Neonate birthwt >2499g, normal newborn or neonate w other problem |
809 |
$3,556 |
$2,743 |
$2,876,952 |
$2,218,753 |
2.15 |
Vaginal delivery |
563 |
$7,622 |
$4,412 |
$4,291,111 |
$2,483,981 |
2.20 |
Knee joint replacement |
334 |
$36,598 |
$17,701 |
$12,223,671 |
$5,912,029 |
1.58 |
Septicemia & disseminated infections |
297 |
$33,462 |
$12,662 |
$9,938,126 |
$3,760,563 |
5.81 |
Cesarean delivery |
290 |
$18,516 |
$8,568 |
$5,369,582 |
$2,484,826 |
3.41 |
Hip joint replacement |
271 |
$28,588 |
$13,621 |
$7,747,329 |
$3,691,174 |
1.48 |
Other pneumonia |
164 |
$24,355 |
$8,125 |
$3,994,295 |
$1,332,424 |
4.26 |
Heart failure |
156 |
$24,502 |
$7,854 |
$3,822,385 |
$1,225,275 |
4.56 |
Cellulitis & other skin infections |
131 |
$18,203 |
$5,578 |
$2,384,651 |
$730,726 |
3.65 |
Chronic obstructive pulmonary disease |
123 |
$27,431 |
$8,849 |
$3,374,069 |
$1,088,457 |
5.01 |
Respiratory Failure |
113 |
$26,801 |
$9,667 |
$3,028,530 |
$1,092,401 |
4.55 |
Kidney & urinary tract infections |
107 |
$23,838 |
$7,185 |
$2,550,677 |
$768,826 |
4.36 |
Rehabilitation |
91 |
$36,596 |
$19,319 |
$3,330,224 |
$1,757,992 |
11.24 |
Dorsal & lumbar fusion proc except for curvature of back |
89 |
$74,262 |
$35,264 |
$6,609,358 |
$3,138,482 |
2.66 |
Acute Kidney Injury |
85 |
$20,379 |
$6,100 |
$1,732,199 |
$518,528 |
3.88 |
Cardiac arrhythmia & conduction disorders |
70 |
$15,520 |
$5,038 |
$1,086,369 |
$352,671 |
2.16 |
Seizure |
66 |
$19,992 |
$6,164 |
$1,319,441 |
$406,816 |
3.58 |
Other gastroenteritis, nausa & vomiting |
63 |
$20,234 |
$5,904 |
$1,274,733 |
$371,950 |
3.17 |
CVA & precerebral occlusion w infarct |
60 |
$37,726 |
$13,537 |
$2,263,587 |
$812,209 |
5.45 |
Diverticulitis & diverticulosis |
58 |
$23,638 |
$6,812 |
$1,370,998 |
$395,121 |
4.38 |
Intestinal obstruction |
55 |
$22,228 |
$6,222 |
$1,222,545 |
$342,187 |
4.11 |
Other disorders of nervous system |
54 |
$62,110 |
$30,046 |
$3,353,941 |
$1,622,473 |
17.65 |
Disorders of pancreas except malignancy |
46 |
$21,088 |
$6,270 |
$970,037 |
$288,407 |
3.70 |
Cervical spinal fusion & other back/neck proc exc disc excis/decomp |
46 |
$44,465 |
$19,899 |
$2,045,372 |
$915,338 |
1.48 |
Other back & neck disorders, fractures & injuries |
46 |
$25,851 |
$7,818 |
$1,189,132 |
$359,642 |
4.33 |
Other infectious & parasitic diseases |
46 |
$21,342 |
$6,119 |
$981,754 |
$281,491 |
3.65 |
Laparoscopic cholecystectomy |
45 |
$37,430 |
$11,270 |
$1,684,345 |
$507,146 |
4.49 |
Acute myocardial infarction |
42 |
$15,158 |
$4,970 |
$636,633 |
$208,745 |
2.17 |
Neonate, transferred < 5 days old, born here |
41 |
$2,752 |
$1,681 |
$112,840 |
$68,931 |
1.15 |
Other & unspecified gastrointestinal hemorrhage |
39 |
$21,970 |
$7,502 |
$856,848 |
$292,580 |
3.67 |
Major respiratory infections & inflammations |
37 |
$33,308 |
$10,553 |
$1,232,379 |
$390,448 |
6.38 |
Electrolyte disorders except hypovolemia related |
34 |
$21,303 |
$6,251 |
$724,298 |
$212,523 |
3.71 |
Peptic ulcer & gastritis |
32 |
$27,343 |
$9,895 |
$874,988 |
$316,635 |
4.28 |
Major gastrointestinal & peritoneal infections |
32 |
$27,929 |
$8,679 |
$893,738 |
$277,731 |
5.09 |
Infectious & parasitic diseases including HIV w O.R. procedure |
32 |
$62,514 |
$24,009 |
$2,000,445 |
$768,291 |
9.19 |
Diabetes |
31 |
$17,038 |
$6,573 |
$528,191 |
$203,758 |
2.90 |
Other digestive system diagnoses |
30 |
$22,984 |
$6,462 |
$689,530 |
$193,848 |
3.40 |
Hip and femur fracture repair |
30 |
$40,091 |
$15,491 |
$1,202,720 |
$464,723 |
4.17 |
Pulmonary embolism |
28 |
$21,881 |
$8,579 |
$612,666 |
$240,208 |
3.07 |
Procedures for obesity |
28 |
$24,556 |
$8,902 |
$687,580 |
$249,257 |
1.32 |
Major small & large bowel procedures |
26 |
$64,142 |
$25,581 |
$1,667,704 |
$665,101 |
9.12 |
Other anemia & disorders of blood & blood-forming organs |
26 |
$19,019 |
$6,090 |
$494,501 |
$158,335 |
2.81 |
Moderately extensive procedure unrelated to principal diagnosis |
26 |
$56,865 |
$24,060 |
$1,478,494 |
$625,568 |
8.92 |
Angina pectoris & coronary atherosclerosis |
25 |
$11,860 |
$3,336 |
$296,509 |
$83,399 |
1.64 |
Hypovolemia & related electrolyte disorders |
23 |
$18,311 |
$5,171 |
$421,160 |
$118,922 |
3.26 |
Disorders of gallbladder & biliary tract |
21 |
$21,849 |
$5,798 |
$458,830 |
$121,764 |
3.38 |
Knee & lower leg procedures except foot |
21 |
$37,146 |
$14,579 |
$780,072 |
$306,158 |
3.29 |
Malfunction, reaction, complic of genitourinary device or proc |
21 |
$24,667 |
$7,329 |
$518,004 |
$153,904 |
4.81 |
Signs, symptoms & other factors influencing health status |
20 |
$18,069 |
$5,219 |
$361,373 |
$104,371 |
3.25 |
Appendectomy |
19 |
$29,481 |
$8,928 |
$560,143 |
$169,635 |
2.79 |
Other musculoskeletal system & connective tissue diagnoses |
19 |
$18,089 |
$5,740 |
$343,692 |
$109,069 |
4.00 |
Other aftercare & convalescence |
18 |
$26,014 |
$12,291 |
$468,249 |
$221,243 |
7.83 |
Migraine & other headaches |
17 |
$22,425 |
$6,421 |
$381,217 |
$109,160 |
2.76 |
Respiratory signs, symptoms & minor diagnoses |
17 |
$25,694 |
$7,934 |
$436,805 |
$134,872 |
3.65 |
Peripheral & other vascular disorders |
17 |
$25,693 |
$7,151 |
$436,786 |
$121,568 |
4.24 |
Alcohol abuse & dependence |
17 |
$19,205 |
$7,978 |
$326,487 |
$135,633 |
3.59 |
Infections of upper respiratory tract |
16 |
$20,813 |
$6,792 |
$333,002 |
$108,676 |
3.75 |
Other antepartum diagnoses |
16 |
$6,382 |
$2,474 |
$102,105 |
$39,584 |
1.13 |
Other small & large bowel procedures |
15 |
$43,674 |
$14,577 |
$655,105 |
$218,652 |
5.93 |
Other skin, subcutaneous tissue & related procedures |
15 |
$34,247 |
$10,808 |
$513,708 |
$162,114 |
6.40 |
Other endocrine disorders |
15 |
$32,490 |
$9,460 |
$487,354 |
$141,904 |
6.33 |
Asthma |
14 |
$19,514 |
$6,237 |
$273,193 |
$87,313 |
3.50 |
Other circulatory system diagnoses |
14 |
$21,217 |
$5,993 |
$297,033 |
$83,900 |
2.71 |
Inflammatory bowel disease |
14 |
$19,948 |
$5,538 |
$279,265 |
$77,526 |
3.71 |
Fracture of pelvis or dislocation of hip |
14 |
$17,888 |
$5,117 |
$250,436 |
$71,636 |
3.14 |
Kidney & urinary tract procedures for nonmalignancy |
14 |
$25,859 |
$7,674 |
$362,032 |
$107,429 |
3.79 |
Vaginal delivery w sterilization &/or D&C |
14 |
$10,082 |
$4,789 |
$141,147 |
$67,050 |
1.93 |
Fever |
14 |
$20,038 |
$5,708 |
$280,538 |
$79,909 |
3.50 |
Transient ischemia |
13 |
$21,715 |
$5,206 |
$282,295 |
$67,676 |
1.77 |
Other musculoskeletal system & connective tissue procedures |
13 |
$44,996 |
$17,202 |
$584,944 |
$223,622 |
5.62 |
Neonate birthwt >2499g w other significant condition |
13 |
$5,186 |
$3,807 |
$67,423 |
$49,496 |
2.92 |
Post-operative, post-traumatic, other device infections |
13 |
$34,077 |
$13,409 |
$443,004 |
$174,313 |
6.08 |
Syncope & collapse |
12 |
$26,453 |
$7,497 |
$317,439 |
$89,961 |
2.75 |
Abdominal pain |
12 |
$19,866 |
$5,610 |
$238,387 |
$67,322 |
2.83 |
Shoulder, upper arm & forearm procedures except joint replacement |
12 |
$54,240 |
$24,851 |
$650,879 |
$298,215 |
3.83 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
12 |
$7,874 |
$4,970 |
$94,487 |
$59,637 |
2.42 |
Sickle cell anemia crisis |
12 |
$13,621 |
$4,099 |
$163,446 |
$49,189 |
3.33 |
Other disorders of the liver |
11 |
$28,827 |
$8,122 |
$317,098 |
$89,338 |
4.82 |
Fractures & dislocations except femur, pelvis & back |
11 |
$22,594 |
$6,792 |
$248,530 |
$74,715 |
4.18 |
Skin ulcers |
11 |
$25,874 |
$8,436 |
$284,614 |
$92,796 |
4.73 |
Other kidney & urinary tract diagnoses, signs & symptoms |
11 |
$17,080 |
$4,649 |
$187,885 |
$51,141 |
2.73 |
Degenerative nervous system disorders exc mult sclerosis |
10 |
$31,965 |
$11,226 |
$319,653 |
$112,263 |
6.00 |
Multiple sclerosis & other demyelinating diseases |
10 |
$27,417 |
$11,310 |
$274,174 |
$113,101 |
6.30 |
Nontraumatic stupor & coma |
10 |
$17,352 |
$6,485 |
$173,516 |
$64,845 |
3.90 |
Shoulder & elbow joint replacement |
10 |
$56,902 |
$28,236 |
$569,015 |
$282,360 |
1.90 |
Malfunction, reaction, complic of orthopedic device or procedure |
10 |
$11,869 |
$3,479 |
$118,692 |
$34,789 |
2.40 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
10 |
$14,895 |
$4,291 |
$148,952 |
$42,908 |
2.30 |
Postpartum & post abortion diagnoses w/o procedure |
10 |
$12,015 |
$3,919 |
$120,149 |
$39,190 |
2.10 |
Neonate bwt 2000-2499g, normal newborn or neonate w other problem |
10 |
$5,577 |
$4,409 |
$55,773 |
$44,088 |
3.50 |
Respiratory malignancy |
9 |
$30,881 |
$10,675 |
$277,926 |
$96,076 |
5.33 |
Hypertension |
9 |
$18,849 |
$5,116 |
$169,637 |
$46,045 |
3.33 |
Alcoholic liver disease |
9 |
$34,439 |
$13,890 |
$309,955 |
$125,010 |
6.11 |
Intervertebral disc excision & decompression |
9 |
$32,611 |
$11,376 |
$293,497 |
$102,380 |
3.67 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
9 |
$20,280 |
$6,940 |
$182,519 |
$62,463 |
4.67 |
Chest pain |
8 |
$14,188 |
$4,322 |
$113,501 |
$34,577 |
2.00 |
Hand & wrist procedures |
8 |
$18,447 |
$5,928 |
$147,572 |
$47,420 |
2.88 |
Fracture of femur |
8 |
$15,738 |
$4,631 |
$125,902 |
$37,051 |
3.00 |
Urethral & transurethral procedures |
8 |
$33,053 |
$10,606 |
$264,420 |
$84,849 |
4.38 |
Male reproductive system diagnoses except malignancy |
8 |
$19,638 |
$5,502 |
$157,101 |
$44,016 |
3.63 |
False labor |
8 |
$3,775 |
$1,586 |
$30,203 |
$12,685 |
1.00 |
Other complications of treatment |
8 |
$16,505 |
$4,681 |
$132,039 |
$37,448 |
2.75 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
7 |
$20,075 |
$7,158 |
$140,526 |
$50,105 |
3.14 |
Urinary stones & acquired upper urinary tract obstruction |
7 |
$19,072 |
$5,380 |
$133,503 |
$37,659 |
2.29 |
Neonate birthwt >2499g w major anomaly |
7 |
$4,024 |
$3,078 |
$28,171 |
$21,548 |
2.43 |
Viral illness |
7 |
$21,126 |
$5,674 |
$147,882 |
$39,717 |
3.14 |
Acute anxiety & delirium states |
7 |
$17,950 |
$4,973 |
$125,650 |
$34,811 |
3.00 |
Poisoning of medicinal agents |
7 |
$17,462 |
$6,344 |
$122,237 |
$44,410 |
2.43 |
Nonextensive procedure unrelated to principal diagnosis |
7 |
$32,191 |
$10,343 |
$225,335 |
$72,403 |
5.86 |
Spinal procedures |
6 |
$63,966 |
$27,039 |
$383,793 |
$162,235 |
4.33 |
Peripheral, cranial & autonomic nerve disorders |
6 |
$35,988 |
$14,094 |
$215,928 |
$84,566 |
8.17 |
Peritoneal adhesiolysis |
6 |
$39,344 |
$11,800 |
$236,064 |
$70,800 |
5.83 |
Inguinal, femoral & umbilical hernia procedures |
6 |
$44,183 |
$15,885 |
$265,095 |
$95,310 |
4.50 |
Other esophageal disorders |
6 |
$19,628 |
$6,406 |
$117,767 |
$38,435 |
2.83 |
Foot & toe procedures |
6 |
$34,011 |
$10,330 |
$204,067 |
$61,981 |
4.83 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
6 |
$16,282 |
$4,728 |
$97,689 |
$28,367 |
2.67 |
Coagulation & platelet disorders |
6 |
$55,397 |
$23,144 |
$332,380 |
$138,865 |
2.00 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
6 |
$26,881 |
$8,820 |
$161,286 |
$52,920 |
3.17 |
Digestive malignancy |
5 |
$28,753 |
$9,200 |
$143,766 |
$45,999 |
4.00 |
Skin graft for skin & subcutaneous tissue diagnoses |
5 |
$32,639 |
$10,868 |
$163,193 |
$54,338 |
5.40 |
Other skin, subcutaneous tissue & breast disorders |
5 |
$44,952 |
$18,575 |
$224,760 |
$92,875 |
8.20 |
Nervous system malignancy |
4 |
$21,854 |
$5,914 |
$87,414 |
$23,656 |
3.50 |
Other stomach, esophageal & duodenal procedures |
4 |
$30,544 |
$14,217 |
$122,174 |
$56,868 |
4.00 |
Hernia procedures except inguinal, femoral & umbilical |
4 |
$36,171 |
$12,790 |
$144,684 |
$51,161 |
5.00 |
Other hepatobiliary, pancreas & abdominal procedures |
4 |
$23,990 |
$12,191 |
$95,959 |
$48,762 |
3.75 |
Kidney & urinary tract malignancy |
4 |
$19,483 |
$5,924 |
$77,930 |
$23,697 |
3.75 |
Uterine & adnexa procedures for non-malignancy except leiomyoma |
4 |
$34,078 |
$11,964 |
$136,311 |
$47,854 |
3.25 |
Uterine & adnexa procedures for leiomyoma |
4 |
$22,175 |
$7,302 |
$88,701 |
$29,206 |
2.50 |
Female reproductive system malignancy |
4 |
$21,526 |
$6,502 |
$86,103 |
$26,007 |
5.50 |
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond |
4 |
$3,708 |
$2,855 |
$14,831 |
$11,421 |
2.25 |
Opioid abuse & dependence |
4 |
$15,956 |
$4,463 |
$63,823 |
$17,850 |
3.00 |
Procedure w diag of rehab, aftercare or oth contact w health service |
4 |
$35,673 |
$16,457 |
$142,693 |
$65,827 |
7.00 |
Nonspecific CVA & precerebral occlusion w/o infarct |
3 |
$28,034 |
$10,623 |
$84,101 |
$31,869 |
5.67 |
Bacterial & tuberculous infections of nervous system |
3 |
$50,813 |
$23,027 |
$152,440 |
$69,080 |
8.67 |
Vertigo & other labyrinth disorders |
3 |
$18,867 |
$5,340 |
$56,602 |
$16,021 |
2.00 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
3 |
$26,791 |
$7,913 |
$80,372 |
$23,740 |
5.33 |
Other circulatory system procedures |
3 |
$16,550 |
$4,374 |
$49,649 |
$13,122 |
2.33 |
Cardiac catheterization for coronary artery disease |
3 |
$43,937 |
$12,148 |
$131,812 |
$36,443 |
5.67 |
Cardiac arrest and shock |
3 |
$29,054 |
$10,046 |
$87,162 |
$30,139 |
5.00 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
3 |
$14,993 |
$4,085 |
$44,980 |
$12,254 |
2.33 |
Major stomach, esophageal & duodenal procedures |
3 |
$17,965 |
$6,368 |
$53,894 |
$19,103 |
1.00 |
Major esophageal disorders |
3 |
$23,683 |
$7,334 |
$71,049 |
$22,001 |
4.00 |
Hepatic coma & other major acute liver disorders |
3 |
$16,931 |
$4,453 |
$50,792 |
$13,359 |
2.00 |
Tendon, muscle & other soft tissue procedures |
3 |
$30,901 |
$10,145 |
$92,702 |
$30,434 |
4.00 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
3 |
$23,844 |
$7,219 |
$71,533 |
$21,657 |
5.33 |
Transurethral prostatectomy |
3 |
$25,020 |
$11,743 |
$75,059 |
$35,228 |
3.00 |
Female reproductive system infections |
3 |
$23,329 |
$6,488 |
$69,987 |
$19,463 |
4.00 |
Post-op, post-trauma, other device infections w O.R. procedure |
3 |
$33,278 |
$10,941 |
$99,835 |
$32,823 |
6.33 |
Allergic reactions |
3 |
$18,834 |
$5,104 |
$56,502 |
$15,312 |
2.00 |
Extensive procedure unrelated to principal diagnosis |
3 |
$56,991 |
$18,120 |
$170,972 |
$54,360 |
10.00 |
Tracheostomy w MV 96+ hours w extensive procedure or ECMO |
2 |
$304,479 |
$207,246 |
$608,958 |
$414,492 |
42.00 |
Non-bacterial infections of nervous system exc viral meningitis |
2 |
$32,243 |
$8,342 |
$64,486 |
$16,684 |
4.50 |
Viral meningitis |
2 |
$26,420 |
$7,624 |
$52,840 |
$15,248 |
5.00 |
Tonsil & adenoid procedures |
2 |
$4,961 |
$1,406 |
$9,921 |
$2,811 |
1.00 |
Other ear, nose, mouth & throat procedures |
2 |
$14,060 |
$4,410 |
$28,120 |
$8,820 |
3.00 |
Respiratory system diagnosis w ventilator support 96+ hours |
2 |
$85,178 |
$26,090 |
$170,355 |
$52,180 |
13.00 |
Interstitial & alveolar lung diseases |
2 |
$32,552 |
$9,384 |
$65,103 |
$18,768 |
6.00 |
Acute & subacute endocarditis |
2 |
$45,887 |
$11,784 |
$91,774 |
$23,567 |
6.50 |
Other digestive system & abdominal procedures |
2 |
$58,512 |
$17,624 |
$117,024 |
$35,247 |
12.50 |
Malfunction, reaction & complication of GI device or procedure |
2 |
$17,980 |
$5,099 |
$35,960 |
$10,198 |
3.50 |
Major biliary tract procedures |
2 |
$54,959 |
$30,154 |
$109,917 |
$60,307 |
9.50 |
Cholecystectomy except laparoscopic |
2 |
$76,442 |
$24,083 |
$152,883 |
$48,165 |
8.50 |
Malignant breast disorders |
2 |
$49,066 |
$13,905 |
$98,132 |
$27,809 |
11.00 |
Kidney & urinary tract procedures for malignancy |
2 |
$90,627 |
$43,694 |
$181,254 |
$87,387 |
4.00 |
Other male reproductive system & related procedures |
2 |
$29,797 |
$9,616 |
$59,594 |
$19,231 |
2.00 |
Dilation & curettage for non-obstetric diagnoses |
2 |
$14,810 |
$4,610 |
$29,620 |
$9,220 |
2.00 |
Preterm labor |
2 |
$2,377 |
$1,836 |
$4,753 |
$3,672 |
1.00 |
Acute leukemia |
2 |
$21,694 |
$5,597 |
$43,388 |
$11,194 |
1.50 |
Lymphoma, myeloma & non-acute leukemia |
2 |
$35,993 |
$9,899 |
$71,986 |
$19,797 |
5.50 |
O.R. procedure for other complications of treatment |
2 |
$40,971 |
$18,133 |
$81,942 |
$36,266 |
2.00 |
Toxic effects of non-medicinal substances |
2 |
$7,911 |
$5,107 |
$15,821 |
$10,213 |
1.00 |
Tracheostomy w MV 96+ hours w/o extensive procedure |
1 |
$209,050 |
$70,256 |
$209,050 |
$70,256 |
35.00 |
Craniotomy except for trauma |
1 |
$38,293 |
$12,447 |
$38,293 |
$12,447 |
5.00 |
Extracranial vascular procedures |
1 |
$62,199 |
$18,143 |
$62,199 |
$18,143 |
9.00 |
Other nervous system & related procedures |
1 |
$10,590 |
$3,565 |
$10,590 |
$3,565 |
1.00 |
Spinal disorders & injuries |
1 |
$23,376 |
$5,323 |
$23,376 |
$5,323 |
1.00 |
Intracranial hemorrhage |
1 |
$31,256 |
$13,855 |
$31,256 |
$13,855 |
4.00 |
Head trauma w coma >1 hr or hemorrhage |
1 |
$14,903 |
$4,474 |
$14,903 |
$4,474 |
3.00 |
Acute major eye infections |
1 |
$15,953 |
$4,978 |
$15,953 |
$4,978 |
3.00 |
Dental & oral diseases & injuries |
1 |
$19,408 |
$5,873 |
$19,408 |
$5,873 |
5.00 |
Major respiratory & chest procedures |
1 |
$98,726 |
$36,659 |
$98,726 |
$36,659 |
16.00 |
Other respiratory & chest procedures |
1 |
$81,802 |
$25,743 |
$81,802 |
$25,743 |
19.00 |
Major chest & respiratory trauma |
1 |
$21,901 |
$5,437 |
$21,901 |
$5,437 |
2.00 |
Major abdominal vascular procedures |
1 |
$45,164 |
$30,732 |
$45,164 |
$30,732 |
6.00 |
Percutaneous coronary intervention w/o AMI |
1 |
$29,290 |
$8,022 |
$29,290 |
$8,022 |
5.00 |
Cardiac catheterization for other non-coronary conditions |
1 |
$45,909 |
$13,185 |
$45,909 |
$13,185 |
10.00 |
Cardiomyopathy |
1 |
$19,799 |
$4,841 |
$19,799 |
$4,841 |
2.00 |
Gastrointestinal vascular insufficiency |
1 |
$12,062 |
$4,667 |
$12,062 |
$4,667 |
2.00 |
Other significant hip and femur surgery |
1 |
$23,073 |
$9,760 |
$23,073 |
$9,760 |
3.00 |
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses |
1 |
$35,013 |
$10,157 |
$35,013 |
$10,157 |
7.00 |
Connective tissue disorders |
1 |
$28,405 |
$7,584 |
$28,405 |
$7,584 |
7.00 |
Malnutrition, failure to thrive & other nutritional disorders |
1 |
$14,716 |
$4,572 |
$14,716 |
$4,572 |
5.00 |
Chronic Kidney Disease |
1 |
$28,568 |
$7,358 |
$28,568 |
$7,358 |
2.00 |
Testes & scrotal procedures |
1 |
$17,928 |
$5,836 |
$17,928 |
$5,836 |
1.00 |
Other female reproductive system & related procedures |
1 |
$22,182 |
$7,231 |
$22,182 |
$7,231 |
4.00 |
Menstrual & other female reproductive system disorders |
1 |
$17,227 |
$4,556 |
$17,227 |
$4,556 |
3.00 |
Neonate bwt 2000-2499g w other significant condition |
1 |
$10,977 |
$8,755 |
$10,977 |
$8,755 |
7.00 |
Other procedures of blood & blood-forming organs |
1 |
$18,938 |
$4,901 |
$18,938 |
$4,901 |
2.00 |
Adjustment disorders & neuroses except depressive diagnoses |
1 |
$32,191 |
$9,646 |
$32,191 |
$9,646 |
9.00 |
Organic mental health disturbances |
1 |
$7,295 |
$2,278 |
$7,295 |
$2,278 |
2.00 |
Other mental health disorders |
1 |
$9,569 |
$2,674 |
$9,569 |
$2,674 |
2.00 |
HIV w multiple major HIV related conditions |
1 |
$48,799 |
$15,454 |
$48,799 |
$15,454 |
8.00 |
HIV w major HIV related condition |
1 |
$7,108 |
$2,126 |
$7,108 |
$2,126 |
2.00 |
HIV w one signif HIV cond or w/o signif related cond |
1 |
$32,576 |
$9,235 |
$32,576 |
$9,235 |
5.00 |