Neonate birthwt >2499g, normal newborn or neonate w other problem |
214 |
$2,327 |
$3,230 |
$497,964 |
$691,177 |
2.02 |
Vaginal delivery |
139 |
$5,825 |
$5,567 |
$809,708 |
$773,874 |
2.09 |
Other pneumonia |
97 |
$19,412 |
$19,006 |
$1,882,962 |
$1,843,570 |
3.95 |
Chronic obstructive pulmonary disease |
85 |
$18,194 |
$17,040 |
$1,546,464 |
$1,448,431 |
3.51 |
Cesarean delivery |
80 |
$18,934 |
$13,091 |
$1,514,743 |
$1,047,272 |
2.75 |
Heart failure |
53 |
$16,283 |
$15,247 |
$863,024 |
$808,081 |
3.45 |
Kidney & urinary tract infections |
41 |
$15,990 |
$14,319 |
$655,607 |
$587,093 |
3.29 |
Septicemia & disseminated infections |
32 |
$25,296 |
$25,851 |
$809,482 |
$827,228 |
5.19 |
Cardiac arrhythmia & conduction disorders |
29 |
$15,421 |
$14,959 |
$447,207 |
$433,805 |
2.90 |
Intestinal obstruction |
25 |
$12,986 |
$12,029 |
$324,660 |
$300,726 |
3.36 |
Diverticulitis & diverticulosis |
24 |
$12,665 |
$12,077 |
$303,962 |
$289,847 |
3.25 |
Other gastroenteritis, nausa & vomiting |
23 |
$10,807 |
$8,184 |
$248,569 |
$188,227 |
1.70 |
Cellulitis & other skin infections |
23 |
$10,455 |
$9,879 |
$240,459 |
$227,219 |
2.74 |
Major gastrointestinal & peritoneal infections |
21 |
$13,665 |
$11,805 |
$286,958 |
$247,900 |
2.67 |
Diabetes |
15 |
$16,873 |
$16,295 |
$253,089 |
$244,429 |
3.13 |
Signs, symptoms & other factors influencing health status |
13 |
$16,125 |
$14,462 |
$209,622 |
$188,008 |
3.54 |
Other digestive system diagnoses |
12 |
$18,536 |
$13,152 |
$222,429 |
$157,821 |
2.33 |
Major respiratory infections & inflammations |
11 |
$22,159 |
$21,616 |
$243,747 |
$237,774 |
4.73 |
Electrolyte disorders except hypovolemia related |
11 |
$19,373 |
$17,243 |
$213,101 |
$189,676 |
3.18 |
Uterine & adnexa procedures for non-malignancy except leiomyoma |
11 |
$23,582 |
$15,344 |
$259,398 |
$168,781 |
1.91 |
Respiratory Failure |
10 |
$29,588 |
$28,739 |
$295,879 |
$287,386 |
4.00 |
Acute myocardial infarction |
9 |
$14,459 |
$12,202 |
$130,134 |
$109,819 |
2.89 |
Hip and femur fracture repair |
9 |
$54,815 |
$42,915 |
$493,336 |
$386,233 |
5.11 |
Acute Kidney Injury |
9 |
$17,436 |
$15,114 |
$156,927 |
$136,030 |
3.56 |
Neonate bwt 2000-2499g, normal newborn or neonate w other problem |
9 |
$3,001 |
$4,042 |
$27,008 |
$36,380 |
2.56 |
Infections of upper respiratory tract |
8 |
$14,524 |
$14,261 |
$116,192 |
$114,086 |
2.75 |
Disorders of gallbladder & biliary tract |
8 |
$14,177 |
$11,126 |
$113,416 |
$89,008 |
2.13 |
Hypertension |
7 |
$11,512 |
$10,588 |
$80,585 |
$74,114 |
2.29 |
Appendectomy |
7 |
$30,383 |
$22,183 |
$212,679 |
$155,283 |
2.43 |
Disorders of pancreas except malignancy |
7 |
$16,512 |
$15,325 |
$115,582 |
$107,277 |
4.00 |
Hypovolemia & related electrolyte disorders |
7 |
$12,222 |
$9,019 |
$85,555 |
$63,130 |
1.86 |
Other antepartum diagnoses |
7 |
$4,879 |
$5,229 |
$34,154 |
$36,604 |
1.86 |
Neonate, transferred < 5 days old, born here |
7 |
$2,219 |
$2,013 |
$15,534 |
$14,094 |
1.00 |
Moderately extensive procedure unrelated to principal diagnosis |
7 |
$17,844 |
$16,696 |
$124,911 |
$116,869 |
3.43 |
Major small & large bowel procedures |
6 |
$62,349 |
$50,262 |
$374,092 |
$301,569 |
7.00 |
Other skin, subcutaneous tissue & related procedures |
6 |
$17,038 |
$12,944 |
$102,225 |
$77,666 |
3.00 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
6 |
$13,015 |
$9,687 |
$78,089 |
$58,124 |
2.33 |
Malfunction, reaction, complic of genitourinary device or proc |
6 |
$14,177 |
$13,861 |
$85,061 |
$83,166 |
4.17 |
Other anemia & disorders of blood & blood-forming organs |
6 |
$20,154 |
$17,060 |
$120,922 |
$102,360 |
3.83 |
Pulmonary embolism |
5 |
$19,750 |
$14,695 |
$98,748 |
$73,474 |
3.00 |
Other musculoskeletal system & connective tissue diagnoses |
5 |
$12,205 |
$10,680 |
$61,027 |
$53,399 |
3.40 |
Bronchiolitis & RSV pneumonia |
4 |
$15,560 |
$14,522 |
$62,241 |
$58,086 |
3.00 |
Asthma |
4 |
$14,315 |
$14,088 |
$57,261 |
$56,353 |
2.75 |
Angina pectoris & coronary atherosclerosis |
4 |
$13,479 |
$7,863 |
$53,916 |
$31,451 |
1.75 |
Chest pain |
4 |
$8,609 |
$6,145 |
$34,435 |
$24,580 |
1.00 |
Other small & large bowel procedures |
4 |
$32,186 |
$24,557 |
$128,743 |
$98,229 |
4.50 |
Knee joint replacement |
4 |
$72,457 |
$58,249 |
$289,826 |
$232,997 |
3.50 |
Fracture of pelvis or dislocation of hip |
4 |
$17,283 |
$15,901 |
$69,133 |
$63,603 |
5.25 |
Skin ulcers |
4 |
$11,481 |
$10,880 |
$45,924 |
$43,521 |
3.25 |
Post-operative, post-traumatic, other device infections |
4 |
$14,695 |
$13,645 |
$58,779 |
$54,578 |
3.00 |
Other infectious & parasitic diseases |
4 |
$13,072 |
$10,366 |
$52,289 |
$41,464 |
2.50 |
Alcohol abuse & dependence |
4 |
$16,504 |
$16,336 |
$66,015 |
$65,344 |
3.00 |
CVA & precerebral occlusion w infarct |
3 |
$24,510 |
$18,867 |
$73,530 |
$56,601 |
4.67 |
Transient ischemia |
3 |
$21,192 |
$11,125 |
$63,575 |
$33,374 |
2.67 |
Syncope & collapse |
3 |
$9,235 |
$5,985 |
$27,706 |
$17,956 |
1.33 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
3 |
$8,864 |
$7,171 |
$26,592 |
$21,512 |
1.33 |
Other circulatory system diagnoses |
3 |
$12,168 |
$9,740 |
$36,505 |
$29,220 |
1.33 |
Peritoneal adhesiolysis |
3 |
$59,735 |
$57,936 |
$179,205 |
$173,809 |
13.33 |
Hernia procedures except inguinal, femoral & umbilical |
3 |
$38,165 |
$29,284 |
$114,494 |
$87,853 |
3.33 |
Peptic ulcer & gastritis |
3 |
$21,776 |
$19,120 |
$65,327 |
$57,360 |
3.00 |
Knee & lower leg procedures except foot |
3 |
$39,561 |
$28,178 |
$118,683 |
$84,535 |
2.00 |
Other endocrine disorders |
3 |
$13,180 |
$9,725 |
$39,539 |
$29,176 |
2.67 |
Vaginal delivery w sterilization &/or D&C |
3 |
$13,609 |
$9,749 |
$40,827 |
$29,246 |
2.33 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
3 |
$6,915 |
$6,571 |
$20,745 |
$19,714 |
2.67 |
Neonate birthwt >2499g w other significant condition |
3 |
$4,961 |
$4,170 |
$14,883 |
$12,510 |
2.33 |
Other complications of treatment |
3 |
$13,888 |
$11,626 |
$41,664 |
$34,878 |
3.00 |
Seizure |
2 |
$11,971 |
$10,168 |
$23,942 |
$20,335 |
2.00 |
Respiratory malignancy |
2 |
$12,584 |
$15,631 |
$25,167 |
$31,261 |
5.00 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
2 |
$18,793 |
$16,363 |
$37,586 |
$32,725 |
1.50 |
Digestive malignancy |
2 |
$20,541 |
$12,869 |
$41,081 |
$25,737 |
2.50 |
Inflammatory bowel disease |
2 |
$16,079 |
$14,168 |
$32,157 |
$28,335 |
3.00 |
Gastrointestinal vascular insufficiency |
2 |
$12,778 |
$12,231 |
$25,556 |
$24,462 |
3.50 |
Malfunction, reaction & complication of GI device or procedure |
2 |
$11,746 |
$11,257 |
$23,492 |
$22,513 |
3.00 |
Laparoscopic cholecystectomy |
2 |
$20,132 |
$13,796 |
$40,264 |
$27,592 |
2.00 |
Other hepatobiliary, pancreas & abdominal procedures |
2 |
$39,372 |
$35,521 |
$78,744 |
$71,042 |
8.50 |
Shoulder, upper arm & forearm procedures except joint replacement |
2 |
$37,782 |
$27,116 |
$75,563 |
$54,231 |
2.50 |
Fracture of femur |
2 |
$9,496 |
$7,880 |
$18,991 |
$15,759 |
2.00 |
Other back & neck disorders, fractures & injuries |
2 |
$18,017 |
$18,020 |
$36,033 |
$36,040 |
4.50 |
Urinary stones & acquired upper urinary tract obstruction |
2 |
$8,147 |
$6,864 |
$16,293 |
$13,727 |
1.50 |
Uterine & adnexa procedures for leiomyoma |
2 |
$32,329 |
$22,876 |
$64,657 |
$45,751 |
3.50 |
False labor |
2 |
$2,050 |
$2,219 |
$4,099 |
$4,437 |
1.00 |
Neonate birthwt >2499g w other major procedure |
2 |
$3,272 |
$4,641 |
$6,543 |
$9,281 |
3.00 |
Fever |
2 |
$6,966 |
$9,326 |
$13,931 |
$18,652 |
3.50 |
Poisoning of medicinal agents |
2 |
$10,551 |
$8,957 |
$21,101 |
$17,913 |
1.50 |
Multiple sclerosis & other demyelinating diseases |
1 |
$16,524 |
$7,541 |
$16,524 |
$7,541 |
1.00 |
Intracranial hemorrhage |
1 |
$6,933 |
$14,230 |
$6,933 |
$14,230 |
6.00 |
Non-bacterial infections of nervous system exc viral meningitis |
1 |
$38,823 |
$49,646 |
$38,823 |
$49,646 |
9.00 |
Head trauma w coma >1 hr or hemorrhage |
1 |
$11,072 |
$6,620 |
$11,072 |
$6,620 |
2.00 |
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma |
1 |
$24,096 |
$8,184 |
$24,096 |
$8,184 |
1.00 |
Other disorders of nervous system |
1 |
$15,254 |
$16,484 |
$15,254 |
$16,484 |
3.00 |
Acute major eye infections |
1 |
$20,578 |
$31,653 |
$20,578 |
$31,653 |
11.00 |
Dental & oral diseases & injuries |
1 |
$10,254 |
$9,031 |
$10,254 |
$9,031 |
1.00 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
1 |
$21,741 |
$22,114 |
$21,741 |
$22,114 |
6.00 |
Major chest & respiratory trauma |
1 |
$17,279 |
$12,477 |
$17,279 |
$12,477 |
2.00 |
Respiratory signs, symptoms & minor diagnoses |
1 |
$13,364 |
$5,378 |
$13,364 |
$5,378 |
1.00 |
Cardiac arrest and shock |
1 |
$45,862 |
$57,641 |
$45,862 |
$57,641 |
10.00 |
Peripheral & other vascular disorders |
1 |
$3,991 |
$4,218 |
$3,991 |
$4,218 |
1.00 |
Cardiomyopathy |
1 |
$16,292 |
$11,030 |
$16,292 |
$11,030 |
1.00 |
Other esophageal disorders |
1 |
$17,253 |
$9,515 |
$17,253 |
$9,515 |
1.00 |
Abdominal pain |
1 |
$5,990 |
$3,874 |
$5,990 |
$3,874 |
1.00 |
Other & unspecified gastrointestinal hemorrhage |
1 |
$4,323 |
$5,843 |
$4,323 |
$5,843 |
1.00 |
Cholecystectomy except laparoscopic |
1 |
$41,458 |
$26,051 |
$41,458 |
$26,051 |
3.00 |
Hepatic coma & other major acute liver disorders |
1 |
$18,867 |
$20,862 |
$18,867 |
$20,862 |
5.00 |
Malignancy of hepatobiliary system & pancreas |
1 |
$23,310 |
$17,837 |
$23,310 |
$17,837 |
5.00 |
Hip joint replacement |
1 |
$74,950 |
$57,803 |
$74,950 |
$57,803 |
4.00 |
Foot & toe procedures |
1 |
$62,993 |
$55,264 |
$62,993 |
$55,264 |
14.00 |
Fractures & dislocations except femur, pelvis & back |
1 |
$12,766 |
$6,775 |
$12,766 |
$6,775 |
1.00 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
1 |
$14,418 |
$10,413 |
$14,418 |
$10,413 |
2.00 |
Breast procedures except mastectomy |
1 |
$13,845 |
$10,928 |
$13,845 |
$10,928 |
2.00 |
Malnutrition, failure to thrive & other nutritional disorders |
1 |
$29,835 |
$30,736 |
$29,835 |
$30,736 |
4.00 |
Other bladder procedures |
1 |
$74,336 |
$78,366 |
$74,336 |
$78,366 |
13.00 |
Nephritis & nephrosis |
1 |
$16,782 |
$16,533 |
$16,782 |
$16,533 |
5.00 |
Other kidney & urinary tract diagnoses, signs & symptoms |
1 |
$18,742 |
$21,763 |
$18,742 |
$21,763 |
3.00 |
Other female reproductive system & related procedures |
1 |
$17,647 |
$14,380 |
$17,647 |
$14,380 |
3.00 |
Postpartum & post abortion diagnoses w/o procedure |
1 |
$10,315 |
$10,731 |
$10,315 |
$10,731 |
2.00 |
Neonate birthwt 750-999g w/o major procedure |
1 |
$3,090 |
$2,271 |
$3,090 |
$2,271 |
1.00 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
1 |
$30,758 |
$32,331 |
$30,758 |
$32,331 |
5.00 |
Lymphoma, myeloma & non-acute leukemia |
1 |
$34,145 |
$33,408 |
$34,145 |
$33,408 |
6.00 |
Infectious & parasitic diseases including HIV w O.R. procedure |
1 |
$35,157 |
$30,410 |
$35,157 |
$30,410 |
6.00 |
Organic mental health disturbances |
1 |
$32,215 |
$20,182 |
$32,215 |
$20,182 |
6.00 |
Drug & alcohol abuse or dependence, left against medical advice |
1 |
$5,617 |
$5,900 |
$5,617 |
$5,900 |
1.00 |
Opioid abuse & dependence |
1 |
$12,241 |
$9,337 |
$12,241 |
$9,337 |
2.00 |
O.R. procedure for other complications of treatment |
1 |
$32,945 |
$20,158 |
$32,945 |
$20,158 |
3.00 |
Other injury, poisoning & toxic effect diagnoses |
1 |
$13,602 |
$11,942 |
$13,602 |
$11,942 |
2.00 |
Toxic effects of non-medicinal substances |
1 |
$7,409 |
$4,053 |
$7,409 |
$4,053 |
1.00 |
Partial thickness burns without skin graft |
1 |
$6,379 |
$5,232 |
$6,379 |
$5,232 |
1.00 |
Extensive procedure unrelated to principal diagnosis |
1 |
$34,444 |
$25,259 |
$34,444 |
$25,259 |
5.00 |
Nonextensive procedure unrelated to principal diagnosis |
1 |
$24,369 |
$9,372 |
$24,369 |
$9,372 |
1.00 |