Septicemia & disseminated infections |
774 |
$85,621 |
$22,027 |
$66,270,305 |
$17,048,857 |
10.08 |
Neonate birthwt >2499g, normal newborn or neonate w other problem |
569 |
$8,742 |
$4,128 |
$4,974,017 |
$2,348,709 |
2.55 |
Schizophrenia |
457 |
$57,674 |
$32,962 |
$26,356,853 |
$15,063,476 |
15.35 |
Vaginal delivery |
412 |
$18,224 |
$11,140 |
$7,508,454 |
$4,589,674 |
2.48 |
Heart failure |
294 |
$46,105 |
$11,908 |
$13,554,788 |
$3,500,946 |
5.40 |
Chronic obstructive pulmonary disease |
283 |
$46,855 |
$11,630 |
$13,259,899 |
$3,291,402 |
5.08 |
Cesarean delivery |
204 |
$26,972 |
$17,351 |
$5,502,288 |
$3,539,656 |
3.40 |
Diabetes |
181 |
$34,740 |
$9,169 |
$6,287,935 |
$1,659,515 |
3.93 |
Other pneumonia |
148 |
$40,762 |
$10,842 |
$6,032,744 |
$1,604,603 |
5.05 |
Seizure |
146 |
$34,193 |
$8,957 |
$4,992,181 |
$1,307,790 |
4.31 |
CVA & precerebral occlusion w infarct |
138 |
$52,126 |
$13,128 |
$7,193,421 |
$1,811,700 |
5.96 |
Kidney & urinary tract infections |
136 |
$39,481 |
$10,798 |
$5,369,480 |
$1,468,538 |
5.35 |
Acute Kidney Injury |
126 |
$57,705 |
$15,371 |
$7,270,827 |
$1,936,796 |
7.71 |
Bipolar disorders |
125 |
$46,600 |
$26,133 |
$5,825,056 |
$3,266,589 |
12.29 |
Cellulitis & other skin infections |
116 |
$35,628 |
$9,629 |
$4,132,799 |
$1,116,964 |
4.78 |
Infectious & parasitic diseases including HIV w O.R. procedure |
114 |
$145,915 |
$38,086 |
$16,634,329 |
$4,341,809 |
16.68 |
Organic mental health disturbances |
106 |
$56,832 |
$32,152 |
$6,024,190 |
$3,408,083 |
15.51 |
Alcohol abuse & dependence |
103 |
$44,534 |
$12,182 |
$4,587,002 |
$1,254,738 |
6.18 |
Other anemia & disorders of blood & blood-forming organs |
100 |
$38,125 |
$11,373 |
$3,812,519 |
$1,137,253 |
4.77 |
Electrolyte disorders except hypovolemia related |
88 |
$37,524 |
$9,861 |
$3,302,075 |
$867,775 |
4.33 |
Other & unspecified gastrointestinal hemorrhage |
78 |
$46,561 |
$13,208 |
$3,631,737 |
$1,030,195 |
5.47 |
Syncope & collapse |
75 |
$29,934 |
$7,739 |
$2,245,014 |
$580,394 |
2.69 |
Cardiac arrhythmia & conduction disorders |
71 |
$37,472 |
$9,635 |
$2,660,501 |
$684,059 |
4.18 |
Asthma |
68 |
$28,038 |
$8,498 |
$1,906,588 |
$577,887 |
3.07 |
Sickle cell anemia crisis |
66 |
$33,636 |
$9,372 |
$2,219,984 |
$618,565 |
4.59 |
Other gastroenteritis, nausa & vomiting |
64 |
$27,298 |
$7,736 |
$1,747,052 |
$495,104 |
3.28 |
Chest pain |
63 |
$26,380 |
$6,979 |
$1,661,955 |
$439,694 |
3.06 |
Disorders of pancreas except malignancy |
61 |
$31,733 |
$8,366 |
$1,935,714 |
$510,315 |
4.02 |
Signs, symptoms & other factors influencing health status |
61 |
$35,344 |
$9,434 |
$2,155,985 |
$575,465 |
5.10 |
Peripheral & other vascular disorders |
58 |
$43,355 |
$11,468 |
$2,514,607 |
$665,161 |
5.53 |
Transient ischemia |
53 |
$31,149 |
$7,874 |
$1,650,901 |
$417,347 |
3.51 |
Other digestive system diagnoses |
53 |
$32,518 |
$8,962 |
$1,723,434 |
$475,010 |
3.92 |
Depression except major depressive disorder |
53 |
$34,406 |
$19,306 |
$1,823,493 |
$1,023,212 |
9.42 |
Other antepartum diagnoses |
50 |
$18,305 |
$7,182 |
$915,269 |
$359,115 |
2.10 |
Angina pectoris & coronary atherosclerosis |
48 |
$26,894 |
$7,103 |
$1,290,904 |
$340,924 |
2.94 |
Hypertension |
47 |
$30,845 |
$8,009 |
$1,449,712 |
$376,441 |
3.19 |
Peptic ulcer & gastritis |
47 |
$39,608 |
$11,092 |
$1,861,586 |
$521,346 |
4.38 |
Major depressive disorders & other/unspecified psychoses |
44 |
$33,077 |
$18,522 |
$1,455,388 |
$814,973 |
8.68 |
Other musculoskeletal system & connective tissue diagnoses |
42 |
$30,108 |
$8,064 |
$1,264,520 |
$338,690 |
4.00 |
Laparoscopic cholecystectomy |
40 |
$53,803 |
$14,272 |
$2,152,101 |
$570,897 |
4.13 |
Acute myocardial infarction |
39 |
$40,096 |
$10,565 |
$1,563,745 |
$412,044 |
4.21 |
Diverticulitis & diverticulosis |
38 |
$30,316 |
$8,646 |
$1,151,998 |
$328,544 |
3.87 |
Other disorders of nervous system |
37 |
$44,077 |
$11,393 |
$1,630,848 |
$421,541 |
6.16 |
Other circulatory system diagnoses |
36 |
$30,143 |
$7,850 |
$1,085,135 |
$282,616 |
3.17 |
Major small & large bowel procedures |
36 |
$146,463 |
$39,152 |
$5,272,656 |
$1,409,464 |
13.19 |
Other back & neck disorders, fractures & injuries |
35 |
$31,663 |
$8,140 |
$1,108,191 |
$284,895 |
3.77 |
Neonate bwt 2000-2499g, normal newborn or neonate w other problem |
35 |
$18,942 |
$8,443 |
$662,984 |
$295,499 |
4.46 |
Fractures & dislocations except femur, pelvis & back |
34 |
$22,728 |
$6,363 |
$772,749 |
$216,329 |
2.91 |
Urinary stones & acquired upper urinary tract obstruction |
34 |
$28,776 |
$7,717 |
$978,379 |
$262,371 |
3.35 |
Intestinal obstruction |
33 |
$40,566 |
$10,944 |
$1,338,675 |
$361,144 |
5.55 |
Malnutrition, failure to thrive & other nutritional disorders |
33 |
$58,316 |
$15,608 |
$1,924,436 |
$515,080 |
9.24 |
Skin ulcers |
29 |
$60,585 |
$15,987 |
$1,756,952 |
$463,618 |
7.62 |
Moderately extensive procedure unrelated to principal diagnosis |
29 |
$112,967 |
$29,615 |
$3,276,048 |
$858,830 |
15.76 |
Respiratory Failure |
28 |
$69,817 |
$17,566 |
$1,954,881 |
$491,854 |
7.46 |
Respiratory system diagnosis w ventilator support 96+ hours |
27 |
$137,645 |
$34,513 |
$3,716,405 |
$931,844 |
14.30 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
27 |
$53,358 |
$14,210 |
$1,440,669 |
$383,677 |
8.07 |
Degenerative nervous system disorders exc mult sclerosis |
26 |
$47,256 |
$20,820 |
$1,228,663 |
$541,329 |
11.00 |
Major respiratory infections & inflammations |
26 |
$70,843 |
$18,015 |
$1,841,928 |
$468,392 |
9.31 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
26 |
$68,324 |
$17,396 |
$1,776,435 |
$452,288 |
9.54 |
Amputation of lower limb except toes |
26 |
$110,740 |
$29,478 |
$2,879,237 |
$766,437 |
13.73 |
Hip and femur fracture repair |
26 |
$66,665 |
$20,289 |
$1,733,296 |
$527,515 |
6.04 |
Malfunction, reaction, complic of genitourinary device or proc |
26 |
$45,039 |
$11,783 |
$1,171,019 |
$306,346 |
5.62 |
Respiratory signs, symptoms & minor diagnoses |
25 |
$29,687 |
$7,755 |
$742,179 |
$193,878 |
3.12 |
Knee joint replacement |
25 |
$97,596 |
$35,460 |
$2,439,897 |
$886,494 |
5.36 |
Procedures for obesity |
25 |
$46,294 |
$11,038 |
$1,157,343 |
$275,961 |
1.48 |
Uterine & adnexa procedures for leiomyoma |
25 |
$36,225 |
$13,172 |
$905,628 |
$329,289 |
2.92 |
Vertigo & other labyrinth disorders |
23 |
$21,822 |
$5,521 |
$501,900 |
$126,972 |
2.09 |
Appendectomy |
23 |
$35,235 |
$8,946 |
$810,409 |
$205,767 |
2.26 |
Other kidney & urinary tract diagnoses, signs & symptoms |
23 |
$31,917 |
$8,699 |
$734,090 |
$200,074 |
3.91 |
Chronic Kidney Disease |
23 |
$34,726 |
$9,613 |
$798,702 |
$221,098 |
3.78 |
Nontraumatic stupor & coma |
22 |
$42,102 |
$11,198 |
$926,239 |
$246,359 |
5.36 |
Knee & lower leg procedures except foot |
22 |
$74,410 |
$22,801 |
$1,637,024 |
$501,619 |
6.95 |
Other skin, subcutaneous tissue & related procedures |
22 |
$43,373 |
$11,587 |
$954,205 |
$254,907 |
5.55 |
Vaginal delivery w sterilization &/or D&C |
22 |
$19,940 |
$12,978 |
$438,682 |
$285,510 |
2.45 |
Other drug abuse & dependence |
22 |
$24,604 |
$13,256 |
$541,277 |
$291,622 |
5.91 |
Infections of upper respiratory tract |
21 |
$19,219 |
$6,589 |
$403,594 |
$138,366 |
2.86 |
Hip joint replacement |
21 |
$75,599 |
$23,692 |
$1,587,571 |
$497,524 |
6.81 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
21 |
$22,132 |
$5,929 |
$464,774 |
$124,510 |
2.57 |
Respiratory malignancy |
20 |
$62,687 |
$15,874 |
$1,253,733 |
$317,471 |
8.40 |
Drug & alcohol abuse or dependence, left against medical advice |
20 |
$16,550 |
$4,558 |
$330,993 |
$91,166 |
1.95 |
HIV w major HIV related condition |
20 |
$70,826 |
$18,109 |
$1,416,514 |
$362,181 |
8.15 |
Digestive malignancy |
19 |
$48,414 |
$13,424 |
$919,865 |
$255,052 |
6.58 |
Other skin, subcutaneous tissue & breast disorders |
19 |
$30,044 |
$8,004 |
$570,837 |
$152,081 |
4.21 |
Poisoning of medicinal agents |
19 |
$40,284 |
$10,938 |
$765,395 |
$207,823 |
4.58 |
Nonextensive procedure unrelated to principal diagnosis |
19 |
$73,517 |
$20,455 |
$1,396,823 |
$388,637 |
8.16 |
Tracheostomy w MV 96+ hours w/o extensive procedure |
18 |
$369,222 |
$92,104 |
$6,646,004 |
$1,657,877 |
36.78 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
18 |
$46,866 |
$11,960 |
$843,590 |
$215,286 |
5.89 |
Disorders of gallbladder & biliary tract |
18 |
$24,146 |
$6,629 |
$434,621 |
$119,327 |
2.28 |
Hypovolemia & related electrolyte disorders |
18 |
$30,388 |
$8,155 |
$546,983 |
$146,798 |
3.61 |
Other endocrine disorders |
18 |
$43,185 |
$11,354 |
$777,335 |
$204,366 |
5.44 |
Pulmonary embolism |
16 |
$43,765 |
$11,297 |
$700,242 |
$180,757 |
5.06 |
Major gastrointestinal & peritoneal infections |
16 |
$71,393 |
$18,856 |
$1,142,280 |
$301,692 |
10.50 |
Migraine & other headaches |
15 |
$26,691 |
$6,860 |
$400,362 |
$102,894 |
3.00 |
Bronchiolitis & RSV pneumonia |
15 |
$13,800 |
$5,928 |
$207,004 |
$88,925 |
2.20 |
Lower extremity arterial procedures |
15 |
$121,376 |
$31,437 |
$1,820,644 |
$471,556 |
11.73 |
Cardiac arrest and shock |
15 |
$14,819 |
$4,059 |
$222,280 |
$60,888 |
1.07 |
Abdominal pain |
15 |
$22,010 |
$5,818 |
$330,150 |
$87,272 |
1.93 |
Malfunction, reaction & complication of GI device or procedure |
15 |
$53,881 |
$14,165 |
$808,210 |
$212,472 |
8.07 |
Urethral & transurethral procedures |
15 |
$43,629 |
$12,412 |
$654,435 |
$186,174 |
4.80 |
Viral illness |
15 |
$37,633 |
$10,946 |
$564,496 |
$164,190 |
5.47 |
Other hepatobiliary, pancreas & abdominal procedures |
14 |
$82,643 |
$23,224 |
$1,157,007 |
$325,141 |
11.57 |
Alcoholic liver disease |
14 |
$37,677 |
$10,115 |
$527,478 |
$141,605 |
4.79 |
Shoulder, upper arm & forearm procedures except joint replacement |
14 |
$57,626 |
$17,195 |
$806,768 |
$240,729 |
5.29 |
Cocaine abuse & dependence |
14 |
$30,275 |
$13,406 |
$423,855 |
$187,688 |
6.36 |
HIV w multiple major HIV related conditions |
14 |
$117,884 |
$30,538 |
$1,650,382 |
$427,529 |
13.50 |
Intracranial hemorrhage |
13 |
$75,359 |
$19,000 |
$979,661 |
$247,000 |
9.00 |
Other esophageal disorders |
13 |
$50,225 |
$13,532 |
$652,925 |
$175,914 |
6.46 |
Fracture of femur |
13 |
$24,620 |
$6,651 |
$320,066 |
$86,458 |
3.46 |
Menstrual & other female reproductive system disorders |
13 |
$50,083 |
$14,291 |
$651,084 |
$185,783 |
5.62 |
Neonate bwt 1500-1999g w or w/o other significant condition |
13 |
$45,091 |
$19,789 |
$586,177 |
$257,252 |
10.08 |
Hernia procedures except inguinal, femoral & umbilical |
12 |
$78,966 |
$19,048 |
$947,588 |
$228,577 |
5.75 |
Extensive procedure unrelated to principal diagnosis |
12 |
$99,135 |
$27,990 |
$1,189,617 |
$335,881 |
9.75 |
Other stomach, esophageal & duodenal procedures |
11 |
$92,398 |
$24,500 |
$1,016,383 |
$269,505 |
11.91 |
Other small & large bowel procedures |
11 |
$81,400 |
$21,039 |
$895,400 |
$231,424 |
8.00 |
Multiple sclerosis & other demyelinating diseases |
10 |
$31,948 |
$8,010 |
$319,477 |
$80,101 |
4.30 |
Foot & toe procedures |
10 |
$79,767 |
$20,962 |
$797,670 |
$209,619 |
10.40 |
Transurethral prostatectomy |
10 |
$61,122 |
$16,575 |
$611,220 |
$165,747 |
7.70 |
Uterine & adnexa procedures for non-malignancy except leiomyoma |
10 |
$35,687 |
$13,048 |
$356,866 |
$130,475 |
2.90 |
Postpartum & post abortion diagnoses w/o procedure |
10 |
$44,651 |
$15,462 |
$446,505 |
$154,617 |
5.80 |
Other infectious & parasitic diseases |
10 |
$37,102 |
$9,474 |
$371,021 |
$94,739 |
4.60 |
Adjustment disorders & neuroses except depressive diagnoses |
10 |
$45,965 |
$26,250 |
$459,650 |
$262,498 |
12.30 |
Kidney & urinary tract procedures for nonmalignancy |
9 |
$72,363 |
$18,918 |
$651,263 |
$170,260 |
7.78 |
Toxic effects of non-medicinal substances |
9 |
$42,835 |
$11,224 |
$385,513 |
$101,017 |
5.56 |
Nonspecific CVA & precerebral occlusion w/o infarct |
8 |
$35,040 |
$8,936 |
$280,323 |
$71,489 |
3.88 |
Head trauma w coma >1 hr or hemorrhage |
8 |
$83,450 |
$22,233 |
$667,599 |
$177,865 |
11.38 |
Major stomach, esophageal & duodenal procedures |
8 |
$111,804 |
$29,232 |
$894,430 |
$233,859 |
12.00 |
Other digestive system & abdominal procedures |
8 |
$70,535 |
$18,802 |
$564,283 |
$150,419 |
8.88 |
Malignancy of hepatobiliary system & pancreas |
8 |
$54,650 |
$14,665 |
$437,203 |
$117,321 |
8.00 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
8 |
$75,378 |
$19,650 |
$603,026 |
$157,198 |
11.38 |
Female reproductive system infections |
8 |
$19,466 |
$5,538 |
$155,731 |
$44,303 |
2.25 |
Fever |
8 |
$28,135 |
$8,487 |
$225,081 |
$67,895 |
3.75 |
Opioid abuse & dependence |
8 |
$52,052 |
$14,038 |
$416,414 |
$112,303 |
6.13 |
Dental & oral diseases & injuries |
7 |
$23,565 |
$7,356 |
$164,954 |
$51,490 |
3.71 |
Perm cardiac pacemaker implant w/o AMI, heart failure or shock |
7 |
$86,647 |
$29,898 |
$606,532 |
$209,284 |
5.43 |
Other circulatory system procedures |
7 |
$159,331 |
$41,553 |
$1,115,314 |
$290,871 |
17.86 |
Inguinal, femoral & umbilical hernia procedures |
7 |
$67,460 |
$18,160 |
$472,221 |
$127,121 |
6.29 |
Hepatic coma & other major acute liver disorders |
7 |
$41,000 |
$10,842 |
$287,001 |
$75,893 |
6.00 |
Fracture of pelvis or dislocation of hip |
7 |
$31,238 |
$8,665 |
$218,667 |
$60,658 |
5.29 |
Malignant breast disorders |
7 |
$58,197 |
$14,654 |
$407,380 |
$102,577 |
7.86 |
Renal dialysis access device procedure only |
7 |
$123,061 |
$33,752 |
$861,428 |
$236,265 |
14.29 |
Male reproductive system diagnoses except malignancy |
7 |
$29,643 |
$8,252 |
$207,502 |
$57,762 |
3.71 |
Coagulation & platelet disorders |
7 |
$74,925 |
$20,136 |
$524,472 |
$140,951 |
8.00 |
Lymphoma, myeloma & non-acute leukemia |
7 |
$46,362 |
$13,177 |
$324,533 |
$92,239 |
6.00 |
Tracheostomy w MV 96+ hours w extensive procedure or ECMO |
6 |
$518,006 |
$136,757 |
$3,108,036 |
$820,540 |
50.00 |
Peripheral, cranial & autonomic nerve disorders |
6 |
$38,801 |
$9,770 |
$232,808 |
$58,621 |
4.83 |
Acute major eye infections |
6 |
$37,775 |
$9,906 |
$226,649 |
$59,433 |
5.50 |
Major chest & respiratory trauma |
6 |
$95,622 |
$25,382 |
$573,733 |
$152,294 |
17.50 |
Other disorders of the liver |
6 |
$50,725 |
$13,210 |
$304,350 |
$79,257 |
7.67 |
Tendon, muscle & other soft tissue procedures |
6 |
$106,002 |
$28,940 |
$636,011 |
$173,639 |
16.17 |
Breast procedures except mastectomy |
6 |
$56,835 |
$15,313 |
$341,012 |
$91,879 |
6.00 |
Malignancy, male reproductive system |
6 |
$28,832 |
$8,347 |
$172,991 |
$50,080 |
4.33 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
6 |
$45,140 |
$12,416 |
$270,838 |
$74,496 |
5.33 |
HIV w one signif HIV cond or w/o signif related cond |
6 |
$34,496 |
$8,638 |
$206,977 |
$51,825 |
3.50 |
Interstitial & alveolar lung diseases |
5 |
$40,224 |
$10,031 |
$201,122 |
$50,153 |
4.60 |
Other peripheral vascular procedures |
5 |
$130,430 |
$35,113 |
$652,151 |
$175,566 |
13.40 |
Anal procedures |
5 |
$34,889 |
$9,377 |
$174,446 |
$46,884 |
3.40 |
Cholecystectomy except laparoscopic |
5 |
$70,226 |
$18,704 |
$351,131 |
$93,520 |
5.40 |
Connective tissue disorders |
5 |
$28,594 |
$8,296 |
$142,972 |
$41,481 |
3.40 |
Neonate, transferred < 5 days old, born here |
5 |
$7,678 |
$2,889 |
$38,390 |
$14,444 |
1.40 |
Neonate birthwt >2499g w other significant condition |
5 |
$29,458 |
$12,974 |
$147,290 |
$64,871 |
6.60 |
Behavioral disorders |
5 |
$107,441 |
$49,234 |
$537,205 |
$246,168 |
25.80 |
Other mental health disorders |
5 |
$22,321 |
$8,569 |
$111,605 |
$42,844 |
3.60 |
Other complications of treatment |
5 |
$26,594 |
$7,192 |
$132,972 |
$35,961 |
3.40 |
Eye procedures except orbit |
4 |
$56,171 |
$14,323 |
$224,683 |
$57,291 |
5.00 |
Eye disorders except major infections |
4 |
$31,666 |
$8,087 |
$126,662 |
$32,348 |
4.00 |
Peritoneal adhesiolysis |
4 |
$64,170 |
$17,153 |
$256,679 |
$68,611 |
7.00 |
Major biliary tract procedures |
4 |
$70,060 |
$18,013 |
$280,238 |
$72,053 |
7.75 |
Malfunction, reaction, complic of orthopedic device or procedure |
4 |
$32,624 |
$8,794 |
$130,495 |
$35,176 |
3.75 |
Skin graft for skin & subcutaneous tissue diagnoses |
4 |
$72,176 |
$19,261 |
$288,702 |
$77,045 |
10.25 |
Other procedures for endocrine, nutritional & metabolic disorders |
4 |
$169,978 |
$44,525 |
$679,910 |
$178,099 |
18.25 |
Other kidney, urinary tract & related procedures |
4 |
$106,559 |
$28,654 |
$426,236 |
$114,615 |
14.75 |
Other procedures of blood & blood-forming organs |
4 |
$35,181 |
$9,331 |
$140,724 |
$37,325 |
4.25 |
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma |
3 |
$22,147 |
$5,713 |
$66,440 |
$17,138 |
1.67 |
Major respiratory & chest procedures |
3 |
$253,529 |
$64,759 |
$760,587 |
$194,277 |
25.33 |
Cardiac pacemaker & defibrillator device replacement |
3 |
$64,103 |
$22,897 |
$192,310 |
$68,690 |
3.00 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
3 |
$43,241 |
$12,441 |
$129,722 |
$37,322 |
5.00 |
Inflammatory bowel disease |
3 |
$43,158 |
$11,518 |
$129,473 |
$34,554 |
5.33 |
Other significant hip and femur surgery |
3 |
$82,578 |
$23,405 |
$247,735 |
$70,216 |
9.33 |
Dilation & curettage for non-obstetric diagnoses |
3 |
$32,514 |
$10,845 |
$97,541 |
$32,534 |
3.67 |
Neonate birthwt >2499g w major anomaly |
3 |
$9,594 |
$4,127 |
$28,781 |
$12,380 |
2.67 |
Acute leukemia |
3 |
$88,401 |
$24,293 |
$265,203 |
$72,880 |
14.00 |
Post-operative, post-traumatic, other device infections |
3 |
$56,410 |
$15,234 |
$169,230 |
$45,703 |
7.33 |
Acute anxiety & delirium states |
3 |
$23,423 |
$9,125 |
$70,268 |
$27,375 |
4.33 |
HIV w multiple significant HIV related conditions |
3 |
$67,392 |
$17,258 |
$202,177 |
$51,775 |
9.00 |
Non-bacterial infections of nervous system exc viral meningitis |
2 |
$53,036 |
$13,905 |
$106,072 |
$27,810 |
7.00 |
Orbital procedures |
2 |
$28,774 |
$8,002 |
$57,547 |
$16,004 |
2.00 |
Ear, nose, mouth, throat, cranial/facial malignancies |
2 |
$33,912 |
$9,678 |
$67,823 |
$19,355 |
5.50 |
Other respiratory & chest procedures |
2 |
$58,050 |
$15,951 |
$116,099 |
$31,901 |
6.00 |
Cardiac structural & valvular disorders |
2 |
$65,916 |
$16,670 |
$131,832 |
$33,340 |
9.50 |
Major esophageal disorders |
2 |
$29,758 |
$7,669 |
$59,516 |
$15,337 |
2.50 |
Gastrointestinal vascular insufficiency |
2 |
$23,566 |
$6,269 |
$47,132 |
$12,538 |
2.50 |
Other musculoskeletal system & connective tissue procedures |
2 |
$70,492 |
$18,384 |
$140,983 |
$36,767 |
8.50 |
Mastectomy procedures |
2 |
$62,820 |
$18,925 |
$125,640 |
$37,849 |
4.50 |
Thyroid, parathyroid & thyroglossal procedures |
2 |
$45,115 |
$12,501 |
$90,229 |
$25,001 |
2.50 |
Other bladder procedures |
2 |
$46,063 |
$12,539 |
$92,126 |
$25,077 |
5.50 |
Testes & scrotal procedures |
2 |
$18,134 |
$7,021 |
$36,267 |
$14,041 |
1.00 |
Other female reproductive system & related procedures |
2 |
$25,721 |
$7,779 |
$51,441 |
$15,557 |
3.00 |
Female reproductive system malignancy |
2 |
$46,615 |
$11,895 |
$93,230 |
$23,790 |
6.50 |
D&C, aspiration curettage or hysterotomy for obstetric diagnoses |
2 |
$15,398 |
$7,506 |
$30,795 |
$15,012 |
1.50 |
Other O.R. proc for obstetric diagnoses except delivery diagnoses |
2 |
$8,108 |
$4,568 |
$16,215 |
$9,135 |
1.00 |
Neonate birthwt 1500-1999g w major anomaly |
2 |
$51,113 |
$22,486 |
$102,226 |
$44,971 |
11.00 |
Neonate birthwt >2499g w congenital/perinatal infection |
2 |
$13,031 |
$7,265 |
$26,061 |
$14,529 |
2.50 |
Disorders of personality & impulse control |
2 |
$27,476 |
$15,868 |
$54,951 |
$31,735 |
7.00 |
Other injury, poisoning & toxic effect diagnoses |
2 |
$37,120 |
$10,229 |
$74,240 |
$20,458 |
6.50 |
Spinal procedures |
1 |
$24,349 |
$5,978 |
$24,349 |
$5,978 |
3.00 |
Nervous system malignancy |
1 |
$54,785 |
$13,910 |
$54,785 |
$13,910 |
6.00 |
Bacterial & tuberculous infections of nervous system |
1 |
$102,014 |
$25,627 |
$102,014 |
$25,627 |
19.00 |
Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma |
1 |
$33,265 |
$8,849 |
$33,265 |
$8,849 |
5.00 |
Tonsil & adenoid procedures |
1 |
$32,667 |
$8,200 |
$32,667 |
$8,200 |
1.00 |
Cystic fibrosis - pulmonary disease |
1 |
$69,974 |
$16,961 |
$69,974 |
$16,961 |
8.00 |
Other cardiothoracic & thoracic vascular procedures |
1 |
$62,390 |
$16,308 |
$62,390 |
$16,308 |
6.00 |
Acute & subacute endocarditis |
1 |
$145,720 |
$37,506 |
$145,720 |
$37,506 |
16.00 |
Cardiomyopathy |
1 |
$22,141 |
$5,736 |
$22,141 |
$5,736 |
2.00 |
Inborn errors of metabolism |
1 |
$20,926 |
$5,859 |
$20,926 |
$5,859 |
3.00 |
Major bladder procedures |
1 |
$26,134 |
$6,304 |
$26,134 |
$6,304 |
1.00 |
Nephritis & nephrosis |
1 |
$21,267 |
$6,106 |
$21,267 |
$6,106 |
3.00 |
Uterine & adnexa procedures for non-ovarian & non-adnexal malig |
1 |
$33,511 |
$9,938 |
$33,511 |
$9,938 |
1.00 |
Preterm labor |
1 |
$10,350 |
$4,951 |
$10,350 |
$4,951 |
1.00 |
Neonate, transferred <5 days old, not born here |
1 |
$6,693 |
$5,878 |
$6,693 |
$5,878 |
1.00 |
Neonate bwt 1250-1499g w resp dist synd/oth maj resp or maj anom |
1 |
$52,267 |
$22,969 |
$52,267 |
$22,969 |
21.00 |
Neonate birthwt 1500-1999g w congenital/perinatal infection |
1 |
$33,101 |
$14,438 |
$33,101 |
$14,438 |
13.00 |
Neonate bwt 2000-2499g w other significant condition |
1 |
$48,288 |
$20,140 |
$48,288 |
$20,140 |
9.00 |
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond |
1 |
$14,380 |
$5,972 |
$14,380 |
$5,972 |
3.00 |
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms |
1 |
$151,868 |
$38,537 |
$151,868 |
$38,537 |
22.00 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
1 |
$42,903 |
$11,293 |
$42,903 |
$11,293 |
5.00 |
Post-op, post-trauma, other device infections w O.R. procedure |
1 |
$68,536 |
$18,617 |
$68,536 |
$18,617 |
10.00 |
Mental illness diagnosis w O.R. procedure |
1 |
$105,005 |
$32,144 |
$105,005 |
$32,144 |
12.00 |
O.R. procedure for other complications of treatment |
1 |
$80,479 |
$21,703 |
$80,479 |
$21,703 |
11.00 |
Other aftercare & convalescence |
1 |
$12,875 |
$3,765 |
$12,875 |
$3,765 |
2.00 |
Musculoskeletal & other procedures for multiple significant trauma |
1 |
$73,962 |
$23,477 |
$73,962 |
$23,477 |
7.00 |
Ungroupable |
1 |
$3,121 |
$1,298 |
$3,121 |
$1,298 |
1.00 |