Neonate birthwt >2499g, normal newborn or neonate w other problem |
301 |
$2,992 |
$1,644 |
$900,561 |
$494,902 |
1.96 |
Chronic obstructive pulmonary disease |
142 |
$11,205 |
$5,643 |
$1,591,110 |
$801,267 |
3.96 |
Vaginal delivery |
139 |
$4,811 |
$2,414 |
$668,793 |
$335,594 |
1.90 |
Heart failure |
121 |
$12,294 |
$6,445 |
$1,487,591 |
$779,852 |
4.42 |
Other pneumonia |
110 |
$9,242 |
$4,831 |
$1,016,565 |
$531,407 |
3.75 |
Cesarean delivery |
100 |
$8,782 |
$4,126 |
$878,208 |
$412,592 |
2.76 |
Knee joint replacement |
84 |
$34,979 |
$11,191 |
$2,938,257 |
$940,052 |
2.63 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
77 |
$5,516 |
$2,806 |
$424,735 |
$216,097 |
2.04 |
Septicemia & disseminated infections |
71 |
$14,870 |
$7,921 |
$1,055,749 |
$562,377 |
5.08 |
Major respiratory infections & inflammations |
54 |
$12,709 |
$6,687 |
$686,281 |
$361,119 |
5.07 |
Cellulitis & other skin infections |
52 |
$9,147 |
$4,940 |
$475,634 |
$256,855 |
4.35 |
Diabetes |
51 |
$7,978 |
$4,523 |
$406,886 |
$230,650 |
2.65 |
Kidney & urinary tract infections |
51 |
$10,630 |
$6,158 |
$542,108 |
$314,063 |
5.20 |
Hip joint replacement |
49 |
$31,301 |
$11,107 |
$1,533,759 |
$544,227 |
3.65 |
Cardiac arrhythmia & conduction disorders |
47 |
$8,912 |
$4,856 |
$418,866 |
$228,255 |
3.02 |
Acute Kidney Injury |
45 |
$9,493 |
$5,300 |
$427,171 |
$238,502 |
3.76 |
Intestinal obstruction |
35 |
$8,017 |
$4,103 |
$280,611 |
$143,603 |
3.26 |
Diverticulitis & diverticulosis |
32 |
$8,781 |
$4,528 |
$281,004 |
$144,894 |
3.69 |
Respiratory Failure |
30 |
$16,721 |
$8,549 |
$501,617 |
$256,464 |
4.50 |
Hypovolemia & related electrolyte disorders |
30 |
$8,089 |
$4,519 |
$242,677 |
$135,556 |
3.70 |
Alcohol abuse & dependence |
27 |
$8,649 |
$5,503 |
$233,515 |
$148,584 |
3.22 |
Uterine & adnexa procedures for non-malignancy except leiomyoma |
26 |
$13,216 |
$4,752 |
$343,615 |
$123,562 |
2.00 |
Shoulder, upper arm & forearm procedures except joint replacement |
24 |
$47,182 |
$13,836 |
$1,132,367 |
$332,061 |
1.42 |
Poisoning of medicinal agents |
23 |
$8,692 |
$4,452 |
$199,921 |
$102,394 |
2.30 |
Other anemia & disorders of blood & blood-forming organs |
18 |
$11,018 |
$6,093 |
$198,327 |
$109,673 |
3.22 |
CVA & precerebral occlusion w infarct |
17 |
$9,394 |
$5,315 |
$159,693 |
$90,355 |
4.12 |
Major small & large bowel procedures |
17 |
$26,097 |
$11,237 |
$443,651 |
$191,022 |
6.71 |
Other gastroenteritis, nausa & vomiting |
17 |
$5,841 |
$2,974 |
$99,296 |
$50,562 |
2.29 |
Disorders of pancreas except malignancy |
17 |
$12,295 |
$6,462 |
$209,022 |
$109,860 |
4.88 |
Other musculoskeletal system & connective tissue diagnoses |
17 |
$8,534 |
$4,709 |
$145,083 |
$80,059 |
3.88 |
Neonate, transferred < 5 days old, born here |
17 |
$1,640 |
$905 |
$27,876 |
$15,388 |
1.06 |
Syncope & collapse |
16 |
$11,011 |
$5,630 |
$176,180 |
$90,074 |
4.00 |
Signs, symptoms & other factors influencing health status |
16 |
$9,606 |
$5,113 |
$153,695 |
$81,810 |
3.88 |
Major gastrointestinal & peritoneal infections |
15 |
$11,568 |
$6,707 |
$173,514 |
$100,611 |
5.67 |
Pulmonary embolism |
14 |
$12,779 |
$5,815 |
$178,909 |
$81,408 |
3.86 |
Asthma |
14 |
$8,556 |
$3,990 |
$119,778 |
$55,862 |
2.43 |
Electrolyte disorders except hypovolemia related |
14 |
$7,267 |
$3,880 |
$101,733 |
$54,322 |
2.93 |
Disorders of gallbladder & biliary tract |
13 |
$10,161 |
$4,487 |
$132,089 |
$58,325 |
2.85 |
Acute myocardial infarction |
12 |
$7,970 |
$3,841 |
$95,637 |
$46,091 |
1.92 |
Other & unspecified gastrointestinal hemorrhage |
12 |
$12,144 |
$6,516 |
$145,727 |
$78,192 |
3.67 |
Peptic ulcer & gastritis |
11 |
$14,581 |
$7,773 |
$160,394 |
$85,498 |
4.18 |
Hip and femur fracture repair |
11 |
$27,930 |
$10,796 |
$307,232 |
$118,758 |
4.18 |
Other back & neck disorders, fractures & injuries |
11 |
$7,954 |
$4,339 |
$87,499 |
$47,728 |
3.45 |
Respiratory malignancy |
10 |
$13,535 |
$8,593 |
$135,354 |
$85,932 |
7.60 |
Other digestive system diagnoses |
10 |
$10,385 |
$4,972 |
$103,853 |
$49,719 |
2.60 |
Malnutrition, failure to thrive & other nutritional disorders |
10 |
$8,579 |
$4,978 |
$85,789 |
$49,780 |
4.20 |
Other endocrine disorders |
10 |
$9,296 |
$5,270 |
$92,959 |
$52,701 |
4.70 |
Hypertension |
9 |
$9,982 |
$5,565 |
$89,840 |
$50,088 |
3.67 |
Inflammatory bowel disease |
9 |
$8,495 |
$4,366 |
$76,451 |
$39,295 |
3.44 |
Laparoscopic cholecystectomy |
9 |
$21,850 |
$8,626 |
$196,646 |
$77,632 |
4.33 |
Fracture of pelvis or dislocation of hip |
9 |
$6,143 |
$3,587 |
$55,289 |
$32,281 |
3.00 |
Drug & alcohol abuse or dependence, left against medical advice |
8 |
$10,283 |
$6,802 |
$82,263 |
$54,417 |
4.00 |
Peripheral & other vascular disorders |
7 |
$9,476 |
$4,563 |
$66,333 |
$31,938 |
3.57 |
Angina pectoris & coronary atherosclerosis |
7 |
$7,159 |
$3,296 |
$50,116 |
$23,072 |
2.00 |
Appendectomy |
7 |
$20,159 |
$7,178 |
$141,116 |
$50,247 |
2.71 |
Malfunction, reaction, complic of genitourinary device or proc |
7 |
$9,241 |
$4,634 |
$64,689 |
$32,435 |
3.71 |
Other kidney & urinary tract diagnoses, signs & symptoms |
7 |
$6,147 |
$3,283 |
$43,027 |
$22,981 |
2.57 |
Degenerative nervous system disorders exc mult sclerosis |
6 |
$18,408 |
$13,886 |
$110,446 |
$83,318 |
14.83 |
Other disorders of nervous system |
6 |
$8,411 |
$4,817 |
$50,468 |
$28,903 |
3.83 |
Malignancy of hepatobiliary system & pancreas |
6 |
$11,977 |
$7,399 |
$71,862 |
$44,396 |
6.00 |
Fractures & dislocations except femur, pelvis & back |
6 |
$9,486 |
$4,697 |
$56,914 |
$28,179 |
3.50 |
Neonate bwt 2000-2499g, normal newborn or neonate w other problem |
6 |
$2,932 |
$2,162 |
$17,590 |
$12,973 |
3.00 |
Viral illness |
6 |
$9,503 |
$5,026 |
$57,015 |
$30,153 |
3.33 |
Organic mental health disturbances |
6 |
$8,315 |
$4,705 |
$49,888 |
$28,227 |
3.83 |
Toxic effects of non-medicinal substances |
6 |
$6,155 |
$3,344 |
$36,930 |
$20,063 |
1.67 |
Bronchiolitis & RSV pneumonia |
5 |
$3,168 |
$1,956 |
$15,841 |
$9,779 |
1.00 |
Perm cardiac pacemaker implant w/o AMI, heart failure or shock |
5 |
$32,227 |
$11,701 |
$161,134 |
$58,506 |
3.00 |
Other circulatory system diagnoses |
5 |
$6,271 |
$3,216 |
$31,355 |
$16,080 |
2.20 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
5 |
$20,867 |
$10,250 |
$104,337 |
$51,249 |
7.60 |
Skin ulcers |
5 |
$11,654 |
$6,023 |
$58,269 |
$30,116 |
5.20 |
Other female reproductive system & related procedures |
5 |
$11,815 |
$4,335 |
$59,073 |
$21,676 |
2.00 |
Other antepartum diagnoses |
5 |
$2,272 |
$1,356 |
$11,359 |
$6,781 |
1.20 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
5 |
$10,423 |
$5,371 |
$52,116 |
$26,855 |
3.20 |
Rehabilitation |
5 |
$7,638 |
$4,376 |
$38,188 |
$21,881 |
3.60 |
Transient ischemia |
4 |
$6,448 |
$2,837 |
$25,791 |
$11,346 |
1.50 |
Seizure |
4 |
$6,916 |
$3,597 |
$27,663 |
$14,386 |
2.75 |
Infections of upper respiratory tract |
4 |
$8,387 |
$4,811 |
$33,548 |
$19,244 |
3.25 |
Respiratory system diagnosis w ventilator support 96+ hours |
4 |
$40,029 |
$18,256 |
$160,117 |
$73,023 |
10.00 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
4 |
$7,176 |
$3,919 |
$28,704 |
$15,677 |
2.00 |
Digestive malignancy |
4 |
$13,847 |
$8,812 |
$55,387 |
$35,249 |
7.75 |
Foot & toe procedures |
4 |
$25,160 |
$12,519 |
$100,639 |
$50,074 |
9.00 |
Other skin, subcutaneous tissue & related procedures |
4 |
$42,857 |
$19,210 |
$171,429 |
$76,841 |
11.00 |
Chronic Kidney Disease |
4 |
$7,696 |
$3,897 |
$30,785 |
$15,586 |
2.50 |
Uterine & adnexa procedures for leiomyoma |
4 |
$14,430 |
$5,415 |
$57,719 |
$21,660 |
2.50 |
Infectious & parasitic diseases including HIV w O.R. procedure |
4 |
$28,195 |
$13,172 |
$112,779 |
$52,686 |
9.25 |
Opioid abuse & dependence |
4 |
$9,860 |
$6,100 |
$39,439 |
$24,399 |
3.75 |
Extensive procedure unrelated to principal diagnosis |
4 |
$20,668 |
$11,006 |
$82,670 |
$44,025 |
7.25 |
Moderately extensive procedure unrelated to principal diagnosis |
4 |
$22,155 |
$9,802 |
$88,619 |
$39,207 |
5.25 |
Peripheral, cranial & autonomic nerve disorders |
3 |
$11,191 |
$5,638 |
$33,573 |
$16,913 |
4.33 |
Major chest & respiratory trauma |
3 |
$10,695 |
$6,162 |
$32,086 |
$18,485 |
4.33 |
Interstitial & alveolar lung diseases |
3 |
$5,259 |
$3,131 |
$15,776 |
$9,394 |
3.00 |
Hernia procedures except inguinal, femoral & umbilical |
3 |
$19,617 |
$7,341 |
$58,852 |
$22,024 |
3.33 |
Gastrointestinal vascular insufficiency |
3 |
$12,986 |
$6,362 |
$38,957 |
$19,086 |
4.00 |
Alcoholic liver disease |
3 |
$16,390 |
$8,385 |
$49,171 |
$25,155 |
5.33 |
Urinary stones & acquired upper urinary tract obstruction |
3 |
$7,343 |
$3,880 |
$22,030 |
$11,639 |
2.67 |
Postpartum & post abortion diagnoses w/o procedure |
3 |
$7,683 |
$4,067 |
$23,049 |
$12,200 |
3.00 |
Fever |
3 |
$7,201 |
$3,745 |
$21,604 |
$11,234 |
3.00 |
Tracheostomy w MV 96+ hours w/o extensive procedure |
2 |
$116,983 |
$57,681 |
$233,965 |
$115,362 |
31.00 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
2 |
$4,099 |
$2,321 |
$8,197 |
$4,642 |
2.00 |
Respiratory signs, symptoms & minor diagnoses |
2 |
$9,893 |
$4,425 |
$19,786 |
$8,850 |
3.00 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
2 |
$10,916 |
$4,825 |
$21,831 |
$9,649 |
3.00 |
Other small & large bowel procedures |
2 |
$19,355 |
$7,701 |
$38,709 |
$15,402 |
4.00 |
Peritoneal adhesiolysis |
2 |
$12,442 |
$5,143 |
$24,883 |
$10,285 |
3.00 |
Inguinal, femoral & umbilical hernia procedures |
2 |
$14,445 |
$7,009 |
$28,889 |
$14,017 |
5.00 |
Other digestive system & abdominal procedures |
2 |
$6,374 |
$2,305 |
$12,747 |
$4,609 |
1.00 |
Abdominal pain |
2 |
$7,694 |
$4,523 |
$15,387 |
$9,046 |
4.00 |
Malfunction, reaction & complication of GI device or procedure |
2 |
$18,027 |
$10,228 |
$36,053 |
$20,456 |
4.50 |
Cholecystectomy except laparoscopic |
2 |
$18,078 |
$7,532 |
$36,156 |
$15,063 |
4.50 |
Other hepatobiliary, pancreas & abdominal procedures |
2 |
$20,951 |
$10,767 |
$41,902 |
$21,534 |
8.50 |
Other disorders of the liver |
2 |
$4,548 |
$2,523 |
$9,096 |
$5,045 |
2.00 |
Knee & lower leg procedures except foot |
2 |
$24,047 |
$9,483 |
$48,094 |
$18,966 |
5.00 |
Fracture of femur |
2 |
$14,374 |
$6,923 |
$28,747 |
$13,846 |
4.50 |
Connective tissue disorders |
2 |
$9,306 |
$5,422 |
$18,611 |
$10,844 |
4.50 |
Malfunction, reaction, complic of orthopedic device or procedure |
2 |
$5,981 |
$3,406 |
$11,961 |
$6,812 |
3.00 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
2 |
$8,433 |
$4,107 |
$16,865 |
$8,213 |
3.00 |
Other skin, subcutaneous tissue & breast disorders |
2 |
$8,831 |
$3,651 |
$17,662 |
$7,302 |
2.50 |
Kidney & urinary tract malignancy |
2 |
$7,701 |
$4,570 |
$15,402 |
$9,139 |
3.00 |
Female reproductive system malignancy |
2 |
$11,060 |
$5,989 |
$22,119 |
$11,978 |
4.00 |
Female reproductive system infections |
2 |
$20,818 |
$9,315 |
$41,635 |
$18,629 |
7.50 |
Vaginal delivery w sterilization &/or D&C |
2 |
$13,171 |
$5,076 |
$26,341 |
$10,152 |
2.50 |
D&C, aspiration curettage or hysterotomy for obstetric diagnoses |
2 |
$7,993 |
$2,980 |
$15,985 |
$5,959 |
1.50 |
Neonate birthwt >2499g w major anomaly |
2 |
$6,780 |
$5,203 |
$13,560 |
$10,406 |
7.50 |
Other infectious & parasitic diseases |
2 |
$9,949 |
$6,162 |
$19,898 |
$12,324 |
5.50 |
Other complications of treatment |
2 |
$17,586 |
$7,111 |
$35,172 |
$14,222 |
4.00 |
Nervous system malignancy |
1 |
$8,863 |
$4,981 |
$8,863 |
$4,981 |
4.00 |
Intracranial hemorrhage |
1 |
$3,342 |
$1,599 |
$3,342 |
$1,599 |
1.00 |
Nonspecific CVA & precerebral occlusion w/o infarct |
1 |
$9,174 |
$3,902 |
$9,174 |
$3,902 |
2.00 |
Migraine & other headaches |
1 |
$10,317 |
$3,873 |
$10,317 |
$3,873 |
2.00 |
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma |
1 |
$20,710 |
$10,962 |
$20,710 |
$10,962 |
9.00 |
Ear, nose, mouth, throat, cranial/facial malignancies |
1 |
$25,019 |
$17,204 |
$25,019 |
$17,204 |
15.00 |
Other respiratory & chest procedures |
1 |
$19,694 |
$7,404 |
$19,694 |
$7,404 |
2.00 |
Cystic fibrosis - pulmonary disease |
1 |
$9,064 |
$4,693 |
$9,064 |
$4,693 |
4.00 |
Cardiac arrest and shock |
1 |
$14,104 |
$7,613 |
$14,104 |
$7,613 |
4.00 |
Other stomach, esophageal & duodenal procedures |
1 |
$51,775 |
$28,152 |
$51,775 |
$28,152 |
17.00 |
Anal procedures |
1 |
$6,518 |
$2,390 |
$6,518 |
$2,390 |
1.00 |
Major esophageal disorders |
1 |
$13,766 |
$7,312 |
$13,766 |
$7,312 |
4.00 |
Other esophageal disorders |
1 |
$13,991 |
$5,859 |
$13,991 |
$5,859 |
3.00 |
Hepatic coma & other major acute liver disorders |
1 |
$10,128 |
$5,912 |
$10,128 |
$5,912 |
3.00 |
Amputation of lower limb except toes |
1 |
$87,022 |
$39,968 |
$87,022 |
$39,968 |
28.00 |
Other significant hip and femur surgery |
1 |
$33,631 |
$13,838 |
$33,631 |
$13,838 |
7.00 |
Tendon, muscle & other soft tissue procedures |
1 |
$4,802 |
$2,481 |
$4,802 |
$2,481 |
2.00 |
Breast procedures except mastectomy |
1 |
$7,841 |
$3,237 |
$7,841 |
$3,237 |
2.00 |
Malignancy, male reproductive system |
1 |
$5,639 |
$3,341 |
$5,639 |
$3,341 |
3.00 |
Dilation & curettage for non-obstetric diagnoses |
1 |
$11,420 |
$3,715 |
$11,420 |
$3,715 |
1.00 |
Preterm labor |
1 |
$2,925 |
$1,297 |
$2,925 |
$1,297 |
1.00 |
Neonate birthwt >2499g w other significant condition |
1 |
$1,409 |
$808 |
$1,409 |
$808 |
1.00 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
1 |
$3,910 |
$2,338 |
$3,910 |
$2,338 |
2.00 |
Post-op, post-trauma, other device infections w O.R. procedure |
1 |
$44,337 |
$24,103 |
$44,337 |
$24,103 |
14.00 |
Post-operative, post-traumatic, other device infections |
1 |
$15,052 |
$7,076 |
$15,052 |
$7,076 |
4.00 |
Schizophrenia |
1 |
$11,329 |
$7,780 |
$11,329 |
$7,780 |
8.00 |
Major depressive disorders & other/unspecified psychoses |
1 |
$8,495 |
$4,910 |
$8,495 |
$4,910 |
4.00 |
Allergic reactions |
1 |
$5,718 |
$2,772 |
$5,718 |
$2,772 |
1.00 |
Other injury, poisoning & toxic effect diagnoses |
1 |
$4,484 |
$2,519 |
$4,484 |
$2,519 |
2.00 |
Partial thickness burns without skin graft |
1 |
$10,279 |
$6,028 |
$10,279 |
$6,028 |
4.00 |
Other aftercare & convalescence |
1 |
$7,135 |
$4,388 |
$7,135 |
$4,388 |
4.00 |