John R. Oishei Children's Hospital

2020 Age Distribution

2020 Patient Race:

White5,803
Black/African American3,115
Other Race1,854

2020 Payers:

Blue Cross/Blue Shield 2,266
Private Health Insurance 1,601
Medicaid 6,346
Medicare 84
Federal/State/Local/VA 136
Miscellaneous/Other 42
Self-Pay 297

Conditions treated in 2020

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 2479 $6,242 $2,110 $15,473,754 $5,229,978 2.05
VAGINAL DELIVERY 1745 $14,384 $7,873 $25,099,627 $13,737,991 2.28
CESAREAN SECTION W/O STERILIZATION 1070 $28,824 $13,137 $30,841,365 $14,056,571 3.48
SEIZURE 443 $13,638 $9,328 $6,041,544 $4,132,224 2.99
SEPTICEMIA & DISSEMINATED INFECTIONS 249 $55,472 $25,824 $13,812,451 $6,430,249 6.41
BRONCHIOLITIS & RSV PNEUMONIA 239 $13,922 $8,497 $3,327,380 $2,030,824 2.79
ANTEPARTUM W/O O.R. PROCEDURE 224 $12,759 $6,315 $2,857,986 $1,414,568 2.50
CESAREAN SECTION W STERILIZATION 203 $32,831 $14,819 $6,664,692 $3,008,296 3.73
DIABETES 194 $15,716 $6,790 $3,048,936 $1,317,173 1.60
RESPIRATORY FAILURE 180 $32,452 $15,976 $5,841,292 $2,875,614 4.33
NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION 180 $38,530 $12,736 $6,935,411 $2,292,505 5.96
NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND 174 $75,546 $20,444 $13,145,072 $3,557,240 7.83
NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM 170 $16,622 $4,837 $2,825,675 $822,312 3.31
ASTHMA 135 $13,504 $7,363 $1,822,985 $994,007 1.80
NEONATE BIRTHWT >2499G W MAJOR ANOMALY 131 $63,329 $18,247 $8,296,092 $2,390,339 7.54
OTHER CHEMOTHERAPY 102 $30,893 $17,199 $3,151,120 $1,754,331 3.17
SICKLE CELL ANEMIA CRISIS 81 $26,423 $15,464 $2,140,293 $1,252,596 4.64
NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND 72 $128,032 $31,621 $9,218,283 $2,276,690 14.14
INTENTIONAL SELF-HARM & ATTEMPTED SUICIDE 71 $21,293 $9,851 $1,511,782 $699,424 2.34
TONSIL & ADENOID PROCEDURES 66 $15,753 $6,902 $1,039,666 $455,527 1.38
INFECTIONS OF UPPER RESPIRATORY TRACT 61 $12,473 $7,493 $760,827 $457,045 2.15
VAGINAL DELIVERY W O.R. PROCEDURE EXCEPT STERILIZATION &/OR D&C 61 $16,086 $8,538 $981,268 $520,802 2.57
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS 57 $30,806 $14,415 $1,755,914 $821,681 3.14
OTHER PNEUMONIA 56 $13,403 $8,834 $750,548 $494,688 2.73
MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS 55 $33,545 $23,787 $1,845,000 $1,308,278 7.76
OTHER DIGESTIVE SYSTEM DIAGNOSES 54 $26,714 $13,419 $1,442,548 $724,613 3.91
NEONATE BWT 1500-1999G W RESP DIST SYND/OTH MAJ RESP COND 50 $228,065 $56,159 $11,403,262 $2,807,952 26.04
OTHER GASTROENTERITIS, NAUSEA & VOMITING 46 $15,668 $9,806 $720,709 $451,075 2.50
POISONING OF MEDICINAL AGENTS 46 $16,640 $7,272 $765,452 $334,524 1.91
NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION 44 $99,469 $25,892 $4,376,630 $1,139,268 12.50
MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL 44 $27,287 $14,414 $1,200,641 $634,215 3.91
KIDNEY & URINARY TRACT INFECTIONS 44 $13,928 $8,931 $612,849 $392,964 2.39
OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES 43 $30,664 $18,922 $1,318,551 $813,667 5.37
OPEN CRANIOTOMY EXCEPT TRAUMA 40 $101,254 $38,044 $4,050,155 $1,521,759 6.93
OTHER DISORDERS OF NERVOUS SYSTEM 40 $73,028 $39,497 $2,921,122 $1,579,874 6.10
ALTERATION IN CONSCIOUSNESS 38 $10,577 $7,452 $401,935 $283,160 2.47
MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS 38 $20,362 $11,782 $773,738 $447,734 2.87
VIRAL ILLNESS 37 $24,291 $13,225 $898,769 $489,315 2.95
SPINAL PROCEDURES 36 $40,641 $17,054 $1,463,073 $613,934 2.42
NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM 35 $402,131 $102,521 $14,074,573 $3,588,222 44.91
NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION 35 $49,391 $17,451 $1,728,689 $610,769 7.66
OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS 34 $14,930 $7,559 $507,628 $257,013 2.00
VENTRICULAR SHUNT PROCEDURES 31 $45,387 $19,716 $1,406,985 $611,209 2.84
CHEMOTHERAPY FOR ACUTE LEUKEMIA 31 $24,462 $13,235 $758,307 $410,291 4.39
CELLULITIS & OTHER SKIN INFECTIONS 30 $14,301 $9,112 $429,025 $273,352 2.57
OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES 30 $25,923 $11,144 $777,703 $334,326 2.27
CLEFT LIP & PALATE REPAIR 27 $28,934 $11,192 $781,212 $302,191 1.63
NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM 26 $641,617 $164,553 $16,682,048 $4,278,380 65.85
HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS 25 $13,677 $9,062 $341,915 $226,540 2.32
NEONATE BWT 2000-2499G W MAJOR ANOMALY 25 $114,300 $31,604 $2,857,495 $790,107 13.20
OTHER INFECTIOUS & PARASITIC DISEASES 24 $44,386 $27,445 $1,065,272 $658,669 7.54
NEONATE BIRTHWT 1500-1999G W MAJOR ANOMALY 24 $215,555 $60,770 $5,173,319 $1,458,477 24.54
NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION 24 $48,743 $16,378 $1,169,841 $393,069 6.46
NEONATE BIRTHWT >2499G W OTHER MAJOR PROCEDURE 24 $573,546 $164,239 $13,765,109 $3,941,745 47.63
FEVER & INFLAMMATORY CONDITIONS 24 $12,137 $7,080 $291,284 $169,917 2.08
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS 23 $261,126 $131,834 $6,005,906 $3,032,175 28.13
OTHER SIGNIFICANT HIP & FEMUR SURGERY 23 $45,517 $19,032 $1,046,888 $437,735 2.87
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS 22 $85,705 $45,675 $1,885,516 $1,004,857 11.59
KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY 22 $49,853 $21,650 $1,096,775 $476,297 4.64
BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD 22 $44,977 $19,872 $989,485 $437,187 6.82
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES 22 $17,711 $9,303 $389,644 $204,669 2.86
VAGINAL DELIVERY W STERILIZATION &/OR D&C 21 $24,932 $10,915 $523,568 $229,220 2.43
HIP & FEMUR FRACTURE REPAIR 21 $28,956 $12,242 $608,070 $257,085 2.00
DISORDERS OF PANCREAS EXCEPT MALIGNANCY 21 $45,242 $22,265 $950,087 $467,566 6.19
SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS 21 $11,496 $6,822 $241,420 $143,268 1.76
MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS 21 $18,762 $12,001 $394,008 $252,020 3.33
CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA 21 $9,471 $4,737 $198,892 $99,483 1.19
OTHER RESPIRATORY & CHEST PROCEDURES 20 $46,224 $19,923 $924,472 $398,465 3.70
HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE 20 $23,014 $10,867 $460,280 $217,337 2.85
OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES 20 $16,258 $9,057 $325,153 $181,138 2.40
NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE 20 $781,538 $200,184 $15,630,758 $4,003,685 81.75
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES 19 $26,625 $18,443 $505,873 $350,426 6.00
ACUTE LEUKEMIA 18 $245,214 $124,195 $4,413,853 $2,235,517 27.17
MAJOR SMALL BOWEL PROCEDURES 18 $68,640 $37,862 $1,235,522 $681,521 10.22
INTESTINAL OBSTRUCTION 18 $15,484 $9,098 $278,715 $163,771 2.06
INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE 17 $126,445 $60,447 $2,149,558 $1,027,592 13.82
NEONATE BWT < 500G, OR BWT 500-999G & GESTATIONAL AGE <24 WKS, OR BWT 500-749G W MAJOR ANOMALY OR W/O LIFE SUSTAINING IN 17 $663,114 $174,178 $11,272,931 $2,961,025 53.18
MAJOR CRANIAL/FACIAL BONE PROCEDURES 16 $110,185 $42,060 $1,762,956 $672,952 3.44
OTHER ESOPHAGEAL DISORDERS 16 $13,486 $9,048 $215,774 $144,764 2.50
EATING DISORDERS 15 $42,470 $31,199 $637,046 $467,980 10.80
KNEE & LOWER LEG PROCEDURES EXCEPT FOOT 15 $40,660 $16,109 $609,903 $241,630 2.00
CHOLECYSTECTOMY 15 $43,684 $20,144 $655,259 $302,156 3.73
INFLAMMATORY BOWEL DISEASE 15 $33,980 $17,197 $509,705 $257,951 4.33
MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 14 $103,810 $51,883 $1,453,345 $726,356 6.79
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS 14 $21,488 $8,057 $300,832 $112,798 1.86
OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES 13 $24,283 $11,697 $315,675 $152,065 2.92
SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT 13 $45,359 $18,603 $589,663 $241,836 4.00
CONNECTIVE TISSUE DISORDERS 13 $29,486 $14,327 $383,318 $186,247 3.77
ACUTE ANXIETY & DELIRIUM STATES 13 $21,994 $15,251 $285,922 $198,265 5.08
NEONATE BWT 1500-2499G W MAJOR PROCEDURE 13 $738,873 $205,011 $9,605,354 $2,665,140 69.54
OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES 12 $52,799 $21,035 $633,586 $252,414 3.83
NEONATE BWT <1500G W MAJOR PROCEDURE 12 $1,800,677 $499,276 $21,608,121 $5,991,313 102.17
ACUTE KIDNEY INJURY 12 $66,048 $33,986 $792,574 $407,828 8.25
COAGULATION & PLATELET DISORDERS 11 $35,193 $18,081 $387,127 $198,892 2.36
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES 11 $47,854 $21,543 $526,395 $236,970 3.82
MAJOR LARGE BOWEL PROCEDURES 11 $65,669 $28,272 $722,361 $310,992 5.27
NEONATE BIRTHWT 500-749G W/O MAJOR PROCEDURE 11 $996,972 $272,475 $10,966,694 $2,997,225 84.18
UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA 11 $47,474 $17,543 $522,215 $192,976 2.27
OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS 10 $17,856 $10,193 $178,564 $101,925 3.20
MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE 10 $32,951 $14,018 $329,506 $140,176 3.80
UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA 10 $35,123 $13,314 $351,232 $133,141 1.80
EYE INFECTIONS & OTHER EYE DISORDERS 9 $20,083 $11,568 $180,744 $104,108 3.00
OTHER AFTERCARE & CONVALESCENCE 9 $30,555 $20,060 $274,995 $180,543 6.56
MAJOR SKIN DISORDERS 9 $14,989 $9,126 $134,902 $82,131 2.78
OTHER COMPLICATIONS OF TREATMENT 9 $18,428 $7,144 $165,851 $64,299 2.11
NEPHRITIS & NEPHROSIS 9 $24,911 $15,281 $224,201 $137,529 4.33
NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION 8 $248,671 $65,882 $1,989,369 $527,053 29.75
DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK 8 $171,348 $69,176 $1,370,787 $553,408 5.50
NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS 8 $91,722 $44,684 $733,774 $357,473 10.00
OTHER DISORDERS OF THE LIVER 8 $130,547 $65,878 $1,044,377 $527,021 6.88
NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 8 $75,856 $46,603 $606,845 $372,821 14.00
RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES 7 $26,880 $15,639 $188,158 $109,471 4.00
DISORDERS OF GALLBLADDER & BILIARY TRACT 7 $24,810 $14,964 $173,668 $104,745 4.43
OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES 7 $23,081 $16,248 $161,567 $113,736 4.29
SYNCOPE & COLLAPSE 6 $18,251 $9,049 $109,505 $54,294 2.17
PERITONEAL ADHESIOLYSIS 6 $124,449 $60,421 $746,695 $362,524 14.33
MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC 6 $29,745 $17,713 $178,469 $106,279 5.00
NON-HYPOVOLEMIC SODIUM DISORDERS 6 $24,410 $14,657 $146,458 $87,940 4.17
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS 6 $26,499 $11,211 $158,995 $67,264 2.17
ANTEPARTUM W O.R. PROCEDURE 6 $16,623 $8,611 $99,735 $51,663 2.50
OTHER ENDOCRINE DISORDERS 6 $40,151 $23,394 $240,906 $140,365 6.00
PEPTIC ULCER & GASTRITIS 6 $23,129 $11,151 $138,773 $66,908 2.67
CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE 6 $20,064 $9,553 $120,384 $57,317 2.83
AUTOLOGOUS BONE MARROW TRANSPLANT OR T-CELL IMMUNOTHERAPY 6 $254,228 $132,079 $1,525,367 $792,476 30.83
HYPERTENSION 6 $31,554 $13,784 $189,325 $82,701 3.67
POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE 6 $133,731 $53,944 $802,384 $323,662 9.67
OTHER SMALL & LARGE BOWEL PROCEDURES 6 $45,566 $22,004 $273,395 $132,025 6.33
FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK 6 $13,387 $6,463 $80,320 $38,776 1.50
FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES 6 $113,167 $44,539 $679,003 $267,231 4.83
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES 6 $43,796 $16,670 $262,773 $100,017 1.83
EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 6 $140,047 $59,815 $840,283 $358,889 11.33
OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES 5 $92,622 $43,148 $463,112 $215,742 7.20
OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS 5 $6,506 $3,630 $32,530 $18,152 1.60
MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE 5 $19,527 $9,454 $97,633 $47,269 2.20
KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY 5 $111,545 $41,674 $557,724 $208,370 6.20
MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE 5 $26,856 $13,921 $134,282 $69,604 3.60
ABDOMINAL PAIN 5 $32,898 $19,479 $164,491 $97,397 3.00
INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES 5 $24,769 $10,215 $123,843 $51,073 2.00
EXTENSIVE 3RD DEGREE BURNS W/O SKIN GRAFT 5 $9,587 $5,370 $47,935 $26,848 1.80
OTHER OPEN CRANIOTOMY 5 $66,909 $27,771 $334,543 $138,856 4.00
CYSTIC FIBROSIS - PULMONARY DISEASE 4 $30,915 $20,091 $123,660 $80,363 5.25
EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 4 $94,121 $43,339 $376,482 $173,355 9.00
HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS 4 $13,951 $8,353 $55,803 $33,412 2.25
PERCUTANEOUS INTRA & EXTRACRANIAL VASCULAR PROCEDURES 4 $49,490 $22,996 $197,958 $91,985 2.00
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS 4 $18,909 $9,470 $75,634 $37,879 2.00
TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE 4 $880,029 $363,641 $3,520,115 $1,454,564 77.00
ALLERGIC REACTIONS 4 $11,732 $5,862 $46,926 $23,449 1.75
MAJOR RESPIRATORY & CHEST PROCEDURES 4 $33,997 $12,568 $135,988 $50,273 1.25
OPEN CRANIOTOMY FOR TRAUMA 4 $104,844 $43,531 $419,375 $174,122 8.25
PERIPHERAL & OTHER VASCULAR DISORDERS 4 $61,242 $25,869 $244,968 $103,475 6.50
TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES 4 $55,770 $23,700 $223,079 $94,799 4.50
PARTIAL THICKNESS BURNS W/O SKIN GRAFT 4 $19,831 $11,081 $79,322 $44,324 2.00
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY 3 $19,922 $13,229 $59,765 $39,688 3.67
UNGROUPABLE 3 $304,673 $72,809 $914,020 $218,426 31.00
BURNS W SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS 3 $74,345 $35,393 $223,035 $106,180 6.33
OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS 3 $171,172 $64,744 $513,517 $194,231 20.67
CARDIOMYOPATHY 3 $37,154 $20,407 $111,463 $61,222 5.33
HEART FAILURE 3 $43,464 $24,249 $130,392 $72,746 6.67
KIDNEY & URINARY TRACT MALIGNANCY 3 $68,401 $35,658 $205,204 $106,973 8.67
NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE 3 $15,796 $3,961 $47,388 $11,883 1.33
PROCEDURES FOR OBESITY 3 $39,956 $15,116 $119,868 $45,348 1.67
CARDIAC STRUCTURAL & VALVULAR DISORDERS 3 $511,330 $229,123 $1,533,989 $687,370 46.67
MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES 3 $100,968 $48,151 $302,904 $144,452 10.33
FRACTURE OF FEMUR 3 $9,714 $6,074 $29,142 $18,222 1.67
OTHER CIRCULATORY SYSTEM DIAGNOSES 3 $254,731 $95,994 $764,192 $287,981 16.00
MAJOR BLADDER PROCEDURES 3 $36,980 $13,186 $110,939 $39,557 3.00
THYROID DISORDERS 3 $9,985 $6,300 $29,955 $18,899 2.33
MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 3 $140,607 $67,772 $421,822 $203,315 16.67
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS 3 $38,799 $16,464 $116,396 $49,391 3.33
ORGANIC MENTAL HEALTH DISTURBANCES 3 $37,415 $19,467 $112,245 $58,402 5.67
PULMONARY EMBOLISM 3 $41,361 $20,464 $124,082 $61,392 1.67
ALLOGENEIC BONE MARROW TRANSPLANT 3 $242,697 $140,577 $728,090 $421,730 27.33
CARDIAC ARREST & SHOCK 3 $141,151 $53,326 $423,453 $159,978 10.33
MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG 3 $26,648 $12,636 $79,943 $37,907 8.33
PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS 3 $19,491 $8,622 $58,472 $25,866 2.00
CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP 3 $80,980 $29,739 $242,940 $89,216 3.00
OTHER MENTAL HEALTH DISORDERS 3 $16,348 $11,437 $49,044 $34,311 3.67
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM 2 $187,580 $90,161 $375,159 $180,322 19.50
ACUTE & SUBACUTE ENDOCARDITIS 2 $28,269 $14,889 $56,538 $29,777 4.00
MAJOR CHEST & RESPIRATORY TRAUMA 2 $23,237 $10,967 $46,473 $21,934 3.00
OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES 2 $50,096 $19,464 $100,191 $38,927 3.50
ADRENAL PROCEDURES 2 $120,587 $51,278 $241,173 $102,556 9.00
RESPIRATORY MALIGNANCY 2 $26,368 $8,409 $52,736 $16,817 1.00
OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES 2 $597,597 $226,188 $1,195,193 $452,376 22.00
NEONATE BWT 2000-2499G W CONGENITAL/PERINATAL INFECTION 2 $12,337 $4,652 $24,673 $9,304 1.50
NEONATAL AFTERCARE 2 $24,548 $9,073 $49,095 $18,145 3.50
OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE 2 $47,797 $20,292 $95,594 $40,584 3.50
LOWER EXTREMITY ARTERIAL PROCEDURES 2 $192,331 $104,149 $384,662 $208,297 26.50
MIGRAINE & OTHER HEADACHES 2 $27,534 $13,758 $55,067 $27,516 4.00
OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS 2 $29,107 $10,724 $58,214 $21,448 1.50
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL 2 $24,954 $10,354 $49,907 $20,708 4.00
OTHER PERIPHERAL VASCULAR PROCEDURES 2 $160,345 $82,809 $320,690 $165,617 19.50
NERVOUS SYSTEM MALIGNANCY 2 $26,926 $13,149 $53,851 $26,298 3.00
OTHER DRUG ABUSE & DEPENDENCE 2 $23,064 $18,336 $46,127 $36,671 6.00
ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES 2 $15,703 $6,141 $31,406 $12,282 1.50
ORBIT & EYE PROCEDURES 2 $28,222 $11,691 $56,444 $23,382 1.50
CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA 2 $212,209 $85,918 $424,418 $171,836 19.00
OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES 2 $27,780 $16,343 $55,560 $32,686 2.00
ANAL PROCEDURES 2 $25,587 $10,603 $51,174 $21,206 1.50
MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES 2 $40,977 $14,547 $81,953 $29,093 2.50
MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA 2 $86,828 $32,640 $173,655 $65,279 5.50
FEMALE REPRODUCTIVE SYSTEM INFECTIONS 2 $14,872 $7,764 $29,743 $15,528 2.50
SCHIZOPHRENIA 2 $20,196 $15,331 $40,391 $30,661 11.00
DENTAL DISEASES & DISORDERS 2 $9,513 $3,609 $19,026 $7,217 1.00
LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA 2 $112,166 $57,950 $224,332 $115,899 12.50
INTRACRANIAL HEMORRHAGE 2 $60,533 $21,897 $121,066 $43,793 7.50
PENIS, TESTES & SCROTAL PROCEDURES 1 $28,154 $10,198 $28,154 $10,198 1.00
HIV W MAJOR HIV RELATED CONDITION 1 $40,006 $28,102 $40,006 $28,102 10.00
SPLENECTOMY 1 $163,786 $61,913 $163,786 $61,913 7.00
RENAL DIALYSIS ACCESS DEVICE PROCEDURES & VESSEL REPAIR 1 $31,949 $19,739 $31,949 $19,739 6.00
OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS 1 $39,695 $15,133 $39,695 $15,133 5.00
TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE 1 $596,120 $234,914 $596,120 $234,914 52.00
NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 1 $39,260 $14,545 $39,260 $14,545 2.00
CHRONIC OBSTRUCTIVE PULMONARY DISEASE 1 $58,137 $42,942 $58,137 $42,942 13.00
PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE 1 $24,268 $8,924 $24,268 $8,924 1.00
URETHRAL & TRANSURETHRAL PROCEDURES 1 $19,659 $7,836 $19,659 $7,836 1.00
URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION 1 $29,671 $12,146 $29,671 $12,146 2.00
LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR 1 $10,603 $6,257 $10,603 $6,257 2.00
SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES 1 $35,742 $19,020 $35,742 $19,020 5.00
OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES 1 $32,580 $12,162 $32,580 $12,162 1.00
GASTRIC FUNDOPLICATION 1 $47,957 $19,917 $47,957 $19,917 3.00
NEONATE BIRTHWT 1500-1999G W CONGENITAL/PERINATAL INFECTION 1 $486,361 $108,066 $486,361 $108,066 56.00
FRACTURE OF PELVIS OR DISLOCATION OF HIP 1 $10,503 $5,255 $10,503 $5,255 2.00
ACUTE BRONCHITIS & RELATED SYMPTOMS 1 $10,609 $6,214 $10,609 $6,214 2.00
MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS 1 $197,668 $96,615 $197,668 $96,615 18.00
NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION 1 $422,346 $136,758 $422,346 $136,758 51.00
HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION 1 $9,377 $4,880 $9,377 $4,880 1.00
MAJOR MALE PELVIC PROCEDURES 1 $53,102 $15,979 $53,102 $15,979 2.00
SHOULDER & ELBOW JOINT REPLACEMENT 1 $118,366 $46,045 $118,366 $46,045 4.00
MAJOR BILIARY TRACT PROCEDURES 1 $12,146 $7,575 $12,146 $7,575 2.00
INBORN ERRORS OF METABOLISM 1 $17,988 $8,658 $17,988 $8,658 2.00
ANOXIC & OTHER SEVERE BRAIN DAMAGE 1 $61,746 $22,066 $61,746 $22,066 3.00
AMPUTATION OF LOWER LIMB EXCEPT TOES 1 $64,219 $31,311 $64,219 $31,311 6.00
VIRAL MENINGITIS 1 $11,480 $7,357 $11,480 $7,357 2.00
FOOT & TOE PROCEDURES 1 $35,155 $15,075 $35,155 $15,075 3.00
DIGESTIVE MALIGNANCY 1 $70,488 $38,915 $70,488 $38,915 11.00
DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER 1 $10,026 $6,808 $10,026 $6,808 2.00
MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE 1 $38,514 $14,949 $38,514 $14,949 3.00
DEFIBRILLATOR IMPLANTS 1 $438,753 $164,402 $438,753 $164,402 20.00
OTHER NERVOUS SYSTEM & RELATED PROCEDURES 1 $69,230 $32,723 $69,230 $32,723 6.00
CHEST PAIN 1 $16,802 $5,259 $16,802 $5,259 1.00
MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES 1 $14,061 $6,499 $14,061 $6,499 1.00
DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK 1 $53,724 $19,307 $53,724 $19,307 1.00
NEONATE W ECMO 1 $2,771,038 $1,075,172 $2,771,038 $1,075,172 120.00