Procedures for obesity |
212 |
$20,801 |
$13,425 |
$4,409,718 |
$2,846,080 |
2.48 |
Knee joint replacement |
194 |
$46,437 |
$27,870 |
$9,008,746 |
$5,406,760 |
3.11 |
Neonate birthwt >2499g, normal newborn or neonate w other problem |
158 |
$2,417 |
$2,169 |
$381,950 |
$342,644 |
1.89 |
Vaginal delivery |
98 |
$9,789 |
$8,583 |
$959,366 |
$841,158 |
1.92 |
Septicemia & disseminated infections |
91 |
$31,896 |
$24,522 |
$2,902,532 |
$2,231,479 |
5.36 |
Hip joint replacement |
75 |
$45,151 |
$26,523 |
$3,386,327 |
$1,989,209 |
3.20 |
Cesarean delivery |
64 |
$20,857 |
$13,476 |
$1,334,866 |
$862,443 |
2.75 |
Major small & large bowel procedures |
63 |
$36,751 |
$27,205 |
$2,315,339 |
$1,713,928 |
6.08 |
Respiratory Failure |
55 |
$25,218 |
$19,016 |
$1,387,016 |
$1,045,895 |
4.07 |
Other pneumonia |
46 |
$21,219 |
$14,951 |
$976,053 |
$687,753 |
3.20 |
Schizophrenia |
45 |
$20,503 |
$21,266 |
$922,649 |
$956,969 |
10.98 |
Bipolar disorders |
43 |
$19,739 |
$21,343 |
$848,764 |
$917,732 |
11.47 |
Cardiac arrhythmia & conduction disorders |
42 |
$17,347 |
$14,331 |
$728,555 |
$601,896 |
2.90 |
Major depressive disorders & other/unspecified psychoses |
42 |
$15,486 |
$16,104 |
$650,393 |
$676,371 |
8.40 |
Heart failure |
39 |
$26,696 |
$19,957 |
$1,041,152 |
$778,321 |
4.31 |
Laparoscopic cholecystectomy |
34 |
$28,387 |
$18,690 |
$965,159 |
$635,476 |
3.97 |
Intestinal obstruction |
32 |
$13,991 |
$11,273 |
$447,721 |
$360,721 |
2.81 |
Knee & lower leg procedures except foot |
31 |
$31,505 |
$19,574 |
$976,648 |
$606,804 |
3.26 |
Hip and femur fracture repair |
30 |
$42,196 |
$26,383 |
$1,265,870 |
$791,477 |
4.50 |
Acute Kidney Injury |
30 |
$22,766 |
$17,133 |
$682,969 |
$514,002 |
3.93 |
Diverticulitis & diverticulosis |
25 |
$15,650 |
$12,928 |
$391,249 |
$323,207 |
3.20 |
Chronic obstructive pulmonary disease |
23 |
$21,376 |
$14,900 |
$491,651 |
$342,696 |
3.30 |
Depression except major depressive disorder |
22 |
$10,323 |
$11,278 |
$227,098 |
$248,121 |
5.95 |
Major respiratory infections & inflammations |
20 |
$26,433 |
$20,073 |
$528,667 |
$401,450 |
4.45 |
Lower extremity arterial procedures |
19 |
$65,431 |
$40,267 |
$1,243,190 |
$765,078 |
6.68 |
Other gastroenteritis, nausa & vomiting |
19 |
$14,049 |
$9,654 |
$266,930 |
$183,430 |
2.21 |
Acute myocardial infarction |
18 |
$18,228 |
$13,640 |
$328,108 |
$245,521 |
2.94 |
Other & unspecified gastrointestinal hemorrhage |
18 |
$23,632 |
$16,703 |
$425,375 |
$300,659 |
3.17 |
Cellulitis & other skin infections |
18 |
$16,451 |
$13,894 |
$296,126 |
$250,095 |
3.67 |
Nontraumatic stupor & coma |
17 |
$21,061 |
$15,140 |
$358,043 |
$257,383 |
3.65 |
Other anemia & disorders of blood & blood-forming organs |
17 |
$19,463 |
$14,206 |
$330,868 |
$241,496 |
3.18 |
Adjustment disorders & neuroses except depressive diagnoses |
17 |
$15,024 |
$15,812 |
$255,410 |
$268,802 |
8.35 |
CVA & precerebral occlusion w infarct |
16 |
$24,977 |
$16,464 |
$399,629 |
$263,419 |
3.94 |
Diabetes |
16 |
$18,328 |
$11,853 |
$293,247 |
$189,641 |
1.75 |
Other small & large bowel procedures |
15 |
$37,831 |
$28,952 |
$567,462 |
$434,273 |
6.73 |
Disorders of pancreas except malignancy |
15 |
$17,225 |
$12,573 |
$258,379 |
$188,598 |
3.13 |
Kidney & urinary tract infections |
15 |
$15,843 |
$11,985 |
$237,645 |
$179,781 |
3.07 |
Extracranial vascular procedures |
14 |
$22,172 |
$11,565 |
$310,410 |
$161,906 |
1.36 |
Major respiratory & chest procedures |
14 |
$34,070 |
$26,744 |
$476,986 |
$374,414 |
4.86 |
Peptic ulcer & gastritis |
14 |
$26,174 |
$18,132 |
$366,431 |
$253,843 |
3.64 |
Shoulder, upper arm & forearm procedures except joint replacement |
14 |
$48,540 |
$27,096 |
$679,558 |
$379,346 |
2.29 |
Electrolyte disorders except hypovolemia related |
14 |
$13,504 |
$10,086 |
$189,060 |
$141,210 |
2.50 |
Alcohol abuse & dependence |
14 |
$14,093 |
$12,278 |
$197,304 |
$171,897 |
2.79 |
Peripheral & other vascular disorders |
13 |
$22,825 |
$16,211 |
$296,725 |
$210,741 |
3.69 |
Inflammatory bowel disease |
13 |
$11,078 |
$8,648 |
$144,011 |
$112,419 |
2.23 |
Appendectomy |
12 |
$19,117 |
$10,529 |
$229,408 |
$126,351 |
1.58 |
Other digestive system diagnoses |
12 |
$23,575 |
$19,793 |
$282,904 |
$237,521 |
5.42 |
Poisoning of medicinal agents |
12 |
$18,807 |
$14,909 |
$225,678 |
$178,903 |
2.25 |
Infections of upper respiratory tract |
11 |
$19,322 |
$12,574 |
$212,538 |
$138,316 |
2.45 |
Peritoneal adhesiolysis |
11 |
$26,667 |
$18,392 |
$293,338 |
$202,317 |
4.45 |
Hernia procedures except inguinal, femoral & umbilical |
11 |
$18,329 |
$13,990 |
$201,615 |
$153,886 |
3.55 |
Major gastrointestinal & peritoneal infections |
11 |
$15,334 |
$11,881 |
$168,679 |
$130,695 |
2.91 |
Acute anxiety & delirium states |
11 |
$15,176 |
$15,566 |
$166,931 |
$171,221 |
7.91 |
Signs, symptoms & other factors influencing health status |
11 |
$17,580 |
$11,967 |
$193,377 |
$131,636 |
2.64 |
Other respiratory & chest procedures |
10 |
$29,925 |
$24,991 |
$299,250 |
$249,906 |
4.50 |
Pulmonary embolism |
10 |
$28,963 |
$19,049 |
$289,630 |
$190,494 |
3.80 |
Other stomach, esophageal & duodenal procedures |
10 |
$26,515 |
$18,590 |
$265,153 |
$185,898 |
3.80 |
Amputation of lower limb except toes |
10 |
$37,202 |
$31,580 |
$372,016 |
$315,801 |
9.10 |
Infectious & parasitic diseases including HIV w O.R. procedure |
10 |
$64,114 |
$48,580 |
$641,144 |
$485,799 |
10.00 |
Major stomach, esophageal & duodenal procedures |
9 |
$42,776 |
$29,500 |
$384,986 |
$265,500 |
5.78 |
Shoulder & elbow joint replacement |
9 |
$48,192 |
$24,768 |
$433,732 |
$222,911 |
1.00 |
Post-op, post-trauma, other device infections w O.R. procedure |
9 |
$75,886 |
$66,373 |
$682,976 |
$597,356 |
17.11 |
Post-operative, post-traumatic, other device infections |
9 |
$19,925 |
$19,951 |
$179,328 |
$179,556 |
5.44 |
Seizure |
8 |
$16,197 |
$12,077 |
$129,579 |
$96,614 |
2.25 |
Major chest & respiratory trauma |
8 |
$18,919 |
$13,367 |
$151,350 |
$106,932 |
2.63 |
Respiratory malignancy |
8 |
$22,222 |
$15,049 |
$177,778 |
$120,388 |
2.75 |
Major abdominal vascular procedures |
8 |
$75,607 |
$45,048 |
$604,852 |
$360,385 |
6.88 |
Anal procedures |
8 |
$18,261 |
$11,574 |
$146,091 |
$92,589 |
2.00 |
Abdominal pain |
8 |
$9,156 |
$8,255 |
$73,246 |
$66,036 |
2.25 |
Fractures & dislocations except femur, pelvis & back |
8 |
$28,320 |
$19,600 |
$226,561 |
$156,802 |
3.50 |
Organic mental health disturbances |
8 |
$28,875 |
$29,591 |
$230,996 |
$236,725 |
15.63 |
Respiratory signs, symptoms & minor diagnoses |
7 |
$14,836 |
$10,606 |
$103,851 |
$74,244 |
1.86 |
Other peripheral vascular procedures |
7 |
$77,262 |
$43,640 |
$540,833 |
$305,483 |
2.29 |
Other digestive system & abdominal procedures |
7 |
$26,711 |
$17,806 |
$186,974 |
$124,639 |
3.86 |
Other skin, subcutaneous tissue & related procedures |
7 |
$30,072 |
$20,149 |
$210,502 |
$141,040 |
4.00 |
Malfunction, reaction, complic of genitourinary device or proc |
7 |
$26,448 |
$17,631 |
$185,135 |
$123,416 |
3.29 |
Neonate bwt 2000-2499g, normal newborn or neonate w other problem |
7 |
$3,595 |
$2,568 |
$25,167 |
$17,978 |
2.00 |
Moderately extensive procedure unrelated to principal diagnosis |
7 |
$59,342 |
$47,422 |
$415,393 |
$331,952 |
11.29 |
Other circulatory system procedures |
6 |
$54,491 |
$44,372 |
$326,945 |
$266,234 |
8.83 |
Digestive malignancy |
6 |
$28,955 |
$24,106 |
$173,727 |
$144,636 |
6.83 |
Disorders of gallbladder & biliary tract |
6 |
$20,870 |
$12,517 |
$125,217 |
$75,099 |
2.67 |
Tendon, muscle & other soft tissue procedures |
6 |
$21,872 |
$14,305 |
$131,229 |
$85,830 |
3.17 |
Other musculoskeletal system & connective tissue diagnoses |
6 |
$23,970 |
$15,908 |
$143,821 |
$95,445 |
2.83 |
Malnutrition, failure to thrive & other nutritional disorders |
6 |
$18,483 |
$12,894 |
$110,899 |
$77,362 |
2.83 |
Other complications of treatment |
6 |
$59,497 |
$57,605 |
$356,984 |
$345,627 |
15.50 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
5 |
$19,505 |
$15,572 |
$97,524 |
$77,862 |
3.00 |
Cardiac structural & valvular disorders |
5 |
$13,491 |
$8,395 |
$67,453 |
$41,975 |
1.20 |
Skin graft for skin & subcutaneous tissue diagnoses |
5 |
$30,324 |
$22,921 |
$151,620 |
$114,604 |
5.80 |
Hypovolemia & related electrolyte disorders |
5 |
$12,023 |
$8,640 |
$60,115 |
$43,200 |
1.60 |
Other kidney & urinary tract diagnoses, signs & symptoms |
5 |
$17,085 |
$10,764 |
$85,423 |
$53,818 |
2.20 |
Neonate, transferred < 5 days old, born here |
5 |
$3,172 |
$1,806 |
$15,859 |
$9,029 |
1.00 |
Lymphoma, myeloma & non-acute leukemia |
5 |
$19,391 |
$13,329 |
$96,953 |
$66,647 |
2.80 |
Degenerative nervous system disorders exc mult sclerosis |
4 |
$11,812 |
$11,216 |
$47,247 |
$44,864 |
4.75 |
Angina pectoris & coronary atherosclerosis |
4 |
$9,075 |
$6,782 |
$36,301 |
$27,128 |
1.50 |
Other disorders of the liver |
4 |
$20,718 |
$13,719 |
$82,872 |
$54,875 |
3.25 |
Foot & toe procedures |
4 |
$35,368 |
$24,814 |
$141,472 |
$99,257 |
6.25 |
Hand & wrist procedures |
4 |
$14,544 |
$10,190 |
$58,176 |
$40,760 |
2.50 |
Other musculoskeletal system & connective tissue procedures |
4 |
$32,216 |
$22,632 |
$128,863 |
$90,529 |
5.25 |
Other back & neck disorders, fractures & injuries |
4 |
$18,149 |
$13,077 |
$72,596 |
$52,306 |
3.00 |
Skin ulcers |
4 |
$14,909 |
$11,466 |
$59,634 |
$45,864 |
3.25 |
Kidney & urinary tract procedures for nonmalignancy |
4 |
$27,625 |
$18,127 |
$110,500 |
$72,506 |
4.00 |
Urethral & transurethral procedures |
4 |
$15,327 |
$8,409 |
$61,307 |
$33,635 |
1.25 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
4 |
$16,086 |
$12,020 |
$64,344 |
$48,080 |
2.75 |
Nonextensive procedure unrelated to principal diagnosis |
4 |
$42,664 |
$27,119 |
$170,655 |
$108,474 |
5.75 |
Intracranial hemorrhage |
3 |
$16,315 |
$12,064 |
$48,945 |
$36,191 |
2.33 |
Hypertension |
3 |
$14,543 |
$7,123 |
$43,630 |
$21,370 |
1.33 |
Malfunction, reaction & complication of GI device or procedure |
3 |
$28,841 |
$22,079 |
$86,524 |
$66,237 |
5.33 |
Fracture of femur |
3 |
$28,356 |
$24,865 |
$85,067 |
$74,596 |
7.00 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
3 |
$54,021 |
$56,804 |
$162,063 |
$170,411 |
16.67 |
Malfunction, reaction, complic of orthopedic device or procedure |
3 |
$20,217 |
$17,302 |
$60,650 |
$51,906 |
4.67 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
3 |
$20,232 |
$15,633 |
$60,697 |
$46,898 |
3.33 |
Urinary stones & acquired upper urinary tract obstruction |
3 |
$15,546 |
$10,492 |
$46,638 |
$31,476 |
2.33 |
Menstrual & other female reproductive system disorders |
3 |
$26,120 |
$12,535 |
$78,359 |
$37,604 |
1.33 |
Other infectious & parasitic diseases |
3 |
$26,797 |
$24,297 |
$80,391 |
$72,890 |
5.67 |
Disorders of personality & impulse control |
3 |
$12,095 |
$13,309 |
$36,285 |
$39,928 |
7.00 |
O.R. procedure for other complications of treatment |
3 |
$34,544 |
$28,898 |
$103,633 |
$86,695 |
7.33 |
Procedure w diag of rehab, aftercare or oth contact w health service |
3 |
$69,651 |
$42,844 |
$208,953 |
$128,533 |
5.00 |
Extensive procedure unrelated to principal diagnosis |
3 |
$67,449 |
$50,396 |
$202,346 |
$151,188 |
11.67 |
Other nervous system & related procedures |
2 |
$34,600 |
$23,148 |
$69,199 |
$46,295 |
5.00 |
Transient ischemia |
2 |
$24,739 |
$13,075 |
$49,478 |
$26,150 |
2.00 |
Peripheral, cranial & autonomic nerve disorders |
2 |
$12,009 |
$5,535 |
$24,017 |
$11,069 |
1.00 |
Migraine & other headaches |
2 |
$19,207 |
$13,003 |
$38,413 |
$26,006 |
2.50 |
Vertigo & other labyrinth disorders |
2 |
$18,145 |
$8,106 |
$36,290 |
$16,211 |
1.00 |
Dental & oral diseases & injuries |
2 |
$10,021 |
$6,674 |
$20,042 |
$13,347 |
1.50 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
2 |
$17,671 |
$15,718 |
$35,341 |
$31,436 |
2.50 |
Asthma |
2 |
$19,170 |
$10,807 |
$38,340 |
$21,613 |
2.00 |
Chest pain |
2 |
$16,553 |
$9,924 |
$33,106 |
$19,847 |
2.00 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
2 |
$47,858 |
$31,382 |
$95,716 |
$62,764 |
6.00 |
Other esophageal disorders |
2 |
$14,197 |
$10,578 |
$28,394 |
$21,155 |
2.50 |
Hepatic coma & other major acute liver disorders |
2 |
$13,153 |
$10,609 |
$26,306 |
$21,218 |
3.00 |
Fracture of pelvis or dislocation of hip |
2 |
$16,228 |
$12,733 |
$32,455 |
$25,465 |
3.50 |
Connective tissue disorders |
2 |
$20,001 |
$15,978 |
$40,002 |
$31,955 |
6.50 |
Thyroid, parathyroid & thyroglossal procedures |
2 |
$26,423 |
$19,310 |
$52,845 |
$38,620 |
2.50 |
Other procedures for endocrine, nutritional & metabolic disorders |
2 |
$26,996 |
$18,296 |
$53,991 |
$36,591 |
4.50 |
Other endocrine disorders |
2 |
$22,697 |
$19,945 |
$45,394 |
$39,890 |
5.50 |
Kidney & urinary tract procedures for malignancy |
2 |
$29,543 |
$27,876 |
$59,086 |
$55,752 |
5.00 |
Transurethral prostatectomy |
2 |
$12,648 |
$8,856 |
$25,295 |
$17,711 |
2.00 |
Uterine & adnexa procedures for non-malignancy except leiomyoma |
2 |
$30,078 |
$19,744 |
$60,155 |
$39,488 |
4.50 |
Vaginal delivery w sterilization &/or D&C |
2 |
$15,348 |
$10,284 |
$30,695 |
$20,567 |
2.00 |
Neonate birthwt >2499g w congenital/perinatal infection |
2 |
$10,000 |
$7,399 |
$19,999 |
$14,797 |
6.50 |
Neonate birthwt >2499g w other significant condition |
2 |
$2,871 |
$1,939 |
$5,741 |
$3,878 |
1.50 |
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms |
2 |
$16,195 |
$9,988 |
$32,390 |
$19,976 |
2.00 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
2 |
$21,440 |
$19,837 |
$42,879 |
$39,674 |
5.00 |
Fever |
2 |
$16,497 |
$13,303 |
$32,994 |
$26,605 |
2.00 |
Other mental health disorders |
2 |
$10,253 |
$11,509 |
$20,506 |
$23,018 |
6.00 |
Toxic effects of non-medicinal substances |
2 |
$14,714 |
$13,284 |
$29,427 |
$26,567 |
2.00 |
Spinal disorders & injuries |
1 |
$18,220 |
$13,873 |
$18,220 |
$13,873 |
4.00 |
Bacterial & tuberculous infections of nervous system |
1 |
$31,390 |
$19,164 |
$31,390 |
$19,164 |
4.00 |
Viral meningitis |
1 |
$18,535 |
$16,268 |
$18,535 |
$16,268 |
3.00 |
Head trauma w coma >1 hr or hemorrhage |
1 |
$27,275 |
$18,742 |
$27,275 |
$18,742 |
5.00 |
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma |
1 |
$24,702 |
$12,488 |
$24,702 |
$12,488 |
2.00 |
Other disorders of nervous system |
1 |
$33,242 |
$18,598 |
$33,242 |
$18,598 |
3.00 |
Facial bone procedures except major cranial/facial bone procedures |
1 |
$41,316 |
$20,745 |
$41,316 |
$20,745 |
3.00 |
Sinus & mastoid procedures |
1 |
$29,330 |
$22,212 |
$29,330 |
$22,212 |
5.00 |
Other ear, nose, mouth & throat procedures |
1 |
$20,587 |
$15,725 |
$20,587 |
$15,725 |
4.00 |
Respiratory system diagnosis w ventilator support 96+ hours |
1 |
$70,577 |
$65,354 |
$70,577 |
$65,354 |
11.00 |
Interstitial & alveolar lung diseases |
1 |
$36,881 |
$36,440 |
$36,881 |
$36,440 |
6.00 |
Other cardiothoracic & thoracic vascular procedures |
1 |
$37,233 |
$21,671 |
$37,233 |
$21,671 |
3.00 |
Cardiac catheterization for other non-coronary conditions |
1 |
$38,835 |
$37,621 |
$38,835 |
$37,621 |
9.00 |
Acute & subacute endocarditis |
1 |
$31,728 |
$22,800 |
$31,728 |
$22,800 |
6.00 |
Cardiac arrest and shock |
1 |
$30,544 |
$30,747 |
$30,544 |
$30,747 |
7.00 |
Major pancreas, liver & shunt procedures |
1 |
$14,919 |
$11,416 |
$14,919 |
$11,416 |
3.00 |
Alcoholic liver disease |
1 |
$39,244 |
$27,050 |
$39,244 |
$27,050 |
6.00 |
Malignancy of hepatobiliary system & pancreas |
1 |
$1,583 |
$2,701 |
$1,583 |
$2,701 |
1.00 |
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses |
1 |
$18,666 |
$18,953 |
$18,666 |
$18,953 |
6.00 |
Major skin disorders |
1 |
$4,087 |
$5,540 |
$4,087 |
$5,540 |
2.00 |
Malignant breast disorders |
1 |
$9,313 |
$7,453 |
$9,313 |
$7,453 |
2.00 |
Major bladder procedures |
1 |
$52,770 |
$49,598 |
$52,770 |
$49,598 |
15.00 |
Kidney & urinary tract malignancy |
1 |
$68,349 |
$52,011 |
$68,349 |
$52,011 |
8.00 |
Other female reproductive system & related procedures |
1 |
$27,747 |
$23,143 |
$27,747 |
$23,143 |
6.00 |
Uterine & adnexa procedures for leiomyoma |
1 |
$19,131 |
$11,069 |
$19,131 |
$11,069 |
2.00 |
Female reproductive system malignancy |
1 |
$23,516 |
$18,087 |
$23,516 |
$18,087 |
4.00 |
Female reproductive system infections |
1 |
$15,209 |
$12,392 |
$15,209 |
$12,392 |
3.00 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
1 |
$20,796 |
$17,628 |
$20,796 |
$17,628 |
5.00 |
Postpartum & post abortion diagnoses w/o procedure |
1 |
$2,944 |
$5,220 |
$2,944 |
$5,220 |
2.00 |
Preterm labor |
1 |
$4,746 |
$3,948 |
$4,746 |
$3,948 |
1.00 |
Other antepartum diagnoses |
1 |
$9,040 |
$8,315 |
$9,040 |
$8,315 |
2.00 |
Neonate bwt 1500-1999g w or w/o other significant condition |
1 |
$31,263 |
$12,392 |
$31,263 |
$12,392 |
15.00 |
Behavioral disorders |
1 |
$7,813 |
$10,809 |
$7,813 |
$10,809 |
2.00 |
Drug & alcohol abuse or dependence, left against medical advice |
1 |
$25,801 |
$32,875 |
$25,801 |
$32,875 |
8.00 |
Opioid abuse & dependence |
1 |
$19,075 |
$14,418 |
$19,075 |
$14,418 |
2.00 |
Cocaine abuse & dependence |
1 |
$7,377 |
$4,733 |
$7,377 |
$4,733 |
1.00 |
Allergic reactions |
1 |
$22,428 |
$16,684 |
$22,428 |
$16,684 |
2.00 |
Other aftercare & convalescence |
1 |
$19,687 |
$11,174 |
$19,687 |
$11,174 |
2.00 |