Samaritan Medical Center

2020 Age Distribution

2020 Patient Race:

White8,115
Black/African American532
Other Race894

2020 Payers:

Medicaid 2,150
Medicare 3,387
Blue Cross/Blue Shield 1,079
Federal/State/Local/VA 2,194
Private Health Insurance 527
Self-Pay 161
Miscellaneous/Other 34
Department of Corrections 9

Conditions treated in 2020

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 BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM 1431 $4,520 $1,352 $6,468,227 $1,934,293 2.28
VAGINAL DELIVERY 1083 $8,309 $10,381 $8,998,728 $11,242,588 2.30
SEPTICEMIA & DISSEMINATED INFECTIONS 360 $36,581 $10,793 $13,169,063 $3,885,568 5.73
CESAREAN SECTION W/O STERILIZATION 336 $13,006 $14,207 $4,370,022 $4,773,523 2.82
HEART FAILURE 252 $29,229 $8,757 $7,365,606 $2,206,764 5.31
DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER 241 $11,176 $4,559 $2,693,383 $1,098,761 4.11
MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES 199 $16,719 $7,131 $3,327,154 $1,419,113 6.70
ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES 182 $9,358 $3,738 $1,703,208 $680,256 3.26
BIPOLAR DISORDERS 137 $18,357 $8,098 $2,514,921 $1,109,388 7.66
OTHER PNEUMONIA 131 $24,389 $6,926 $3,194,903 $907,366 4.02
KNEE JOINT REPLACEMENT 129 $22,628 $13,194 $2,919,004 $1,702,047 1.91
ACUTE KIDNEY INJURY 125 $26,666 $7,122 $3,333,213 $890,269 4.86
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS 121 $22,805 $7,113 $2,759,389 $860,690 3.74
MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS 116 $36,665 $11,063 $4,253,095 $1,283,260 6.00
OTHER AFTERCARE & CONVALESCENCE 114 $46,393 $15,923 $5,288,801 $1,815,224 11.21
SCHIZOPHRENIA 114 $32,246 $14,818 $3,676,054 $1,689,216 14.03
HIP JOINT REPLACEMENT 114 $32,750 $16,214 $3,733,499 $1,848,383 4.31
OTHER DISORDERS OF NERVOUS SYSTEM 111 $51,144 $15,960 $5,677,006 $1,771,563 11.62
OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS 111 $27,651 $7,304 $3,069,281 $810,735 4.82
CHRONIC OBSTRUCTIVE PULMONARY DISEASE 100 $24,275 $6,182 $2,427,496 $618,245 3.69
RESPIRATORY FAILURE 98 $34,162 $10,203 $3,347,871 $999,931 5.10
CELLULITIS & OTHER SKIN INFECTIONS 97 $17,166 $5,028 $1,665,080 $487,738 3.87
KIDNEY & URINARY TRACT INFECTIONS 92 $20,750 $5,882 $1,908,979 $541,138 4.68
DIABETES 91 $26,112 $7,595 $2,376,177 $691,103 4.54
OTHER GASTROENTERITIS, NAUSEA & VOMITING 90 $19,890 $5,431 $1,790,088 $488,799 4.27
OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES 88 $30,436 $7,979 $2,678,340 $702,154 6.59
OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE 86 $25,842 $7,605 $2,222,424 $654,058 4.06
CESAREAN SECTION W STERILIZATION 77 $14,064 $13,470 $1,082,914 $1,037,172 2.40
CVA & PRECEREBRAL OCCLUSION W INFARCT 74 $31,830 $6,844 $2,355,414 $506,457 3.84
DISORDERS OF PANCREAS EXCEPT MALIGNANCY 73 $21,861 $5,357 $1,595,882 $391,037 3.93
NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM 72 $14,816 $3,702 $1,066,746 $266,536 5.35
SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS 68 $23,768 $6,674 $1,616,240 $453,821 5.24
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES 68 $23,618 $6,290 $1,605,992 $427,747 5.40
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS 67 $38,315 $10,175 $2,567,122 $681,719 11.75
ALTERATION IN CONSCIOUSNESS 64 $30,723 $7,745 $1,966,301 $495,686 5.58
HYPERTENSION 63 $20,838 $5,113 $1,312,817 $322,121 2.71
OTHER DIGESTIVE SYSTEM DIAGNOSES 62 $27,586 $7,826 $1,710,337 $485,198 5.21
MAJOR LARGE BOWEL PROCEDURES 51 $36,019 $18,775 $1,836,946 $957,541 6.49
INTESTINAL OBSTRUCTION 50 $16,694 $4,302 $834,680 $215,111 4.02
MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC 50 $25,062 $7,457 $1,253,100 $372,833 5.24
DIVERTICULITIS & DIVERTICULOSIS 50 $20,797 $7,197 $1,039,856 $359,839 4.48
DISORDERS OF GALLBLADDER & BILIARY TRACT 49 $25,492 $8,353 $1,249,093 $409,306 4.29
SEIZURE 49 $25,565 $6,234 $1,252,674 $305,481 3.27
HIP & FEMUR FRACTURE REPAIR 47 $37,234 $16,188 $1,750,002 $760,817 5.09
PERIPHERAL & OTHER VASCULAR DISORDERS 45 $24,164 $6,515 $1,087,394 $293,160 4.27
ALCOHOL ABUSE & DEPENDENCE 42 $15,478 $4,630 $650,093 $194,449 3.31
ANTEPARTUM W/O O.R. PROCEDURE 42 $8,594 $6,170 $360,941 $259,151 1.98
INFECTIONS OF UPPER RESPIRATORY TRACT 41 $18,117 $6,333 $742,799 $259,672 3.39
POISONING OF MEDICINAL AGENTS 41 $23,376 $6,215 $958,435 $254,835 3.12
INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE 40 $74,819 $27,947 $2,992,778 $1,117,875 11.98
SYNCOPE & COLLAPSE 40 $23,089 $5,428 $923,576 $217,100 3.88
INTENTIONAL SELF-HARM & ATTEMPTED SUICIDE 40 $19,479 $6,158 $779,155 $246,321 3.08
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS 37 $25,452 $7,891 $941,725 $291,967 3.84
CHOLECYSTECTOMY 37 $23,900 $11,721 $884,283 $433,691 3.24
FOOT & TOE PROCEDURES 37 $29,958 $11,551 $1,108,441 $427,405 5.51
DISORDERS OF PERSONALITY & IMPULSE CONTROL 36 $10,856 $4,066 $390,802 $146,392 3.56
COAGULATION & PLATELET DISORDERS 34 $37,075 $9,581 $1,260,533 $325,757 4.71
MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS 33 $26,897 $6,624 $887,616 $218,597 5.76
NON-HYPOVOLEMIC SODIUM DISORDERS 33 $24,849 $7,091 $820,024 $234,011 4.33
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES 33 $44,254 $13,630 $1,460,387 $449,783 8.48
PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS 32 $36,103 $11,145 $1,155,298 $356,651 6.97
KNEE & LOWER LEG PROCEDURES EXCEPT FOOT 32 $33,006 $15,103 $1,056,182 $483,283 4.78
RESPIRATORY MALIGNANCY 31 $40,108 $11,441 $1,243,335 $354,679 6.52
ALCOHOLIC LIVER DISEASE 31 $36,985 $10,781 $1,146,537 $334,215 6.48
FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK 30 $20,200 $4,705 $606,007 $141,141 4.07
OTHER CIRCULATORY SYSTEM DIAGNOSES 30 $27,612 $7,945 $828,374 $238,341 4.10
OTHER PERIPHERAL VASCULAR PROCEDURES 29 $36,947 $16,235 $1,071,449 $470,818 4.34
PULMONARY EMBOLISM 29 $29,398 $7,375 $852,541 $213,884 3.76
MAJOR SMALL BOWEL PROCEDURES 28 $44,880 $19,858 $1,256,634 $556,016 8.71
HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS 28 $28,891 $7,723 $808,942 $216,244 5.46
PEPTIC ULCER & GASTRITIS 27 $27,529 $8,076 $743,276 $218,042 3.93
NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE 26 $8,943 $2,815 $232,513 $73,191 1.15
OTHER DISORDERS OF THE LIVER 25 $27,065 $7,392 $676,618 $184,800 4.96
ASTHMA 25 $21,414 $6,580 $535,343 $164,490 3.56
HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS 25 $26,176 $6,809 $654,391 $170,226 3.92
LOWER EXTREMITY ARTERIAL PROCEDURES 25 $36,013 $20,511 $900,323 $512,774 4.12
ORGANIC MENTAL HEALTH DISTURBANCES 24 $22,382 $6,040 $537,159 $144,966 7.58
RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES 24 $19,109 $6,355 $458,619 $152,508 3.00
OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES 24 $30,083 $20,279 $721,989 $486,707 2.21
OPIOID ABUSE & DEPENDENCE 24 $9,620 $3,685 $230,884 $88,441 3.38
INFLAMMATORY BOWEL DISEASE 24 $16,794 $5,936 $403,050 $142,461 3.63
ACUTE ANXIETY & DELIRIUM STATES 23 $11,682 $4,642 $268,678 $106,766 4.13
MAJOR CHEST & RESPIRATORY TRAUMA 23 $43,955 $13,826 $1,010,975 $317,990 7.48
OTHER RESPIRATORY & CHEST PROCEDURES 23 $53,442 $25,283 $1,229,166 $581,499 6.83
MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL 21 $36,596 $9,779 $768,517 $205,359 5.33
OTHER DRUG ABUSE & DEPENDENCE 21 $10,620 $4,210 $223,026 $88,414 3.90
OTHER COMPLICATIONS OF TREATMENT 19 $29,994 $10,045 $569,881 $190,849 4.79
VERTIGO & OTHER LABYRINTH DISORDERS 19 $19,836 $4,005 $376,876 $76,088 3.05
TRANSIENT ISCHEMIA 19 $24,743 $4,310 $470,115 $81,895 2.11
PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK 18 $49,788 $22,849 $896,192 $411,281 5.83
URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION 17 $14,204 $4,470 $241,474 $75,987 2.18
MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE 17 $32,829 $11,449 $558,092 $194,635 6.47
NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND 17 $25,200 $5,701 $428,400 $96,912 6.47
KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY 17 $32,249 $21,459 $548,234 $364,810 2.82
SKIN ULCERS 17 $23,605 $6,272 $401,289 $106,623 5.82
BEHAVIORAL DISORDERS 17 $10,840 $4,523 $184,276 $76,898 4.24
NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION 17 $40,498 $7,664 $688,466 $130,292 12.47
AMPUTATION OF LOWER LIMB EXCEPT TOES 16 $40,263 $16,247 $644,200 $259,946 9.06
OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES 16 $22,733 $6,708 $363,722 $107,334 4.06
OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS 16 $34,511 $12,165 $552,180 $194,635 8.00
OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS 16 $28,846 $8,750 $461,528 $140,004 8.19
OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES 16 $26,633 $12,178 $426,127 $194,851 5.06
CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP 15 $26,952 $18,384 $404,279 $275,755 1.33
DIGESTIVE MALIGNANCY 15 $29,390 $9,306 $440,845 $139,590 6.07
DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK 15 $44,258 $28,088 $663,876 $421,321 4.00
CONNECTIVE TISSUE DISORDERS 14 $31,379 $9,510 $439,299 $133,143 4.79
MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 14 $80,220 $26,060 $1,123,080 $364,838 14.86
URETHRAL & TRANSURETHRAL PROCEDURES 14 $18,421 $7,790 $257,899 $109,053 2.79
VAGINAL DELIVERY W O.R. PROCEDURE EXCEPT STERILIZATION &/OR D&C 14 $11,838 $12,324 $165,730 $172,536 2.36
FEVER & INFLAMMATORY CONDITIONS 13 $28,877 $10,433 $375,405 $135,630 4.62
OTHER INFECTIOUS & PARASITIC DISEASES 13 $53,588 $15,828 $696,640 $205,758 8.62
MASTECTOMY PROCEDURES 12 $36,776 $17,713 $441,313 $212,552 1.92
OTHER ESOPHAGEAL DISORDERS 12 $27,468 $10,598 $329,616 $127,172 5.08
ABDOMINAL PAIN 12 $11,082 $2,812 $132,985 $33,748 1.58
MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE 12 $19,241 $6,047 $230,886 $72,568 3.50
NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION 12 $24,059 $5,982 $288,703 $71,780 7.42
CARDIAC ARREST & SHOCK 11 $58,555 $17,566 $644,109 $193,228 4.91
VIRAL ILLNESS 11 $26,351 $11,917 $289,865 $131,090 4.09
KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY 11 $21,034 $12,284 $231,378 $135,125 1.55
MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES 11 $36,421 $8,378 $400,635 $92,154 7.64
MIGRAINE & OTHER HEADACHES 11 $24,601 $4,430 $270,614 $48,729 2.91
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS 11 $28,493 $7,229 $313,419 $79,524 4.82
OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS 11 $23,156 $7,727 $254,715 $84,995 4.27
MAJOR RESPIRATORY & CHEST PROCEDURES 10 $68,287 $35,686 $682,865 $356,861 9.10
MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS 10 $22,196 $5,416 $221,964 $54,164 3.70
SHOULDER & ELBOW JOINT REPLACEMENT 10 $38,530 $24,432 $385,304 $244,318 1.40
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL 10 $49,380 $27,213 $493,804 $272,128 7.60
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS 10 $19,091 $8,979 $190,906 $89,788 3.00
ACUTE MYOCARDIAL INFARCTION 10 $22,607 $6,494 $226,066 $64,942 2.00
OTHER SMALL & LARGE BOWEL PROCEDURES 9 $21,880 $9,727 $196,917 $87,539 3.89
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY 9 $18,289 $4,672 $164,601 $42,051 3.56
MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS 9 $20,169 $9,733 $181,523 $87,598 4.89
ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS 9 $27,737 $7,010 $249,629 $63,086 8.89
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS 9 $128,735 $43,965 $1,158,618 $395,682 16.22
UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA 9 $16,771 $10,481 $150,936 $94,330 2.00
LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA 9 $26,850 $7,996 $241,654 $71,967 3.56
SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES 8 $28,546 $9,001 $228,369 $72,009 7.38
FRACTURE OF FEMUR 8 $23,426 $6,078 $187,407 $48,627 4.25
SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT 8 $19,849 $10,711 $158,794 $85,690 2.25
CHEST PAIN 8 $18,170 $3,609 $145,361 $28,872 2.00
HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION 8 $21,810 $7,745 $174,483 $61,960 3.38
BRONCHIOLITIS & RSV PNEUMONIA 8 $10,830 $11,511 $86,636 $92,091 2.50
PERITONEAL ADHESIOLYSIS 8 $28,972 $11,547 $231,774 $92,377 5.13
OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES 8 $18,851 $11,451 $150,806 $91,604 3.63
INTERSTITIAL & ALVEOLAR LUNG DISEASES 8 $23,602 $6,878 $188,817 $55,022 3.63
INTERVERTEBRAL DISC EXCISION & DECOMPRESSION 8 $22,477 $11,466 $179,816 $91,725 4.13
OTHER CIRCULATORY SYSTEM PROCEDURES 8 $55,678 $21,927 $445,425 $175,412 5.75
LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR 8 $41,240 $10,798 $329,919 $86,382 11.13
MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE 7 $25,356 $6,838 $177,494 $47,863 6.57
MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG 7 $62,630 $15,320 $438,413 $107,242 14.00
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES 7 $18,006 $5,006 $126,039 $35,045 2.14
ACUTE BRONCHITIS & RELATED SYMPTOMS 7 $18,141 $4,219 $126,988 $29,530 2.43
SPINAL DISORDERS & INJURIES 7 $60,560 $14,432 $423,923 $101,025 7.86
CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE 7 $21,353 $4,294 $149,474 $30,058 3.71
NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 7 $72,796 $24,530 $509,569 $171,710 11.00
FRACTURE OF PELVIS OR DISLOCATION OF HIP 7 $22,227 $5,730 $155,586 $40,113 5.43
INTRACRANIAL HEMORRHAGE 6 $24,895 $6,022 $149,367 $36,131 2.00
DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE 6 $14,704 $3,959 $88,224 $23,751 2.33
VAGINAL DELIVERY W STERILIZATION &/OR D&C 6 $8,747 $10,073 $52,480 $60,437 2.17
OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES 6 $34,088 $13,674 $204,526 $82,046 5.00
POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE 6 $57,928 $22,417 $347,570 $134,499 12.00
OTHER ENDOCRINE DISORDERS 6 $24,192 $6,581 $145,150 $39,488 4.00
MAJOR SKIN DISORDERS 6 $24,708 $5,481 $148,246 $32,888 6.67
NEONATAL AFTERCARE 6 $40,029 $7,697 $240,171 $46,180 12.00
KIDNEY & URINARY TRACT MALIGNANCY 5 $39,351 $12,200 $196,757 $61,001 5.00
COCAINE ABUSE & DEPENDENCE 5 $18,273 $5,695 $91,366 $28,473 3.40
TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES 5 $22,507 $7,648 $112,534 $38,240 4.00
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM 5 $82,261 $22,705 $411,304 $113,524 9.60
NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND 5 $44,760 $13,082 $223,799 $65,411 12.00
CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA 5 $19,684 $3,034 $98,422 $15,171 3.40
NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION 5 $23,401 $4,413 $117,006 $22,067 7.40
MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA 5 $60,421 $20,720 $302,106 $103,601 7.00
EYE INFECTIONS & OTHER EYE DISORDERS 5 $34,576 $9,337 $172,882 $46,686 5.40
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS 5 $16,772 $7,559 $83,862 $37,794 1.80
CARDIAC STRUCTURAL & VALVULAR DISORDERS 5 $32,861 $7,558 $164,304 $37,789 3.40
TRANSURETHRAL PROSTATECTOMY 5 $35,273 $24,329 $176,366 $121,644 1.80
NEONATE BIRTHWT >2499G W MAJOR ANOMALY 5 $11,918 $2,490 $59,592 $12,452 3.60
UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA 5 $18,601 $14,861 $93,007 $74,305 2.40
OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS 4 $60,370 $16,662 $241,478 $66,649 6.50
OTHER BLADDER PROCEDURES 4 $28,029 $8,022 $112,117 $32,089 4.75
CHRONIC KIDNEY DISEASE 4 $20,476 $5,581 $81,902 $22,324 3.50
OTHER SIGNIFICANT HIP & FEMUR SURGERY 4 $60,497 $22,925 $241,986 $91,698 12.25
PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE 4 $49,972 $24,736 $199,889 $98,944 7.75
MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES 4 $45,223 $21,897 $180,891 $87,587 8.00
EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 3 $65,339 $22,572 $196,016 $67,715 9.33
OTHER NERVOUS SYSTEM & RELATED PROCEDURES 3 $45,501 $14,167 $136,502 $42,501 11.67
MAJOR ESOPHAGEAL DISORDERS 3 $35,522 $15,996 $106,566 $47,989 4.67
ACUTE & SUBACUTE ENDOCARDITIS 3 $61,752 $20,654 $185,255 $61,962 10.67
INBORN ERRORS OF METABOLISM 3 $19,976 $5,274 $59,928 $15,821 3.67
ANAL PROCEDURES 3 $24,970 $7,737 $74,911 $23,211 4.00
OPEN EXTRACRANIAL VASCULAR PROCEDURES 3 $31,819 $15,936 $95,456 $47,808 2.67
MAJOR ABDOMINAL VASCULAR PROCEDURES 3 $56,103 $27,315 $168,309 $81,945 6.67
THYROID DISORDERS 3 $15,429 $4,677 $46,288 $14,031 3.33
NEPHRITIS & NEPHROSIS 3 $18,924 $5,974 $56,772 $17,923 4.67
GASTROINTESTINAL VASCULAR INSUFFICIENCY 3 $25,559 $7,435 $76,676 $22,305 4.67
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES 3 $33,831 $15,855 $101,494 $47,565 6.67
SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES 3 $53,157 $23,056 $159,470 $69,169 15.67
NEONATE BWT 1500-1999G W RESP DIST SYND/OTH MAJ RESP COND 3 $84,953 $17,408 $254,858 $52,225 21.67
NERVOUS SYSTEM MALIGNANCY 2 $29,632 $8,297 $59,264 $16,593 2.00
FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES 2 $29,150 $22,364 $58,300 $44,727 1.50
OTHER CHEMOTHERAPY 2 $14,037 $3,581 $28,073 $7,161 5.00
HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE 2 $22,719 $3,023 $45,438 $6,046 3.00
FEMALE REPRODUCTIVE SYSTEM INFECTIONS 2 $15,411 $8,404 $30,821 $16,808 4.00
MALIGNANCY, MALE REPRODUCTIVE SYSTEM 2 $64,789 $18,640 $129,578 $37,280 33.50
NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION 2 $79,765 $14,389 $159,529 $28,777 25.50
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY 2 $26,370 $7,488 $52,740 $14,975 4.50
MALIGNANT BREAST DISORDERS 2 $33,977 $9,995 $67,953 $19,989 3.50
NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS 2 $71,772 $24,039 $143,543 $48,078 16.00
HAND & WRIST PROCEDURES 2 $12,702 $6,671 $25,404 $13,342 1.00
OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES 2 $55,427 $19,486 $110,853 $38,972 8.50
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT 2 $55,123 $14,463 $110,246 $28,925 6.00
MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 2 $18,080 $7,877 $36,159 $15,754 2.50
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS 2 $36,772 $9,379 $73,544 $18,758 3.00
OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES 2 $26,254 $10,909 $52,508 $21,817 6.00
VIRAL MENINGITIS 2 $12,685 $15,931 $25,369 $31,861 3.50
OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL & METABOLIC DISORDERS 2 $44,123 $13,720 $88,246 $27,440 10.00
NEONATE BWT 2000-2499G W MAJOR ANOMALY 2 $19,215 $3,885 $38,429 $7,769 4.50
THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES 2 $53,491 $33,749 $106,981 $67,497 3.50
HIV W MAJOR HIV RELATED CONDITION 2 $35,164 $11,517 $70,327 $23,033 8.50
NEONATE BIRTHWT 1500-1999G W MAJOR ANOMALY 2 $29,462 $5,536 $58,924 $11,071 9.00
CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT 2 $12,425 $6,337 $24,850 $12,673 1.00
EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 2 $197,465 $64,952 $394,930 $129,904 12.00
NEONATE, TRANSFERRED <5 DAYS OLD, NOT BORN HERE 2 $8,745 $2,533 $17,490 $5,065 1.00
OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES 1 $22,075 $6,835 $22,075 $6,835 6.00
OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES 1 $13,842 $5,594 $13,842 $5,594 2.00
MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE 1 $29,403 $5,029 $29,403 $5,029 2.00
UNGROUPABLE 1 $3,000 $919 $3,000 $919 2.00
EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES 1 $24,244 $4,918 $24,244 $4,918 2.00
ACUTE LEUKEMIA 1 $5,184 $1,337 $5,184 $1,337 1.00
OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES 1 $21,432 $5,304 $21,432 $5,304 4.00
TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE 1 $210,165 $85,678 $210,165 $85,678 29.00
BREAST PROCEDURES EXCEPT MASTECTOMY 1 $34,104 $20,488 $34,104 $20,488 6.00
INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES 1 $14,397 $6,363 $14,397 $6,363 3.00
NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM 1 $13,040 $4,404 $13,040 $4,404 1.00
OTHER MENTAL HEALTH DISORDERS 1 $7,247 $2,009 $7,247 $2,009 2.00
ALLERGIC REACTIONS 1 $8,349 $2,037 $8,349 $2,037 2.00
OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES 1 $71,016 $28,557 $71,016 $28,557 8.00
DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES 1 $27,423 $8,687 $27,423 $8,687 3.00
ANTEPARTUM W O.R. PROCEDURE 1 $11,655 $17,030 $11,655 $17,030 3.00