Kenmore Mercy Hospital

2021 Age Distribution

2021 Patient Race:

White4,697
Other Race393
Black/African American392

2021 Payers:

Medicare 3,538
Federal/State/Local/VA 145
Medicaid 737
Private Health Insurance 633
Blue Cross/Blue Shield 212
Self-Pay 69
Miscellaneous/Other 148

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
SEPTICEMIA AND DISSEMINATED INFECTIONS 428 $42,254 $15,146 $18,084,781 $6,482,604 7.49
MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS 376 $27,524 $11,876 $10,349,203 $4,465,350 6.07
HEART FAILURE 312 $21,410 $7,250 $6,679,891 $2,262,101 5.22
OTHER DISORDERS OF NERVOUS SYSTEM 275 $50,930 $20,661 $14,005,698 $5,681,768 14.76
DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK 187 $55,289 $31,310 $10,339,019 $5,854,973 3.02
ACUTE KIDNEY INJURY 185 $20,826 $7,607 $3,852,849 $1,407,220 5.22
OTHER PNEUMONIA 158 $19,506 $6,542 $3,081,951 $1,033,703 4.51
CHRONIC OBSTRUCTIVE PULMONARY DISEASE 139 $17,329 $5,200 $2,408,672 $722,849 3.45
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS 133 $16,634 $5,569 $2,212,388 $740,740 3.70
CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION 129 $21,030 $7,642 $2,712,827 $985,796 3.91
HIP AND FEMUR FRACTURE REPAIR 97 $33,696 $14,546 $3,268,553 $1,410,952 5.32
INTESTINAL OBSTRUCTION 91 $14,083 $4,985 $1,281,581 $453,628 4.30
SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS 90 $39,498 $16,267 $3,554,821 $1,464,052 11.32
OTHER AFTERCARE AND CONVALESCENCE 87 $33,245 $13,448 $2,892,328 $1,169,935 9.78
NON-HYPOVOLEMIC SODIUM DISORDERS 86 $16,347 $5,505 $1,405,821 $473,417 3.84
DIABETES 84 $18,829 $6,715 $1,581,643 $564,031 3.39
DIVERTICULITIS AND DIVERTICULOSIS 82 $15,610 $5,883 $1,280,018 $482,399 4.23
ACUTE MYOCARDIAL INFARCTION 80 $20,217 $6,827 $1,617,397 $546,186 4.19
RESPIRATORY FAILURE 78 $35,887 $10,968 $2,799,164 $855,522 6.21
DISORDERS OF PANCREAS EXCEPT MALIGNANCY 76 $16,529 $5,890 $1,256,220 $447,634 4.30
NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT 75 $39,063 $18,661 $2,929,762 $1,399,558 5.11
KIDNEY AND URINARY TRACT INFECTIONS 71 $13,331 $4,642 $946,505 $329,614 3.68
OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE 69 $18,866 $6,583 $1,301,748 $454,218 3.74
CELLULITIS AND OTHER SKIN INFECTIONS 66 $22,437 $8,894 $1,480,872 $587,005 6.36
MAJOR LARGE BOWEL PROCEDURES 66 $33,330 $17,167 $2,199,782 $1,133,029 6.09
CERVICAL SPINAL FUSION AND OTHER BACK OR NECK PROCEDURES EXCEPT DISC EXCISION OR DECOMPRESSION 64 $27,733 $14,377 $1,774,888 $920,153 2.56
OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS 59 $18,961 $6,577 $1,118,722 $388,060 4.08
MAJOR SMALL BOWEL PROCEDURES 59 $46,341 $20,543 $2,734,139 $1,212,048 9.14
CHOLECYSTECTOMY 54 $27,726 $11,650 $1,497,209 $629,086 4.69
MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE 46 $20,837 $7,749 $958,521 $356,467 5.85
DISORDERS OF GALLBLADDER AND BILIARY TRACT 45 $19,888 $7,735 $894,977 $348,076 4.78
INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE 45 $92,107 $37,720 $4,144,812 $1,697,393 16.84
OTHER DIGESTIVE SYSTEM DIAGNOSES 44 $16,078 $5,762 $707,453 $253,524 4.05
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES 42 $15,463 $5,337 $649,428 $224,153 4.57
PULMONARY EMBOLISM 41 $21,023 $7,666 $861,947 $314,311 4.20
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS 39 $31,211 $13,291 $1,217,225 $518,359 7.90
PEPTIC ULCER AND GASTRITIS 38 $21,801 $8,211 $828,455 $312,012 3.34
ALCOHOLIC LIVER DISEASE 38 $26,758 $10,701 $1,016,818 $406,629 7.42
ALCOHOL ABUSE AND DEPENDENCE 35 $15,927 $5,524 $557,457 $193,325 4.31
SEIZURE 33 $23,770 $8,204 $784,420 $270,727 5.64
OTHER GASTROENTERITIS, NAUSEA AND VOMITING 31 $15,256 $5,307 $472,942 $164,526 4.42
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS 31 $12,214 $4,242 $378,639 $131,508 3.26
OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES 28 $24,410 $9,287 $683,475 $260,023 7.21
CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS 26 $26,476 $8,659 $688,379 $225,144 5.19
MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS 26 $20,352 $7,527 $529,154 $195,709 5.96
ALTERATION IN CONSCIOUSNESS 26 $26,840 $9,681 $697,838 $251,693 7.50
POISONING OF MEDICINAL AGENTS 25 $42,551 $13,599 $1,063,774 $339,983 5.44
COAGULATION AND PLATELET DISORDERS 24 $20,904 $8,206 $501,691 $196,953 4.96
ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS 24 $12,328 $3,820 $295,869 $91,689 2.42
INFLAMMATORY BOWEL DISEASE 23 $12,178 $4,492 $280,100 $103,318 3.65
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS 23 $200,259 $71,024 $4,605,946 $1,633,561 17.09
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES 21 $17,784 $5,999 $373,456 $125,986 4.00
SPINAL DISORDERS AND INJURIES 21 $53,268 $21,499 $1,118,623 $451,484 15.43
PERIPHERAL AND OTHER VASCULAR DISORDERS 20 $19,514 $6,989 $390,283 $139,778 4.15
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS 20 $20,839 $7,362 $416,771 $147,232 6.85
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL 20 $28,242 $11,678 $564,831 $233,557 5.05
HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS 20 $33,943 $13,466 $678,858 $269,311 8.65
RESPIRATORY MALIGNANCY 19 $26,961 $9,244 $512,262 $175,629 6.00
INTERVERTEBRAL DISC EXCISION AND DECOMPRESSION 19 $36,894 $15,820 $700,993 $300,579 4.47
HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE 18 $16,801 $5,399 $302,410 $97,186 3.78
KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT 17 $30,227 $13,583 $513,857 $230,907 4.35
HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS 16 $12,907 $4,301 $206,516 $68,816 3.06
FRACTURE OF FEMUR 16 $19,853 $6,929 $317,642 $110,865 4.00
ELECTIVE HIP JOINT REPLACEMENT 16 $33,178 $17,679 $530,850 $282,870 2.69
OTHER SMALL AND LARGE BOWEL PROCEDURES 15 $31,420 $14,104 $471,305 $211,567 5.07
URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION 15 $16,403 $6,116 $246,045 $91,744 2.87
OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES 15 $44,219 $19,776 $663,279 $296,644 11.73
OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS 15 $36,264 $16,084 $543,962 $241,266 10.27
ELECTIVE KNEE JOINT REPLACEMENT 15 $32,572 $17,465 $488,573 $261,969 3.07
POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE 15 $31,185 $14,048 $467,772 $210,719 5.73
OTHER DISORDERS OF THE LIVER 14 $13,502 $4,806 $189,029 $67,281 3.57
ASTHMA 14 $10,680 $2,952 $149,523 $41,330 1.86
OTHER COMPLICATIONS OF TREATMENT 14 $13,471 $5,136 $188,588 $71,897 2.79
LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA 14 $35,549 $13,770 $497,683 $192,785 7.86
DIGESTIVE MALIGNANCY 13 $21,251 $7,769 $276,263 $100,993 5.62
OPEN CRANIOTOMY EXCEPT TRAUMA 13 $49,398 $20,259 $642,175 $263,366 6.08
PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS 13 $26,856 $10,002 $349,132 $130,020 9.08
MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE 13 $22,008 $8,499 $286,107 $110,482 5.62
PERITONEAL ADHESIOLYSIS 13 $34,291 $13,677 $445,785 $177,807 8.85
MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION 12 $19,103 $7,628 $229,231 $91,536 4.92
FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK 12 $21,292 $7,263 $255,507 $87,153 5.92
MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE 12 $16,559 $5,991 $198,711 $71,892 5.00
TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE 12 $456,396 $150,655 $5,476,746 $1,807,865 41.08
MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES 12 $78,794 $29,775 $945,532 $357,303 11.67
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS 11 $22,181 $9,404 $243,986 $103,444 3.27
SYNCOPE AND COLLAPSE 11 $17,619 $6,002 $193,812 $66,027 3.73
INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE 11 $18,292 $5,772 $201,217 $63,489 2.82
NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT 11 $63,547 $34,797 $699,015 $382,767 4.64
BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM 11 $57,313 $25,601 $630,438 $281,609 17.36
CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE 10 $26,722 $8,632 $267,222 $86,320 4.50
OTHER INFECTIOUS AND PARASITIC DISEASES 10 $13,917 $4,901 $139,172 $49,006 4.20
MAJOR CHEST AND RESPIRATORY TRAUMA 9 $25,615 $8,158 $230,537 $73,423 5.44
MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES 9 $34,258 $13,436 $308,320 $120,920 9.33
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES 9 $27,832 $13,462 $250,486 $121,161 5.33
TRANSIENT ISCHEMIA 9 $13,355 $4,226 $120,195 $38,034 2.44
MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 9 $39,375 $16,230 $354,379 $146,068 9.44
SKIN ULCERS 9 $21,324 $8,875 $191,917 $79,876 6.00
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES 9 $36,068 $11,492 $324,610 $103,430 5.22
OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS 8 $12,589 $4,690 $100,714 $37,516 4.00
HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION 8 $26,845 $10,373 $214,758 $82,982 6.38
SPINAL PROCEDURES 8 $37,968 $16,600 $303,747 $132,801 6.00
PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES 8 $53,262 $27,744 $426,095 $221,951 7.25
AMPUTATION OF LOWER LIMB EXCEPT TOES 8 $54,047 $25,158 $432,376 $201,260 13.88
INTERSTITIAL AND ALVEOLAR LUNG DISEASES 8 $33,464 $10,730 $267,708 $85,843 5.88
INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES 8 $25,359 $10,763 $202,868 $86,102 4.88
OTHER CIRCULATORY SYSTEM DIAGNOSES 8 $9,392 $2,896 $75,135 $23,166 1.75
INTRACRANIAL HEMORRHAGE 8 $21,244 $7,486 $169,955 $59,891 3.25
KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY 8 $14,813 $5,745 $118,500 $45,960 2.88
NERVOUS SYSTEM MALIGNANCY 8 $25,496 $10,088 $203,968 $80,707 6.50
MAJOR ESOPHAGEAL DISORDERS 7 $20,271 $7,460 $141,900 $52,223 3.57
DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE 7 $15,827 $5,341 $110,788 $37,387 3.86
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS 7 $14,385 $6,119 $100,697 $42,835 1.57
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 7 $121,907 $50,530 $853,348 $353,712 22.00
PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK 7 $41,817 $17,469 $292,716 $122,285 6.57
GASTROINTESTINAL VASCULAR INSUFFICIENCY 7 $17,880 $5,962 $125,161 $41,733 4.43
URETHRAL AND TRANSURETHRAL PROCEDURES 7 $26,132 $10,396 $182,922 $72,771 4.57
ALLERGIC REACTIONS 6 $15,897 $4,906 $95,380 $29,438 2.50
FOOT AND TOE PROCEDURES 6 $75,676 $34,757 $454,053 $208,544 19.83
OTHER ESOPHAGEAL DISORDERS 6 $17,082 $5,763 $102,494 $34,575 3.83
SHOULDER AND ELBOW JOINT REPLACEMENT 5 $33,926 $18,609 $169,630 $93,045 2.00
MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS 5 $19,710 $7,381 $98,550 $36,903 6.00
HYPERTENSION 5 $13,700 $4,718 $68,501 $23,589 2.60
NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 5 $37,138 $15,264 $185,688 $76,318 8.40
ACUTE ANXIETY AND DELIRIUM STATES 5 $23,984 $8,327 $119,918 $41,633 5.60
FRACTURE OF PELVIS OR DISLOCATION OF HIP 5 $19,092 $6,353 $95,462 $31,767 5.20
TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE 5 $684,536 $233,315 $3,422,679 $1,166,575 55.20
OTHER PERIPHERAL VASCULAR PROCEDURES 4 $39,098 $16,736 $156,392 $66,943 7.50
OTHER ENDOCRINE DISORDERS 4 $41,167 $16,118 $164,668 $64,471 13.25
OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES 4 $53,871 $21,864 $215,485 $87,454 5.50
OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES 4 $11,787 $3,619 $47,147 $14,477 3.00
SICKLE CELL ANEMIA CRISIS 4 $20,486 $7,347 $81,944 $29,386 4.25
LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR 4 $21,854 $7,699 $87,415 $30,796 5.00
TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES 4 $50,156 $23,021 $200,624 $92,083 11.50
OTHER RESPIRATORY AND CHEST PROCEDURES 4 $120,703 $43,649 $482,812 $174,597 15.50
OTHER SIGNIFICANT HIP AND FEMUR SURGERY 4 $49,948 $26,185 $199,793 $104,739 6.25
VERTIGO AND OTHER LABYRINTH DISORDERS 4 $12,425 $3,773 $49,699 $15,092 3.00
ANOXIC AND OTHER SEVERE BRAIN DAMAGE 4 $62,237 $25,971 $248,946 $103,883 18.50
MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE 4 $22,283 $7,694 $89,133 $30,774 4.00
CHRONIC KIDNEY DISEASE 4 $9,630 $3,426 $38,521 $13,702 2.00
CHEST PAIN 4 $13,190 $4,172 $52,761 $16,688 3.25
RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES 4 $21,043 $6,920 $84,172 $27,681 4.50
FEVER AND INFLAMMATORY CONDITIONS 3 $11,695 $3,999 $35,086 $11,997 3.00
OTHER OPEN CRANIOTOMY 3 $23,255 $9,544 $69,764 $28,632 2.33
SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT 3 $34,981 $14,352 $104,944 $43,056 5.33
OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS 3 $17,801 $6,433 $53,402 $19,298 5.67
OPIOID ABUSE AND DEPENDENCE 3 $9,362 $2,711 $28,086 $8,134 2.33
DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK 3 $51,379 $28,753 $154,138 $86,259 2.00
CARDIAC STRUCTURAL AND VALVULAR DISORDERS 3 $9,860 $3,127 $29,579 $9,381 2.67
CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE 3 $15,193 $5,558 $45,578 $16,673 5.00
NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION 3 $18,036 $5,502 $54,107 $16,505 4.33
MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA 3 $112,040 $37,056 $336,121 $111,168 12.67
MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 3 $37,871 $17,156 $113,612 $51,469 7.67
NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS 2 $30,526 $10,565 $61,051 $21,130 6.00
MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE 2 $11,445 $3,863 $22,889 $7,726 3.50
CARDIAC ARREST AND SHOCK 2 $36,978 $12,475 $73,955 $24,949 7.00
OTHER BLADDER PROCEDURES 2 $45,959 $18,737 $91,918 $37,473 8.00
ABDOMINAL PAIN 2 $9,734 $3,137 $19,468 $6,273 3.00
ACUTE AND SUBACUTE ENDOCARDITIS 2 $28,961 $11,280 $57,921 $22,559 7.00
MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS 2 $15,101 $5,584 $30,202 $11,168 5.00
INBORN ERRORS OF METABOLISM 2 $13,311 $5,041 $26,621 $10,082 3.00
CONNECTIVE TISSUE DISORDERS 2 $10,474 $3,232 $20,948 $6,464 3.50
VENTRICULAR SHUNT PROCEDURES 2 $25,845 $13,298 $51,690 $26,595 2.50
VIRAL ILLNESS 2 $18,607 $7,436 $37,213 $14,871 5.00
COCAINE ABUSE AND DEPENDENCE 2 $11,054 $3,597 $22,108 $7,193 3.00
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY 2 $35,178 $15,462 $70,355 $30,923 12.00
UNGROUPABLE 2 $24,466 $7,746 $48,931 $15,491 5.50
OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS 2 $24,012 $9,970 $48,023 $19,939 6.00
ORGANIC MENTAL HEALTH DISTURBANCES 1 $15,274 $5,120 $15,274 $5,120 4.00
OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES 1 $18,288 $6,870 $18,288 $6,870 4.00
EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 1 $58,995 $21,868 $58,995 $21,868 8.00
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY 1 $33,839 $13,219 $33,839 $13,219 11.00
OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES 1 $54,472 $21,018 $54,472 $21,018 14.00
OTHER MENTAL HEALTH DISORDERS 1 $7,660 $2,641 $7,660 $2,641 2.00
ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES 1 $20,198 $6,599 $20,198 $6,599 5.00
SCHIZOPHRENIA 1 $8,428 $2,057 $8,428 $2,057 4.00
HIV WITH MAJOR HIV RELATED CONDITION 1 $23,257 $8,953 $23,257 $8,953 6.00
FEMALE REPRODUCTIVE SYSTEM INFECTIONS 1 $18,125 $6,701 $18,125 $6,701 9.00
DENTAL DISEASES AND DISORDERS 1 $12,894 $4,683 $12,894 $4,683 3.00
OTHER CIRCULATORY SYSTEM PROCEDURES 1 $57,874 $19,454 $57,874 $19,454 6.00
MALIGNANT BREAST DISORDERS 1 $12,710 $4,359 $12,710 $4,359 2.00
BIPOLAR DISORDERS 1 $5,455 $1,590 $5,455 $1,590 2.00
PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK 1 $51,505 $19,731 $51,505 $19,731 5.00
MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES 1 $14,557 $5,147 $14,557 $5,147 5.00
OTHER NERVOUS SYSTEM AND RELATED PROCEDURES 1 $71,851 $30,093 $71,851 $30,093 22.00
ACUTE BRONCHITIS AND RELATED SYMPTOMS 1 $3,894 $1,304 $3,894 $1,304 1.00
THYROID DISORDERS 1 $9,214 $2,910 $9,214 $2,910 2.00
KIDNEY AND URINARY TRACT MALIGNANCY 1 $17,642 $5,216 $17,642 $5,216 2.00
OPEN CRANIOTOMY FOR TRAUMA 1 $26,477 $10,674 $26,477 $10,674 4.00
SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES 1 $99,879 $45,107 $99,879 $45,107 30.00
MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS 1 $77,312 $33,687 $77,312 $33,687 11.00
OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES 1 $26,826 $8,988 $26,826 $8,988 5.00
ANTEPARTUM WITHOUT O.R. PROCEDURE 1 $14,523 $5,184 $14,523 $5,184 4.00
OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES 1 $10,081 $3,644 $10,081 $3,644 2.00
INFECTIONS OF UPPER RESPIRATORY TRACT 1 $4,535 $1,504 $4,535 $1,504 1.00
NEPHRITIS AND NEPHROSIS 1 $34,625 $14,063 $34,625 $14,063 12.00