Neonate birthwt >2499g, normal newborn or neonate w other problem |
2585 |
$4,610 |
$1,082 |
$11,917,864 |
$2,797,171 |
2.26 |
Vaginal delivery |
1858 |
$9,591 |
$4,980 |
$17,819,881 |
$9,252,868 |
2.35 |
Septicemia & disseminated infections |
1464 |
$37,293 |
$10,923 |
$54,596,868 |
$15,991,273 |
6.01 |
Knee joint replacement |
1203 |
$31,763 |
$12,112 |
$38,211,312 |
$14,570,906 |
1.87 |
Hip joint replacement |
1071 |
$31,378 |
$11,493 |
$33,606,239 |
$12,308,480 |
2.12 |
Cesarean delivery |
895 |
$15,193 |
$7,655 |
$13,597,784 |
$6,850,986 |
3.71 |
Alcohol abuse & dependence |
882 |
$12,466 |
$3,974 |
$10,995,138 |
$3,505,191 |
3.29 |
Heart failure |
726 |
$36,348 |
$11,575 |
$26,388,819 |
$8,403,227 |
6.06 |
Opioid abuse & dependence |
708 |
$8,849 |
$3,058 |
$6,265,411 |
$2,165,306 |
2.94 |
Chronic obstructive pulmonary disease |
533 |
$26,304 |
$7,618 |
$14,020,054 |
$4,060,558 |
4.51 |
Dorsal & lumbar fusion proc except for curvature of back |
524 |
$79,481 |
$30,969 |
$41,647,846 |
$16,227,953 |
3.66 |
Cardiac arrhythmia & conduction disorders |
514 |
$21,742 |
$6,678 |
$11,175,189 |
$3,432,240 |
3.49 |
Major small & large bowel procedures |
402 |
$53,347 |
$18,032 |
$21,445,676 |
$7,249,054 |
7.31 |
Other pneumonia |
376 |
$26,707 |
$7,911 |
$10,041,827 |
$2,974,360 |
4.77 |
Acute Kidney Injury |
352 |
$33,893 |
$10,262 |
$11,930,355 |
$3,612,258 |
5.76 |
Kidney & urinary tract infections |
287 |
$21,662 |
$6,651 |
$6,216,958 |
$1,908,747 |
4.28 |
Coronary bypass w/o AMI or complex PDX |
285 |
$130,754 |
$36,652 |
$37,264,828 |
$10,445,859 |
7.03 |
Percutaneous coronary intervention w AMI |
283 |
$71,673 |
$15,210 |
$20,283,510 |
$4,304,429 |
3.34 |
Cellulitis & other skin infections |
271 |
$18,586 |
$5,876 |
$5,036,889 |
$1,592,468 |
3.87 |
Other digestive system diagnoses |
265 |
$23,857 |
$7,001 |
$6,322,228 |
$1,855,384 |
4.21 |
Infectious & parasitic diseases including HIV w O.R. procedure |
245 |
$84,177 |
$25,228 |
$20,623,272 |
$6,180,801 |
10.98 |
Laparoscopic cholecystectomy |
240 |
$36,266 |
$10,497 |
$8,703,856 |
$2,519,230 |
3.90 |
Percutaneous coronary intervention w/o AMI |
231 |
$90,913 |
$26,704 |
$21,000,984 |
$6,168,578 |
4.10 |
CVA & precerebral occlusion w infarct |
224 |
$42,942 |
$12,566 |
$9,618,904 |
$2,814,688 |
4.33 |
Disorders of pancreas except malignancy |
224 |
$24,718 |
$6,880 |
$5,536,936 |
$1,541,061 |
4.15 |
Cardiac catheterization for other non-coronary conditions |
212 |
$43,444 |
$11,245 |
$9,210,092 |
$2,383,984 |
4.88 |
Intestinal obstruction |
205 |
$19,158 |
$5,930 |
$3,927,420 |
$1,215,651 |
4.04 |
Cervical spinal fusion & other back/neck proc exc disc excis/decomp |
204 |
$48,676 |
$18,003 |
$9,930,003 |
$3,672,557 |
2.57 |
Cardiac valve procedures w/o AMI or complex PDX |
199 |
$151,403 |
$45,317 |
$30,129,270 |
$9,018,087 |
7.10 |
Other & unspecified gastrointestinal hemorrhage |
193 |
$30,782 |
$9,360 |
$5,941,020 |
$1,806,402 |
4.89 |
Other back & neck disorders, fractures & injuries |
192 |
$24,674 |
$7,225 |
$4,737,477 |
$1,387,139 |
4.65 |
Diverticulitis & diverticulosis |
187 |
$19,403 |
$5,908 |
$3,628,447 |
$1,104,714 |
3.70 |
Shoulder, upper arm & forearm procedures except joint replacement |
176 |
$40,575 |
$15,693 |
$7,141,178 |
$2,762,050 |
2.16 |
Major respiratory & chest procedures |
175 |
$62,513 |
$20,155 |
$10,939,781 |
$3,527,133 |
7.26 |
Other gastroenteritis, nausa & vomiting |
168 |
$20,319 |
$5,604 |
$3,413,529 |
$941,499 |
3.48 |
Diabetes |
168 |
$27,143 |
$7,509 |
$4,560,029 |
$1,261,441 |
4.26 |
Acute myocardial infarction |
165 |
$36,676 |
$10,143 |
$6,051,496 |
$1,673,646 |
4.76 |
Pulmonary embolism |
162 |
$40,292 |
$11,927 |
$6,527,232 |
$1,932,129 |
4.91 |
Major stomach, esophageal & duodenal procedures |
153 |
$48,823 |
$16,512 |
$7,469,936 |
$2,526,381 |
6.44 |
Respiratory Failure |
152 |
$37,971 |
$10,521 |
$5,771,521 |
$1,599,175 |
5.68 |
Shoulder & elbow joint replacement |
148 |
$33,434 |
$12,816 |
$4,948,194 |
$1,896,718 |
1.27 |
Lower extremity arterial procedures |
146 |
$72,326 |
$23,350 |
$10,559,600 |
$3,409,117 |
6.00 |
Peptic ulcer & gastritis |
145 |
$36,532 |
$10,776 |
$5,297,179 |
$1,562,571 |
5.52 |
Drug & alcohol abuse or dependence, left against medical advice |
145 |
$10,414 |
$3,091 |
$1,510,007 |
$448,267 |
2.32 |
Perm cardiac pacemaker implant w/o AMI, heart failure or shock |
143 |
$39,659 |
$14,396 |
$5,671,205 |
$2,058,596 |
3.87 |
Hip and femur fracture repair |
140 |
$51,230 |
$17,326 |
$7,172,240 |
$2,425,688 |
6.76 |
Other musculoskeletal system & connective tissue diagnoses |
135 |
$22,424 |
$6,821 |
$3,027,276 |
$920,771 |
4.55 |
Procedures for obesity |
134 |
$31,747 |
$10,980 |
$4,254,054 |
$1,471,283 |
2.29 |
Hypovolemia & related electrolyte disorders |
131 |
$21,767 |
$6,422 |
$2,851,532 |
$841,296 |
3.92 |
Peripheral & other vascular disorders |
130 |
$29,490 |
$8,575 |
$3,833,707 |
$1,114,706 |
4.59 |
Extracranial vascular procedures |
119 |
$32,391 |
$10,191 |
$3,854,490 |
$1,212,775 |
2.80 |
Major respiratory infections & inflammations |
119 |
$33,303 |
$10,317 |
$3,963,011 |
$1,227,725 |
6.12 |
Coronary bypass w AMI or complex PDX |
115 |
$163,150 |
$45,068 |
$18,762,291 |
$5,182,784 |
9.22 |
Major pancreas, liver & shunt procedures |
111 |
$71,713 |
$22,699 |
$7,960,175 |
$2,519,537 |
6.26 |
Electrolyte disorders except hypovolemia related |
109 |
$29,399 |
$9,154 |
$3,204,498 |
$997,735 |
4.57 |
Neonate bwt 2000-2499g, normal newborn or neonate w other problem |
108 |
$36,965 |
$9,438 |
$3,992,207 |
$1,019,278 |
8.21 |
Kidney & urinary tract procedures for malignancy |
106 |
$43,814 |
$13,972 |
$4,644,231 |
$1,481,024 |
3.32 |
Respiratory malignancy |
105 |
$44,092 |
$11,958 |
$4,629,618 |
$1,255,548 |
6.24 |
Signs, symptoms & other factors influencing health status |
105 |
$22,151 |
$6,403 |
$2,325,842 |
$672,276 |
4.03 |
Respiratory signs, symptoms & minor diagnoses |
102 |
$21,614 |
$5,891 |
$2,204,645 |
$600,879 |
3.17 |
Major gastrointestinal & peritoneal infections |
101 |
$26,268 |
$8,196 |
$2,653,031 |
$827,796 |
5.44 |
Malfunction, reaction, complic of genitourinary device or proc |
100 |
$31,512 |
$9,932 |
$3,151,160 |
$993,167 |
6.37 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
98 |
$26,904 |
$7,670 |
$2,636,637 |
$751,640 |
4.23 |
Syncope & collapse |
96 |
$23,674 |
$6,695 |
$2,272,726 |
$642,718 |
3.72 |
Post-operative, post-traumatic, other device infections |
94 |
$27,974 |
$8,627 |
$2,629,592 |
$810,936 |
4.90 |
Malignancy of hepatobiliary system & pancreas |
90 |
$32,005 |
$9,299 |
$2,880,414 |
$836,888 |
4.37 |
Other respiratory & chest procedures |
87 |
$51,098 |
$16,178 |
$4,445,554 |
$1,407,518 |
6.49 |
Moderately extensive procedure unrelated to principal diagnosis |
87 |
$137,957 |
$53,953 |
$12,002,289 |
$4,693,870 |
8.25 |
Digestive malignancy |
86 |
$30,932 |
$9,975 |
$2,660,133 |
$857,880 |
5.48 |
Inflammatory bowel disease |
86 |
$23,861 |
$7,344 |
$2,052,071 |
$631,585 |
4.23 |
Other antepartum diagnoses |
86 |
$12,259 |
$5,325 |
$1,054,291 |
$457,908 |
3.56 |
Other complications of treatment |
84 |
$25,880 |
$7,883 |
$2,173,908 |
$662,176 |
4.08 |
Disorders of gallbladder & biliary tract |
83 |
$30,809 |
$8,416 |
$2,557,109 |
$698,518 |
3.58 |
Other musculoskeletal system & connective tissue procedures |
81 |
$37,044 |
$12,056 |
$3,000,603 |
$976,561 |
3.64 |
Other anemia & disorders of blood & blood-forming organs |
80 |
$27,270 |
$7,980 |
$2,181,589 |
$638,427 |
4.56 |
Uterine & adnexa procedures for non-malignancy except leiomyoma |
79 |
$30,377 |
$9,805 |
$2,399,765 |
$774,585 |
3.62 |
Other esophageal disorders |
78 |
$26,779 |
$7,765 |
$2,088,787 |
$605,653 |
4.28 |
Kidney & urinary tract procedures for nonmalignancy |
77 |
$41,844 |
$13,333 |
$3,221,955 |
$1,026,677 |
4.61 |
Other male reproductive system & related procedures |
76 |
$35,963 |
$11,271 |
$2,733,184 |
$856,603 |
1.34 |
Other peripheral vascular procedures |
75 |
$83,217 |
$30,208 |
$6,241,306 |
$2,265,631 |
5.45 |
Abdominal pain |
75 |
$19,488 |
$5,310 |
$1,461,614 |
$398,277 |
3.25 |
Procedure w diag of rehab, aftercare or oth contact w health service |
75 |
$58,127 |
$22,545 |
$4,359,525 |
$1,690,912 |
3.16 |
Asthma |
74 |
$19,014 |
$5,501 |
$1,407,012 |
$407,090 |
3.41 |
Other circulatory system diagnoses |
74 |
$28,477 |
$8,210 |
$2,107,304 |
$607,545 |
4.36 |
Other hepatobiliary, pancreas & abdominal procedures |
73 |
$48,528 |
$14,364 |
$3,542,508 |
$1,048,578 |
6.84 |
Uterine & adnexa procedures for ovarian & adnexal malignancy |
73 |
$43,624 |
$13,644 |
$3,184,544 |
$996,027 |
4.75 |
Hernia procedures except inguinal, femoral & umbilical |
71 |
$42,293 |
$14,699 |
$3,002,780 |
$1,043,646 |
5.10 |
Other digestive system & abdominal procedures |
71 |
$47,610 |
$14,875 |
$3,380,301 |
$1,056,106 |
6.44 |
Poisoning of medicinal agents |
70 |
$27,152 |
$8,006 |
$1,900,655 |
$560,449 |
4.19 |
Angina pectoris & coronary atherosclerosis |
68 |
$26,042 |
$7,800 |
$1,770,881 |
$530,398 |
3.68 |
Extensive procedure unrelated to principal diagnosis |
68 |
$75,225 |
$23,451 |
$5,115,307 |
$1,594,698 |
8.26 |
Seizure |
67 |
$25,590 |
$6,953 |
$1,714,562 |
$465,854 |
3.63 |
Major abdominal vascular procedures |
66 |
$67,460 |
$22,510 |
$4,452,339 |
$1,485,661 |
4.76 |
Malfunction, reaction & complication of GI device or procedure |
63 |
$28,313 |
$8,833 |
$1,783,732 |
$556,504 |
5.00 |
Infections of upper respiratory tract |
62 |
$19,615 |
$5,757 |
$1,216,144 |
$356,905 |
3.40 |
Neonate birthwt >2499g w other significant condition |
61 |
$41,235 |
$10,818 |
$2,515,313 |
$659,922 |
9.48 |
Craniotomy except for trauma |
60 |
$80,463 |
$25,060 |
$4,827,780 |
$1,503,598 |
6.48 |
Cocaine abuse & dependence |
60 |
$9,516 |
$3,095 |
$570,933 |
$185,706 |
2.78 |
Urinary stones & acquired upper urinary tract obstruction |
59 |
$21,398 |
$6,417 |
$1,262,455 |
$378,630 |
3.19 |
Other infectious & parasitic diseases |
58 |
$26,786 |
$7,830 |
$1,553,559 |
$454,125 |
4.57 |
Fractures & dislocations except femur, pelvis & back |
57 |
$21,041 |
$6,421 |
$1,199,322 |
$365,981 |
4.32 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
57 |
$40,858 |
$11,402 |
$2,328,909 |
$649,890 |
6.60 |
Peripheral, cranial & autonomic nerve disorders |
56 |
$25,137 |
$6,513 |
$1,407,645 |
$364,726 |
3.46 |
Cardiac defibrillator & heart assist implant |
56 |
$134,452 |
$46,505 |
$7,529,309 |
$2,604,255 |
6.79 |
Knee & lower leg procedures except foot |
56 |
$46,535 |
$15,623 |
$2,605,978 |
$874,864 |
6.21 |
Nervous system malignancy |
55 |
$38,600 |
$10,516 |
$2,123,020 |
$578,369 |
5.53 |
Head trauma w coma >1 hr or hemorrhage |
54 |
$34,620 |
$10,262 |
$1,869,465 |
$554,152 |
5.07 |
Nonextensive procedure unrelated to principal diagnosis |
54 |
$51,554 |
$15,933 |
$2,783,892 |
$860,374 |
7.52 |
Intracranial hemorrhage |
52 |
$34,862 |
$10,213 |
$1,812,824 |
$531,082 |
4.60 |
Intervertebral disc excision & decompression |
52 |
$42,051 |
$14,089 |
$2,186,668 |
$732,638 |
3.65 |
Urethral & transurethral procedures |
52 |
$32,696 |
$10,432 |
$1,700,208 |
$542,467 |
4.15 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
52 |
$25,652 |
$7,784 |
$1,333,879 |
$404,777 |
4.31 |
Hypertension |
51 |
$21,761 |
$6,428 |
$1,109,788 |
$327,828 |
3.41 |
Other Chemotherapy |
51 |
$30,223 |
$12,350 |
$1,541,361 |
$629,851 |
4.65 |
Nontraumatic stupor & coma |
50 |
$32,399 |
$9,110 |
$1,619,927 |
$455,490 |
5.12 |
Other cardiothoracic & thoracic vascular procedures |
50 |
$143,353 |
$41,540 |
$7,167,632 |
$2,076,995 |
8.72 |
Degenerative nervous system disorders exc mult sclerosis |
48 |
$32,659 |
$11,324 |
$1,567,651 |
$543,565 |
7.90 |
Other disorders of nervous system |
48 |
$33,932 |
$9,447 |
$1,628,733 |
$453,477 |
5.06 |
Cardiac valve procedures w AMI or complex PDX |
48 |
$192,936 |
$56,019 |
$9,260,927 |
$2,688,930 |
10.21 |
Other small & large bowel procedures |
48 |
$46,985 |
$15,849 |
$2,255,263 |
$760,737 |
7.58 |
Major biliary tract procedures |
48 |
$52,986 |
$16,259 |
$2,543,330 |
$780,424 |
5.81 |
Uterine & adnexa procedures for leiomyoma |
48 |
$25,479 |
$8,437 |
$1,223,009 |
$404,964 |
2.75 |
Cardiac catheterization for coronary artery disease |
47 |
$29,648 |
$7,303 |
$1,393,462 |
$343,223 |
3.15 |
Post-op, post-trauma, other device infections w O.R. procedure |
47 |
$53,974 |
$17,557 |
$2,536,761 |
$825,178 |
7.81 |
Appendectomy |
45 |
$22,213 |
$6,880 |
$999,598 |
$309,620 |
2.44 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
44 |
$11,143 |
$5,648 |
$490,299 |
$248,493 |
2.64 |
Malfunction, reaction, complic of orthopedic device or procedure |
43 |
$28,567 |
$9,473 |
$1,228,387 |
$407,358 |
5.47 |
O.R. procedure for other complications of treatment |
43 |
$49,734 |
$15,490 |
$2,138,557 |
$666,083 |
5.33 |
Transient ischemia |
42 |
$32,350 |
$8,697 |
$1,358,696 |
$365,274 |
3.74 |
Hepatic coma & other major acute liver disorders |
40 |
$31,147 |
$8,870 |
$1,245,880 |
$354,809 |
5.08 |
Major chest & respiratory trauma |
38 |
$25,479 |
$7,151 |
$968,208 |
$271,729 |
4.32 |
Alcoholic liver disease |
38 |
$30,863 |
$8,651 |
$1,172,775 |
$328,743 |
5.24 |
Coagulation & platelet disorders |
38 |
$102,733 |
$43,176 |
$3,903,836 |
$1,640,701 |
6.42 |
Dental & oral diseases & injuries |
37 |
$22,942 |
$6,519 |
$848,857 |
$241,196 |
3.65 |
Gastrointestinal vascular insufficiency |
37 |
$23,511 |
$6,384 |
$869,920 |
$236,208 |
3.89 |
Other endocrine disorders |
37 |
$32,075 |
$10,175 |
$1,186,762 |
$376,468 |
6.49 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
37 |
$36,769 |
$11,655 |
$1,360,438 |
$431,235 |
6.57 |
Migraine & other headaches |
36 |
$24,125 |
$6,435 |
$868,485 |
$231,675 |
3.78 |
Chest pain |
36 |
$19,864 |
$4,939 |
$715,093 |
$177,814 |
2.31 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
36 |
$43,597 |
$13,842 |
$1,569,481 |
$498,311 |
6.58 |
Fracture of pelvis or dislocation of hip |
35 |
$21,175 |
$6,666 |
$741,125 |
$233,301 |
4.09 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
34 |
$17,389 |
$5,125 |
$591,225 |
$174,242 |
3.06 |
Connective tissue disorders |
34 |
$27,861 |
$7,478 |
$947,258 |
$254,267 |
4.35 |
Major bladder procedures |
34 |
$63,811 |
$20,425 |
$2,169,564 |
$694,461 |
5.26 |
Major male pelvic procedures |
34 |
$35,936 |
$11,004 |
$1,221,829 |
$374,137 |
1.68 |
Penis procedures |
34 |
$39,383 |
$12,344 |
$1,339,026 |
$419,688 |
2.24 |
Sickle cell anemia crisis |
34 |
$23,293 |
$8,771 |
$791,968 |
$298,212 |
7.06 |
Skin ulcers |
33 |
$20,293 |
$6,191 |
$669,680 |
$204,313 |
4.24 |
Other disorders of the liver |
32 |
$30,591 |
$8,050 |
$978,912 |
$257,615 |
4.44 |
Other significant hip and femur surgery |
32 |
$63,624 |
$22,795 |
$2,035,980 |
$729,437 |
8.69 |
Female reproductive system malignancy |
32 |
$30,890 |
$8,869 |
$988,495 |
$283,805 |
5.09 |
Fracture of femur |
31 |
$26,681 |
$7,955 |
$827,126 |
$246,610 |
4.45 |
Respiratory system diagnosis w ventilator support 96+ hours |
30 |
$171,807 |
$48,237 |
$5,154,208 |
$1,447,114 |
20.83 |
Interstitial & alveolar lung diseases |
30 |
$30,025 |
$8,421 |
$900,738 |
$252,618 |
4.83 |
Tendon, muscle & other soft tissue procedures |
30 |
$32,201 |
$11,427 |
$966,018 |
$342,813 |
6.07 |
Lymphoma, myeloma & non-acute leukemia |
30 |
$58,381 |
$18,438 |
$1,751,440 |
$553,131 |
8.30 |
Tracheostomy w MV 96+ hours w extensive procedure or ECMO |
29 |
$441,592 |
$126,753 |
$12,806,155 |
$3,675,841 |
29.90 |
Other female reproductive system & related procedures |
29 |
$35,756 |
$11,196 |
$1,036,933 |
$324,675 |
4.34 |
Other circulatory system procedures |
28 |
$75,274 |
$23,743 |
$2,107,658 |
$664,815 |
8.50 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
28 |
$31,057 |
$9,395 |
$869,606 |
$263,055 |
5.71 |
Other kidney & urinary tract diagnoses, signs & symptoms |
28 |
$23,316 |
$7,131 |
$652,860 |
$199,681 |
4.57 |
Other stomach, esophageal & duodenal procedures |
27 |
$53,027 |
$18,204 |
$1,431,725 |
$491,498 |
9.63 |
Neonate bwt 1500-1999g w or w/o other significant condition |
27 |
$135,586 |
$35,201 |
$3,660,821 |
$950,415 |
26.07 |
Other skin, subcutaneous tissue & related procedures |
26 |
$33,285 |
$11,974 |
$865,401 |
$311,334 |
7.73 |
Male reproductive system diagnoses except malignancy |
26 |
$18,997 |
$5,651 |
$493,918 |
$146,916 |
3.62 |
Vaginal delivery w sterilization &/or D&C |
26 |
$13,066 |
$6,459 |
$339,712 |
$167,930 |
2.88 |
Organic mental health disturbances |
25 |
$32,774 |
$11,489 |
$819,348 |
$287,222 |
9.00 |
Uterine & adnexa procedures for non-ovarian & non-adnexal malig |
24 |
$61,703 |
$19,900 |
$1,480,882 |
$477,597 |
6.00 |
Viral illness |
24 |
$24,202 |
$6,362 |
$580,836 |
$152,691 |
3.71 |
Multiple sclerosis & other demyelinating diseases |
23 |
$36,109 |
$10,379 |
$830,499 |
$238,727 |
4.74 |
Malnutrition, failure to thrive & other nutritional disorders |
23 |
$50,183 |
$20,323 |
$1,154,203 |
$467,427 |
14.00 |
Amputation of lower limb except toes |
22 |
$59,160 |
$19,201 |
$1,301,523 |
$422,419 |
9.05 |
Foot & toe procedures |
22 |
$52,460 |
$15,877 |
$1,154,116 |
$349,292 |
7.50 |
Peritoneal adhesiolysis |
21 |
$47,966 |
$15,624 |
$1,007,293 |
$328,108 |
7.86 |
Chronic Kidney Disease |
21 |
$27,383 |
$8,278 |
$575,033 |
$173,844 |
4.76 |
Cardiac pacemaker & defibrillator device replacement |
20 |
$77,112 |
$29,123 |
$1,542,238 |
$582,456 |
5.60 |
Skin graft for skin & subcutaneous tissue diagnoses |
20 |
$36,193 |
$12,208 |
$723,868 |
$244,163 |
7.30 |
Acute anxiety & delirium states |
19 |
$26,871 |
$8,284 |
$510,540 |
$157,403 |
3.84 |
Tracheostomy w MV 96+ hours w/o extensive procedure |
18 |
$425,385 |
$122,060 |
$7,656,930 |
$2,197,080 |
49.67 |
Inguinal, femoral & umbilical hernia procedures |
18 |
$28,716 |
$9,511 |
$516,883 |
$171,202 |
3.67 |
Major esophageal disorders |
18 |
$24,022 |
$6,743 |
$432,388 |
$121,375 |
3.78 |
Other skin, subcutaneous tissue & breast disorders |
18 |
$21,986 |
$7,847 |
$395,740 |
$141,247 |
5.06 |
Neonate bwt 2000-2499g w other significant condition |
18 |
$95,203 |
$24,758 |
$1,713,655 |
$445,651 |
18.89 |
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms |
18 |
$49,525 |
$14,307 |
$891,448 |
$257,530 |
6.44 |
Menstrual & other female reproductive system disorders |
17 |
$15,032 |
$4,763 |
$255,541 |
$80,967 |
2.53 |
Postpartum & post abortion diagnoses w/o procedure |
17 |
$14,682 |
$4,642 |
$249,594 |
$78,906 |
2.71 |
Eye disorders except major infections |
16 |
$20,837 |
$4,540 |
$333,386 |
$72,646 |
1.88 |
Other ear, nose, mouth & throat procedures |
16 |
$24,759 |
$7,825 |
$396,151 |
$125,207 |
3.94 |
Neonate birthwt >2499g w major anomaly |
16 |
$47,554 |
$11,481 |
$760,857 |
$183,689 |
8.69 |
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms |
16 |
$59,802 |
$19,771 |
$956,829 |
$316,331 |
5.94 |
Vertigo & other labyrinth disorders |
15 |
$28,205 |
$7,359 |
$423,078 |
$110,392 |
3.60 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
15 |
$22,189 |
$6,673 |
$332,841 |
$100,094 |
4.33 |
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond |
15 |
$95,191 |
$23,391 |
$1,427,869 |
$350,869 |
14.47 |
Fever |
15 |
$16,981 |
$4,642 |
$254,720 |
$69,632 |
2.33 |
Spinal procedures |
14 |
$66,429 |
$22,128 |
$929,999 |
$309,786 |
5.57 |
Cardiac pacemaker & defibrillator revision except device replacement |
14 |
$85,977 |
$30,300 |
$1,203,671 |
$424,197 |
7.93 |
Cardiac arrest and shock |
14 |
$61,378 |
$14,537 |
$859,290 |
$203,511 |
4.93 |
Neonate, transferred < 5 days old, born here |
14 |
$13,029 |
$2,583 |
$182,408 |
$36,164 |
1.36 |
Neonate birthwt >2499g w congenital/perinatal infection |
14 |
$54,211 |
$13,711 |
$758,958 |
$191,949 |
9.86 |
Toxic effects of non-medicinal substances |
14 |
$54,170 |
$15,474 |
$758,374 |
$216,632 |
7.00 |
Other nervous system & related procedures |
13 |
$63,430 |
$19,972 |
$824,588 |
$259,639 |
7.92 |
Non-bacterial infections of nervous system exc viral meningitis |
13 |
$25,340 |
$6,513 |
$329,416 |
$84,663 |
4.00 |
Cholecystectomy except laparoscopic |
13 |
$45,890 |
$14,567 |
$596,566 |
$189,367 |
5.77 |
Other kidney, urinary tract & related procedures |
13 |
$59,346 |
$18,315 |
$771,501 |
$238,093 |
8.00 |
Transurethral prostatectomy |
13 |
$33,068 |
$10,924 |
$429,887 |
$142,006 |
4.31 |
Other drug abuse & dependence |
13 |
$26,223 |
$7,584 |
$340,894 |
$98,597 |
6.31 |
Bronchiolitis & RSV pneumonia |
12 |
$15,908 |
$5,361 |
$190,899 |
$64,327 |
4.00 |
Cardiac structural & valvular disorders |
10 |
$25,916 |
$8,712 |
$259,163 |
$87,122 |
5.20 |
Inborn errors of metabolism |
10 |
$116,900 |
$49,007 |
$1,169,000 |
$490,072 |
12.70 |
Neonate bwt 1250-1499g w resp dist synd/oth maj resp or maj anom |
10 |
$260,925 |
$66,594 |
$2,609,246 |
$665,941 |
46.90 |
Other aftercare & convalescence |
10 |
$25,491 |
$8,536 |
$254,908 |
$85,357 |
4.70 |
Malignant breast disorders |
9 |
$40,664 |
$11,255 |
$365,978 |
$101,298 |
5.67 |
Kidney & urinary tract malignancy |
9 |
$29,354 |
$8,587 |
$264,182 |
$77,286 |
4.11 |
Nephritis & nephrosis |
9 |
$56,270 |
$18,209 |
$506,434 |
$163,878 |
10.11 |
False labor |
9 |
$5,968 |
$3,135 |
$53,714 |
$28,213 |
2.00 |
Other procedures of blood & blood-forming organs |
9 |
$30,639 |
$8,332 |
$275,751 |
$74,992 |
4.33 |
Bacterial & tuberculous infections of nervous system |
8 |
$78,506 |
$26,969 |
$628,045 |
$215,751 |
8.13 |
Female reproductive system infections |
8 |
$19,378 |
$5,442 |
$155,020 |
$43,537 |
3.38 |
Craniotomy for trauma |
7 |
$75,462 |
$24,092 |
$528,235 |
$168,642 |
8.00 |
Anal procedures |
7 |
$30,560 |
$10,111 |
$213,922 |
$70,778 |
4.29 |
Pituitary & adrenal procedures |
7 |
$51,948 |
$15,732 |
$363,633 |
$110,124 |
3.43 |
Other bladder procedures |
7 |
$34,366 |
$10,865 |
$240,564 |
$76,056 |
5.71 |
Neonate birthwt 750-999g w/o major procedure |
7 |
$563,944 |
$137,493 |
$3,947,606 |
$962,448 |
89.29 |
Neonate bwt 1000-1249g w resp dist synd/oth maj resp or maj anom |
7 |
$367,255 |
$91,834 |
$2,570,787 |
$642,836 |
61.29 |
Neonate bwt 2000-2499g w resp dist synd/oth maj resp cond |
7 |
$171,874 |
$43,422 |
$1,203,118 |
$303,957 |
29.14 |
HIV w multiple major HIV related conditions |
7 |
$48,379 |
$14,806 |
$338,651 |
$103,641 |
9.57 |
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma |
6 |
$28,648 |
$8,416 |
$171,890 |
$50,498 |
5.00 |
Permanent cardiac pacemaker implant w AMI, heart failure or shock |
6 |
$67,659 |
$24,222 |
$405,951 |
$145,333 |
8.00 |
Hand & wrist procedures |
6 |
$21,338 |
$6,481 |
$128,030 |
$38,887 |
3.33 |
Breast procedures except mastectomy |
6 |
$21,809 |
$7,021 |
$130,851 |
$42,127 |
2.50 |
Malignancy, male reproductive system |
6 |
$32,762 |
$9,411 |
$196,573 |
$56,467 |
5.17 |
Allergic reactions |
6 |
$16,445 |
$5,578 |
$98,668 |
$33,467 |
3.50 |
HIV w one signif HIV cond or w/o signif related cond |
6 |
$32,859 |
$9,853 |
$197,153 |
$59,117 |
6.83 |
Nonspecific CVA & precerebral occlusion w/o infarct |
5 |
$23,163 |
$5,536 |
$115,817 |
$27,681 |
1.80 |
Acute & subacute endocarditis |
5 |
$115,258 |
$42,807 |
$576,288 |
$214,037 |
24.20 |
Other procedures for endocrine, nutritional & metabolic disorders |
5 |
$64,317 |
$18,621 |
$321,587 |
$93,107 |
6.20 |
Renal dialysis access device procedure only |
5 |
$127,222 |
$40,657 |
$636,111 |
$203,287 |
20.40 |
Pelvic evisceration, radical hysterectomy & other radical GYN procs |
5 |
$35,208 |
$11,219 |
$176,041 |
$56,093 |
3.40 |
Preterm labor |
5 |
$4,869 |
$1,887 |
$24,343 |
$9,435 |
1.00 |
Neonate bwt 2000-2499g w major anomaly |
5 |
$27,288 |
$6,912 |
$136,440 |
$34,562 |
6.40 |
Spinal disorders & injuries |
4 |
$46,144 |
$11,110 |
$184,575 |
$44,439 |
6.75 |
Mastectomy procedures |
4 |
$56,755 |
$20,203 |
$227,018 |
$80,813 |
1.75 |
Major skin disorders |
4 |
$31,316 |
$10,433 |
$125,264 |
$41,733 |
7.25 |
Dilation & curettage for non-obstetric diagnoses |
4 |
$40,635 |
$12,231 |
$162,538 |
$48,923 |
6.25 |
Neonate birthwt 500-749g w/o major procedure |
4 |
$546,741 |
$127,124 |
$2,186,963 |
$508,497 |
78.00 |
Neonate bwt 1250-1499g w or w/o other significant condition |
4 |
$267,131 |
$68,499 |
$1,068,524 |
$273,995 |
48.75 |
Neonate bwt 1500-1999g w resp dist synd/oth maj resp cond |
4 |
$224,394 |
$57,167 |
$897,575 |
$228,667 |
39.75 |
Acute leukemia |
4 |
$18,844 |
$4,576 |
$75,377 |
$18,304 |
3.00 |
Major depressive disorders & other/unspecified psychoses |
4 |
$27,815 |
$9,995 |
$111,261 |
$39,978 |
7.00 |
HIV w multiple significant HIV related conditions |
4 |
$25,496 |
$6,898 |
$101,983 |
$27,593 |
4.25 |
Viral meningitis |
3 |
$23,805 |
$5,996 |
$71,416 |
$17,988 |
3.67 |
D&C, aspiration curettage or hysterotomy for obstetric diagnoses |
3 |
$9,344 |
$3,423 |
$28,031 |
$10,268 |
1.33 |
Other O.R. proc for obstetric diagnoses except delivery diagnoses |
3 |
$18,230 |
$5,241 |
$54,689 |
$15,723 |
2.67 |
Neonate birthwt 1500-1999g w major anomaly |
3 |
$233,485 |
$58,924 |
$700,454 |
$176,771 |
41.33 |
Neonate birthwt >2499g w other major procedure |
3 |
$4,538 |
$990 |
$13,614 |
$2,969 |
2.33 |
Radiotherapy |
3 |
$45,454 |
$15,728 |
$136,362 |
$47,185 |
9.33 |
Bipolar disorders |
3 |
$12,575 |
$3,699 |
$37,724 |
$11,097 |
3.00 |
Adjustment disorders & neuroses except depressive diagnoses |
3 |
$28,598 |
$10,492 |
$85,795 |
$31,477 |
6.67 |
Other mental health disorders |
3 |
$32,843 |
$12,025 |
$98,530 |
$36,074 |
7.67 |
Alcohol & drug dependence w rehab or rehab/detox therapy |
3 |
$24,720 |
$10,913 |
$74,159 |
$32,738 |
23.67 |
HIV w major HIV related condition |
3 |
$26,486 |
$8,295 |
$79,459 |
$24,884 |
5.00 |
Musculoskeletal & other procedures for multiple significant trauma |
3 |
$45,511 |
$14,459 |
$136,533 |
$43,377 |
5.67 |
Major cranial/facial bone procedures |
2 |
$36,454 |
$10,481 |
$72,907 |
$20,961 |
2.50 |
Ear, nose, mouth, throat, cranial/facial malignancies |
2 |
$74,584 |
$22,594 |
$149,168 |
$45,187 |
14.00 |
Dorsal & lumbar fusion proc for curvature of back |
2 |
$130,140 |
$49,180 |
$260,280 |
$98,359 |
5.50 |
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses |
2 |
$30,091 |
$9,486 |
$60,182 |
$18,971 |
6.00 |
Thyroid, parathyroid & thyroglossal procedures |
2 |
$89,964 |
$27,003 |
$179,928 |
$54,006 |
14.00 |
Female reproductive system reconstructive procedures |
2 |
$25,833 |
$8,324 |
$51,665 |
$16,648 |
1.50 |
Neonate birthwt 1000-1249g w or w/o other significant condition |
2 |
$255,320 |
$65,926 |
$510,639 |
$131,851 |
48.00 |
Neonate birthwt 1500-1999g w congenital/perinatal infection |
2 |
$246,621 |
$64,074 |
$493,242 |
$128,148 |
46.00 |
Other injury, poisoning & toxic effect diagnoses |
2 |
$13,496 |
$3,958 |
$26,992 |
$7,916 |
2.50 |
Multiple significant trauma w/o O.R. procedure |
2 |
$19,794 |
$5,631 |
$39,587 |
$11,261 |
3.00 |
Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma |
1 |
$35,478 |
$8,251 |
$35,478 |
$8,251 |
3.00 |
Facial bone procedures except major cranial/facial bone procedures |
1 |
$8,761 |
$2,739 |
$8,761 |
$2,739 |
1.00 |
Cystic fibrosis - pulmonary disease |
1 |
$16,939 |
$3,991 |
$16,939 |
$3,991 |
2.00 |
BPD & oth chronic respiratory diseases arising in perinatal period |
1 |
$281,185 |
$76,063 |
$281,185 |
$76,063 |
54.00 |
Cardiomyopathy |
1 |
$21,018 |
$6,635 |
$21,018 |
$6,635 |
4.00 |
Neonate bwt <500g or GA <24 weeks |
1 |
$1,367 |
$564 |
$1,367 |
$564 |
1.00 |
Neonate bwt 2000-2499g w congenital/perinatal infection |
1 |
$75,194 |
$19,457 |
$75,194 |
$19,457 |
14.00 |
Splenectomy |
1 |
$35,225 |
$11,848 |
$35,225 |
$11,848 |
2.00 |
Schizophrenia |
1 |
$49,042 |
$16,602 |
$49,042 |
$16,602 |
9.00 |
Disorders of personality & impulse control |
1 |
$16,012 |
$4,259 |
$16,012 |
$4,259 |
3.00 |
Eating disorders |
1 |
$6,106 |
$1,604 |
$6,106 |
$1,604 |
1.00 |
Partial thickness burns without skin graft |
1 |
$25,073 |
$8,151 |
$25,073 |
$8,151 |
3.00 |
Extensive abdominal/thoracic procedures for mult significant trauma |
1 |
$86,646 |
$21,802 |
$86,646 |
$21,802 |
6.00 |