KNEE JOINT REPLACEMENT |
273 |
$47,184 |
$23,584 |
$12,881,327 |
$6,438,421 |
2.39 |
NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM |
181 |
$2,461 |
$2,035 |
$445,479 |
$368,405 |
1.70 |
HIP JOINT REPLACEMENT |
128 |
$48,494 |
$24,055 |
$6,207,255 |
$3,079,063 |
2.55 |
PROCEDURES FOR OBESITY |
107 |
$24,410 |
$10,166 |
$2,611,822 |
$1,087,793 |
2.52 |
VAGINAL DELIVERY |
82 |
$8,897 |
$6,378 |
$729,593 |
$522,963 |
1.68 |
SEPTICEMIA & DISSEMINATED INFECTIONS |
73 |
$39,138 |
$21,854 |
$2,857,043 |
$1,595,329 |
5.56 |
CESAREAN SECTION W/O STERILIZATION |
63 |
$23,645 |
$11,599 |
$1,489,656 |
$730,764 |
2.68 |
SCHIZOPHRENIA |
57 |
$31,185 |
$23,256 |
$1,777,548 |
$1,325,594 |
14.84 |
MAJOR SMALL BOWEL PROCEDURES |
48 |
$43,112 |
$20,814 |
$2,069,358 |
$999,084 |
4.94 |
MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES |
48 |
$28,703 |
$20,896 |
$1,377,729 |
$1,003,005 |
13.69 |
RESPIRATORY FAILURE |
44 |
$36,173 |
$18,596 |
$1,591,593 |
$818,211 |
4.55 |
DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER |
42 |
$15,697 |
$11,316 |
$659,258 |
$475,259 |
7.43 |
MAJOR LARGE BOWEL PROCEDURES |
40 |
$42,196 |
$20,278 |
$1,687,835 |
$811,123 |
5.00 |
HEART FAILURE |
36 |
$25,927 |
$13,833 |
$933,367 |
$498,003 |
3.61 |
HIP & FEMUR FRACTURE REPAIR |
34 |
$48,914 |
$25,074 |
$1,663,089 |
$852,502 |
5.50 |
ACUTE KIDNEY INJURY |
29 |
$29,150 |
$17,711 |
$845,342 |
$513,622 |
5.86 |
SHOULDER & ELBOW JOINT REPLACEMENT |
27 |
$57,532 |
$27,392 |
$1,553,370 |
$739,590 |
1.33 |
LOWER EXTREMITY ARTERIAL PROCEDURES |
27 |
$72,170 |
$32,788 |
$1,948,578 |
$885,272 |
6.78 |
OTHER PNEUMONIA |
26 |
$30,041 |
$15,799 |
$781,069 |
$410,762 |
4.46 |
INTESTINAL OBSTRUCTION |
24 |
$14,818 |
$9,199 |
$355,627 |
$220,764 |
3.08 |
BIPOLAR DISORDERS |
23 |
$21,796 |
$16,035 |
$501,313 |
$368,807 |
10.43 |
INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE |
22 |
$72,357 |
$40,715 |
$1,591,857 |
$895,728 |
10.86 |
KNEE & LOWER LEG PROCEDURES EXCEPT FOOT |
22 |
$38,852 |
$17,445 |
$854,747 |
$383,786 |
2.73 |
MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES |
22 |
$30,452 |
$14,242 |
$669,934 |
$313,323 |
3.45 |
CHOLECYSTECTOMY |
20 |
$41,398 |
$19,443 |
$827,958 |
$388,869 |
4.80 |
DIABETES |
19 |
$22,941 |
$13,048 |
$435,877 |
$247,906 |
2.68 |
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS |
19 |
$21,827 |
$12,975 |
$414,719 |
$246,518 |
2.95 |
PEPTIC ULCER & GASTRITIS |
18 |
$31,055 |
$14,721 |
$558,989 |
$264,980 |
3.28 |
MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS |
18 |
$30,679 |
$20,505 |
$552,218 |
$369,089 |
6.44 |
OTHER DIGESTIVE SYSTEM DIAGNOSES |
17 |
$19,998 |
$10,273 |
$339,966 |
$174,642 |
2.76 |
CELLULITIS & OTHER SKIN INFECTIONS |
16 |
$20,894 |
$11,630 |
$334,306 |
$186,082 |
3.63 |
KIDNEY & URINARY TRACT INFECTIONS |
15 |
$20,862 |
$10,736 |
$312,930 |
$161,037 |
2.93 |
CVA & PRECEREBRAL OCCLUSION W INFARCT |
15 |
$27,733 |
$14,172 |
$415,999 |
$212,586 |
3.87 |
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL |
14 |
$27,056 |
$13,090 |
$378,788 |
$183,255 |
3.07 |
OTHER PERIPHERAL VASCULAR PROCEDURES |
14 |
$83,280 |
$39,985 |
$1,165,926 |
$559,785 |
3.57 |
DISORDERS OF PANCREAS EXCEPT MALIGNANCY |
13 |
$31,856 |
$19,341 |
$414,128 |
$251,429 |
6.23 |
PERITONEAL ADHESIOLYSIS |
12 |
$26,696 |
$13,344 |
$320,357 |
$160,129 |
3.92 |
MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS |
11 |
$26,623 |
$15,547 |
$292,856 |
$171,014 |
4.82 |
ANTEPARTUM W/O O.R. PROCEDURE |
11 |
$5,825 |
$4,440 |
$64,079 |
$48,838 |
1.45 |
TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES |
11 |
$39,567 |
$22,688 |
$435,234 |
$249,566 |
6.64 |
MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC |
11 |
$27,927 |
$17,733 |
$307,198 |
$195,064 |
5.00 |
OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES |
10 |
$24,397 |
$10,189 |
$243,971 |
$101,889 |
2.40 |
OPEN EXTRACRANIAL VASCULAR PROCEDURES |
10 |
$31,637 |
$14,121 |
$316,371 |
$141,214 |
2.30 |
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS |
10 |
$23,749 |
$15,736 |
$237,488 |
$157,358 |
5.20 |
CESAREAN SECTION W STERILIZATION |
10 |
$24,278 |
$11,095 |
$242,780 |
$110,946 |
2.20 |
ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES |
10 |
$16,761 |
$10,922 |
$167,614 |
$109,223 |
6.70 |
DIVERTICULITIS & DIVERTICULOSIS |
9 |
$17,162 |
$9,094 |
$154,461 |
$81,845 |
2.67 |
NON-HYPOVOLEMIC SODIUM DISORDERS |
9 |
$27,336 |
$17,208 |
$246,023 |
$154,869 |
5.78 |
OTHER RESPIRATORY & CHEST PROCEDURES |
9 |
$34,419 |
$17,754 |
$309,768 |
$159,790 |
4.78 |
PULMONARY EMBOLISM |
8 |
$20,183 |
$8,184 |
$161,463 |
$65,473 |
1.88 |
ACUTE MYOCARDIAL INFARCTION |
7 |
$25,974 |
$14,930 |
$181,820 |
$104,508 |
4.29 |
OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS |
7 |
$21,704 |
$10,615 |
$151,930 |
$74,303 |
2.71 |
OTHER INFECTIOUS & PARASITIC DISEASES |
7 |
$68,614 |
$38,821 |
$480,301 |
$271,748 |
11.14 |
ALCOHOL ABUSE & DEPENDENCE |
7 |
$29,509 |
$16,000 |
$206,563 |
$112,002 |
4.86 |
MAJOR ABDOMINAL VASCULAR PROCEDURES |
6 |
$64,347 |
$27,798 |
$386,080 |
$166,790 |
3.33 |
NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM |
6 |
$4,710 |
$3,217 |
$28,261 |
$19,301 |
2.67 |
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES |
6 |
$22,256 |
$13,045 |
$133,534 |
$78,269 |
4.33 |
ALTERATION IN CONSCIOUSNESS |
6 |
$18,593 |
$8,881 |
$111,557 |
$53,287 |
2.50 |
OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE |
6 |
$27,149 |
$12,741 |
$162,892 |
$76,444 |
3.17 |
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS |
6 |
$104,223 |
$83,128 |
$625,337 |
$498,767 |
48.33 |
OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES |
6 |
$19,359 |
$8,665 |
$116,151 |
$51,987 |
2.33 |
VAGINAL DELIVERY W O.R. PROCEDURE EXCEPT STERILIZATION &/OR D&C |
6 |
$16,459 |
$9,868 |
$98,756 |
$59,205 |
2.50 |
ALCOHOLIC LIVER DISEASE |
5 |
$22,927 |
$12,666 |
$114,634 |
$63,329 |
3.40 |
MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS |
5 |
$50,173 |
$31,026 |
$250,867 |
$155,128 |
10.40 |
EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
5 |
$58,364 |
$30,159 |
$291,822 |
$150,797 |
8.40 |
OTHER SMALL & LARGE BOWEL PROCEDURES |
5 |
$27,346 |
$15,466 |
$136,730 |
$77,329 |
5.00 |
INFECTIONS OF UPPER RESPIRATORY TRACT |
5 |
$18,277 |
$10,440 |
$91,384 |
$52,200 |
3.40 |
MAJOR RESPIRATORY & CHEST PROCEDURES |
5 |
$45,580 |
$23,124 |
$227,900 |
$115,619 |
5.60 |
HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS |
5 |
$21,830 |
$11,471 |
$109,152 |
$57,356 |
3.40 |
INFLAMMATORY BOWEL DISEASE |
5 |
$9,785 |
$6,193 |
$48,926 |
$30,965 |
2.00 |
SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT |
5 |
$34,628 |
$14,693 |
$173,140 |
$73,464 |
1.80 |
AMPUTATION OF LOWER LIMB EXCEPT TOES |
5 |
$26,410 |
$13,677 |
$132,052 |
$68,387 |
4.20 |
MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE |
5 |
$48,139 |
$29,569 |
$240,697 |
$147,845 |
9.00 |
MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE |
5 |
$21,771 |
$11,927 |
$108,857 |
$59,634 |
4.00 |
TRANSIENT ISCHEMIA |
5 |
$20,257 |
$7,662 |
$101,283 |
$38,310 |
1.60 |
RESPIRATORY MALIGNANCY |
5 |
$44,599 |
$23,233 |
$222,994 |
$116,164 |
6.00 |
FRACTURE OF PELVIS OR DISLOCATION OF HIP |
5 |
$28,009 |
$19,925 |
$140,043 |
$99,625 |
6.60 |
MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
5 |
$26,655 |
$11,517 |
$133,277 |
$57,585 |
1.80 |
FOOT & TOE PROCEDURES |
4 |
$34,290 |
$18,274 |
$137,161 |
$73,096 |
4.00 |
OTHER GASTROENTERITIS, NAUSEA & VOMITING |
4 |
$12,158 |
$6,373 |
$48,630 |
$25,491 |
2.00 |
POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE |
4 |
$50,120 |
$29,342 |
$200,479 |
$117,369 |
9.25 |
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS |
4 |
$17,164 |
$10,182 |
$68,656 |
$40,728 |
3.25 |
FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK |
4 |
$19,144 |
$9,801 |
$76,574 |
$39,204 |
3.00 |
POISONING OF MEDICINAL AGENTS |
4 |
$16,565 |
$8,850 |
$66,260 |
$35,400 |
2.00 |
MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
4 |
$30,780 |
$14,061 |
$123,118 |
$56,244 |
3.75 |
NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION |
4 |
$5,007 |
$2,967 |
$20,026 |
$11,869 |
2.50 |
CHRONIC OBSTRUCTIVE PULMONARY DISEASE |
4 |
$38,170 |
$20,216 |
$152,678 |
$80,863 |
2.50 |
OTHER NERVOUS SYSTEM & RELATED PROCEDURES |
4 |
$54,795 |
$28,616 |
$219,178 |
$114,465 |
7.00 |
NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
4 |
$89,940 |
$55,515 |
$359,760 |
$222,061 |
12.50 |
NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE |
4 |
$5,500 |
$2,526 |
$21,998 |
$10,103 |
1.25 |
URETHRAL & TRANSURETHRAL PROCEDURES |
4 |
$20,301 |
$9,118 |
$81,204 |
$36,470 |
2.00 |
OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES |
4 |
$34,747 |
$14,684 |
$138,989 |
$58,736 |
2.75 |
OTHER SIGNIFICANT HIP & FEMUR SURGERY |
4 |
$50,434 |
$24,591 |
$201,735 |
$98,364 |
4.00 |
SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES |
3 |
$42,016 |
$20,357 |
$126,048 |
$61,070 |
6.00 |
MASTECTOMY PROCEDURES |
3 |
$25,910 |
$9,176 |
$77,729 |
$27,528 |
1.67 |
PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK |
3 |
$43,376 |
$24,356 |
$130,128 |
$73,069 |
3.33 |
BRONCHIOLITIS & RSV PNEUMONIA |
3 |
$44,750 |
$20,379 |
$134,251 |
$61,137 |
4.33 |
ACUTE ANXIETY & DELIRIUM STATES |
3 |
$8,817 |
$7,198 |
$26,450 |
$21,593 |
3.00 |
OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS |
3 |
$25,267 |
$10,549 |
$75,802 |
$31,648 |
2.67 |
DIGESTIVE MALIGNANCY |
3 |
$36,941 |
$19,877 |
$110,824 |
$59,631 |
5.33 |
OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES |
3 |
$79,327 |
$41,218 |
$237,981 |
$123,655 |
8.67 |
VIRAL ILLNESS |
3 |
$42,799 |
$21,593 |
$128,397 |
$64,779 |
6.00 |
FRACTURE OF FEMUR |
3 |
$15,944 |
$8,816 |
$47,831 |
$26,449 |
2.67 |
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS |
3 |
$20,270 |
$7,087 |
$60,811 |
$21,260 |
1.33 |
OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL & METABOLIC DISORDERS |
3 |
$75,210 |
$42,600 |
$225,629 |
$127,801 |
10.67 |
URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION |
3 |
$15,379 |
$6,553 |
$46,137 |
$19,660 |
1.33 |
SEIZURE |
3 |
$16,765 |
$9,233 |
$50,295 |
$27,699 |
2.33 |
KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY |
3 |
$22,077 |
$10,263 |
$66,232 |
$30,788 |
2.67 |
PERIPHERAL & OTHER VASCULAR DISORDERS |
3 |
$21,500 |
$12,108 |
$64,501 |
$36,324 |
3.33 |
SYNCOPE & COLLAPSE |
3 |
$20,740 |
$7,977 |
$62,220 |
$23,930 |
1.67 |
INTENTIONAL SELF-HARM & ATTEMPTED SUICIDE |
3 |
$12,674 |
$9,408 |
$38,023 |
$28,224 |
2.33 |
OTHER COMPLICATIONS OF TREATMENT |
3 |
$27,274 |
$19,858 |
$81,821 |
$59,574 |
7.67 |
HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE |
2 |
$16,723 |
$7,726 |
$33,445 |
$15,452 |
2.00 |
ABDOMINAL PAIN |
2 |
$11,008 |
$7,658 |
$22,015 |
$15,316 |
2.50 |
ANTEPARTUM W O.R. PROCEDURE |
2 |
$10,375 |
$8,091 |
$20,749 |
$16,181 |
2.50 |
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS |
2 |
$23,967 |
$9,425 |
$47,933 |
$18,849 |
2.00 |
MAJOR CHEST & RESPIRATORY TRAUMA |
2 |
$32,272 |
$15,556 |
$64,543 |
$31,111 |
5.00 |
HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS |
2 |
$29,226 |
$20,983 |
$58,451 |
$41,965 |
7.00 |
HAND & WRIST PROCEDURES |
2 |
$10,660 |
$5,967 |
$21,320 |
$11,934 |
2.00 |
OTHER CIRCULATORY SYSTEM DIAGNOSES |
2 |
$26,529 |
$13,187 |
$53,057 |
$26,374 |
3.50 |
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES |
2 |
$27,902 |
$15,466 |
$55,803 |
$30,932 |
3.00 |
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS |
2 |
$118,464 |
$77,438 |
$236,928 |
$154,875 |
18.50 |
ACUTE BRONCHITIS & RELATED SYMPTOMS |
2 |
$27,749 |
$17,380 |
$55,498 |
$34,759 |
6.00 |
SKIN ULCERS |
2 |
$31,202 |
$16,562 |
$62,404 |
$33,124 |
5.00 |
OTHER MENTAL HEALTH DISORDERS |
2 |
$17,108 |
$12,864 |
$34,215 |
$25,727 |
8.50 |
MAJOR ESOPHAGEAL DISORDERS |
2 |
$60,320 |
$27,989 |
$120,639 |
$55,977 |
6.00 |
ANAL PROCEDURES |
2 |
$25,697 |
$9,803 |
$51,394 |
$19,606 |
1.00 |
EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
2 |
$65,446 |
$34,299 |
$130,891 |
$68,597 |
9.50 |
OTHER DISORDERS OF NERVOUS SYSTEM |
2 |
$18,305 |
$14,745 |
$36,610 |
$29,489 |
6.00 |
OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES |
2 |
$15,994 |
$8,468 |
$31,988 |
$16,936 |
2.50 |
ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS |
2 |
$25,855 |
$12,286 |
$51,710 |
$24,572 |
3.50 |
TRANSURETHRAL PROSTATECTOMY |
2 |
$18,629 |
$6,510 |
$37,258 |
$13,019 |
1.00 |
OTHER AFTERCARE & CONVALESCENCE |
2 |
$38,401 |
$23,935 |
$76,802 |
$47,870 |
8.50 |
MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE |
2 |
$20,634 |
$11,538 |
$41,268 |
$23,075 |
3.00 |
SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS |
2 |
$9,300 |
$7,489 |
$18,599 |
$14,977 |
3.00 |
HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION |
2 |
$30,275 |
$11,496 |
$60,550 |
$22,992 |
2.00 |
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES |
2 |
$44,882 |
$21,557 |
$89,764 |
$43,113 |
4.50 |
MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA |
1 |
$150,791 |
$75,835 |
$150,791 |
$75,835 |
17.00 |
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY |
1 |
$15,871 |
$8,217 |
$15,871 |
$8,217 |
2.00 |
MALIGNANT BREAST DISORDERS |
1 |
$17,608 |
$9,381 |
$17,608 |
$9,381 |
3.00 |
ASTHMA |
1 |
$18,192 |
$13,649 |
$18,192 |
$13,649 |
3.00 |
OTHER DISORDERS OF THE LIVER |
1 |
$18,327 |
$7,528 |
$18,327 |
$7,528 |
2.00 |
OTHER BLADDER PROCEDURES |
1 |
$19,742 |
$6,478 |
$19,742 |
$6,478 |
1.00 |
INTERSTITIAL & ALVEOLAR LUNG DISEASES |
1 |
$18,993 |
$9,694 |
$18,993 |
$9,694 |
3.00 |
NEPHRITIS & NEPHROSIS |
1 |
$70,285 |
$39,669 |
$70,285 |
$39,669 |
12.00 |
CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE |
1 |
$39,359 |
$22,015 |
$39,359 |
$22,015 |
7.00 |
NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
1 |
$63,475 |
$24,223 |
$63,475 |
$24,223 |
3.00 |
CHRONIC KIDNEY DISEASE |
1 |
$23,415 |
$13,617 |
$23,415 |
$13,617 |
4.00 |
OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS |
1 |
$32,075 |
$18,264 |
$32,075 |
$18,264 |
6.00 |
NERVOUS SYSTEM MALIGNANCY |
1 |
$8,635 |
$4,348 |
$8,635 |
$4,348 |
1.00 |
OPIOID ABUSE & DEPENDENCE |
1 |
$16,250 |
$12,091 |
$16,250 |
$12,091 |
4.00 |
TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE |
1 |
$375,678 |
$216,149 |
$375,678 |
$216,149 |
46.00 |
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM |
1 |
$42,004 |
$28,732 |
$42,004 |
$28,732 |
7.00 |
OTHER ESOPHAGEAL DISORDERS |
1 |
$25,590 |
$13,175 |
$25,590 |
$13,175 |
4.00 |
OTHER ENDOCRINE DISORDERS |
1 |
$28,077 |
$11,851 |
$28,077 |
$11,851 |
3.00 |
CARDIAC STRUCTURAL & VALVULAR DISORDERS |
1 |
$9,700 |
$4,220 |
$9,700 |
$4,220 |
1.00 |
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT |
1 |
$20,055 |
$5,711 |
$20,055 |
$5,711 |
1.00 |
DENTAL DISEASES & DISORDERS |
1 |
$25,980 |
$12,040 |
$25,980 |
$12,040 |
2.00 |
DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE |
1 |
$10,723 |
$6,706 |
$10,723 |
$6,706 |
2.00 |
OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES |
1 |
$18,725 |
$8,560 |
$18,725 |
$8,560 |
2.00 |
OTHER CIRCULATORY SYSTEM PROCEDURES |
1 |
$35,276 |
$13,200 |
$35,276 |
$13,200 |
1.00 |
CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA |
1 |
$19,279 |
$8,552 |
$19,279 |
$8,552 |
2.00 |
RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES |
1 |
$37,077 |
$15,983 |
$37,077 |
$15,983 |
4.00 |
OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS |
1 |
$10,416 |
$5,080 |
$10,416 |
$5,080 |
1.00 |
MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS |
1 |
$16,563 |
$13,522 |
$16,563 |
$13,522 |
5.00 |
EXTENSIVE 3RD DEGREE BURNS W/O SKIN GRAFT |
1 |
$6,449 |
$3,670 |
$6,449 |
$3,670 |
1.00 |
SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES |
1 |
$31,005 |
$21,549 |
$31,005 |
$21,549 |
8.00 |
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES |
1 |
$16,383 |
$9,974 |
$16,383 |
$9,974 |
2.00 |
NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS |
1 |
$88,376 |
$58,180 |
$88,376 |
$58,180 |
20.00 |
MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE |
1 |
$23,089 |
$7,908 |
$23,089 |
$7,908 |
1.00 |
INTRACRANIAL HEMORRHAGE |
1 |
$12,039 |
$6,088 |
$12,039 |
$6,088 |
1.00 |
ACUTE & SUBACUTE ENDOCARDITIS |
1 |
$36,648 |
$22,021 |
$36,648 |
$22,021 |
8.00 |
MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL |
1 |
$51,749 |
$25,418 |
$51,749 |
$25,418 |
7.00 |