NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM |
536 |
$2,258 |
$1,780 |
$1,210,509 |
$954,146 |
2.04 |
VAGINAL DELIVERY |
354 |
$7,542 |
$5,212 |
$2,669,798 |
$1,845,153 |
2.50 |
SEPTICEMIA AND DISSEMINATED INFECTIONS |
314 |
$32,172 |
$16,887 |
$10,102,033 |
$5,302,574 |
5.31 |
MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS |
189 |
$33,940 |
$17,717 |
$6,414,604 |
$3,348,433 |
5.63 |
CESAREAN SECTION WITHOUT STERILIZATION |
176 |
$14,471 |
$7,009 |
$2,546,976 |
$1,233,640 |
2.59 |
HEART FAILURE |
140 |
$22,620 |
$11,153 |
$3,166,772 |
$1,561,446 |
3.69 |
MAJOR LARGE BOWEL PROCEDURES |
93 |
$39,182 |
$16,249 |
$3,643,896 |
$1,511,156 |
4.28 |
OTHER PNEUMONIA |
81 |
$21,188 |
$10,432 |
$1,716,204 |
$844,996 |
3.72 |
RESPIRATORY FAILURE |
53 |
$29,403 |
$13,715 |
$1,558,340 |
$726,883 |
3.47 |
DIABETES |
48 |
$21,611 |
$10,081 |
$1,037,330 |
$483,906 |
2.63 |
INTESTINAL OBSTRUCTION |
47 |
$12,177 |
$5,525 |
$572,318 |
$259,660 |
2.45 |
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS |
46 |
$21,558 |
$10,098 |
$991,653 |
$464,501 |
2.74 |
DISORDERS OF PANCREAS EXCEPT MALIGNANCY |
44 |
$17,158 |
$8,040 |
$754,968 |
$353,763 |
3.27 |
MAJOR SMALL BOWEL PROCEDURES |
42 |
$38,092 |
$17,224 |
$1,599,861 |
$723,406 |
5.36 |
ACUTE KIDNEY INJURY |
41 |
$19,250 |
$9,700 |
$789,237 |
$397,698 |
3.78 |
CESAREAN SECTION WITH STERILIZATION |
41 |
$17,068 |
$7,342 |
$699,773 |
$301,032 |
2.22 |
CELLULITIS AND OTHER SKIN INFECTIONS |
39 |
$13,991 |
$8,038 |
$545,636 |
$313,488 |
3.62 |
NON-HYPOVOLEMIC SODIUM DISORDERS |
35 |
$19,950 |
$9,446 |
$698,254 |
$330,618 |
3.43 |
INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE |
33 |
$47,607 |
$24,440 |
$1,571,020 |
$806,520 |
8.64 |
DISORDERS OF GALLBLADDER AND BILIARY TRACT |
31 |
$22,014 |
$9,260 |
$682,441 |
$287,058 |
2.84 |
CHRONIC OBSTRUCTIVE PULMONARY DISEASE |
31 |
$22,672 |
$10,671 |
$702,834 |
$330,793 |
3.03 |
DIVERTICULITIS AND DIVERTICULOSIS |
28 |
$13,234 |
$6,706 |
$370,565 |
$187,757 |
3.18 |
CHOLECYSTECTOMY |
25 |
$37,403 |
$19,045 |
$935,078 |
$476,131 |
3.52 |
OTHER DIGESTIVE SYSTEM DIAGNOSES |
25 |
$22,180 |
$10,256 |
$554,507 |
$256,394 |
3.52 |
OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES |
20 |
$19,474 |
$9,281 |
$389,473 |
$185,616 |
3.35 |
NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE |
19 |
$1,957 |
$1,261 |
$37,174 |
$23,958 |
1.05 |
NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT |
19 |
$43,444 |
$17,806 |
$825,444 |
$338,318 |
4.47 |
MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE |
18 |
$19,288 |
$10,325 |
$347,186 |
$185,857 |
4.44 |
HIP AND FEMUR FRACTURE REPAIR |
18 |
$33,896 |
$14,705 |
$610,135 |
$264,681 |
4.17 |
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS |
17 |
$37,080 |
$14,013 |
$630,356 |
$238,229 |
2.35 |
OTHER AFTERCARE AND CONVALESCENCE |
16 |
$13,771 |
$7,200 |
$220,330 |
$115,198 |
2.69 |
PEPTIC ULCER AND GASTRITIS |
15 |
$16,859 |
$7,182 |
$252,892 |
$107,730 |
2.07 |
INFLAMMATORY BOWEL DISEASE |
15 |
$15,215 |
$6,848 |
$228,218 |
$102,718 |
2.93 |
NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM |
15 |
$2,596 |
$2,057 |
$38,935 |
$30,853 |
2.40 |
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL |
15 |
$35,460 |
$14,375 |
$531,904 |
$215,622 |
3.47 |
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES |
15 |
$21,207 |
$10,493 |
$318,110 |
$157,396 |
3.33 |
OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS |
14 |
$27,243 |
$11,507 |
$381,408 |
$161,096 |
2.57 |
ALCOHOL ABUSE AND DEPENDENCE |
14 |
$21,791 |
$12,142 |
$305,067 |
$169,981 |
4.43 |
OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE |
14 |
$25,313 |
$13,217 |
$354,377 |
$185,035 |
5.00 |
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES |
14 |
$20,127 |
$9,405 |
$281,773 |
$131,670 |
3.64 |
KIDNEY AND URINARY TRACT INFECTIONS |
13 |
$15,901 |
$7,937 |
$206,709 |
$103,186 |
3.23 |
OTHER GASTROENTERITIS, NAUSEA AND VOMITING |
13 |
$22,319 |
$9,149 |
$290,151 |
$118,941 |
2.77 |
MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS |
12 |
$16,871 |
$8,539 |
$202,456 |
$102,466 |
3.42 |
MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE |
12 |
$15,552 |
$7,282 |
$186,629 |
$87,378 |
2.92 |
PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES |
11 |
$36,486 |
$13,734 |
$401,342 |
$151,077 |
1.55 |
HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS |
10 |
$33,957 |
$17,852 |
$339,571 |
$178,520 |
5.90 |
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS |
10 |
$73,922 |
$43,374 |
$739,222 |
$433,735 |
11.20 |
PULMONARY EMBOLISM |
9 |
$21,734 |
$9,310 |
$195,607 |
$83,788 |
2.67 |
ANTEPARTUM WITHOUT O.R. PROCEDURE |
9 |
$5,105 |
$3,124 |
$45,942 |
$28,113 |
1.44 |
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS |
9 |
$18,869 |
$9,762 |
$169,823 |
$87,854 |
3.89 |
OTHER COMPLICATIONS OF TREATMENT |
9 |
$17,293 |
$9,028 |
$155,637 |
$81,252 |
3.44 |
PERITONEAL ADHESIOLYSIS |
8 |
$43,803 |
$21,637 |
$350,421 |
$173,095 |
6.75 |
AMPUTATION OF LOWER LIMB EXCEPT TOES |
8 |
$36,206 |
$19,373 |
$289,646 |
$154,986 |
7.25 |
ABDOMINAL PAIN |
8 |
$16,443 |
$5,883 |
$131,547 |
$47,061 |
1.88 |
MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS |
8 |
$33,588 |
$13,807 |
$268,701 |
$110,456 |
4.88 |
VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C |
8 |
$11,761 |
$7,431 |
$94,087 |
$59,446 |
3.38 |
URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION |
8 |
$23,807 |
$10,791 |
$190,458 |
$86,327 |
3.00 |
RESPIRATORY MALIGNANCY |
8 |
$31,285 |
$16,319 |
$250,282 |
$130,553 |
4.88 |
MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION |
8 |
$27,548 |
$13,164 |
$220,387 |
$105,310 |
4.75 |
CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION |
8 |
$19,878 |
$6,995 |
$159,024 |
$55,960 |
2.63 |
HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS |
7 |
$16,421 |
$8,852 |
$114,945 |
$61,963 |
3.43 |
ANAL PROCEDURES |
7 |
$15,908 |
$6,015 |
$111,353 |
$42,106 |
1.57 |
ALCOHOLIC LIVER DISEASE |
7 |
$25,328 |
$12,931 |
$177,295 |
$90,520 |
4.14 |
OTHER SMALL AND LARGE BOWEL PROCEDURES |
7 |
$30,114 |
$13,165 |
$210,801 |
$92,155 |
3.86 |
KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY |
7 |
$27,503 |
$9,510 |
$192,521 |
$66,571 |
1.14 |
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS |
6 |
$33,284 |
$13,906 |
$199,703 |
$83,434 |
3.67 |
OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS |
6 |
$17,100 |
$7,331 |
$102,600 |
$43,986 |
2.33 |
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS |
6 |
$21,831 |
$9,652 |
$130,987 |
$57,914 |
3.17 |
MAJOR ESOPHAGEAL DISORDERS |
6 |
$35,559 |
$15,926 |
$213,354 |
$95,558 |
3.83 |
OTHER DISORDERS OF THE LIVER |
6 |
$28,259 |
$11,520 |
$169,553 |
$69,119 |
2.83 |
ALTERATION IN CONSCIOUSNESS |
5 |
$28,836 |
$9,978 |
$144,182 |
$49,890 |
3.00 |
OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES |
5 |
$16,769 |
$8,530 |
$83,843 |
$42,652 |
4.20 |
INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE |
5 |
$19,418 |
$9,432 |
$97,090 |
$47,158 |
2.20 |
UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA |
5 |
$26,287 |
$10,352 |
$131,435 |
$51,758 |
1.60 |
OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS |
5 |
$14,440 |
$8,700 |
$72,199 |
$43,502 |
3.60 |
MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
5 |
$20,002 |
$9,888 |
$100,010 |
$49,439 |
3.40 |
INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES |
5 |
$23,660 |
$10,131 |
$118,298 |
$50,657 |
3.00 |
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY |
5 |
$2,541 |
$1,953 |
$12,703 |
$9,763 |
2.20 |
UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA |
5 |
$22,208 |
$10,250 |
$111,038 |
$51,251 |
3.00 |
GASTROINTESTINAL VASCULAR INSUFFICIENCY |
5 |
$12,541 |
$6,005 |
$62,707 |
$30,024 |
2.80 |
OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES |
4 |
$24,729 |
$12,254 |
$98,915 |
$49,017 |
4.25 |
FRACTURE OF FEMUR |
4 |
$14,095 |
$8,804 |
$56,380 |
$35,217 |
4.25 |
FOOT AND TOE PROCEDURES |
4 |
$31,660 |
$18,800 |
$126,641 |
$75,201 |
7.50 |
HYPERTENSION |
4 |
$20,192 |
$10,331 |
$80,766 |
$41,324 |
3.25 |
MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
4 |
$40,542 |
$19,676 |
$162,169 |
$78,702 |
6.00 |
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION |
4 |
$2,376 |
$1,934 |
$9,505 |
$7,735 |
2.25 |
OTHER BLADDER PROCEDURES |
4 |
$35,472 |
$17,774 |
$141,886 |
$71,096 |
6.50 |
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES |
4 |
$30,130 |
$16,539 |
$120,518 |
$66,157 |
4.50 |
POISONING OF MEDICINAL AGENTS |
4 |
$34,910 |
$14,002 |
$139,640 |
$56,008 |
3.00 |
FEVER AND INFLAMMATORY CONDITIONS |
4 |
$26,679 |
$14,117 |
$106,717 |
$56,468 |
5.50 |
DIGESTIVE MALIGNANCY |
4 |
$44,049 |
$18,560 |
$176,196 |
$74,241 |
5.75 |
SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS |
3 |
$33,336 |
$14,238 |
$100,009 |
$42,715 |
5.67 |
OTHER INFECTIOUS AND PARASITIC DISEASES |
3 |
$18,388 |
$8,803 |
$55,164 |
$26,408 |
3.00 |
OTHER ESOPHAGEAL DISORDERS |
3 |
$20,355 |
$10,873 |
$61,066 |
$32,619 |
5.00 |
OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES |
3 |
$19,443 |
$9,199 |
$58,329 |
$27,598 |
3.00 |
PERIPHERAL AND OTHER VASCULAR DISORDERS |
3 |
$20,046 |
$10,292 |
$60,139 |
$30,875 |
4.00 |
LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA |
3 |
$29,175 |
$15,450 |
$87,526 |
$46,350 |
4.67 |
KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY |
3 |
$29,404 |
$9,785 |
$88,211 |
$29,354 |
1.33 |
MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES |
3 |
$89,302 |
$46,396 |
$267,907 |
$139,189 |
15.67 |
ACUTE MYOCARDIAL INFARCTION |
3 |
$26,274 |
$10,746 |
$78,821 |
$32,237 |
2.33 |
POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE |
3 |
$37,663 |
$16,881 |
$112,990 |
$50,643 |
6.00 |
SEIZURE |
3 |
$18,754 |
$8,075 |
$56,261 |
$24,226 |
2.00 |
SKIN ULCERS |
3 |
$10,337 |
$6,199 |
$31,012 |
$18,596 |
3.00 |
HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION |
3 |
$22,963 |
$7,538 |
$68,888 |
$22,614 |
1.33 |
CARDIAC ARREST AND SHOCK |
3 |
$20,823 |
$8,606 |
$62,468 |
$25,817 |
1.67 |
FRACTURE OF PELVIS OR DISLOCATION OF HIP |
2 |
$19,839 |
$11,839 |
$39,677 |
$23,677 |
6.00 |
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY |
2 |
$22,273 |
$8,202 |
$44,545 |
$16,404 |
2.50 |
SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT |
2 |
$23,860 |
$9,018 |
$47,720 |
$18,036 |
1.50 |
MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE |
2 |
$16,865 |
$9,141 |
$33,729 |
$18,281 |
4.00 |
OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS |
2 |
$18,650 |
$6,844 |
$37,299 |
$13,687 |
1.00 |
PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS |
2 |
$56,165 |
$36,276 |
$112,330 |
$72,551 |
13.50 |
ANTEPARTUM WITH O.R. PROCEDURE |
2 |
$21,643 |
$8,007 |
$43,286 |
$16,014 |
1.00 |
OTHER ENDOCRINE DISORDERS |
2 |
$14,978 |
$6,457 |
$29,955 |
$12,913 |
2.00 |
MASTECTOMY PROCEDURES |
2 |
$27,681 |
$11,326 |
$55,362 |
$22,652 |
2.50 |
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS |
2 |
$16,739 |
$9,697 |
$33,478 |
$19,394 |
4.00 |
SYNCOPE AND COLLAPSE |
2 |
$27,336 |
$8,494 |
$54,672 |
$16,987 |
2.50 |
TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES |
2 |
$28,224 |
$11,499 |
$56,448 |
$22,997 |
3.50 |
OTHER CIRCULATORY SYSTEM DIAGNOSES |
2 |
$23,567 |
$9,436 |
$47,133 |
$18,872 |
2.50 |
MAJOR RESPIRATORY AND CHEST PROCEDURES |
2 |
$11,778 |
$6,660 |
$23,555 |
$13,319 |
2.00 |
VERTIGO AND OTHER LABYRINTH DISORDERS |
2 |
$37,384 |
$13,991 |
$74,767 |
$27,982 |
4.50 |
KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT |
2 |
$86,420 |
$50,795 |
$172,840 |
$101,590 |
16.00 |
OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES |
2 |
$103,033 |
$63,757 |
$206,066 |
$127,514 |
26.50 |
COAGULATION AND PLATELET DISORDERS |
2 |
$28,982 |
$13,852 |
$57,964 |
$27,703 |
5.50 |
MAJOR CHEST AND RESPIRATORY TRAUMA |
2 |
$23,141 |
$11,348 |
$46,281 |
$22,696 |
5.00 |
MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS |
2 |
$48,844 |
$20,464 |
$97,687 |
$40,928 |
6.50 |
ACUTE BRONCHITIS AND RELATED SYMPTOMS |
1 |
$10,516 |
$4,965 |
$10,516 |
$4,965 |
2.00 |
MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS |
1 |
$47,583 |
$21,433 |
$47,583 |
$21,433 |
6.00 |
MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY |
1 |
$40,046 |
$22,869 |
$40,046 |
$22,869 |
10.00 |
OTHER RESPIRATORY AND CHEST PROCEDURES |
1 |
$16,693 |
$6,455 |
$16,693 |
$6,455 |
2.00 |
OTHER CIRCULATORY SYSTEM PROCEDURES |
1 |
$42,091 |
$22,750 |
$42,091 |
$22,750 |
9.00 |
ACUTE AND SUBACUTE ENDOCARDITIS |
1 |
$16,338 |
$11,173 |
$16,338 |
$11,173 |
4.00 |
EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
1 |
$59,429 |
$27,940 |
$59,429 |
$27,940 |
8.00 |
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
1 |
$105,050 |
$60,552 |
$105,050 |
$60,552 |
19.00 |
DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE |
1 |
$19,252 |
$8,304 |
$19,252 |
$8,304 |
2.00 |
CHEST PAIN |
1 |
$6,507 |
$3,094 |
$6,507 |
$3,094 |
1.00 |
ASTHMA |
1 |
$9,806 |
$4,729 |
$9,806 |
$4,729 |
1.00 |
VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C |
1 |
$13,075 |
$7,609 |
$13,075 |
$7,609 |
3.00 |
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION |
1 |
$4,376 |
$3,345 |
$4,376 |
$3,345 |
4.00 |
OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES |
1 |
$29,326 |
$14,087 |
$29,326 |
$14,087 |
4.00 |
FEMALE REPRODUCTIVE SYSTEM INFECTIONS |
1 |
$12,101 |
$6,255 |
$12,101 |
$6,255 |
2.00 |
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CON |
1 |
$1,312 |
$904 |
$1,312 |
$904 |
1.00 |
BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM |
1 |
$118,574 |
$49,379 |
$118,574 |
$49,379 |
11.00 |
DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES |
1 |
$31,471 |
$14,094 |
$31,471 |
$14,094 |
5.00 |
EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA |
1 |
$48,657 |
$23,182 |
$48,657 |
$23,182 |
6.00 |
EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES |
1 |
$25,557 |
$8,428 |
$25,557 |
$8,428 |
1.00 |
HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE |
1 |
$17,775 |
$15,905 |
$17,775 |
$15,905 |
5.00 |
RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES |
1 |
$24,172 |
$9,477 |
$24,172 |
$9,477 |
1.00 |
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDIT |
1 |
$1,627 |
$986 |
$1,627 |
$986 |
1.00 |
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION |
1 |
$3,879 |
$3,264 |
$3,879 |
$3,264 |
4.00 |
OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES |
1 |
$80,618 |
$35,289 |
$80,618 |
$35,289 |
9.00 |
OTHER SIGNIFICANT HIP AND FEMUR SURGERY |
1 |
$35,996 |
$15,175 |
$35,996 |
$15,175 |
3.00 |
OTHER NERVOUS SYSTEM AND RELATED PROCEDURES |
1 |
$23,138 |
$10,084 |
$23,138 |
$10,084 |
4.00 |
TRANSIENT ISCHEMIA |
1 |
$12,259 |
$5,801 |
$12,259 |
$5,801 |
2.00 |
LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR |
1 |
$14,371 |
$5,877 |
$14,371 |
$5,877 |
3.00 |
INTRACRANIAL HEMORRHAGE |
1 |
$19,618 |
$7,062 |
$19,618 |
$7,062 |
2.00 |
OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS |
1 |
$13,107 |
$10,533 |
$13,107 |
$10,533 |
7.00 |
OPIOID ABUSE AND DEPENDENCE |
1 |
$13,731 |
$12,145 |
$13,731 |
$12,145 |
4.00 |
SPINAL DISORDERS AND INJURIES |
1 |
$33,479 |
$13,266 |
$33,479 |
$13,266 |
6.00 |
CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE |
1 |
$8,409 |
$5,694 |
$8,409 |
$5,694 |
3.00 |
URETHRAL AND TRANSURETHRAL PROCEDURES |
1 |
$73,159 |
$42,871 |
$73,159 |
$42,871 |
22.00 |
NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS |
1 |
$24,829 |
$10,495 |
$24,829 |
$10,495 |
5.00 |
ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS |
1 |
$9,318 |
$5,201 |
$9,318 |
$5,201 |
1.00 |
UNGROUPABLE |
1 |
$12,051 |
$3,702 |
$12,051 |
$3,702 |
2.00 |
UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY |
1 |
$35,220 |
$13,842 |
$35,220 |
$13,842 |
2.00 |
INBORN ERRORS OF METABOLISM |
1 |
$22,645 |
$12,454 |
$22,645 |
$12,454 |
7.00 |
MALIGNANT BREAST DISORDERS |
1 |
$26,173 |
$10,900 |
$26,173 |
$10,900 |
4.00 |
ALLERGIC REACTIONS |
1 |
$34,224 |
$14,309 |
$34,224 |
$14,309 |
4.00 |