Samaritan Medical Center

2019 Age Distribution

2019 Patient Race:

White8,391
Other Race894
Black/African American574

2019 Payers:

Federal/State/Local/VA 2,097
Medicaid 2,327
Blue Cross/Blue Shield 1,057
Private Health Insurance 630
Medicare 3,544
Department of Corrections 9
Miscellaneous/Other 44
Self-Pay 151

Conditions treated in 2019

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 1354 $3,706 $679 $5,018,104 $919,244 2.15
VAGINAL DELIVERY 1009 $7,111 $9,476 $7,175,218 $9,561,512 2.21
CESAREAN DELIVERY 434 $11,734 $13,243 $5,092,749 $5,747,500 2.80
HEART FAILURE 302 $30,239 $9,238 $9,132,247 $2,789,950 5.79
DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER 302 $12,721 $5,168 $3,841,642 $1,560,850 4.96
MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES 243 $17,571 $7,382 $4,269,863 $1,793,843 7.28
OTHER PNEUMONIA 239 $24,810 $7,522 $5,929,652 $1,797,783 4.72
SEPTICEMIA & DISSEMINATED INFECTIONS 232 $39,360 $11,363 $9,131,569 $2,636,110 7.72
BIPOLAR DISORDERS 196 $17,253 $7,164 $3,381,555 $1,404,221 7.08
KNEE JOINT REPLACEMENT 193 $23,069 $13,974 $4,452,327 $2,696,954 1.79
CHRONIC OBSTRUCTIVE PULMONARY DISEASE 179 $26,430 $7,077 $4,730,925 $1,266,738 5.39
ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES 163 $11,587 $4,600 $1,888,666 $749,731 4.34
SCHIZOPHRENIA 125 $27,822 $11,939 $3,477,773 $1,492,406 12.18
KIDNEY & URINARY TRACT INFECTIONS 120 $21,366 $5,483 $2,563,937 $657,978 5.34
HIP JOINT REPLACEMENT 119 $27,030 $15,492 $3,216,539 $1,843,547 2.79
ACUTE KIDNEY INJURY 112 $30,005 $8,051 $3,360,575 $901,694 6.46
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS 112 $26,434 $7,840 $2,960,607 $878,026 4.74
RESPIRATORY FAILURE 104 $35,154 $10,487 $3,655,965 $1,090,647 5.39
OTHER DISORDERS OF NERVOUS SYSTEM 102 $51,035 $18,345 $5,205,596 $1,871,142 12.15
CELLULITIS & OTHER SKIN INFECTIONS 100 $17,704 $5,677 $1,770,411 $567,693 4.60
OTHER GASTROENTERITIS, NAUSEA & VOMITING 99 $19,492 $5,344 $1,929,696 $529,027 3.90
DIABETES 97 $21,070 $5,947 $2,043,791 $576,904 3.78
OTHER AFTERCARE & CONVALESCENCE 95 $52,076 $20,076 $4,947,199 $1,907,262 13.56
CVA & PRECEREBRAL OCCLUSION W INFARCT 94 $36,883 $7,921 $3,467,007 $744,573 5.10
DISORDERS OF PANCREAS EXCEPT MALIGNANCY 93 $19,498 $5,402 $1,813,353 $502,432 4.60
MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS 92 $41,200 $11,442 $3,790,438 $1,052,678 8.78
OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS 89 $25,307 $7,213 $2,252,338 $641,981 4.36
OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE 78 $26,801 $8,794 $2,090,469 $685,959 4.58
MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS 72 $29,110 $8,313 $2,095,945 $598,568 6.51
INTESTINAL OBSTRUCTION 72 $19,192 $5,978 $1,381,798 $430,392 4.85
SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS 72 $25,822 $7,158 $1,859,204 $515,404 7.32
DIVERTICULITIS & DIVERTICULOSIS 71 $20,219 $7,329 $1,435,534 $520,371 4.55
OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES 71 $36,760 $11,013 $2,609,962 $781,919 9.72
PERIPHERAL & OTHER VASCULAR DISORDERS 67 $28,791 $8,787 $1,928,988 $588,729 6.69
MAJOR LARGE BOWEL PROCEDURES 63 $38,060 $17,867 $2,397,773 $1,125,651 7.16
NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM 63 $14,671 $2,064 $924,304 $130,011 5.27
INFECTIONS OF UPPER RESPIRATORY TRACT 58 $22,495 $7,315 $1,304,711 $424,258 4.83
DISORDERS OF GALLBLADDER & BILIARY TRACT 55 $20,446 $7,998 $1,124,554 $439,877 3.75
ACUTE ANXIETY & DELIRIUM STATES 54 $11,476 $4,468 $619,693 $241,267 4.07
HIP & FEMUR FRACTURE REPAIR 53 $39,419 $17,847 $2,089,202 $945,917 6.17
OTHER DIGESTIVE SYSTEM DIAGNOSES 50 $18,842 $5,181 $942,076 $259,033 3.66
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES 50 $27,416 $8,961 $1,370,817 $448,063 7.80
MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC 49 $40,044 $11,360 $1,962,179 $556,662 9.06
POISONING OF MEDICINAL AGENTS 48 $20,607 $5,797 $989,119 $278,266 3.10
OTHER ANTEPARTUM DIAGNOSES 47 $9,389 $8,002 $441,287 $376,092 3.34
PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS 47 $30,986 $9,227 $1,456,364 $433,678 6.40
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS 45 $40,541 $11,752 $1,824,337 $528,830 12.62
BRONCHIOLITIS & RSV PNEUMONIA 45 $11,199 $10,950 $503,933 $492,748 3.18
KNEE & LOWER LEG PROCEDURES EXCEPT FOOT 43 $32,813 $16,749 $1,410,953 $720,217 5.07
HYPERTENSION 41 $25,194 $6,334 $1,032,964 $259,674 4.15
OTHER DISORDERS OF THE LIVER 40 $23,702 $7,106 $948,092 $284,247 4.88
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS 39 $30,659 $8,079 $1,195,720 $315,065 5.31
PEPTIC ULCER & GASTRITIS 39 $25,552 $8,566 $996,545 $334,068 4.74
SYNCOPE & COLLAPSE 39 $22,818 $5,344 $889,897 $208,401 4.00
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES 38 $27,249 $7,828 $1,035,457 $297,446 4.50
LOWER EXTREMITY ARTERIAL PROCEDURES 38 $46,233 $19,924 $1,756,861 $757,128 8.55
PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK 37 $44,618 $23,434 $1,650,875 $867,076 4.35
ALCOHOL ABUSE & DEPENDENCE 37 $16,488 $4,662 $610,060 $172,489 3.78
MAJOR SMALL BOWEL PROCEDURES 36 $49,273 $21,022 $1,773,826 $756,775 10.14
ACUTE MYOCARDIAL INFARCTION 36 $36,219 $11,006 $1,303,899 $396,228 5.44
RESPIRATORY MALIGNANCY 34 $35,290 $8,483 $1,199,862 $288,432 5.26
ALTERATION IN CONSCIOUSNESS 34 $38,856 $9,354 $1,321,099 $318,049 6.35
CHOLECYSTECTOMY 32 $30,894 $12,533 $988,618 $401,057 5.75
URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION 31 $15,664 $5,806 $485,596 $180,001 2.90
ASTHMA 31 $16,607 $4,972 $514,803 $154,125 3.10
PULMONARY EMBOLISM 29 $37,967 $10,774 $1,101,044 $312,444 5.41
COAGULATION & PLATELET DISORDERS 29 $24,928 $7,438 $722,904 $215,698 4.31
ALCOHOLIC LIVER DISEASE 28 $32,997 $9,303 $923,916 $260,482 6.36
TRANSIENT ISCHEMIA 28 $31,631 $6,368 $885,676 $178,317 4.21
SEIZURE 28 $24,993 $6,628 $699,795 $185,571 4.64
OTHER PERIPHERAL VASCULAR PROCEDURES 26 $65,952 $27,691 $1,714,755 $719,954 8.81
MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL 26 $37,573 $10,097 $976,889 $262,519 7.00
MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 25 $49,734 $15,706 $1,243,344 $392,654 10.52
OTHER CIRCULATORY SYSTEM DIAGNOSES 25 $29,071 $7,760 $726,777 $193,988 5.24
INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE 24 $117,204 $39,843 $2,812,886 $956,227 20.46
OVERDOSE 24 $21,814 $6,740 $523,536 $161,751 2.88
NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE 24 $9,487 $2,045 $227,694 $49,072 1.21
OTHER RESPIRATORY & CHEST PROCEDURES 23 $67,527 $28,809 $1,553,129 $662,607 9.43
OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES 23 $32,889 $18,099 $756,447 $416,276 1.91
HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS 23 $25,641 $6,423 $589,749 $147,734 3.83
VAGINAL DELIVERY W STERILIZATION &/OR D&C 23 $9,927 $11,019 $228,316 $253,445 2.26
FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK 23 $32,385 $7,737 $744,849 $177,954 8.35
URETHRAL & TRANSURETHRAL PROCEDURES 22 $26,548 $10,781 $584,048 $237,172 4.91
INFLAMMATORY BOWEL DISEASE 22 $19,218 $5,510 $422,789 $121,212 4.50
KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY 21 $24,078 $12,029 $505,645 $252,618 2.33
NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND 21 $25,552 $4,064 $536,584 $85,351 7.10
CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP 20 $28,505 $19,843 $570,102 $396,859 1.35
DISORDERS OF PERSONALITY & IMPULSE CONTROL 20 $13,948 $5,410 $278,968 $108,190 5.60
MAJOR CHEST & RESPIRATORY TRAUMA 20 $45,749 $13,719 $914,977 $274,387 8.50
UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA 20 $16,953 $12,352 $339,067 $247,046 1.75
FOOT & TOE PROCEDURES 20 $31,254 $12,392 $625,072 $247,838 6.15
OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES 18 $24,865 $7,816 $447,564 $140,684 4.89
OTHER COMPLICATIONS OF TREATMENT 18 $20,135 $8,597 $362,428 $154,752 4.00
DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK 17 $49,534 $35,540 $842,073 $604,175 3.53
MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE 17 $47,408 $15,033 $805,934 $255,559 7.53
INTERSTITIAL & ALVEOLAR LUNG DISEASES 16 $24,432 $6,363 $390,904 $101,803 5.06
NON-HYPOVOLEMIC SODIUM DISORDERS 16 $36,757 $10,992 $588,112 $175,873 9.63
OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES 16 $46,505 $16,502 $744,078 $264,037 12.31
DIGESTIVE MALIGNANCY 16 $22,037 $5,604 $352,592 $89,670 4.75
MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS 15 $25,281 $15,748 $379,211 $236,215 6.87
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM 15 $87,696 $18,731 $1,315,445 $280,970 8.27
MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES 15 $39,771 $12,740 $596,571 $191,099 8.47
NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION 15 $18,838 $2,783 $282,569 $41,749 7.07
OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS 14 $20,046 $6,082 $280,637 $85,144 4.79
HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS 14 $22,281 $6,086 $311,939 $85,206 5.36
VERTIGO & OTHER LABYRINTH DISORDERS 14 $24,839 $4,754 $347,743 $66,561 3.64
SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT 14 $36,998 $15,634 $517,974 $218,873 5.50
NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION 14 $41,128 $5,441 $575,785 $76,176 13.07
MAJOR ABDOMINAL VASCULAR PROCEDURES 13 $39,907 $19,578 $518,785 $254,510 5.69
TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES 13 $46,204 $15,420 $600,651 $200,461 9.69
PERITONEAL ADHESIOLYSIS 13 $32,349 $14,270 $420,539 $185,510 7.54
ACUTE & SUBACUTE ENDOCARDITIS 13 $40,120 $12,473 $521,566 $162,145 7.23
CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE 13 $19,383 $4,610 $251,974 $59,933 4.54
CHEST PAIN 12 $19,386 $4,287 $232,634 $51,444 3.00
MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES 12 $58,581 $23,405 $702,972 $280,861 12.50
EXTRACRANIAL VASCULAR PROCEDURES 12 $29,046 $14,622 $348,549 $175,464 3.25
NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 12 $67,859 $28,641 $814,309 $343,693 11.67
KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY 12 $34,709 $19,820 $416,512 $237,836 3.08
OPIOID ABUSE & DEPENDENCE 12 $10,249 $3,969 $122,990 $47,622 3.67
HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION 11 $39,805 $14,561 $437,856 $160,168 6.55
FRACTURE OF FEMUR 11 $16,122 $4,520 $177,338 $49,716 4.09
FEVER 11 $23,376 $8,330 $257,131 $91,625 3.36
CONNECTIVE TISSUE DISORDERS 11 $38,931 $10,634 $428,244 $116,973 8.27
NERVOUS SYSTEM MALIGNANCY 10 $38,893 $12,302 $388,927 $123,018 8.00
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS 10 $34,945 $9,212 $349,449 $92,120 7.90
MIGRAINE & OTHER HEADACHES 10 $28,072 $5,281 $280,721 $52,814 3.00
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES 10 $22,774 $6,492 $227,735 $64,919 2.20
RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES 10 $26,494 $6,961 $264,938 $69,614 5.00
OTHER SMALL & LARGE BOWEL PROCEDURES 10 $32,376 $13,655 $323,762 $136,551 6.70
CHRONIC KIDNEY DISEASE 10 $39,596 $11,375 $395,955 $113,751 9.60
CARDIAC ARREST & SHOCK 10 $43,177 $11,122 $431,766 $111,215 4.00
OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS 10 $14,245 $5,043 $142,448 $50,431 4.20
OTHER DRUG ABUSE & DEPENDENCE 9 $15,269 $6,189 $137,421 $55,702 5.67
ABDOMINAL PAIN 9 $14,235 $3,627 $128,117 $32,646 3.33
SKIN ULCERS 9 $18,453 $4,302 $166,078 $38,722 5.33
OTHER CIRCULATORY SYSTEM PROCEDURES 9 $63,777 $23,371 $573,989 $210,341 10.56
VIRAL ILLNESS 8 $14,709 $6,153 $117,673 $49,225 3.25
OTHER ESOPHAGEAL DISORDERS 8 $21,572 $7,847 $172,573 $62,772 4.38
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL 8 $28,085 $15,923 $224,676 $127,385 3.50
FRACTURE OF PELVIS OR DISLOCATION OF HIP 8 $25,020 $5,683 $200,159 $45,463 6.88
PRETERM LABOR 8 $4,694 $5,877 $37,549 $47,014 1.63
AMPUTATION OF LOWER LIMB EXCEPT TOES 8 $49,972 $18,712 $399,773 $149,697 9.63
NEONATE BIRTHWT >2499G W MAJOR ANOMALY 8 $3,249 $752 $25,989 $6,015 1.88
LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR 7 $19,848 $6,039 $138,937 $42,274 3.43
EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 7 $68,671 $23,047 $480,699 $161,329 12.14
OTHER ENDOCRINE DISORDERS 7 $33,145 $9,946 $232,012 $69,620 8.14
OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES 7 $30,988 $16,069 $216,919 $112,485 6.29
ALLERGIC REACTIONS 7 $26,575 $8,516 $186,024 $59,615 5.43
MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE 7 $39,290 $11,652 $275,032 $81,566 9.00
MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE 7 $17,630 $4,812 $123,413 $33,682 4.57
NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND 7 $42,332 $6,385 $296,327 $44,692 12.00
INBORN ERRORS OF METABOLISM 6 $14,538 $4,022 $87,227 $24,129 2.67
VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C 6 $8,107 $9,903 $48,643 $59,419 2.17
DENTAL DISEASES AND DISORDERS 6 $13,153 $11,602 $78,918 $69,613 3.00
OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS 6 $30,976 $9,748 $185,855 $58,490 7.83
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS 6 $12,997 $9,251 $77,980 $55,504 2.00
ORGANIC MENTAL HEALTH DISTURBANCES 6 $17,012 $5,416 $102,073 $32,498 6.17
ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS 6 $15,627 $3,678 $93,764 $22,070 2.00
ACUTE BRONCHITIS AND RELATED SYMPTOMS 6 $19,971 $4,927 $119,826 $29,560 3.50
UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA 5 $14,491 $13,675 $72,455 $68,376 1.80
MAJOR RESPIRATORY & CHEST PROCEDURES 5 $64,261 $31,610 $321,307 $158,052 13.40
MAJOR SKIN DISORDERS 5 $23,182 $6,386 $115,910 $31,928 5.60
OTHER INFECTIOUS & PARASITIC DISEASES 5 $36,076 $13,333 $180,382 $66,665 9.20
EYE INFECTIONS AND OTHER EYE DISORDERS 5 $24,683 $5,389 $123,415 $26,946 2.40
OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES 5 $32,567 $12,029 $162,836 $60,143 4.00
MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG 5 $52,792 $17,854 $263,962 $89,272 10.60
PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE 5 $63,400 $24,435 $317,002 $122,173 15.60
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY 5 $16,283 $3,498 $81,413 $17,490 2.80
INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES 5 $30,296 $11,470 $151,481 $57,350 6.40
MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS 5 $28,917 $9,986 $144,586 $49,931 4.20
POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE 5 $73,453 $24,522 $367,267 $122,609 10.60
KIDNEY & URINARY TRACT MALIGNANCY 5 $14,397 $3,966 $71,983 $19,828 2.60
DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE 5 $10,498 $2,403 $52,488 $12,017 1.20
NEONATAL AFTERCARE 5 $42,874 $5,224 $214,368 $26,119 13.60
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY 5 $30,022 $7,454 $150,112 $37,271 4.60
SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES 5 $32,438 $10,797 $162,188 $53,984 8.20
SHOULDER & ELBOW JOINT REPLACEMENT 5 $35,122 $22,423 $175,612 $112,113 1.40
NEONATE BWT 1500-1999G W RESP DIST SYND/OTH MAJ RESP COND 5 $48,401 $7,182 $242,006 $35,911 13.80
OTHER MENTAL HEALTH DISORDERS 4 $11,653 $4,744 $46,612 $18,974 4.25
HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE 4 $22,581 $5,031 $90,323 $20,125 3.50
EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 4 $42,058 $16,542 $168,233 $66,167 9.00
COCAINE ABUSE & DEPENDENCE 4 $11,411 $4,558 $45,645 $18,232 4.25
CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA 4 $33,642 $7,569 $134,568 $30,274 5.50
INTRACRANIAL HEMORRHAGE 4 $16,440 $3,492 $65,758 $13,966 2.25
CARDIAC STRUCTURAL & VALVULAR DISORDERS 4 $23,101 $6,585 $92,402 $26,339 3.25
MAJOR ESOPHAGEAL DISORDERS 4 $22,069 $7,002 $88,275 $28,008 2.50
NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS 4 $34,604 $7,827 $138,416 $31,309 8.25
OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES 4 $36,299 $9,494 $145,195 $37,975 4.25
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS 4 $118,083 $43,785 $472,332 $175,141 14.75
LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA 4 $38,429 $10,241 $153,714 $40,965 6.50
OTHER BLADDER PROCEDURES 4 $76,000 $33,645 $303,998 $134,579 12.00
NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION 4 $42,827 $5,944 $171,308 $23,775 15.50
OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS 3 $80,887 $23,399 $242,660 $70,197 14.33
OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES 3 $45,315 $15,978 $135,946 $47,935 11.00
TRANSURETHRAL PROSTATECTOMY 3 $31,464 $15,877 $94,391 $47,631 2.00
SPINAL DISORDERS & INJURIES 3 $56,069 $24,192 $168,207 $72,577 13.67
MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 3 $15,597 $7,432 $46,790 $22,297 2.00
MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE 3 $34,701 $8,953 $104,102 $26,860 7.67
HIV W MAJOR HIV RELATED CONDITION 3 $42,961 $12,049 $128,882 $36,147 9.00
FEMALE REPRODUCTIVE SYSTEM INFECTIONS 3 $11,675 $7,379 $35,024 $22,136 3.00
D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY FOR OBSTETRIC DIAGNOSES 3 $14,287 $10,314 $42,860 $30,941 3.00
ACUTE LEUKEMIA 3 $29,501 $10,359 $88,504 $31,076 4.00
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT 3 $35,268 $6,736 $105,804 $20,209 3.00
GASTROINTESTINAL VASCULAR INSUFFICIENCY 3 $20,549 $5,991 $61,647 $17,974 2.67
INTERVERTEBRAL DISC EXCISION & DECOMPRESSION 3 $26,727 $10,571 $80,180 $31,712 3.00
VIRAL MENINGITIS 3 $60,431 $11,806 $181,292 $35,418 4.33
BEHAVIORAL DISORDERS 3 $10,102 $3,974 $30,307 $11,921 3.67
NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION 3 $24,468 $3,304 $73,403 $9,913 7.67
CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS 2 $44,639 $16,878 $89,278 $33,755 8.00
FALSE LABOR 2 $4,128 $5,933 $8,256 $11,865 1.50
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS 2 $17,200 $10,020 $34,399 $20,040 2.50
EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES 2 $11,294 $2,859 $22,588 $5,717 2.50
MASTECTOMY PROCEDURES 2 $19,046 $13,845 $38,091 $27,690 2.50
OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES 2 $44,851 $16,199 $89,702 $32,398 4.00
ANOXIC & OTHER SEVERE BRAIN DAMAGE 2 $40,871 $11,705 $81,742 $23,409 23.00
ADRENAL PROCEDURES 2 $41,292 $20,421 $82,583 $40,842 3.50
OTHER NERVOUS SYSTEM & RELATED PROCEDURES 2 $47,285 $11,018 $94,569 $22,036 11.00
MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA 2 $56,457 $26,423 $112,914 $52,845 7.50
CARDIOMYOPATHY 2 $20,730 $5,327 $41,459 $10,654 3.50
OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES 2 $35,670 $13,034 $71,340 $26,068 7.00
NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION 2 $6,724 $4,747 $13,448 $9,494 2.50
NEONATE BWT < 500G, OR BWT 500-999G & GESTATIONAL AGE <24 WKS, OR BWT 500-749G W MAJOR ANOMALY OR W/O LIFE SUSTAINING INTERVENTION 2 $436 $15 $872 $29 1.00
OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS 1 $32,245 $40,126 $32,245 $40,126 9.00
MAJOR MALE PELVIC PROCEDURES 1 $23,387 $16,070 $23,387 $16,070 1.00
CYSTIC FIBROSIS - PULMONARY DISEASE 1 $42,376 $8,994 $42,376 $8,994 8.00
MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS 1 $50,726 $22,122 $50,726 $22,122 12.00
RENAL DIALYSIS ACCESS DEVICE AND VESSEL REPAIR 1 $46,118 $11,638 $46,118 $11,638 9.00
MALIGNANT BREAST DISORDERS 1 $9,995 $2,349 $9,995 $2,349 2.00
TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE 1 $248,881 $86,146 $248,881 $86,146 31.00
THYROID DISORDERS 1 $71,654 $22,031 $71,654 $22,031 9.00
THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES 1 $51,816 $28,668 $51,816 $28,668 5.00
HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS 1 $22,674 $5,181 $22,674 $5,181 3.00
OTHER MAJOR HEAD & NECK PROCEDURES 1 $27,850 $10,755 $27,850 $10,755 4.00
MAJOR BLADDER PROCEDURES 1 $63,331 $23,686 $63,331 $23,686 15.00
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES 1 $15,201 $6,339 $15,201 $6,339 4.00
BREAST PROCEDURES EXCEPT MASTECTOMY 1 $22,612 $9,253 $22,612 $9,253 4.00
DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES 1 $13,007 $8,280 $13,007 $8,280 1.00
NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 1 $54,227 $21,600 $54,227 $21,600 6.00
MENTAL ILLNESS DIAGNOSIS W O.R. PROCEDURE 1 $21,397 $7,160 $21,397 $7,160 2.00
SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES 1 $170,273 $46,175 $170,273 $46,175 67.00
NEONATE BIRTHWT 1500-1999G W CONGENITAL/PERINATAL INFECTION 1 $48,860 $6,812 $48,860 $6,812 15.00
ANAL PROCEDURES 1 $34,660 $12,859 $34,660 $12,859 4.00
CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT 1 $14,653 $8,439 $14,653 $8,439 2.00
GASTRIC FUNDOPLICATION 1 $30,145 $21,002 $30,145 $21,002 3.00
NEONATE, TRANSFERRED <5 DAYS OLD, NOT BORN HERE 1 $17,948 $3,804 $17,948 $3,804 2.00
PENIS, TESTES & SCROTAL PROCEDURES 1 $40,048 $21,690 $40,048 $21,690 2.00
SICKLE CELL ANEMIA CRISIS 1 $8,407 $3,037 $8,407 $3,037 2.00
TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE 1 $242,414 $82,040 $242,414 $82,040 28.00
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS 1 $13,517 $3,951 $13,517 $3,951 2.00
OTHER SIGNIFICANT HIP & FEMUR SURGERY 1 $34,618 $17,230 $34,618 $17,230 8.00
MALIGNANCY, MALE REPRODUCTIVE SYSTEM 1 $9,398 $2,283 $9,398 $2,283 1.00
EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA 1 $76,604 $26,200 $76,604 $26,200 6.00