Roswell Park Cancer Institute

2019 Age Distribution

2019 Patient Race:

White4,513
Other Race401
Black/African American368

2019 Payers:

Blue Cross/Blue Shield 1,564
Managed Care, Unspecified 1,336
Medicare 1,554
Private Health Insurance 707
Medicaid 102
Self-Pay 5
Federal/State/Local/VA 14

Conditions treated in 2019

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DRG Count Avg. Charge Avg. Cost Sum all Charges Sum all Costs Avg. LOS
OTHER CHEMOTHERAPY 558 $29,702 $11,307 $16,573,577 $6,309,246 4.10
OTHER RESPIRATORY & CHEST PROCEDURES 287 $58,967 $18,911 $16,923,652 $5,427,425 3.11
MAJOR RESPIRATORY & CHEST PROCEDURES 247 $98,055 $31,059 $24,219,693 $7,671,588 4.56
MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL 246 $140,519 $52,020 $34,567,665 $12,796,841 10.76
MAJOR LARGE BOWEL PROCEDURES 171 $70,771 $25,076 $12,101,853 $4,287,951 5.06
OTHER PNEUMONIA 156 $83,966 $27,124 $13,098,719 $4,231,277 8.30
LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA 145 $266,328 $95,864 $38,617,563 $13,900,239 16.27
MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES 119 $116,456 $38,814 $13,858,240 $4,618,902 7.00
ACUTE LEUKEMIA 116 $328,762 $115,405 $38,136,372 $13,386,974 26.14
CRANIOTOMY EXCEPT FOR TRAUMA 103 $68,431 $23,658 $7,048,365 $2,436,750 4.08
MAJOR PANCREAS, LIVER & SHUNT PROCEDURES 102 $79,858 $28,944 $8,145,488 $2,952,336 6.61
KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY 98 $54,719 $19,245 $5,362,417 $1,885,984 2.82
SEPTICEMIA & DISSEMINATED INFECTIONS 97 $120,706 $40,316 $11,708,488 $3,910,617 11.45
AUTOLOGOUS BONE MARROW TRANSPLANT 84 $267,768 $98,763 $22,492,482 $8,296,110 19.71
MAJOR SMALL BOWEL PROCEDURES 82 $72,705 $25,813 $5,961,833 $2,116,660 6.72
INTESTINAL OBSTRUCTION 80 $33,388 $11,201 $2,671,077 $896,071 6.30
NERVOUS SYSTEM MALIGNANCY 72 $44,009 $12,943 $3,168,631 $931,865 7.15
ACUTE KIDNEY INJURY 70 $38,916 $12,603 $2,724,108 $882,217 6.00
RESPIRATORY MALIGNANCY 69 $53,601 $16,659 $3,698,435 $1,149,438 5.99
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES 66 $46,828 $15,174 $3,090,665 $1,001,490 4.44
MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG 64 $57,259 $16,638 $3,664,549 $1,064,815 7.94
SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS 63 $33,165 $10,439 $2,089,421 $657,663 5.78
MAJOR BLADDER PROCEDURES 61 $120,277 $41,278 $7,336,874 $2,517,955 7.61
CELLULITIS & OTHER SKIN INFECTIONS 57 $57,627 $20,609 $3,284,752 $1,174,740 7.07
ALLOGENEIC BONE MARROW TRANSPLANT 57 $637,671 $235,324 $36,347,219 $13,413,469 42.05
MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS 56 $176,470 $61,886 $9,882,328 $3,465,590 11.11
CHEMOTHERAPY FOR ACUTE LEUKEMIA 55 $182,022 $65,754 $10,011,198 $3,616,468 16.31
OTHER DIGESTIVE SYSTEM DIAGNOSES 51 $57,863 $19,725 $2,951,003 $1,005,970 6.80
RESPIRATORY FAILURE 50 $58,294 $17,282 $2,914,715 $864,090 6.20
OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS 48 $84,403 $29,556 $4,051,353 $1,418,665 7.63
UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY 48 $36,377 $13,677 $1,746,093 $656,516 3.29
MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS 45 $42,005 $13,686 $1,890,212 $615,887 6.67
EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 45 $117,984 $39,136 $5,309,280 $1,761,100 7.24
DIGESTIVE MALIGNANCY 44 $46,129 $15,137 $2,029,656 $666,026 6.39
KIDNEY & URINARY TRACT INFECTIONS 44 $29,625 $10,071 $1,303,482 $443,114 4.52
LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR 41 $82,707 $28,075 $3,390,978 $1,151,062 8.66
MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS 41 $88,198 $28,141 $3,616,104 $1,153,797 8.78
UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA 41 $22,906 $8,968 $939,151 $367,708 2.46
DISORDERS OF GALLBLADDER & BILIARY TRACT 41 $38,414 $13,079 $1,574,964 $536,247 6.15
HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS 36 $36,967 $11,807 $1,330,802 $425,038 7.06
OTHER MAJOR HEAD & NECK PROCEDURES 36 $91,563 $32,558 $3,296,265 $1,172,089 7.53
OTHER GASTROENTERITIS, NAUSEA & VOMITING 35 $33,669 $11,393 $1,178,398 $398,739 5.11
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS 34 $39,532 $12,762 $1,344,086 $433,893 5.15
MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS 33 $40,363 $13,167 $1,331,969 $434,508 5.94
FEVER 33 $35,503 $11,803 $1,171,599 $389,506 4.48
OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES 32 $61,404 $21,418 $1,964,915 $685,366 5.06
THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES 27 $49,437 $18,552 $1,334,797 $500,896 3.85
OTHER INFECTIOUS & PARASITIC DISEASES 26 $133,524 $50,740 $3,471,617 $1,319,236 10.73
PULMONARY EMBOLISM 25 $106,505 $34,450 $2,662,626 $861,243 10.68
EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES 24 $35,928 $11,581 $862,278 $277,948 4.88
OTHER CIRCULATORY SYSTEM DIAGNOSES 24 $50,591 $16,894 $1,214,182 $405,466 5.54
DISORDERS OF PANCREAS EXCEPT MALIGNANCY 22 $61,910 $21,346 $1,362,017 $469,606 8.23
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS 21 $42,896 $14,629 $900,814 $307,199 7.33
UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG 20 $37,140 $13,856 $742,790 $277,115 2.65
MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 20 $100,510 $34,566 $2,010,209 $691,322 9.70
OTHER COMPLICATIONS OF TREATMENT 20 $42,810 $13,790 $856,201 $275,795 6.40
PERIPHERAL & OTHER VASCULAR DISORDERS 19 $67,016 $22,317 $1,273,295 $424,028 8.00
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL 19 $57,700 $20,499 $1,096,303 $389,487 3.47
ALTERATION IN CONSCIOUSNESS 19 $185,816 $67,692 $3,530,508 $1,286,147 17.84
TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES 19 $49,870 $18,583 $947,528 $353,076 4.11
MAJOR CRANIAL/FACIAL BONE PROCEDURES 19 $193,437 $64,346 $3,675,311 $1,222,573 16.63
OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS 18 $33,723 $10,255 $607,015 $184,596 4.39
SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES 18 $75,217 $28,008 $1,353,914 $504,136 5.39
TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE 18 $720,926 $236,289 $12,976,659 $4,253,202 52.17
KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY 18 $47,359 $16,652 $852,469 $299,733 4.22
PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS 18 $33,866 $12,887 $609,584 $231,962 2.94
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY 17 $155,905 $56,688 $2,650,390 $963,699 11.12
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS 17 $38,024 $12,699 $646,400 $215,883 5.35
ADRENAL PROCEDURES 16 $45,154 $16,401 $722,456 $262,409 2.19
HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS 16 $45,752 $15,335 $732,028 $245,366 7.38
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS 16 $260,250 $81,203 $4,163,992 $1,299,251 19.06
NON-HYPOVOLEMIC SODIUM DISORDERS 15 $47,774 $15,186 $716,616 $227,795 6.80
OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES 15 $54,302 $18,397 $814,532 $275,962 6.40
KIDNEY & URINARY TRACT MALIGNANCY 15 $38,800 $12,842 $582,006 $192,625 7.60
UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA 15 $26,664 $10,421 $399,961 $156,318 2.87
MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE 14 $36,041 $11,785 $504,572 $164,988 5.93
OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES 14 $29,800 $9,992 $417,197 $139,891 4.21
OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE 14 $46,587 $15,344 $652,219 $214,817 5.43
SYNCOPE & COLLAPSE 13 $57,089 $19,804 $742,152 $257,453 5.38
BREAST PROCEDURES EXCEPT MASTECTOMY 13 $83,209 $30,486 $1,081,714 $396,323 4.38
CHRONIC OBSTRUCTIVE PULMONARY DISEASE 12 $41,095 $11,400 $493,142 $136,799 3.33
MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS 11 $50,673 $15,348 $557,407 $168,823 8.55
URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION 11 $18,785 $6,115 $206,635 $67,269 3.18
COAGULATION & PLATELET DISORDERS 11 $108,732 $37,616 $1,196,054 $413,776 9.27
INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE 11 $83,115 $27,154 $914,265 $298,689 8.27
INFECTIONS OF UPPER RESPIRATORY TRACT 11 $59,713 $19,094 $656,846 $210,030 7.18
VIRAL ILLNESS 10 $276,734 $104,972 $2,767,344 $1,049,721 14.70
OTHER DISORDERS OF THE LIVER 10 $30,897 $9,961 $308,966 $99,605 4.40
OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES 10 $40,984 $14,581 $409,842 $145,813 2.60
MASTECTOMY PROCEDURES 10 $84,432 $31,878 $844,324 $318,783 4.20
CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP 10 $78,635 $25,585 $786,354 $255,852 5.60
DIABETES 9 $30,471 $9,941 $274,240 $89,472 4.22
OTHER SIGNIFICANT HIP & FEMUR SURGERY 9 $61,003 $19,496 $549,029 $175,468 4.67
OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS 9 $22,949 $7,837 $206,537 $70,533 3.67
POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE 9 $51,764 $17,575 $465,872 $158,176 6.11
OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES 9 $35,823 $13,036 $322,404 $117,323 2.44
TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE 9 $799,020 $243,133 $7,191,176 $2,188,195 59.00
RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES 9 $43,248 $14,557 $389,236 $131,011 4.56
CHOLECYSTECTOMY 8 $47,183 $17,426 $377,464 $139,405 4.00
SPINAL PROCEDURES 8 $72,313 $23,778 $578,500 $190,223 5.38
OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES 8 $66,667 $23,846 $533,333 $190,765 6.50
RADIOTHERAPY 8 $92,576 $26,721 $740,604 $213,767 11.63
DIVERTICULITIS & DIVERTICULOSIS 8 $165,248 $53,813 $1,321,982 $430,500 14.25
PERITONEAL ADHESIOLYSIS 8 $61,059 $21,745 $488,472 $173,958 6.38
OTHER SMALL & LARGE BOWEL PROCEDURES 8 $143,567 $47,605 $1,148,538 $380,842 11.13
BRONCHIOLITIS & RSV PNEUMONIA 8 $116,767 $44,215 $934,133 $353,720 5.13
OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS 8 $44,961 $16,328 $359,688 $130,624 2.25
SPLENECTOMY 8 $90,397 $32,847 $723,173 $262,773 6.38
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES 8 $49,429 $17,491 $395,430 $139,927 3.75
MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC 8 $43,770 $15,333 $350,161 $122,663 5.38
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES 7 $55,470 $17,338 $388,287 $121,366 4.57
NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 7 $83,779 $28,342 $586,453 $198,397 6.43
OTHER DISORDERS OF NERVOUS SYSTEM 7 $72,630 $27,868 $508,411 $195,079 4.86
OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES 7 $46,894 $15,060 $328,256 $105,423 4.29
OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES 6 $28,014 $8,424 $168,083 $50,544 5.83
OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES 6 $97,132 $31,095 $582,793 $186,571 5.83
PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE 6 $70,280 $23,677 $421,678 $142,062 3.33
ACUTE BRONCHITIS AND RELATED SYMPTOMS 6 $31,143 $8,593 $186,857 $51,557 4.33
MAJOR BILIARY TRACT PROCEDURES 6 $60,652 $23,556 $363,912 $141,333 6.17
HEART FAILURE 6 $38,411 $12,448 $230,465 $74,686 5.50
SEIZURE 6 $49,109 $17,111 $294,652 $102,665 5.33
OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS 6 $19,737 $7,087 $118,420 $42,521 3.33
OTHER AFTERCARE & CONVALESCENCE 5 $19,810 $6,916 $99,048 $34,582 2.80
MALIGNANT BREAST DISORDERS 5 $71,836 $27,079 $359,179 $135,394 12.00
OTHER ESOPHAGEAL DISORDERS 5 $35,893 $10,535 $179,464 $52,674 3.20
FEMALE REPRODUCTIVE SYSTEM INFECTIONS 4 $18,780 $6,251 $75,121 $25,003 4.00
OTHER CIRCULATORY SYSTEM PROCEDURES 4 $94,380 $30,928 $377,521 $123,712 5.25
CHRONIC KIDNEY DISEASE 4 $92,664 $32,066 $370,655 $128,262 13.25
SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES 4 $84,191 $31,354 $336,763 $125,415 6.50
MAJOR ESOPHAGEAL DISORDERS 4 $43,967 $14,098 $175,868 $56,391 4.00
HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION 4 $30,049 $10,387 $120,197 $41,546 4.00
ABDOMINAL PAIN 4 $14,127 $4,355 $56,509 $17,419 3.00
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS 4 $22,050 $6,992 $88,200 $27,969 3.00
SPINAL DISORDERS & INJURIES 3 $32,461 $8,281 $97,383 $24,843 4.00
URETHRAL & TRANSURETHRAL PROCEDURES 3 $42,043 $15,482 $126,128 $46,447 5.33
INTERVERTEBRAL DISC EXCISION & DECOMPRESSION 3 $115,177 $37,670 $345,532 $113,009 8.00
NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS 3 $224,049 $78,686 $672,148 $236,058 16.33
PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS 3 $27,205 $8,238 $81,616 $24,715 5.33
EYE INFECTIONS AND OTHER EYE DISORDERS 3 $11,630 $2,897 $34,890 $8,691 1.33
PEPTIC ULCER & GASTRITIS 3 $67,235 $22,037 $201,705 $66,110 5.33
GASTROINTESTINAL VASCULAR INSUFFICIENCY 3 $36,985 $12,132 $110,955 $36,397 2.67
KNEE & LOWER LEG PROCEDURES EXCEPT FOOT 3 $64,361 $24,219 $193,083 $72,658 10.00
INTERSTITIAL & ALVEOLAR LUNG DISEASES 3 $26,527 $7,243 $79,580 $21,729 3.00
OTHER ENDOCRINE DISORDERS 3 $16,673 $5,412 $50,020 $16,237 3.33
INTRACRANIAL HEMORRHAGE 3 $73,293 $22,254 $219,878 $66,762 8.33
OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS 3 $18,970 $5,805 $56,909 $17,416 3.67
SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT 3 $69,890 $24,641 $209,671 $73,922 9.00
DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK 3 $102,392 $34,641 $307,175 $103,922 5.67
MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 2 $48,614 $17,855 $97,227 $35,710 9.50
MAJOR MALE PELVIC PROCEDURES 2 $42,026 $15,494 $84,051 $30,988 3.00
CARDIAC ARREST & SHOCK 2 $20,061 $6,609 $40,122 $13,218 1.00
CRANIOTOMY FOR TRAUMA 2 $115,592 $36,969 $231,183 $73,937 8.00
INFLAMMATORY BOWEL DISEASE 2 $22,042 $6,398 $44,084 $12,796 4.50
ACUTE ANXIETY & DELIRIUM STATES 2 $19,427 $6,455 $38,854 $12,910 4.00
POISONING OF MEDICINAL AGENTS 2 $40,393 $14,781 $80,785 $29,561 3.50
SHOULDER & ELBOW JOINT REPLACEMENT 2 $90,932 $30,325 $181,864 $60,649 3.00
GASTRIC FUNDOPLICATION 2 $82,084 $25,812 $164,167 $51,623 4.50
CONNECTIVE TISSUE DISORDERS 2 $56,722 $20,782 $113,444 $41,564 8.50
MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE 2 $48,866 $17,643 $97,731 $35,286 7.50
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS 2 $15,692 $3,811 $31,384 $7,621 2.50
OTHER BLADDER PROCEDURES 2 $83,903 $30,921 $167,806 $61,841 8.00
HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS 2 $82,537 $28,208 $165,074 $56,416 6.00
MALIGNANCY, MALE REPRODUCTIVE SYSTEM 2 $11,668 $3,823 $23,335 $7,645 2.00
HIV W MAJOR HIV RELATED CONDITION 1 $55,077 $15,593 $55,077 $15,593 6.00
OTHER PERIPHERAL VASCULAR PROCEDURES 1 $64,027 $16,991 $64,027 $16,991 2.00
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES 1 $18,590 $4,369 $18,590 $4,369 2.00
EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 1 $131,662 $41,856 $131,662 $41,856 6.00
VENTRICULAR SHUNT PROCEDURES 1 $60,392 $17,327 $60,392 $17,327 2.00
FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK 1 $17,387 $5,439 $17,387 $5,439 4.00
OTHER NERVOUS SYSTEM & RELATED PROCEDURES 1 $46,921 $17,613 $46,921 $17,613 2.00
HYPERTENSION 1 $28,422 $8,220 $28,422 $8,220 2.00
OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES 1 $70,715 $26,898 $70,715 $26,898 9.00
CVA & PRECEREBRAL OCCLUSION W INFARCT 1 $29,833 $8,869 $29,833 $8,869 7.00
HIP & FEMUR FRACTURE REPAIR 1 $72,082 $24,246 $72,082 $24,246 9.00
TRANSIENT ISCHEMIA 1 $79,991 $26,977 $79,991 $26,977 10.00
NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 1 $36,214 $13,380 $36,214 $13,380 7.00
VERTIGO & OTHER LABYRINTH DISORDERS 1 $76,950 $21,073 $76,950 $21,073 14.00
OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES 1 $99,153 $29,934 $99,153 $29,934 5.00
DENTAL DISEASES AND DISORDERS 1 $21,334 $6,843 $21,334 $6,843 4.00
REHABILITATION 1 $31,110 $10,870 $31,110 $10,870 10.00
ALLERGIC REACTIONS 1 $15,442 $4,469 $15,442 $4,469 1.00
PENIS, TESTES & SCROTAL PROCEDURES 1 $22,844 $9,427 $22,844 $9,427 2.00
MIGRAINE & OTHER HEADACHES 1 $28,613 $9,768 $28,613 $9,768 6.00
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES 1 $9,343 $3,760 $9,343 $3,760 1.00
OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL & METABOLIC DISORDERS 1 $45,106 $17,578 $45,106 $17,578 3.00
AMPUTATION OF LOWER LIMB EXCEPT TOES 1 $104,672 $41,351 $104,672 $41,351 12.00
NEPHRITIS & NEPHROSIS 1 $31,785 $11,358 $31,785 $11,358 6.00
HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE 1 $145,406 $46,888 $145,406 $46,888 21.00