Our Lady of Lourdes Memorial Hospital

2019 Age Distribution

2019 Patient Race:

White9,340
Other Race515
Black/African American641

2019 Payers:

Blue Cross/Blue Shield 1,916
Private Health Insurance 828
Medicare 5,537
Medicaid 1,988
Self-Pay 155
Miscellaneous/Other 59
Federal/State/Local/VA 13

Conditions treated in 2019

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 846 $2,288 $960 $1,935,681 $812,200 2.18
SEPTICEMIA & DISSEMINATED INFECTIONS 744 $30,378 $10,942 $22,601,179 $8,140,647 6.53
VAGINAL DELIVERY 628 $6,467 $4,553 $4,061,393 $2,859,505 2.18
HEART FAILURE 453 $18,276 $6,633 $8,279,165 $3,004,945 4.80
KNEE JOINT REPLACEMENT 431 $47,704 $18,370 $20,560,597 $7,917,357 2.68
OTHER PNEUMONIA 392 $16,876 $6,163 $6,615,305 $2,415,701 4.24
HIP JOINT REPLACEMENT 290 $48,897 $19,224 $14,180,041 $5,574,833 3.26
CESAREAN DELIVERY 242 $10,769 $4,899 $2,606,161 $1,185,587 2.89
KIDNEY & URINARY TRACT INFECTIONS 227 $16,870 $5,646 $3,829,386 $1,281,651 3.59
CELLULITIS & OTHER SKIN INFECTIONS 227 $18,013 $6,838 $4,088,844 $1,552,113 4.72
CHRONIC OBSTRUCTIVE PULMONARY DISEASE 203 $13,923 $5,036 $2,826,269 $1,022,259 3.41
RESPIRATORY FAILURE 201 $20,350 $7,610 $4,090,256 $1,529,579 4.75
ACUTE KIDNEY INJURY 191 $19,718 $6,984 $3,766,230 $1,333,944 4.85
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS 171 $15,966 $5,571 $2,730,220 $952,695 2.95
CVA & PRECEREBRAL OCCLUSION W INFARCT 143 $23,825 $6,551 $3,406,926 $936,777 3.97
MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC 140 $25,831 $9,763 $3,616,324 $1,366,829 7.10
DIVERTICULITIS & DIVERTICULOSIS 132 $18,295 $5,138 $2,414,968 $678,160 3.15
ACUTE MYOCARDIAL INFARCTION 130 $18,313 $5,973 $2,380,703 $776,426 3.39
OTHER GASTROENTERITIS, NAUSEA & VOMITING 122 $17,856 $4,765 $2,178,388 $581,331 2.83
PROCEDURES FOR OBESITY 121 $42,213 $14,614 $5,107,722 $1,768,339 1.49
DIABETES 121 $16,401 $5,132 $1,984,552 $620,963 3.45
DISORDERS OF PANCREAS EXCEPT MALIGNANCY 114 $19,443 $5,385 $2,216,547 $613,884 3.57
MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS 110 $24,827 $9,219 $2,730,918 $1,014,076 6.65
OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES 100 $20,663 $6,364 $2,066,283 $636,382 4.74
OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE 97 $20,972 $6,416 $2,034,274 $622,355 4.04
DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK 90 $74,214 $30,374 $6,679,245 $2,733,635 3.69
OTHER DIGESTIVE SYSTEM DIAGNOSES 89 $19,094 $5,408 $1,699,348 $481,322 2.97
ALCOHOL ABUSE & DEPENDENCE 88 $16,559 $5,471 $1,457,194 $481,428 3.93
PERIPHERAL & OTHER VASCULAR DISORDERS 85 $21,188 $6,763 $1,800,988 $574,814 4.11
HIP & FEMUR FRACTURE REPAIR 81 $46,559 $17,050 $3,771,303 $1,381,065 7.19
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES 80 $17,407 $5,864 $1,392,588 $469,110 3.99
INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE 79 $87,198 $32,612 $6,888,653 $2,576,343 14.49
PULMONARY EMBOLISM 79 $18,887 $5,959 $1,492,055 $470,749 3.65
CHOLECYSTECTOMY 73 $41,336 $12,862 $3,017,507 $938,942 3.66
INTESTINAL OBSTRUCTION 72 $18,387 $4,850 $1,323,865 $349,199 3.51
PEPTIC ULCER & GASTRITIS 66 $24,520 $7,271 $1,618,287 $479,915 3.94
LOWER EXTREMITY ARTERIAL PROCEDURES 63 $73,181 $26,335 $4,610,416 $1,659,079 8.62
ALCOHOLIC LIVER DISEASE 62 $29,947 $9,232 $1,856,736 $572,381 5.79
SHOULDER & ELBOW JOINT REPLACEMENT 58 $59,161 $23,944 $3,431,313 $1,388,739 2.36
INFECTIONS OF UPPER RESPIRATORY TRACT 56 $12,748 $4,564 $713,887 $255,598 2.98
SYNCOPE & COLLAPSE 56 $16,277 $4,346 $911,515 $243,399 2.39
MAJOR LARGE BOWEL PROCEDURES 56 $67,270 $23,221 $3,767,107 $1,300,371 6.20
FOOT & TOE PROCEDURES 54 $52,451 $19,818 $2,832,369 $1,070,164 10.11
ASTHMA 54 $10,863 $4,054 $586,620 $218,942 2.48
EXTRACRANIAL VASCULAR PROCEDURES 51 $26,605 $8,303 $1,356,871 $423,429 1.84
NON-HYPOVOLEMIC SODIUM DISORDERS 51 $17,560 $6,009 $895,550 $306,480 4.16
MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS 48 $26,571 $9,235 $1,275,385 $443,284 6.38
KNEE & LOWER LEG PROCEDURES EXCEPT FOOT 47 $44,563 $15,768 $2,094,449 $741,087 4.98
FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK 43 $18,143 $5,784 $780,131 $248,732 4.14
SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS 43 $16,142 $5,546 $694,115 $238,458 4.42
SEIZURE 41 $16,951 $5,725 $694,998 $234,741 3.17
AMPUTATION OF LOWER LIMB EXCEPT TOES 39 $48,806 $18,431 $1,903,424 $718,793 10.51
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS 39 $24,192 $9,670 $943,507 $377,144 5.97
HYPERTENSION 38 $14,729 $4,162 $559,713 $158,163 2.76
OTHER ANTEPARTUM DIAGNOSES 38 $11,232 $4,469 $426,798 $169,828 2.26
OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES 36 $33,711 $12,739 $1,213,588 $458,616 8.14
ALTERATION IN CONSCIOUSNESS 35 $20,855 $6,729 $729,911 $235,530 4.51
TRANSIENT ISCHEMIA 35 $17,573 $4,227 $615,049 $147,932 1.74
DISORDERS OF GALLBLADDER & BILIARY TRACT 32 $31,522 $9,644 $1,008,703 $308,602 5.00
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES 32 $18,611 $6,158 $595,545 $197,050 3.94
SKIN ULCERS 32 $29,619 $10,771 $947,800 $344,678 7.63
RESPIRATORY MALIGNANCY 32 $29,809 $9,829 $953,893 $314,539 6.19
MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 31 $52,707 $20,156 $1,633,927 $624,842 9.03
OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS 31 $35,586 $13,605 $1,103,173 $421,742 10.06
OTHER CHEMOTHERAPY 30 $32,426 $15,933 $972,789 $477,976 2.83
OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS 29 $18,496 $5,461 $536,390 $158,362 3.21
ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS 29 $15,296 $4,772 $443,594 $138,387 2.07
COAGULATION & PLATELET DISORDERS 29 $25,242 $8,491 $732,032 $246,246 5.24
INFLAMMATORY BOWEL DISEASE 29 $21,542 $6,152 $624,727 $178,406 3.55
OTHER DISORDERS OF THE LIVER 28 $30,002 $9,175 $840,063 $256,892 4.64
MAJOR SMALL BOWEL PROCEDURES 28 $74,605 $25,968 $2,088,940 $727,110 8.07
OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS 28 $21,268 $6,453 $595,501 $180,688 3.75
HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS 28 $14,097 $4,809 $394,721 $134,651 3.39
URETHRAL & TRANSURETHRAL PROCEDURES 27 $36,507 $11,360 $985,693 $306,721 3.63
OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES 27 $14,831 $4,714 $400,447 $127,284 2.70
MAJOR CHEST & RESPIRATORY TRAUMA 26 $19,116 $5,679 $497,006 $147,647 3.62
MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL 26 $24,681 $8,312 $641,712 $216,099 5.38
OTHER CIRCULATORY SYSTEM DIAGNOSES 26 $14,043 $3,864 $365,120 $100,460 2.31
NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM 26 $2,683 $983 $69,755 $25,560 2.54
HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS 25 $23,774 $8,322 $594,340 $208,045 5.64
PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS 25 $18,732 $4,877 $468,293 $121,913 2.88
NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE 25 $2,600 $717 $64,992 $17,927 1.44
POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE 24 $58,399 $23,079 $1,401,569 $553,902 12.33
HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE 24 $15,627 $4,377 $375,056 $105,039 3.38
KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY 24 $60,983 $20,222 $1,463,602 $485,332 2.04
DIGESTIVE MALIGNANCY 24 $32,802 $10,254 $787,252 $246,107 6.88
POISONING OF MEDICINAL AGENTS 24 $18,503 $4,873 $444,070 $116,960 2.79
MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG 23 $32,530 $10,787 $748,182 $248,100 7.48
MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE 23 $33,798 $13,143 $777,354 $302,295 8.35
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS 22 $12,560 $4,027 $276,314 $88,583 2.95
VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C 21 $8,092 $5,561 $169,922 $116,787 2.43
VIRAL ILLNESS 21 $15,228 $5,424 $319,795 $113,908 3.14
DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE 21 $10,662 $2,802 $223,899 $58,838 1.29
OTHER ESOPHAGEAL DISORDERS 21 $22,257 $6,694 $467,395 $140,580 3.95
OTHER INFECTIOUS & PARASITIC DISEASES 21 $21,321 $7,412 $447,742 $155,659 4.90
MIGRAINE & OTHER HEADACHES 20 $15,817 $4,613 $316,345 $92,261 2.50
BRONCHIOLITIS & RSV PNEUMONIA 20 $5,442 $3,798 $108,843 $75,956 1.90
ACUTE BRONCHITIS AND RELATED SYMPTOMS 20 $12,314 $3,511 $246,271 $70,212 2.05
TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES 19 $33,644 $12,390 $639,241 $235,411 6.74
INTERSTITIAL & ALVEOLAR LUNG DISEASES 19 $27,828 $10,164 $528,728 $193,125 6.74
CHEST PAIN 19 $14,662 $4,099 $278,583 $77,880 1.58
NERVOUS SYSTEM MALIGNANCY 18 $29,553 $9,254 $531,955 $166,577 6.00
MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS 18 $22,941 $5,983 $412,940 $107,693 3.67
OTHER DISORDERS OF NERVOUS SYSTEM 17 $22,233 $6,254 $377,969 $106,322 3.94
OTHER COMPLICATIONS OF TREATMENT 17 $24,809 $8,562 $421,750 $145,559 5.65
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS 17 $44,488 $14,418 $756,291 $245,098 4.06
MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES 16 $57,348 $18,490 $917,575 $295,843 2.44
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL 16 $58,482 $21,389 $935,716 $342,221 5.75
FRACTURE OF PELVIS OR DISLOCATION OF HIP 16 $15,583 $4,951 $249,326 $79,218 4.00
PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK 15 $42,457 $16,112 $636,858 $241,682 4.53
LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA 15 $30,416 $9,663 $456,238 $144,951 5.67
CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE 15 $17,840 $5,566 $267,603 $83,495 3.93
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS 15 $23,511 $9,293 $352,671 $139,401 6.67
MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE 15 $33,287 $11,414 $499,299 $171,211 7.60
KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY 14 $47,388 $15,195 $663,436 $212,725 3.36
EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 14 $100,598 $39,594 $1,408,372 $554,310 17.79
ALLERGIC REACTIONS 14 $17,959 $6,846 $251,426 $95,844 2.36
SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT 14 $42,402 $14,278 $593,629 $199,898 4.36
VERTIGO & OTHER LABYRINTH DISORDERS 14 $15,244 $4,155 $213,413 $58,163 2.29
HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION 14 $17,539 $5,664 $245,546 $79,301 2.29
URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION 14 $17,629 $4,673 $246,812 $65,421 1.64
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY 14 $21,341 $6,958 $298,776 $97,410 3.86
CHRONIC KIDNEY DISEASE 13 $24,636 $7,907 $320,273 $102,792 4.77
SICKLE CELL ANEMIA CRISIS 13 $11,924 $3,557 $155,012 $46,244 2.85
FRACTURE OF FEMUR 13 $16,133 $4,675 $209,728 $60,776 4.00
ACUTE LEUKEMIA 12 $45,356 $17,719 $544,273 $212,631 8.58
MAJOR ESOPHAGEAL DISORDERS 12 $28,738 $9,838 $344,857 $118,060 5.92
HAND & WRIST PROCEDURES 12 $26,605 $9,615 $319,255 $115,378 4.58
OTHER SMALL & LARGE BOWEL PROCEDURES 12 $57,721 $19,763 $692,652 $237,160 6.08
VAGINAL DELIVERY W STERILIZATION &/OR D&C 12 $11,066 $5,258 $132,794 $63,099 2.17
INTERVERTEBRAL DISC EXCISION & DECOMPRESSION 10 $33,224 $11,880 $332,235 $118,797 3.60
GASTROINTESTINAL VASCULAR INSUFFICIENCY 10 $21,336 $6,364 $213,361 $63,644 4.00
OTHER CIRCULATORY SYSTEM PROCEDURES 10 $43,124 $14,135 $431,243 $141,353 8.00
OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS 10 $19,270 $8,595 $192,704 $85,947 8.10
NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 10 $40,921 $13,819 $409,207 $138,192 5.80
RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES 10 $19,711 $7,354 $197,110 $73,544 4.40
PERITONEAL ADHESIOLYSIS 10 $50,756 $16,612 $507,558 $166,124 7.10
NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION 10 $4,742 $1,854 $47,419 $18,538 4.10
INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES 9 $36,925 $10,866 $332,328 $97,796 3.22
CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP 9 $56,944 $19,865 $512,500 $178,787 4.00
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES 9 $34,844 $12,638 $313,592 $113,742 6.44
MAJOR ABDOMINAL VASCULAR PROCEDURES 9 $61,190 $20,905 $550,706 $188,146 6.33
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY 9 $32,070 $11,251 $288,627 $101,263 6.89
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS 8 $71,685 $30,018 $573,482 $240,140 12.13
ABDOMINAL PAIN 8 $13,668 $2,955 $109,341 $23,643 1.25
HIV W MAJOR HIV RELATED CONDITION 8 $26,210 $9,891 $209,683 $79,124 7.00
INTRACRANIAL HEMORRHAGE 8 $15,977 $4,428 $127,813 $35,423 2.63
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES 8 $25,276 $8,352 $202,204 $66,819 4.00
CONNECTIVE TISSUE DISORDERS 8 $19,677 $6,597 $157,419 $52,779 3.25
OTHER ENDOCRINE DISORDERS 8 $15,828 $5,734 $126,626 $45,869 3.88
OTHER PERIPHERAL VASCULAR PROCEDURES 8 $52,270 $19,394 $418,159 $155,151 2.75
SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES 7 $31,209 $11,300 $218,463 $79,103 7.29
OPIOID ABUSE & DEPENDENCE 7 $19,274 $6,079 $134,919 $42,553 4.00
MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE 7 $34,914 $14,559 $244,399 $101,912 9.14
MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES 7 $27,480 $8,857 $192,357 $61,999 5.00
KIDNEY & URINARY TRACT MALIGNANCY 7 $23,538 $6,513 $164,764 $45,589 4.00
FEVER 7 $20,424 $7,672 $142,965 $53,706 4.29
FEMALE REPRODUCTIVE SYSTEM INFECTIONS 7 $19,779 $7,376 $138,450 $51,632 3.29
MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS 6 $7,785 $5,605 $46,708 $33,630 3.67
EYE INFECTIONS AND OTHER EYE DISORDERS 6 $12,538 $3,200 $75,225 $19,202 2.17
LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR 6 $42,020 $16,277 $252,120 $97,661 9.17
THYROID DISORDERS 6 $12,160 $3,604 $72,957 $21,626 2.00
OTHER DRUG ABUSE & DEPENDENCE 6 $15,705 $5,477 $94,229 $32,860 2.17
MAJOR BLADDER PROCEDURES 6 $149,106 $52,684 $894,635 $316,104 18.00
HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS 6 $36,877 $13,206 $221,263 $79,238 7.50
OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES 5 $40,087 $11,987 $200,434 $59,933 4.80
MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 5 $40,652 $13,449 $203,258 $67,243 3.80
DENTAL DISEASES AND DISORDERS 5 $10,967 $3,016 $54,836 $15,081 1.80
COCAINE ABUSE & DEPENDENCE 5 $15,393 $5,215 $76,963 $26,073 2.80
CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA 5 $16,880 $5,741 $84,400 $28,705 5.60
EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 5 $47,750 $18,963 $238,748 $94,814 9.20
OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS 5 $36,526 $11,218 $182,631 $56,090 2.60
PARTIAL THICKNESS BURNS W/O SKIN GRAFT 5 $15,635 $6,226 $78,173 $31,128 3.60
OTHER SIGNIFICANT HIP & FEMUR SURGERY 5 $45,773 $16,477 $228,863 $82,387 5.80
CARDIAC STRUCTURAL & VALVULAR DISORDERS 5 $15,289 $5,746 $76,445 $28,730 3.20
MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES 4 $11,541 $3,766 $46,164 $15,065 3.00
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT 4 $22,267 $6,385 $89,066 $25,540 1.00
UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA 4 $29,134 $11,428 $116,536 $45,713 2.25
OVERDOSE 4 $14,802 $4,060 $59,207 $16,238 2.25
CARDIAC PACEMAKER & DEFIBRILLATOR DEVICE REPLACEMENT 4 $32,624 $11,965 $130,496 $47,861 3.50
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM 4 $29,473 $10,225 $117,893 $40,899 4.75
VIRAL MENINGITIS 4 $33,112 $11,697 $132,447 $46,789 6.75
NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS 4 $16,906 $5,330 $67,625 $21,318 4.25
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS 4 $27,963 $8,415 $111,853 $33,660 2.00
ACUTE ANXIETY & DELIRIUM STATES 4 $19,874 $8,327 $79,495 $33,306 4.50
CARDIAC ARREST & SHOCK 4 $51,212 $19,096 $204,848 $76,385 6.75
OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES 4 $90,627 $28,513 $362,509 $114,052 2.50
MASTECTOMY PROCEDURES 4 $34,207 $10,814 $136,827 $43,255 1.50
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS 4 $14,922 $3,819 $59,686 $15,277 1.50
MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA 4 $53,431 $18,390 $213,724 $73,559 7.00
OTHER AFTERCARE & CONVALESCENCE 3 $16,773 $5,167 $50,319 $15,501 3.00
CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT 3 $20,329 $6,655 $60,987 $19,964 2.33
ACUTE & SUBACUTE ENDOCARDITIS 3 $96,301 $49,642 $288,904 $148,925 25.33
MALIGNANCY, MALE REPRODUCTIVE SYSTEM 3 $47,649 $15,608 $142,948 $46,823 8.67
ANAL PROCEDURES 3 $37,895 $13,132 $113,684 $39,395 5.00
OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES 3 $9,971 $3,182 $29,914 $9,545 2.67
PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE 3 $38,558 $13,984 $115,673 $41,953 2.33
UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA 3 $33,145 $14,322 $99,436 $42,966 2.67
OTHER BLADDER PROCEDURES 3 $66,279 $22,280 $198,837 $66,841 4.00
NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 3 $42,068 $16,353 $126,204 $49,059 6.67
OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES 3 $47,334 $15,082 $142,002 $45,245 5.00
OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES 3 $37,042 $11,096 $111,127 $33,289 3.67
RADIOTHERAPY 3 $15,039 $7,129 $45,117 $21,387 2.00
MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS 2 $54,758 $18,279 $109,515 $36,558 3.50
OTHER RESPIRATORY & CHEST PROCEDURES 2 $45,060 $13,993 $90,120 $27,985 5.50
OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL & METABOLIC DISORDERS 2 $70,364 $24,772 $140,727 $49,543 10.50
TRANSURETHRAL PROSTATECTOMY 2 $19,626 $5,580 $39,251 $11,159 2.00
MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE 2 $21,325 $7,882 $42,650 $15,764 7.00
MALIGNANT BREAST DISORDERS 2 $5,555 $1,506 $11,109 $3,012 1.00
TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE 2 $573,123 $254,140 $1,146,246 $508,279 69.50
OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES 2 $66,917 $22,407 $133,834 $44,813 5.00
HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND 2 $16,075 $3,021 $32,149 $6,042 2.00
DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER 2 $7,718 $1,817 $15,435 $3,634 1.00
FALSE LABOR 2 $2,233 $1,060 $4,465 $2,119 1.00
EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES 2 $41,459 $15,669 $82,917 $31,337 9.00
MAJOR SKIN DISORDERS 2 $13,741 $5,879 $27,482 $11,757 5.00
INBORN ERRORS OF METABOLISM 2 $14,680 $3,804 $29,360 $7,608 3.00
HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS 2 $23,066 $6,184 $46,132 $12,368 3.00
NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION 2 $5,105 $1,481 $10,209 $2,962 4.50
OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES 1 $63,311 $22,878 $63,311 $22,878 6.00
MAJOR MALE PELVIC PROCEDURES 1 $76,602 $26,489 $76,602 $26,489 2.00
ADRENAL PROCEDURES 1 $52,110 $16,509 $52,110 $16,509 1.00
MENTAL ILLNESS DIAGNOSIS W O.R. PROCEDURE 1 $29,176 $6,882 $29,176 $6,882 1.00
TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE 1 $267,881 $103,012 $267,881 $103,012 29.00
CHEMOTHERAPY FOR ACUTE LEUKEMIA 1 $33,704 $14,656 $33,704 $14,656 5.00
OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES 1 $49,295 $16,900 $49,295 $16,900 8.00
CYSTIC FIBROSIS - PULMONARY DISEASE 1 $20,906 $7,435 $20,906 $7,435 3.00
SPINAL PROCEDURES 1 $15,207 $4,859 $15,207 $4,859 1.00
THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES 1 $92,152 $30,902 $92,152 $30,902 1.00
PRETERM LABOR 1 $10,026 $5,742 $10,026 $5,742 1.00
SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES 1 $6,128 $5,550 $6,128 $5,550 3.00
RENAL DIALYSIS ACCESS DEVICE AND VESSEL REPAIR 1 $94,529 $35,515 $94,529 $35,515 17.00
CARDIOMYOPATHY 1 $3,668 $827 $3,668 $827 1.00
ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES 1 $10,771 $1,924 $10,771 $1,924 1.00
BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA 1 $19,987 $6,429 $19,987 $6,429 6.00
OTHER NERVOUS SYSTEM & RELATED PROCEDURES 1 $48,137 $12,397 $48,137 $12,397 12.00
SPINAL DISORDERS & INJURIES 1 $12,046 $1,378 $12,046 $1,378 1.00
DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES 1 $35,241 $18,116 $35,241 $18,116 8.00
NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION 1 $1,605 $539 $1,605 $539 2.00
NEONATE BWT < 500G, OR BWT 500-999G & GESTATIONAL AGE <24 WKS, OR BWT 500-749G W MAJOR ANOMALY OR W/O LIFE SUSTAINING INTERVENTION 1 $753 $265 $753 $265 1.00
NEONATE BIRTHWT 1500-1999G W MAJOR ANOMALY 1 $3,525 $1,063 $3,525 $1,063 2.00