Neonate birthwt >2499g, normal newborn or neonate w other problem |
7710 |
$14,296 |
$2,208 |
$110,223,266 |
$17,026,182 |
2.34 |
Seizure |
653 |
$21,436 |
$6,409 |
$13,997,945 |
$4,184,891 |
2.06 |
Asthma |
556 |
$32,023 |
$9,814 |
$17,804,527 |
$5,456,524 |
1.97 |
Appendectomy |
529 |
$34,323 |
$7,745 |
$18,156,891 |
$4,097,046 |
2.04 |
Bronchiolitis & RSV pneumonia |
368 |
$31,197 |
$9,368 |
$11,480,652 |
$3,447,574 |
2.45 |
Neonate bwt 2000-2499g, normal newborn or neonate w other problem |
337 |
$32,363 |
$5,237 |
$10,906,371 |
$1,764,764 |
3.31 |
Other gastroenteritis, nausa & vomiting |
336 |
$20,426 |
$6,099 |
$6,863,227 |
$2,049,239 |
1.98 |
Neonate birthwt >2499g w other significant condition |
312 |
$42,912 |
$7,143 |
$13,388,618 |
$2,228,661 |
3.57 |
Tonsil & adenoid procedures |
279 |
$26,529 |
$6,293 |
$7,401,651 |
$1,755,740 |
1.34 |
Other pneumonia |
269 |
$39,289 |
$11,844 |
$10,568,854 |
$3,186,106 |
3.00 |
Respiratory Failure |
266 |
$75,068 |
$22,233 |
$19,968,165 |
$5,913,942 |
4.39 |
Infections of upper respiratory tract |
239 |
$21,211 |
$6,206 |
$5,069,407 |
$1,483,292 |
1.76 |
Neonate birthwt >2499g w major anomaly |
228 |
$65,669 |
$11,328 |
$14,972,600 |
$2,582,803 |
4.90 |
Sickle cell anemia crisis |
210 |
$45,117 |
$14,758 |
$9,474,588 |
$3,099,254 |
3.87 |
Hypovolemia & related electrolyte disorders |
203 |
$26,443 |
$8,057 |
$5,367,953 |
$1,635,485 |
2.46 |
Other Chemotherapy |
179 |
$56,848 |
$19,208 |
$10,175,827 |
$3,438,319 |
4.18 |
Cellulitis & other skin infections |
178 |
$19,985 |
$6,116 |
$3,557,262 |
$1,088,673 |
1.94 |
Moderately extensive procedure unrelated to principal diagnosis |
163 |
$161,402 |
$47,952 |
$26,308,568 |
$7,816,199 |
10.88 |
Kidney & urinary tract infections |
149 |
$35,572 |
$10,643 |
$5,300,180 |
$1,585,738 |
3.25 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
145 |
$68,549 |
$24,145 |
$9,939,536 |
$3,501,075 |
5.20 |
Craniotomy except for trauma |
134 |
$148,362 |
$34,530 |
$19,880,477 |
$4,626,974 |
7.01 |
Other digestive system diagnoses |
133 |
$31,932 |
$8,959 |
$4,246,923 |
$1,191,585 |
2.74 |
Viral illness |
129 |
$22,390 |
$6,506 |
$2,888,332 |
$839,304 |
1.91 |
Connective tissue disorders |
127 |
$37,378 |
$11,345 |
$4,747,060 |
$1,440,839 |
2.80 |
Fever |
113 |
$21,596 |
$6,249 |
$2,440,320 |
$706,108 |
1.93 |
Diabetes |
109 |
$23,594 |
$6,460 |
$2,571,779 |
$704,120 |
1.70 |
Other disorders of nervous system |
102 |
$25,496 |
$6,353 |
$2,600,629 |
$648,022 |
1.83 |
Other musculoskeletal system & connective tissue diagnoses |
102 |
$24,698 |
$6,854 |
$2,519,169 |
$699,091 |
2.02 |
Other anemia & disorders of blood & blood-forming organs |
101 |
$27,141 |
$8,721 |
$2,741,196 |
$880,840 |
1.90 |
Neonate bwt 1500-1999g w or w/o other significant condition |
100 |
$159,200 |
$26,528 |
$15,919,988 |
$2,652,782 |
10.97 |
Dorsal & lumbar fusion proc for curvature of back |
93 |
$230,165 |
$72,231 |
$21,405,362 |
$6,717,521 |
5.32 |
Septicemia & disseminated infections |
93 |
$138,575 |
$41,694 |
$12,887,501 |
$3,877,532 |
8.54 |
Other ear, nose, mouth & throat procedures |
88 |
$50,448 |
$13,015 |
$4,439,463 |
$1,145,305 |
3.02 |
Other stomach, esophageal & duodenal procedures |
84 |
$62,408 |
$17,780 |
$5,242,253 |
$1,493,512 |
5.20 |
Signs, symptoms & other factors influencing health status |
80 |
$36,222 |
$9,393 |
$2,897,749 |
$751,449 |
2.83 |
Shoulder, upper arm & forearm procedures except joint replacement |
74 |
$26,142 |
$5,886 |
$1,934,503 |
$435,532 |
1.32 |
Other cardiothoracic & thoracic vascular procedures |
71 |
$238,042 |
$66,565 |
$16,900,983 |
$4,726,118 |
11.11 |
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond |
70 |
$123,747 |
$22,953 |
$8,662,313 |
$1,606,695 |
8.00 |
Coagulation & platelet disorders |
65 |
$41,011 |
$14,403 |
$2,665,690 |
$936,219 |
2.29 |
Chemotherapy for acute leukemia |
65 |
$76,904 |
$27,423 |
$4,998,789 |
$1,782,520 |
5.12 |
Migraine & other headaches |
63 |
$20,311 |
$5,312 |
$1,279,601 |
$334,638 |
1.65 |
Major gastrointestinal & peritoneal infections |
63 |
$39,957 |
$10,482 |
$2,517,312 |
$660,353 |
3.81 |
Neonate bwt 2000-2499g w other significant condition |
63 |
$120,982 |
$20,191 |
$7,621,875 |
$1,272,064 |
8.37 |
Facial bone procedures except major cranial/facial bone procedures |
62 |
$59,953 |
$16,083 |
$3,717,097 |
$997,174 |
1.35 |
Kidney & urinary tract procedures for nonmalignancy |
58 |
$43,875 |
$9,623 |
$2,544,734 |
$558,129 |
2.14 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
56 |
$25,761 |
$7,071 |
$1,442,606 |
$395,975 |
2.18 |
Other esophageal disorders |
51 |
$36,126 |
$10,057 |
$1,842,438 |
$512,899 |
3.08 |
Major cranial/facial bone procedures |
50 |
$107,572 |
$31,741 |
$5,378,592 |
$1,587,070 |
3.72 |
Respiratory signs, symptoms & minor diagnoses |
50 |
$48,695 |
$14,345 |
$2,434,740 |
$717,260 |
2.92 |
Other infectious & parasitic diseases |
50 |
$36,842 |
$10,958 |
$1,842,089 |
$547,893 |
2.92 |
Other peripheral vascular procedures |
49 |
$144,523 |
$32,713 |
$7,081,629 |
$1,602,926 |
7.35 |
Eating disorders |
49 |
$77,566 |
$25,460 |
$3,800,735 |
$1,247,545 |
9.37 |
Abdominal pain |
48 |
$21,052 |
$5,394 |
$1,010,503 |
$258,909 |
1.65 |
Ventricular shunt procedures |
46 |
$55,163 |
$13,467 |
$2,537,510 |
$619,493 |
2.17 |
Spinal procedures |
46 |
$91,268 |
$23,821 |
$4,198,342 |
$1,095,775 |
4.57 |
Other significant hip and femur surgery |
45 |
$80,359 |
$21,745 |
$3,616,153 |
$978,524 |
4.29 |
Neonate birthwt >2499g w other major procedure |
44 |
$330,251 |
$61,622 |
$14,531,065 |
$2,711,356 |
19.91 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
43 |
$52,114 |
$12,195 |
$2,240,921 |
$524,367 |
3.70 |
Major small & large bowel procedures |
43 |
$147,124 |
$39,678 |
$6,326,350 |
$1,706,168 |
10.88 |
Malnutrition, failure to thrive & other nutritional disorders |
42 |
$45,599 |
$11,999 |
$1,915,152 |
$503,965 |
3.81 |
Disorders of pancreas except malignancy |
41 |
$71,180 |
$21,144 |
$2,918,375 |
$866,894 |
6.59 |
Penis procedures |
41 |
$36,888 |
$8,583 |
$1,512,401 |
$351,900 |
1.51 |
Other respiratory & chest procedures |
40 |
$255,090 |
$73,183 |
$10,203,589 |
$2,927,300 |
13.23 |
Other skin, subcutaneous tissue & breast disorders |
40 |
$22,457 |
$6,801 |
$898,268 |
$272,035 |
1.85 |
Poisoning of medicinal agents |
40 |
$20,524 |
$6,018 |
$820,962 |
$240,727 |
1.80 |
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma |
39 |
$23,567 |
$4,863 |
$919,113 |
$189,671 |
1.38 |
Laparoscopic cholecystectomy |
39 |
$45,701 |
$11,261 |
$1,782,335 |
$439,166 |
2.54 |
Dental & oral diseases & injuries |
38 |
$26,010 |
$7,556 |
$988,366 |
$287,131 |
2.26 |
BPD & oth chronic respiratory diseases arising in perinatal period |
38 |
$134,701 |
$39,527 |
$5,118,619 |
$1,502,018 |
7.53 |
Other circulatory system diagnoses |
38 |
$68,702 |
$17,412 |
$2,610,690 |
$661,665 |
4.63 |
Head trauma w coma >1 hr or hemorrhage |
37 |
$33,564 |
$7,803 |
$1,241,862 |
$288,725 |
1.92 |
Nephritis & nephrosis |
37 |
$24,406 |
$7,265 |
$903,033 |
$268,807 |
2.08 |
Neonate bwt <500g or GA <24 weeks |
37 |
$60,830 |
$11,087 |
$2,250,725 |
$410,220 |
3.86 |
Major respiratory & chest procedures |
35 |
$109,430 |
$29,276 |
$3,830,052 |
$1,024,644 |
6.34 |
Acute leukemia |
35 |
$430,612 |
$152,918 |
$15,071,416 |
$5,352,147 |
24.06 |
Major respiratory infections & inflammations |
34 |
$80,253 |
$24,062 |
$2,728,585 |
$818,112 |
5.59 |
Infectious & parasitic diseases including HIV w O.R. procedure |
34 |
$347,622 |
$95,099 |
$11,819,157 |
$3,233,350 |
18.00 |
Post-operative, post-traumatic, other device infections |
34 |
$76,492 |
$25,916 |
$2,600,730 |
$881,140 |
6.29 |
Other skin, subcutaneous tissue & related procedures |
33 |
$44,853 |
$12,010 |
$1,480,156 |
$396,318 |
3.52 |
Cardiac arrhythmia & conduction disorders |
32 |
$26,045 |
$7,297 |
$833,448 |
$233,499 |
1.88 |
Hip and femur fracture repair |
32 |
$53,377 |
$13,529 |
$1,708,078 |
$432,919 |
2.94 |
Neonate bwt 2000-2499g w major anomaly |
32 |
$172,354 |
$30,477 |
$5,515,339 |
$975,269 |
11.31 |
Other small & large bowel procedures |
31 |
$71,102 |
$17,789 |
$2,204,175 |
$551,469 |
5.74 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
31 |
$52,853 |
$15,376 |
$1,638,429 |
$476,654 |
4.52 |
Neonate bwt 1500-1999g w resp dist synd/oth maj resp cond |
31 |
$329,598 |
$55,646 |
$10,217,528 |
$1,725,028 |
22.23 |
Non-bacterial infections of nervous system exc viral meningitis |
30 |
$78,990 |
$24,142 |
$2,369,700 |
$724,258 |
5.00 |
Respiratory system diagnosis w ventilator support 96+ hours |
30 |
$355,843 |
$99,726 |
$10,675,278 |
$2,991,782 |
18.17 |
Inguinal, femoral & umbilical hernia procedures |
30 |
$29,165 |
$6,493 |
$874,961 |
$194,787 |
1.33 |
Inflammatory bowel disease |
30 |
$55,525 |
$17,385 |
$1,665,754 |
$521,538 |
4.40 |
Syncope & collapse |
29 |
$18,617 |
$5,039 |
$539,896 |
$146,136 |
1.59 |
Uterine & adnexa procedures for non-malignancy except leiomyoma |
29 |
$39,085 |
$9,282 |
$1,133,462 |
$269,179 |
2.00 |
Intestinal obstruction |
28 |
$24,780 |
$6,138 |
$693,842 |
$171,872 |
2.11 |
Knee & lower leg procedures except foot |
27 |
$58,380 |
$14,906 |
$1,576,273 |
$402,475 |
3.04 |
Fractures & dislocations except femur, pelvis & back |
26 |
$19,614 |
$4,688 |
$509,956 |
$121,879 |
1.42 |
Neonate bwt 1000-1249g w resp dist synd/oth maj resp or maj anom |
26 |
$751,285 |
$130,488 |
$19,533,407 |
$3,392,694 |
49.31 |
Viral meningitis |
25 |
$30,932 |
$8,335 |
$773,294 |
$208,385 |
2.36 |
Cleft lip & palate repair |
25 |
$32,165 |
$7,146 |
$804,135 |
$178,660 |
1.08 |
Major larynx & trachea procedures |
24 |
$83,035 |
$22,450 |
$1,992,848 |
$538,789 |
3.96 |
Neonate bwt <1500g w major procedure |
24 |
$1,414,322 |
$264,369 |
$33,943,722 |
$6,344,853 |
77.54 |
Neonate bwt 2000-2499g w resp dist synd/oth maj resp cond |
24 |
$152,567 |
$26,100 |
$3,661,608 |
$626,393 |
10.08 |
Eye disorders except major infections |
23 |
$45,166 |
$12,166 |
$1,038,812 |
$279,817 |
3.61 |
O.R. procedure for other complications of treatment |
23 |
$58,843 |
$15,573 |
$1,353,390 |
$358,171 |
2.91 |
Degenerative nervous system disorders exc mult sclerosis |
22 |
$41,303 |
$13,198 |
$908,664 |
$290,357 |
3.45 |
Inborn errors of metabolism |
22 |
$81,482 |
$22,871 |
$1,792,599 |
$503,151 |
5.77 |
Menstrual & other female reproductive system disorders |
22 |
$23,076 |
$6,438 |
$507,663 |
$141,640 |
1.55 |
Cystic fibrosis - pulmonary disease |
21 |
$135,800 |
$43,418 |
$2,851,801 |
$911,788 |
8.95 |
Percutaneous coronary intervention w/o AMI |
21 |
$71,966 |
$21,864 |
$1,511,287 |
$459,153 |
2.38 |
Bone marrow transplant |
20 |
$689,363 |
$254,714 |
$13,787,269 |
$5,094,286 |
39.95 |
Acute Kidney Injury |
20 |
$61,131 |
$19,116 |
$1,222,626 |
$382,329 |
3.85 |
Neonate birthwt 1500-1999g w major anomaly |
20 |
$336,807 |
$57,602 |
$6,736,144 |
$1,152,039 |
22.25 |
Other mental health disorders |
20 |
$52,268 |
$16,451 |
$1,045,351 |
$329,019 |
5.75 |
Extensive procedure unrelated to principal diagnosis |
20 |
$90,365 |
$25,627 |
$1,807,306 |
$512,533 |
5.35 |
Cardiac valve procedures w/o AMI or complex PDX |
19 |
$238,005 |
$68,903 |
$4,522,102 |
$1,309,152 |
10.84 |
Other back & neck disorders, fractures & injuries |
19 |
$62,931 |
$15,592 |
$1,195,687 |
$296,247 |
6.47 |
Other kidney & urinary tract diagnoses, signs & symptoms |
19 |
$23,306 |
$5,424 |
$442,812 |
$103,057 |
1.84 |
Neonate bwt 1250-1499g w resp dist synd/oth maj resp or maj anom |
19 |
$489,498 |
$84,750 |
$9,300,456 |
$1,610,248 |
32.21 |
Neonate bwt 1500-2499g w major procedure |
19 |
$574,397 |
$115,496 |
$10,913,550 |
$2,194,423 |
30.21 |
Nonextensive procedure unrelated to principal diagnosis |
19 |
$75,861 |
$20,982 |
$1,441,363 |
$398,655 |
5.00 |
Tracheostomy w MV 96+ hours w extensive procedure or ECMO |
18 |
$1,279,244 |
$366,993 |
$23,026,393 |
$6,605,877 |
52.00 |
Other musculoskeletal system & connective tissue procedures |
18 |
$59,151 |
$14,570 |
$1,064,725 |
$262,256 |
2.72 |
Other endocrine disorders |
18 |
$32,595 |
$8,800 |
$586,706 |
$158,408 |
2.28 |
Electrolyte disorders except hypovolemia related |
18 |
$77,326 |
$22,754 |
$1,391,863 |
$409,564 |
6.78 |
Neonate birthwt 750-999g w/o major procedure |
18 |
$1,047,864 |
$190,647 |
$18,861,553 |
$3,431,638 |
64.33 |
Neonate birthwt >2499g w major cardiovascular procedure |
18 |
$364,755 |
$86,187 |
$6,565,591 |
$1,551,363 |
17.22 |
Malfunction, reaction & complication of GI device or procedure |
17 |
$42,781 |
$11,318 |
$727,269 |
$192,400 |
3.18 |
Major skin disorders |
17 |
$27,514 |
$8,759 |
$467,730 |
$148,903 |
3.06 |
Allergic reactions |
17 |
$17,378 |
$5,186 |
$295,433 |
$88,169 |
1.35 |
Malfunction, reaction, complic of genitourinary device or proc |
16 |
$75,972 |
$22,908 |
$1,215,557 |
$366,527 |
4.75 |
Bacterial & tuberculous infections of nervous system |
15 |
$137,132 |
$38,649 |
$2,056,974 |
$579,729 |
9.67 |
Major cardiothoracic repair of heart anomaly |
15 |
$332,435 |
$97,585 |
$4,986,530 |
$1,463,778 |
13.73 |
Foot & toe procedures |
15 |
$33,183 |
$7,769 |
$497,750 |
$116,534 |
1.67 |
Testes & scrotal procedures |
15 |
$26,733 |
$5,647 |
$400,998 |
$84,706 |
1.13 |
Lymphoma, myeloma & non-acute leukemia |
15 |
$304,156 |
$98,145 |
$4,562,335 |
$1,472,175 |
16.60 |
Acute anxiety & delirium states |
15 |
$27,866 |
$7,537 |
$417,983 |
$113,059 |
2.40 |
Cardiac catheterization for other non-coronary conditions |
14 |
$32,967 |
$9,544 |
$461,535 |
$133,613 |
1.93 |
Other & unspecified gastrointestinal hemorrhage |
14 |
$44,714 |
$13,434 |
$625,998 |
$188,074 |
3.00 |
Thyroid, parathyroid & thyroglossal procedures |
14 |
$42,812 |
$10,502 |
$599,368 |
$147,027 |
1.79 |
Neonate, transferred < 5 days old, born here |
14 |
$36,794 |
$6,165 |
$515,117 |
$86,309 |
2.43 |
Post-op, post-trauma, other device infections w O.R. procedure |
14 |
$171,913 |
$49,623 |
$2,406,779 |
$694,722 |
10.07 |
Mental illness diagnosis w O.R. procedure |
14 |
$99,844 |
$33,315 |
$1,397,819 |
$466,415 |
12.50 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
13 |
$70,841 |
$34,562 |
$920,935 |
$449,310 |
3.54 |
Major stomach, esophageal & duodenal procedures |
13 |
$211,691 |
$58,321 |
$2,751,989 |
$758,174 |
12.15 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
13 |
$18,541 |
$3,894 |
$241,027 |
$50,622 |
1.08 |
Neonate bwt 1250-1499g w or w/o other significant condition |
13 |
$403,189 |
$67,190 |
$5,241,451 |
$873,475 |
27.92 |
Neonate birthwt 500-749g w/o major procedure |
12 |
$1,155,583 |
$213,850 |
$13,867,000 |
$2,566,201 |
70.58 |
Other complications of treatment |
12 |
$33,092 |
$13,958 |
$397,099 |
$167,496 |
1.83 |
Eye procedures except orbit |
11 |
$31,380 |
$8,910 |
$345,184 |
$98,009 |
2.27 |
Peripheral & other vascular disorders |
11 |
$76,852 |
$23,661 |
$845,371 |
$260,275 |
5.18 |
Peptic ulcer & gastritis |
11 |
$47,351 |
$14,428 |
$520,856 |
$158,704 |
3.64 |
Major bladder procedures |
11 |
$106,141 |
$20,844 |
$1,167,549 |
$229,280 |
6.55 |
Urinary stones & acquired upper urinary tract obstruction |
11 |
$19,395 |
$4,370 |
$213,350 |
$48,074 |
1.09 |
Chronic Kidney Disease |
11 |
$40,233 |
$12,028 |
$442,564 |
$132,303 |
3.00 |
Other injury, poisoning & toxic effect diagnoses |
11 |
$36,798 |
$9,333 |
$404,781 |
$102,667 |
2.64 |
Peripheral, cranial & autonomic nerve disorders |
10 |
$46,979 |
$12,251 |
$469,785 |
$122,508 |
3.10 |
Hernia procedures except inguinal, femoral & umbilical |
10 |
$77,912 |
$20,366 |
$779,123 |
$203,663 |
4.80 |
Male reproductive system diagnoses except malignancy |
10 |
$22,048 |
$5,891 |
$220,475 |
$58,905 |
1.40 |
Other female reproductive system & related procedures |
10 |
$69,858 |
$19,200 |
$698,584 |
$192,001 |
4.20 |
Female reproductive system infections |
10 |
$27,778 |
$7,301 |
$277,775 |
$73,005 |
2.00 |
Neonate birthwt >2499g w congenital/perinatal infection |
10 |
$52,980 |
$9,464 |
$529,800 |
$94,636 |
3.90 |
Nontraumatic stupor & coma |
9 |
$84,494 |
$24,667 |
$760,445 |
$222,005 |
4.00 |
Sinus & mastoid procedures |
9 |
$63,341 |
$16,478 |
$570,069 |
$148,305 |
4.11 |
Vertigo & other labyrinth disorders |
9 |
$21,141 |
$5,115 |
$190,268 |
$46,038 |
1.67 |
Other disorders of the liver |
9 |
$44,387 |
$12,396 |
$399,482 |
$111,561 |
2.56 |
Tendon, muscle & other soft tissue procedures |
9 |
$39,322 |
$8,781 |
$353,895 |
$79,028 |
2.44 |
Skin graft for skin & subcutaneous tissue diagnoses |
9 |
$31,112 |
$7,752 |
$280,005 |
$69,767 |
2.22 |
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms |
9 |
$261,697 |
$88,672 |
$2,355,273 |
$798,051 |
16.33 |
Multiple significant trauma w/o O.R. procedure |
9 |
$38,695 |
$7,301 |
$348,253 |
$65,710 |
2.89 |
Ungroupable |
9 |
$139,203 |
$22,991 |
$1,252,826 |
$206,922 |
10.33 |
Other nervous system & related procedures |
8 |
$84,440 |
$24,089 |
$675,519 |
$192,713 |
2.25 |
Hypertension |
8 |
$36,574 |
$11,272 |
$292,593 |
$90,179 |
3.63 |
Chest pain |
8 |
$27,393 |
$7,623 |
$219,144 |
$60,981 |
2.50 |
Anal procedures |
8 |
$76,191 |
$19,049 |
$609,526 |
$152,391 |
3.75 |
Cervical spinal fusion & other back/neck proc exc disc excis/decomp |
8 |
$153,091 |
$45,763 |
$1,224,726 |
$366,106 |
4.38 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
8 |
$132,747 |
$40,734 |
$1,061,972 |
$325,868 |
12.25 |
Acute major eye infections |
7 |
$31,440 |
$10,053 |
$220,078 |
$70,372 |
3.43 |
Heart failure |
7 |
$369,963 |
$106,593 |
$2,589,742 |
$746,151 |
19.43 |
Disorders of gallbladder & biliary tract |
7 |
$25,326 |
$6,975 |
$177,279 |
$48,825 |
2.14 |
Tracheostomy w MV 96+ hours w/o extensive procedure |
6 |
$1,165,577 |
$302,601 |
$6,993,460 |
$1,815,607 |
60.50 |
Multiple sclerosis & other demyelinating diseases |
6 |
$53,247 |
$16,298 |
$319,480 |
$97,788 |
3.67 |
Cardiac structural & valvular disorders |
6 |
$105,420 |
$28,322 |
$632,517 |
$169,930 |
6.33 |
Other digestive system & abdominal procedures |
6 |
$152,573 |
$45,870 |
$915,440 |
$275,219 |
12.67 |
Pituitary & adrenal procedures |
6 |
$181,470 |
$46,076 |
$1,088,819 |
$276,454 |
9.17 |
Other procedures for endocrine, nutritional & metabolic disorders |
6 |
$59,630 |
$14,802 |
$357,782 |
$88,814 |
3.17 |
Neonate w ECMO |
6 |
$1,037,158 |
$299,556 |
$6,222,945 |
$1,797,333 |
26.83 |
Neonate birthwt 1000-1249g w or w/o other significant condition |
6 |
$555,764 |
$94,948 |
$3,334,581 |
$569,687 |
38.00 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
6 |
$40,889 |
$12,048 |
$245,335 |
$72,287 |
2.67 |
Toxic effects of non-medicinal substances |
6 |
$21,255 |
$6,487 |
$127,527 |
$38,922 |
2.00 |
Craniotomy for trauma |
5 |
$86,226 |
$20,110 |
$431,131 |
$100,548 |
4.60 |
Intracranial hemorrhage |
5 |
$53,480 |
$12,944 |
$267,399 |
$64,718 |
3.20 |
Orbital procedures |
5 |
$88,622 |
$24,527 |
$443,109 |
$122,634 |
6.40 |
Peritoneal adhesiolysis |
5 |
$165,071 |
$46,322 |
$825,357 |
$231,609 |
11.80 |
Major pancreas, liver & shunt procedures |
5 |
$168,067 |
$42,683 |
$840,333 |
$213,414 |
13.40 |
Intervertebral disc excision & decompression |
5 |
$140,946 |
$32,547 |
$704,730 |
$162,734 |
6.40 |
Kidney transplant |
5 |
$302,010 |
$84,361 |
$1,510,049 |
$421,807 |
9.00 |
Other procedures of blood & blood-forming organs |
5 |
$722,790 |
$259,299 |
$3,613,951 |
$1,296,496 |
29.40 |
Alcohol abuse & dependence |
5 |
$14,941 |
$3,831 |
$74,706 |
$19,155 |
1.00 |
Musculoskeletal & other procedures for multiple significant trauma |
5 |
$198,746 |
$54,733 |
$993,732 |
$273,663 |
9.60 |
Nervous system malignancy |
4 |
$124,214 |
$37,608 |
$496,856 |
$150,430 |
9.50 |
CVA & precerebral occlusion w infarct |
4 |
$140,442 |
$36,129 |
$561,768 |
$144,514 |
7.75 |
Cardiac pacemaker & defibrillator revision except device replacement |
4 |
$131,533 |
$53,273 |
$526,133 |
$213,092 |
3.75 |
Hepatic coma & other major acute liver disorders |
4 |
$109,115 |
$28,222 |
$436,459 |
$112,887 |
7.50 |
Hip joint replacement |
4 |
$55,943 |
$14,339 |
$223,770 |
$57,355 |
2.25 |
Dorsal & lumbar fusion proc except for curvature of back |
4 |
$166,072 |
$48,169 |
$664,287 |
$192,677 |
6.25 |
Fracture of femur |
4 |
$26,742 |
$6,563 |
$106,966 |
$26,252 |
2.00 |
Kidney & urinary tract procedures for malignancy |
4 |
$133,806 |
$34,027 |
$535,222 |
$136,106 |
7.50 |
Neonate, transferred <5 days old, not born here |
4 |
$15,492 |
$2,855 |
$61,967 |
$11,419 |
1.00 |
Major depressive disorders & other/unspecified psychoses |
4 |
$45,758 |
$13,060 |
$183,030 |
$52,240 |
4.25 |
Procedure w diag of rehab, aftercare or oth contact w health service |
4 |
$238,750 |
$47,006 |
$955,001 |
$188,023 |
18.00 |
Other aftercare & convalescence |
4 |
$32,144 |
$7,876 |
$128,575 |
$31,503 |
2.00 |
Cardiac defibrillator & heart assist implant |
3 |
$250,596 |
$103,978 |
$751,787 |
$311,935 |
5.33 |
Perm cardiac pacemaker implant w/o AMI, heart failure or shock |
3 |
$60,431 |
$16,659 |
$181,293 |
$49,977 |
1.33 |
Other circulatory system procedures |
3 |
$295,015 |
$75,249 |
$885,046 |
$225,746 |
15.33 |
Acute & subacute endocarditis |
3 |
$116,956 |
$35,044 |
$350,869 |
$105,133 |
10.67 |
Cardiomyopathy |
3 |
$123,428 |
$36,217 |
$370,283 |
$108,651 |
6.67 |
Hand & wrist procedures |
3 |
$33,004 |
$8,292 |
$99,012 |
$24,877 |
2.33 |
Malfunction, reaction, complic of orthopedic device or procedure |
3 |
$20,264 |
$4,210 |
$60,791 |
$12,629 |
1.67 |
Other kidney, urinary tract & related procedures |
3 |
$41,915 |
$10,492 |
$125,744 |
$31,477 |
2.67 |
Female reproductive system malignancy |
3 |
$75,186 |
$18,783 |
$225,558 |
$56,350 |
3.67 |
Splenectomy |
3 |
$60,039 |
$15,130 |
$180,118 |
$45,389 |
2.67 |
Behavioral disorders |
3 |
$17,040 |
$5,518 |
$51,121 |
$16,555 |
1.67 |
Other major head & neck procedures |
2 |
$222,312 |
$63,662 |
$444,623 |
$127,324 |
6.50 |
Ear, nose, mouth, throat, cranial/facial malignancies |
2 |
$39,524 |
$10,327 |
$79,047 |
$20,654 |
1.50 |
Respiratory malignancy |
2 |
$50,240 |
$11,716 |
$100,480 |
$23,431 |
3.00 |
Cardiac arrest and shock |
2 |
$26,170 |
$7,430 |
$52,340 |
$14,859 |
1.00 |
Digestive malignancy |
2 |
$182,288 |
$60,356 |
$364,576 |
$120,711 |
8.00 |
Major esophageal disorders |
2 |
$128,277 |
$37,058 |
$256,553 |
$74,116 |
8.50 |
Breast procedures except mastectomy |
2 |
$44,436 |
$9,752 |
$88,872 |
$19,504 |
2.00 |
Uterine & adnexa procedures for ovarian & adnexal malignancy |
2 |
$82,476 |
$17,465 |
$164,951 |
$34,930 |
4.00 |
Neonate birthwt 1500-1999g w congenital/perinatal infection |
2 |
$551,479 |
$92,349 |
$1,102,958 |
$184,698 |
37.00 |
Neonate bwt 2000-2499g w congenital/perinatal infection |
2 |
$98,083 |
$18,836 |
$196,165 |
$37,671 |
7.50 |
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms |
2 |
$100,796 |
$23,310 |
$201,592 |
$46,620 |
4.50 |
Adjustment disorders & neuroses except depressive diagnoses |
2 |
$28,049 |
$8,309 |
$56,097 |
$16,617 |
3.00 |
Organic mental health disturbances |
2 |
$11,400 |
$3,913 |
$22,800 |
$7,825 |
1.50 |
Other drug abuse & dependence |
2 |
$17,504 |
$4,938 |
$35,007 |
$9,876 |
1.50 |
Extensive abdominal/thoracic procedures for mult significant trauma |
2 |
$124,120 |
$37,745 |
$248,239 |
$75,490 |
7.50 |
Spinal disorders & injuries |
1 |
$61,008 |
$16,427 |
$61,008 |
$16,427 |
5.00 |
Transient ischemia |
1 |
$23,616 |
$4,601 |
$23,616 |
$4,601 |
1.00 |
Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma |
1 |
$41,590 |
$9,448 |
$41,590 |
$9,448 |
2.00 |
Pulmonary embolism |
1 |
$51,527 |
$11,887 |
$51,527 |
$11,887 |
2.00 |
Major chest & respiratory trauma |
1 |
$21,067 |
$4,664 |
$21,067 |
$4,664 |
1.00 |
Cardiac valve procedures w AMI or complex PDX |
1 |
$234,264 |
$75,708 |
$234,264 |
$75,708 |
5.00 |
Cardiac pacemaker & defibrillator device replacement |
1 |
$200,280 |
$61,335 |
$200,280 |
$61,335 |
6.00 |
Cardiac catheterization for coronary artery disease |
1 |
$12,521 |
$3,729 |
$12,521 |
$3,729 |
1.00 |
Major biliary tract procedures |
1 |
$63,294 |
$13,159 |
$63,294 |
$13,159 |
4.00 |
Amputation of lower limb except toes |
1 |
$41,214 |
$8,601 |
$41,214 |
$8,601 |
3.00 |
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses |
1 |
$325,207 |
$81,618 |
$325,207 |
$81,618 |
23.00 |
Other bladder procedures |
1 |
$51,344 |
$10,427 |
$51,344 |
$10,427 |
4.00 |
Female reproductive system reconstructive procedures |
1 |
$130,230 |
$40,302 |
$130,230 |
$40,302 |
8.00 |
Bipolar disorders |
1 |
$39,125 |
$11,354 |
$39,125 |
$11,354 |
4.00 |
Depression except major depressive disorder |
1 |
$8,379 |
$2,711 |
$8,379 |
$2,711 |
1.00 |
Partial thickness burns without skin graft |
1 |
$8,393 |
$2,714 |
$8,393 |
$2,714 |
1.00 |
Neonatal aftercare |
1 |
$40,627 |
$6,427 |
$40,627 |
$6,427 |
2.00 |
Craniotomy for multiple significant trauma |
1 |
$728,948 |
$195,157 |
$728,948 |
$195,157 |
41.00 |
Principal diagnosis invalid as discharge diagnosis |
1 |
$61,644 |
$10,004 |
$61,644 |
$10,004 |
4.00 |