Neonate birthwt >2499g, normal newborn or neonate w other problem |
519 |
$2,727 |
$885 |
$1,415,429 |
$459,364 |
2.08 |
Septicemia & disseminated infections |
386 |
$18,416 |
$8,652 |
$7,108,518 |
$3,339,846 |
4.32 |
Vaginal delivery |
373 |
$7,005 |
$2,384 |
$2,613,030 |
$889,378 |
2.19 |
Cesarean delivery |
190 |
$12,329 |
$4,169 |
$2,342,456 |
$792,172 |
2.53 |
Heart failure |
189 |
$13,020 |
$5,869 |
$2,460,823 |
$1,109,207 |
3.07 |
Knee joint replacement |
144 |
$42,197 |
$9,871 |
$6,076,404 |
$1,421,375 |
3.47 |
Chronic obstructive pulmonary disease |
138 |
$12,153 |
$5,156 |
$1,677,054 |
$711,557 |
2.60 |
Cardiac arrhythmia & conduction disorders |
102 |
$12,260 |
$5,612 |
$1,250,570 |
$572,463 |
2.31 |
Hip joint replacement |
91 |
$49,716 |
$10,562 |
$4,524,128 |
$961,153 |
3.95 |
Respiratory Failure |
80 |
$18,196 |
$9,265 |
$1,455,701 |
$741,238 |
3.53 |
Other pneumonia |
73 |
$12,971 |
$5,398 |
$946,918 |
$394,020 |
3.21 |
Other digestive system diagnoses |
64 |
$9,290 |
$4,325 |
$594,580 |
$276,779 |
2.34 |
Diabetes |
62 |
$13,679 |
$6,574 |
$848,103 |
$407,618 |
2.32 |
Acute Kidney Injury |
62 |
$11,673 |
$4,630 |
$723,750 |
$287,063 |
2.89 |
Acute myocardial infarction |
61 |
$11,975 |
$5,223 |
$730,503 |
$318,627 |
2.48 |
Intestinal obstruction |
61 |
$14,319 |
$5,824 |
$873,471 |
$355,278 |
4.25 |
Alcohol abuse & dependence |
59 |
$12,863 |
$6,642 |
$758,899 |
$391,877 |
2.83 |
Cellulitis & other skin infections |
58 |
$10,610 |
$4,228 |
$615,395 |
$245,218 |
2.62 |
Kidney & urinary tract infections |
53 |
$11,381 |
$4,266 |
$603,182 |
$226,102 |
2.74 |
Other gastroenteritis, nausa & vomiting |
50 |
$12,711 |
$4,662 |
$635,568 |
$233,093 |
2.56 |
CVA & precerebral occlusion w infarct |
44 |
$19,597 |
$8,490 |
$862,271 |
$373,544 |
2.43 |
Diverticulitis & diverticulosis |
44 |
$11,180 |
$4,212 |
$491,920 |
$185,306 |
3.70 |
Peptic ulcer & gastritis |
41 |
$15,375 |
$6,679 |
$630,375 |
$273,847 |
3.27 |
Nontraumatic stupor & coma |
40 |
$13,492 |
$5,055 |
$539,681 |
$202,199 |
3.03 |
Poisoning of medicinal agents |
40 |
$13,659 |
$6,408 |
$546,377 |
$256,318 |
2.25 |
Disorders of pancreas except malignancy |
39 |
$11,739 |
$4,430 |
$457,837 |
$172,756 |
2.72 |
Other musculoskeletal system & connective tissue diagnoses |
39 |
$11,493 |
$4,439 |
$448,236 |
$173,115 |
2.82 |
Hip and femur fracture repair |
35 |
$31,384 |
$9,618 |
$1,098,433 |
$336,627 |
5.29 |
Infectious & parasitic diseases including HIV w O.R. procedure |
34 |
$27,232 |
$12,658 |
$925,894 |
$430,364 |
6.47 |
Other & unspecified gastrointestinal hemorrhage |
33 |
$12,956 |
$5,451 |
$427,560 |
$179,872 |
2.76 |
Laparoscopic cholecystectomy |
31 |
$20,998 |
$7,316 |
$650,940 |
$226,785 |
2.71 |
Disorders of gallbladder & biliary tract |
30 |
$11,645 |
$4,053 |
$349,349 |
$121,600 |
2.13 |
Electrolyte disorders except hypovolemia related |
29 |
$11,930 |
$5,027 |
$345,962 |
$145,782 |
2.31 |
Malfunction, reaction, complic of genitourinary device or proc |
29 |
$15,590 |
$7,260 |
$452,113 |
$210,527 |
3.90 |
Alcohol & drug dependence w rehab or rehab/detox therapy |
29 |
$20,783 |
$8,345 |
$602,700 |
$241,995 |
18.45 |
Pulmonary embolism |
27 |
$14,002 |
$5,518 |
$378,059 |
$148,979 |
2.48 |
Knee & lower leg procedures except foot |
27 |
$28,342 |
$9,471 |
$765,244 |
$255,718 |
4.89 |
Major respiratory infections & inflammations |
25 |
$19,883 |
$9,331 |
$497,070 |
$233,280 |
4.76 |
Uterine & adnexa procedures for non-malignancy except leiomyoma |
25 |
$22,023 |
$7,399 |
$550,568 |
$184,978 |
1.80 |
Angina pectoris & coronary atherosclerosis |
24 |
$9,025 |
$3,582 |
$216,601 |
$85,963 |
1.42 |
Major gastrointestinal & peritoneal infections |
24 |
$10,313 |
$3,729 |
$247,516 |
$89,484 |
2.67 |
Hypovolemia & related electrolyte disorders |
24 |
$9,408 |
$3,561 |
$225,802 |
$85,471 |
2.08 |
Neonate, transferred < 5 days old, born here |
24 |
$2,475 |
$800 |
$59,399 |
$19,190 |
1.33 |
Other anemia & disorders of blood & blood-forming organs |
24 |
$10,196 |
$3,905 |
$244,700 |
$93,730 |
1.58 |
Transient ischemia |
23 |
$11,308 |
$3,824 |
$260,080 |
$87,947 |
1.35 |
Appendectomy |
22 |
$16,010 |
$5,460 |
$352,226 |
$120,110 |
2.32 |
Infections of upper respiratory tract |
20 |
$9,239 |
$3,458 |
$184,780 |
$69,168 |
1.65 |
Other back & neck disorders, fractures & injuries |
20 |
$17,738 |
$6,688 |
$354,761 |
$133,752 |
3.80 |
Other antepartum diagnoses |
20 |
$4,852 |
$2,079 |
$97,042 |
$41,588 |
1.95 |
Syncope & collapse |
18 |
$12,109 |
$4,001 |
$217,957 |
$72,012 |
1.67 |
Neonate bwt 2000-2499g, normal newborn or neonate w other problem |
18 |
$2,876 |
$950 |
$51,764 |
$17,093 |
2.33 |
Moderately extensive procedure unrelated to principal diagnosis |
18 |
$28,143 |
$13,363 |
$506,567 |
$240,525 |
4.50 |
Fractures & dislocations except femur, pelvis & back |
17 |
$9,850 |
$3,864 |
$167,451 |
$65,686 |
3.06 |
Signs, symptoms & other factors influencing health status |
17 |
$11,608 |
$4,425 |
$197,342 |
$75,227 |
2.18 |
Hypertension |
15 |
$8,550 |
$2,939 |
$128,250 |
$44,078 |
1.27 |
Major small & large bowel procedures |
15 |
$52,966 |
$22,537 |
$794,493 |
$338,051 |
8.33 |
Drug & alcohol abuse or dependence, left against medical advice |
14 |
$6,985 |
$3,097 |
$97,796 |
$43,354 |
3.29 |
Chest pain |
13 |
$10,203 |
$3,696 |
$132,643 |
$48,052 |
1.23 |
Digestive malignancy |
13 |
$19,143 |
$7,811 |
$248,855 |
$101,541 |
4.85 |
Other kidney & urinary tract diagnoses, signs & symptoms |
13 |
$10,839 |
$4,307 |
$140,910 |
$55,986 |
1.92 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
13 |
$11,147 |
$4,933 |
$144,917 |
$64,128 |
2.46 |
Gastrointestinal vascular insufficiency |
12 |
$11,475 |
$3,936 |
$137,696 |
$47,230 |
1.92 |
Post-operative, post-traumatic, other device infections |
12 |
$20,370 |
$9,315 |
$244,438 |
$111,785 |
4.92 |
Other esophageal disorders |
11 |
$13,934 |
$5,302 |
$153,271 |
$58,325 |
2.36 |
Other endocrine disorders |
11 |
$10,846 |
$4,130 |
$119,305 |
$45,435 |
2.64 |
Neonate birthwt >2499g w other significant condition |
11 |
$3,655 |
$1,255 |
$40,209 |
$13,800 |
2.55 |
Toxic effects of non-medicinal substances |
11 |
$10,042 |
$4,213 |
$110,464 |
$46,345 |
1.55 |
Seizure |
10 |
$11,548 |
$4,870 |
$115,477 |
$48,697 |
2.90 |
Alcoholic liver disease |
10 |
$21,241 |
$9,728 |
$212,410 |
$97,277 |
4.40 |
Other circulatory system diagnoses |
9 |
$8,975 |
$3,172 |
$80,776 |
$28,544 |
1.67 |
Inflammatory bowel disease |
9 |
$10,813 |
$3,681 |
$97,320 |
$33,131 |
2.44 |
Shoulder, upper arm & forearm procedures except joint replacement |
9 |
$22,080 |
$7,052 |
$198,719 |
$63,471 |
3.78 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
9 |
$12,254 |
$5,224 |
$110,284 |
$47,012 |
2.89 |
Other skin, subcutaneous tissue & related procedures |
9 |
$10,670 |
$4,177 |
$96,026 |
$37,590 |
3.22 |
Skin ulcers |
9 |
$15,916 |
$6,596 |
$143,247 |
$59,361 |
4.22 |
Urinary stones & acquired upper urinary tract obstruction |
9 |
$10,858 |
$3,422 |
$97,721 |
$30,796 |
1.22 |
Respiratory malignancy |
8 |
$12,036 |
$4,061 |
$96,288 |
$32,486 |
3.13 |
Abdominal pain |
8 |
$11,903 |
$4,208 |
$95,223 |
$33,661 |
2.50 |
Malignancy of hepatobiliary system & pancreas |
8 |
$20,160 |
$7,172 |
$161,280 |
$57,372 |
5.00 |
Peripheral, cranial & autonomic nerve disorders |
7 |
$13,762 |
$5,797 |
$96,333 |
$40,582 |
2.86 |
Other disorders of nervous system |
7 |
$8,437 |
$2,756 |
$59,058 |
$19,291 |
1.00 |
Asthma |
7 |
$7,121 |
$3,145 |
$49,849 |
$22,016 |
1.71 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
7 |
$17,864 |
$8,130 |
$125,048 |
$56,911 |
4.57 |
Respiratory signs, symptoms & minor diagnoses |
7 |
$11,260 |
$3,798 |
$78,821 |
$26,586 |
2.14 |
Fracture of pelvis or dislocation of hip |
7 |
$13,704 |
$4,657 |
$95,927 |
$32,601 |
2.57 |
Urethral & transurethral procedures |
7 |
$22,326 |
$8,676 |
$156,280 |
$60,729 |
3.86 |
Uterine & adnexa procedures for leiomyoma |
7 |
$23,520 |
$8,011 |
$164,641 |
$56,079 |
2.57 |
Sickle cell anemia crisis |
7 |
$7,844 |
$2,959 |
$54,909 |
$20,716 |
2.14 |
Peripheral & other vascular disorders |
6 |
$14,014 |
$5,932 |
$84,085 |
$35,592 |
3.83 |
Other digestive system & abdominal procedures |
6 |
$22,013 |
$7,924 |
$132,078 |
$47,545 |
5.17 |
Hepatic coma & other major acute liver disorders |
6 |
$10,568 |
$4,892 |
$63,405 |
$29,353 |
2.83 |
Postpartum & post abortion diagnoses w/o procedure |
6 |
$5,177 |
$2,050 |
$31,061 |
$12,301 |
1.67 |
False labor |
6 |
$1,478 |
$644 |
$8,866 |
$3,865 |
1.00 |
Nervous system malignancy |
5 |
$13,176 |
$5,167 |
$65,880 |
$25,836 |
5.80 |
Degenerative nervous system disorders exc mult sclerosis |
5 |
$13,845 |
$5,369 |
$69,225 |
$26,845 |
4.40 |
Vertigo & other labyrinth disorders |
5 |
$9,390 |
$3,320 |
$46,949 |
$16,600 |
1.60 |
Interstitial & alveolar lung diseases |
5 |
$9,682 |
$3,850 |
$48,411 |
$19,249 |
1.80 |
Malfunction, reaction & complication of GI device or procedure |
5 |
$17,986 |
$6,928 |
$89,931 |
$34,639 |
5.80 |
Foot & toe procedures |
5 |
$27,747 |
$10,536 |
$138,736 |
$52,679 |
5.80 |
Other musculoskeletal system & connective tissue procedures |
5 |
$39,408 |
$14,781 |
$197,040 |
$73,904 |
9.60 |
Post-op, post-trauma, other device infections w O.R. procedure |
5 |
$29,739 |
$11,148 |
$148,693 |
$55,739 |
7.80 |
Opioid abuse & dependence |
5 |
$12,714 |
$7,517 |
$63,569 |
$37,586 |
2.80 |
Allergic reactions |
5 |
$14,367 |
$8,462 |
$71,836 |
$42,311 |
2.40 |
Nonextensive procedure unrelated to principal diagnosis |
5 |
$13,359 |
$4,809 |
$66,795 |
$24,046 |
1.40 |
Head trauma w coma >1 hr or hemorrhage |
4 |
$13,183 |
$3,789 |
$52,731 |
$15,157 |
2.75 |
Major chest & respiratory trauma |
4 |
$10,880 |
$3,813 |
$43,520 |
$15,252 |
3.25 |
Other disorders of the liver |
4 |
$16,381 |
$6,296 |
$65,525 |
$25,183 |
4.00 |
Connective tissue disorders |
4 |
$15,591 |
$5,932 |
$62,363 |
$23,727 |
3.25 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
4 |
$8,172 |
$3,053 |
$32,688 |
$12,212 |
2.25 |
Malnutrition, failure to thrive & other nutritional disorders |
4 |
$16,037 |
$6,622 |
$64,149 |
$26,486 |
6.25 |
Vaginal delivery w sterilization &/or D&C |
4 |
$11,421 |
$4,007 |
$45,683 |
$16,028 |
2.50 |
Coagulation & platelet disorders |
4 |
$25,998 |
$15,594 |
$103,993 |
$62,377 |
1.75 |
O.R. procedure for other complications of treatment |
4 |
$20,268 |
$7,967 |
$81,072 |
$31,867 |
5.50 |
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma |
3 |
$17,089 |
$5,403 |
$51,268 |
$16,208 |
2.33 |
Eye disorders except major infections |
3 |
$13,420 |
$4,439 |
$40,261 |
$13,317 |
1.33 |
Dental & oral diseases & injuries |
3 |
$14,647 |
$7,126 |
$43,941 |
$21,378 |
2.67 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
3 |
$21,332 |
$9,954 |
$63,996 |
$29,862 |
6.33 |
Amputation of lower limb except toes |
3 |
$21,720 |
$9,000 |
$65,161 |
$26,999 |
4.00 |
Tendon, muscle & other soft tissue procedures |
3 |
$19,417 |
$6,224 |
$58,252 |
$18,672 |
3.67 |
Fracture of femur |
3 |
$8,897 |
$3,666 |
$26,690 |
$10,999 |
2.00 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
3 |
$14,463 |
$5,640 |
$43,390 |
$16,921 |
6.33 |
Other skin, subcutaneous tissue & breast disorders |
3 |
$12,595 |
$4,909 |
$37,786 |
$14,726 |
2.67 |
Kidney & urinary tract procedures for nonmalignancy |
3 |
$26,123 |
$9,626 |
$78,368 |
$28,878 |
5.00 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
3 |
$6,807 |
$2,225 |
$20,421 |
$6,675 |
2.00 |
Other infectious & parasitic diseases |
3 |
$31,689 |
$15,417 |
$95,066 |
$46,251 |
11.00 |
Cocaine abuse & dependence |
3 |
$11,306 |
$5,769 |
$33,917 |
$17,307 |
1.67 |
Extensive procedure unrelated to principal diagnosis |
3 |
$32,466 |
$9,889 |
$97,397 |
$29,666 |
5.33 |
Multiple sclerosis & other demyelinating diseases |
2 |
$9,137 |
$3,403 |
$18,273 |
$6,805 |
2.00 |
Bacterial & tuberculous infections of nervous system |
2 |
$5,606 |
$2,298 |
$11,211 |
$4,595 |
2.50 |
Migraine & other headaches |
2 |
$9,043 |
$3,085 |
$18,085 |
$6,170 |
1.50 |
Other ear, nose, mouth & throat procedures |
2 |
$23,953 |
$9,726 |
$47,905 |
$19,452 |
4.50 |
Respiratory system diagnosis w ventilator support 96+ hours |
2 |
$43,185 |
$23,748 |
$86,370 |
$47,496 |
6.00 |
Bronchiolitis & RSV pneumonia |
2 |
$6,606 |
$3,381 |
$13,211 |
$6,761 |
2.00 |
Inguinal, femoral & umbilical hernia procedures |
2 |
$24,498 |
$10,693 |
$48,996 |
$21,385 |
3.50 |
Other hepatobiliary, pancreas & abdominal procedures |
2 |
$16,271 |
$6,056 |
$32,542 |
$12,112 |
3.50 |
Skin graft for skin & subcutaneous tissue diagnoses |
2 |
$25,372 |
$10,462 |
$50,743 |
$20,923 |
5.00 |
Chronic Kidney Disease |
2 |
$6,247 |
$3,025 |
$12,493 |
$6,049 |
1.00 |
Female reproductive system reconstructive procedures |
2 |
$13,303 |
$4,178 |
$26,606 |
$8,356 |
1.00 |
Neonate birthwt >2499g w major anomaly |
2 |
$2,869 |
$1,021 |
$5,737 |
$2,042 |
1.50 |
Acute leukemia |
2 |
$19,035 |
$8,712 |
$38,070 |
$17,424 |
4.00 |
Lymphoma, myeloma & non-acute leukemia |
2 |
$8,232 |
$2,760 |
$16,464 |
$5,520 |
2.00 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
2 |
$9,944 |
$4,763 |
$19,887 |
$9,525 |
4.50 |
Fever |
2 |
$11,630 |
$4,028 |
$23,259 |
$8,055 |
2.50 |
Viral illness |
2 |
$8,063 |
$3,152 |
$16,126 |
$6,304 |
2.00 |
Acute anxiety & delirium states |
2 |
$9,652 |
$3,373 |
$19,303 |
$6,746 |
3.00 |
Organic mental health disturbances |
2 |
$19,098 |
$6,854 |
$38,196 |
$13,708 |
2.00 |
Other complications of treatment |
2 |
$23,292 |
$10,489 |
$46,584 |
$20,977 |
1.00 |
Musculoskeletal & other procedures for multiple significant trauma |
2 |
$32,970 |
$11,496 |
$65,940 |
$22,992 |
3.50 |
Spinal procedures |
1 |
$12,773 |
$4,240 |
$12,773 |
$4,240 |
1.00 |
Other nervous system & related procedures |
1 |
$41,920 |
$12,306 |
$41,920 |
$12,306 |
1.00 |
Intracranial hemorrhage |
1 |
$18,301 |
$7,806 |
$18,301 |
$7,806 |
5.00 |
Nonspecific CVA & precerebral occlusion w/o infarct |
1 |
$7,833 |
$2,600 |
$7,833 |
$2,600 |
1.00 |
Viral meningitis |
1 |
$20,302 |
$7,243 |
$20,302 |
$7,243 |
6.00 |
Tonsil & adenoid procedures |
1 |
$9,255 |
$2,999 |
$9,255 |
$2,999 |
2.00 |
Ear, nose, mouth, throat, cranial/facial malignancies |
1 |
$13,965 |
$5,773 |
$13,965 |
$5,773 |
4.00 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
1 |
$7,276 |
$3,781 |
$7,276 |
$3,781 |
1.00 |
Other circulatory system procedures |
1 |
$17,607 |
$5,256 |
$17,607 |
$5,256 |
2.00 |
Acute & subacute endocarditis |
1 |
$56,662 |
$25,407 |
$56,662 |
$25,407 |
34.00 |
Cardiac arrest and shock |
1 |
$20,590 |
$10,024 |
$20,590 |
$10,024 |
1.00 |
Major stomach, esophageal & duodenal procedures |
1 |
$32,459 |
$16,055 |
$32,459 |
$16,055 |
5.00 |
Other stomach, esophageal & duodenal procedures |
1 |
$23,738 |
$12,376 |
$23,738 |
$12,376 |
4.00 |
Other small & large bowel procedures |
1 |
$30,845 |
$9,938 |
$30,845 |
$9,938 |
4.00 |
Peritoneal adhesiolysis |
1 |
$35,905 |
$12,585 |
$35,905 |
$12,585 |
8.00 |
Anal procedures |
1 |
$19,474 |
$8,222 |
$19,474 |
$8,222 |
4.00 |
Hernia procedures except inguinal, femoral & umbilical |
1 |
$22,419 |
$6,351 |
$22,419 |
$6,351 |
1.00 |
Major esophageal disorders |
1 |
$13,616 |
$7,201 |
$13,616 |
$7,201 |
3.00 |
Major biliary tract procedures |
1 |
$54,652 |
$21,758 |
$54,652 |
$21,758 |
9.00 |
Other significant hip and femur surgery |
1 |
$81,598 |
$30,992 |
$81,598 |
$30,992 |
27.00 |
Hand & wrist procedures |
1 |
$20,715 |
$9,156 |
$20,715 |
$9,156 |
5.00 |
Shoulder & elbow joint replacement |
1 |
$31,817 |
$7,573 |
$31,817 |
$7,573 |
3.00 |
Malfunction, reaction, complic of orthopedic device or procedure |
1 |
$16,131 |
$6,702 |
$16,131 |
$6,702 |
6.00 |
Major skin disorders |
1 |
$3,920 |
$1,386 |
$3,920 |
$1,386 |
1.00 |
Kidney & urinary tract procedures for malignancy |
1 |
$26,512 |
$9,520 |
$26,512 |
$9,520 |
6.00 |
Other bladder procedures |
1 |
$14,633 |
$4,544 |
$14,633 |
$4,544 |
2.00 |
Malignancy, male reproductive system |
1 |
$11,522 |
$2,995 |
$11,522 |
$2,995 |
1.00 |
Male reproductive system diagnoses except malignancy |
1 |
$28,367 |
$11,372 |
$28,367 |
$11,372 |
2.00 |
Other female reproductive system & related procedures |
1 |
$14,254 |
$4,589 |
$14,254 |
$4,589 |
1.00 |
Female reproductive system infections |
1 |
$6,164 |
$1,808 |
$6,164 |
$1,808 |
1.00 |
Menstrual & other female reproductive system disorders |
1 |
$5,300 |
$1,439 |
$5,300 |
$1,439 |
1.00 |
D&C, aspiration curettage or hysterotomy for obstetric diagnoses |
1 |
$5,908 |
$2,089 |
$5,908 |
$2,089 |
2.00 |
Neonate bwt <500g or GA <24 weeks |
1 |
$814 |
$315 |
$814 |
$315 |
1.00 |
Neonate bwt 2000-2499g w resp dist synd/oth maj resp cond |
1 |
$4,260 |
$1,804 |
$4,260 |
$1,804 |
2.00 |
Bipolar disorders |
1 |
$24,285 |
$16,512 |
$24,285 |
$16,512 |
7.00 |
Other drug abuse & dependence |
1 |
$5,999 |
$2,191 |
$5,999 |
$2,191 |
1.00 |
Procedure w diag of rehab, aftercare or oth contact w health service |
1 |
$75,914 |
$12,463 |
$75,914 |
$12,463 |
4.00 |
HIV w multiple major HIV related conditions |
1 |
$22,974 |
$9,020 |
$22,974 |
$9,020 |
8.00 |
Multiple significant trauma w/o O.R. procedure |
1 |
$8,187 |
$2,824 |
$8,187 |
$2,824 |
1.00 |