| NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM |
38 |
$2,764 |
$1,004 |
$105,019 |
$38,134 |
1.53 |
| MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS |
36 |
$24,227 |
$8,798 |
$872,171 |
$316,715 |
6.36 |
| HEART FAILURE |
26 |
$13,218 |
$4,800 |
$343,660 |
$124,795 |
2.81 |
| VAGINAL DELIVERY |
22 |
$9,398 |
$3,413 |
$206,759 |
$75,081 |
1.55 |
| RESPIRATORY FAILURE |
19 |
$20,683 |
$7,511 |
$392,979 |
$142,704 |
4.26 |
| CESAREAN SECTION WITHOUT STERILIZATION |
15 |
$11,616 |
$4,218 |
$174,244 |
$63,275 |
2.07 |
| KIDNEY AND URINARY TRACT INFECTIONS |
11 |
$16,735 |
$6,077 |
$184,085 |
$66,847 |
3.36 |
| SEPTICEMIA AND DISSEMINATED INFECTIONS |
8 |
$17,928 |
$6,510 |
$143,423 |
$52,082 |
2.88 |
| CELLULITIS AND OTHER SKIN INFECTIONS |
7 |
$13,768 |
$5,000 |
$96,375 |
$34,997 |
4.29 |
| ACUTE KIDNEY INJURY |
7 |
$13,270 |
$4,819 |
$92,888 |
$33,731 |
3.00 |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS |
6 |
$11,957 |
$4,342 |
$71,741 |
$26,051 |
1.33 |
| OTHER PNEUMONIA |
6 |
$16,066 |
$5,834 |
$96,394 |
$35,004 |
2.67 |
| CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION |
6 |
$18,514 |
$6,723 |
$111,081 |
$40,338 |
2.17 |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE |
5 |
$13,964 |
$5,071 |
$69,822 |
$25,354 |
3.60 |
| ACUTE MYOCARDIAL INFARCTION |
5 |
$12,300 |
$4,466 |
$61,499 |
$22,332 |
1.60 |
| DISORDERS OF GALLBLADDER AND BILIARY TRACT |
4 |
$9,945 |
$3,612 |
$39,780 |
$14,446 |
1.25 |
| OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS |
4 |
$21,740 |
$7,894 |
$86,958 |
$31,577 |
3.00 |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES |
4 |
$14,162 |
$5,143 |
$56,646 |
$20,570 |
3.75 |
| PULMONARY EMBOLISM |
4 |
$22,049 |
$8,007 |
$88,196 |
$32,028 |
3.75 |
| HIP AND FEMUR FRACTURE REPAIR |
4 |
$38,286 |
$13,903 |
$153,142 |
$55,611 |
9.75 |
| MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS |
3 |
$19,709 |
$7,157 |
$59,127 |
$21,472 |
4.00 |
| ALCOHOL ABUSE AND DEPENDENCE |
3 |
$30,226 |
$10,976 |
$90,677 |
$32,928 |
17.00 |
| CESAREAN SECTION WITH STERILIZATION |
3 |
$11,533 |
$4,188 |
$34,600 |
$12,565 |
1.67 |
| OTHER AFTERCARE AND CONVALESCENCE |
3 |
$11,642 |
$4,227 |
$34,925 |
$12,682 |
3.00 |
| NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE |
2 |
$1,735 |
$630 |
$3,470 |
$1,260 |
1.00 |
| ALCOHOLIC LIVER DISEASE |
2 |
$12,312 |
$4,471 |
$24,623 |
$8,942 |
1.00 |
| FRACTURE OF FEMUR |
2 |
$10,789 |
$3,918 |
$21,577 |
$7,836 |
1.50 |
| RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES |
2 |
$17,255 |
$6,266 |
$34,510 |
$12,532 |
2.00 |
| NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION |
2 |
$4,347 |
$1,579 |
$8,694 |
$3,157 |
3.00 |
| HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS |
2 |
$15,495 |
$5,627 |
$30,990 |
$11,254 |
3.50 |
| DIVERTICULITIS AND DIVERTICULOSIS |
2 |
$18,740 |
$6,805 |
$37,479 |
$13,610 |
2.50 |
| OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES |
2 |
$13,451 |
$4,885 |
$26,901 |
$9,769 |
3.50 |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY |
2 |
$17,748 |
$6,445 |
$35,495 |
$12,890 |
2.00 |
| MAJOR SMALL BOWEL PROCEDURES |
2 |
$21,589 |
$7,840 |
$43,177 |
$15,679 |
5.00 |
| DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE |
2 |
$22,888 |
$8,312 |
$45,776 |
$16,623 |
4.00 |
| OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES |
1 |
$11,946 |
$4,338 |
$11,946 |
$4,338 |
3.00 |
| MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY |
1 |
$8,827 |
$3,205 |
$8,827 |
$3,205 |
1.00 |
| APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS |
1 |
$18,084 |
$6,567 |
$18,084 |
$6,567 |
1.00 |
| POISONING OF MEDICINAL AGENTS |
1 |
$17,359 |
$6,304 |
$17,359 |
$6,304 |
2.00 |
| CHEST PAIN |
1 |
$4,592 |
$1,668 |
$4,592 |
$1,668 |
1.00 |
| ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS |
1 |
$12,559 |
$4,561 |
$12,559 |
$4,561 |
1.00 |
| POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS |
1 |
$14,372 |
$5,219 |
$14,372 |
$5,219 |
1.00 |
| TRANSIENT ISCHEMIA |
1 |
$15,448 |
$5,610 |
$15,448 |
$5,610 |
2.00 |
| TRANSURETHRAL PROSTATECTOMY |
1 |
$19,641 |
$7,132 |
$19,641 |
$7,132 |
1.00 |
| ALTERATION IN CONSCIOUSNESS |
1 |
$13,888 |
$5,043 |
$13,888 |
$5,043 |
5.00 |
| TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES |
1 |
$12,606 |
$4,578 |
$12,606 |
$4,578 |
2.00 |
| HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE |
1 |
$14,216 |
$5,162 |
$14,216 |
$5,162 |
1.00 |
| EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
1 |
$65,152 |
$23,659 |
$65,152 |
$23,659 |
23.00 |
| OPIOID ABUSE AND DEPENDENCE |
1 |
$16,806 |
$6,103 |
$16,806 |
$6,103 |
5.00 |
| RESPIRATORY MALIGNANCY |
1 |
$41,823 |
$15,187 |
$41,823 |
$15,187 |
8.00 |
| INTESTINAL OBSTRUCTION |
1 |
$11,964 |
$4,345 |
$11,964 |
$4,345 |
3.00 |
| ACUTE ANXIETY AND DELIRIUM STATES |
1 |
$12,888 |
$4,680 |
$12,888 |
$4,680 |
7.00 |
| OTHER MENTAL HEALTH DISORDERS |
1 |
$21,433 |
$7,783 |
$21,433 |
$7,783 |
2.00 |
| NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRT |
1 |
$781 |
$284 |
$781 |
$284 |
1.00 |
| DIGESTIVE MALIGNANCY |
1 |
$11,896 |
$4,320 |
$11,896 |
$4,320 |
3.00 |
| DIABETES |
1 |
$18,461 |
$6,704 |
$18,461 |
$6,704 |
2.00 |
| SEIZURE |
1 |
$15,604 |
$5,667 |
$15,604 |
$5,667 |
2.00 |
| SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS |
1 |
$4,179 |
$1,518 |
$4,179 |
$1,518 |
2.00 |
| OTHER INFECTIOUS AND PARASITIC DISEASES |
1 |
$14,086 |
$5,115 |
$14,086 |
$5,115 |
7.00 |
| OTHER DISORDERS OF THE LIVER |
1 |
$18,052 |
$6,555 |
$18,052 |
$6,555 |
2.00 |
| OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS |
1 |
$86,603 |
$31,449 |
$86,603 |
$31,449 |
25.00 |
| THYROID DISORDERS |
1 |
$32,231 |
$11,704 |
$32,231 |
$11,704 |
7.00 |
| MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION |
1 |
$20,167 |
$7,323 |
$20,167 |
$7,323 |
3.00 |
| MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE |
1 |
$12,292 |
$4,463 |
$12,292 |
$4,463 |
3.00 |
| MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS |
1 |
$52,543 |
$19,080 |
$52,543 |
$19,080 |
18.00 |
| OTHER ENDOCRINE DISORDERS |
1 |
$9,564 |
$3,473 |
$9,564 |
$3,473 |
1.00 |
| FEMALE REPRODUCTIVE SYSTEM INFECTIONS |
1 |
$12,157 |
$4,415 |
$12,157 |
$4,415 |
1.00 |
| VIRAL MENINGITIS |
1 |
$20,820 |
$7,560 |
$20,820 |
$7,560 |
1.00 |
| NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT |
1 |
$39,012 |
$14,167 |
$39,012 |
$14,167 |
4.00 |
| OTHER DISORDERS OF NERVOUS SYSTEM |
1 |
$2,834 |
$1,029 |
$2,834 |
$1,029 |
1.00 |
| OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES |
1 |
$36,988 |
$13,432 |
$36,988 |
$13,432 |
11.00 |
| OTHER CIRCULATORY SYSTEM DIAGNOSES |
1 |
$29,596 |
$10,747 |
$29,596 |
$10,747 |
3.00 |
| HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS |
1 |
$11,460 |
$4,162 |
$11,460 |
$4,162 |
1.00 |
| OTHER GASTROENTERITIS, NAUSEA AND VOMITING |
1 |
$11,750 |
$4,267 |
$11,750 |
$4,267 |
2.00 |