Neonate birthwt >2499g, normal newborn or neonate w other problem |
199 |
$2,131 |
$700 |
$424,156 |
$139,209 |
1.70 |
Vaginal delivery |
149 |
$7,837 |
$2,364 |
$1,167,722 |
$352,166 |
1.99 |
Septicemia & disseminated infections |
144 |
$15,433 |
$7,496 |
$2,222,373 |
$1,079,481 |
3.94 |
Chronic obstructive pulmonary disease |
78 |
$11,540 |
$4,394 |
$900,099 |
$342,769 |
3.01 |
Respiratory Failure |
68 |
$15,221 |
$8,702 |
$1,035,025 |
$591,762 |
3.81 |
Cesarean delivery |
61 |
$12,356 |
$4,282 |
$753,734 |
$261,206 |
2.31 |
Heart failure |
56 |
$12,710 |
$4,865 |
$711,751 |
$272,438 |
4.00 |
Other pneumonia |
55 |
$14,415 |
$6,134 |
$792,812 |
$337,353 |
4.09 |
Cellulitis & other skin infections |
54 |
$8,278 |
$2,486 |
$446,986 |
$134,238 |
2.52 |
Intestinal obstruction |
43 |
$13,047 |
$3,970 |
$561,032 |
$170,695 |
2.95 |
Acute myocardial infarction |
42 |
$8,949 |
$3,623 |
$375,858 |
$152,147 |
1.86 |
Knee joint replacement |
42 |
$25,558 |
$9,091 |
$1,073,441 |
$381,840 |
1.19 |
Hip joint replacement |
39 |
$29,880 |
$10,884 |
$1,165,303 |
$424,457 |
2.33 |
Acute Kidney Injury |
30 |
$11,572 |
$4,113 |
$347,152 |
$123,389 |
2.87 |
Kidney & urinary tract infections |
29 |
$10,970 |
$3,101 |
$318,118 |
$89,938 |
3.10 |
Hip and femur fracture repair |
27 |
$29,280 |
$11,550 |
$790,564 |
$311,862 |
5.30 |
CVA & precerebral occlusion w infarct |
26 |
$17,170 |
$4,071 |
$446,420 |
$105,858 |
3.50 |
Other anemia & disorders of blood & blood-forming organs |
25 |
$16,638 |
$5,497 |
$415,960 |
$137,436 |
3.20 |
Cardiac arrhythmia & conduction disorders |
23 |
$11,188 |
$6,142 |
$257,330 |
$141,275 |
2.52 |
Diabetes |
23 |
$11,149 |
$8,046 |
$256,422 |
$185,056 |
2.43 |
Laparoscopic cholecystectomy |
22 |
$23,046 |
$7,945 |
$507,007 |
$174,795 |
3.14 |
Disorders of pancreas except malignancy |
21 |
$14,063 |
$3,171 |
$295,322 |
$66,598 |
3.14 |
Major small & large bowel procedures |
18 |
$41,009 |
$27,581 |
$738,155 |
$496,465 |
6.83 |
Appendectomy |
17 |
$18,500 |
$6,092 |
$314,504 |
$103,560 |
2.12 |
Other & unspecified gastrointestinal hemorrhage |
17 |
$14,857 |
$5,117 |
$252,571 |
$86,991 |
3.12 |
Alcohol abuse & dependence |
17 |
$13,068 |
$3,786 |
$222,148 |
$64,354 |
3.76 |
Hernia procedures except inguinal, femoral & umbilical |
15 |
$34,543 |
$18,194 |
$518,149 |
$272,917 |
5.27 |
Hepatic coma & other major acute liver disorders |
15 |
$12,590 |
$4,239 |
$188,852 |
$63,588 |
3.00 |
Major respiratory infections & inflammations |
13 |
$11,870 |
$4,331 |
$154,313 |
$56,300 |
3.69 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
13 |
$11,248 |
$4,950 |
$146,218 |
$64,352 |
3.00 |
Electrolyte disorders except hypovolemia related |
13 |
$10,667 |
$4,527 |
$138,675 |
$58,847 |
2.31 |
Disorders of gallbladder & biliary tract |
12 |
$13,616 |
$3,501 |
$163,388 |
$42,007 |
2.08 |
Other musculoskeletal system & connective tissue diagnoses |
12 |
$13,817 |
$3,272 |
$165,809 |
$39,265 |
3.17 |
Neonate, transferred < 5 days old, born here |
12 |
$2,673 |
$781 |
$32,072 |
$9,377 |
1.33 |
Diverticulitis & diverticulosis |
11 |
$10,013 |
$2,075 |
$110,145 |
$22,830 |
2.45 |
Signs, symptoms & other factors influencing health status |
11 |
$17,115 |
$5,279 |
$188,262 |
$58,069 |
7.18 |
Asthma |
10 |
$6,407 |
$4,284 |
$64,069 |
$42,839 |
2.00 |
Peptic ulcer & gastritis |
10 |
$20,047 |
$9,329 |
$200,468 |
$93,289 |
3.90 |
Other gastroenteritis, nausa & vomiting |
10 |
$11,051 |
$2,561 |
$110,511 |
$25,605 |
2.40 |
Poisoning of medicinal agents |
10 |
$11,163 |
$13,746 |
$111,634 |
$137,456 |
1.70 |
Angina pectoris & coronary atherosclerosis |
9 |
$6,760 |
$3,323 |
$60,836 |
$29,909 |
1.44 |
Infections of upper respiratory tract |
7 |
$8,960 |
$6,366 |
$62,717 |
$44,559 |
2.00 |
Major chest & respiratory trauma |
7 |
$17,483 |
$5,273 |
$122,384 |
$36,911 |
2.86 |
Other small & large bowel procedures |
7 |
$44,934 |
$25,200 |
$314,538 |
$176,401 |
8.29 |
Hypovolemia & related electrolyte disorders |
7 |
$8,193 |
$3,000 |
$57,352 |
$20,998 |
2.14 |
Other antepartum diagnoses |
7 |
$4,358 |
$1,245 |
$30,504 |
$8,716 |
1.43 |
Infectious & parasitic diseases including HIV w O.R. procedure |
7 |
$41,433 |
$27,176 |
$290,031 |
$190,232 |
5.43 |
Moderately extensive procedure unrelated to principal diagnosis |
7 |
$14,264 |
$4,349 |
$99,851 |
$30,443 |
2.29 |
Pulmonary embolism |
6 |
$12,012 |
$2,845 |
$72,074 |
$17,069 |
2.83 |
Other digestive system diagnoses |
6 |
$15,497 |
$6,297 |
$92,984 |
$37,779 |
2.83 |
Alcoholic liver disease |
6 |
$17,392 |
$4,128 |
$104,351 |
$24,765 |
3.17 |
Urethral & transurethral procedures |
6 |
$24,714 |
$6,932 |
$148,284 |
$41,592 |
4.00 |
Neonate bwt 2000-2499g, normal newborn or neonate w other problem |
6 |
$2,536 |
$813 |
$15,215 |
$4,875 |
1.83 |
Nonextensive procedure unrelated to principal diagnosis |
6 |
$14,774 |
$5,086 |
$88,643 |
$30,515 |
2.50 |
Seizure |
5 |
$16,700 |
$6,684 |
$83,501 |
$33,418 |
6.40 |
Inflammatory bowel disease |
5 |
$10,812 |
$2,383 |
$54,060 |
$11,914 |
2.60 |
Other skin, subcutaneous tissue & related procedures |
5 |
$38,118 |
$15,510 |
$190,588 |
$77,552 |
14.00 |
Malfunction, reaction, complic of genitourinary device or proc |
5 |
$13,005 |
$9,331 |
$65,027 |
$46,656 |
3.40 |
Peripheral, cranial & autonomic nerve disorders |
4 |
$11,999 |
$3,286 |
$47,994 |
$13,144 |
2.25 |
Nontraumatic stupor & coma |
4 |
$12,994 |
$4,095 |
$51,976 |
$16,379 |
4.50 |
Respiratory malignancy |
4 |
$17,734 |
$5,357 |
$70,936 |
$21,429 |
4.50 |
Respiratory signs, symptoms & minor diagnoses |
4 |
$10,137 |
$4,530 |
$40,546 |
$18,119 |
2.25 |
Peripheral & other vascular disorders |
4 |
$11,323 |
$2,330 |
$45,290 |
$9,320 |
1.75 |
Hypertension |
4 |
$14,051 |
$8,627 |
$56,204 |
$34,507 |
2.25 |
Other circulatory system diagnoses |
4 |
$13,385 |
$6,650 |
$53,540 |
$26,601 |
2.25 |
Major gastrointestinal & peritoneal infections |
4 |
$14,985 |
$3,993 |
$59,941 |
$15,971 |
2.50 |
Abdominal pain |
4 |
$10,112 |
$2,184 |
$40,447 |
$8,735 |
1.00 |
Fracture of pelvis or dislocation of hip |
4 |
$9,875 |
$2,820 |
$39,498 |
$11,278 |
2.50 |
Post-operative, post-traumatic, other device infections |
4 |
$20,444 |
$5,980 |
$81,777 |
$23,921 |
5.25 |
Transient ischemia |
3 |
$11,151 |
$4,960 |
$33,453 |
$14,881 |
2.33 |
Viral meningitis |
3 |
$13,690 |
$11,787 |
$41,070 |
$35,362 |
3.67 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
3 |
$8,346 |
$2,047 |
$25,038 |
$6,140 |
2.67 |
Bronchiolitis & RSV pneumonia |
3 |
$6,874 |
$13,083 |
$20,621 |
$39,248 |
1.67 |
Chest pain |
3 |
$10,466 |
$4,861 |
$31,398 |
$14,582 |
2.33 |
Syncope & collapse |
3 |
$6,400 |
$2,050 |
$19,200 |
$6,151 |
1.00 |
Inguinal, femoral & umbilical hernia procedures |
3 |
$16,703 |
$11,839 |
$50,108 |
$35,516 |
2.00 |
Digestive malignancy |
3 |
$25,729 |
$7,489 |
$77,186 |
$22,466 |
4.00 |
Major esophageal disorders |
3 |
$22,015 |
$15,784 |
$66,046 |
$47,352 |
4.00 |
Malignancy of hepatobiliary system & pancreas |
3 |
$14,201 |
$5,263 |
$42,603 |
$15,790 |
3.00 |
Other disorders of the liver |
3 |
$28,685 |
$11,627 |
$86,056 |
$34,882 |
8.67 |
Knee & lower leg procedures except foot |
3 |
$20,310 |
$7,054 |
$60,930 |
$21,162 |
3.00 |
Fractures & dislocations except femur, pelvis & back |
3 |
$7,564 |
$2,735 |
$22,693 |
$8,206 |
2.33 |
Other back & neck disorders, fractures & injuries |
3 |
$14,698 |
$3,667 |
$44,093 |
$11,002 |
4.00 |
Skin graft for skin & subcutaneous tissue diagnoses |
3 |
$23,007 |
$10,778 |
$69,020 |
$32,334 |
4.67 |
Other skin, subcutaneous tissue & breast disorders |
3 |
$12,359 |
$3,990 |
$37,076 |
$11,971 |
2.33 |
Other endocrine disorders |
3 |
$9,891 |
$4,757 |
$29,672 |
$14,271 |
2.00 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
3 |
$9,060 |
$2,659 |
$27,180 |
$7,977 |
3.00 |
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond |
3 |
$3,292 |
$997 |
$9,875 |
$2,991 |
2.67 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
3 |
$20,813 |
$6,799 |
$62,440 |
$20,397 |
3.33 |
Viral illness |
3 |
$9,674 |
$9,604 |
$29,023 |
$28,812 |
2.00 |
Drug & alcohol abuse or dependence, left against medical advice |
3 |
$10,892 |
$3,079 |
$32,677 |
$9,236 |
4.00 |
Other complications of treatment |
3 |
$11,096 |
$5,330 |
$33,288 |
$15,990 |
1.67 |
Procedure w diag of rehab, aftercare or oth contact w health service |
3 |
$19,617 |
$6,195 |
$58,851 |
$18,584 |
5.00 |
Multiple sclerosis & other demyelinating diseases |
2 |
$11,038 |
$2,770 |
$22,076 |
$5,539 |
2.50 |
Head trauma w coma >1 hr or hemorrhage |
2 |
$8,748 |
$4,879 |
$17,496 |
$9,758 |
1.00 |
Interstitial & alveolar lung diseases |
2 |
$17,643 |
$4,662 |
$35,286 |
$9,324 |
7.50 |
Other circulatory system procedures |
2 |
$18,355 |
$5,380 |
$36,710 |
$10,759 |
6.00 |
Acute & subacute endocarditis |
2 |
$41,094 |
$15,315 |
$82,188 |
$30,629 |
10.00 |
Gastrointestinal vascular insufficiency |
2 |
$11,778 |
$3,169 |
$23,556 |
$6,337 |
2.00 |
Malfunction, reaction & complication of GI device or procedure |
2 |
$10,520 |
$3,360 |
$21,039 |
$6,720 |
2.00 |
Tendon, muscle & other soft tissue procedures |
2 |
$23,473 |
$8,409 |
$46,945 |
$16,817 |
2.00 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
2 |
$7,102 |
$2,295 |
$14,204 |
$4,589 |
2.50 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
2 |
$5,292 |
$1,701 |
$10,584 |
$3,402 |
1.50 |
Breast procedures except mastectomy |
2 |
$22,785 |
$11,472 |
$45,569 |
$22,943 |
3.50 |
Inborn errors of metabolism |
2 |
$9,631 |
$1,857 |
$19,261 |
$3,713 |
2.00 |
Uterine & adnexa procedures for non-malignancy except leiomyoma |
2 |
$17,402 |
$5,296 |
$34,803 |
$10,592 |
1.50 |
Menstrual & other female reproductive system disorders |
2 |
$11,692 |
$6,139 |
$23,383 |
$12,278 |
1.50 |
Vaginal delivery w sterilization &/or D&C |
2 |
$4,914 |
$1,645 |
$9,828 |
$3,290 |
1.00 |
Postpartum & post abortion diagnoses w/o procedure |
2 |
$5,888 |
$5,122 |
$11,775 |
$10,243 |
2.00 |
Neonate birthwt >2499g w major anomaly |
2 |
$5,000 |
$1,623 |
$10,000 |
$3,246 |
3.00 |
Neonate birthwt >2499g w other significant condition |
2 |
$4,120 |
$1,283 |
$8,239 |
$2,565 |
2.50 |
Coagulation & platelet disorders |
2 |
$8,625 |
$2,437 |
$17,249 |
$4,873 |
2.00 |
Post-op, post-trauma, other device infections w O.R. procedure |
2 |
$27,373 |
$11,695 |
$54,746 |
$23,390 |
9.50 |
Fever |
2 |
$20,184 |
$4,188 |
$40,367 |
$8,375 |
2.00 |
Other infectious & parasitic diseases |
2 |
$35,711 |
$9,136 |
$71,421 |
$18,272 |
8.50 |
Acute anxiety & delirium states |
2 |
$4,803 |
$4,723 |
$9,605 |
$9,446 |
1.00 |
Allergic reactions |
2 |
$5,634 |
$8,259 |
$11,268 |
$16,517 |
1.00 |
Multiple significant trauma w/o O.R. procedure |
2 |
$14,227 |
$9,166 |
$28,453 |
$18,332 |
1.50 |
Spinal procedures |
1 |
$10,605 |
$2,547 |
$10,605 |
$2,547 |
2.00 |
Nervous system malignancy |
1 |
$10,538 |
$2,452 |
$10,538 |
$2,452 |
3.00 |
Degenerative nervous system disorders exc mult sclerosis |
1 |
$4,448 |
$1,496 |
$4,448 |
$1,496 |
2.00 |
Intracranial hemorrhage |
1 |
$8,234 |
$1,607 |
$8,234 |
$1,607 |
2.00 |
Non-bacterial infections of nervous system exc viral meningitis |
1 |
$23,331 |
$4,901 |
$23,331 |
$4,901 |
7.00 |
Vertigo & other labyrinth disorders |
1 |
$8,249 |
$1,377 |
$8,249 |
$1,377 |
1.00 |
Other respiratory & chest procedures |
1 |
$14,086 |
$17,587 |
$14,086 |
$17,587 |
2.00 |
Respiratory system diagnosis w ventilator support 96+ hours |
1 |
$42,865 |
$67,569 |
$42,865 |
$67,569 |
12.00 |
Cystic fibrosis - pulmonary disease |
1 |
$24,884 |
$7,447 |
$24,884 |
$7,447 |
14.00 |
Cardiac arrest and shock |
1 |
$12,522 |
$4,066 |
$12,522 |
$4,066 |
4.00 |
Cardiomyopathy |
1 |
$10,160 |
$2,252 |
$10,160 |
$2,252 |
1.00 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
1 |
$9,593 |
$9,137 |
$9,593 |
$9,137 |
1.00 |
Major stomach, esophageal & duodenal procedures |
1 |
$40,305 |
$32,332 |
$40,305 |
$32,332 |
7.00 |
Peritoneal adhesiolysis |
1 |
$15,321 |
$4,264 |
$15,321 |
$4,264 |
3.00 |
Other digestive system & abdominal procedures |
1 |
$20,607 |
$7,317 |
$20,607 |
$7,317 |
2.00 |
Other esophageal disorders |
1 |
$19,113 |
$3,843 |
$19,113 |
$3,843 |
2.00 |
Cholecystectomy except laparoscopic |
1 |
$31,418 |
$14,383 |
$31,418 |
$14,383 |
5.00 |
Other hepatobiliary, pancreas & abdominal procedures |
1 |
$17,383 |
$6,274 |
$17,383 |
$6,274 |
2.00 |
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses |
1 |
$24,400 |
$7,801 |
$24,400 |
$7,801 |
7.00 |
Foot & toe procedures |
1 |
$60,123 |
$15,817 |
$60,123 |
$15,817 |
19.00 |
Shoulder, upper arm & forearm procedures except joint replacement |
1 |
$26,845 |
$8,023 |
$26,845 |
$8,023 |
7.00 |
Hand & wrist procedures |
1 |
$16,398 |
$4,906 |
$16,398 |
$4,906 |
4.00 |
Shoulder & elbow joint replacement |
1 |
$41,100 |
$14,488 |
$41,100 |
$14,488 |
1.00 |
Connective tissue disorders |
1 |
$14,477 |
$2,494 |
$14,477 |
$2,494 |
3.00 |
Malfunction, reaction, complic of orthopedic device or procedure |
1 |
$4,197 |
$1,489 |
$4,197 |
$1,489 |
1.00 |
Malignant breast disorders |
1 |
$15,382 |
$5,144 |
$15,382 |
$5,144 |
5.00 |
Malnutrition, failure to thrive & other nutritional disorders |
1 |
$13,896 |
$3,086 |
$13,896 |
$3,086 |
4.00 |
Kidney & urinary tract procedures for nonmalignancy |
1 |
$20,241 |
$6,124 |
$20,241 |
$6,124 |
1.00 |
Kidney & urinary tract malignancy |
1 |
$35,804 |
$10,944 |
$35,804 |
$10,944 |
10.00 |
Urinary stones & acquired upper urinary tract obstruction |
1 |
$20,125 |
$5,492 |
$20,125 |
$5,492 |
3.00 |
Other kidney & urinary tract diagnoses, signs & symptoms |
1 |
$12,850 |
$3,014 |
$12,850 |
$3,014 |
5.00 |
Chronic Kidney Disease |
1 |
$8,374 |
$4,415 |
$8,374 |
$4,415 |
4.00 |
Transurethral prostatectomy |
1 |
$15,269 |
$5,557 |
$15,269 |
$5,557 |
2.00 |
Male reproductive system diagnoses except malignancy |
1 |
$19,924 |
$7,101 |
$19,924 |
$7,101 |
2.00 |
Uterine & adnexa procedures for ovarian & adnexal malignancy |
1 |
$39,377 |
$11,833 |
$39,377 |
$11,833 |
9.00 |
Female reproductive system malignancy |
1 |
$7,831 |
$2,717 |
$7,831 |
$2,717 |
3.00 |
Female reproductive system infections |
1 |
$12,477 |
$2,210 |
$12,477 |
$2,210 |
2.00 |
Preterm labor |
1 |
$1,826 |
$544 |
$1,826 |
$544 |
1.00 |
Other procedures of blood & blood-forming organs |
1 |
$28,968 |
$7,043 |
$28,968 |
$7,043 |
8.00 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
1 |
$11,062 |
$3,028 |
$11,062 |
$3,028 |
1.00 |
Organic mental health disturbances |
1 |
$6,298 |
$8,045 |
$6,298 |
$8,045 |
1.00 |
Behavioral disorders |
1 |
$4,038 |
$7,962 |
$4,038 |
$7,962 |
1.00 |
Other drug abuse & dependence |
1 |
$4,435 |
$1,244 |
$4,435 |
$1,244 |
1.00 |
Toxic effects of non-medicinal substances |
1 |
$13,406 |
$10,309 |
$13,406 |
$10,309 |
1.00 |
Other aftercare & convalescence |
1 |
$3,144 |
$1,031 |
$3,144 |
$1,031 |
3.00 |