SEPTICEMIA AND DISSEMINATED INFECTIONS |
702 |
$29,342 |
$14,450 |
$20,597,795 |
$10,143,982 |
6.68 |
NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM |
370 |
$2,965 |
$1,163 |
$1,097,077 |
$430,438 |
1.98 |
VAGINAL DELIVERY |
275 |
$8,368 |
$12,423 |
$2,301,327 |
$3,416,399 |
2.49 |
MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS |
266 |
$24,853 |
$16,698 |
$6,610,983 |
$4,441,653 |
6.73 |
HEART FAILURE |
165 |
$15,748 |
$5,892 |
$2,598,366 |
$972,145 |
4.08 |
CHRONIC OBSTRUCTIVE PULMONARY DISEASE |
119 |
$15,560 |
$4,927 |
$1,851,686 |
$586,270 |
2.81 |
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS |
111 |
$11,571 |
$4,587 |
$1,284,346 |
$509,196 |
2.71 |
CESAREAN SECTION WITHOUT STERILIZATION |
104 |
$17,458 |
$11,795 |
$1,815,612 |
$1,226,668 |
3.12 |
CELLULITIS AND OTHER SKIN INFECTIONS |
74 |
$12,658 |
$5,470 |
$936,682 |
$404,785 |
3.58 |
OTHER PNEUMONIA |
64 |
$16,949 |
$6,167 |
$1,084,728 |
$394,684 |
4.22 |
ACUTE KIDNEY INJURY |
58 |
$12,370 |
$4,904 |
$717,487 |
$284,405 |
3.53 |
ALCOHOL ABUSE AND DEPENDENCE |
52 |
$14,393 |
$6,339 |
$748,456 |
$329,607 |
3.44 |
KIDNEY AND URINARY TRACT INFECTIONS |
50 |
$11,740 |
$4,591 |
$587,011 |
$229,566 |
3.64 |
INTESTINAL OBSTRUCTION |
50 |
$12,996 |
$5,592 |
$649,814 |
$279,595 |
4.54 |
CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION |
47 |
$19,322 |
$8,546 |
$908,143 |
$401,679 |
2.96 |
DIABETES |
46 |
$9,902 |
$4,262 |
$455,483 |
$196,064 |
2.98 |
ALTERATION IN CONSCIOUSNESS |
45 |
$12,080 |
$4,656 |
$543,591 |
$209,507 |
3.58 |
RESPIRATORY FAILURE |
45 |
$21,360 |
$7,207 |
$961,202 |
$324,325 |
3.64 |
HIP AND FEMUR FRACTURE REPAIR |
44 |
$32,948 |
$12,265 |
$1,449,710 |
$539,677 |
5.52 |
MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE |
43 |
$20,001 |
$9,329 |
$860,060 |
$401,145 |
6.51 |
HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS |
42 |
$11,995 |
$5,080 |
$503,774 |
$213,349 |
3.26 |
OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE |
41 |
$21,169 |
$8,950 |
$867,921 |
$366,935 |
4.22 |
OTHER GASTROENTERITIS, NAUSEA AND VOMITING |
41 |
$13,914 |
$5,436 |
$570,463 |
$222,877 |
3.61 |
NON-HYPOVOLEMIC SODIUM DISORDERS |
40 |
$12,672 |
$4,734 |
$506,861 |
$189,376 |
3.25 |
OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS |
39 |
$13,411 |
$5,349 |
$523,019 |
$208,626 |
3.21 |
DISORDERS OF GALLBLADDER AND BILIARY TRACT |
38 |
$14,666 |
$6,033 |
$557,294 |
$229,260 |
3.76 |
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES |
38 |
$12,494 |
$5,049 |
$474,784 |
$191,844 |
3.87 |
ACUTE MYOCARDIAL INFARCTION |
38 |
$8,456 |
$2,921 |
$321,327 |
$110,996 |
1.97 |
DISORDERS OF PANCREAS EXCEPT MALIGNANCY |
37 |
$14,752 |
$6,244 |
$545,833 |
$231,024 |
4.00 |
PULMONARY EMBOLISM |
35 |
$16,405 |
$8,151 |
$574,164 |
$285,272 |
2.83 |
DIVERTICULITIS AND DIVERTICULOSIS |
35 |
$15,073 |
$6,430 |
$527,548 |
$225,039 |
4.71 |
PEPTIC ULCER AND GASTRITIS |
35 |
$26,272 |
$10,630 |
$919,508 |
$372,062 |
5.23 |
INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE |
31 |
$56,761 |
$23,735 |
$1,759,579 |
$735,795 |
10.65 |
OTHER DIGESTIVE SYSTEM DIAGNOSES |
31 |
$16,416 |
$6,698 |
$508,907 |
$207,645 |
4.71 |
POISONING OF MEDICINAL AGENTS |
26 |
$15,064 |
$5,719 |
$391,666 |
$148,681 |
2.69 |
CESAREAN SECTION WITH STERILIZATION |
26 |
$16,890 |
$10,143 |
$439,150 |
$263,716 |
2.54 |
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS |
26 |
$17,615 |
$12,489 |
$457,999 |
$324,701 |
2.77 |
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS |
24 |
$19,347 |
$9,432 |
$464,337 |
$226,356 |
11.79 |
COAGULATION AND PLATELET DISORDERS |
23 |
$21,760 |
$14,600 |
$500,470 |
$335,801 |
3.30 |
FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK |
23 |
$16,345 |
$6,060 |
$375,933 |
$139,391 |
4.26 |
TRANSIENT ISCHEMIA |
22 |
$15,518 |
$5,877 |
$341,393 |
$129,292 |
2.32 |
SEIZURE |
21 |
$11,701 |
$4,453 |
$245,727 |
$93,516 |
3.10 |
NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT |
21 |
$42,513 |
$16,211 |
$892,782 |
$340,435 |
5.57 |
ELECTIVE HIP JOINT REPLACEMENT |
21 |
$39,436 |
$14,242 |
$828,166 |
$299,072 |
3.29 |
SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS |
20 |
$10,668 |
$4,170 |
$213,359 |
$83,394 |
3.05 |
MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS |
18 |
$15,105 |
$7,206 |
$271,892 |
$129,707 |
5.28 |
ANTEPARTUM WITHOUT O.R. PROCEDURE |
16 |
$7,513 |
$5,134 |
$120,204 |
$82,138 |
2.25 |
KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT |
16 |
$29,965 |
$10,740 |
$479,433 |
$171,846 |
3.81 |
OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES |
16 |
$13,965 |
$6,731 |
$223,445 |
$107,691 |
3.44 |
NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE |
16 |
$2,467 |
$910 |
$39,476 |
$14,563 |
1.31 |
ELECTIVE KNEE JOINT REPLACEMENT |
16 |
$33,454 |
$12,431 |
$535,259 |
$198,892 |
2.44 |
OTHER DISORDERS OF NERVOUS SYSTEM |
15 |
$20,923 |
$9,095 |
$313,845 |
$136,419 |
8.87 |
ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS |
15 |
$10,440 |
$3,924 |
$156,603 |
$58,853 |
2.60 |
OTHER CIRCULATORY SYSTEM DIAGNOSES |
15 |
$11,811 |
$4,529 |
$177,163 |
$67,934 |
3.80 |
HYPERTENSION |
14 |
$13,000 |
$4,245 |
$182,003 |
$59,435 |
2.64 |
SYNCOPE AND COLLAPSE |
13 |
$9,762 |
$2,980 |
$126,910 |
$38,735 |
2.23 |
URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION |
12 |
$13,887 |
$4,459 |
$166,648 |
$53,504 |
1.83 |
VERTIGO AND OTHER LABYRINTH DISORDERS |
12 |
$11,406 |
$3,772 |
$136,877 |
$45,265 |
3.00 |
OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES |
12 |
$18,054 |
$7,515 |
$216,650 |
$90,182 |
4.33 |
HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS |
11 |
$15,022 |
$7,250 |
$165,244 |
$79,751 |
4.00 |
MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS |
11 |
$11,883 |
$5,154 |
$130,714 |
$56,691 |
4.82 |
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS |
11 |
$27,395 |
$10,562 |
$301,340 |
$116,185 |
5.18 |
OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS |
11 |
$16,618 |
$7,843 |
$182,801 |
$86,277 |
5.55 |
INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE |
11 |
$16,721 |
$7,965 |
$183,931 |
$87,620 |
2.73 |
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES |
11 |
$25,471 |
$10,044 |
$280,178 |
$110,485 |
3.64 |
ALCOHOLIC LIVER DISEASE |
11 |
$11,671 |
$4,474 |
$128,381 |
$49,219 |
2.73 |
PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS |
11 |
$11,845 |
$4,547 |
$130,300 |
$50,017 |
3.27 |
PERIPHERAL AND OTHER VASCULAR DISORDERS |
11 |
$14,104 |
$5,938 |
$155,149 |
$65,322 |
4.00 |
FRACTURE OF FEMUR |
10 |
$12,118 |
$4,587 |
$121,180 |
$45,870 |
3.60 |
FRACTURE OF PELVIS OR DISLOCATION OF HIP |
10 |
$14,705 |
$6,695 |
$147,046 |
$66,949 |
6.80 |
OTHER DISORDERS OF THE LIVER |
9 |
$18,136 |
$7,389 |
$163,228 |
$66,497 |
4.33 |
SICKLE CELL ANEMIA CRISIS |
9 |
$13,654 |
$5,572 |
$122,886 |
$50,151 |
3.44 |
MAJOR SMALL BOWEL PROCEDURES |
9 |
$52,483 |
$22,575 |
$472,350 |
$203,171 |
9.44 |
MAJOR LARGE BOWEL PROCEDURES |
9 |
$39,558 |
$15,462 |
$356,025 |
$139,161 |
6.67 |
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS |
9 |
$16,563 |
$7,485 |
$149,067 |
$67,366 |
5.11 |
INFLAMMATORY BOWEL DISEASE |
8 |
$11,906 |
$5,068 |
$95,248 |
$40,545 |
4.50 |
UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA |
8 |
$15,922 |
$5,787 |
$127,374 |
$46,295 |
2.13 |
RESPIRATORY MALIGNANCY |
8 |
$15,260 |
$5,298 |
$122,081 |
$42,384 |
3.88 |
ASTHMA |
8 |
$15,061 |
$4,842 |
$120,485 |
$38,733 |
2.75 |
OTHER ESOPHAGEAL DISORDERS |
7 |
$23,736 |
$9,000 |
$166,149 |
$63,003 |
5.43 |
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS |
7 |
$110,705 |
$60,004 |
$774,936 |
$420,029 |
18.00 |
MAJOR CHEST AND RESPIRATORY TRAUMA |
7 |
$12,877 |
$5,008 |
$90,142 |
$35,059 |
4.29 |
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES |
7 |
$23,628 |
$7,461 |
$165,397 |
$52,228 |
4.00 |
MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION |
7 |
$10,565 |
$4,482 |
$73,956 |
$31,375 |
2.86 |
HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE |
7 |
$17,232 |
$5,966 |
$120,626 |
$41,762 |
4.71 |
OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS |
7 |
$15,434 |
$6,968 |
$108,035 |
$48,773 |
6.29 |
DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE |
6 |
$10,025 |
$3,330 |
$60,151 |
$19,980 |
1.50 |
DIGESTIVE MALIGNANCY |
6 |
$24,753 |
$8,664 |
$148,520 |
$51,984 |
3.50 |
VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C |
6 |
$10,650 |
$14,812 |
$63,898 |
$88,872 |
2.67 |
INTRACRANIAL HEMORRHAGE |
6 |
$14,143 |
$8,750 |
$84,855 |
$52,502 |
2.17 |
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY |
6 |
$12,750 |
$4,992 |
$76,497 |
$29,954 |
3.33 |
MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE |
6 |
$12,459 |
$5,534 |
$74,753 |
$33,202 |
3.83 |
NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT |
6 |
$46,005 |
$16,938 |
$276,032 |
$101,630 |
3.50 |
CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE |
6 |
$19,230 |
$7,929 |
$115,379 |
$47,574 |
6.83 |
CONNECTIVE TISSUE DISORDERS |
5 |
$23,151 |
$15,131 |
$115,754 |
$75,656 |
3.20 |
VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C |
5 |
$13,594 |
$11,567 |
$67,968 |
$57,835 |
2.60 |
SKIN ULCERS |
5 |
$19,529 |
$10,545 |
$97,647 |
$52,727 |
9.80 |
MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS |
5 |
$17,562 |
$6,983 |
$87,808 |
$34,915 |
7.00 |
NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM |
5 |
$2,960 |
$1,543 |
$14,802 |
$7,717 |
2.00 |
UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA |
5 |
$15,641 |
$5,517 |
$78,205 |
$27,583 |
2.00 |
NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
5 |
$24,145 |
$8,133 |
$120,723 |
$40,667 |
4.20 |
OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES |
5 |
$12,479 |
$4,780 |
$62,397 |
$23,900 |
3.80 |
INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES |
5 |
$23,277 |
$8,081 |
$116,386 |
$40,407 |
3.80 |
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS |
5 |
$29,527 |
$9,525 |
$147,633 |
$47,627 |
3.40 |
FEVER AND INFLAMMATORY CONDITIONS |
4 |
$10,115 |
$3,723 |
$40,460 |
$14,892 |
2.50 |
CHOLECYSTECTOMY |
4 |
$25,340 |
$9,726 |
$101,360 |
$38,902 |
4.50 |
OTHER SIGNIFICANT HIP AND FEMUR SURGERY |
4 |
$30,885 |
$12,515 |
$123,538 |
$50,059 |
6.50 |
SHOULDER AND ELBOW JOINT REPLACEMENT |
4 |
$42,152 |
$14,559 |
$168,608 |
$58,236 |
1.75 |
FOOT AND TOE PROCEDURES |
4 |
$19,842 |
$8,570 |
$79,369 |
$34,280 |
5.25 |
OTHER COMPLICATIONS OF TREATMENT |
4 |
$13,657 |
$6,660 |
$54,629 |
$26,638 |
5.00 |
ACUTE ANXIETY AND DELIRIUM STATES |
4 |
$13,916 |
$5,444 |
$55,662 |
$21,776 |
5.00 |
URETHRAL AND TRANSURETHRAL PROCEDURES |
4 |
$21,960 |
$7,226 |
$87,838 |
$28,904 |
3.75 |
BRONCHIOLITIS AND RSV PNEUMONIA |
4 |
$10,394 |
$3,790 |
$41,574 |
$15,158 |
2.50 |
NERVOUS SYSTEM MALIGNANCY |
4 |
$21,489 |
$6,683 |
$85,954 |
$26,732 |
4.00 |
TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES |
3 |
$26,413 |
$9,387 |
$79,240 |
$28,162 |
4.33 |
VIRAL ILLNESS |
3 |
$7,449 |
$3,002 |
$22,347 |
$9,006 |
1.67 |
THYROID DISORDERS |
3 |
$11,553 |
$3,798 |
$34,660 |
$11,393 |
2.33 |
SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT |
3 |
$29,489 |
$10,093 |
$88,468 |
$30,280 |
2.67 |
OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS |
3 |
$29,155 |
$14,754 |
$87,466 |
$44,262 |
16.67 |
CHEST PAIN |
3 |
$14,705 |
$5,331 |
$44,114 |
$15,992 |
3.00 |
OPIOID ABUSE AND DEPENDENCE |
3 |
$17,586 |
$6,769 |
$52,759 |
$20,307 |
3.33 |
OTHER AFTERCARE AND CONVALESCENCE |
3 |
$7,994 |
$3,599 |
$23,981 |
$10,797 |
3.67 |
ALLERGIC REACTIONS |
3 |
$15,765 |
$5,342 |
$47,295 |
$16,025 |
3.33 |
ACUTE BRONCHITIS AND RELATED SYMPTOMS |
3 |
$9,045 |
$3,308 |
$27,135 |
$9,924 |
1.67 |
OTHER DRUG ABUSE AND DEPENDENCE |
2 |
$5,269 |
$1,763 |
$10,537 |
$3,526 |
1.50 |
KIDNEY AND URINARY TRACT MALIGNANCY |
2 |
$16,218 |
$11,444 |
$32,435 |
$22,888 |
5.50 |
CARDIAC ARREST AND SHOCK |
2 |
$15,441 |
$6,576 |
$30,881 |
$13,152 |
4.50 |
NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION |
2 |
$20,450 |
$7,996 |
$40,899 |
$15,991 |
7.50 |
OTHER INFECTIOUS AND PARASITIC DISEASES |
2 |
$24,800 |
$14,210 |
$49,599 |
$28,420 |
9.00 |
ABDOMINAL PAIN |
2 |
$7,840 |
$2,795 |
$15,679 |
$5,590 |
2.00 |
MIGRAINE AND OTHER HEADACHES |
2 |
$10,768 |
$2,576 |
$21,535 |
$5,152 |
1.00 |
GASTROINTESTINAL VASCULAR INSUFFICIENCY |
2 |
$29,228 |
$14,001 |
$58,456 |
$28,002 |
9.00 |
MAJOR SKIN DISORDERS |
2 |
$8,970 |
$3,657 |
$17,940 |
$7,313 |
2.50 |
OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES |
2 |
$36,198 |
$12,600 |
$72,396 |
$25,200 |
6.50 |
POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE |
2 |
$34,342 |
$13,841 |
$68,684 |
$27,681 |
4.50 |
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
2 |
$45,200 |
$16,968 |
$90,399 |
$33,935 |
5.00 |
CARDIAC STRUCTURAL AND VALVULAR DISORDERS |
2 |
$7,203 |
$2,267 |
$14,406 |
$4,534 |
1.50 |
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY |
2 |
$5,212 |
$1,737 |
$10,423 |
$3,473 |
3.00 |
MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE |
2 |
$18,212 |
$8,469 |
$36,424 |
$16,938 |
6.00 |
MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES |
2 |
$16,286 |
$7,134 |
$32,571 |
$14,268 |
5.50 |
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES |
2 |
$23,938 |
$9,170 |
$47,875 |
$18,339 |
4.50 |
EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
2 |
$27,620 |
$9,309 |
$55,240 |
$18,618 |
3.00 |
COCAINE ABUSE AND DEPENDENCE |
2 |
$18,488 |
$8,817 |
$36,976 |
$17,633 |
8.00 |
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION |
2 |
$7,170 |
$2,665 |
$14,340 |
$5,329 |
5.00 |
PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS |
2 |
$10,317 |
$11,571 |
$20,634 |
$23,141 |
2.50 |
LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA |
2 |
$17,912 |
$7,044 |
$35,823 |
$14,088 |
4.00 |
EYE INFECTIONS AND OTHER EYE DISORDERS |
2 |
$13,454 |
$4,476 |
$26,908 |
$8,952 |
2.50 |
UNGROUPABLE |
2 |
$12,213 |
$4,149 |
$24,426 |
$8,297 |
3.50 |
NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS |
1 |
$20,272 |
$7,379 |
$20,272 |
$7,379 |
8.00 |
MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE |
1 |
$11,086 |
$4,266 |
$11,086 |
$4,266 |
3.00 |
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDIT |
1 |
$5,365 |
$2,000 |
$5,365 |
$2,000 |
4.00 |
MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES |
1 |
$10,528 |
$3,235 |
$10,528 |
$3,235 |
2.00 |
HIV WITH MAJOR HIV RELATED CONDITION |
1 |
$13,181 |
$6,042 |
$13,181 |
$6,042 |
3.00 |
MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS |
1 |
$8,083 |
$2,964 |
$8,083 |
$2,964 |
1.00 |
MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
1 |
$12,915 |
$4,585 |
$12,915 |
$4,585 |
2.00 |
AMPUTATION OF LOWER LIMB EXCEPT TOES |
1 |
$27,768 |
$11,224 |
$27,768 |
$11,224 |
8.00 |
SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES |
1 |
$26,631 |
$10,880 |
$26,631 |
$10,880 |
6.00 |
MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
1 |
$15,733 |
$7,360 |
$15,733 |
$7,360 |
9.00 |
VIRAL MENINGITIS |
1 |
$11,034 |
$4,143 |
$11,034 |
$4,143 |
3.00 |
TRANSURETHRAL PROSTATECTOMY |
1 |
$27,189 |
$8,478 |
$27,189 |
$8,478 |
2.00 |
MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS |
1 |
$35,053 |
$13,282 |
$35,053 |
$13,282 |
8.00 |
BREAST PROCEDURES EXCEPT MASTECTOMY |
1 |
$15,375 |
$5,001 |
$15,375 |
$5,001 |
4.00 |
INTERSTITIAL AND ALVEOLAR LUNG DISEASES |
1 |
$10,375 |
$4,644 |
$10,375 |
$4,644 |
2.00 |
MALIGNANT BREAST DISORDERS |
1 |
$19,885 |
$6,528 |
$19,885 |
$6,528 |
4.00 |
DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES |
1 |
$19,006 |
$6,129 |
$19,006 |
$6,129 |
2.00 |
ANAL PROCEDURES |
1 |
$11,439 |
$5,702 |
$11,439 |
$5,702 |
3.00 |
OTHER SMALL AND LARGE BOWEL PROCEDURES |
1 |
$23,461 |
$9,013 |
$23,461 |
$9,013 |
4.00 |
CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA |
1 |
$12,441 |
$3,487 |
$12,441 |
$3,487 |
2.00 |
CARDIOMYOPATHY |
1 |
$9,122 |
$3,487 |
$9,122 |
$3,487 |
3.00 |
RADIOTHERAPY |
1 |
$64,315 |
$35,189 |
$64,315 |
$35,189 |
33.00 |
DISORDERS OF PERSONALITY AND IMPULSE CONTROL |
1 |
$14,478 |
$5,855 |
$14,478 |
$5,855 |
5.00 |
OTHER ENDOCRINE DISORDERS |
1 |
$6,002 |
$2,791 |
$6,002 |
$2,791 |
2.00 |
ANOXIC AND OTHER SEVERE BRAIN DAMAGE |
1 |
$4,938 |
$2,964 |
$4,938 |
$2,964 |
4.00 |
INFECTIONS OF UPPER RESPIRATORY TRACT |
1 |
$7,659 |
$2,158 |
$7,659 |
$2,158 |
1.00 |
MASTECTOMY PROCEDURES |
1 |
$22,419 |
$7,371 |
$22,419 |
$7,371 |
2.00 |
ACUTE AND SUBACUTE ENDOCARDITIS |
1 |
$45,025 |
$15,013 |
$45,025 |
$15,013 |
8.00 |
MAJOR ESOPHAGEAL DISORDERS |
1 |
$25,804 |
$9,136 |
$25,804 |
$9,136 |
3.00 |
PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES |
1 |
$14,007 |
$4,617 |
$14,007 |
$4,617 |
2.00 |
MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE |
1 |
$42,049 |
$16,509 |
$42,049 |
$16,509 |
9.00 |
MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY |
1 |
$10,160 |
$4,255 |
$10,160 |
$4,255 |
2.00 |
OTHER CIRCULATORY SYSTEM PROCEDURES |
1 |
$29,496 |
$13,201 |
$29,496 |
$13,201 |
9.00 |
RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES |
1 |
$7,149 |
$2,280 |
$7,149 |
$2,280 |
1.00 |
OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES |
1 |
$17,951 |
$7,404 |
$17,951 |
$7,404 |
1.00 |
HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION |
1 |
$11,586 |
$4,279 |
$11,586 |
$4,279 |
4.00 |
ANTEPARTUM WITH O.R. PROCEDURE |
1 |
$17,250 |
$12,573 |
$17,250 |
$12,573 |
1.00 |
ORGANIC MENTAL HEALTH DISTURBANCES |
1 |
$12,563 |
$5,034 |
$12,563 |
$5,034 |
4.00 |
INBORN ERRORS OF METABOLISM |
1 |
$7,060 |
$3,301 |
$7,060 |
$3,301 |
3.00 |
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL |
1 |
$15,730 |
$6,385 |
$15,730 |
$6,385 |
7.00 |
HAND AND WRIST PROCEDURES |
1 |
$16,922 |
$6,828 |
$16,922 |
$6,828 |
5.00 |