SEPTICEMIA & DISSEMINATED INFECTIONS |
645 |
$20,359 |
$8,546 |
$13,131,431 |
$5,512,075 |
4.85 |
NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM |
413 |
$3,035 |
$1,169 |
$1,253,264 |
$482,714 |
2.00 |
VAGINAL DELIVERY |
311 |
$7,971 |
$11,809 |
$2,479,116 |
$3,672,729 |
2.39 |
HEART FAILURE |
161 |
$14,820 |
$5,486 |
$2,386,068 |
$883,219 |
3.61 |
CHRONIC OBSTRUCTIVE PULMONARY DISEASE |
123 |
$14,604 |
$4,733 |
$1,796,325 |
$582,106 |
2.50 |
CESAREAN SECTION W/O STERILIZATION |
116 |
$17,787 |
$11,524 |
$2,063,273 |
$1,336,749 |
2.96 |
HIP JOINT REPLACEMENT |
101 |
$39,147 |
$14,122 |
$3,953,808 |
$1,426,348 |
3.13 |
MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS |
96 |
$18,863 |
$10,610 |
$1,810,834 |
$1,018,528 |
6.40 |
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS |
82 |
$8,646 |
$3,159 |
$709,006 |
$259,014 |
1.95 |
KNEE JOINT REPLACEMENT |
81 |
$37,530 |
$14,117 |
$3,039,950 |
$1,143,454 |
2.44 |
CELLULITIS & OTHER SKIN INFECTIONS |
60 |
$10,864 |
$4,788 |
$651,867 |
$287,254 |
3.28 |
OTHER PNEUMONIA |
56 |
$11,947 |
$4,168 |
$669,032 |
$233,395 |
2.43 |
INTESTINAL OBSTRUCTION |
56 |
$13,124 |
$5,764 |
$734,921 |
$322,800 |
4.48 |
RESPIRATORY FAILURE |
55 |
$22,116 |
$7,284 |
$1,216,400 |
$400,617 |
3.62 |
DIABETES |
48 |
$11,814 |
$5,568 |
$567,067 |
$267,261 |
3.19 |
CVA & PRECEREBRAL OCCLUSION W INFARCT |
47 |
$16,590 |
$7,554 |
$779,748 |
$355,034 |
2.13 |
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES |
47 |
$10,414 |
$4,110 |
$489,439 |
$193,156 |
3.02 |
HIP & FEMUR FRACTURE REPAIR |
44 |
$35,133 |
$12,728 |
$1,545,859 |
$560,049 |
4.70 |
ACUTE MYOCARDIAL INFARCTION |
42 |
$8,613 |
$3,210 |
$361,765 |
$134,819 |
2.12 |
CESAREAN SECTION W STERILIZATION |
42 |
$17,305 |
$9,972 |
$726,812 |
$418,840 |
2.38 |
ALCOHOL ABUSE & DEPENDENCE |
39 |
$13,317 |
$6,011 |
$519,346 |
$234,437 |
4.13 |
ALTERATION IN CONSCIOUSNESS |
39 |
$12,982 |
$4,884 |
$506,286 |
$190,469 |
3.59 |
HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS |
39 |
$9,936 |
$3,875 |
$387,486 |
$151,124 |
2.67 |
MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC |
36 |
$15,899 |
$6,913 |
$572,354 |
$248,873 |
5.03 |
KIDNEY & URINARY TRACT INFECTIONS |
35 |
$12,427 |
$4,510 |
$434,958 |
$157,858 |
2.86 |
NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE |
35 |
$2,575 |
$917 |
$90,114 |
$32,108 |
1.34 |
OTHER GASTROENTERITIS, NAUSEA & VOMITING |
34 |
$11,166 |
$4,163 |
$379,639 |
$141,530 |
2.65 |
DISORDERS OF PANCREAS EXCEPT MALIGNANCY |
33 |
$10,659 |
$4,414 |
$351,754 |
$145,665 |
3.03 |
ACUTE KIDNEY INJURY |
32 |
$10,480 |
$4,150 |
$335,346 |
$132,799 |
3.22 |
DISORDERS OF GALLBLADDER & BILIARY TRACT |
32 |
$19,120 |
$7,739 |
$611,834 |
$247,639 |
3.97 |
INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE |
31 |
$39,261 |
$15,724 |
$1,217,091 |
$487,446 |
7.55 |
NON-HYPOVOLEMIC SODIUM DISORDERS |
27 |
$11,259 |
$4,100 |
$303,999 |
$110,696 |
3.07 |
DIVERTICULITIS & DIVERTICULOSIS |
27 |
$10,845 |
$4,200 |
$292,810 |
$113,390 |
3.00 |
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS |
26 |
$15,600 |
$9,119 |
$405,590 |
$237,095 |
2.85 |
KNEE & LOWER LEG PROCEDURES EXCEPT FOOT |
25 |
$37,530 |
$13,527 |
$938,259 |
$338,180 |
5.08 |
OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE |
24 |
$13,840 |
$5,504 |
$332,171 |
$132,098 |
3.38 |
OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS |
24 |
$14,804 |
$5,560 |
$355,306 |
$133,444 |
3.00 |
PULMONARY EMBOLISM |
22 |
$16,314 |
$6,566 |
$358,908 |
$144,461 |
3.91 |
OTHER DIGESTIVE SYSTEM DIAGNOSES |
21 |
$15,416 |
$6,606 |
$323,726 |
$138,731 |
4.71 |
ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS |
20 |
$6,660 |
$2,393 |
$133,200 |
$47,863 |
1.60 |
ANTEPARTUM W/O O.R. PROCEDURE |
18 |
$5,371 |
$3,617 |
$96,684 |
$65,098 |
1.67 |
INFECTIONS OF UPPER RESPIRATORY TRACT |
17 |
$11,110 |
$4,153 |
$188,863 |
$70,598 |
2.47 |
PERIPHERAL & OTHER VASCULAR DISORDERS |
17 |
$16,608 |
$6,655 |
$282,332 |
$113,133 |
4.35 |
SYNCOPE & COLLAPSE |
16 |
$11,304 |
$3,842 |
$180,871 |
$61,478 |
2.25 |
FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK |
16 |
$13,559 |
$5,087 |
$216,949 |
$81,384 |
2.88 |
SEIZURE |
15 |
$10,003 |
$3,774 |
$150,044 |
$56,617 |
2.20 |
SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS |
14 |
$12,376 |
$5,228 |
$173,259 |
$73,193 |
4.57 |
URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION |
14 |
$10,663 |
$3,548 |
$149,275 |
$49,671 |
2.00 |
POISONING OF MEDICINAL AGENTS |
14 |
$13,106 |
$4,908 |
$183,483 |
$68,708 |
2.79 |
OTHER DISORDERS OF NERVOUS SYSTEM |
13 |
$17,882 |
$7,626 |
$232,464 |
$99,143 |
6.00 |
UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA |
12 |
$18,687 |
$6,266 |
$224,243 |
$75,191 |
2.17 |
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS |
12 |
$24,799 |
$9,125 |
$297,585 |
$109,499 |
4.00 |
OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS |
12 |
$11,052 |
$4,841 |
$132,621 |
$58,091 |
3.42 |
ALCOHOLIC LIVER DISEASE |
12 |
$14,862 |
$6,254 |
$178,341 |
$75,052 |
4.17 |
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS |
12 |
$19,504 |
$7,527 |
$234,048 |
$90,328 |
4.67 |
UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA |
11 |
$19,417 |
$6,646 |
$213,592 |
$73,106 |
3.00 |
OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES |
11 |
$16,397 |
$8,655 |
$180,362 |
$95,210 |
3.82 |
FRACTURE OF PELVIS OR DISLOCATION OF HIP |
10 |
$9,031 |
$3,256 |
$90,307 |
$32,555 |
3.00 |
MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL |
10 |
$10,558 |
$4,818 |
$105,579 |
$48,175 |
2.50 |
RESPIRATORY MALIGNANCY |
10 |
$16,822 |
$6,305 |
$168,217 |
$63,047 |
4.40 |
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS |
10 |
$20,834 |
$6,639 |
$208,335 |
$66,394 |
1.50 |
TRANSIENT ISCHEMIA |
10 |
$10,807 |
$3,308 |
$108,071 |
$33,078 |
1.40 |
SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT |
10 |
$30,500 |
$10,647 |
$305,001 |
$106,465 |
3.60 |
ASTHMA |
9 |
$10,634 |
$3,620 |
$95,702 |
$32,582 |
1.56 |
SICKLE CELL ANEMIA CRISIS |
9 |
$10,669 |
$3,997 |
$96,025 |
$35,970 |
2.56 |
COAGULATION & PLATELET DISORDERS |
9 |
$19,731 |
$13,177 |
$177,579 |
$118,595 |
2.67 |
DIGESTIVE MALIGNANCY |
9 |
$17,821 |
$6,481 |
$160,391 |
$58,329 |
3.67 |
SHOULDER & ELBOW JOINT REPLACEMENT |
9 |
$43,745 |
$15,530 |
$393,703 |
$139,766 |
2.33 |
MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS |
9 |
$11,904 |
$4,560 |
$107,140 |
$41,037 |
3.22 |
HYPERTENSION |
9 |
$12,173 |
$5,516 |
$109,557 |
$49,641 |
3.33 |
GASTROINTESTINAL VASCULAR INSUFFICIENCY |
9 |
$16,517 |
$6,141 |
$148,652 |
$55,271 |
3.56 |
OTHER CIRCULATORY SYSTEM DIAGNOSES |
8 |
$8,061 |
$2,799 |
$64,491 |
$22,392 |
2.00 |
HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE |
8 |
$12,852 |
$4,279 |
$102,815 |
$34,228 |
2.25 |
OTHER DISORDERS OF THE LIVER |
8 |
$14,066 |
$6,172 |
$112,531 |
$49,378 |
3.25 |
MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE |
8 |
$27,982 |
$16,802 |
$223,859 |
$134,412 |
4.88 |
PEPTIC ULCER & GASTRITIS |
8 |
$22,080 |
$7,807 |
$176,642 |
$62,455 |
4.25 |
VERTIGO & OTHER LABYRINTH DISORDERS |
8 |
$13,818 |
$4,904 |
$110,546 |
$39,234 |
3.75 |
NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM |
7 |
$3,318 |
$1,279 |
$23,228 |
$8,950 |
2.14 |
PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS |
7 |
$14,312 |
$6,726 |
$100,181 |
$47,085 |
4.00 |
INTERSTITIAL & ALVEOLAR LUNG DISEASES |
7 |
$11,219 |
$3,728 |
$78,530 |
$26,095 |
2.14 |
MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
6 |
$24,920 |
$9,063 |
$149,522 |
$54,375 |
3.17 |
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES |
6 |
$9,498 |
$3,270 |
$56,990 |
$19,619 |
1.67 |
INTENTIONAL SELF-HARM & ATTEMPTED SUICIDE |
6 |
$20,216 |
$9,341 |
$121,294 |
$56,045 |
5.83 |
MAJOR SMALL BOWEL PROCEDURES |
6 |
$64,679 |
$29,379 |
$388,073 |
$176,275 |
11.67 |
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS |
6 |
$13,419 |
$5,194 |
$80,511 |
$31,162 |
4.33 |
CHOLECYSTECTOMY |
6 |
$23,203 |
$8,119 |
$139,216 |
$48,715 |
2.50 |
ACUTE BRONCHITIS & RELATED SYMPTOMS |
6 |
$9,276 |
$3,141 |
$55,655 |
$18,846 |
1.67 |
RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES |
6 |
$13,190 |
$4,216 |
$79,141 |
$25,296 |
2.50 |
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES |
6 |
$22,717 |
$8,697 |
$136,301 |
$52,180 |
4.50 |
INFLAMMATORY BOWEL DISEASE |
6 |
$13,519 |
$6,158 |
$81,112 |
$36,950 |
3.83 |
FOOT & TOE PROCEDURES |
6 |
$23,311 |
$9,655 |
$139,866 |
$57,929 |
6.00 |
HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS |
5 |
$13,226 |
$5,550 |
$66,128 |
$27,751 |
2.40 |
ALLERGIC REACTIONS |
5 |
$7,636 |
$3,266 |
$38,178 |
$16,332 |
2.00 |
CHEST PAIN |
5 |
$6,893 |
$2,428 |
$34,464 |
$12,139 |
1.80 |
MAJOR LARGE BOWEL PROCEDURES |
5 |
$46,839 |
$20,249 |
$234,194 |
$101,243 |
10.00 |
FEVER & INFLAMMATORY CONDITIONS |
5 |
$10,114 |
$3,482 |
$50,571 |
$17,408 |
2.40 |
FRACTURE OF FEMUR |
4 |
$10,194 |
$4,977 |
$40,775 |
$19,906 |
4.75 |
ABDOMINAL PAIN |
4 |
$6,160 |
$2,441 |
$24,640 |
$9,763 |
1.50 |
URETHRAL & TRANSURETHRAL PROCEDURES |
4 |
$22,941 |
$7,235 |
$91,764 |
$28,940 |
3.50 |
CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE |
4 |
$8,808 |
$3,517 |
$35,233 |
$14,069 |
3.00 |
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS |
4 |
$63,765 |
$27,824 |
$255,058 |
$111,295 |
8.75 |
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY |
4 |
$10,695 |
$3,939 |
$42,778 |
$15,757 |
2.25 |
MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS |
4 |
$7,479 |
$3,341 |
$29,914 |
$13,363 |
2.75 |
OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES |
4 |
$20,074 |
$7,609 |
$80,296 |
$30,435 |
4.50 |
SKIN ULCERS |
4 |
$8,451 |
$3,763 |
$33,804 |
$15,053 |
2.50 |
LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR |
4 |
$16,169 |
$7,599 |
$64,676 |
$30,397 |
5.75 |
OTHER ENDOCRINE DISORDERS |
3 |
$28,375 |
$11,228 |
$85,125 |
$33,685 |
5.67 |
TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES |
3 |
$16,651 |
$5,806 |
$49,952 |
$17,417 |
2.67 |
MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
3 |
$29,840 |
$10,542 |
$89,521 |
$31,627 |
5.67 |
FEMALE REPRODUCTIVE SYSTEM INFECTIONS |
3 |
$15,590 |
$5,650 |
$46,771 |
$16,951 |
2.67 |
OTHER COMPLICATIONS OF TREATMENT |
3 |
$19,701 |
$7,184 |
$59,104 |
$21,551 |
4.33 |
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES |
3 |
$12,162 |
$3,682 |
$36,485 |
$11,047 |
2.00 |
HAND & WRIST PROCEDURES |
3 |
$16,963 |
$6,928 |
$50,888 |
$20,784 |
4.00 |
VIRAL ILLNESS |
3 |
$9,135 |
$3,765 |
$27,406 |
$11,294 |
3.67 |
POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE |
3 |
$33,161 |
$14,492 |
$99,483 |
$43,475 |
6.00 |
DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE |
3 |
$6,770 |
$2,199 |
$20,310 |
$6,597 |
1.33 |
NERVOUS SYSTEM MALIGNANCY |
3 |
$31,398 |
$12,974 |
$94,194 |
$38,922 |
10.67 |
OTHER ESOPHAGEAL DISORDERS |
3 |
$8,610 |
$3,308 |
$25,829 |
$9,924 |
2.00 |
OPIOID ABUSE & DEPENDENCE |
3 |
$9,205 |
$4,024 |
$27,616 |
$12,073 |
3.33 |
MAJOR CHEST & RESPIRATORY TRAUMA |
3 |
$19,389 |
$6,834 |
$58,168 |
$20,502 |
4.00 |
NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION |
2 |
$3,205 |
$1,141 |
$6,410 |
$2,281 |
2.00 |
HIV W MAJOR HIV RELATED CONDITION |
2 |
$38,168 |
$20,937 |
$76,336 |
$41,873 |
16.00 |
EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
2 |
$42,588 |
$15,971 |
$85,175 |
$31,942 |
7.50 |
CONNECTIVE TISSUE DISORDERS |
2 |
$17,142 |
$7,282 |
$34,283 |
$14,564 |
4.50 |
CARDIAC ARREST & SHOCK |
2 |
$40,879 |
$18,167 |
$81,758 |
$36,334 |
5.00 |
OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES |
2 |
$8,511 |
$2,523 |
$17,021 |
$5,045 |
1.50 |
MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE |
2 |
$9,286 |
$3,806 |
$18,571 |
$7,611 |
2.00 |
MAJOR SKIN DISORDERS |
2 |
$23,075 |
$11,411 |
$46,150 |
$22,822 |
5.50 |
VAGINAL DELIVERY W O.R. PROCEDURE EXCEPT STERILIZATION &/OR D&C |
2 |
$9,057 |
$14,124 |
$18,113 |
$28,248 |
2.00 |
INTRACRANIAL HEMORRHAGE |
2 |
$11,873 |
$4,585 |
$23,745 |
$9,170 |
4.00 |
AMPUTATION OF LOWER LIMB EXCEPT TOES |
2 |
$20,841 |
$6,686 |
$41,681 |
$13,372 |
3.50 |
OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS |
2 |
$12,015 |
$5,337 |
$24,030 |
$10,673 |
4.00 |
OTHER AFTERCARE & CONVALESCENCE |
2 |
$5,594 |
$2,249 |
$11,188 |
$4,497 |
2.00 |
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL |
2 |
$34,179 |
$13,778 |
$68,357 |
$27,556 |
6.00 |
OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS |
2 |
$6,739 |
$2,467 |
$13,477 |
$4,933 |
2.00 |
VAGINAL DELIVERY W STERILIZATION &/OR D&C |
2 |
$18,063 |
$15,425 |
$36,126 |
$30,849 |
2.00 |
PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE |
2 |
$29,380 |
$11,988 |
$58,759 |
$23,976 |
2.50 |
NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
2 |
$22,108 |
$7,502 |
$44,215 |
$15,003 |
2.50 |
MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES |
2 |
$7,898 |
$3,486 |
$15,796 |
$6,971 |
2.50 |
OTHER INFECTIOUS & PARASITIC DISEASES |
2 |
$19,019 |
$7,518 |
$38,037 |
$15,035 |
5.00 |
EYE INFECTIONS & OTHER EYE DISORDERS |
2 |
$10,663 |
$2,809 |
$21,326 |
$5,618 |
1.50 |
OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES |
2 |
$8,894 |
$4,506 |
$17,787 |
$9,012 |
2.00 |
MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE |
1 |
$16,863 |
$8,220 |
$16,863 |
$8,220 |
5.00 |
BRONCHIOLITIS & RSV PNEUMONIA |
1 |
$7,936 |
$2,438 |
$7,936 |
$2,438 |
1.00 |
MIGRAINE & OTHER HEADACHES |
1 |
$8,337 |
$2,525 |
$8,337 |
$2,525 |
1.00 |
CHRONIC KIDNEY DISEASE |
1 |
$12,686 |
$4,837 |
$12,686 |
$4,837 |
4.00 |
PENIS, TESTES & SCROTAL PROCEDURES |
1 |
$18,599 |
$6,695 |
$18,599 |
$6,695 |
2.00 |
MASTECTOMY PROCEDURES |
1 |
$16,347 |
$5,619 |
$16,347 |
$5,619 |
1.00 |
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS |
1 |
$8,453 |
$3,594 |
$8,453 |
$3,594 |
2.00 |
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT |
1 |
$16,370 |
$6,946 |
$16,370 |
$6,946 |
6.00 |
RADIOTHERAPY |
1 |
$42,335 |
$24,201 |
$42,335 |
$24,201 |
29.00 |
HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS |
1 |
$18,556 |
$6,506 |
$18,556 |
$6,506 |
4.00 |
DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES |
1 |
$17,197 |
$5,572 |
$17,197 |
$5,572 |
1.00 |
MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA |
1 |
$45,861 |
$16,837 |
$45,861 |
$16,837 |
7.00 |
KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY |
1 |
$19,943 |
$6,805 |
$19,943 |
$6,805 |
5.00 |
KIDNEY & URINARY TRACT MALIGNANCY |
1 |
$8,816 |
$2,869 |
$8,816 |
$2,869 |
2.00 |
CARDIAC STRUCTURAL & VALVULAR DISORDERS |
1 |
$14,494 |
$4,617 |
$14,494 |
$4,617 |
3.00 |
EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES |
1 |
$41,468 |
$13,074 |
$41,468 |
$13,074 |
7.00 |
MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS |
1 |
$6,570 |
$2,425 |
$6,570 |
$2,425 |
2.00 |
OTHER BLADDER PROCEDURES |
1 |
$21,856 |
$6,808 |
$21,856 |
$6,808 |
2.00 |
MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG |
1 |
$10,917 |
$4,176 |
$10,917 |
$4,176 |
3.00 |
INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES |
1 |
$17,909 |
$6,102 |
$17,909 |
$6,102 |
2.00 |
EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
1 |
$14,428 |
$5,122 |
$14,428 |
$5,122 |
2.00 |
OTHER SIGNIFICANT HIP & FEMUR SURGERY |
1 |
$116,485 |
$42,417 |
$116,485 |
$42,417 |
5.00 |
THYROID DISORDERS |
1 |
$12,247 |
$5,524 |
$12,247 |
$5,524 |
3.00 |
NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION |
1 |
$1,368 |
$761 |
$1,368 |
$761 |
1.00 |
DENTAL DISEASES & DISORDERS |
1 |
$13,561 |
$4,562 |
$13,561 |
$4,562 |
3.00 |
MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES |
1 |
$6,053 |
$2,404 |
$6,053 |
$2,404 |
5.00 |
COCAINE ABUSE & DEPENDENCE |
1 |
$15,376 |
$8,734 |
$15,376 |
$8,734 |
6.00 |
TRANSURETHRAL PROSTATECTOMY |
1 |
$22,898 |
$7,274 |
$22,898 |
$7,274 |
5.00 |
NEONATE BIRTHWT >2499G W MAJOR ANOMALY |
1 |
$2,828 |
$1,143 |
$2,828 |
$1,143 |
2.00 |
OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES |
1 |
$28,033 |
$11,345 |
$28,033 |
$11,345 |
6.00 |
ACUTE ANXIETY & DELIRIUM STATES |
1 |
$5,249 |
$1,932 |
$5,249 |
$1,932 |
1.00 |
MAJOR ESOPHAGEAL DISORDERS |
1 |
$19,877 |
$7,279 |
$19,877 |
$7,279 |
5.00 |
LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA |
1 |
$6,903 |
$2,417 |
$6,903 |
$2,417 |
1.00 |
ANOXIC & OTHER SEVERE BRAIN DAMAGE |
1 |
$6,360 |
$3,317 |
$6,360 |
$3,317 |
1.00 |