Samaritan Medical Center

2021 Age Distribution

2021 Patient Race:

Black/African American507
White8,024
Other Race946

2021 Payers:

Federal/State/Local/VA 2,155
Medicare 3,338
Medicaid 2,209
Private Health Insurance 516
Blue Cross/Blue Shield 1,105
Department of Corrections 4
Self-Pay 116
Miscellaneous/Other 34

Conditions treated in 2021

Click on a column header to sort ascending or descending.
DRG Count Avg. Charge Avg. Cost Sum all Charges Sum all Costs Avg. LOS
NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM 1373 $4,301 $1,216 $5,904,675 $1,670,176 2.15
VAGINAL DELIVERY 989 $10,214 $11,768 $10,101,838 $11,638,524 2.36
MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS 381 $38,355 $11,372 $14,613,304 $4,332,775 6.70
CESAREAN SECTION WITHOUT STERILIZATION 375 $13,530 $14,387 $5,073,648 $5,395,044 2.74
SEPTICEMIA AND DISSEMINATED INFECTIONS 357 $41,926 $11,881 $14,967,554 $4,241,473 6.52
HEART FAILURE 323 $31,563 $9,002 $10,194,975 $2,907,728 5.67
MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES 260 $15,161 $6,332 $3,941,786 $1,646,250 5.82
SCHIZOPHRENIA 198 $33,041 $14,894 $6,542,170 $2,949,018 14.19
BIPOLAR DISORDERS 190 $18,406 $7,841 $3,497,200 $1,489,881 7.19
DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER 176 $13,752 $5,757 $2,420,411 $1,013,168 5.25
ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES 122 $12,730 $5,047 $1,553,106 $615,724 4.55
CELLULITIS AND OTHER SKIN INFECTIONS 115 $18,158 $5,075 $2,088,212 $583,630 3.88
KIDNEY AND URINARY TRACT INFECTIONS 108 $23,238 $6,136 $2,509,755 $662,721 4.63
CHRONIC OBSTRUCTIVE PULMONARY DISEASE 108 $23,103 $5,741 $2,495,140 $620,013 3.99
ACUTE KIDNEY INJURY 107 $32,508 $8,862 $3,478,370 $948,262 5.79
OTHER DISORDERS OF NERVOUS SYSTEM 106 $50,617 $15,337 $5,365,406 $1,625,719 10.25
OTHER AFTERCARE AND CONVALESCENCE 105 $46,261 $15,100 $4,857,391 $1,585,487 10.99
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS 103 $21,057 $6,025 $2,168,833 $620,611 3.34
CESAREAN SECTION WITH STERILIZATION 98 $13,899 $13,382 $1,362,071 $1,311,394 2.33
SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS 96 $36,959 $11,043 $3,548,045 $1,060,174 7.68
OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS 94 $23,929 $6,478 $2,249,356 $608,977 3.54
CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION 93 $42,014 $8,474 $3,907,314 $788,075 4.60
DIABETES 90 $21,808 $6,035 $1,962,762 $543,150 3.89
OTHER PNEUMONIA 90 $28,915 $7,626 $2,602,348 $686,304 5.14
OTHER GASTROENTERITIS, NAUSEA AND VOMITING 84 $20,701 $5,164 $1,738,842 $433,811 3.67
RESPIRATORY FAILURE 72 $37,198 $10,637 $2,678,231 $765,843 5.86
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES 72 $27,268 $7,236 $1,963,275 $520,967 5.26
DIVERTICULITIS AND DIVERTICULOSIS 70 $15,661 $3,918 $1,096,246 $274,267 3.14
HYPERTENSION 69 $21,673 $4,987 $1,495,453 $344,115 3.29
MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS 67 $25,673 $6,663 $1,720,063 $446,421 5.19
NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM 61 $15,256 $3,197 $930,632 $195,011 5.30
OTHER DIGESTIVE SYSTEM DIAGNOSES 61 $25,212 $6,948 $1,537,935 $423,851 4.77
DISORDERS OF PANCREAS EXCEPT MALIGNANCY 60 $22,546 $5,532 $1,352,762 $331,894 3.87
ALTERATION IN CONSCIOUSNESS 60 $38,144 $9,341 $2,288,642 $560,459 6.95
INTESTINAL OBSTRUCTION 60 $20,518 $5,665 $1,231,104 $339,914 4.58
MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE 59 $34,109 $9,272 $2,012,460 $547,043 7.00
ANTEPARTUM WITHOUT O.R. PROCEDURE 57 $11,362 $8,984 $647,647 $512,106 2.54
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS 56 $41,798 $11,293 $2,340,681 $632,427 13.02
OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES 54 $32,934 $8,188 $1,778,448 $442,128 6.76
OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE 53 $25,410 $6,704 $1,346,708 $355,312 3.47
PERIPHERAL AND OTHER VASCULAR DISORDERS 51 $26,351 $6,984 $1,343,926 $356,180 4.59
MAJOR LARGE BOWEL PROCEDURES 51 $42,253 $17,937 $2,154,923 $914,764 8.14
HIP AND FEMUR FRACTURE REPAIR 48 $45,077 $20,001 $2,163,718 $960,066 6.19
PEPTIC ULCER AND GASTRITIS 48 $32,102 $8,435 $1,540,881 $404,864 5.83
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS 47 $28,793 $7,907 $1,353,253 $371,651 3.74
ALCOHOL ABUSE AND DEPENDENCE 46 $14,846 $4,113 $682,906 $189,218 2.83
SYNCOPE AND COLLAPSE 45 $21,018 $4,358 $945,830 $196,104 2.53
ELECTIVE KNEE JOINT REPLACEMENT 41 $30,874 $22,512 $1,265,816 $922,973 1.15
INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE 40 $77,488 $29,870 $3,099,515 $1,194,810 11.48
OTHER DISORDERS OF THE LIVER 39 $26,009 $7,208 $1,014,353 $281,111 4.21
SEIZURE 38 $29,069 $6,809 $1,104,633 $258,723 3.66
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES 36 $36,057 $11,001 $1,298,038 $396,040 6.67
NON-HYPOVOLEMIC SODIUM DISORDERS 36 $29,080 $7,142 $1,046,863 $257,104 5.06
INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE 35 $31,282 $9,462 $1,094,877 $331,173 4.97
ALCOHOLIC LIVER DISEASE 34 $39,228 $11,704 $1,333,751 $397,940 5.76
FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK 33 $24,677 $5,460 $814,342 $180,193 5.45
OTHER DRUG ABUSE AND DEPENDENCE 32 $14,720 $4,976 $471,040 $159,218 4.53
COAGULATION AND PLATELET DISORDERS 31 $40,238 $10,701 $1,247,385 $331,717 5.10
DISORDERS OF GALLBLADDER AND BILIARY TRACT 31 $24,683 $7,921 $765,178 $245,541 4.00
POISONING OF MEDICINAL AGENTS 30 $27,235 $7,099 $817,039 $212,958 3.37
PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS 30 $41,878 $13,012 $1,256,343 $390,359 8.50
NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE 29 $9,143 $2,686 $265,133 $77,888 1.31
RESPIRATORY MALIGNANCY 29 $36,873 $10,597 $1,069,329 $307,314 4.83
ACUTE ANXIETY AND DELIRIUM STATES 28 $15,561 $6,397 $435,716 $179,114 5.71
OTHER CIRCULATORY SYSTEM DIAGNOSES 28 $28,849 $7,984 $807,772 $223,564 4.46
PULMONARY EMBOLISM 28 $30,493 $7,929 $853,797 $222,022 4.29
KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT 28 $43,013 $22,995 $1,204,362 $643,851 5.54
FOOT AND TOE PROCEDURES 27 $31,915 $12,332 $861,713 $332,965 5.15
NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT 27 $49,419 $20,698 $1,334,314 $558,848 8.26
ASTHMA 26 $19,013 $7,650 $494,347 $198,895 3.31
MAJOR SMALL BOWEL PROCEDURES 24 $68,750 $28,663 $1,649,997 $687,909 11.71
ELECTIVE HIP JOINT REPLACEMENT 23 $36,494 $23,647 $839,359 $543,884 2.65
KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY 23 $31,686 $20,044 $728,786 $461,004 2.35
URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION 23 $19,589 $10,478 $450,542 $241,003 2.17
MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE 22 $29,878 $10,578 $657,310 $232,719 5.23
VERTIGO AND OTHER LABYRINTH DISORDERS 22 $28,216 $5,721 $620,753 $125,852 3.45
INFECTIONS OF UPPER RESPIRATORY TRACT 22 $15,239 $6,056 $335,263 $133,222 2.23
OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES 21 $38,398 $24,245 $806,354 $509,137 2.67
MAJOR CHEST AND RESPIRATORY TRAUMA 20 $35,752 $9,322 $715,049 $186,445 5.55
BRONCHIOLITIS AND RSV PNEUMONIA 20 $22,075 $18,748 $441,495 $374,967 4.95
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION 19 $43,370 $8,545 $824,021 $162,363 12.47
KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY 19 $24,908 $15,489 $473,255 $294,293 1.95
TRANSIENT ISCHEMIA 19 $29,830 $4,859 $566,778 $92,329 1.95
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL 19 $29,433 $18,827 $559,222 $357,710 3.42
OPIOID ABUSE AND DEPENDENCE 19 $12,347 $4,886 $234,588 $92,826 4.47
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION 19 $20,629 $4,914 $391,960 $93,357 6.32
CHOLECYSTECTOMY 19 $35,457 $23,243 $673,690 $441,608 4.00
SKIN ULCERS 18 $23,388 $6,764 $420,988 $121,745 5.39
HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS 18 $33,231 $9,278 $598,162 $167,010 5.78
CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE 18 $20,949 $5,300 $377,084 $95,408 4.28
OTHER RESPIRATORY AND CHEST PROCEDURES 17 $147,462 $54,329 $2,506,857 $923,591 16.06
OTHER PERIPHERAL VASCULAR PROCEDURES 17 $60,005 $25,538 $1,020,088 $434,145 9.06
OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES 17 $23,983 $10,006 $407,708 $170,098 4.18
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDIT 17 $33,538 $7,808 $570,142 $132,738 8.24
INFLAMMATORY BOWEL DISEASE 17 $18,878 $4,367 $320,927 $74,235 3.00
HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS 16 $31,553 $8,621 $504,853 $137,938 5.38
MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES 16 $34,291 $7,705 $548,661 $123,286 5.31
MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION 16 $40,030 $10,001 $640,477 $160,021 5.06
MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 15 $68,985 $22,311 $1,034,778 $334,671 16.13
OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS 14 $27,448 $6,985 $384,276 $97,791 4.71
OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES 14 $20,021 $4,877 $280,297 $68,274 3.14
INTERSTITIAL AND ALVEOLAR LUNG DISEASES 13 $42,332 $12,601 $550,321 $163,816 8.77
MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS 13 $27,324 $12,483 $355,217 $162,280 6.54
AMPUTATION OF LOWER LIMB EXCEPT TOES 13 $90,232 $27,519 $1,173,010 $357,748 22.23
PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK 13 $60,687 $32,118 $788,927 $417,528 6.92
MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE 13 $31,353 $9,787 $407,584 $127,234 8.15
URETHRAL AND TRANSURETHRAL PROCEDURES 13 $28,940 $15,445 $376,225 $200,780 3.92
FRACTURE OF PELVIS OR DISLOCATION OF HIP 13 $23,731 $4,589 $308,506 $59,657 5.15
LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA 12 $36,122 $9,242 $433,464 $110,907 5.25
FRACTURE OF FEMUR 12 $22,069 $5,629 $264,833 $67,544 4.33
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY 12 $22,934 $7,617 $275,209 $91,404 4.08
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS 12 $31,418 $25,714 $377,011 $308,573 4.58
MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS 12 $28,101 $8,987 $337,210 $107,849 3.75
ACUTE MYOCARDIAL INFARCTION 12 $32,654 $9,614 $391,843 $115,371 4.00
UNGROUPABLE 12 $30,220 $7,919 $362,645 $95,023 7.67
MIGRAINE AND OTHER HEADACHES 11 $21,626 $3,748 $237,883 $41,232 2.09
DIGESTIVE MALIGNANCY 11 $27,315 $7,182 $300,467 $79,004 4.36
RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES 11 $41,129 $10,880 $452,416 $119,679 6.18
OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS 11 $25,574 $6,567 $281,319 $72,239 5.18
LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR 11 $38,465 $11,584 $423,117 $127,422 7.45
VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C 11 $14,500 $16,189 $159,497 $178,082 3.09
ORGANIC MENTAL HEALTH DISTURBANCES 10 $34,801 $11,085 $348,008 $110,850 16.70
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS 10 $44,424 $13,442 $444,240 $134,417 6.90
UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA 10 $18,157 $16,895 $181,567 $168,950 1.90
KIDNEY AND URINARY TRACT MALIGNANCY 10 $28,505 $11,763 $285,048 $117,627 4.70
OTHER COMPLICATIONS OF TREATMENT 10 $25,740 $7,835 $257,396 $78,347 4.80
CHRONIC KIDNEY DISEASE 10 $24,424 $7,742 $244,241 $77,422 3.80
MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE 9 $40,608 $12,271 $365,476 $110,437 7.78
ABDOMINAL PAIN 9 $20,181 $6,168 $181,631 $55,508 2.56
DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE 9 $15,553 $3,642 $139,976 $32,777 2.11
DISORDERS OF PERSONALITY AND IMPULSE CONTROL 9 $15,765 $7,092 $141,885 $63,827 6.33
UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA 9 $22,164 $19,427 $199,477 $174,843 1.78
LOWER EXTREMITY ARTERIAL PROCEDURES 9 $53,652 $20,697 $482,871 $186,271 9.33
OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS 9 $19,010 $4,905 $171,093 $44,149 4.00
ACUTE AND SUBACUTE ENDOCARDITIS 9 $58,629 $14,134 $527,663 $127,204 13.33
VIRAL ILLNESS 9 $16,582 $8,549 $149,240 $76,945 3.11
MAJOR MALE PELVIC PROCEDURES 9 $41,416 $28,338 $372,745 $255,045 1.33
NEONATAL AFTERCARE 8 $58,568 $10,977 $468,543 $87,818 17.50
TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES 8 $51,160 $19,270 $409,281 $154,160 11.50
CARDIAC ARREST AND SHOCK 8 $57,622 $16,103 $460,973 $128,824 4.38
OTHER ESOPHAGEAL DISORDERS 8 $34,443 $8,499 $275,543 $67,988 8.00
EYE INFECTIONS AND OTHER EYE DISORDERS 8 $26,532 $5,097 $212,255 $40,773 2.38
OPEN EXTRACRANIAL VASCULAR PROCEDURES 8 $21,280 $8,569 $170,237 $68,551 2.50
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES 7 $28,878 $7,987 $202,143 $55,909 2.71
SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT 7 $36,890 $19,872 $258,229 $139,103 6.14
ALLERGIC REACTIONS 7 $19,235 $5,529 $134,646 $38,704 2.00
OTHER SMALL AND LARGE BOWEL PROCEDURES 6 $23,707 $9,896 $142,240 $59,373 3.50
BEHAVIORAL DISORDERS 6 $32,143 $14,549 $192,856 $87,292 14.33
FEMALE REPRODUCTIVE SYSTEM INFECTIONS 6 $15,202 $14,309 $91,210 $85,852 3.67
OTHER INFECTIOUS AND PARASITIC DISEASES 6 $33,764 $8,535 $202,586 $51,211 6.50
GASTROINTESTINAL VASCULAR INSUFFICIENCY 6 $21,075 $4,978 $126,449 $29,868 3.67
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS 6 $108,906 $35,738 $653,433 $214,428 14.50
MAJOR RESPIRATORY AND CHEST PROCEDURES 6 $66,883 $32,849 $401,299 $197,095 8.33
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CON 6 $45,219 $9,758 $271,312 $58,548 11.83
BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM 6 $91,058 $21,456 $546,346 $128,738 9.33
CONNECTIVE TISSUE DISORDERS 6 $44,217 $10,389 $265,303 $62,336 6.00
COCAINE ABUSE AND DEPENDENCE 6 $12,372 $4,690 $74,233 $28,142 4.33
NERVOUS SYSTEM MALIGNANCY 6 $43,613 $10,850 $261,677 $65,099 5.17
MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 6 $40,071 $15,333 $240,428 $91,995 5.33
OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS 5 $59,826 $19,146 $299,132 $95,730 10.20
CHEST PAIN 5 $20,383 $3,558 $101,916 $17,791 1.40
OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES 5 $38,469 $15,874 $192,343 $79,369 5.20
PERITONEAL ADHESIOLYSIS 5 $39,172 $19,428 $195,858 $97,142 6.60
MALIGNANT BREAST DISORDERS 5 $43,126 $13,229 $215,632 $66,146 7.40
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CON 5 $27,752 $6,073 $138,760 $30,366 7.00
OTHER ENDOCRINE DISORDERS 5 $52,577 $11,186 $262,887 $55,930 4.80
FEVER AND INFLAMMATORY CONDITIONS 5 $30,371 $5,977 $151,856 $29,883 4.00
OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES 4 $48,105 $19,504 $192,419 $78,014 6.75
TRANSURETHRAL PROSTATECTOMY 4 $37,488 $21,483 $149,951 $85,931 2.75
MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES 4 $57,462 $24,894 $229,847 $99,574 10.50
MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE 4 $45,640 $11,855 $182,559 $47,420 5.25
MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY 4 $36,918 $8,586 $147,672 $34,343 6.00
INBORN ERRORS OF METABOLISM 4 $27,355 $8,931 $109,419 $35,723 4.25
MAJOR ABDOMINAL VASCULAR PROCEDURES 4 $69,771 $31,419 $279,083 $125,674 6.50
HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION 4 $21,426 $6,166 $85,705 $24,664 3.75
OTHER MENTAL HEALTH DISORDERS 4 $21,357 $9,189 $85,427 $36,756 9.00
NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT 4 $54,778 $26,046 $219,112 $104,183 6.25
ACUTE BRONCHITIS AND RELATED SYMPTOMS 4 $23,272 $5,008 $93,086 $20,030 3.00
OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES 4 $16,709 $10,108 $66,834 $40,431 1.50
OTHER CIRCULATORY SYSTEM PROCEDURES 4 $83,202 $29,964 $332,809 $119,855 9.50
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY 4 $6,092 $1,421 $24,369 $5,682 2.00
ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS 4 $16,388 $2,934 $65,551 $11,737 1.75
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS 3 $21,451 $18,697 $64,354 $56,090 1.00
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION 3 $48,888 $10,783 $146,665 $32,350 13.00
NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 3 $23,909 $14,273 $71,727 $42,820 3.67
OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS 3 $42,213 $14,810 $126,638 $44,429 8.00
OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES 3 $62,033 $31,852 $186,098 $95,557 6.67
INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES 3 $36,004 $19,767 $108,013 $59,301 5.67
NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION 3 $22,862 $3,198 $68,587 $9,595 1.67
HAND AND WRIST PROCEDURES 3 $13,127 $6,902 $39,381 $20,706 1.33
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES 3 $30,846 $13,423 $92,538 $40,269 4.33
NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 3 $26,617 $11,450 $79,850 $34,351 3.00
MASTECTOMY PROCEDURES 3 $66,531 $27,709 $199,592 $83,126 10.00
NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS 3 $66,917 $17,271 $200,750 $51,812 11.00
MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS 3 $16,500 $4,275 $49,501 $12,824 1.67
DENTAL DISEASES AND DISORDERS 3 $11,098 $1,978 $33,295 $5,933 1.33
PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT 3 $7,591 $2,039 $22,774 $6,117 1.33
NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CON 3 $72,273 $14,681 $216,819 $44,042 19.67
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 3 $66,540 $27,142 $199,620 $81,425 7.67
CERVICAL SPINAL FUSION AND OTHER BACK OR NECK PROCEDURES EXCEPT DISC EXCISION OR DECOMPRESSION 2 $27,348 $20,401 $54,695 $40,801 1.00
TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE 2 $296,186 $115,273 $592,372 $230,545 44.00
POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE 2 $27,790 $16,603 $55,579 $33,205 6.00
SPINAL DISORDERS AND INJURIES 2 $86,410 $21,789 $172,820 $43,578 12.00
MAJOR ESOPHAGEAL DISORDERS 2 $27,344 $6,800 $54,687 $13,600 5.50
OTHER NERVOUS SYSTEM AND RELATED PROCEDURES 2 $31,497 $12,923 $62,993 $25,845 3.50
PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES 2 $123,210 $39,763 $246,419 $79,525 39.00
BREAST PROCEDURES EXCEPT MASTECTOMY 2 $43,508 $17,202 $87,015 $34,403 4.00
SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES 2 $34,254 $61,975 $68,507 $123,950 12.00
OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES 2 $32,948 $5,567 $65,896 $11,134 4.00
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY 2 $59,886 $18,706 $119,772 $37,412 8.00
CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA 2 $21,495 $2,533 $42,989 $5,065 1.50
OTHER BLADDER PROCEDURES 2 $20,447 $9,310 $40,893 $18,620 2.50
THYROID DISORDERS 2 $19,809 $6,094 $39,618 $12,188 2.00
HIV WITH MAJOR HIV RELATED CONDITION 2 $32,019 $10,152 $64,038 $20,304 2.50
OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES 2 $80,867 $30,690 $161,734 $61,380 13.50
MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA 2 $39,901 $20,226 $79,801 $40,452 5.00
HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS 2 $26,605 $7,852 $53,210 $15,704 4.50
SPLENECTOMY 1 $38,179 $12,616 $38,179 $12,616 5.00
THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES 1 $31,067 $18,695 $31,067 $18,695 2.00
NEPHRITIS AND NEPHROSIS 1 $26,331 $5,597 $26,331 $5,597 4.00
VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C 1 $6,824 $9,270 $6,824 $9,270 2.00
MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES 1 $30,013 $16,111 $30,013 $16,111 1.00
SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES 1 $11,002 $5,408 $11,002 $5,408 4.00
EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES 1 $8,786 $1,541 $8,786 $1,541 5.00
NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE 1 $10,114 $2,527 $10,114 $2,527 1.00
MAJOR BILIARY TRACT PROCEDURES 1 $41,007 $24,146 $41,007 $24,146 3.00
OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES 1 $112,400 $47,960 $112,400 $47,960 13.00
TONSIL AND ADENOID PROCEDURES 1 $34,787 $14,859 $34,787 $14,859 8.00
ADRENAL PROCEDURES 1 $16,974 $9,919 $16,974 $9,919 1.00
BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS 1 $84,658 $30,191 $84,658 $30,191 28.00
UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY 1 $8,869 $4,860 $8,869 $4,860 1.00
SICKLE CELL ANEMIA CRISIS 1 $21,776 $5,061 $21,776 $5,061 2.00
BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD 1 $214,070 $42,488 $214,070 $42,488 60.00
PENIS, TESTES AND SCROTAL PROCEDURES 1 $26,389 $11,891 $26,389 $11,891 4.00
OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS 1 $32,060 $22,567 $32,060 $22,567 2.00
DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES 1 $74,348 $24,072 $74,348 $24,072 12.00
EATING DISORDERS 1 $24,554 $6,422 $24,554 $6,422 3.00
NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRT 1 $953 $34 $953 $34 1.00
EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA 1 $31,053 $9,003 $31,053 $9,003 4.00
OTHER MAJOR HEAD AND NECK PROCEDURES 1 $180,177 $71,080 $180,177 $71,080 37.00
OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES 1 $78,197 $28,247 $78,197 $28,247 5.00
INTRACRANIAL HEMORRHAGE 1 $12,642 $1,799 $12,642 $1,799 2.00