Neonate birthwt >2499g, normal newborn or neonate w other problem |
2525 |
$5,207 |
$1,474 |
$13,146,414 |
$3,721,284 |
2.57 |
Vaginal delivery |
1642 |
$13,789 |
$4,813 |
$22,640,781 |
$7,902,860 |
2.55 |
Cesarean delivery |
1108 |
$22,431 |
$7,852 |
$24,853,802 |
$8,700,318 |
3.61 |
Drug & alcohol abuse or dependence, left against medical advice |
798 |
$6,905 |
$1,886 |
$5,510,068 |
$1,504,878 |
2.40 |
Alcohol abuse & dependence |
640 |
$12,722 |
$3,594 |
$8,142,216 |
$2,299,975 |
4.94 |
Opioid abuse & dependence |
521 |
$10,933 |
$2,972 |
$5,696,310 |
$1,548,535 |
4.25 |
Septicemia & disseminated infections |
426 |
$58,171 |
$27,147 |
$24,780,750 |
$11,564,776 |
11.82 |
Alcohol & drug dependence w rehab or rehab/detox therapy |
375 |
$12,049 |
$3,244 |
$4,518,346 |
$1,216,373 |
4.79 |
Other pneumonia |
297 |
$18,105 |
$8,750 |
$5,377,233 |
$2,598,633 |
5.70 |
Kidney & urinary tract infections |
257 |
$18,000 |
$8,745 |
$4,625,985 |
$2,247,379 |
5.73 |
Heart failure |
224 |
$25,780 |
$12,797 |
$5,774,689 |
$2,866,559 |
7.20 |
Other gastroenteritis, nausa & vomiting |
223 |
$9,626 |
$4,449 |
$2,146,506 |
$992,040 |
2.74 |
Cellulitis & other skin infections |
203 |
$17,836 |
$8,606 |
$3,620,741 |
$1,747,024 |
5.26 |
Cocaine abuse & dependence |
186 |
$11,130 |
$3,023 |
$2,070,222 |
$562,247 |
4.38 |
Other antepartum diagnoses |
175 |
$9,202 |
$3,443 |
$1,610,420 |
$602,604 |
2.58 |
Chronic obstructive pulmonary disease |
167 |
$22,288 |
$10,746 |
$3,722,156 |
$1,794,528 |
6.73 |
Syncope & collapse |
167 |
$13,981 |
$6,052 |
$2,334,895 |
$1,010,706 |
3.80 |
Uterine & adnexa procedures for leiomyoma |
162 |
$17,922 |
$10,558 |
$2,903,356 |
$1,710,357 |
2.17 |
Appendectomy |
152 |
$17,997 |
$9,342 |
$2,735,594 |
$1,420,015 |
2.85 |
Bipolar disorders |
147 |
$27,816 |
$13,319 |
$4,088,997 |
$1,957,932 |
11.69 |
Seizure |
145 |
$16,329 |
$7,061 |
$2,367,675 |
$1,023,864 |
4.16 |
CVA & precerebral occlusion w infarct |
140 |
$33,004 |
$13,304 |
$4,620,494 |
$1,862,544 |
7.46 |
Other & unspecified gastrointestinal hemorrhage |
139 |
$22,610 |
$11,120 |
$3,142,768 |
$1,545,746 |
5.65 |
Neonate bwt 2000-2499g, normal newborn or neonate w other problem |
139 |
$10,780 |
$2,958 |
$1,498,370 |
$411,115 |
3.32 |
Knee joint replacement |
138 |
$44,229 |
$29,473 |
$6,103,542 |
$4,067,211 |
5.09 |
Cardiac arrhythmia & conduction disorders |
134 |
$15,841 |
$7,445 |
$2,122,673 |
$997,659 |
4.26 |
Asthma |
119 |
$13,132 |
$5,818 |
$1,562,721 |
$692,381 |
3.45 |
Chest pain |
116 |
$11,148 |
$4,828 |
$1,293,145 |
$560,045 |
2.73 |
Other digestive system diagnoses |
111 |
$12,795 |
$5,920 |
$1,420,190 |
$657,081 |
3.42 |
Electrolyte disorders except hypovolemia related |
103 |
$20,067 |
$10,152 |
$2,066,902 |
$1,045,639 |
5.64 |
Infections of upper respiratory tract |
101 |
$8,134 |
$3,733 |
$821,551 |
$376,989 |
2.33 |
Schizophrenia |
99 |
$33,789 |
$16,209 |
$3,345,088 |
$1,604,704 |
14.24 |
Procedures for obesity |
98 |
$19,603 |
$12,627 |
$1,921,063 |
$1,237,470 |
3.47 |
Major depressive disorders & other/unspecified psychoses |
98 |
$24,033 |
$11,524 |
$2,355,218 |
$1,129,316 |
10.04 |
Other anemia & disorders of blood & blood-forming organs |
96 |
$17,999 |
$8,151 |
$1,727,930 |
$782,542 |
4.23 |
Laparoscopic cholecystectomy |
95 |
$21,427 |
$11,611 |
$2,035,557 |
$1,103,088 |
3.84 |
Diabetes |
91 |
$19,271 |
$9,390 |
$1,753,671 |
$854,508 |
5.18 |
Disorders of pancreas except malignancy |
89 |
$23,010 |
$10,660 |
$2,047,905 |
$948,774 |
5.72 |
Signs, symptoms & other factors influencing health status |
83 |
$13,955 |
$6,593 |
$1,158,261 |
$547,260 |
4.20 |
Peptic ulcer & gastritis |
80 |
$20,938 |
$10,104 |
$1,675,065 |
$808,339 |
4.53 |
Hypovolemia & related electrolyte disorders |
75 |
$14,866 |
$7,158 |
$1,114,937 |
$536,845 |
4.49 |
Malfunction, reaction, complic of genitourinary device or proc |
74 |
$23,384 |
$11,710 |
$1,730,436 |
$866,523 |
6.82 |
Degenerative nervous system disorders exc mult sclerosis |
71 |
$21,354 |
$10,087 |
$1,516,153 |
$716,199 |
7.25 |
Infectious & parasitic diseases including HIV w O.R. procedure |
71 |
$108,724 |
$50,806 |
$7,719,388 |
$3,607,253 |
19.97 |
Angina pectoris & coronary atherosclerosis |
69 |
$11,954 |
$5,323 |
$824,856 |
$367,314 |
2.88 |
Acute myocardial infarction |
68 |
$20,326 |
$9,758 |
$1,382,134 |
$663,570 |
3.81 |
False labor |
67 |
$10,656 |
$3,713 |
$713,959 |
$248,782 |
3.10 |
Other musculoskeletal system & connective tissue diagnoses |
66 |
$18,040 |
$8,639 |
$1,190,660 |
$570,147 |
4.83 |
Other disorders of nervous system |
63 |
$17,451 |
$7,843 |
$1,099,411 |
$494,134 |
4.94 |
Other skin, subcutaneous tissue & related procedures |
63 |
$23,301 |
$11,721 |
$1,467,934 |
$738,420 |
7.16 |
Poisoning of medicinal agents |
63 |
$24,483 |
$11,621 |
$1,542,443 |
$732,117 |
5.30 |
Diverticulitis & diverticulosis |
61 |
$18,028 |
$8,472 |
$1,099,708 |
$516,765 |
4.75 |
Intestinal obstruction |
61 |
$21,883 |
$10,452 |
$1,334,843 |
$637,573 |
5.93 |
Neonate birthwt >2499g w other significant condition |
61 |
$28,123 |
$7,788 |
$1,715,494 |
$475,063 |
5.33 |
Bronchiolitis & RSV pneumonia |
60 |
$12,272 |
$5,152 |
$736,320 |
$309,091 |
3.02 |
Hypertension |
60 |
$15,923 |
$7,343 |
$955,399 |
$440,555 |
3.73 |
Disorders of gallbladder & biliary tract |
60 |
$13,364 |
$6,322 |
$801,832 |
$379,329 |
3.28 |
Hip joint replacement |
55 |
$50,117 |
$31,714 |
$2,756,420 |
$1,744,262 |
6.35 |
Acute Kidney Injury |
55 |
$27,418 |
$14,106 |
$1,508,000 |
$775,818 |
8.13 |
Other back & neck disorders, fractures & injuries |
54 |
$22,153 |
$10,791 |
$1,196,280 |
$582,740 |
7.46 |
Major respiratory infections & inflammations |
53 |
$35,194 |
$17,921 |
$1,865,258 |
$949,819 |
12.02 |
Malnutrition, failure to thrive & other nutritional disorders |
52 |
$21,340 |
$11,106 |
$1,109,671 |
$577,496 |
6.38 |
Uterine & adnexa procedures for non-malignancy except leiomyoma |
52 |
$15,383 |
$9,253 |
$799,913 |
$481,155 |
1.65 |
Hip and femur fracture repair |
51 |
$37,144 |
$21,049 |
$1,894,341 |
$1,073,491 |
7.84 |
Transient ischemia |
49 |
$18,663 |
$6,895 |
$914,467 |
$337,857 |
3.80 |
Peripheral & other vascular disorders |
48 |
$20,984 |
$10,141 |
$1,007,227 |
$486,783 |
5.46 |
Vertigo & other labyrinth disorders |
47 |
$13,277 |
$4,973 |
$624,028 |
$233,709 |
2.83 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
47 |
$33,012 |
$16,620 |
$1,551,556 |
$781,117 |
10.85 |
Major small & large bowel procedures |
45 |
$74,730 |
$38,682 |
$3,362,849 |
$1,740,702 |
13.36 |
Respiratory system diagnosis w ventilator support 96+ hours |
43 |
$168,884 |
$68,168 |
$7,262,006 |
$2,931,209 |
28.79 |
Abdominal pain |
43 |
$9,400 |
$3,774 |
$404,201 |
$162,282 |
2.14 |
Lower extremity arterial procedures |
42 |
$60,725 |
$33,060 |
$2,550,470 |
$1,388,538 |
12.50 |
Respiratory Failure |
41 |
$44,674 |
$21,949 |
$1,831,622 |
$899,905 |
9.98 |
Moderately extensive procedure unrelated to principal diagnosis |
41 |
$61,837 |
$30,668 |
$2,535,331 |
$1,257,401 |
13.41 |
Alcoholic liver disease |
40 |
$24,785 |
$12,109 |
$991,407 |
$484,365 |
6.18 |
Vaginal delivery w sterilization &/or D&C |
40 |
$18,970 |
$6,570 |
$758,799 |
$262,814 |
2.55 |
Urinary stones & acquired upper urinary tract obstruction |
37 |
$7,592 |
$3,472 |
$280,893 |
$128,460 |
1.41 |
Major gastrointestinal & peritoneal infections |
35 |
$24,369 |
$11,260 |
$852,920 |
$394,087 |
7.03 |
Other esophageal disorders |
32 |
$16,531 |
$7,615 |
$528,991 |
$243,671 |
3.69 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
32 |
$16,139 |
$5,543 |
$516,448 |
$177,375 |
2.75 |
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond |
32 |
$36,665 |
$10,039 |
$1,173,265 |
$321,251 |
6.19 |
Other kidney & urinary tract diagnoses, signs & symptoms |
29 |
$15,425 |
$7,445 |
$447,325 |
$215,891 |
4.24 |
Neonate birthwt >2499g w major anomaly |
29 |
$32,664 |
$8,529 |
$947,258 |
$247,337 |
5.76 |
Fracture of femur |
28 |
$14,749 |
$7,166 |
$412,981 |
$200,642 |
4.71 |
Neonate bwt 1500-1999g w or w/o other significant condition |
28 |
$52,228 |
$14,317 |
$1,462,397 |
$400,887 |
9.71 |
Allergic reactions |
28 |
$7,206 |
$3,511 |
$201,778 |
$98,315 |
1.71 |
Chronic Kidney Disease |
27 |
$35,599 |
$17,776 |
$961,163 |
$479,940 |
9.07 |
Fever |
26 |
$9,511 |
$4,432 |
$247,290 |
$115,223 |
2.77 |
Respiratory signs, symptoms & minor diagnoses |
24 |
$15,381 |
$7,601 |
$369,152 |
$182,434 |
5.04 |
Malfunction, reaction & complication of GI device or procedure |
24 |
$25,190 |
$12,429 |
$604,560 |
$298,293 |
6.71 |
Hepatic coma & other major acute liver disorders |
24 |
$25,250 |
$11,652 |
$605,997 |
$279,648 |
7.00 |
Amputation of lower limb except toes |
24 |
$63,224 |
$32,825 |
$1,517,369 |
$787,806 |
15.13 |
Mastectomy procedures |
24 |
$23,428 |
$13,761 |
$562,263 |
$330,254 |
2.04 |
Other skin, subcutaneous tissue & breast disorders |
24 |
$7,544 |
$3,716 |
$181,054 |
$89,189 |
2.13 |
Other endocrine disorders |
24 |
$17,030 |
$7,886 |
$408,709 |
$189,266 |
4.92 |
Menstrual & other female reproductive system disorders |
24 |
$12,167 |
$4,990 |
$292,004 |
$119,748 |
2.38 |
Postpartum & post abortion diagnoses w/o procedure |
24 |
$13,564 |
$5,192 |
$325,547 |
$124,607 |
3.17 |
Pulmonary embolism |
23 |
$25,736 |
$11,049 |
$591,926 |
$254,128 |
6.35 |
Hernia procedures except inguinal, femoral & umbilical |
23 |
$25,910 |
$14,929 |
$595,924 |
$343,377 |
4.83 |
Coagulation & platelet disorders |
23 |
$30,655 |
$10,458 |
$705,062 |
$240,531 |
4.70 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
22 |
$20,515 |
$10,464 |
$451,332 |
$230,205 |
6.45 |
Male reproductive system diagnoses except malignancy |
22 |
$16,744 |
$8,343 |
$368,366 |
$183,542 |
4.82 |
Depression except major depressive disorder |
22 |
$21,675 |
$10,136 |
$476,855 |
$223,000 |
8.45 |
Other peripheral vascular procedures |
21 |
$47,923 |
$25,981 |
$1,006,390 |
$545,609 |
9.10 |
Other circulatory system diagnoses |
21 |
$20,726 |
$10,190 |
$435,247 |
$213,988 |
5.14 |
Skin ulcers |
21 |
$20,510 |
$10,189 |
$430,708 |
$213,961 |
6.43 |
Tracheostomy w MV 96+ hours w/o extensive procedure |
20 |
$218,335 |
$108,133 |
$4,366,706 |
$2,162,656 |
34.40 |
Intracranial hemorrhage |
20 |
$18,919 |
$8,871 |
$378,373 |
$177,417 |
4.50 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
20 |
$14,261 |
$6,473 |
$285,227 |
$129,466 |
4.10 |
Cardiac arrest and shock |
20 |
$18,179 |
$8,187 |
$363,570 |
$163,737 |
2.50 |
Fractures & dislocations except femur, pelvis & back |
20 |
$11,725 |
$5,243 |
$234,509 |
$104,860 |
3.20 |
Acute anxiety & delirium states |
20 |
$18,181 |
$7,693 |
$363,620 |
$153,857 |
5.55 |
Preterm labor |
19 |
$8,308 |
$2,887 |
$157,843 |
$54,849 |
2.26 |
Neonate birthwt >2499g w congenital/perinatal infection |
19 |
$36,001 |
$10,053 |
$684,024 |
$191,009 |
6.95 |
Knee & lower leg procedures except foot |
18 |
$32,755 |
$19,077 |
$589,586 |
$343,394 |
5.83 |
Organic mental health disturbances |
18 |
$15,508 |
$7,583 |
$279,148 |
$136,493 |
5.28 |
Toxic effects of non-medicinal substances |
18 |
$12,010 |
$5,601 |
$216,182 |
$100,817 |
3.06 |
Nontraumatic stupor & coma |
17 |
$52,387 |
$25,770 |
$890,574 |
$438,096 |
12.53 |
Respiratory malignancy |
17 |
$34,999 |
$16,874 |
$594,991 |
$286,851 |
10.59 |
Malfunction, reaction, complic of orthopedic device or procedure |
17 |
$24,751 |
$11,690 |
$420,771 |
$198,724 |
6.76 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
17 |
$27,048 |
$11,202 |
$459,822 |
$190,432 |
6.12 |
Nonextensive procedure unrelated to principal diagnosis |
17 |
$48,538 |
$26,485 |
$825,147 |
$450,239 |
12.71 |
Neonate bwt 2000-2499g w other significant condition |
16 |
$41,558 |
$11,329 |
$664,935 |
$181,258 |
7.75 |
Post-operative, post-traumatic, other device infections |
16 |
$28,855 |
$14,403 |
$461,675 |
$230,447 |
8.50 |
Head trauma w coma >1 hr or hemorrhage |
15 |
$21,833 |
$9,542 |
$327,499 |
$143,137 |
4.93 |
Other disorders of the liver |
15 |
$29,074 |
$14,069 |
$436,109 |
$211,037 |
6.13 |
Shoulder, upper arm & forearm procedures except joint replacement |
15 |
$21,388 |
$12,481 |
$320,816 |
$187,210 |
3.60 |
Tendon, muscle & other soft tissue procedures |
15 |
$45,606 |
$23,848 |
$684,083 |
$357,716 |
11.47 |
Renal dialysis access device procedure only |
15 |
$55,659 |
$31,138 |
$834,891 |
$467,076 |
12.73 |
Viral illness |
15 |
$8,649 |
$4,005 |
$129,730 |
$60,072 |
2.33 |
Other complications of treatment |
15 |
$38,466 |
$18,588 |
$576,983 |
$278,816 |
6.93 |
Tonsil & adenoid procedures |
14 |
$14,397 |
$6,593 |
$201,559 |
$92,307 |
3.14 |
Malignancy of hepatobiliary system & pancreas |
14 |
$24,168 |
$12,038 |
$338,350 |
$168,532 |
7.43 |
Fracture of pelvis or dislocation of hip |
14 |
$13,850 |
$6,301 |
$193,897 |
$88,208 |
4.21 |
Kidney & urinary tract procedures for nonmalignancy |
14 |
$46,529 |
$24,290 |
$651,404 |
$340,062 |
10.57 |
Neonate bwt 1000-1249g w resp dist synd/oth maj resp or maj anom |
14 |
$256,235 |
$69,301 |
$3,587,294 |
$970,216 |
44.21 |
Peripheral, cranial & autonomic nerve disorders |
13 |
$24,491 |
$9,926 |
$318,378 |
$129,043 |
5.69 |
Inguinal, femoral & umbilical hernia procedures |
13 |
$18,210 |
$9,437 |
$236,734 |
$122,683 |
3.77 |
Digestive malignancy |
13 |
$25,325 |
$12,864 |
$329,223 |
$167,228 |
6.77 |
Inflammatory bowel disease |
13 |
$23,381 |
$9,602 |
$303,954 |
$124,821 |
5.38 |
Neonate bwt 1500-1999g w resp dist synd/oth maj resp cond |
13 |
$113,510 |
$30,961 |
$1,475,634 |
$402,488 |
20.15 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
13 |
$31,845 |
$14,569 |
$413,991 |
$189,396 |
7.85 |
Extensive procedure unrelated to principal diagnosis |
13 |
$75,577 |
$40,397 |
$982,500 |
$525,167 |
16.08 |
Migraine & other headaches |
12 |
$11,872 |
$4,046 |
$142,462 |
$48,552 |
1.92 |
Major biliary tract procedures |
12 |
$41,490 |
$21,435 |
$497,884 |
$257,225 |
10.67 |
Female reproductive system infections |
12 |
$9,811 |
$3,936 |
$117,737 |
$47,227 |
2.08 |
Interstitial & alveolar lung diseases |
11 |
$19,078 |
$9,306 |
$209,863 |
$102,368 |
6.45 |
Extracranial vascular procedures |
10 |
$38,630 |
$20,956 |
$386,299 |
$209,563 |
5.90 |
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma |
10 |
$8,354 |
$3,295 |
$83,541 |
$32,949 |
2.00 |
Other circulatory system procedures |
10 |
$91,312 |
$46,338 |
$913,123 |
$463,378 |
19.10 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
10 |
$14,458 |
$7,603 |
$144,576 |
$76,025 |
3.70 |
Other digestive system & abdominal procedures |
10 |
$36,925 |
$18,863 |
$369,246 |
$188,634 |
7.40 |
Neonate birthwt 750-999g w/o major procedure |
10 |
$396,381 |
$106,243 |
$3,963,808 |
$1,062,433 |
63.30 |
Non-bacterial infections of nervous system exc viral meningitis |
9 |
$39,002 |
$14,836 |
$351,020 |
$133,527 |
7.44 |
Dental & oral diseases & injuries |
9 |
$9,302 |
$4,591 |
$83,720 |
$41,315 |
3.00 |
Other respiratory & chest procedures |
9 |
$90,011 |
$43,666 |
$810,097 |
$392,990 |
17.44 |
Major chest & respiratory trauma |
9 |
$28,347 |
$13,158 |
$255,122 |
$118,424 |
6.89 |
Major stomach, esophageal & duodenal procedures |
9 |
$91,380 |
$48,132 |
$822,418 |
$433,188 |
14.56 |
Other stomach, esophageal & duodenal procedures |
9 |
$34,516 |
$17,566 |
$310,642 |
$158,095 |
9.00 |
Other hepatobiliary, pancreas & abdominal procedures |
9 |
$47,040 |
$22,378 |
$423,364 |
$201,400 |
9.44 |
Urethral & transurethral procedures |
9 |
$61,115 |
$31,629 |
$550,031 |
$284,658 |
13.00 |
Transurethral prostatectomy |
9 |
$36,214 |
$18,674 |
$325,924 |
$168,069 |
10.22 |
Neonate bwt 2000-2499g w resp dist synd/oth maj resp cond |
9 |
$54,964 |
$14,931 |
$494,679 |
$134,379 |
10.00 |
Other drug abuse & dependence |
9 |
$8,613 |
$2,689 |
$77,517 |
$24,197 |
2.89 |
Anal procedures |
8 |
$21,130 |
$10,532 |
$169,043 |
$84,257 |
5.50 |
Connective tissue disorders |
8 |
$28,948 |
$11,791 |
$231,586 |
$94,328 |
6.50 |
Neonate bwt 1250-1499g w resp dist synd/oth maj resp or maj anom |
8 |
$243,583 |
$66,138 |
$1,948,663 |
$529,101 |
44.00 |
Lymphoma, myeloma & non-acute leukemia |
8 |
$27,950 |
$11,890 |
$223,596 |
$95,121 |
7.25 |
Other small & large bowel procedures |
7 |
$28,976 |
$14,860 |
$202,831 |
$104,019 |
5.00 |
Major pancreas, liver & shunt procedures |
7 |
$115,401 |
$58,307 |
$807,806 |
$408,152 |
16.86 |
Cholecystectomy except laparoscopic |
7 |
$31,145 |
$17,531 |
$218,017 |
$122,717 |
5.86 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
7 |
$13,131 |
$5,851 |
$91,920 |
$40,957 |
3.14 |
Uterine & adnexa procedures for non-ovarian & non-adnexal malig |
7 |
$26,902 |
$15,078 |
$188,312 |
$105,547 |
3.57 |
Neonate birthwt 500-749g w/o major procedure |
7 |
$127,799 |
$32,799 |
$894,590 |
$229,594 |
14.57 |
Other infectious & parasitic diseases |
7 |
$21,965 |
$10,726 |
$153,757 |
$75,081 |
7.14 |
O.R. procedure for other complications of treatment |
7 |
$24,075 |
$13,221 |
$168,525 |
$92,547 |
4.29 |
Other injury, poisoning & toxic effect diagnoses |
7 |
$16,647 |
$8,253 |
$116,532 |
$57,770 |
5.43 |
Multiple sclerosis & other demyelinating diseases |
6 |
$40,384 |
$14,409 |
$242,304 |
$86,454 |
7.67 |
Perm cardiac pacemaker implant w/o AMI, heart failure or shock |
6 |
$44,142 |
$26,081 |
$264,849 |
$156,484 |
7.17 |
Foot & toe procedures |
6 |
$38,893 |
$20,618 |
$233,356 |
$123,709 |
9.83 |
Major skin disorders |
6 |
$24,407 |
$12,562 |
$146,439 |
$75,374 |
8.83 |
Other procedures for endocrine, nutritional & metabolic disorders |
6 |
$45,864 |
$24,274 |
$275,183 |
$145,644 |
9.50 |
Other O.R. proc for obstetric diagnoses except delivery diagnoses |
6 |
$8,555 |
$3,124 |
$51,327 |
$18,741 |
2.33 |
Neonate bwt 2000-2499g w congenital/perinatal infection |
6 |
$32,355 |
$9,353 |
$194,132 |
$56,115 |
6.33 |
Post-op, post-trauma, other device infections w O.R. procedure |
6 |
$35,570 |
$18,192 |
$213,417 |
$109,150 |
11.00 |
HIV w multiple major HIV related conditions |
6 |
$157,306 |
$72,465 |
$943,835 |
$434,788 |
26.33 |
Tracheostomy w MV 96+ hours w extensive procedure or ECMO |
5 |
$303,975 |
$145,798 |
$1,519,874 |
$728,990 |
43.40 |
Other ear, nose, mouth & throat procedures |
5 |
$23,652 |
$11,872 |
$118,259 |
$59,362 |
4.40 |
Gastrointestinal vascular insufficiency |
5 |
$21,962 |
$10,749 |
$109,809 |
$53,743 |
5.80 |
Skin graft for skin & subcutaneous tissue diagnoses |
5 |
$32,915 |
$16,851 |
$164,573 |
$84,256 |
10.20 |
Kidney & urinary tract malignancy |
5 |
$37,057 |
$17,739 |
$185,287 |
$88,696 |
10.20 |
Other female reproductive system & related procedures |
5 |
$22,132 |
$12,626 |
$110,660 |
$63,128 |
3.40 |
Neonate, transferred < 5 days old, born here |
5 |
$9,187 |
$2,146 |
$45,937 |
$10,730 |
1.80 |
Behavioral disorders |
5 |
$18,346 |
$9,983 |
$91,730 |
$49,916 |
7.40 |
HIV w major HIV related condition |
5 |
$53,073 |
$24,504 |
$265,363 |
$122,521 |
12.20 |
Acute major eye infections |
4 |
$12,873 |
$6,309 |
$51,490 |
$25,236 |
4.50 |
Eye disorders except major infections |
4 |
$14,579 |
$7,107 |
$58,316 |
$28,427 |
5.00 |
Major respiratory & chest procedures |
4 |
$81,285 |
$41,257 |
$325,140 |
$165,029 |
17.75 |
Other significant hip and femur surgery |
4 |
$19,450 |
$11,027 |
$77,799 |
$44,106 |
4.50 |
Other musculoskeletal system & connective tissue procedures |
4 |
$31,774 |
$16,162 |
$127,097 |
$64,646 |
8.00 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
4 |
$21,455 |
$9,547 |
$85,818 |
$38,186 |
6.50 |
Malignancy, male reproductive system |
4 |
$22,495 |
$10,815 |
$89,978 |
$43,260 |
6.50 |
Dilation & curettage for non-obstetric diagnoses |
4 |
$24,639 |
$12,242 |
$98,554 |
$48,967 |
5.25 |
Neonate bwt 2000-2499g w major anomaly |
4 |
$49,937 |
$13,502 |
$199,747 |
$54,009 |
8.75 |
Adjustment disorders & neuroses except depressive diagnoses |
4 |
$5,481 |
$2,395 |
$21,922 |
$9,579 |
1.50 |
Other mental health disorders |
4 |
$18,361 |
$8,935 |
$73,444 |
$35,738 |
7.75 |
Ungroupable |
4 |
$65,213 |
$17,577 |
$260,850 |
$70,308 |
11.75 |
Viral meningitis |
3 |
$31,891 |
$14,047 |
$95,674 |
$42,140 |
9.33 |
Major esophageal disorders |
3 |
$36,105 |
$17,693 |
$108,314 |
$53,079 |
6.67 |
Hand & wrist procedures |
3 |
$10,974 |
$6,283 |
$32,923 |
$18,850 |
1.33 |
Breast procedures except mastectomy |
3 |
$14,330 |
$7,981 |
$42,991 |
$23,942 |
1.00 |
Thyroid, parathyroid & thyroglossal procedures |
3 |
$13,061 |
$7,894 |
$39,183 |
$23,683 |
1.00 |
Kidney & urinary tract procedures for malignancy |
3 |
$22,723 |
$13,752 |
$68,170 |
$41,256 |
2.00 |
Nephritis & nephrosis |
3 |
$24,454 |
$10,972 |
$73,363 |
$32,917 |
5.33 |
Major male pelvic procedures |
3 |
$18,837 |
$11,444 |
$56,512 |
$34,333 |
2.67 |
Other male reproductive system & related procedures |
3 |
$27,526 |
$15,332 |
$82,579 |
$45,996 |
6.00 |
Uterine & adnexa procedures for ovarian & adnexal malignancy |
3 |
$35,871 |
$18,822 |
$107,612 |
$56,467 |
5.67 |
D&C, aspiration curettage or hysterotomy for obstetric diagnoses |
3 |
$14,988 |
$4,999 |
$44,965 |
$14,998 |
1.33 |
Sickle cell anemia crisis |
3 |
$7,901 |
$3,174 |
$23,703 |
$9,522 |
1.67 |
Acute leukemia |
3 |
$33,681 |
$15,691 |
$101,043 |
$47,073 |
8.67 |
HIV w one signif HIV cond or w/o signif related cond |
3 |
$16,928 |
$7,027 |
$50,785 |
$21,082 |
4.33 |
Other nervous system & related procedures |
2 |
$28,890 |
$16,008 |
$57,779 |
$32,015 |
8.00 |
Spinal disorders & injuries |
2 |
$26,066 |
$9,987 |
$52,131 |
$19,974 |
4.50 |
Bacterial & tuberculous infections of nervous system |
2 |
$39,381 |
$17,897 |
$78,761 |
$35,793 |
12.00 |
Eye procedures except orbit |
2 |
$23,560 |
$11,559 |
$47,119 |
$23,117 |
5.00 |
Other cardiothoracic & thoracic vascular procedures |
2 |
$112,130 |
$48,723 |
$224,260 |
$97,445 |
21.00 |
Cardiac structural & valvular disorders |
2 |
$14,881 |
$5,384 |
$29,761 |
$10,768 |
3.00 |
Peritoneal adhesiolysis |
2 |
$10,894 |
$6,197 |
$21,787 |
$12,393 |
1.00 |
Shoulder & elbow joint replacement |
2 |
$49,624 |
$34,751 |
$99,248 |
$69,502 |
3.50 |
Inborn errors of metabolism |
2 |
$20,109 |
$6,911 |
$40,218 |
$13,822 |
4.00 |
Major bladder procedures |
2 |
$110,204 |
$55,776 |
$220,407 |
$111,551 |
15.00 |
Other bladder procedures |
2 |
$52,040 |
$27,145 |
$104,079 |
$54,290 |
10.00 |
Other kidney, urinary tract & related procedures |
2 |
$148,032 |
$83,431 |
$296,064 |
$166,861 |
38.00 |
Penis procedures |
2 |
$11,598 |
$6,796 |
$23,196 |
$13,592 |
2.00 |
Female reproductive system malignancy |
2 |
$9,748 |
$3,692 |
$19,495 |
$7,383 |
2.00 |
Neonate bwt 1250-1499g w or w/o other significant condition |
2 |
$150,793 |
$40,940 |
$301,586 |
$81,879 |
28.50 |
Neonate birthwt 1500-1999g w major anomaly |
2 |
$80,194 |
$21,763 |
$160,388 |
$43,525 |
14.00 |
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms |
2 |
$21,744 |
$11,751 |
$43,487 |
$23,502 |
6.00 |
Mental illness diagnosis w O.R. procedure |
2 |
$42,569 |
$22,581 |
$85,137 |
$45,162 |
16.00 |
Disorders of personality & impulse control |
2 |
$4,992 |
$2,040 |
$9,984 |
$4,080 |
1.00 |
Musculoskeletal & other procedures for multiple significant trauma |
2 |
$44,908 |
$23,982 |
$89,815 |
$47,964 |
9.50 |
Multiple significant trauma w/o O.R. procedure |
2 |
$16,115 |
$6,885 |
$32,230 |
$13,769 |
4.50 |
Spinal procedures |
1 |
$33,415 |
$14,455 |
$33,415 |
$14,455 |
9.00 |
BPD & oth chronic respiratory diseases arising in perinatal period |
1 |
$16,523 |
$6,362 |
$16,523 |
$6,362 |
4.00 |
Major abdominal vascular procedures |
1 |
$96,715 |
$51,438 |
$96,715 |
$51,438 |
14.00 |
Permanent cardiac pacemaker implant w AMI, heart failure or shock |
1 |
$53,982 |
$33,266 |
$53,982 |
$33,266 |
8.00 |
Acute & subacute endocarditis |
1 |
$4,864 |
$2,066 |
$4,864 |
$2,066 |
1.00 |
Malignant breast disorders |
1 |
$16,451 |
$7,641 |
$16,451 |
$7,641 |
5.00 |
Pituitary & adrenal procedures |
1 |
$131,493 |
$66,411 |
$131,493 |
$66,411 |
19.00 |
Testes & scrotal procedures |
1 |
$11,637 |
$5,029 |
$11,637 |
$5,029 |
1.00 |
Female reproductive system reconstructive procedures |
1 |
$10,660 |
$5,763 |
$10,660 |
$5,763 |
1.00 |
Neonate bwt <1500g w major procedure |
1 |
$1,320,087 |
$364,270 |
$1,320,087 |
$364,270 |
120.00 |
Neonate bwt <500g or GA <24 weeks |
1 |
$28,407 |
$6,888 |
$28,407 |
$6,888 |
2.00 |
Neonate birthwt 1000-1249g w or w/o other significant condition |
1 |
$165,068 |
$45,153 |
$165,068 |
$45,153 |
32.00 |
Neonate birthwt 1500-1999g w congenital/perinatal infection |
1 |
$86,174 |
$23,487 |
$86,174 |
$23,487 |
16.00 |
Splenectomy |
1 |
$15,970 |
$9,931 |
$15,970 |
$9,931 |
2.00 |
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms |
1 |
$40,950 |
$23,155 |
$40,950 |
$23,155 |
8.00 |
Procedure w diag of rehab, aftercare or oth contact w health service |
1 |
$18,191 |
$9,866 |
$18,191 |
$9,866 |
3.00 |
Other aftercare & convalescence |
1 |
$3,385 |
$1,672 |
$3,385 |
$1,672 |
1.00 |
HIV w multiple significant HIV related conditions |
1 |
$34,385 |
$13,416 |
$34,385 |
$13,416 |
6.00 |