NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM |
334 |
$1,934 |
$623 |
$645,988 |
$207,960 |
1.81 |
SEPTICEMIA AND DISSEMINATED INFECTIONS |
235 |
$34,118 |
$7,314 |
$8,017,723 |
$1,718,891 |
5.30 |
VAGINAL DELIVERY |
233 |
$7,700 |
$3,290 |
$1,794,128 |
$766,578 |
2.19 |
MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS |
229 |
$34,794 |
$9,745 |
$7,967,927 |
$2,231,505 |
6.10 |
RESPIRATORY FAILURE |
77 |
$28,424 |
$5,497 |
$2,188,684 |
$423,266 |
4.31 |
HEART FAILURE |
71 |
$24,050 |
$4,889 |
$1,707,530 |
$347,138 |
3.77 |
CESAREAN SECTION WITHOUT STERILIZATION |
66 |
$16,761 |
$6,261 |
$1,106,217 |
$413,200 |
2.88 |
OTHER PNEUMONIA |
49 |
$23,660 |
$4,375 |
$1,159,357 |
$214,396 |
3.33 |
ACUTE KIDNEY INJURY |
49 |
$23,428 |
$4,165 |
$1,147,959 |
$204,067 |
3.96 |
CELLULITIS AND OTHER SKIN INFECTIONS |
49 |
$19,443 |
$4,023 |
$952,683 |
$197,126 |
3.51 |
CHRONIC OBSTRUCTIVE PULMONARY DISEASE |
39 |
$23,412 |
$4,518 |
$913,080 |
$176,221 |
3.44 |
DIABETES |
36 |
$22,098 |
$4,554 |
$795,524 |
$163,926 |
3.14 |
DISORDERS OF PANCREAS EXCEPT MALIGNANCY |
34 |
$20,385 |
$3,411 |
$693,096 |
$115,962 |
2.59 |
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS |
33 |
$18,869 |
$3,952 |
$622,692 |
$130,419 |
2.85 |
ANTEPARTUM WITHOUT O.R. PROCEDURE |
28 |
$3,834 |
$862 |
$107,364 |
$24,146 |
1.07 |
ELECTIVE KNEE JOINT REPLACEMENT |
28 |
$43,593 |
$12,391 |
$1,220,617 |
$346,949 |
2.71 |
CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION |
28 |
$30,630 |
$4,993 |
$857,644 |
$139,799 |
3.18 |
KIDNEY AND URINARY TRACT INFECTIONS |
26 |
$18,286 |
$3,086 |
$475,444 |
$80,236 |
3.31 |
ACUTE MYOCARDIAL INFARCTION |
25 |
$17,903 |
$3,320 |
$447,567 |
$82,998 |
2.04 |
OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS |
25 |
$25,161 |
$4,372 |
$629,023 |
$109,291 |
3.08 |
CESAREAN SECTION WITH STERILIZATION |
23 |
$16,702 |
$5,827 |
$384,135 |
$134,011 |
2.43 |
DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK |
22 |
$79,952 |
$24,869 |
$1,758,950 |
$547,109 |
2.23 |
PULMONARY EMBOLISM |
22 |
$21,333 |
$3,472 |
$469,321 |
$76,381 |
2.68 |
HIP AND FEMUR FRACTURE REPAIR |
22 |
$38,191 |
$9,451 |
$840,206 |
$207,926 |
4.68 |
ALTERATION IN CONSCIOUSNESS |
20 |
$32,370 |
$6,361 |
$647,406 |
$127,219 |
5.55 |
NON-HYPOVOLEMIC SODIUM DISORDERS |
20 |
$20,691 |
$3,361 |
$413,818 |
$67,217 |
3.55 |
HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS |
20 |
$23,981 |
$5,757 |
$479,614 |
$115,133 |
4.05 |
VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C |
20 |
$14,078 |
$5,544 |
$281,567 |
$110,878 |
2.10 |
OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE |
18 |
$26,303 |
$5,114 |
$473,446 |
$92,050 |
3.17 |
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES |
18 |
$22,468 |
$3,804 |
$404,425 |
$68,477 |
4.06 |
DIVERTICULITIS AND DIVERTICULOSIS |
18 |
$18,317 |
$2,275 |
$329,713 |
$40,945 |
3.56 |
NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT |
17 |
$55,088 |
$13,574 |
$936,488 |
$230,763 |
5.41 |
OTHER GASTROENTERITIS, NAUSEA AND VOMITING |
16 |
$16,963 |
$3,137 |
$271,400 |
$50,194 |
2.25 |
MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE |
16 |
$26,294 |
$6,238 |
$420,700 |
$99,807 |
4.63 |
INTESTINAL OBSTRUCTION |
15 |
$24,736 |
$5,172 |
$371,043 |
$77,577 |
4.20 |
NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE |
13 |
$2,254 |
$417 |
$29,299 |
$5,416 |
1.15 |
CHOLECYSTECTOMY |
12 |
$31,988 |
$6,202 |
$383,855 |
$74,425 |
4.08 |
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS |
11 |
$146,399 |
$39,890 |
$1,610,388 |
$438,795 |
17.09 |
PEPTIC ULCER AND GASTRITIS |
10 |
$23,657 |
$4,263 |
$236,572 |
$42,629 |
3.40 |
NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM |
10 |
$2,540 |
$603 |
$25,397 |
$6,029 |
2.20 |
PERIPHERAL AND OTHER VASCULAR DISORDERS |
10 |
$21,320 |
$3,393 |
$213,199 |
$33,931 |
3.00 |
SKIN ULCERS |
9 |
$17,728 |
$2,491 |
$159,549 |
$22,416 |
3.22 |
ELECTIVE HIP JOINT REPLACEMENT |
9 |
$43,831 |
$12,800 |
$394,483 |
$115,204 |
2.67 |
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS |
9 |
$11,965 |
$2,776 |
$107,682 |
$24,988 |
1.22 |
SEIZURE |
8 |
$22,001 |
$3,485 |
$176,007 |
$27,883 |
2.88 |
OTHER DIGESTIVE SYSTEM DIAGNOSES |
8 |
$24,858 |
$4,453 |
$198,863 |
$35,625 |
3.38 |
MAJOR LARGE BOWEL PROCEDURES |
8 |
$70,907 |
$13,649 |
$567,258 |
$109,195 |
15.00 |
CERVICAL SPINAL FUSION AND OTHER BACK OR NECK PROCEDURES EXCEPT DISC EXCISION OR DECOMPRESSION |
8 |
$38,404 |
$12,161 |
$307,233 |
$97,286 |
1.00 |
UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA |
8 |
$13,562 |
$4,827 |
$108,492 |
$38,614 |
1.88 |
KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT |
7 |
$25,384 |
$7,150 |
$177,688 |
$50,052 |
3.00 |
SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS |
7 |
$16,985 |
$3,927 |
$118,896 |
$27,487 |
4.29 |
DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE |
7 |
$13,606 |
$1,489 |
$95,244 |
$10,423 |
2.29 |
OTHER AFTERCARE AND CONVALESCENCE |
7 |
$14,215 |
$2,339 |
$99,506 |
$16,370 |
1.86 |
VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C |
7 |
$17,116 |
$7,838 |
$119,814 |
$54,865 |
2.43 |
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY |
6 |
$18,883 |
$3,872 |
$113,300 |
$23,232 |
4.33 |
INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE |
6 |
$71,973 |
$15,325 |
$431,835 |
$91,947 |
10.83 |
MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS |
6 |
$20,580 |
$2,967 |
$123,480 |
$17,802 |
4.67 |
CHRONIC KIDNEY DISEASE |
6 |
$20,878 |
$3,384 |
$125,268 |
$20,304 |
8.83 |
INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES |
6 |
$27,301 |
$5,689 |
$163,804 |
$34,133 |
3.00 |
URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION |
6 |
$14,930 |
$2,351 |
$89,577 |
$14,105 |
1.50 |
ALCOHOLIC LIVER DISEASE |
6 |
$34,018 |
$6,534 |
$204,108 |
$39,205 |
4.83 |
OTHER CIRCULATORY SYSTEM DIAGNOSES |
6 |
$20,622 |
$5,363 |
$123,733 |
$32,179 |
2.83 |
ALCOHOL ABUSE AND DEPENDENCE |
6 |
$14,638 |
$2,214 |
$87,829 |
$13,284 |
3.67 |
UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA |
6 |
$13,382 |
$4,892 |
$80,293 |
$29,349 |
2.17 |
OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES |
5 |
$33,325 |
$6,155 |
$166,627 |
$30,774 |
6.20 |
OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS |
5 |
$36,799 |
$8,976 |
$183,997 |
$44,881 |
7.40 |
FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK |
5 |
$19,114 |
$4,135 |
$95,569 |
$20,676 |
3.80 |
OTHER SMALL AND LARGE BOWEL PROCEDURES |
5 |
$61,236 |
$17,283 |
$306,180 |
$86,414 |
7.20 |
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS |
5 |
$28,495 |
$6,680 |
$142,474 |
$33,402 |
6.00 |
POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE |
5 |
$57,951 |
$16,159 |
$289,753 |
$80,797 |
7.40 |
SYNCOPE AND COLLAPSE |
5 |
$34,123 |
$7,527 |
$170,617 |
$37,636 |
3.60 |
FRACTURE OF FEMUR |
4 |
$18,737 |
$3,015 |
$74,947 |
$12,058 |
2.75 |
FOOT AND TOE PROCEDURES |
4 |
$25,774 |
$5,995 |
$103,096 |
$23,980 |
5.50 |
SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT |
4 |
$33,599 |
$10,065 |
$134,394 |
$40,260 |
4.25 |
OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES |
4 |
$16,400 |
$2,888 |
$65,598 |
$11,551 |
3.25 |
COAGULATION AND PLATELET DISORDERS |
4 |
$25,043 |
$3,081 |
$100,170 |
$12,322 |
1.75 |
POISONING OF MEDICINAL AGENTS |
4 |
$25,272 |
$3,953 |
$101,089 |
$15,812 |
2.75 |
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES |
4 |
$16,317 |
$2,716 |
$65,268 |
$10,864 |
2.25 |
MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS |
4 |
$27,072 |
$5,542 |
$108,289 |
$22,169 |
5.75 |
INFLAMMATORY BOWEL DISEASE |
4 |
$14,163 |
$2,006 |
$56,650 |
$8,024 |
2.00 |
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES |
4 |
$22,314 |
$5,350 |
$89,256 |
$21,398 |
2.50 |
HYPERTENSION |
4 |
$21,304 |
$5,179 |
$85,215 |
$20,716 |
3.00 |
ASTHMA |
4 |
$6,322 |
$1,593 |
$25,288 |
$6,372 |
1.00 |
DENTAL DISEASES AND DISORDERS |
4 |
$20,315 |
$5,757 |
$81,261 |
$23,027 |
2.00 |
OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS |
3 |
$28,613 |
$4,376 |
$85,838 |
$13,128 |
3.67 |
DISORDERS OF GALLBLADDER AND BILIARY TRACT |
3 |
$27,054 |
$4,558 |
$81,163 |
$13,675 |
2.33 |
INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE |
3 |
$17,834 |
$4,300 |
$53,502 |
$12,899 |
3.67 |
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS |
3 |
$23,824 |
$3,489 |
$71,471 |
$10,468 |
5.33 |
FRACTURE OF PELVIS OR DISLOCATION OF HIP |
3 |
$18,684 |
$3,776 |
$56,052 |
$11,328 |
3.67 |
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS |
3 |
$26,715 |
$5,603 |
$80,146 |
$16,808 |
3.33 |
OTHER DISORDERS OF NERVOUS SYSTEM |
3 |
$17,982 |
$2,108 |
$53,945 |
$6,323 |
3.00 |
OTHER DISORDERS OF THE LIVER |
3 |
$18,931 |
$4,002 |
$56,792 |
$12,005 |
1.67 |
MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
3 |
$27,932 |
$6,506 |
$83,797 |
$19,519 |
4.00 |
MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION |
3 |
$25,038 |
$4,627 |
$75,114 |
$13,881 |
3.67 |
TRANSIENT ISCHEMIA |
3 |
$26,029 |
$3,607 |
$78,087 |
$10,821 |
1.67 |
HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS |
3 |
$26,498 |
$3,225 |
$79,493 |
$9,675 |
5.67 |
CHEST PAIN |
3 |
$20,129 |
$3,601 |
$60,387 |
$10,804 |
2.33 |
OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES |
3 |
$48,068 |
$15,673 |
$144,203 |
$47,019 |
6.67 |
UNGROUPABLE |
3 |
$85,913 |
$29,689 |
$257,739 |
$89,067 |
9.67 |
OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES |
2 |
$15,683 |
$3,162 |
$31,365 |
$6,323 |
2.50 |
OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES |
2 |
$25,194 |
$5,897 |
$50,387 |
$11,793 |
4.00 |
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION |
2 |
$2,406 |
$776 |
$4,811 |
$1,551 |
1.50 |
OTHER SIGNIFICANT HIP AND FEMUR SURGERY |
2 |
$58,590 |
$16,913 |
$117,179 |
$33,825 |
6.00 |
ALLERGIC REACTIONS |
2 |
$45,171 |
$9,180 |
$90,341 |
$18,359 |
4.00 |
INTRACRANIAL HEMORRHAGE |
2 |
$61,623 |
$26,194 |
$123,245 |
$52,387 |
6.00 |
LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA |
2 |
$26,003 |
$2,802 |
$52,006 |
$5,603 |
4.50 |
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS |
2 |
$29,404 |
$5,901 |
$58,807 |
$11,801 |
5.00 |
PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES |
2 |
$37,917 |
$12,037 |
$75,833 |
$24,074 |
1.00 |
ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS |
2 |
$13,890 |
$2,198 |
$27,780 |
$4,396 |
1.00 |
DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK |
2 |
$150,354 |
$45,498 |
$300,708 |
$90,995 |
3.00 |
NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION |
2 |
$34,376 |
$7,341 |
$68,751 |
$14,682 |
3.00 |
FEVER AND INFLAMMATORY CONDITIONS |
2 |
$18,960 |
$3,082 |
$37,920 |
$6,163 |
2.50 |
OTHER ESOPHAGEAL DISORDERS |
2 |
$27,550 |
$6,087 |
$55,099 |
$12,173 |
2.50 |
MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES |
2 |
$20,185 |
$3,682 |
$40,370 |
$7,363 |
1.50 |
RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES |
1 |
$25,390 |
$4,264 |
$25,390 |
$4,264 |
5.00 |
SICKLE CELL ANEMIA CRISIS |
1 |
$5,175 |
$682 |
$5,175 |
$682 |
2.00 |
LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR |
1 |
$15,168 |
$2,779 |
$15,168 |
$2,779 |
7.00 |
INTERSTITIAL AND ALVEOLAR LUNG DISEASES |
1 |
$15,529 |
$1,981 |
$15,529 |
$1,981 |
3.00 |
MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES |
1 |
$9,847 |
$1,127 |
$9,847 |
$1,127 |
1.00 |
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDIT |
1 |
$4,135 |
$525 |
$4,135 |
$525 |
1.00 |
TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE |
1 |
$186,639 |
$32,660 |
$186,639 |
$32,660 |
37.00 |
RESPIRATORY MALIGNANCY |
1 |
$27,546 |
$3,747 |
$27,546 |
$3,747 |
2.00 |
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
1 |
$42,361 |
$7,902 |
$42,361 |
$7,902 |
10.00 |
KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY |
1 |
$41,410 |
$12,947 |
$41,410 |
$12,947 |
3.00 |
THYROID DISORDERS |
1 |
$21,112 |
$2,652 |
$21,112 |
$2,652 |
3.00 |
MAJOR ESOPHAGEAL DISORDERS |
1 |
$25,291 |
$13,356 |
$25,291 |
$13,356 |
1.00 |
MALIGNANCY, MALE REPRODUCTIVE SYSTEM |
1 |
$27,400 |
$3,212 |
$27,400 |
$3,212 |
7.00 |
PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS |
1 |
$14,168 |
$1,752 |
$14,168 |
$1,752 |
1.00 |
MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE |
1 |
$49,622 |
$8,594 |
$49,622 |
$8,594 |
11.00 |
DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES |
1 |
$21,970 |
$4,944 |
$21,970 |
$4,944 |
2.00 |
MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES |
1 |
$66,676 |
$15,166 |
$66,676 |
$15,166 |
6.00 |
SPINAL PROCEDURES |
1 |
$160,961 |
$41,670 |
$160,961 |
$41,670 |
7.00 |
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY |
1 |
$6,146 |
$865 |
$6,146 |
$865 |
3.00 |
CARDIAC STRUCTURAL AND VALVULAR DISORDERS |
1 |
$19,141 |
$2,147 |
$19,141 |
$2,147 |
2.00 |
VERTIGO AND OTHER LABYRINTH DISORDERS |
1 |
$21,091 |
$2,866 |
$21,091 |
$2,866 |
1.00 |
TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES |
1 |
$25,335 |
$6,363 |
$25,335 |
$6,363 |
2.00 |
DIGESTIVE MALIGNANCY |
1 |
$27,312 |
$3,858 |
$27,312 |
$3,858 |
1.00 |
ACUTE ANXIETY AND DELIRIUM STATES |
1 |
$10,229 |
$1,220 |
$10,229 |
$1,220 |
2.00 |
URETHRAL AND TRANSURETHRAL PROCEDURES |
1 |
$21,419 |
$3,758 |
$21,419 |
$3,758 |
3.00 |
MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY |
1 |
$28,161 |
$3,322 |
$28,161 |
$3,322 |
3.00 |
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL |
1 |
$131,424 |
$66,853 |
$131,424 |
$66,853 |
5.00 |
INFECTIONS OF UPPER RESPIRATORY TRACT |
1 |
$46,944 |
$19,377 |
$46,944 |
$19,377 |
6.00 |
BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM |
1 |
$57,914 |
$9,097 |
$57,914 |
$9,097 |
12.00 |
NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS |
1 |
$11,146 |
$2,955 |
$11,146 |
$2,955 |
2.00 |
ABDOMINAL PAIN |
1 |
$21,843 |
$4,162 |
$21,843 |
$4,162 |
2.00 |
FEMALE REPRODUCTIVE SYSTEM INFECTIONS |
1 |
$29,829 |
$6,016 |
$29,829 |
$6,016 |
2.00 |
OTHER COMPLICATIONS OF TREATMENT |
1 |
$29,240 |
$5,795 |
$29,240 |
$5,795 |
2.00 |
BRONCHIOLITIS AND RSV PNEUMONIA |
1 |
$5,437 |
$1,736 |
$5,437 |
$1,736 |
1.00 |
ACUTE LEUKEMIA |
1 |
$48,590 |
$19,749 |
$48,590 |
$19,749 |
6.00 |
MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS |
1 |
$25,350 |
$6,958 |
$25,350 |
$6,958 |
4.00 |
HIV WITH MAJOR HIV RELATED CONDITION |
1 |
$35,021 |
$10,970 |
$35,021 |
$10,970 |
5.00 |
MAJOR SMALL BOWEL PROCEDURES |
1 |
$44,112 |
$19,925 |
$44,112 |
$19,925 |
7.00 |
INBORN ERRORS OF METABOLISM |
1 |
$39,588 |
$10,453 |
$39,588 |
$10,453 |
3.00 |
CARDIAC ARREST AND SHOCK |
1 |
$34,043 |
$12,306 |
$34,043 |
$12,306 |
6.00 |
MAJOR SKIN DISORDERS |
1 |
$30,661 |
$12,454 |
$30,661 |
$12,454 |
9.00 |
NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
1 |
$84,595 |
$24,581 |
$84,595 |
$24,581 |
3.00 |