NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM |
319 |
$1,276 |
$278 |
$407,184 |
$88,815 |
1.63 |
VAGINAL DELIVERY |
213 |
$6,064 |
$1,677 |
$1,291,656 |
$357,099 |
2.08 |
SEPTICEMIA & DISSEMINATED INFECTIONS |
204 |
$32,225 |
$4,918 |
$6,573,846 |
$1,003,355 |
5.97 |
RESPIRATORY FAILURE |
91 |
$27,511 |
$4,567 |
$2,503,481 |
$415,623 |
4.44 |
HEART FAILURE |
76 |
$20,997 |
$3,690 |
$1,595,737 |
$280,469 |
3.91 |
OTHER PNEUMONIA |
71 |
$21,222 |
$3,060 |
$1,506,781 |
$217,236 |
3.51 |
MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS |
70 |
$26,204 |
$4,371 |
$1,834,252 |
$305,953 |
6.03 |
CESAREAN SECTION W/O STERILIZATION |
62 |
$15,908 |
$4,629 |
$986,325 |
$286,994 |
2.71 |
ACUTE KIDNEY INJURY |
62 |
$22,293 |
$3,292 |
$1,382,149 |
$204,090 |
4.50 |
DIABETES |
55 |
$18,246 |
$2,315 |
$1,003,506 |
$127,344 |
3.15 |
DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK |
44 |
$70,610 |
$21,945 |
$3,106,835 |
$965,598 |
1.66 |
CHRONIC OBSTRUCTIVE PULMONARY DISEASE |
40 |
$19,258 |
$3,527 |
$770,317 |
$141,090 |
2.95 |
CELLULITIS & OTHER SKIN INFECTIONS |
40 |
$16,091 |
$3,235 |
$643,634 |
$129,408 |
3.73 |
KNEE JOINT REPLACEMENT |
37 |
$40,892 |
$11,636 |
$1,513,007 |
$430,532 |
2.76 |
ANTEPARTUM W/O O.R. PROCEDURE |
36 |
$3,913 |
$785 |
$140,865 |
$28,266 |
1.25 |
DISORDERS OF PANCREAS EXCEPT MALIGNANCY |
35 |
$20,479 |
$2,472 |
$716,781 |
$86,517 |
3.20 |
HIP JOINT REPLACEMENT |
33 |
$41,334 |
$11,711 |
$1,364,009 |
$386,472 |
3.06 |
CESAREAN SECTION W STERILIZATION |
31 |
$16,420 |
$4,782 |
$509,013 |
$148,238 |
2.03 |
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS |
31 |
$17,610 |
$3,193 |
$545,910 |
$98,981 |
2.58 |
INTESTINAL OBSTRUCTION |
30 |
$16,317 |
$2,225 |
$489,500 |
$66,738 |
4.03 |
ACUTE MYOCARDIAL INFARCTION |
29 |
$19,137 |
$4,059 |
$554,983 |
$117,706 |
2.31 |
HIP & FEMUR FRACTURE REPAIR |
28 |
$35,252 |
$8,240 |
$987,044 |
$230,711 |
4.21 |
CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP |
27 |
$37,406 |
$11,684 |
$1,009,956 |
$315,467 |
1.04 |
KIDNEY & URINARY TRACT INFECTIONS |
25 |
$14,255 |
$2,850 |
$356,366 |
$71,243 |
2.88 |
ALTERATION IN CONSCIOUSNESS |
21 |
$20,262 |
$2,503 |
$425,496 |
$52,555 |
3.81 |
OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS |
20 |
$20,072 |
$3,188 |
$401,433 |
$63,768 |
2.80 |
VAGINAL DELIVERY W STERILIZATION &/OR D&C |
18 |
$12,381 |
$3,541 |
$222,855 |
$63,731 |
2.56 |
CVA & PRECEREBRAL OCCLUSION W INFARCT |
18 |
$27,808 |
$4,593 |
$500,538 |
$82,670 |
3.06 |
NON-HYPOVOLEMIC SODIUM DISORDERS |
18 |
$22,723 |
$2,956 |
$409,022 |
$53,204 |
3.83 |
DIVERTICULITIS & DIVERTICULOSIS |
17 |
$15,443 |
$2,261 |
$262,537 |
$38,437 |
3.12 |
HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS |
14 |
$19,835 |
$3,014 |
$277,693 |
$42,191 |
4.21 |
MAJOR LARGE BOWEL PROCEDURES |
13 |
$48,010 |
$10,335 |
$624,134 |
$134,359 |
8.38 |
ALCOHOL ABUSE & DEPENDENCE |
13 |
$17,444 |
$2,049 |
$226,777 |
$26,640 |
4.23 |
OTHER GASTROENTERITIS, NAUSEA & VOMITING |
12 |
$18,196 |
$2,457 |
$218,350 |
$29,482 |
2.25 |
INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE |
11 |
$53,000 |
$10,035 |
$583,004 |
$110,380 |
8.64 |
NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE |
11 |
$2,513 |
$394 |
$27,646 |
$4,336 |
1.09 |
OTHER DIGESTIVE SYSTEM DIAGNOSES |
10 |
$18,006 |
$4,609 |
$180,056 |
$46,088 |
3.10 |
MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC |
10 |
$14,096 |
$2,449 |
$140,964 |
$24,492 |
3.40 |
KNEE & LOWER LEG PROCEDURES EXCEPT FOOT |
10 |
$31,347 |
$8,199 |
$313,473 |
$81,989 |
4.50 |
HYPERTENSION |
9 |
$16,893 |
$2,334 |
$152,038 |
$21,006 |
2.67 |
MAJOR SMALL BOWEL PROCEDURES |
9 |
$43,104 |
$9,475 |
$387,937 |
$85,272 |
7.56 |
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS |
9 |
$23,049 |
$4,819 |
$207,439 |
$43,375 |
1.78 |
SEIZURE |
9 |
$20,585 |
$4,012 |
$185,265 |
$36,106 |
3.44 |
INFLAMMATORY BOWEL DISEASE |
8 |
$17,305 |
$2,129 |
$138,440 |
$17,032 |
2.25 |
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES |
8 |
$24,983 |
$4,065 |
$199,866 |
$32,518 |
2.75 |
VAGINAL DELIVERY W O.R. PROCEDURE EXCEPT STERILIZATION &/OR D&C |
8 |
$7,835 |
$1,999 |
$62,679 |
$15,989 |
2.50 |
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS |
8 |
$29,686 |
$5,707 |
$237,491 |
$45,657 |
4.88 |
MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS |
7 |
$25,045 |
$4,288 |
$175,312 |
$30,013 |
3.43 |
OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS |
7 |
$18,443 |
$3,105 |
$129,101 |
$21,732 |
3.86 |
NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM |
7 |
$1,439 |
$280 |
$10,075 |
$1,963 |
1.57 |
SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS |
7 |
$13,346 |
$3,561 |
$93,425 |
$24,925 |
2.14 |
OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES |
7 |
$19,691 |
$4,723 |
$137,840 |
$33,064 |
3.00 |
ALCOHOLIC LIVER DISEASE |
7 |
$24,617 |
$4,544 |
$172,322 |
$31,805 |
3.29 |
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS |
7 |
$17,692 |
$3,305 |
$123,841 |
$23,133 |
2.86 |
PEPTIC ULCER & GASTRITIS |
7 |
$21,459 |
$2,903 |
$150,216 |
$20,322 |
5.00 |
OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE |
7 |
$20,636 |
$4,016 |
$144,451 |
$28,110 |
2.86 |
UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA |
7 |
$15,378 |
$4,463 |
$107,645 |
$31,242 |
2.00 |
POISONING OF MEDICINAL AGENTS |
7 |
$18,028 |
$2,303 |
$126,195 |
$16,122 |
2.29 |
PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS |
6 |
$18,287 |
$3,483 |
$109,721 |
$20,898 |
2.50 |
CHOLECYSTECTOMY |
6 |
$30,741 |
$6,359 |
$184,444 |
$38,154 |
3.67 |
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS |
6 |
$19,130 |
$2,787 |
$114,779 |
$16,724 |
4.50 |
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS |
6 |
$18,528 |
$2,296 |
$111,167 |
$13,776 |
4.00 |
ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS |
6 |
$15,293 |
$3,895 |
$91,759 |
$23,371 |
1.83 |
OTHER AFTERCARE & CONVALESCENCE |
6 |
$15,558 |
$1,849 |
$93,347 |
$11,094 |
2.67 |
UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA |
6 |
$15,939 |
$4,856 |
$95,635 |
$29,134 |
2.00 |
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES |
5 |
$26,912 |
$3,868 |
$134,559 |
$19,340 |
3.60 |
OTHER CIRCULATORY SYSTEM DIAGNOSES |
5 |
$25,587 |
$4,786 |
$127,933 |
$23,928 |
5.40 |
DISORDERS OF GALLBLADDER & BILIARY TRACT |
5 |
$15,628 |
$1,973 |
$78,142 |
$9,867 |
3.40 |
PULMONARY EMBOLISM |
5 |
$17,109 |
$2,931 |
$85,543 |
$14,656 |
2.40 |
PERIPHERAL & OTHER VASCULAR DISORDERS |
5 |
$18,877 |
$2,578 |
$94,384 |
$12,890 |
4.80 |
NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION |
5 |
$1,975 |
$335 |
$9,876 |
$1,675 |
2.80 |
FRACTURE OF PELVIS OR DISLOCATION OF HIP |
4 |
$11,900 |
$1,552 |
$47,598 |
$6,209 |
3.25 |
ACUTE BRONCHITIS & RELATED SYMPTOMS |
4 |
$13,806 |
$1,722 |
$55,223 |
$6,886 |
2.50 |
NEONATE BIRTHWT >2499G W MAJOR ANOMALY |
4 |
$1,777 |
$318 |
$7,108 |
$1,272 |
1.50 |
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY |
4 |
$10,856 |
$1,440 |
$43,424 |
$5,759 |
3.00 |
NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
4 |
$30,254 |
$5,271 |
$121,014 |
$21,082 |
4.75 |
RESPIRATORY MALIGNANCY |
4 |
$33,688 |
$5,025 |
$134,753 |
$20,098 |
6.00 |
FRACTURE OF FEMUR |
4 |
$27,126 |
$4,246 |
$108,504 |
$16,984 |
4.00 |
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS |
4 |
$94,328 |
$17,832 |
$377,313 |
$71,328 |
17.25 |
PERITONEAL ADHESIOLYSIS |
4 |
$44,754 |
$11,192 |
$179,014 |
$44,769 |
7.25 |
HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS |
4 |
$15,628 |
$1,791 |
$62,513 |
$7,163 |
2.50 |
MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE |
3 |
$20,540 |
$4,884 |
$61,621 |
$14,653 |
2.67 |
SKIN ULCERS |
3 |
$22,964 |
$8,434 |
$68,893 |
$25,302 |
7.67 |
OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS |
3 |
$6,553 |
$873 |
$19,659 |
$2,620 |
1.67 |
URETHRAL & TRANSURETHRAL PROCEDURES |
3 |
$30,244 |
$6,327 |
$90,732 |
$18,980 |
2.67 |
GASTROINTESTINAL VASCULAR INSUFFICIENCY |
3 |
$25,500 |
$3,130 |
$76,499 |
$9,390 |
2.33 |
URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION |
3 |
$18,514 |
$4,152 |
$55,542 |
$12,456 |
2.00 |
FOOT & TOE PROCEDURES |
3 |
$32,425 |
$5,517 |
$97,276 |
$16,552 |
9.33 |
OTHER DISORDERS OF THE LIVER |
3 |
$30,957 |
$3,858 |
$92,872 |
$11,575 |
6.33 |
OTHER SIGNIFICANT HIP & FEMUR SURGERY |
3 |
$33,793 |
$7,342 |
$101,380 |
$22,026 |
5.67 |
OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES |
3 |
$23,965 |
$7,624 |
$71,894 |
$22,871 |
3.00 |
CHRONIC KIDNEY DISEASE |
3 |
$17,498 |
$2,469 |
$52,495 |
$7,406 |
3.33 |
FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK |
3 |
$17,946 |
$2,522 |
$53,838 |
$7,566 |
4.67 |
MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE |
3 |
$27,380 |
$4,120 |
$82,140 |
$12,361 |
6.33 |
DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES |
2 |
$33,093 |
$5,812 |
$66,185 |
$11,624 |
4.50 |
SPINAL PROCEDURES |
2 |
$40,330 |
$7,612 |
$80,660 |
$15,223 |
7.00 |
OTHER COMPLICATIONS OF TREATMENT |
2 |
$15,284 |
$1,432 |
$30,567 |
$2,863 |
1.50 |
ABDOMINAL PAIN |
2 |
$23,514 |
$2,438 |
$47,027 |
$4,876 |
3.00 |
MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL |
2 |
$19,754 |
$5,009 |
$39,508 |
$10,017 |
3.50 |
LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR |
2 |
$40,314 |
$7,749 |
$80,628 |
$15,497 |
8.00 |
BRONCHIOLITIS & RSV PNEUMONIA |
2 |
$5,247 |
$778 |
$10,493 |
$1,556 |
1.50 |
HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE |
2 |
$8,616 |
$834 |
$17,232 |
$1,668 |
1.50 |
KIDNEY & URINARY TRACT MALIGNANCY |
2 |
$17,084 |
$2,882 |
$34,168 |
$5,764 |
3.00 |
DENTAL DISEASES & DISORDERS |
2 |
$8,352 |
$1,607 |
$16,703 |
$3,213 |
2.00 |
OPIOID ABUSE & DEPENDENCE |
2 |
$33,398 |
$4,651 |
$66,796 |
$9,301 |
3.50 |
MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES |
2 |
$24,104 |
$11,403 |
$48,208 |
$22,805 |
3.50 |
INFECTIONS OF UPPER RESPIRATORY TRACT |
2 |
$21,660 |
$2,735 |
$43,319 |
$5,469 |
3.00 |
INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES |
2 |
$20,150 |
$5,079 |
$40,299 |
$10,157 |
1.00 |
OTHER INFECTIOUS & PARASITIC DISEASES |
2 |
$14,429 |
$3,539 |
$28,858 |
$7,078 |
4.50 |
MALIGNANCY, MALE REPRODUCTIVE SYSTEM |
2 |
$23,098 |
$2,149 |
$46,196 |
$4,297 |
3.00 |
TRANSIENT ISCHEMIA |
2 |
$24,935 |
$2,940 |
$49,870 |
$5,879 |
2.00 |
OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS |
2 |
$28,294 |
$3,700 |
$56,587 |
$7,399 |
8.50 |
MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
2 |
$45,876 |
$11,742 |
$91,751 |
$23,484 |
4.50 |
CHEST PAIN |
2 |
$25,160 |
$7,512 |
$50,320 |
$15,024 |
1.00 |
RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES |
2 |
$37,830 |
$6,258 |
$75,659 |
$12,516 |
5.00 |
OTHER DISORDERS OF NERVOUS SYSTEM |
2 |
$21,694 |
$6,912 |
$43,388 |
$13,823 |
3.00 |
MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
2 |
$29,126 |
$5,144 |
$58,252 |
$10,287 |
2.00 |
POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE |
2 |
$36,747 |
$5,400 |
$73,494 |
$10,800 |
5.50 |
NEPHRITIS & NEPHROSIS |
2 |
$18,503 |
$2,478 |
$37,005 |
$4,956 |
5.00 |
DIGESTIVE MALIGNANCY |
1 |
$13,598 |
$2,672 |
$13,598 |
$2,672 |
2.00 |
TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE |
1 |
$171,810 |
$28,108 |
$171,810 |
$28,108 |
18.00 |
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM |
1 |
$9,584 |
$1,002 |
$9,584 |
$1,002 |
1.00 |
MIGRAINE & OTHER HEADACHES |
1 |
$20,924 |
$2,524 |
$20,924 |
$2,524 |
4.00 |
MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS |
1 |
$11,099 |
$1,358 |
$11,099 |
$1,358 |
3.00 |
DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE |
1 |
$14,660 |
$1,375 |
$14,660 |
$1,375 |
2.00 |
SICKLE CELL ANEMIA CRISIS |
1 |
$18,820 |
$2,559 |
$18,820 |
$2,559 |
2.00 |
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY |
1 |
$25,817 |
$3,641 |
$25,817 |
$3,641 |
6.00 |
FEMALE REPRODUCTIVE SYSTEM INFECTIONS |
1 |
$32,761 |
$7,391 |
$32,761 |
$7,391 |
6.00 |
OTHER ESOPHAGEAL DISORDERS |
1 |
$27,451 |
$4,303 |
$27,451 |
$4,303 |
5.00 |
CARDIOMYOPATHY |
1 |
$10,591 |
$4,421 |
$10,591 |
$4,421 |
1.00 |
TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES |
1 |
$15,355 |
$2,930 |
$15,355 |
$2,930 |
2.00 |
COAGULATION & PLATELET DISORDERS |
1 |
$31,001 |
$3,774 |
$31,001 |
$3,774 |
8.00 |
OTHER SMALL & LARGE BOWEL PROCEDURES |
1 |
$35,971 |
$10,009 |
$35,971 |
$10,009 |
5.00 |
KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY |
1 |
$19,443 |
$3,308 |
$19,443 |
$3,308 |
2.00 |
ANAL PROCEDURES |
1 |
$8,944 |
$2,021 |
$8,944 |
$2,021 |
1.00 |
OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES |
1 |
$29,535 |
$7,172 |
$29,535 |
$7,172 |
5.00 |
AMPUTATION OF LOWER LIMB EXCEPT TOES |
1 |
$35,497 |
$6,084 |
$35,497 |
$6,084 |
15.00 |
DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK |
1 |
$131,539 |
$40,317 |
$131,539 |
$40,317 |
3.00 |
HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS |
1 |
$40,515 |
$7,122 |
$40,515 |
$7,122 |
14.00 |
MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS |
1 |
$22,926 |
$2,690 |
$22,926 |
$2,690 |
12.00 |
INTENTIONAL SELF-HARM & ATTEMPTED SUICIDE |
1 |
$19,358 |
$2,172 |
$19,358 |
$2,172 |
4.00 |
SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT |
1 |
$44,851 |
$9,436 |
$44,851 |
$9,436 |
6.00 |
PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE |
1 |
$29,743 |
$9,308 |
$29,743 |
$9,308 |
1.00 |
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES |
1 |
$7,560 |
$1,390 |
$7,560 |
$1,390 |
2.00 |
INBORN ERRORS OF METABOLISM |
1 |
$51,327 |
$5,754 |
$51,327 |
$5,754 |
7.00 |
FEVER & INFLAMMATORY CONDITIONS |
1 |
$10,798 |
$1,053 |
$10,798 |
$1,053 |
1.00 |
MAJOR CHEST & RESPIRATORY TRAUMA |
1 |
$16,186 |
$2,594 |
$16,186 |
$2,594 |
4.00 |
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL |
1 |
$24,854 |
$4,989 |
$24,854 |
$4,989 |
5.00 |
SYNCOPE & COLLAPSE |
1 |
$13,604 |
$2,328 |
$13,604 |
$2,328 |
2.00 |
ALLERGIC REACTIONS |
1 |
$13,537 |
$1,690 |
$13,537 |
$1,690 |
2.00 |
BREAST PROCEDURES EXCEPT MASTECTOMY |
1 |
$6,948 |
$1,043 |
$6,948 |
$1,043 |
2.00 |
ACUTE ANXIETY & DELIRIUM STATES |
1 |
$16,013 |
$4,948 |
$16,013 |
$4,948 |
2.00 |
ASTHMA |
1 |
$15,489 |
$2,425 |
$15,489 |
$2,425 |
2.00 |
NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND |
1 |
$2,000 |
$374 |
$2,000 |
$374 |
3.00 |
OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES |
1 |
$29,795 |
$5,383 |
$29,795 |
$5,383 |
6.00 |
SHOULDER & ELBOW JOINT REPLACEMENT |
1 |
$61,420 |
$18,992 |
$61,420 |
$18,992 |
1.00 |
EYE INFECTIONS & OTHER EYE DISORDERS |
1 |
$22,577 |
$2,607 |
$22,577 |
$2,607 |
6.00 |