Jamaica Hospital Medical Center

2017 Age Distribution

2017 Patient Race:

Black/African American6,707
Multi-racial228
Other Race7,094
White7,301

2017 Payers:

Blue Cross/Blue Shield 1,018
Federal/State/Local/VA 42
Medicaid 11,569
Medicare 6,151
Miscellaneous/Other 365
Private Health Insurance 1,621
Self-Pay 564

Conditions treated in 2017

Click on a column header to sort ascending or descending.
DRG Count Avg. Charge Avg. Cost Sum all Charges Sum all Costs Avg. LOS
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