Neonate birthwt >2499g, normal newborn or neonate w other problem |
2840 |
$4,116 |
$1,620 |
$11,688,042 |
$4,600,211 |
2.40 |
Vaginal delivery |
2166 |
$7,859 |
$3,663 |
$17,022,487 |
$7,934,120 |
2.43 |
Cesarean delivery |
1047 |
$12,248 |
$5,562 |
$12,823,554 |
$5,823,751 |
3.94 |
Septicemia & disseminated infections |
532 |
$34,113 |
$12,866 |
$18,148,162 |
$6,844,483 |
6.80 |
Chronic obstructive pulmonary disease |
354 |
$19,832 |
$7,617 |
$7,020,527 |
$2,696,262 |
4.11 |
Heart failure |
342 |
$23,481 |
$9,482 |
$8,030,365 |
$3,242,900 |
5.39 |
Dorsal & lumbar fusion proc except for curvature of back |
299 |
$41,455 |
$22,523 |
$12,394,968 |
$6,734,238 |
3.54 |
Lower extremity arterial procedures |
295 |
$48,620 |
$22,160 |
$14,343,038 |
$6,537,210 |
6.87 |
Knee joint replacement |
199 |
$29,021 |
$15,517 |
$5,775,116 |
$3,087,910 |
2.93 |
Neonate birthwt >2499g w other significant condition |
168 |
$29,295 |
$6,900 |
$4,921,507 |
$1,159,190 |
7.60 |
Other antepartum diagnoses |
165 |
$9,379 |
$3,951 |
$1,547,605 |
$651,920 |
2.68 |
Diabetes |
163 |
$18,118 |
$6,729 |
$2,953,315 |
$1,096,746 |
3.75 |
Acute Kidney Injury |
146 |
$21,629 |
$9,077 |
$3,157,800 |
$1,325,250 |
5.30 |
Hip joint replacement |
145 |
$29,132 |
$15,202 |
$4,224,191 |
$2,204,310 |
3.05 |
Mastectomy procedures |
130 |
$24,807 |
$13,349 |
$3,224,900 |
$1,735,322 |
1.04 |
Major small & large bowel procedures |
129 |
$47,698 |
$20,007 |
$6,153,047 |
$2,580,949 |
8.24 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
129 |
$8,489 |
$3,963 |
$1,095,028 |
$511,241 |
2.64 |
Cellulitis & other skin infections |
123 |
$13,205 |
$5,875 |
$1,624,163 |
$722,609 |
3.47 |
Cardiac arrhythmia & conduction disorders |
120 |
$15,562 |
$6,179 |
$1,867,415 |
$741,493 |
3.42 |
Extracranial vascular procedures |
119 |
$21,846 |
$9,495 |
$2,599,721 |
$1,129,952 |
2.72 |
Procedures for obesity |
118 |
$16,625 |
$8,747 |
$1,961,697 |
$1,032,093 |
1.58 |
Other pneumonia |
117 |
$18,959 |
$7,626 |
$2,218,202 |
$892,281 |
4.31 |
Asthma |
116 |
$13,514 |
$5,200 |
$1,567,596 |
$603,209 |
2.78 |
Neonate bwt 2000-2499g, normal newborn or neonate w other problem |
112 |
$16,890 |
$4,252 |
$1,891,692 |
$476,178 |
5.25 |
Kidney & urinary tract infections |
99 |
$15,876 |
$6,816 |
$1,571,745 |
$674,757 |
4.07 |
Other back & neck disorders, fractures & injuries |
98 |
$14,617 |
$6,003 |
$1,432,444 |
$588,304 |
3.36 |
Peripheral & other vascular disorders |
95 |
$21,670 |
$8,922 |
$2,058,658 |
$847,572 |
4.20 |
Diverticulitis & diverticulosis |
92 |
$18,883 |
$7,552 |
$1,737,225 |
$694,779 |
4.23 |
Cervical spinal fusion & other back/neck proc exc disc excis/decomp |
91 |
$29,674 |
$15,347 |
$2,700,379 |
$1,396,578 |
2.68 |
Other gastroenteritis, nausa & vomiting |
88 |
$11,959 |
$5,107 |
$1,052,427 |
$449,374 |
2.76 |
Other & unspecified gastrointestinal hemorrhage |
87 |
$26,092 |
$10,057 |
$2,270,009 |
$874,975 |
5.11 |
Infectious & parasitic diseases including HIV w O.R. procedure |
83 |
$82,012 |
$32,477 |
$6,806,968 |
$2,695,575 |
14.96 |
Other peripheral vascular procedures |
80 |
$63,229 |
$32,397 |
$5,058,357 |
$2,591,776 |
3.94 |
Other digestive system diagnoses |
78 |
$18,860 |
$7,652 |
$1,471,081 |
$596,876 |
4.09 |
Respiratory Failure |
77 |
$34,851 |
$11,664 |
$2,683,540 |
$898,108 |
6.06 |
Uterine & adnexa procedures for non-malignancy except leiomyoma |
77 |
$19,846 |
$9,072 |
$1,528,105 |
$698,522 |
2.26 |
Pulmonary embolism |
75 |
$19,863 |
$7,740 |
$1,489,743 |
$580,497 |
4.20 |
Peptic ulcer & gastritis |
75 |
$18,495 |
$7,178 |
$1,387,095 |
$538,384 |
3.28 |
Disorders of pancreas except malignancy |
75 |
$14,792 |
$6,035 |
$1,109,410 |
$452,641 |
3.80 |
Vaginal delivery w sterilization &/or D&C |
75 |
$9,431 |
$4,348 |
$707,299 |
$326,093 |
2.71 |
Other anemia & disorders of blood & blood-forming organs |
75 |
$16,514 |
$6,559 |
$1,238,566 |
$491,917 |
2.95 |
CVA & precerebral occlusion w infarct |
67 |
$24,947 |
$10,143 |
$1,671,464 |
$679,559 |
4.16 |
Syncope & collapse |
66 |
$15,148 |
$6,053 |
$999,791 |
$399,486 |
3.41 |
Uterine & adnexa procedures for leiomyoma |
64 |
$18,566 |
$8,463 |
$1,188,249 |
$541,620 |
2.78 |
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond |
64 |
$47,758 |
$10,923 |
$3,056,497 |
$699,077 |
8.86 |
Other musculoskeletal system & connective tissue diagnoses |
62 |
$14,423 |
$6,067 |
$894,208 |
$376,127 |
3.55 |
Major abdominal vascular procedures |
55 |
$67,791 |
$26,841 |
$3,728,483 |
$1,476,265 |
8.67 |
Hypertension |
55 |
$16,360 |
$6,349 |
$899,815 |
$349,197 |
2.69 |
Intestinal obstruction |
54 |
$16,774 |
$6,949 |
$905,801 |
$375,254 |
4.37 |
Peripheral, cranial & autonomic nerve disorders |
50 |
$16,345 |
$6,991 |
$817,261 |
$349,554 |
3.96 |
Seizure |
49 |
$21,249 |
$8,470 |
$1,041,189 |
$415,046 |
4.78 |
Electrolyte disorders except hypovolemia related |
47 |
$20,814 |
$8,127 |
$978,237 |
$381,951 |
4.62 |
Post-operative, post-traumatic, other device infections |
45 |
$20,141 |
$8,631 |
$906,356 |
$388,409 |
4.71 |
Postpartum & post abortion diagnoses w/o procedure |
43 |
$8,791 |
$3,541 |
$377,992 |
$152,268 |
2.37 |
Moderately extensive procedure unrelated to principal diagnosis |
43 |
$73,861 |
$30,278 |
$3,176,010 |
$1,301,959 |
11.53 |
Acute myocardial infarction |
42 |
$18,757 |
$7,115 |
$787,805 |
$298,850 |
3.31 |
Other esophageal disorders |
41 |
$16,624 |
$7,098 |
$681,603 |
$291,025 |
3.51 |
Preterm labor |
41 |
$8,138 |
$3,593 |
$333,673 |
$147,316 |
2.71 |
Neonate birthwt >2499g w major anomaly |
40 |
$26,741 |
$6,489 |
$1,069,654 |
$259,546 |
6.55 |
Neonate bwt 2000-2499g w other significant condition |
39 |
$76,613 |
$15,924 |
$2,987,891 |
$621,043 |
16.74 |
Transient ischemia |
38 |
$15,212 |
$5,926 |
$578,067 |
$225,176 |
2.34 |
Intervertebral disc excision & decompression |
38 |
$19,912 |
$9,238 |
$756,656 |
$351,053 |
3.24 |
Malfunction, reaction, complic of genitourinary device or proc |
38 |
$23,692 |
$9,935 |
$900,311 |
$377,534 |
5.42 |
Neonate bwt 1500-1999g w or w/o other significant condition |
38 |
$102,194 |
$21,570 |
$3,883,383 |
$819,655 |
23.66 |
Major respiratory infections & inflammations |
37 |
$27,871 |
$11,205 |
$1,031,218 |
$414,601 |
6.41 |
Hypovolemia & related electrolyte disorders |
37 |
$15,220 |
$6,030 |
$563,138 |
$223,103 |
3.65 |
Infections of upper respiratory tract |
36 |
$13,573 |
$5,534 |
$488,614 |
$199,225 |
3.00 |
Inflammatory bowel disease |
36 |
$24,730 |
$11,729 |
$890,280 |
$422,242 |
6.39 |
Disorders of gallbladder & biliary tract |
36 |
$18,485 |
$7,744 |
$665,473 |
$278,769 |
3.83 |
Sickle cell anemia crisis |
36 |
$13,198 |
$5,568 |
$475,116 |
$200,435 |
3.61 |
Other respiratory & chest procedures |
33 |
$55,420 |
$20,781 |
$1,828,861 |
$685,788 |
9.52 |
Post-op, post-trauma, other device infections w O.R. procedure |
33 |
$41,004 |
$17,782 |
$1,353,144 |
$586,802 |
8.00 |
Other circulatory system diagnoses |
32 |
$19,425 |
$8,254 |
$621,609 |
$264,128 |
4.28 |
Neonate bwt 1500-1999g w resp dist synd/oth maj resp cond |
32 |
$154,445 |
$33,659 |
$4,942,243 |
$1,077,098 |
32.31 |
Amputation of lower limb except toes |
31 |
$59,568 |
$26,623 |
$1,846,618 |
$825,320 |
12.42 |
Signs, symptoms & other factors influencing health status |
31 |
$13,975 |
$5,684 |
$433,237 |
$176,206 |
3.16 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
30 |
$27,544 |
$12,931 |
$826,332 |
$387,943 |
7.03 |
Other musculoskeletal system & connective tissue procedures |
29 |
$18,353 |
$8,007 |
$532,225 |
$232,204 |
2.86 |
Respiratory malignancy |
28 |
$24,516 |
$9,228 |
$686,435 |
$258,376 |
5.46 |
Laparoscopic cholecystectomy |
28 |
$20,892 |
$9,175 |
$584,971 |
$256,901 |
3.14 |
Alcoholic liver disease |
28 |
$30,250 |
$12,026 |
$846,993 |
$336,714 |
6.82 |
Other small & large bowel procedures |
27 |
$26,532 |
$10,980 |
$716,374 |
$296,447 |
4.37 |
Other endocrine disorders |
27 |
$22,467 |
$8,956 |
$606,602 |
$241,813 |
4.59 |
Chest pain |
26 |
$14,813 |
$6,217 |
$385,130 |
$161,647 |
2.54 |
Hernia procedures except inguinal, femoral & umbilical |
26 |
$29,663 |
$14,014 |
$771,234 |
$364,370 |
4.96 |
Angina pectoris & coronary atherosclerosis |
25 |
$14,391 |
$5,960 |
$359,763 |
$148,995 |
2.52 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
24 |
$14,777 |
$5,961 |
$354,647 |
$143,052 |
3.29 |
Perm cardiac pacemaker implant w/o AMI, heart failure or shock |
24 |
$37,755 |
$16,823 |
$906,120 |
$403,753 |
4.71 |
Urinary stones & acquired upper urinary tract obstruction |
24 |
$12,403 |
$5,613 |
$297,660 |
$134,716 |
2.25 |
Major respiratory & chest procedures |
23 |
$69,870 |
$25,659 |
$1,607,021 |
$590,163 |
10.22 |
Foot & toe procedures |
23 |
$44,498 |
$20,137 |
$1,023,461 |
$463,140 |
9.74 |
Other skin, subcutaneous tissue & related procedures |
23 |
$16,418 |
$7,517 |
$377,605 |
$172,881 |
4.22 |
Digestive malignancy |
22 |
$24,056 |
$9,730 |
$529,231 |
$214,063 |
5.73 |
Malignancy of hepatobiliary system & pancreas |
22 |
$22,180 |
$8,733 |
$487,958 |
$192,115 |
5.05 |
Female reproductive system malignancy |
22 |
$15,458 |
$7,198 |
$340,081 |
$158,364 |
4.00 |
Female reproductive system infections |
22 |
$11,713 |
$5,236 |
$257,676 |
$115,187 |
2.59 |
Other complications of treatment |
22 |
$19,209 |
$8,035 |
$422,604 |
$176,778 |
4.27 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
21 |
$10,445 |
$4,417 |
$219,348 |
$92,761 |
2.52 |
Respiratory signs, symptoms & minor diagnoses |
21 |
$11,541 |
$4,581 |
$242,364 |
$96,207 |
2.33 |
Major gastrointestinal & peritoneal infections |
21 |
$24,323 |
$10,617 |
$510,784 |
$222,966 |
6.81 |
Hepatic coma & other major acute liver disorders |
21 |
$25,450 |
$9,507 |
$534,452 |
$199,637 |
5.14 |
Chronic Kidney Disease |
21 |
$19,507 |
$9,017 |
$409,648 |
$189,354 |
4.62 |
Neonate, transferred < 5 days old, born here |
21 |
$9,159 |
$2,234 |
$192,335 |
$46,920 |
1.43 |
Other disorders of nervous system |
20 |
$14,974 |
$6,002 |
$299,476 |
$120,036 |
3.05 |
Hip and femur fracture repair |
20 |
$39,474 |
$17,860 |
$789,486 |
$357,207 |
6.70 |
Kidney & urinary tract procedures for nonmalignancy |
20 |
$29,145 |
$12,180 |
$582,897 |
$243,595 |
4.65 |
Urethral & transurethral procedures |
20 |
$21,015 |
$9,596 |
$420,305 |
$191,918 |
3.25 |
Transurethral prostatectomy |
20 |
$18,018 |
$7,859 |
$360,350 |
$157,186 |
4.00 |
Uterine & adnexa procedures for non-ovarian & non-adnexal malig |
20 |
$41,217 |
$17,057 |
$824,347 |
$341,131 |
4.45 |
Nonextensive procedure unrelated to principal diagnosis |
20 |
$36,528 |
$15,199 |
$730,560 |
$303,977 |
8.00 |
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms |
18 |
$32,550 |
$14,722 |
$585,898 |
$264,991 |
5.28 |
Procedure w diag of rehab, aftercare or oth contact w health service |
18 |
$39,058 |
$20,840 |
$703,039 |
$375,127 |
3.17 |
Gastrointestinal vascular insufficiency |
17 |
$16,010 |
$6,899 |
$272,171 |
$117,282 |
3.88 |
Abdominal pain |
17 |
$9,628 |
$4,195 |
$163,668 |
$71,311 |
2.18 |
Skin ulcers |
17 |
$24,510 |
$10,734 |
$416,675 |
$182,486 |
5.88 |
D&C, aspiration curettage or hysterotomy for obstetric diagnoses |
17 |
$15,723 |
$6,535 |
$267,285 |
$111,103 |
2.35 |
Neonate bwt 2000-2499g w resp dist synd/oth maj resp cond |
17 |
$95,195 |
$20,830 |
$1,618,312 |
$354,113 |
19.41 |
Extensive procedure unrelated to principal diagnosis |
17 |
$166,757 |
$67,392 |
$2,834,865 |
$1,145,668 |
27.65 |
Degenerative nervous system disorders exc mult sclerosis |
16 |
$39,289 |
$16,944 |
$628,620 |
$271,110 |
10.00 |
Other ear, nose, mouth & throat procedures |
16 |
$34,779 |
$13,743 |
$556,459 |
$219,886 |
5.31 |
Malfunction, reaction, complic of orthopedic device or procedure |
16 |
$21,260 |
$9,388 |
$340,153 |
$150,212 |
5.75 |
Neonate birthwt 750-999g w/o major procedure |
16 |
$424,553 |
$93,963 |
$6,792,840 |
$1,503,407 |
69.88 |
Craniotomy except for trauma |
15 |
$56,114 |
$25,178 |
$841,714 |
$377,664 |
7.00 |
Other kidney & urinary tract diagnoses, signs & symptoms |
15 |
$18,166 |
$7,846 |
$272,494 |
$117,696 |
4.20 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
15 |
$32,256 |
$18,295 |
$483,840 |
$274,423 |
5.40 |
Coagulation & platelet disorders |
15 |
$36,254 |
$24,601 |
$543,816 |
$369,018 |
5.60 |
Allergic reactions |
15 |
$15,974 |
$5,978 |
$239,617 |
$89,668 |
2.13 |
Vertigo & other labyrinth disorders |
14 |
$16,224 |
$6,271 |
$227,138 |
$87,787 |
2.71 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
14 |
$17,459 |
$7,646 |
$244,431 |
$107,038 |
3.14 |
Malfunction, reaction & complication of GI device or procedure |
14 |
$16,864 |
$7,346 |
$236,089 |
$102,843 |
4.79 |
Fracture of femur |
14 |
$14,894 |
$6,285 |
$208,522 |
$87,996 |
4.29 |
Fractures & dislocations except femur, pelvis & back |
14 |
$19,326 |
$8,077 |
$270,564 |
$113,082 |
5.21 |
Menstrual & other female reproductive system disorders |
14 |
$11,131 |
$4,630 |
$155,840 |
$64,824 |
1.79 |
Intracranial hemorrhage |
13 |
$17,519 |
$6,427 |
$227,745 |
$83,550 |
3.08 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
13 |
$22,622 |
$9,882 |
$294,083 |
$128,465 |
5.31 |
O.R. procedure for other complications of treatment |
13 |
$30,382 |
$13,189 |
$394,960 |
$171,459 |
6.38 |
Head trauma w coma >1 hr or hemorrhage |
12 |
$26,136 |
$9,222 |
$313,634 |
$110,664 |
5.17 |
Other circulatory system procedures |
12 |
$44,566 |
$18,694 |
$534,786 |
$224,332 |
8.58 |
Shoulder, upper arm & forearm procedures except joint replacement |
12 |
$28,647 |
$15,597 |
$343,760 |
$187,159 |
2.17 |
Other skin, subcutaneous tissue & breast disorders |
12 |
$12,334 |
$5,294 |
$148,009 |
$63,533 |
3.17 |
Neonate bwt 1250-1499g w resp dist synd/oth maj resp or maj anom |
12 |
$225,756 |
$48,443 |
$2,709,069 |
$581,314 |
45.58 |
Viral illness |
12 |
$11,154 |
$4,708 |
$133,851 |
$56,499 |
2.25 |
Interstitial & alveolar lung diseases |
11 |
$23,205 |
$8,574 |
$255,253 |
$94,315 |
4.82 |
Other disorders of the liver |
11 |
$13,477 |
$5,767 |
$148,243 |
$63,441 |
2.91 |
Shoulder & elbow joint replacement |
11 |
$27,971 |
$15,027 |
$307,683 |
$165,297 |
2.27 |
Connective tissue disorders |
11 |
$15,634 |
$8,237 |
$171,970 |
$90,604 |
3.27 |
Neonate birthwt 500-749g w/o major procedure |
11 |
$685,111 |
$153,743 |
$7,536,219 |
$1,691,170 |
93.55 |
Alcohol abuse & dependence |
11 |
$30,477 |
$9,244 |
$335,242 |
$101,679 |
5.27 |
Poisoning of medicinal agents |
11 |
$15,599 |
$6,139 |
$171,591 |
$67,533 |
4.00 |
Nontraumatic stupor & coma |
10 |
$31,633 |
$12,575 |
$316,331 |
$125,753 |
7.70 |
Appendectomy |
10 |
$16,986 |
$7,665 |
$169,860 |
$76,651 |
2.70 |
Neonate bwt 1250-1499g w or w/o other significant condition |
10 |
$147,370 |
$31,308 |
$1,473,696 |
$313,075 |
29.70 |
Neonate bwt 2000-2499g w major anomaly |
10 |
$83,432 |
$17,923 |
$834,322 |
$179,226 |
15.90 |
Lymphoma, myeloma & non-acute leukemia |
10 |
$24,307 |
$8,621 |
$243,067 |
$86,207 |
4.80 |
Ungroupable |
10 |
$142,599 |
$30,834 |
$1,425,992 |
$308,341 |
29.00 |
Ventricular shunt procedures |
9 |
$27,622 |
$14,457 |
$248,600 |
$130,116 |
3.44 |
Other stomach, esophageal & duodenal procedures |
9 |
$26,154 |
$11,442 |
$235,387 |
$102,974 |
5.67 |
Tendon, muscle & other soft tissue procedures |
9 |
$36,873 |
$16,409 |
$331,854 |
$147,679 |
9.22 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
9 |
$15,530 |
$6,669 |
$139,766 |
$60,018 |
3.89 |
Thyroid, parathyroid & thyroglossal procedures |
9 |
$36,410 |
$14,676 |
$327,690 |
$132,088 |
3.67 |
False labor |
9 |
$3,577 |
$1,527 |
$32,191 |
$13,741 |
1.00 |
Neonate bwt <500g or GA <24 weeks |
9 |
$280,276 |
$61,545 |
$2,522,483 |
$553,905 |
41.00 |
Neonate birthwt >2499g w congenital/perinatal infection |
9 |
$33,507 |
$7,079 |
$301,567 |
$63,712 |
8.00 |
Organic mental health disturbances |
9 |
$17,779 |
$7,441 |
$160,011 |
$66,969 |
5.44 |
Toxic effects of non-medicinal substances |
9 |
$13,848 |
$5,687 |
$124,628 |
$51,186 |
3.67 |
Migraine & other headaches |
8 |
$9,218 |
$3,701 |
$73,744 |
$29,607 |
1.88 |
Major cranial/facial bone procedures |
8 |
$44,051 |
$17,664 |
$352,409 |
$141,313 |
6.13 |
Tonsil & adenoid procedures |
8 |
$12,616 |
$5,420 |
$100,928 |
$43,361 |
2.13 |
Neonate bwt 1000-1249g w resp dist synd/oth maj resp or maj anom |
8 |
$293,596 |
$63,918 |
$2,348,767 |
$511,341 |
51.00 |
Neonate birthwt 1500-1999g w major anomaly |
8 |
$105,344 |
$23,313 |
$842,750 |
$186,502 |
23.50 |
Tracheostomy w MV 96+ hours w extensive procedure or ECMO |
7 |
$599,376 |
$181,436 |
$4,195,632 |
$1,270,051 |
64.86 |
Spinal procedures |
7 |
$41,664 |
$19,210 |
$291,651 |
$134,473 |
8.71 |
Nonspecific CVA & precerebral occlusion w/o infarct |
7 |
$33,502 |
$11,313 |
$234,515 |
$79,190 |
5.57 |
Eye disorders except major infections |
7 |
$15,177 |
$6,254 |
$106,238 |
$43,776 |
3.43 |
Dental & oral diseases & injuries |
7 |
$11,431 |
$5,026 |
$80,015 |
$35,179 |
2.71 |
Respiratory system diagnosis w ventilator support 96+ hours |
7 |
$160,356 |
$49,126 |
$1,122,495 |
$343,881 |
19.43 |
Cardiac catheterization for other non-coronary conditions |
7 |
$32,513 |
$13,011 |
$227,593 |
$91,075 |
7.57 |
Peritoneal adhesiolysis |
7 |
$32,143 |
$13,094 |
$224,999 |
$91,661 |
6.71 |
Major esophageal disorders |
7 |
$20,453 |
$7,507 |
$143,171 |
$52,551 |
3.29 |
Male reproductive system diagnoses except malignancy |
7 |
$13,286 |
$5,833 |
$93,001 |
$40,833 |
2.71 |
Uterine & adnexa procedures for ovarian & adnexal malignancy |
7 |
$35,905 |
$13,516 |
$251,337 |
$94,612 |
4.86 |
Female reproductive system reconstructive procedures |
7 |
$13,586 |
$6,873 |
$95,104 |
$48,114 |
1.00 |
Other O.R. proc for obstetric diagnoses except delivery diagnoses |
7 |
$10,570 |
$4,511 |
$73,989 |
$31,579 |
2.71 |
Multiple sclerosis & other demyelinating diseases |
6 |
$17,909 |
$7,530 |
$107,456 |
$45,181 |
3.67 |
Major stomach, esophageal & duodenal procedures |
6 |
$77,552 |
$26,547 |
$465,311 |
$159,283 |
11.50 |
Other digestive system & abdominal procedures |
6 |
$33,035 |
$12,129 |
$198,212 |
$72,772 |
5.50 |
Other hepatobiliary, pancreas & abdominal procedures |
6 |
$49,778 |
$20,620 |
$298,665 |
$123,718 |
10.50 |
Knee & lower leg procedures except foot |
6 |
$25,516 |
$12,033 |
$153,098 |
$72,199 |
4.50 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
6 |
$18,290 |
$7,418 |
$109,739 |
$44,510 |
4.67 |
Kidney & urinary tract malignancy |
6 |
$16,098 |
$7,575 |
$96,587 |
$45,448 |
3.50 |
Acute anxiety & delirium states |
6 |
$14,987 |
$6,294 |
$89,924 |
$37,763 |
3.33 |
HIV w multiple major HIV related conditions |
6 |
$40,510 |
$17,446 |
$243,058 |
$104,676 |
8.00 |
Other nervous system & related procedures |
5 |
$64,802 |
$21,577 |
$324,009 |
$107,884 |
8.40 |
Nervous system malignancy |
5 |
$25,516 |
$8,603 |
$127,581 |
$43,015 |
3.20 |
Skin graft for skin & subcutaneous tissue diagnoses |
5 |
$26,610 |
$11,422 |
$133,050 |
$57,112 |
5.00 |
Malignant breast disorders |
5 |
$42,551 |
$15,417 |
$212,753 |
$77,086 |
7.00 |
Malnutrition, failure to thrive & other nutritional disorders |
5 |
$16,086 |
$6,637 |
$80,430 |
$33,187 |
4.40 |
Other female reproductive system & related procedures |
5 |
$17,045 |
$7,535 |
$85,227 |
$37,675 |
2.60 |
Major larynx & trachea procedures |
4 |
$113,383 |
$44,254 |
$453,530 |
$177,016 |
23.50 |
Sinus & mastoid procedures |
4 |
$20,318 |
$9,182 |
$81,270 |
$36,726 |
2.25 |
Other cardiothoracic & thoracic vascular procedures |
4 |
$212,241 |
$69,188 |
$848,962 |
$276,751 |
21.75 |
Major biliary tract procedures |
4 |
$45,282 |
$20,556 |
$181,128 |
$82,225 |
7.75 |
Dorsal & lumbar fusion proc for curvature of back |
4 |
$83,858 |
$47,372 |
$335,432 |
$189,487 |
5.25 |
Pituitary & adrenal procedures |
4 |
$56,575 |
$23,405 |
$226,299 |
$93,618 |
8.50 |
Inborn errors of metabolism |
4 |
$12,999 |
$7,943 |
$51,994 |
$31,773 |
1.75 |
Dilation & curettage for non-obstetric diagnoses |
4 |
$13,594 |
$6,621 |
$54,374 |
$26,482 |
1.75 |
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms |
4 |
$26,987 |
$12,268 |
$107,946 |
$49,070 |
3.75 |
Other Chemotherapy |
4 |
$10,668 |
$6,991 |
$42,673 |
$27,963 |
2.75 |
HIV w one signif HIV cond or w/o signif related cond |
4 |
$13,189 |
$5,755 |
$52,755 |
$23,020 |
3.00 |
Craniotomy for trauma |
3 |
$127,413 |
$47,362 |
$382,239 |
$142,086 |
27.00 |
Viral meningitis |
3 |
$23,378 |
$10,385 |
$70,133 |
$31,155 |
6.67 |
Other major head & neck procedures |
3 |
$22,875 |
$10,312 |
$68,625 |
$30,935 |
4.00 |
Cardiac structural & valvular disorders |
3 |
$9,334 |
$3,955 |
$28,001 |
$11,866 |
1.67 |
Anal procedures |
3 |
$17,487 |
$7,523 |
$52,462 |
$22,568 |
4.67 |
Inguinal, femoral & umbilical hernia procedures |
3 |
$11,982 |
$5,234 |
$35,947 |
$15,702 |
1.67 |
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses |
3 |
$114,110 |
$53,604 |
$342,331 |
$160,812 |
35.33 |
Fracture of pelvis or dislocation of hip |
3 |
$12,421 |
$5,036 |
$37,263 |
$15,109 |
3.33 |
Breast procedures except mastectomy |
3 |
$11,781 |
$5,162 |
$35,342 |
$15,487 |
1.33 |
Major skin disorders |
3 |
$54,511 |
$24,773 |
$163,532 |
$74,319 |
14.33 |
Other procedures for endocrine, nutritional & metabolic disorders |
3 |
$69,988 |
$30,097 |
$209,965 |
$90,292 |
13.67 |
Adjustment disorders & neuroses except depressive diagnoses |
3 |
$19,500 |
$7,870 |
$58,499 |
$23,611 |
3.67 |
HIV w major HIV related condition |
3 |
$20,403 |
$8,956 |
$61,210 |
$26,869 |
5.33 |
Tracheostomy w MV 96+ hours w/o extensive procedure |
2 |
$430,571 |
$135,111 |
$861,142 |
$270,221 |
76.00 |
Bacterial & tuberculous infections of nervous system |
2 |
$15,748 |
$5,866 |
$31,495 |
$11,731 |
2.00 |
Non-bacterial infections of nervous system exc viral meningitis |
2 |
$28,857 |
$12,446 |
$57,714 |
$24,892 |
7.00 |
Ear, nose, mouth, throat, cranial/facial malignancies |
2 |
$39,726 |
$16,554 |
$79,451 |
$33,108 |
8.00 |
Permanent cardiac pacemaker implant w AMI, heart failure or shock |
2 |
$38,959 |
$16,271 |
$77,917 |
$32,542 |
5.50 |
Acute & subacute endocarditis |
2 |
$28,961 |
$13,568 |
$57,921 |
$27,135 |
6.00 |
Cardiac arrest and shock |
2 |
$72,831 |
$25,157 |
$145,662 |
$50,314 |
11.50 |
Major male pelvic procedures |
2 |
$15,346 |
$7,023 |
$30,692 |
$14,046 |
1.50 |
Penis procedures |
2 |
$14,882 |
$6,583 |
$29,764 |
$13,165 |
3.50 |
Other male reproductive system & related procedures |
2 |
$16,686 |
$7,324 |
$33,372 |
$14,648 |
3.50 |
Pelvic evisceration, radical hysterectomy & other radical GYN procs |
2 |
$26,935 |
$12,157 |
$53,870 |
$24,314 |
1.50 |
Neonate bwt <1500g w major procedure |
2 |
$233,967 |
$52,351 |
$467,934 |
$104,701 |
43.50 |
Other procedures of blood & blood-forming organs |
2 |
$27,273 |
$11,764 |
$54,546 |
$23,527 |
4.50 |
Bipolar disorders |
2 |
$42,506 |
$18,561 |
$85,011 |
$37,121 |
14.50 |
Drug & alcohol abuse or dependence, left against medical advice |
2 |
$22,989 |
$7,668 |
$45,978 |
$15,336 |
3.50 |
Opioid abuse & dependence |
2 |
$18,272 |
$7,724 |
$36,543 |
$15,447 |
4.00 |
HIV w multiple significant HIV related conditions |
2 |
$10,845 |
$4,829 |
$21,690 |
$9,658 |
2.50 |
Musculoskeletal & other procedures for multiple significant trauma |
2 |
$30,566 |
$11,597 |
$61,131 |
$23,193 |
3.50 |
Spinal disorders & injuries |
1 |
$23,489 |
$9,155 |
$23,489 |
$9,155 |
5.00 |
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma |
1 |
$16,772 |
$7,227 |
$16,772 |
$7,227 |
3.00 |
Facial bone procedures except major cranial/facial bone procedures |
1 |
$14,538 |
$7,551 |
$14,538 |
$7,551 |
1.00 |
Major chest & respiratory trauma |
1 |
$23,330 |
$9,472 |
$23,330 |
$9,472 |
6.00 |
Percutaneous coronary intervention w/o AMI |
1 |
$40,560 |
$15,373 |
$40,560 |
$15,373 |
6.00 |
Cardiac pacemaker & defibrillator revision except device replacement |
1 |
$23,000 |
$8,256 |
$23,000 |
$8,256 |
4.00 |
Major pancreas, liver & shunt procedures |
1 |
$28,755 |
$13,057 |
$28,755 |
$13,057 |
6.00 |
Other significant hip and femur surgery |
1 |
$13,765 |
$5,958 |
$13,765 |
$5,958 |
2.00 |
Major bladder procedures |
1 |
$16,231 |
$7,259 |
$16,231 |
$7,259 |
3.00 |
Kidney & urinary tract procedures for malignancy |
1 |
$34,635 |
$14,645 |
$34,635 |
$14,645 |
5.00 |
Testes & scrotal procedures |
1 |
$17,789 |
$7,817 |
$17,789 |
$7,817 |
4.00 |
Neonate birthwt 1000-1249g w or w/o other significant condition |
1 |
$6,234 |
$1,263 |
$6,234 |
$1,263 |
1.00 |
Neonate bwt 1500-2499g w major procedure |
1 |
$334,036 |
$77,290 |
$334,036 |
$77,290 |
57.00 |
Neonate bwt 2000-2499g w congenital/perinatal infection |
1 |
$87,871 |
$18,161 |
$87,871 |
$18,161 |
15.00 |
Neonate birthwt >2499g w other major procedure |
1 |
$24,226 |
$5,361 |
$24,226 |
$5,361 |
7.00 |
Splenectomy |
1 |
$71,269 |
$35,779 |
$71,269 |
$35,779 |
10.00 |
Fever |
1 |
$11,727 |
$4,883 |
$11,727 |
$4,883 |
3.00 |
Major depressive disorders & other/unspecified psychoses |
1 |
$42,918 |
$18,163 |
$42,918 |
$18,163 |
15.00 |
Depression except major depressive disorder |
1 |
$53,356 |
$27,520 |
$53,356 |
$27,520 |
13.00 |
Eating disorders |
1 |
$2,679 |
$1,233 |
$2,679 |
$1,233 |
1.00 |
Other mental health disorders |
1 |
$5,328 |
$2,157 |
$5,328 |
$2,157 |
1.00 |
Partial thickness burns without skin graft |
1 |
$4,541 |
$1,889 |
$4,541 |
$1,889 |
1.00 |
Other aftercare & convalescence |
1 |
$7,822 |
$3,193 |
$7,822 |
$3,193 |
2.00 |