Neonate birthwt >2499g, normal newborn or neonate w other problem |
1509 |
$3,559 |
$1,170 |
$5,370,507 |
$1,765,636 |
2.20 |
Vaginal delivery |
1156 |
$6,596 |
$10,378 |
$7,625,138 |
$11,996,679 |
2.26 |
Cesarean delivery |
407 |
$9,855 |
$13,319 |
$4,010,800 |
$5,420,912 |
2.79 |
Heart failure |
312 |
$30,016 |
$8,382 |
$9,364,901 |
$2,615,188 |
6.08 |
Depression except major depressive disorder |
285 |
$14,265 |
$4,450 |
$4,065,510 |
$1,268,204 |
6.25 |
Major depressive disorders & other/unspecified psychoses |
274 |
$20,863 |
$6,613 |
$5,716,434 |
$1,812,086 |
9.22 |
Septicemia & disseminated infections |
264 |
$38,130 |
$10,617 |
$10,066,368 |
$2,802,764 |
7.36 |
Bipolar disorders |
252 |
$18,994 |
$6,009 |
$4,786,412 |
$1,514,390 |
8.26 |
Chronic obstructive pulmonary disease |
232 |
$24,977 |
$6,765 |
$5,794,625 |
$1,569,561 |
4.58 |
Adjustment disorders & neuroses except depressive diagnoses |
198 |
$12,426 |
$3,824 |
$2,460,387 |
$757,094 |
5.32 |
Other pneumonia |
194 |
$25,077 |
$6,947 |
$4,864,884 |
$1,347,771 |
4.94 |
Knee joint replacement |
168 |
$27,079 |
$14,749 |
$4,549,302 |
$2,477,765 |
2.58 |
Schizophrenia |
127 |
$29,458 |
$9,762 |
$3,741,148 |
$1,239,722 |
13.71 |
Cellulitis & other skin infections |
118 |
$17,270 |
$5,869 |
$2,037,802 |
$692,511 |
4.14 |
Cardiac arrhythmia & conduction disorders |
114 |
$24,087 |
$6,790 |
$2,745,879 |
$774,088 |
4.25 |
Acute Kidney Injury |
106 |
$32,294 |
$9,203 |
$3,423,128 |
$975,525 |
7.58 |
Other gastroenteritis, nausa & vomiting |
101 |
$18,980 |
$5,765 |
$1,916,985 |
$582,278 |
3.58 |
Hip joint replacement |
99 |
$32,312 |
$16,782 |
$3,198,861 |
$1,661,457 |
3.67 |
Respiratory Failure |
93 |
$29,210 |
$8,081 |
$2,716,559 |
$751,550 |
5.03 |
Other disorders of nervous system |
90 |
$41,159 |
$20,384 |
$3,704,300 |
$1,834,588 |
10.14 |
Kidney & urinary tract infections |
90 |
$23,846 |
$7,482 |
$2,146,175 |
$673,389 |
6.14 |
CVA & precerebral occlusion w infarct |
88 |
$37,113 |
$10,188 |
$3,265,900 |
$896,552 |
5.57 |
Major gastrointestinal & peritoneal infections |
88 |
$22,518 |
$6,295 |
$1,981,549 |
$553,998 |
4.82 |
Diabetes |
87 |
$22,250 |
$6,035 |
$1,935,757 |
$525,078 |
4.32 |
Other aftercare & convalescence |
84 |
$35,377 |
$21,010 |
$2,971,659 |
$1,764,869 |
9.61 |
Major respiratory infections & inflammations |
83 |
$36,660 |
$10,004 |
$3,042,813 |
$830,327 |
7.28 |
Disorders of pancreas except malignancy |
79 |
$19,015 |
$6,123 |
$1,502,219 |
$483,712 |
3.75 |
Other & unspecified gastrointestinal hemorrhage |
74 |
$25,627 |
$7,816 |
$1,896,361 |
$578,392 |
4.08 |
Major small & large bowel procedures |
73 |
$43,439 |
$20,202 |
$3,171,029 |
$1,474,769 |
8.67 |
Intestinal obstruction |
68 |
$17,886 |
$5,373 |
$1,216,278 |
$365,343 |
4.60 |
Poisoning of medicinal agents |
66 |
$29,708 |
$8,361 |
$1,960,725 |
$551,831 |
5.95 |
Other back & neck disorders, fractures & injuries |
65 |
$29,756 |
$8,615 |
$1,934,165 |
$559,990 |
7.03 |
Other anemia & disorders of blood & blood-forming organs |
62 |
$25,441 |
$7,523 |
$1,577,334 |
$466,416 |
4.63 |
Neonate bwt 2000-2499g, normal newborn or neonate w other problem |
61 |
$11,945 |
$3,933 |
$728,653 |
$239,907 |
5.28 |
Hip and femur fracture repair |
58 |
$36,532 |
$15,511 |
$2,118,836 |
$899,632 |
5.95 |
Diverticulitis & diverticulosis |
57 |
$17,771 |
$6,343 |
$1,012,968 |
$361,557 |
4.11 |
Other antepartum diagnoses |
56 |
$9,638 |
$7,654 |
$539,723 |
$428,621 |
3.21 |
Other musculoskeletal system & connective tissue diagnoses |
52 |
$30,665 |
$9,269 |
$1,594,566 |
$481,974 |
7.65 |
Infections of upper respiratory tract |
51 |
$19,948 |
$5,856 |
$1,017,355 |
$298,639 |
3.71 |
Syncope & collapse |
49 |
$26,893 |
$7,280 |
$1,317,740 |
$356,722 |
4.61 |
Nontraumatic stupor & coma |
48 |
$37,412 |
$10,097 |
$1,795,763 |
$484,633 |
8.15 |
Other digestive system diagnoses |
43 |
$22,629 |
$6,611 |
$973,059 |
$284,259 |
5.07 |
Signs, symptoms & other factors influencing health status |
43 |
$26,541 |
$8,342 |
$1,141,267 |
$358,690 |
6.07 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
42 |
$22,314 |
$5,941 |
$937,179 |
$249,505 |
4.10 |
Electrolyte disorders except hypovolemia related |
42 |
$26,724 |
$7,226 |
$1,122,422 |
$303,505 |
4.43 |
Disorders of gallbladder & biliary tract |
40 |
$19,433 |
$7,927 |
$777,339 |
$317,082 |
4.00 |
Kidney & urinary tract procedures for nonmalignancy |
40 |
$27,529 |
$12,204 |
$1,101,143 |
$488,146 |
4.43 |
Pulmonary embolism |
39 |
$26,386 |
$7,019 |
$1,029,066 |
$273,742 |
4.62 |
Laparoscopic cholecystectomy |
38 |
$22,291 |
$12,145 |
$847,062 |
$461,525 |
3.11 |
Malfunction, reaction, complic of genitourinary device or proc |
36 |
$32,805 |
$9,066 |
$1,180,983 |
$326,367 |
7.06 |
Peripheral & other vascular disorders |
35 |
$30,912 |
$9,052 |
$1,081,930 |
$316,829 |
8.51 |
Infectious & parasitic diseases including HIV w O.R. procedure |
34 |
$78,367 |
$25,038 |
$2,664,478 |
$851,281 |
14.74 |
Moderately extensive procedure unrelated to principal diagnosis |
34 |
$43,618 |
$14,920 |
$1,483,011 |
$507,267 |
8.03 |
Coagulation & platelet disorders |
33 |
$26,283 |
$7,609 |
$867,327 |
$251,094 |
4.70 |
Acute anxiety & delirium states |
33 |
$12,988 |
$3,822 |
$428,604 |
$126,135 |
4.52 |
Respiratory malignancy |
31 |
$42,337 |
$11,703 |
$1,312,453 |
$362,800 |
8.19 |
Other circulatory system diagnoses |
30 |
$24,625 |
$6,251 |
$738,741 |
$187,530 |
3.67 |
Vaginal delivery w sterilization &/or D&C |
30 |
$9,634 |
$12,105 |
$289,013 |
$363,148 |
2.50 |
Bronchiolitis & RSV pneumonia |
29 |
$13,802 |
$4,346 |
$400,256 |
$126,031 |
2.93 |
Hypertension |
29 |
$23,764 |
$6,274 |
$689,155 |
$181,955 |
4.24 |
Peptic ulcer & gastritis |
29 |
$22,738 |
$7,987 |
$659,398 |
$231,631 |
3.86 |
Disorders of personality & impulse control |
29 |
$13,173 |
$4,191 |
$382,008 |
$121,526 |
5.48 |
Transient ischemia |
28 |
$23,378 |
$6,048 |
$654,571 |
$169,348 |
2.11 |
Alcohol abuse & dependence |
28 |
$25,074 |
$7,271 |
$702,081 |
$203,598 |
8.54 |
Knee & lower leg procedures except foot |
27 |
$30,969 |
$12,892 |
$836,151 |
$348,088 |
6.41 |
Uterine & adnexa procedures for non-malignancy except leiomyoma |
27 |
$14,278 |
$10,604 |
$385,517 |
$286,298 |
1.74 |
Peripheral, cranial & autonomic nerve disorders |
26 |
$33,655 |
$11,500 |
$875,026 |
$299,010 |
6.08 |
Other respiratory & chest procedures |
26 |
$54,774 |
$18,990 |
$1,424,131 |
$493,749 |
8.42 |
Appendectomy |
26 |
$20,870 |
$10,495 |
$542,631 |
$272,863 |
3.35 |
Post-operative, post-traumatic, other device infections |
25 |
$19,790 |
$8,955 |
$494,738 |
$223,863 |
4.52 |
Seizure |
24 |
$29,037 |
$7,405 |
$696,883 |
$177,725 |
5.17 |
Acute myocardial infarction |
24 |
$28,459 |
$7,901 |
$683,027 |
$189,633 |
6.00 |
Dorsal & lumbar fusion proc except for curvature of back |
24 |
$55,358 |
$31,502 |
$1,328,586 |
$756,039 |
4.75 |
Foot & toe procedures |
24 |
$31,598 |
$12,329 |
$758,353 |
$295,891 |
6.08 |
Urinary stones & acquired upper urinary tract obstruction |
24 |
$15,643 |
$4,956 |
$375,422 |
$118,950 |
2.21 |
Postpartum & post abortion diagnoses w/o procedure |
24 |
$12,442 |
$8,858 |
$298,602 |
$212,599 |
2.88 |
Degenerative nervous system disorders exc mult sclerosis |
23 |
$59,389 |
$17,757 |
$1,365,948 |
$408,407 |
22.52 |
Perm cardiac pacemaker implant w/o AMI, heart failure or shock |
23 |
$40,843 |
$15,184 |
$939,383 |
$349,234 |
4.43 |
Other male reproductive system & related procedures |
23 |
$24,453 |
$13,602 |
$562,429 |
$312,851 |
1.30 |
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond |
23 |
$21,836 |
$7,161 |
$502,230 |
$164,713 |
6.91 |
Asthma |
22 |
$16,992 |
$5,564 |
$373,831 |
$122,413 |
3.36 |
Migraine & other headaches |
21 |
$23,633 |
$6,610 |
$496,284 |
$138,812 |
2.86 |
Fractures & dislocations except femur, pelvis & back |
21 |
$24,189 |
$6,350 |
$507,963 |
$133,358 |
5.05 |
Neonate, transferred < 5 days old, born here |
21 |
$7,643 |
$2,403 |
$160,508 |
$50,462 |
1.00 |
Organic mental health disturbances |
21 |
$40,085 |
$12,417 |
$841,788 |
$260,750 |
18.76 |
Major chest & respiratory trauma |
20 |
$31,794 |
$8,139 |
$635,871 |
$162,780 |
6.70 |
Lower extremity arterial procedures |
19 |
$56,304 |
$22,786 |
$1,069,769 |
$432,932 |
9.42 |
Other kidney & urinary tract diagnoses, signs & symptoms |
19 |
$24,803 |
$8,308 |
$471,262 |
$157,845 |
4.84 |
Other drug abuse & dependence |
19 |
$19,693 |
$6,175 |
$374,165 |
$117,320 |
8.00 |
Respiratory signs, symptoms & minor diagnoses |
18 |
$26,080 |
$7,542 |
$469,447 |
$135,754 |
5.78 |
Cervical spinal fusion & other back/neck proc exc disc excis/decomp |
18 |
$40,224 |
$23,429 |
$724,039 |
$421,722 |
2.78 |
Neonate birthwt >2499g w other significant condition |
18 |
$12,811 |
$4,234 |
$230,592 |
$76,211 |
5.22 |
Craniotomy except for trauma |
16 |
$113,646 |
$38,094 |
$1,818,341 |
$609,498 |
19.06 |
Alcoholic liver disease |
16 |
$26,307 |
$7,181 |
$420,915 |
$114,899 |
5.25 |
Hypovolemia & related electrolyte disorders |
16 |
$27,599 |
$7,186 |
$441,580 |
$114,973 |
5.88 |
Neonate birthwt >2499g w major anomaly |
16 |
$13,235 |
$4,359 |
$211,767 |
$69,750 |
5.06 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
15 |
$18,601 |
$6,345 |
$279,008 |
$95,173 |
3.67 |
Other esophageal disorders |
15 |
$30,515 |
$9,029 |
$457,724 |
$135,437 |
5.20 |
Neonate bwt 1500-1999g w or w/o other significant condition |
15 |
$41,244 |
$13,670 |
$618,662 |
$205,047 |
14.73 |
Fever |
15 |
$14,525 |
$4,253 |
$217,875 |
$63,798 |
2.80 |
Head trauma w coma >1 hr or hemorrhage |
14 |
$36,046 |
$8,215 |
$504,642 |
$115,004 |
5.43 |
Major respiratory & chest procedures |
14 |
$56,329 |
$20,720 |
$788,603 |
$290,076 |
8.07 |
Other peripheral vascular procedures |
14 |
$96,052 |
$35,428 |
$1,344,722 |
$495,988 |
12.57 |
Angina pectoris & coronary atherosclerosis |
14 |
$16,371 |
$4,050 |
$229,191 |
$56,695 |
2.43 |
Hernia procedures except inguinal, femoral & umbilical |
14 |
$24,980 |
$12,579 |
$349,714 |
$176,104 |
4.50 |
Digestive malignancy |
14 |
$32,850 |
$10,038 |
$459,904 |
$140,526 |
8.50 |
Abdominal pain |
14 |
$13,473 |
$5,438 |
$188,628 |
$76,126 |
2.50 |
Kidney & urinary tract procedures for malignancy |
14 |
$32,720 |
$16,680 |
$458,084 |
$233,519 |
4.00 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
14 |
$8,710 |
$13,275 |
$121,945 |
$185,849 |
2.79 |
Other infectious & parasitic diseases |
14 |
$28,762 |
$11,173 |
$402,661 |
$156,423 |
6.43 |
Other complications of treatment |
14 |
$15,498 |
$4,723 |
$216,972 |
$66,117 |
2.57 |
Extensive procedure unrelated to principal diagnosis |
14 |
$54,955 |
$20,331 |
$769,372 |
$284,633 |
9.36 |
Nonextensive procedure unrelated to principal diagnosis |
14 |
$55,385 |
$19,402 |
$775,396 |
$271,628 |
11.50 |
Hepatic coma & other major acute liver disorders |
13 |
$22,158 |
$5,851 |
$288,056 |
$76,068 |
4.31 |
Other disorders of the liver |
13 |
$28,405 |
$7,709 |
$369,264 |
$100,218 |
5.77 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
13 |
$26,722 |
$6,867 |
$347,391 |
$89,268 |
6.38 |
Chronic Kidney Disease |
13 |
$26,544 |
$7,624 |
$345,077 |
$99,106 |
4.69 |
Intracranial hemorrhage |
12 |
$38,557 |
$10,166 |
$462,687 |
$121,987 |
7.42 |
Fracture of femur |
12 |
$34,199 |
$10,222 |
$410,383 |
$122,666 |
10.67 |
Other skin, subcutaneous tissue & related procedures |
12 |
$24,812 |
$8,711 |
$297,744 |
$104,529 |
6.17 |
Other endocrine disorders |
12 |
$45,329 |
$12,430 |
$543,944 |
$149,155 |
10.83 |
Major male pelvic procedures |
12 |
$23,350 |
$12,950 |
$280,205 |
$155,395 |
1.25 |
Lymphoma, myeloma & non-acute leukemia |
12 |
$24,993 |
$6,785 |
$299,917 |
$81,416 |
4.17 |
Viral illness |
12 |
$20,689 |
$5,081 |
$248,263 |
$60,967 |
2.83 |
Interstitial & alveolar lung diseases |
11 |
$25,093 |
$6,785 |
$276,025 |
$74,632 |
5.00 |
Other digestive system & abdominal procedures |
11 |
$38,487 |
$12,045 |
$423,357 |
$132,492 |
8.18 |
Shoulder, upper arm & forearm procedures except joint replacement |
11 |
$28,414 |
$13,752 |
$312,558 |
$151,275 |
4.64 |
Post-op, post-trauma, other device infections w O.R. procedure |
11 |
$54,806 |
$21,577 |
$602,864 |
$237,345 |
11.27 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
10 |
$41,933 |
$11,884 |
$419,332 |
$118,835 |
8.60 |
Inflammatory bowel disease |
10 |
$17,262 |
$6,608 |
$172,616 |
$66,075 |
3.50 |
Malfunction, reaction & complication of GI device or procedure |
10 |
$18,942 |
$7,904 |
$189,416 |
$79,035 |
4.50 |
Other hepatobiliary, pancreas & abdominal procedures |
10 |
$39,821 |
$11,630 |
$398,208 |
$116,302 |
7.70 |
Connective tissue disorders |
10 |
$35,241 |
$10,600 |
$352,413 |
$105,998 |
6.10 |
Male reproductive system diagnoses except malignancy |
10 |
$16,363 |
$6,660 |
$163,629 |
$66,601 |
3.30 |
Uterine & adnexa procedures for leiomyoma |
10 |
$15,246 |
$10,725 |
$152,458 |
$107,251 |
1.70 |
O.R. procedure for other complications of treatment |
10 |
$34,760 |
$14,206 |
$347,595 |
$142,060 |
5.90 |
Dental & oral diseases & injuries |
9 |
$15,449 |
$7,075 |
$139,039 |
$63,678 |
3.00 |
Chest pain |
9 |
$17,869 |
$4,106 |
$160,824 |
$36,954 |
2.00 |
Neonate bwt <500g or GA <24 weeks |
9 |
$1,753 |
$576 |
$15,775 |
$5,185 |
1.00 |
Opioid abuse & dependence |
9 |
$13,781 |
$4,091 |
$124,031 |
$36,821 |
4.67 |
Non-bacterial infections of nervous system exc viral meningitis |
8 |
$42,213 |
$11,536 |
$337,707 |
$92,286 |
7.25 |
Vertigo & other labyrinth disorders |
8 |
$30,120 |
$8,163 |
$240,961 |
$65,307 |
4.88 |
Other small & large bowel procedures |
8 |
$27,800 |
$10,119 |
$222,399 |
$80,950 |
6.25 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
8 |
$29,737 |
$8,424 |
$237,893 |
$67,389 |
4.75 |
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms |
8 |
$37,162 |
$12,624 |
$297,294 |
$100,989 |
5.63 |
Toxic effects of non-medicinal substances |
8 |
$20,368 |
$5,195 |
$162,941 |
$41,563 |
2.25 |
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma |
7 |
$23,988 |
$7,997 |
$167,913 |
$55,981 |
2.57 |
Other stomach, esophageal & duodenal procedures |
7 |
$36,648 |
$13,839 |
$256,539 |
$96,876 |
7.57 |
Anal procedures |
7 |
$28,850 |
$10,981 |
$201,947 |
$76,868 |
3.57 |
Gastrointestinal vascular insufficiency |
7 |
$45,012 |
$13,109 |
$315,083 |
$91,762 |
11.57 |
Malignancy of hepatobiliary system & pancreas |
7 |
$43,912 |
$14,955 |
$307,385 |
$104,687 |
6.00 |
Fracture of pelvis or dislocation of hip |
7 |
$18,655 |
$4,711 |
$130,584 |
$32,976 |
5.29 |
Malfunction, reaction, complic of orthopedic device or procedure |
7 |
$27,514 |
$9,877 |
$192,601 |
$69,137 |
7.29 |
Skin ulcers |
7 |
$19,889 |
$7,449 |
$139,220 |
$52,144 |
5.43 |
Other skin, subcutaneous tissue & breast disorders |
7 |
$17,529 |
$4,705 |
$122,702 |
$32,936 |
4.43 |
Urethral & transurethral procedures |
7 |
$21,035 |
$7,843 |
$147,246 |
$54,904 |
3.86 |
Neonate bwt 2000-2499g w other significant condition |
7 |
$37,596 |
$12,513 |
$263,175 |
$87,589 |
13.57 |
Neonatal aftercare |
7 |
$50,556 |
$16,995 |
$353,894 |
$118,965 |
17.71 |
Spinal procedures |
6 |
$60,667 |
$31,400 |
$364,002 |
$188,397 |
4.50 |
Other ear, nose, mouth & throat procedures |
6 |
$17,494 |
$9,368 |
$104,964 |
$56,206 |
3.17 |
Major abdominal vascular procedures |
6 |
$99,032 |
$40,066 |
$594,192 |
$240,396 |
21.17 |
Major stomach, esophageal & duodenal procedures |
6 |
$40,908 |
$15,951 |
$245,447 |
$95,703 |
7.50 |
Peritoneal adhesiolysis |
6 |
$69,015 |
$23,318 |
$414,092 |
$139,910 |
16.50 |
Inborn errors of metabolism |
6 |
$27,512 |
$7,575 |
$165,074 |
$45,447 |
5.00 |
Behavioral disorders |
6 |
$14,741 |
$4,698 |
$88,443 |
$28,190 |
6.50 |
Craniotomy for trauma |
5 |
$62,421 |
$21,104 |
$312,103 |
$105,519 |
11.20 |
Nonspecific CVA & precerebral occlusion w/o infarct |
5 |
$29,088 |
$7,344 |
$145,439 |
$36,721 |
3.40 |
Respiratory system diagnosis w ventilator support 96+ hours |
5 |
$141,105 |
$40,133 |
$705,524 |
$200,667 |
25.40 |
Major biliary tract procedures |
5 |
$22,969 |
$7,905 |
$114,844 |
$39,525 |
4.60 |
Amputation of lower limb except toes |
5 |
$102,525 |
$36,949 |
$512,625 |
$184,745 |
19.20 |
Intervertebral disc excision & decompression |
5 |
$34,221 |
$18,490 |
$171,105 |
$92,451 |
3.00 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
5 |
$35,774 |
$8,843 |
$178,869 |
$44,217 |
6.00 |
Mastectomy procedures |
5 |
$17,142 |
$8,791 |
$85,711 |
$43,954 |
2.00 |
Major skin disorders |
5 |
$41,330 |
$12,166 |
$206,649 |
$60,832 |
12.60 |
Malnutrition, failure to thrive & other nutritional disorders |
5 |
$21,879 |
$6,868 |
$109,397 |
$34,338 |
7.00 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
5 |
$19,712 |
$5,119 |
$98,561 |
$25,597 |
4.00 |
Other mental health disorders |
5 |
$38,059 |
$12,057 |
$190,293 |
$60,283 |
17.80 |
Cocaine abuse & dependence |
5 |
$12,681 |
$3,466 |
$63,404 |
$17,332 |
4.00 |
Extracranial vascular procedures |
4 |
$14,491 |
$7,126 |
$57,963 |
$28,502 |
1.50 |
Nervous system malignancy |
4 |
$24,454 |
$6,385 |
$97,814 |
$25,539 |
6.50 |
Other circulatory system procedures |
4 |
$71,309 |
$23,956 |
$285,236 |
$95,824 |
17.00 |
Acute & subacute endocarditis |
4 |
$47,141 |
$14,873 |
$188,563 |
$59,491 |
7.75 |
Cardiac arrest and shock |
4 |
$34,062 |
$8,331 |
$136,248 |
$33,324 |
5.25 |
Cardiac structural & valvular disorders |
4 |
$22,598 |
$4,783 |
$90,393 |
$19,130 |
2.25 |
Major esophageal disorders |
4 |
$37,243 |
$11,967 |
$148,971 |
$47,869 |
9.75 |
Other musculoskeletal system & connective tissue procedures |
4 |
$30,055 |
$13,972 |
$120,219 |
$55,889 |
3.75 |
Shoulder & elbow joint replacement |
4 |
$30,644 |
$19,041 |
$122,575 |
$76,162 |
1.50 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
4 |
$42,874 |
$16,230 |
$171,495 |
$64,919 |
9.00 |
Major bladder procedures |
4 |
$54,301 |
$26,157 |
$217,202 |
$104,627 |
5.50 |
Kidney & urinary tract malignancy |
4 |
$33,129 |
$10,588 |
$132,516 |
$42,352 |
7.75 |
Other female reproductive system & related procedures |
4 |
$25,282 |
$9,535 |
$101,128 |
$38,138 |
5.75 |
Preterm labor |
4 |
$4,474 |
$5,951 |
$17,895 |
$23,803 |
1.25 |
Neonate bwt 1500-1999g w resp dist synd/oth maj resp cond |
4 |
$63,690 |
$21,066 |
$254,760 |
$84,262 |
22.25 |
Sickle cell anemia crisis |
4 |
$13,637 |
$3,897 |
$54,546 |
$15,587 |
2.25 |
Musculoskeletal & other procedures for multiple significant trauma |
4 |
$40,865 |
$16,431 |
$163,459 |
$65,724 |
6.50 |
Viral meningitis |
3 |
$27,855 |
$11,769 |
$83,565 |
$35,306 |
4.67 |
Acute major eye infections |
3 |
$17,910 |
$3,941 |
$53,731 |
$11,823 |
3.33 |
Eye disorders except major infections |
3 |
$22,698 |
$8,333 |
$68,094 |
$24,999 |
2.33 |
Cystic fibrosis - pulmonary disease |
3 |
$46,925 |
$17,659 |
$140,775 |
$52,976 |
10.33 |
Cardiomyopathy |
3 |
$24,448 |
$6,990 |
$73,343 |
$20,971 |
5.00 |
Inguinal, femoral & umbilical hernia procedures |
3 |
$40,724 |
$15,958 |
$122,172 |
$47,874 |
5.67 |
Cholecystectomy except laparoscopic |
3 |
$19,121 |
$13,330 |
$57,363 |
$39,991 |
3.33 |
Tendon, muscle & other soft tissue procedures |
3 |
$62,144 |
$19,705 |
$186,432 |
$59,114 |
10.00 |
Skin graft for skin & subcutaneous tissue diagnoses |
3 |
$14,924 |
$9,828 |
$44,771 |
$29,484 |
3.00 |
Other bladder procedures |
3 |
$37,179 |
$14,224 |
$111,538 |
$42,673 |
14.33 |
Nephritis & nephrosis |
3 |
$22,870 |
$6,944 |
$68,610 |
$20,831 |
3.33 |
Female reproductive system reconstructive procedures |
3 |
$12,002 |
$7,755 |
$36,006 |
$23,266 |
1.00 |
Other O.R. proc for obstetric diagnoses except delivery diagnoses |
3 |
$11,904 |
$16,393 |
$35,711 |
$49,178 |
3.33 |
Splenectomy |
3 |
$21,319 |
$12,421 |
$63,956 |
$37,264 |
3.33 |
Other procedures of blood & blood-forming organs |
3 |
$23,381 |
$11,628 |
$70,143 |
$34,883 |
3.00 |
Drug & alcohol abuse or dependence, left against medical advice |
3 |
$13,489 |
$3,771 |
$40,466 |
$11,313 |
4.00 |
Allergic reactions |
3 |
$31,103 |
$9,464 |
$93,308 |
$28,392 |
4.67 |
Spinal disorders & injuries |
2 |
$27,296 |
$16,573 |
$54,591 |
$33,145 |
9.00 |
Multiple sclerosis & other demyelinating diseases |
2 |
$75,617 |
$28,800 |
$151,233 |
$57,600 |
7.50 |
Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma |
2 |
$25,105 |
$4,686 |
$50,210 |
$9,371 |
2.00 |
Other cardiothoracic & thoracic vascular procedures |
2 |
$87,304 |
$28,211 |
$174,607 |
$56,422 |
20.00 |
Permanent cardiac pacemaker implant w AMI, heart failure or shock |
2 |
$58,949 |
$19,906 |
$117,898 |
$39,811 |
9.00 |
Other significant hip and femur surgery |
2 |
$39,623 |
$15,787 |
$79,246 |
$31,574 |
4.50 |
Pituitary & adrenal procedures |
2 |
$14,872 |
$9,282 |
$29,743 |
$18,564 |
1.50 |
Other kidney, urinary tract & related procedures |
2 |
$80,347 |
$24,380 |
$160,694 |
$48,760 |
15.00 |
Testes & scrotal procedures |
2 |
$31,668 |
$10,553 |
$63,336 |
$21,105 |
5.00 |
Malignancy, male reproductive system |
2 |
$30,998 |
$7,800 |
$61,996 |
$15,599 |
7.50 |
Menstrual & other female reproductive system disorders |
2 |
$25,455 |
$6,693 |
$50,910 |
$13,386 |
3.00 |
Neonate bwt 1250-1499g w or w/o other significant condition |
2 |
$67,451 |
$22,538 |
$134,902 |
$45,075 |
23.50 |
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms |
2 |
$64,745 |
$30,446 |
$129,490 |
$60,891 |
8.00 |
Acute leukemia |
2 |
$38,493 |
$11,772 |
$76,985 |
$23,543 |
10.50 |
Other injury, poisoning & toxic effect diagnoses |
2 |
$24,208 |
$6,131 |
$48,415 |
$12,262 |
2.50 |
Procedure w diag of rehab, aftercare or oth contact w health service |
2 |
$81,935 |
$51,549 |
$163,869 |
$103,097 |
21.50 |
Tracheostomy w MV 96+ hours w extensive procedure or ECMO |
1 |
$203,883 |
$54,114 |
$203,883 |
$54,114 |
22.00 |
Other nervous system & related procedures |
1 |
$76,501 |
$27,535 |
$76,501 |
$27,535 |
22.00 |
Ear, nose, mouth, throat, cranial/facial malignancies |
1 |
$24,587 |
$7,298 |
$24,587 |
$7,298 |
3.00 |
Breast procedures except mastectomy |
1 |
$10,566 |
$3,438 |
$10,566 |
$3,438 |
1.00 |
Thyroid, parathyroid & thyroglossal procedures |
1 |
$41,518 |
$16,545 |
$41,518 |
$16,545 |
5.00 |
Renal dialysis access device procedure only |
1 |
$7,989 |
$3,421 |
$7,989 |
$3,421 |
1.00 |
Penis procedures |
1 |
$9,319 |
$5,532 |
$9,319 |
$5,532 |
1.00 |
Transurethral prostatectomy |
1 |
$20,319 |
$6,190 |
$20,319 |
$6,190 |
3.00 |
Uterine & adnexa procedures for ovarian & adnexal malignancy |
1 |
$24,227 |
$11,712 |
$24,227 |
$11,712 |
3.00 |
Dilation & curettage for non-obstetric diagnoses |
1 |
$17,474 |
$12,956 |
$17,474 |
$12,956 |
2.00 |
Female reproductive system malignancy |
1 |
$55,361 |
$21,133 |
$55,361 |
$21,133 |
12.00 |
D&C, aspiration curettage or hysterotomy for obstetric diagnoses |
1 |
$9,708 |
$7,742 |
$9,708 |
$7,742 |
1.00 |
False labor |
1 |
$1,824 |
$4,212 |
$1,824 |
$4,212 |
1.00 |
Neonate bwt 2000-2499g w major anomaly |
1 |
$5,735 |
$1,241 |
$5,735 |
$1,241 |
2.00 |
Neonate bwt 2000-2499g w resp dist synd/oth maj resp cond |
1 |
$42,871 |
$14,094 |
$42,871 |
$14,094 |
13.00 |
Neonate bwt 2000-2499g w congenital/perinatal infection |
1 |
$60,984 |
$20,082 |
$60,984 |
$20,082 |
21.00 |
Neonate birthwt >2499g w major cardiovascular procedure |
1 |
$16,373 |
$5,425 |
$16,373 |
$5,425 |
4.00 |
Neonate birthwt >2499g w other major procedure |
1 |
$6,684 |
$2,040 |
$6,684 |
$2,040 |
4.00 |
Neonate birthwt >2499g w congenital/perinatal infection |
1 |
$18,124 |
$6,072 |
$18,124 |
$6,072 |
6.00 |
Partial thickness burns without skin graft |
1 |
$42,563 |
$14,045 |
$42,563 |
$14,045 |
14.00 |
HIV w major HIV related condition |
1 |
$19,652 |
$4,543 |
$19,652 |
$4,543 |
2.00 |
HIV w multiple significant HIV related conditions |
1 |
$90,067 |
$25,313 |
$90,067 |
$25,313 |
25.00 |
HIV w one signif HIV cond or w/o signif related cond |
1 |
$14,753 |
$3,275 |
$14,753 |
$3,275 |
1.00 |
Multiple significant trauma w/o O.R. procedure |
1 |
$26,394 |
$3,120 |
$26,394 |
$3,120 |
2.00 |