Neonate birthwt >2499g, normal newborn or neonate w other problem |
1930 |
$16,955 |
$1,870 |
$32,723,978 |
$3,608,577 |
2.54 |
Vaginal delivery |
1258 |
$29,890 |
$7,641 |
$37,601,848 |
$9,612,609 |
2.76 |
Cesarean delivery |
761 |
$40,488 |
$10,413 |
$30,811,155 |
$7,924,173 |
3.60 |
Heart failure |
377 |
$63,204 |
$17,776 |
$23,827,724 |
$6,701,529 |
5.19 |
Septicemia & disseminated infections |
369 |
$109,076 |
$39,010 |
$40,249,125 |
$14,394,666 |
7.37 |
Schizophrenia |
256 |
$210,171 |
$48,124 |
$53,803,687 |
$12,319,855 |
23.73 |
Chronic obstructive pulmonary disease |
227 |
$60,132 |
$16,555 |
$13,649,872 |
$3,757,969 |
4.99 |
Cardiac arrhythmia & conduction disorders |
191 |
$38,334 |
$10,594 |
$7,321,732 |
$2,023,546 |
3.20 |
Cervical spinal fusion & other back/neck proc exc disc excis/decomp |
187 |
$88,451 |
$33,703 |
$16,540,321 |
$6,302,453 |
2.43 |
Other pneumonia |
185 |
$55,078 |
$15,172 |
$10,189,474 |
$2,806,789 |
4.48 |
Kidney & urinary tract infections |
175 |
$48,977 |
$12,398 |
$8,571,059 |
$2,169,603 |
4.56 |
Laparoscopic cholecystectomy |
170 |
$48,090 |
$14,300 |
$8,175,315 |
$2,430,946 |
2.72 |
Dorsal & lumbar fusion proc except for curvature of back |
160 |
$182,648 |
$73,834 |
$29,223,606 |
$11,813,443 |
4.61 |
Diabetes |
158 |
$51,177 |
$14,729 |
$8,085,907 |
$2,327,172 |
4.32 |
Syncope & collapse |
156 |
$28,454 |
$7,269 |
$4,438,833 |
$1,133,966 |
2.44 |
Bipolar disorders |
143 |
$121,335 |
$27,949 |
$17,350,845 |
$3,996,772 |
13.52 |
Asthma |
139 |
$38,866 |
$10,212 |
$5,402,402 |
$1,419,429 |
3.42 |
Major depressive disorders & other/unspecified psychoses |
132 |
$119,862 |
$27,488 |
$15,821,842 |
$3,628,456 |
13.45 |
Chest pain |
127 |
$21,625 |
$5,575 |
$2,746,365 |
$708,080 |
1.79 |
Cellulitis & other skin infections |
126 |
$54,495 |
$13,863 |
$6,866,409 |
$1,746,691 |
4.97 |
Dorsal & lumbar fusion proc for curvature of back |
125 |
$315,210 |
$132,052 |
$39,401,198 |
$16,506,551 |
8.99 |
CVA & precerebral occlusion w infarct |
115 |
$72,450 |
$20,953 |
$8,331,711 |
$2,409,624 |
5.66 |
Other gastroenteritis, nausa & vomiting |
106 |
$37,022 |
$9,865 |
$3,924,327 |
$1,045,657 |
3.18 |
Acute Kidney Injury |
105 |
$67,567 |
$18,601 |
$7,094,492 |
$1,953,088 |
5.98 |
Angina pectoris & coronary atherosclerosis |
103 |
$30,913 |
$8,122 |
$3,183,988 |
$836,547 |
2.68 |
Other anemia & disorders of blood & blood-forming organs |
103 |
$34,380 |
$9,064 |
$3,541,142 |
$933,578 |
2.82 |
Electrolyte disorders except hypovolemia related |
99 |
$45,440 |
$13,247 |
$4,498,603 |
$1,311,465 |
3.63 |
Alcohol abuse & dependence |
98 |
$59,213 |
$15,426 |
$5,802,881 |
$1,511,752 |
5.67 |
Other digestive system diagnoses |
90 |
$44,458 |
$13,164 |
$4,001,183 |
$1,184,784 |
3.71 |
Other musculoskeletal system & connective tissue diagnoses |
85 |
$47,401 |
$13,092 |
$4,029,101 |
$1,112,829 |
4.06 |
Appendectomy |
84 |
$42,905 |
$12,619 |
$3,604,000 |
$1,059,981 |
2.30 |
Peptic ulcer & gastritis |
81 |
$47,472 |
$14,927 |
$3,845,209 |
$1,209,073 |
3.62 |
Diverticulitis & diverticulosis |
78 |
$42,986 |
$11,998 |
$3,352,908 |
$935,875 |
3.69 |
Seizure |
76 |
$46,480 |
$13,252 |
$3,532,474 |
$1,007,141 |
3.72 |
Acute myocardial infarction |
75 |
$65,622 |
$19,753 |
$4,921,618 |
$1,481,507 |
5.04 |
Other & unspecified gastrointestinal hemorrhage |
74 |
$56,286 |
$16,592 |
$4,165,156 |
$1,227,795 |
4.41 |
Other back & neck disorders, fractures & injuries |
74 |
$46,134 |
$11,708 |
$3,413,886 |
$866,385 |
4.31 |
Infections of upper respiratory tract |
73 |
$35,259 |
$8,776 |
$2,573,871 |
$640,624 |
2.93 |
Disorders of pancreas except malignancy |
72 |
$38,769 |
$10,066 |
$2,791,352 |
$724,782 |
3.43 |
Hypertension |
71 |
$42,384 |
$11,506 |
$3,009,234 |
$816,907 |
3.61 |
Intervertebral disc excision & decompression |
71 |
$64,460 |
$22,145 |
$4,576,628 |
$1,572,298 |
1.99 |
Peripheral & other vascular disorders |
68 |
$56,751 |
$14,680 |
$3,859,036 |
$998,222 |
5.41 |
Major gastrointestinal & peritoneal infections |
66 |
$53,422 |
$13,957 |
$3,525,826 |
$921,160 |
4.76 |
Other musculoskeletal system & connective tissue procedures |
65 |
$83,374 |
$26,869 |
$5,419,303 |
$1,746,502 |
3.71 |
Major respiratory infections & inflammations |
59 |
$72,710 |
$21,292 |
$4,289,893 |
$1,256,204 |
5.81 |
Organic mental health disturbances |
59 |
$114,430 |
$28,104 |
$6,751,360 |
$1,658,141 |
10.83 |
Intestinal obstruction |
58 |
$40,039 |
$10,369 |
$2,322,290 |
$601,422 |
3.62 |
Hypovolemia & related electrolyte disorders |
52 |
$44,838 |
$12,291 |
$2,331,600 |
$639,147 |
3.81 |
Other antepartum diagnoses |
52 |
$31,528 |
$7,752 |
$1,639,451 |
$403,125 |
3.19 |
Neonate bwt 2000-2499g, normal newborn or neonate w other problem |
50 |
$32,191 |
$6,714 |
$1,609,548 |
$335,689 |
3.36 |
Sickle cell anemia crisis |
50 |
$74,152 |
$19,150 |
$3,707,608 |
$957,492 |
7.32 |
Signs, symptoms & other factors influencing health status |
50 |
$44,212 |
$11,557 |
$2,210,617 |
$577,865 |
4.00 |
Other endocrine disorders |
49 |
$68,441 |
$21,411 |
$3,353,588 |
$1,049,160 |
5.37 |
Neonate birthwt >2499g w other significant condition |
46 |
$46,473 |
$12,760 |
$2,137,757 |
$586,963 |
3.59 |
Respiratory Failure |
44 |
$146,970 |
$57,370 |
$6,466,698 |
$2,524,279 |
8.84 |
Respiratory signs, symptoms & minor diagnoses |
43 |
$33,498 |
$8,493 |
$1,440,411 |
$365,195 |
2.70 |
Other disorders of nervous system |
42 |
$52,242 |
$13,727 |
$2,194,173 |
$576,513 |
4.69 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
41 |
$33,154 |
$8,549 |
$1,359,299 |
$350,522 |
3.05 |
Toxic effects of non-medicinal substances |
41 |
$65,868 |
$16,830 |
$2,700,580 |
$690,014 |
6.51 |
Pulmonary embolism |
40 |
$56,092 |
$15,248 |
$2,243,664 |
$609,910 |
4.65 |
Hip and femur fracture repair |
40 |
$111,166 |
$33,706 |
$4,446,656 |
$1,348,255 |
7.80 |
Infectious & parasitic diseases including HIV w O.R. procedure |
39 |
$284,386 |
$97,018 |
$11,091,050 |
$3,783,720 |
19.90 |
Poisoning of medicinal agents |
39 |
$68,484 |
$23,122 |
$2,670,864 |
$901,753 |
5.41 |
Vertigo & other labyrinth disorders |
38 |
$29,570 |
$7,410 |
$1,123,641 |
$281,584 |
2.45 |
Other circulatory system diagnoses |
38 |
$37,931 |
$9,611 |
$1,441,362 |
$365,222 |
3.24 |
Other esophageal disorders |
38 |
$40,248 |
$11,639 |
$1,529,416 |
$442,271 |
3.29 |
Vaginal delivery w sterilization &/or D&C |
38 |
$33,406 |
$8,639 |
$1,269,423 |
$328,299 |
2.89 |
Postpartum & post abortion diagnoses w/o procedure |
36 |
$26,374 |
$6,874 |
$949,447 |
$247,480 |
2.42 |
Knee & lower leg procedures except foot |
35 |
$59,205 |
$18,300 |
$2,072,158 |
$640,496 |
3.11 |
Migraine & other headaches |
34 |
$32,614 |
$9,301 |
$1,108,865 |
$316,244 |
2.59 |
Abdominal pain |
33 |
$28,049 |
$7,181 |
$925,633 |
$236,983 |
2.27 |
Disorders of gallbladder & biliary tract |
33 |
$38,037 |
$10,443 |
$1,255,232 |
$344,623 |
3.21 |
Peripheral, cranial & autonomic nerve disorders |
32 |
$49,514 |
$12,541 |
$1,584,435 |
$401,326 |
4.31 |
Degenerative nervous system disorders exc mult sclerosis |
29 |
$68,360 |
$18,822 |
$1,982,450 |
$545,845 |
6.52 |
Foot & toe procedures |
29 |
$126,480 |
$34,901 |
$3,667,929 |
$1,012,117 |
9.83 |
Malfunction, reaction, complic of genitourinary device or proc |
29 |
$124,387 |
$33,448 |
$3,607,221 |
$969,989 |
10.62 |
Spinal procedures |
28 |
$76,973 |
$27,497 |
$2,155,252 |
$769,907 |
2.43 |
Transient ischemia |
28 |
$33,474 |
$8,294 |
$937,263 |
$232,228 |
2.50 |
Fractures & dislocations except femur, pelvis & back |
28 |
$51,685 |
$13,693 |
$1,447,183 |
$383,405 |
4.61 |
Malnutrition, failure to thrive & other nutritional disorders |
28 |
$149,824 |
$37,014 |
$4,195,068 |
$1,036,386 |
14.29 |
Respiratory system diagnosis w ventilator support 96+ hours |
27 |
$316,862 |
$142,780 |
$8,555,276 |
$3,855,071 |
17.00 |
Inflammatory bowel disease |
27 |
$48,085 |
$12,753 |
$1,298,301 |
$344,319 |
3.89 |
Skin ulcers |
27 |
$52,280 |
$13,097 |
$1,411,572 |
$353,614 |
4.93 |
HIV w major HIV related condition |
27 |
$74,480 |
$22,446 |
$2,010,956 |
$606,045 |
5.26 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
26 |
$57,510 |
$16,823 |
$1,495,272 |
$437,408 |
4.15 |
Digestive malignancy |
25 |
$85,826 |
$23,436 |
$2,145,658 |
$585,904 |
7.48 |
Nontraumatic stupor & coma |
24 |
$121,106 |
$35,803 |
$2,906,543 |
$859,268 |
10.13 |
Viral illness |
22 |
$46,496 |
$11,705 |
$1,022,907 |
$257,512 |
3.59 |
Hernia procedures except inguinal, femoral & umbilical |
21 |
$51,712 |
$15,713 |
$1,085,950 |
$329,977 |
2.95 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
21 |
$83,771 |
$21,153 |
$1,759,199 |
$444,204 |
7.81 |
Other kidney & urinary tract diagnoses, signs & symptoms |
20 |
$70,144 |
$18,631 |
$1,402,870 |
$372,613 |
6.15 |
Chronic Kidney Disease |
20 |
$42,393 |
$12,008 |
$847,858 |
$240,160 |
3.60 |
Neonate birthwt >2499g w major anomaly |
20 |
$18,333 |
$1,657 |
$366,651 |
$33,144 |
2.90 |
HIV w multiple major HIV related conditions |
20 |
$140,728 |
$47,011 |
$2,814,566 |
$940,227 |
10.50 |
Respiratory malignancy |
19 |
$102,352 |
$26,447 |
$1,944,697 |
$502,491 |
9.11 |
Hepatic coma & other major acute liver disorders |
19 |
$69,409 |
$18,295 |
$1,318,771 |
$347,604 |
5.84 |
Acute anxiety & delirium states |
19 |
$40,328 |
$10,043 |
$766,239 |
$190,819 |
3.68 |
Cocaine abuse & dependence |
19 |
$68,827 |
$16,143 |
$1,307,707 |
$306,715 |
7.37 |
Procedure w diag of rehab, aftercare or oth contact w health service |
19 |
$184,188 |
$74,204 |
$3,499,573 |
$1,409,870 |
5.21 |
Urinary stones & acquired upper urinary tract obstruction |
18 |
$35,955 |
$9,995 |
$647,183 |
$179,907 |
2.83 |
Major small & large bowel procedures |
16 |
$104,348 |
$31,654 |
$1,669,571 |
$506,468 |
7.25 |
Malignancy of hepatobiliary system & pancreas |
16 |
$58,682 |
$14,941 |
$938,909 |
$239,063 |
5.06 |
Moderately extensive procedure unrelated to principal diagnosis |
16 |
$142,188 |
$45,485 |
$2,275,015 |
$727,761 |
10.63 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
15 |
$44,825 |
$14,581 |
$672,380 |
$218,713 |
3.53 |
Other hepatobiliary, pancreas & abdominal procedures |
15 |
$101,614 |
$30,423 |
$1,524,211 |
$456,340 |
8.33 |
Hip joint replacement |
15 |
$89,801 |
$26,712 |
$1,347,008 |
$400,680 |
5.73 |
Fracture of femur |
15 |
$60,075 |
$18,169 |
$901,127 |
$272,531 |
5.07 |
Penis procedures |
15 |
$57,726 |
$24,619 |
$865,893 |
$369,286 |
1.40 |
Male reproductive system diagnoses except malignancy |
15 |
$100,991 |
$38,839 |
$1,514,858 |
$582,592 |
6.47 |
Menstrual & other female reproductive system disorders |
15 |
$17,840 |
$4,782 |
$267,601 |
$71,728 |
1.47 |
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond |
15 |
$85,398 |
$26,575 |
$1,280,965 |
$398,620 |
5.13 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
15 |
$48,885 |
$12,497 |
$733,280 |
$187,454 |
4.00 |
Head trauma w coma >1 hr or hemorrhage |
14 |
$65,574 |
$19,846 |
$918,034 |
$277,839 |
5.50 |
Lower extremity arterial procedures |
14 |
$161,451 |
$48,431 |
$2,260,310 |
$678,033 |
12.36 |
Other peripheral vascular procedures |
14 |
$137,420 |
$43,178 |
$1,923,881 |
$604,497 |
9.86 |
Other small & large bowel procedures |
14 |
$99,849 |
$30,610 |
$1,397,889 |
$428,537 |
7.43 |
Gastrointestinal vascular insufficiency |
14 |
$44,207 |
$11,956 |
$618,901 |
$167,387 |
3.57 |
Alcoholic liver disease |
14 |
$130,833 |
$42,340 |
$1,831,661 |
$592,756 |
10.50 |
Other disorders of the liver |
14 |
$61,993 |
$20,321 |
$867,907 |
$284,495 |
4.64 |
Post-op, post-trauma, other device infections w O.R. procedure |
14 |
$147,768 |
$40,970 |
$2,068,755 |
$573,575 |
11.29 |
Fever |
14 |
$42,126 |
$11,124 |
$589,762 |
$155,731 |
3.36 |
Opioid abuse & dependence |
14 |
$52,852 |
$13,675 |
$739,924 |
$191,453 |
4.93 |
Other complications of treatment |
14 |
$47,460 |
$14,324 |
$664,437 |
$200,539 |
3.36 |
Intracranial hemorrhage |
13 |
$77,793 |
$27,785 |
$1,011,311 |
$361,203 |
4.85 |
Perm cardiac pacemaker implant w/o AMI, heart failure or shock |
13 |
$120,582 |
$38,945 |
$1,567,565 |
$506,287 |
9.15 |
Malfunction, reaction & complication of GI device or procedure |
13 |
$35,478 |
$10,042 |
$461,213 |
$130,545 |
2.77 |
Other skin, subcutaneous tissue & related procedures |
13 |
$76,101 |
$19,736 |
$989,317 |
$256,572 |
6.92 |
Post-operative, post-traumatic, other device infections |
13 |
$71,172 |
$21,294 |
$925,231 |
$276,825 |
5.69 |
Fracture of pelvis or dislocation of hip |
12 |
$43,431 |
$11,225 |
$521,172 |
$134,699 |
4.08 |
Connective tissue disorders |
12 |
$49,908 |
$12,534 |
$598,901 |
$150,413 |
4.25 |
Other skin, subcutaneous tissue & breast disorders |
12 |
$32,032 |
$8,097 |
$384,388 |
$97,167 |
2.92 |
Uterine & adnexa procedures for leiomyoma |
12 |
$47,314 |
$14,162 |
$567,764 |
$169,948 |
2.50 |
Depression except major depressive disorder |
12 |
$100,738 |
$22,965 |
$1,208,860 |
$275,582 |
11.00 |
Nonextensive procedure unrelated to principal diagnosis |
12 |
$243,654 |
$61,044 |
$2,923,848 |
$732,526 |
16.50 |
Major chest & respiratory trauma |
11 |
$35,905 |
$9,944 |
$394,950 |
$109,382 |
3.18 |
Drug & alcohol abuse or dependence, left against medical advice |
11 |
$32,432 |
$8,198 |
$356,753 |
$90,178 |
2.91 |
Allergic reactions |
11 |
$71,338 |
$27,708 |
$784,713 |
$304,785 |
5.00 |
HIV w multiple significant HIV related conditions |
11 |
$78,821 |
$20,379 |
$867,032 |
$224,173 |
6.55 |
HIV w one signif HIV cond or w/o signif related cond |
11 |
$40,875 |
$10,258 |
$449,626 |
$112,842 |
3.36 |
Cardiac catheterization for other non-coronary conditions |
10 |
$81,287 |
$24,213 |
$812,872 |
$242,129 |
5.70 |
Peritoneal adhesiolysis |
10 |
$147,917 |
$51,951 |
$1,479,173 |
$519,508 |
10.80 |
Shoulder, upper arm & forearm procedures except joint replacement |
10 |
$50,485 |
$15,567 |
$504,845 |
$155,671 |
2.60 |
Cardiac catheterization for coronary artery disease |
9 |
$67,935 |
$19,456 |
$611,411 |
$175,107 |
5.11 |
Cardiac structural & valvular disorders |
9 |
$29,080 |
$7,270 |
$261,716 |
$65,432 |
2.56 |
Female reproductive system reconstructive procedures |
9 |
$42,955 |
$13,668 |
$386,597 |
$123,014 |
1.22 |
Tracheostomy w MV 96+ hours w/o extensive procedure |
8 |
$752,014 |
$345,052 |
$6,016,108 |
$2,760,417 |
41.50 |
Multiple sclerosis & other demyelinating diseases |
8 |
$49,751 |
$12,071 |
$398,008 |
$96,568 |
3.88 |
Interstitial & alveolar lung diseases |
8 |
$49,327 |
$12,333 |
$394,613 |
$98,666 |
4.25 |
Other circulatory system procedures |
8 |
$238,944 |
$66,376 |
$1,911,551 |
$531,009 |
21.63 |
Inguinal, femoral & umbilical hernia procedures |
8 |
$100,995 |
$44,119 |
$807,957 |
$352,953 |
4.88 |
Major esophageal disorders |
8 |
$56,392 |
$21,692 |
$451,135 |
$173,532 |
3.63 |
Amputation of lower limb except toes |
8 |
$120,313 |
$31,628 |
$962,505 |
$253,025 |
10.13 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
8 |
$68,383 |
$17,240 |
$547,065 |
$137,922 |
6.75 |
D&C, aspiration curettage or hysterotomy for obstetric diagnoses |
8 |
$28,807 |
$8,825 |
$230,455 |
$70,601 |
1.38 |
Neonate bwt 1500-1999g w or w/o other significant condition |
8 |
$280,950 |
$91,092 |
$2,247,598 |
$728,734 |
15.63 |
Neonate birthwt >2499g w congenital/perinatal infection |
8 |
$95,972 |
$27,681 |
$767,778 |
$221,445 |
7.38 |
Other infectious & parasitic diseases |
8 |
$60,244 |
$14,986 |
$481,954 |
$119,888 |
5.00 |
O.R. procedure for other complications of treatment |
8 |
$107,852 |
$33,387 |
$862,818 |
$267,096 |
6.25 |
Other aftercare & convalescence |
8 |
$80,746 |
$21,355 |
$645,964 |
$170,838 |
7.63 |
Bronchiolitis & RSV pneumonia |
7 |
$49,249 |
$12,391 |
$344,746 |
$86,740 |
4.00 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
7 |
$46,006 |
$12,431 |
$322,041 |
$87,014 |
3.86 |
Major biliary tract procedures |
7 |
$96,586 |
$25,717 |
$676,102 |
$180,021 |
8.14 |
Preterm labor |
7 |
$18,207 |
$4,561 |
$127,446 |
$31,929 |
1.86 |
Neonate bwt 2000-2499g w other significant condition |
7 |
$146,806 |
$44,113 |
$1,027,643 |
$308,788 |
10.29 |
Other mental health disorders |
7 |
$108,389 |
$25,642 |
$758,721 |
$179,493 |
11.71 |
Other drug abuse & dependence |
7 |
$38,480 |
$9,446 |
$269,361 |
$66,122 |
3.86 |
Dental & oral diseases & injuries |
6 |
$22,963 |
$6,067 |
$137,780 |
$36,402 |
1.83 |
Major stomach, esophageal & duodenal procedures |
6 |
$52,775 |
$14,161 |
$316,648 |
$84,967 |
4.17 |
Knee joint replacement |
6 |
$48,994 |
$17,156 |
$293,966 |
$102,937 |
1.83 |
Tendon, muscle & other soft tissue procedures |
6 |
$60,477 |
$16,992 |
$362,859 |
$101,949 |
4.00 |
Major skin disorders |
6 |
$36,346 |
$8,960 |
$218,077 |
$53,757 |
3.33 |
Uterine & adnexa procedures for non-malignancy except leiomyoma |
6 |
$42,022 |
$13,867 |
$252,129 |
$83,200 |
1.50 |
Cardiac arrest and shock |
5 |
$30,978 |
$14,971 |
$154,892 |
$74,854 |
1.00 |
Other digestive system & abdominal procedures |
5 |
$111,379 |
$33,354 |
$556,894 |
$166,771 |
9.00 |
Other kidney, urinary tract & related procedures |
5 |
$241,465 |
$65,882 |
$1,207,323 |
$329,409 |
21.20 |
Female reproductive system infections |
5 |
$25,289 |
$6,497 |
$126,444 |
$32,487 |
2.20 |
Neonate bwt 2000-2499g w resp dist synd/oth maj resp cond |
5 |
$295,769 |
$93,032 |
$1,478,845 |
$465,161 |
18.60 |
Bacterial & tuberculous infections of nervous system |
4 |
$66,500 |
$16,552 |
$266,000 |
$66,207 |
6.00 |
Acute & subacute endocarditis |
4 |
$221,024 |
$54,312 |
$884,095 |
$217,247 |
20.75 |
Hand & wrist procedures |
4 |
$56,386 |
$15,028 |
$225,544 |
$60,111 |
4.50 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
4 |
$109,638 |
$26,549 |
$438,552 |
$106,196 |
8.00 |
Skin graft for skin & subcutaneous tissue diagnoses |
4 |
$44,442 |
$12,974 |
$177,767 |
$51,895 |
3.00 |
Renal dialysis access device procedure only |
4 |
$261,253 |
$75,929 |
$1,045,010 |
$303,717 |
20.50 |
Coagulation & platelet disorders |
4 |
$38,459 |
$9,762 |
$153,834 |
$39,047 |
3.50 |
Lymphoma, myeloma & non-acute leukemia |
4 |
$113,768 |
$41,153 |
$455,071 |
$164,612 |
7.25 |
Extensive procedure unrelated to principal diagnosis |
4 |
$249,064 |
$90,868 |
$996,256 |
$363,470 |
17.00 |
Tracheostomy w MV 96+ hours w extensive procedure or ECMO |
3 |
$1,047,883 |
$405,948 |
$3,143,648 |
$1,217,843 |
55.67 |
Eye disorders except major infections |
3 |
$30,867 |
$7,819 |
$92,600 |
$23,456 |
2.00 |
Malfunction, reaction, complic of orthopedic device or procedure |
3 |
$64,425 |
$16,427 |
$193,275 |
$49,280 |
5.67 |
Nephritis & nephrosis |
3 |
$17,372 |
$4,576 |
$52,117 |
$13,728 |
1.33 |
Transurethral prostatectomy |
3 |
$56,746 |
$14,776 |
$170,237 |
$44,327 |
5.33 |
Other female reproductive system & related procedures |
3 |
$35,677 |
$10,091 |
$107,032 |
$30,272 |
2.00 |
False labor |
3 |
$10,998 |
$2,852 |
$32,995 |
$8,557 |
1.00 |
Neonate, transferred < 5 days old, born here |
3 |
$37,372 |
$11,354 |
$112,116 |
$34,061 |
2.00 |
Neonate bwt 1500-1999g w resp dist synd/oth maj resp cond |
3 |
$522,717 |
$171,174 |
$1,568,152 |
$513,521 |
28.33 |
Mental illness diagnosis w O.R. procedure |
3 |
$235,646 |
$55,717 |
$706,937 |
$167,151 |
24.33 |
Other injury, poisoning & toxic effect diagnoses |
3 |
$76,495 |
$18,955 |
$229,486 |
$56,865 |
7.33 |
Nervous system malignancy |
2 |
$41,004 |
$10,999 |
$82,008 |
$21,997 |
2.50 |
Nonspecific CVA & precerebral occlusion w/o infarct |
2 |
$23,689 |
$5,935 |
$47,377 |
$11,869 |
1.50 |
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma |
2 |
$56,358 |
$14,894 |
$112,716 |
$29,787 |
4.50 |
Acute major eye infections |
2 |
$44,777 |
$11,082 |
$89,553 |
$22,164 |
4.00 |
Other ear, nose, mouth & throat procedures |
2 |
$54,618 |
$13,266 |
$109,235 |
$26,531 |
4.00 |
Other respiratory & chest procedures |
2 |
$75,573 |
$26,525 |
$151,146 |
$53,049 |
4.50 |
Other cardiothoracic & thoracic vascular procedures |
2 |
$107,849 |
$43,727 |
$215,697 |
$87,453 |
4.50 |
Cardiomyopathy |
2 |
$46,103 |
$11,544 |
$92,206 |
$23,088 |
4.50 |
Other stomach, esophageal & duodenal procedures |
2 |
$80,345 |
$20,859 |
$160,690 |
$41,718 |
7.50 |
Other procedures for endocrine, nutritional & metabolic disorders |
2 |
$140,663 |
$47,971 |
$281,326 |
$95,942 |
10.50 |
Other bladder procedures |
2 |
$97,360 |
$31,754 |
$194,719 |
$63,508 |
5.50 |
Urethral & transurethral procedures |
2 |
$47,477 |
$13,316 |
$94,953 |
$26,632 |
3.50 |
Kidney & urinary tract malignancy |
2 |
$123,949 |
$31,242 |
$247,897 |
$62,484 |
11.50 |
Other male reproductive system & related procedures |
2 |
$91,414 |
$23,381 |
$182,828 |
$46,762 |
8.50 |
Malignancy, male reproductive system |
2 |
$49,586 |
$12,369 |
$99,172 |
$24,737 |
4.50 |
Female reproductive system malignancy |
2 |
$74,540 |
$18,618 |
$149,079 |
$37,236 |
6.00 |
Neonate bwt 1000-1249g w resp dist synd/oth maj resp or maj anom |
2 |
$1,085,728 |
$356,418 |
$2,171,455 |
$712,835 |
58.00 |
Neonate bwt 1250-1499g w resp dist synd/oth maj resp or maj anom |
2 |
$1,024,340 |
$335,768 |
$2,048,680 |
$671,536 |
55.50 |
Neonate bwt 2000-2499g w major anomaly |
2 |
$15,651 |
$1,146 |
$31,302 |
$2,291 |
2.50 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
2 |
$137,949 |
$34,282 |
$275,898 |
$68,564 |
13.50 |
Multiple significant trauma w/o O.R. procedure |
2 |
$21,832 |
$5,842 |
$43,663 |
$11,684 |
1.50 |
Ungroupable |
2 |
$474,482 |
$155,215 |
$948,964 |
$310,430 |
27.50 |
Craniotomy except for trauma |
1 |
$102,062 |
$31,632 |
$102,062 |
$31,632 |
5.00 |
Other nervous system & related procedures |
1 |
$53,250 |
$18,671 |
$53,250 |
$18,671 |
1.00 |
Spinal disorders & injuries |
1 |
$74,961 |
$18,699 |
$74,961 |
$18,699 |
8.00 |
Non-bacterial infections of nervous system exc viral meningitis |
1 |
$41,288 |
$9,994 |
$41,288 |
$9,994 |
3.00 |
Viral meningitis |
1 |
$102,521 |
$25,435 |
$102,521 |
$25,435 |
9.00 |
Ear, nose, mouth, throat, cranial/facial malignancies |
1 |
$31,238 |
$7,776 |
$31,238 |
$7,776 |
3.00 |
Cardiac defibrillator & heart assist implant |
1 |
$206,422 |
$96,074 |
$206,422 |
$96,074 |
12.00 |
Cardiac pacemaker & defibrillator device replacement |
1 |
$217,697 |
$74,228 |
$217,697 |
$74,228 |
15.00 |
Cholecystectomy except laparoscopic |
1 |
$58,621 |
$17,009 |
$58,621 |
$17,009 |
3.00 |
Other significant hip and femur surgery |
1 |
$118,432 |
$31,941 |
$118,432 |
$31,941 |
10.00 |
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses |
1 |
$58,812 |
$15,731 |
$58,812 |
$15,731 |
5.00 |
Inborn errors of metabolism |
1 |
$24,506 |
$6,084 |
$24,506 |
$6,084 |
2.00 |
Kidney & urinary tract procedures for nonmalignancy |
1 |
$34,860 |
$10,277 |
$34,860 |
$10,277 |
6.00 |
Testes & scrotal procedures |
1 |
$58,013 |
$16,338 |
$58,013 |
$16,338 |
4.00 |
Neonate bwt <500g or GA <24 weeks |
1 |
$19,382 |
$6,344 |
$19,382 |
$6,344 |
1.00 |
Neonate birthwt 1000-1249g w or w/o other significant condition |
1 |
$886,311 |
$290,270 |
$886,311 |
$290,270 |
47.00 |
Neonate birthwt 1500-1999g w congenital/perinatal infection |
1 |
$202,075 |
$65,928 |
$202,075 |
$65,928 |
11.00 |
Other procedures of blood & blood-forming organs |
1 |
$125,630 |
$32,335 |
$125,630 |
$32,335 |
11.00 |
Adjustment disorders & neuroses except depressive diagnoses |
1 |
$60,662 |
$13,739 |
$60,662 |
$13,739 |
7.00 |
Alcohol & drug dependence w rehab or rehab/detox therapy |
1 |
$112,297 |
$25,735 |
$112,297 |
$25,735 |
13.00 |
Partial thickness burns without skin graft |
1 |
$34,268 |
$8,824 |
$34,268 |
$8,824 |
3.00 |
Musculoskeletal & other procedures for multiple significant trauma |
1 |
$103,573 |
$28,886 |
$103,573 |
$28,886 |
8.00 |