Neonate birthwt >2499g, normal newborn or neonate w other problem |
2826 |
$18,249 |
$4,225 |
$51,570,459 |
$11,941,168 |
2.27 |
Vaginal delivery |
2030 |
$22,598 |
$5,848 |
$45,874,435 |
$11,872,410 |
2.31 |
Cesarean delivery |
1039 |
$33,150 |
$8,660 |
$34,442,700 |
$8,997,405 |
3.45 |
Dorsal & lumbar fusion proc except for curvature of back |
421 |
$127,796 |
$54,657 |
$53,801,916 |
$23,010,666 |
3.80 |
Cervical spinal fusion & other back/neck proc exc disc excis/decomp |
414 |
$56,939 |
$24,910 |
$23,572,801 |
$10,312,571 |
1.91 |
Septicemia & disseminated infections |
377 |
$106,936 |
$40,939 |
$40,314,967 |
$15,434,005 |
7.35 |
Heart failure |
214 |
$76,762 |
$24,853 |
$16,427,016 |
$5,318,489 |
6.04 |
Other pneumonia |
190 |
$55,755 |
$18,186 |
$10,593,448 |
$3,455,278 |
4.40 |
Cellulitis & other skin infections |
157 |
$45,256 |
$12,041 |
$7,105,172 |
$1,890,451 |
4.15 |
CVA & precerebral occlusion w infarct |
132 |
$74,958 |
$26,750 |
$9,894,468 |
$3,531,002 |
4.85 |
Kidney & urinary tract infections |
131 |
$54,298 |
$15,361 |
$7,112,995 |
$2,012,243 |
4.68 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
113 |
$25,169 |
$6,514 |
$2,844,048 |
$736,099 |
2.56 |
Diabetes |
112 |
$46,503 |
$15,641 |
$5,208,378 |
$1,751,772 |
3.63 |
Chronic obstructive pulmonary disease |
108 |
$56,871 |
$16,357 |
$6,142,044 |
$1,766,553 |
4.87 |
Syncope & collapse |
108 |
$30,924 |
$8,100 |
$3,339,833 |
$874,803 |
2.44 |
Acute Kidney Injury |
106 |
$55,810 |
$17,412 |
$5,915,870 |
$1,845,680 |
4.40 |
Respiratory Failure |
100 |
$116,649 |
$49,249 |
$11,664,909 |
$4,924,945 |
6.69 |
Seizure |
97 |
$40,458 |
$12,934 |
$3,924,407 |
$1,254,646 |
3.03 |
Other gastroenteritis, nausa & vomiting |
97 |
$33,839 |
$8,900 |
$3,282,372 |
$863,318 |
2.86 |
Neonate bwt 2000-2499g, normal newborn or neonate w other problem |
97 |
$38,555 |
$10,743 |
$3,739,798 |
$1,042,030 |
3.37 |
Other anemia & disorders of blood & blood-forming organs |
94 |
$44,569 |
$14,587 |
$4,189,452 |
$1,371,170 |
3.18 |
Asthma |
91 |
$34,358 |
$9,648 |
$3,126,603 |
$877,951 |
2.91 |
Other disorders of nervous system |
85 |
$55,036 |
$15,693 |
$4,678,080 |
$1,333,928 |
4.54 |
Intervertebral disc excision & decompression |
83 |
$56,889 |
$18,109 |
$4,721,787 |
$1,503,008 |
3.08 |
Uterine & adnexa procedures for leiomyoma |
82 |
$45,003 |
$13,065 |
$3,690,222 |
$1,071,343 |
2.40 |
Cardiac arrhythmia & conduction disorders |
80 |
$46,274 |
$14,660 |
$3,701,958 |
$1,172,783 |
3.66 |
Disorders of pancreas except malignancy |
80 |
$49,356 |
$15,338 |
$3,948,512 |
$1,227,025 |
4.05 |
Neonate birthwt >2499g w other significant condition |
73 |
$71,021 |
$22,095 |
$5,184,497 |
$1,612,914 |
4.62 |
Head trauma w coma >1 hr or hemorrhage |
70 |
$77,567 |
$39,105 |
$5,429,669 |
$2,737,345 |
4.14 |
Knee joint replacement |
68 |
$95,469 |
$32,591 |
$6,491,921 |
$2,216,191 |
5.04 |
Hip and femur fracture repair |
68 |
$105,230 |
$34,845 |
$7,155,652 |
$2,369,433 |
6.88 |
Other back & neck disorders, fractures & injuries |
68 |
$45,929 |
$12,684 |
$3,123,174 |
$862,544 |
3.91 |
Other digestive system diagnoses |
66 |
$37,537 |
$10,667 |
$2,477,464 |
$704,035 |
2.94 |
Other musculoskeletal system & connective tissue diagnoses |
63 |
$45,731 |
$11,836 |
$2,881,036 |
$745,642 |
4.10 |
Alcohol abuse & dependence |
60 |
$82,163 |
$35,917 |
$4,929,770 |
$2,155,036 |
6.07 |
Peptic ulcer & gastritis |
57 |
$54,602 |
$17,128 |
$3,112,324 |
$976,278 |
4.19 |
Poisoning of medicinal agents |
56 |
$66,707 |
$25,905 |
$3,735,589 |
$1,450,666 |
4.57 |
Hip joint replacement |
54 |
$103,427 |
$31,955 |
$5,585,059 |
$1,725,545 |
6.54 |
Intestinal obstruction |
52 |
$35,441 |
$9,069 |
$1,842,934 |
$471,570 |
3.17 |
Hypertension |
50 |
$44,053 |
$11,477 |
$2,202,666 |
$573,868 |
3.68 |
Major small & large bowel procedures |
50 |
$171,686 |
$61,585 |
$8,584,321 |
$3,079,256 |
10.56 |
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond |
50 |
$92,667 |
$29,517 |
$4,633,354 |
$1,475,850 |
4.94 |
Infectious & parasitic diseases including HIV w O.R. procedure |
48 |
$277,832 |
$130,190 |
$13,335,912 |
$6,249,097 |
14.27 |
Disorders of gallbladder & biliary tract |
46 |
$43,434 |
$11,426 |
$1,997,952 |
$525,593 |
3.59 |
Intracranial hemorrhage |
45 |
$101,534 |
$50,622 |
$4,569,045 |
$2,277,994 |
5.64 |
Diverticulitis & diverticulosis |
45 |
$45,406 |
$14,729 |
$2,043,253 |
$662,793 |
3.71 |
Major respiratory infections & inflammations |
44 |
$121,676 |
$41,523 |
$5,353,723 |
$1,827,011 |
9.93 |
Peripheral & other vascular disorders |
44 |
$60,315 |
$16,577 |
$2,653,881 |
$729,385 |
5.16 |
Chest pain |
43 |
$27,838 |
$7,935 |
$1,197,048 |
$341,221 |
2.05 |
Electrolyte disorders except hypovolemia related |
43 |
$75,186 |
$23,148 |
$3,233,010 |
$995,376 |
6.40 |
Other antepartum diagnoses |
42 |
$21,453 |
$5,561 |
$901,012 |
$233,555 |
2.02 |
Signs, symptoms & other factors influencing health status |
40 |
$37,374 |
$9,424 |
$1,494,960 |
$376,951 |
3.08 |
Angina pectoris & coronary atherosclerosis |
39 |
$26,972 |
$7,621 |
$1,051,914 |
$297,229 |
2.00 |
Pulmonary embolism |
37 |
$69,059 |
$25,732 |
$2,555,179 |
$952,090 |
5.05 |
Fractures & dislocations except femur, pelvis & back |
37 |
$47,062 |
$12,750 |
$1,741,288 |
$471,735 |
4.14 |
Neonate birthwt >2499g w major anomaly |
37 |
$59,941 |
$18,806 |
$2,217,813 |
$695,821 |
4.03 |
Appendectomy |
36 |
$48,353 |
$12,872 |
$1,740,718 |
$463,382 |
2.28 |
Vertigo & other labyrinth disorders |
34 |
$32,923 |
$8,378 |
$1,119,391 |
$284,847 |
2.44 |
Other & unspecified gastrointestinal hemorrhage |
33 |
$67,677 |
$22,847 |
$2,233,328 |
$753,953 |
4.94 |
Knee & lower leg procedures except foot |
33 |
$135,374 |
$39,952 |
$4,467,326 |
$1,318,416 |
9.94 |
Other musculoskeletal system & connective tissue procedures |
33 |
$48,506 |
$15,484 |
$1,600,710 |
$510,978 |
2.48 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
32 |
$73,734 |
$30,003 |
$2,359,483 |
$960,092 |
4.72 |
Laparoscopic cholecystectomy |
31 |
$53,818 |
$15,897 |
$1,668,369 |
$492,819 |
3.19 |
Hypovolemia & related electrolyte disorders |
31 |
$46,237 |
$15,040 |
$1,433,337 |
$466,239 |
3.58 |
Moderately extensive procedure unrelated to principal diagnosis |
31 |
$215,019 |
$84,407 |
$6,665,585 |
$2,616,619 |
13.94 |
Digestive malignancy |
30 |
$73,627 |
$22,249 |
$2,208,797 |
$667,477 |
6.07 |
Transient ischemia |
29 |
$32,672 |
$9,528 |
$947,496 |
$276,315 |
1.86 |
Postpartum & post abortion diagnoses w/o procedure |
29 |
$19,979 |
$5,155 |
$579,380 |
$149,506 |
1.72 |
Major gastrointestinal & peritoneal infections |
28 |
$44,511 |
$11,295 |
$1,246,302 |
$316,251 |
4.07 |
Lower extremity arterial procedures |
26 |
$89,937 |
$34,339 |
$2,338,351 |
$892,810 |
3.85 |
Shoulder, upper arm & forearm procedures except joint replacement |
26 |
$75,721 |
$40,654 |
$1,968,740 |
$1,057,001 |
3.96 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
25 |
$62,175 |
$15,733 |
$1,554,387 |
$393,315 |
5.96 |
Other endocrine disorders |
25 |
$75,484 |
$25,890 |
$1,887,112 |
$647,249 |
5.92 |
Vaginal delivery w sterilization &/or D&C |
25 |
$25,653 |
$6,688 |
$641,320 |
$167,208 |
2.48 |
Viral illness |
25 |
$39,749 |
$10,017 |
$993,734 |
$250,421 |
3.24 |
Infections of upper respiratory tract |
24 |
$49,265 |
$18,293 |
$1,182,355 |
$439,036 |
3.54 |
Uterine & adnexa procedures for non-malignancy except leiomyoma |
24 |
$46,197 |
$13,444 |
$1,108,735 |
$322,650 |
2.21 |
Respiratory signs, symptoms & minor diagnoses |
23 |
$41,800 |
$10,771 |
$961,407 |
$247,743 |
3.52 |
Nontraumatic stupor & coma |
22 |
$64,431 |
$20,911 |
$1,417,471 |
$460,048 |
4.36 |
Post-operative, post-traumatic, other device infections |
22 |
$105,731 |
$36,256 |
$2,326,086 |
$797,631 |
7.36 |
Procedure w diag of rehab, aftercare or oth contact w health service |
22 |
$129,438 |
$52,219 |
$2,847,629 |
$1,148,825 |
4.91 |
Spinal procedures |
21 |
$110,360 |
$35,839 |
$2,317,556 |
$752,628 |
6.57 |
Facial bone procedures except major cranial/facial bone procedures |
21 |
$49,323 |
$17,330 |
$1,035,789 |
$363,923 |
2.76 |
Abdominal pain |
21 |
$28,657 |
$7,488 |
$601,794 |
$157,253 |
2.33 |
Degenerative nervous system disorders exc mult sclerosis |
20 |
$95,837 |
$25,139 |
$1,916,732 |
$502,772 |
9.85 |
Major chest & respiratory trauma |
20 |
$69,720 |
$25,913 |
$1,394,392 |
$518,269 |
5.25 |
Other circulatory system diagnoses |
20 |
$58,092 |
$21,746 |
$1,161,830 |
$434,927 |
3.90 |
Respiratory malignancy |
19 |
$138,270 |
$48,766 |
$2,627,123 |
$926,551 |
10.05 |
Neonate bwt 2000-2499g w other significant condition |
19 |
$136,154 |
$43,389 |
$2,586,925 |
$824,392 |
7.84 |
Peripheral, cranial & autonomic nerve disorders |
18 |
$35,349 |
$8,875 |
$636,273 |
$159,755 |
3.00 |
Urinary stones & acquired upper urinary tract obstruction |
18 |
$34,402 |
$9,561 |
$619,237 |
$172,099 |
2.39 |
Post-op, post-trauma, other device infections w O.R. procedure |
18 |
$174,755 |
$58,601 |
$3,145,593 |
$1,054,820 |
13.78 |
Toxic effects of non-medicinal substances |
18 |
$58,546 |
$18,135 |
$1,053,836 |
$326,421 |
4.67 |
Inflammatory bowel disease |
17 |
$67,482 |
$21,051 |
$1,147,191 |
$357,872 |
5.35 |
Malfunction, reaction, complic of genitourinary device or proc |
17 |
$94,781 |
$34,742 |
$1,611,274 |
$590,610 |
6.53 |
Organic mental health disturbances |
17 |
$54,256 |
$13,444 |
$922,359 |
$228,548 |
5.18 |
HIV w major HIV related condition |
17 |
$51,363 |
$13,251 |
$873,179 |
$225,260 |
4.47 |
Acute myocardial infarction |
16 |
$80,778 |
$33,293 |
$1,292,451 |
$532,694 |
5.31 |
Fracture of pelvis or dislocation of hip |
16 |
$61,300 |
$15,692 |
$980,803 |
$251,079 |
5.69 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
16 |
$94,869 |
$31,499 |
$1,517,907 |
$503,987 |
7.50 |
Skin ulcers |
16 |
$53,048 |
$14,456 |
$848,769 |
$231,301 |
4.81 |
Neonate bwt 2000-2499g w resp dist synd/oth maj resp cond |
16 |
$225,127 |
$73,242 |
$3,602,035 |
$1,171,879 |
12.25 |
Sickle cell anemia crisis |
16 |
$44,476 |
$12,532 |
$711,618 |
$200,506 |
4.00 |
Migraine & other headaches |
15 |
$32,142 |
$7,979 |
$482,136 |
$119,685 |
2.40 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
15 |
$28,074 |
$8,284 |
$421,108 |
$124,267 |
2.27 |
Other peripheral vascular procedures |
15 |
$133,318 |
$63,991 |
$1,999,771 |
$959,869 |
7.80 |
Connective tissue disorders |
15 |
$58,477 |
$15,909 |
$877,161 |
$238,641 |
4.93 |
Other skin, subcutaneous tissue & breast disorders |
15 |
$24,150 |
$6,620 |
$362,244 |
$99,304 |
2.13 |
Other hepatobiliary, pancreas & abdominal procedures |
14 |
$58,884 |
$17,218 |
$824,371 |
$241,057 |
4.50 |
Other kidney & urinary tract diagnoses, signs & symptoms |
14 |
$54,717 |
$14,134 |
$766,035 |
$197,876 |
4.93 |
Chronic Kidney Disease |
14 |
$44,581 |
$14,064 |
$624,139 |
$196,894 |
3.64 |
Drug & alcohol abuse or dependence, left against medical advice |
14 |
$19,676 |
$5,189 |
$275,462 |
$72,649 |
1.57 |
HIV w multiple major HIV related conditions |
14 |
$129,876 |
$52,553 |
$1,818,266 |
$735,743 |
7.64 |
Tracheostomy w MV 96+ hours w extensive procedure or ECMO |
13 |
$819,831 |
$430,712 |
$10,657,802 |
$5,599,255 |
33.69 |
Dental & oral diseases & injuries |
13 |
$50,610 |
$13,074 |
$657,933 |
$169,965 |
4.69 |
Shoulder & elbow joint replacement |
13 |
$61,937 |
$22,120 |
$805,176 |
$287,562 |
2.23 |
Other small & large bowel procedures |
12 |
$63,061 |
$19,930 |
$756,731 |
$239,164 |
4.25 |
Hernia procedures except inguinal, femoral & umbilical |
12 |
$83,132 |
$29,801 |
$997,587 |
$357,611 |
4.83 |
Hand & wrist procedures |
12 |
$59,965 |
$19,242 |
$719,585 |
$230,902 |
3.17 |
Other skin, subcutaneous tissue & related procedures |
12 |
$55,753 |
$14,901 |
$669,034 |
$178,806 |
4.83 |
Transurethral prostatectomy |
12 |
$43,321 |
$13,108 |
$519,848 |
$157,299 |
2.75 |
Preterm labor |
12 |
$12,779 |
$3,424 |
$153,348 |
$41,086 |
1.17 |
Respiratory system diagnosis w ventilator support 96+ hours |
11 |
$305,956 |
$150,346 |
$3,365,519 |
$1,653,804 |
14.18 |
Other circulatory system procedures |
11 |
$181,212 |
$69,352 |
$1,993,327 |
$762,874 |
12.00 |
Malfunction, reaction & complication of GI device or procedure |
11 |
$104,499 |
$26,755 |
$1,149,489 |
$294,310 |
9.82 |
Neonate bwt 1500-1999g w or w/o other significant condition |
11 |
$167,073 |
$54,718 |
$1,837,804 |
$601,901 |
9.91 |
Other complications of treatment |
11 |
$47,002 |
$15,029 |
$517,018 |
$165,316 |
3.64 |
Tracheostomy w MV 96+ hours w/o extensive procedure |
10 |
$636,601 |
$326,484 |
$6,366,009 |
$3,264,842 |
29.40 |
Inguinal, femoral & umbilical hernia procedures |
10 |
$51,024 |
$16,223 |
$510,235 |
$162,230 |
2.90 |
Other digestive system & abdominal procedures |
10 |
$90,487 |
$33,409 |
$904,873 |
$334,092 |
6.20 |
O.R. procedure for other complications of treatment |
10 |
$74,252 |
$25,278 |
$742,515 |
$252,783 |
4.30 |
HIV w multiple significant HIV related conditions |
10 |
$64,789 |
$17,932 |
$647,894 |
$179,323 |
5.50 |
Peritoneal adhesiolysis |
9 |
$82,833 |
$22,078 |
$745,495 |
$198,703 |
7.11 |
Other esophageal disorders |
9 |
$56,008 |
$16,331 |
$504,069 |
$146,983 |
4.44 |
Major pancreas, liver & shunt procedures |
9 |
$72,263 |
$19,201 |
$650,371 |
$172,810 |
6.00 |
Other disorders of the liver |
9 |
$44,311 |
$11,415 |
$398,803 |
$102,734 |
3.56 |
Foot & toe procedures |
9 |
$108,221 |
$32,410 |
$973,993 |
$291,691 |
8.33 |
Male reproductive system diagnoses except malignancy |
9 |
$63,642 |
$15,937 |
$572,775 |
$143,434 |
6.44 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
9 |
$46,774 |
$11,770 |
$420,966 |
$105,927 |
4.33 |
Other infectious & parasitic diseases |
9 |
$53,556 |
$13,586 |
$482,002 |
$122,278 |
4.67 |
HIV w one signif HIV cond or w/o signif related cond |
9 |
$53,230 |
$14,041 |
$479,073 |
$126,369 |
4.56 |
Nonextensive procedure unrelated to principal diagnosis |
9 |
$123,775 |
$49,924 |
$1,113,975 |
$449,312 |
8.00 |
Craniotomy for trauma |
8 |
$216,366 |
$92,515 |
$1,730,927 |
$740,118 |
11.88 |
Craniotomy except for trauma |
8 |
$340,237 |
$171,543 |
$2,721,897 |
$1,372,346 |
16.63 |
Eye disorders except major infections |
8 |
$27,286 |
$7,052 |
$218,285 |
$56,419 |
1.75 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
8 |
$32,698 |
$9,098 |
$261,587 |
$72,781 |
2.63 |
Other stomach, esophageal & duodenal procedures |
8 |
$176,803 |
$56,392 |
$1,414,427 |
$451,133 |
13.63 |
Major biliary tract procedures |
8 |
$61,711 |
$16,572 |
$493,691 |
$132,579 |
5.00 |
Cholecystectomy except laparoscopic |
8 |
$163,316 |
$63,570 |
$1,306,530 |
$508,557 |
9.25 |
Hepatic coma & other major acute liver disorders |
8 |
$85,807 |
$23,689 |
$686,459 |
$189,508 |
7.25 |
Amputation of lower limb except toes |
8 |
$209,020 |
$69,237 |
$1,672,161 |
$553,896 |
15.88 |
Malfunction, reaction, complic of orthopedic device or procedure |
8 |
$87,049 |
$27,147 |
$696,392 |
$217,173 |
6.63 |
Malignant breast disorders |
8 |
$111,970 |
$45,611 |
$895,757 |
$364,885 |
8.38 |
Malnutrition, failure to thrive & other nutritional disorders |
8 |
$49,914 |
$12,790 |
$399,309 |
$102,320 |
4.50 |
Kidney & urinary tract procedures for nonmalignancy |
8 |
$60,530 |
$20,587 |
$484,240 |
$164,697 |
4.25 |
Extracranial vascular procedures |
7 |
$170,457 |
$77,845 |
$1,193,199 |
$544,918 |
9.71 |
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma |
7 |
$32,523 |
$9,430 |
$227,659 |
$66,012 |
2.43 |
Anal procedures |
7 |
$75,977 |
$21,757 |
$531,838 |
$152,302 |
6.14 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
7 |
$119,703 |
$31,733 |
$837,921 |
$222,129 |
10.57 |
Mastectomy procedures |
7 |
$64,899 |
$25,163 |
$454,294 |
$176,141 |
2.00 |
Female reproductive system infections |
7 |
$27,226 |
$6,970 |
$190,584 |
$48,787 |
2.43 |
Neonate bwt 1500-1999g w resp dist synd/oth maj resp cond |
7 |
$341,110 |
$111,419 |
$2,387,772 |
$779,936 |
18.29 |
Neonate birthwt >2499g w congenital/perinatal infection |
7 |
$106,933 |
$32,689 |
$748,532 |
$228,826 |
6.86 |
Orbital procedures |
6 |
$44,965 |
$12,915 |
$269,790 |
$77,489 |
3.00 |
Gastrointestinal vascular insufficiency |
6 |
$53,451 |
$13,672 |
$320,707 |
$82,034 |
4.50 |
Other significant hip and femur surgery |
6 |
$122,114 |
$34,205 |
$732,684 |
$205,228 |
9.33 |
Fever |
6 |
$29,955 |
$7,500 |
$179,727 |
$45,000 |
2.50 |
Acute anxiety & delirium states |
6 |
$46,741 |
$15,530 |
$280,444 |
$93,180 |
3.17 |
Non-bacterial infections of nervous system exc viral meningitis |
5 |
$25,180 |
$6,333 |
$125,900 |
$31,666 |
2.00 |
Other ear, nose, mouth & throat procedures |
5 |
$28,484 |
$8,267 |
$142,419 |
$41,333 |
1.80 |
Major stomach, esophageal & duodenal procedures |
5 |
$357,180 |
$139,716 |
$1,785,901 |
$698,579 |
22.20 |
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses |
5 |
$1,734,187 |
$1,004,125 |
$8,670,934 |
$5,020,624 |
52.80 |
Tendon, muscle & other soft tissue procedures |
5 |
$94,077 |
$25,296 |
$470,384 |
$126,478 |
7.80 |
Fracture of femur |
5 |
$35,537 |
$9,168 |
$177,683 |
$45,842 |
3.20 |
Skin graft for skin & subcutaneous tissue diagnoses |
5 |
$62,990 |
$17,691 |
$314,950 |
$88,455 |
4.60 |
Breast procedures except mastectomy |
5 |
$56,888 |
$19,781 |
$284,439 |
$98,906 |
1.80 |
Renal dialysis access device procedure only |
5 |
$126,529 |
$36,102 |
$632,643 |
$180,512 |
10.20 |
Coagulation & platelet disorders |
5 |
$69,214 |
$19,991 |
$346,071 |
$99,956 |
5.80 |
Allergic reactions |
5 |
$39,797 |
$21,732 |
$198,987 |
$108,660 |
1.80 |
Other nervous system & related procedures |
4 |
$31,359 |
$10,160 |
$125,435 |
$40,641 |
1.00 |
Interstitial & alveolar lung diseases |
4 |
$51,521 |
$13,007 |
$206,082 |
$52,028 |
4.25 |
Major esophageal disorders |
4 |
$29,728 |
$7,930 |
$118,910 |
$31,719 |
2.25 |
Alcoholic liver disease |
4 |
$56,045 |
$14,569 |
$224,179 |
$58,275 |
4.50 |
Malignancy of hepatobiliary system & pancreas |
4 |
$81,203 |
$36,272 |
$324,812 |
$145,089 |
5.25 |
Thyroid, parathyroid & thyroglossal procedures |
4 |
$44,046 |
$13,860 |
$176,182 |
$55,439 |
1.50 |
Other kidney, urinary tract & related procedures |
4 |
$274,834 |
$83,319 |
$1,099,337 |
$333,274 |
21.75 |
D&C, aspiration curettage or hysterotomy for obstetric diagnoses |
4 |
$15,384 |
$4,090 |
$61,534 |
$16,358 |
1.25 |
Other O.R. proc for obstetric diagnoses except delivery diagnoses |
4 |
$27,002 |
$6,891 |
$108,008 |
$27,564 |
2.25 |
Other procedures of blood & blood-forming organs |
4 |
$63,498 |
$16,760 |
$253,992 |
$67,040 |
4.75 |
Multiple significant trauma w/o O.R. procedure |
4 |
$97,627 |
$50,112 |
$390,507 |
$200,448 |
3.25 |
Extensive procedure unrelated to principal diagnosis |
4 |
$157,939 |
$53,306 |
$631,756 |
$213,222 |
9.50 |
Multiple sclerosis & other demyelinating diseases |
3 |
$25,261 |
$5,963 |
$75,784 |
$17,888 |
1.33 |
Nonspecific CVA & precerebral occlusion w/o infarct |
3 |
$67,581 |
$30,885 |
$202,743 |
$92,654 |
3.33 |
Bacterial & tuberculous infections of nervous system |
3 |
$256,668 |
$131,793 |
$770,005 |
$395,378 |
13.00 |
Ear, nose, mouth, throat, cranial/facial malignancies |
3 |
$103,136 |
$27,825 |
$309,407 |
$83,475 |
7.67 |
Urethral & transurethral procedures |
3 |
$88,440 |
$46,336 |
$265,319 |
$139,008 |
4.00 |
Dilation & curettage for non-obstetric diagnoses |
3 |
$35,596 |
$10,484 |
$106,787 |
$31,452 |
1.33 |
Menstrual & other female reproductive system disorders |
3 |
$26,624 |
$6,572 |
$79,873 |
$19,716 |
2.67 |
Neonate, transferred < 5 days old, born here |
3 |
$18,555 |
$4,758 |
$55,666 |
$14,274 |
1.33 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
3 |
$56,000 |
$14,573 |
$168,000 |
$43,718 |
5.33 |
Opioid abuse & dependence |
3 |
$89,258 |
$38,813 |
$267,773 |
$116,440 |
6.33 |
Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma |
2 |
$158,419 |
$94,531 |
$316,837 |
$189,061 |
8.00 |
Major cranial/facial bone procedures |
2 |
$90,349 |
$32,949 |
$180,698 |
$65,898 |
3.50 |
Sinus & mastoid procedures |
2 |
$76,963 |
$22,811 |
$153,926 |
$45,621 |
4.00 |
Other respiratory & chest procedures |
2 |
$155,992 |
$39,920 |
$311,984 |
$79,840 |
13.00 |
Bronchiolitis & RSV pneumonia |
2 |
$108,015 |
$26,850 |
$216,030 |
$53,699 |
10.50 |
Major abdominal vascular procedures |
2 |
$126,226 |
$54,503 |
$252,451 |
$109,005 |
6.50 |
Cardiac arrest and shock |
2 |
$30,200 |
$12,201 |
$60,400 |
$24,402 |
1.00 |
Major skin disorders |
2 |
$106,188 |
$26,708 |
$212,375 |
$53,415 |
10.50 |
Inborn errors of metabolism |
2 |
$28,101 |
$7,593 |
$56,202 |
$15,186 |
2.00 |
Other bladder procedures |
2 |
$100,705 |
$26,460 |
$201,409 |
$52,919 |
8.50 |
Testes & scrotal procedures |
2 |
$33,523 |
$10,137 |
$67,045 |
$20,273 |
1.50 |
Neonate bwt 2000-2499g w major anomaly |
2 |
$106,963 |
$33,320 |
$213,926 |
$66,640 |
6.50 |
Lymphoma, myeloma & non-acute leukemia |
2 |
$111,565 |
$28,504 |
$223,129 |
$57,007 |
11.00 |
Other mental health disorders |
2 |
$72,784 |
$31,362 |
$145,567 |
$62,723 |
4.00 |
Cocaine abuse & dependence |
2 |
$43,486 |
$11,086 |
$86,971 |
$22,171 |
4.00 |
Other aftercare & convalescence |
2 |
$9,462 |
$2,406 |
$18,924 |
$4,811 |
1.00 |
Musculoskeletal & other procedures for multiple significant trauma |
2 |
$58,965 |
$15,470 |
$117,930 |
$30,940 |
5.00 |
Spinal disorders & injuries |
1 |
$47,325 |
$10,831 |
$47,325 |
$10,831 |
2.00 |
Nervous system malignancy |
1 |
$95,588 |
$32,722 |
$95,588 |
$32,722 |
6.00 |
Viral meningitis |
1 |
$34,718 |
$8,453 |
$34,718 |
$8,453 |
3.00 |
Major larynx & trachea procedures |
1 |
$221,147 |
$72,793 |
$221,147 |
$72,793 |
15.00 |
Tonsil & adenoid procedures |
1 |
$34,124 |
$8,779 |
$34,124 |
$8,779 |
3.00 |
Cardiomyopathy |
1 |
$51,993 |
$14,735 |
$51,993 |
$14,735 |
4.00 |
Pituitary & adrenal procedures |
1 |
$38,887 |
$10,928 |
$38,887 |
$10,928 |
2.00 |
Nephritis & nephrosis |
1 |
$17,048 |
$4,442 |
$17,048 |
$4,442 |
1.00 |
Penis procedures |
1 |
$64,302 |
$17,554 |
$64,302 |
$17,554 |
5.00 |
Malignancy, male reproductive system |
1 |
$43,961 |
$11,175 |
$43,961 |
$11,175 |
4.00 |
Uterine & adnexa procedures for non-ovarian & non-adnexal malig |
1 |
$39,161 |
$11,352 |
$39,161 |
$11,352 |
2.00 |
Other female reproductive system & related procedures |
1 |
$62,663 |
$18,191 |
$62,663 |
$18,191 |
4.00 |
Female reproductive system malignancy |
1 |
$27,399 |
$7,659 |
$27,399 |
$7,659 |
2.00 |
Neonate bwt <500g or GA <24 weeks |
1 |
$17,336 |
$1,009 |
$17,336 |
$1,009 |
3.00 |
Neonate bwt 1250-1499g w resp dist synd/oth maj resp or maj anom |
1 |
$555,425 |
$181,569 |
$555,425 |
$181,569 |
30.00 |
Neonate bwt 1250-1499g w or w/o other significant condition |
1 |
$289,951 |
$94,917 |
$289,951 |
$94,917 |
16.00 |
Neonate birthwt 1500-1999g w major anomaly |
1 |
$37,497 |
$12,319 |
$37,497 |
$12,319 |
2.00 |
Neonate bwt 2000-2499g w congenital/perinatal infection |
1 |
$25,681 |
$9,891 |
$25,681 |
$9,891 |
3.00 |
Splenectomy |
1 |
$56,108 |
$15,086 |
$56,108 |
$15,086 |
4.00 |
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms |
1 |
$86,697 |
$23,045 |
$86,697 |
$23,045 |
7.00 |
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms |
1 |
$58,674 |
$18,514 |
$58,674 |
$18,514 |
2.00 |
Acute leukemia |
1 |
$23,068 |
$5,860 |
$23,068 |
$5,860 |
2.00 |
Schizophrenia |
1 |
$203,666 |
$50,214 |
$203,666 |
$50,214 |
21.00 |
Bipolar disorders |
1 |
$12,078 |
$3,104 |
$12,078 |
$3,104 |
1.00 |
Eating disorders |
1 |
$82,063 |
$21,233 |
$82,063 |
$21,233 |
8.00 |
Other injury, poisoning & toxic effect diagnoses |
1 |
$24,749 |
$6,504 |
$24,749 |
$6,504 |
2.00 |
Partial thickness burns without skin graft |
1 |
$77,656 |
$19,607 |
$77,656 |
$19,607 |
8.00 |
Ungroupable |
1 |
$21,098 |
$4,165 |
$21,098 |
$4,165 |
3.00 |