Richmond University Medical Center

2017 Age Distribution

2017 Patient Race:

Black/African American3,499
Other Race4,446
White8,674

2017 Payers:

Blue Cross/Blue Shield 2,593
Federal/State/Local/VA 1
Medicaid 5,939
Medicare 4,828
Miscellaneous/Other 124
Private Health Insurance 2,818
Self-Pay 316

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 2508 $7,830 $2,171 $19,636,749 $5,445,016 2.39
Vaginal delivery 1551 $11,515 $3,904 $17,859,067 $6,055,476 2.48
Cesarean delivery 1287 $24,147 $7,803 $31,077,302 $10,042,717 3.50
Septicemia & disseminated infections 610 $66,404 $17,994 $40,506,630 $10,976,378 8.45
Schizophrenia 472 $32,951 $11,265 $15,552,802 $5,317,249 13.65
Bipolar disorders 341 $24,619 $8,137 $8,395,225 $2,774,556 9.74
Major depressive disorders & other/unspecified psychoses 307 $19,217 $6,163 $5,899,513 $1,891,968 7.30
Heart failure 277 $42,977 $10,467 $11,904,606 $2,899,428 5.58
Chronic obstructive pulmonary disease 252 $34,360 $8,155 $8,658,633 $2,055,118 4.59
Seizure 238 $23,254 $6,699 $5,534,417 $1,594,324 3.20
Other pneumonia 231 $21,647 $6,893 $5,000,486 $1,592,226 3.20
Cellulitis & other skin infections 231 $24,688 $7,026 $5,702,960 $1,623,029 3.83
Asthma 207 $18,591 $6,557 $3,848,409 $1,357,239 2.77
Kidney & urinary tract infections 205 $30,193 $8,092 $6,189,560 $1,658,760 4.47
Diabetes 192 $26,635 $6,315 $5,113,840 $1,212,494 3.19
Respiratory Failure 171 $54,844 $13,847 $9,378,249 $2,367,899 6.86
Acute Kidney Injury 158 $42,054 $10,454 $6,644,506 $1,651,656 5.66
Cardiac arrhythmia & conduction disorders 156 $25,447 $5,845 $3,969,677 $911,793 3.07
CVA & precerebral occlusion w infarct 146 $57,366 $14,602 $8,375,485 $2,131,883 6.50
Poisoning of medicinal agents 137 $29,261 $7,080 $4,008,746 $969,930 3.63
Infectious & parasitic diseases including HIV w O.R. procedure 124 $137,799 $38,971 $17,087,102 $4,832,347 15.52
Neonate bwt 2000-2499g, normal newborn or neonate w other problem 121 $21,182 $5,020 $2,562,985 $607,437 4.26
Other gastroenteritis, nausa & vomiting 118 $21,916 $5,795 $2,586,075 $683,841 3.04
Other digestive system diagnoses 116 $25,747 $7,206 $2,986,620 $835,884 3.54
Acute myocardial infarction 114 $38,835 $8,196 $4,427,202 $934,342 4.66
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma 111 $31,247 $6,482 $3,468,365 $719,457 2.23
Disorders of pancreas except malignancy 105 $24,170 $5,622 $2,537,827 $590,285 3.09
Infections of upper respiratory tract 100 $15,485 $5,950 $1,548,466 $594,964 2.32
Diverticulitis & diverticulosis 97 $27,673 $7,162 $2,684,246 $694,757 3.76
Alcohol abuse & dependence 97 $27,993 $6,805 $2,715,332 $660,083 4.14
Other anemia & disorders of blood & blood-forming organs 93 $29,318 $8,437 $2,726,554 $784,609 3.59
Peptic ulcer & gastritis 88 $32,570 $9,282 $2,866,170 $816,853 3.55
Major respiratory infections & inflammations 87 $47,699 $11,920 $4,149,846 $1,037,068 6.85
Other antepartum diagnoses 84 $21,599 $5,785 $1,814,325 $485,915 3.69
Syncope & collapse 81 $27,908 $6,471 $2,260,560 $524,170 3.05
Percutaneous coronary intervention w AMI 80 $75,861 $11,460 $6,068,868 $916,800 3.66
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond 78 $36,999 $7,953 $2,885,888 $620,315 5.44
Other back & neck disorders, fractures & injuries 77 $33,577 $7,625 $2,585,428 $587,094 3.70
Major small & large bowel procedures 76 $82,558 $25,256 $6,274,436 $1,919,476 8.36
Other musculoskeletal system & connective tissue diagnoses 76 $31,198 $7,694 $2,371,018 $584,713 4.45
Sickle cell anemia crisis 76 $33,299 $10,816 $2,530,688 $821,996 5.30
Moderately extensive procedure unrelated to principal diagnosis 76 $67,026 $18,102 $5,093,974 $1,375,756 7.36
Other skin, subcutaneous tissue & related procedures 74 $33,192 $9,510 $2,456,192 $703,711 4.32
Peripheral & other vascular disorders 73 $40,943 $10,545 $2,988,873 $769,757 6.01
Hypertension 71 $27,026 $6,269 $1,918,818 $445,124 3.32
Hip and femur fracture repair 71 $61,193 $17,574 $4,344,678 $1,247,745 6.17
Other & unspecified gastrointestinal hemorrhage 67 $36,059 $10,305 $2,415,968 $690,413 3.97
Laparoscopic cholecystectomy 67 $45,626 $13,710 $3,056,937 $918,582 4.24
Electrolyte disorders except hypovolemia related 66 $35,383 $8,834 $2,335,247 $583,034 4.39
Neonate birthwt >2499g w other significant condition 60 $33,326 $7,450 $1,999,556 $447,026 5.73
Respiratory signs, symptoms & minor diagnoses 59 $21,746 $5,670 $1,282,994 $334,547 3.02
Malfunction, reaction, complic of genitourinary device or proc 59 $53,917 $13,762 $3,181,077 $811,959 8.10
Knee & lower leg procedures except foot 58 $43,966 $12,979 $2,550,007 $752,790 4.33
Intestinal obstruction 57 $22,834 $5,960 $1,301,519 $339,706 3.58
Knee joint replacement 57 $31,814 $10,551 $1,813,419 $601,412 3.56
Fractures & dislocations except femur, pelvis & back 57 $31,387 $7,164 $1,789,068 $408,320 3.56
Contusion, open wound & other trauma to skin & subcutaneous tissue 57 $29,122 $6,313 $1,659,950 $359,827 2.35
Major gastrointestinal & peritoneal infections 54 $33,184 $8,414 $1,791,937 $454,329 4.76
Respiratory system diagnosis w ventilator support 96+ hours 52 $108,907 $28,904 $5,663,182 $1,503,000 13.23
Bronchiolitis & RSV pneumonia 52 $15,525 $7,979 $807,286 $414,916 2.77
Nonspecific CVA & precerebral occlusion w/o infarct 51 $32,934 $7,711 $1,679,658 $393,238 3.35
Head trauma w coma >1 hr or hemorrhage 51 $48,379 $11,883 $2,467,330 $606,022 4.16
Behavioral disorders 51 $14,775 $4,762 $753,518 $242,882 5.47
Tracheostomy w MV 96+ hours w/o extensive procedure 50 $268,240 $77,601 $13,412,004 $3,880,026 31.04
Other disorders of nervous system 50 $32,351 $8,255 $1,617,540 $412,768 4.14
Tracheostomy w MV 96+ hours w extensive procedure or ECMO 49 $380,049 $115,021 $18,622,411 $5,636,017 36.84
Cardiac catheterization for other non-coronary conditions 49 $50,377 $11,115 $2,468,453 $544,634 6.10
Nontraumatic stupor & coma 48 $31,567 $7,680 $1,515,192 $368,647 4.25
Signs, symptoms & other factors influencing health status 48 $23,006 $6,041 $1,104,269 $289,945 3.38
Vertigo & other labyrinth disorders 45 $26,928 $6,037 $1,211,742 $271,647 2.96
Angina pectoris & coronary atherosclerosis 45 $24,125 $5,836 $1,085,616 $262,617 2.53
Viral illness 45 $18,045 $7,366 $812,039 $331,483 2.78
Nonextensive procedure unrelated to principal diagnosis 45 $59,417 $15,289 $2,673,747 $688,014 6.98
Peripheral, cranial & autonomic nerve disorders 43 $29,868 $7,216 $1,284,316 $310,281 3.19
Hip joint replacement 43 $60,074 $17,829 $2,583,194 $766,661 6.40
Uterine & adnexa procedures for leiomyoma 43 $31,762 $10,317 $1,365,761 $443,649 2.60
Neonate birthwt >2499g w congenital/perinatal infection 43 $43,324 $9,711 $1,862,925 $417,566 7.12
Degenerative nervous system disorders exc mult sclerosis 42 $35,675 $9,140 $1,498,354 $383,882 6.00
Disorders of gallbladder & biliary tract 42 $32,518 $8,919 $1,365,750 $374,607 3.81
Transient ischemia 39 $28,454 $6,506 $1,109,710 $253,718 2.51
Osteomyelitis, septic arthritis & other musculoskeletal infections 39 $48,342 $13,634 $1,885,350 $531,734 8.51
Post-operative, post-traumatic, other device infections 38 $40,857 $10,794 $1,552,573 $410,180 6.50
HIV w multiple major HIV related conditions 38 $90,435 $23,010 $3,436,531 $874,372 12.32
Respiratory malignancy 37 $48,096 $11,940 $1,779,537 $441,767 6.49
Other complications of treatment 37 $36,733 $10,266 $1,359,106 $379,840 4.78
Other esophageal disorders 36 $31,720 $8,755 $1,141,922 $315,186 3.58
Other ear, nose, mouth,throat & cranial/facial diagnoses 35 $29,177 $6,729 $1,021,211 $235,531 2.26
Lower extremity arterial procedures 35 $93,924 $28,160 $3,287,327 $985,594 9.37
Organic mental health disturbances 34 $34,411 $9,866 $1,169,974 $335,448 9.35
Toxic effects of non-medicinal substances 34 $33,843 $8,830 $1,150,653 $300,206 4.59
Other small & large bowel procedures 33 $50,451 $14,865 $1,664,896 $490,542 5.91
Vaginal delivery w complicating procedures exc sterilization &/or D&C 33 $11,641 $4,086 $384,145 $134,841 2.52
Other infectious & parasitic diseases 33 $21,869 $8,515 $721,671 $280,985 3.42
Other drug abuse & dependence 33 $16,810 $4,593 $554,740 $151,563 4.03
Pulmonary embolism 32 $45,979 $11,104 $1,471,334 $355,337 5.88
Other peripheral vascular procedures 32 $86,940 $24,963 $2,782,069 $798,806 10.09
Chest pain 32 $24,331 $5,683 $778,582 $181,854 2.66
Skin ulcers 32 $31,869 $8,124 $1,019,814 $259,955 5.00
Other kidney & urinary tract diagnoses, signs & symptoms 32 $32,775 $8,155 $1,048,794 $260,948 4.97
Neonate birthwt >2499g w major anomaly 32 $27,136 $6,074 $868,349 $194,383 4.53
Other injury, poisoning & toxic effect diagnoses 32 $28,024 $7,017 $896,783 $224,558 3.31
Intracranial hemorrhage 31 $61,303 $16,044 $1,900,393 $497,358 7.26
Appendectomy 31 $41,480 $14,403 $1,285,885 $446,479 4.03
Opioid abuse & dependence 31 $15,851 $4,566 $491,389 $141,544 4.35
Major chest & respiratory trauma 30 $37,032 $8,259 $1,110,966 $247,771 3.37
Other respiratory diagnoses except signs, symptoms & minor diagnoses 30 $46,765 $12,305 $1,402,938 $369,151 6.27
Percutaneous coronary intervention w/o AMI 30 $70,148 $12,047 $2,104,440 $361,400 4.70
Inflammatory bowel disease 30 $28,860 $7,888 $865,811 $236,651 3.97
Other disorders of the liver 30 $39,534 $10,539 $1,186,034 $316,166 5.13
Other endocrine disorders 30 $35,706 $8,988 $1,071,181 $269,639 4.97
Other respiratory & chest procedures 29 $71,211 $20,235 $2,065,116 $586,801 7.34
Digestive malignancy 29 $42,254 $11,228 $1,225,378 $325,602 6.00
Vaginal delivery w sterilization &/or D&C 29 $16,916 $5,978 $490,575 $173,359 2.62
Coagulation & platelet disorders 29 $44,055 $12,735 $1,277,602 $369,316 5.38
HIV w major HIV related condition 29 $53,532 $13,012 $1,552,435 $377,345 7.28
Major respiratory & chest procedures 28 $55,459 $17,225 $1,552,851 $482,307 5.64
Shoulder, upper arm & forearm procedures except joint replacement 28 $49,179 $14,385 $1,377,007 $402,774 3.89
Hypovolemia & related electrolyte disorders 28 $20,745 $5,445 $580,849 $152,457 2.71
Menstrual & other female reproductive system disorders 28 $18,596 $5,556 $520,686 $155,581 2.32
Extensive procedure unrelated to principal diagnosis 28 $108,231 $30,317 $3,030,460 $848,869 11.36
Foot & toe procedures 27 $76,623 $21,572 $2,068,810 $582,451 11.04
Malnutrition, failure to thrive & other nutritional disorders 27 $32,182 $9,554 $868,926 $257,951 5.37
Postpartum & post abortion diagnoses w/o procedure 26 $18,157 $4,855 $472,091 $126,220 2.62
Eye disorders except major infections 25 $24,187 $5,558 $604,675 $138,946 2.24
Dental & oral diseases & injuries 25 $25,398 $6,114 $634,962 $152,843 2.52
Malignancy of hepatobiliary system & pancreas 25 $42,434 $10,036 $1,060,853 $250,912 5.36
Migraine & other headaches 24 $25,027 $6,122 $600,659 $146,932 2.96
Abdominal pain 24 $18,879 $5,744 $453,084 $137,860 2.33
Other skin, subcutaneous tissue & breast disorders 24 $21,441 $6,151 $514,595 $147,632 3.63
Male reproductive system diagnoses except malignancy 24 $22,707 $5,961 $544,957 $143,075 3.75
Major hematologic/immunologic diag exc sickle cell crisis & coagul 24 $29,378 $9,576 $705,064 $229,818 3.88
Cardiac catheterization for coronary artery disease 23 $34,232 $7,127 $787,345 $163,926 3.09
Other circulatory system diagnoses 23 $28,076 $6,931 $645,759 $159,414 3.30
Malfunction, reaction & complication of GI device or procedure 23 $29,172 $7,679 $670,951 $176,622 4.48
Uterine & adnexa procedures for non-malignancy except leiomyoma 23 $29,090 $9,057 $669,075 $208,306 2.35
Neonate bwt 1500-1999g w or w/o other significant condition 23 $74,636 $16,442 $1,716,633 $378,164 12.26
Fever 23 $18,384 $6,332 $422,826 $145,625 3.00
Gastrointestinal vascular insufficiency 22 $34,102 $8,620 $750,233 $189,632 4.27
Other hepatobiliary, pancreas & abdominal procedures 22 $56,515 $14,101 $1,243,332 $310,216 7.41
Tendon, muscle & other soft tissue procedures 22 $59,758 $16,691 $1,314,685 $367,205 7.00
Kidney & urinary tract procedures for nonmalignancy 22 $35,084 $9,704 $771,856 $213,489 4.68
Drug & alcohol abuse or dependence, left against medical advice 22 $14,570 $3,075 $320,537 $67,643 1.68
Perm cardiac pacemaker implant w/o AMI, heart failure or shock 21 $60,580 $10,960 $1,272,186 $230,164 4.19
Malfunction,reaction,complication of cardiac/vasc device or procedure 21 $43,724 $11,321 $918,197 $237,734 6.24
Alcoholic liver disease 21 $33,807 $8,654 $709,950 $181,726 3.48
Urinary stones & acquired upper urinary tract obstruction 21 $25,909 $6,676 $544,088 $140,199 2.90
Chronic Kidney Disease 21 $41,140 $10,481 $863,940 $220,094 5.95
Allergic reactions 21 $13,266 $3,678 $278,582 $77,230 1.81
Connective tissue disorders 20 $29,325 $7,839 $586,507 $156,772 4.65
Post-op, post-trauma, other device infections w O.R. procedure 20 $81,925 $23,998 $1,638,496 $479,966 10.90
Cervical spinal fusion & other back/neck proc exc disc excis/decomp 19 $45,116 $13,966 $857,195 $265,350 4.11
Amputation of lower limb except toes 18 $77,660 $22,581 $1,397,873 $406,464 10.33
Musculoskeletal malignancy & pathol fracture d/t muscskel malig 18 $59,235 $14,898 $1,066,232 $268,159 8.72
Neonate bwt 2000-2499g w other significant condition 18 $60,525 $13,620 $1,089,447 $245,154 10.11
Lymphoma, myeloma & non-acute leukemia 18 $56,701 $16,182 $1,020,612 $291,268 7.67
Nervous system malignancy 17 $39,181 $9,330 $666,078 $158,602 4.94
Neonate bwt 1500-1999g w resp dist synd/oth maj resp cond 17 $146,372 $31,954 $2,488,317 $543,223 22.59
Lymphatic & other malignancies & neoplasms of uncertain behavior 17 $36,829 $10,803 $626,100 $183,647 5.12
Major esophageal disorders 16 $37,867 $10,417 $605,876 $166,678 4.63
Neonate bwt 2000-2499g w resp dist synd/oth maj resp cond 16 $84,012 $18,101 $1,344,192 $289,614 12.88
Cocaine abuse & dependence 16 $14,118 $4,154 $225,893 $66,464 4.50
HIV w one signif HIV cond or w/o signif related cond 16 $24,164 $5,775 $386,628 $92,392 3.19
Multiple sclerosis & other demyelinating diseases 15 $62,849 $15,272 $942,736 $229,079 7.60
Other digestive system & abdominal procedures 15 $104,342 $29,516 $1,565,123 $442,733 12.93
Hepatic coma & other major acute liver disorders 15 $46,866 $12,443 $702,996 $186,648 5.67
Craniotomy except for trauma 14 $124,387 $37,110 $1,741,420 $519,535 13.86
Major stomach, esophageal & duodenal procedures 14 $89,337 $30,145 $1,250,715 $422,028 10.64
Multiple significant trauma w/o O.R. procedure 14 $54,316 $13,067 $760,421 $182,931 4.93
Extracranial vascular procedures 13 $58,376 $19,005 $758,893 $247,060 4.31
Depression except major depressive disorder 13 $24,826 $8,167 $322,744 $106,175 9.31
Adjustment disorders & neuroses except depressive diagnoses 13 $16,485 $5,082 $214,299 $66,071 5.62
Cholecystectomy except laparoscopic 12 $82,813 $24,390 $993,761 $292,677 8.67
Other Chemotherapy 12 $32,510 $7,433 $390,118 $89,194 3.33
Acute anxiety & delirium states 12 $16,259 $5,259 $195,112 $63,105 4.08
Peritoneal adhesiolysis 11 $97,866 $30,906 $1,076,529 $339,971 10.09
Hernia procedures except inguinal, femoral & umbilical 11 $44,587 $13,952 $490,453 $153,477 5.18
Musculoskeletal & other procedures for multiple significant trauma 11 $112,933 $33,116 $1,242,261 $364,275 11.00
Hand & wrist procedures 10 $33,489 $9,513 $334,892 $95,125 3.60
Malfunction, reaction, complic of orthopedic device or procedure 10 $32,027 $8,561 $320,265 $85,614 4.40
Urethral & transurethral procedures 10 $25,030 $7,535 $250,304 $75,349 2.90
Female reproductive system malignancy 10 $88,572 $23,662 $885,720 $236,615 14.40
Female reproductive system infections 10 $17,453 $5,022 $174,526 $50,215 2.40
O.R. procedure for other complications of treatment 10 $86,179 $27,926 $861,788 $279,264 8.60
Fracture of femur 9 $32,617 $7,344 $293,554 $66,097 3.78
Other procedures of blood & blood-forming organs 9 $36,867 $11,586 $331,805 $104,274 3.78
Interstitial & alveolar lung diseases 8 $41,345 $9,438 $330,762 $75,506 5.13
Other circulatory system procedures 8 $80,588 $21,619 $644,706 $172,954 9.38
Other musculoskeletal system & connective tissue procedures 8 $49,340 $15,955 $394,721 $127,639 5.38
Fracture of pelvis or dislocation of hip 8 $32,712 $8,907 $261,698 $71,253 4.50
Malignant breast disorders 8 $56,344 $14,315 $450,751 $114,516 8.38
Kidney & urinary tract procedures for malignancy 8 $40,194 $12,172 $321,552 $97,372 3.75
Kidney & urinary tract malignancy 8 $43,738 $11,028 $349,900 $88,227 5.75
Preterm labor 8 $23,207 $7,141 $185,657 $57,130 5.75
Craniotomy for trauma 7 $109,561 $32,555 $766,924 $227,885 10.14
Non-bacterial infections of nervous system exc viral meningitis 7 $37,406 $12,626 $261,840 $88,381 4.43
Cardiac defibrillator & heart assist implant 7 $156,945 $31,983 $1,098,616 $223,880 10.86
Cardiac arrest and shock 7 $33,450 $8,138 $234,148 $56,969 3.00
Other significant hip and femur surgery 7 $69,222 $19,988 $484,553 $139,915 7.57
Intervertebral disc excision & decompression 7 $55,768 $15,304 $390,377 $107,127 5.86
Major skin disorders 7 $20,686 $6,366 $144,799 $44,562 3.71
Major male pelvic procedures 7 $34,945 $12,819 $244,616 $89,732 4.14
Neonate bwt 1250-1499g w resp dist synd/oth maj resp or maj anom 7 $269,113 $59,402 $1,883,791 $415,814 42.43
Acute leukemia 7 $36,875 $12,228 $258,127 $85,597 4.86
Other nervous system & related procedures 6 $57,335 $11,984 $344,008 $71,901 3.83
Other stomach, esophageal & duodenal procedures 6 $54,303 $16,681 $325,817 $100,086 6.00
Shoulder & elbow joint replacement 6 $25,251 $8,284 $151,506 $49,706 1.50
Renal dialysis access device procedure only 6 $68,610 $19,195 $411,662 $115,172 8.50
Uterine & adnexa procedures for non-ovarian & non-adnexal malig 6 $48,108 $15,842 $288,645 $95,053 3.17
Neonate birthwt 750-999g w/o major procedure 6 $482,222 $106,382 $2,893,329 $638,290 67.33
Neonate bwt 1000-1249g w resp dist synd/oth maj resp or maj anom 6 $286,755 $63,055 $1,720,529 $378,328 44.00
Neonate birthwt 1500-1999g w congenital/perinatal infection 6 $84,358 $18,709 $506,149 $112,255 14.17
Extensive abdominal/thoracic procedures for mult significant trauma 6 $127,862 $37,870 $767,172 $227,221 8.67
Eye procedures except orbit 5 $71,562 $20,038 $357,810 $100,188 8.00
Acute major eye infections 5 $36,985 $12,489 $184,926 $62,447 5.80
Other ear, nose, mouth & throat procedures 5 $27,687 $8,518 $138,435 $42,591 2.80
Cardiac structural & valvular disorders 5 $45,087 $11,064 $225,435 $55,320 3.80
Skin graft for skin & subcutaneous tissue diagnoses 5 $82,346 $22,292 $411,731 $111,462 15.00
Mastectomy procedures 5 $30,805 $10,287 $154,023 $51,435 2.20
Major bladder procedures 5 $71,330 $23,674 $356,650 $118,372 9.00
Transurethral prostatectomy 5 $17,578 $6,007 $87,889 $30,034 2.20
Dilation & curettage for non-obstetric diagnoses 5 $51,841 $15,096 $259,207 $75,481 6.20
Other female reproductive system & related procedures 5 $26,754 $8,727 $133,769 $43,633 2.80
Neonate birthwt 500-749g w/o major procedure 5 $460,838 $105,303 $2,304,192 $526,514 57.20
Neonate bwt 1250-1499g w or w/o other significant condition 5 $180,486 $40,325 $902,430 $201,627 29.20
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms 5 $187,828 $53,747 $939,142 $268,733 14.80
Spinal disorders & injuries 4 $29,643 $6,909 $118,570 $27,635 3.00
Bacterial & tuberculous infections of nervous system 4 $72,256 $17,145 $289,023 $68,578 9.50
Other cardiothoracic & thoracic vascular procedures 4 $58,335 $10,092 $233,338 $40,366 3.50
Cardiomyopathy 4 $23,297 $5,070 $93,187 $20,281 2.75
Major biliary tract procedures 4 $53,725 $16,553 $214,899 $66,213 7.25
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses 4 $143,446 $40,503 $573,782 $162,011 23.75
Pituitary & adrenal procedures 4 $89,920 $28,838 $359,679 $115,352 7.25
Neonate bwt <1500g w major procedure 4 $665,207 $157,699 $2,660,826 $630,795 63.00
Neonate bwt <500g or GA <24 weeks 4 $103,010 $31,280 $412,041 $125,119 6.25
Neonate bwt 2000-2499g w congenital/perinatal infection 4 $63,316 $17,900 $253,265 $71,600 11.00
Mental illness diagnosis w O.R. procedure 4 $54,517 $16,724 $218,069 $66,895 14.75
Disorders of personality & impulse control 4 $13,978 $4,461 $55,911 $17,844 5.25
Other mental health disorders 4 $25,201 $8,002 $100,802 $32,006 9.75
Procedure w diag of rehab, aftercare or oth contact w health service 4 $35,998 $11,027 $143,993 $44,108 3.75
HIV w multiple significant HIV related conditions 4 $72,189 $17,720 $288,755 $70,878 9.00
Ventricular shunt procedures 3 $36,266 $10,363 $108,798 $31,090 3.67
Viral meningitis 3 $44,609 $10,441 $133,828 $31,324 5.00
Major abdominal vascular procedures 3 $306,432 $95,925 $919,296 $287,774 38.67
Anal procedures 3 $23,420 $7,527 $70,260 $22,580 2.67
Inguinal, femoral & umbilical hernia procedures 3 $76,876 $22,573 $230,627 $67,719 6.67
Nephritis & nephrosis 3 $56,952 $13,573 $170,856 $40,720 8.67
Female reproductive system reconstructive procedures 3 $26,030 $8,722 $78,090 $26,167 2.33
Other O.R. proc for obstetric diagnoses except delivery diagnoses 3 $35,150 $11,967 $105,449 $35,902 5.00
Neonate bwt 1500-2499g w major procedure 3 $199,955 $43,817 $599,866 $131,450 20.00
Neonate bwt 2000-2499g w major anomaly 3 $11,894 $2,957 $35,683 $8,870 2.67
Spinal procedures 2 $128,047 $44,329 $256,094 $88,658 7.00
Orbital procedures 2 $23,536 $6,796 $47,071 $13,592 1.50
Tonsil & adenoid procedures 2 $19,578 $5,284 $39,156 $10,568 2.00
Cardiac pacemaker & defibrillator device replacement 2 $53,780 $11,054 $107,560 $22,108 6.00
Acute & subacute endocarditis 2 $70,378 $17,507 $140,756 $35,013 12.00
Dorsal & lumbar fusion proc except for curvature of back 2 $57,229 $19,197 $114,458 $38,393 6.00
Breast procedures except mastectomy 2 $22,590 $6,802 $45,179 $13,604 3.00
Other procedures for endocrine, nutritional & metabolic disorders 2 $127,319 $42,635 $254,637 $85,270 13.00
Inborn errors of metabolism 2 $34,009 $8,048 $68,017 $16,096 4.00
Testes & scrotal procedures 2 $17,585 $7,841 $35,169 $15,681 1.50
Other male reproductive system & related procedures 2 $91,370 $25,133 $182,740 $50,265 15.50
Pelvic evisceration, radical hysterectomy & other radical GYN procs 2 $58,744 $19,487 $117,488 $38,974 5.00
Uterine & adnexa procedures for ovarian & adnexal malignancy 2 $89,444 $25,484 $178,887 $50,967 6.50
D&C, aspiration curettage or hysterotomy for obstetric diagnoses 2 $42,551 $15,163 $85,102 $30,326 3.50
Neonate, transferred < 5 days old, born here 2 $39,209 $7,317 $78,418 $14,634 2.50
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms 2 $68,645 $18,470 $137,289 $36,940 3.00
Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma 1 $35,277 $7,207 $35,277 $7,207 2.00
Facial bone procedures except major cranial/facial bone procedures 1 $27,881 $8,294 $27,881 $8,294 3.00
Major pancreas, liver & shunt procedures 1 $75,082 $22,873 $75,082 $22,873 7.00
Other bladder procedures 1 $15,504 $5,382 $15,504 $5,382 2.00
Malignancy, male reproductive system 1 $34,546 $8,338 $34,546 $8,338 3.00
Neonate birthwt 1000-1249g w or w/o other significant condition 1 $238,334 $52,120 $238,334 $52,120 37.00
Neonate birthwt 1500-1999g w major anomaly 1 $112,817 $22,094 $112,817 $22,094 10.00
Neonate birthwt >2499g w major cardiovascular procedure 1 $44,480 $10,310 $44,480 $10,310 5.00
Neonate birthwt >2499g w other major procedure 1 $102,763 $22,908 $102,763 $22,908 10.00
Chemotherapy for acute leukemia 1 $16,158 $8,715 $16,158 $8,715 3.00
Partial thickness burns without skin graft 1 $20,433 $6,375 $20,433 $6,375 1.00
Other aftercare & convalescence 1 $24,889 $6,349 $24,889 $6,349 2.00
Craniotomy for multiple significant trauma 1 $72,820 $23,753 $72,820 $23,753 1.00
Ungroupable 1 $18,639 $4,060 $18,639 $4,060 3.00