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 |