Neonate birthwt >2499g, normal newborn or neonate w other problem |
2213 |
$6,402 |
$3,209 |
$14,167,061 |
$7,100,441 |
2.61 |
Vaginal delivery |
1653 |
$13,236 |
$6,634 |
$21,879,576 |
$10,965,890 |
2.80 |
Schizophrenia |
1148 |
$24,369 |
$12,213 |
$27,975,067 |
$14,020,878 |
14.64 |
Cesarean delivery |
812 |
$21,612 |
$10,832 |
$17,549,157 |
$8,795,485 |
4.06 |
Bipolar disorders |
708 |
$17,001 |
$8,521 |
$12,036,747 |
$6,032,740 |
10.19 |
Septicemia & disseminated infections |
702 |
$61,160 |
$30,653 |
$42,934,476 |
$21,518,413 |
10.11 |
Major depressive disorders & other/unspecified psychoses |
611 |
$17,604 |
$8,823 |
$10,756,075 |
$5,390,873 |
11.05 |
Alcohol abuse & dependence |
557 |
$38,303 |
$19,197 |
$21,335,021 |
$10,692,958 |
6.76 |
Heart failure |
389 |
$41,957 |
$21,028 |
$16,321,202 |
$8,180,057 |
6.71 |
Other pneumonia |
333 |
$30,490 |
$15,282 |
$10,153,312 |
$5,088,753 |
4.95 |
Kidney & urinary tract infections |
278 |
$38,846 |
$19,469 |
$10,799,211 |
$5,412,485 |
6.74 |
Cardiac arrhythmia & conduction disorders |
275 |
$26,600 |
$13,332 |
$7,314,949 |
$3,666,197 |
3.76 |
Chronic obstructive pulmonary disease |
261 |
$35,435 |
$17,760 |
$9,248,438 |
$4,635,242 |
5.87 |
Cellulitis & other skin infections |
259 |
$30,297 |
$15,185 |
$7,846,955 |
$3,932,828 |
4.90 |
Electrolyte disorders except hypovolemia related |
243 |
$27,613 |
$13,839 |
$6,709,961 |
$3,362,974 |
4.43 |
Asthma |
230 |
$17,810 |
$8,926 |
$4,096,395 |
$2,053,073 |
2.59 |
Percutaneous coronary intervention w AMI |
216 |
$38,124 |
$19,108 |
$8,234,831 |
$4,127,231 |
3.98 |
Acute myocardial infarction |
212 |
$36,757 |
$18,422 |
$7,792,456 |
$3,905,516 |
5.04 |
Diabetes |
198 |
$41,038 |
$20,568 |
$8,125,524 |
$4,072,453 |
5.87 |
Acute Kidney Injury |
194 |
$40,594 |
$20,346 |
$7,875,309 |
$3,947,044 |
7.04 |
Head trauma w coma >1 hr or hemorrhage |
179 |
$39,168 |
$19,631 |
$7,011,077 |
$3,513,885 |
5.82 |
CVA & precerebral occlusion w infarct |
169 |
$43,569 |
$21,836 |
$7,363,097 |
$3,690,330 |
7.02 |
Angina pectoris & coronary atherosclerosis |
161 |
$21,199 |
$10,625 |
$3,412,966 |
$1,710,556 |
3.04 |
Other anemia & disorders of blood & blood-forming organs |
160 |
$20,891 |
$10,470 |
$3,342,555 |
$1,675,259 |
3.26 |
Syncope & collapse |
151 |
$23,404 |
$11,730 |
$3,534,027 |
$1,771,220 |
3.30 |
Disorders of pancreas except malignancy |
151 |
$27,799 |
$13,933 |
$4,197,700 |
$2,103,854 |
4.24 |
Appendectomy |
143 |
$28,014 |
$14,040 |
$4,005,993 |
$2,007,768 |
3.15 |
Neonate bwt 2000-2499g, normal newborn or neonate w other problem |
141 |
$12,547 |
$6,289 |
$1,769,178 |
$886,701 |
3.75 |
Cardiac catheterization for coronary artery disease |
140 |
$22,964 |
$11,509 |
$3,214,936 |
$1,611,307 |
2.70 |
Other gastroenteritis, nausa & vomiting |
138 |
$22,190 |
$11,121 |
$3,062,222 |
$1,534,759 |
3.45 |
Infections of upper respiratory tract |
136 |
$16,488 |
$8,263 |
$2,242,305 |
$1,123,832 |
2.43 |
Disorders of gallbladder & biliary tract |
135 |
$25,356 |
$12,708 |
$3,423,051 |
$1,715,611 |
3.53 |
Seizure |
130 |
$29,562 |
$14,816 |
$3,843,109 |
$1,926,141 |
4.84 |
Laparoscopic cholecystectomy |
125 |
$33,017 |
$16,548 |
$4,127,146 |
$2,068,492 |
3.83 |
Other antepartum diagnoses |
125 |
$18,572 |
$9,308 |
$2,321,461 |
$1,163,498 |
4.26 |
Depression except major depressive disorder |
125 |
$14,125 |
$7,079 |
$1,765,588 |
$884,895 |
9.23 |
Other back & neck disorders, fractures & injuries |
123 |
$40,308 |
$20,202 |
$4,957,847 |
$2,484,828 |
7.38 |
Poisoning of medicinal agents |
123 |
$28,840 |
$14,454 |
$3,547,322 |
$1,777,894 |
4.40 |
Infectious & parasitic diseases including HIV w O.R. procedure |
121 |
$116,561 |
$58,419 |
$14,103,840 |
$7,068,730 |
18.21 |
Hip and femur fracture repair |
118 |
$72,283 |
$36,228 |
$8,529,410 |
$4,274,874 |
10.96 |
Other & unspecified gastrointestinal hemorrhage |
116 |
$33,844 |
$16,962 |
$3,925,860 |
$1,967,608 |
5.12 |
Knee & lower leg procedures except foot |
113 |
$74,563 |
$37,370 |
$8,425,595 |
$4,222,843 |
11.14 |
Other disorders of nervous system |
112 |
$33,252 |
$16,666 |
$3,724,204 |
$1,866,536 |
10.11 |
Chest pain |
108 |
$19,957 |
$10,002 |
$2,155,315 |
$1,080,233 |
2.71 |
Cardiac catheterization for other non-coronary conditions |
107 |
$42,717 |
$21,409 |
$4,570,688 |
$2,290,792 |
5.91 |
Other digestive system diagnoses |
105 |
$29,283 |
$14,677 |
$3,074,740 |
$1,541,033 |
4.57 |
Fractures & dislocations except femur, pelvis & back |
98 |
$38,704 |
$19,398 |
$3,792,995 |
$1,901,019 |
6.42 |
Signs, symptoms & other factors influencing health status |
96 |
$37,990 |
$19,040 |
$3,647,009 |
$1,827,851 |
6.89 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
95 |
$27,451 |
$13,758 |
$2,607,843 |
$1,307,029 |
4.12 |
Rehabilitation |
95 |
$24,001 |
$12,029 |
$2,280,115 |
$1,142,777 |
12.38 |
Major small & large bowel procedures |
93 |
$95,770 |
$47,999 |
$8,906,623 |
$4,463,926 |
13.89 |
Other Chemotherapy |
93 |
$22,402 |
$11,228 |
$2,083,396 |
$1,044,180 |
3.81 |
Other musculoskeletal system & connective tissue diagnoses |
88 |
$40,165 |
$20,130 |
$3,534,528 |
$1,771,478 |
7.07 |
Percutaneous coronary intervention w/o AMI |
87 |
$28,852 |
$14,460 |
$2,510,112 |
$1,258,046 |
2.62 |
Drug & alcohol abuse or dependence, left against medical advice |
85 |
$18,905 |
$9,475 |
$1,606,933 |
$805,381 |
2.72 |
Diverticulitis & diverticulosis |
84 |
$23,172 |
$11,614 |
$1,946,464 |
$975,553 |
3.36 |
Other circulatory system diagnoses |
80 |
$26,972 |
$13,518 |
$2,157,731 |
$1,081,440 |
3.90 |
Alcoholic liver disease |
80 |
$56,249 |
$28,192 |
$4,499,931 |
$2,255,325 |
10.04 |
Knee joint replacement |
74 |
$40,680 |
$20,388 |
$3,010,283 |
$1,508,735 |
4.46 |
Hypertension |
72 |
$24,662 |
$12,360 |
$1,775,634 |
$889,935 |
3.79 |
Intracranial hemorrhage |
71 |
$45,777 |
$22,943 |
$3,250,184 |
$1,628,969 |
8.01 |
Other hepatobiliary, pancreas & abdominal procedures |
71 |
$62,244 |
$31,196 |
$4,419,324 |
$2,214,933 |
10.69 |
Bronchiolitis & RSV pneumonia |
69 |
$12,063 |
$6,046 |
$832,378 |
$417,183 |
1.97 |
Intestinal obstruction |
68 |
$23,742 |
$11,899 |
$1,614,469 |
$809,154 |
3.54 |
Organic mental health disturbances |
66 |
$56,478 |
$28,306 |
$3,727,520 |
$1,868,204 |
17.36 |
Major respiratory infections & inflammations |
64 |
$76,388 |
$38,285 |
$4,888,803 |
$2,450,226 |
14.47 |
Hip joint replacement |
61 |
$106,665 |
$53,460 |
$6,506,568 |
$3,261,044 |
12.21 |
Other endocrine disorders |
61 |
$30,968 |
$15,521 |
$1,889,043 |
$946,769 |
4.84 |
Chronic Kidney Disease |
60 |
$49,910 |
$25,014 |
$2,994,586 |
$1,500,867 |
9.12 |
Peptic ulcer & gastritis |
59 |
$34,650 |
$17,367 |
$2,044,369 |
$1,024,625 |
4.83 |
Behavioral disorders |
58 |
$15,746 |
$7,892 |
$913,289 |
$457,731 |
10.64 |
Major chest & respiratory trauma |
57 |
$29,470 |
$14,770 |
$1,679,814 |
$841,908 |
4.23 |
Respiratory signs, symptoms & minor diagnoses |
56 |
$25,509 |
$12,785 |
$1,428,479 |
$715,944 |
3.88 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
55 |
$70,930 |
$35,550 |
$3,901,153 |
$1,955,225 |
13.16 |
Respiratory Failure |
54 |
$44,795 |
$22,451 |
$2,418,938 |
$1,212,348 |
6.70 |
Hypovolemia & related electrolyte disorders |
53 |
$33,979 |
$17,030 |
$1,800,878 |
$902,590 |
5.89 |
Neonate birthwt >2499g w other significant condition |
53 |
$16,059 |
$8,049 |
$851,144 |
$426,589 |
4.49 |
Respiratory malignancy |
52 |
$76,848 |
$38,516 |
$3,996,112 |
$2,002,821 |
14.17 |
Craniotomy except for trauma |
51 |
$94,501 |
$47,363 |
$4,819,528 |
$2,415,508 |
14.18 |
Digestive malignancy |
51 |
$90,185 |
$45,200 |
$4,599,453 |
$2,305,213 |
14.55 |
Malnutrition, failure to thrive & other nutritional disorders |
51 |
$77,582 |
$38,883 |
$3,956,675 |
$1,983,055 |
13.57 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
51 |
$14,429 |
$7,232 |
$735,872 |
$368,816 |
3.06 |
Vertigo & other labyrinth disorders |
50 |
$24,741 |
$12,400 |
$1,237,051 |
$620,004 |
3.76 |
Peripheral & other vascular disorders |
49 |
$36,033 |
$18,059 |
$1,765,628 |
$884,914 |
6.18 |
Moderately extensive procedure unrelated to principal diagnosis |
48 |
$95,024 |
$47,625 |
$4,561,133 |
$2,286,005 |
15.71 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
47 |
$38,703 |
$19,398 |
$1,819,038 |
$911,687 |
6.68 |
Shoulder, upper arm & forearm procedures except joint replacement |
47 |
$38,098 |
$19,094 |
$1,790,590 |
$897,431 |
4.43 |
Nonextensive procedure unrelated to principal diagnosis |
47 |
$72,713 |
$36,443 |
$3,417,489 |
$1,712,817 |
12.74 |
Other skin, subcutaneous tissue & related procedures |
46 |
$40,768 |
$20,432 |
$1,875,317 |
$939,894 |
6.37 |
Neonate birthwt >2499g w major anomaly |
43 |
$13,343 |
$6,688 |
$573,769 |
$287,569 |
4.16 |
Opioid abuse & dependence |
43 |
$26,250 |
$13,156 |
$1,128,740 |
$565,720 |
4.88 |
Malfunction, reaction, complic of genitourinary device or proc |
42 |
$63,705 |
$31,928 |
$2,675,611 |
$1,340,993 |
9.79 |
Musculoskeletal & other procedures for multiple significant trauma |
42 |
$116,151 |
$58,214 |
$4,878,333 |
$2,444,984 |
16.17 |
Multiple significant trauma w/o O.R. procedure |
42 |
$53,110 |
$26,618 |
$2,230,601 |
$1,117,960 |
8.07 |
Uterine & adnexa procedures for leiomyoma |
41 |
$26,775 |
$13,419 |
$1,097,775 |
$550,197 |
2.90 |
Major gastrointestinal & peritoneal infections |
40 |
$53,135 |
$26,631 |
$2,125,381 |
$1,065,224 |
9.50 |
Urinary stones & acquired upper urinary tract obstruction |
39 |
$20,263 |
$10,156 |
$790,275 |
$396,080 |
2.54 |
HIV w major HIV related condition |
39 |
$52,886 |
$26,506 |
$2,062,568 |
$1,033,741 |
9.85 |
Craniotomy for trauma |
38 |
$118,935 |
$59,609 |
$4,519,516 |
$2,265,153 |
17.39 |
Other small & large bowel procedures |
38 |
$44,909 |
$22,508 |
$1,706,547 |
$855,306 |
6.05 |
Coagulation & platelet disorders |
38 |
$30,805 |
$15,439 |
$1,170,601 |
$586,693 |
4.42 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
37 |
$25,994 |
$13,028 |
$961,789 |
$482,042 |
3.76 |
Respiratory system diagnosis w ventilator support 96+ hours |
37 |
$122,553 |
$61,422 |
$4,534,451 |
$2,272,631 |
19.78 |
Transient ischemia |
36 |
$23,162 |
$11,609 |
$833,839 |
$417,915 |
2.92 |
Pulmonary embolism |
36 |
$40,486 |
$20,291 |
$1,457,511 |
$730,491 |
5.97 |
Other digestive system & abdominal procedures |
36 |
$65,712 |
$32,934 |
$2,365,623 |
$1,185,630 |
10.58 |
Toxic effects of non-medicinal substances |
36 |
$25,297 |
$12,679 |
$910,700 |
$456,435 |
3.53 |
Degenerative nervous system disorders exc mult sclerosis |
35 |
$57,657 |
$28,897 |
$2,017,992 |
$1,011,404 |
11.26 |
Foot & toe procedures |
34 |
$79,840 |
$40,015 |
$2,714,571 |
$1,360,519 |
13.65 |
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond |
34 |
$14,226 |
$7,130 |
$483,675 |
$242,412 |
4.59 |
Abdominal pain |
33 |
$50,297 |
$25,208 |
$1,659,794 |
$831,876 |
5.52 |
Tracheostomy w MV 96+ hours w/o extensive procedure |
32 |
$377,526 |
$189,213 |
$12,080,839 |
$6,054,822 |
57.06 |
Hepatic coma & other major acute liver disorders |
32 |
$44,715 |
$22,411 |
$1,430,891 |
$717,155 |
7.94 |
Post-operative, post-traumatic, other device infections |
32 |
$32,919 |
$16,499 |
$1,053,408 |
$527,962 |
5.53 |
Extensive procedure unrelated to principal diagnosis |
32 |
$107,218 |
$53,737 |
$3,430,973 |
$1,719,579 |
13.59 |
Other skin, subcutaneous tissue & breast disorders |
31 |
$31,215 |
$15,645 |
$967,670 |
$484,990 |
5.65 |
Kidney & urinary tract procedures for nonmalignancy |
31 |
$41,577 |
$20,838 |
$1,288,875 |
$645,975 |
6.23 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
31 |
$31,163 |
$15,619 |
$966,047 |
$484,174 |
5.06 |
Malignancy of hepatobiliary system & pancreas |
30 |
$49,393 |
$24,755 |
$1,481,779 |
$742,659 |
8.40 |
Peripheral, cranial & autonomic nerve disorders |
29 |
$42,180 |
$21,141 |
$1,223,234 |
$613,077 |
7.90 |
Connective tissue disorders |
29 |
$47,854 |
$23,984 |
$1,387,779 |
$695,545 |
7.34 |
Other kidney & urinary tract diagnoses, signs & symptoms |
29 |
$30,669 |
$15,371 |
$889,412 |
$445,769 |
4.86 |
Fever |
29 |
$17,865 |
$8,954 |
$518,082 |
$259,656 |
2.83 |
Viral illness |
29 |
$24,906 |
$12,483 |
$722,265 |
$361,994 |
4.10 |
Facial bone procedures except major cranial/facial bone procedures |
28 |
$37,223 |
$18,656 |
$1,042,252 |
$522,371 |
4.29 |
Interstitial & alveolar lung diseases |
28 |
$47,574 |
$23,844 |
$1,332,065 |
$667,620 |
8.07 |
Postpartum & post abortion diagnoses w/o procedure |
28 |
$13,709 |
$6,871 |
$383,855 |
$192,381 |
2.36 |
HIV w multiple major HIV related conditions |
28 |
$71,842 |
$36,006 |
$2,011,567 |
$1,008,178 |
11.82 |
Other esophageal disorders |
27 |
$21,725 |
$10,888 |
$586,580 |
$293,989 |
2.74 |
Other ear, nose, mouth & throat procedures |
26 |
$53,353 |
$26,740 |
$1,387,182 |
$695,244 |
7.96 |
Other disorders of the liver |
26 |
$30,434 |
$15,254 |
$791,291 |
$396,593 |
4.96 |
Lymphoma, myeloma & non-acute leukemia |
26 |
$52,722 |
$26,424 |
$1,370,771 |
$687,017 |
9.27 |
Other drug abuse & dependence |
26 |
$12,710 |
$6,370 |
$330,451 |
$165,617 |
5.08 |
Tonsil & adenoid procedures |
25 |
$14,148 |
$7,091 |
$353,710 |
$177,275 |
1.40 |
Vaginal delivery w sterilization &/or D&C |
25 |
$16,669 |
$8,354 |
$416,717 |
$208,856 |
3.04 |
Cocaine abuse & dependence |
25 |
$23,754 |
$11,905 |
$593,858 |
$297,634 |
4.24 |
Nervous system malignancy |
24 |
$71,003 |
$35,586 |
$1,704,060 |
$854,063 |
14.00 |
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma |
24 |
$20,574 |
$10,312 |
$493,779 |
$247,476 |
2.67 |
Perm cardiac pacemaker implant w/o AMI, heart failure or shock |
24 |
$50,985 |
$25,554 |
$1,223,647 |
$613,286 |
6.08 |
Tendon, muscle & other soft tissue procedures |
24 |
$86,422 |
$43,314 |
$2,074,123 |
$1,039,533 |
14.54 |
Other complications of treatment |
24 |
$24,473 |
$12,266 |
$587,344 |
$294,373 |
3.79 |
Migraine & other headaches |
23 |
$15,142 |
$7,589 |
$348,269 |
$174,551 |
1.83 |
Other peripheral vascular procedures |
23 |
$72,270 |
$36,221 |
$1,662,208 |
$833,085 |
11.17 |
Fracture of pelvis or dislocation of hip |
23 |
$45,025 |
$22,566 |
$1,035,568 |
$519,017 |
7.87 |
Adjustment disorders & neuroses except depressive diagnoses |
23 |
$15,380 |
$7,708 |
$353,738 |
$177,290 |
10.00 |
HIV w one signif HIV cond or w/o signif related cond |
23 |
$31,409 |
$15,742 |
$722,417 |
$362,069 |
4.87 |
Sickle cell anemia crisis |
22 |
$24,128 |
$12,093 |
$530,814 |
$266,042 |
3.95 |
Dental & oral diseases & injuries |
21 |
$24,182 |
$12,120 |
$507,828 |
$254,521 |
3.52 |
Fracture of femur |
21 |
$36,233 |
$18,160 |
$760,896 |
$381,356 |
5.52 |
Skin ulcers |
21 |
$38,806 |
$19,449 |
$814,930 |
$408,435 |
6.90 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
21 |
$54,315 |
$27,222 |
$1,140,606 |
$571,663 |
9.86 |
Inflammatory bowel disease |
20 |
$27,085 |
$13,575 |
$541,702 |
$271,497 |
4.10 |
Amputation of lower limb except toes |
20 |
$130,719 |
$65,515 |
$2,614,385 |
$1,310,309 |
21.75 |
Neonate bwt 1500-1999g w or w/o other significant condition |
20 |
$53,575 |
$26,851 |
$1,071,502 |
$537,029 |
15.50 |
O.R. procedure for other complications of treatment |
20 |
$60,947 |
$30,546 |
$1,218,939 |
$610,922 |
9.95 |
Ear, nose, mouth, throat, cranial/facial malignancies |
19 |
$58,298 |
$29,219 |
$1,107,663 |
$555,152 |
10.84 |
Intervertebral disc excision & decompression |
19 |
$41,274 |
$20,686 |
$784,213 |
$393,040 |
5.00 |
Cervical spinal fusion & other back/neck proc exc disc excis/decomp |
19 |
$93,080 |
$46,651 |
$1,768,526 |
$886,370 |
13.00 |
Allergic reactions |
19 |
$11,635 |
$5,831 |
$221,061 |
$110,794 |
1.37 |
Nontraumatic stupor & coma |
18 |
$92,682 |
$46,452 |
$1,668,283 |
$836,132 |
16.94 |
Other respiratory & chest procedures |
18 |
$73,291 |
$36,733 |
$1,319,239 |
$661,193 |
11.50 |
Other infectious & parasitic diseases |
18 |
$43,116 |
$21,609 |
$776,087 |
$388,969 |
7.22 |
Major stomach, esophageal & duodenal procedures |
17 |
$95,463 |
$47,845 |
$1,622,864 |
$813,365 |
14.00 |
Thyroid, parathyroid & thyroglossal procedures |
17 |
$61,220 |
$30,683 |
$1,040,739 |
$521,611 |
10.06 |
Uterine & adnexa procedures for non-ovarian & non-adnexal malig |
17 |
$57,579 |
$28,858 |
$978,837 |
$490,586 |
7.59 |
Tracheostomy w MV 96+ hours w extensive procedure or ECMO |
16 |
$397,019 |
$198,983 |
$6,352,300 |
$3,183,723 |
58.00 |
Eye disorders except major infections |
16 |
$26,163 |
$13,113 |
$418,613 |
$209,807 |
4.13 |
Major biliary tract procedures |
16 |
$43,022 |
$21,562 |
$688,356 |
$344,999 |
6.38 |
Dorsal & lumbar fusion proc except for curvature of back |
16 |
$95,838 |
$48,033 |
$1,533,401 |
$768,529 |
12.00 |
Uterine & adnexa procedures for non-malignancy except leiomyoma |
16 |
$25,832 |
$12,947 |
$413,310 |
$207,149 |
2.63 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
15 |
$96,755 |
$48,493 |
$1,451,324 |
$727,391 |
12.13 |
Kidney & urinary tract procedures for malignancy |
15 |
$58,660 |
$29,400 |
$879,906 |
$441,001 |
8.60 |
Pelvic evisceration, radical hysterectomy & other radical GYN procs |
15 |
$60,478 |
$30,311 |
$907,166 |
$454,664 |
8.00 |
Post-op, post-trauma, other device infections w O.R. procedure |
15 |
$63,803 |
$31,978 |
$957,049 |
$479,664 |
10.00 |
Spinal procedures |
14 |
$113,750 |
$57,011 |
$1,592,503 |
$798,151 |
17.36 |
Hernia procedures except inguinal, femoral & umbilical |
14 |
$45,610 |
$22,860 |
$638,541 |
$320,033 |
5.93 |
Female reproductive system infections |
14 |
$20,555 |
$10,302 |
$287,769 |
$144,228 |
2.93 |
Menstrual & other female reproductive system disorders |
14 |
$14,931 |
$7,483 |
$209,035 |
$104,767 |
1.71 |
Neonate bwt 2000-2499g w other significant condition |
14 |
$24,499 |
$12,279 |
$342,980 |
$171,901 |
6.50 |
Major cranial/facial bone procedures |
13 |
$45,582 |
$22,845 |
$592,567 |
$296,989 |
5.92 |
Malfunction, reaction & complication of GI device or procedure |
13 |
$27,173 |
$13,619 |
$353,245 |
$177,043 |
4.54 |
Nephritis & nephrosis |
13 |
$48,943 |
$24,530 |
$636,257 |
$318,887 |
8.54 |
Major male pelvic procedures |
13 |
$34,244 |
$17,163 |
$445,177 |
$223,120 |
3.85 |
Neonate, transferred < 5 days old, born here |
13 |
$4,364 |
$2,187 |
$56,729 |
$28,432 |
1.15 |
Acute leukemia |
13 |
$89,687 |
$44,950 |
$1,165,926 |
$584,352 |
16.08 |
Other aftercare & convalescence |
13 |
$45,349 |
$22,729 |
$589,543 |
$295,475 |
13.85 |
Extensive abdominal/thoracic procedures for mult significant trauma |
13 |
$66,173 |
$33,165 |
$860,249 |
$431,150 |
7.62 |
Male reproductive system diagnoses except malignancy |
12 |
$38,266 |
$19,178 |
$459,186 |
$230,140 |
7.00 |
Acute anxiety & delirium states |
12 |
$17,215 |
$8,628 |
$206,577 |
$103,535 |
10.50 |
Other nervous system & related procedures |
11 |
$76,025 |
$38,103 |
$836,278 |
$419,135 |
12.27 |
Cardiac arrest and shock |
11 |
$19,907 |
$9,977 |
$218,972 |
$109,749 |
1.91 |
Cardiac structural & valvular disorders |
11 |
$49,524 |
$24,821 |
$544,768 |
$273,033 |
9.00 |
Peritoneal adhesiolysis |
11 |
$63,193 |
$31,672 |
$695,121 |
$348,389 |
9.91 |
Major esophageal disorders |
11 |
$37,697 |
$18,893 |
$414,668 |
$207,828 |
5.82 |
Cholecystectomy except laparoscopic |
11 |
$35,645 |
$17,865 |
$392,093 |
$196,514 |
4.73 |
Malfunction, reaction, complic of orthopedic device or procedure |
11 |
$42,202 |
$21,151 |
$464,227 |
$232,666 |
6.91 |
Bacterial & tuberculous infections of nervous system |
10 |
$64,576 |
$32,365 |
$645,762 |
$323,650 |
12.30 |
Non-bacterial infections of nervous system exc viral meningitis |
10 |
$52,626 |
$26,376 |
$526,255 |
$263,755 |
8.60 |
Orbital procedures |
10 |
$45,062 |
$22,585 |
$450,624 |
$225,848 |
6.00 |
Hand & wrist procedures |
10 |
$40,060 |
$20,078 |
$400,597 |
$200,778 |
6.10 |
Transurethral prostatectomy |
10 |
$17,747 |
$8,895 |
$177,466 |
$88,946 |
2.00 |
Neonate bwt 1500-1999g w resp dist synd/oth maj resp cond |
10 |
$122,371 |
$61,332 |
$1,223,712 |
$613,315 |
28.00 |
Other mental health disorders |
10 |
$138,635 |
$69,483 |
$1,386,349 |
$694,827 |
21.50 |
Ventricular shunt procedures |
9 |
$67,045 |
$33,602 |
$603,404 |
$302,422 |
9.78 |
Spinal disorders & injuries |
9 |
$35,866 |
$17,976 |
$322,791 |
$161,781 |
9.78 |
Major respiratory & chest procedures |
9 |
$89,512 |
$44,862 |
$805,605 |
$403,762 |
12.33 |
Breast procedures except mastectomy |
9 |
$42,782 |
$21,442 |
$385,036 |
$192,978 |
4.22 |
Major skin disorders |
9 |
$41,182 |
$20,640 |
$370,636 |
$185,759 |
6.89 |
Other female reproductive system & related procedures |
9 |
$58,181 |
$29,160 |
$523,630 |
$262,439 |
9.22 |
Neonate bwt 1250-1499g w resp dist synd/oth maj resp or maj anom |
9 |
$159,575 |
$79,978 |
$1,436,175 |
$719,799 |
36.33 |
Neonate birthwt >2499g w congenital/perinatal infection |
9 |
$16,004 |
$8,021 |
$144,036 |
$72,190 |
5.11 |
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms |
9 |
$89,977 |
$45,096 |
$809,792 |
$405,860 |
14.78 |
Other musculoskeletal system & connective tissue procedures |
8 |
$55,285 |
$27,708 |
$442,279 |
$221,665 |
7.38 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
8 |
$60,231 |
$30,187 |
$481,849 |
$241,499 |
10.88 |
Mastectomy procedures |
8 |
$43,932 |
$22,018 |
$351,452 |
$176,145 |
4.13 |
Pituitary & adrenal procedures |
8 |
$60,171 |
$30,157 |
$481,367 |
$241,256 |
8.00 |
Neonate bwt <500g or GA <24 weeks |
8 |
$6,432 |
$3,224 |
$51,452 |
$25,789 |
2.25 |
Mental illness diagnosis w O.R. procedure |
8 |
$142,663 |
$71,502 |
$1,141,304 |
$572,012 |
57.25 |
Other injury, poisoning & toxic effect diagnoses |
8 |
$38,046 |
$19,068 |
$304,364 |
$152,545 |
4.75 |
Procedure w diag of rehab, aftercare or oth contact w health service |
8 |
$41,356 |
$20,727 |
$330,846 |
$165,817 |
7.00 |
Multiple sclerosis & other demyelinating diseases |
7 |
$148,403 |
$74,378 |
$1,038,819 |
$520,648 |
25.71 |
Inguinal, femoral & umbilical hernia procedures |
7 |
$25,496 |
$12,778 |
$178,469 |
$89,445 |
2.29 |
Skin graft for skin & subcutaneous tissue diagnoses |
7 |
$95,378 |
$47,803 |
$667,649 |
$334,622 |
16.57 |
Other procedures for endocrine, nutritional & metabolic disorders |
7 |
$95,439 |
$47,833 |
$668,070 |
$334,831 |
16.71 |
Testes & scrotal procedures |
7 |
$39,258 |
$19,676 |
$274,804 |
$137,730 |
5.43 |
Neonate bwt 2000-2499g w resp dist synd/oth maj resp cond |
7 |
$20,924 |
$10,487 |
$146,471 |
$73,411 |
7.43 |
Viral meningitis |
6 |
$24,952 |
$12,506 |
$149,711 |
$75,033 |
4.17 |
Other circulatory system procedures |
6 |
$35,712 |
$17,899 |
$214,271 |
$107,391 |
5.67 |
Other stomach, esophageal & duodenal procedures |
6 |
$45,135 |
$22,622 |
$270,812 |
$135,729 |
7.50 |
Major pancreas, liver & shunt procedures |
6 |
$100,938 |
$50,590 |
$605,629 |
$303,537 |
14.17 |
Other significant hip and femur surgery |
6 |
$76,577 |
$38,380 |
$459,464 |
$230,279 |
11.50 |
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses |
6 |
$136,953 |
$68,640 |
$821,719 |
$411,840 |
24.17 |
Dilation & curettage for non-obstetric diagnoses |
6 |
$24,949 |
$12,504 |
$149,695 |
$75,025 |
3.00 |
Preterm labor |
6 |
$16,594 |
$8,317 |
$99,566 |
$49,902 |
3.67 |
HIV w multiple significant HIV related conditions |
6 |
$56,070 |
$28,102 |
$336,421 |
$168,612 |
9.67 |
Craniotomy for multiple significant trauma |
6 |
$194,843 |
$97,654 |
$1,169,056 |
$585,922 |
25.17 |
Nonspecific CVA & precerebral occlusion w/o infarct |
5 |
$16,387 |
$8,213 |
$81,936 |
$41,066 |
1.60 |
Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma |
5 |
$31,089 |
$15,581 |
$155,446 |
$77,907 |
4.00 |
Acute major eye infections |
5 |
$35,520 |
$17,802 |
$177,601 |
$89,012 |
6.60 |
Cardiac defibrillator & heart assist implant |
5 |
$77,960 |
$39,073 |
$389,800 |
$195,365 |
4.60 |
Inborn errors of metabolism |
5 |
$42,721 |
$21,411 |
$213,604 |
$107,056 |
6.80 |
Urethral & transurethral procedures |
5 |
$46,234 |
$23,172 |
$231,168 |
$115,859 |
7.00 |
Other kidney, urinary tract & related procedures |
5 |
$89,263 |
$44,738 |
$446,317 |
$223,689 |
15.60 |
Other male reproductive system & related procedures |
5 |
$32,946 |
$16,513 |
$164,732 |
$82,563 |
3.40 |
Malignancy, male reproductive system |
5 |
$64,567 |
$32,361 |
$322,835 |
$161,803 |
11.80 |
D&C, aspiration curettage or hysterotomy for obstetric diagnoses |
5 |
$15,488 |
$7,762 |
$77,438 |
$38,812 |
2.40 |
Other O.R. proc for obstetric diagnoses except delivery diagnoses |
5 |
$18,077 |
$9,060 |
$90,385 |
$45,299 |
2.80 |
False labor |
5 |
$17,129 |
$8,585 |
$85,643 |
$42,923 |
3.80 |
Neonate bwt 1000-1249g w resp dist synd/oth maj resp or maj anom |
5 |
$257,540 |
$129,077 |
$1,287,702 |
$645,386 |
44.00 |
Neonate bwt 1250-1499g w or w/o other significant condition |
5 |
$173,221 |
$86,817 |
$866,103 |
$434,083 |
40.00 |
Ungroupable |
5 |
$37,762 |
$18,926 |
$188,809 |
$94,630 |
7.00 |
Major abdominal vascular procedures |
4 |
$81,451 |
$40,823 |
$325,803 |
$163,290 |
14.50 |
Cardiac pacemaker & defibrillator device replacement |
4 |
$38,825 |
$19,459 |
$155,300 |
$77,836 |
6.00 |
Lower extremity arterial procedures |
4 |
$45,003 |
$22,556 |
$180,013 |
$90,222 |
6.00 |
Acute & subacute endocarditis |
4 |
$38,902 |
$19,498 |
$155,609 |
$77,990 |
6.50 |
Cardiomyopathy |
4 |
$25,338 |
$12,699 |
$101,352 |
$50,796 |
3.25 |
Gastrointestinal vascular insufficiency |
4 |
$37,863 |
$18,977 |
$151,453 |
$75,907 |
6.25 |
Major bladder procedures |
4 |
$52,636 |
$26,381 |
$210,544 |
$105,523 |
7.75 |
Neonate birthwt 750-999g w/o major procedure |
4 |
$187,794 |
$94,121 |
$751,176 |
$376,484 |
55.25 |
Neonate bwt 2000-2499g w major anomaly |
4 |
$32,486 |
$16,282 |
$129,942 |
$65,126 |
7.25 |
Other procedures of blood & blood-forming organs |
4 |
$43,165 |
$21,634 |
$172,660 |
$86,537 |
7.25 |
Disorders of personality & impulse control |
4 |
$10,782 |
$5,403 |
$43,126 |
$21,613 |
7.00 |
Eye procedures except orbit |
3 |
$32,232 |
$16,155 |
$96,697 |
$48,464 |
3.33 |
Major larynx & trachea procedures |
3 |
$117,695 |
$58,988 |
$353,086 |
$176,964 |
18.33 |
Cleft lip & palate repair |
3 |
$23,379 |
$11,718 |
$70,138 |
$35,153 |
1.67 |
Other cardiothoracic & thoracic vascular procedures |
3 |
$27,678 |
$13,872 |
$83,033 |
$41,616 |
3.00 |
Uterine & adnexa procedures for ovarian & adnexal malignancy |
3 |
$90,672 |
$45,444 |
$272,015 |
$136,332 |
12.67 |
Female reproductive system reconstructive procedures |
3 |
$25,973 |
$13,018 |
$77,920 |
$39,053 |
1.67 |
Female reproductive system malignancy |
3 |
$38,756 |
$19,424 |
$116,268 |
$58,273 |
7.33 |
Neonate birthwt 500-749g w/o major procedure |
3 |
$126,161 |
$63,231 |
$378,483 |
$189,694 |
50.00 |
Neonate birthwt 1000-1249g w or w/o other significant condition |
3 |
$217,709 |
$109,114 |
$653,127 |
$327,343 |
38.00 |
Radiotherapy |
3 |
$13,260 |
$6,646 |
$39,781 |
$19,938 |
2.33 |
Chemotherapy for acute leukemia |
3 |
$33,115 |
$16,597 |
$99,344 |
$49,791 |
6.00 |
Other major head & neck procedures |
2 |
$52,948 |
$26,537 |
$105,895 |
$53,074 |
7.00 |
Renal dialysis access device procedure only |
2 |
$154,147 |
$77,258 |
$308,294 |
$154,515 |
30.00 |
Other bladder procedures |
2 |
$33,011 |
$16,545 |
$66,021 |
$33,089 |
5.50 |
Neonate, transferred <5 days old, not born here |
2 |
$6,352 |
$3,184 |
$12,703 |
$6,367 |
1.00 |
Neonate birthwt 1500-1999g w major anomaly |
2 |
$75,720 |
$37,950 |
$151,439 |
$75,900 |
21.50 |
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms |
2 |
$103,507 |
$51,877 |
$207,013 |
$103,754 |
17.50 |
Partial thickness burns without skin graft |
2 |
$29,824 |
$14,948 |
$59,647 |
$29,895 |
5.00 |
Bone marrow transplant |
1 |
$78,263 |
$39,225 |
$78,263 |
$39,225 |
12.00 |
Sinus & mastoid procedures |
1 |
$40,585 |
$20,341 |
$40,585 |
$20,341 |
7.00 |
BPD & oth chronic respiratory diseases arising in perinatal period |
1 |
$31,680 |
$15,878 |
$31,680 |
$15,878 |
6.00 |
Malignant breast disorders |
1 |
$10,347 |
$5,186 |
$10,347 |
$5,186 |
1.00 |
Kidney & urinary tract malignancy |
1 |
$34,477 |
$17,280 |
$34,477 |
$17,280 |
6.00 |
Penis procedures |
1 |
$13,998 |
$7,016 |
$13,998 |
$7,016 |
2.00 |
Neonate bwt <1500g w major procedure |
1 |
$125,230 |
$62,764 |
$125,230 |
$62,764 |
19.00 |
Splenectomy |
1 |
$33,019 |
$16,549 |
$33,019 |
$16,549 |
4.00 |
Eating disorders |
1 |
$40,970 |
$20,534 |
$40,970 |
$20,534 |
7.00 |