Schizophrenia |
1202 |
$28,088 |
$18,668 |
$33,761,767 |
$22,439,320 |
18.18 |
Bipolar disorders |
936 |
$18,837 |
$12,520 |
$17,631,205 |
$11,718,322 |
12.30 |
Alcohol & drug dependence w rehab or rehab/detox therapy |
931 |
$9,675 |
$6,430 |
$9,007,217 |
$5,986,510 |
5.08 |
Neonate birthwt >2499g, normal newborn or neonate w other problem |
801 |
$7,335 |
$4,875 |
$5,875,347 |
$3,904,907 |
2.49 |
Vaginal delivery |
611 |
$12,621 |
$8,388 |
$7,711,131 |
$5,125,099 |
2.68 |
Drug & alcohol abuse or dependence, left against medical advice |
302 |
$5,133 |
$3,411 |
$1,550,027 |
$1,030,210 |
2.02 |
Cesarean delivery |
234 |
$19,650 |
$13,060 |
$4,598,080 |
$3,056,047 |
4.10 |
Major depressive disorders & other/unspecified psychoses |
180 |
$21,542 |
$14,318 |
$3,877,550 |
$2,577,165 |
13.52 |
Cellulitis & other skin infections |
138 |
$21,301 |
$14,158 |
$2,939,567 |
$1,953,748 |
3.63 |
Other gastroenteritis, nausa & vomiting |
130 |
$14,538 |
$9,662 |
$1,889,882 |
$1,256,085 |
2.37 |
Diabetes |
128 |
$21,323 |
$14,172 |
$2,729,307 |
$1,813,989 |
3.52 |
Septicemia & disseminated infections |
127 |
$51,228 |
$34,048 |
$6,505,971 |
$4,324,106 |
8.49 |
Kidney & urinary tract infections |
123 |
$21,966 |
$14,599 |
$2,701,790 |
$1,795,706 |
3.68 |
Chronic obstructive pulmonary disease |
121 |
$22,645 |
$15,051 |
$2,740,018 |
$1,821,117 |
3.76 |
Other pneumonia |
116 |
$22,706 |
$15,092 |
$2,633,952 |
$1,750,624 |
3.74 |
Heart failure |
115 |
$35,155 |
$23,365 |
$4,042,792 |
$2,686,981 |
5.67 |
Other disorders of nervous system |
111 |
$26,141 |
$17,374 |
$2,901,661 |
$1,928,551 |
12.67 |
Asthma |
100 |
$15,626 |
$10,385 |
$1,562,565 |
$1,038,544 |
2.63 |
Rehabilitation |
96 |
$27,564 |
$18,320 |
$2,646,140 |
$1,758,719 |
16.71 |
Cardiac arrhythmia & conduction disorders |
90 |
$21,894 |
$14,552 |
$1,970,488 |
$1,309,656 |
3.10 |
Chest pain |
90 |
$14,691 |
$9,764 |
$1,322,209 |
$878,786 |
2.06 |
Acute myocardial infarction |
85 |
$27,023 |
$17,960 |
$2,296,955 |
$1,526,638 |
3.72 |
Toxic effects of non-medicinal substances |
83 |
$22,695 |
$15,084 |
$1,883,673 |
$1,251,959 |
3.24 |
Seizure |
77 |
$15,173 |
$10,084 |
$1,168,292 |
$776,490 |
2.21 |
Infections of upper respiratory tract |
77 |
$12,019 |
$7,988 |
$925,435 |
$615,079 |
1.96 |
Bronchiolitis & RSV pneumonia |
73 |
$20,476 |
$13,609 |
$1,494,780 |
$993,485 |
3.92 |
Appendectomy |
73 |
$20,578 |
$13,677 |
$1,502,216 |
$998,422 |
2.60 |
Angina pectoris & coronary atherosclerosis |
72 |
$15,479 |
$10,288 |
$1,114,497 |
$740,732 |
2.06 |
Laparoscopic cholecystectomy |
71 |
$28,326 |
$18,827 |
$2,011,151 |
$1,336,686 |
3.73 |
Poisoning of medicinal agents |
67 |
$26,389 |
$17,539 |
$1,768,057 |
$1,175,116 |
4.49 |
Hypertension |
66 |
$23,127 |
$15,371 |
$1,526,358 |
$1,014,477 |
3.24 |
Peptic ulcer & gastritis |
64 |
$17,704 |
$11,767 |
$1,133,065 |
$753,073 |
2.56 |
Other digestive system diagnoses |
63 |
$16,247 |
$10,799 |
$1,023,578 |
$680,312 |
2.49 |
Other musculoskeletal system & connective tissue diagnoses |
62 |
$16,351 |
$10,867 |
$1,013,763 |
$673,783 |
2.56 |
Depression except major depressive disorder |
61 |
$22,196 |
$14,752 |
$1,353,963 |
$899,896 |
13.77 |
Signs, symptoms & other factors influencing health status |
58 |
$24,361 |
$16,191 |
$1,412,916 |
$939,073 |
5.02 |
Disorders of pancreas except malignancy |
57 |
$22,812 |
$15,161 |
$1,300,265 |
$864,201 |
3.47 |
Syncope & collapse |
54 |
$15,979 |
$10,620 |
$862,882 |
$573,500 |
2.11 |
Alcohol abuse & dependence |
54 |
$27,448 |
$18,243 |
$1,482,203 |
$985,125 |
4.67 |
Knee joint replacement |
52 |
$24,786 |
$16,474 |
$1,288,854 |
$856,623 |
2.31 |
Other anemia & disorders of blood & blood-forming organs |
52 |
$16,910 |
$11,239 |
$879,342 |
$584,443 |
2.56 |
Other antepartum diagnoses |
51 |
$10,021 |
$6,661 |
$511,089 |
$339,692 |
2.67 |
Behavioral disorders |
51 |
$30,696 |
$20,402 |
$1,565,500 |
$1,040,487 |
19.06 |
Uterine & adnexa procedures for non-malignancy except leiomyoma |
48 |
$24,650 |
$16,384 |
$1,183,223 |
$786,412 |
2.77 |
CVA & precerebral occlusion w infarct |
46 |
$36,726 |
$24,409 |
$1,689,391 |
$1,122,832 |
6.22 |
Acute Kidney Injury |
45 |
$31,449 |
$20,902 |
$1,415,202 |
$940,592 |
5.40 |
Diverticulitis & diverticulosis |
43 |
$25,137 |
$16,707 |
$1,080,909 |
$718,409 |
4.16 |
Infectious & parasitic diseases including HIV w O.R. procedure |
43 |
$149,227 |
$99,182 |
$6,416,767 |
$4,264,817 |
23.58 |
Other & unspecified gastrointestinal hemorrhage |
41 |
$27,893 |
$18,539 |
$1,143,612 |
$760,087 |
4.59 |
Peripheral & other vascular disorders |
40 |
$33,546 |
$22,296 |
$1,341,851 |
$891,842 |
5.90 |
Electrolyte disorders except hypovolemia related |
39 |
$16,469 |
$10,946 |
$642,282 |
$426,885 |
2.56 |
Urinary stones & acquired upper urinary tract obstruction |
38 |
$26,515 |
$17,623 |
$1,007,571 |
$669,669 |
2.37 |
Uterine & adnexa procedures for leiomyoma |
38 |
$28,077 |
$18,661 |
$1,066,908 |
$709,109 |
3.13 |
Disorders of gallbladder & biliary tract |
34 |
$15,178 |
$10,088 |
$516,058 |
$342,992 |
2.29 |
Respiratory signs, symptoms & minor diagnoses |
33 |
$18,555 |
$12,333 |
$612,329 |
$406,976 |
3.00 |
Other circulatory system diagnoses |
33 |
$29,602 |
$19,675 |
$976,881 |
$649,268 |
4.82 |
Intestinal obstruction |
32 |
$85,520 |
$56,839 |
$2,736,629 |
$1,818,860 |
7.69 |
Other esophageal disorders |
30 |
$23,690 |
$15,745 |
$710,702 |
$472,360 |
3.90 |
Female reproductive system infections |
30 |
$20,425 |
$13,576 |
$612,761 |
$407,265 |
3.60 |
Alcoholic liver disease |
29 |
$22,939 |
$15,246 |
$665,235 |
$442,140 |
3.72 |
Vertigo & other labyrinth disorders |
28 |
$13,755 |
$9,142 |
$385,137 |
$255,976 |
1.89 |
Other hepatobiliary, pancreas & abdominal procedures |
28 |
$55,087 |
$36,613 |
$1,542,438 |
$1,025,161 |
9.32 |
Other skin, subcutaneous tissue & related procedures |
28 |
$23,509 |
$15,625 |
$658,245 |
$437,495 |
3.61 |
Kidney & urinary tract procedures for nonmalignancy |
28 |
$36,739 |
$24,418 |
$1,028,682 |
$683,698 |
3.82 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
26 |
$12,269 |
$8,154 |
$318,991 |
$212,013 |
1.96 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
26 |
$24,761 |
$16,457 |
$643,792 |
$427,888 |
4.12 |
Amputation of lower limb except toes |
26 |
$93,957 |
$62,447 |
$2,442,884 |
$1,623,627 |
16.27 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
26 |
$63,107 |
$41,943 |
$1,640,787 |
$1,090,525 |
12.08 |
Sickle cell anemia crisis |
26 |
$12,186 |
$8,100 |
$316,845 |
$210,587 |
1.92 |
Viral illness |
26 |
$14,451 |
$9,604 |
$375,716 |
$249,714 |
2.50 |
Major respiratory infections & inflammations |
25 |
$39,385 |
$26,177 |
$984,635 |
$654,426 |
7.04 |
Vaginal delivery w sterilization &/or D&C |
25 |
$13,758 |
$9,144 |
$343,955 |
$228,607 |
2.64 |
Organic mental health disturbances |
25 |
$43,009 |
$28,585 |
$1,075,217 |
$714,630 |
16.44 |
Transient ischemia |
24 |
$20,309 |
$13,498 |
$487,413 |
$323,955 |
2.50 |
Major small & large bowel procedures |
23 |
$107,279 |
$71,301 |
$2,467,415 |
$1,639,933 |
15.04 |
Degenerative nervous system disorders exc mult sclerosis |
22 |
$71,005 |
$47,193 |
$1,562,117 |
$1,038,238 |
12.95 |
Abdominal pain |
22 |
$11,484 |
$7,633 |
$252,652 |
$167,920 |
1.64 |
Other skin, subcutaneous tissue & breast disorders |
22 |
$18,202 |
$12,098 |
$400,449 |
$266,152 |
3.09 |
Neonate bwt 2000-2499g, normal newborn or neonate w other problem |
22 |
$25,003 |
$16,617 |
$550,055 |
$365,584 |
5.45 |
Acute anxiety & delirium states |
22 |
$12,718 |
$8,453 |
$279,794 |
$185,963 |
6.59 |
Moderately extensive procedure unrelated to principal diagnosis |
22 |
$57,510 |
$38,223 |
$1,265,221 |
$840,910 |
9.86 |
Peripheral, cranial & autonomic nerve disorders |
21 |
$18,667 |
$12,407 |
$392,013 |
$260,547 |
2.81 |
HIV w one signif HIV cond or w/o signif related cond |
21 |
$27,852 |
$18,511 |
$584,884 |
$388,735 |
4.76 |
Skin ulcers |
20 |
$29,080 |
$19,328 |
$581,600 |
$386,553 |
5.20 |
Hypovolemia & related electrolyte disorders |
20 |
$17,736 |
$11,788 |
$354,716 |
$235,755 |
2.80 |
Adjustment disorders & neuroses except depressive diagnoses |
20 |
$8,149 |
$5,416 |
$162,980 |
$108,323 |
4.10 |
Other back & neck disorders, fractures & injuries |
19 |
$17,362 |
$11,539 |
$329,880 |
$219,250 |
2.63 |
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond |
19 |
$28,594 |
$19,005 |
$543,295 |
$361,092 |
5.37 |
Neonate birthwt >2499g w other significant condition |
19 |
$36,322 |
$24,141 |
$690,124 |
$458,681 |
7.21 |
HIV w multiple major HIV related conditions |
19 |
$82,161 |
$54,607 |
$1,561,051 |
$1,037,530 |
14.42 |
Cholecystectomy except laparoscopic |
18 |
$36,771 |
$24,440 |
$661,886 |
$439,912 |
4.94 |
Other kidney & urinary tract diagnoses, signs & symptoms |
18 |
$15,364 |
$10,212 |
$276,555 |
$183,807 |
2.00 |
Hip joint replacement |
17 |
$38,605 |
$25,658 |
$656,279 |
$436,186 |
4.88 |
Urethral & transurethral procedures |
17 |
$23,630 |
$15,705 |
$401,709 |
$266,992 |
2.35 |
Malfunction, reaction, complic of genitourinary device or proc |
17 |
$40,542 |
$26,946 |
$689,208 |
$458,075 |
6.94 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
17 |
$14,482 |
$9,625 |
$246,189 |
$163,627 |
2.82 |
Perm cardiac pacemaker implant w/o AMI, heart failure or shock |
16 |
$75,726 |
$50,330 |
$1,211,609 |
$805,279 |
8.44 |
Transurethral prostatectomy |
16 |
$14,968 |
$9,948 |
$239,488 |
$159,171 |
1.75 |
Male reproductive system diagnoses except malignancy |
15 |
$17,755 |
$11,801 |
$266,327 |
$177,010 |
3.00 |
Malignancy of hepatobiliary system & pancreas |
14 |
$36,677 |
$24,377 |
$513,477 |
$341,275 |
6.07 |
Hip and femur fracture repair |
14 |
$51,773 |
$34,411 |
$724,827 |
$481,747 |
8.21 |
Malnutrition, failure to thrive & other nutritional disorders |
14 |
$39,341 |
$26,147 |
$550,774 |
$366,063 |
7.71 |
Neonate birthwt >2499g w major anomaly |
14 |
$53,415 |
$35,501 |
$747,806 |
$497,020 |
13.00 |
Opioid abuse & dependence |
14 |
$11,800 |
$7,843 |
$165,206 |
$109,804 |
3.00 |
Respiratory malignancy |
13 |
$62,834 |
$41,762 |
$816,837 |
$542,900 |
11.31 |
Hernia procedures except inguinal, femoral & umbilical |
13 |
$28,434 |
$18,898 |
$369,640 |
$245,676 |
3.38 |
Inguinal, femoral & umbilical hernia procedures |
13 |
$31,961 |
$21,243 |
$415,496 |
$276,155 |
4.23 |
Knee & lower leg procedures except foot |
13 |
$62,100 |
$41,274 |
$807,303 |
$536,563 |
10.31 |
Foot & toe procedures |
13 |
$66,460 |
$44,172 |
$863,977 |
$574,230 |
11.77 |
Other endocrine disorders |
13 |
$21,242 |
$14,118 |
$276,148 |
$183,540 |
3.54 |
Preterm labor |
13 |
$11,682 |
$7,764 |
$151,861 |
$100,931 |
2.15 |
Lymphoma, myeloma & non-acute leukemia |
13 |
$32,303 |
$21,469 |
$419,934 |
$279,102 |
5.54 |
Post-operative, post-traumatic, other device infections |
13 |
$29,233 |
$19,430 |
$380,035 |
$252,585 |
4.85 |
HIV w major HIV related condition |
13 |
$44,248 |
$29,409 |
$575,224 |
$382,314 |
8.23 |
Respiratory system diagnosis w ventilator support 96+ hours |
12 |
$133,755 |
$88,898 |
$1,605,059 |
$1,066,778 |
21.83 |
Other small & large bowel procedures |
12 |
$50,575 |
$33,614 |
$606,898 |
$403,366 |
6.67 |
Major gastrointestinal & peritoneal infections |
12 |
$31,609 |
$21,008 |
$379,302 |
$252,097 |
5.67 |
Other disorders of the liver |
12 |
$20,277 |
$13,477 |
$243,318 |
$161,719 |
3.25 |
Fractures & dislocations except femur, pelvis & back |
12 |
$25,090 |
$16,676 |
$301,079 |
$200,107 |
4.42 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
12 |
$14,621 |
$9,718 |
$175,446 |
$116,610 |
2.08 |
Thyroid, parathyroid & thyroglossal procedures |
12 |
$33,644 |
$22,361 |
$403,729 |
$268,332 |
4.25 |
Chronic Kidney Disease |
12 |
$29,853 |
$19,842 |
$358,238 |
$238,098 |
5.25 |
Menstrual & other female reproductive system disorders |
12 |
$14,684 |
$9,759 |
$176,206 |
$117,112 |
2.25 |
Pulmonary embolism |
11 |
$21,458 |
$14,262 |
$236,037 |
$156,878 |
3.00 |
Other digestive system & abdominal procedures |
11 |
$39,738 |
$26,411 |
$437,122 |
$290,526 |
6.64 |
Coagulation & platelet disorders |
11 |
$18,525 |
$12,312 |
$203,770 |
$135,435 |
3.45 |
HIV w multiple significant HIV related conditions |
11 |
$52,275 |
$34,744 |
$575,021 |
$382,181 |
10.09 |
Nonextensive procedure unrelated to principal diagnosis |
11 |
$66,773 |
$44,380 |
$734,502 |
$488,175 |
11.73 |
Nontraumatic stupor & coma |
10 |
$35,219 |
$23,408 |
$352,185 |
$234,076 |
6.10 |
Migraine & other headaches |
10 |
$13,711 |
$9,113 |
$137,106 |
$91,127 |
1.90 |
Tonsil & adenoid procedures |
10 |
$13,808 |
$9,178 |
$138,084 |
$91,776 |
1.70 |
Other musculoskeletal system & connective tissue procedures |
10 |
$17,180 |
$11,418 |
$171,800 |
$114,183 |
1.80 |
Other complications of treatment |
10 |
$18,980 |
$12,615 |
$189,802 |
$126,150 |
3.00 |
Eye disorders except major infections |
9 |
$16,889 |
$11,225 |
$151,998 |
$101,023 |
2.67 |
Digestive malignancy |
9 |
$39,874 |
$26,502 |
$358,866 |
$238,515 |
6.56 |
Intervertebral disc excision & decompression |
9 |
$20,767 |
$13,802 |
$186,902 |
$124,220 |
2.78 |
Shoulder, upper arm & forearm procedures except joint replacement |
9 |
$20,123 |
$13,375 |
$181,111 |
$120,373 |
2.00 |
Skin graft for skin & subcutaneous tissue diagnoses |
9 |
$23,211 |
$15,427 |
$208,899 |
$138,844 |
3.00 |
Kidney & urinary tract procedures for malignancy |
9 |
$80,504 |
$53,506 |
$724,537 |
$481,553 |
12.89 |
Other mental health disorders |
9 |
$22,299 |
$14,820 |
$200,687 |
$133,383 |
8.67 |
Extensive procedure unrelated to principal diagnosis |
9 |
$101,979 |
$67,779 |
$917,809 |
$610,008 |
16.89 |
Facial bone procedures except major cranial/facial bone procedures |
8 |
$45,510 |
$30,248 |
$364,083 |
$241,982 |
6.00 |
Other peripheral vascular procedures |
8 |
$84,031 |
$55,850 |
$672,251 |
$446,803 |
12.00 |
Connective tissue disorders |
8 |
$23,460 |
$15,592 |
$187,681 |
$124,739 |
3.00 |
Other female reproductive system & related procedures |
8 |
$24,210 |
$16,091 |
$193,676 |
$128,724 |
3.38 |
Other O.R. proc for obstetric diagnoses except delivery diagnoses |
8 |
$10,642 |
$7,073 |
$85,137 |
$56,586 |
2.00 |
Postpartum & post abortion diagnoses w/o procedure |
8 |
$12,657 |
$8,413 |
$101,259 |
$67,301 |
2.88 |
Neonate, transferred < 5 days old, born here |
8 |
$7,861 |
$5,225 |
$62,887 |
$41,798 |
1.38 |
Post-op, post-trauma, other device infections w O.R. procedure |
8 |
$64,455 |
$42,839 |
$515,642 |
$342,714 |
11.88 |
Multiple sclerosis & other demyelinating diseases |
7 |
$27,019 |
$17,958 |
$189,136 |
$125,706 |
4.14 |
Dental & oral diseases & injuries |
7 |
$19,252 |
$12,795 |
$134,761 |
$89,565 |
3.00 |
Inflammatory bowel disease |
7 |
$20,939 |
$13,917 |
$146,575 |
$97,421 |
3.14 |
Hepatic coma & other major acute liver disorders |
7 |
$27,065 |
$17,989 |
$189,457 |
$125,920 |
4.14 |
Female reproductive system reconstructive procedures |
7 |
$21,327 |
$14,175 |
$149,289 |
$99,223 |
2.71 |
Dilation & curettage for non-obstetric diagnoses |
7 |
$19,223 |
$12,776 |
$134,563 |
$89,434 |
2.71 |
Neonate bwt 2000-2499g w other significant condition |
7 |
$46,871 |
$31,152 |
$328,096 |
$218,063 |
8.43 |
Other drug abuse & dependence |
7 |
$11,077 |
$7,362 |
$77,540 |
$51,537 |
6.00 |
Orbital procedures |
6 |
$26,313 |
$17,489 |
$157,879 |
$104,933 |
3.33 |
Other ear, nose, mouth & throat procedures |
6 |
$16,105 |
$10,704 |
$96,627 |
$64,221 |
1.67 |
Other respiratory & chest procedures |
6 |
$79,716 |
$52,982 |
$478,294 |
$317,892 |
12.33 |
Respiratory Failure |
6 |
$40,663 |
$27,026 |
$243,979 |
$162,157 |
7.50 |
Major chest & respiratory trauma |
6 |
$35,173 |
$23,377 |
$211,037 |
$140,264 |
4.50 |
Other stomach, esophageal & duodenal procedures |
6 |
$63,042 |
$41,900 |
$378,250 |
$251,399 |
9.33 |
Malfunction, reaction, complic of orthopedic device or procedure |
6 |
$24,215 |
$16,094 |
$145,287 |
$96,563 |
4.00 |
Breast procedures except mastectomy |
6 |
$20,760 |
$13,798 |
$124,560 |
$82,787 |
1.83 |
Neonate birthwt >2499g w congenital/perinatal infection |
6 |
$24,082 |
$16,005 |
$144,490 |
$96,032 |
4.83 |
Other infectious & parasitic diseases |
6 |
$25,816 |
$17,159 |
$154,897 |
$102,951 |
4.50 |
Cocaine abuse & dependence |
6 |
$13,649 |
$9,071 |
$81,891 |
$54,427 |
5.67 |
Acute major eye infections |
5 |
$14,990 |
$9,962 |
$74,949 |
$49,812 |
2.40 |
Major respiratory & chest procedures |
5 |
$118,432 |
$78,714 |
$592,159 |
$393,571 |
15.60 |
Interstitial & alveolar lung diseases |
5 |
$31,939 |
$21,227 |
$159,694 |
$106,137 |
5.40 |
Cardiac arrest and shock |
5 |
$18,079 |
$12,016 |
$90,396 |
$60,081 |
2.40 |
Cardiac structural & valvular disorders |
5 |
$27,133 |
$18,034 |
$135,667 |
$90,169 |
3.80 |
Cardiomyopathy |
5 |
$27,367 |
$18,189 |
$136,836 |
$90,946 |
3.80 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
5 |
$15,388 |
$10,227 |
$76,939 |
$51,135 |
2.20 |
Peritoneal adhesiolysis |
5 |
$51,377 |
$34,147 |
$256,886 |
$170,736 |
7.40 |
Anal procedures |
5 |
$16,211 |
$10,774 |
$81,055 |
$53,872 |
2.20 |
Major esophageal disorders |
5 |
$20,844 |
$13,854 |
$104,219 |
$69,268 |
3.00 |
Other significant hip and femur surgery |
5 |
$158,135 |
$105,102 |
$790,676 |
$525,512 |
29.80 |
Tendon, muscle & other soft tissue procedures |
5 |
$14,896 |
$9,901 |
$74,482 |
$49,504 |
1.80 |
Fracture of pelvis or dislocation of hip |
5 |
$30,990 |
$20,597 |
$154,951 |
$102,987 |
5.60 |
Major skin disorders |
5 |
$46,912 |
$31,179 |
$234,558 |
$155,895 |
9.20 |
Other kidney, urinary tract & related procedures |
5 |
$113,610 |
$75,509 |
$568,049 |
$377,545 |
21.80 |
Testes & scrotal procedures |
5 |
$28,598 |
$19,007 |
$142,990 |
$95,035 |
4.00 |
D&C, aspiration curettage or hysterotomy for obstetric diagnoses |
5 |
$7,949 |
$5,283 |
$39,743 |
$26,414 |
1.20 |
Mental illness diagnosis w O.R. procedure |
5 |
$63,206 |
$42,009 |
$316,028 |
$210,045 |
41.80 |
Disorders of personality & impulse control |
5 |
$12,701 |
$8,441 |
$63,506 |
$42,207 |
8.00 |
Procedure w diag of rehab, aftercare or oth contact w health service |
5 |
$69,905 |
$46,462 |
$349,527 |
$232,308 |
41.60 |
Other aftercare & convalescence |
5 |
$19,804 |
$13,162 |
$99,020 |
$65,812 |
10.40 |
Tracheostomy w MV 96+ hours w extensive procedure or ECMO |
4 |
$498,226 |
$331,139 |
$1,992,902 |
$1,324,555 |
71.50 |
Tracheostomy w MV 96+ hours w/o extensive procedure |
4 |
$214,955 |
$142,867 |
$859,819 |
$571,466 |
34.25 |
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma |
4 |
$9,227 |
$6,133 |
$36,907 |
$24,531 |
1.00 |
Other circulatory system procedures |
4 |
$55,648 |
$36,986 |
$222,591 |
$147,942 |
9.75 |
Major biliary tract procedures |
4 |
$72,631 |
$48,274 |
$290,525 |
$193,094 |
9.75 |
Dorsal & lumbar fusion proc except for curvature of back |
4 |
$22,230 |
$14,775 |
$88,920 |
$59,099 |
1.75 |
Cervical spinal fusion & other back/neck proc exc disc excis/decomp |
4 |
$14,787 |
$9,828 |
$59,147 |
$39,312 |
1.50 |
Fracture of femur |
4 |
$28,101 |
$18,677 |
$112,404 |
$74,708 |
5.00 |
Malignant breast disorders |
4 |
$42,025 |
$27,932 |
$168,101 |
$111,726 |
8.00 |
Major bladder procedures |
4 |
$57,165 |
$37,994 |
$228,661 |
$151,976 |
5.75 |
Renal dialysis access device procedure only |
4 |
$104,748 |
$69,620 |
$418,993 |
$278,478 |
19.25 |
Neonate bwt 1500-1999g w or w/o other significant condition |
4 |
$135,103 |
$89,794 |
$540,413 |
$359,177 |
24.00 |
Neonate bwt 2000-2499g w resp dist synd/oth maj resp cond |
4 |
$70,209 |
$46,663 |
$280,835 |
$186,653 |
12.50 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
4 |
$69,641 |
$46,286 |
$278,563 |
$185,142 |
12.75 |
Fever |
4 |
$11,278 |
$7,496 |
$45,112 |
$29,983 |
2.00 |
Other nervous system & related procedures |
3 |
$69,362 |
$46,101 |
$208,086 |
$138,302 |
11.67 |
Nervous system malignancy |
3 |
$11,975 |
$7,959 |
$35,926 |
$23,878 |
1.67 |
Major stomach, esophageal & duodenal procedures |
3 |
$43,093 |
$28,641 |
$129,278 |
$85,922 |
5.67 |
Mastectomy procedures |
3 |
$29,791 |
$19,800 |
$89,372 |
$59,400 |
3.00 |
Other procedures for endocrine, nutritional & metabolic disorders |
3 |
$152,182 |
$101,146 |
$456,547 |
$303,438 |
24.33 |
False labor |
3 |
$12,025 |
$7,992 |
$36,075 |
$23,976 |
2.00 |
Neonate birthwt 500-749g w/o major procedure |
3 |
$285,482 |
$189,741 |
$856,446 |
$569,224 |
50.33 |
Neonate birthwt 750-999g w/o major procedure |
3 |
$377,211 |
$250,708 |
$1,131,633 |
$752,124 |
65.67 |
Neonate bwt 1000-1249g w resp dist synd/oth maj resp or maj anom |
3 |
$380,797 |
$253,092 |
$1,142,392 |
$759,275 |
67.67 |
Other procedures of blood & blood-forming organs |
3 |
$31,298 |
$20,802 |
$93,894 |
$62,405 |
5.00 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
3 |
$101,530 |
$67,480 |
$304,591 |
$202,441 |
20.33 |
Other injury, poisoning & toxic effect diagnoses |
3 |
$76,821 |
$51,058 |
$230,462 |
$153,173 |
15.67 |
Extracranial vascular procedures |
2 |
$41,384 |
$27,505 |
$82,767 |
$55,010 |
6.00 |
Spinal disorders & injuries |
2 |
$11,480 |
$7,630 |
$22,960 |
$15,260 |
1.50 |
Intracranial hemorrhage |
2 |
$20,021 |
$13,307 |
$40,041 |
$26,613 |
3.00 |
Non-bacterial infections of nervous system exc viral meningitis |
2 |
$69,243 |
$46,021 |
$138,486 |
$92,042 |
13.50 |
Viral meningitis |
2 |
$27,373 |
$18,193 |
$54,745 |
$36,385 |
5.00 |
Eye procedures except orbit |
2 |
$33,153 |
$22,035 |
$66,306 |
$44,069 |
5.00 |
Ear, nose, mouth, throat, cranial/facial malignancies |
2 |
$24,329 |
$16,170 |
$48,658 |
$32,340 |
4.50 |
Cystic fibrosis - pulmonary disease |
2 |
$19,567 |
$13,005 |
$39,133 |
$26,010 |
3.00 |
Other cardiothoracic & thoracic vascular procedures |
2 |
$52,299 |
$34,760 |
$104,597 |
$69,519 |
8.00 |
Acute & subacute endocarditis |
2 |
$15,193 |
$10,098 |
$30,385 |
$20,195 |
2.00 |
Malfunction, reaction & complication of GI device or procedure |
2 |
$30,713 |
$20,413 |
$61,426 |
$40,826 |
5.00 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
2 |
$8,167 |
$5,428 |
$16,334 |
$10,856 |
1.00 |
Other bladder procedures |
2 |
$43,441 |
$28,872 |
$86,881 |
$57,744 |
6.00 |
Major male pelvic procedures |
2 |
$64,883 |
$43,123 |
$129,765 |
$86,246 |
9.00 |
Malignancy, male reproductive system |
2 |
$15,277 |
$10,154 |
$30,554 |
$20,307 |
2.00 |
Neonate bwt 1500-1999g w resp dist synd/oth maj resp cond |
2 |
$75,517 |
$50,191 |
$151,033 |
$100,382 |
13.50 |
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms |
2 |
$58,491 |
$38,876 |
$116,982 |
$77,751 |
10.50 |
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms |
2 |
$40,844 |
$27,147 |
$81,687 |
$54,293 |
6.00 |
Acute leukemia |
2 |
$46,762 |
$31,080 |
$93,524 |
$62,159 |
8.00 |
Eating disorders |
2 |
$32,072 |
$21,316 |
$64,144 |
$42,632 |
6.50 |
O.R. procedure for other complications of treatment |
2 |
$11,856 |
$7,880 |
$23,711 |
$15,760 |
1.50 |
Allergic reactions |
2 |
$8,748 |
$5,814 |
$17,495 |
$11,628 |
1.50 |
Nonspecific CVA & precerebral occlusion w/o infarct |
1 |
$17,745 |
$11,794 |
$17,745 |
$11,794 |
2.00 |
Bacterial & tuberculous infections of nervous system |
1 |
$47,819 |
$31,782 |
$47,819 |
$31,782 |
9.00 |
Other major head & neck procedures |
1 |
$174,580 |
$116,032 |
$174,580 |
$116,032 |
21.00 |
Major abdominal vascular procedures |
1 |
$84,686 |
$56,286 |
$84,686 |
$56,286 |
11.00 |
Cardiac pacemaker & defibrillator device replacement |
1 |
$30,087 |
$19,997 |
$30,087 |
$19,997 |
1.00 |
Cardiac pacemaker & defibrillator revision except device replacement |
1 |
$29,829 |
$19,825 |
$29,829 |
$19,825 |
1.00 |
Lower extremity arterial procedures |
1 |
$145,902 |
$96,972 |
$145,902 |
$96,972 |
8.00 |
Gastrointestinal vascular insufficiency |
1 |
$32,196 |
$21,399 |
$32,196 |
$21,399 |
5.00 |
Major pancreas, liver & shunt procedures |
1 |
$17,625 |
$11,714 |
$17,625 |
$11,714 |
3.00 |
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses |
1 |
$125,328 |
$83,298 |
$125,328 |
$83,298 |
24.00 |
Hand & wrist procedures |
1 |
$8,856 |
$5,886 |
$8,856 |
$5,886 |
1.00 |
Shoulder & elbow joint replacement |
1 |
$47,816 |
$31,781 |
$47,816 |
$31,781 |
6.00 |
Pituitary & adrenal procedures |
1 |
$25,020 |
$16,629 |
$25,020 |
$16,629 |
3.00 |
Inborn errors of metabolism |
1 |
$60,902 |
$40,478 |
$60,902 |
$40,478 |
10.00 |
Kidney & urinary tract malignancy |
1 |
$18,882 |
$12,550 |
$18,882 |
$12,550 |
3.00 |
Nephritis & nephrosis |
1 |
$6,167 |
$4,099 |
$6,167 |
$4,099 |
1.00 |
Penis procedures |
1 |
$30,900 |
$20,538 |
$30,900 |
$20,538 |
2.00 |
Neonate bwt <500g or GA <24 weeks |
1 |
$6,301 |
$4,188 |
$6,301 |
$4,188 |
1.00 |
Neonate bwt 1250-1499g w resp dist synd/oth maj resp or maj anom |
1 |
$201,369 |
$133,837 |
$201,369 |
$133,837 |
36.00 |
Neonate birthwt 1500-1999g w congenital/perinatal infection |
1 |
$45,632 |
$30,329 |
$45,632 |
$30,329 |
8.00 |
Other Chemotherapy |
1 |
$442,544 |
$294,131 |
$442,544 |
$294,131 |
95.00 |
Partial thickness burns without skin graft |
1 |
$12,436 |
$8,266 |
$12,436 |
$8,266 |
2.00 |
Multiple significant trauma w/o O.R. procedure |
1 |
$16,189 |
$10,760 |
$16,189 |
$10,760 |
2.00 |
Principal diagnosis invalid as discharge diagnosis |
1 |
$12,595 |
$8,371 |
$12,595 |
$8,371 |
8.00 |
Ungroupable |
1 |
$66,742 |
$44,359 |
$66,742 |
$44,359 |
12.00 |