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 |