SEPTICEMIA & DISSEMINATED INFECTIONS |
1899 |
$38,254 |
$15,881 |
$72,643,433 |
$30,158,441 |
8.77 |
NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM |
1767 |
$3,796 |
$2,506 |
$6,707,259 |
$4,427,311 |
2.15 |
VAGINAL DELIVERY |
1137 |
$10,969 |
$6,561 |
$12,471,537 |
$7,459,391 |
2.80 |
HEART FAILURE |
978 |
$21,922 |
$9,108 |
$21,439,657 |
$8,907,521 |
5.79 |
KNEE JOINT REPLACEMENT |
756 |
$28,852 |
$9,298 |
$21,811,763 |
$7,029,204 |
1.82 |
MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS |
745 |
$27,049 |
$12,328 |
$20,151,241 |
$9,184,133 |
7.91 |
CESAREAN SECTION W/O STERILIZATION |
651 |
$18,183 |
$9,179 |
$11,837,420 |
$5,975,211 |
3.39 |
HIP JOINT REPLACEMENT |
497 |
$34,352 |
$11,358 |
$17,072,858 |
$5,645,099 |
2.81 |
CHRONIC OBSTRUCTIVE PULMONARY DISEASE |
469 |
$16,164 |
$6,326 |
$7,581,050 |
$2,966,914 |
3.91 |
CVA & PRECEREBRAL OCCLUSION W INFARCT |
449 |
$31,600 |
$11,963 |
$14,188,400 |
$5,371,507 |
6.26 |
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS |
416 |
$15,153 |
$5,709 |
$6,303,827 |
$2,374,838 |
3.09 |
ACUTE KIDNEY INJURY |
377 |
$21,354 |
$8,954 |
$8,050,410 |
$3,375,567 |
5.66 |
CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS |
366 |
$37,384 |
$14,061 |
$13,682,616 |
$5,146,350 |
6.57 |
PERCUTANEOUS CARDIAC INTERVENTION W AMI |
350 |
$65,101 |
$19,964 |
$22,785,185 |
$6,987,277 |
3.70 |
INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE |
335 |
$95,329 |
$37,745 |
$31,935,208 |
$12,644,432 |
16.61 |
PERCUTANEOUS CARDIAC INTERVENTION W/O AMI |
320 |
$81,432 |
$25,108 |
$26,058,232 |
$8,034,694 |
3.61 |
DIABETES |
308 |
$16,807 |
$6,891 |
$5,176,529 |
$2,122,546 |
4.19 |
PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES |
304 |
$154,416 |
$43,032 |
$46,942,478 |
$13,081,689 |
4.50 |
ALTERATION IN CONSCIOUSNESS |
298 |
$21,952 |
$9,327 |
$6,541,734 |
$2,779,501 |
6.64 |
ALCOHOL ABUSE & DEPENDENCE |
293 |
$17,187 |
$7,521 |
$5,035,721 |
$2,203,715 |
5.28 |
KIDNEY & URINARY TRACT INFECTIONS |
271 |
$14,295 |
$5,607 |
$3,874,059 |
$1,519,447 |
3.51 |
SCHIZOPHRENIA |
266 |
$30,943 |
$17,048 |
$8,230,925 |
$4,534,649 |
14.42 |
CELLULITIS & OTHER SKIN INFECTIONS |
263 |
$15,122 |
$6,357 |
$3,977,059 |
$1,671,943 |
4.29 |
OTHER PNEUMONIA |
256 |
$15,095 |
$6,058 |
$3,864,348 |
$1,550,745 |
3.65 |
DISORDERS OF PANCREAS EXCEPT MALIGNANCY |
239 |
$16,812 |
$6,768 |
$4,018,070 |
$1,617,466 |
3.93 |
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES |
234 |
$15,290 |
$6,132 |
$3,577,758 |
$1,434,820 |
4.23 |
CORONARY BYPASS W/O AMI OR COMPLEX PDX |
229 |
$93,046 |
$34,936 |
$21,307,638 |
$8,000,399 |
8.51 |
OTHER GASTROENTERITIS, NAUSEA & VOMITING |
228 |
$14,250 |
$5,560 |
$3,249,113 |
$1,267,635 |
3.43 |
ACUTE MYOCARDIAL INFARCTION |
226 |
$23,541 |
$8,598 |
$5,320,245 |
$1,943,108 |
3.97 |
PROCEDURES FOR OBESITY |
224 |
$30,673 |
$12,000 |
$6,870,821 |
$2,688,011 |
2.34 |
PEPTIC ULCER & GASTRITIS |
220 |
$22,110 |
$9,027 |
$4,864,140 |
$1,985,986 |
4.22 |
DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK |
215 |
$77,717 |
$24,654 |
$16,709,240 |
$5,300,644 |
5.41 |
MAJOR LARGE BOWEL PROCEDURES |
213 |
$43,605 |
$17,903 |
$9,287,881 |
$3,813,387 |
6.66 |
CHOLECYSTECTOMY |
211 |
$27,790 |
$10,737 |
$5,863,636 |
$2,265,595 |
4.36 |
OTHER PERIPHERAL VASCULAR PROCEDURES |
206 |
$84,381 |
$27,991 |
$17,382,580 |
$5,766,070 |
6.05 |
OTHER DIGESTIVE SYSTEM DIAGNOSES |
204 |
$19,378 |
$7,826 |
$3,953,099 |
$1,596,520 |
4.03 |
RESPIRATORY FAILURE |
203 |
$22,086 |
$8,404 |
$4,483,427 |
$1,705,970 |
4.57 |
DIVERTICULITIS & DIVERTICULOSIS |
192 |
$17,796 |
$7,259 |
$3,416,842 |
$1,393,806 |
4.00 |
OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE |
189 |
$24,888 |
$10,335 |
$4,703,902 |
$1,953,358 |
5.10 |
INTESTINAL OBSTRUCTION |
189 |
$15,590 |
$6,354 |
$2,946,498 |
$1,200,916 |
4.30 |
CORONARY BYPASS W AMI OR COMPLEX PDX |
184 |
$128,438 |
$46,968 |
$23,632,585 |
$8,642,103 |
11.05 |
OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS |
182 |
$21,360 |
$8,526 |
$3,887,455 |
$1,551,683 |
4.20 |
SEIZURE |
178 |
$21,008 |
$8,647 |
$3,739,350 |
$1,539,243 |
5.03 |
HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS |
178 |
$15,894 |
$6,472 |
$2,829,215 |
$1,152,076 |
4.43 |
MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC |
173 |
$30,177 |
$12,220 |
$5,220,651 |
$2,114,092 |
7.17 |
MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES |
167 |
$26,182 |
$14,269 |
$4,372,413 |
$2,382,967 |
11.43 |
MAJOR SMALL BOWEL PROCEDURES |
160 |
$49,271 |
$20,496 |
$7,883,350 |
$3,279,312 |
8.41 |
HYPERTENSION |
155 |
$15,955 |
$6,114 |
$2,473,040 |
$947,701 |
3.58 |
PULMONARY EMBOLISM |
149 |
$23,343 |
$9,230 |
$3,478,122 |
$1,375,235 |
4.81 |
ANTEPARTUM W/O O.R. PROCEDURE |
148 |
$9,778 |
$4,645 |
$1,447,123 |
$687,473 |
2.30 |
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS |
148 |
$23,599 |
$10,710 |
$3,492,699 |
$1,585,124 |
9.70 |
OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES |
144 |
$19,934 |
$7,573 |
$2,870,440 |
$1,090,522 |
4.99 |
CARDIAC VALVE PROCEDURES W/O AMI OR COMPLEX PDX |
143 |
$126,704 |
$45,431 |
$18,118,622 |
$6,496,661 |
10.49 |
OTHER RESPIRATORY & CHEST PROCEDURES |
142 |
$52,875 |
$19,913 |
$7,508,265 |
$2,827,596 |
6.42 |
HIP & FEMUR FRACTURE REPAIR |
141 |
$41,477 |
$15,180 |
$5,848,293 |
$2,140,324 |
6.43 |
INFECTIONS OF UPPER RESPIRATORY TRACT |
135 |
$15,100 |
$5,921 |
$2,038,549 |
$799,353 |
3.53 |
ASTHMA |
134 |
$11,404 |
$4,195 |
$1,528,098 |
$562,134 |
2.44 |
POISONING OF MEDICINAL AGENTS |
134 |
$16,634 |
$6,501 |
$2,229,015 |
$871,189 |
3.39 |
PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK |
133 |
$50,727 |
$16,145 |
$6,746,647 |
$2,147,321 |
4.68 |
OTHER CIRCULATORY SYSTEM DIAGNOSES |
132 |
$16,107 |
$6,341 |
$2,126,086 |
$837,070 |
3.67 |
OTHER DISORDERS OF NERVOUS SYSTEM |
131 |
$19,644 |
$7,322 |
$2,573,308 |
$959,141 |
4.82 |
SYNCOPE & COLLAPSE |
126 |
$14,649 |
$5,493 |
$1,845,753 |
$692,164 |
3.44 |
CESAREAN SECTION W STERILIZATION |
126 |
$18,885 |
$8,980 |
$2,379,526 |
$1,131,419 |
2.85 |
URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION |
121 |
$13,609 |
$4,719 |
$1,646,687 |
$571,027 |
2.05 |
BIPOLAR DISORDERS |
120 |
$26,842 |
$14,603 |
$3,221,047 |
$1,752,359 |
12.11 |
LOWER EXTREMITY ARTERIAL PROCEDURES |
119 |
$58,619 |
$21,579 |
$6,975,613 |
$2,567,909 |
7.97 |
NON-HYPOVOLEMIC SODIUM DISORDERS |
118 |
$21,872 |
$9,310 |
$2,580,850 |
$1,098,562 |
6.16 |
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS |
117 |
$23,904 |
$9,824 |
$2,796,784 |
$1,149,406 |
5.95 |
DISORDERS OF GALLBLADDER & BILIARY TRACT |
115 |
$27,853 |
$11,421 |
$3,203,057 |
$1,313,401 |
5.27 |
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS |
113 |
$18,202 |
$7,404 |
$2,056,852 |
$836,632 |
3.79 |
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES |
113 |
$20,710 |
$7,736 |
$2,340,258 |
$874,207 |
3.88 |
MAJOR MALE PELVIC PROCEDURES |
112 |
$41,430 |
$15,303 |
$4,640,189 |
$1,713,944 |
2.51 |
PERIPHERAL & OTHER VASCULAR DISORDERS |
112 |
$22,145 |
$8,462 |
$2,480,276 |
$947,705 |
4.21 |
OPEN EXTRACRANIAL VASCULAR PROCEDURES |
111 |
$26,154 |
$9,741 |
$2,903,061 |
$1,081,232 |
3.47 |
CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP |
109 |
$50,675 |
$17,731 |
$5,523,567 |
$1,932,678 |
6.05 |
INTENTIONAL SELF-HARM & ATTEMPTED SUICIDE |
109 |
$17,794 |
$7,068 |
$1,939,522 |
$770,430 |
3.80 |
SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS |
105 |
$16,562 |
$6,682 |
$1,738,958 |
$701,602 |
5.03 |
FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK |
102 |
$18,287 |
$7,548 |
$1,865,226 |
$769,884 |
5.71 |
NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM |
96 |
$8,214 |
$6,006 |
$788,534 |
$576,596 |
3.95 |
KNEE & LOWER LEG PROCEDURES EXCEPT FOOT |
94 |
$34,756 |
$12,566 |
$3,267,023 |
$1,181,161 |
5.22 |
INTRACRANIAL HEMORRHAGE |
93 |
$51,175 |
$18,897 |
$4,759,239 |
$1,757,445 |
7.83 |
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES |
92 |
$21,444 |
$8,366 |
$1,972,887 |
$769,704 |
4.41 |
RESPIRATORY MALIGNANCY |
90 |
$36,635 |
$14,460 |
$3,297,108 |
$1,301,360 |
6.80 |
MAJOR ABDOMINAL VASCULAR PROCEDURES |
90 |
$91,321 |
$32,403 |
$8,218,879 |
$2,916,252 |
9.37 |
KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY |
89 |
$42,767 |
$15,826 |
$3,806,307 |
$1,408,502 |
3.40 |
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL |
88 |
$32,418 |
$12,161 |
$2,852,776 |
$1,070,180 |
4.68 |
CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE |
85 |
$22,602 |
$7,558 |
$1,921,178 |
$642,400 |
2.73 |
MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS |
84 |
$20,513 |
$8,703 |
$1,723,085 |
$731,041 |
5.70 |
HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE |
84 |
$31,784 |
$12,527 |
$2,669,891 |
$1,052,246 |
6.81 |
MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
84 |
$73,752 |
$28,084 |
$6,195,173 |
$2,359,095 |
11.71 |
PERCUTANEOUS INTRA & EXTRACRANIAL VASCULAR PROCEDURES |
80 |
$92,471 |
$32,953 |
$7,397,708 |
$2,636,268 |
7.23 |
EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
79 |
$116,481 |
$46,412 |
$9,201,982 |
$3,666,520 |
15.95 |
URETHRAL & TRANSURETHRAL PROCEDURES |
77 |
$21,869 |
$8,067 |
$1,683,940 |
$621,186 |
3.64 |
COAGULATION & PLATELET DISORDERS |
77 |
$50,355 |
$24,618 |
$3,877,353 |
$1,895,606 |
6.10 |
MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES |
76 |
$49,137 |
$19,788 |
$3,734,406 |
$1,503,859 |
6.99 |
PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS |
76 |
$18,094 |
$7,094 |
$1,375,139 |
$539,133 |
4.53 |
AMPUTATION OF LOWER LIMB EXCEPT TOES |
75 |
$51,464 |
$21,259 |
$3,859,807 |
$1,594,417 |
11.19 |
DEFIBRILLATOR IMPLANTS |
75 |
$146,911 |
$44,928 |
$11,018,356 |
$3,369,580 |
8.95 |
TRANSIENT ISCHEMIA |
75 |
$17,388 |
$5,723 |
$1,304,075 |
$429,220 |
3.07 |
INTERVERTEBRAL DISC EXCISION & DECOMPRESSION |
74 |
$29,821 |
$11,650 |
$2,206,769 |
$862,125 |
5.91 |
KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY |
73 |
$34,436 |
$12,865 |
$2,513,848 |
$939,109 |
3.96 |
MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS |
71 |
$21,512 |
$9,294 |
$1,527,322 |
$659,842 |
6.73 |
OPEN CRANIOTOMY EXCEPT TRAUMA |
71 |
$85,672 |
$30,932 |
$6,082,722 |
$2,196,180 |
9.51 |
VERTIGO & OTHER LABYRINTH DISORDERS |
69 |
$14,468 |
$4,856 |
$998,278 |
$335,073 |
3.19 |
POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE |
69 |
$56,600 |
$22,170 |
$3,905,410 |
$1,529,746 |
9.23 |
MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE |
68 |
$20,398 |
$8,499 |
$1,387,093 |
$577,924 |
5.24 |
OTHER COMPLICATIONS OF TREATMENT |
68 |
$22,480 |
$8,893 |
$1,528,614 |
$604,693 |
4.50 |
TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE |
67 |
$311,624 |
$113,022 |
$20,878,810 |
$7,572,446 |
48.91 |
ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS |
66 |
$14,125 |
$5,507 |
$932,232 |
$363,459 |
3.32 |
ABDOMINAL PAIN |
66 |
$15,561 |
$6,008 |
$1,026,996 |
$396,553 |
3.52 |
ALCOHOLIC LIVER DISEASE |
66 |
$34,044 |
$14,678 |
$2,246,928 |
$968,723 |
7.64 |
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES |
64 |
$22,398 |
$8,563 |
$1,433,477 |
$548,049 |
3.70 |
MAJOR RESPIRATORY & CHEST PROCEDURES |
64 |
$57,381 |
$23,560 |
$3,672,381 |
$1,507,818 |
4.59 |
NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND |
63 |
$18,036 |
$13,055 |
$1,136,294 |
$822,461 |
5.89 |
FOOT & TOE PROCEDURES |
63 |
$49,807 |
$21,044 |
$3,137,843 |
$1,325,768 |
11.95 |
NERVOUS SYSTEM MALIGNANCY |
63 |
$24,728 |
$9,894 |
$1,557,848 |
$623,308 |
5.90 |
MAJOR CHEST & RESPIRATORY TRAUMA |
61 |
$20,507 |
$7,937 |
$1,250,915 |
$484,129 |
5.36 |
MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL |
61 |
$29,575 |
$11,962 |
$1,804,104 |
$729,657 |
5.11 |
HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS |
60 |
$23,430 |
$9,930 |
$1,405,813 |
$595,826 |
5.85 |
OTHER ESOPHAGEAL DISORDERS |
60 |
$22,330 |
$9,341 |
$1,339,781 |
$560,479 |
4.97 |
MIGRAINE & OTHER HEADACHES |
59 |
$15,136 |
$5,054 |
$893,029 |
$298,169 |
2.73 |
DIGESTIVE MALIGNANCY |
58 |
$39,213 |
$16,153 |
$2,274,366 |
$936,861 |
8.31 |
OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES |
57 |
$61,591 |
$22,940 |
$3,510,682 |
$1,307,605 |
7.30 |
MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS |
56 |
$33,930 |
$14,162 |
$1,900,093 |
$793,079 |
6.96 |
MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
55 |
$42,395 |
$15,954 |
$2,331,744 |
$877,469 |
6.91 |
OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS |
55 |
$27,031 |
$11,614 |
$1,486,709 |
$638,758 |
7.15 |
CHEST PAIN |
53 |
$13,915 |
$4,903 |
$737,494 |
$259,850 |
2.53 |
INFLAMMATORY BOWEL DISEASE |
52 |
$15,895 |
$6,844 |
$826,527 |
$355,864 |
4.33 |
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS |
52 |
$113,196 |
$43,973 |
$5,886,217 |
$2,286,613 |
18.88 |
OTHER DISORDERS OF THE LIVER |
50 |
$20,194 |
$8,063 |
$1,009,689 |
$403,169 |
4.54 |
TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE |
50 |
$543,739 |
$190,504 |
$27,186,952 |
$9,525,215 |
55.42 |
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS |
49 |
$20,527 |
$7,196 |
$1,005,801 |
$352,587 |
1.76 |
UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA |
49 |
$23,438 |
$9,091 |
$1,148,451 |
$445,462 |
2.02 |
MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE |
49 |
$26,320 |
$10,694 |
$1,289,703 |
$524,014 |
5.86 |
VAGINAL DELIVERY W O.R. PROCEDURE EXCEPT STERILIZATION &/OR D&C |
47 |
$21,641 |
$10,029 |
$1,017,136 |
$471,375 |
3.02 |
CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE |
47 |
$20,464 |
$7,917 |
$961,824 |
$372,090 |
5.32 |
OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS |
47 |
$16,242 |
$6,427 |
$763,387 |
$302,053 |
3.89 |
RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES |
46 |
$14,514 |
$5,603 |
$667,623 |
$257,746 |
3.02 |
OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES |
46 |
$29,337 |
$11,338 |
$1,349,501 |
$521,570 |
5.54 |
DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER |
45 |
$11,809 |
$6,181 |
$531,426 |
$278,125 |
5.22 |
DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE |
44 |
$9,096 |
$3,600 |
$400,206 |
$158,390 |
2.25 |
ACUTE BRONCHITIS & RELATED SYMPTOMS |
44 |
$14,228 |
$5,505 |
$626,025 |
$242,230 |
3.39 |
FEVER & INFLAMMATORY CONDITIONS |
43 |
$14,700 |
$5,662 |
$632,093 |
$243,447 |
3.21 |
NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
42 |
$45,227 |
$18,029 |
$1,899,537 |
$757,221 |
7.40 |
CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX |
42 |
$268,616 |
$95,576 |
$11,281,862 |
$4,014,207 |
18.71 |
UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA |
41 |
$24,714 |
$9,988 |
$1,013,274 |
$409,513 |
2.39 |
NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION |
41 |
$13,283 |
$9,818 |
$544,618 |
$402,530 |
5.59 |
OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES |
40 |
$20,762 |
$7,849 |
$830,488 |
$313,974 |
4.23 |
PERITONEAL ADHESIOLYSIS |
40 |
$42,169 |
$16,761 |
$1,686,750 |
$670,420 |
8.38 |
MAJOR ESOPHAGEAL DISORDERS |
38 |
$22,487 |
$9,679 |
$854,504 |
$367,818 |
4.68 |
COCAINE ABUSE & DEPENDENCE |
38 |
$20,287 |
$9,148 |
$770,912 |
$347,616 |
7.95 |
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS |
38 |
$25,139 |
$9,361 |
$955,265 |
$355,724 |
3.50 |
UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG |
38 |
$32,066 |
$12,639 |
$1,218,498 |
$480,298 |
1.76 |
OTHER CIRCULATORY SYSTEM PROCEDURES |
37 |
$61,086 |
$23,648 |
$2,260,199 |
$874,983 |
9.57 |
NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE |
37 |
$6,622 |
$3,932 |
$244,997 |
$145,490 |
1.24 |
SKIN ULCERS |
36 |
$23,945 |
$10,515 |
$862,002 |
$378,556 |
7.83 |
LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA |
36 |
$57,871 |
$25,351 |
$2,083,368 |
$912,632 |
9.69 |
OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES |
35 |
$106,606 |
$38,421 |
$3,731,221 |
$1,344,751 |
7.34 |
BRONCHIOLITIS & RSV PNEUMONIA |
35 |
$10,118 |
$4,194 |
$354,125 |
$146,777 |
2.86 |
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY |
34 |
$16,167 |
$6,737 |
$549,674 |
$229,044 |
4.91 |
CHEMOTHERAPY FOR ACUTE LEUKEMIA |
34 |
$81,700 |
$35,891 |
$2,777,816 |
$1,220,296 |
14.38 |
MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES |
33 |
$33,143 |
$14,854 |
$1,093,734 |
$490,193 |
12.21 |
CHRONIC KIDNEY DISEASE |
32 |
$21,552 |
$8,128 |
$689,662 |
$260,107 |
3.94 |
MASTECTOMY PROCEDURES |
32 |
$48,026 |
$20,617 |
$1,536,829 |
$659,752 |
2.97 |
INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES |
32 |
$22,051 |
$7,908 |
$705,646 |
$253,051 |
2.88 |
OTHER INFECTIOUS & PARASITIC DISEASES |
32 |
$16,771 |
$6,921 |
$536,667 |
$221,463 |
4.03 |
TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES |
32 |
$33,845 |
$13,957 |
$1,083,038 |
$446,631 |
8.13 |
FRACTURE OF PELVIS OR DISLOCATION OF HIP |
31 |
$19,486 |
$8,143 |
$604,065 |
$252,425 |
6.26 |
OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES |
31 |
$38,284 |
$13,948 |
$1,186,794 |
$432,399 |
2.68 |
FRACTURE OF FEMUR |
30 |
$24,932 |
$10,482 |
$747,951 |
$314,463 |
7.27 |
FEMALE REPRODUCTIVE SYSTEM INFECTIONS |
30 |
$11,701 |
$4,788 |
$351,037 |
$143,636 |
2.63 |
EYE INFECTIONS & OTHER EYE DISORDERS |
30 |
$13,003 |
$4,265 |
$390,094 |
$127,957 |
2.67 |
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT |
29 |
$26,692 |
$9,141 |
$774,077 |
$265,088 |
4.03 |
MAJOR PANCREAS, LIVER & SHUNT PROCEDURES |
29 |
$76,359 |
$31,313 |
$2,214,416 |
$908,078 |
13.10 |
MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE |
28 |
$31,512 |
$12,927 |
$882,340 |
$361,942 |
6.89 |
ACUTE ANXIETY & DELIRIUM STATES |
28 |
$15,291 |
$6,045 |
$428,136 |
$169,273 |
3.54 |
IMPLANTABLE HEART ASSIST SYSTEMS |
28 |
$705,190 |
$236,157 |
$19,745,309 |
$6,612,402 |
30.75 |
ACUTE LEUKEMIA |
28 |
$128,042 |
$54,636 |
$3,585,170 |
$1,529,811 |
17.39 |
LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR |
28 |
$30,863 |
$12,539 |
$864,151 |
$351,090 |
5.79 |
OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS |
27 |
$13,514 |
$5,481 |
$364,872 |
$147,999 |
3.26 |
VAGINAL DELIVERY W STERILIZATION &/OR D&C |
27 |
$17,371 |
$8,465 |
$469,018 |
$228,550 |
2.67 |
EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
27 |
$81,146 |
$31,246 |
$2,190,939 |
$843,643 |
12.56 |
FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES |
27 |
$29,376 |
$9,936 |
$793,163 |
$268,283 |
3.04 |
OTHER CHEMOTHERAPY |
26 |
$27,043 |
$13,970 |
$703,115 |
$363,208 |
5.65 |
CONNECTIVE TISSUE DISORDERS |
25 |
$33,078 |
$14,273 |
$826,960 |
$356,827 |
7.52 |
VIRAL ILLNESS |
25 |
$25,688 |
$10,488 |
$642,212 |
$262,201 |
4.44 |
ALLERGIC REACTIONS |
24 |
$19,127 |
$7,369 |
$459,051 |
$176,863 |
3.63 |
OPIOID ABUSE & DEPENDENCE |
24 |
$14,525 |
$6,130 |
$348,593 |
$147,115 |
3.96 |
OTHER SMALL & LARGE BOWEL PROCEDURES |
24 |
$29,464 |
$11,854 |
$707,143 |
$284,495 |
5.00 |
SHOULDER & ELBOW JOINT REPLACEMENT |
23 |
$35,800 |
$10,834 |
$823,402 |
$249,188 |
1.70 |
MAJOR BLADDER PROCEDURES |
22 |
$73,969 |
$28,920 |
$1,627,313 |
$636,230 |
9.14 |
SPINAL PROCEDURES |
21 |
$64,508 |
$23,166 |
$1,354,666 |
$486,493 |
8.95 |
OTHER ENDOCRINE DISORDERS |
21 |
$25,515 |
$10,576 |
$535,823 |
$222,086 |
5.38 |
NEONATE BIRTHWT >2499G W MAJOR ANOMALY |
21 |
$6,004 |
$3,988 |
$126,093 |
$83,746 |
2.81 |
UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY |
21 |
$23,579 |
$9,839 |
$495,157 |
$206,622 |
2.33 |
HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION |
21 |
$30,177 |
$11,354 |
$633,727 |
$238,440 |
5.19 |
CARDIAC ARREST & SHOCK |
20 |
$40,153 |
$15,036 |
$803,055 |
$300,727 |
7.15 |
OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES |
20 |
$45,633 |
$15,435 |
$912,661 |
$308,699 |
5.70 |
BREAST PROCEDURES EXCEPT MASTECTOMY |
20 |
$30,619 |
$13,019 |
$612,378 |
$260,370 |
2.55 |
MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG |
19 |
$32,148 |
$11,820 |
$610,812 |
$224,577 |
6.68 |
GASTROINTESTINAL VASCULAR INSUFFICIENCY |
19 |
$24,500 |
$10,023 |
$465,509 |
$190,437 |
6.16 |
SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT |
18 |
$32,712 |
$11,408 |
$588,814 |
$205,341 |
4.33 |
SICKLE CELL ANEMIA CRISIS |
18 |
$15,768 |
$6,709 |
$283,828 |
$120,770 |
3.67 |
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY |
16 |
$39,825 |
$15,684 |
$637,193 |
$250,944 |
7.75 |
MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE |
16 |
$24,164 |
$9,097 |
$386,622 |
$145,546 |
5.25 |
NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION |
16 |
$29,544 |
$22,734 |
$472,708 |
$363,741 |
12.13 |
MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS |
16 |
$91,198 |
$36,749 |
$1,459,170 |
$587,983 |
12.81 |
CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA |
15 |
$18,096 |
$6,700 |
$271,447 |
$100,496 |
4.13 |
OPEN CRANIOTOMY FOR TRAUMA |
15 |
$69,399 |
$26,552 |
$1,040,987 |
$398,275 |
10.53 |
OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS |
15 |
$55,782 |
$22,665 |
$836,729 |
$339,975 |
6.80 |
OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES |
14 |
$82,032 |
$34,294 |
$1,148,441 |
$480,119 |
16.43 |
THYROID DISORDERS |
13 |
$24,695 |
$11,154 |
$321,031 |
$145,005 |
7.38 |
PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE |
13 |
$43,246 |
$15,439 |
$562,195 |
$200,710 |
3.31 |
INSERTION, REVISION & REPLACEMENTS OF PACEMAKER & OTHER CARDIAC DEVICES |
13 |
$80,265 |
$25,947 |
$1,043,440 |
$337,317 |
7.38 |
NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND |
13 |
$36,347 |
$26,997 |
$472,506 |
$350,955 |
12.85 |
MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA |
13 |
$53,634 |
$18,516 |
$697,240 |
$240,714 |
6.92 |
OTHER SIGNIFICANT HIP & FEMUR SURGERY |
12 |
$40,355 |
$15,004 |
$484,258 |
$180,046 |
4.33 |
ANAL PROCEDURES |
12 |
$16,591 |
$6,051 |
$199,086 |
$72,616 |
2.17 |
OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES |
12 |
$48,829 |
$17,453 |
$585,953 |
$209,441 |
4.67 |
OTHER BLADDER PROCEDURES |
12 |
$36,402 |
$13,087 |
$436,823 |
$157,045 |
4.50 |
KIDNEY & URINARY TRACT MALIGNANCY |
12 |
$24,340 |
$9,044 |
$292,077 |
$108,525 |
3.75 |
INTERSTITIAL & ALVEOLAR LUNG DISEASES |
11 |
$26,285 |
$11,327 |
$289,131 |
$124,596 |
5.91 |
THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES |
11 |
$36,142 |
$13,944 |
$397,560 |
$153,379 |
5.27 |
SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES |
11 |
$28,552 |
$12,161 |
$314,076 |
$133,771 |
4.73 |
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS |
11 |
$22,095 |
$8,639 |
$243,044 |
$95,026 |
4.00 |
OTHER DRUG ABUSE & DEPENDENCE |
11 |
$10,949 |
$4,851 |
$120,434 |
$53,363 |
3.45 |
NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION |
11 |
$20,793 |
$16,071 |
$228,727 |
$176,776 |
8.64 |
CARDIAC STRUCTURAL & VALVULAR DISORDERS |
10 |
$29,211 |
$10,264 |
$292,114 |
$102,643 |
4.10 |
OTHER NERVOUS SYSTEM & RELATED PROCEDURES |
10 |
$45,640 |
$18,912 |
$456,398 |
$189,119 |
7.00 |
CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT |
10 |
$65,900 |
$24,041 |
$659,003 |
$240,412 |
9.50 |
MAJOR BILIARY TRACT PROCEDURES |
9 |
$41,308 |
$17,912 |
$371,770 |
$161,207 |
9.00 |
EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES |
9 |
$54,550 |
$22,205 |
$490,952 |
$199,848 |
13.33 |
ANTEPARTUM W O.R. PROCEDURE |
9 |
$20,796 |
$9,021 |
$187,161 |
$81,190 |
3.33 |
RENAL DIALYSIS ACCESS DEVICE PROCEDURES & VESSEL REPAIR |
9 |
$41,309 |
$16,835 |
$371,782 |
$151,514 |
8.22 |
CARDIOMYOPATHY |
8 |
$10,005 |
$3,818 |
$80,040 |
$30,544 |
1.88 |
VIRAL MENINGITIS |
8 |
$17,205 |
$6,776 |
$137,637 |
$54,205 |
3.50 |
ADRENAL PROCEDURES |
8 |
$27,057 |
$10,041 |
$216,458 |
$80,326 |
2.38 |
SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES |
8 |
$37,891 |
$15,740 |
$303,124 |
$125,918 |
8.63 |
NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS |
8 |
$25,637 |
$10,522 |
$205,095 |
$84,177 |
6.00 |
SPINAL DISORDERS & INJURIES |
8 |
$52,244 |
$22,271 |
$417,952 |
$178,167 |
11.38 |
OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES |
8 |
$42,453 |
$18,212 |
$339,622 |
$145,696 |
9.50 |
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM |
8 |
$90,225 |
$44,950 |
$721,798 |
$359,601 |
9.75 |
NEONATE BWT 1500-1999G W RESP DIST SYND/OTH MAJ RESP COND |
8 |
$41,826 |
$31,358 |
$334,611 |
$250,864 |
15.50 |
DENTAL DISEASES & DISORDERS |
8 |
$12,559 |
$4,849 |
$100,468 |
$38,791 |
2.25 |
OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES |
8 |
$14,090 |
$5,650 |
$112,720 |
$45,197 |
2.25 |
TRANSURETHRAL PROSTATECTOMY |
7 |
$28,902 |
$10,935 |
$202,314 |
$76,543 |
4.57 |
ACUTE & SUBACUTE ENDOCARDITIS |
7 |
$31,646 |
$15,102 |
$221,523 |
$105,715 |
10.43 |
HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS |
7 |
$66,115 |
$24,063 |
$462,804 |
$168,444 |
8.71 |
NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
7 |
$32,013 |
$13,426 |
$224,094 |
$93,985 |
6.57 |
OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL & METABOLIC DISORDERS |
6 |
$69,330 |
$27,425 |
$415,980 |
$164,549 |
14.83 |
OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES |
6 |
$115,150 |
$40,817 |
$690,901 |
$244,900 |
11.33 |
MALIGNANT BREAST DISORDERS |
6 |
$26,295 |
$10,183 |
$157,772 |
$61,098 |
5.17 |
OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES |
6 |
$73,682 |
$25,194 |
$442,090 |
$151,165 |
8.33 |
EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA |
6 |
$68,068 |
$26,423 |
$408,409 |
$158,536 |
11.33 |
TONSIL & ADENOID PROCEDURES |
5 |
$13,999 |
$5,478 |
$69,994 |
$27,389 |
3.00 |
DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK |
5 |
$125,591 |
$39,954 |
$627,955 |
$199,770 |
9.80 |
EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) |
5 |
$414,206 |
$138,071 |
$2,071,029 |
$690,357 |
9.60 |
ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES |
5 |
$23,218 |
$11,966 |
$116,090 |
$59,831 |
4.80 |
OTHER AFTERCARE & CONVALESCENCE |
5 |
$11,302 |
$4,373 |
$56,508 |
$21,864 |
3.40 |
EXTERNAL HEART ASSIST SYSTEMS |
5 |
$175,673 |
$68,450 |
$878,364 |
$342,248 |
4.60 |
PENIS, TESTES & SCROTAL PROCEDURES |
4 |
$33,991 |
$12,497 |
$135,962 |
$49,988 |
6.00 |
OTHER MENTAL HEALTH DISORDERS |
4 |
$30,542 |
$15,784 |
$122,168 |
$63,135 |
13.50 |
NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION |
4 |
$51,720 |
$39,948 |
$206,881 |
$159,791 |
21.75 |
DISORDERS OF PERSONALITY & IMPULSE CONTROL |
4 |
$18,170 |
$9,323 |
$72,681 |
$37,290 |
7.50 |
VENTRICULAR SHUNT PROCEDURES |
4 |
$26,109 |
$9,367 |
$104,437 |
$37,468 |
2.50 |
OTHER OPEN CRANIOTOMY |
3 |
$28,908 |
$10,804 |
$86,725 |
$32,413 |
4.00 |
OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS |
3 |
$30,270 |
$11,558 |
$90,810 |
$34,673 |
5.67 |
MAJOR SKIN DISORDERS |
3 |
$30,284 |
$13,916 |
$90,851 |
$41,749 |
9.67 |
HIV W MAJOR HIV RELATED CONDITION |
3 |
$38,861 |
$19,157 |
$116,583 |
$57,471 |
13.00 |
MAJOR CRANIAL/FACIAL BONE PROCEDURES |
3 |
$15,872 |
$6,355 |
$47,616 |
$19,066 |
3.33 |
OTHER MAJOR HEAD & NECK PROCEDURES |
3 |
$84,288 |
$37,149 |
$252,864 |
$111,447 |
23.33 |
NEONATE BWT 2000-2499G W MAJOR ANOMALY |
3 |
$5,178 |
$3,495 |
$15,534 |
$10,484 |
2.33 |
GASTRIC FUNDOPLICATION |
3 |
$27,616 |
$10,568 |
$82,847 |
$31,705 |
2.00 |
INBORN ERRORS OF METABOLISM |
3 |
$17,531 |
$6,768 |
$52,593 |
$20,304 |
3.33 |
HAND & WRIST PROCEDURES |
3 |
$42,475 |
$16,884 |
$127,425 |
$50,653 |
10.00 |
ORBIT & EYE PROCEDURES |
3 |
$15,954 |
$5,554 |
$47,862 |
$16,662 |
2.00 |
MENTAL ILLNESS DIAGNOSIS W O.R. PROCEDURE |
3 |
$16,483 |
$5,465 |
$49,448 |
$16,396 |
1.67 |
NEONATAL AFTERCARE |
3 |
$13,669 |
$10,915 |
$41,007 |
$32,744 |
6.67 |
NEPHRITIS & NEPHROSIS |
3 |
$36,050 |
$15,097 |
$108,149 |
$45,290 |
10.33 |
DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES |
3 |
$30,124 |
$11,262 |
$90,372 |
$33,786 |
4.33 |
PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS |
3 |
$34,200 |
$12,373 |
$102,600 |
$37,118 |
1.33 |
ANOXIC & OTHER SEVERE BRAIN DAMAGE |
2 |
$118,611 |
$48,446 |
$237,222 |
$96,892 |
23.50 |
RADIOTHERAPY |
2 |
$17,157 |
$6,399 |
$34,313 |
$12,798 |
2.00 |
HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND |
2 |
$13,619 |
$5,001 |
$27,238 |
$10,001 |
2.50 |
PARTIAL THICKNESS BURNS W/O SKIN GRAFT |
2 |
$34,286 |
$14,718 |
$68,571 |
$29,436 |
8.50 |
ORGANIC MENTAL HEALTH DISTURBANCES |
2 |
$15,845 |
$6,983 |
$31,689 |
$13,966 |
5.50 |
MALIGNANCY, MALE REPRODUCTIVE SYSTEM |
2 |
$56,701 |
$23,282 |
$113,402 |
$46,563 |
17.50 |
NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION |
2 |
$25,029 |
$17,524 |
$50,057 |
$35,047 |
9.50 |
BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA |
2 |
$24,960 |
$9,361 |
$49,919 |
$18,721 |
5.50 |
SPLENECTOMY |
2 |
$35,442 |
$13,334 |
$70,883 |
$26,668 |
4.00 |
CYSTIC FIBROSIS - PULMONARY DISEASE |
1 |
$40,426 |
$17,861 |
$40,426 |
$17,861 |
13.00 |
UNGROUPABLE |
1 |
$4,078 |
$2,571 |
$4,078 |
$2,571 |
2.00 |
NEONATE BWT 2000-2499G W CONGENITAL/PERINATAL INFECTION |
1 |
$28,241 |
$21,282 |
$28,241 |
$21,282 |
13.00 |
NEONATE BWT < 500G, OR BWT 500-999G & GESTATIONAL AGE <24 WKS, OR BWT 500-749G W MAJOR ANOMALY OR W/O LIFE SUSTAINING IN |
1 |
$902 |
$748 |
$902 |
$748 |
1.00 |
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES |
1 |
$11,033 |
$4,200 |
$11,033 |
$4,200 |
2.00 |