Schizophrenia |
818 |
$23,283 |
$18,105 |
$19,045,201 |
$14,809,502 |
15.70 |
Neonate birthwt >2499g, normal newborn or neonate w other problem |
623 |
$8,113 |
$6,309 |
$5,054,661 |
$3,930,560 |
2.67 |
Vaginal delivery |
535 |
$11,790 |
$9,168 |
$6,307,671 |
$4,904,850 |
2.59 |
Asthma |
424 |
$14,055 |
$10,929 |
$5,959,461 |
$4,634,069 |
2.34 |
Bipolar disorders |
366 |
$13,648 |
$10,613 |
$4,995,211 |
$3,884,277 |
8.86 |
Procedures for obesity |
349 |
$20,091 |
$15,623 |
$7,011,752 |
$5,452,296 |
2.28 |
Opioid abuse & dependence |
326 |
$7,888 |
$6,134 |
$2,571,600 |
$1,999,668 |
3.73 |
Cesarean delivery |
324 |
$16,153 |
$12,560 |
$5,233,533 |
$4,069,567 |
3.62 |
Chronic obstructive pulmonary disease |
272 |
$20,932 |
$16,277 |
$5,693,581 |
$4,427,307 |
3.63 |
Heart failure |
257 |
$29,950 |
$23,289 |
$7,697,234 |
$5,985,335 |
5.04 |
Cellulitis & other skin infections |
228 |
$22,852 |
$17,770 |
$5,210,331 |
$4,051,533 |
4.04 |
Major depressive disorders & other/unspecified psychoses |
220 |
$13,520 |
$10,513 |
$2,974,356 |
$2,312,854 |
7.94 |
Seizure |
198 |
$22,358 |
$17,385 |
$4,426,788 |
$3,442,259 |
3.80 |
Other pneumonia |
198 |
$26,518 |
$20,620 |
$5,250,563 |
$4,082,818 |
4.73 |
Alcohol abuse & dependence |
191 |
$8,300 |
$6,454 |
$1,585,217 |
$1,232,657 |
3.53 |
Septicemia & disseminated infections |
189 |
$76,905 |
$59,801 |
$14,535,008 |
$11,302,360 |
13.80 |
Drug & alcohol abuse or dependence, left against medical advice |
175 |
$4,338 |
$3,373 |
$759,147 |
$590,308 |
1.62 |
Kidney & urinary tract infections |
156 |
$33,163 |
$25,787 |
$5,173,363 |
$4,022,791 |
6.23 |
Cocaine abuse & dependence |
156 |
$7,656 |
$5,953 |
$1,194,291 |
$928,675 |
3.44 |
Diabetes |
149 |
$25,375 |
$19,731 |
$3,780,803 |
$2,939,937 |
4.44 |
Other gastroenteritis, nausa & vomiting |
136 |
$14,891 |
$11,579 |
$2,025,229 |
$1,574,808 |
2.45 |
Other anemia & disorders of blood & blood-forming organs |
131 |
$18,808 |
$14,625 |
$2,463,793 |
$1,915,839 |
3.29 |
Syncope & collapse |
130 |
$19,511 |
$15,172 |
$2,536,491 |
$1,972,366 |
3.06 |
Chest pain |
129 |
$11,758 |
$9,143 |
$1,516,790 |
$1,179,452 |
1.74 |
CVA & precerebral occlusion w infarct |
127 |
$60,791 |
$47,271 |
$7,720,405 |
$6,003,356 |
10.82 |
Peptic ulcer & gastritis |
125 |
$18,763 |
$14,590 |
$2,345,429 |
$1,823,799 |
3.11 |
Toxic effects of non-medicinal substances |
113 |
$18,841 |
$14,651 |
$2,129,016 |
$1,655,519 |
2.93 |
Poisoning of medicinal agents |
108 |
$25,851 |
$20,101 |
$2,791,875 |
$2,170,953 |
4.25 |
Sickle cell anemia crisis |
102 |
$20,983 |
$16,317 |
$2,140,306 |
$1,664,298 |
3.73 |
Cardiac arrhythmia & conduction disorders |
97 |
$22,538 |
$17,525 |
$2,186,178 |
$1,699,968 |
3.46 |
Acute Kidney Injury |
97 |
$30,984 |
$24,093 |
$3,005,416 |
$2,336,998 |
5.43 |
Hypertension |
92 |
$18,901 |
$14,698 |
$1,738,932 |
$1,352,187 |
3.09 |
Respiratory Failure |
87 |
$36,054 |
$28,035 |
$3,136,666 |
$2,439,057 |
5.90 |
Peripheral & other vascular disorders |
87 |
$36,554 |
$28,424 |
$3,180,155 |
$2,472,877 |
6.74 |
Hypovolemia & related electrolyte disorders |
86 |
$27,760 |
$21,586 |
$2,387,374 |
$1,856,417 |
4.98 |
Electrolyte disorders except hypovolemia related |
86 |
$23,687 |
$18,419 |
$2,037,069 |
$1,584,012 |
4.12 |
Disorders of pancreas except malignancy |
80 |
$25,298 |
$19,672 |
$2,023,870 |
$1,573,755 |
4.35 |
Fractures & dislocations except femur, pelvis & back |
78 |
$25,232 |
$19,620 |
$1,968,071 |
$1,530,358 |
4.21 |
Angina pectoris & coronary atherosclerosis |
77 |
$13,838 |
$10,760 |
$1,065,521 |
$828,544 |
2.09 |
Other musculoskeletal system & connective tissue diagnoses |
77 |
$29,888 |
$23,241 |
$2,301,362 |
$1,789,530 |
5.57 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
73 |
$16,913 |
$13,152 |
$1,234,657 |
$960,071 |
2.63 |
Appendectomy |
69 |
$25,520 |
$19,844 |
$1,760,887 |
$1,369,259 |
3.93 |
Other digestive system diagnoses |
67 |
$18,957 |
$14,741 |
$1,270,114 |
$987,637 |
3.18 |
Bronchiolitis & RSV pneumonia |
63 |
$14,774 |
$11,489 |
$930,785 |
$723,782 |
2.62 |
Other antepartum diagnoses |
63 |
$16,541 |
$12,863 |
$1,042,104 |
$810,343 |
3.03 |
Chronic Kidney Disease |
60 |
$25,293 |
$19,668 |
$1,517,580 |
$1,180,068 |
4.45 |
Other & unspecified gastrointestinal hemorrhage |
59 |
$32,385 |
$25,182 |
$1,910,718 |
$1,485,762 |
5.27 |
Other back & neck disorders, fractures & injuries |
57 |
$39,519 |
$30,730 |
$2,252,592 |
$1,751,606 |
9.19 |
Peripheral, cranial & autonomic nerve disorders |
54 |
$25,293 |
$19,668 |
$1,365,822 |
$1,062,056 |
5.35 |
Infections of upper respiratory tract |
54 |
$17,193 |
$13,369 |
$928,414 |
$721,932 |
3.06 |
Transient ischemia |
53 |
$20,372 |
$15,841 |
$1,079,697 |
$839,571 |
3.08 |
HIV w one signif HIV cond or w/o signif related cond |
53 |
$19,347 |
$15,044 |
$1,025,376 |
$797,329 |
3.36 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
52 |
$48,408 |
$37,642 |
$2,517,220 |
$1,957,382 |
9.27 |
Other disorders of nervous system |
50 |
$28,758 |
$22,362 |
$1,437,916 |
$1,118,115 |
10.56 |
Other esophageal disorders |
49 |
$16,115 |
$12,531 |
$789,643 |
$614,024 |
2.59 |
Depression except major depressive disorder |
49 |
$7,529 |
$5,855 |
$368,931 |
$286,880 |
4.69 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
48 |
$14,210 |
$11,050 |
$682,086 |
$530,389 |
2.06 |
Diverticulitis & diverticulosis |
47 |
$22,776 |
$17,711 |
$1,070,483 |
$832,405 |
3.87 |
Intestinal obstruction |
47 |
$28,528 |
$22,183 |
$1,340,816 |
$1,042,610 |
5.13 |
Infectious & parasitic diseases including HIV w O.R. procedure |
45 |
$137,680 |
$107,060 |
$6,195,622 |
$4,817,687 |
24.64 |
Knee & lower leg procedures except foot |
44 |
$67,740 |
$52,675 |
$2,980,579 |
$2,317,686 |
12.52 |
HIV w major HIV related condition |
41 |
$40,348 |
$31,375 |
$1,654,288 |
$1,286,370 |
7.44 |
Other skin, subcutaneous tissue & related procedures |
39 |
$20,878 |
$16,235 |
$814,260 |
$633,166 |
3.26 |
Alcohol & drug dependence w rehab or rehab/detox therapy |
39 |
$7,374 |
$5,734 |
$287,571 |
$223,611 |
3.51 |
Signs, symptoms & other factors influencing health status |
39 |
$12,802 |
$9,955 |
$499,269 |
$388,231 |
2.00 |
Vertigo & other labyrinth disorders |
38 |
$21,771 |
$16,929 |
$827,282 |
$643,293 |
3.45 |
Major small & large bowel procedures |
38 |
$82,097 |
$63,838 |
$3,119,687 |
$2,425,856 |
13.79 |
Uterine & adnexa procedures for leiomyoma |
38 |
$26,625 |
$20,704 |
$1,011,768 |
$786,751 |
4.05 |
Laparoscopic cholecystectomy |
37 |
$29,729 |
$23,117 |
$1,099,983 |
$855,340 |
4.43 |
Respiratory signs, symptoms & minor diagnoses |
35 |
$17,638 |
$13,715 |
$617,329 |
$480,034 |
2.80 |
Hip and femur fracture repair |
35 |
$65,409 |
$50,862 |
$2,289,316 |
$1,780,163 |
11.60 |
Moderately extensive procedure unrelated to principal diagnosis |
35 |
$62,871 |
$48,889 |
$2,200,501 |
$1,711,101 |
10.69 |
Neonate bwt 2000-2499g, normal newborn or neonate w other problem |
34 |
$16,180 |
$12,582 |
$550,128 |
$427,780 |
3.94 |
Pulmonary embolism |
33 |
$45,490 |
$35,373 |
$1,501,174 |
$1,167,310 |
8.42 |
Other skin, subcutaneous tissue & breast disorders |
33 |
$17,532 |
$13,633 |
$578,554 |
$449,882 |
2.97 |
Migraine & other headaches |
31 |
$14,321 |
$11,136 |
$443,958 |
$345,218 |
2.26 |
Head trauma w coma >1 hr or hemorrhage |
30 |
$59,174 |
$46,013 |
$1,775,215 |
$1,380,398 |
10.77 |
Acute myocardial infarction |
30 |
$26,943 |
$20,951 |
$808,283 |
$628,516 |
4.20 |
Alcoholic liver disease |
30 |
$44,704 |
$34,762 |
$1,341,134 |
$1,042,860 |
7.83 |
Dental & oral diseases & injuries |
29 |
$22,357 |
$17,385 |
$648,360 |
$504,161 |
3.07 |
Abdominal pain |
29 |
$15,943 |
$12,397 |
$462,347 |
$359,522 |
2.55 |
Rehabilitation |
29 |
$32,425 |
$25,214 |
$940,322 |
$731,193 |
16.17 |
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma |
28 |
$23,635 |
$18,378 |
$661,767 |
$514,587 |
3.64 |
Other small & large bowel procedures |
27 |
$51,868 |
$40,332 |
$1,400,427 |
$1,088,964 |
8.89 |
Other circulatory system diagnoses |
26 |
$16,229 |
$12,620 |
$421,963 |
$328,118 |
2.46 |
Lower extremity arterial procedures |
25 |
$100,338 |
$78,022 |
$2,508,447 |
$1,950,556 |
18.32 |
Partial thickness burns without skin graft |
25 |
$66,420 |
$51,648 |
$1,660,500 |
$1,291,195 |
11.08 |
Tracheostomy w MV 96+ hours w extensive procedure or ECMO |
24 |
$295,956 |
$230,134 |
$7,102,940 |
$5,523,209 |
45.83 |
Intracranial hemorrhage |
24 |
$121,439 |
$94,430 |
$2,914,538 |
$2,266,329 |
20.83 |
Cardiac catheterization for other non-coronary conditions |
24 |
$21,728 |
$16,895 |
$521,461 |
$405,485 |
3.29 |
Eye disorders except major infections |
23 |
$23,186 |
$18,029 |
$533,274 |
$414,673 |
3.70 |
Foot & toe procedures |
23 |
$74,427 |
$57,874 |
$1,711,826 |
$1,331,108 |
14.22 |
Postpartum & post abortion diagnoses w/o procedure |
23 |
$12,237 |
$9,516 |
$281,457 |
$218,859 |
2.04 |
Other infectious & parasitic diseases |
23 |
$16,019 |
$12,456 |
$368,435 |
$286,493 |
2.65 |
Nonextensive procedure unrelated to principal diagnosis |
23 |
$174,231 |
$135,482 |
$4,007,322 |
$3,116,077 |
16.91 |
Intervertebral disc excision & decompression |
22 |
$41,920 |
$32,597 |
$922,242 |
$717,132 |
7.55 |
Other endocrine disorders |
22 |
$47,313 |
$36,790 |
$1,040,878 |
$809,382 |
8.59 |
Facial bone procedures except major cranial/facial bone procedures |
21 |
$20,596 |
$16,016 |
$432,518 |
$336,328 |
2.57 |
Major respiratory infections & inflammations |
21 |
$59,767 |
$46,474 |
$1,255,100 |
$975,959 |
11.52 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
21 |
$47,640 |
$37,045 |
$1,000,444 |
$777,941 |
9.24 |
Craniotomy except for trauma |
20 |
$94,871 |
$73,771 |
$1,897,413 |
$1,475,418 |
14.60 |
Degenerative nervous system disorders exc mult sclerosis |
20 |
$94,230 |
$73,273 |
$1,884,598 |
$1,465,452 |
19.45 |
Post-operative, post-traumatic, other device infections |
20 |
$57,322 |
$44,574 |
$1,146,442 |
$891,470 |
11.25 |
Organic mental health disturbances |
20 |
$33,902 |
$26,362 |
$678,042 |
$527,241 |
7.55 |
Nontraumatic stupor & coma |
19 |
$46,333 |
$36,028 |
$880,327 |
$684,535 |
8.37 |
Hernia procedures except inguinal, femoral & umbilical |
19 |
$22,081 |
$17,170 |
$419,539 |
$326,234 |
3.11 |
Inguinal, femoral & umbilical hernia procedures |
19 |
$23,081 |
$17,947 |
$438,531 |
$340,997 |
3.26 |
Disorders of gallbladder & biliary tract |
19 |
$29,865 |
$23,223 |
$567,436 |
$441,237 |
5.26 |
Cervical spinal fusion & other back/neck proc exc disc excis/decomp |
19 |
$56,177 |
$43,683 |
$1,067,367 |
$829,979 |
9.16 |
Urinary stones & acquired upper urinary tract obstruction |
19 |
$16,308 |
$12,681 |
$309,844 |
$240,934 |
2.42 |
Extensive procedure unrelated to principal diagnosis |
19 |
$162,317 |
$126,217 |
$3,084,024 |
$2,398,122 |
27.47 |
Inflammatory bowel disease |
18 |
$30,377 |
$23,621 |
$546,792 |
$425,181 |
5.61 |
Amputation of lower limb except toes |
18 |
$122,065 |
$94,917 |
$2,197,163 |
$1,708,504 |
23.72 |
Shoulder, upper arm & forearm procedures except joint replacement |
18 |
$25,737 |
$20,013 |
$463,270 |
$360,236 |
3.94 |
Other kidney & urinary tract diagnoses, signs & symptoms |
18 |
$31,894 |
$24,801 |
$574,092 |
$446,410 |
6.00 |
Menstrual & other female reproductive system disorders |
18 |
$15,307 |
$11,903 |
$275,529 |
$214,254 |
2.50 |
Hepatic coma & other major acute liver disorders |
17 |
$52,158 |
$40,558 |
$886,686 |
$689,484 |
9.82 |
Connective tissue disorders |
17 |
$29,499 |
$22,938 |
$501,480 |
$389,948 |
5.24 |
Viral illness |
17 |
$19,809 |
$15,404 |
$336,761 |
$261,864 |
3.35 |
Malnutrition, failure to thrive & other nutritional disorders |
16 |
$46,913 |
$36,480 |
$750,607 |
$583,672 |
10.31 |
Neonate bwt 1500-1999g w or w/o other significant condition |
16 |
$126,046 |
$98,013 |
$2,016,742 |
$1,568,206 |
22.50 |
Adjustment disorders & neuroses except depressive diagnoses |
16 |
$4,495 |
$3,496 |
$71,926 |
$55,933 |
2.19 |
HIV w multiple major HIV related conditions |
16 |
$45,830 |
$35,637 |
$733,274 |
$570,190 |
8.25 |
Major chest & respiratory trauma |
15 |
$23,373 |
$18,175 |
$350,600 |
$272,623 |
3.53 |
Respiratory malignancy |
15 |
$49,959 |
$38,848 |
$749,380 |
$582,713 |
9.67 |
Other peripheral vascular procedures |
15 |
$74,844 |
$58,198 |
$1,122,655 |
$872,974 |
14.33 |
Anal procedures |
15 |
$23,439 |
$18,226 |
$351,591 |
$273,396 |
4.07 |
Malignancy of hepatobiliary system & pancreas |
15 |
$59,867 |
$46,552 |
$898,001 |
$698,281 |
10.87 |
Skin graft for skin & subcutaneous tissue diagnoses |
15 |
$51,306 |
$39,895 |
$769,589 |
$598,428 |
9.53 |
HIV w multiple significant HIV related conditions |
15 |
$40,055 |
$31,147 |
$600,827 |
$467,204 |
7.67 |
Cardiac catheterization for coronary artery disease |
14 |
$12,109 |
$9,416 |
$169,530 |
$131,825 |
1.79 |
Major gastrointestinal & peritoneal infections |
14 |
$41,976 |
$32,640 |
$587,666 |
$456,966 |
7.86 |
Malfunction, reaction & complication of GI device or procedure |
14 |
$34,412 |
$26,758 |
$481,763 |
$374,616 |
6.57 |
Other hepatobiliary, pancreas & abdominal procedures |
14 |
$70,907 |
$55,136 |
$992,691 |
$771,910 |
12.86 |
Tendon, muscle & other soft tissue procedures |
14 |
$66,538 |
$51,740 |
$931,531 |
$724,354 |
11.50 |
Male reproductive system diagnoses except malignancy |
14 |
$23,892 |
$18,578 |
$334,493 |
$260,098 |
4.29 |
Uterine & adnexa procedures for non-malignancy except leiomyoma |
14 |
$22,278 |
$17,323 |
$311,885 |
$242,520 |
3.29 |
Other disorders of the liver |
13 |
$36,153 |
$28,112 |
$469,989 |
$365,461 |
6.54 |
Mastectomy procedures |
13 |
$22,161 |
$17,232 |
$288,091 |
$224,018 |
3.23 |
Urethral & transurethral procedures |
13 |
$30,896 |
$24,024 |
$401,647 |
$312,317 |
4.69 |
Other drug abuse & dependence |
13 |
$5,179 |
$4,027 |
$67,331 |
$52,357 |
1.77 |
Cardiac arrest and shock |
12 |
$55,229 |
$42,946 |
$662,744 |
$515,348 |
8.50 |
Major stomach, esophageal & duodenal procedures |
12 |
$54,779 |
$42,596 |
$657,352 |
$511,154 |
8.67 |
Skin ulcers |
12 |
$47,609 |
$37,020 |
$571,308 |
$444,245 |
9.25 |
Other injury, poisoning & toxic effect diagnoses |
12 |
$37,282 |
$28,991 |
$447,389 |
$347,888 |
7.00 |
Craniotomy for trauma |
11 |
$80,923 |
$62,926 |
$890,153 |
$692,181 |
12.55 |
Interstitial & alveolar lung diseases |
11 |
$48,210 |
$37,488 |
$530,313 |
$412,368 |
9.27 |
Neonate birthwt >2499g w other significant condition |
11 |
$31,834 |
$24,754 |
$350,176 |
$272,297 |
5.91 |
Lymphoma, myeloma & non-acute leukemia |
11 |
$58,432 |
$45,437 |
$642,754 |
$499,805 |
10.91 |
Musculoskeletal & other procedures for multiple significant trauma |
11 |
$69,533 |
$54,069 |
$764,867 |
$594,757 |
10.45 |
Respiratory system diagnosis w ventilator support 96+ hours |
10 |
$233,630 |
$181,669 |
$2,336,298 |
$1,816,694 |
41.10 |
Other circulatory system procedures |
10 |
$75,354 |
$58,595 |
$753,538 |
$585,946 |
14.50 |
Hip joint replacement |
10 |
$71,820 |
$55,847 |
$718,201 |
$558,470 |
12.90 |
Thyroid, parathyroid & thyroglossal procedures |
10 |
$16,515 |
$12,842 |
$165,154 |
$128,424 |
2.00 |
Kidney & urinary tract procedures for nonmalignancy |
10 |
$58,325 |
$45,353 |
$583,252 |
$453,533 |
9.90 |
Preterm labor |
10 |
$7,775 |
$6,046 |
$77,753 |
$60,463 |
1.70 |
Nervous system malignancy |
9 |
$33,561 |
$26,097 |
$302,053 |
$234,875 |
6.89 |
Multiple sclerosis & other demyelinating diseases |
9 |
$33,046 |
$25,696 |
$297,412 |
$231,266 |
7.33 |
Major respiratory & chest procedures |
9 |
$85,569 |
$66,538 |
$770,119 |
$598,841 |
14.56 |
Digestive malignancy |
9 |
$55,939 |
$43,498 |
$503,450 |
$391,479 |
10.78 |
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses |
9 |
$69,876 |
$54,335 |
$628,884 |
$489,018 |
12.33 |
Inborn errors of metabolism |
9 |
$28,129 |
$21,872 |
$253,157 |
$196,852 |
5.00 |
Malfunction, reaction, complic of genitourinary device or proc |
9 |
$46,642 |
$36,269 |
$419,781 |
$326,419 |
9.00 |
Female reproductive system infections |
9 |
$22,551 |
$17,536 |
$202,959 |
$157,822 |
3.78 |
Neonate birthwt >2499g w major anomaly |
9 |
$23,961 |
$18,632 |
$215,647 |
$167,686 |
4.89 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
9 |
$18,820 |
$14,634 |
$169,383 |
$131,710 |
3.00 |
Coagulation & platelet disorders |
9 |
$20,753 |
$16,138 |
$186,781 |
$145,240 |
3.22 |
Fever |
9 |
$18,135 |
$14,102 |
$163,216 |
$126,917 |
3.22 |
Acute major eye infections |
8 |
$16,510 |
$12,838 |
$132,081 |
$102,706 |
2.88 |
Other ear, nose, mouth & throat procedures |
8 |
$41,672 |
$32,404 |
$333,373 |
$259,230 |
6.38 |
Other respiratory & chest procedures |
8 |
$79,356 |
$61,707 |
$634,847 |
$493,653 |
13.38 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
8 |
$50,064 |
$38,930 |
$400,514 |
$311,439 |
8.13 |
Peritoneal adhesiolysis |
8 |
$33,141 |
$25,770 |
$265,129 |
$206,163 |
5.25 |
Dorsal & lumbar fusion proc except for curvature of back |
8 |
$62,486 |
$48,589 |
$499,891 |
$388,713 |
10.50 |
Other musculoskeletal system & connective tissue procedures |
8 |
$25,353 |
$19,714 |
$202,823 |
$157,714 |
4.13 |
Neonate bwt 2000-2499g w other significant condition |
8 |
$84,949 |
$66,056 |
$679,593 |
$528,448 |
15.38 |
Allergic reactions |
8 |
$47,824 |
$37,188 |
$382,595 |
$297,504 |
8.25 |
Other complications of treatment |
8 |
$35,034 |
$27,242 |
$280,271 |
$217,937 |
6.75 |
Multiple significant trauma w/o O.R. procedure |
8 |
$56,497 |
$43,932 |
$451,972 |
$351,452 |
10.00 |
Tracheostomy w MV 96+ hours w/o extensive procedure |
7 |
$392,506 |
$305,211 |
$2,747,544 |
$2,136,476 |
62.14 |
Tonsil & adenoid procedures |
7 |
$11,282 |
$8,773 |
$78,973 |
$61,409 |
1.71 |
Major pancreas, liver & shunt procedures |
7 |
$98,592 |
$76,664 |
$690,142 |
$536,651 |
17.86 |
Hand & wrist procedures |
7 |
$20,179 |
$15,691 |
$141,256 |
$109,839 |
2.29 |
Fracture of femur |
7 |
$38,708 |
$30,100 |
$270,959 |
$210,697 |
8.00 |
Renal dialysis access device procedure only |
7 |
$97,031 |
$75,450 |
$679,214 |
$528,152 |
19.00 |
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond |
7 |
$43,486 |
$33,814 |
$304,399 |
$236,699 |
7.57 |
Neonate birthwt >2499g w congenital/perinatal infection |
7 |
$29,597 |
$23,015 |
$207,181 |
$161,103 |
5.57 |
Post-op, post-trauma, other device infections w O.R. procedure |
7 |
$100,309 |
$78,000 |
$702,162 |
$545,999 |
19.29 |
O.R. procedure for other complications of treatment |
7 |
$33,499 |
$26,049 |
$234,494 |
$182,342 |
6.00 |
Other nervous system & related procedures |
6 |
$38,352 |
$29,822 |
$230,110 |
$178,933 |
5.33 |
Orbital procedures |
6 |
$24,876 |
$19,343 |
$149,253 |
$116,059 |
3.83 |
Other stomach, esophageal & duodenal procedures |
6 |
$36,608 |
$28,466 |
$219,646 |
$170,796 |
7.17 |
Malfunction, reaction, complic of orthopedic device or procedure |
6 |
$45,068 |
$35,045 |
$270,409 |
$210,269 |
9.00 |
Other procedures for endocrine, nutritional & metabolic disorders |
6 |
$83,982 |
$65,304 |
$503,892 |
$391,823 |
16.17 |
Other O.R. proc for obstetric diagnoses except delivery diagnoses |
6 |
$19,956 |
$15,518 |
$119,735 |
$93,106 |
4.17 |
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms |
6 |
$130,208 |
$101,249 |
$781,245 |
$607,492 |
25.33 |
Other aftercare & convalescence |
6 |
$23,818 |
$18,521 |
$142,910 |
$111,126 |
11.67 |
Extensive abdominal/thoracic procedures for mult significant trauma |
6 |
$88,155 |
$68,549 |
$528,931 |
$411,294 |
14.00 |
Spinal disorders & injuries |
5 |
$32,235 |
$25,066 |
$161,175 |
$125,329 |
9.00 |
Other digestive system & abdominal procedures |
5 |
$57,624 |
$44,809 |
$288,122 |
$224,043 |
10.80 |
Major esophageal disorders |
5 |
$54,616 |
$42,469 |
$273,080 |
$212,346 |
9.40 |
Major biliary tract procedures |
5 |
$79,082 |
$61,494 |
$395,410 |
$307,469 |
15.20 |
Fracture of pelvis or dislocation of hip |
5 |
$75,508 |
$58,714 |
$377,540 |
$293,572 |
11.80 |
Breast procedures except mastectomy |
5 |
$20,615 |
$16,030 |
$103,077 |
$80,152 |
2.80 |
Penis procedures |
5 |
$60,830 |
$47,301 |
$304,148 |
$236,504 |
11.20 |
Testes & scrotal procedures |
5 |
$30,936 |
$24,056 |
$154,682 |
$120,280 |
5.20 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
5 |
$13,114 |
$10,197 |
$65,568 |
$50,985 |
3.00 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
5 |
$24,309 |
$18,902 |
$121,545 |
$94,512 |
4.20 |
Acute anxiety & delirium states |
5 |
$17,072 |
$13,275 |
$85,362 |
$66,377 |
4.20 |
Procedure w diag of rehab, aftercare or oth contact w health service |
5 |
$35,840 |
$27,869 |
$179,199 |
$139,345 |
9.20 |
Spinal procedures |
4 |
$43,553 |
$33,867 |
$174,212 |
$135,467 |
8.75 |
Bacterial & tuberculous infections of nervous system |
4 |
$45,198 |
$35,146 |
$180,791 |
$140,583 |
8.50 |
Cardiomyopathy |
4 |
$28,060 |
$21,820 |
$112,240 |
$87,278 |
5.00 |
Malignant breast disorders |
4 |
$177,806 |
$138,261 |
$711,225 |
$553,044 |
34.75 |
Pituitary & adrenal procedures |
4 |
$29,407 |
$22,867 |
$117,627 |
$91,467 |
4.75 |
Nephritis & nephrosis |
4 |
$32,095 |
$24,956 |
$128,378 |
$99,825 |
5.50 |
Malignancy, male reproductive system |
4 |
$22,913 |
$17,817 |
$91,651 |
$71,268 |
3.25 |
False labor |
4 |
$6,783 |
$5,275 |
$27,132 |
$21,098 |
1.50 |
Neonate, transferred < 5 days old, born here |
4 |
$8,496 |
$6,606 |
$33,982 |
$26,424 |
1.25 |
Other mental health disorders |
4 |
$10,899 |
$8,475 |
$43,594 |
$33,898 |
2.25 |
Burns with skin graft except extensive 3rd degree burns |
4 |
$216,371 |
$168,250 |
$865,485 |
$672,998 |
38.00 |
Non-bacterial infections of nervous system exc viral meningitis |
3 |
$38,717 |
$30,106 |
$116,152 |
$90,319 |
6.00 |
Ear, nose, mouth, throat, cranial/facial malignancies |
3 |
$18,919 |
$14,712 |
$56,758 |
$44,135 |
3.00 |
Other cardiothoracic & thoracic vascular procedures |
3 |
$63,725 |
$49,553 |
$191,176 |
$148,658 |
12.33 |
Acute & subacute endocarditis |
3 |
$58,437 |
$45,440 |
$175,310 |
$136,319 |
10.67 |
Cardiac structural & valvular disorders |
3 |
$22,860 |
$17,776 |
$68,580 |
$53,327 |
4.00 |
Gastrointestinal vascular insufficiency |
3 |
$19,753 |
$15,359 |
$59,258 |
$46,078 |
3.00 |
Cholecystectomy except laparoscopic |
3 |
$69,221 |
$53,826 |
$207,663 |
$161,478 |
11.00 |
Other kidney, urinary tract & related procedures |
3 |
$63,715 |
$49,544 |
$191,144 |
$148,632 |
10.67 |
Vaginal delivery w sterilization &/or D&C |
3 |
$17,037 |
$13,248 |
$51,112 |
$39,745 |
4.00 |
D&C, aspiration curettage or hysterotomy for obstetric diagnoses |
3 |
$39,694 |
$30,866 |
$119,081 |
$92,597 |
5.33 |
Neonate birthwt 500-749g w/o major procedure |
3 |
$412,522 |
$320,775 |
$1,237,565 |
$962,324 |
73.00 |
Neonate birthwt 750-999g w/o major procedure |
3 |
$229,713 |
$178,624 |
$689,139 |
$535,872 |
39.00 |
Neonate bwt 2000-2499g w resp dist synd/oth maj resp cond |
3 |
$115,720 |
$89,983 |
$347,159 |
$269,950 |
20.33 |
Other procedures of blood & blood-forming organs |
3 |
$36,548 |
$28,420 |
$109,645 |
$85,260 |
6.00 |
Behavioral disorders |
3 |
$3,441 |
$2,676 |
$10,322 |
$8,027 |
2.00 |
Major abdominal vascular procedures |
2 |
$65,730 |
$51,111 |
$131,460 |
$102,222 |
11.00 |
Other significant hip and femur surgery |
2 |
$133,585 |
$103,874 |
$267,169 |
$207,748 |
27.50 |
Major skin disorders |
2 |
$14,867 |
$11,561 |
$29,734 |
$23,122 |
2.50 |
Neonate bwt 1000-1249g w resp dist synd/oth maj resp or maj anom |
2 |
$388,502 |
$302,097 |
$777,003 |
$604,193 |
68.00 |
Neonate birthwt 1500-1999g w major anomaly |
2 |
$66,815 |
$51,956 |
$133,630 |
$103,911 |
12.00 |
Neonate bwt 1500-1999g w resp dist synd/oth maj resp cond |
2 |
$126,979 |
$98,738 |
$253,958 |
$197,476 |
22.50 |
Neonate birthwt 1500-1999g w congenital/perinatal infection |
2 |
$209,754 |
$163,104 |
$419,507 |
$326,207 |
37.00 |
Ventricular shunt procedures |
1 |
$103,499 |
$80,481 |
$103,499 |
$80,481 |
21.00 |
Extracranial vascular procedures |
1 |
$25,994 |
$20,213 |
$25,994 |
$20,213 |
4.00 |
Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma |
1 |
$84,179 |
$65,457 |
$84,179 |
$65,457 |
16.00 |
Major larynx & trachea procedures |
1 |
$72,600 |
$56,453 |
$72,600 |
$56,453 |
11.00 |
Other major head & neck procedures |
1 |
$38,957 |
$30,293 |
$38,957 |
$30,293 |
5.00 |
Cystic fibrosis - pulmonary disease |
1 |
$99,946 |
$77,717 |
$99,946 |
$77,717 |
21.00 |
BPD & oth chronic respiratory diseases arising in perinatal period |
1 |
$68,153 |
$52,995 |
$68,153 |
$52,995 |
12.00 |
Cardiac defibrillator & heart assist implant |
1 |
$54,140 |
$42,099 |
$54,140 |
$42,099 |
11.00 |
Perm cardiac pacemaker implant w/o AMI, heart failure or shock |
1 |
$51,157 |
$39,780 |
$51,157 |
$39,780 |
9.00 |
Cardiac pacemaker & defibrillator revision except device replacement |
1 |
$6,963 |
$5,414 |
$6,963 |
$5,414 |
1.00 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
1 |
$47,851 |
$37,209 |
$47,851 |
$37,209 |
9.00 |
Major bladder procedures |
1 |
$17,289 |
$13,444 |
$17,289 |
$13,444 |
2.00 |
Kidney & urinary tract procedures for malignancy |
1 |
$16,925 |
$13,161 |
$16,925 |
$13,161 |
3.00 |
Other bladder procedures |
1 |
$20,012 |
$15,561 |
$20,012 |
$15,561 |
2.00 |
Transurethral prostatectomy |
1 |
$9,363 |
$7,280 |
$9,363 |
$7,280 |
3.00 |
Other male reproductive system & related procedures |
1 |
$80,720 |
$62,768 |
$80,720 |
$62,768 |
15.00 |
Dilation & curettage for non-obstetric diagnoses |
1 |
$20,070 |
$15,607 |
$20,070 |
$15,607 |
3.00 |
Other female reproductive system & related procedures |
1 |
$16,790 |
$13,056 |
$16,790 |
$13,056 |
3.00 |
Female reproductive system malignancy |
1 |
$46,119 |
$35,862 |
$46,119 |
$35,862 |
9.00 |
Neonate, transferred <5 days old, not born here |
1 |
$8,040 |
$6,252 |
$8,040 |
$6,252 |
1.00 |
Neonate bwt <500g or GA <24 weeks |
1 |
$783,381 |
$609,153 |
$783,381 |
$609,153 |
120.00 |
Neonate birthwt 1000-1249g w or w/o other significant condition |
1 |
$163,007 |
$126,753 |
$163,007 |
$126,753 |
28.00 |
Neonate bwt 1250-1499g w resp dist synd/oth maj resp or maj anom |
1 |
$233,294 |
$181,409 |
$233,294 |
$181,409 |
40.00 |
Neonate bwt 1250-1499g w or w/o other significant condition |
1 |
$223,832 |
$174,051 |
$223,832 |
$174,051 |
40.00 |
Neonate bwt 2000-2499g w major anomaly |
1 |
$154,067 |
$119,802 |
$154,067 |
$119,802 |
27.00 |
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms |
1 |
$23,688 |
$18,420 |
$23,688 |
$18,420 |
4.00 |
Acute leukemia |
1 |
$183,828 |
$142,944 |
$183,828 |
$142,944 |
38.00 |
Disorders of personality & impulse control |
1 |
$2,194 |
$1,706 |
$2,194 |
$1,706 |
1.00 |
Extensive 3rd degree burns w skin graft |
1 |
$237,060 |
$184,336 |
$237,060 |
$184,336 |
36.00 |