NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM |
340 |
$3,231 |
$2,528 |
$1,098,686 |
$859,409 |
1.80 |
SEPTICEMIA & DISSEMINATED INFECTIONS |
297 |
$17,742 |
$8,268 |
$5,269,327 |
$2,455,597 |
4.24 |
VAGINAL DELIVERY |
262 |
$7,708 |
$8,456 |
$2,019,591 |
$2,215,409 |
2.03 |
OTHER PNEUMONIA |
159 |
$12,977 |
$5,963 |
$2,063,382 |
$948,163 |
3.11 |
HEART FAILURE |
155 |
$12,455 |
$6,214 |
$1,930,558 |
$963,161 |
3.39 |
MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS |
125 |
$21,819 |
$10,430 |
$2,727,410 |
$1,303,783 |
5.10 |
CHRONIC OBSTRUCTIVE PULMONARY DISEASE |
117 |
$14,869 |
$6,640 |
$1,739,729 |
$776,934 |
3.23 |
CELLULITIS & OTHER SKIN INFECTIONS |
97 |
$9,642 |
$4,345 |
$935,234 |
$421,481 |
2.87 |
DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER |
87 |
$7,140 |
$5,439 |
$621,223 |
$473,159 |
3.39 |
SCHIZOPHRENIA |
76 |
$14,473 |
$13,352 |
$1,099,955 |
$1,014,748 |
8.99 |
KIDNEY & URINARY TRACT INFECTIONS |
70 |
$12,508 |
$5,483 |
$875,556 |
$383,825 |
3.53 |
CESAREAN SECTION W/O STERILIZATION |
63 |
$14,933 |
$8,253 |
$940,750 |
$519,915 |
2.48 |
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS |
52 |
$10,266 |
$4,935 |
$533,821 |
$256,596 |
2.35 |
NON-HYPOVOLEMIC SODIUM DISORDERS |
51 |
$11,247 |
$5,097 |
$573,576 |
$259,955 |
3.06 |
ALCOHOL ABUSE & DEPENDENCE |
42 |
$9,906 |
$5,148 |
$416,064 |
$216,200 |
3.17 |
DIABETES |
39 |
$11,107 |
$5,047 |
$433,172 |
$196,840 |
2.72 |
MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES |
38 |
$10,730 |
$9,430 |
$407,732 |
$358,351 |
6.42 |
OTHER GASTROENTERITIS, NAUSEA & VOMITING |
38 |
$12,015 |
$4,142 |
$456,570 |
$157,385 |
2.61 |
ACUTE KIDNEY INJURY |
38 |
$10,150 |
$4,730 |
$385,714 |
$179,733 |
2.84 |
OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS |
35 |
$15,977 |
$6,731 |
$559,198 |
$235,591 |
2.43 |
PULMONARY EMBOLISM |
34 |
$14,122 |
$5,653 |
$480,162 |
$192,217 |
3.00 |
MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC |
33 |
$15,651 |
$6,982 |
$516,483 |
$230,401 |
3.82 |
ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES |
32 |
$6,147 |
$4,429 |
$196,708 |
$141,733 |
2.63 |
INTESTINAL OBSTRUCTION |
28 |
$11,984 |
$4,051 |
$335,551 |
$113,424 |
2.68 |
DIVERTICULITIS & DIVERTICULOSIS |
28 |
$11,119 |
$3,623 |
$311,318 |
$101,436 |
2.18 |
DISORDERS OF PANCREAS EXCEPT MALIGNANCY |
27 |
$13,495 |
$4,440 |
$364,367 |
$119,890 |
2.41 |
MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS |
24 |
$15,204 |
$6,478 |
$364,897 |
$155,460 |
4.79 |
HIP & FEMUR FRACTURE REPAIR |
24 |
$31,618 |
$14,158 |
$758,830 |
$339,784 |
5.04 |
CHOLECYSTECTOMY |
23 |
$28,064 |
$10,522 |
$645,465 |
$242,011 |
3.13 |
OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE |
22 |
$16,837 |
$7,511 |
$370,420 |
$165,248 |
3.32 |
OTHER DRUG ABUSE & DEPENDENCE |
20 |
$6,706 |
$4,804 |
$134,116 |
$96,088 |
3.00 |
INFLAMMATORY BOWEL DISEASE |
19 |
$12,289 |
$4,015 |
$233,492 |
$76,283 |
2.68 |
POISONING OF MEDICINAL AGENTS |
18 |
$11,384 |
$4,770 |
$204,910 |
$85,861 |
2.33 |
INTENTIONAL SELF-HARM & ATTEMPTED SUICIDE |
17 |
$8,627 |
$3,795 |
$146,662 |
$64,512 |
1.65 |
BIPOLAR DISORDERS |
17 |
$10,455 |
$7,946 |
$177,728 |
$135,074 |
4.88 |
INFECTIONS OF UPPER RESPIRATORY TRACT |
15 |
$9,657 |
$4,293 |
$144,849 |
$64,399 |
2.47 |
ANTEPARTUM W/O O.R. PROCEDURE |
15 |
$4,187 |
$2,971 |
$62,808 |
$44,560 |
1.40 |
DISORDERS OF GALLBLADDER & BILIARY TRACT |
15 |
$17,841 |
$6,303 |
$267,620 |
$94,550 |
2.87 |
ACUTE MYOCARDIAL INFARCTION |
15 |
$11,940 |
$4,421 |
$179,099 |
$66,322 |
1.73 |
CESAREAN SECTION W STERILIZATION |
15 |
$13,260 |
$7,029 |
$198,903 |
$105,440 |
2.07 |
MAJOR LARGE BOWEL PROCEDURES |
14 |
$36,291 |
$15,342 |
$508,080 |
$214,788 |
5.07 |
SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS |
14 |
$12,789 |
$5,121 |
$179,039 |
$71,700 |
7.93 |
KNEE JOINT REPLACEMENT |
14 |
$38,915 |
$18,179 |
$544,805 |
$254,503 |
2.50 |
INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE |
13 |
$26,905 |
$11,763 |
$349,767 |
$152,916 |
5.15 |
HIP JOINT REPLACEMENT |
13 |
$38,013 |
$17,472 |
$494,174 |
$227,132 |
5.54 |
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS |
12 |
$13,697 |
$5,440 |
$164,365 |
$65,275 |
3.83 |
OPIOID ABUSE & DEPENDENCE |
12 |
$7,968 |
$6,405 |
$95,620 |
$76,856 |
4.33 |
DISORDERS OF PERSONALITY & IMPULSE CONTROL |
11 |
$9,802 |
$8,881 |
$107,826 |
$97,690 |
6.00 |
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES |
11 |
$15,012 |
$6,395 |
$165,127 |
$70,344 |
2.45 |
RESPIRATORY FAILURE |
11 |
$21,567 |
$10,896 |
$237,233 |
$119,859 |
5.45 |
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES |
11 |
$14,887 |
$7,314 |
$163,758 |
$80,454 |
3.36 |
ACUTE ANXIETY & DELIRIUM STATES |
11 |
$13,084 |
$12,578 |
$143,924 |
$138,356 |
8.73 |
OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS |
11 |
$17,492 |
$7,776 |
$192,412 |
$85,539 |
5.09 |
OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES |
11 |
$16,987 |
$6,247 |
$186,855 |
$68,722 |
3.91 |
PEPTIC ULCER & GASTRITIS |
11 |
$20,048 |
$7,644 |
$220,528 |
$84,079 |
3.27 |
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES |
11 |
$12,442 |
$4,984 |
$136,863 |
$54,824 |
3.27 |
PERIPHERAL & OTHER VASCULAR DISORDERS |
10 |
$9,928 |
$4,602 |
$99,279 |
$46,022 |
2.80 |
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS |
10 |
$17,405 |
$7,023 |
$174,052 |
$70,225 |
2.10 |
SKIN ULCERS |
10 |
$18,861 |
$9,196 |
$188,611 |
$91,962 |
5.80 |
COCAINE ABUSE & DEPENDENCE |
10 |
$6,120 |
$4,549 |
$61,204 |
$45,486 |
2.80 |
OTHER DIGESTIVE SYSTEM DIAGNOSES |
10 |
$11,934 |
$3,702 |
$119,335 |
$37,020 |
2.40 |
OTHER CIRCULATORY SYSTEM DIAGNOSES |
8 |
$13,422 |
$4,533 |
$107,378 |
$36,263 |
2.13 |
DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE |
8 |
$7,635 |
$3,024 |
$61,083 |
$24,188 |
1.50 |
MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE |
8 |
$16,522 |
$6,838 |
$132,174 |
$54,701 |
4.63 |
KNEE & LOWER LEG PROCEDURES EXCEPT FOOT |
8 |
$30,343 |
$12,905 |
$242,742 |
$103,236 |
2.88 |
ACUTE & SUBACUTE ENDOCARDITIS |
8 |
$11,734 |
$6,769 |
$93,871 |
$54,153 |
4.50 |
MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL |
7 |
$12,582 |
$6,167 |
$88,074 |
$43,170 |
3.43 |
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS |
7 |
$26,176 |
$8,859 |
$183,232 |
$62,011 |
3.14 |
NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM |
7 |
$4,804 |
$3,858 |
$33,627 |
$27,005 |
2.86 |
OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES |
7 |
$17,212 |
$7,788 |
$120,486 |
$54,515 |
4.57 |
ALCOHOLIC LIVER DISEASE |
7 |
$15,147 |
$5,794 |
$106,032 |
$40,561 |
3.43 |
ASTHMA |
7 |
$14,437 |
$5,634 |
$101,061 |
$39,435 |
2.71 |
URETHRAL & TRANSURETHRAL PROCEDURES |
7 |
$24,099 |
$10,648 |
$168,696 |
$74,538 |
5.14 |
FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK |
6 |
$14,037 |
$5,929 |
$84,223 |
$35,575 |
3.17 |
SYNCOPE & COLLAPSE |
6 |
$16,958 |
$5,871 |
$101,745 |
$35,223 |
3.50 |
PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK |
6 |
$29,209 |
$15,427 |
$175,252 |
$92,563 |
3.67 |
FRACTURE OF FEMUR |
6 |
$8,768 |
$4,168 |
$52,606 |
$25,008 |
2.50 |
INTERSTITIAL & ALVEOLAR LUNG DISEASES |
6 |
$11,536 |
$5,356 |
$69,217 |
$32,134 |
2.67 |
FRACTURE OF PELVIS OR DISLOCATION OF HIP |
6 |
$21,653 |
$9,475 |
$129,915 |
$56,852 |
7.00 |
MAJOR SMALL BOWEL PROCEDURES |
6 |
$39,794 |
$17,138 |
$238,766 |
$102,830 |
7.83 |
HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS |
6 |
$14,673 |
$6,823 |
$88,038 |
$40,938 |
4.00 |
OTHER INFECTIOUS & PARASITIC DISEASES |
6 |
$11,419 |
$4,689 |
$68,512 |
$28,131 |
3.67 |
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS |
5 |
$22,922 |
$7,533 |
$114,610 |
$37,664 |
1.80 |
ABDOMINAL PAIN |
5 |
$17,910 |
$5,152 |
$89,552 |
$25,760 |
2.80 |
VIRAL ILLNESS |
5 |
$11,989 |
$5,226 |
$59,943 |
$26,130 |
2.60 |
DENTAL DISEASES & DISORDERS |
5 |
$6,969 |
$2,859 |
$34,847 |
$14,296 |
2.20 |
RESPIRATORY MALIGNANCY |
5 |
$18,957 |
$8,428 |
$94,787 |
$42,142 |
3.40 |
OTHER COMPLICATIONS OF TREATMENT |
5 |
$8,947 |
$3,880 |
$44,735 |
$19,400 |
1.80 |
CVA & PRECEREBRAL OCCLUSION W INFARCT |
5 |
$13,425 |
$4,618 |
$67,127 |
$23,090 |
1.80 |
DIGESTIVE MALIGNANCY |
5 |
$15,593 |
$6,574 |
$77,964 |
$32,869 |
4.00 |
ALLERGIC REACTIONS |
5 |
$7,886 |
$3,370 |
$39,431 |
$16,852 |
1.20 |
ALTERATION IN CONSCIOUSNESS |
5 |
$15,220 |
$6,676 |
$76,102 |
$33,379 |
3.40 |
URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION |
5 |
$12,530 |
$4,484 |
$62,648 |
$22,419 |
1.80 |
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY |
4 |
$8,418 |
$3,386 |
$33,672 |
$13,545 |
2.25 |
OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES |
4 |
$21,030 |
$12,598 |
$84,120 |
$50,391 |
5.25 |
OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS |
4 |
$12,879 |
$5,489 |
$51,517 |
$21,957 |
4.00 |
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS |
4 |
$8,855 |
$4,322 |
$35,421 |
$17,289 |
3.75 |
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL |
4 |
$25,051 |
$9,927 |
$100,205 |
$39,706 |
2.75 |
NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE |
4 |
$3,054 |
$2,364 |
$12,217 |
$9,455 |
1.75 |
HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS |
4 |
$13,140 |
$5,498 |
$52,561 |
$21,991 |
4.25 |
HYPERTENSION |
4 |
$7,739 |
$2,906 |
$30,956 |
$11,625 |
1.25 |
MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE |
4 |
$24,608 |
$10,495 |
$98,431 |
$41,981 |
4.25 |
OTHER ESOPHAGEAL DISORDERS |
4 |
$13,493 |
$5,113 |
$53,970 |
$20,451 |
2.50 |
MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS |
4 |
$13,508 |
$3,954 |
$54,033 |
$15,816 |
2.00 |
MAJOR CHEST & RESPIRATORY TRAUMA |
3 |
$14,221 |
$4,687 |
$42,664 |
$14,062 |
2.67 |
COAGULATION & PLATELET DISORDERS |
3 |
$23,317 |
$10,816 |
$69,952 |
$32,447 |
2.33 |
OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES |
3 |
$11,447 |
$5,008 |
$34,341 |
$15,024 |
2.33 |
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES |
3 |
$33,584 |
$15,850 |
$100,752 |
$47,550 |
7.00 |
ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS |
3 |
$6,748 |
$2,825 |
$20,245 |
$8,476 |
1.33 |
INBORN ERRORS OF METABOLISM |
3 |
$12,646 |
$6,557 |
$37,937 |
$19,672 |
4.67 |
OTHER DISORDERS OF THE LIVER |
3 |
$25,568 |
$9,988 |
$76,703 |
$29,963 |
5.00 |
PERITONEAL ADHESIOLYSIS |
3 |
$29,875 |
$10,515 |
$89,626 |
$31,546 |
3.67 |
SEIZURE |
3 |
$7,517 |
$2,550 |
$22,552 |
$7,651 |
1.33 |
NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION |
3 |
$4,781 |
$3,615 |
$14,343 |
$10,846 |
2.67 |
OTHER AFTERCARE & CONVALESCENCE |
3 |
$4,703 |
$1,472 |
$14,109 |
$4,417 |
2.67 |
RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES |
2 |
$12,758 |
$4,232 |
$25,516 |
$8,463 |
3.00 |
MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
2 |
$26,977 |
$11,525 |
$53,953 |
$23,049 |
4.50 |
MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA |
2 |
$26,980 |
$12,306 |
$53,959 |
$24,612 |
5.00 |
ANAL PROCEDURES |
2 |
$15,406 |
$3,809 |
$30,811 |
$7,617 |
1.00 |
PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS |
2 |
$62,636 |
$31,389 |
$125,271 |
$62,777 |
18.00 |
MAJOR ESOPHAGEAL DISORDERS |
2 |
$13,439 |
$3,900 |
$26,877 |
$7,800 |
2.00 |
MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS |
2 |
$3,714 |
$2,464 |
$7,427 |
$4,927 |
3.50 |
OTHER SMALL & LARGE BOWEL PROCEDURES |
2 |
$37,674 |
$16,150 |
$75,348 |
$32,299 |
6.00 |
INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES |
2 |
$28,399 |
$9,322 |
$56,797 |
$18,644 |
3.50 |
VAGINAL DELIVERY W O.R. PROCEDURE EXCEPT STERILIZATION &/OR D&C |
2 |
$17,266 |
$17,490 |
$34,532 |
$34,980 |
4.00 |
VERTIGO & OTHER LABYRINTH DISORDERS |
2 |
$12,244 |
$3,640 |
$24,487 |
$7,280 |
2.00 |
LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR |
2 |
$17,230 |
$9,295 |
$34,459 |
$18,590 |
5.50 |
GASTROINTESTINAL VASCULAR INSUFFICIENCY |
2 |
$16,876 |
$6,986 |
$33,752 |
$13,972 |
4.00 |
NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
2 |
$28,664 |
$12,301 |
$57,328 |
$24,601 |
4.00 |
FOOT & TOE PROCEDURES |
2 |
$21,962 |
$9,679 |
$43,923 |
$19,358 |
4.50 |
TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES |
2 |
$26,155 |
$9,373 |
$52,310 |
$18,746 |
2.50 |
UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA |
2 |
$25,501 |
$9,651 |
$51,001 |
$19,301 |
1.00 |
NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
2 |
$23,597 |
$7,966 |
$47,193 |
$15,931 |
1.50 |
EYE INFECTIONS & OTHER EYE DISORDERS |
1 |
$6,974 |
$3,744 |
$6,974 |
$3,744 |
3.00 |
EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES |
1 |
$23,636 |
$14,219 |
$23,636 |
$14,219 |
6.00 |
MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE |
1 |
$17,463 |
$11,182 |
$17,463 |
$11,182 |
8.00 |
TRANSIENT ISCHEMIA |
1 |
$12,044 |
$2,820 |
$12,044 |
$2,820 |
1.00 |
BREAST PROCEDURES EXCEPT MASTECTOMY |
1 |
$24,355 |
$13,246 |
$24,355 |
$13,246 |
11.00 |
CHEST PAIN |
1 |
$18,913 |
$5,978 |
$18,913 |
$5,978 |
3.00 |
OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES |
1 |
$4,980 |
$2,522 |
$4,980 |
$2,522 |
2.00 |
SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT |
1 |
$26,175 |
$10,483 |
$26,175 |
$10,483 |
3.00 |
AMPUTATION OF LOWER LIMB EXCEPT TOES |
1 |
$27,700 |
$9,580 |
$27,700 |
$9,580 |
3.00 |
THYROID DISORDERS |
1 |
$7,317 |
$4,357 |
$7,317 |
$4,357 |
2.00 |
OTHER ENDOCRINE DISORDERS |
1 |
$22,867 |
$10,189 |
$22,867 |
$10,189 |
5.00 |
ACUTE LEUKEMIA |
1 |
$38,575 |
$20,222 |
$38,575 |
$20,222 |
10.00 |
CONNECTIVE TISSUE DISORDERS |
1 |
$32,703 |
$14,136 |
$32,703 |
$14,136 |
9.00 |
CHRONIC KIDNEY DISEASE |
1 |
$10,218 |
$5,543 |
$10,218 |
$5,543 |
2.00 |
HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE |
1 |
$17,874 |
$4,671 |
$17,874 |
$4,671 |
2.00 |
MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES |
1 |
$19,419 |
$10,820 |
$19,419 |
$10,820 |
5.00 |
ANOXIC & OTHER SEVERE BRAIN DAMAGE |
1 |
$7,617 |
$4,528 |
$7,617 |
$4,528 |
2.00 |
MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG |
1 |
$12,386 |
$2,953 |
$12,386 |
$2,953 |
1.00 |
OTHER RESPIRATORY & CHEST PROCEDURES |
1 |
$64,628 |
$31,160 |
$64,628 |
$31,160 |
13.00 |
OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS |
1 |
$14,644 |
$6,835 |
$14,644 |
$6,835 |
3.00 |
MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES |
1 |
$18,697 |
$6,386 |
$18,697 |
$6,386 |
3.00 |
NEONATE BWT < 500G, OR BWT 500-999G & GESTATIONAL AGE <24 WKS, OR BWT 500-749G W MAJOR ANOMALY OR W/O LIFE SUSTAINING IN |
1 |
$1,248 |
$1,210 |
$1,248 |
$1,210 |
1.00 |
CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE |
1 |
$11,590 |
$3,636 |
$11,590 |
$3,636 |
2.00 |
NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION |
1 |
$4,601 |
$3,868 |
$4,601 |
$3,868 |
3.00 |
LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA |
1 |
$44,502 |
$16,614 |
$44,502 |
$16,614 |
4.00 |
NEONATE BIRTHWT >2499G W MAJOR ANOMALY |
1 |
$8,665 |
$8,485 |
$8,665 |
$8,485 |
3.00 |
ACUTE BRONCHITIS & RELATED SYMPTOMS |
1 |
$25,868 |
$10,863 |
$25,868 |
$10,863 |
6.00 |
FEMALE REPRODUCTIVE SYSTEM INFECTIONS |
1 |
$11,771 |
$3,055 |
$11,771 |
$3,055 |
2.00 |
MAJOR BILIARY TRACT PROCEDURES |
1 |
$184 |
$67 |
$184 |
$67 |
2.00 |
DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES |
1 |
$16,426 |
$5,821 |
$16,426 |
$5,821 |
5.00 |
UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA |
1 |
$48,557 |
$21,610 |
$48,557 |
$21,610 |
2.00 |
VIRAL MENINGITIS |
1 |
$21,801 |
$8,287 |
$21,801 |
$8,287 |
4.00 |
HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION |
1 |
$10,410 |
$3,878 |
$10,410 |
$3,878 |
2.00 |
SPINAL DISORDERS & INJURIES |
1 |
$28,099 |
$11,781 |
$28,099 |
$11,781 |
8.00 |
OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL & METABOLIC DISORDERS |
1 |
$28,228 |
$10,832 |
$28,228 |
$10,832 |
2.00 |
HAND & WRIST PROCEDURES |
1 |
$30,809 |
$13,774 |
$30,809 |
$13,774 |
12.00 |
EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
1 |
$27,437 |
$12,977 |
$27,437 |
$12,977 |
6.00 |
BEHAVIORAL DISORDERS |
1 |
$7,015 |
$7,109 |
$7,015 |
$7,109 |
5.00 |
ORGANIC MENTAL HEALTH DISTURBANCES |
1 |
$4,651 |
$2,311 |
$4,651 |
$2,311 |
1.00 |
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS |
1 |
$165,573 |
$81,386 |
$165,573 |
$81,386 |
17.00 |
TRANSURETHRAL PROSTATECTOMY |
1 |
$12,470 |
$4,760 |
$12,470 |
$4,760 |
1.00 |
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS |
1 |
$11,045 |
$2,598 |
$11,045 |
$2,598 |
1.00 |