Neonate birthwt >2499g, normal newborn or neonate w other problem |
370 |
$3,058 |
$1,674 |
$1,131,493 |
$619,446 |
2.00 |
Septicemia & disseminated infections |
342 |
$29,592 |
$12,469 |
$10,120,365 |
$4,264,528 |
6.88 |
Vaginal delivery |
292 |
$5,721 |
$5,197 |
$1,670,419 |
$1,517,460 |
2.13 |
Chronic obstructive pulmonary disease |
281 |
$18,444 |
$7,651 |
$5,182,804 |
$2,149,889 |
4.78 |
Heart failure |
270 |
$21,691 |
$10,083 |
$5,856,480 |
$2,722,393 |
5.39 |
Alcohol abuse & dependence |
253 |
$10,826 |
$3,986 |
$2,739,008 |
$1,008,519 |
3.31 |
Alcohol & drug dependence w rehab or rehab/detox therapy |
198 |
$20,245 |
$12,097 |
$4,008,499 |
$2,395,276 |
21.16 |
Bipolar disorders |
182 |
$7,952 |
$4,016 |
$1,447,263 |
$730,828 |
5.85 |
Schizophrenia |
152 |
$11,695 |
$6,193 |
$1,777,704 |
$941,292 |
9.38 |
Major depressive disorders & other/unspecified psychoses |
149 |
$7,140 |
$3,540 |
$1,063,810 |
$527,399 |
5.06 |
Acute Kidney Injury |
148 |
$21,574 |
$8,677 |
$3,192,967 |
$1,284,173 |
5.29 |
Other pneumonia |
140 |
$18,924 |
$7,689 |
$2,649,352 |
$1,076,424 |
5.03 |
Cesarean delivery |
118 |
$9,623 |
$6,942 |
$1,135,507 |
$819,185 |
2.68 |
Drug & alcohol abuse or dependence, left against medical advice |
117 |
$8,817 |
$4,167 |
$1,031,646 |
$487,549 |
5.79 |
Cardiac arrhythmia & conduction disorders |
114 |
$16,782 |
$7,712 |
$1,913,163 |
$879,152 |
3.61 |
Kidney & urinary tract infections |
109 |
$17,567 |
$6,642 |
$1,914,788 |
$723,938 |
4.57 |
Knee joint replacement |
98 |
$24,307 |
$8,766 |
$2,382,074 |
$859,067 |
2.33 |
Hip joint replacement |
92 |
$23,139 |
$8,928 |
$2,128,746 |
$821,368 |
3.59 |
Respiratory Failure |
88 |
$23,973 |
$10,787 |
$2,109,663 |
$949,217 |
5.83 |
Other gastroenteritis, nausa & vomiting |
83 |
$16,717 |
$5,570 |
$1,387,524 |
$462,274 |
3.57 |
Acute myocardial infarction |
82 |
$14,915 |
$6,460 |
$1,223,029 |
$529,727 |
2.88 |
CVA & precerebral occlusion w infarct |
78 |
$23,036 |
$9,774 |
$1,796,799 |
$762,334 |
3.76 |
Depression except major depressive disorder |
75 |
$6,007 |
$2,831 |
$450,546 |
$212,327 |
3.93 |
Major respiratory infections & inflammations |
72 |
$24,088 |
$10,052 |
$1,734,319 |
$723,746 |
6.40 |
Angina pectoris & coronary atherosclerosis |
65 |
$12,721 |
$5,758 |
$826,849 |
$374,292 |
2.26 |
Cellulitis & other skin infections |
64 |
$15,691 |
$6,516 |
$1,004,202 |
$417,001 |
4.39 |
Dorsal & lumbar fusion proc except for curvature of back |
59 |
$32,242 |
$10,234 |
$1,902,262 |
$603,795 |
1.17 |
Diabetes |
58 |
$14,926 |
$5,521 |
$865,715 |
$320,211 |
3.19 |
Diverticulitis & diverticulosis |
56 |
$16,439 |
$5,397 |
$920,566 |
$302,241 |
3.29 |
Poisoning of medicinal agents |
47 |
$16,002 |
$6,645 |
$752,098 |
$312,315 |
3.06 |
Hip and femur fracture repair |
46 |
$32,175 |
$13,802 |
$1,480,038 |
$634,881 |
7.17 |
Other digestive system diagnoses |
43 |
$17,276 |
$6,343 |
$742,865 |
$272,744 |
3.93 |
Disorders of pancreas except malignancy |
42 |
$17,052 |
$5,083 |
$716,179 |
$213,503 |
3.48 |
Signs, symptoms & other factors influencing health status |
42 |
$19,451 |
$7,871 |
$816,921 |
$330,569 |
5.69 |
Intestinal obstruction |
41 |
$14,061 |
$4,217 |
$576,512 |
$172,895 |
2.88 |
Pulmonary embolism |
39 |
$18,624 |
$8,577 |
$726,348 |
$334,496 |
3.79 |
Adjustment disorders & neuroses except depressive diagnoses |
39 |
$5,497 |
$2,324 |
$214,383 |
$90,652 |
2.95 |
Opioid abuse & dependence |
39 |
$8,134 |
$3,423 |
$317,228 |
$133,508 |
3.51 |
Peptic ulcer & gastritis |
37 |
$23,287 |
$8,753 |
$861,604 |
$323,850 |
4.24 |
Other anemia & disorders of blood & blood-forming organs |
37 |
$17,058 |
$6,909 |
$631,143 |
$255,638 |
3.35 |
Transient ischemia |
36 |
$20,269 |
$7,915 |
$729,668 |
$284,944 |
3.03 |
Major small & large bowel procedures |
36 |
$31,374 |
$11,466 |
$1,129,478 |
$412,791 |
6.53 |
Infectious & parasitic diseases including HIV w O.R. procedure |
36 |
$48,833 |
$21,699 |
$1,757,980 |
$781,156 |
9.58 |
Cervical spinal fusion & other back/neck proc exc disc excis/decomp |
35 |
$15,071 |
$5,398 |
$527,491 |
$188,924 |
1.46 |
Other musculoskeletal system & connective tissue diagnoses |
35 |
$17,005 |
$6,992 |
$595,171 |
$244,716 |
4.60 |
Other back & neck disorders, fractures & injuries |
33 |
$19,224 |
$6,794 |
$634,392 |
$224,192 |
4.67 |
Chest pain |
31 |
$13,465 |
$5,903 |
$417,407 |
$183,006 |
2.52 |
Laparoscopic cholecystectomy |
31 |
$26,573 |
$8,953 |
$823,756 |
$277,532 |
3.58 |
Syncope & collapse |
28 |
$21,117 |
$8,854 |
$591,266 |
$247,908 |
3.89 |
Other & unspecified gastrointestinal hemorrhage |
28 |
$22,464 |
$9,182 |
$628,979 |
$257,106 |
4.82 |
Hypovolemia & related electrolyte disorders |
28 |
$19,861 |
$8,162 |
$556,107 |
$228,538 |
4.86 |
Other antepartum diagnoses |
27 |
$7,273 |
$4,301 |
$196,375 |
$116,135 |
3.15 |
Urethral & transurethral procedures |
26 |
$16,912 |
$5,259 |
$439,724 |
$136,734 |
1.96 |
Malfunction, reaction, complic of genitourinary device or proc |
26 |
$24,180 |
$9,985 |
$628,671 |
$259,613 |
6.08 |
Moderately extensive procedure unrelated to principal diagnosis |
26 |
$33,059 |
$15,289 |
$859,542 |
$397,524 |
9.77 |
Electrolyte disorders except hypovolemia related |
25 |
$13,535 |
$5,442 |
$338,374 |
$136,050 |
3.16 |
Infections of upper respiratory tract |
24 |
$17,184 |
$7,179 |
$412,405 |
$172,302 |
4.67 |
Hypertension |
23 |
$14,082 |
$6,108 |
$323,877 |
$140,483 |
2.39 |
Cocaine abuse & dependence |
23 |
$7,885 |
$3,184 |
$181,345 |
$73,240 |
3.52 |
Peripheral & other vascular disorders |
21 |
$15,286 |
$6,810 |
$321,012 |
$143,004 |
3.81 |
Other circulatory system diagnoses |
21 |
$19,924 |
$9,266 |
$418,398 |
$194,585 |
4.48 |
Fractures & dislocations except femur, pelvis & back |
21 |
$15,615 |
$6,426 |
$327,913 |
$134,941 |
4.38 |
Asthma |
20 |
$12,958 |
$5,438 |
$259,165 |
$108,765 |
3.50 |
Other small & large bowel procedures |
20 |
$17,910 |
$6,679 |
$358,199 |
$133,576 |
3.60 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
20 |
$25,095 |
$10,267 |
$501,900 |
$205,341 |
4.85 |
Appendectomy |
18 |
$16,593 |
$5,126 |
$298,666 |
$92,272 |
1.78 |
Knee & lower leg procedures except foot |
18 |
$24,894 |
$9,827 |
$448,086 |
$176,878 |
5.06 |
Viral illness |
18 |
$17,486 |
$5,831 |
$314,753 |
$104,950 |
3.22 |
Alcoholic liver disease |
17 |
$23,138 |
$9,260 |
$393,345 |
$157,416 |
6.65 |
Major gastrointestinal & peritoneal infections |
16 |
$24,448 |
$9,556 |
$391,167 |
$152,894 |
5.75 |
Respiratory malignancy |
15 |
$22,485 |
$8,784 |
$337,270 |
$131,754 |
5.07 |
Other esophageal disorders |
15 |
$20,408 |
$7,237 |
$306,117 |
$108,562 |
4.33 |
Disorders of gallbladder & biliary tract |
15 |
$22,705 |
$7,401 |
$340,572 |
$111,009 |
4.40 |
Organic mental health disturbances |
15 |
$21,267 |
$9,293 |
$319,004 |
$139,390 |
8.87 |
Seizure |
14 |
$14,221 |
$5,234 |
$199,091 |
$73,280 |
3.43 |
Respiratory signs, symptoms & minor diagnoses |
14 |
$14,102 |
$5,611 |
$197,426 |
$78,547 |
3.21 |
Fracture of femur |
14 |
$18,356 |
$6,975 |
$256,990 |
$97,653 |
4.57 |
Other endocrine disorders |
14 |
$19,708 |
$8,202 |
$275,905 |
$114,826 |
5.64 |
Chronic Kidney Disease |
14 |
$19,935 |
$8,446 |
$279,095 |
$118,247 |
3.79 |
Neonate, transferred < 5 days old, born here |
14 |
$2,916 |
$1,257 |
$40,827 |
$17,591 |
1.29 |
Post-operative, post-traumatic, other device infections |
14 |
$17,901 |
$6,252 |
$250,609 |
$87,527 |
4.21 |
Bronchiolitis & RSV pneumonia |
13 |
$8,573 |
$4,539 |
$111,455 |
$59,003 |
3.23 |
Urinary stones & acquired upper urinary tract obstruction |
13 |
$15,831 |
$4,750 |
$205,799 |
$61,755 |
1.92 |
Other disorders of nervous system |
12 |
$14,433 |
$5,586 |
$173,190 |
$67,034 |
3.50 |
Inflammatory bowel disease |
12 |
$15,378 |
$4,909 |
$184,538 |
$58,903 |
3.33 |
Uterine & adnexa procedures for non-malignancy except leiomyoma |
12 |
$11,357 |
$4,435 |
$136,288 |
$53,225 |
1.75 |
Procedure w diag of rehab, aftercare or oth contact w health service |
12 |
$32,017 |
$11,789 |
$384,208 |
$141,471 |
4.92 |
Vertigo & other labyrinth disorders |
11 |
$17,499 |
$7,539 |
$192,492 |
$82,927 |
4.09 |
Respiratory system diagnosis w ventilator support 96+ hours |
11 |
$68,031 |
$32,436 |
$748,339 |
$356,799 |
14.64 |
Skin ulcers |
11 |
$17,536 |
$6,640 |
$192,900 |
$73,040 |
5.00 |
Acute anxiety & delirium states |
11 |
$5,364 |
$2,664 |
$59,006 |
$29,308 |
3.64 |
Peripheral, cranial & autonomic nerve disorders |
10 |
$19,041 |
$7,434 |
$190,411 |
$74,342 |
4.00 |
Peritoneal adhesiolysis |
10 |
$27,144 |
$9,715 |
$271,444 |
$97,149 |
6.30 |
Gastrointestinal vascular insufficiency |
10 |
$21,380 |
$6,426 |
$213,801 |
$64,258 |
3.40 |
Hepatic coma & other major acute liver disorders |
10 |
$21,921 |
$7,821 |
$219,208 |
$78,212 |
5.10 |
Fracture of pelvis or dislocation of hip |
10 |
$20,916 |
$8,668 |
$209,162 |
$86,681 |
6.10 |
Malfunction, reaction, complic of orthopedic device or procedure |
10 |
$17,794 |
$6,730 |
$177,940 |
$67,295 |
4.00 |
Neonate bwt 2000-2499g, normal newborn or neonate w other problem |
10 |
$3,528 |
$1,995 |
$35,282 |
$19,954 |
2.40 |
Nonextensive procedure unrelated to principal diagnosis |
10 |
$32,505 |
$13,168 |
$325,052 |
$131,676 |
7.40 |
Nontraumatic stupor & coma |
9 |
$23,749 |
$9,068 |
$213,737 |
$81,616 |
6.11 |
Uterine & adnexa procedures for leiomyoma |
9 |
$10,753 |
$4,428 |
$96,773 |
$39,851 |
2.11 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
8 |
$17,227 |
$5,911 |
$137,819 |
$47,290 |
3.88 |
Abdominal pain |
8 |
$17,558 |
$5,846 |
$140,467 |
$46,764 |
3.13 |
Malfunction, reaction & complication of GI device or procedure |
8 |
$26,269 |
$9,755 |
$210,154 |
$78,036 |
5.75 |
Other disorders of the liver |
8 |
$24,913 |
$8,944 |
$199,303 |
$71,550 |
4.25 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
8 |
$11,969 |
$4,541 |
$95,750 |
$36,331 |
2.00 |
Other skin, subcutaneous tissue & related procedures |
8 |
$21,220 |
$8,328 |
$169,758 |
$66,625 |
6.13 |
Lymphoma, myeloma & non-acute leukemia |
8 |
$33,588 |
$12,332 |
$268,705 |
$98,654 |
5.88 |
Toxic effects of non-medicinal substances |
8 |
$18,864 |
$7,820 |
$150,910 |
$62,559 |
3.13 |
Degenerative nervous system disorders exc mult sclerosis |
7 |
$43,842 |
$20,689 |
$306,893 |
$144,820 |
18.14 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
7 |
$18,505 |
$8,066 |
$129,534 |
$56,465 |
4.43 |
Other hepatobiliary, pancreas & abdominal procedures |
7 |
$34,231 |
$10,781 |
$239,616 |
$75,467 |
7.14 |
Intervertebral disc excision & decompression |
7 |
$14,114 |
$5,003 |
$98,797 |
$35,019 |
1.14 |
Shoulder, upper arm & forearm procedures except joint replacement |
7 |
$26,705 |
$10,748 |
$186,934 |
$75,235 |
6.14 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
7 |
$6,331 |
$5,892 |
$44,316 |
$41,243 |
2.43 |
Other complications of treatment |
7 |
$18,579 |
$7,922 |
$130,053 |
$55,454 |
4.71 |
Extensive procedure unrelated to principal diagnosis |
7 |
$26,973 |
$11,512 |
$188,812 |
$80,583 |
4.57 |
Nervous system malignancy |
6 |
$21,689 |
$7,939 |
$130,135 |
$47,631 |
6.17 |
Cholecystectomy except laparoscopic |
6 |
$27,740 |
$10,120 |
$166,440 |
$60,717 |
4.67 |
Foot & toe procedures |
6 |
$35,551 |
$14,489 |
$213,305 |
$86,933 |
9.33 |
Shoulder & elbow joint replacement |
6 |
$14,634 |
$4,982 |
$87,802 |
$29,892 |
1.17 |
Kidney & urinary tract procedures for nonmalignancy |
6 |
$46,343 |
$18,792 |
$278,059 |
$112,750 |
10.83 |
Male reproductive system diagnoses except malignancy |
6 |
$16,929 |
$5,609 |
$101,571 |
$33,651 |
3.00 |
Neonate birthwt >2499g w other significant condition |
6 |
$4,084 |
$2,286 |
$24,505 |
$13,718 |
2.83 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
6 |
$29,093 |
$12,016 |
$174,558 |
$72,094 |
7.33 |
Behavioral disorders |
6 |
$5,094 |
$2,523 |
$30,564 |
$15,139 |
2.83 |
Spinal procedures |
5 |
$13,789 |
$4,975 |
$68,946 |
$24,876 |
1.80 |
Dental & oral diseases & injuries |
5 |
$14,923 |
$5,508 |
$74,616 |
$27,542 |
4.20 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
5 |
$24,589 |
$10,386 |
$122,943 |
$51,929 |
6.00 |
Digestive malignancy |
5 |
$25,822 |
$10,512 |
$129,108 |
$52,560 |
5.80 |
Major biliary tract procedures |
5 |
$41,991 |
$15,333 |
$209,957 |
$76,667 |
8.40 |
Malignancy of hepatobiliary system & pancreas |
5 |
$19,216 |
$6,342 |
$96,078 |
$31,708 |
5.00 |
Connective tissue disorders |
5 |
$16,560 |
$6,532 |
$82,800 |
$32,659 |
4.80 |
Other skin, subcutaneous tissue & breast disorders |
5 |
$12,850 |
$4,890 |
$64,252 |
$24,452 |
3.20 |
Transurethral prostatectomy |
5 |
$28,800 |
$11,848 |
$143,999 |
$59,241 |
6.80 |
Postpartum & post abortion diagnoses w/o procedure |
5 |
$18,657 |
$7,382 |
$93,283 |
$36,908 |
4.40 |
Fever |
5 |
$20,858 |
$9,218 |
$104,290 |
$46,089 |
4.40 |
Disorders of personality & impulse control |
5 |
$7,253 |
$4,033 |
$36,267 |
$20,165 |
6.00 |
Other aftercare & convalescence |
5 |
$14,033 |
$6,775 |
$70,167 |
$33,876 |
4.80 |
Other stomach, esophageal & duodenal procedures |
4 |
$36,250 |
$13,776 |
$145,001 |
$55,102 |
7.75 |
Other digestive system & abdominal procedures |
4 |
$25,812 |
$8,424 |
$103,249 |
$33,695 |
4.50 |
Major esophageal disorders |
4 |
$32,089 |
$13,083 |
$128,356 |
$52,330 |
6.75 |
Other kidney & urinary tract diagnoses, signs & symptoms |
4 |
$14,764 |
$5,024 |
$59,055 |
$20,097 |
3.00 |
Menstrual & other female reproductive system disorders |
4 |
$10,326 |
$3,013 |
$41,302 |
$12,051 |
1.75 |
Vaginal delivery w sterilization &/or D&C |
4 |
$8,587 |
$7,214 |
$34,348 |
$28,854 |
2.75 |
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond |
4 |
$5,032 |
$2,607 |
$20,126 |
$10,426 |
3.00 |
Coagulation & platelet disorders |
4 |
$15,084 |
$6,035 |
$60,336 |
$24,141 |
3.00 |
Post-op, post-trauma, other device infections w O.R. procedure |
4 |
$16,654 |
$7,729 |
$66,617 |
$30,915 |
5.25 |
O.R. procedure for other complications of treatment |
4 |
$23,731 |
$9,021 |
$94,925 |
$36,085 |
4.50 |
Multiple sclerosis & other demyelinating diseases |
3 |
$17,866 |
$5,922 |
$53,597 |
$17,767 |
3.67 |
Intracranial hemorrhage |
3 |
$9,234 |
$2,804 |
$27,703 |
$8,412 |
1.33 |
Migraine & other headaches |
3 |
$13,773 |
$3,688 |
$41,319 |
$11,064 |
2.33 |
Other ear, nose, mouth & throat procedures |
3 |
$17,347 |
$6,358 |
$52,041 |
$19,074 |
3.33 |
Major chest & respiratory trauma |
3 |
$27,444 |
$10,963 |
$82,333 |
$32,888 |
7.33 |
Other circulatory system procedures |
3 |
$97,474 |
$51,723 |
$292,421 |
$155,168 |
30.33 |
Major stomach, esophageal & duodenal procedures |
3 |
$20,818 |
$6,555 |
$62,453 |
$19,666 |
2.67 |
Tendon, muscle & other soft tissue procedures |
3 |
$17,869 |
$7,585 |
$53,608 |
$22,756 |
3.33 |
Malnutrition, failure to thrive & other nutritional disorders |
3 |
$23,947 |
$9,913 |
$71,840 |
$29,740 |
8.33 |
Inborn errors of metabolism |
3 |
$12,808 |
$5,178 |
$38,425 |
$15,534 |
2.67 |
Malignancy, male reproductive system |
3 |
$50,392 |
$23,557 |
$151,175 |
$70,671 |
19.33 |
Female reproductive system infections |
3 |
$10,751 |
$3,521 |
$32,254 |
$10,562 |
2.00 |
Other drug abuse & dependence |
3 |
$6,739 |
$3,798 |
$20,218 |
$11,394 |
6.67 |
Head trauma w coma >1 hr or hemorrhage |
2 |
$27,618 |
$8,237 |
$55,236 |
$16,474 |
7.00 |
Interstitial & alveolar lung diseases |
2 |
$17,197 |
$7,640 |
$34,393 |
$15,280 |
5.00 |
Cardiac arrest and shock |
2 |
$15,438 |
$7,954 |
$30,876 |
$15,908 |
1.50 |
Cardiac structural & valvular disorders |
2 |
$32,702 |
$15,157 |
$65,403 |
$30,313 |
8.50 |
Hernia procedures except inguinal, femoral & umbilical |
2 |
$13,467 |
$3,755 |
$26,934 |
$7,510 |
1.50 |
Dorsal & lumbar fusion proc for curvature of back |
2 |
$52,413 |
$16,207 |
$104,825 |
$32,414 |
1.50 |
Other musculoskeletal system & connective tissue procedures |
2 |
$11,487 |
$4,167 |
$22,973 |
$8,333 |
1.00 |
Major skin disorders |
2 |
$9,822 |
$3,607 |
$19,643 |
$7,214 |
2.00 |
Thyroid, parathyroid & thyroglossal procedures |
2 |
$22,476 |
$8,615 |
$44,951 |
$17,230 |
3.00 |
Nephritis & nephrosis |
2 |
$35,326 |
$14,728 |
$70,652 |
$29,456 |
8.00 |
D&C, aspiration curettage or hysterotomy for obstetric diagnoses |
2 |
$15,228 |
$7,445 |
$30,456 |
$14,889 |
2.50 |
Preterm labor |
2 |
$1,988 |
$1,877 |
$3,976 |
$3,753 |
1.00 |
False labor |
2 |
$1,801 |
$1,824 |
$3,601 |
$3,647 |
1.00 |
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms |
2 |
$38,916 |
$14,697 |
$77,832 |
$29,394 |
8.50 |
Acute leukemia |
2 |
$10,291 |
$2,958 |
$20,582 |
$5,915 |
1.00 |
Mental illness diagnosis w O.R. procedure |
2 |
$5,151 |
$2,191 |
$10,302 |
$4,381 |
3.00 |
HIV w major HIV related condition |
2 |
$23,736 |
$7,672 |
$47,472 |
$15,343 |
6.50 |
Other nervous system & related procedures |
1 |
$14,867 |
$4,931 |
$14,867 |
$4,931 |
1.00 |
Spinal disorders & injuries |
1 |
$45,946 |
$14,243 |
$45,946 |
$14,243 |
11.00 |
Nonspecific CVA & precerebral occlusion w/o infarct |
1 |
$22,361 |
$8,093 |
$22,361 |
$8,093 |
2.00 |
Non-bacterial infections of nervous system exc viral meningitis |
1 |
$34,414 |
$17,408 |
$34,414 |
$17,408 |
12.00 |
Viral meningitis |
1 |
$73,492 |
$32,475 |
$73,492 |
$32,475 |
15.00 |
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma |
1 |
$4,496 |
$1,531 |
$4,496 |
$1,531 |
1.00 |
Eye disorders except major infections |
1 |
$15,150 |
$6,471 |
$15,150 |
$6,471 |
1.00 |
Tonsil & adenoid procedures |
1 |
$8,497 |
$3,969 |
$8,497 |
$3,969 |
2.00 |
Ear, nose, mouth, throat, cranial/facial malignancies |
1 |
$11,473 |
$3,020 |
$11,473 |
$3,020 |
2.00 |
Major respiratory & chest procedures |
1 |
$59,457 |
$29,496 |
$59,457 |
$29,496 |
11.00 |
Other respiratory & chest procedures |
1 |
$22,968 |
$10,433 |
$22,968 |
$10,433 |
3.00 |
BPD & oth chronic respiratory diseases arising in perinatal period |
1 |
$7,008 |
$3,822 |
$7,008 |
$3,822 |
2.00 |
Lower extremity arterial procedures |
1 |
$61,577 |
$26,778 |
$61,577 |
$26,778 |
12.00 |
Inguinal, femoral & umbilical hernia procedures |
1 |
$18,800 |
$7,695 |
$18,800 |
$7,695 |
3.00 |
Other significant hip and femur surgery |
1 |
$18,111 |
$6,992 |
$18,111 |
$6,992 |
3.00 |
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses |
1 |
$24,078 |
$8,439 |
$24,078 |
$8,439 |
6.00 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
1 |
$17,287 |
$4,176 |
$17,287 |
$4,176 |
3.00 |
Skin graft for skin & subcutaneous tissue diagnoses |
1 |
$12,820 |
$5,905 |
$12,820 |
$5,905 |
4.00 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
1 |
$34,287 |
$14,478 |
$34,287 |
$14,478 |
10.00 |
Other kidney, urinary tract & related procedures |
1 |
$21,259 |
$4,326 |
$21,259 |
$4,326 |
2.00 |
Major male pelvic procedures |
1 |
$24,342 |
$8,946 |
$24,342 |
$8,946 |
7.00 |
Dilation & curettage for non-obstetric diagnoses |
1 |
$11,576 |
$3,681 |
$11,576 |
$3,681 |
1.00 |
Other female reproductive system & related procedures |
1 |
$9,245 |
$3,982 |
$9,245 |
$3,982 |
2.00 |
Neonate birthwt >2499g w major anomaly |
1 |
$3,849 |
$1,841 |
$3,849 |
$1,841 |
2.00 |
Neonate birthwt >2499g w congenital/perinatal infection |
1 |
$2,867 |
$1,634 |
$2,867 |
$1,634 |
2.00 |
Other procedures of blood & blood-forming organs |
1 |
$59,323 |
$22,655 |
$59,323 |
$22,655 |
14.00 |
Other infectious & parasitic diseases |
1 |
$20,047 |
$9,054 |
$20,047 |
$9,054 |
5.00 |
HIV w multiple major HIV related conditions |
1 |
$57,565 |
$27,844 |
$57,565 |
$27,844 |
24.00 |
Musculoskeletal & other procedures for multiple significant trauma |
1 |
$24,169 |
$7,646 |
$24,169 |
$7,646 |
4.00 |
Multiple significant trauma w/o O.R. procedure |
1 |
$5,920 |
$1,745 |
$5,920 |
$1,745 |
1.00 |