Roswell Park Cancer Institute

2021 Age Distribution

2021 Patient Race:

White3,915
Other Race758
Black/African American330

2021 Payers:

Medicare 1,469
Managed Care, Unspecified 1,110
Blue Cross/Blue Shield 1,583
Private Health Insurance 729
Medicaid 111
Self-Pay 1

Conditions treated in 2021

Click on a column header to sort ascending or descending.
DRG Count Avg. Charge Avg. Cost Sum all Charges Sum all Costs Avg. LOS
OTHER CHEMOTHERAPY 477 $37,654 $8,298 $17,960,900 $3,958,019 5.07
OTHER RESPIRATORY AND CHEST PROCEDURES 298 $67,332 $19,801 $20,064,821 $5,900,648 3.76
MAJOR RESPIRATORY AND CHEST PROCEDURES 218 $102,617 $31,415 $22,370,398 $6,848,396 4.40
MAJOR LARGE BOWEL PROCEDURES 181 $72,172 $24,579 $13,063,154 $4,448,869 4.63
MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION 154 $176,666 $38,248 $27,206,500 $5,890,148 11.97
LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA 133 $188,763 $37,728 $25,105,466 $5,017,855 13.39
MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES 121 $88,231 $30,782 $10,675,982 $3,724,646 6.39
OTHER PNEUMONIA 120 $93,645 $22,186 $11,237,409 $2,662,358 9.15
AUTOLOGOUS BONE MARROW TRANSPLANT OR T-CELL IMMUNOTHERAPY 110 $356,628 $92,226 $39,229,033 $10,144,853 22.35
OPEN CRANIOTOMY EXCEPT TRAUMA 100 $77,640 $24,163 $7,764,039 $2,416,257 4.50
INTESTINAL OBSTRUCTION 94 $40,815 $10,575 $3,836,570 $994,017 6.40
MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES 91 $132,777 $40,626 $12,082,710 $3,696,951 6.78
ACUTE LEUKEMIA 85 $315,204 $74,877 $26,792,365 $6,364,562 31.60
MAJOR SMALL BOWEL PROCEDURES 79 $83,041 $25,993 $6,560,263 $2,053,485 7.99
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES 79 $43,195 $14,354 $3,412,376 $1,133,952 4.51
MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS 79 $159,743 $33,817 $12,619,695 $2,671,564 12.58
NERVOUS SYSTEM MALIGNANCY 79 $50,120 $12,759 $3,959,473 $1,007,960 7.37
KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY 78 $54,668 $18,822 $4,264,138 $1,468,087 2.54
SEPTICEMIA AND DISSEMINATED INFECTIONS 76 $162,529 $37,644 $12,352,197 $2,860,935 13.05
ACUTE KIDNEY INJURY 73 $53,315 $13,814 $3,891,979 $1,008,387 7.32
CHEMOTHERAPY FOR ACUTE LEUKEMIA 72 $208,728 $45,900 $15,028,419 $3,304,817 18.89
ALLOGENEIC BONE MARROW TRANSPLANT 64 $616,103 $155,414 $39,430,573 $9,946,473 40.59
RESPIRATORY MALIGNANCY 62 $78,016 $18,823 $4,837,000 $1,167,007 7.87
SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS 58 $43,862 $10,732 $2,543,980 $622,445 6.64
DISORDERS OF GALLBLADDER AND BILIARY TRACT 55 $48,410 $13,917 $2,662,547 $765,437 6.76
OTHER DIGESTIVE SYSTEM DIAGNOSES 54 $48,054 $13,212 $2,594,889 $713,438 6.96
UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY 54 $47,648 $16,537 $2,572,987 $892,987 3.83
FEVER AND INFLAMMATORY CONDITIONS 51 $38,791 $10,106 $1,978,328 $515,429 4.22
MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS 50 $138,846 $39,711 $6,942,302 $1,985,551 9.54
KIDNEY AND URINARY TRACT INFECTIONS 49 $58,178 $15,885 $2,850,702 $778,376 7.59
MAJOR BLADDER PROCEDURES 47 $128,791 $41,317 $6,053,177 $1,941,881 6.96
KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY 46 $47,869 $16,291 $2,201,962 $749,396 3.54
CELLULITIS AND OTHER SKIN INFECTIONS 45 $53,532 $12,242 $2,408,935 $550,895 6.82
MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS 44 $39,487 $10,427 $1,737,409 $458,809 6.00
MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY 41 $46,493 $12,498 $1,906,227 $512,415 6.83
OTHER GASTROENTERITIS, NAUSEA AND VOMITING 41 $41,415 $10,940 $1,698,010 $448,544 6.46
OTHER MAJOR HEAD AND NECK PROCEDURES 40 $106,332 $35,133 $4,253,295 $1,405,324 7.70
NON-HYPOVOLEMIC SODIUM DISORDERS 38 $41,596 $11,969 $1,580,637 $454,827 6.18
OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS 37 $103,347 $29,565 $3,823,824 $1,093,887 9.70
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 36 $110,516 $32,437 $3,978,586 $1,167,718 8.31
DIGESTIVE MALIGNANCY 35 $51,587 $14,564 $1,805,529 $509,734 6.20
UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA 33 $31,074 $10,970 $1,025,454 $362,012 2.61
OTHER INFECTIOUS AND PARASITIC DISEASES 30 $63,904 $15,676 $1,917,123 $470,273 6.70
CHRONIC OBSTRUCTIVE PULMONARY DISEASE 30 $63,438 $17,091 $1,903,149 $512,737 4.63
LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR 29 $57,527 $15,028 $1,668,286 $435,805 6.93
MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS 29 $41,798 $11,953 $1,212,129 $346,642 6.52
RESPIRATORY FAILURE 28 $126,604 $28,613 $3,544,916 $801,168 10.46
MAJOR CRANIAL OR FACIAL BONE PROCEDURES 27 $180,137 $58,084 $4,863,709 $1,568,255 10.67
OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS 25 $31,085 $8,780 $777,124 $219,497 3.40
DISORDERS OF PANCREAS EXCEPT MALIGNANCY 25 $60,788 $14,755 $1,519,705 $368,883 6.56
OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE 25 $49,689 $14,810 $1,242,234 $370,240 6.52
OTHER CIRCULATORY SYSTEM DIAGNOSES 25 $50,346 $14,033 $1,258,639 $350,817 5.92
PULMONARY EMBOLISM 24 $62,775 $14,618 $1,506,590 $350,828 7.33
COAGULATION AND PLATELET DISORDERS 24 $161,356 $30,061 $3,872,543 $721,475 11.83
MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 23 $205,680 $45,616 $4,730,640 $1,049,169 14.48
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS 22 $484,414 $107,228 $10,657,109 $2,359,015 27.68
OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES 22 $99,170 $29,089 $2,181,740 $639,953 11.14
OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES 22 $95,027 $29,154 $2,090,594 $641,395 6.59
PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES 21 $48,254 $16,812 $1,013,342 $353,059 3.48
EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES 21 $58,181 $14,430 $1,221,794 $303,036 8.19
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS 20 $53,092 $12,334 $1,061,845 $246,673 6.05
UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY 20 $73,369 $23,631 $1,467,376 $472,624 8.80
OTHER DISORDERS OF THE LIVER 19 $54,090 $13,135 $1,027,710 $249,572 6.16
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL 19 $64,525 $20,170 $1,225,977 $383,227 5.47
ADRENAL PROCEDURES 17 $65,845 $21,759 $1,119,358 $369,905 2.59
OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS 17 $37,198 $10,215 $632,370 $173,650 5.47
BREAST PROCEDURES EXCEPT MASTECTOMY 16 $78,602 $28,006 $1,257,625 $448,095 4.31
OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS 16 $26,938 $8,087 $431,008 $129,396 5.00
OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES 15 $77,142 $18,816 $1,157,133 $282,244 8.60
MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS 15 $40,634 $10,746 $609,516 $161,184 7.27
UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA 15 $30,238 $11,235 $453,567 $168,532 2.60
THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES 15 $78,488 $24,050 $1,177,324 $360,749 5.20
HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS 14 $46,485 $13,902 $650,788 $194,627 6.36
TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES 14 $70,114 $22,182 $981,591 $310,546 5.07
URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION 14 $36,117 $9,009 $505,638 $126,121 3.36
SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES 14 $92,638 $32,194 $1,296,937 $450,711 4.14
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS 13 $88,688 $22,783 $1,152,940 $296,176 7.85
OTHER DISORDERS OF NERVOUS SYSTEM 12 $116,283 $30,104 $1,395,398 $361,242 13.00
HEART FAILURE 12 $60,102 $20,065 $721,221 $240,774 8.42
CHRONIC KIDNEY DISEASE 12 $75,706 $21,998 $908,476 $263,976 11.67
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS 12 $35,299 $9,569 $423,590 $114,824 5.17
PERIPHERAL AND OTHER VASCULAR DISORDERS 12 $50,185 $11,906 $602,218 $142,866 5.17
HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS 12 $30,172 $8,197 $362,058 $98,361 5.33
PERITONEAL ADHESIOLYSIS 11 $76,158 $23,994 $837,735 $263,938 5.91
OTHER ESOPHAGEAL DISORDERS 11 $76,178 $21,099 $837,957 $232,088 9.18
OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES 10 $49,130 $15,519 $491,299 $155,192 4.40
ALTERATION IN CONSCIOUSNESS 10 $94,839 $21,951 $948,386 $219,510 9.70
CHOLECYSTECTOMY 10 $56,816 $18,445 $568,161 $184,454 7.50
MAJOR BILIARY TRACT PROCEDURES 9 $54,359 $18,487 $489,231 $166,381 5.89
NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 9 $154,885 $41,039 $1,393,961 $369,352 14.33
RADIOTHERAPY 9 $50,948 $12,617 $458,531 $113,557 8.11
DIVERTICULITIS AND DIVERTICULOSIS 9 $28,586 $7,956 $257,271 $71,606 5.11
OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS 9 $51,040 $16,096 $459,359 $144,867 2.67
DIABETES 9 $59,937 $16,073 $539,431 $144,659 9.44
OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES 8 $216,251 $56,521 $1,730,005 $452,171 22.38
RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES 8 $45,672 $11,740 $365,377 $93,918 4.88
CERVICAL SPINAL FUSION AND OTHER BACK OR NECK PROCEDURES EXCEPT DISC EXCISION OR DECOMPRESSION 8 $92,076 $25,887 $736,610 $207,096 8.75
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES 8 $82,724 $25,202 $661,792 $201,617 8.25
INTRACRANIAL HEMORRHAGE 7 $83,688 $19,099 $585,816 $133,692 8.14
INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE 7 $129,626 $33,067 $907,381 $231,471 12.29
KIDNEY AND URINARY TRACT MALIGNANCY 7 $33,846 $9,992 $236,920 $69,945 4.71
ACUTE BRONCHITIS AND RELATED SYMPTOMS 7 $39,121 $10,045 $273,848 $70,314 3.57
OTHER AFTERCARE AND CONVALESCENCE 7 $28,113 $9,139 $196,788 $63,970 4.14
CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION 7 $113,243 $25,590 $792,698 $179,128 13.86
OTHER ENDOCRINE DISORDERS 7 $34,732 $9,512 $243,124 $66,583 4.29
OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES 7 $61,615 $19,468 $431,306 $136,279 4.29
OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS 6 $98,226 $24,181 $589,357 $145,084 13.33
OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES 6 $53,114 $18,551 $318,682 $111,304 4.67
TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE 6 $620,565 $141,788 $3,723,390 $850,725 49.83
SPINAL DISORDERS AND INJURIES 6 $33,794 $8,905 $202,763 $53,431 6.00
OTHER COMPLICATIONS OF TREATMENT 6 $37,771 $11,493 $226,625 $68,955 5.17
MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE 6 $58,884 $17,213 $353,303 $103,280 8.50
HYPERTENSION 5 $29,280 $8,141 $146,402 $40,706 3.20
ABDOMINAL PAIN 5 $26,463 $6,788 $132,313 $33,939 4.60
OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES 5 $78,021 $21,538 $390,103 $107,691 15.20
NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS 5 $167,557 $47,169 $837,787 $235,843 19.60
OTHER PERIPHERAL VASCULAR PROCEDURES 5 $148,157 $40,578 $740,786 $202,891 7.20
VIRAL ILLNESS 5 $236,375 $49,644 $1,181,877 $248,221 12.60
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES 5 $70,730 $20,589 $353,650 $102,943 5.00
OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES 5 $89,034 $24,614 $445,168 $123,069 7.60
POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE 5 $65,742 $18,634 $328,712 $93,169 5.20
URETHRAL AND TRANSURETHRAL PROCEDURES 4 $34,379 $11,385 $137,514 $45,539 4.00
SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT 4 $49,778 $16,408 $199,113 $65,633 7.00
UNGROUPABLE 4 $45,627 $15,036 $182,506 $60,144 4.00
TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE 4 $808,616 $199,467 $3,234,463 $797,868 49.50
CHEST PAIN 4 $24,288 $6,310 $97,152 $25,240 3.25
OTHER CIRCULATORY SYSTEM PROCEDURES 4 $78,790 $22,319 $315,161 $89,274 5.75
PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS 4 $196,179 $46,796 $784,714 $187,183 15.00
SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES 4 $102,238 $37,462 $408,950 $149,846 7.50
MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 4 $42,342 $14,076 $169,366 $56,303 4.50
OTHER BLADDER PROCEDURES 4 $73,870 $25,598 $295,478 $102,390 2.75
MAJOR SKIN DISORDERS 4 $54,961 $17,903 $219,843 $71,610 5.50
EYE INFECTIONS AND OTHER EYE DISORDERS 4 $80,900 $20,725 $323,599 $82,901 12.25
MASTECTOMY PROCEDURES 4 $79,927 $30,278 $319,708 $121,110 4.75
OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS 3 $27,061 $9,447 $81,182 $28,340 1.33
FEMALE REPRODUCTIVE SYSTEM INFECTIONS 3 $30,238 $9,041 $90,714 $27,122 4.67
INTERVERTEBRAL DISC EXCISION AND DECOMPRESSION 3 $47,861 $15,547 $143,583 $46,641 3.33
INFECTIONS OF UPPER RESPIRATORY TRACT 3 $31,734 $7,698 $95,203 $23,095 4.00
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY 3 $118,122 $34,413 $354,365 $103,238 10.00
CONNECTIVE TISSUE DISORDERS 3 $62,186 $16,997 $186,558 $50,991 8.33
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY 3 $43,685 $10,198 $131,056 $30,594 5.67
INFLAMMATORY BOWEL DISEASE 3 $16,032 $4,361 $48,095 $13,084 2.67
MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE 3 $40,690 $10,131 $122,069 $30,394 6.33
SPINAL PROCEDURES 3 $107,354 $30,250 $322,062 $90,750 10.67
OTHER SMALL AND LARGE BOWEL PROCEDURES 3 $52,478 $15,892 $157,433 $47,677 5.33
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS 3 $55,733 $16,217 $167,198 $48,651 9.67
SYNCOPE AND COLLAPSE 3 $25,067 $7,122 $75,201 $21,365 3.67
OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES 3 $116,038 $35,867 $348,115 $107,602 10.00
INTERSTITIAL AND ALVEOLAR LUNG DISEASES 3 $44,791 $14,435 $134,373 $43,306 2.67
OTHER NERVOUS SYSTEM AND RELATED PROCEDURES 3 $224,554 $59,386 $673,662 $178,158 15.67
OTHER SIGNIFICANT HIP AND FEMUR SURGERY 2 $29,792 $10,500 $59,583 $20,999 1.00
SPLENECTOMY 2 $56,525 $18,697 $113,050 $37,394 3.50
TONSIL AND ADENOID PROCEDURES 2 $45,607 $14,257 $91,213 $28,513 5.50
EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 2 $27,728 $9,532 $55,455 $19,064 2.00
OTHER OPEN CRANIOTOMY 2 $103,836 $32,314 $207,671 $64,628 9.00
MAJOR ESOPHAGEAL DISORDERS 2 $79,085 $21,388 $158,170 $42,776 10.00
HIP AND FEMUR FRACTURE REPAIR 2 $152,241 $35,653 $304,482 $71,306 15.00
POISONING OF MEDICINAL AGENTS 2 $24,565 $7,212 $49,130 $14,424 3.00
MALIGNANT BREAST DISORDERS 2 $35,850 $8,128 $71,700 $16,256 5.00
SEIZURE 2 $33,625 $9,233 $67,249 $18,465 5.00
PEPTIC ULCER AND GASTRITIS 2 $185,543 $43,486 $371,086 $86,971 14.50
THYROID DISORDERS 2 $45,807 $12,607 $91,614 $25,213 7.00
GASTROINTESTINAL VASCULAR INSUFFICIENCY 2 $27,086 $10,568 $54,172 $21,135 3.50
HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS 2 $140,944 $34,272 $281,887 $68,543 17.50
OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES 2 $191,741 $53,977 $383,481 $107,954 13.50
MALIGNANCY, MALE REPRODUCTIVE SYSTEM 1 $39,167 $11,099 $39,167 $11,099 2.00
ACUTE AND SUBACUTE ENDOCARDITIS 1 $19,039 $5,272 $19,039 $5,272 3.00
HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION 1 $21,304 $7,709 $21,304 $7,709 1.00
ANAL PROCEDURES 1 $24,703 $8,606 $24,703 $8,606 3.00
PENIS, TESTES AND SCROTAL PROCEDURES 1 $54,983 $18,065 $54,983 $18,065 5.00
MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS 1 $31,327 $7,727 $31,327 $7,727 4.00
INBORN ERRORS OF METABOLISM 1 $56,335 $15,135 $56,335 $15,135 12.00
KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT 1 $17,631 $6,936 $17,631 $6,936 1.00
MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES 1 $33,331 $9,739 $33,331 $9,739 6.00
ACUTE ANXIETY AND DELIRIUM STATES 1 $21,284 $4,689 $21,284 $4,689 3.00
GASTRIC FUNDOPLICATION 1 $29,905 $10,801 $29,905 $10,801 1.00
SKIN ULCERS 1 $58,170 $16,691 $58,170 $16,691 10.00
PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES 1 $43,561 $12,666 $43,561 $12,666 5.00
FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES 1 $202,707 $67,266 $202,707 $67,266 15.00
VERTIGO AND OTHER LABYRINTH DISORDERS 1 $65,546 $15,591 $65,546 $15,591 10.00
CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA 1 $29,935 $9,490 $29,935 $9,490 6.00
MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE 1 $46,728 $10,338 $46,728 $10,338 6.00
CARDIAC ARREST AND SHOCK 1 $36,639 $15,070 $36,639 $15,070 2.00
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES 1 $18,139 $7,225 $18,139 $7,225 1.00
DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES 1 $20,890 $5,439 $20,890 $5,439 1.00
BRONCHIOLITIS AND RSV PNEUMONIA 1 $512,782 $119,675 $512,782 $119,675 30.00
HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE 1 $70,919 $21,839 $70,919 $21,839 7.00
MIGRAINE AND OTHER HEADACHES 1 $21,034 $5,391 $21,034 $5,391 4.00
MAJOR MALE PELVIC PROCEDURES 1 $63,541 $21,310 $63,541 $21,310 3.00