NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM |
471 |
$2,185 |
$1,710 |
$1,029,299 |
$805,246 |
1.94 |
SEPTICEMIA & DISSEMINATED INFECTIONS |
333 |
$22,077 |
$12,281 |
$7,351,579 |
$4,089,692 |
4.05 |
VAGINAL DELIVERY |
297 |
$6,779 |
$4,649 |
$2,013,261 |
$1,380,853 |
2.34 |
CESAREAN SECTION W/O STERILIZATION |
126 |
$14,644 |
$6,821 |
$1,845,128 |
$859,447 |
2.56 |
MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS |
111 |
$25,558 |
$15,838 |
$2,836,892 |
$1,758,063 |
6.04 |
HEART FAILURE |
108 |
$18,892 |
$10,264 |
$2,040,385 |
$1,108,530 |
3.27 |
MAJOR LARGE BOWEL PROCEDURES |
79 |
$36,829 |
$15,745 |
$2,909,477 |
$1,243,816 |
4.25 |
OTHER PNEUMONIA |
75 |
$18,404 |
$10,240 |
$1,380,285 |
$768,024 |
3.68 |
CESAREAN SECTION W STERILIZATION |
57 |
$16,123 |
$6,871 |
$919,030 |
$391,674 |
2.19 |
CHRONIC OBSTRUCTIVE PULMONARY DISEASE |
52 |
$18,291 |
$10,689 |
$951,138 |
$555,831 |
3.54 |
MAJOR SMALL BOWEL PROCEDURES |
49 |
$46,597 |
$23,493 |
$2,283,261 |
$1,151,136 |
8.27 |
DIABETES |
41 |
$15,136 |
$8,450 |
$620,579 |
$346,436 |
2.41 |
DISORDERS OF PANCREAS EXCEPT MALIGNANCY |
37 |
$15,499 |
$7,338 |
$573,477 |
$271,494 |
2.84 |
INTESTINAL OBSTRUCTION |
36 |
$11,107 |
$5,284 |
$399,859 |
$190,240 |
2.44 |
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS |
35 |
$15,610 |
$8,218 |
$546,361 |
$287,647 |
2.34 |
ACUTE KIDNEY INJURY |
33 |
$15,080 |
$8,665 |
$497,645 |
$285,957 |
3.48 |
DISORDERS OF GALLBLADDER & BILIARY TRACT |
29 |
$11,517 |
$5,687 |
$333,982 |
$164,923 |
2.31 |
CELLULITIS & OTHER SKIN INFECTIONS |
29 |
$16,025 |
$8,977 |
$464,730 |
$260,323 |
3.55 |
DIVERTICULITIS & DIVERTICULOSIS |
26 |
$12,907 |
$6,729 |
$335,592 |
$174,944 |
2.92 |
PEPTIC ULCER & GASTRITIS |
25 |
$17,835 |
$8,474 |
$445,869 |
$211,854 |
2.20 |
OTHER DIGESTIVE SYSTEM DIAGNOSES |
25 |
$18,871 |
$9,993 |
$471,778 |
$249,827 |
3.64 |
INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE |
24 |
$35,325 |
$18,684 |
$847,796 |
$448,416 |
6.38 |
MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC |
23 |
$21,909 |
$11,804 |
$503,914 |
$271,483 |
3.91 |
HIP JOINT REPLACEMENT |
21 |
$42,191 |
$16,597 |
$886,006 |
$348,536 |
3.43 |
CHOLECYSTECTOMY |
20 |
$29,025 |
$11,626 |
$580,496 |
$232,518 |
3.25 |
VAGINAL DELIVERY W O.R. PROCEDURE EXCEPT STERILIZATION &/OR D&C |
19 |
$11,071 |
$6,558 |
$210,344 |
$124,604 |
2.89 |
RESPIRATORY FAILURE |
19 |
$26,711 |
$14,802 |
$507,513 |
$281,232 |
3.74 |
HIP & FEMUR FRACTURE REPAIR |
19 |
$37,471 |
$16,215 |
$711,950 |
$308,087 |
4.05 |
PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE |
19 |
$32,513 |
$12,265 |
$617,751 |
$233,037 |
2.21 |
POISONING OF MEDICINAL AGENTS |
17 |
$19,100 |
$10,386 |
$324,704 |
$176,560 |
2.76 |
KIDNEY & URINARY TRACT INFECTIONS |
17 |
$13,656 |
$6,425 |
$232,156 |
$109,231 |
2.12 |
OTHER AFTERCARE & CONVALESCENCE |
16 |
$13,581 |
$7,410 |
$217,298 |
$118,552 |
2.88 |
OTHER GASTROENTERITIS, NAUSEA & VOMITING |
16 |
$21,121 |
$10,469 |
$337,932 |
$167,500 |
3.69 |
NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM |
15 |
$3,054 |
$2,407 |
$45,804 |
$36,109 |
2.60 |
SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS |
15 |
$11,130 |
$5,481 |
$166,952 |
$82,222 |
2.33 |
NON-HYPOVOLEMIC SODIUM DISORDERS |
15 |
$13,084 |
$7,139 |
$196,263 |
$107,090 |
2.67 |
INFLAMMATORY BOWEL DISEASE |
14 |
$22,103 |
$12,903 |
$309,436 |
$180,637 |
6.36 |
MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL |
14 |
$22,856 |
$12,453 |
$319,989 |
$174,338 |
3.86 |
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS |
13 |
$29,739 |
$18,339 |
$386,606 |
$238,406 |
8.23 |
OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS |
13 |
$17,687 |
$8,310 |
$229,929 |
$108,024 |
2.46 |
KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY |
13 |
$27,513 |
$10,088 |
$357,670 |
$131,142 |
1.38 |
ALCOHOL ABUSE & DEPENDENCE |
12 |
$18,981 |
$12,073 |
$227,768 |
$144,871 |
4.00 |
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES |
12 |
$15,743 |
$12,106 |
$188,921 |
$145,270 |
3.25 |
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES |
12 |
$15,024 |
$8,040 |
$180,292 |
$96,484 |
3.25 |
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS |
11 |
$33,856 |
$18,733 |
$372,419 |
$206,058 |
5.18 |
MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS |
11 |
$15,103 |
$7,667 |
$166,138 |
$84,333 |
3.09 |
ALCOHOLIC LIVER DISEASE |
11 |
$19,311 |
$10,552 |
$212,424 |
$116,068 |
3.55 |
NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE |
11 |
$1,586 |
$1,121 |
$17,441 |
$12,326 |
1.09 |
INTENTIONAL SELF-HARM & ATTEMPTED SUICIDE |
11 |
$16,556 |
$9,510 |
$182,120 |
$104,606 |
2.45 |
OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES |
10 |
$17,444 |
$9,056 |
$174,435 |
$90,564 |
3.40 |
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL |
10 |
$24,441 |
$9,821 |
$244,407 |
$98,208 |
2.60 |
OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE |
9 |
$19,018 |
$9,974 |
$171,161 |
$89,768 |
3.22 |
OTHER DISORDERS OF THE LIVER |
9 |
$18,429 |
$8,590 |
$165,861 |
$77,312 |
2.56 |
HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS |
9 |
$17,874 |
$10,322 |
$160,869 |
$92,902 |
3.78 |
OTHER COMPLICATIONS OF TREATMENT |
8 |
$24,640 |
$11,762 |
$197,121 |
$94,095 |
4.13 |
OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES |
7 |
$16,467 |
$7,396 |
$115,270 |
$51,772 |
2.57 |
KNEE JOINT REPLACEMENT |
7 |
$40,615 |
$14,107 |
$284,305 |
$98,746 |
1.86 |
PERITONEAL ADHESIOLYSIS |
7 |
$39,044 |
$23,298 |
$273,306 |
$163,089 |
10.43 |
MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS |
7 |
$28,054 |
$15,995 |
$196,381 |
$111,966 |
6.57 |
NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION |
6 |
$2,965 |
$2,338 |
$17,791 |
$14,025 |
2.67 |
HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS |
6 |
$14,118 |
$8,566 |
$84,705 |
$51,396 |
3.67 |
DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE |
6 |
$11,432 |
$6,692 |
$68,594 |
$40,149 |
1.83 |
CHEST PAIN |
6 |
$9,720 |
$4,472 |
$58,318 |
$26,830 |
1.17 |
OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS |
6 |
$32,285 |
$17,741 |
$193,707 |
$106,448 |
6.33 |
OTHER SMALL & LARGE BOWEL PROCEDURES |
6 |
$31,358 |
$12,854 |
$188,147 |
$77,122 |
3.00 |
GASTROINTESTINAL VASCULAR INSUFFICIENCY |
6 |
$12,806 |
$6,700 |
$76,838 |
$40,201 |
3.00 |
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS |
6 |
$24,303 |
$8,474 |
$145,820 |
$50,841 |
1.50 |
NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
6 |
$20,079 |
$9,155 |
$120,471 |
$54,931 |
2.17 |
EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
6 |
$37,585 |
$13,654 |
$225,507 |
$81,921 |
2.00 |
ANTEPARTUM W/O O.R. PROCEDURE |
6 |
$7,285 |
$4,234 |
$43,710 |
$25,401 |
2.00 |
MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE |
6 |
$14,499 |
$8,378 |
$86,994 |
$50,269 |
3.17 |
MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
6 |
$21,778 |
$9,957 |
$130,669 |
$59,743 |
3.17 |
ABDOMINAL PAIN |
5 |
$17,060 |
$6,909 |
$85,299 |
$34,544 |
2.40 |
INFECTIONS OF UPPER RESPIRATORY TRACT |
5 |
$18,645 |
$9,978 |
$93,226 |
$49,892 |
3.20 |
TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES |
5 |
$25,054 |
$14,120 |
$125,270 |
$70,601 |
5.40 |
OTHER ESOPHAGEAL DISORDERS |
5 |
$24,517 |
$13,375 |
$122,585 |
$66,875 |
5.80 |
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS |
5 |
$13,788 |
$7,445 |
$68,940 |
$37,225 |
2.40 |
PULMONARY EMBOLISM |
5 |
$16,135 |
$6,616 |
$80,676 |
$33,082 |
2.00 |
POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE |
5 |
$35,091 |
$18,223 |
$175,456 |
$91,113 |
6.40 |
DIGESTIVE MALIGNANCY |
5 |
$16,742 |
$7,981 |
$83,710 |
$39,905 |
3.20 |
MAJOR CHEST & RESPIRATORY TRAUMA |
5 |
$15,154 |
$7,840 |
$75,770 |
$39,200 |
3.40 |
ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS |
5 |
$11,646 |
$6,026 |
$58,228 |
$30,128 |
1.80 |
OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES |
5 |
$37,000 |
$17,817 |
$185,001 |
$89,087 |
4.80 |
URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION |
5 |
$10,761 |
$4,640 |
$53,805 |
$23,198 |
1.60 |
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS |
5 |
$16,361 |
$10,578 |
$81,805 |
$52,892 |
4.80 |
UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA |
4 |
$19,325 |
$7,878 |
$77,299 |
$31,511 |
2.00 |
MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG |
4 |
$20,714 |
$11,589 |
$82,854 |
$46,356 |
5.50 |
MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
4 |
$34,573 |
$12,722 |
$138,293 |
$50,887 |
2.50 |
ANAL PROCEDURES |
4 |
$16,169 |
$8,349 |
$64,674 |
$33,397 |
3.50 |
RESPIRATORY MALIGNANCY |
4 |
$34,145 |
$18,251 |
$136,578 |
$73,003 |
6.50 |
MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS |
4 |
$25,518 |
$15,762 |
$102,071 |
$63,047 |
7.50 |
OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS |
4 |
$15,623 |
$7,020 |
$62,490 |
$28,080 |
2.75 |
OTHER BLADDER PROCEDURES |
4 |
$30,749 |
$13,698 |
$122,995 |
$54,793 |
4.50 |
AMPUTATION OF LOWER LIMB EXCEPT TOES |
4 |
$33,082 |
$16,321 |
$132,329 |
$65,285 |
3.50 |
PERIPHERAL & OTHER VASCULAR DISORDERS |
4 |
$17,489 |
$7,638 |
$69,956 |
$30,553 |
2.00 |
UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA |
4 |
$25,517 |
$9,398 |
$102,069 |
$37,593 |
1.50 |
ALTERATION IN CONSCIOUSNESS |
4 |
$20,805 |
$11,347 |
$83,219 |
$45,389 |
5.00 |
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY |
4 |
$18,475 |
$11,514 |
$73,900 |
$46,056 |
4.50 |
OTHER DISORDERS OF NERVOUS SYSTEM |
4 |
$11,882 |
$5,203 |
$47,527 |
$20,813 |
1.75 |
CVA & PRECEREBRAL OCCLUSION W INFARCT |
4 |
$20,650 |
$9,577 |
$82,599 |
$38,307 |
3.75 |
FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK |
4 |
$16,530 |
$7,322 |
$66,120 |
$29,289 |
2.50 |
MASTECTOMY PROCEDURES |
4 |
$28,668 |
$11,821 |
$114,670 |
$47,282 |
2.75 |
KNEE & LOWER LEG PROCEDURES EXCEPT FOOT |
4 |
$28,574 |
$12,090 |
$114,294 |
$48,360 |
2.75 |
OPIOID ABUSE & DEPENDENCE |
3 |
$9,077 |
$4,082 |
$27,231 |
$12,245 |
1.67 |
SHOULDER & ELBOW JOINT REPLACEMENT |
3 |
$55,333 |
$16,743 |
$166,000 |
$50,229 |
1.00 |
HYPERTENSION |
3 |
$15,120 |
$8,939 |
$45,359 |
$26,817 |
3.00 |
MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE |
3 |
$14,094 |
$6,052 |
$42,282 |
$18,155 |
2.00 |
ASTHMA |
3 |
$18,244 |
$10,802 |
$54,732 |
$32,406 |
3.67 |
EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
3 |
$54,929 |
$30,386 |
$164,787 |
$91,157 |
13.67 |
SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES |
3 |
$16,008 |
$10,408 |
$48,024 |
$31,224 |
5.33 |
FOOT & TOE PROCEDURES |
3 |
$17,959 |
$8,925 |
$53,876 |
$26,775 |
2.67 |
LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA |
3 |
$22,068 |
$12,679 |
$66,203 |
$38,037 |
5.00 |
FRACTURE OF PELVIS OR DISLOCATION OF HIP |
3 |
$13,848 |
$6,339 |
$41,543 |
$19,016 |
2.33 |
PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS |
3 |
$33,883 |
$14,116 |
$101,650 |
$42,347 |
3.00 |
FRACTURE OF FEMUR |
3 |
$15,593 |
$5,981 |
$46,780 |
$17,943 |
1.67 |
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES |
3 |
$15,327 |
$6,912 |
$45,982 |
$20,736 |
1.67 |
KIDNEY & URINARY TRACT MALIGNANCY |
3 |
$32,575 |
$15,118 |
$97,724 |
$45,355 |
4.00 |
HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION |
3 |
$13,799 |
$7,174 |
$41,396 |
$21,523 |
1.67 |
OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES |
2 |
$34,718 |
$17,028 |
$69,436 |
$34,055 |
6.50 |
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS |
2 |
$81,454 |
$50,977 |
$162,907 |
$101,953 |
12.00 |
OTHER RESPIRATORY & CHEST PROCEDURES |
2 |
$32,478 |
$18,337 |
$64,956 |
$36,673 |
6.00 |
INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES |
2 |
$15,583 |
$7,756 |
$31,166 |
$15,511 |
3.00 |
FEVER & INFLAMMATORY CONDITIONS |
2 |
$22,069 |
$8,860 |
$44,137 |
$17,719 |
3.00 |
SYNCOPE & COLLAPSE |
2 |
$21,086 |
$7,556 |
$42,172 |
$15,111 |
2.00 |
MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES |
2 |
$21,036 |
$7,624 |
$42,072 |
$15,247 |
2.00 |
NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION |
2 |
$2,566 |
$2,057 |
$5,132 |
$4,113 |
2.50 |
VAGINAL DELIVERY W STERILIZATION &/OR D&C |
2 |
$9,784 |
$4,834 |
$19,568 |
$9,667 |
1.50 |
ANTEPARTUM W O.R. PROCEDURE |
2 |
$19,534 |
$10,431 |
$39,068 |
$20,861 |
4.50 |
VERTIGO & OTHER LABYRINTH DISORDERS |
2 |
$17,452 |
$5,947 |
$34,903 |
$11,893 |
1.50 |
URETHRAL & TRANSURETHRAL PROCEDURES |
2 |
$36,735 |
$20,145 |
$73,469 |
$40,290 |
6.00 |
LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR |
2 |
$31,729 |
$19,683 |
$63,457 |
$39,365 |
8.50 |
ACUTE MYOCARDIAL INFARCTION |
2 |
$13,379 |
$5,403 |
$26,757 |
$10,806 |
1.50 |
SEIZURE |
2 |
$13,244 |
$6,407 |
$26,487 |
$12,814 |
2.00 |
MAJOR ESOPHAGEAL DISORDERS |
2 |
$21,248 |
$12,655 |
$42,496 |
$25,310 |
5.50 |
PENIS, TESTES & SCROTAL PROCEDURES |
1 |
$11,445 |
$5,530 |
$11,445 |
$5,530 |
2.00 |
ANOXIC & OTHER SEVERE BRAIN DAMAGE |
1 |
$21,827 |
$9,442 |
$21,827 |
$9,442 |
2.00 |
MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES |
1 |
$123,362 |
$74,873 |
$123,362 |
$74,873 |
24.00 |
DENTAL DISEASES & DISORDERS |
1 |
$6,199 |
$2,652 |
$6,199 |
$2,652 |
1.00 |
OTHER DRUG ABUSE & DEPENDENCE |
1 |
$13,928 |
$5,918 |
$13,928 |
$5,918 |
1.00 |
NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS |
1 |
$7,485 |
$3,579 |
$7,485 |
$3,579 |
1.00 |
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY |
1 |
$4,468 |
$3,559 |
$4,468 |
$3,559 |
2.00 |
TRANSURETHRAL PROSTATECTOMY |
1 |
$9,206 |
$3,857 |
$9,206 |
$3,857 |
1.00 |
RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES |
1 |
$78,297 |
$45,488 |
$78,297 |
$45,488 |
15.00 |
TRANSIENT ISCHEMIA |
1 |
$13,457 |
$3,708 |
$13,457 |
$3,708 |
1.00 |
ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES |
1 |
$25,704 |
$15,353 |
$25,704 |
$15,353 |
5.00 |
MALIGNANCY, MALE REPRODUCTIVE SYSTEM |
1 |
$12,779 |
$7,458 |
$12,779 |
$7,458 |
3.00 |
ALLERGIC REACTIONS |
1 |
$5,559 |
$2,673 |
$5,559 |
$2,673 |
1.00 |
OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES |
1 |
$20,979 |
$6,369 |
$20,979 |
$6,369 |
1.00 |
VIRAL ILLNESS |
1 |
$8,259 |
$4,764 |
$8,259 |
$4,764 |
2.00 |
MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA |
1 |
$23,735 |
$11,462 |
$23,735 |
$11,462 |
4.00 |
INTRACRANIAL HEMORRHAGE |
1 |
$12,442 |
$4,534 |
$12,442 |
$4,534 |
1.00 |
OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS |
1 |
$9,058 |
$4,711 |
$9,058 |
$4,711 |
2.00 |
KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY |
1 |
$43,660 |
$15,394 |
$43,660 |
$15,394 |
3.00 |
FEMALE REPRODUCTIVE SYSTEM INFECTIONS |
1 |
$7,011 |
$2,602 |
$7,011 |
$2,602 |
1.00 |
MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS |
1 |
$38,346 |
$16,414 |
$38,346 |
$16,414 |
5.00 |
THYROID DISORDERS |
1 |
$5,679 |
$4,005 |
$5,679 |
$4,005 |
2.00 |
COCAINE ABUSE & DEPENDENCE |
1 |
$12,516 |
$4,506 |
$12,516 |
$4,506 |
1.00 |
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM |
1 |
$73,501 |
$31,477 |
$73,501 |
$31,477 |
4.00 |
CONNECTIVE TISSUE DISORDERS |
1 |
$19,099 |
$8,278 |
$19,099 |
$8,278 |
2.00 |
OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES |
1 |
$17,308 |
$5,843 |
$17,308 |
$5,843 |
1.00 |
OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES |
1 |
$25,555 |
$11,055 |
$25,555 |
$11,055 |
3.00 |
NEONATE BIRTHWT >2499G W MAJOR ANOMALY |
1 |
$2,743 |
$1,823 |
$2,743 |
$1,823 |
2.00 |
OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES |
1 |
$30,302 |
$18,872 |
$30,302 |
$18,872 |
5.00 |