Long Island Jewish Forest Hills

2017 Age Distribution

2017 Patient Race:

Black/African American2,239
Multi-racial16
Other Race7,303
White6,122

2017 Payers:

Blue Cross/Blue Shield 1,092
Federal/State/Local/VA 1
Medicaid 5,674
Medicare 6,720
Miscellaneous/Other 11
Private Health Insurance 2,080
Self-Pay 102

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 1671 $12,254 $2,225 $20,476,763 $3,718,699 2.42
Vaginal delivery 1174 $26,925 $7,451 $31,610,464 $8,747,239 2.48
Septicemia & disseminated infections 823 $81,359 $16,355 $66,958,471 $13,459,937 6.63
Cesarean delivery 723 $39,124 $11,604 $28,286,553 $8,389,460 3.30
Heart failure 495 $68,972 $13,819 $34,141,031 $6,840,236 6.18
Hypertension 367 $40,758 $7,749 $14,958,323 $2,843,942 3.07
Kidney & urinary tract infections 349 $50,826 $9,528 $17,738,111 $3,325,251 5.12
Chronic obstructive pulmonary disease 342 $57,309 $11,660 $19,599,658 $3,987,888 4.74
Chest pain 321 $29,877 $5,521 $9,590,407 $1,772,313 1.84
Cellulitis & other skin infections 287 $46,475 $8,776 $13,338,367 $2,518,805 4.72
Other pneumonia 273 $58,522 $11,254 $15,976,447 $3,072,365 4.96
Syncope & collapse 251 $40,755 $7,491 $10,229,423 $1,880,155 2.89
CVA & precerebral occlusion w infarct 243 $72,829 $14,156 $17,697,506 $3,439,791 5.52
Cardiac arrhythmia & conduction disorders 233 $42,220 $8,140 $9,837,344 $1,896,644 3.40
Angina pectoris & coronary atherosclerosis 223 $31,702 $5,995 $7,069,651 $1,336,978 2.36
Other gastroenteritis, nausa & vomiting 198 $37,792 $6,904 $7,482,758 $1,366,954 3.19
Laparoscopic cholecystectomy 185 $54,740 $11,587 $10,126,991 $2,143,535 3.54
Diabetes 177 $44,265 $8,499 $7,834,901 $1,504,317 3.99
Appendectomy 176 $35,267 $7,429 $6,206,943 $1,307,445 1.66
Knee joint replacement 176 $83,074 $23,782 $14,621,000 $4,185,578 4.13
Acute Kidney Injury 167 $62,847 $12,011 $10,495,479 $2,005,809 6.04
Other anemia & disorders of blood & blood-forming organs 166 $42,156 $7,896 $6,997,876 $1,310,816 3.22
Other musculoskeletal system & connective tissue diagnoses 155 $45,670 $8,532 $7,078,880 $1,322,472 4.46
Other & unspecified gastrointestinal hemorrhage 148 $63,743 $12,614 $9,433,920 $1,866,865 5.01
Asthma 141 $42,563 $8,475 $6,001,403 $1,195,008 3.26
Uterine & adnexa procedures for leiomyoma 139 $42,334 $9,756 $5,884,376 $1,356,028 2.47
Infectious & parasitic diseases including HIV w O.R. procedure 138 $169,404 $36,597 $23,377,705 $5,050,336 11.49
Respiratory signs, symptoms & minor diagnoses 134 $41,460 $7,880 $5,555,691 $1,055,873 3.25
Disorders of pancreas except malignancy 132 $48,163 $9,123 $6,357,471 $1,204,190 4.14
Other back & neck disorders, fractures & injuries 130 $40,793 $7,629 $5,303,140 $991,800 3.68
Vertigo & other labyrinth disorders 114 $33,519 $5,951 $3,821,146 $678,375 2.28
Intestinal obstruction 113 $37,624 $7,036 $4,251,562 $795,017 3.48
Seizure 109 $48,570 $9,189 $5,294,177 $1,001,569 4.15
Peptic ulcer & gastritis 109 $54,241 $10,832 $5,912,313 $1,180,652 3.78
Diverticulitis & diverticulosis 107 $51,969 $9,879 $5,560,735 $1,057,027 4.54
Other antepartum diagnoses 105 $20,731 $3,729 $2,176,727 $391,584 1.66
Acute myocardial infarction 98 $42,678 $8,227 $4,182,458 $806,233 3.26
Other digestive system diagnoses 97 $44,261 $8,523 $4,293,315 $826,754 3.73
Peripheral & other vascular disorders 95 $51,808 $9,780 $4,921,755 $929,081 4.69
Uterine & adnexa procedures for non-malignancy except leiomyoma 95 $36,016 $8,643 $3,421,551 $821,057 1.62
Alcohol abuse & dependence 95 $55,353 $10,801 $5,258,516 $1,026,048 5.11
Major small & large bowel procedures 94 $105,463 $22,635 $9,913,549 $2,127,698 8.30
Hypovolemia & related electrolyte disorders 93 $46,568 $8,841 $4,330,844 $822,250 4.20
Hip joint replacement 92 $95,152 $24,698 $8,753,939 $2,272,213 5.52
Infections of upper respiratory tract 90 $40,798 $7,636 $3,671,833 $687,269 3.19
Transient ischemia 87 $46,393 $8,473 $4,036,186 $737,136 3.29
Urinary stones & acquired upper urinary tract obstruction 87 $31,582 $6,453 $2,747,614 $561,370 1.84
Moderately extensive procedure unrelated to principal diagnosis 86 $146,069 $31,838 $12,561,923 $2,738,091 10.69
Major respiratory infections & inflammations 84 $96,510 $18,946 $8,106,800 $1,591,495 9.45
Respiratory Failure 82 $90,328 $19,739 $7,406,908 $1,618,565 6.16
Electrolyte disorders except hypovolemia related 79 $43,252 $8,473 $3,416,878 $669,363 3.97
Degenerative nervous system disorders exc mult sclerosis 78 $57,631 $11,064 $4,495,203 $863,016 6.15
Signs, symptoms & other factors influencing health status 77 $49,865 $9,364 $3,839,588 $721,027 4.94
Other disorders of nervous system 76 $49,826 $9,207 $3,786,784 $699,696 4.55
Peripheral, cranial & autonomic nerve disorders 73 $44,315 $8,194 $3,234,994 $598,173 3.89
Pulmonary embolism 66 $65,656 $12,524 $4,333,294 $826,587 5.02
Neonate bwt 2000-2499g, normal newborn or neonate w other problem 64 $17,813 $3,254 $1,140,059 $208,225 3.59
Hip and femur fracture repair 63 $101,327 $23,122 $6,383,626 $1,456,683 6.98
Osteomyelitis, septic arthritis & other musculoskeletal infections 58 $82,988 $15,841 $4,813,317 $918,761 8.21
Skin ulcers 58 $71,500 $14,229 $4,147,015 $825,267 7.26
Poisoning of medicinal agents 57 $41,248 $8,001 $2,351,148 $456,055 3.19
Chronic Kidney Disease 56 $55,529 $11,685 $3,109,616 $654,335 5.07
Other circulatory system diagnoses 54 $45,290 $8,845 $2,445,645 $477,618 3.81
Knee & lower leg procedures except foot 54 $61,259 $15,233 $3,307,983 $822,601 3.33
Other esophageal disorders 53 $41,222 $7,977 $2,184,775 $422,782 3.11
Fractures & dislocations except femur, pelvis & back 53 $43,255 $8,148 $2,292,491 $431,826 4.04
Disorders of gallbladder & biliary tract 50 $44,886 $8,520 $2,244,313 $425,980 3.50
Procedures for obesity 50 $31,834 $7,685 $1,591,687 $384,255 1.38
Hernia procedures except inguinal, femoral & umbilical 49 $49,198 $11,181 $2,410,711 $547,871 3.39
Major gastrointestinal & peritoneal infections 47 $58,941 $11,036 $2,770,213 $518,696 5.40
Mastectomy procedures 47 $40,391 $9,496 $1,898,370 $446,325 1.49
Foot & toe procedures 45 $103,973 $22,397 $4,678,807 $1,007,844 8.51
Shoulder, upper arm & forearm procedures except joint replacement 44 $54,169 $13,940 $2,383,434 $613,374 2.59
Other skin, subcutaneous tissue & related procedures 43 $66,443 $13,960 $2,857,036 $600,263 5.44
Other endocrine disorders 43 $45,744 $8,612 $1,966,994 $370,308 4.00
Nontraumatic stupor & coma 41 $68,669 $13,365 $2,815,432 $547,981 6.80
Inflammatory bowel disease 39 $45,328 $8,444 $1,767,798 $329,322 3.95
Other kidney & urinary tract diagnoses, signs & symptoms 39 $38,345 $7,167 $1,495,469 $279,506 3.51
Malnutrition, failure to thrive & other nutritional disorders 38 $48,879 $9,622 $1,857,419 $365,629 4.55
Organic mental health disturbances 38 $84,303 $16,158 $3,203,528 $613,993 8.55
Abdominal pain 35 $26,108 $4,685 $913,781 $163,974 1.77
Vaginal delivery w complicating procedures exc sterilization &/or D&C 35 $32,948 $8,660 $1,153,165 $303,109 2.77
Drug & alcohol abuse or dependence, left against medical advice 35 $40,671 $7,992 $1,423,468 $279,714 3.34
Migraine & other headaches 34 $36,817 $6,483 $1,251,778 $220,424 2.44
Perm cardiac pacemaker implant w/o AMI, heart failure or shock 34 $103,568 $26,113 $3,521,312 $887,827 6.59
Other small & large bowel procedures 34 $54,971 $11,850 $1,869,021 $402,885 3.76
Other hepatobiliary, pancreas & abdominal procedures 32 $100,603 $20,098 $3,219,282 $643,121 7.72
Respiratory malignancy 31 $75,939 $14,808 $2,354,109 $459,063 6.55
Alcoholic liver disease 31 $51,491 $9,937 $1,596,208 $308,034 4.06
Fracture of pelvis or dislocation of hip 31 $40,665 $7,562 $1,260,602 $234,434 3.77
Postpartum & post abortion diagnoses w/o procedure 31 $27,512 $5,075 $852,880 $157,320 2.23
Malfunction, reaction, complic of genitourinary device or proc 30 $63,190 $12,021 $1,895,693 $360,632 6.50
Male reproductive system diagnoses except malignancy 30 $40,103 $7,784 $1,203,102 $233,525 4.03
Neonate birthwt >2499g w other significant condition 30 $26,792 $4,993 $803,756 $149,780 5.03
Nonextensive procedure unrelated to principal diagnosis 29 $116,100 $24,773 $3,366,890 $718,428 9.41
Other ear, nose, mouth,throat & cranial/facial diagnoses 28 $46,344 $8,851 $1,297,626 $247,819 4.00
Inguinal, femoral & umbilical hernia procedures 28 $45,789 $9,903 $1,282,084 $277,294 2.89
Connective tissue disorders 28 $45,022 $8,285 $1,260,605 $231,979 3.93
Viral illness 28 $44,203 $8,239 $1,237,697 $230,701 3.36
Digestive malignancy 27 $72,677 $14,270 $1,962,279 $385,283 6.74
Menstrual & other female reproductive system disorders 27 $25,075 $4,589 $677,035 $123,894 1.74
Kidney & urinary tract procedures for nonmalignancy 26 $87,870 $18,096 $2,284,629 $470,503 6.77
Acute anxiety & delirium states 26 $32,108 $6,052 $834,800 $157,344 2.35
Post-operative, post-traumatic, other device infections 25 $81,046 $15,816 $2,026,145 $395,404 7.56
Other respiratory diagnoses except signs, symptoms & minor diagnoses 24 $63,053 $13,107 $1,513,278 $314,558 5.33
Other disorders of the liver 24 $71,689 $13,133 $1,720,547 $315,181 6.17
Malfunction, reaction & complication of GI device or procedure 23 $38,234 $7,138 $879,391 $164,176 3.65
Cholecystectomy except laparoscopic 23 $70,518 $15,228 $1,621,919 $350,233 5.04
Major chest & respiratory trauma 22 $43,494 $8,177 $956,878 $179,895 4.00
Amputation of lower limb except toes 22 $168,092 $36,017 $3,698,021 $792,376 15.45
Other stomach, esophageal & duodenal procedures 21 $103,382 $21,000 $2,171,020 $440,995 8.81
Malignancy of hepatobiliary system & pancreas 21 $58,622 $10,994 $1,231,069 $230,871 4.86
Urethral & transurethral procedures 21 $54,918 $11,775 $1,153,270 $247,270 3.33
Other digestive system & abdominal procedures 20 $106,005 $21,421 $2,120,108 $428,424 7.35
Hepatic coma & other major acute liver disorders 20 $77,232 $15,013 $1,544,630 $300,255 6.50
Other skin, subcutaneous tissue & breast disorders 20 $29,758 $5,702 $595,155 $114,030 2.50
Transurethral prostatectomy 20 $26,784 $6,222 $535,679 $124,436 1.50
Other complications of treatment 20 $43,861 $8,520 $877,210 $170,406 4.10
Intracranial hemorrhage 19 $71,866 $15,033 $1,365,449 $285,630 5.32
Anal procedures 18 $31,152 $6,734 $560,733 $121,218 1.56
Coagulation & platelet disorders 18 $73,574 $16,461 $1,324,326 $296,298 4.11
Lymphatic & other malignancies & neoplasms of uncertain behavior 18 $53,618 $10,052 $965,125 $180,928 4.06
Contusion, open wound & other trauma to skin & subcutaneous tissue 17 $41,353 $7,655 $702,999 $130,128 3.65
Other circulatory system procedures 16 $158,807 $34,495 $2,540,904 $551,923 12.06
Major stomach, esophageal & duodenal procedures 16 $153,096 $31,714 $2,449,537 $507,430 14.13
Major male pelvic procedures 16 $48,678 $10,446 $778,845 $167,139 3.69
Tendon, muscle & other soft tissue procedures 15 $71,498 $15,447 $1,072,471 $231,705 5.20
D&C, aspiration curettage or hysterotomy for obstetric diagnoses 15 $35,414 $7,876 $531,217 $118,145 1.40
Fracture of femur 14 $39,332 $7,387 $550,646 $103,412 3.64
Musculoskeletal malignancy & pathol fracture d/t muscskel malig 14 $64,497 $12,192 $902,953 $170,683 5.86
Skin graft for skin & subcutaneous tissue diagnoses 14 $101,688 $21,735 $1,423,625 $304,288 9.21
Neonate bwt 1500-1999g w or w/o other significant condition 14 $52,839 $9,735 $739,742 $136,288 11.00
Head trauma w coma >1 hr or hemorrhage 13 $52,412 $9,826 $681,353 $127,735 4.38
Interstitial & alveolar lung diseases 13 $85,225 $17,052 $1,107,926 $221,673 7.92
Lower extremity arterial procedures 13 $149,334 $34,687 $1,941,342 $450,929 9.69
Other peripheral vascular procedures 13 $98,265 $22,669 $1,277,445 $294,694 6.15
Renal dialysis access device procedure only 13 $70,838 $16,501 $920,896 $214,517 4.85
Major hematologic/immunologic diag exc sickle cell crisis & coagul 13 $86,816 $16,996 $1,128,602 $220,946 6.54
Other infectious & parasitic diseases 13 $76,806 $13,804 $998,479 $179,447 5.92
Toxic effects of non-medicinal substances 13 $51,167 $9,837 $665,170 $127,875 5.00
Extensive procedure unrelated to principal diagnosis 13 $149,852 $33,059 $1,948,075 $429,772 10.62
Respiratory system diagnosis w ventilator support 96+ hours 12 $213,295 $46,703 $2,559,543 $560,434 14.42
Female reproductive system reconstructive procedures 12 $34,173 $9,215 $410,077 $110,583 1.17
Vaginal delivery w sterilization &/or D&C 12 $25,661 $7,029 $307,936 $84,348 2.33
Neonate birthwt >2499g w congenital/perinatal infection 12 $24,144 $4,413 $289,723 $52,955 4.83
Fever 12 $36,728 $6,437 $440,739 $77,244 3.42
Other aftercare & convalescence 12 $27,945 $5,072 $335,338 $60,868 2.50
Multiple sclerosis & other demyelinating diseases 11 $57,629 $10,657 $633,917 $117,223 5.64
Cardiac arrest and shock 11 $43,216 $8,981 $475,379 $98,792 1.91
Malfunction,reaction,complication of cardiac/vasc device or procedure 11 $43,328 $8,694 $476,613 $95,633 3.64
Other musculoskeletal system & connective tissue procedures 11 $103,178 $21,050 $1,134,957 $231,548 9.27
Female reproductive system infections 11 $40,189 $7,560 $442,078 $83,157 3.82
Other O.R. proc for obstetric diagnoses except delivery diagnoses 11 $12,807 $2,414 $140,881 $26,554 1.09
Major depressive disorders & other/unspecified psychoses 11 $52,782 $9,823 $580,602 $108,048 6.09
Dorsal & lumbar fusion proc except for curvature of back 10 $108,542 $35,961 $1,085,420 $359,605 3.20
Malfunction, reaction, complic of orthopedic device or procedure 10 $52,777 $10,756 $527,765 $107,558 4.70
Thyroid, parathyroid & thyroglossal procedures 10 $34,112 $8,039 $341,117 $80,388 1.70
Neonate bwt 2000-2499g w other significant condition 10 $31,624 $5,903 $316,241 $59,033 6.10
Other respiratory & chest procedures 9 $174,483 $37,565 $1,570,348 $338,089 13.22
Peritoneal adhesiolysis 9 $83,041 $17,272 $747,371 $155,446 7.00
Breast procedures except mastectomy 9 $50,305 $12,115 $452,748 $109,031 1.89
Dilation & curettage for non-obstetric diagnoses 9 $40,475 $8,402 $364,273 $75,618 2.33
Neonate birthwt >2499g w major anomaly 9 $13,176 $2,352 $118,582 $21,172 2.33
Lymphoma, myeloma & non-acute leukemia 9 $82,192 $16,690 $739,728 $150,207 7.78
HIV w major HIV related condition 9 $57,910 $11,141 $521,191 $100,265 5.44
Bronchiolitis & RSV pneumonia 8 $91,096 $18,847 $728,767 $150,777 7.25
Cardiac structural & valvular disorders 8 $54,997 $10,224 $439,975 $81,791 4.75
Hand & wrist procedures 8 $36,145 $7,798 $289,162 $62,380 1.75
Female reproductive system malignancy 8 $52,100 $9,593 $416,803 $76,745 4.50
Preterm labor 8 $17,167 $3,048 $137,339 $24,384 1.25
Neonate, transferred < 5 days old, born here 8 $12,262 $2,192 $98,099 $17,534 2.00
Procedure w diag of rehab, aftercare or oth contact w health service 8 $72,355 $18,274 $578,840 $146,195 4.00
Nervous system malignancy 7 $49,951 $9,205 $349,654 $64,437 3.86
Major esophageal disorders 7 $65,321 $12,971 $457,249 $90,797 5.57
Intervertebral disc excision & decompression 7 $47,354 $13,279 $331,480 $92,951 1.71
Kidney & urinary tract malignancy 7 $51,175 $10,100 $358,226 $70,703 4.00
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms 7 $109,877 $22,468 $769,141 $157,279 7.29
Opioid abuse & dependence 7 $84,839 $17,959 $593,870 $125,711 6.57
Allergic reactions 7 $76,699 $16,921 $536,895 $118,449 5.71
Tracheostomy w MV 96+ hours w/o extensive procedure 6 $522,831 $123,616 $3,136,983 $741,696 30.17
Extracranial vascular procedures 6 $178,392 $37,728 $1,070,352 $226,367 12.83
Eye disorders except major infections 6 $36,573 $6,452 $219,436 $38,714 2.83
Major biliary tract procedures 6 $60,483 $12,908 $362,898 $77,450 4.17
Cervical spinal fusion & other back/neck proc exc disc excis/decomp 6 $91,317 $25,288 $547,902 $151,730 3.67
Major skin disorders 6 $37,970 $7,345 $227,821 $44,067 3.00
Other bladder procedures 6 $56,282 $12,414 $337,694 $74,481 3.83
Other female reproductive system & related procedures 6 $49,424 $9,675 $296,541 $58,051 4.17
False labor 6 $16,949 $2,991 $101,695 $17,946 1.33
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond 6 $29,952 $5,627 $179,710 $33,762 5.50
Sickle cell anemia crisis 6 $92,551 $17,353 $555,304 $104,118 10.83
Post-op, post-trauma, other device infections w O.R. procedure 6 $93,618 $19,186 $561,708 $115,118 7.33
Alcohol & drug dependence w rehab or rehab/detox therapy 6 $73,714 $14,965 $442,285 $89,788 6.50
Nonspecific CVA & precerebral occlusion w/o infarct 5 $63,892 $12,577 $319,461 $62,887 4.20
Major respiratory & chest procedures 5 $194,703 $46,166 $973,513 $230,830 13.20
Gastrointestinal vascular insufficiency 5 $70,500 $14,099 $352,502 $70,494 5.40
Major pancreas, liver & shunt procedures 5 $120,233 $25,795 $601,165 $128,974 8.40
Malignancy, male reproductive system 5 $66,164 $12,253 $330,819 $61,266 6.80
Depression except major depressive disorder 5 $36,972 $6,922 $184,860 $34,610 3.60
O.R. procedure for other complications of treatment 5 $60,751 $13,002 $303,757 $65,012 4.40
HIV w one signif HIV cond or w/o signif related cond 5 $33,032 $6,060 $165,159 $30,302 2.40
Tracheostomy w MV 96+ hours w extensive procedure or ECMO 4 $946,559 $217,768 $3,786,235 $871,070 64.00
Other nervous system & related procedures 4 $42,187 $10,272 $168,746 $41,088 2.25
Spinal disorders & injuries 4 $98,596 $20,328 $394,384 $81,312 8.00
Bacterial & tuberculous infections of nervous system 4 $237,910 $55,502 $951,638 $222,009 17.25
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma 4 $38,263 $6,765 $153,052 $27,059 2.25
Other cardiothoracic & thoracic vascular procedures 4 $152,962 $32,566 $611,847 $130,264 11.75
Other significant hip and femur surgery 4 $111,421 $25,395 $445,685 $101,579 7.00
Kidney & urinary tract procedures for malignancy 4 $111,048 $23,010 $444,190 $92,039 9.00
Testes & scrotal procedures 4 $29,117 $6,317 $116,468 $25,268 1.00
Other procedures of blood & blood-forming organs 4 $65,542 $13,418 $262,166 $53,670 4.75
Adjustment disorders & neuroses except depressive diagnoses 4 $25,065 $4,526 $100,261 $18,105 1.50
Other mental health disorders 4 $39,249 $7,198 $156,997 $28,792 4.50
Cocaine abuse & dependence 4 $186,515 $36,490 $746,059 $145,958 25.25
Other injury, poisoning & toxic effect diagnoses 4 $33,880 $6,023 $135,521 $24,093 2.50
HIV w multiple major HIV related conditions 4 $113,721 $23,520 $454,882 $94,080 11.75
Spinal procedures 3 $231,547 $50,211 $694,642 $150,634 19.00
Non-bacterial infections of nervous system exc viral meningitis 3 $50,680 $9,677 $152,039 $29,031 3.67
Dental & oral diseases & injuries 3 $41,609 $7,636 $124,827 $22,907 3.67
Major abdominal vascular procedures 3 $119,888 $26,416 $359,663 $79,249 7.33
Shoulder & elbow joint replacement 3 $54,192 $17,938 $162,575 $53,814 1.00
Other procedures for endocrine, nutritional & metabolic disorders 3 $86,979 $20,689 $260,937 $62,067 5.00
Major bladder procedures 3 $170,643 $36,124 $511,929 $108,372 12.33
Nephritis & nephrosis 3 $43,144 $7,692 $129,431 $23,075 3.33
Schizophrenia 3 $39,811 $7,398 $119,434 $22,193 4.33
Other drug abuse & dependence 3 $41,709 $8,064 $125,126 $24,191 3.33
HIV w multiple significant HIV related conditions 3 $186,153 $38,419 $558,460 $115,257 14.33
Tonsil & adenoid procedures 2 $47,737 $10,399 $95,474 $20,797 2.50
Other ear, nose, mouth & throat procedures 2 $26,493 $5,547 $52,985 $11,094 1.00
Percutaneous coronary intervention w AMI 2 $17,325 $3,048 $34,649 $6,096 1.00
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses 2 $74,149 $16,794 $148,297 $33,588 7.00
Neonate birthwt 1500-1999g w major anomaly 2 $66,791 $12,201 $133,581 $24,401 13.00
Neonate bwt 1500-1999g w resp dist synd/oth maj resp cond 2 $66,644 $12,648 $133,288 $25,296 13.00
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms 2 $46,517 $8,612 $93,033 $17,224 2.00
Bipolar disorders 2 $33,737 $6,177 $67,474 $12,353 3.50
Musculoskeletal & other procedures for multiple significant trauma 2 $96,055 $21,173 $192,109 $42,346 6.00
Multiple significant trauma w/o O.R. procedure 2 $64,499 $11,937 $128,998 $23,873 6.00
Ungroupable 2 $47,153 $8,730 $94,306 $17,460 9.50
Orbital procedures 1 $92,583 $17,349 $92,583 $17,349 11.00
Acute major eye infections 1 $45,775 $8,712 $45,775 $8,712 5.00
Ear, nose, mouth, throat, cranial/facial malignancies 1 $24,555 $4,210 $24,555 $4,210 1.00
Permanent cardiac pacemaker implant w AMI, heart failure or shock 1 $107,711 $26,010 $107,711 $26,010 8.00
Cardiac pacemaker & defibrillator device replacement 1 $79,183 $21,308 $79,183 $21,308 5.00
Cardiac pacemaker & defibrillator revision except device replacement 1 $64,165 $13,314 $64,165 $13,314 6.00
Cardiac catheterization for other non-coronary conditions 1 $61,240 $13,607 $61,240 $13,607 5.00
Acute & subacute endocarditis 1 $143,066 $27,585 $143,066 $27,585 12.00
Cardiomyopathy 1 $19,354 $3,585 $19,354 $3,585 1.00
Malignant breast disorders 1 $55,052 $9,779 $55,052 $9,779 4.00
Inborn errors of metabolism 1 $35,131 $7,035 $35,131 $7,035 2.00
Other kidney, urinary tract & related procedures 1 $34,463 $10,020 $34,463 $10,020 1.00
Other male reproductive system & related procedures 1 $112,038 $20,141 $112,038 $20,141 9.00
Uterine & adnexa procedures for non-ovarian & non-adnexal malig 1 $30,819 $7,194 $30,819 $7,194 2.00
Neonate, transferred <5 days old, not born here 1 $6,613 $1,116 $6,613 $1,116 1.00
Neonate bwt 2000-2499g w major anomaly 1 $87,767 $16,159 $87,767 $16,159 18.00
Neonate bwt 2000-2499g w resp dist synd/oth maj resp cond 1 $40,922 $8,094 $40,922 $8,094 7.00
Neonate bwt 2000-2499g w congenital/perinatal infection 1 $38,981 $7,134 $38,981 $7,134 8.00
Neonate birthwt >2499g w major cardiovascular procedure 1 $13,471 $2,529 $13,471 $2,529 2.00
Acute leukemia 1 $20,891 $3,332 $20,891 $3,332 1.00
Mental illness diagnosis w O.R. procedure 1 $43,032 $8,537 $43,032 $8,537 4.00
Principal diagnosis invalid as discharge diagnosis 1 $13,293 $2,345 $13,293 $2,345 1.00