Neonate birthwt >2499g, normal newborn or neonate w other problem |
1284 |
$2,402 |
$1,342 |
$3,084,355 |
$1,723,649 |
2.13 |
Knee joint replacement |
1261 |
$24,860 |
$19,948 |
$31,348,510 |
$25,153,808 |
1.91 |
Septicemia & disseminated infections |
1176 |
$22,377 |
$17,204 |
$26,315,860 |
$20,231,847 |
7.00 |
Vaginal delivery |
892 |
$5,505 |
$6,704 |
$4,910,806 |
$5,979,672 |
2.42 |
Heart failure |
780 |
$18,446 |
$13,589 |
$14,388,251 |
$10,599,573 |
5.94 |
Alcohol & drug dependence w rehab or rehab/detox therapy |
768 |
$18,842 |
$5,891 |
$14,470,601 |
$4,524,587 |
13.65 |
Hip joint replacement |
702 |
$27,950 |
$22,242 |
$19,621,171 |
$15,614,091 |
2.67 |
Cesarean delivery |
473 |
$11,538 |
$9,373 |
$5,457,532 |
$4,433,420 |
3.14 |
Respiratory Failure |
392 |
$17,432 |
$11,890 |
$6,833,527 |
$4,660,981 |
4.74 |
Drug & alcohol abuse or dependence, left against medical advice |
387 |
$6,865 |
$2,181 |
$2,656,856 |
$844,197 |
4.60 |
Cellulitis & other skin infections |
310 |
$13,239 |
$11,746 |
$4,103,991 |
$3,641,163 |
4.97 |
Other disorders of nervous system |
268 |
$50,872 |
$17,636 |
$13,633,657 |
$4,726,423 |
14.62 |
Dorsal & lumbar fusion proc except for curvature of back |
248 |
$40,091 |
$33,252 |
$9,942,498 |
$8,246,461 |
2.67 |
Acute Kidney Injury |
246 |
$17,749 |
$12,955 |
$4,366,208 |
$3,187,043 |
5.67 |
Cardiac arrhythmia & conduction disorders |
228 |
$12,514 |
$8,593 |
$2,853,262 |
$1,959,141 |
3.71 |
Major small & large bowel procedures |
227 |
$37,842 |
$29,976 |
$8,590,193 |
$6,804,520 |
7.49 |
Chronic obstructive pulmonary disease |
214 |
$17,396 |
$11,373 |
$3,722,653 |
$2,433,838 |
4.71 |
Diverticulitis & diverticulosis |
214 |
$13,017 |
$10,631 |
$2,785,709 |
$2,275,042 |
4.25 |
Kidney & urinary tract infections |
213 |
$15,086 |
$11,689 |
$3,213,278 |
$2,489,790 |
5.51 |
Other pneumonia |
205 |
$16,485 |
$12,593 |
$3,379,509 |
$2,581,553 |
5.24 |
CVA & precerebral occlusion w infarct |
200 |
$21,597 |
$14,332 |
$4,319,492 |
$2,866,357 |
5.09 |
Cervical spinal fusion & other back/neck proc exc disc excis/decomp |
190 |
$27,816 |
$20,903 |
$5,285,023 |
$3,971,581 |
2.23 |
Disorders of pancreas except malignancy |
181 |
$13,862 |
$12,029 |
$2,508,962 |
$2,177,220 |
4.84 |
Infectious & parasitic diseases including HIV w O.R. procedure |
168 |
$59,913 |
$44,037 |
$10,065,412 |
$7,398,249 |
14.92 |
Hip and femur fracture repair |
160 |
$34,632 |
$27,823 |
$5,541,196 |
$4,451,690 |
7.80 |
Intestinal obstruction |
156 |
$13,466 |
$12,521 |
$2,100,640 |
$1,953,315 |
5.42 |
Other digestive system diagnoses |
154 |
$17,237 |
$11,634 |
$2,654,446 |
$1,791,639 |
4.42 |
Other musculoskeletal system & connective tissue diagnoses |
140 |
$14,282 |
$10,635 |
$1,999,529 |
$1,488,875 |
4.97 |
Percutaneous coronary intervention w AMI |
137 |
$41,164 |
$19,524 |
$5,639,492 |
$2,674,726 |
3.29 |
Major respiratory infections & inflammations |
136 |
$22,938 |
$18,508 |
$3,119,552 |
$2,517,155 |
7.61 |
Diabetes |
132 |
$13,506 |
$10,815 |
$1,782,838 |
$1,427,578 |
4.30 |
Acute myocardial infarction |
125 |
$15,723 |
$9,196 |
$1,965,420 |
$1,149,516 |
3.62 |
Other gastroenteritis, nausa & vomiting |
124 |
$14,501 |
$10,347 |
$1,798,166 |
$1,283,062 |
4.27 |
Electrolyte disorders except hypovolemia related |
116 |
$13,694 |
$10,542 |
$1,588,458 |
$1,222,830 |
4.43 |
Cardiac catheterization for other non-coronary conditions |
115 |
$26,994 |
$15,453 |
$3,104,272 |
$1,777,054 |
5.78 |
Peptic ulcer & gastritis |
109 |
$19,864 |
$13,239 |
$2,165,152 |
$1,443,086 |
4.96 |
Disorders of gallbladder & biliary tract |
108 |
$16,090 |
$13,136 |
$1,737,749 |
$1,418,686 |
4.88 |
Other aftercare & convalescence |
105 |
$47,380 |
$15,737 |
$4,974,851 |
$1,652,359 |
14.68 |
Pulmonary embolism |
92 |
$14,039 |
$9,326 |
$1,291,595 |
$857,985 |
3.78 |
Other & unspecified gastrointestinal hemorrhage |
92 |
$18,169 |
$11,977 |
$1,671,531 |
$1,101,840 |
4.35 |
Moderately extensive procedure unrelated to principal diagnosis |
91 |
$41,192 |
$29,133 |
$3,748,452 |
$2,651,094 |
9.82 |
Alcohol abuse & dependence |
83 |
$16,698 |
$13,132 |
$1,385,920 |
$1,089,985 |
5.67 |
Malfunction, reaction, complic of genitourinary device or proc |
82 |
$22,434 |
$18,644 |
$1,839,547 |
$1,528,805 |
7.61 |
Other anemia & disorders of blood & blood-forming organs |
78 |
$16,345 |
$9,917 |
$1,274,928 |
$773,517 |
3.58 |
Signs, symptoms & other factors influencing health status |
76 |
$18,353 |
$8,806 |
$1,394,841 |
$669,281 |
6.13 |
Shoulder, upper arm & forearm procedures except joint replacement |
66 |
$35,550 |
$28,839 |
$2,346,295 |
$1,903,379 |
2.97 |
Other back & neck disorders, fractures & injuries |
65 |
$15,499 |
$10,498 |
$1,007,458 |
$682,390 |
4.75 |
Other antepartum diagnoses |
64 |
$10,181 |
$5,028 |
$651,614 |
$321,804 |
5.25 |
Perm cardiac pacemaker implant w/o AMI, heart failure or shock |
63 |
$48,603 |
$30,784 |
$3,061,989 |
$1,939,371 |
4.59 |
Nontraumatic stupor & coma |
61 |
$29,977 |
$15,469 |
$1,828,622 |
$943,595 |
9.77 |
Peripheral & other vascular disorders |
58 |
$17,674 |
$14,255 |
$1,025,067 |
$826,796 |
5.88 |
Major gastrointestinal & peritoneal infections |
58 |
$17,139 |
$14,886 |
$994,083 |
$863,394 |
6.19 |
Poisoning of medicinal agents |
58 |
$14,688 |
$9,852 |
$851,882 |
$571,417 |
3.67 |
Head trauma w coma >1 hr or hemorrhage |
53 |
$18,318 |
$13,760 |
$970,831 |
$729,294 |
5.77 |
Intracranial hemorrhage |
52 |
$22,064 |
$15,622 |
$1,147,351 |
$812,326 |
5.94 |
Post-operative, post-traumatic, other device infections |
52 |
$24,917 |
$20,243 |
$1,295,663 |
$1,052,629 |
8.29 |
Neonate birthwt >2499g w other significant condition |
51 |
$4,840 |
$2,177 |
$246,861 |
$111,040 |
4.10 |
Hypovolemia & related electrolyte disorders |
50 |
$12,115 |
$8,919 |
$605,727 |
$445,952 |
4.02 |
Seizure |
49 |
$15,001 |
$11,610 |
$735,061 |
$568,882 |
4.61 |
Shoulder & elbow joint replacement |
48 |
$29,441 |
$23,496 |
$1,413,163 |
$1,127,791 |
1.92 |
Inflammatory bowel disease |
47 |
$11,771 |
$9,220 |
$553,219 |
$433,349 |
3.68 |
Other musculoskeletal system & connective tissue procedures |
47 |
$30,729 |
$22,881 |
$1,444,269 |
$1,075,387 |
5.77 |
Infections of upper respiratory tract |
46 |
$12,568 |
$8,461 |
$578,142 |
$389,222 |
3.89 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
46 |
$24,588 |
$23,249 |
$1,131,053 |
$1,069,452 |
9.11 |
Other endocrine disorders |
44 |
$14,474 |
$11,274 |
$636,869 |
$496,074 |
4.57 |
Respiratory malignancy |
42 |
$29,734 |
$22,331 |
$1,248,811 |
$937,909 |
10.31 |
Appendectomy |
42 |
$20,371 |
$13,146 |
$855,567 |
$552,143 |
3.14 |
Neonate bwt 2000-2499g, normal newborn or neonate w other problem |
42 |
$3,066 |
$1,193 |
$128,758 |
$50,126 |
3.10 |
Other peripheral vascular procedures |
41 |
$49,223 |
$36,314 |
$2,018,131 |
$1,488,872 |
7.34 |
Knee & lower leg procedures except foot |
40 |
$27,815 |
$21,895 |
$1,112,608 |
$875,789 |
5.50 |
Craniotomy except for trauma |
39 |
$43,370 |
$33,038 |
$1,691,422 |
$1,288,463 |
7.69 |
Vaginal delivery w sterilization &/or D&C |
39 |
$10,487 |
$8,496 |
$408,996 |
$331,338 |
2.51 |
Percutaneous coronary intervention w/o AMI |
38 |
$53,520 |
$27,755 |
$2,033,760 |
$1,054,691 |
4.58 |
Neonate, transferred < 5 days old, born here |
37 |
$2,030 |
$656 |
$75,126 |
$24,256 |
1.11 |
Digestive malignancy |
36 |
$23,897 |
$19,657 |
$860,277 |
$707,641 |
7.94 |
Respiratory signs, symptoms & minor diagnoses |
35 |
$12,135 |
$7,207 |
$424,721 |
$252,261 |
2.80 |
Skin ulcers |
35 |
$17,514 |
$16,963 |
$612,978 |
$593,692 |
7.46 |
Extensive procedure unrelated to principal diagnosis |
34 |
$85,954 |
$64,995 |
$2,922,452 |
$2,209,826 |
21.12 |
Major stomach, esophageal & duodenal procedures |
32 |
$46,642 |
$32,841 |
$1,492,530 |
$1,050,897 |
9.28 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
31 |
$17,478 |
$12,781 |
$541,819 |
$396,212 |
5.45 |
Lower extremity arterial procedures |
31 |
$53,615 |
$40,413 |
$1,662,059 |
$1,252,795 |
11.77 |
Gastrointestinal vascular insufficiency |
31 |
$17,118 |
$13,022 |
$530,649 |
$403,673 |
5.03 |
Amputation of lower limb except toes |
31 |
$55,377 |
$45,805 |
$1,716,702 |
$1,419,965 |
19.48 |
Degenerative nervous system disorders exc mult sclerosis |
30 |
$20,237 |
$12,294 |
$607,116 |
$368,832 |
8.07 |
Peripheral, cranial & autonomic nerve disorders |
30 |
$20,674 |
$11,402 |
$620,223 |
$342,064 |
5.63 |
Hepatic coma & other major acute liver disorders |
30 |
$19,402 |
$16,009 |
$582,051 |
$480,268 |
6.40 |
Nervous system malignancy |
29 |
$19,357 |
$17,018 |
$561,357 |
$493,516 |
7.97 |
Fractures & dislocations except femur, pelvis & back |
29 |
$13,767 |
$8,442 |
$399,238 |
$244,817 |
5.00 |
Procedure w diag of rehab, aftercare or oth contact w health service |
29 |
$52,147 |
$44,983 |
$1,512,259 |
$1,304,521 |
2.79 |
Malignancy of hepatobiliary system & pancreas |
28 |
$22,272 |
$19,876 |
$623,622 |
$556,521 |
8.00 |
Uterine & adnexa procedures for non-malignancy except leiomyoma |
28 |
$15,688 |
$9,894 |
$439,256 |
$277,020 |
1.79 |
Organic mental health disturbances |
27 |
$15,524 |
$8,503 |
$419,156 |
$229,568 |
6.11 |
Other complications of treatment |
27 |
$18,330 |
$12,427 |
$494,905 |
$335,537 |
4.63 |
Asthma |
26 |
$12,837 |
$8,306 |
$333,754 |
$215,953 |
3.00 |
Other digestive system & abdominal procedures |
26 |
$33,271 |
$22,346 |
$865,057 |
$580,994 |
7.85 |
Uterine & adnexa procedures for leiomyoma |
26 |
$15,268 |
$10,255 |
$396,958 |
$266,636 |
2.35 |
Toxic effects of non-medicinal substances |
26 |
$8,256 |
$5,186 |
$214,657 |
$134,823 |
1.88 |
Other esophageal disorders |
25 |
$19,148 |
$15,608 |
$478,708 |
$390,192 |
6.12 |
Laparoscopic cholecystectomy |
25 |
$19,310 |
$13,223 |
$482,738 |
$330,578 |
3.56 |
Other small & large bowel procedures |
24 |
$17,202 |
$13,529 |
$412,853 |
$324,687 |
3.67 |
Other hepatobiliary, pancreas & abdominal procedures |
24 |
$28,495 |
$20,787 |
$683,873 |
$498,898 |
7.21 |
Skin graft for skin & subcutaneous tissue diagnoses |
24 |
$23,486 |
$23,139 |
$563,669 |
$555,333 |
9.25 |
Kidney & urinary tract procedures for nonmalignancy |
24 |
$29,559 |
$21,908 |
$709,423 |
$525,793 |
8.21 |
Postpartum & post abortion diagnoses w/o procedure |
24 |
$6,816 |
$4,933 |
$163,587 |
$118,380 |
2.08 |
Post-op, post-trauma, other device infections w O.R. procedure |
24 |
$48,001 |
$39,798 |
$1,152,019 |
$955,148 |
14.63 |
Extracranial vascular procedures |
23 |
$17,731 |
$9,706 |
$407,803 |
$223,248 |
2.61 |
Intervertebral disc excision & decompression |
23 |
$15,376 |
$9,117 |
$353,648 |
$209,691 |
2.13 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
22 |
$24,808 |
$21,598 |
$545,786 |
$475,152 |
8.86 |
Other circulatory system diagnoses |
22 |
$15,297 |
$10,843 |
$336,537 |
$238,540 |
4.00 |
Urethral & transurethral procedures |
22 |
$21,360 |
$14,249 |
$469,925 |
$313,482 |
4.14 |
Other skin, subcutaneous tissue & related procedures |
21 |
$34,731 |
$29,074 |
$729,361 |
$610,554 |
10.10 |
Other kidney & urinary tract diagnoses, signs & symptoms |
21 |
$17,173 |
$12,300 |
$360,625 |
$258,294 |
4.95 |
Syncope & collapse |
20 |
$19,823 |
$11,165 |
$396,469 |
$223,294 |
5.10 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
20 |
$25,235 |
$19,885 |
$504,700 |
$397,706 |
8.25 |
Transient ischemia |
19 |
$8,990 |
$4,685 |
$170,806 |
$89,017 |
2.05 |
Hypertension |
19 |
$10,757 |
$7,123 |
$204,374 |
$135,330 |
2.89 |
Hernia procedures except inguinal, femoral & umbilical |
19 |
$27,579 |
$21,057 |
$524,004 |
$400,076 |
6.47 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
19 |
$17,491 |
$10,851 |
$332,337 |
$206,177 |
3.79 |
Lymphoma, myeloma & non-acute leukemia |
19 |
$38,154 |
$24,983 |
$724,922 |
$474,668 |
8.89 |
Foot & toe procedures |
18 |
$30,110 |
$25,833 |
$541,977 |
$464,992 |
9.06 |
Nonextensive procedure unrelated to principal diagnosis |
18 |
$36,303 |
$29,625 |
$653,446 |
$533,241 |
11.39 |
Respiratory system diagnosis w ventilator support 96+ hours |
17 |
$73,524 |
$42,684 |
$1,249,913 |
$725,632 |
16.76 |
Other skin, subcutaneous tissue & breast disorders |
17 |
$13,473 |
$11,334 |
$229,037 |
$192,679 |
4.35 |
Malnutrition, failure to thrive & other nutritional disorders |
17 |
$29,973 |
$26,784 |
$509,543 |
$455,324 |
13.12 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
17 |
$6,971 |
$7,144 |
$118,499 |
$121,447 |
2.53 |
Coagulation & platelet disorders |
17 |
$22,500 |
$14,227 |
$382,503 |
$241,865 |
4.24 |
Other infectious & parasitic diseases |
17 |
$13,741 |
$10,091 |
$233,591 |
$171,544 |
4.00 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
16 |
$16,372 |
$9,303 |
$261,948 |
$148,851 |
5.31 |
Alcoholic liver disease |
16 |
$23,779 |
$16,094 |
$380,457 |
$257,509 |
6.31 |
Other disorders of the liver |
16 |
$21,237 |
$14,275 |
$339,793 |
$228,405 |
5.19 |
Fracture of femur |
16 |
$14,037 |
$12,153 |
$224,592 |
$194,446 |
5.44 |
Malfunction, reaction & complication of GI device or procedure |
15 |
$23,303 |
$20,386 |
$349,540 |
$305,796 |
7.87 |
Malfunction, reaction, complic of orthopedic device or procedure |
15 |
$18,351 |
$15,026 |
$275,267 |
$225,396 |
5.60 |
Urinary stones & acquired upper urinary tract obstruction |
15 |
$11,192 |
$7,263 |
$167,884 |
$108,949 |
2.20 |
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms |
15 |
$41,711 |
$30,248 |
$625,658 |
$453,715 |
9.60 |
Other Chemotherapy |
15 |
$17,958 |
$14,689 |
$269,366 |
$220,335 |
4.67 |
Migraine & other headaches |
14 |
$11,704 |
$6,382 |
$163,856 |
$89,346 |
2.36 |
Other significant hip and femur surgery |
14 |
$39,828 |
$32,134 |
$557,587 |
$449,871 |
7.00 |
Tendon, muscle & other soft tissue procedures |
14 |
$37,732 |
$31,614 |
$528,243 |
$442,602 |
11.57 |
Fracture of pelvis or dislocation of hip |
14 |
$15,175 |
$11,458 |
$212,447 |
$160,408 |
5.29 |
Viral illness |
14 |
$16,572 |
$12,106 |
$232,005 |
$169,477 |
5.36 |
Bacterial & tuberculous infections of nervous system |
13 |
$47,014 |
$25,354 |
$611,183 |
$329,596 |
14.54 |
Major respiratory & chest procedures |
13 |
$47,149 |
$30,805 |
$612,942 |
$400,466 |
9.69 |
Peritoneal adhesiolysis |
13 |
$45,485 |
$38,029 |
$591,306 |
$494,373 |
13.23 |
Abdominal pain |
13 |
$10,491 |
$7,961 |
$136,379 |
$103,491 |
3.38 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
13 |
$14,610 |
$8,906 |
$189,925 |
$115,784 |
3.77 |
Male reproductive system diagnoses except malignancy |
13 |
$15,884 |
$14,797 |
$206,494 |
$192,360 |
6.15 |
Other respiratory & chest procedures |
12 |
$53,466 |
$32,752 |
$641,589 |
$393,026 |
12.92 |
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses |
12 |
$40,392 |
$39,575 |
$484,704 |
$474,897 |
15.08 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
12 |
$16,663 |
$9,556 |
$199,958 |
$114,666 |
3.67 |
O.R. procedure for other complications of treatment |
12 |
$60,190 |
$43,341 |
$722,284 |
$520,088 |
11.25 |
Allergic reactions |
12 |
$16,169 |
$10,098 |
$194,032 |
$121,175 |
3.42 |
Tracheostomy w MV 96+ hours w/o extensive procedure |
11 |
$194,450 |
$135,923 |
$2,138,951 |
$1,495,151 |
49.00 |
Spinal disorders & injuries |
11 |
$49,049 |
$17,940 |
$539,537 |
$197,340 |
17.91 |
Multiple sclerosis & other demyelinating diseases |
11 |
$37,063 |
$20,531 |
$407,688 |
$225,842 |
12.82 |
Major chest & respiratory trauma |
11 |
$26,838 |
$17,690 |
$295,217 |
$194,591 |
10.36 |
Cardiac catheterization for coronary artery disease |
11 |
$16,414 |
$6,403 |
$180,553 |
$70,434 |
1.73 |
Cardiac arrest and shock |
11 |
$17,812 |
$8,848 |
$195,936 |
$97,328 |
2.27 |
Major biliary tract procedures |
10 |
$42,215 |
$35,954 |
$422,149 |
$359,540 |
12.50 |
Mastectomy procedures |
10 |
$27,474 |
$18,941 |
$274,738 |
$189,413 |
1.40 |
Breast procedures except mastectomy |
10 |
$29,133 |
$19,489 |
$291,328 |
$194,893 |
3.20 |
Other kidney, urinary tract & related procedures |
10 |
$29,932 |
$20,616 |
$299,316 |
$206,159 |
5.90 |
Opioid abuse & dependence |
10 |
$8,908 |
$5,072 |
$89,077 |
$50,716 |
4.80 |
Vertigo & other labyrinth disorders |
9 |
$17,008 |
$10,047 |
$153,069 |
$90,427 |
7.22 |
Other circulatory system procedures |
9 |
$49,856 |
$40,297 |
$448,702 |
$362,672 |
15.67 |
Acute & subacute endocarditis |
9 |
$29,701 |
$19,633 |
$267,311 |
$176,695 |
9.22 |
Major pancreas, liver & shunt procedures |
9 |
$47,862 |
$40,762 |
$430,758 |
$366,854 |
12.56 |
Connective tissue disorders |
9 |
$18,969 |
$13,062 |
$170,722 |
$117,560 |
4.56 |
Other male reproductive system & related procedures |
9 |
$24,737 |
$15,267 |
$222,635 |
$137,406 |
1.44 |
False labor |
9 |
$2,806 |
$2,466 |
$25,256 |
$22,197 |
1.00 |
Neonate bwt 1500-1999g w or w/o other significant condition |
9 |
$6,991 |
$2,787 |
$62,918 |
$25,079 |
6.44 |
Fever |
9 |
$11,212 |
$7,132 |
$100,910 |
$64,187 |
3.44 |
Inguinal, femoral & umbilical hernia procedures |
8 |
$31,641 |
$30,363 |
$253,125 |
$242,904 |
12.63 |
Chronic Kidney Disease |
8 |
$17,082 |
$11,831 |
$136,655 |
$94,648 |
5.13 |
Female reproductive system infections |
8 |
$14,723 |
$12,023 |
$117,787 |
$96,187 |
4.50 |
Tracheostomy w MV 96+ hours w extensive procedure or ECMO |
7 |
$236,218 |
$153,011 |
$1,653,523 |
$1,071,074 |
44.14 |
Interstitial & alveolar lung diseases |
7 |
$16,499 |
$12,750 |
$115,496 |
$89,250 |
4.57 |
Angina pectoris & coronary atherosclerosis |
7 |
$12,479 |
$7,298 |
$87,352 |
$51,084 |
3.00 |
Neonate birthwt >2499g w major anomaly |
7 |
$1,983 |
$895 |
$13,879 |
$6,264 |
2.29 |
Acute leukemia |
7 |
$42,404 |
$28,844 |
$296,825 |
$201,908 |
11.86 |
Cocaine abuse & dependence |
7 |
$9,794 |
$5,140 |
$68,560 |
$35,983 |
5.71 |
Craniotomy for trauma |
6 |
$72,391 |
$53,812 |
$434,344 |
$322,872 |
16.17 |
Ventricular shunt procedures |
6 |
$27,915 |
$22,157 |
$167,488 |
$132,939 |
3.17 |
Non-bacterial infections of nervous system exc viral meningitis |
6 |
$34,503 |
$22,177 |
$207,019 |
$133,061 |
11.83 |
Other ear, nose, mouth & throat procedures |
6 |
$18,984 |
$12,239 |
$113,903 |
$73,436 |
3.67 |
Cardiac defibrillator & heart assist implant |
6 |
$137,690 |
$89,966 |
$826,139 |
$539,797 |
3.83 |
Major abdominal vascular procedures |
6 |
$52,813 |
$35,690 |
$316,875 |
$214,137 |
8.50 |
Other stomach, esophageal & duodenal procedures |
6 |
$26,302 |
$22,518 |
$157,812 |
$135,110 |
7.17 |
Major male pelvic procedures |
6 |
$26,963 |
$16,900 |
$161,775 |
$101,401 |
2.17 |
HIV w multiple major HIV related conditions |
6 |
$25,874 |
$20,331 |
$155,243 |
$121,986 |
8.33 |
HIV w major HIV related condition |
6 |
$18,620 |
$13,130 |
$111,720 |
$78,780 |
4.67 |
Other nervous system & related procedures |
5 |
$39,834 |
$31,581 |
$199,168 |
$157,905 |
9.00 |
Eye disorders except major infections |
5 |
$13,126 |
$8,962 |
$65,630 |
$44,810 |
2.40 |
Dental & oral diseases & injuries |
5 |
$20,189 |
$9,296 |
$100,944 |
$46,481 |
5.80 |
Other cardiothoracic & thoracic vascular procedures |
5 |
$81,885 |
$60,983 |
$409,424 |
$304,915 |
14.00 |
Chest pain |
5 |
$11,988 |
$4,558 |
$59,941 |
$22,788 |
2.20 |
Kidney & urinary tract procedures for malignancy |
5 |
$24,437 |
$16,220 |
$122,183 |
$81,101 |
3.20 |
Renal dialysis access device procedure only |
5 |
$65,912 |
$40,456 |
$329,559 |
$202,278 |
15.80 |
Kidney & urinary tract malignancy |
5 |
$30,511 |
$17,898 |
$152,555 |
$89,492 |
8.80 |
Female reproductive system malignancy |
5 |
$20,560 |
$17,000 |
$102,801 |
$85,002 |
6.60 |
Musculoskeletal & other procedures for multiple significant trauma |
5 |
$42,519 |
$34,371 |
$212,595 |
$171,857 |
10.80 |
Multiple significant trauma w/o O.R. procedure |
5 |
$15,703 |
$14,829 |
$78,517 |
$74,145 |
6.60 |
Spinal procedures |
4 |
$34,376 |
$19,114 |
$137,504 |
$76,456 |
3.25 |
Malignant breast disorders |
4 |
$28,791 |
$20,340 |
$115,165 |
$81,358 |
11.50 |
Thyroid, parathyroid & thyroglossal procedures |
4 |
$16,030 |
$8,389 |
$64,119 |
$33,555 |
2.50 |
Transurethral prostatectomy |
4 |
$24,394 |
$16,594 |
$97,577 |
$66,375 |
5.25 |
Malignancy, male reproductive system |
4 |
$20,177 |
$19,992 |
$80,706 |
$79,967 |
8.50 |
Other O.R. proc for obstetric diagnoses except delivery diagnoses |
4 |
$9,582 |
$5,229 |
$38,327 |
$20,917 |
1.00 |
Sickle cell anemia crisis |
4 |
$26,415 |
$24,862 |
$105,660 |
$99,449 |
10.25 |
Acute anxiety & delirium states |
4 |
$9,620 |
$5,788 |
$38,478 |
$23,153 |
2.25 |
Viral meningitis |
3 |
$19,641 |
$15,836 |
$58,922 |
$47,509 |
5.33 |
Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma |
3 |
$34,214 |
$24,280 |
$102,643 |
$72,839 |
15.67 |
Permanent cardiac pacemaker implant w AMI, heart failure or shock |
3 |
$52,517 |
$35,150 |
$157,550 |
$105,449 |
10.00 |
Cardiac structural & valvular disorders |
3 |
$6,970 |
$5,389 |
$20,909 |
$16,167 |
2.33 |
Major esophageal disorders |
3 |
$14,418 |
$7,322 |
$43,255 |
$21,966 |
2.67 |
Cholecystectomy except laparoscopic |
3 |
$34,518 |
$21,380 |
$103,553 |
$64,139 |
8.67 |
Hand & wrist procedures |
3 |
$36,802 |
$36,593 |
$110,405 |
$109,779 |
15.33 |
Other procedures for endocrine, nutritional & metabolic disorders |
3 |
$100,904 |
$49,939 |
$302,713 |
$149,816 |
44.67 |
Nephritis & nephrosis |
3 |
$22,944 |
$18,706 |
$68,831 |
$56,118 |
7.00 |
Other female reproductive system & related procedures |
3 |
$13,717 |
$8,103 |
$41,150 |
$24,308 |
2.00 |
Menstrual & other female reproductive system disorders |
3 |
$11,345 |
$8,908 |
$34,034 |
$26,724 |
3.33 |
D&C, aspiration curettage or hysterotomy for obstetric diagnoses |
3 |
$9,407 |
$5,630 |
$28,221 |
$16,891 |
1.67 |
Preterm labor |
3 |
$1,745 |
$2,200 |
$5,234 |
$6,599 |
1.00 |
Neonate bwt 2000-2499g w other significant condition |
3 |
$3,177 |
$970 |
$9,530 |
$2,911 |
3.00 |
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond |
3 |
$4,650 |
$1,433 |
$13,951 |
$4,299 |
3.67 |
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms |
3 |
$36,419 |
$28,703 |
$109,258 |
$86,109 |
7.33 |
Nonspecific CVA & precerebral occlusion w/o infarct |
2 |
$9,531 |
$3,284 |
$19,062 |
$6,567 |
2.00 |
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma |
2 |
$25,626 |
$16,661 |
$51,252 |
$33,322 |
7.50 |
Major cranial/facial bone procedures |
2 |
$45,135 |
$35,723 |
$90,269 |
$71,446 |
2.00 |
Tonsil & adenoid procedures |
2 |
$18,702 |
$13,830 |
$37,404 |
$27,659 |
5.00 |
Cardiac pacemaker & defibrillator revision except device replacement |
2 |
$33,106 |
$17,526 |
$66,211 |
$35,051 |
6.50 |
Major skin disorders |
2 |
$10,680 |
$10,759 |
$21,359 |
$21,517 |
4.50 |
Procedures for obesity |
2 |
$29,099 |
$23,921 |
$58,197 |
$47,841 |
2.50 |
Major bladder procedures |
2 |
$30,047 |
$21,309 |
$60,094 |
$42,618 |
4.50 |
Uterine & adnexa procedures for ovarian & adnexal malignancy |
2 |
$23,847 |
$13,856 |
$47,694 |
$27,712 |
2.00 |
Uterine & adnexa procedures for non-ovarian & non-adnexal malig |
2 |
$25,401 |
$14,069 |
$50,802 |
$28,138 |
2.00 |
Dilation & curettage for non-obstetric diagnoses |
2 |
$17,563 |
$13,314 |
$35,125 |
$26,627 |
3.50 |
Neonate bwt <500g or GA <24 weeks |
2 |
$607 |
$186 |
$1,214 |
$372 |
1.00 |
Other injury, poisoning & toxic effect diagnoses |
2 |
$5,202 |
$2,706 |
$10,404 |
$5,411 |
1.50 |
Acute major eye infections |
1 |
$12,909 |
$14,883 |
$12,909 |
$14,883 |
7.00 |
Sinus & mastoid procedures |
1 |
$22,413 |
$9,022 |
$22,413 |
$9,022 |
2.00 |
Ear, nose, mouth, throat, cranial/facial malignancies |
1 |
$18,746 |
$14,097 |
$18,746 |
$14,097 |
5.00 |
Anal procedures |
1 |
$52,081 |
$41,659 |
$52,081 |
$41,659 |
14.00 |
Pituitary & adrenal procedures |
1 |
$32,440 |
$24,307 |
$32,440 |
$24,307 |
5.00 |
Penis procedures |
1 |
$15,663 |
$18,469 |
$15,663 |
$18,469 |
8.00 |
Testes & scrotal procedures |
1 |
$76,431 |
$33,093 |
$76,431 |
$33,093 |
23.00 |
Female reproductive system reconstructive procedures |
1 |
$10,115 |
$6,064 |
$10,115 |
$6,064 |
1.00 |
Neonate birthwt 1000-1249g w or w/o other significant condition |
1 |
$607 |
$186 |
$607 |
$186 |
1.00 |
Splenectomy |
1 |
$16,887 |
$10,211 |
$16,887 |
$10,211 |
1.00 |
Other procedures of blood & blood-forming organs |
1 |
$16,460 |
$9,462 |
$16,460 |
$9,462 |
3.00 |
Schizophrenia |
1 |
$10,554 |
$11,899 |
$10,554 |
$11,899 |
5.00 |
Adjustment disorders & neuroses except depressive diagnoses |
1 |
$34,033 |
$18,596 |
$34,033 |
$18,596 |
3.00 |
Behavioral disorders |
1 |
$6,969 |
$5,346 |
$6,969 |
$5,346 |
2.00 |
Other drug abuse & dependence |
1 |
$47,994 |
$30,877 |
$47,994 |
$30,877 |
10.00 |
HIV w one signif HIV cond or w/o signif related cond |
1 |
$16,559 |
$13,020 |
$16,559 |
$13,020 |
5.00 |