NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM |
329 |
$3,430 |
$1,810 |
$1,128,528 |
$595,450 |
1.85 |
MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS |
220 |
$25,177 |
$12,981 |
$5,538,869 |
$2,855,745 |
5.90 |
VAGINAL DELIVERY |
196 |
$8,147 |
$3,190 |
$1,596,805 |
$625,217 |
2.03 |
SEPTICEMIA AND DISSEMINATED INFECTIONS |
170 |
$20,671 |
$8,144 |
$3,514,142 |
$1,384,481 |
5.16 |
CESAREAN SECTION WITHOUT STERILIZATION |
113 |
$13,923 |
$6,323 |
$1,573,294 |
$714,467 |
2.59 |
HEART FAILURE |
80 |
$15,770 |
$5,464 |
$1,261,587 |
$437,148 |
3.93 |
RESPIRATORY FAILURE |
54 |
$17,138 |
$5,548 |
$925,461 |
$299,598 |
3.74 |
OTHER PNEUMONIA |
42 |
$17,455 |
$6,527 |
$733,094 |
$274,135 |
4.02 |
OTHER AFTERCARE AND CONVALESCENCE |
38 |
$7,135 |
$2,393 |
$271,130 |
$90,926 |
2.39 |
CHRONIC OBSTRUCTIVE PULMONARY DISEASE |
37 |
$15,096 |
$5,027 |
$558,535 |
$185,983 |
3.03 |
ACUTE KIDNEY INJURY |
37 |
$16,773 |
$5,990 |
$620,598 |
$221,642 |
4.78 |
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS |
32 |
$8,787 |
$2,940 |
$281,171 |
$94,080 |
2.34 |
CELLULITIS AND OTHER SKIN INFECTIONS |
28 |
$13,235 |
$4,748 |
$370,582 |
$132,936 |
3.50 |
KIDNEY AND URINARY TRACT INFECTIONS |
24 |
$12,946 |
$4,434 |
$310,704 |
$106,417 |
3.04 |
DIABETES |
24 |
$8,262 |
$2,959 |
$198,297 |
$71,014 |
2.58 |
MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE |
23 |
$19,288 |
$6,777 |
$443,614 |
$155,877 |
5.13 |
CESAREAN SECTION WITH STERILIZATION |
21 |
$12,380 |
$5,284 |
$259,974 |
$110,968 |
1.76 |
INTESTINAL OBSTRUCTION |
20 |
$14,870 |
$5,176 |
$297,403 |
$103,525 |
4.20 |
ALCOHOL ABUSE AND DEPENDENCE |
20 |
$11,664 |
$3,952 |
$233,271 |
$79,035 |
3.15 |
OTHER GASTROENTERITIS, NAUSEA AND VOMITING |
19 |
$11,637 |
$3,796 |
$221,107 |
$72,130 |
2.58 |
PEPTIC ULCER AND GASTRITIS |
19 |
$16,645 |
$5,780 |
$316,253 |
$109,819 |
3.84 |
PULMONARY EMBOLISM |
18 |
$12,838 |
$4,219 |
$231,090 |
$75,949 |
2.39 |
ELECTIVE KNEE JOINT REPLACEMENT |
18 |
$22,891 |
$14,062 |
$412,043 |
$253,123 |
2.56 |
NON-HYPOVOLEMIC SODIUM DISORDERS |
18 |
$11,483 |
$3,798 |
$206,694 |
$68,370 |
2.89 |
DISORDERS OF PANCREAS EXCEPT MALIGNANCY |
16 |
$16,648 |
$5,681 |
$266,364 |
$90,890 |
4.50 |
CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION |
14 |
$14,835 |
$5,106 |
$207,683 |
$71,488 |
3.07 |
DIVERTICULITIS AND DIVERTICULOSIS |
12 |
$13,234 |
$4,686 |
$158,811 |
$56,230 |
3.25 |
INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE |
11 |
$34,029 |
$14,079 |
$374,314 |
$154,865 |
8.09 |
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION |
10 |
$4,986 |
$2,588 |
$49,864 |
$25,882 |
2.20 |
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDIT |
10 |
$3,712 |
$1,933 |
$37,122 |
$19,325 |
1.70 |
OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES |
9 |
$8,588 |
$2,639 |
$77,288 |
$23,755 |
1.67 |
VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C |
8 |
$12,113 |
$4,779 |
$96,902 |
$38,228 |
2.13 |
ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS |
8 |
$9,735 |
$3,327 |
$77,883 |
$26,614 |
2.13 |
NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT |
8 |
$32,801 |
$20,335 |
$262,409 |
$162,678 |
4.88 |
VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C |
8 |
$10,491 |
$4,645 |
$83,929 |
$37,162 |
2.00 |
POISONING OF MEDICINAL AGENTS |
8 |
$13,193 |
$4,199 |
$105,546 |
$33,593 |
2.75 |
SYNCOPE AND COLLAPSE |
8 |
$11,585 |
$3,752 |
$92,679 |
$30,018 |
2.50 |
NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM |
8 |
$5,193 |
$2,839 |
$41,545 |
$22,714 |
2.75 |
OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE |
7 |
$12,217 |
$4,357 |
$85,518 |
$30,497 |
2.71 |
MAJOR LARGE BOWEL PROCEDURES |
7 |
$27,571 |
$13,282 |
$192,996 |
$92,972 |
4.57 |
HIP AND FEMUR FRACTURE REPAIR |
7 |
$31,179 |
$12,340 |
$218,254 |
$86,381 |
6.57 |
OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS |
7 |
$13,920 |
$4,848 |
$97,439 |
$33,936 |
2.29 |
OTHER DIGESTIVE SYSTEM DIAGNOSES |
7 |
$13,895 |
$4,753 |
$97,266 |
$33,272 |
3.29 |
ACUTE MYOCARDIAL INFARCTION |
7 |
$8,709 |
$2,583 |
$60,963 |
$18,082 |
1.71 |
SEIZURE |
6 |
$12,743 |
$4,682 |
$76,456 |
$28,089 |
4.17 |
TRANSIENT ISCHEMIA |
6 |
$11,564 |
$3,779 |
$69,384 |
$22,675 |
2.33 |
ELECTIVE HIP JOINT REPLACEMENT |
6 |
$41,481 |
$34,851 |
$248,886 |
$209,107 |
3.83 |
ASTHMA |
6 |
$20,418 |
$7,019 |
$122,509 |
$42,116 |
4.50 |
FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK |
5 |
$11,350 |
$4,431 |
$56,752 |
$22,156 |
2.40 |
FRACTURE OF FEMUR |
5 |
$7,565 |
$2,343 |
$37,827 |
$11,716 |
1.60 |
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS |
5 |
$41,196 |
$15,874 |
$205,982 |
$79,372 |
9.20 |
ANTEPARTUM WITHOUT O.R. PROCEDURE |
4 |
$6,518 |
$2,781 |
$26,072 |
$11,123 |
2.25 |
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION |
4 |
$6,499 |
$3,465 |
$25,996 |
$13,858 |
3.25 |
OTHER ESOPHAGEAL DISORDERS |
4 |
$17,558 |
$6,512 |
$70,232 |
$26,049 |
4.00 |
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS |
4 |
$21,878 |
$9,403 |
$87,512 |
$37,610 |
2.50 |
MAJOR ESOPHAGEAL DISORDERS |
4 |
$13,475 |
$4,888 |
$53,899 |
$19,552 |
3.00 |
MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS |
4 |
$15,286 |
$5,146 |
$61,143 |
$20,583 |
4.25 |
CHOLECYSTECTOMY |
4 |
$24,165 |
$11,066 |
$96,658 |
$44,262 |
3.75 |
MAJOR SMALL BOWEL PROCEDURES |
4 |
$41,778 |
$18,578 |
$167,113 |
$74,312 |
9.75 |
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES |
4 |
$15,173 |
$5,472 |
$60,692 |
$21,889 |
3.75 |
DIGESTIVE MALIGNANCY |
4 |
$21,943 |
$7,674 |
$87,770 |
$30,697 |
5.75 |
DISORDERS OF GALLBLADDER AND BILIARY TRACT |
4 |
$12,010 |
$4,223 |
$48,039 |
$16,890 |
2.75 |
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS |
4 |
$24,840 |
$15,651 |
$99,360 |
$62,602 |
4.25 |
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES |
4 |
$13,550 |
$4,955 |
$54,198 |
$19,820 |
4.00 |
INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE |
4 |
$6,321 |
$2,338 |
$25,284 |
$9,353 |
2.50 |
SICKLE CELL ANEMIA CRISIS |
3 |
$32,904 |
$12,402 |
$98,711 |
$37,207 |
11.33 |
MAJOR CHEST AND RESPIRATORY TRAUMA |
3 |
$10,020 |
$3,092 |
$30,059 |
$9,277 |
2.00 |
KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT |
3 |
$29,620 |
$14,095 |
$88,859 |
$42,286 |
5.33 |
VERTIGO AND OTHER LABYRINTH DISORDERS |
3 |
$12,804 |
$4,098 |
$38,413 |
$12,294 |
2.67 |
HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS |
3 |
$8,635 |
$3,314 |
$25,904 |
$9,941 |
1.33 |
AMPUTATION OF LOWER LIMB EXCEPT TOES |
3 |
$37,683 |
$15,211 |
$113,049 |
$45,632 |
10.33 |
UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA |
3 |
$13,247 |
$6,823 |
$39,742 |
$20,468 |
2.00 |
FRACTURE OF PELVIS OR DISLOCATION OF HIP |
3 |
$11,239 |
$3,576 |
$33,718 |
$10,729 |
2.33 |
MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES |
3 |
$14,196 |
$5,242 |
$42,587 |
$15,725 |
3.67 |
INFECTIONS OF UPPER RESPIRATORY TRACT |
3 |
$11,848 |
$3,787 |
$35,543 |
$11,360 |
2.67 |
CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE |
3 |
$13,237 |
$4,475 |
$39,711 |
$13,426 |
2.67 |
VIRAL ILLNESS |
3 |
$14,368 |
$4,395 |
$43,103 |
$13,185 |
2.00 |
OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS |
3 |
$12,860 |
$5,058 |
$38,580 |
$15,173 |
3.00 |
INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES |
3 |
$14,629 |
$6,045 |
$43,888 |
$18,134 |
1.67 |
ALTERATION IN CONSCIOUSNESS |
2 |
$10,991 |
$3,788 |
$21,981 |
$7,575 |
2.50 |
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS |
2 |
$23,439 |
$9,658 |
$46,877 |
$19,315 |
3.00 |
URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION |
2 |
$7,638 |
$2,243 |
$15,276 |
$4,486 |
1.50 |
SKIN ULCERS |
2 |
$12,002 |
$4,800 |
$24,003 |
$9,600 |
5.00 |
INFLAMMATORY BOWEL DISEASE |
2 |
$11,348 |
$3,843 |
$22,696 |
$7,686 |
1.50 |
CARDIAC STRUCTURAL AND VALVULAR DISORDERS |
2 |
$5,904 |
$1,738 |
$11,807 |
$3,475 |
1.00 |
MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY |
2 |
$8,417 |
$2,525 |
$16,833 |
$5,049 |
2.00 |
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY |
2 |
$2,620 |
$1,438 |
$5,239 |
$2,876 |
1.50 |
OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES |
2 |
$20,261 |
$9,324 |
$40,521 |
$18,647 |
4.00 |
CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA |
2 |
$22,395 |
$7,243 |
$44,789 |
$14,485 |
5.00 |
HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS |
2 |
$11,169 |
$3,877 |
$22,337 |
$7,753 |
1.50 |
OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS |
2 |
$14,273 |
$4,993 |
$28,545 |
$9,986 |
3.50 |
CHEST PAIN |
2 |
$8,945 |
$2,668 |
$17,890 |
$5,336 |
1.00 |
FOOT AND TOE PROCEDURES |
2 |
$47,763 |
$29,456 |
$95,526 |
$58,912 |
9.00 |
RESPIRATORY MALIGNANCY |
2 |
$8,073 |
$3,498 |
$16,145 |
$6,995 |
1.50 |
COAGULATION AND PLATELET DISORDERS |
2 |
$15,858 |
$10,467 |
$31,715 |
$20,933 |
1.50 |
PERIPHERAL AND OTHER VASCULAR DISORDERS |
2 |
$8,987 |
$2,956 |
$17,974 |
$5,911 |
2.00 |
UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA |
2 |
$9,958 |
$5,520 |
$19,915 |
$11,040 |
1.50 |
MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS |
2 |
$7,100 |
$2,022 |
$14,199 |
$4,044 |
1.50 |
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES |
2 |
$11,501 |
$4,029 |
$23,002 |
$8,057 |
3.50 |
OTHER SMALL AND LARGE BOWEL PROCEDURES |
2 |
$14,057 |
$7,383 |
$28,113 |
$14,765 |
5.00 |
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION |
2 |
$3,906 |
$2,203 |
$7,811 |
$4,405 |
2.00 |
HYPERTENSION |
2 |
$17,657 |
$5,706 |
$35,313 |
$11,411 |
4.00 |
OTHER INFECTIOUS AND PARASITIC DISEASES |
2 |
$8,175 |
$2,658 |
$16,349 |
$5,315 |
1.00 |
PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS |
2 |
$10,199 |
$4,581 |
$20,398 |
$9,161 |
2.50 |
LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR |
2 |
$14,335 |
$5,668 |
$28,670 |
$11,336 |
3.50 |
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL |
2 |
$21,099 |
$8,459 |
$42,197 |
$16,918 |
2.50 |
MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE |
2 |
$38,743 |
$14,415 |
$77,485 |
$28,830 |
12.50 |
BRONCHIOLITIS AND RSV PNEUMONIA |
2 |
$14,354 |
$4,480 |
$28,708 |
$8,959 |
3.50 |
MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES |
2 |
$33,795 |
$18,345 |
$67,589 |
$36,690 |
8.50 |
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION |
2 |
$5,718 |
$3,074 |
$11,436 |
$6,148 |
3.00 |
OPIOID ABUSE AND DEPENDENCE |
1 |
$2,823 |
$1,090 |
$2,823 |
$1,090 |
2.00 |
OTHER CIRCULATORY SYSTEM DIAGNOSES |
1 |
$6,836 |
$2,090 |
$6,836 |
$2,090 |
1.00 |
MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA |
1 |
$29,882 |
$11,694 |
$29,882 |
$11,694 |
6.00 |
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS |
1 |
$42,873 |
$17,097 |
$42,873 |
$17,097 |
12.00 |
ORGANIC MENTAL HEALTH DISTURBANCES |
1 |
$7,150 |
$2,563 |
$7,150 |
$2,563 |
1.00 |
PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS |
1 |
$24,336 |
$8,144 |
$24,336 |
$8,144 |
5.00 |
NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
1 |
$77,882 |
$33,517 |
$77,882 |
$33,517 |
20.00 |
GASTROINTESTINAL VASCULAR INSUFFICIENCY |
1 |
$6,807 |
$1,739 |
$6,807 |
$1,739 |
1.00 |
OTHER COMPLICATIONS OF TREATMENT |
1 |
$7,520 |
$2,627 |
$7,520 |
$2,627 |
5.00 |
NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION |
1 |
$9,865 |
$3,283 |
$9,865 |
$3,283 |
2.00 |
ALLERGIC REACTIONS |
1 |
$17,270 |
$5,959 |
$17,270 |
$5,959 |
2.00 |
ABDOMINAL PAIN |
1 |
$11,808 |
$3,904 |
$11,808 |
$3,904 |
3.00 |
EYE INFECTIONS AND OTHER EYE DISORDERS |
1 |
$9,029 |
$3,296 |
$9,029 |
$3,296 |
2.00 |
OTHER CIRCULATORY SYSTEM PROCEDURES |
1 |
$16,608 |
$6,100 |
$16,608 |
$6,100 |
4.00 |
SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS |
1 |
$11,428 |
$4,070 |
$11,428 |
$4,070 |
3.00 |
ACUTE ANXIETY AND DELIRIUM STATES |
1 |
$11,727 |
$4,259 |
$11,727 |
$4,259 |
4.00 |
RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES |
1 |
$14,965 |
$5,198 |
$14,965 |
$5,198 |
3.00 |
CARDIOMYOPATHY |
1 |
$9,378 |
$3,026 |
$9,378 |
$3,026 |
1.00 |
OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES |
1 |
$23,901 |
$9,289 |
$23,901 |
$9,289 |
5.00 |
MIGRAINE AND OTHER HEADACHES |
1 |
$8,597 |
$2,824 |
$8,597 |
$2,824 |
1.00 |
ACUTE AND SUBACUTE ENDOCARDITIS |
1 |
$14,139 |
$4,261 |
$14,139 |
$4,261 |
3.00 |
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY |
1 |
$6,312 |
$1,631 |
$6,312 |
$1,631 |
1.00 |
BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM |
1 |
$12,738 |
$4,048 |
$12,738 |
$4,048 |
1.00 |
CONNECTIVE TISSUE DISORDERS |
1 |
$27,871 |
$11,227 |
$27,871 |
$11,227 |
9.00 |
ACUTE BRONCHITIS AND RELATED SYMPTOMS |
1 |
$12,532 |
$3,404 |
$12,532 |
$3,404 |
2.00 |
NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT |
1 |
$23,391 |
$13,229 |
$23,391 |
$13,229 |
3.00 |
MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
1 |
$19,238 |
$9,756 |
$19,238 |
$9,756 |
1.00 |
OTHER DISORDERS OF NERVOUS SYSTEM |
1 |
$7,895 |
$2,461 |
$7,895 |
$2,461 |
1.00 |
OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS |
1 |
$26,906 |
$9,955 |
$26,906 |
$9,955 |
8.00 |
UNGROUPABLE |
1 |
$15,682 |
$4,985 |
$15,682 |
$4,985 |
3.00 |
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CON |
1 |
$2,387 |
$1,221 |
$2,387 |
$1,221 |
1.00 |
SCHIZOPHRENIA |
1 |
$21,918 |
$7,889 |
$21,918 |
$7,889 |
7.00 |
MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES |
1 |
$7,393 |
$2,179 |
$7,393 |
$2,179 |
1.00 |
MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS |
1 |
$4,358 |
$1,778 |
$4,358 |
$1,778 |
1.00 |
MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS |
1 |
$14,666 |
$4,734 |
$14,666 |
$4,734 |
2.00 |
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS |
1 |
$48,008 |
$26,868 |
$48,008 |
$26,868 |
14.00 |
OTHER NERVOUS SYSTEM AND RELATED PROCEDURES |
1 |
$24,436 |
$6,710 |
$24,436 |
$6,710 |
8.00 |
THYROID DISORDERS |
1 |
$9,376 |
$3,856 |
$9,376 |
$3,856 |
2.00 |
ALCOHOLIC LIVER DISEASE |
1 |
$12,257 |
$4,263 |
$12,257 |
$4,263 |
3.00 |