NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM |
2419 |
$6,561 |
$3,918 |
$15,870,617 |
$9,478,281 |
1.77 |
VAGINAL DELIVERY |
2059 |
$18,380 |
$6,764 |
$37,844,318 |
$13,926,527 |
2.00 |
SEPTICEMIA & DISSEMINATED INFECTIONS |
1714 |
$92,610 |
$23,379 |
$158,733,130 |
$40,071,327 |
8.97 |
MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS |
1091 |
$55,585 |
$14,535 |
$60,643,315 |
$15,857,885 |
6.77 |
HEART FAILURE |
732 |
$63,191 |
$15,129 |
$46,255,635 |
$11,074,559 |
6.25 |
PERCUTANEOUS CARDIAC INTERVENTION W/O AMI |
517 |
$103,069 |
$24,216 |
$53,286,754 |
$12,519,590 |
2.70 |
CESAREAN SECTION W/O STERILIZATION |
495 |
$34,216 |
$12,649 |
$16,936,744 |
$6,261,423 |
3.39 |
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS |
402 |
$38,480 |
$8,791 |
$15,469,001 |
$3,533,907 |
2.99 |
SEIZURE |
353 |
$37,227 |
$11,588 |
$13,141,180 |
$4,090,699 |
3.50 |
CVA & PRECEREBRAL OCCLUSION W INFARCT |
351 |
$68,559 |
$15,857 |
$24,064,363 |
$5,565,823 |
5.69 |
REHABILITATION |
336 |
$84,653 |
$36,940 |
$28,443,364 |
$12,411,856 |
13.55 |
OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES |
285 |
$40,224 |
$9,496 |
$11,463,765 |
$2,706,288 |
4.28 |
KIDNEY & URINARY TRACT INFECTIONS |
272 |
$32,807 |
$8,754 |
$8,923,473 |
$2,381,191 |
3.71 |
INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE |
263 |
$195,293 |
$51,106 |
$51,362,127 |
$13,440,886 |
16.37 |
CELLULITIS & OTHER SKIN INFECTIONS |
262 |
$26,992 |
$7,577 |
$7,072,032 |
$1,985,256 |
3.03 |
ACUTE KIDNEY INJURY |
261 |
$50,262 |
$12,059 |
$13,118,496 |
$3,147,454 |
5.18 |
PERCUTANEOUS CARDIAC INTERVENTION W AMI |
253 |
$139,060 |
$30,947 |
$35,182,186 |
$7,829,583 |
3.81 |
DIABETES |
252 |
$36,182 |
$10,246 |
$9,117,930 |
$2,581,936 |
3.37 |
CHRONIC OBSTRUCTIVE PULMONARY DISEASE |
251 |
$39,490 |
$9,384 |
$9,911,954 |
$2,355,413 |
3.89 |
SYNCOPE & COLLAPSE |
245 |
$38,694 |
$8,937 |
$9,479,938 |
$2,189,654 |
3.03 |
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES |
236 |
$30,817 |
$7,715 |
$7,272,726 |
$1,820,787 |
3.47 |
OTHER DIGESTIVE SYSTEM DIAGNOSES |
226 |
$39,006 |
$10,273 |
$8,815,272 |
$2,321,798 |
3.67 |
HIP & FEMUR FRACTURE REPAIR |
222 |
$90,556 |
$24,943 |
$20,103,474 |
$5,537,434 |
6.62 |
OTHER DISORDERS OF NERVOUS SYSTEM |
219 |
$52,495 |
$15,837 |
$11,496,392 |
$3,468,205 |
5.95 |
CHOLECYSTECTOMY |
217 |
$51,411 |
$14,220 |
$11,156,253 |
$3,085,778 |
3.38 |
OTHER GASTROENTERITIS, NAUSEA & VOMITING |
216 |
$29,392 |
$7,375 |
$6,348,766 |
$1,593,067 |
3.01 |
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS |
204 |
$53,067 |
$13,629 |
$10,825,765 |
$2,780,341 |
6.55 |
ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS |
203 |
$28,937 |
$6,451 |
$5,874,192 |
$1,309,527 |
2.28 |
OTHER PERIPHERAL VASCULAR PROCEDURES |
201 |
$106,061 |
$31,633 |
$21,318,330 |
$6,358,142 |
6.48 |
OTHER PNEUMONIA |
196 |
$36,178 |
$10,468 |
$7,090,884 |
$2,051,797 |
4.05 |
INFECTIONS OF UPPER RESPIRATORY TRACT |
187 |
$26,724 |
$8,306 |
$4,997,461 |
$1,553,171 |
2.77 |
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS |
179 |
$30,918 |
$10,598 |
$5,534,340 |
$1,897,061 |
1.27 |
DISORDERS OF PANCREAS EXCEPT MALIGNANCY |
171 |
$43,078 |
$10,757 |
$7,366,331 |
$1,839,380 |
4.45 |
PULMONARY EMBOLISM |
169 |
$53,367 |
$12,674 |
$9,019,069 |
$2,141,972 |
4.26 |
CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS |
168 |
$93,746 |
$20,350 |
$15,749,347 |
$3,418,793 |
5.67 |
PERIPHERAL & OTHER VASCULAR DISORDERS |
166 |
$47,798 |
$11,524 |
$7,934,392 |
$1,912,912 |
4.77 |
PEPTIC ULCER & GASTRITIS |
163 |
$56,605 |
$13,752 |
$9,226,643 |
$2,241,623 |
4.69 |
MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC |
161 |
$58,312 |
$14,212 |
$9,388,294 |
$2,288,118 |
6.27 |
OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS |
160 |
$46,170 |
$10,983 |
$7,387,258 |
$1,757,225 |
3.96 |
PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK |
149 |
$85,313 |
$24,960 |
$12,711,641 |
$3,718,967 |
4.35 |
RESPIRATORY FAILURE |
148 |
$69,521 |
$17,427 |
$10,289,040 |
$2,579,233 |
6.51 |
DIVERTICULITIS & DIVERTICULOSIS |
143 |
$43,323 |
$10,429 |
$6,195,249 |
$1,491,353 |
4.13 |
CHEST PAIN |
138 |
$25,297 |
$5,363 |
$3,490,956 |
$740,134 |
1.83 |
HIP JOINT REPLACEMENT |
135 |
$79,454 |
$24,327 |
$10,726,329 |
$3,284,124 |
4.67 |
ANTEPARTUM W/O O.R. PROCEDURE |
134 |
$17,890 |
$5,403 |
$2,397,314 |
$724,065 |
2.11 |
MAJOR LARGE BOWEL PROCEDURES |
131 |
$84,778 |
$23,328 |
$11,105,975 |
$3,056,014 |
5.70 |
OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE |
130 |
$63,945 |
$15,600 |
$8,312,892 |
$2,028,049 |
5.42 |
DISORDERS OF GALLBLADDER & BILIARY TRACT |
129 |
$42,463 |
$10,502 |
$5,477,706 |
$1,354,807 |
4.04 |
MAJOR CHEST & RESPIRATORY TRAUMA |
125 |
$37,316 |
$8,680 |
$4,664,537 |
$1,084,963 |
3.41 |
FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK |
123 |
$38,000 |
$9,860 |
$4,674,020 |
$1,212,820 |
4.02 |
HYPERTENSION |
122 |
$30,291 |
$6,620 |
$3,695,521 |
$807,579 |
2.49 |
SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS |
122 |
$25,836 |
$7,437 |
$3,151,968 |
$907,359 |
2.51 |
DEFIBRILLATOR IMPLANTS |
120 |
$181,348 |
$64,306 |
$21,761,776 |
$7,716,707 |
5.33 |
INTESTINAL OBSTRUCTION |
120 |
$37,085 |
$9,240 |
$4,450,188 |
$1,108,746 |
4.15 |
CORONARY BYPASS W/O AMI OR COMPLEX PDX |
117 |
$199,552 |
$47,033 |
$23,347,590 |
$5,502,916 |
9.36 |
ASTHMA |
115 |
$28,751 |
$9,741 |
$3,306,349 |
$1,120,219 |
2.74 |
VERTIGO & OTHER LABYRINTH DISORDERS |
112 |
$27,365 |
$5,576 |
$3,064,868 |
$624,472 |
2.11 |
CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE |
110 |
$63,948 |
$12,601 |
$7,034,300 |
$1,386,162 |
3.45 |
PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS |
109 |
$40,542 |
$9,257 |
$4,419,028 |
$1,008,973 |
3.91 |
MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
109 |
$127,875 |
$33,523 |
$13,938,363 |
$3,653,994 |
10.94 |
UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA |
108 |
$38,809 |
$11,121 |
$4,191,413 |
$1,201,034 |
1.73 |
OTHER CIRCULATORY SYSTEM DIAGNOSES |
105 |
$41,455 |
$9,730 |
$4,352,772 |
$1,021,668 |
3.70 |
OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES |
101 |
$32,760 |
$9,665 |
$3,308,789 |
$976,202 |
3.24 |
DIGESTIVE MALIGNANCY |
95 |
$76,778 |
$19,018 |
$7,293,871 |
$1,806,681 |
7.45 |
ALCOHOL ABUSE & DEPENDENCE |
94 |
$50,169 |
$12,606 |
$4,715,871 |
$1,184,956 |
5.49 |
OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES |
94 |
$56,965 |
$16,083 |
$5,354,708 |
$1,511,782 |
5.26 |
OTHER AFTERCARE & CONVALESCENCE |
91 |
$32,935 |
$10,254 |
$2,997,116 |
$933,128 |
4.32 |
ACUTE MYOCARDIAL INFARCTION |
90 |
$72,653 |
$15,402 |
$6,538,750 |
$1,386,165 |
4.73 |
RESPIRATORY MALIGNANCY |
89 |
$78,075 |
$18,700 |
$6,948,639 |
$1,664,298 |
7.76 |
TRANSIENT ISCHEMIA |
88 |
$42,012 |
$10,790 |
$3,697,093 |
$949,497 |
3.64 |
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS |
87 |
$56,650 |
$14,401 |
$4,928,570 |
$1,252,910 |
6.14 |
POISONING OF MEDICINAL AGENTS |
87 |
$39,141 |
$9,792 |
$3,405,307 |
$851,909 |
3.29 |
HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE |
84 |
$56,211 |
$13,327 |
$4,721,737 |
$1,119,477 |
4.63 |
PARTIAL THICKNESS BURNS W/O SKIN GRAFT |
83 |
$22,422 |
$11,118 |
$1,861,063 |
$922,810 |
2.99 |
UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA |
81 |
$46,893 |
$13,116 |
$3,798,327 |
$1,062,397 |
2.35 |
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS |
80 |
$214,175 |
$54,597 |
$17,134,012 |
$4,367,799 |
18.76 |
VIRAL ILLNESS |
80 |
$26,441 |
$8,322 |
$2,115,267 |
$665,757 |
2.63 |
INTRACRANIAL HEMORRHAGE |
79 |
$73,028 |
$18,009 |
$5,769,225 |
$1,422,732 |
6.56 |
MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS |
79 |
$67,840 |
$17,097 |
$5,359,328 |
$1,350,691 |
6.96 |
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS |
79 |
$45,423 |
$10,420 |
$3,588,419 |
$823,215 |
4.05 |
OTHER ESOPHAGEAL DISORDERS |
79 |
$38,451 |
$9,829 |
$3,037,613 |
$776,458 |
3.53 |
CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP |
78 |
$97,464 |
$35,615 |
$7,602,159 |
$2,777,974 |
5.15 |
EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
77 |
$169,488 |
$46,389 |
$13,050,569 |
$3,571,963 |
11.53 |
OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS |
75 |
$59,714 |
$15,214 |
$4,478,569 |
$1,141,046 |
6.36 |
OPEN EXTRACRANIAL VASCULAR PROCEDURES |
75 |
$64,554 |
$18,133 |
$4,841,526 |
$1,359,966 |
3.45 |
PROCEDURES FOR OBESITY |
75 |
$39,175 |
$12,197 |
$2,938,097 |
$914,781 |
1.29 |
COAGULATION & PLATELET DISORDERS |
74 |
$80,978 |
$19,384 |
$5,992,389 |
$1,434,396 |
6.30 |
MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS |
74 |
$58,385 |
$18,142 |
$4,320,514 |
$1,342,534 |
6.34 |
KNEE & LOWER LEG PROCEDURES EXCEPT FOOT |
73 |
$90,289 |
$28,264 |
$6,591,093 |
$2,063,256 |
6.37 |
DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK |
73 |
$111,207 |
$40,534 |
$8,118,137 |
$2,958,967 |
4.53 |
URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION |
73 |
$23,640 |
$6,161 |
$1,725,702 |
$449,772 |
1.74 |
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES |
73 |
$43,174 |
$11,054 |
$3,151,737 |
$806,950 |
4.27 |
NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION |
71 |
$31,737 |
$19,687 |
$2,253,332 |
$1,397,768 |
7.61 |
HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS |
71 |
$28,311 |
$8,331 |
$2,010,107 |
$591,527 |
2.51 |
BURNS W SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS |
70 |
$82,088 |
$26,317 |
$5,746,141 |
$1,842,189 |
8.19 |
SICKLE CELL ANEMIA CRISIS |
70 |
$45,948 |
$16,901 |
$3,216,383 |
$1,183,058 |
4.99 |
KNEE JOINT REPLACEMENT |
69 |
$55,284 |
$19,060 |
$3,814,573 |
$1,315,116 |
2.26 |
CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE |
69 |
$32,238 |
$8,483 |
$2,224,419 |
$585,312 |
2.86 |
ACUTE BRONCHITIS & RELATED SYMPTOMS |
67 |
$28,789 |
$6,687 |
$1,928,844 |
$448,055 |
2.84 |
NON-HYPOVOLEMIC SODIUM DISORDERS |
67 |
$49,929 |
$12,699 |
$3,345,268 |
$850,832 |
5.48 |
PERCUTANEOUS INTRA & EXTRACRANIAL VASCULAR PROCEDURES |
66 |
$122,686 |
$36,590 |
$8,097,243 |
$2,414,951 |
7.41 |
OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS |
66 |
$30,586 |
$8,203 |
$2,018,643 |
$541,385 |
3.35 |
ALTERATION IN CONSCIOUSNESS |
66 |
$58,257 |
$13,935 |
$3,844,966 |
$919,729 |
5.89 |
NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM |
65 |
$8,953 |
$5,362 |
$581,914 |
$348,541 |
2.28 |
INFLAMMATORY BOWEL DISEASE |
65 |
$39,804 |
$11,573 |
$2,587,280 |
$752,228 |
3.92 |
MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE |
64 |
$47,433 |
$12,903 |
$3,035,718 |
$825,765 |
4.86 |
TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE |
64 |
$381,411 |
$97,892 |
$24,410,316 |
$6,265,098 |
35.14 |
AMPUTATION OF LOWER LIMB EXCEPT TOES |
62 |
$150,718 |
$38,991 |
$9,344,505 |
$2,417,412 |
13.94 |
LOWER EXTREMITY ARTERIAL PROCEDURES |
60 |
$130,978 |
$38,380 |
$7,858,675 |
$2,302,818 |
8.05 |
INTERVERTEBRAL DISC EXCISION & DECOMPRESSION |
59 |
$65,235 |
$19,749 |
$3,848,848 |
$1,165,179 |
4.66 |
MAJOR SMALL BOWEL PROCEDURES |
58 |
$134,727 |
$35,862 |
$7,814,194 |
$2,079,978 |
11.03 |
FOOT & TOE PROCEDURES |
57 |
$105,788 |
$28,767 |
$6,029,933 |
$1,639,743 |
9.28 |
CESAREAN SECTION W STERILIZATION |
56 |
$36,466 |
$13,105 |
$2,042,073 |
$733,905 |
3.48 |
PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES |
56 |
$184,134 |
$66,692 |
$10,311,508 |
$3,734,775 |
2.82 |
ALCOHOLIC LIVER DISEASE |
56 |
$59,686 |
$14,143 |
$3,342,435 |
$792,030 |
5.29 |
OTHER COMPLICATIONS OF TREATMENT |
55 |
$54,885 |
$13,886 |
$3,018,699 |
$763,751 |
5.85 |
MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL |
55 |
$64,965 |
$17,899 |
$3,573,072 |
$984,432 |
4.80 |
ABDOMINAL PAIN |
54 |
$25,573 |
$7,124 |
$1,380,926 |
$384,685 |
2.39 |
LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA |
53 |
$87,611 |
$19,333 |
$4,643,397 |
$1,024,645 |
6.92 |
OPEN CRANIOTOMY EXCEPT TRAUMA |
53 |
$148,640 |
$40,748 |
$7,877,916 |
$2,159,666 |
9.85 |
VAGINAL DELIVERY W O.R. PROCEDURE EXCEPT STERILIZATION &/OR D&C |
52 |
$21,799 |
$7,782 |
$1,133,542 |
$404,641 |
2.29 |
RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES |
51 |
$35,027 |
$9,049 |
$1,786,401 |
$461,517 |
3.08 |
MIGRAINE & OTHER HEADACHES |
50 |
$23,842 |
$5,648 |
$1,192,104 |
$282,383 |
1.82 |
POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE |
49 |
$105,774 |
$27,950 |
$5,182,926 |
$1,369,572 |
9.12 |
EYE INFECTIONS & OTHER EYE DISORDERS |
49 |
$26,351 |
$8,101 |
$1,291,175 |
$396,965 |
2.47 |
NERVOUS SYSTEM MALIGNANCY |
48 |
$58,382 |
$13,874 |
$2,802,351 |
$665,936 |
5.94 |
SKIN ULCERS |
45 |
$42,512 |
$10,506 |
$1,913,031 |
$472,762 |
4.51 |
CORONARY BYPASS W AMI OR COMPLEX PDX |
45 |
$289,061 |
$68,037 |
$13,007,756 |
$3,061,684 |
13.76 |
OTHER CHEMOTHERAPY |
45 |
$66,379 |
$26,199 |
$2,987,037 |
$1,178,945 |
6.60 |
OTHER DISORDERS OF THE LIVER |
45 |
$56,244 |
$13,669 |
$2,530,989 |
$615,090 |
5.02 |
SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES |
44 |
$131,533 |
$36,156 |
$5,787,462 |
$1,590,878 |
11.77 |
MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG |
44 |
$69,959 |
$15,677 |
$3,078,211 |
$689,773 |
6.32 |
OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS |
43 |
$42,679 |
$10,079 |
$1,835,212 |
$433,405 |
4.53 |
BRONCHIOLITIS & RSV PNEUMONIA |
43 |
$42,637 |
$19,876 |
$1,833,375 |
$854,669 |
4.35 |
CONNECTIVE TISSUE DISORDERS |
43 |
$67,757 |
$17,522 |
$2,913,545 |
$753,459 |
6.05 |
CHRONIC KIDNEY DISEASE |
43 |
$71,109 |
$15,955 |
$3,057,687 |
$686,074 |
6.28 |
MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES |
43 |
$66,448 |
$18,758 |
$2,857,276 |
$806,612 |
6.28 |
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS |
42 |
$51,225 |
$19,670 |
$2,151,442 |
$826,153 |
3.71 |
MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE |
42 |
$57,734 |
$13,440 |
$2,424,816 |
$564,480 |
5.10 |
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES |
42 |
$32,787 |
$8,127 |
$1,377,034 |
$341,352 |
2.90 |
CARDIAC VALVE PROCEDURES W/O AMI OR COMPLEX PDX |
42 |
$196,167 |
$51,723 |
$8,239,029 |
$2,172,366 |
8.31 |
OTHER RESPIRATORY & CHEST PROCEDURES |
41 |
$77,933 |
$19,724 |
$3,195,249 |
$808,699 |
4.63 |
NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
40 |
$107,827 |
$27,288 |
$4,313,064 |
$1,091,532 |
10.40 |
FEVER & INFLAMMATORY CONDITIONS |
40 |
$27,255 |
$8,841 |
$1,090,214 |
$353,657 |
2.48 |
TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES |
39 |
$130,579 |
$35,047 |
$5,092,588 |
$1,366,850 |
12.23 |
OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES |
38 |
$27,272 |
$9,130 |
$1,036,347 |
$346,948 |
2.71 |
MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE |
38 |
$64,280 |
$16,432 |
$2,442,629 |
$624,407 |
5.00 |
FRACTURE OF PELVIS OR DISLOCATION OF HIP |
37 |
$32,984 |
$7,586 |
$1,220,401 |
$280,675 |
3.41 |
OTHER INFECTIOUS & PARASITIC DISEASES |
35 |
$58,841 |
$20,106 |
$2,059,428 |
$703,717 |
6.09 |
SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT |
35 |
$49,612 |
$17,018 |
$1,736,430 |
$595,632 |
3.17 |
DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE |
35 |
$24,742 |
$5,971 |
$865,961 |
$208,970 |
2.31 |
MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE |
34 |
$43,877 |
$11,128 |
$1,491,802 |
$378,355 |
4.79 |
MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
34 |
$77,021 |
$21,220 |
$2,618,707 |
$721,484 |
5.53 |
ALLERGIC REACTIONS |
33 |
$41,196 |
$12,048 |
$1,359,455 |
$397,581 |
4.00 |
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL |
33 |
$51,414 |
$14,284 |
$1,696,668 |
$471,381 |
2.70 |
OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES |
33 |
$101,014 |
$27,235 |
$3,333,466 |
$898,746 |
7.12 |
MAJOR ABDOMINAL VASCULAR PROCEDURES |
33 |
$190,720 |
$55,657 |
$6,293,754 |
$1,836,688 |
11.15 |
EXTENSIVE 3RD DEGREE BURNS W/O SKIN GRAFT |
33 |
$61,782 |
$19,826 |
$2,038,798 |
$654,250 |
6.70 |
LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR |
32 |
$52,442 |
$11,312 |
$1,678,159 |
$361,997 |
4.00 |
CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA |
32 |
$30,503 |
$8,205 |
$976,099 |
$262,566 |
2.59 |
MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA |
32 |
$140,484 |
$38,188 |
$4,495,501 |
$1,222,028 |
9.59 |
INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES |
31 |
$42,773 |
$12,648 |
$1,325,950 |
$392,095 |
1.94 |
TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE |
31 |
$563,371 |
$143,168 |
$17,464,507 |
$4,438,223 |
45.19 |
NEONATE BIRTHWT >2499G W MAJOR ANOMALY |
30 |
$24,908 |
$13,729 |
$747,250 |
$411,860 |
5.03 |
ACUTE ANXIETY & DELIRIUM STATES |
30 |
$31,271 |
$6,812 |
$938,141 |
$204,350 |
2.30 |
FRACTURE OF FEMUR |
30 |
$40,459 |
$9,470 |
$1,213,780 |
$284,111 |
4.50 |
KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY |
30 |
$59,696 |
$17,272 |
$1,790,878 |
$518,146 |
2.87 |
HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION |
29 |
$38,305 |
$9,313 |
$1,110,853 |
$270,074 |
2.86 |
ORGANIC MENTAL HEALTH DISTURBANCES |
29 |
$188,074 |
$71,758 |
$5,454,133 |
$2,080,972 |
17.86 |
ACUTE LEUKEMIA |
29 |
$165,982 |
$58,848 |
$4,813,478 |
$1,706,592 |
11.72 |
MAJOR RESPIRATORY & CHEST PROCEDURES |
29 |
$114,702 |
$30,421 |
$3,326,347 |
$882,197 |
5.79 |
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES |
29 |
$61,929 |
$16,589 |
$1,795,942 |
$481,087 |
5.31 |
PERITONEAL ADHESIOLYSIS |
29 |
$71,606 |
$19,239 |
$2,076,586 |
$557,936 |
5.21 |
MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES |
28 |
$101,381 |
$27,434 |
$2,838,668 |
$768,153 |
7.75 |
MASTECTOMY PROCEDURES |
28 |
$63,283 |
$19,838 |
$1,771,935 |
$555,475 |
1.68 |
NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND |
28 |
$34,300 |
$21,353 |
$960,412 |
$597,894 |
7.93 |
DENTAL DISEASES & DISORDERS |
27 |
$15,823 |
$11,229 |
$427,229 |
$303,180 |
2.22 |
OTHER CIRCULATORY SYSTEM PROCEDURES |
27 |
$113,198 |
$28,705 |
$3,056,341 |
$775,030 |
8.30 |
UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG |
26 |
$51,350 |
$13,730 |
$1,335,107 |
$356,968 |
2.31 |
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS |
25 |
$21,800 |
$6,008 |
$545,012 |
$150,210 |
1.76 |
MAJOR ESOPHAGEAL DISORDERS |
25 |
$59,586 |
$14,991 |
$1,489,652 |
$374,777 |
5.84 |
INTENTIONAL SELF-HARM & ATTEMPTED SUICIDE |
24 |
$42,590 |
$15,635 |
$1,022,159 |
$375,251 |
4.04 |
INTERSTITIAL & ALVEOLAR LUNG DISEASES |
23 |
$58,308 |
$14,033 |
$1,341,090 |
$322,753 |
6.26 |
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY |
23 |
$37,828 |
$9,710 |
$870,041 |
$223,338 |
3.78 |
HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS |
23 |
$95,480 |
$23,881 |
$2,196,044 |
$549,258 |
10.00 |
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM |
22 |
$146,681 |
$40,393 |
$3,226,983 |
$888,640 |
11.23 |
CHEMOTHERAPY FOR ACUTE LEUKEMIA |
22 |
$133,668 |
$91,455 |
$2,940,706 |
$2,011,999 |
14.95 |
MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS |
21 |
$36,979 |
$13,209 |
$776,556 |
$277,389 |
4.24 |
THYROID DISORDERS |
21 |
$51,226 |
$12,514 |
$1,075,740 |
$262,800 |
5.29 |
SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES |
21 |
$206,988 |
$53,248 |
$4,346,758 |
$1,118,216 |
17.33 |
INSERTION, REVISION & REPLACEMENTS OF PACEMAKER & OTHER CARDIAC DEVICES |
21 |
$91,645 |
$33,314 |
$1,924,544 |
$699,585 |
3.14 |
NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION |
21 |
$40,404 |
$26,079 |
$848,491 |
$547,656 |
9.95 |
KIDNEY & URINARY TRACT MALIGNANCY |
20 |
$91,542 |
$22,668 |
$1,830,842 |
$453,362 |
8.65 |
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY |
19 |
$53,291 |
$12,316 |
$1,012,524 |
$233,995 |
5.63 |
PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE |
19 |
$116,407 |
$39,666 |
$2,211,733 |
$753,651 |
7.32 |
THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES |
19 |
$50,089 |
$15,158 |
$951,688 |
$287,996 |
2.74 |
UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY |
19 |
$99,793 |
$26,654 |
$1,896,058 |
$506,421 |
5.68 |
KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY |
19 |
$48,362 |
$14,163 |
$918,871 |
$269,089 |
1.95 |
OPIOID ABUSE & DEPENDENCE |
19 |
$39,103 |
$9,404 |
$742,951 |
$178,671 |
4.47 |
FEMALE REPRODUCTIVE SYSTEM INFECTIONS |
19 |
$25,708 |
$6,973 |
$488,459 |
$132,489 |
2.58 |
HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS |
18 |
$110,567 |
$26,603 |
$1,990,208 |
$478,857 |
10.83 |
NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND |
18 |
$51,869 |
$31,202 |
$933,643 |
$561,644 |
11.94 |
TONSIL & ADENOID PROCEDURES |
18 |
$24,916 |
$11,820 |
$448,480 |
$212,765 |
1.56 |
OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES |
17 |
$46,342 |
$14,481 |
$787,807 |
$246,180 |
4.76 |
CARDIAC STRUCTURAL & VALVULAR DISORDERS |
17 |
$34,711 |
$7,764 |
$590,086 |
$131,991 |
2.82 |
OTHER ENDOCRINE DISORDERS |
16 |
$39,099 |
$10,064 |
$625,582 |
$161,016 |
3.31 |
NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS |
16 |
$79,861 |
$19,348 |
$1,277,778 |
$309,562 |
8.56 |
OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES |
16 |
$78,016 |
$21,961 |
$1,248,254 |
$351,370 |
6.75 |
DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES |
16 |
$49,339 |
$11,674 |
$789,423 |
$186,776 |
4.38 |
OTHER NERVOUS SYSTEM & RELATED PROCEDURES |
16 |
$166,008 |
$42,748 |
$2,656,129 |
$683,968 |
10.13 |
CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT |
15 |
$57,878 |
$16,636 |
$868,164 |
$249,534 |
3.13 |
SHOULDER & ELBOW JOINT REPLACEMENT |
15 |
$93,245 |
$33,137 |
$1,398,673 |
$497,050 |
3.20 |
NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION |
15 |
$36,441 |
$23,280 |
$546,619 |
$349,199 |
9.07 |
GASTROINTESTINAL VASCULAR INSUFFICIENCY |
15 |
$63,921 |
$15,148 |
$958,820 |
$227,218 |
5.93 |
VAGINAL DELIVERY W STERILIZATION &/OR D&C |
15 |
$70,461 |
$19,652 |
$1,056,910 |
$294,773 |
7.93 |
SPINAL PROCEDURES |
15 |
$122,763 |
$38,787 |
$1,841,438 |
$581,798 |
6.33 |
ANTEPARTUM W O.R. PROCEDURE |
14 |
$37,351 |
$11,114 |
$522,917 |
$155,596 |
2.36 |
OTHER SIGNIFICANT HIP & FEMUR SURGERY |
14 |
$93,759 |
$26,216 |
$1,312,628 |
$367,019 |
7.07 |
OTHER SMALL & LARGE BOWEL PROCEDURES |
14 |
$56,796 |
$15,520 |
$795,150 |
$217,274 |
4.50 |
SCHIZOPHRENIA |
13 |
$33,160 |
$8,085 |
$431,077 |
$105,099 |
4.00 |
NEPHRITIS & NEPHROSIS |
13 |
$46,638 |
$15,789 |
$606,296 |
$205,251 |
4.92 |
DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK |
13 |
$286,530 |
$132,271 |
$3,724,891 |
$1,719,522 |
4.54 |
VENTRICULAR SHUNT PROCEDURES |
13 |
$82,531 |
$25,447 |
$1,072,904 |
$330,813 |
5.69 |
NEONATE BWT 1500-1999G W RESP DIST SYND/OTH MAJ RESP COND |
12 |
$90,123 |
$56,024 |
$1,081,476 |
$672,284 |
21.00 |
CARDIAC ARREST & SHOCK |
12 |
$77,372 |
$17,580 |
$928,458 |
$210,963 |
5.75 |
INBORN ERRORS OF METABOLISM |
12 |
$37,149 |
$8,790 |
$445,789 |
$105,475 |
4.00 |
PENIS, TESTES & SCROTAL PROCEDURES |
12 |
$24,399 |
$7,878 |
$292,788 |
$94,532 |
1.00 |
RENAL DIALYSIS ACCESS DEVICE PROCEDURES & VESSEL REPAIR |
12 |
$94,964 |
$23,676 |
$1,139,565 |
$284,116 |
7.50 |
OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS |
11 |
$145,743 |
$35,017 |
$1,603,177 |
$385,184 |
11.55 |
HAND & WRIST PROCEDURES |
11 |
$39,379 |
$13,168 |
$433,167 |
$144,848 |
3.09 |
EXTERNAL HEART ASSIST SYSTEMS |
11 |
$347,216 |
$103,230 |
$3,819,376 |
$1,135,528 |
9.73 |
EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
11 |
$143,599 |
$39,505 |
$1,579,593 |
$434,560 |
12.27 |
FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES |
10 |
$82,019 |
$33,045 |
$820,189 |
$330,445 |
2.10 |
MAJOR MALE PELVIC PROCEDURES |
10 |
$54,028 |
$15,846 |
$540,281 |
$158,464 |
1.20 |
OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES |
10 |
$144,269 |
$36,580 |
$1,442,688 |
$365,797 |
6.60 |
MAJOR SKIN DISORDERS |
10 |
$59,407 |
$17,438 |
$594,070 |
$174,381 |
6.70 |
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT |
10 |
$36,768 |
$8,144 |
$367,679 |
$81,439 |
2.80 |
OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES |
9 |
$113,105 |
$29,873 |
$1,017,948 |
$268,860 |
8.56 |
OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES |
9 |
$206,030 |
$54,295 |
$1,854,266 |
$488,656 |
19.22 |
OTHER DRUG ABUSE & DEPENDENCE |
9 |
$21,148 |
$4,846 |
$190,333 |
$43,616 |
2.22 |
URETHRAL & TRANSURETHRAL PROCEDURES |
9 |
$77,713 |
$19,135 |
$699,415 |
$172,218 |
6.89 |
SPINAL DISORDERS & INJURIES |
9 |
$43,709 |
$14,045 |
$393,379 |
$126,403 |
5.78 |
OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES |
9 |
$48,242 |
$14,535 |
$434,181 |
$130,817 |
1.00 |
MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS |
9 |
$175,102 |
$42,391 |
$1,575,914 |
$381,518 |
10.56 |
CARDIOMYOPATHY |
8 |
$45,903 |
$10,018 |
$367,223 |
$80,146 |
3.88 |
NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM |
8 |
$152,940 |
$92,242 |
$1,223,518 |
$737,939 |
35.88 |
OTHER MENTAL HEALTH DISORDERS |
8 |
$22,017 |
$7,545 |
$176,135 |
$60,362 |
2.13 |
OPEN CRANIOTOMY FOR TRAUMA |
8 |
$201,679 |
$53,311 |
$1,613,428 |
$426,486 |
15.00 |
MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES |
8 |
$37,705 |
$13,372 |
$301,643 |
$106,975 |
4.75 |
HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND |
8 |
$28,893 |
$7,834 |
$231,140 |
$62,673 |
3.63 |
OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES |
7 |
$51,801 |
$19,936 |
$362,607 |
$139,551 |
3.14 |
EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES |
7 |
$82,716 |
$20,320 |
$579,012 |
$142,243 |
7.43 |
ANAL PROCEDURES |
7 |
$38,493 |
$9,762 |
$269,450 |
$68,337 |
2.71 |
MAJOR BILIARY TRACT PROCEDURES |
7 |
$67,277 |
$18,298 |
$470,940 |
$128,087 |
5.29 |
HIV W MAJOR HIV RELATED CONDITION |
7 |
$69,465 |
$17,708 |
$486,253 |
$123,957 |
9.43 |
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES |
7 |
$25,753 |
$7,739 |
$180,273 |
$54,176 |
1.00 |
ANOXIC & OTHER SEVERE BRAIN DAMAGE |
7 |
$46,249 |
$16,254 |
$323,742 |
$113,777 |
5.29 |
MAJOR PANCREAS, LIVER & SHUNT PROCEDURES |
7 |
$205,213 |
$58,073 |
$1,436,494 |
$406,510 |
15.57 |
MALIGNANT BREAST DISORDERS |
6 |
$95,529 |
$21,213 |
$573,176 |
$127,280 |
9.33 |
NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION |
6 |
$36,091 |
$21,011 |
$216,546 |
$126,066 |
8.33 |
NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
6 |
$55,403 |
$14,977 |
$332,415 |
$89,862 |
3.33 |
OTHER BLADDER PROCEDURES |
6 |
$71,947 |
$18,296 |
$431,684 |
$109,775 |
6.17 |
MALIGNANCY, MALE REPRODUCTIVE SYSTEM |
6 |
$69,572 |
$16,522 |
$417,431 |
$99,130 |
9.17 |
BREAST PROCEDURES EXCEPT MASTECTOMY |
6 |
$65,493 |
$19,371 |
$392,956 |
$116,225 |
3.50 |
ACUTE & SUBACUTE ENDOCARDITIS |
5 |
$84,354 |
$19,704 |
$421,771 |
$98,520 |
9.20 |
NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM |
5 |
$139,854 |
$82,213 |
$699,272 |
$411,063 |
30.80 |
MAJOR CRANIAL/FACIAL BONE PROCEDURES |
5 |
$204,212 |
$73,197 |
$1,021,058 |
$365,983 |
10.60 |
ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES |
4 |
$44,129 |
$9,856 |
$176,514 |
$39,425 |
5.00 |
OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL & METABOLIC DISORDERS |
4 |
$320,314 |
$81,445 |
$1,281,257 |
$325,779 |
28.75 |
NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE |
4 |
$116,093 |
$66,522 |
$464,372 |
$266,088 |
25.00 |
NEONATE BWT 2000-2499G W MAJOR ANOMALY |
4 |
$37,540 |
$22,587 |
$150,158 |
$90,349 |
8.25 |
COCAINE ABUSE & DEPENDENCE |
4 |
$29,126 |
$7,164 |
$116,503 |
$28,655 |
3.00 |
PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS |
4 |
$40,157 |
$10,642 |
$160,628 |
$42,569 |
1.75 |
VIRAL MENINGITIS |
3 |
$23,583 |
$8,928 |
$70,748 |
$26,783 |
2.67 |
NEONATE BIRTHWT 500-749G W/O MAJOR PROCEDURE |
3 |
$341,323 |
$169,117 |
$1,023,968 |
$507,350 |
67.33 |
OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES |
3 |
$82,947 |
$24,158 |
$248,842 |
$72,474 |
4.67 |
OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS |
3 |
$94,875 |
$20,751 |
$284,626 |
$62,252 |
3.33 |
CLEFT LIP & PALATE REPAIR |
3 |
$43,928 |
$21,694 |
$131,785 |
$65,082 |
2.33 |
NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE |
3 |
$11,859 |
$3,741 |
$35,576 |
$11,224 |
1.00 |
EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT |
3 |
$355,095 |
$104,739 |
$1,065,285 |
$314,216 |
19.67 |
OTHER MAJOR HEAD & NECK PROCEDURES |
3 |
$104,787 |
$28,461 |
$314,362 |
$85,384 |
6.33 |
SPLENECTOMY |
2 |
$199,201 |
$61,126 |
$398,401 |
$122,251 |
13.50 |
CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX |
2 |
$333,556 |
$81,970 |
$667,112 |
$163,939 |
19.00 |
NEONATE BIRTHWT 1500-1999G W MAJOR ANOMALY |
2 |
$116,168 |
$63,790 |
$232,336 |
$127,580 |
22.00 |
NEONATE BIRTHWT 1500-1999G W CONGENITAL/PERINATAL INFECTION |
2 |
$86,369 |
$54,554 |
$172,737 |
$109,108 |
20.00 |
OTHER OPEN CRANIOTOMY |
2 |
$118,143 |
$36,977 |
$236,285 |
$73,954 |
9.00 |
BEHAVIORAL DISORDERS |
2 |
$17,712 |
$8,790 |
$35,423 |
$17,580 |
1.00 |
DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER |
1 |
$18,879 |
$4,136 |
$18,879 |
$4,136 |
2.00 |
MENTAL ILLNESS DIAGNOSIS W O.R. PROCEDURE |
1 |
$473,845 |
$128,934 |
$473,845 |
$128,934 |
43.00 |
NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION |
1 |
$78,341 |
$48,660 |
$78,341 |
$48,660 |
22.00 |
PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK |
1 |
$132,028 |
$36,172 |
$132,028 |
$36,172 |
5.00 |
ORBIT & EYE PROCEDURES |
1 |
$35,569 |
$31,565 |
$35,569 |
$31,565 |
4.00 |
BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA |
1 |
$15,907 |
$4,349 |
$15,907 |
$4,349 |
1.00 |
TRANSURETHRAL PROSTATECTOMY |
1 |
$50,351 |
$14,727 |
$50,351 |
$14,727 |
1.00 |
ALCOHOL & DRUG DEPENDENCE W REHAB OR REHAB/DETOX THERAPY |
1 |
$28,964 |
$6,385 |
$28,964 |
$6,385 |
3.00 |
MAJOR BLADDER PROCEDURES |
1 |
$72,818 |
$21,119 |
$72,818 |
$21,119 |
2.00 |
HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS |
1 |
$42,671 |
$11,435 |
$42,671 |
$11,435 |
5.00 |
NEONATE BIRTHWT >2499G W OTHER MAJOR PROCEDURE |
1 |
$231,741 |
$107,839 |
$231,741 |
$107,839 |
33.00 |
NEONATE BWT < 500G, OR BWT 500-999G & GESTATIONAL AGE <24 WKS, OR BWT 500-749G W MAJOR ANOMALY OR W/O LIFE SUSTAINING IN |
1 |
$350,020 |
$153,234 |
$350,020 |
$153,234 |
47.00 |
BIPOLAR DISORDERS |
1 |
$12,074 |
$2,656 |
$12,074 |
$2,656 |
1.00 |