Neonate birthwt >2499g, normal newborn or neonate w other problem |
2016 |
$5,345 |
$2,092 |
$10,774,590 |
$4,218,437 |
2.58 |
Vaginal delivery |
1294 |
$21,478 |
$7,952 |
$27,792,213 |
$10,289,573 |
2.60 |
Cesarean delivery |
883 |
$32,975 |
$12,577 |
$29,116,746 |
$11,105,398 |
3.78 |
Heart failure |
777 |
$21,625 |
$8,110 |
$16,802,635 |
$6,301,418 |
4.88 |
Schizophrenia |
751 |
$34,583 |
$15,060 |
$25,972,106 |
$11,310,399 |
13.15 |
Septicemia & disseminated infections |
654 |
$42,127 |
$16,768 |
$27,551,144 |
$10,966,057 |
8.23 |
Bipolar disorders |
566 |
$22,679 |
$9,685 |
$12,836,074 |
$5,481,649 |
8.57 |
CVA & precerebral occlusion w infarct |
433 |
$31,001 |
$11,104 |
$13,423,412 |
$4,808,049 |
6.08 |
Other pneumonia |
418 |
$18,572 |
$7,144 |
$7,763,236 |
$2,986,300 |
4.08 |
Syncope & collapse |
402 |
$12,211 |
$4,129 |
$4,908,945 |
$1,660,029 |
2.71 |
Seizure |
371 |
$13,231 |
$4,850 |
$4,908,757 |
$1,799,513 |
2.82 |
Major depressive disorders & other/unspecified psychoses |
350 |
$23,730 |
$10,225 |
$8,305,334 |
$3,578,591 |
9.05 |
Acute myocardial infarction |
342 |
$24,682 |
$9,073 |
$8,441,281 |
$3,103,086 |
4.03 |
Diabetes |
334 |
$14,290 |
$5,847 |
$4,772,948 |
$1,952,938 |
3.23 |
Chronic obstructive pulmonary disease |
323 |
$21,645 |
$7,601 |
$6,991,465 |
$2,455,033 |
4.37 |
Kidney & urinary tract infections |
323 |
$16,139 |
$6,590 |
$5,212,972 |
$2,128,652 |
4.26 |
Asthma |
315 |
$13,825 |
$5,395 |
$4,355,002 |
$1,699,323 |
2.48 |
Cardiac arrhythmia & conduction disorders |
308 |
$12,445 |
$4,626 |
$3,833,072 |
$1,424,669 |
2.89 |
Cellulitis & other skin infections |
248 |
$25,066 |
$9,945 |
$6,216,362 |
$2,466,445 |
4.78 |
Electrolyte disorders except hypovolemia related |
248 |
$18,667 |
$6,884 |
$4,629,469 |
$1,707,153 |
3.86 |
Percutaneous coronary intervention w AMI |
240 |
$56,568 |
$17,568 |
$13,576,369 |
$4,216,303 |
3.84 |
Angina pectoris & coronary atherosclerosis |
240 |
$9,181 |
$3,226 |
$2,203,442 |
$774,258 |
1.91 |
Other disorders of nervous system |
236 |
$38,862 |
$14,254 |
$9,171,351 |
$3,363,914 |
9.81 |
Alcohol abuse & dependence |
210 |
$15,628 |
$5,976 |
$3,281,979 |
$1,254,858 |
4.07 |
Other gastroenteritis, nausa & vomiting |
206 |
$11,064 |
$4,406 |
$2,279,115 |
$907,547 |
2.58 |
Chest pain |
191 |
$8,059 |
$2,721 |
$1,539,247 |
$519,682 |
1.55 |
Appendectomy |
187 |
$19,337 |
$7,957 |
$3,615,953 |
$1,487,914 |
2.25 |
Peptic ulcer & gastritis |
178 |
$18,555 |
$7,321 |
$3,302,808 |
$1,303,107 |
3.41 |
Other antepartum diagnoses |
171 |
$13,128 |
$4,307 |
$2,244,859 |
$736,431 |
2.64 |
Transient ischemia |
167 |
$15,046 |
$4,676 |
$2,512,720 |
$780,866 |
2.26 |
Disorders of pancreas except malignancy |
166 |
$15,710 |
$5,828 |
$2,607,806 |
$967,470 |
3.59 |
Other & unspecified gastrointestinal hemorrhage |
163 |
$23,908 |
$8,972 |
$3,897,081 |
$1,462,512 |
4.36 |
Knee & lower leg procedures except foot |
155 |
$45,489 |
$17,629 |
$7,050,734 |
$2,732,487 |
6.47 |
Head trauma w coma >1 hr or hemorrhage |
140 |
$29,584 |
$10,058 |
$4,141,816 |
$1,408,133 |
5.67 |
Respiratory Failure |
136 |
$33,526 |
$12,318 |
$4,559,596 |
$1,675,294 |
6.32 |
Cardiac catheterization for other non-coronary conditions |
134 |
$28,868 |
$9,437 |
$3,868,337 |
$1,264,555 |
4.07 |
Hip and femur fracture repair |
132 |
$46,430 |
$17,599 |
$6,128,814 |
$2,323,027 |
7.52 |
Depression except major depressive disorder |
131 |
$13,885 |
$5,864 |
$1,818,939 |
$768,154 |
5.12 |
Laparoscopic cholecystectomy |
129 |
$27,926 |
$11,720 |
$3,602,483 |
$1,511,879 |
4.16 |
Other digestive system diagnoses |
123 |
$18,204 |
$7,189 |
$2,239,055 |
$884,232 |
3.57 |
Hypovolemia & related electrolyte disorders |
123 |
$16,669 |
$6,324 |
$2,050,319 |
$777,876 |
4.47 |
Acute Kidney Injury |
123 |
$23,595 |
$8,954 |
$2,902,137 |
$1,101,377 |
5.89 |
Other anemia & disorders of blood & blood-forming organs |
118 |
$15,108 |
$5,105 |
$1,782,796 |
$602,391 |
2.48 |
Other musculoskeletal system & connective tissue diagnoses |
116 |
$20,192 |
$7,518 |
$2,342,329 |
$872,085 |
5.26 |
Infections of upper respiratory tract |
115 |
$9,383 |
$4,158 |
$1,079,057 |
$478,150 |
2.39 |
Poisoning of medicinal agents |
115 |
$19,934 |
$7,951 |
$2,292,353 |
$914,381 |
4.02 |
Signs, symptoms & other factors influencing health status |
114 |
$17,534 |
$6,454 |
$1,998,877 |
$735,799 |
4.59 |
Diverticulitis & diverticulosis |
113 |
$21,607 |
$8,470 |
$2,441,560 |
$957,125 |
4.37 |
Hypertension |
112 |
$10,633 |
$3,709 |
$1,190,940 |
$415,360 |
2.18 |
Neonate bwt 2000-2499g, normal newborn or neonate w other problem |
110 |
$9,074 |
$3,433 |
$998,146 |
$377,626 |
3.77 |
Bronchiolitis & RSV pneumonia |
106 |
$10,312 |
$5,469 |
$1,093,079 |
$579,684 |
2.63 |
Intracranial hemorrhage |
102 |
$35,210 |
$14,142 |
$3,591,409 |
$1,442,519 |
6.15 |
Uterine & adnexa procedures for leiomyoma |
99 |
$26,426 |
$11,773 |
$2,616,220 |
$1,165,506 |
2.89 |
Rehabilitation |
95 |
$36,718 |
$13,754 |
$3,488,186 |
$1,306,585 |
9.28 |
Fractures & dislocations except femur, pelvis & back |
93 |
$15,680 |
$5,678 |
$1,458,272 |
$528,021 |
3.61 |
Shoulder, upper arm & forearm procedures except joint replacement |
84 |
$35,660 |
$13,400 |
$2,995,443 |
$1,125,627 |
3.02 |
Vertigo & other labyrinth disorders |
83 |
$11,685 |
$3,734 |
$969,835 |
$309,917 |
2.33 |
Cardiac catheterization for coronary artery disease |
80 |
$20,399 |
$6,309 |
$1,631,958 |
$504,690 |
2.45 |
Other skin, subcutaneous tissue & related procedures |
80 |
$25,401 |
$9,897 |
$2,032,109 |
$791,723 |
4.66 |
Other back & neck disorders, fractures & injuries |
76 |
$23,546 |
$7,819 |
$1,789,504 |
$594,209 |
4.93 |
Sickle cell anemia crisis |
75 |
$16,260 |
$6,603 |
$1,219,516 |
$495,220 |
3.84 |
Infectious & parasitic diseases including HIV w O.R. procedure |
75 |
$99,711 |
$39,871 |
$7,478,290 |
$2,990,327 |
17.09 |
Uterine & adnexa procedures for non-malignancy except leiomyoma |
73 |
$26,494 |
$12,112 |
$1,934,060 |
$884,165 |
3.16 |
Peripheral & other vascular disorders |
72 |
$16,952 |
$6,031 |
$1,220,526 |
$434,245 |
3.49 |
Intestinal obstruction |
71 |
$15,437 |
$5,307 |
$1,096,035 |
$376,797 |
3.48 |
Pulmonary embolism |
70 |
$23,580 |
$8,700 |
$1,650,584 |
$609,000 |
4.41 |
Amputation of lower limb except toes |
69 |
$78,784 |
$30,033 |
$5,436,072 |
$2,072,301 |
15.70 |
Hand & wrist procedures |
68 |
$16,982 |
$7,517 |
$1,154,775 |
$511,170 |
2.47 |
Cardiac arrest and shock |
67 |
$26,359 |
$12,230 |
$1,766,048 |
$819,438 |
2.84 |
Respiratory signs, symptoms & minor diagnoses |
64 |
$14,353 |
$4,881 |
$918,612 |
$312,404 |
2.72 |
Postpartum & post abortion diagnoses w/o procedure |
62 |
$18,428 |
$6,601 |
$1,142,537 |
$409,240 |
3.18 |
Major small & large bowel procedures |
60 |
$100,385 |
$42,886 |
$6,023,105 |
$2,573,146 |
13.25 |
Alcoholic liver disease |
57 |
$32,224 |
$12,905 |
$1,836,756 |
$735,569 |
6.04 |
Other hepatobiliary, pancreas & abdominal procedures |
56 |
$34,296 |
$12,867 |
$1,920,582 |
$720,524 |
6.14 |
Toxic effects of non-medicinal substances |
56 |
$19,259 |
$7,886 |
$1,078,514 |
$441,590 |
3.32 |
Major respiratory infections & inflammations |
55 |
$41,449 |
$16,344 |
$2,279,683 |
$898,937 |
10.85 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
54 |
$12,154 |
$4,012 |
$656,342 |
$216,635 |
1.78 |
Other endocrine disorders |
54 |
$17,417 |
$6,428 |
$940,544 |
$347,137 |
4.11 |
Respiratory malignancy |
51 |
$38,147 |
$13,550 |
$1,945,514 |
$691,046 |
8.49 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
51 |
$31,628 |
$11,535 |
$1,613,014 |
$588,309 |
6.80 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
50 |
$13,505 |
$5,021 |
$675,234 |
$251,055 |
2.74 |
Foot & toe procedures |
50 |
$53,874 |
$19,483 |
$2,693,713 |
$974,146 |
9.12 |
Urinary stones & acquired upper urinary tract obstruction |
50 |
$9,616 |
$3,556 |
$480,810 |
$177,804 |
1.58 |
Malfunction, reaction, complic of genitourinary device or proc |
50 |
$31,432 |
$11,767 |
$1,571,624 |
$588,370 |
7.26 |
Degenerative nervous system disorders exc mult sclerosis |
49 |
$27,530 |
$10,539 |
$1,348,985 |
$516,434 |
9.22 |
Hip joint replacement |
49 |
$64,043 |
$23,672 |
$3,138,089 |
$1,159,913 |
7.80 |
Other circulatory system diagnoses |
47 |
$13,308 |
$5,023 |
$625,487 |
$236,085 |
2.89 |
Chronic Kidney Disease |
46 |
$35,222 |
$13,146 |
$1,620,196 |
$604,703 |
7.72 |
Cardiac defibrillator & heart assist implant |
44 |
$147,133 |
$38,497 |
$6,473,863 |
$1,693,853 |
5.95 |
Perm cardiac pacemaker implant w/o AMI, heart failure or shock |
44 |
$76,277 |
$23,682 |
$3,356,180 |
$1,042,019 |
7.36 |
Fever |
44 |
$11,095 |
$5,703 |
$488,166 |
$250,948 |
3.34 |
Tracheostomy w MV 96+ hours w/o extensive procedure |
43 |
$200,052 |
$88,193 |
$8,602,221 |
$3,792,297 |
35.49 |
Facial bone procedures except major cranial/facial bone procedures |
43 |
$28,831 |
$11,435 |
$1,239,752 |
$491,698 |
3.44 |
Major gastrointestinal & peritoneal infections |
43 |
$20,053 |
$7,385 |
$862,270 |
$317,564 |
4.81 |
Moderately extensive procedure unrelated to principal diagnosis |
43 |
$69,762 |
$27,137 |
$2,999,781 |
$1,166,880 |
13.14 |
Peripheral, cranial & autonomic nerve disorders |
42 |
$11,875 |
$3,884 |
$498,732 |
$163,117 |
2.40 |
Percutaneous coronary intervention w/o AMI |
41 |
$50,350 |
$15,251 |
$2,064,365 |
$625,306 |
3.29 |
Disorders of gallbladder & biliary tract |
41 |
$13,238 |
$4,553 |
$542,752 |
$186,667 |
2.78 |
Nontraumatic stupor & coma |
40 |
$37,517 |
$15,082 |
$1,500,661 |
$603,291 |
7.40 |
Nonextensive procedure unrelated to principal diagnosis |
40 |
$33,464 |
$12,298 |
$1,338,560 |
$491,933 |
5.70 |
Tendon, muscle & other soft tissue procedures |
38 |
$39,078 |
$15,458 |
$1,484,965 |
$587,387 |
7.21 |
Post-operative, post-traumatic, other device infections |
37 |
$28,020 |
$10,555 |
$1,036,756 |
$390,519 |
6.41 |
Allergic reactions |
37 |
$8,045 |
$2,979 |
$297,649 |
$110,217 |
1.51 |
Major chest & respiratory trauma |
35 |
$20,357 |
$6,730 |
$712,512 |
$235,556 |
4.00 |
Preterm labor |
34 |
$10,999 |
$3,446 |
$373,951 |
$117,147 |
1.65 |
Musculoskeletal & other procedures for multiple significant trauma |
34 |
$91,613 |
$33,431 |
$3,114,858 |
$1,136,656 |
12.68 |
Multiple significant trauma w/o O.R. procedure |
33 |
$34,097 |
$11,324 |
$1,125,187 |
$373,708 |
6.30 |
Malignancy of hepatobiliary system & pancreas |
31 |
$37,967 |
$13,196 |
$1,176,987 |
$409,073 |
8.84 |
Skin ulcers |
31 |
$25,313 |
$9,323 |
$784,695 |
$289,014 |
5.65 |
Viral illness |
31 |
$10,749 |
$4,624 |
$333,234 |
$143,357 |
2.77 |
Digestive malignancy |
30 |
$24,264 |
$8,813 |
$727,912 |
$264,381 |
5.43 |
Drug & alcohol abuse or dependence, left against medical advice |
30 |
$10,765 |
$3,696 |
$322,949 |
$110,891 |
2.47 |
Other esophageal disorders |
29 |
$13,909 |
$5,279 |
$403,363 |
$153,082 |
2.66 |
Hepatic coma & other major acute liver disorders |
29 |
$19,518 |
$6,890 |
$566,032 |
$199,807 |
4.14 |
Other disorders of the liver |
29 |
$15,185 |
$5,490 |
$440,354 |
$159,207 |
2.90 |
Fracture of pelvis or dislocation of hip |
29 |
$27,959 |
$9,890 |
$810,809 |
$286,814 |
6.17 |
Female reproductive system infections |
29 |
$15,563 |
$5,383 |
$451,320 |
$156,110 |
3.41 |
Organic mental health disturbances |
29 |
$32,811 |
$13,383 |
$951,518 |
$388,109 |
12.41 |
Other complications of treatment |
29 |
$25,348 |
$9,022 |
$735,093 |
$261,643 |
4.31 |
Lower extremity arterial procedures |
28 |
$102,780 |
$38,721 |
$2,877,853 |
$1,084,179 |
14.96 |
Inflammatory bowel disease |
28 |
$13,304 |
$4,948 |
$372,522 |
$138,531 |
2.96 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
28 |
$25,080 |
$9,278 |
$702,252 |
$259,790 |
3.00 |
Respiratory system diagnosis w ventilator support 96+ hours |
27 |
$96,887 |
$40,077 |
$2,615,942 |
$1,082,091 |
17.74 |
Acute anxiety & delirium states |
27 |
$13,890 |
$5,407 |
$375,017 |
$145,995 |
4.52 |
Other peripheral vascular procedures |
26 |
$72,489 |
$28,722 |
$1,884,718 |
$746,784 |
10.62 |
Abdominal pain |
26 |
$8,967 |
$2,924 |
$233,150 |
$76,036 |
1.73 |
Other musculoskeletal system & connective tissue procedures |
25 |
$35,751 |
$14,777 |
$893,771 |
$369,415 |
6.00 |
Other kidney & urinary tract diagnoses, signs & symptoms |
25 |
$11,704 |
$4,207 |
$292,609 |
$105,176 |
2.56 |
Male reproductive system diagnoses except malignancy |
25 |
$20,124 |
$7,824 |
$503,103 |
$195,601 |
4.84 |
HIV w major HIV related condition |
25 |
$44,745 |
$15,673 |
$1,118,632 |
$391,833 |
8.84 |
Extensive abdominal/thoracic procedures for mult significant trauma |
25 |
$145,790 |
$55,819 |
$3,644,759 |
$1,395,482 |
16.20 |
Extensive procedure unrelated to principal diagnosis |
25 |
$103,254 |
$37,107 |
$2,581,340 |
$927,684 |
16.56 |
Dental & oral diseases & injuries |
24 |
$8,251 |
$2,981 |
$198,024 |
$71,550 |
1.63 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
24 |
$26,857 |
$9,632 |
$644,579 |
$231,158 |
5.79 |
Tracheostomy w MV 96+ hours w extensive procedure or ECMO |
23 |
$314,033 |
$127,188 |
$7,222,759 |
$2,925,331 |
49.96 |
Craniotomy for trauma |
23 |
$63,903 |
$23,129 |
$1,469,778 |
$531,971 |
8.09 |
Other skin, subcutaneous tissue & breast disorders |
23 |
$20,319 |
$8,273 |
$467,326 |
$190,285 |
4.61 |
Neonate bwt 2000-2499g w resp dist synd/oth maj resp cond |
23 |
$29,433 |
$11,113 |
$676,955 |
$255,603 |
8.57 |
Knee joint replacement |
22 |
$50,007 |
$17,536 |
$1,100,146 |
$385,796 |
4.00 |
Vaginal delivery w sterilization &/or D&C |
22 |
$32,896 |
$12,748 |
$723,702 |
$280,453 |
3.55 |
False labor |
22 |
$9,155 |
$2,627 |
$201,413 |
$57,790 |
1.45 |
Inguinal, femoral & umbilical hernia procedures |
21 |
$24,355 |
$10,439 |
$511,446 |
$219,229 |
3.19 |
Neonate bwt 1500-1999g w resp dist synd/oth maj resp cond |
21 |
$52,762 |
$20,569 |
$1,107,993 |
$431,957 |
16.05 |
Adjustment disorders & neuroses except depressive diagnoses |
21 |
$10,246 |
$4,215 |
$215,174 |
$88,521 |
3.71 |
HIV w one signif HIV cond or w/o signif related cond |
21 |
$26,478 |
$9,361 |
$556,045 |
$196,590 |
5.90 |
Craniotomy except for trauma |
20 |
$77,330 |
$34,673 |
$1,546,606 |
$693,457 |
15.55 |
Other small & large bowel procedures |
20 |
$51,797 |
$20,319 |
$1,035,934 |
$406,370 |
8.20 |
Malnutrition, failure to thrive & other nutritional disorders |
20 |
$17,123 |
$7,736 |
$342,454 |
$154,713 |
4.90 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
20 |
$28,429 |
$9,986 |
$568,576 |
$199,725 |
4.55 |
Other digestive system & abdominal procedures |
19 |
$46,226 |
$17,711 |
$878,294 |
$336,513 |
7.68 |
Malfunction, reaction & complication of GI device or procedure |
19 |
$13,664 |
$5,316 |
$259,613 |
$101,004 |
3.11 |
Fracture of femur |
19 |
$35,305 |
$13,530 |
$670,795 |
$257,067 |
7.47 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
19 |
$31,674 |
$11,487 |
$601,800 |
$218,248 |
6.42 |
Other nervous system & related procedures |
18 |
$49,197 |
$18,622 |
$885,548 |
$335,204 |
10.06 |
Post-op, post-trauma, other device infections w O.R. procedure |
18 |
$47,530 |
$18,789 |
$855,539 |
$338,197 |
9.00 |
Other infectious & parasitic diseases |
18 |
$13,572 |
$6,036 |
$244,295 |
$108,654 |
3.22 |
Other significant hip and femur surgery |
17 |
$70,701 |
$26,305 |
$1,201,911 |
$447,187 |
9.53 |
Skin graft for skin & subcutaneous tissue diagnoses |
17 |
$37,668 |
$14,428 |
$640,351 |
$245,279 |
6.29 |
Neonate bwt 1250-1499g w resp dist synd/oth maj resp or maj anom |
17 |
$128,378 |
$50,048 |
$2,182,426 |
$850,823 |
38.06 |
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond |
17 |
$29,411 |
$11,089 |
$499,986 |
$188,517 |
7.35 |
Eye disorders except major infections |
16 |
$16,561 |
$6,138 |
$264,969 |
$98,210 |
3.25 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
16 |
$22,877 |
$8,217 |
$366,033 |
$131,464 |
4.63 |
Gastrointestinal vascular insufficiency |
16 |
$20,951 |
$8,194 |
$335,208 |
$131,109 |
4.19 |
Urethral & transurethral procedures |
15 |
$13,946 |
$5,732 |
$209,192 |
$85,987 |
2.00 |
Menstrual & other female reproductive system disorders |
15 |
$38,238 |
$14,463 |
$573,565 |
$216,938 |
8.80 |
Neonate bwt 1000-1249g w resp dist synd/oth maj resp or maj anom |
15 |
$171,517 |
$66,930 |
$2,572,759 |
$1,003,953 |
47.80 |
Non-bacterial infections of nervous system exc viral meningitis |
14 |
$28,097 |
$11,660 |
$393,357 |
$163,240 |
6.64 |
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma |
14 |
$19,830 |
$5,368 |
$277,621 |
$75,150 |
2.29 |
Orbital procedures |
14 |
$20,727 |
$8,160 |
$290,180 |
$114,236 |
2.57 |
Hernia procedures except inguinal, femoral & umbilical |
14 |
$35,623 |
$15,457 |
$498,717 |
$216,394 |
5.71 |
Other Chemotherapy |
14 |
$22,575 |
$8,018 |
$316,048 |
$112,257 |
3.29 |
Nervous system malignancy |
13 |
$21,917 |
$7,209 |
$284,926 |
$93,721 |
4.69 |
Tonsil & adenoid procedures |
13 |
$12,494 |
$5,953 |
$162,423 |
$77,392 |
2.62 |
Interstitial & alveolar lung diseases |
13 |
$29,829 |
$11,175 |
$387,773 |
$145,271 |
6.38 |
Kidney & urinary tract procedures for nonmalignancy |
13 |
$44,812 |
$16,501 |
$582,551 |
$214,507 |
10.31 |
Neonate birthwt >2499g w major anomaly |
13 |
$23,529 |
$8,706 |
$305,874 |
$113,177 |
7.08 |
O.R. procedure for other complications of treatment |
13 |
$83,085 |
$32,509 |
$1,080,109 |
$422,612 |
16.92 |
Other ear, nose, mouth & throat procedures |
12 |
$18,554 |
$7,686 |
$222,648 |
$92,237 |
3.25 |
Major stomach, esophageal & duodenal procedures |
12 |
$52,859 |
$21,768 |
$634,309 |
$261,221 |
10.75 |
Cholecystectomy except laparoscopic |
12 |
$36,910 |
$16,050 |
$442,920 |
$192,595 |
6.00 |
Cervical spinal fusion & other back/neck proc exc disc excis/decomp |
12 |
$83,307 |
$29,512 |
$999,685 |
$354,141 |
8.00 |
Neonate bwt 1500-1999g w or w/o other significant condition |
12 |
$33,137 |
$12,960 |
$397,640 |
$155,518 |
10.50 |
Lymphoma, myeloma & non-acute leukemia |
12 |
$76,029 |
$30,492 |
$912,347 |
$365,906 |
13.25 |
HIV w multiple major HIV related conditions |
12 |
$55,894 |
$20,309 |
$670,733 |
$243,705 |
10.33 |
Extracranial vascular procedures |
11 |
$45,837 |
$20,149 |
$504,206 |
$221,643 |
7.45 |
Peritoneal adhesiolysis |
11 |
$44,565 |
$18,101 |
$490,213 |
$199,113 |
9.18 |
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses |
11 |
$108,204 |
$42,415 |
$1,190,240 |
$466,563 |
24.09 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
11 |
$66,148 |
$24,342 |
$727,624 |
$267,758 |
18.27 |
Connective tissue disorders |
11 |
$17,380 |
$7,131 |
$191,180 |
$78,443 |
3.91 |
Mastectomy procedures |
11 |
$19,253 |
$9,214 |
$211,780 |
$101,350 |
1.73 |
Thyroid, parathyroid & thyroglossal procedures |
11 |
$18,387 |
$9,237 |
$202,253 |
$101,609 |
1.27 |
Neonate, transferred < 5 days old, born here |
11 |
$8,570 |
$2,723 |
$94,274 |
$29,955 |
1.36 |
Neonate birthwt >2499g w other significant condition |
11 |
$12,521 |
$5,556 |
$137,733 |
$61,112 |
5.91 |
Bacterial & tuberculous infections of nervous system |
10 |
$56,612 |
$21,928 |
$566,117 |
$219,277 |
11.10 |
Migraine & other headaches |
10 |
$11,010 |
$3,516 |
$110,096 |
$35,156 |
1.70 |
Coagulation & platelet disorders |
10 |
$28,260 |
$10,226 |
$282,598 |
$102,260 |
4.30 |
Other respiratory & chest procedures |
9 |
$39,726 |
$15,753 |
$357,536 |
$141,776 |
7.89 |
Cardiac pacemaker & defibrillator device replacement |
9 |
$116,276 |
$32,523 |
$1,046,481 |
$292,711 |
5.00 |
Other stomach, esophageal & duodenal procedures |
9 |
$38,257 |
$17,467 |
$344,309 |
$157,201 |
7.33 |
Anal procedures |
9 |
$16,138 |
$6,804 |
$145,240 |
$61,232 |
3.11 |
Neonate birthwt 750-999g w/o major procedure |
9 |
$252,353 |
$99,746 |
$2,271,176 |
$897,718 |
67.11 |
Procedure w diag of rehab, aftercare or oth contact w health service |
9 |
$29,949 |
$12,048 |
$269,541 |
$108,434 |
4.67 |
Major abdominal vascular procedures |
8 |
$126,128 |
$45,883 |
$1,009,020 |
$367,061 |
12.38 |
Cardiac structural & valvular disorders |
8 |
$45,301 |
$17,391 |
$362,409 |
$139,127 |
11.50 |
Major biliary tract procedures |
8 |
$41,624 |
$14,852 |
$332,994 |
$118,818 |
8.63 |
Other female reproductive system & related procedures |
8 |
$22,931 |
$10,566 |
$183,444 |
$84,527 |
4.25 |
Other O.R. proc for obstetric diagnoses except delivery diagnoses |
8 |
$13,925 |
$5,555 |
$111,399 |
$44,440 |
1.50 |
Cocaine abuse & dependence |
8 |
$13,568 |
$5,877 |
$108,543 |
$47,017 |
3.25 |
Other injury, poisoning & toxic effect diagnoses |
8 |
$19,434 |
$6,429 |
$155,470 |
$51,434 |
3.25 |
Spinal disorders & injuries |
7 |
$44,682 |
$15,104 |
$312,776 |
$105,728 |
8.57 |
Major respiratory & chest procedures |
7 |
$39,987 |
$16,613 |
$279,909 |
$116,290 |
6.43 |
Major esophageal disorders |
7 |
$22,094 |
$10,050 |
$154,661 |
$70,351 |
4.71 |
Intervertebral disc excision & decompression |
7 |
$36,339 |
$16,316 |
$254,370 |
$114,210 |
5.14 |
Malfunction, reaction, complic of orthopedic device or procedure |
7 |
$17,775 |
$7,215 |
$124,426 |
$50,502 |
3.71 |
Breast procedures except mastectomy |
7 |
$30,680 |
$13,166 |
$214,757 |
$92,163 |
4.43 |
Testes & scrotal procedures |
7 |
$10,339 |
$5,079 |
$72,372 |
$35,555 |
1.14 |
Other drug abuse & dependence |
7 |
$15,329 |
$5,435 |
$107,301 |
$38,044 |
4.29 |
Eye procedures except orbit |
6 |
$21,397 |
$8,838 |
$128,381 |
$53,029 |
3.17 |
Cardiac pacemaker & defibrillator revision except device replacement |
6 |
$55,097 |
$15,152 |
$330,582 |
$90,912 |
4.00 |
Dorsal & lumbar fusion proc except for curvature of back |
6 |
$173,385 |
$59,550 |
$1,040,309 |
$357,300 |
20.00 |
Transurethral prostatectomy |
6 |
$15,374 |
$7,337 |
$92,243 |
$44,020 |
3.17 |
Female reproductive system malignancy |
6 |
$20,089 |
$7,315 |
$120,534 |
$43,891 |
4.67 |
Neonate birthwt >2499g w congenital/perinatal infection |
6 |
$20,935 |
$12,805 |
$125,608 |
$76,828 |
7.83 |
Acute leukemia |
6 |
$75,625 |
$26,068 |
$453,752 |
$156,410 |
12.50 |
Other aftercare & convalescence |
6 |
$13,662 |
$5,181 |
$81,973 |
$31,087 |
4.50 |
Major cranial/facial bone procedures |
5 |
$57,700 |
$20,362 |
$288,499 |
$101,812 |
4.80 |
Other procedures for endocrine, nutritional & metabolic disorders |
5 |
$124,619 |
$44,555 |
$623,096 |
$222,776 |
19.60 |
Kidney & urinary tract malignancy |
5 |
$39,529 |
$15,295 |
$197,646 |
$76,477 |
13.20 |
Neonate birthwt 500-749g w/o major procedure |
5 |
$410,017 |
$147,694 |
$2,050,085 |
$738,471 |
89.00 |
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms |
5 |
$55,512 |
$20,667 |
$277,560 |
$103,337 |
10.40 |
Opioid abuse & dependence |
5 |
$9,794 |
$3,391 |
$48,968 |
$16,954 |
2.00 |
Partial thickness burns without skin graft |
5 |
$16,394 |
$6,927 |
$81,971 |
$34,635 |
4.20 |
HIV w multiple significant HIV related conditions |
5 |
$19,653 |
$6,853 |
$98,263 |
$34,264 |
4.00 |
Craniotomy for multiple significant trauma |
5 |
$170,910 |
$61,752 |
$854,550 |
$308,758 |
23.20 |
Ungroupable |
5 |
$37,954 |
$13,857 |
$189,772 |
$69,284 |
10.40 |
Viral meningitis |
4 |
$17,798 |
$8,133 |
$71,190 |
$32,531 |
4.75 |
Other circulatory system procedures |
4 |
$42,988 |
$16,499 |
$171,952 |
$65,996 |
7.00 |
Major skin disorders |
4 |
$15,855 |
$5,876 |
$63,420 |
$23,503 |
2.25 |
Nephritis & nephrosis |
4 |
$29,463 |
$10,882 |
$117,853 |
$43,528 |
7.50 |
Neonate bwt <500g or GA <24 weeks |
4 |
$255,822 |
$98,289 |
$1,023,287 |
$393,157 |
54.00 |
Neonate bwt 2000-2499g w other significant condition |
4 |
$26,328 |
$9,636 |
$105,310 |
$38,544 |
10.25 |
Spinal procedures |
3 |
$70,603 |
$29,712 |
$211,809 |
$89,137 |
7.67 |
Permanent cardiac pacemaker implant w AMI, heart failure or shock |
3 |
$116,628 |
$29,790 |
$349,884 |
$89,369 |
6.67 |
Malignant breast disorders |
3 |
$63,489 |
$22,757 |
$190,467 |
$68,270 |
13.00 |
Inborn errors of metabolism |
3 |
$11,234 |
$7,321 |
$33,703 |
$21,962 |
2.67 |
Malignancy, male reproductive system |
3 |
$27,479 |
$9,465 |
$82,436 |
$28,396 |
5.67 |
Pelvic evisceration, radical hysterectomy & other radical GYN procs |
3 |
$35,131 |
$15,811 |
$105,394 |
$47,432 |
3.67 |
Uterine & adnexa procedures for non-ovarian & non-adnexal malig |
3 |
$29,634 |
$13,631 |
$88,903 |
$40,894 |
4.33 |
Female reproductive system reconstructive procedures |
3 |
$18,830 |
$8,853 |
$56,489 |
$26,559 |
1.67 |
Dilation & curettage for non-obstetric diagnoses |
3 |
$13,404 |
$4,829 |
$40,211 |
$14,487 |
1.33 |
D&C, aspiration curettage or hysterotomy for obstetric diagnoses |
3 |
$16,681 |
$6,752 |
$50,044 |
$20,256 |
2.00 |
Multiple sclerosis & other demyelinating diseases |
2 |
$23,790 |
$7,894 |
$47,580 |
$15,788 |
5.50 |
Nonspecific CVA & precerebral occlusion w/o infarct |
2 |
$39,999 |
$12,905 |
$79,998 |
$25,810 |
8.00 |
Acute major eye infections |
2 |
$13,172 |
$4,608 |
$26,344 |
$9,216 |
3.00 |
Ear, nose, mouth, throat, cranial/facial malignancies |
2 |
$42,116 |
$14,285 |
$84,232 |
$28,570 |
7.00 |
Other cardiothoracic & thoracic vascular procedures |
2 |
$85,381 |
$31,430 |
$170,762 |
$62,859 |
6.50 |
Major pancreas, liver & shunt procedures |
2 |
$117,940 |
$42,716 |
$235,879 |
$85,432 |
12.50 |
Shoulder & elbow joint replacement |
2 |
$44,947 |
$16,111 |
$89,893 |
$32,222 |
4.00 |
Other kidney, urinary tract & related procedures |
2 |
$50,448 |
$16,344 |
$100,895 |
$32,688 |
8.00 |
Neonate birthwt 1500-1999g w major anomaly |
2 |
$137,607 |
$53,330 |
$275,214 |
$106,660 |
34.50 |
Neonate bwt 2000-2499g w major anomaly |
2 |
$67,688 |
$26,403 |
$135,375 |
$52,806 |
18.50 |
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms |
2 |
$118,495 |
$49,381 |
$236,989 |
$98,762 |
22.00 |
Other mental health disorders |
2 |
$13,795 |
$5,650 |
$27,590 |
$11,299 |
4.50 |
Ventricular shunt procedures |
1 |
$16,673 |
$7,732 |
$16,673 |
$7,732 |
1.00 |
Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma |
1 |
$36,308 |
$10,955 |
$36,308 |
$10,955 |
6.00 |
Major larynx & trachea procedures |
1 |
$67,483 |
$29,560 |
$67,483 |
$29,560 |
14.00 |
Acute & subacute endocarditis |
1 |
$157,743 |
$61,552 |
$157,743 |
$61,552 |
42.00 |
Cardiomyopathy |
1 |
$13,969 |
$4,654 |
$13,969 |
$4,654 |
3.00 |
Kidney & urinary tract procedures for malignancy |
1 |
$108,156 |
$38,877 |
$108,156 |
$38,877 |
21.00 |
Renal dialysis access device procedure only |
1 |
$43,451 |
$17,541 |
$43,451 |
$17,541 |
8.00 |
Other bladder procedures |
1 |
$34,476 |
$13,450 |
$34,476 |
$13,450 |
9.00 |
Penis procedures |
1 |
$38,927 |
$15,493 |
$38,927 |
$15,493 |
9.00 |
Neonate bwt <1500g w major procedure |
1 |
$143,219 |
$47,841 |
$143,219 |
$47,841 |
31.00 |
Neonate bwt 1250-1499g w or w/o other significant condition |
1 |
$53,042 |
$20,066 |
$53,042 |
$20,066 |
20.00 |
Neonate birthwt >2499g w other major procedure |
1 |
$62,845 |
$24,697 |
$62,845 |
$24,697 |
21.00 |
Mental illness diagnosis w O.R. procedure |
1 |
$95,838 |
$39,694 |
$95,838 |
$39,694 |
35.00 |
Disorders of personality & impulse control |
1 |
$8,912 |
$3,284 |
$8,912 |
$3,284 |
2.00 |
Behavioral disorders |
1 |
$76,442 |
$33,867 |
$76,442 |
$33,867 |
30.00 |