Neonate birthwt >2499g, normal newborn or neonate w other problem |
1911 |
$4,314 |
$3,054 |
$8,244,306 |
$5,836,891 |
2.27 |
Septicemia & disseminated infections |
1702 |
$27,102 |
$11,370 |
$46,127,271 |
$19,352,039 |
6.73 |
Vaginal delivery |
1311 |
$10,993 |
$7,193 |
$14,411,438 |
$9,430,181 |
2.54 |
Heart failure |
1110 |
$18,006 |
$7,570 |
$19,986,838 |
$8,403,097 |
4.83 |
Knee joint replacement |
793 |
$36,837 |
$12,485 |
$29,211,870 |
$9,900,829 |
2.68 |
Cesarean delivery |
718 |
$13,772 |
$5,309 |
$9,888,456 |
$3,812,146 |
3.24 |
Chronic obstructive pulmonary disease |
697 |
$14,768 |
$5,921 |
$10,292,981 |
$4,127,109 |
3.60 |
Cellulitis & other skin infections |
621 |
$12,686 |
$5,136 |
$7,878,226 |
$3,189,667 |
3.20 |
Percutaneous coronary intervention w/o AMI |
510 |
$79,117 |
$26,565 |
$40,349,677 |
$13,548,345 |
3.47 |
Respiratory Failure |
490 |
$21,891 |
$8,790 |
$10,726,661 |
$4,307,286 |
5.33 |
Cardiac arrhythmia & conduction disorders |
483 |
$14,819 |
$6,076 |
$7,157,803 |
$2,934,496 |
3.59 |
Cardiac catheterization for other non-coronary conditions |
463 |
$29,373 |
$11,906 |
$13,599,867 |
$5,512,498 |
5.02 |
Hip joint replacement |
437 |
$39,486 |
$13,724 |
$17,255,535 |
$5,997,372 |
3.49 |
CVA & precerebral occlusion w infarct |
436 |
$30,850 |
$11,536 |
$13,450,794 |
$5,029,748 |
4.61 |
Acute Kidney Injury |
407 |
$18,332 |
$7,748 |
$7,460,969 |
$3,153,320 |
4.83 |
Infectious & parasitic diseases including HIV w O.R. procedure |
401 |
$76,529 |
$30,852 |
$30,688,252 |
$12,371,814 |
15.30 |
Percutaneous coronary intervention w AMI |
398 |
$50,048 |
$18,016 |
$19,918,913 |
$7,170,192 |
3.62 |
Kidney & urinary tract infections |
398 |
$14,459 |
$5,741 |
$5,754,770 |
$2,284,973 |
3.68 |
Other pneumonia |
378 |
$13,476 |
$5,245 |
$5,094,116 |
$1,982,491 |
3.21 |
Major small & large bowel procedures |
372 |
$64,802 |
$23,263 |
$24,106,477 |
$8,653,794 |
9.22 |
Schizophrenia |
372 |
$28,313 |
$13,853 |
$10,532,267 |
$5,153,168 |
14.15 |
Other gastroenteritis, nausa & vomiting |
350 |
$12,376 |
$4,616 |
$4,331,758 |
$1,615,710 |
2.52 |
Coronary bypass w/o AMI or complex PDX |
313 |
$94,319 |
$30,254 |
$29,521,743 |
$9,469,489 |
9.53 |
Acute myocardial infarction |
313 |
$21,971 |
$8,881 |
$6,877,044 |
$2,779,893 |
4.12 |
Diabetes |
304 |
$14,772 |
$5,874 |
$4,490,656 |
$1,785,746 |
3.21 |
Disorders of pancreas except malignancy |
286 |
$14,074 |
$5,716 |
$4,025,236 |
$1,634,673 |
3.52 |
Syncope & collapse |
278 |
$15,058 |
$5,488 |
$4,186,120 |
$1,525,575 |
2.64 |
Other digestive system diagnoses |
270 |
$16,862 |
$6,940 |
$4,552,715 |
$1,873,823 |
3.49 |
Other musculoskeletal system & connective tissue diagnoses |
256 |
$15,205 |
$5,892 |
$3,892,605 |
$1,508,469 |
3.77 |
Asthma |
253 |
$10,397 |
$3,679 |
$2,630,416 |
$930,813 |
1.97 |
Lower extremity arterial procedures |
248 |
$55,480 |
$20,218 |
$13,759,016 |
$5,014,063 |
6.43 |
Intestinal obstruction |
244 |
$16,360 |
$6,921 |
$3,991,794 |
$1,688,710 |
4.71 |
Cardiac valve procedures w/o AMI or complex PDX |
239 |
$126,541 |
$39,739 |
$30,243,408 |
$9,497,536 |
9.61 |
Peptic ulcer & gastritis |
237 |
$18,478 |
$7,183 |
$4,379,252 |
$1,702,448 |
3.52 |
Poisoning of medicinal agents |
232 |
$14,295 |
$5,401 |
$3,316,390 |
$1,253,137 |
2.81 |
Procedures for obesity |
225 |
$43,191 |
$8,995 |
$9,717,880 |
$2,023,832 |
2.68 |
Electrolyte disorders except hypovolemia related |
222 |
$17,466 |
$7,694 |
$3,877,417 |
$1,707,957 |
3.73 |
Other anemia & disorders of blood & blood-forming organs |
221 |
$16,683 |
$6,275 |
$3,686,935 |
$1,386,698 |
2.95 |
Other & unspecified gastrointestinal hemorrhage |
216 |
$20,986 |
$8,327 |
$4,532,980 |
$1,798,545 |
4.07 |
Other back & neck disorders, fractures & injuries |
216 |
$20,328 |
$7,775 |
$4,390,799 |
$1,679,454 |
4.60 |
Diverticulitis & diverticulosis |
213 |
$15,529 |
$6,300 |
$3,307,670 |
$1,341,799 |
3.47 |
Dorsal & lumbar fusion proc except for curvature of back |
213 |
$104,985 |
$34,243 |
$22,361,863 |
$7,293,831 |
6.03 |
Nontraumatic stupor & coma |
211 |
$18,650 |
$7,240 |
$3,935,211 |
$1,527,635 |
4.40 |
Alcohol abuse & dependence |
209 |
$15,163 |
$5,910 |
$3,169,067 |
$1,235,141 |
4.06 |
Major depressive disorders & other/unspecified psychoses |
207 |
$20,324 |
$9,608 |
$4,207,140 |
$1,988,905 |
9.34 |
Seizure |
204 |
$19,853 |
$8,172 |
$4,050,012 |
$1,667,158 |
3.90 |
Other disorders of nervous system |
204 |
$20,273 |
$7,592 |
$4,135,688 |
$1,548,781 |
4.15 |
Moderately extensive procedure unrelated to principal diagnosis |
204 |
$54,156 |
$21,250 |
$11,047,870 |
$4,334,928 |
8.63 |
Laparoscopic cholecystectomy |
201 |
$25,301 |
$8,952 |
$5,085,580 |
$1,799,413 |
3.71 |
Pulmonary embolism |
194 |
$20,194 |
$8,258 |
$3,917,583 |
$1,602,015 |
4.22 |
Extracranial vascular procedures |
185 |
$46,978 |
$16,848 |
$8,691,004 |
$3,116,939 |
5.31 |
Post-operative, post-traumatic, other device infections |
185 |
$21,547 |
$8,692 |
$3,986,131 |
$1,608,056 |
5.29 |
Major respiratory & chest procedures |
183 |
$40,513 |
$12,032 |
$7,413,822 |
$2,201,783 |
4.36 |
Signs, symptoms & other factors influencing health status |
183 |
$15,607 |
$6,153 |
$2,856,100 |
$1,126,072 |
3.84 |
Hip and femur fracture repair |
181 |
$42,952 |
$16,340 |
$7,774,311 |
$2,957,526 |
7.35 |
Infections of upper respiratory tract |
178 |
$11,062 |
$3,992 |
$1,969,076 |
$710,594 |
2.36 |
Bipolar disorders |
169 |
$17,768 |
$8,323 |
$3,002,734 |
$1,406,570 |
8.34 |
Hypovolemia & related electrolyte disorders |
168 |
$13,924 |
$5,574 |
$2,339,173 |
$936,366 |
3.51 |
Cervical spinal fusion & other back/neck proc exc disc excis/decomp |
166 |
$55,445 |
$18,631 |
$9,203,833 |
$3,092,776 |
4.66 |
Major male pelvic procedures |
159 |
$32,378 |
$11,321 |
$5,148,058 |
$1,799,992 |
1.62 |
Other antepartum diagnoses |
158 |
$7,967 |
$2,934 |
$1,258,794 |
$463,629 |
2.01 |
Coronary bypass w AMI or complex PDX |
156 |
$133,170 |
$46,124 |
$20,774,445 |
$7,195,277 |
13.38 |
Major respiratory infections & inflammations |
154 |
$22,602 |
$9,382 |
$3,480,726 |
$1,444,826 |
6.25 |
Other cardiothoracic & thoracic vascular procedures |
153 |
$87,180 |
$28,804 |
$13,338,511 |
$4,406,979 |
5.87 |
Hernia procedures except inguinal, femoral & umbilical |
153 |
$32,257 |
$11,483 |
$4,935,277 |
$1,756,933 |
4.67 |
Perm cardiac pacemaker implant w/o AMI, heart failure or shock |
151 |
$38,922 |
$14,530 |
$5,877,270 |
$2,194,001 |
4.03 |
Chest pain |
147 |
$12,983 |
$4,655 |
$1,908,467 |
$684,324 |
1.89 |
Vertigo & other labyrinth disorders |
145 |
$14,422 |
$4,584 |
$2,091,247 |
$664,743 |
2.26 |
Urinary stones & acquired upper urinary tract obstruction |
142 |
$12,324 |
$4,241 |
$1,749,953 |
$602,183 |
1.56 |
Hypertension |
134 |
$14,736 |
$5,409 |
$1,974,678 |
$724,868 |
2.94 |
Abdominal pain |
130 |
$11,245 |
$3,983 |
$1,461,830 |
$517,758 |
1.72 |
Malfunction, reaction, complic of genitourinary device or proc |
127 |
$22,362 |
$9,224 |
$2,840,001 |
$1,171,414 |
5.42 |
Kidney & urinary tract procedures for nonmalignancy |
126 |
$30,392 |
$11,032 |
$3,829,405 |
$1,390,080 |
4.02 |
Intervertebral disc excision & decompression |
125 |
$23,092 |
$8,845 |
$2,886,490 |
$1,105,634 |
4.11 |
Depression except major depressive disorder |
125 |
$12,642 |
$5,701 |
$1,580,300 |
$712,614 |
5.57 |
Other peripheral vascular procedures |
124 |
$85,307 |
$30,349 |
$10,578,067 |
$3,763,273 |
7.46 |
Appendectomy |
122 |
$28,384 |
$9,427 |
$3,462,850 |
$1,150,050 |
3.24 |
Angina pectoris & coronary atherosclerosis |
120 |
$13,117 |
$4,861 |
$1,574,039 |
$583,301 |
2.12 |
Peripheral & other vascular disorders |
118 |
$19,832 |
$8,380 |
$2,340,174 |
$988,817 |
4.94 |
Migraine & other headaches |
114 |
$15,457 |
$4,956 |
$1,762,124 |
$564,994 |
2.26 |
Other musculoskeletal system & connective tissue procedures |
114 |
$25,517 |
$10,188 |
$2,908,885 |
$1,161,422 |
4.61 |
Respiratory signs, symptoms & minor diagnoses |
113 |
$12,759 |
$4,739 |
$1,441,717 |
$535,454 |
2.64 |
Disorders of gallbladder & biliary tract |
112 |
$18,846 |
$7,040 |
$2,110,728 |
$788,463 |
3.55 |
Head trauma w coma >1 hr or hemorrhage |
110 |
$25,258 |
$10,154 |
$2,778,343 |
$1,116,994 |
4.71 |
Other respiratory & chest procedures |
106 |
$46,108 |
$17,000 |
$4,887,406 |
$1,801,989 |
6.70 |
Cardiac catheterization for coronary artery disease |
106 |
$22,114 |
$8,393 |
$2,344,049 |
$889,700 |
2.81 |
Toxic effects of non-medicinal substances |
106 |
$16,394 |
$6,286 |
$1,737,739 |
$666,263 |
2.95 |
Transient ischemia |
105 |
$18,198 |
$5,857 |
$1,910,826 |
$614,953 |
2.90 |
Post-op, post-trauma, other device infections w O.R. procedure |
103 |
$52,727 |
$21,996 |
$5,430,884 |
$2,265,556 |
10.49 |
Other circulatory system diagnoses |
101 |
$14,932 |
$5,885 |
$1,508,101 |
$594,420 |
3.23 |
Fractures & dislocations except femur, pelvis & back |
100 |
$18,931 |
$7,673 |
$1,893,087 |
$767,302 |
5.03 |
Intracranial hemorrhage |
95 |
$44,880 |
$18,384 |
$4,263,592 |
$1,746,457 |
6.92 |
O.R. procedure for other complications of treatment |
94 |
$30,470 |
$12,138 |
$2,864,173 |
$1,140,997 |
5.87 |
Uterine & adnexa procedures for leiomyoma |
92 |
$20,655 |
$6,856 |
$1,900,270 |
$630,736 |
2.12 |
Mastectomy procedures |
91 |
$47,145 |
$21,379 |
$4,290,163 |
$1,945,512 |
1.92 |
Other complications of treatment |
89 |
$13,883 |
$5,327 |
$1,235,595 |
$474,085 |
3.07 |
Major stomach, esophageal & duodenal procedures |
86 |
$66,325 |
$24,492 |
$5,703,947 |
$2,106,270 |
11.83 |
Uterine & adnexa procedures for non-malignancy except leiomyoma |
85 |
$30,964 |
$10,821 |
$2,631,965 |
$919,802 |
2.98 |
Major abdominal vascular procedures |
83 |
$67,437 |
$26,315 |
$5,597,233 |
$2,184,147 |
9.39 |
Other small & large bowel procedures |
83 |
$37,727 |
$14,435 |
$3,131,381 |
$1,198,067 |
7.58 |
Other kidney & urinary tract diagnoses, signs & symptoms |
83 |
$18,470 |
$7,410 |
$1,532,996 |
$615,023 |
5.28 |
Major gastrointestinal & peritoneal infections |
81 |
$19,800 |
$7,660 |
$1,603,798 |
$620,431 |
4.77 |
Neonate bwt 2000-2499g, normal newborn or neonate w other problem |
80 |
$8,342 |
$6,969 |
$667,353 |
$557,490 |
4.10 |
Other digestive system & abdominal procedures |
79 |
$44,767 |
$16,863 |
$3,536,558 |
$1,332,188 |
7.09 |
Nonextensive procedure unrelated to principal diagnosis |
79 |
$38,511 |
$15,659 |
$3,042,384 |
$1,237,080 |
7.33 |
Organic mental health disturbances |
77 |
$22,393 |
$10,345 |
$1,724,240 |
$796,563 |
9.12 |
Inflammatory bowel disease |
76 |
$13,326 |
$5,136 |
$1,012,809 |
$390,332 |
3.03 |
Peripheral, cranial & autonomic nerve disorders |
75 |
$18,463 |
$6,797 |
$1,384,717 |
$509,750 |
3.68 |
Knee & lower leg procedures except foot |
75 |
$40,902 |
$15,489 |
$3,067,613 |
$1,161,701 |
6.76 |
Kidney & urinary tract procedures for malignancy |
75 |
$40,744 |
$13,521 |
$3,055,778 |
$1,014,101 |
3.87 |
Urethral & transurethral procedures |
75 |
$20,220 |
$7,332 |
$1,516,526 |
$549,892 |
2.56 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
75 |
$13,371 |
$8,095 |
$1,002,837 |
$607,138 |
2.75 |
Extensive procedure unrelated to principal diagnosis |
75 |
$112,873 |
$51,498 |
$8,465,489 |
$3,862,382 |
12.56 |
Craniotomy except for trauma |
73 |
$70,031 |
$26,281 |
$5,112,227 |
$1,918,486 |
9.03 |
Cardiac defibrillator & heart assist implant |
72 |
$115,907 |
$39,279 |
$8,345,299 |
$2,828,100 |
6.22 |
Other esophageal disorders |
72 |
$20,159 |
$8,373 |
$1,451,423 |
$602,876 |
4.99 |
Neonate birthwt >2499g w other significant condition |
70 |
$16,574 |
$14,227 |
$1,160,167 |
$995,923 |
7.20 |
Degenerative nervous system disorders exc mult sclerosis |
67 |
$23,469 |
$10,861 |
$1,572,409 |
$727,670 |
7.57 |
Respiratory malignancy |
67 |
$24,634 |
$9,350 |
$1,650,501 |
$626,439 |
5.24 |
Other endocrine disorders |
67 |
$22,027 |
$9,802 |
$1,475,779 |
$656,737 |
5.94 |
Bronchiolitis & RSV pneumonia |
66 |
$6,976 |
$2,483 |
$460,438 |
$163,860 |
1.79 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
66 |
$18,129 |
$8,347 |
$1,196,490 |
$550,899 |
4.85 |
Uterine & adnexa procedures for non-ovarian & non-adnexal malig |
66 |
$35,890 |
$12,414 |
$2,368,767 |
$819,311 |
2.85 |
Amputation of lower limb except toes |
65 |
$48,839 |
$20,583 |
$3,174,542 |
$1,337,888 |
11.72 |
Major chest & respiratory trauma |
64 |
$19,150 |
$7,056 |
$1,225,601 |
$451,563 |
4.59 |
Foot & toe procedures |
64 |
$44,010 |
$20,061 |
$2,816,623 |
$1,283,892 |
11.23 |
Other skin, subcutaneous tissue & related procedures |
61 |
$20,416 |
$8,499 |
$1,245,388 |
$518,429 |
4.92 |
Postpartum & post abortion diagnoses w/o procedure |
59 |
$13,518 |
$4,877 |
$797,583 |
$287,717 |
2.32 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
58 |
$27,228 |
$12,438 |
$1,579,238 |
$721,389 |
8.17 |
Other infectious & parasitic diseases |
58 |
$27,865 |
$10,967 |
$1,616,163 |
$636,066 |
6.22 |
Tracheostomy w MV 96+ hours w extensive procedure or ECMO |
57 |
$404,399 |
$160,386 |
$23,050,753 |
$9,142,024 |
57.12 |
Other male reproductive system & related procedures |
57 |
$34,447 |
$12,459 |
$1,963,453 |
$710,162 |
2.58 |
Vaginal delivery w sterilization &/or D&C |
57 |
$17,074 |
$9,575 |
$973,214 |
$545,761 |
2.68 |
Viral illness |
57 |
$12,114 |
$4,678 |
$690,493 |
$266,626 |
2.61 |
Hepatic coma & other major acute liver disorders |
56 |
$18,778 |
$7,452 |
$1,051,546 |
$417,312 |
4.38 |
Malnutrition, failure to thrive & other nutritional disorders |
55 |
$21,261 |
$9,322 |
$1,169,359 |
$512,690 |
6.38 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
55 |
$34,080 |
$14,186 |
$1,874,424 |
$780,227 |
6.25 |
Digestive malignancy |
54 |
$28,719 |
$12,007 |
$1,550,826 |
$648,393 |
7.37 |
Other skin, subcutaneous tissue & breast disorders |
53 |
$12,504 |
$4,944 |
$662,711 |
$262,017 |
2.83 |
Fever |
50 |
$13,300 |
$4,968 |
$664,998 |
$248,375 |
2.98 |
Other Chemotherapy |
49 |
$21,984 |
$11,689 |
$1,077,230 |
$572,774 |
3.73 |
Cardiac valve procedures w AMI or complex PDX |
48 |
$172,441 |
$57,853 |
$8,277,190 |
$2,776,952 |
15.54 |
Malfunction, reaction & complication of GI device or procedure |
48 |
$16,796 |
$7,141 |
$806,227 |
$342,775 |
4.65 |
Other hepatobiliary, pancreas & abdominal procedures |
48 |
$34,472 |
$13,733 |
$1,654,640 |
$659,167 |
6.48 |
Alcoholic liver disease |
48 |
$22,616 |
$9,584 |
$1,085,556 |
$460,017 |
5.90 |
Fracture of pelvis or dislocation of hip |
48 |
$16,138 |
$6,670 |
$774,647 |
$320,162 |
4.52 |
Female reproductive system infections |
48 |
$11,799 |
$4,291 |
$566,361 |
$205,963 |
2.19 |
Other circulatory system procedures |
47 |
$51,696 |
$20,992 |
$2,429,692 |
$986,632 |
9.55 |
Other stomach, esophageal & duodenal procedures |
47 |
$39,274 |
$14,688 |
$1,845,888 |
$690,354 |
8.00 |
Major biliary tract procedures |
44 |
$43,139 |
$17,072 |
$1,898,114 |
$751,183 |
8.57 |
Malignancy of hepatobiliary system & pancreas |
44 |
$22,897 |
$9,535 |
$1,007,454 |
$419,532 |
6.07 |
Male reproductive system diagnoses except malignancy |
44 |
$13,660 |
$5,398 |
$601,050 |
$237,531 |
3.02 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
43 |
$12,291 |
$4,548 |
$528,528 |
$195,554 |
2.67 |
Connective tissue disorders |
42 |
$26,502 |
$11,287 |
$1,113,083 |
$474,043 |
5.40 |
Acute anxiety & delirium states |
42 |
$16,053 |
$6,309 |
$674,222 |
$264,973 |
3.43 |
Peritoneal adhesiolysis |
41 |
$37,127 |
$13,923 |
$1,522,211 |
$570,841 |
7.95 |
Nervous system malignancy |
40 |
$23,849 |
$9,034 |
$953,946 |
$361,355 |
5.80 |
Major bladder procedures |
40 |
$52,552 |
$19,283 |
$2,102,086 |
$771,330 |
7.23 |
Other disorders of the liver |
39 |
$19,205 |
$7,498 |
$749,014 |
$292,438 |
4.54 |
Skin ulcers |
39 |
$19,470 |
$8,893 |
$759,345 |
$346,832 |
6.38 |
Shoulder, upper arm & forearm procedures except joint replacement |
38 |
$43,354 |
$14,692 |
$1,647,434 |
$558,305 |
3.24 |
Malfunction, reaction, complic of orthopedic device or procedure |
36 |
$25,055 |
$10,792 |
$901,973 |
$388,504 |
6.67 |
Lymphoma, myeloma & non-acute leukemia |
36 |
$42,751 |
$18,966 |
$1,539,020 |
$682,784 |
8.19 |
Coagulation & platelet disorders |
35 |
$31,520 |
$14,766 |
$1,103,193 |
$516,809 |
5.34 |
Fracture of femur |
34 |
$23,346 |
$9,748 |
$793,759 |
$331,445 |
6.76 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
33 |
$14,209 |
$5,553 |
$468,895 |
$183,259 |
2.48 |
Sickle cell anemia crisis |
32 |
$16,438 |
$6,600 |
$526,024 |
$211,199 |
3.50 |
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms |
32 |
$71,281 |
$26,814 |
$2,280,983 |
$858,050 |
11.34 |
Cocaine abuse & dependence |
31 |
$14,399 |
$5,684 |
$446,380 |
$176,198 |
3.77 |
Eye disorders except major infections |
29 |
$14,870 |
$4,208 |
$431,220 |
$122,033 |
1.97 |
Tendon, muscle & other soft tissue procedures |
29 |
$23,751 |
$9,609 |
$688,776 |
$278,649 |
4.93 |
Procedure w diag of rehab, aftercare or oth contact w health service |
29 |
$129,783 |
$66,038 |
$3,763,704 |
$1,915,090 |
4.59 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
28 |
$23,187 |
$9,564 |
$649,223 |
$267,778 |
4.79 |
Chronic Kidney Disease |
28 |
$25,211 |
$9,596 |
$705,894 |
$268,690 |
4.96 |
Neonate birthwt >2499g w major anomaly |
28 |
$5,770 |
$4,061 |
$161,559 |
$113,696 |
2.61 |
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms |
28 |
$48,763 |
$19,587 |
$1,365,365 |
$548,442 |
8.93 |
Multiple sclerosis & other demyelinating diseases |
27 |
$23,864 |
$8,262 |
$644,315 |
$223,062 |
4.96 |
Inguinal, femoral & umbilical hernia procedures |
27 |
$29,331 |
$10,889 |
$791,942 |
$294,006 |
5.00 |
Major pancreas, liver & shunt procedures |
27 |
$61,061 |
$23,458 |
$1,648,637 |
$633,353 |
12.33 |
Cholecystectomy except laparoscopic |
27 |
$36,530 |
$13,811 |
$986,316 |
$372,905 |
7.48 |
Other significant hip and femur surgery |
27 |
$50,930 |
$20,295 |
$1,375,101 |
$547,976 |
10.33 |
Neonate, transferred < 5 days old, born here |
27 |
$5,618 |
$3,678 |
$151,699 |
$99,296 |
1.30 |
Neonate bwt 1500-1999g w or w/o other significant condition |
27 |
$26,227 |
$24,388 |
$708,136 |
$658,482 |
11.96 |
Dental & oral diseases & injuries |
26 |
$13,869 |
$5,527 |
$360,594 |
$143,697 |
3.15 |
Breast procedures except mastectomy |
26 |
$32,485 |
$10,820 |
$844,618 |
$281,320 |
3.54 |
Opioid abuse & dependence |
26 |
$22,512 |
$9,558 |
$585,316 |
$248,507 |
5.15 |
Nonspecific CVA & precerebral occlusion w/o infarct |
25 |
$28,840 |
$10,376 |
$721,007 |
$259,402 |
3.40 |
Skin graft for skin & subcutaneous tissue diagnoses |
24 |
$29,521 |
$13,039 |
$708,514 |
$312,937 |
5.21 |
Neonate bwt 2000-2499g w other significant condition |
24 |
$22,845 |
$20,532 |
$548,271 |
$492,757 |
10.21 |
Chemotherapy for acute leukemia |
24 |
$28,722 |
$14,295 |
$689,321 |
$343,072 |
7.67 |
Tracheostomy w MV 96+ hours w/o extensive procedure |
23 |
$250,162 |
$104,382 |
$5,753,734 |
$2,400,793 |
45.35 |
Other kidney, urinary tract & related procedures |
23 |
$79,782 |
$30,214 |
$1,834,996 |
$694,922 |
14.39 |
Other female reproductive system & related procedures |
23 |
$21,692 |
$7,354 |
$498,906 |
$169,145 |
2.65 |
Allergic reactions |
23 |
$14,804 |
$5,933 |
$340,498 |
$136,467 |
2.87 |
Spinal procedures |
22 |
$78,012 |
$26,681 |
$1,716,261 |
$586,985 |
8.73 |
Major esophageal disorders |
22 |
$31,343 |
$14,020 |
$689,544 |
$308,439 |
6.77 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
22 |
$38,007 |
$15,281 |
$836,145 |
$336,181 |
8.41 |
Interstitial & alveolar lung diseases |
21 |
$21,377 |
$9,089 |
$448,914 |
$190,863 |
4.62 |
Shoulder & elbow joint replacement |
21 |
$42,030 |
$13,904 |
$882,636 |
$291,976 |
1.81 |
Uterine & adnexa procedures for ovarian & adnexal malignancy |
21 |
$27,928 |
$9,074 |
$586,495 |
$190,549 |
4.19 |
Drug & alcohol abuse or dependence, left against medical advice |
21 |
$12,640 |
$4,622 |
$265,437 |
$97,054 |
2.19 |
Other ear, nose, mouth & throat procedures |
19 |
$53,693 |
$22,377 |
$1,020,167 |
$425,164 |
13.79 |
Transurethral prostatectomy |
19 |
$16,722 |
$5,915 |
$317,709 |
$112,385 |
2.32 |
Adjustment disorders & neuroses except depressive diagnoses |
19 |
$13,010 |
$5,490 |
$247,190 |
$104,304 |
5.00 |
Other nervous system & related procedures |
18 |
$49,016 |
$18,840 |
$882,284 |
$339,127 |
7.28 |
Tonsil & adenoid procedures |
17 |
$11,063 |
$4,102 |
$188,072 |
$69,733 |
1.71 |
Respiratory system diagnosis w ventilator support 96+ hours |
17 |
$87,802 |
$37,613 |
$1,492,626 |
$639,414 |
15.94 |
Multiple significant trauma w/o O.R. procedure |
17 |
$22,688 |
$8,376 |
$385,702 |
$142,389 |
4.76 |
Gastrointestinal vascular insufficiency |
16 |
$23,257 |
$9,708 |
$372,113 |
$155,331 |
5.38 |
Female reproductive system malignancy |
16 |
$28,627 |
$11,681 |
$458,034 |
$186,901 |
5.63 |
Menstrual & other female reproductive system disorders |
16 |
$10,258 |
$3,339 |
$164,130 |
$53,429 |
1.19 |
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond |
16 |
$14,702 |
$11,793 |
$235,232 |
$188,692 |
4.69 |
Other injury, poisoning & toxic effect diagnoses |
16 |
$27,572 |
$11,718 |
$441,144 |
$187,491 |
6.75 |
Craniotomy for trauma |
15 |
$52,437 |
$19,652 |
$786,557 |
$294,782 |
8.00 |
Non-bacterial infections of nervous system exc viral meningitis |
15 |
$39,218 |
$17,539 |
$588,273 |
$263,092 |
6.73 |
Cardiac pacemaker & defibrillator device replacement |
15 |
$57,704 |
$20,271 |
$865,567 |
$304,061 |
3.00 |
Dorsal & lumbar fusion proc for curvature of back |
15 |
$152,306 |
$48,928 |
$2,284,593 |
$733,919 |
5.73 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
15 |
$30,161 |
$11,574 |
$452,414 |
$173,616 |
6.27 |
Viral meningitis |
14 |
$12,229 |
$4,168 |
$171,206 |
$58,357 |
2.36 |
Cardiac pacemaker & defibrillator revision except device replacement |
14 |
$36,929 |
$15,203 |
$517,003 |
$212,836 |
6.50 |
Neonate birthwt >2499g w congenital/perinatal infection |
14 |
$13,199 |
$10,997 |
$184,789 |
$153,951 |
4.79 |
HIV w multiple major HIV related conditions |
14 |
$31,830 |
$12,877 |
$445,622 |
$180,282 |
7.14 |
Other procedures for endocrine, nutritional & metabolic disorders |
13 |
$67,098 |
$28,326 |
$872,268 |
$368,240 |
10.92 |
Permanent cardiac pacemaker implant w AMI, heart failure or shock |
12 |
$58,965 |
$22,920 |
$707,576 |
$275,039 |
8.25 |
Cardiac structural & valvular disorders |
12 |
$14,754 |
$6,657 |
$177,053 |
$79,884 |
4.75 |
Acute leukemia |
12 |
$117,891 |
$47,046 |
$1,414,690 |
$564,550 |
22.33 |
Other mental health disorders |
12 |
$17,526 |
$7,421 |
$210,307 |
$89,052 |
6.67 |
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma |
11 |
$11,951 |
$3,842 |
$131,460 |
$42,265 |
1.91 |
Thyroid, parathyroid & thyroglossal procedures |
11 |
$26,781 |
$10,992 |
$294,595 |
$120,911 |
4.18 |
Other bladder procedures |
11 |
$34,705 |
$12,642 |
$381,758 |
$139,063 |
4.36 |
Facial bone procedures except major cranial/facial bone procedures |
10 |
$29,483 |
$10,489 |
$294,830 |
$104,894 |
3.10 |
Cardiac arrest and shock |
10 |
$29,344 |
$12,218 |
$293,440 |
$122,176 |
5.70 |
Anal procedures |
10 |
$15,421 |
$5,479 |
$154,209 |
$54,786 |
2.30 |
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses |
10 |
$72,702 |
$28,922 |
$727,016 |
$289,221 |
17.80 |
Kidney & urinary tract malignancy |
10 |
$25,759 |
$9,824 |
$257,592 |
$98,238 |
5.00 |
Bacterial & tuberculous infections of nervous system |
9 |
$49,796 |
$24,250 |
$448,160 |
$218,247 |
6.78 |
Acute & subacute endocarditis |
9 |
$56,043 |
$27,023 |
$504,386 |
$243,210 |
20.11 |
Dilation & curettage for non-obstetric diagnoses |
9 |
$35,364 |
$14,034 |
$318,274 |
$126,302 |
5.89 |
Other procedures of blood & blood-forming organs |
9 |
$27,020 |
$9,885 |
$243,179 |
$88,963 |
3.78 |
Other aftercare & convalescence |
9 |
$14,070 |
$5,963 |
$126,627 |
$53,669 |
4.44 |
Ventricular shunt procedures |
8 |
$44,439 |
$14,706 |
$355,509 |
$117,646 |
3.13 |
Neonatal aftercare |
8 |
$22,465 |
$21,312 |
$179,723 |
$170,492 |
11.00 |
HIV w one signif HIV cond or w/o signif related cond |
8 |
$13,397 |
$5,237 |
$107,178 |
$41,896 |
3.00 |
Acute major eye infections |
7 |
$13,178 |
$5,632 |
$92,245 |
$39,421 |
3.86 |
Disorders of personality & impulse control |
7 |
$12,973 |
$5,728 |
$90,811 |
$40,097 |
5.29 |
HIV w major HIV related condition |
7 |
$26,198 |
$10,591 |
$183,384 |
$74,134 |
6.14 |
Extensive abdominal/thoracic procedures for mult significant trauma |
7 |
$62,064 |
$18,914 |
$434,448 |
$132,400 |
6.14 |
Musculoskeletal & other procedures for multiple significant trauma |
7 |
$60,977 |
$23,165 |
$426,837 |
$162,158 |
7.86 |
Spinal disorders & injuries |
6 |
$22,421 |
$8,427 |
$134,528 |
$50,563 |
6.67 |
Renal dialysis access device procedure only |
6 |
$38,172 |
$14,655 |
$229,030 |
$87,932 |
7.33 |
Penis procedures |
6 |
$46,116 |
$14,929 |
$276,693 |
$89,572 |
3.00 |
Pelvic evisceration, radical hysterectomy & other radical GYN procs |
6 |
$29,079 |
$9,717 |
$174,476 |
$58,303 |
1.67 |
Neonate bwt 2000-2499g w resp dist synd/oth maj resp cond |
6 |
$36,157 |
$31,109 |
$216,939 |
$186,655 |
13.83 |
Major cranial/facial bone procedures |
5 |
$59,145 |
$20,814 |
$295,725 |
$104,068 |
3.40 |
Ear, nose, mouth, throat, cranial/facial malignancies |
5 |
$24,179 |
$9,917 |
$120,896 |
$49,585 |
6.20 |
Major skin disorders |
5 |
$15,042 |
$6,579 |
$75,211 |
$32,893 |
3.80 |
Malignant breast disorders |
5 |
$22,510 |
$8,974 |
$112,548 |
$44,870 |
5.60 |
D&C, aspiration curettage or hysterotomy for obstetric diagnoses |
5 |
$11,289 |
$4,494 |
$56,444 |
$22,469 |
1.40 |
Neonate bwt 2000-2499g w major anomaly |
5 |
$24,563 |
$21,356 |
$122,813 |
$106,781 |
9.60 |
Splenectomy |
5 |
$29,681 |
$9,440 |
$148,407 |
$47,200 |
3.60 |
Other drug abuse & dependence |
5 |
$16,474 |
$6,072 |
$82,370 |
$30,359 |
4.60 |
Orbital procedures |
4 |
$24,072 |
$8,168 |
$96,289 |
$32,671 |
3.00 |
Eye procedures except orbit |
4 |
$33,741 |
$12,578 |
$134,962 |
$50,312 |
5.00 |
Pituitary & adrenal procedures |
4 |
$36,291 |
$12,280 |
$145,162 |
$49,119 |
3.25 |
Nephritis & nephrosis |
4 |
$65,269 |
$29,769 |
$261,076 |
$119,074 |
13.75 |
Female reproductive system reconstructive procedures |
4 |
$17,733 |
$5,822 |
$70,930 |
$23,288 |
1.75 |
Neonate bwt 2000-2499g w congenital/perinatal infection |
4 |
$23,117 |
$20,836 |
$92,467 |
$83,343 |
9.50 |
Mental illness diagnosis w O.R. procedure |
4 |
$30,111 |
$14,862 |
$120,442 |
$59,446 |
12.75 |
Major larynx & trachea procedures |
3 |
$103,173 |
$42,585 |
$309,518 |
$127,756 |
28.00 |
Hand & wrist procedures |
3 |
$19,769 |
$8,159 |
$59,307 |
$24,476 |
4.00 |
Other O.R. proc for obstetric diagnoses except delivery diagnoses |
3 |
$63,034 |
$23,243 |
$189,103 |
$69,729 |
9.00 |
Preterm labor |
3 |
$3,348 |
$1,257 |
$10,044 |
$3,772 |
1.00 |
Neonate birthwt 1500-1999g w major anomaly |
3 |
$46,034 |
$42,502 |
$138,103 |
$127,505 |
20.67 |
BPD & oth chronic respiratory diseases arising in perinatal period |
2 |
$31,706 |
$30,799 |
$63,411 |
$61,598 |
15.50 |
Cardiomyopathy |
2 |
$10,202 |
$4,172 |
$20,404 |
$8,344 |
2.50 |
Inborn errors of metabolism |
2 |
$7,055 |
$2,497 |
$14,109 |
$4,994 |
1.50 |
Malignancy, male reproductive system |
2 |
$11,538 |
$3,804 |
$23,076 |
$7,608 |
1.50 |
False labor |
2 |
$2,155 |
$845 |
$4,310 |
$1,690 |
1.00 |
Neonate bwt <500g or GA <24 weeks |
2 |
$861 |
$856 |
$1,722 |
$1,712 |
1.00 |
Neonate bwt 1250-1499g w or w/o other significant condition |
2 |
$30,231 |
$27,444 |
$60,461 |
$54,888 |
12.50 |
Neonate bwt 1500-1999g w resp dist synd/oth maj resp cond |
2 |
$60,244 |
$51,041 |
$120,488 |
$102,082 |
19.50 |
Partial thickness burns without skin graft |
2 |
$7,648 |
$2,528 |
$15,296 |
$5,056 |
1.00 |
Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma |
1 |
$14,883 |
$3,259 |
$14,883 |
$3,259 |
1.00 |
Sinus & mastoid procedures |
1 |
$12,315 |
$4,680 |
$12,315 |
$4,680 |
1.00 |
Cystic fibrosis - pulmonary disease |
1 |
$9,128 |
$2,915 |
$9,128 |
$2,915 |
1.00 |
Major cardiothoracic repair of heart anomaly |
1 |
$148,686 |
$41,219 |
$148,686 |
$41,219 |
1.00 |
Testes & scrotal procedures |
1 |
$12,431 |
$5,117 |
$12,431 |
$5,117 |
2.00 |
Neonate bwt 1500-2499g w major procedure |
1 |
$24,349 |
$22,322 |
$24,349 |
$22,322 |
10.00 |
Neonate birthwt 1500-1999g w congenital/perinatal infection |
1 |
$39,897 |
$37,658 |
$39,897 |
$37,658 |
19.00 |
Radiotherapy |
1 |
$24,135 |
$11,919 |
$24,135 |
$11,919 |
8.00 |
Eating disorders |
1 |
$13,206 |
$4,611 |
$13,206 |
$4,611 |
1.00 |
HIV w multiple significant HIV related conditions |
1 |
$12,438 |
$5,798 |
$12,438 |
$5,798 |
4.00 |
Ungroupable |
1 |
$42,005 |
$38,550 |
$42,005 |
$38,550 |
19.00 |