schizophrenia 61 $36,853 $20,017 $2,248,039 $1,221,058 11.79
Pulmonary embolism 60 $37,449 $14,894 $2,246,956 $893,644 5.10
Other gastroenteritis, nausa & vomiting 60 $21,751 $8,056 $1,305,066 $483,370 3.25
Infectious & parasitic diseases including HIV w O.R. procedure 60 $145,905 $65,434 $8,754,279 $3,926,066 21.40
Cardiac catheterization for other non-coronary conditions 58 $42,029 $13,755 $2,437,662 $797,815 3.59
Transient ischemia 55 $23,162 $6,379 $1,273,937 $350,818 2.07
Peptic ulcer & gastritis 54 $37,616 $16,768 $2,031,274 $905,447 4.57
Vaginal delivery w sterilization &/or D&C 54 $19,164 $9,280 $1,034,838 $501,134 2.20
Perm cardiac pacemaker implant w/o AMI, heart failure or shock 53 $82,568 $27,210 $4,376,082 $1,442,110 4.02
Major gastrointestinal & peritoneal infections 51 $38,791 $16,967 $1,978,323 $865,338 7.69
Extracranial vascular procedures 50 $28,517 $12,805 $1,425,874 $640,262 2.28
Hip and femur fracture repair 50 $56,247 $24,641 $2,812,341 $1,232,041 7.60
Laparoscopic cholecystectomy 46 $34,674 $13,966 $1,595,023 $642,458 3.33
Signs, symptoms & other factors influencing health status 46 $30,560 $12,273 $1,405,743 $564,578 5.54
Alcohol abuse & dependence 44 $30,697 $14,611 $1,350,669 $642,875 6.18
Other musculoskeletal system & connective tissue diagnoses 39 $24,162 $9,385 $942,316 $366,031 4.05
Hypovolemia & related electrolyte disorders 39 $27,316 $11,018 $1,065,311 $429,693 5.23
Poisoning of medicinal agents 39 $32,085 $13,643 $1,251,320 $532,089 4.54
Electrolyte disorders except hypovolemia related 38 $29,182 $11,719 $1,108,929 $445,335 4.16
Infections of upper respiratory tract 36 $26,399 $10,743 $950,347 $386,740 4.36
Other back & neck disorders, fractures & injuries 36 $30,633 $11,267 $1,102,792 $405,600 5.08
Other anemia & disorders of blood & blood-forming organs 35 $29,670 $12,019 $1,038,460 $420,672 3.66
Respiratory malignancy 34 $63,094 $26,720 $2,145,192 $908,474 9.79
Degenerative nervous system disorders exc mult sclerosis 33 $42,122 $18,919 $1,390,012 $624,322 10.36
Disorders of gallbladder & biliary tract 33 $36,251 $14,295 $1,196,299 $471,750 4.64
Knee & lower leg procedures except foot 32 $37,868 $17,058 $1,211,770 $545,868 4.63
Vaginal delivery w complicating procedures exc sterilization &/or D&C 32 $17,047 $8,217 $545,494 $262,932 2.34
Major abdominal vascular procedures 31 $112,661 $52,267 $3,492,497 $1,620,278 9.97
Peripheral & other vascular disorders 31 $26,614 $11,310 $825,044 $350,608 5.00
Amputation of lower limb except toes 31 $72,830 $35,266 $2,257,724 $1,093,233 13.55
Organic mental health disturbances 31 $64,299 $31,281 $1,993,269 $969,719 17.84
Other circulatory system diagnoses 30 $28,233 $10,722 $846,993 $321,653 4.10
Cardiac catheterization for coronary artery disease 28 $33,858 $9,664 $948,016 $270,593 2.07
Angina pectoris & coronary atherosclerosis 28 $28,033 $9,917 $784,919 $277,682 2.82
Other peripheral vascular procedures 27 $99,804 $43,838 $2,694,706 $1,183,639 7.19
Hypertension 27 $23,299 $7,997 $629,064 $215,917 2.78
Asthma 26 $24,507 $10,086 $637,170 $262,234 4.23
Other digestive system & abdominal procedures 26 $73,389 $31,236 $1,908,102 $812,124 8.27
Alcoholic liver disease 26 $35,553 $14,566 $924,379 $378,706 5.62
Neonate bwt 2000-2499g, normal newborn or neonate w other problem 26 $7,937 $2,690 $206,351 $69,939 3.04
Major hematologic/immunologic diag exc sickle cell crisis & coagul 26 $42,969 $18,537 $1,117,195 $481,958 6.85
Respiratory signs, symptoms & minor diagnoses 25 $28,800 $11,952 $720,009 $298,805 4.92
Inflammatory bowel disease 25 $28,048 $11,097 $701,193 $277,421 5.04
Cervical spinal fusion & other back/neck proc exc disc excis/decomp 25 $50,655 $22,011 $1,266,364 $550,287 2.92
Acute anxiety & delirium states 25 $27,325 $13,757 $683,132 $343,925 7.80
Moderately extensive procedure unrelated to principal diagnosis 24 $81,415 $34,222 $1,953,949 $821,331 9.33
Seizure 23 $24,257 $8,645 $557,903 $198,833 3.17
Other respiratory diagnoses except signs, symptoms & minor diagnoses 22 $28,172 $10,756 $619,780 $236,631 3.86
Foot & toe procedures 22 $42,129 $19,849 $926,830 $436,679 7.41
Fractures & dislocations except femur, pelvis & back 22 $21,749 $8,130 $478,476 $178,852 3.55
Peripheral, cranial & autonomic nerve disorders 21 $26,487 $9,272 $556,220 $194,706 3.57
Appendectomy 21 $42,499 $17,547 $892,472 $368,489 4.81
Other esophageal disorders 21 $36,233 $15,552 $760,898 $326,594 5.19
Major biliary tract procedures 21 $52,467 $23,017 $1,101,813 $483,357 6.90
Nonextensive procedure unrelated to principal diagnosis 21 $78,070 $32,357 $1,639,476 $679,503 11.67
Major respiratory & chest procedures 19 $82,118 $36,844 $1,560,239 $700,028 8.26
Other small & large bowel procedures 19 $36,063 $17,406 $685,194 $330,712 5.42
Fracture of pelvis or dislocation of hip 19 $29,869 $12,249 $567,517 $232,730 6.05
Other Chemotherapy 19 $41,163 $20,639 $782,100 $392,139 2.74
Post-operative, post-traumatic, other device infections 19 $42,970 $18,749 $816,439 $356,231 7.21
Gastrointestinal vascular insufficiency 18 $31,779 $13,428 $572,029 $241,710 4.56
Other kidney & urinary tract diagnoses, signs & symptoms 18 $28,683 $11,248 $516,290 $202,471 4.17
Major chest & respiratory trauma 17 $27,664 $10,539 $470,281 $179,164 4.82
Cardiac defibrillator & heart assist implant 17 $219,400 $64,653 $3,729,800 $1,099,100 4.53
Other hepatobiliary, pancreas & abdominal procedures 17 $48,603 $20,300 $826,254 $345,100 7.53
Lymphoma, myeloma & non-acute leukemia 17 $52,542 $22,353 $893,207 $380,001 8.35
Digestive malignancy 16 $72,199 $32,804 $1,155,181 $524,870 12.56
Abdominal pain 16 $22,784 $7,510 $364,544 $120,165 3.25
Urinary stones & acquired upper urinary tract obstruction 16 $30,159 $11,024 $482,549 $176,387 3.75
Neonate, transferred < 5 days old, born here 16 $7,049 $2,267 $112,791 $36,271 1.38
Extensive procedure unrelated to principal diagnosis 16 $108,146 $43,206 $1,730,328 $691,295 7.75
Nontraumatic stupor & coma 15 $26,514 $8,372 $397,709 $125,581 3.00
Uterine & adnexa procedures for non-malignancy except leiomyoma 15 $28,060 $12,960 $420,902 $194,405 2.00
Other disorders of nervous system 14 $32,074 $10,762 $449,036 $150,666 4.86
Vertigo & other labyrinth disorders 14 $21,160 $5,717 $296,237 $80,041 1.86
Fracture of femur 14 $24,197 $9,385 $338,762 $131,392 4.43
Other complications of treatment 14 $32,136 $14,808 $449,903 $207,311 5.00
Other respiratory & chest procedures 13 $58,344 $24,561 $758,467 $319,288 5.92
Hepatic coma & other major acute liver disorders 13 $47,209 $19,742 $613,713 $256,649 6.00
Other endocrine disorders 13 $32,179 $11,955 $418,326 $155,416 5.08
Nervous system malignancy 12 $59,934 $24,934 $719,208 $299,203 12.50
Chest pain 12 $19,487 $5,568 $233,838 $66,815 1.75
Malfunction, reaction & complication of GI device or procedure 12 $29,688 $12,341 $356,253 $148,094 4.75
Osteomyelitis, septic arthritis & other musculoskeletal infections 12 $38,457 $17,002 $461,488 $204,019 6.42
Drug & alcohol abuse or dependence, left against medical advice 12 $18,889 $7,734 $226,666 $92,811 3.25
Respiratory system diagnosis w ventilator support 96+ hours 11 $168,822 $80,447 $1,857,040 $884,914 20.64
Hernia procedures except inguinal, femoral & umbilical 11 $54,250 $24,679 $596,746 $271,467 7.09
Malignancy of hepatobiliary system & pancreas 11 $41,602 $16,222 $457,623 $178,443 6.09
Intervertebral disc excision & decompression 11 $46,775 $20,455 $514,525 $225,007 3.55
Urethral & transurethral procedures 11 $42,113 $17,863 $463,238 $196,496 5.91
Other antepartum diagnoses 11 $22,798 $10,306 $250,773 $113,367 3.18
Neonate birthwt >2499g w other significant condition 11 $10,701 $4,208 $117,710 $46,284 2.64
Other infectious & parasitic diseases 11 $45,270 $16,396 $497,971 $180,352 6.27
Migraine & other headaches 10 $21,256 $5,842 $212,560 $58,416 2.10
Malfunction,reaction,complication of cardiac/vasc device or procedure 10 $49,292 $22,659 $492,916 $226,587 7.60
Major esophageal disorders 10 $36,205 $16,098 $362,050 $160,978 3.90
Other disorders of the liver 10 $44,003 $16,893 $440,028 $168,927 6.10
Other musculoskeletal system & connective tissue procedures 10 $71,336 $30,962 $713,362 $309,617 10.60
Skin ulcers 10 $31,609 $13,385 $316,087 $133,849 5.60
Contusion, open wound & other trauma to skin & subcutaneous tissue 10 $21,181 $6,665 $211,813 $66,653 2.60
Other drug abuse & dependence 10 $16,606 $6,936 $166,055 $69,363 3.60
Shoulder, upper arm & forearm procedures except joint replacement 9 $50,179 $22,330 $451,612 $200,969 5.56
Tendon, muscle & other soft tissue procedures 9 $73,092 $33,464 $657,827 $301,173 10.89
Other skin, subcutaneous tissue & related procedures 9 $28,358 $12,206 $255,223 $109,853 5.22
Malfunction, reaction, complic of genitourinary device or proc 9 $39,483 $17,336 $355,345 $156,021 8.11
Male reproductive system diagnoses except malignancy 9 $28,525 $10,046 $256,722 $90,418 4.33
Fever 9 $32,399 $12,367 $291,595 $111,300 4.67
O.R. procedure for other complications of treatment 9 $44,965 $19,048 $404,688 $171,434 5.11
Other aftercare & convalescence 9 $38,470 $17,897 $346,228 $161,074 7.78
Head trauma w coma >1 hr or hemorrhage 8 $20,873 $7,259 $166,981 $58,071 3.25
Peritoneal adhesiolysis 8 $64,438 $32,104 $515,504 $256,831 12.00
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms 8 $68,332 $28,931 $546,656 $231,450 7.75
Other ear, nose, mouth,throat & cranial/facial diagnoses 7 $34,347 $15,095 $240,427 $105,668 6.57
Bronchiolitis & RSV pneumonia 7 $14,266 $6,056 $99,864 $42,389 1.71
Acute & subacute endocarditis 7 $54,613 $24,986 $382,294 $174,901 10.57
Other stomach, esophageal & duodenal procedures 7 $77,018 $34,359 $539,126 $240,513 8.29
Skin graft for skin & subcutaneous tissue diagnoses 7 $61,408 $28,412 $429,855 $198,884 11.00
Other skin, subcutaneous tissue & breast disorders 7 $22,770 $9,551 $159,392 $66,858 4.57
Chronic Kidney Disease 7 $35,711 $15,902 $249,975 $111,315 6.29
Coagulation & platelet disorders 7 $73,244 $32,821 $512,706 $229,747 7.57
Post-op, post-trauma, other device infections w O.R. procedure 7 $71,495 $34,411 $500,462 $240,878 12.71
Opioid abuse & dependence 7 $31,897 $14,946 $223,281 $104,625 6.00
Interstitial & alveolar lung diseases 6 $48,468 $19,419 $290,807 $116,515 7.00
Cardiac pacemaker & defibrillator device replacement 6 $139,608 $41,840 $837,647 $251,038 3.83
Inguinal, femoral & umbilical hernia procedures 6 $39,094 $17,489 $234,561 $104,933 3.67
Shoulder & elbow joint replacement 6 $52,011 $21,211 $312,064 $127,264 4.17
Musculoskeletal malignancy & pathol fracture d/t muscskel malig 6 $63,293 $26,480 $379,756 $158,880 12.83
Viral illness 6 $29,266 $8,813 $175,598 $52,878 3.33
Disorders of personality & impulse control 6 $21,581 $11,458 $129,484 $68,747 7.00
Other circulatory system procedures 5 $66,112 $27,934 $330,558 $139,671 10.60
Cardiac structural & valvular disorders 5 $25,361 $9,638 $126,807 $48,188 3.20
Major stomach, esophageal & duodenal procedures 5 $88,547 $42,649 $442,735 $213,247 12.20
Connective tissue disorders 5 $36,898 $18,235 $184,488 $91,174 5.20
Female reproductive system infections 5 $17,552 $7,388 $87,758 $36,939 3.80
Postpartum & post abortion diagnoses w/o procedure 5 $17,447 $7,331 $87,236 $36,657 2.60
Toxic effects of non-medicinal substances 5 $18,179 $6,538 $90,894 $32,691 2.20
Intracranial hemorrhage 4 $25,299 $9,833 $101,195 $39,333 2.00
Non-bacterial infections of nervous system exc viral meningitis 4 $59,741 $24,436 $238,962 $97,744 11.25
Cardiac arrest and shock 4 $33,410 $14,470 $133,639 $57,878 4.50
Cardiomyopathy 4 $14,998 $5,888 $59,992 $23,553 2.25
Cholecystectomy except laparoscopic 4 $27,147 $13,333 $108,588 $53,332 3.50
Malfunction, reaction, complic of orthopedic device or procedure 4 $59,503 $26,063 $238,011 $104,251 10.00
Kidney & urinary tract procedures for nonmalignancy 4 $45,919 $20,019 $183,674 $80,074 6.25
Transurethral prostatectomy 4 $46,902 $20,725 $187,606 $82,900 6.50
Neonate birthwt >2499g w major anomaly 4 $6,172 $2,107 $24,688 $8,428 2.25
Procedure w diag of rehab, aftercare or oth contact w health service 4 $57,634 $19,697 $230,537 $78,786 1.50
Multiple significant trauma w/o O.R. procedure 4 $47,758 $18,160 $191,030 $72,641 8.00
Tracheostomy w MV 96+ hours w/o extensive procedure 3 $502,873 $243,507 $1,508,618 $730,521 64.00
Spinal procedures 3 $50,987 $18,674 $152,962 $56,022 7.67
Multiple sclerosis & other demyelinating diseases 3 $34,744 $12,700 $104,232 $38,101 5.33
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma 3 $24,283 $5,994 $72,850 $17,981 2.33
Anal procedures 3 $38,244 $18,331 $114,732 $54,992 5.33
Malnutrition, failure to thrive & other nutritional disorders 3 $11,825 $5,376 $35,476 $16,128 3.33
Renal dialysis access device procedure only 3 $72,847 $33,785 $218,542 $101,355 9.00
Menstrual & other female reproductive system disorders 3 $75,065 $34,344 $225,194 $103,032 15.67
Neonate bwt 1500-1999g w or w/o other significant condition 3 $13,274 $4,441 $39,823 $13,322 5.33
Sickle cell anemia crisis 3 $21,112 $9,593 $63,336 $28,779 5.33
Lymphatic & other malignancies & neoplasms of uncertain behavior 3 $49,641 $21,206 $148,923 $63,618 9.00
Allergic reactions 3 $64,480 $31,584 $193,440 $94,752 5.33
Other injury, poisoning & toxic effect diagnoses 3 $28,853 $7,484 $86,560 $22,452 2.33
Neonatal aftercare 3 $12,154 $3,698 $36,461 $11,093 5.33
Tracheostomy w MV 96+ hours w extensive procedure or ECMO 2 $513,268 $249,870 $1,026,535 $499,740 57.00
Viral meningitis 2 $20,999 $7,122 $41,997 $14,244 3.00
Permanent cardiac pacemaker implant w AMI, heart failure or shock 2 $110,701 $40,066 $221,402 $80,132 9.00
Cardiac pacemaker & defibrillator revision except device replacement 2 $61,579 $19,471 $123,158 $38,942 3.50
Dorsal & lumbar fusion proc except for curvature of back 2 $132,641 $54,971 $265,282 $109,942 2.00
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses 2 $39,912 $16,886 $79,824 $33,772 6.50
Malignant breast disorders 2 $6,937 $3,470 $13,874 $6,940 2.00
Other procedures for endocrine, nutritional & metabolic disorders 2 $63,904 $29,738 $127,808 $59,476 11.50
Other kidney, urinary tract & related procedures 2 $82,566 $39,524 $165,131 $79,048 11.00
Kidney & urinary tract malignancy 2 $97,707 $49,532 $195,413 $99,063 18.50
Other male reproductive system & related procedures 2 $61,451 $27,956 $122,902 $55,911 12.00
Malignancy, male reproductive system 2 $25,052 $12,177 $50,103 $24,354 7.00
Other female reproductive system & related procedures 2 $63,073 $24,638 $126,146 $49,275 2.00
Uterine & adnexa procedures for leiomyoma 2 $23,130 $12,014 $46,260 $24,027 2.00
Acute leukemia 2 $63,659 $26,144 $127,318 $52,287 9.50
Radiotherapy 2 $21,951 $7,446 $43,902 $14,892 2.50
Cocaine abuse & dependence 2 $15,573 $6,027 $31,146 $12,053 3.00
Partial thickness burns without skin graft 2 $37,606 $19,317 $75,212 $38,634 9.00
Craniotomy except for trauma 1 $28,667 $14,472 $28,667 $14,472 2.00
Nonspecific CVA & precerebral occlusion w/o infarct 1 $36,118 $13,544 $36,118 $13,544 2.00
Bacterial & tuberculous infections of nervous system 1 $28,536 $5,325 $28,536 $5,325 1.00
Acute major eye infections 1 $6,986 $3,854 $6,986 $3,854 2.00
Tonsil & adenoid procedures 1 $34,162 $16,023 $34,162 $16,023 5.00
Other ear, nose, mouth & throat procedures 1 $27,870 $11,718 $27,870 $11,718 4.00
Ear, nose, mouth, throat, cranial/facial malignancies 1 $23,640 $10,588 $23,640 $10,588 6.00
Dental & oral diseases & injuries 1 $23,092 $8,729 $23,092 $8,729 3.00
Other cardiothoracic & thoracic vascular procedures 1 $75,565 $21,642 $75,565 $21,642 2.00
Major pancreas, liver & shunt procedures 1 $81,070 $34,840 $81,070 $34,840 12.00
Other significant hip and femur surgery 1 $70,486 $28,313 $70,486 $28,313 6.00
Breast procedures except mastectomy 1 $13,430 $6,107 $13,430 $6,107 1.00
Major bladder procedures 1 $127,494 $60,313 $127,494 $60,313 22.00
Nephritis & nephrosis 1 $99,848 $43,030 $99,848 $43,030 19.00
Testes & scrotal procedures 1 $28,630 $11,485 $28,630 $11,485 1.00
Dilation & curettage for non-obstetric diagnoses 1 $20,326 $8,482 $20,326 $8,482 2.00
Other O.R. proc for obstetric diagnoses except delivery diagnoses 1 $85,976 $40,739 $85,976 $40,739 7.00
Neonate bwt <500g or GA <24 weeks 1 $1,541 $483 $1,541 $483 1.00
Neonate bwt 2000-2499g w major anomaly 1 $12,170 $5,067 $12,170 $5,067 4.00
Neonate bwt 2000-2499g w other significant condition 1 $18,210 $8,223 $18,210 $8,223 5.00
Neonate birthwt >2499g w congenital/perinatal infection 1 $18,043 $7,171 $18,043 $7,171 3.00
Other procedures of blood & blood-forming organs 1 $28,644 $11,149 $28,644 $11,149 4.00
Mental illness diagnosis w O.R. procedure 1 $32,152 $15,973 $32,152 $15,973 5.00
Other mental health disorders 1 $40,757 $24,274 $40,757 $24,274 15.00
HIV w multiple major HIV related conditions 1 $109,645 $50,165 $109,645 $50,165 15.00
HIV w major HIV related condition 1 $181,876 $81,788 $181,876 $81,788 35.00
HIV w multiple significant HIV related conditions 1 $18,565 $6,868 $18,565 $6,868 3.00
HIV w one signif HIV cond or w/o signif related cond 1 $31,949 $13,509 $31,949 $13,509 5.00
Extensive abdominal/thoracic procedures for mult significant trauma 1 $176,400 $72,584 $176,400 $72,584 16.00