Neonate birthwt >2499g, normal newborn or neonate w other problem |
3160 |
$11,495 |
$2,740 |
$36,325,635 |
$8,658,070 |
2.46 |
Vaginal delivery |
2233 |
$22,981 |
$7,471 |
$51,316,370 |
$16,683,461 |
2.57 |
Septicemia & disseminated infections |
1572 |
$79,972 |
$23,241 |
$125,715,313 |
$36,535,156 |
7.14 |
Cesarean delivery |
1502 |
$35,986 |
$11,789 |
$54,050,432 |
$17,707,009 |
4.33 |
Heart failure |
833 |
$60,240 |
$17,053 |
$50,180,136 |
$14,205,186 |
5.73 |
Percutaneous coronary intervention w/o AMI |
600 |
$121,679 |
$40,946 |
$73,007,190 |
$24,567,682 |
4.41 |
Percutaneous coronary intervention w AMI |
490 |
$104,386 |
$29,127 |
$51,149,221 |
$14,272,074 |
3.60 |
Kidney & urinary tract infections |
485 |
$40,359 |
$11,243 |
$19,574,342 |
$5,452,802 |
4.21 |
Cardiac arrhythmia & conduction disorders |
478 |
$35,170 |
$9,748 |
$16,811,300 |
$4,659,395 |
2.92 |
Seizure |
455 |
$33,695 |
$9,114 |
$15,331,332 |
$4,146,829 |
2.66 |
Cellulitis & other skin infections |
442 |
$31,247 |
$9,075 |
$13,811,259 |
$4,011,005 |
3.33 |
CVA & precerebral occlusion w infarct |
440 |
$83,046 |
$21,777 |
$36,540,262 |
$9,582,005 |
5.64 |
Acute Kidney Injury |
422 |
$53,978 |
$15,305 |
$22,778,629 |
$6,458,506 |
5.23 |
Hip joint replacement |
420 |
$62,500 |
$24,507 |
$26,249,820 |
$10,293,044 |
3.75 |
Knee joint replacement |
386 |
$46,988 |
$20,008 |
$18,137,347 |
$7,723,123 |
2.76 |
Infectious & parasitic diseases including HIV w O.R. procedure |
339 |
$183,661 |
$58,186 |
$62,261,077 |
$19,725,120 |
15.10 |
Cardiac catheterization for other non-coronary conditions |
332 |
$80,677 |
$22,757 |
$26,784,711 |
$7,555,267 |
5.91 |
Respiratory Failure |
310 |
$59,280 |
$17,735 |
$18,376,754 |
$5,497,929 |
5.03 |
Chronic obstructive pulmonary disease |
309 |
$44,111 |
$12,035 |
$13,630,310 |
$3,718,703 |
4.03 |
Other pneumonia |
302 |
$40,707 |
$11,518 |
$12,293,605 |
$3,478,560 |
3.87 |
Other digestive system diagnoses |
295 |
$46,552 |
$13,302 |
$13,732,882 |
$3,924,063 |
4.33 |
Diabetes |
294 |
$36,381 |
$10,742 |
$10,696,092 |
$3,158,272 |
3.37 |
Extracranial vascular procedures |
281 |
$111,905 |
$42,187 |
$31,445,416 |
$11,854,573 |
5.25 |
Schizophrenia |
281 |
$116,697 |
$42,222 |
$32,791,833 |
$11,864,471 |
17.71 |
Asthma |
278 |
$18,674 |
$5,598 |
$5,191,346 |
$1,556,152 |
1.91 |
Angina pectoris & coronary atherosclerosis |
259 |
$25,297 |
$6,538 |
$6,551,984 |
$1,693,237 |
1.89 |
Dorsal & lumbar fusion proc except for curvature of back |
257 |
$93,895 |
$40,380 |
$24,130,981 |
$10,377,720 |
4.91 |
Other back & neck disorders, fractures & injuries |
257 |
$51,720 |
$13,576 |
$13,291,921 |
$3,489,084 |
4.48 |
Other gastroenteritis, nausa & vomiting |
247 |
$32,374 |
$9,097 |
$7,996,328 |
$2,247,053 |
3.25 |
Neonate birthwt >2499g w other significant condition |
246 |
$46,076 |
$12,071 |
$11,334,669 |
$2,969,378 |
5.97 |
Acute myocardial infarction |
244 |
$55,052 |
$14,951 |
$13,432,669 |
$3,647,943 |
3.91 |
Malfunction, reaction, complic of genitourinary device or proc |
233 |
$55,653 |
$16,666 |
$12,967,225 |
$3,883,254 |
5.39 |
Major small & large bowel procedures |
232 |
$109,511 |
$39,623 |
$25,406,619 |
$9,192,434 |
8.45 |
Head trauma w coma >1 hr or hemorrhage |
230 |
$76,171 |
$21,160 |
$17,519,359 |
$4,866,859 |
4.97 |
Other Chemotherapy |
226 |
$57,101 |
$17,900 |
$12,904,808 |
$4,045,404 |
5.20 |
Cardiac catheterization for coronary artery disease |
225 |
$40,719 |
$10,400 |
$9,161,882 |
$2,339,931 |
2.60 |
Other antepartum diagnoses |
221 |
$26,710 |
$7,875 |
$5,902,804 |
$1,740,344 |
3.16 |
Knee & lower leg procedures except foot |
219 |
$88,862 |
$32,704 |
$19,460,754 |
$7,162,218 |
6.59 |
Diverticulitis & diverticulosis |
218 |
$47,167 |
$13,419 |
$10,282,502 |
$2,925,259 |
4.47 |
Bipolar disorders |
218 |
$53,344 |
$19,110 |
$11,629,048 |
$4,165,954 |
8.35 |
Craniotomy except for trauma |
217 |
$195,348 |
$68,018 |
$42,390,553 |
$14,759,926 |
11.65 |
Hip and femur fracture repair |
217 |
$97,377 |
$32,064 |
$21,130,818 |
$6,957,862 |
6.78 |
Syncope & collapse |
214 |
$36,809 |
$10,084 |
$7,877,057 |
$2,157,877 |
2.81 |
Kidney & urinary tract procedures for nonmalignancy |
212 |
$68,822 |
$25,377 |
$14,590,319 |
$5,380,026 |
5.22 |
Hypovolemia & related electrolyte disorders |
209 |
$30,442 |
$8,372 |
$6,362,366 |
$1,749,664 |
3.03 |
Cervical spinal fusion & other back/neck proc exc disc excis/decomp |
207 |
$75,016 |
$30,283 |
$15,528,277 |
$6,268,525 |
4.01 |
Infections of upper respiratory tract |
199 |
$22,580 |
$6,520 |
$4,493,441 |
$1,297,458 |
2.15 |
Poisoning of medicinal agents |
197 |
$43,824 |
$12,841 |
$8,633,306 |
$2,529,684 |
3.89 |
Bronchiolitis & RSV pneumonia |
188 |
$22,510 |
$7,167 |
$4,231,800 |
$1,347,345 |
2.45 |
Major depressive disorders & other/unspecified psychoses |
182 |
$86,124 |
$32,880 |
$15,674,658 |
$5,984,125 |
12.93 |
Major respiratory infections & inflammations |
181 |
$68,678 |
$19,815 |
$12,430,798 |
$3,586,569 |
6.50 |
Moderately extensive procedure unrelated to principal diagnosis |
181 |
$137,591 |
$43,034 |
$24,904,042 |
$7,789,206 |
11.34 |
Laparoscopic cholecystectomy |
178 |
$49,685 |
$17,079 |
$8,843,878 |
$3,040,036 |
3.44 |
Disorders of pancreas except malignancy |
178 |
$44,028 |
$12,471 |
$7,836,970 |
$2,219,803 |
4.34 |
Other musculoskeletal system & connective tissue diagnoses |
173 |
$41,926 |
$11,432 |
$7,253,155 |
$1,977,678 |
3.86 |
Pulmonary embolism |
172 |
$57,222 |
$15,823 |
$9,842,260 |
$2,721,564 |
5.06 |
Post-operative, post-traumatic, other device infections |
171 |
$54,199 |
$16,238 |
$9,268,091 |
$2,776,690 |
5.16 |
Other anemia & disorders of blood & blood-forming organs |
169 |
$39,249 |
$10,881 |
$6,633,151 |
$1,838,834 |
3.25 |
Intestinal obstruction |
168 |
$47,493 |
$13,558 |
$7,978,792 |
$2,277,691 |
4.96 |
Shoulder, upper arm & forearm procedures except joint replacement |
166 |
$74,113 |
$29,775 |
$12,302,691 |
$4,942,667 |
4.31 |
Other disorders of nervous system |
165 |
$51,125 |
$14,030 |
$8,435,675 |
$2,314,949 |
3.81 |
Procedures for obesity |
165 |
$31,242 |
$13,500 |
$5,154,991 |
$2,227,440 |
1.39 |
Lower extremity arterial procedures |
163 |
$131,534 |
$50,628 |
$21,440,070 |
$8,252,363 |
8.11 |
Other & unspecified gastrointestinal hemorrhage |
151 |
$53,021 |
$14,792 |
$8,006,144 |
$2,233,618 |
4.26 |
Depression except major depressive disorder |
150 |
$25,324 |
$8,938 |
$3,798,530 |
$1,340,657 |
3.96 |
Other peripheral vascular procedures |
147 |
$114,554 |
$44,873 |
$16,839,478 |
$6,596,315 |
6.33 |
Perm cardiac pacemaker implant w/o AMI, heart failure or shock |
146 |
$102,440 |
$43,072 |
$14,956,294 |
$6,288,567 |
4.59 |
Major gastrointestinal & peritoneal infections |
146 |
$53,554 |
$15,501 |
$7,818,948 |
$2,263,216 |
5.73 |
Peripheral & other vascular disorders |
141 |
$54,968 |
$15,907 |
$7,750,424 |
$2,242,838 |
4.96 |
Appendectomy |
138 |
$36,709 |
$12,799 |
$5,065,885 |
$1,766,323 |
3.04 |
Peptic ulcer & gastritis |
138 |
$49,331 |
$13,738 |
$6,807,618 |
$1,895,829 |
3.83 |
Behavioral disorders |
138 |
$87,991 |
$31,676 |
$12,142,812 |
$4,371,241 |
14.53 |
Uterine & adnexa procedures for non-malignancy except leiomyoma |
137 |
$42,687 |
$18,956 |
$5,848,091 |
$2,596,935 |
1.70 |
Neonate bwt 2000-2499g, normal newborn or neonate w other problem |
135 |
$37,539 |
$9,955 |
$5,067,785 |
$1,343,953 |
4.91 |
Major chest & respiratory trauma |
132 |
$69,850 |
$19,762 |
$9,220,260 |
$2,608,574 |
5.17 |
Coronary bypass w/o AMI or complex PDX |
127 |
$142,555 |
$51,456 |
$18,104,462 |
$6,534,860 |
7.62 |
Hypertension |
123 |
$35,953 |
$9,600 |
$4,422,162 |
$1,180,812 |
2.98 |
Other complications of treatment |
123 |
$54,087 |
$15,885 |
$6,652,684 |
$1,953,913 |
4.84 |
Intracranial hemorrhage |
121 |
$87,670 |
$24,166 |
$10,608,076 |
$2,924,061 |
6.48 |
Signs, symptoms & other factors influencing health status |
119 |
$45,431 |
$12,769 |
$5,406,307 |
$1,519,458 |
4.97 |
Digestive malignancy |
118 |
$73,006 |
$21,018 |
$8,614,711 |
$2,480,121 |
7.12 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
117 |
$92,217 |
$27,331 |
$10,789,417 |
$3,197,776 |
6.79 |
Cardiac defibrillator & heart assist implant |
116 |
$324,683 |
$142,210 |
$37,663,249 |
$16,496,399 |
10.92 |
Other circulatory system diagnoses |
115 |
$42,508 |
$11,734 |
$4,888,427 |
$1,349,433 |
3.19 |
Neonate birthwt >2499g w major anomaly |
113 |
$60,958 |
$16,302 |
$6,888,245 |
$1,842,088 |
6.34 |
Extensive procedure unrelated to principal diagnosis |
109 |
$189,966 |
$112,549 |
$20,706,326 |
$12,267,891 |
13.18 |
Tracheostomy w MV 96+ hours w extensive procedure or ECMO |
108 |
$777,891 |
$256,613 |
$84,012,184 |
$27,714,238 |
42.47 |
Disorders of gallbladder & biliary tract |
108 |
$45,040 |
$12,316 |
$4,864,273 |
$1,330,151 |
3.87 |
Alcohol abuse & dependence |
107 |
$51,471 |
$14,656 |
$5,507,430 |
$1,568,181 |
5.72 |
Fractures & dislocations except femur, pelvis & back |
102 |
$48,216 |
$12,414 |
$4,918,058 |
$1,266,214 |
3.87 |
Other endocrine disorders |
102 |
$53,300 |
$15,214 |
$5,436,595 |
$1,551,799 |
4.78 |
Degenerative nervous system disorders exc mult sclerosis |
101 |
$83,270 |
$24,817 |
$8,410,295 |
$2,506,488 |
8.91 |
Other esophageal disorders |
101 |
$40,535 |
$11,437 |
$4,094,048 |
$1,155,160 |
3.71 |
Organic mental health disturbances |
101 |
$50,374 |
$14,445 |
$5,087,741 |
$1,458,933 |
6.15 |
Musculoskeletal & other procedures for multiple significant trauma |
97 |
$213,843 |
$72,880 |
$20,742,725 |
$7,069,320 |
14.07 |
Transient ischemia |
96 |
$45,310 |
$10,616 |
$4,349,801 |
$1,019,096 |
2.24 |
Connective tissue disorders |
94 |
$75,917 |
$22,443 |
$7,136,204 |
$2,109,661 |
5.74 |
Mastectomy procedures |
94 |
$44,920 |
$20,440 |
$4,222,510 |
$1,921,404 |
1.38 |
Electrolyte disorders except hypovolemia related |
93 |
$53,231 |
$16,219 |
$4,950,443 |
$1,508,361 |
3.88 |
Major respiratory & chest procedures |
92 |
$90,474 |
$32,393 |
$8,323,585 |
$2,980,139 |
6.14 |
Respiratory malignancy |
92 |
$83,299 |
$23,686 |
$7,663,488 |
$2,179,147 |
7.57 |
Sickle cell anemia crisis |
91 |
$37,739 |
$10,880 |
$3,434,220 |
$990,054 |
4.01 |
Respiratory signs, symptoms & minor diagnoses |
89 |
$32,276 |
$8,928 |
$2,872,585 |
$794,631 |
2.80 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
87 |
$52,564 |
$15,498 |
$4,573,104 |
$1,348,310 |
4.89 |
Other hepatobiliary, pancreas & abdominal procedures |
87 |
$100,581 |
$30,283 |
$8,750,571 |
$2,634,599 |
8.36 |
Partial thickness burns without skin graft |
87 |
$30,091 |
$9,531 |
$2,617,884 |
$829,194 |
3.56 |
Other respiratory & chest procedures |
85 |
$125,984 |
$39,740 |
$10,708,648 |
$3,377,884 |
9.11 |
Other small & large bowel procedures |
85 |
$97,699 |
$32,228 |
$8,304,454 |
$2,739,372 |
7.48 |
Inflammatory bowel disease |
84 |
$60,233 |
$17,394 |
$5,059,552 |
$1,461,116 |
5.74 |
Nontraumatic stupor & coma |
82 |
$107,462 |
$31,140 |
$8,811,903 |
$2,553,484 |
7.10 |
Kidney & urinary tract procedures for malignancy |
81 |
$84,715 |
$33,155 |
$6,861,919 |
$2,685,527 |
5.01 |
Vaginal delivery w sterilization &/or D&C |
81 |
$27,499 |
$9,093 |
$2,227,435 |
$736,494 |
2.85 |
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond |
81 |
$105,602 |
$28,376 |
$8,553,783 |
$2,298,482 |
9.02 |
Coagulation & platelet disorders |
81 |
$67,372 |
$21,047 |
$5,457,132 |
$1,704,815 |
4.65 |
Chemotherapy for acute leukemia |
81 |
$95,318 |
$30,018 |
$7,720,764 |
$2,431,450 |
8.05 |
Nervous system malignancy |
80 |
$85,379 |
$22,945 |
$6,830,341 |
$1,835,587 |
6.93 |
Tonsil & adenoid procedures |
78 |
$19,084 |
$7,232 |
$1,488,567 |
$564,113 |
1.54 |
Post-op, post-trauma, other device infections w O.R. procedure |
78 |
$115,215 |
$37,698 |
$8,986,761 |
$2,940,408 |
9.87 |
O.R. procedure for other complications of treatment |
78 |
$90,897 |
$30,749 |
$7,089,985 |
$2,398,420 |
6.60 |
Other cardiothoracic & thoracic vascular procedures |
77 |
$173,491 |
$60,026 |
$13,358,781 |
$4,622,012 |
8.10 |
Kidney transplant |
77 |
$205,900 |
$4,709,076 |
$15,854,273 |
$362,598,858 |
6.82 |
Viral illness |
76 |
$26,944 |
$7,694 |
$2,047,747 |
$584,734 |
2.63 |
Hernia procedures except inguinal, femoral & umbilical |
75 |
$63,890 |
$24,936 |
$4,791,763 |
$1,870,193 |
4.44 |
Postpartum & post abortion diagnoses w/o procedure |
75 |
$26,362 |
$7,430 |
$1,977,125 |
$557,271 |
2.87 |
Coronary bypass w AMI or complex PDX |
73 |
$183,408 |
$64,444 |
$13,388,773 |
$4,704,421 |
9.34 |
Malfunction, reaction & complication of GI device or procedure |
73 |
$49,190 |
$14,172 |
$3,590,898 |
$1,034,541 |
4.62 |
Other ear, nose, mouth & throat procedures |
72 |
$42,648 |
$15,362 |
$3,070,642 |
$1,106,083 |
3.46 |
Other musculoskeletal system & connective tissue procedures |
71 |
$66,526 |
$23,852 |
$4,723,322 |
$1,693,462 |
4.99 |
Ventricular shunt procedures |
70 |
$70,415 |
$25,330 |
$4,929,060 |
$1,773,077 |
4.77 |
Uterine & adnexa procedures for leiomyoma |
69 |
$33,490 |
$14,419 |
$2,310,799 |
$994,937 |
1.52 |
Other infectious & parasitic diseases |
69 |
$51,191 |
$14,588 |
$3,532,193 |
$1,006,571 |
4.46 |
Other kidney & urinary tract diagnoses, signs & symptoms |
67 |
$36,839 |
$10,778 |
$2,468,223 |
$722,098 |
3.33 |
Multiple significant trauma w/o O.R. procedure |
67 |
$70,238 |
$19,122 |
$4,705,934 |
$1,281,159 |
4.88 |
Nonextensive procedure unrelated to principal diagnosis |
66 |
$130,046 |
$40,054 |
$8,583,005 |
$2,643,543 |
9.89 |
Major stomach, esophageal & duodenal procedures |
65 |
$156,020 |
$53,147 |
$10,141,326 |
$3,454,571 |
10.77 |
Lymphoma, myeloma & non-acute leukemia |
65 |
$143,727 |
$42,257 |
$9,342,267 |
$2,746,700 |
10.28 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
63 |
$35,675 |
$10,195 |
$2,247,549 |
$642,290 |
2.87 |
Cardiac valve procedures w/o AMI or complex PDX |
63 |
$203,424 |
$75,545 |
$12,815,716 |
$4,759,310 |
9.73 |
Other digestive system & abdominal procedures |
63 |
$105,145 |
$32,962 |
$6,624,157 |
$2,076,611 |
8.48 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
63 |
$105,470 |
$29,540 |
$6,644,641 |
$1,860,993 |
9.94 |
Other skin, subcutaneous tissue & related procedures |
62 |
$69,192 |
$22,690 |
$4,289,878 |
$1,406,770 |
6.45 |
Major pancreas, liver & shunt procedures |
61 |
$134,198 |
$47,454 |
$8,186,089 |
$2,894,713 |
10.15 |
Malignancy of hepatobiliary system & pancreas |
60 |
$67,721 |
$19,367 |
$4,063,244 |
$1,162,007 |
6.28 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
59 |
$51,486 |
$15,586 |
$3,037,681 |
$919,550 |
4.34 |
Other significant hip and femur surgery |
59 |
$131,105 |
$47,845 |
$7,735,199 |
$2,822,843 |
9.37 |
Intervertebral disc excision & decompression |
59 |
$53,755 |
$20,853 |
$3,171,564 |
$1,230,339 |
3.66 |
Thyroid, parathyroid & thyroglossal procedures |
58 |
$50,115 |
$19,986 |
$2,906,654 |
$1,159,170 |
2.64 |
Urethral & transurethral procedures |
57 |
$59,739 |
$19,766 |
$3,405,142 |
$1,126,686 |
5.23 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
56 |
$42,087 |
$11,559 |
$2,356,884 |
$647,315 |
3.77 |
Fracture of pelvis or dislocation of hip |
55 |
$60,919 |
$16,227 |
$3,350,530 |
$892,488 |
5.20 |
Other skin, subcutaneous tissue & breast disorders |
55 |
$43,892 |
$13,088 |
$2,414,068 |
$719,838 |
4.53 |
Toxic effects of non-medicinal substances |
55 |
$48,798 |
$14,175 |
$2,683,913 |
$779,620 |
3.60 |
Migraine & other headaches |
54 |
$33,710 |
$8,402 |
$1,820,354 |
$453,726 |
2.50 |
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma |
54 |
$51,986 |
$13,800 |
$2,807,225 |
$745,218 |
3.22 |
Neonate bwt 2000-2499g w other significant condition |
54 |
$110,352 |
$30,092 |
$5,959,026 |
$1,624,967 |
11.19 |
Opioid abuse & dependence |
54 |
$41,720 |
$13,056 |
$2,252,853 |
$705,024 |
5.37 |
Respiratory system diagnosis w ventilator support 96+ hours |
53 |
$239,176 |
$73,151 |
$12,676,329 |
$3,876,982 |
18.04 |
Chest pain |
53 |
$27,905 |
$7,025 |
$1,478,945 |
$372,336 |
2.06 |
Preterm labor |
53 |
$18,984 |
$5,591 |
$1,006,145 |
$296,331 |
2.19 |
Foot & toe procedures |
51 |
$91,787 |
$31,927 |
$4,681,118 |
$1,628,284 |
8.20 |
Female reproductive system reconstructive procedures |
51 |
$33,260 |
$15,807 |
$1,696,255 |
$806,179 |
1.25 |
Procedure w diag of rehab, aftercare or oth contact w health service |
51 |
$95,484 |
$36,616 |
$4,869,664 |
$1,867,423 |
6.75 |
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms |
50 |
$169,837 |
$50,782 |
$8,491,849 |
$2,539,075 |
12.88 |
Other stomach, esophageal & duodenal procedures |
49 |
$101,030 |
$32,177 |
$4,950,452 |
$1,576,696 |
8.65 |
Hepatic coma & other major acute liver disorders |
49 |
$68,826 |
$19,287 |
$3,372,472 |
$945,070 |
6.12 |
Malnutrition, failure to thrive & other nutritional disorders |
49 |
$54,442 |
$16,063 |
$2,667,636 |
$787,077 |
6.57 |
Adjustment disorders & neuroses except depressive diagnoses |
49 |
$29,169 |
$9,702 |
$1,429,269 |
$475,386 |
4.27 |
Dental & oral diseases & injuries |
48 |
$25,075 |
$6,915 |
$1,203,616 |
$331,908 |
2.48 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
48 |
$65,918 |
$19,263 |
$3,164,063 |
$924,605 |
7.33 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
47 |
$27,295 |
$8,873 |
$1,282,878 |
$417,032 |
2.81 |
Acute leukemia |
47 |
$370,343 |
$114,125 |
$17,406,122 |
$5,363,857 |
24.43 |
Abdominal pain |
46 |
$31,259 |
$8,540 |
$1,437,891 |
$392,861 |
2.98 |
Acute anxiety & delirium states |
46 |
$31,379 |
$9,613 |
$1,443,414 |
$442,191 |
3.76 |
Other disorders of the liver |
44 |
$61,879 |
$18,233 |
$2,722,685 |
$802,239 |
5.91 |
Other nervous system & related procedures |
43 |
$168,818 |
$56,200 |
$7,259,175 |
$2,416,587 |
7.63 |
Peripheral, cranial & autonomic nerve disorders |
43 |
$44,228 |
$11,614 |
$1,901,798 |
$499,386 |
4.00 |
Neonate birthwt >2499g w congenital/perinatal infection |
43 |
$56,158 |
$15,225 |
$2,414,798 |
$654,673 |
5.72 |
Cocaine abuse & dependence |
42 |
$32,923 |
$10,698 |
$1,382,750 |
$449,318 |
4.60 |
Tendon, muscle & other soft tissue procedures |
41 |
$87,686 |
$28,776 |
$3,595,139 |
$1,179,805 |
7.63 |
Fever |
41 |
$22,528 |
$6,238 |
$923,641 |
$255,757 |
2.07 |
Facial bone procedures except major cranial/facial bone procedures |
40 |
$63,224 |
$24,969 |
$2,528,955 |
$998,771 |
3.10 |
Bone marrow transplant |
39 |
$474,390 |
$157,247 |
$18,501,225 |
$6,132,623 |
27.97 |
Craniotomy for trauma |
39 |
$248,525 |
$79,283 |
$9,692,478 |
$3,092,052 |
14.18 |
Major biliary tract procedures |
39 |
$106,238 |
$33,631 |
$4,143,277 |
$1,311,600 |
8.08 |
Major bladder procedures |
39 |
$105,461 |
$41,519 |
$4,112,987 |
$1,619,251 |
6.72 |
Other drug abuse & dependence |
39 |
$28,049 |
$9,113 |
$1,093,895 |
$355,425 |
3.85 |
Cystic fibrosis - pulmonary disease |
37 |
$99,876 |
$28,979 |
$3,695,429 |
$1,072,209 |
10.14 |
Urinary stones & acquired upper urinary tract obstruction |
37 |
$25,770 |
$7,997 |
$953,484 |
$295,895 |
2.00 |
Other circulatory system procedures |
36 |
$162,203 |
$175,391 |
$5,839,308 |
$6,314,066 |
11.58 |
Amputation of lower limb except toes |
36 |
$171,216 |
$57,041 |
$6,163,780 |
$2,053,463 |
16.08 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
36 |
$100,947 |
$29,026 |
$3,634,076 |
$1,044,952 |
8.89 |
Spinal procedures |
35 |
$166,201 |
$54,466 |
$5,817,018 |
$1,906,311 |
12.89 |
Malfunction, reaction, complic of orthopedic device or procedure |
35 |
$81,330 |
$24,761 |
$2,846,547 |
$866,633 |
8.60 |
Major male pelvic procedures |
35 |
$69,531 |
$30,736 |
$2,433,598 |
$1,075,745 |
3.54 |
Eye disorders except major infections |
34 |
$35,006 |
$9,305 |
$1,190,193 |
$316,360 |
2.68 |
Cardiac pacemaker & defibrillator device replacement |
34 |
$181,949 |
$80,955 |
$6,186,251 |
$2,752,461 |
6.35 |
Other kidney, urinary tract & related procedures |
34 |
$131,914 |
$46,123 |
$4,485,062 |
$1,568,172 |
11.06 |
Neonate bwt 1500-1999g w resp dist synd/oth maj resp cond |
34 |
$354,879 |
$97,021 |
$12,065,883 |
$3,298,714 |
33.68 |
Vertigo & other labyrinth disorders |
33 |
$35,561 |
$8,570 |
$1,173,529 |
$282,794 |
2.76 |
Alcoholic liver disease |
33 |
$49,303 |
$14,018 |
$1,627,014 |
$462,593 |
4.85 |
Inguinal, femoral & umbilical hernia procedures |
32 |
$50,616 |
$19,031 |
$1,619,700 |
$608,979 |
3.41 |
Skin graft for skin & subcutaneous tissue diagnoses |
32 |
$74,714 |
$27,474 |
$2,390,856 |
$879,166 |
6.31 |
Major cranial/facial bone procedures |
31 |
$131,932 |
$49,272 |
$4,089,894 |
$1,527,440 |
8.00 |
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms |
31 |
$208,564 |
$68,270 |
$6,465,491 |
$2,116,355 |
13.23 |
Disorders of personality & impulse control |
31 |
$61,317 |
$21,920 |
$1,900,828 |
$679,530 |
9.58 |
Major abdominal vascular procedures |
29 |
$194,569 |
$71,134 |
$5,642,506 |
$2,062,899 |
10.72 |
Major skin disorders |
29 |
$72,244 |
$24,387 |
$2,095,088 |
$707,223 |
6.79 |
Peritoneal adhesiolysis |
28 |
$109,044 |
$36,369 |
$3,053,220 |
$1,018,327 |
9.86 |
Skin ulcers |
28 |
$69,761 |
$20,358 |
$1,953,303 |
$570,030 |
7.11 |
Neonate bwt 1500-1999g w or w/o other significant condition |
28 |
$157,821 |
$43,217 |
$4,418,985 |
$1,210,078 |
15.68 |
BPD & oth chronic respiratory diseases arising in perinatal period |
27 |
$43,420 |
$15,406 |
$1,172,329 |
$415,953 |
4.70 |
Breast procedures except mastectomy |
27 |
$59,480 |
$27,053 |
$1,605,960 |
$730,441 |
2.37 |
Pituitary & adrenal procedures |
26 |
$79,892 |
$29,545 |
$2,077,201 |
$768,160 |
4.50 |
Uterine & adnexa procedures for non-ovarian & non-adnexal malig |
26 |
$46,168 |
$18,525 |
$1,200,379 |
$481,644 |
1.42 |
Allergic reactions |
26 |
$22,418 |
$7,044 |
$582,861 |
$183,141 |
1.88 |
Interstitial & alveolar lung diseases |
25 |
$62,006 |
$17,459 |
$1,550,154 |
$436,464 |
5.52 |
Tracheostomy w MV 96+ hours w/o extensive procedure |
24 |
$698,457 |
$218,218 |
$16,762,974 |
$5,237,233 |
49.71 |
Non-bacterial infections of nervous system exc viral meningitis |
24 |
$101,963 |
$29,400 |
$2,447,117 |
$705,599 |
8.71 |
Cardiac structural & valvular disorders |
24 |
$151,907 |
$50,248 |
$3,645,766 |
$1,205,962 |
10.67 |
Dorsal & lumbar fusion proc for curvature of back |
24 |
$131,895 |
$59,981 |
$3,165,489 |
$1,439,538 |
6.21 |
Female reproductive system infections |
24 |
$44,295 |
$13,225 |
$1,063,081 |
$317,388 |
3.88 |
Neonate bwt 2000-2499g w major anomaly |
24 |
$107,774 |
$29,031 |
$2,586,582 |
$696,737 |
10.33 |
Neonate bwt 2000-2499g w resp dist synd/oth maj resp cond |
22 |
$216,160 |
$58,876 |
$4,755,530 |
$1,295,280 |
20.32 |
Other injury, poisoning & toxic effect diagnoses |
22 |
$37,105 |
$11,956 |
$816,306 |
$263,033 |
2.55 |
Spinal disorders & injuries |
21 |
$64,480 |
$16,555 |
$1,354,085 |
$347,650 |
4.76 |
Multiple sclerosis & other demyelinating diseases |
21 |
$70,788 |
$18,957 |
$1,486,542 |
$398,099 |
6.33 |
Nonspecific CVA & precerebral occlusion w/o infarct |
21 |
$50,701 |
$13,918 |
$1,064,724 |
$292,286 |
3.19 |
Cardiac arrest and shock |
21 |
$114,991 |
$35,130 |
$2,414,821 |
$737,733 |
7.71 |
Hand & wrist procedures |
21 |
$55,674 |
$20,211 |
$1,169,163 |
$424,436 |
4.76 |
Male reproductive system diagnoses except malignancy |
21 |
$50,998 |
$15,509 |
$1,070,963 |
$325,698 |
4.19 |
Drug & alcohol abuse or dependence, left against medical advice |
21 |
$20,706 |
$5,775 |
$434,830 |
$121,274 |
1.86 |
Eye procedures except orbit |
20 |
$48,858 |
$16,489 |
$977,165 |
$329,781 |
3.90 |
Anal procedures |
20 |
$43,620 |
$14,504 |
$872,404 |
$290,072 |
3.30 |
Fracture of femur |
20 |
$69,080 |
$19,350 |
$1,381,603 |
$386,998 |
6.15 |
Inborn errors of metabolism |
20 |
$34,532 |
$11,149 |
$690,639 |
$222,982 |
2.80 |
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses |
19 |
$140,425 |
$48,490 |
$2,668,079 |
$921,316 |
13.16 |
Other aftercare & convalescence |
19 |
$33,176 |
$10,053 |
$630,353 |
$191,008 |
3.42 |
Major esophageal disorders |
18 |
$73,966 |
$22,404 |
$1,331,395 |
$403,263 |
5.17 |
Gastrointestinal vascular insufficiency |
18 |
$44,453 |
$12,433 |
$800,147 |
$223,796 |
3.67 |
Renal dialysis access device procedure only |
18 |
$129,092 |
$45,551 |
$2,323,654 |
$819,920 |
11.50 |
Neonate bwt 1250-1499g w resp dist synd/oth maj resp or maj anom |
18 |
$506,752 |
$138,323 |
$9,121,538 |
$2,489,812 |
47.06 |
Ungroupable |
18 |
$368,924 |
$100,723 |
$6,640,623 |
$1,813,012 |
31.72 |
Female reproductive system malignancy |
17 |
$61,814 |
$17,846 |
$1,050,841 |
$303,385 |
5.29 |
Neonate birthwt 1500-1999g w major anomaly |
17 |
$289,948 |
$79,427 |
$4,929,118 |
$1,350,256 |
27.24 |
Bacterial & tuberculous infections of nervous system |
16 |
$100,151 |
$31,763 |
$1,602,408 |
$508,213 |
6.75 |
Acute major eye infections |
16 |
$29,410 |
$8,457 |
$470,553 |
$135,319 |
3.25 |
Cardiac valve procedures w AMI or complex PDX |
16 |
$321,793 |
$117,001 |
$5,148,688 |
$1,872,012 |
16.69 |
Cholecystectomy except laparoscopic |
15 |
$97,153 |
$33,380 |
$1,457,301 |
$500,703 |
8.20 |
Uterine & adnexa procedures for ovarian & adnexal malignancy |
15 |
$45,027 |
$17,987 |
$675,401 |
$269,812 |
1.93 |
Extensive abdominal/thoracic procedures for mult significant trauma |
15 |
$265,528 |
$90,158 |
$3,982,913 |
$1,352,365 |
12.73 |
Other male reproductive system & related procedures |
14 |
$88,138 |
$29,377 |
$1,233,925 |
$411,272 |
6.43 |
Neonate bwt <500g or GA <24 weeks |
14 |
$340,671 |
$91,366 |
$4,769,395 |
$1,279,128 |
26.29 |
Chronic Kidney Disease |
13 |
$75,397 |
$361,213 |
$980,158 |
$4,695,765 |
6.54 |
Transurethral prostatectomy |
13 |
$40,121 |
$16,690 |
$521,579 |
$216,972 |
2.00 |
Other O.R. proc for obstetric diagnoses except delivery diagnoses |
13 |
$28,811 |
$9,857 |
$374,546 |
$128,147 |
2.85 |
Neonate bwt 1000-1249g w resp dist synd/oth maj resp or maj anom |
13 |
$505,656 |
$137,798 |
$6,573,524 |
$1,791,373 |
47.00 |
Other mental health disorders |
13 |
$74,189 |
$25,510 |
$964,463 |
$331,632 |
11.46 |
HIV w one signif HIV cond or w/o signif related cond |
13 |
$42,216 |
$12,036 |
$548,804 |
$156,469 |
3.92 |
Viral meningitis |
12 |
$42,018 |
$12,100 |
$504,211 |
$145,202 |
3.67 |
Other bladder procedures |
12 |
$83,110 |
$28,460 |
$997,320 |
$341,522 |
7.50 |
Menstrual & other female reproductive system disorders |
12 |
$25,956 |
$7,570 |
$311,472 |
$90,842 |
2.58 |
HIV w major HIV related condition |
12 |
$81,438 |
$23,317 |
$977,255 |
$279,807 |
7.25 |
Cardiac pacemaker & defibrillator revision except device replacement |
11 |
$60,330 |
$21,908 |
$663,629 |
$240,993 |
4.55 |
Neonate birthwt 750-999g w/o major procedure |
11 |
$953,847 |
$255,073 |
$10,492,321 |
$2,805,806 |
79.82 |
Radiotherapy |
11 |
$127,029 |
$35,109 |
$1,397,319 |
$386,198 |
9.82 |
HIV w multiple major HIV related conditions |
11 |
$148,434 |
$45,550 |
$1,632,772 |
$501,048 |
10.18 |
Orbital procedures |
10 |
$90,536 |
$31,076 |
$905,357 |
$310,755 |
7.10 |
Kidney & urinary tract malignancy |
9 |
$66,918 |
$19,561 |
$602,258 |
$176,049 |
6.11 |
Neonate birthwt 500-749g w/o major procedure |
9 |
$944,269 |
$252,690 |
$8,498,419 |
$2,274,206 |
68.11 |
Neonate birthwt >2499g w other major procedure |
9 |
$170,751 |
$48,197 |
$1,536,759 |
$433,775 |
14.11 |
Other procedures of blood & blood-forming organs |
9 |
$75,332 |
$24,304 |
$677,985 |
$218,736 |
5.67 |
Malignant breast disorders |
8 |
$62,235 |
$16,864 |
$497,882 |
$134,912 |
5.00 |
Other procedures for endocrine, nutritional & metabolic disorders |
8 |
$296,198 |
$93,198 |
$2,369,586 |
$745,583 |
23.00 |
Nephritis & nephrosis |
8 |
$28,010 |
$8,083 |
$224,082 |
$64,665 |
2.50 |
Splenectomy |
8 |
$91,183 |
$32,472 |
$729,463 |
$259,775 |
7.75 |
D&C, aspiration curettage or hysterotomy for obstetric diagnoses |
7 |
$98,892 |
$29,453 |
$692,242 |
$206,169 |
7.00 |
Burns with skin graft except extensive 3rd degree burns |
7 |
$146,152 |
$59,167 |
$1,023,063 |
$414,171 |
16.29 |
Permanent cardiac pacemaker implant w AMI, heart failure or shock |
6 |
$211,866 |
$80,183 |
$1,271,194 |
$481,097 |
12.33 |
Penis procedures |
6 |
$46,655 |
$17,129 |
$279,931 |
$102,772 |
4.00 |
Malignancy, male reproductive system |
6 |
$67,109 |
$19,655 |
$402,652 |
$117,932 |
6.33 |
Neonate, transferred < 5 days old, born here |
6 |
$10,782 |
$2,523 |
$64,693 |
$15,139 |
1.50 |
Neonate bwt <1500g w major procedure |
6 |
$1,203,726 |
$331,681 |
$7,222,356 |
$1,990,084 |
89.67 |
Eating disorders |
6 |
$68,068 |
$20,284 |
$408,407 |
$121,704 |
10.17 |
Craniotomy for multiple significant trauma |
6 |
$212,737 |
$68,591 |
$1,276,420 |
$411,547 |
7.00 |
Major larynx & trachea procedures |
5 |
$226,622 |
$81,617 |
$1,133,108 |
$408,085 |
23.00 |
Sinus & mastoid procedures |
5 |
$100,380 |
$34,402 |
$501,900 |
$172,008 |
6.40 |
Cleft lip & palate repair |
5 |
$31,429 |
$13,848 |
$157,143 |
$69,240 |
2.00 |
Ear, nose, mouth, throat, cranial/facial malignancies |
5 |
$26,439 |
$7,062 |
$132,196 |
$35,311 |
2.20 |
Acute & subacute endocarditis |
5 |
$99,277 |
$29,651 |
$496,387 |
$148,254 |
11.40 |
Other female reproductive system & related procedures |
5 |
$35,032 |
$14,589 |
$175,160 |
$72,946 |
2.00 |
Neonate birthwt 1000-1249g w or w/o other significant condition |
5 |
$658,153 |
$177,440 |
$3,290,765 |
$887,198 |
56.20 |
Other major head & neck procedures |
4 |
$153,240 |
$64,009 |
$612,960 |
$256,034 |
10.75 |
Shoulder & elbow joint replacement |
4 |
$79,652 |
$32,410 |
$318,608 |
$129,638 |
3.75 |
Testes & scrotal procedures |
4 |
$38,969 |
$14,328 |
$155,874 |
$57,312 |
2.00 |
False labor |
4 |
$22,092 |
$5,899 |
$88,367 |
$23,596 |
2.50 |
HIV w multiple significant HIV related conditions |
4 |
$48,165 |
$12,966 |
$192,659 |
$51,865 |
4.00 |
Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma |
3 |
$66,764 |
$17,395 |
$200,291 |
$52,185 |
3.67 |
Dilation & curettage for non-obstetric diagnoses |
3 |
$53,760 |
$17,588 |
$161,280 |
$52,764 |
4.00 |
Neonate bwt 1250-1499g w or w/o other significant condition |
3 |
$304,637 |
$84,137 |
$913,910 |
$252,410 |
30.00 |
Cardiomyopathy |
2 |
$48,882 |
$11,418 |
$97,764 |
$22,835 |
4.00 |
Pelvic evisceration, radical hysterectomy & other radical GYN procs |
2 |
$33,608 |
$14,584 |
$67,216 |
$29,167 |
1.00 |
Neonate, transferred <5 days old, not born here |
2 |
$11,147 |
$3,068 |
$22,294 |
$6,136 |
1.00 |
Neonate bwt 1500-2499g w major procedure |
2 |
$702,519 |
$202,094 |
$1,405,037 |
$404,187 |
56.00 |
Neonate bwt 2000-2499g w congenital/perinatal infection |
2 |
$75,164 |
$20,910 |
$150,328 |
$41,819 |
8.00 |
Mental illness diagnosis w O.R. procedure |
2 |
$417,273 |
$128,616 |
$834,545 |
$257,232 |
60.50 |
Extensive 3rd degree or full thickness burns w/o skin graft |
2 |
$99,388 |
$30,596 |
$198,775 |
$61,191 |
6.50 |
Major cardiothoracic repair of heart anomaly |
1 |
$95,731 |
$31,371 |
$95,731 |
$31,371 |
4.00 |
Neonate birthwt >2499g w major cardiovascular procedure |
1 |
$423,746 |
$115,777 |
$423,746 |
$115,777 |
40.00 |
Extensive 3rd degree burns w skin graft |
1 |
$381,575 |
$134,249 |
$381,575 |
$134,249 |
37.00 |