Millard Fillmore Suburban Hospital

2017 Age Distribution

2017 Patient Race:

Black/African American923
Other Race786
White15,740

2017 Payers:

Blue Cross/Blue Shield 4,009
Federal/State/Local/VA 202
Medicaid 1,962
Medicare 8,106
Miscellaneous/Other 111
Private Health Insurance 2,874
Self-Pay 185

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 2285 $4,324 $1,983 $9,880,374 $4,532,037 2.28
Vaginal delivery 1671 $7,350 $5,053 $12,281,288 $8,442,940 2.29
Septicemia & disseminated infections 926 $22,716 $10,451 $21,034,831 $9,677,708 4.98
Cesarean delivery 869 $13,436 $7,356 $11,676,271 $6,392,277 3.27
Knee joint replacement 773 $36,188 $13,768 $27,973,253 $10,642,484 2.42
Heart failure 541 $17,019 $8,040 $9,207,433 $4,349,472 4.29
Hip joint replacement 505 $39,071 $14,860 $19,730,775 $7,504,383 2.87
Acute Kidney Injury 423 $14,804 $7,160 $6,262,071 $3,028,818 4.01
Chronic obstructive pulmonary disease 340 $13,337 $6,308 $4,534,546 $2,144,645 3.21
Major small & large bowel procedures 335 $58,695 $23,351 $19,662,683 $7,822,499 7.86
Cardiac arrhythmia & conduction disorders 326 $12,901 $5,741 $4,205,575 $1,871,497 2.83
Other digestive system diagnoses 276 $16,276 $7,902 $4,492,171 $2,181,011 3.76
Respiratory Failure 272 $25,852 $11,779 $7,031,678 $3,203,764 5.36
Cellulitis & other skin infections 237 $9,610 $4,991 $2,277,622 $1,182,930 3.00
Other pneumonia 227 $13,801 $6,355 $3,132,791 $1,442,562 3.30
Infectious & parasitic diseases including HIV w O.R. procedure 224 $79,762 $34,198 $17,866,579 $7,660,332 12.86
Kidney & urinary tract infections 201 $10,746 $5,144 $2,159,929 $1,033,860 2.93
Diverticulitis & diverticulosis 187 $13,945 $6,853 $2,607,713 $1,281,518 3.69
Intestinal obstruction 184 $12,683 $6,226 $2,333,730 $1,145,556 3.78
Other anemia & disorders of blood & blood-forming organs 175 $17,975 $9,580 $3,145,625 $1,676,498 2.55
Hip and femur fracture repair 173 $37,437 $14,919 $6,476,588 $2,580,904 4.47
Disorders of pancreas except malignancy 159 $12,912 $6,059 $2,052,975 $963,364 3.38
Other gastroenteritis, nausa & vomiting 158 $12,003 $5,488 $1,896,424 $867,039 2.80
Other & unspecified gastrointestinal hemorrhage 156 $16,167 $7,788 $2,521,986 $1,214,877 3.47
Hypovolemia & related electrolyte disorders 153 $12,320 $5,806 $1,884,996 $888,363 3.26
Diabetes 139 $14,354 $6,157 $1,995,230 $855,845 2.90
Moderately extensive procedure unrelated to principal diagnosis 126 $53,298 $22,839 $6,715,571 $2,877,655 8.29
Pulmonary embolism 120 $15,774 $6,789 $1,892,903 $814,726 3.01
Laparoscopic cholecystectomy 118 $30,187 $11,144 $3,562,120 $1,314,935 3.66
Inflammatory bowel disease 113 $14,468 $7,518 $1,634,853 $849,519 4.53
Major gastrointestinal & peritoneal infections 104 $17,441 $8,649 $1,813,880 $899,498 4.91
Kidney & urinary tract procedures for malignancy 100 $41,258 $14,085 $4,125,845 $1,408,500 3.44
Electrolyte disorders except hypovolemia related 99 $12,698 $6,252 $1,257,130 $618,995 3.63
Neonate birthwt >2499g w other significant condition 98 $17,360 $6,931 $1,701,233 $679,241 4.10
CVA & precerebral occlusion w infarct 94 $17,345 $6,363 $1,630,472 $598,130 2.97
Disorders of gallbladder & biliary tract 94 $15,729 $7,076 $1,478,488 $665,161 2.87
Acute myocardial infarction 93 $19,701 $9,176 $1,832,239 $853,387 4.45
Peptic ulcer & gastritis 93 $19,002 $8,859 $1,767,200 $823,849 3.83
Other small & large bowel procedures 92 $31,915 $12,627 $2,936,197 $1,161,719 4.88
Kidney & urinary tract procedures for nonmalignancy 92 $34,741 $12,858 $3,196,150 $1,182,923 4.00
Major respiratory infections & inflammations 90 $19,900 $9,940 $1,790,988 $894,592 5.50
Syncope & collapse 89 $11,829 $4,931 $1,052,755 $438,857 2.08
Other musculoskeletal system & connective tissue diagnoses 89 $12,031 $5,505 $1,070,791 $489,963 2.91
Mastectomy procedures 85 $63,557 $22,692 $5,402,366 $1,928,843 1.22
Post-operative, post-traumatic, other device infections 77 $31,306 $18,140 $2,410,591 $1,396,779 5.27
Neonate bwt 2000-2499g, normal newborn or neonate w other problem 75 $15,437 $6,231 $1,157,800 $467,345 3.96
Malfunction, reaction, complic of genitourinary device or proc 74 $16,833 $8,553 $1,245,662 $632,904 4.61
Vaginal delivery w complicating procedures exc sterilization &/or D&C 73 $9,339 $5,950 $681,756 $434,374 2.62
Nontraumatic stupor & coma 72 $15,731 $7,025 $1,132,641 $505,832 3.64
Urinary stones & acquired upper urinary tract obstruction 72 $11,133 $4,444 $801,543 $319,942 1.81
Shoulder, upper arm & forearm procedures except joint replacement 67 $53,161 $19,663 $3,561,806 $1,317,453 2.45
Uterine & adnexa procedures for leiomyoma 64 $34,738 $11,321 $2,223,244 $724,565 2.75
Neonate, transferred < 5 days old, born here 60 $7,384 $2,946 $443,049 $176,779 1.28
Signs, symptoms & other factors influencing health status 60 $12,606 $6,082 $756,341 $364,943 3.30
Uterine & adnexa procedures for non-malignancy except leiomyoma 59 $37,231 $12,290 $2,196,612 $725,107 3.02
Peripheral & other vascular disorders 55 $15,616 $7,500 $858,886 $412,499 3.67
Other antepartum diagnoses 54 $6,188 $3,154 $334,151 $170,337 1.67
Knee & lower leg procedures except foot 53 $34,066 $12,654 $1,805,505 $670,677 3.34
Major male pelvic procedures 53 $40,150 $11,247 $2,127,927 $596,071 1.34
Hernia procedures except inguinal, femoral & umbilical 52 $44,485 $15,915 $2,313,243 $827,562 4.17
Infections of upper respiratory tract 50 $12,137 $5,571 $606,859 $278,530 2.96
Abdominal pain 50 $11,885 $5,155 $594,237 $257,760 2.22
Extensive procedure unrelated to principal diagnosis 47 $61,586 $27,526 $2,894,555 $1,293,727 9.64
Other circulatory system diagnoses 46 $14,291 $6,181 $657,403 $284,333 2.78
Seizure 45 $14,223 $5,975 $640,030 $268,863 2.89
Major hematologic/immunologic diag exc sickle cell crisis & coagul 44 $18,217 $9,036 $801,559 $397,595 3.36
Shoulder & elbow joint replacement 43 $41,647 $14,597 $1,790,809 $627,666 1.12
Alcoholic liver disease 42 $22,020 $10,397 $924,841 $436,679 5.17
Malignancy of hepatobiliary system & pancreas 42 $19,360 $9,663 $813,116 $405,859 4.76
Fracture of femur 42 $10,385 $4,954 $436,156 $208,047 2.95
Respiratory malignancy 41 $20,697 $9,657 $848,560 $395,924 4.29
Gastrointestinal vascular insufficiency 41 $18,290 $9,030 $749,887 $370,210 5.27
Fracture of pelvis or dislocation of hip 41 $12,244 $5,872 $502,000 $240,738 3.12
Other back & neck disorders, fractures & injuries 41 $13,696 $6,045 $561,523 $247,847 3.05
Angina pectoris & coronary atherosclerosis 39 $12,644 $5,323 $493,132 $207,585 2.10
Digestive malignancy 39 $20,104 $10,052 $784,044 $392,038 5.38
Neonate birthwt >2499g w congenital/perinatal infection 39 $27,470 $10,647 $1,071,346 $415,242 4.79
Appendectomy 36 $27,325 $9,878 $983,706 $355,599 2.89
Other disorders of the liver 36 $14,896 $6,536 $536,265 $235,299 3.00
Fractures & dislocations except femur, pelvis & back 36 $12,175 $5,567 $438,288 $200,412 2.81
Post-op, post-trauma, other device infections w O.R. procedure 35 $44,651 $20,067 $1,562,779 $702,349 8.34
Alcohol abuse & dependence 35 $14,892 $6,812 $521,230 $238,429 3.46
Other complications of treatment 35 $15,450 $7,366 $540,742 $257,797 3.06
Other male reproductive system & related procedures 34 $38,587 $10,990 $1,311,972 $373,651 1.47
Other respiratory diagnoses except signs, symptoms & minor diagnoses 33 $15,914 $7,149 $525,162 $235,912 3.45
Vaginal delivery w sterilization &/or D&C 33 $10,754 $6,124 $354,879 $202,081 2.39
Asthma 32 $12,064 $5,736 $386,051 $183,545 2.81
Cardiac catheterization for other non-coronary conditions 30 $28,573 $13,728 $857,198 $411,826 6.70
Osteomyelitis, septic arthritis & other musculoskeletal infections 30 $17,741 $8,682 $532,221 $260,459 4.43
Major biliary tract procedures 29 $19,090 $9,012 $553,603 $261,345 4.38
Poisoning of medicinal agents 29 $18,881 $8,554 $547,550 $248,056 3.72
Urethral & transurethral procedures 28 $15,763 $6,558 $441,375 $183,627 2.89
Neonate birthwt >2499g w major anomaly 28 $13,634 $5,488 $381,757 $153,675 3.29
Malfunction, reaction & complication of GI device or procedure 27 $16,570 $7,955 $447,402 $214,790 4.19
Other kidney & urinary tract diagnoses, signs & symptoms 26 $9,638 $4,627 $250,596 $120,296 2.62
Uterine & adnexa procedures for non-ovarian & non-adnexal malig 26 $69,037 $23,868 $1,794,949 $620,559 6.54
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond 26 $30,469 $11,965 $792,196 $311,090 4.92
Degenerative nervous system disorders exc mult sclerosis 25 $25,193 $13,795 $629,816 $344,879 3.52
Respiratory signs, symptoms & minor diagnoses 25 $11,252 $4,963 $281,302 $124,071 2.44
Other esophageal disorders 25 $17,484 $8,212 $437,099 $205,311 4.04
Hepatic coma & other major acute liver disorders 25 $14,972 $7,068 $374,308 $176,711 3.84
Foot & toe procedures 25 $28,637 $12,564 $715,923 $314,095 5.36
Other digestive system & abdominal procedures 24 $35,185 $15,096 $844,441 $362,313 5.96
Major bladder procedures 24 $114,873 $49,791 $2,756,953 $1,194,989 8.17
Coagulation & platelet disorders 24 $79,125 $51,837 $1,899,008 $1,244,079 3.04
Organic mental health disturbances 24 $13,320 $6,020 $319,688 $144,491 2.96
Nonextensive procedure unrelated to principal diagnosis 22 $34,142 $14,635 $751,133 $321,959 6.77
Skin ulcers 21 $13,909 $7,220 $292,092 $151,626 4.43
Chronic Kidney Disease 21 $12,672 $5,970 $266,117 $125,380 3.24
O.R. procedure for other complications of treatment 21 $28,488 $12,122 $598,241 $254,560 4.90
Transient ischemia 20 $12,663 $4,489 $253,269 $89,778 1.70
Other peripheral vascular procedures 20 $49,601 $21,618 $992,019 $432,353 7.65
Hypertension 20 $15,045 $7,014 $300,901 $140,288 3.50
Chest pain 20 $10,151 $4,025 $203,012 $80,509 1.55
Other hepatobiliary, pancreas & abdominal procedures 20 $45,739 $20,704 $914,774 $414,086 8.55
Other musculoskeletal system & connective tissue procedures 20 $41,344 $16,265 $826,887 $325,309 4.55
Lymphatic & other malignancies & neoplasms of uncertain behavior 20 $32,583 $14,103 $651,667 $282,056 6.50
Viral illness 20 $10,999 $4,604 $219,989 $92,077 2.30
Peritoneal adhesiolysis 19 $53,612 $21,951 $1,018,623 $417,065 9.42
Cervical spinal fusion & other back/neck proc exc disc excis/decomp 19 $31,494 $14,306 $598,388 $271,805 4.00
Other skin, subcutaneous tissue & related procedures 19 $15,764 $6,918 $299,510 $131,439 3.63
Contusion, open wound & other trauma to skin & subcutaneous tissue 19 $10,971 $4,531 $208,450 $86,097 2.32
Other endocrine disorders 19 $17,429 $8,387 $331,148 $159,362 4.74
Neonate bwt 1500-1999g w or w/o other significant condition 19 $63,772 $24,974 $1,211,672 $474,506 10.84
Inguinal, femoral & umbilical hernia procedures 17 $37,003 $12,787 $629,053 $217,379 3.29
Amputation of lower limb except toes 17 $34,318 $16,222 $583,413 $275,766 7.29
Tendon, muscle & other soft tissue procedures 17 $28,317 $11,384 $481,386 $193,534 4.24
Lymphoma, myeloma & non-acute leukemia 17 $50,766 $23,410 $863,020 $397,967 8.47
Peripheral, cranial & autonomic nerve disorders 16 $15,906 $7,382 $254,498 $118,105 3.13
Vertigo & other labyrinth disorders 16 $11,253 $4,483 $180,052 $71,728 2.00
Other female reproductive system & related procedures 16 $31,739 $12,002 $507,829 $192,026 4.63
Uterine & adnexa procedures for ovarian & adnexal malignancy 15 $103,652 $39,635 $1,554,787 $594,525 11.47
Neonate bwt 2000-2499g w other significant condition 15 $38,984 $15,241 $584,760 $228,614 7.27
Perm cardiac pacemaker implant w/o AMI, heart failure or shock 14 $39,691 $16,521 $555,680 $231,292 3.57
Other stomach, esophageal & duodenal procedures 14 $88,659 $38,707 $1,241,219 $541,904 14.00
Male reproductive system diagnoses except malignancy 14 $10,393 $5,021 $145,499 $70,297 2.79
Postpartum & post abortion diagnoses w/o procedure 14 $11,592 $4,640 $162,290 $64,964 2.07
Migraine & other headaches 13 $12,353 $5,295 $160,587 $68,834 2.38
Tracheostomy w MV 96+ hours w extensive procedure or ECMO 12 $374,478 $155,066 $4,493,739 $1,860,788 41.67
Multiple sclerosis & other demyelinating diseases 12 $14,404 $6,445 $172,844 $77,338 2.92
Other disorders of nervous system 12 $15,686 $5,755 $188,229 $69,061 2.17
Cholecystectomy except laparoscopic 12 $39,196 $13,979 $470,348 $167,751 4.33
Connective tissue disorders 12 $55,391 $25,842 $664,697 $310,107 9.08
Malfunction, reaction, complic of orthopedic device or procedure 12 $17,161 $8,458 $205,934 $101,491 4.42
Major esophageal disorders 11 $19,917 $8,253 $219,091 $90,779 3.09
Allergic reactions 11 $12,895 $5,028 $141,850 $55,310 1.91
Toxic effects of non-medicinal substances 11 $21,889 $8,790 $240,779 $96,694 3.09
Other significant hip and femur surgery 10 $57,931 $22,255 $579,313 $222,554 5.90
Musculoskeletal malignancy & pathol fracture d/t muscskel malig 10 $22,754 $10,154 $227,544 $101,537 5.10
Other skin, subcutaneous tissue & breast disorders 10 $9,887 $5,215 $98,872 $52,149 3.10
Female reproductive system infections 10 $12,138 $6,079 $121,378 $60,791 3.60
Procedure w diag of rehab, aftercare or oth contact w health service 10 $49,671 $19,441 $496,709 $194,408 3.10
Other ear, nose, mouth,throat & cranial/facial diagnoses 9 $11,561 $4,738 $104,053 $42,640 1.89
Female reproductive system reconstructive procedures 9 $29,302 $9,063 $263,720 $81,569 1.56
Preterm labor 9 $4,399 $2,357 $39,590 $21,213 1.33
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms 9 $69,901 $30,630 $629,112 $275,670 12.22
Bacterial & tuberculous infections of nervous system 8 $65,715 $36,709 $525,722 $293,675 6.63
Major respiratory & chest procedures 8 $62,703 $25,915 $501,626 $207,320 10.00
Major chest & respiratory trauma 8 $15,600 $6,335 $124,800 $50,682 3.38
Interstitial & alveolar lung diseases 8 $25,536 $13,088 $204,284 $104,704 7.13
Malfunction,reaction,complication of cardiac/vasc device or procedure 8 $30,597 $14,337 $244,778 $114,695 6.13
Skin graft for skin & subcutaneous tissue diagnoses 8 $22,404 $9,556 $179,230 $76,449 3.50
Dilation & curettage for non-obstetric diagnoses 8 $27,986 $11,080 $223,890 $88,636 3.38
Female reproductive system malignancy 8 $27,153 $12,959 $217,223 $103,673 6.88
Neonate bwt 2000-2499g w congenital/perinatal infection 8 $61,375 $23,959 $491,001 $191,670 10.13
Fever 8 $11,238 $5,036 $89,901 $40,288 2.50
Other respiratory & chest procedures 7 $53,404 $21,467 $373,826 $150,266 8.43
Respiratory system diagnosis w ventilator support 96+ hours 7 $120,062 $51,751 $840,435 $362,257 20.14
Cardiac arrest and shock 7 $33,269 $13,938 $232,886 $97,566 5.43
Anal procedures 7 $17,761 $6,775 $124,328 $47,428 2.86
Breast procedures except mastectomy 7 $74,040 $27,051 $518,282 $189,358 2.71
Malignant breast disorders 7 $12,108 $5,323 $84,758 $37,259 2.43
Pituitary & adrenal procedures 7 $51,023 $16,506 $357,161 $115,545 3.43
Other procedures for endocrine, nutritional & metabolic disorders 7 $53,354 $25,009 $373,475 $175,066 9.43
Other bladder procedures 7 $31,019 $11,068 $217,134 $77,474 2.43
Other kidney, urinary tract & related procedures 7 $40,544 $18,501 $283,807 $129,507 8.86
Transurethral prostatectomy 7 $27,129 $8,911 $189,904 $62,380 2.57
Menstrual & other female reproductive system disorders 7 $8,910 $3,846 $62,370 $26,925 1.57
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms 7 $105,449 $46,716 $738,140 $327,011 18.14
Neonatal aftercare 7 $75,491 $29,595 $528,437 $207,164 12.43
Nervous system malignancy 6 $17,514 $8,748 $105,081 $52,487 6.00
Head trauma w coma >1 hr or hemorrhage 6 $14,903 $7,045 $89,419 $42,272 3.83
Other infectious & parasitic diseases 6 $8,164 $4,040 $48,983 $24,239 2.33
Drug & alcohol abuse or dependence, left against medical advice 6 $10,450 $4,579 $62,699 $27,475 2.00
Opioid abuse & dependence 6 $15,184 $6,367 $91,102 $38,203 3.00
Other injury, poisoning & toxic effect diagnoses 6 $7,477 $2,963 $44,864 $17,777 1.33
Intracranial hemorrhage 5 $8,380 $3,118 $41,899 $15,588 1.40
Percutaneous coronary intervention w/o AMI 5 $61,130 $27,877 $305,650 $139,386 6.80
Major stomach, esophageal & duodenal procedures 5 $62,424 $23,727 $312,122 $118,637 7.60
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses 5 $78,545 $33,624 $392,725 $168,119 15.40
Inborn errors of metabolism 5 $8,177 $3,447 $40,886 $17,235 1.80
Kidney & urinary tract malignancy 5 $16,686 $8,835 $83,428 $44,177 2.60
Malignancy, male reproductive system 5 $20,628 $9,329 $103,138 $46,647 4.80
False labor 5 $3,256 $1,911 $16,281 $9,553 1.20
Neonate bwt 2000-2499g w resp dist synd/oth maj resp cond 5 $98,364 $38,520 $491,820 $192,601 15.00
Neonate birthwt >2499g w other major procedure 5 $21,264 $8,564 $106,319 $42,820 5.00
Sickle cell anemia crisis 5 $12,919 $5,718 $64,593 $28,592 2.00
Non-bacterial infections of nervous system exc viral meningitis 4 $25,150 $10,117 $100,598 $40,466 4.75
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma 4 $16,558 $7,596 $66,233 $30,382 4.00
Dental & oral diseases & injuries 4 $11,913 $5,393 $47,652 $21,572 3.25
Other circulatory system procedures 4 $86,965 $37,773 $347,861 $151,092 11.00
Lower extremity arterial procedures 4 $46,589 $21,702 $186,356 $86,806 8.50
Pelvic evisceration, radical hysterectomy & other radical GYN procs 4 $82,078 $26,083 $328,311 $104,332 5.75
Acute leukemia 4 $10,830 $4,189 $43,319 $16,756 1.50
HIV w major HIV related condition 4 $20,101 $7,010 $80,402 $28,041 1.75
Multiple significant trauma w/o O.R. procedure 4 $12,426 $5,876 $49,703 $23,504 3.25
Viral meningitis 3 $9,302 $3,579 $27,905 $10,736 1.67
Ear, nose, mouth, throat, cranial/facial malignancies 3 $6,989 $3,718 $20,967 $11,154 2.33
Major pancreas, liver & shunt procedures 3 $109,848 $47,157 $329,543 $141,472 14.33
Malnutrition, failure to thrive & other nutritional disorders 3 $12,146 $6,535 $36,437 $19,605 3.67
D&C, aspiration curettage or hysterotomy for obstetric diagnoses 3 $8,429 $4,107 $25,288 $12,321 1.33
Neonate birthwt 1500-1999g w major anomaly 3 $81,474 $31,807 $244,422 $95,422 12.33
Neonate bwt 1500-1999g w resp dist synd/oth maj resp cond 3 $194,377 $76,447 $583,131 $229,340 30.33
Neonate birthwt 1500-1999g w congenital/perinatal infection 3 $53,422 $21,306 $160,265 $63,919 7.67
Neonate bwt 2000-2499g w major anomaly 3 $27,541 $10,608 $82,624 $31,824 4.67
Alcohol & drug dependence w rehab or rehab/detox therapy 3 $17,932 $7,458 $53,796 $22,373 3.33
HIV w multiple major HIV related conditions 3 $33,702 $17,827 $101,107 $53,480 5.67
Musculoskeletal & other procedures for multiple significant trauma 3 $30,060 $11,413 $90,179 $34,239 3.67
Eye disorders except major infections 2 $11,319 $3,720 $22,637 $7,440 1.50
Cardiac catheterization for coronary artery disease 2 $24,131 $11,195 $48,261 $22,390 5.50
Acute & subacute endocarditis 2 $21,498 $11,288 $42,995 $22,575 6.00
Cardiac structural & valvular disorders 2 $7,341 $2,655 $14,682 $5,310 1.00
Hand & wrist procedures 2 $20,496 $7,382 $40,992 $14,764 2.00
Major skin disorders 2 $9,252 $5,726 $18,504 $11,452 4.00
Other O.R. proc for obstetric diagnoses except delivery diagnoses 2 $12,775 $4,112 $25,550 $8,224 1.00
Mental illness diagnosis w O.R. procedure 2 $23,947 $13,870 $47,893 $27,740 9.50
Acute anxiety & delirium states 2 $11,837 $3,669 $23,674 $7,337 1.00
Other drug abuse & dependence 2 $7,689 $3,493 $15,377 $6,985 1.00
Other aftercare & convalescence 2 $5,287 $1,936 $10,573 $3,871 1.00
HIV w one signif HIV cond or w/o signif related cond 2 $8,193 $4,343 $16,385 $8,686 2.50
Tracheostomy w MV 96+ hours w/o extensive procedure 1 $265,030 $105,823 $265,030 $105,823 24.00
Other nervous system & related procedures 1 $19,644 $11,035 $19,644 $11,035 6.00
Spinal disorders & injuries 1 $53,241 $31,074 $53,241 $31,074 6.00
Cardiac defibrillator & heart assist implant 1 $115,094 $48,615 $115,094 $48,615 14.00
Other cardiothoracic & thoracic vascular procedures 1 $35,958 $17,777 $35,958 $17,777 11.00
Major abdominal vascular procedures 1 $53,017 $28,086 $53,017 $28,086 11.00
Cardiac pacemaker & defibrillator device replacement 1 $46,043 $21,065 $46,043 $21,065 4.00
Cardiomyopathy 1 $12,483 $4,335 $12,483 $4,335 1.00
Dorsal & lumbar fusion proc except for curvature of back 1 $89,926 $33,676 $89,926 $33,676 6.00
Renal dialysis access device procedure only 1 $239,744 $130,856 $239,744 $130,856 80.00
Nephritis & nephrosis 1 $76,769 $35,223 $76,769 $35,223 12.00
Penis procedures 1 $26,416 $9,936 $26,416 $9,936 4.00
Neonate bwt 1250-1499g w or w/o other significant condition 1 $137,463 $53,720 $137,463 $53,720 22.00
Other procedures of blood & blood-forming organs 1 $25,300 $9,747 $25,300 $9,747 5.00
Schizophrenia 1 $25,739 $8,221 $25,739 $8,221 1.00
Major depressive disorders & other/unspecified psychoses 1 $16,696 $5,928 $16,696 $5,928 2.00
Bipolar disorders 1 $14,217 $5,898 $14,217 $5,898 2.00
Depression except major depressive disorder 1 $8,574 $2,856 $8,574 $2,856 1.00