Rochester General Hospital

2017 Age Distribution

2017 Patient Race:

Black/African American5,755
Multi-racial395
Other Race5,141
White21,954

2017 Payers:

Blue Cross/Blue Shield 5,063
Department of Corrections 2
Federal/State/Local/VA 204
Medicaid 8,120
Medicare 17,044
Miscellaneous/Other 232
Private Health Insurance 1,803
Self-Pay 777

Conditions treated in 2017

Click on a column header to sort ascending or descending.
DRG Count Avg. Charge Avg. Cost Sum all Charges Sum all Costs Avg. LOS
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