Samaritan Medical Center

2017 Age Distribution

2017 Patient Race:

Black/African American573
Other Race1,289
White8,117

2017 Payers:

Blue Cross/Blue Shield 1,070
Department of Corrections 16
Federal/State/Local/VA 2,504
Medicaid 2,142
Medicare 3,340
Miscellaneous/Other 140
Private Health Insurance 668
Self-Pay 99

Conditions treated in 2017

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 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