Neonate birthwt >2499g, normal newborn or neonate w other problem |
1214 |
$6,428 |
$4,265 |
$7,803,584 |
$5,177,718 |
2.41 |
Vaginal delivery |
947 |
$12,402 |
$8,229 |
$11,744,572 |
$7,792,413 |
2.63 |
Schizophrenia |
814 |
$36,653 |
$24,319 |
$29,835,837 |
$19,795,810 |
23.05 |
Opioid abuse & dependence |
560 |
$8,980 |
$5,958 |
$5,028,636 |
$3,336,466 |
5.07 |
Alcohol abuse & dependence |
392 |
$11,576 |
$7,681 |
$4,537,918 |
$3,010,873 |
4.32 |
Cesarean delivery |
377 |
$18,184 |
$12,065 |
$6,855,210 |
$4,548,373 |
3.95 |
Heart failure |
360 |
$30,563 |
$20,278 |
$11,002,585 |
$7,300,115 |
4.88 |
Bipolar disorders |
346 |
$19,444 |
$12,901 |
$6,727,666 |
$4,463,748 |
11.79 |
Major depressive disorders & other/unspecified psychoses |
336 |
$21,467 |
$14,243 |
$7,213,033 |
$4,785,771 |
13.02 |
Septicemia & disseminated infections |
321 |
$59,066 |
$39,190 |
$18,960,093 |
$12,579,855 |
9.62 |
Drug & alcohol abuse or dependence, left against medical advice |
302 |
$4,645 |
$3,082 |
$1,402,883 |
$930,806 |
2.03 |
Asthma |
215 |
$17,528 |
$11,630 |
$3,768,505 |
$2,500,377 |
2.86 |
Chronic obstructive pulmonary disease |
181 |
$29,776 |
$19,756 |
$5,389,443 |
$3,575,850 |
5.01 |
Diabetes |
146 |
$24,728 |
$16,407 |
$3,610,284 |
$2,395,384 |
3.91 |
Cardiac arrhythmia & conduction disorders |
138 |
$23,230 |
$15,413 |
$3,205,706 |
$2,126,955 |
3.55 |
Seizure |
118 |
$30,597 |
$20,301 |
$3,610,492 |
$2,395,532 |
4.88 |
CVA & precerebral occlusion w infarct |
116 |
$48,952 |
$32,479 |
$5,678,444 |
$3,767,601 |
7.53 |
Poisoning of medicinal agents |
116 |
$25,118 |
$16,666 |
$2,913,691 |
$1,933,204 |
3.93 |
Other pneumonia |
115 |
$27,313 |
$18,122 |
$3,141,008 |
$2,084,033 |
4.49 |
Other antepartum diagnoses |
107 |
$16,510 |
$10,954 |
$1,766,585 |
$1,172,117 |
3.26 |
Acute Kidney Injury |
101 |
$49,148 |
$32,609 |
$4,963,954 |
$3,293,542 |
8.43 |
Respiratory Failure |
95 |
$53,172 |
$35,279 |
$5,051,309 |
$3,351,502 |
8.76 |
Electrolyte disorders except hypovolemia related |
93 |
$33,271 |
$22,075 |
$3,094,182 |
$2,052,959 |
5.45 |
Cellulitis & other skin infections |
82 |
$25,605 |
$16,989 |
$2,099,619 |
$1,393,082 |
4.30 |
Cocaine abuse & dependence |
82 |
$8,664 |
$5,749 |
$710,459 |
$471,384 |
4.30 |
Transient ischemia |
79 |
$31,895 |
$21,162 |
$2,519,687 |
$1,671,788 |
4.54 |
Other anemia & disorders of blood & blood-forming organs |
79 |
$25,297 |
$16,785 |
$1,998,485 |
$1,325,983 |
3.92 |
Hypertension |
76 |
$26,742 |
$17,743 |
$2,032,391 |
$1,348,472 |
4.12 |
Neonate bwt 2000-2499g, normal newborn or neonate w other problem |
65 |
$13,363 |
$8,866 |
$868,566 |
$576,291 |
3.57 |
Disorders of pancreas except malignancy |
61 |
$34,963 |
$23,198 |
$2,132,736 |
$1,415,052 |
5.10 |
Bronchiolitis & RSV pneumonia |
60 |
$16,605 |
$11,017 |
$996,287 |
$661,033 |
2.83 |
Kidney & urinary tract infections |
60 |
$37,047 |
$24,580 |
$2,222,793 |
$1,474,799 |
6.35 |
Appendectomy |
57 |
$20,445 |
$13,565 |
$1,165,386 |
$773,225 |
2.47 |
Other gastroenteritis, nausa & vomiting |
56 |
$19,419 |
$12,884 |
$1,087,444 |
$721,507 |
2.96 |
Acute myocardial infarction |
54 |
$16,303 |
$10,817 |
$880,387 |
$584,129 |
2.09 |
Peptic ulcer & gastritis |
51 |
$23,338 |
$15,484 |
$1,190,232 |
$789,705 |
3.65 |
Uterine & adnexa procedures for leiomyoma |
51 |
$18,536 |
$12,298 |
$945,330 |
$627,214 |
2.92 |
Toxic effects of non-medicinal substances |
49 |
$34,174 |
$22,674 |
$1,674,523 |
$1,111,030 |
4.78 |
Laparoscopic cholecystectomy |
48 |
$34,882 |
$23,144 |
$1,674,312 |
$1,110,892 |
5.04 |
Disorders of gallbladder & biliary tract |
47 |
$29,495 |
$19,570 |
$1,386,276 |
$919,780 |
4.32 |
Other & unspecified gastrointestinal hemorrhage |
46 |
$26,963 |
$17,890 |
$1,240,293 |
$822,927 |
4.15 |
Vaginal delivery w sterilization &/or D&C |
46 |
$13,596 |
$9,021 |
$625,398 |
$414,946 |
2.76 |
Facial bone procedures except major cranial/facial bone procedures |
45 |
$21,144 |
$14,029 |
$951,498 |
$631,311 |
2.87 |
Diverticulitis & diverticulosis |
45 |
$26,601 |
$17,650 |
$1,197,063 |
$794,239 |
4.02 |
Knee joint replacement |
45 |
$26,275 |
$17,434 |
$1,182,397 |
$784,514 |
4.40 |
Chronic Kidney Disease |
45 |
$37,199 |
$24,681 |
$1,673,962 |
$1,110,656 |
6.47 |
Other hepatobiliary, pancreas & abdominal procedures |
44 |
$64,293 |
$42,658 |
$2,828,908 |
$1,876,951 |
11.02 |
Sickle cell anemia crisis |
41 |
$38,403 |
$25,480 |
$1,574,511 |
$1,044,676 |
6.68 |
Depression except major depressive disorder |
41 |
$11,185 |
$7,421 |
$458,599 |
$304,273 |
4.44 |
Other musculoskeletal system & connective tissue diagnoses |
40 |
$36,689 |
$24,343 |
$1,467,576 |
$973,723 |
6.18 |
Adjustment disorders & neuroses except depressive diagnoses |
38 |
$10,073 |
$6,683 |
$382,768 |
$253,966 |
4.79 |
Organic mental health disturbances |
38 |
$75,315 |
$49,971 |
$2,861,981 |
$1,898,898 |
16.92 |
Intestinal obstruction |
36 |
$23,464 |
$15,568 |
$844,687 |
$560,441 |
3.31 |
HIV w major HIV related condition |
36 |
$43,227 |
$28,681 |
$1,556,188 |
$1,032,515 |
7.06 |
Respiratory system diagnosis w ventilator support 96+ hours |
35 |
$129,930 |
$86,208 |
$4,547,567 |
$3,017,268 |
20.17 |
Other digestive system diagnoses |
35 |
$24,090 |
$15,984 |
$843,158 |
$559,427 |
3.43 |
Other kidney & urinary tract diagnoses, signs & symptoms |
35 |
$41,615 |
$27,611 |
$1,456,531 |
$966,394 |
7.06 |
Infections of upper respiratory tract |
34 |
$16,543 |
$10,976 |
$562,455 |
$373,186 |
2.53 |
Peripheral & other vascular disorders |
32 |
$49,518 |
$32,855 |
$1,584,590 |
$1,051,360 |
8.47 |
Infectious & parasitic diseases including HIV w O.R. procedure |
32 |
$119,177 |
$79,073 |
$3,813,674 |
$2,530,338 |
19.94 |
Chest pain |
31 |
$19,282 |
$12,794 |
$597,750 |
$396,605 |
2.61 |
Hip joint replacement |
31 |
$37,142 |
$24,644 |
$1,151,416 |
$763,958 |
6.52 |
Hypovolemia & related electrolyte disorders |
31 |
$48,929 |
$32,464 |
$1,516,792 |
$1,006,377 |
8.90 |
Syncope & collapse |
30 |
$20,365 |
$13,512 |
$610,942 |
$405,353 |
2.83 |
Major small & large bowel procedures |
30 |
$67,241 |
$44,614 |
$2,017,237 |
$1,338,415 |
10.47 |
Alcoholic liver disease |
30 |
$48,308 |
$32,052 |
$1,449,239 |
$961,556 |
7.90 |
Fractures & dislocations except femur, pelvis & back |
30 |
$33,932 |
$22,514 |
$1,017,957 |
$675,407 |
5.53 |
Other digestive system & abdominal procedures |
29 |
$80,239 |
$53,238 |
$2,326,933 |
$1,543,902 |
13.79 |
Angina pectoris & coronary atherosclerosis |
28 |
$17,738 |
$11,769 |
$496,675 |
$329,541 |
2.57 |
Other skin, subcutaneous tissue & related procedures |
27 |
$27,794 |
$18,441 |
$750,440 |
$497,910 |
4.56 |
Uterine & adnexa procedures for non-malignancy except leiomyoma |
27 |
$13,323 |
$8,839 |
$359,710 |
$238,662 |
2.04 |
Dental & oral diseases & injuries |
25 |
$21,260 |
$14,106 |
$531,490 |
$352,641 |
3.12 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
25 |
$87,878 |
$58,306 |
$2,196,938 |
$1,457,647 |
16.40 |
Postpartum & post abortion diagnoses w/o procedure |
25 |
$16,081 |
$10,669 |
$402,014 |
$266,731 |
2.64 |
Tracheostomy w MV 96+ hours w/o extensive procedure |
24 |
$357,485 |
$237,188 |
$8,579,647 |
$5,692,519 |
55.63 |
Skin ulcers |
24 |
$42,100 |
$27,933 |
$1,010,403 |
$670,394 |
7.38 |
Hip and femur fracture repair |
22 |
$75,413 |
$50,036 |
$1,659,085 |
$1,100,787 |
13.00 |
Malfunction, reaction, complic of genitourinary device or proc |
22 |
$55,113 |
$36,567 |
$1,212,496 |
$804,480 |
10.09 |
Neonate birthwt >2499g w other significant condition |
22 |
$15,572 |
$10,332 |
$342,578 |
$227,299 |
3.27 |
Peripheral, cranial & autonomic nerve disorders |
21 |
$37,916 |
$25,157 |
$796,227 |
$528,290 |
6.14 |
Major gastrointestinal & peritoneal infections |
21 |
$47,416 |
$31,460 |
$995,739 |
$660,666 |
8.05 |
Other drug abuse & dependence |
21 |
$8,897 |
$5,903 |
$186,843 |
$123,969 |
5.48 |
Pulmonary embolism |
20 |
$39,468 |
$26,186 |
$789,351 |
$523,727 |
6.15 |
Signs, symptoms & other factors influencing health status |
20 |
$29,587 |
$19,631 |
$591,748 |
$392,618 |
4.90 |
Other disorders of nervous system |
19 |
$31,080 |
$20,621 |
$590,525 |
$391,807 |
4.63 |
Other circulatory system diagnoses |
19 |
$31,784 |
$21,089 |
$603,897 |
$400,683 |
5.11 |
Urinary stones & acquired upper urinary tract obstruction |
19 |
$18,485 |
$12,265 |
$351,213 |
$233,027 |
2.47 |
Major respiratory infections & inflammations |
18 |
$69,124 |
$45,863 |
$1,244,224 |
$825,530 |
12.56 |
Perm cardiac pacemaker implant w/o AMI, heart failure or shock |
18 |
$39,411 |
$26,149 |
$709,406 |
$470,688 |
6.28 |
Other disorders of the liver |
18 |
$47,159 |
$31,289 |
$848,853 |
$563,205 |
7.89 |
Amputation of lower limb except toes |
18 |
$107,415 |
$71,269 |
$1,933,469 |
$1,282,839 |
19.78 |
Preterm labor |
18 |
$11,550 |
$7,664 |
$207,907 |
$137,944 |
2.28 |
Degenerative nervous system disorders exc mult sclerosis |
16 |
$187,256 |
$124,243 |
$2,996,092 |
$1,987,880 |
24.19 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
16 |
$25,998 |
$17,250 |
$415,967 |
$275,992 |
4.06 |
Other small & large bowel procedures |
16 |
$101,416 |
$67,289 |
$1,622,661 |
$1,076,620 |
15.75 |
Knee & lower leg procedures except foot |
16 |
$33,984 |
$22,548 |
$543,750 |
$360,772 |
5.81 |
Other back & neck disorders, fractures & injuries |
16 |
$45,763 |
$30,364 |
$732,214 |
$485,816 |
7.69 |
Other endocrine disorders |
16 |
$55,486 |
$36,814 |
$887,772 |
$589,027 |
9.13 |
Acute anxiety & delirium states |
16 |
$15,261 |
$10,125 |
$244,168 |
$162,004 |
6.19 |
Other ear, nose, mouth & throat procedures |
15 |
$19,448 |
$12,904 |
$291,717 |
$193,553 |
2.93 |
Interstitial & alveolar lung diseases |
15 |
$44,444 |
$29,488 |
$666,654 |
$442,316 |
7.27 |
Inguinal, femoral & umbilical hernia procedures |
15 |
$21,377 |
$14,184 |
$320,653 |
$212,753 |
3.27 |
Abdominal pain |
15 |
$22,386 |
$14,853 |
$335,784 |
$222,790 |
3.00 |
Menstrual & other female reproductive system disorders |
15 |
$21,719 |
$14,410 |
$325,787 |
$216,156 |
3.40 |
Vertigo & other labyrinth disorders |
14 |
$21,832 |
$14,485 |
$305,650 |
$202,794 |
3.00 |
Respiratory signs, symptoms & minor diagnoses |
14 |
$27,237 |
$18,072 |
$381,322 |
$253,006 |
4.21 |
Hernia procedures except inguinal, femoral & umbilical |
14 |
$22,914 |
$15,203 |
$320,790 |
$212,841 |
3.64 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
14 |
$21,226 |
$14,083 |
$297,165 |
$197,167 |
2.93 |
Neonate birthwt >2499g w major anomaly |
14 |
$10,119 |
$6,714 |
$141,670 |
$93,997 |
3.07 |
Digestive malignancy |
13 |
$49,027 |
$32,529 |
$637,353 |
$422,877 |
7.92 |
Male reproductive system diagnoses except malignancy |
13 |
$34,076 |
$22,609 |
$442,990 |
$293,919 |
5.77 |
Neonate bwt 1500-1999g w or w/o other significant condition |
13 |
$44,905 |
$29,794 |
$583,760 |
$387,320 |
8.31 |
Post-operative, post-traumatic, other device infections |
13 |
$40,890 |
$27,130 |
$531,570 |
$352,691 |
7.08 |
HIV w multiple major HIV related conditions |
13 |
$102,565 |
$68,051 |
$1,333,348 |
$884,665 |
16.85 |
Nonextensive procedure unrelated to principal diagnosis |
13 |
$61,414 |
$40,747 |
$798,379 |
$529,717 |
10.85 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
12 |
$21,867 |
$14,509 |
$262,402 |
$174,102 |
3.58 |
Other esophageal disorders |
12 |
$22,254 |
$14,765 |
$267,043 |
$177,177 |
3.17 |
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond |
12 |
$33,808 |
$22,431 |
$405,696 |
$269,176 |
5.92 |
Neonate birthwt >2499g w congenital/perinatal infection |
12 |
$39,233 |
$26,031 |
$470,797 |
$312,368 |
7.08 |
Respiratory malignancy |
11 |
$51,917 |
$34,447 |
$571,088 |
$378,912 |
8.82 |
Other peripheral vascular procedures |
11 |
$36,335 |
$24,108 |
$399,683 |
$265,183 |
6.09 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
11 |
$39,743 |
$26,369 |
$437,169 |
$290,059 |
6.55 |
Foot & toe procedures |
11 |
$81,197 |
$53,873 |
$893,165 |
$592,608 |
14.55 |
Mastectomy procedures |
11 |
$9,976 |
$6,619 |
$109,739 |
$72,811 |
1.27 |
Coagulation & platelet disorders |
11 |
$58,964 |
$39,122 |
$648,600 |
$430,341 |
9.64 |
Head trauma w coma >1 hr or hemorrhage |
10 |
$40,563 |
$26,913 |
$405,626 |
$269,129 |
5.80 |
Other respiratory & chest procedures |
10 |
$61,410 |
$40,745 |
$614,101 |
$407,451 |
10.50 |
Other skin, subcutaneous tissue & breast disorders |
10 |
$31,693 |
$21,028 |
$316,932 |
$210,283 |
5.40 |
Intracranial hemorrhage |
9 |
$41,565 |
$27,577 |
$374,081 |
$248,197 |
5.78 |
Migraine & other headaches |
9 |
$20,346 |
$13,500 |
$183,117 |
$121,498 |
2.33 |
Eye disorders except major infections |
9 |
$19,641 |
$13,032 |
$176,768 |
$117,284 |
2.22 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
9 |
$13,815 |
$9,166 |
$124,331 |
$82,491 |
3.00 |
Fever |
9 |
$20,401 |
$13,536 |
$183,611 |
$121,824 |
3.33 |
Disorders of personality & impulse control |
9 |
$7,235 |
$4,800 |
$65,112 |
$43,202 |
4.11 |
Cardiac arrest and shock |
8 |
$93,484 |
$62,026 |
$747,874 |
$496,208 |
15.75 |
Major esophageal disorders |
8 |
$15,637 |
$10,375 |
$125,095 |
$82,999 |
2.25 |
Inflammatory bowel disease |
8 |
$34,549 |
$22,923 |
$276,394 |
$183,386 |
5.63 |
Tendon, muscle & other soft tissue procedures |
8 |
$63,097 |
$41,864 |
$504,773 |
$334,913 |
11.38 |
Major male pelvic procedures |
8 |
$14,216 |
$9,432 |
$113,726 |
$75,456 |
1.63 |
Neonate bwt 1500-1999g w resp dist synd/oth maj resp cond |
8 |
$133,729 |
$88,728 |
$1,069,835 |
$709,825 |
24.88 |
Behavioral disorders |
8 |
$10,103 |
$6,704 |
$80,826 |
$53,628 |
3.13 |
HIV w one signif HIV cond or w/o signif related cond |
8 |
$56,193 |
$37,284 |
$449,546 |
$298,271 |
9.88 |
Orbital procedures |
7 |
$29,798 |
$19,771 |
$208,588 |
$138,396 |
4.57 |
Hepatic coma & other major acute liver disorders |
7 |
$43,895 |
$29,124 |
$307,267 |
$203,869 |
7.57 |
Connective tissue disorders |
7 |
$48,173 |
$31,963 |
$337,214 |
$223,739 |
8.57 |
Female reproductive system infections |
7 |
$30,653 |
$20,338 |
$214,573 |
$142,366 |
4.57 |
Viral illness |
7 |
$22,178 |
$14,715 |
$155,248 |
$103,006 |
3.57 |
Mental illness diagnosis w O.R. procedure |
7 |
$74,367 |
$49,341 |
$520,568 |
$345,390 |
46.14 |
HIV w multiple significant HIV related conditions |
7 |
$32,661 |
$21,670 |
$228,626 |
$151,689 |
5.29 |
Multiple sclerosis & other demyelinating diseases |
6 |
$34,385 |
$22,814 |
$206,308 |
$136,884 |
4.83 |
Non-bacterial infections of nervous system exc viral meningitis |
6 |
$77,397 |
$51,352 |
$464,380 |
$308,112 |
13.67 |
Nontraumatic stupor & coma |
6 |
$54,603 |
$36,228 |
$327,616 |
$217,370 |
8.33 |
Anal procedures |
6 |
$19,326 |
$12,823 |
$115,958 |
$76,937 |
3.00 |
Malignancy of hepatobiliary system & pancreas |
6 |
$60,395 |
$40,072 |
$362,372 |
$240,431 |
10.67 |
Fracture of pelvis or dislocation of hip |
6 |
$37,541 |
$24,908 |
$225,244 |
$149,447 |
6.33 |
Other kidney, urinary tract & related procedures |
6 |
$148,906 |
$98,798 |
$893,435 |
$592,785 |
27.17 |
Lymphoma, myeloma & non-acute leukemia |
6 |
$101,152 |
$67,114 |
$606,911 |
$402,681 |
17.67 |
Post-op, post-trauma, other device infections w O.R. procedure |
6 |
$105,670 |
$70,112 |
$634,022 |
$420,669 |
19.50 |
Allergic reactions |
6 |
$14,905 |
$9,889 |
$89,428 |
$59,334 |
2.33 |
Extensive procedure unrelated to principal diagnosis |
6 |
$83,998 |
$55,732 |
$503,989 |
$334,392 |
14.00 |
Moderately extensive procedure unrelated to principal diagnosis |
6 |
$33,065 |
$21,938 |
$198,391 |
$131,630 |
6.17 |
Other nervous system & related procedures |
5 |
$16,943 |
$11,241 |
$84,713 |
$56,206 |
2.20 |
Other circulatory system procedures |
5 |
$60,173 |
$39,924 |
$300,863 |
$199,621 |
9.80 |
Major stomach, esophageal & duodenal procedures |
5 |
$75,373 |
$50,009 |
$376,866 |
$250,046 |
11.00 |
Peritoneal adhesiolysis |
5 |
$69,952 |
$46,413 |
$349,762 |
$232,063 |
11.80 |
Breast procedures except mastectomy |
5 |
$16,410 |
$10,888 |
$82,049 |
$54,440 |
2.40 |
D&C, aspiration curettage or hysterotomy for obstetric diagnoses |
5 |
$12,142 |
$8,056 |
$60,712 |
$40,282 |
1.40 |
Neonate, transferred < 5 days old, born here |
5 |
$6,397 |
$4,244 |
$31,984 |
$21,222 |
1.00 |
Neonate bwt 2000-2499g w major anomaly |
5 |
$30,285 |
$20,094 |
$151,426 |
$100,469 |
5.60 |
Neonate bwt 2000-2499g w other significant condition |
5 |
$55,427 |
$36,775 |
$277,137 |
$183,877 |
9.40 |
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms |
5 |
$67,733 |
$44,940 |
$338,666 |
$224,702 |
9.40 |
Other mental health disorders |
5 |
$14,188 |
$9,413 |
$70,938 |
$47,066 |
2.80 |
O.R. procedure for other complications of treatment |
5 |
$17,062 |
$11,321 |
$85,310 |
$56,604 |
2.60 |
Rehabilitation |
5 |
$24,517 |
$16,267 |
$122,585 |
$81,334 |
3.20 |
Tracheostomy w MV 96+ hours w extensive procedure or ECMO |
4 |
$326,231 |
$216,451 |
$1,304,923 |
$865,804 |
56.75 |
Major cranial/facial bone procedures |
4 |
$8,731 |
$5,793 |
$34,923 |
$23,172 |
1.25 |
Major chest & respiratory trauma |
4 |
$39,331 |
$26,096 |
$157,325 |
$104,383 |
5.50 |
Malfunction, reaction & complication of GI device or procedure |
4 |
$57,997 |
$38,480 |
$231,986 |
$153,920 |
10.50 |
Fracture of femur |
4 |
$23,973 |
$15,906 |
$95,890 |
$63,623 |
3.25 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
4 |
$74,213 |
$49,240 |
$296,853 |
$196,960 |
13.25 |
Malfunction, reaction, complic of orthopedic device or procedure |
4 |
$112,457 |
$74,614 |
$449,828 |
$298,457 |
21.75 |
Skin graft for skin & subcutaneous tissue diagnoses |
4 |
$73,559 |
$48,805 |
$294,234 |
$195,221 |
13.00 |
Thyroid, parathyroid & thyroglossal procedures |
4 |
$7,203 |
$4,779 |
$28,813 |
$19,117 |
1.00 |
Malnutrition, failure to thrive & other nutritional disorders |
4 |
$58,839 |
$39,039 |
$235,355 |
$156,156 |
11.00 |
Kidney & urinary tract procedures for nonmalignancy |
4 |
$37,519 |
$24,893 |
$150,074 |
$99,573 |
5.75 |
Renal dialysis access device procedure only |
4 |
$129,607 |
$85,993 |
$518,429 |
$343,973 |
23.75 |
Dilation & curettage for non-obstetric diagnoses |
4 |
$99,667 |
$66,129 |
$398,669 |
$264,514 |
17.50 |
Neonate birthwt 500-749g w/o major procedure |
4 |
$295,211 |
$195,870 |
$1,180,845 |
$783,479 |
48.00 |
Neonate bwt 2000-2499g w congenital/perinatal infection |
4 |
$40,233 |
$26,694 |
$160,931 |
$106,777 |
8.00 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
4 |
$17,460 |
$11,584 |
$69,838 |
$46,336 |
2.50 |
Other infectious & parasitic diseases |
4 |
$31,330 |
$20,787 |
$125,318 |
$83,147 |
5.50 |
Other complications of treatment |
4 |
$17,652 |
$11,712 |
$70,606 |
$46,846 |
3.00 |
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma |
3 |
$11,414 |
$7,573 |
$34,242 |
$22,719 |
1.33 |
Tonsil & adenoid procedures |
3 |
$19,920 |
$13,216 |
$59,759 |
$39,649 |
3.00 |
Major respiratory & chest procedures |
3 |
$55,285 |
$36,681 |
$165,855 |
$110,044 |
9.00 |
Cardiac pacemaker & defibrillator device replacement |
3 |
$17,683 |
$11,732 |
$53,048 |
$35,197 |
2.33 |
Lower extremity arterial procedures |
3 |
$48,217 |
$31,992 |
$144,652 |
$95,976 |
8.00 |
Cardiac structural & valvular disorders |
3 |
$61,866 |
$41,048 |
$185,599 |
$123,143 |
10.33 |
Cardiomyopathy |
3 |
$18,663 |
$12,383 |
$55,989 |
$37,148 |
2.00 |
Cholecystectomy except laparoscopic |
3 |
$78,863 |
$52,325 |
$236,589 |
$156,974 |
12.00 |
Other musculoskeletal system & connective tissue procedures |
3 |
$60,147 |
$39,907 |
$180,440 |
$119,720 |
10.67 |
Pituitary & adrenal procedures |
3 |
$7,319 |
$4,856 |
$21,958 |
$14,569 |
1.00 |
Other procedures for endocrine, nutritional & metabolic disorders |
3 |
$119,050 |
$78,989 |
$357,151 |
$236,966 |
23.00 |
Kidney & urinary tract procedures for malignancy |
3 |
$16,999 |
$11,278 |
$50,996 |
$33,835 |
2.67 |
Nephritis & nephrosis |
3 |
$86,883 |
$57,646 |
$260,649 |
$172,939 |
15.00 |
Testes & scrotal procedures |
3 |
$19,255 |
$12,775 |
$57,765 |
$38,326 |
1.67 |
Pelvic evisceration, radical hysterectomy & other radical GYN procs |
3 |
$17,350 |
$11,512 |
$52,050 |
$34,535 |
1.67 |
Other female reproductive system & related procedures |
3 |
$56,261 |
$37,328 |
$168,782 |
$111,985 |
10.00 |
Neonate birthwt 750-999g w/o major procedure |
3 |
$367,305 |
$243,704 |
$1,101,916 |
$731,111 |
69.33 |
Neonate birthwt 1000-1249g w or w/o other significant condition |
3 |
$70,731 |
$46,929 |
$212,192 |
$140,788 |
11.67 |
Neonate bwt 1250-1499g w resp dist synd/oth maj resp or maj anom |
3 |
$163,727 |
$108,631 |
$491,180 |
$325,894 |
32.00 |
Neonate bwt 1250-1499g w or w/o other significant condition |
3 |
$135,139 |
$89,664 |
$405,418 |
$268,991 |
23.00 |
Neonate birthwt 1500-1999g w major anomaly |
3 |
$269,940 |
$179,103 |
$809,820 |
$537,309 |
48.00 |
Alcohol & drug dependence w rehab or rehab/detox therapy |
3 |
$10,598 |
$7,032 |
$31,795 |
$21,096 |
6.33 |
Other injury, poisoning & toxic effect diagnoses |
3 |
$67,114 |
$44,529 |
$201,341 |
$133,588 |
12.67 |
Spinal procedures |
2 |
$54,910 |
$36,432 |
$109,819 |
$72,863 |
9.00 |
Spinal disorders & injuries |
2 |
$66,190 |
$43,917 |
$132,380 |
$87,833 |
12.00 |
Nonspecific CVA & precerebral occlusion w/o infarct |
2 |
$25,287 |
$16,778 |
$50,573 |
$33,555 |
3.00 |
Acute major eye infections |
2 |
$38,839 |
$25,769 |
$77,677 |
$51,538 |
6.50 |
Acute & subacute endocarditis |
2 |
$77,599 |
$51,486 |
$155,197 |
$102,971 |
13.00 |
Other stomach, esophageal & duodenal procedures |
2 |
$34,790 |
$23,082 |
$69,579 |
$46,164 |
5.50 |
Shoulder, upper arm & forearm procedures except joint replacement |
2 |
$12,992 |
$8,620 |
$25,984 |
$17,240 |
2.00 |
Transurethral prostatectomy |
2 |
$18,176 |
$12,060 |
$36,351 |
$24,119 |
2.50 |
Other male reproductive system & related procedures |
2 |
$58,968 |
$39,125 |
$117,935 |
$78,249 |
8.00 |
Malignancy, male reproductive system |
2 |
$22,790 |
$15,121 |
$45,579 |
$30,241 |
3.00 |
Uterine & adnexa procedures for non-ovarian & non-adnexal malig |
2 |
$10,634 |
$7,056 |
$21,267 |
$14,111 |
1.50 |
Other O.R. proc for obstetric diagnoses except delivery diagnoses |
2 |
$8,613 |
$5,715 |
$17,226 |
$11,429 |
1.50 |
Neonate bwt 1000-1249g w resp dist synd/oth maj resp or maj anom |
2 |
$301,554 |
$200,078 |
$603,107 |
$400,156 |
50.50 |
Neonate bwt 2000-2499g w resp dist synd/oth maj resp cond |
2 |
$45,316 |
$30,067 |
$90,631 |
$60,133 |
7.50 |
Neonatal aftercare |
2 |
$143,026 |
$94,896 |
$286,051 |
$189,792 |
24.50 |
Craniotomy except for trauma |
1 |
$15,159 |
$10,058 |
$15,159 |
$10,058 |
2.00 |
Nervous system malignancy |
1 |
$13,423 |
$8,906 |
$13,423 |
$8,906 |
1.00 |
Bacterial & tuberculous infections of nervous system |
1 |
$71,790 |
$47,632 |
$71,790 |
$47,632 |
11.00 |
Ear, nose, mouth, throat, cranial/facial malignancies |
1 |
$591,188 |
$392,248 |
$591,188 |
$392,248 |
119.00 |
Other cardiothoracic & thoracic vascular procedures |
1 |
$25,303 |
$16,788 |
$25,303 |
$16,788 |
4.00 |
Cardiac pacemaker & defibrillator revision except device replacement |
1 |
$22,534 |
$14,951 |
$22,534 |
$14,951 |
3.00 |
Gastrointestinal vascular insufficiency |
1 |
$39,480 |
$26,194 |
$39,480 |
$26,194 |
6.00 |
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses |
1 |
$104,452 |
$69,303 |
$104,452 |
$69,303 |
18.00 |
Hand & wrist procedures |
1 |
$14,866 |
$9,863 |
$14,866 |
$9,863 |
2.00 |
Shoulder & elbow joint replacement |
1 |
$7,306 |
$4,847 |
$7,306 |
$4,847 |
1.00 |
Major skin disorders |
1 |
$112,919 |
$74,920 |
$112,919 |
$74,920 |
23.00 |
Malignant breast disorders |
1 |
$182,257 |
$120,926 |
$182,257 |
$120,926 |
38.00 |
Inborn errors of metabolism |
1 |
$22,484 |
$14,918 |
$22,484 |
$14,918 |
4.00 |
Urethral & transurethral procedures |
1 |
$79,963 |
$53,055 |
$79,963 |
$53,055 |
15.00 |
Kidney & urinary tract malignancy |
1 |
$49,968 |
$33,153 |
$49,968 |
$33,153 |
9.00 |
False labor |
1 |
$8,870 |
$5,885 |
$8,870 |
$5,885 |
2.00 |
Neonate birthwt 1500-1999g w congenital/perinatal infection |
1 |
$120,401 |
$79,885 |
$120,401 |
$79,885 |
20.00 |
Other procedures of blood & blood-forming organs |
1 |
$36,388 |
$24,143 |
$36,388 |
$24,143 |
7.00 |
Acute leukemia |
1 |
$34,420 |
$22,838 |
$34,420 |
$22,838 |
6.00 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
1 |
$17,115 |
$11,356 |
$17,115 |
$11,356 |
2.00 |
Burns with skin graft except extensive 3rd degree burns |
1 |
$36,767 |
$24,394 |
$36,767 |
$24,394 |
7.00 |
Partial thickness burns without skin graft |
1 |
$26,320 |
$17,463 |
$26,320 |
$17,463 |
5.00 |
Procedure w diag of rehab, aftercare or oth contact w health service |
1 |
$6,903 |
$4,580 |
$6,903 |
$4,580 |
1.00 |
Multiple significant trauma w/o O.R. procedure |
1 |
$40,498 |
$26,870 |
$40,498 |
$26,870 |
6.00 |
Ungroupable |
1 |
$54,328 |
$36,046 |
$54,328 |
$36,046 |
9.00 |