Neonate birthwt >2499g, normal newborn or neonate w other problem |
888 |
$2,249 |
$1,575 |
$1,996,959 |
$1,398,726 |
2.14 |
Vaginal delivery |
376 |
$4,725 |
$3,287 |
$1,776,755 |
$1,235,904 |
2.13 |
Knee joint replacement |
316 |
$40,365 |
$16,860 |
$12,755,446 |
$5,327,889 |
2.91 |
Septicemia & disseminated infections |
275 |
$21,202 |
$8,392 |
$5,830,514 |
$2,307,805 |
5.01 |
Hip joint replacement |
162 |
$40,115 |
$16,987 |
$6,498,611 |
$2,751,934 |
3.17 |
Cesarean delivery |
144 |
$8,131 |
$3,748 |
$1,170,858 |
$539,765 |
2.75 |
Heart failure |
113 |
$14,835 |
$6,406 |
$1,676,346 |
$723,848 |
4.42 |
Chronic obstructive pulmonary disease |
100 |
$11,453 |
$4,622 |
$1,145,332 |
$462,163 |
2.97 |
Other pneumonia |
96 |
$14,522 |
$5,778 |
$1,394,137 |
$554,700 |
3.73 |
Cellulitis & other skin infections |
91 |
$12,961 |
$5,098 |
$1,179,473 |
$463,922 |
3.46 |
Cardiac arrhythmia & conduction disorders |
78 |
$12,594 |
$4,963 |
$982,301 |
$387,090 |
3.13 |
Acute myocardial infarction |
67 |
$11,591 |
$4,498 |
$776,616 |
$301,361 |
2.52 |
Respiratory Failure |
66 |
$14,737 |
$6,304 |
$972,621 |
$416,031 |
3.68 |
Procedures for obesity |
63 |
$40,696 |
$14,329 |
$2,563,867 |
$902,735 |
2.06 |
Major small & large bowel procedures |
56 |
$50,061 |
$18,143 |
$2,803,409 |
$1,015,982 |
5.41 |
Dorsal & lumbar fusion proc except for curvature of back |
51 |
$61,290 |
$25,640 |
$3,125,800 |
$1,307,640 |
2.94 |
Kidney & urinary tract infections |
51 |
$15,258 |
$5,392 |
$778,148 |
$274,998 |
3.27 |
Malfunction, reaction, complic of genitourinary device or proc |
51 |
$17,448 |
$6,795 |
$889,827 |
$346,543 |
4.57 |
CVA & precerebral occlusion w infarct |
50 |
$19,542 |
$6,252 |
$977,112 |
$312,605 |
3.70 |
Acute Kidney Injury |
49 |
$13,289 |
$5,794 |
$651,171 |
$283,891 |
4.51 |
Diabetes |
45 |
$11,077 |
$3,958 |
$498,455 |
$178,114 |
2.58 |
Other gastroenteritis, nausa & vomiting |
39 |
$14,662 |
$4,288 |
$571,816 |
$167,233 |
2.36 |
Disorders of pancreas except malignancy |
39 |
$16,519 |
$5,127 |
$644,250 |
$199,969 |
3.03 |
Diverticulitis & diverticulosis |
35 |
$18,172 |
$5,923 |
$636,006 |
$207,301 |
3.34 |
Intestinal obstruction |
35 |
$18,247 |
$5,986 |
$638,633 |
$209,515 |
3.97 |
Major respiratory infections & inflammations |
28 |
$17,641 |
$7,651 |
$493,945 |
$214,235 |
5.14 |
Other digestive system diagnoses |
28 |
$19,767 |
$6,884 |
$553,467 |
$192,744 |
3.39 |
Hip and femur fracture repair |
28 |
$34,650 |
$13,674 |
$970,194 |
$382,859 |
4.96 |
Other back & neck disorders, fractures & injuries |
28 |
$15,169 |
$4,604 |
$424,734 |
$128,919 |
2.71 |
Infections of upper respiratory tract |
27 |
$11,436 |
$4,331 |
$308,759 |
$116,943 |
2.74 |
Electrolyte disorders except hypovolemia related |
27 |
$14,050 |
$5,491 |
$379,343 |
$148,247 |
3.48 |
Major gastrointestinal & peritoneal infections |
24 |
$22,459 |
$8,140 |
$539,016 |
$195,365 |
5.17 |
Infectious & parasitic diseases including HIV w O.R. procedure |
24 |
$47,329 |
$17,473 |
$1,135,906 |
$419,357 |
7.25 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
23 |
$10,249 |
$4,032 |
$235,730 |
$92,737 |
2.39 |
Post-operative, post-traumatic, other device infections |
22 |
$26,262 |
$10,219 |
$577,764 |
$224,810 |
5.00 |
Pulmonary embolism |
21 |
$22,434 |
$9,493 |
$471,111 |
$199,346 |
5.10 |
Other & unspecified gastrointestinal hemorrhage |
21 |
$13,772 |
$5,439 |
$289,209 |
$114,220 |
3.48 |
Other musculoskeletal system & connective tissue diagnoses |
21 |
$20,163 |
$8,600 |
$423,428 |
$180,602 |
6.52 |
Neonate bwt 2000-2499g, normal newborn or neonate w other problem |
21 |
$2,785 |
$1,863 |
$58,489 |
$39,133 |
2.71 |
Other anemia & disorders of blood & blood-forming organs |
21 |
$13,127 |
$4,525 |
$275,664 |
$95,021 |
2.33 |
Shoulder, upper arm & forearm procedures except joint replacement |
20 |
$46,236 |
$18,463 |
$924,712 |
$369,254 |
2.40 |
Fractures & dislocations except femur, pelvis & back |
20 |
$16,160 |
$6,316 |
$323,193 |
$126,311 |
4.00 |
Peptic ulcer & gastritis |
19 |
$21,156 |
$6,877 |
$401,957 |
$130,659 |
3.42 |
Disorders of gallbladder & biliary tract |
19 |
$25,909 |
$8,303 |
$492,273 |
$157,750 |
3.37 |
Seizure |
18 |
$14,503 |
$5,067 |
$261,046 |
$91,209 |
3.06 |
Hypovolemia & related electrolyte disorders |
18 |
$8,947 |
$3,903 |
$161,054 |
$70,251 |
3.11 |
Peripheral & other vascular disorders |
17 |
$16,759 |
$6,592 |
$284,910 |
$112,060 |
3.41 |
Neonate, transferred < 5 days old, born here |
17 |
$3,042 |
$1,365 |
$51,722 |
$23,205 |
1.71 |
Signs, symptoms & other factors influencing health status |
16 |
$11,292 |
$5,119 |
$180,678 |
$81,897 |
3.94 |
Asthma |
15 |
$6,672 |
$2,822 |
$100,084 |
$42,325 |
1.53 |
Knee & lower leg procedures except foot |
15 |
$28,537 |
$10,707 |
$428,055 |
$160,612 |
2.87 |
Respiratory signs, symptoms & minor diagnoses |
14 |
$12,919 |
$5,156 |
$180,872 |
$72,179 |
3.43 |
Laparoscopic cholecystectomy |
14 |
$33,027 |
$11,187 |
$462,377 |
$156,620 |
3.86 |
Alcoholic liver disease |
14 |
$25,692 |
$9,746 |
$359,688 |
$136,445 |
5.64 |
Malignancy of hepatobiliary system & pancreas |
14 |
$18,025 |
$5,780 |
$252,348 |
$80,915 |
3.93 |
Shoulder & elbow joint replacement |
14 |
$53,392 |
$22,280 |
$747,485 |
$311,913 |
2.21 |
Neonate birthwt >2499g w other significant condition |
14 |
$3,910 |
$2,299 |
$54,744 |
$32,183 |
3.07 |
Alcohol abuse & dependence |
14 |
$14,270 |
$5,433 |
$199,774 |
$76,057 |
3.50 |
Head trauma w coma >1 hr or hemorrhage |
13 |
$13,593 |
$5,109 |
$176,709 |
$66,419 |
3.54 |
Lower extremity arterial procedures |
13 |
$60,479 |
$22,617 |
$786,232 |
$294,019 |
3.54 |
Other small & large bowel procedures |
13 |
$35,705 |
$12,789 |
$464,169 |
$166,254 |
4.46 |
Coagulation & platelet disorders |
13 |
$14,634 |
$5,992 |
$190,245 |
$77,901 |
3.08 |
Nontraumatic stupor & coma |
12 |
$17,504 |
$7,778 |
$210,045 |
$93,334 |
5.92 |
Angina pectoris & coronary atherosclerosis |
12 |
$10,939 |
$4,035 |
$131,262 |
$48,417 |
2.42 |
Amputation of lower limb except toes |
12 |
$35,760 |
$13,863 |
$429,119 |
$166,351 |
6.75 |
Cervical spinal fusion & other back/neck proc exc disc excis/decomp |
12 |
$37,760 |
$15,230 |
$453,119 |
$182,761 |
3.33 |
Other endocrine disorders |
12 |
$14,691 |
$5,954 |
$176,297 |
$71,448 |
4.25 |
Urinary stones & acquired upper urinary tract obstruction |
12 |
$24,329 |
$7,753 |
$291,944 |
$93,032 |
2.67 |
Respiratory malignancy |
11 |
$25,101 |
$10,759 |
$276,106 |
$118,345 |
6.91 |
Syncope & collapse |
11 |
$11,028 |
$3,793 |
$121,308 |
$41,721 |
2.36 |
Hepatic coma & other major acute liver disorders |
11 |
$12,828 |
$4,847 |
$141,112 |
$53,312 |
3.00 |
Moderately extensive procedure unrelated to principal diagnosis |
11 |
$37,177 |
$14,374 |
$408,943 |
$158,118 |
5.82 |
Hernia procedures except inguinal, femoral & umbilical |
10 |
$35,154 |
$12,489 |
$351,544 |
$124,889 |
3.40 |
Digestive malignancy |
10 |
$15,634 |
$5,004 |
$156,344 |
$50,036 |
3.20 |
Inflammatory bowel disease |
10 |
$25,376 |
$8,985 |
$253,763 |
$89,848 |
5.70 |
Kidney & urinary tract procedures for malignancy |
10 |
$63,107 |
$21,989 |
$631,073 |
$219,893 |
3.30 |
Transient ischemia |
9 |
$13,266 |
$4,447 |
$119,396 |
$40,024 |
1.78 |
Other antepartum diagnoses |
9 |
$6,311 |
$2,924 |
$56,802 |
$26,315 |
1.78 |
Poisoning of medicinal agents |
9 |
$8,949 |
$3,221 |
$80,542 |
$28,993 |
2.00 |
Intracranial hemorrhage |
8 |
$16,001 |
$5,969 |
$128,005 |
$47,754 |
3.88 |
Other peripheral vascular procedures |
8 |
$79,028 |
$30,958 |
$632,223 |
$247,660 |
5.50 |
Hypertension |
8 |
$8,453 |
$2,807 |
$67,620 |
$22,453 |
1.75 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
8 |
$35,540 |
$13,581 |
$284,318 |
$108,645 |
3.75 |
Malfunction, reaction & complication of GI device or procedure |
8 |
$38,166 |
$14,339 |
$305,324 |
$114,710 |
6.88 |
Other disorders of the liver |
8 |
$16,770 |
$5,978 |
$134,162 |
$47,822 |
3.50 |
Foot & toe procedures |
8 |
$32,678 |
$13,535 |
$261,423 |
$108,281 |
6.63 |
Other skin, subcutaneous tissue & breast disorders |
8 |
$7,950 |
$3,436 |
$63,601 |
$27,491 |
2.25 |
Kidney & urinary tract procedures for nonmalignancy |
8 |
$42,022 |
$14,027 |
$336,179 |
$112,214 |
3.00 |
Major male pelvic procedures |
8 |
$66,718 |
$22,391 |
$533,744 |
$179,131 |
1.38 |
Vaginal delivery w sterilization &/or D&C |
8 |
$8,231 |
$4,691 |
$65,849 |
$37,524 |
2.50 |
Other Chemotherapy |
8 |
$39,291 |
$15,831 |
$314,329 |
$126,649 |
4.50 |
Major chest & respiratory trauma |
7 |
$14,736 |
$4,827 |
$103,150 |
$33,788 |
3.57 |
Perm cardiac pacemaker implant w/o AMI, heart failure or shock |
7 |
$32,714 |
$12,916 |
$228,996 |
$90,411 |
3.14 |
Other circulatory system diagnoses |
7 |
$14,041 |
$5,830 |
$98,289 |
$40,812 |
3.57 |
Appendectomy |
7 |
$27,398 |
$8,236 |
$191,784 |
$57,653 |
2.14 |
Malfunction, reaction, complic of orthopedic device or procedure |
7 |
$19,654 |
$8,610 |
$137,578 |
$60,267 |
5.86 |
Other skin, subcutaneous tissue & related procedures |
7 |
$24,626 |
$8,673 |
$172,381 |
$60,710 |
4.14 |
Skin ulcers |
7 |
$19,448 |
$7,748 |
$136,137 |
$54,236 |
4.86 |
Urethral & transurethral procedures |
7 |
$22,384 |
$7,104 |
$156,690 |
$49,726 |
2.43 |
Other complications of treatment |
7 |
$17,570 |
$6,470 |
$122,989 |
$45,292 |
2.43 |
Nonextensive procedure unrelated to principal diagnosis |
7 |
$32,759 |
$13,427 |
$229,314 |
$93,988 |
5.14 |
Extracranial vascular procedures |
6 |
$32,327 |
$10,768 |
$193,964 |
$64,610 |
1.67 |
Degenerative nervous system disorders exc mult sclerosis |
6 |
$14,119 |
$5,968 |
$84,716 |
$35,810 |
4.50 |
Migraine & other headaches |
6 |
$11,177 |
$2,759 |
$67,059 |
$16,554 |
1.50 |
Abdominal pain |
6 |
$16,146 |
$3,840 |
$96,876 |
$23,042 |
1.67 |
Other musculoskeletal system & connective tissue procedures |
6 |
$26,602 |
$9,785 |
$159,609 |
$58,711 |
2.50 |
Fracture of femur |
6 |
$15,715 |
$5,726 |
$94,287 |
$34,358 |
3.17 |
Fracture of pelvis or dislocation of hip |
6 |
$13,724 |
$5,125 |
$82,345 |
$30,751 |
4.17 |
Other kidney & urinary tract diagnoses, signs & symptoms |
6 |
$22,016 |
$9,413 |
$132,094 |
$56,480 |
5.83 |
Menstrual & other female reproductive system disorders |
6 |
$20,571 |
$6,323 |
$123,428 |
$37,937 |
2.17 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
6 |
$15,901 |
$6,560 |
$95,405 |
$39,361 |
4.00 |
Procedure w diag of rehab, aftercare or oth contact w health service |
6 |
$44,992 |
$18,829 |
$269,950 |
$112,973 |
3.33 |
Peripheral, cranial & autonomic nerve disorders |
5 |
$20,602 |
$7,545 |
$103,008 |
$37,726 |
2.80 |
Other disorders of nervous system |
5 |
$14,544 |
$4,154 |
$72,719 |
$20,771 |
2.00 |
Vertigo & other labyrinth disorders |
5 |
$11,020 |
$3,079 |
$55,098 |
$15,396 |
1.80 |
Dental & oral diseases & injuries |
5 |
$10,785 |
$3,105 |
$53,923 |
$15,523 |
1.60 |
Chest pain |
5 |
$7,217 |
$2,436 |
$36,084 |
$12,180 |
1.20 |
Major stomach, esophageal & duodenal procedures |
5 |
$48,461 |
$16,779 |
$242,306 |
$83,894 |
2.80 |
Intervertebral disc excision & decompression |
5 |
$21,911 |
$7,528 |
$109,553 |
$37,642 |
1.80 |
Other male reproductive system & related procedures |
5 |
$64,694 |
$21,107 |
$323,470 |
$105,534 |
1.20 |
Sickle cell anemia crisis |
5 |
$9,281 |
$4,198 |
$46,405 |
$20,991 |
2.60 |
Post-op, post-trauma, other device infections w O.R. procedure |
5 |
$29,966 |
$12,645 |
$149,831 |
$63,225 |
6.80 |
Viral illness |
5 |
$17,386 |
$4,610 |
$86,930 |
$23,051 |
2.40 |
Other infectious & parasitic diseases |
5 |
$22,380 |
$7,451 |
$111,899 |
$37,253 |
4.40 |
Extensive procedure unrelated to principal diagnosis |
5 |
$31,776 |
$10,583 |
$158,880 |
$52,915 |
3.60 |
Viral meningitis |
4 |
$18,888 |
$6,194 |
$75,552 |
$24,775 |
3.25 |
Interstitial & alveolar lung diseases |
4 |
$15,155 |
$5,607 |
$60,621 |
$22,426 |
3.00 |
Major esophageal disorders |
4 |
$17,504 |
$6,983 |
$70,017 |
$27,931 |
3.75 |
Gastrointestinal vascular insufficiency |
4 |
$18,533 |
$4,803 |
$74,131 |
$19,211 |
2.50 |
Tendon, muscle & other soft tissue procedures |
4 |
$19,101 |
$7,231 |
$76,403 |
$28,925 |
2.50 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
4 |
$21,971 |
$6,770 |
$87,884 |
$27,079 |
3.50 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
4 |
$7,859 |
$3,388 |
$31,435 |
$13,550 |
2.75 |
Malnutrition, failure to thrive & other nutritional disorders |
4 |
$11,034 |
$4,368 |
$44,137 |
$17,471 |
2.75 |
Male reproductive system diagnoses except malignancy |
4 |
$25,247 |
$9,057 |
$100,986 |
$36,229 |
3.50 |
Female reproductive system infections |
4 |
$13,189 |
$6,834 |
$52,757 |
$27,335 |
5.50 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
4 |
$35,063 |
$15,952 |
$140,250 |
$63,809 |
11.00 |
Allergic reactions |
4 |
$7,869 |
$2,760 |
$31,477 |
$11,039 |
1.50 |
Toxic effects of non-medicinal substances |
4 |
$9,962 |
$3,101 |
$39,846 |
$12,405 |
1.75 |
Multiple sclerosis & other demyelinating diseases |
3 |
$21,042 |
$4,558 |
$63,126 |
$13,675 |
2.33 |
Ear, nose, mouth, throat, cranial/facial malignancies |
3 |
$9,783 |
$5,090 |
$29,350 |
$15,269 |
4.67 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
3 |
$16,780 |
$5,047 |
$50,341 |
$15,140 |
2.67 |
Bronchiolitis & RSV pneumonia |
3 |
$3,169 |
$2,177 |
$9,506 |
$6,530 |
1.67 |
Cardiac structural & valvular disorders |
3 |
$16,004 |
$7,215 |
$48,012 |
$21,646 |
5.00 |
Other stomach, esophageal & duodenal procedures |
3 |
$37,884 |
$13,279 |
$113,652 |
$39,838 |
4.33 |
Other esophageal disorders |
3 |
$11,413 |
$3,134 |
$34,240 |
$9,402 |
1.67 |
Major biliary tract procedures |
3 |
$22,622 |
$8,733 |
$67,867 |
$26,200 |
4.33 |
Other hepatobiliary, pancreas & abdominal procedures |
3 |
$22,921 |
$6,277 |
$68,762 |
$18,830 |
3.33 |
Other significant hip and femur surgery |
3 |
$31,063 |
$11,793 |
$93,190 |
$35,380 |
3.33 |
Hand & wrist procedures |
3 |
$14,880 |
$5,546 |
$44,640 |
$16,637 |
3.33 |
Major bladder procedures |
3 |
$65,977 |
$24,379 |
$197,931 |
$73,137 |
6.00 |
Penis procedures |
3 |
$25,111 |
$9,141 |
$75,333 |
$27,423 |
3.33 |
Uterine & adnexa procedures for non-malignancy except leiomyoma |
3 |
$17,397 |
$6,476 |
$52,192 |
$19,428 |
2.33 |
Uterine & adnexa procedures for leiomyoma |
3 |
$36,450 |
$13,802 |
$109,349 |
$41,405 |
1.67 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
3 |
$4,693 |
$3,439 |
$14,079 |
$10,317 |
2.00 |
Neonate birthwt >2499g w major anomaly |
3 |
$2,969 |
$2,137 |
$8,906 |
$6,410 |
2.33 |
Lymphoma, myeloma & non-acute leukemia |
3 |
$30,589 |
$11,732 |
$91,767 |
$35,197 |
5.33 |
Acute anxiety & delirium states |
3 |
$8,751 |
$2,779 |
$26,253 |
$8,338 |
1.67 |
Organic mental health disturbances |
3 |
$8,656 |
$3,152 |
$25,969 |
$9,455 |
2.33 |
O.R. procedure for other complications of treatment |
3 |
$45,771 |
$16,743 |
$137,314 |
$50,230 |
7.00 |
Spinal disorders & injuries |
2 |
$31,735 |
$9,153 |
$63,470 |
$18,305 |
2.50 |
Acute major eye infections |
2 |
$6,371 |
$2,794 |
$12,742 |
$5,587 |
2.00 |
Other respiratory & chest procedures |
2 |
$7,849 |
$3,185 |
$15,698 |
$6,369 |
2.50 |
Respiratory system diagnosis w ventilator support 96+ hours |
2 |
$135,344 |
$55,846 |
$270,687 |
$111,692 |
14.00 |
Other cardiothoracic & thoracic vascular procedures |
2 |
$68,874 |
$25,280 |
$137,748 |
$50,559 |
11.00 |
Major abdominal vascular procedures |
2 |
$84,611 |
$31,822 |
$169,222 |
$63,644 |
7.50 |
Peritoneal adhesiolysis |
2 |
$35,231 |
$12,423 |
$70,462 |
$24,846 |
6.00 |
Dorsal & lumbar fusion proc for curvature of back |
2 |
$81,178 |
$34,027 |
$162,356 |
$68,053 |
3.00 |
Pituitary & adrenal procedures |
2 |
$71,535 |
$24,527 |
$143,070 |
$49,053 |
3.00 |
Other bladder procedures |
2 |
$31,934 |
$10,997 |
$63,868 |
$21,994 |
4.00 |
Transurethral prostatectomy |
2 |
$35,898 |
$12,572 |
$71,796 |
$25,143 |
3.50 |
Malignancy, male reproductive system |
2 |
$23,237 |
$6,884 |
$46,474 |
$13,767 |
1.50 |
Postpartum & post abortion diagnoses w/o procedure |
2 |
$21,729 |
$9,081 |
$43,457 |
$18,162 |
5.50 |
False labor |
2 |
$2,098 |
$1,571 |
$4,195 |
$3,142 |
1.00 |
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond |
2 |
$2,938 |
$1,446 |
$5,876 |
$2,892 |
2.00 |
Splenectomy |
2 |
$33,842 |
$11,418 |
$67,683 |
$22,835 |
1.50 |
Fever |
2 |
$20,216 |
$8,063 |
$40,432 |
$16,125 |
3.50 |
Opioid abuse & dependence |
2 |
$18,410 |
$9,404 |
$36,820 |
$18,807 |
8.50 |
HIV w major HIV related condition |
2 |
$23,778 |
$8,396 |
$47,556 |
$16,791 |
4.00 |
Multiple significant trauma w/o O.R. procedure |
2 |
$20,225 |
$7,371 |
$40,449 |
$14,741 |
6.50 |
Other nervous system & related procedures |
1 |
$65,143 |
$23,977 |
$65,143 |
$23,977 |
6.00 |
Nervous system malignancy |
1 |
$9,882 |
$6,208 |
$9,882 |
$6,208 |
6.00 |
Nonspecific CVA & precerebral occlusion w/o infarct |
1 |
$12,981 |
$3,653 |
$12,981 |
$3,653 |
2.00 |
Non-bacterial infections of nervous system exc viral meningitis |
1 |
$35,149 |
$11,084 |
$35,149 |
$11,084 |
5.00 |
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma |
1 |
$20,787 |
$8,313 |
$20,787 |
$8,313 |
7.00 |
Eye disorders except major infections |
1 |
$12,582 |
$2,582 |
$12,582 |
$2,582 |
1.00 |
Other ear, nose, mouth & throat procedures |
1 |
$8,781 |
$5,182 |
$8,781 |
$5,182 |
4.00 |
Other circulatory system procedures |
1 |
$11,160 |
$2,621 |
$11,160 |
$2,621 |
1.00 |
Acute & subacute endocarditis |
1 |
$6,390 |
$2,156 |
$6,390 |
$2,156 |
1.00 |
Cardiac arrest and shock |
1 |
$7,111 |
$3,411 |
$7,111 |
$3,411 |
3.00 |
Other digestive system & abdominal procedures |
1 |
$33,082 |
$13,966 |
$33,082 |
$13,966 |
8.00 |
Major pancreas, liver & shunt procedures |
1 |
$47,967 |
$15,984 |
$47,967 |
$15,984 |
6.00 |
Cholecystectomy except laparoscopic |
1 |
$50,522 |
$18,080 |
$50,522 |
$18,080 |
3.00 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
1 |
$63,171 |
$26,214 |
$63,171 |
$26,214 |
10.00 |
Breast procedures except mastectomy |
1 |
$48,267 |
$15,944 |
$48,267 |
$15,944 |
1.00 |
Thyroid, parathyroid & thyroglossal procedures |
1 |
$34,056 |
$11,016 |
$34,056 |
$11,016 |
2.00 |
Other procedures for endocrine, nutritional & metabolic disorders |
1 |
$66,403 |
$29,203 |
$66,403 |
$29,203 |
9.00 |
Dilation & curettage for non-obstetric diagnoses |
1 |
$10,724 |
$3,091 |
$10,724 |
$3,091 |
1.00 |
Other female reproductive system & related procedures |
1 |
$31,721 |
$9,942 |
$31,721 |
$9,942 |
6.00 |
Neonate bwt <500g or GA <24 weeks |
1 |
$710 |
$574 |
$710 |
$574 |
1.00 |
Neonate bwt 1500-1999g w or w/o other significant condition |
1 |
$12,981 |
$9,019 |
$12,981 |
$9,019 |
15.00 |
Neonate bwt 2000-2499g w other significant condition |
1 |
$3,846 |
$1,803 |
$3,846 |
$1,803 |
2.00 |
Neonate birthwt >2499g w other major procedure |
1 |
$2,699 |
$1,889 |
$2,699 |
$1,889 |
3.00 |
Neonate birthwt >2499g w congenital/perinatal infection |
1 |
$2,320 |
$1,274 |
$2,320 |
$1,274 |
2.00 |
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms |
1 |
$26,001 |
$10,301 |
$26,001 |
$10,301 |
4.00 |
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms |
1 |
$24,932 |
$6,578 |
$24,932 |
$6,578 |
4.00 |
Adjustment disorders & neuroses except depressive diagnoses |
1 |
$17,786 |
$6,478 |
$17,786 |
$6,478 |
4.00 |
Drug & alcohol abuse or dependence, left against medical advice |
1 |
$5,381 |
$2,514 |
$5,381 |
$2,514 |
2.00 |
Other injury, poisoning & toxic effect diagnoses |
1 |
$15,221 |
$4,417 |
$15,221 |
$4,417 |
3.00 |
Other aftercare & convalescence |
1 |
$11,243 |
$3,061 |
$11,243 |
$3,061 |
2.00 |
HIV w multiple major HIV related conditions |
1 |
$26,997 |
$8,742 |
$26,997 |
$8,742 |
4.00 |