Montefiore Med Center - Jack D Weiler Hosp of A Einstein College Div

2017 Age Distribution

2017 Patient Race:

Black/African American7,771
Multi-racial155
Other Race16,301
White4,897

2017 Payers:

Blue Cross/Blue Shield 1,262
Federal/State/Local/VA 13
Medicaid 11,044
Medicare 11,826
Miscellaneous/Other 34
Private Health Insurance 4,788
Self-Pay 157

Conditions treated in 2017

Click on a column header to sort ascending or descending.
DRG Count Avg. Charge Avg. Cost Sum all Charges Sum all Costs Avg. LOS
Neonate birthwt >2499g, normal newborn or neonate w other problem 2785 $14,245 $2,565 $39,673,267 $7,144,198 2.48
Vaginal delivery 2263 $33,439 $9,813 $75,672,050 $22,206,308 2.79
Cesarean delivery 1330 $56,701 $16,437 $75,412,631 $21,860,799 4.55
Septicemia & disseminated infections 1229 $112,002 $24,623 $137,649,852 $30,261,257 8.74
Heart failure 1151 $80,571 $19,577 $92,736,922 $22,532,866 6.52
Chronic obstructive pulmonary disease 664 $56,504 $12,039 $37,518,491 $7,994,121 5.07
Other antepartum diagnoses 473 $25,232 $7,167 $11,934,806 $3,389,895 2.33
Percutaneous coronary intervention w/o AMI 432 $109,340 $35,895 $47,234,946 $15,506,499 3.43
Infectious & parasitic diseases including HIV w O.R. procedure 432 $229,456 $51,854 $99,125,206 $22,400,966 15.23
Cardiac arrhythmia & conduction disorders 427 $57,553 $15,690 $24,575,236 $6,699,446 3.70
Syncope & collapse 423 $47,235 $11,637 $19,980,473 $4,922,468 3.17
CVA & precerebral occlusion w infarct 404 $95,157 $20,339 $38,443,252 $8,216,832 6.36
Diabetes 396 $52,260 $10,921 $20,695,068 $4,324,874 4.37
Kidney & urinary tract infections 369 $55,065 $11,216 $20,319,039 $4,138,853 4.97
Acute Kidney Injury 355 $73,445 $16,457 $26,073,000 $5,842,370 6.06
Other pneumonia 352 $53,699 $11,068 $18,902,007 $3,895,785 4.65
Chest pain 338 $28,074 $6,397 $9,488,952 $2,162,036 1.88
Other musculoskeletal system & connective tissue diagnoses 319 $50,363 $10,432 $16,065,689 $3,327,954 4.56
Angina pectoris & coronary atherosclerosis 315 $33,819 $8,284 $10,653,067 $2,609,447 2.37
Other gastroenteritis, nausa & vomiting 298 $42,417 $7,939 $12,640,198 $2,365,924 3.25
Other back & neck disorders, fractures & injuries 292 $51,248 $9,704 $14,964,511 $2,833,494 4.45
Asthma 275 $38,968 $8,186 $10,716,311 $2,251,286 3.36
Other digestive system diagnoses 258 $51,030 $10,469 $13,165,665 $2,701,013 4.19
Percutaneous coronary intervention w AMI 254 $108,657 $33,436 $27,598,946 $8,492,772 4.35
Cellulitis & other skin infections 254 $52,033 $10,663 $13,216,380 $2,708,433 4.70
Laparoscopic cholecystectomy 253 $65,675 $14,072 $16,615,689 $3,560,134 3.77
Peripheral & other vascular disorders 234 $63,091 $13,744 $14,763,204 $3,216,101 5.23
Diverticulitis & diverticulosis 217 $48,402 $9,489 $10,503,189 $2,059,203 3.65
Other & unspecified gastrointestinal hemorrhage 215 $68,688 $15,959 $14,767,893 $3,431,208 5.08
Disorders of pancreas except malignancy 203 $53,081 $10,122 $10,775,421 $2,054,834 4.24
Signs, symptoms & other factors influencing health status 199 $44,967 $8,772 $8,948,463 $1,745,638 3.86
Seizure 194 $59,305 $11,998 $11,505,106 $2,327,693 4.49
Sickle cell anemia crisis 194 $49,190 $10,162 $9,542,851 $1,971,502 4.51
Neonate bwt 2000-2499g, normal newborn or neonate w other problem 193 $29,688 $4,688 $5,729,758 $904,801 3.55
Cardiac catheterization for other non-coronary conditions 191 $127,102 $35,639 $24,276,533 $6,806,994 7.93
Major small & large bowel procedures 185 $149,718 $33,580 $27,697,901 $6,212,372 10.19
Acute myocardial infarction 179 $103,370 $29,034 $18,503,193 $5,197,118 5.84
Neonate birthwt >2499g w other significant condition 177 $55,403 $8,280 $9,806,284 $1,465,504 4.66
Peripheral, cranial & autonomic nerve disorders 175 $51,628 $9,896 $9,034,957 $1,731,720 4.33
Peptic ulcer & gastritis 175 $58,394 $12,750 $10,218,956 $2,231,216 4.22
Lower extremity arterial procedures 167 $161,431 $39,928 $26,959,008 $6,668,055 9.60
Electrolyte disorders except hypovolemia related 167 $53,295 $11,823 $8,900,301 $1,974,394 4.06
Other anemia & disorders of blood & blood-forming organs 165 $53,596 $11,237 $8,843,322 $1,854,065 3.95
Other disorders of nervous system 158 $58,434 $10,879 $9,232,625 $1,718,831 4.50
Cardiac catheterization for coronary artery disease 150 $61,769 $18,022 $9,265,283 $2,703,291 2.89
Infections of upper respiratory tract 149 $46,800 $10,188 $6,973,262 $1,517,991 3.95
Hypertension 149 $48,282 $10,910 $7,194,059 $1,625,623 3.30
Intestinal obstruction 147 $55,619 $10,532 $8,176,012 $1,548,188 4.54
Moderately extensive procedure unrelated to principal diagnosis 147 $186,369 $43,191 $27,396,259 $6,349,122 13.08
Kidney & urinary tract procedures for nonmalignancy 146 $63,785 $14,515 $9,312,663 $2,119,172 3.68
Other circulatory system diagnoses 144 $66,614 $16,585 $9,592,371 $2,388,220 4.41
Mastectomy procedures 144 $59,213 $12,853 $8,526,677 $1,850,846 1.47
Uterine & adnexa procedures for leiomyoma 140 $46,533 $10,759 $6,514,589 $1,506,200 1.96
Vertigo & other labyrinth disorders 135 $40,763 $8,087 $5,503,066 $1,091,713 2.96
Respiratory signs, symptoms & minor diagnoses 135 $35,567 $7,463 $4,801,593 $1,007,518 2.81
Uterine & adnexa procedures for non-malignancy except leiomyoma 131 $54,735 $12,010 $7,170,343 $1,573,257 2.28
Abdominal pain 125 $33,601 $5,790 $4,200,080 $723,794 2.35
Appendectomy 121 $50,291 $9,658 $6,085,211 $1,168,617 2.10
Neonate birthwt >2499g w major anomaly 121 $125,135 $18,821 $15,141,360 $2,277,392 8.20
Disorders of gallbladder & biliary tract 118 $52,328 $10,839 $6,174,728 $1,278,990 3.85
Pulmonary embolism 117 $77,589 $17,092 $9,077,876 $1,999,740 4.89
Coronary bypass w/o AMI or complex PDX 116 $176,735 $47,588 $20,501,274 $5,520,208 7.21
Post-operative, post-traumatic, other device infections 115 $91,827 $19,698 $10,560,087 $2,265,235 7.40
Other esophageal disorders 114 $41,833 $9,115 $4,768,993 $1,039,082 2.94
Migraine & other headaches 113 $44,001 $8,406 $4,972,165 $949,904 3.58
Major gastrointestinal & peritoneal infections 112 $79,005 $16,528 $8,848,583 $1,851,187 6.96
Poisoning of medicinal agents 110 $54,519 $11,831 $5,997,101 $1,301,376 3.96
Postpartum & post abortion diagnoses w/o procedure 101 $34,068 $7,778 $3,440,830 $785,529 2.40
Degenerative nervous system disorders exc mult sclerosis 99 $85,448 $18,804 $8,459,366 $1,861,603 8.38
Respiratory Failure 96 $92,071 $20,185 $8,838,855 $1,937,752 7.47
Amputation of lower limb except toes 95 $153,597 $33,911 $14,591,673 $3,221,515 12.28
Alcohol abuse & dependence 89 $63,678 $13,301 $5,667,359 $1,183,754 5.37
Digestive malignancy 88 $81,464 $16,980 $7,168,789 $1,494,199 6.73
Other peripheral vascular procedures 86 $190,203 $47,815 $16,357,417 $4,112,074 11.29
Tracheostomy w MV 96+ hours w extensive procedure or ECMO 81 $854,922 $204,142 $69,248,656 $16,535,514 49.88
Malfunction, reaction, complic of genitourinary device or proc 81 $60,217 $12,320 $4,877,563 $997,940 4.90
Cardiac defibrillator & heart assist implant 76 $225,163 $73,118 $17,112,423 $5,556,935 7.58
Skin ulcers 75 $64,973 $13,631 $4,872,949 $1,022,297 5.87
Urinary stones & acquired upper urinary tract obstruction 75 $35,163 $6,386 $2,637,203 $478,935 1.99
Hypovolemia & related electrolyte disorders 71 $56,017 $11,754 $3,977,177 $834,516 4.82
Transurethral prostatectomy 71 $35,095 $7,727 $2,491,765 $548,638 1.77
Hernia procedures except inguinal, femoral & umbilical 70 $77,656 $17,474 $5,435,891 $1,223,186 5.03
Uterine & adnexa procedures for non-ovarian & non-adnexal malig 70 $75,634 $15,212 $5,294,395 $1,064,830 3.43
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond 70 $137,962 $20,275 $9,657,347 $1,419,271 8.94
Breast procedures except mastectomy 69 $100,992 $24,627 $6,968,454 $1,699,241 3.29
Other complications of treatment 69 $46,573 $9,880 $3,213,534 $681,741 3.54
Chronic Kidney Disease 68 $82,609 $18,335 $5,617,417 $1,246,812 7.19
Perm cardiac pacemaker implant w/o AMI, heart failure or shock 67 $122,693 $38,508 $8,220,447 $2,580,066 5.28
Other hepatobiliary, pancreas & abdominal procedures 67 $127,751 $27,547 $8,559,341 $1,845,648 9.73
Organic mental health disturbances 67 $58,999 $12,295 $3,952,941 $823,798 6.18
Respiratory malignancy 65 $100,201 $22,114 $6,513,063 $1,437,392 7.62
Major respiratory infections & inflammations 65 $79,798 $16,757 $5,186,853 $1,089,184 7.42
Fractures & dislocations except femur, pelvis & back 65 $55,494 $11,545 $3,607,115 $750,408 5.05
Cardiac valve procedures w/o AMI or complex PDX 63 $229,144 $65,674 $14,436,048 $4,137,442 9.06
Nontraumatic stupor & coma 62 $82,483 $17,142 $5,113,955 $1,062,825 6.61
Malfunction,reaction,complication of cardiac/vasc device or procedure 62 $95,475 $22,664 $5,919,446 $1,405,157 6.60
Vaginal delivery w complicating procedures exc sterilization &/or D&C 62 $39,273 $11,111 $2,434,902 $688,893 2.82
Other digestive system & abdominal procedures 61 $112,781 $24,390 $6,879,643 $1,487,790 7.34
Extracranial vascular procedures 60 $115,327 $28,997 $6,919,622 $1,739,842 5.23
Other cardiothoracic & thoracic vascular procedures 60 $187,583 $53,183 $11,254,961 $3,191,003 7.83
Inflammatory bowel disease 60 $52,809 $9,973 $3,168,531 $598,378 4.33
Kidney & urinary tract procedures for malignancy 60 $62,989 $13,841 $3,779,351 $830,461 3.27
Other endocrine disorders 59 $53,899 $11,574 $3,180,054 $682,882 4.00
Other respiratory diagnoses except signs, symptoms & minor diagnoses 56 $66,074 $13,895 $3,700,159 $778,133 5.80
Other ear, nose, mouth,throat & cranial/facial diagnoses 55 $46,287 $9,123 $2,545,763 $501,740 3.84
Malfunction, reaction & complication of GI device or procedure 55 $67,768 $15,254 $3,727,217 $838,980 5.49
Connective tissue disorders 55 $60,208 $11,971 $3,311,425 $658,393 4.82
Toxic effects of non-medicinal substances 55 $72,764 $16,398 $4,002,005 $901,908 5.75
Nonextensive procedure unrelated to principal diagnosis 55 $151,822 $31,641 $8,350,235 $1,740,254 10.33
Transient ischemia 54 $56,680 $10,795 $3,060,734 $582,933 3.13
Urethral & transurethral procedures 53 $52,685 $11,048 $2,792,285 $585,539 2.85
HIV w major HIV related condition 53 $82,455 $16,189 $4,370,097 $858,039 6.60
Coagulation & platelet disorders 52 $112,502 $22,649 $5,850,091 $1,177,773 6.17
Other skin, subcutaneous tissue & breast disorders 51 $42,432 $8,841 $2,164,010 $450,897 3.82
Post-op, post-trauma, other device infections w O.R. procedure 51 $204,577 $50,238 $10,433,405 $2,562,139 13.73
Menstrual & other female reproductive system disorders 50 $38,425 $7,356 $1,921,228 $367,780 2.62
Preterm labor 50 $17,756 $5,202 $887,817 $260,104 1.74
Neonate bwt 2000-2499g w other significant condition 50 $181,380 $25,760 $9,068,990 $1,287,987 12.38
Intracranial hemorrhage 49 $102,672 $21,701 $5,030,952 $1,063,362 6.86
Other kidney & urinary tract diagnoses, signs & symptoms 49 $48,598 $9,673 $2,381,294 $473,963 4.00
Major stomach, esophageal & duodenal procedures 48 $149,300 $35,478 $7,166,414 $1,702,922 8.79
Osteomyelitis, septic arthritis & other musculoskeletal infections 48 $78,369 $15,747 $3,761,712 $755,866 7.17
Vaginal delivery w sterilization &/or D&C 48 $47,500 $13,349 $2,280,000 $640,760 3.60
Other small & large bowel procedures 46 $105,365 $23,046 $4,846,791 $1,060,116 7.59
Malignancy of hepatobiliary system & pancreas 46 $77,448 $15,452 $3,562,590 $710,810 6.09
Other disorders of the liver 46 $68,204 $13,229 $3,137,403 $608,541 5.26
Contusion, open wound & other trauma to skin & subcutaneous tissue 46 $56,472 $11,190 $2,597,725 $514,739 5.15
Other skin, subcutaneous tissue & related procedures 45 $80,561 $17,271 $3,625,230 $777,202 7.04
Neonate bwt 1500-1999g w or w/o other significant condition 45 $252,136 $35,417 $11,346,111 $1,593,782 17.53
Extensive procedure unrelated to principal diagnosis 45 $260,954 $61,178 $11,742,937 $2,753,006 16.44
Head trauma w coma >1 hr or hemorrhage 44 $104,590 $22,376 $4,601,961 $984,552 9.05
Hepatic coma & other major acute liver disorders 43 $69,367 $13,840 $2,982,788 $595,125 5.56
Major hematologic/immunologic diag exc sickle cell crisis & coagul 43 $98,118 $20,148 $4,219,054 $866,353 7.09
Nervous system malignancy 41 $108,294 $20,841 $4,440,047 $854,474 9.27
Coronary bypass w AMI or complex PDX 41 $276,780 $76,473 $11,347,965 $3,135,374 12.24
Fever 41 $82,745 $17,868 $3,392,559 $732,605 5.95
Malnutrition, failure to thrive & other nutritional disorders 40 $86,094 $18,111 $3,443,773 $724,433 9.23
Female reproductive system malignancy 40 $72,371 $14,525 $2,894,839 $580,980 5.73
Viral illness 40 $46,665 $9,668 $1,866,611 $386,706 3.93
Lymphoma, myeloma & non-acute leukemia 39 $178,748 $36,413 $6,971,181 $1,420,118 11.79
Craniotomy except for trauma 38 $312,184 $69,677 $11,862,996 $2,647,736 16.58
Interstitial & alveolar lung diseases 38 $80,965 $17,335 $3,076,661 $658,748 7.37
Other O.R. proc for obstetric diagnoses except delivery diagnoses 37 $24,181 $6,327 $894,681 $234,095 1.84
Foot & toe procedures 36 $87,054 $18,194 $3,133,938 $654,978 7.17
Female reproductive system infections 36 $43,395 $9,442 $1,562,203 $339,924 3.06
Major pancreas, liver & shunt procedures 35 $190,808 $43,751 $6,678,291 $1,531,284 13.63
Acute anxiety & delirium states 35 $37,275 $8,155 $1,304,618 $285,433 2.94
Other stomach, esophageal & duodenal procedures 34 $121,156 $27,988 $4,119,312 $951,592 8.85
Hip and femur fracture repair 34 $123,815 $29,611 $4,209,706 $1,006,774 7.59
Thyroid, parathyroid & thyroglossal procedures 34 $35,518 $7,614 $1,207,600 $258,877 1.12
Major abdominal vascular procedures 33 $216,153 $63,172 $7,133,053 $2,084,666 9.24
Drug & alcohol abuse or dependence, left against medical advice 32 $38,642 $7,205 $1,236,551 $230,559 3.19
HIV w multiple major HIV related conditions 32 $134,053 $28,666 $4,289,695 $917,319 10.03
Other circulatory system procedures 31 $203,091 $50,988 $6,295,829 $1,580,643 13.29
Alcoholic liver disease 31 $89,448 $18,813 $2,772,876 $583,206 6.52
Male reproductive system diagnoses except malignancy 30 $47,628 $9,522 $1,428,847 $285,645 3.90
Other female reproductive system & related procedures 29 $61,944 $12,964 $1,796,375 $375,960 3.97
O.R. procedure for other complications of treatment 28 $97,434 $22,345 $2,728,142 $625,662 6.32
Major male pelvic procedures 27 $46,062 $9,556 $1,243,678 $258,013 1.96
Neonate birthwt 1500-1999g w major anomaly 27 $344,720 $48,897 $9,307,439 $1,320,213 22.96
Gastrointestinal vascular insufficiency 26 $72,562 $15,242 $1,886,608 $396,283 5.19
Musculoskeletal malignancy & pathol fracture d/t muscskel malig 26 $101,989 $19,299 $2,651,704 $501,762 7.04
Tonsil & adenoid procedures 25 $38,946 $9,164 $973,647 $229,103 1.88
Bronchiolitis & RSV pneumonia 25 $50,593 $10,843 $1,264,819 $271,066 4.80
Cardiac structural & valvular disorders 25 $95,724 $25,317 $2,393,094 $632,927 7.28
Pelvic evisceration, radical hysterectomy & other radical GYN procs 25 $80,780 $16,342 $2,019,503 $408,557 3.40
Peritoneal adhesiolysis 24 $109,308 $23,539 $2,623,401 $564,929 7.58
Multiple sclerosis & other demyelinating diseases 23 $98,436 $17,614 $2,264,035 $405,113 7.04
Hip joint replacement 23 $121,447 $29,676 $2,793,280 $682,559 6.83
Uterine & adnexa procedures for ovarian & adnexal malignancy 23 $144,232 $30,218 $3,317,333 $695,020 8.52
Other infectious & parasitic diseases 23 $49,901 $10,602 $1,147,714 $243,846 3.91
HIV w one signif HIV cond or w/o signif related cond 23 $54,685 $10,859 $1,257,745 $249,750 4.04
Cholecystectomy except laparoscopic 22 $99,956 $21,805 $2,199,029 $479,701 6.45
Kidney & urinary tract malignancy 22 $77,934 $16,786 $1,714,540 $369,296 6.05
Lymphatic & other malignancies & neoplasms of uncertain behavior 22 $122,213 $25,899 $2,688,676 $569,770 9.68
Opioid abuse & dependence 22 $51,383 $10,989 $1,130,420 $241,755 4.73
Malignant breast disorders 21 $92,961 $19,213 $1,952,173 $403,480 7.62
False labor 21 $8,849 $2,898 $185,838 $60,862 1.05
Neonate bwt 2000-2499g w major anomaly 21 $259,988 $37,220 $5,459,740 $781,625 17.81
Major biliary tract procedures 20 $104,937 $23,489 $2,098,742 $469,779 7.45
Neonate birthwt >2499g w congenital/perinatal infection 20 $138,815 $23,707 $2,776,299 $474,142 9.10
HIV w multiple significant HIV related conditions 20 $78,037 $16,005 $1,560,744 $320,100 5.65
Neonate bwt 1500-1999g w resp dist synd/oth maj resp cond 19 $546,337 $77,526 $10,380,400 $1,473,001 37.16
Eye disorders except major infections 18 $47,834 $7,663 $861,009 $137,935 3.11
Respiratory system diagnosis w ventilator support 96+ hours 18 $289,603 $64,880 $5,212,847 $1,167,846 21.17
Dilation & curettage for non-obstetric diagnoses 18 $90,463 $19,347 $1,628,339 $348,244 5.83
Other ear, nose, mouth & throat procedures 17 $58,815 $13,377 $999,862 $227,402 3.29
Dental & oral diseases & injuries 17 $51,833 $10,834 $881,163 $184,172 4.53
Major esophageal disorders 17 $97,058 $22,895 $1,649,988 $389,208 7.29
Inguinal, femoral & umbilical hernia procedures 16 $56,187 $11,773 $898,989 $188,372 3.19
Knee & lower leg procedures except foot 16 $129,692 $30,676 $2,075,079 $490,822 9.06
Tendon, muscle & other soft tissue procedures 16 $183,228 $41,487 $2,931,643 $663,789 14.94
Skin graft for skin & subcutaneous tissue diagnoses 16 $91,822 $21,311 $1,469,148 $340,977 6.00
Neonate bwt <1500g w major procedure 16 $1,668,882 $265,923 $26,702,116 $4,254,765 77.81
Neonate birthwt 750-999g w/o major procedure 16 $1,179,422 $170,950 $18,870,752 $2,735,207 75.19
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms 16 $246,036 $52,457 $3,936,572 $839,309 14.19
Major chest & respiratory trauma 15 $60,563 $13,158 $908,452 $197,366 5.00
Neonate bwt 1250-1499g w resp dist synd/oth maj resp or maj anom 15 $548,671 $78,060 $8,230,058 $1,170,902 36.27
Renal dialysis access device procedure only 14 $267,843 $62,258 $3,749,802 $871,618 19.43
Non-bacterial infections of nervous system exc viral meningitis 13 $96,426 $19,004 $1,253,538 $247,051 8.00
Anal procedures 13 $63,868 $12,939 $830,287 $168,201 4.69
Major bladder procedures 13 $143,605 $31,808 $1,866,863 $413,499 9.77
Neonate birthwt 1000-1249g w or w/o other significant condition 13 $951,286 $135,586 $12,366,718 $1,762,620 63.38
Neonate bwt 2000-2499g w resp dist synd/oth maj resp cond 13 $283,358 $40,922 $3,683,653 $531,988 17.54
D&C, aspiration curettage or hysterotomy for obstetric diagnoses 12 $36,842 $8,648 $442,108 $103,778 1.67
Tracheostomy w MV 96+ hours w/o extensive procedure 11 $686,245 $169,222 $7,548,696 $1,861,443 42.45
Cardiac pacemaker & defibrillator revision except device replacement 11 $75,804 $24,002 $833,848 $264,026 2.82
Malfunction, reaction, complic of orthopedic device or procedure 11 $134,636 $29,698 $1,480,992 $326,675 9.18
Malignancy, male reproductive system 11 $76,458 $15,577 $841,041 $171,349 7.00
Neonate bwt <500g or GA <24 weeks 11 $675,535 $104,352 $7,430,885 $1,147,871 34.82
Other Chemotherapy 11 $103,685 $21,792 $1,140,537 $239,710 4.82
Spinal procedures 10 $217,605 $49,199 $2,176,051 $491,993 15.20
Nonspecific CVA & precerebral occlusion w/o infarct 10 $74,172 $14,760 $741,724 $147,597 4.80
Viral meningitis 10 $72,163 $13,358 $721,630 $133,582 5.70
Cardiac valve procedures w AMI or complex PDX 10 $407,086 $115,298 $4,070,858 $1,152,975 17.90
Pituitary & adrenal procedures 10 $60,913 $13,855 $609,130 $138,547 3.10
Other kidney, urinary tract & related procedures 10 $166,978 $39,365 $1,669,782 $393,647 11.60
Other male reproductive system & related procedures 10 $93,805 $19,330 $938,051 $193,299 6.70
Neonate bwt 1250-1499g w or w/o other significant condition 10 $537,552 $75,745 $5,375,523 $757,448 36.00
Neonate bwt 1500-2499g w major procedure 10 $472,915 $72,635 $4,729,148 $726,353 25.90
Other procedures of blood & blood-forming organs 10 $121,426 $23,901 $1,214,263 $239,008 7.90
Procedure w diag of rehab, aftercare or oth contact w health service 10 $73,262 $18,049 $732,619 $180,489 3.70
Spinal disorders & injuries 9 $121,527 $21,831 $1,093,739 $196,477 9.67
Cardiac pacemaker & defibrillator device replacement 9 $116,002 $39,050 $1,044,020 $351,449 3.78
Cardiac arrest and shock 9 $94,808 $23,084 $853,272 $207,753 5.44
Neonate birthwt >2499g w other major procedure 9 $657,108 $135,805 $5,913,968 $1,222,247 34.67
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms 9 $330,424 $68,408 $2,973,814 $615,675 24.44
Allergic reactions 9 $47,110 $10,415 $423,989 $93,738 3.00
Other nervous system & related procedures 8 $204,517 $46,309 $1,636,135 $370,475 12.25
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma 8 $52,523 $12,773 $420,182 $102,187 3.50
Other respiratory & chest procedures 8 $122,569 $25,806 $980,548 $206,445 9.13
Cervical spinal fusion & other back/neck proc exc disc excis/decomp 8 $328,540 $73,001 $2,628,318 $584,004 24.88
Other procedures for endocrine, nutritional & metabolic disorders 8 $173,247 $39,085 $1,385,979 $312,676 12.38
Female reproductive system reconstructive procedures 8 $118,696 $25,746 $949,567 $205,967 7.38
Neonate bwt 1000-1249g w resp dist synd/oth maj resp or maj anom 8 $1,106,024 $157,457 $8,848,190 $1,259,657 71.75
Alcohol & drug dependence w rehab or rehab/detox therapy 8 $57,818 $13,942 $462,544 $111,534 5.13
Cocaine abuse & dependence 8 $55,836 $13,382 $446,688 $107,059 4.63
Other drug abuse & dependence 8 $33,980 $6,273 $271,838 $50,185 2.38
Ear, nose, mouth, throat, cranial/facial malignancies 7 $107,127 $24,158 $749,887 $169,108 8.29
Fracture of pelvis or dislocation of hip 7 $50,305 $10,272 $352,136 $71,901 5.57
Neonate birthwt 500-749g w/o major procedure 7 $1,622,916 $237,732 $11,360,412 $1,664,127 93.86
Other aftercare & convalescence 7 $69,333 $16,020 $485,328 $112,142 5.00
Intervertebral disc excision & decompression 6 $153,538 $32,353 $921,226 $194,115 14.00
Other musculoskeletal system & connective tissue procedures 6 $156,413 $36,424 $938,477 $218,545 11.83
Fracture of femur 6 $32,675 $5,690 $196,048 $34,141 2.67
Major skin disorders 6 $62,019 $12,547 $372,111 $75,284 6.33
Nephritis & nephrosis 6 $62,717 $11,955 $376,302 $71,727 5.33
Testes & scrotal procedures 6 $44,762 $8,277 $268,570 $49,660 1.83
Acute leukemia 6 $372,238 $71,566 $2,233,429 $429,394 23.00
Bacterial & tuberculous infections of nervous system 5 $147,337 $27,150 $736,683 $135,748 10.00
Acute major eye infections 5 $80,317 $14,960 $401,587 $74,800 7.20
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses 5 $53,915 $11,322 $269,573 $56,611 4.40
Other bladder procedures 5 $98,791 $20,976 $493,956 $104,882 7.00
Neonate birthwt >2499g w major cardiovascular procedure 5 $500,946 $112,812 $2,504,729 $564,060 23.00
Splenectomy 5 $56,743 $12,404 $283,713 $62,020 3.40
Mental illness diagnosis w O.R. procedure 5 $185,735 $46,827 $928,674 $234,135 10.80
Schizophrenia 5 $214,886 $71,206 $1,074,429 $356,032 34.60
Adjustment disorders & neuroses except depressive diagnoses 5 $35,844 $8,129 $179,218 $40,647 2.80
Acute & subacute endocarditis 4 $305,032 $76,360 $1,220,128 $305,439 22.00
Other significant hip and femur surgery 4 $279,313 $65,325 $1,117,251 $261,300 20.00
Inborn errors of metabolism 4 $68,429 $11,328 $273,715 $45,313 4.75
Neonate bwt 2000-2499g w congenital/perinatal infection 4 $161,965 $22,543 $647,859 $90,171 11.00
Other injury, poisoning & toxic effect diagnoses 4 $39,099 $8,619 $156,395 $34,474 2.50
Craniotomy for trauma 3 $177,266 $38,432 $531,799 $115,296 8.33
Facial bone procedures except major cranial/facial bone procedures 3 $82,311 $20,572 $246,932 $61,717 5.00
Major respiratory & chest procedures 3 $210,583 $46,966 $631,750 $140,897 16.00
Permanent cardiac pacemaker implant w AMI, heart failure or shock 3 $200,549 $59,742 $601,648 $179,226 12.33
Cardiomyopathy 3 $52,577 $13,482 $157,730 $40,446 4.00
Shoulder, upper arm & forearm procedures except joint replacement 3 $89,364 $20,098 $268,091 $60,294 5.00
Hand & wrist procedures 3 $66,385 $17,181 $199,155 $51,543 3.67
Penis procedures 3 $96,661 $24,418 $289,984 $73,254 6.67
Neonate, transferred < 5 days old, born here 3 $36,646 $7,268 $109,937 $21,804 1.67
Neonate birthwt 1500-1999g w congenital/perinatal infection 3 $299,698 $42,090 $899,094 $126,270 20.67
Major depressive disorders & other/unspecified psychoses 3 $48,807 $9,035 $146,421 $27,104 4.33
Bipolar disorders 3 $68,572 $16,145 $205,716 $48,434 7.33
Ventricular shunt procedures 2 $118,486 $27,670 $236,971 $55,340 7.00
Orbital procedures 2 $40,352 $7,722 $80,704 $15,443 2.50
Eye procedures except orbit 2 $36,132 $7,135 $72,264 $14,269 2.00
Dorsal & lumbar fusion proc except for curvature of back 2 $324,946 $85,380 $649,892 $170,759 13.50
Disorders of personality & impulse control 2 $55,875 $19,279 $111,750 $38,557 10.00
Depression except major depressive disorder 2 $58,366 $11,947 $116,731 $23,894 5.50
Other mental health disorders 2 $36,392 $7,253 $72,783 $14,505 4.00
Burns with skin graft except extensive 3rd degree burns 2 $161,771 $35,705 $323,542 $71,410 15.50
Heart &/or lung transplant 1 $1,170,546 $327,928 $1,170,546 $327,928 51.00
Major cranial/facial bone procedures 1 $32,750 $7,259 $32,750 $7,259 1.00
Cystic fibrosis - pulmonary disease 1 $101,749 $20,756 $101,749 $20,756 10.00
BPD & oth chronic respiratory diseases arising in perinatal period 1 $206,010 $29,437 $206,010 $29,437 14.00
Procedures for obesity 1 $61,415 $13,866 $61,415 $13,866 4.00
Neonate w ECMO 1 $1,461,209 $271,420 $1,461,209 $271,420 60.00
Radiotherapy 1 $528,172 $101,680 $528,172 $101,680 47.00
Behavioral disorders 1 $32,133 $5,954 $32,133 $5,954 3.00
Multiple significant trauma w/o O.R. procedure 1 $70,883 $12,777 $70,883 $12,777 7.00
Ungroupable 1 $483,596 $70,046 $483,596 $70,046 30.00