Neonate birthwt >2499g, normal newborn or neonate w other problem |
764 |
$12,520 |
$3,445 |
$9,565,404 |
$2,632,059 |
2.76 |
Rehabilitation |
610 |
$81,870 |
$21,472 |
$49,940,811 |
$13,098,211 |
13.31 |
Procedures for obesity |
537 |
$44,099 |
$13,293 |
$23,681,382 |
$7,138,273 |
1.07 |
Vaginal delivery |
513 |
$24,300 |
$6,835 |
$12,466,002 |
$3,506,340 |
2.69 |
Cesarean delivery |
369 |
$38,473 |
$11,655 |
$14,196,493 |
$4,300,556 |
4.13 |
Septicemia & disseminated infections |
342 |
$95,263 |
$22,240 |
$32,579,793 |
$7,605,921 |
9.31 |
Chronic obstructive pulmonary disease |
287 |
$47,753 |
$11,119 |
$13,705,235 |
$3,191,237 |
5.79 |
Other pneumonia |
263 |
$47,028 |
$10,399 |
$12,368,282 |
$2,734,996 |
5.84 |
Heart failure |
254 |
$54,716 |
$12,499 |
$13,897,798 |
$3,174,845 |
6.55 |
Kidney & urinary tract infections |
241 |
$39,407 |
$8,181 |
$9,497,005 |
$1,971,658 |
5.15 |
Schizophrenia |
221 |
$76,617 |
$19,345 |
$16,932,285 |
$4,275,231 |
20.20 |
Cellulitis & other skin infections |
202 |
$37,394 |
$8,619 |
$7,553,647 |
$1,741,070 |
5.00 |
Bipolar disorders |
190 |
$50,047 |
$12,492 |
$9,508,934 |
$2,373,498 |
12.36 |
Other disorders of nervous system |
165 |
$89,068 |
$22,113 |
$14,696,276 |
$3,648,715 |
12.79 |
CVA & precerebral occlusion w infarct |
148 |
$64,834 |
$13,020 |
$9,595,376 |
$1,926,939 |
5.83 |
Other gastroenteritis, nausa & vomiting |
129 |
$34,173 |
$6,508 |
$4,408,330 |
$839,477 |
3.85 |
Diabetes |
125 |
$38,421 |
$8,138 |
$4,802,677 |
$1,017,225 |
4.14 |
Cardiac arrhythmia & conduction disorders |
120 |
$38,678 |
$8,183 |
$4,641,361 |
$981,959 |
4.18 |
Syncope & collapse |
118 |
$40,246 |
$8,210 |
$4,749,026 |
$968,727 |
3.43 |
Acute Kidney Injury |
113 |
$58,111 |
$12,531 |
$6,566,527 |
$1,416,034 |
7.10 |
Diverticulitis & diverticulosis |
105 |
$45,336 |
$8,986 |
$4,760,262 |
$943,559 |
4.79 |
Dorsal & lumbar fusion proc except for curvature of back |
104 |
$160,386 |
$36,648 |
$16,680,103 |
$3,811,442 |
4.73 |
Major depressive disorders & other/unspecified psychoses |
103 |
$56,080 |
$13,975 |
$5,776,210 |
$1,439,439 |
13.77 |
Hypertension |
102 |
$35,889 |
$7,213 |
$3,660,690 |
$735,773 |
3.48 |
Acute myocardial infarction |
100 |
$57,766 |
$13,099 |
$5,776,563 |
$1,309,881 |
5.37 |
Other anemia & disorders of blood & blood-forming organs |
94 |
$50,563 |
$10,360 |
$4,752,959 |
$973,818 |
5.09 |
Other antepartum diagnoses |
92 |
$31,475 |
$7,523 |
$2,895,740 |
$692,090 |
4.43 |
Other digestive system diagnoses |
91 |
$40,556 |
$7,976 |
$3,690,559 |
$725,795 |
4.60 |
Other back & neck disorders, fractures & injuries |
90 |
$50,166 |
$9,739 |
$4,514,924 |
$876,518 |
5.47 |
Signs, symptoms & other factors influencing health status |
88 |
$41,112 |
$8,188 |
$3,617,835 |
$720,542 |
4.92 |
Asthma |
87 |
$30,402 |
$7,129 |
$2,645,009 |
$620,203 |
3.78 |
Intestinal obstruction |
86 |
$33,269 |
$6,197 |
$2,861,106 |
$532,956 |
3.69 |
Seizure |
85 |
$36,978 |
$7,273 |
$3,143,091 |
$618,185 |
4.00 |
Hip joint replacement |
85 |
$117,072 |
$26,217 |
$9,951,125 |
$2,228,413 |
4.67 |
Knee joint replacement |
82 |
$116,670 |
$28,102 |
$9,566,950 |
$2,304,399 |
3.84 |
Laparoscopic cholecystectomy |
79 |
$73,793 |
$15,906 |
$5,829,672 |
$1,256,588 |
5.11 |
Disorders of pancreas except malignancy |
76 |
$43,942 |
$8,333 |
$3,339,594 |
$633,324 |
5.00 |
Depression except major depressive disorder |
76 |
$45,105 |
$11,378 |
$3,427,947 |
$864,730 |
11.79 |
Alcohol abuse & dependence |
76 |
$50,539 |
$11,189 |
$3,840,975 |
$850,333 |
6.03 |
Other & unspecified gastrointestinal hemorrhage |
75 |
$44,017 |
$8,878 |
$3,301,286 |
$665,816 |
4.21 |
Cardiac catheterization for other non-coronary conditions |
74 |
$74,514 |
$18,499 |
$5,514,060 |
$1,368,929 |
4.76 |
Peptic ulcer & gastritis |
67 |
$53,293 |
$10,936 |
$3,570,608 |
$732,682 |
5.22 |
Electrolyte disorders except hypovolemia related |
65 |
$48,722 |
$11,076 |
$3,166,898 |
$719,926 |
5.05 |
Chest pain |
64 |
$28,172 |
$5,393 |
$1,802,987 |
$345,147 |
2.27 |
Respiratory Failure |
62 |
$77,504 |
$18,482 |
$4,805,253 |
$1,145,877 |
7.24 |
Other musculoskeletal system & connective tissue diagnoses |
61 |
$48,344 |
$10,769 |
$2,948,982 |
$656,935 |
6.43 |
Major respiratory infections & inflammations |
60 |
$58,883 |
$13,071 |
$3,532,976 |
$784,283 |
7.53 |
Transient ischemia |
59 |
$35,079 |
$6,255 |
$2,069,675 |
$369,055 |
3.00 |
Peripheral & other vascular disorders |
57 |
$45,338 |
$10,050 |
$2,584,292 |
$572,835 |
4.93 |
Angina pectoris & coronary atherosclerosis |
55 |
$33,327 |
$6,995 |
$1,832,969 |
$384,731 |
3.04 |
Malfunction, reaction, complic of genitourinary device or proc |
54 |
$60,952 |
$13,821 |
$3,291,434 |
$746,322 |
7.43 |
Pulmonary embolism |
51 |
$49,024 |
$9,995 |
$2,500,236 |
$509,762 |
4.82 |
Major small & large bowel procedures |
51 |
$153,116 |
$34,895 |
$7,808,922 |
$1,779,623 |
12.75 |
Uterine & adnexa procedures for leiomyoma |
51 |
$48,103 |
$10,360 |
$2,453,231 |
$528,336 |
2.76 |
Cardiac catheterization for coronary artery disease |
50 |
$53,829 |
$13,130 |
$2,691,471 |
$656,510 |
2.84 |
Hypovolemia & related electrolyte disorders |
50 |
$35,467 |
$7,275 |
$1,773,332 |
$363,733 |
4.20 |
Degenerative nervous system disorders exc mult sclerosis |
49 |
$62,071 |
$14,429 |
$3,041,457 |
$707,017 |
9.00 |
Hip and femur fracture repair |
47 |
$108,411 |
$24,497 |
$5,095,309 |
$1,151,366 |
8.00 |
Digestive malignancy |
45 |
$70,928 |
$14,433 |
$3,191,740 |
$649,503 |
8.13 |
Organic mental health disturbances |
45 |
$82,605 |
$19,416 |
$3,717,221 |
$873,718 |
17.84 |
Infectious & parasitic diseases including HIV w O.R. procedure |
44 |
$172,688 |
$39,814 |
$7,598,289 |
$1,751,798 |
14.50 |
Infections of upper respiratory tract |
42 |
$36,006 |
$7,752 |
$1,512,245 |
$325,569 |
4.93 |
Respiratory signs, symptoms & minor diagnoses |
41 |
$34,640 |
$6,967 |
$1,420,229 |
$285,656 |
3.46 |
Cervical spinal fusion & other back/neck proc exc disc excis/decomp |
40 |
$111,593 |
$24,547 |
$4,463,716 |
$981,860 |
3.65 |
Major gastrointestinal & peritoneal infections |
38 |
$52,334 |
$11,392 |
$1,988,685 |
$432,906 |
6.76 |
Vertigo & other labyrinth disorders |
37 |
$30,124 |
$5,481 |
$1,114,575 |
$202,814 |
2.62 |
Nervous system malignancy |
36 |
$74,173 |
$14,915 |
$2,670,233 |
$536,948 |
9.31 |
Poisoning of medicinal agents |
36 |
$49,817 |
$11,159 |
$1,793,397 |
$401,730 |
5.61 |
Abdominal pain |
35 |
$30,403 |
$5,538 |
$1,064,105 |
$193,827 |
2.97 |
Peripheral, cranial & autonomic nerve disorders |
34 |
$46,446 |
$10,073 |
$1,579,156 |
$342,497 |
5.71 |
Lower extremity arterial procedures |
34 |
$140,225 |
$33,189 |
$4,767,636 |
$1,128,412 |
12.18 |
Intracranial hemorrhage |
33 |
$76,385 |
$15,815 |
$2,520,721 |
$521,890 |
7.42 |
Inflammatory bowel disease |
33 |
$39,218 |
$7,284 |
$1,294,197 |
$240,373 |
4.39 |
Neonate bwt 2000-2499g, normal newborn or neonate w other problem |
33 |
$47,534 |
$12,304 |
$1,568,609 |
$406,035 |
7.27 |
Head trauma w coma >1 hr or hemorrhage |
32 |
$57,798 |
$10,703 |
$1,849,545 |
$342,510 |
5.19 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
31 |
$61,477 |
$13,698 |
$1,905,780 |
$424,646 |
5.55 |
Moderately extensive procedure unrelated to principal diagnosis |
31 |
$130,719 |
$29,801 |
$4,052,285 |
$923,828 |
12.13 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
30 |
$51,281 |
$11,956 |
$1,538,415 |
$358,691 |
6.37 |
Post-operative, post-traumatic, other device infections |
29 |
$52,172 |
$11,264 |
$1,512,982 |
$326,649 |
5.72 |
Fractures & dislocations except femur, pelvis & back |
28 |
$32,524 |
$6,504 |
$910,671 |
$182,114 |
3.43 |
Neonate birthwt >2499g w other significant condition |
28 |
$50,272 |
$13,253 |
$1,407,602 |
$371,077 |
7.61 |
Sickle cell anemia crisis |
26 |
$51,869 |
$11,168 |
$1,348,592 |
$290,362 |
6.15 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
25 |
$63,562 |
$14,011 |
$1,589,058 |
$350,275 |
7.44 |
Other esophageal disorders |
23 |
$44,057 |
$9,322 |
$1,013,321 |
$214,411 |
4.52 |
Malfunction, reaction & complication of GI device or procedure |
23 |
$52,413 |
$10,896 |
$1,205,509 |
$250,608 |
5.61 |
Disorders of gallbladder & biliary tract |
23 |
$47,866 |
$9,609 |
$1,100,916 |
$220,997 |
5.26 |
Fever |
23 |
$42,270 |
$8,318 |
$972,203 |
$191,305 |
4.74 |
Appendectomy |
22 |
$55,776 |
$12,564 |
$1,227,076 |
$276,415 |
3.27 |
Amputation of lower limb except toes |
22 |
$108,526 |
$25,420 |
$2,387,561 |
$559,239 |
11.41 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
22 |
$69,048 |
$13,666 |
$1,519,063 |
$300,647 |
8.64 |
Lymphoma, myeloma & non-acute leukemia |
22 |
$61,609 |
$12,820 |
$1,355,395 |
$282,042 |
6.68 |
Respiratory malignancy |
21 |
$80,166 |
$16,315 |
$1,683,484 |
$342,616 |
8.90 |
Other small & large bowel procedures |
21 |
$104,021 |
$22,895 |
$2,184,440 |
$480,786 |
9.29 |
Other skin, subcutaneous tissue & related procedures |
21 |
$50,762 |
$11,225 |
$1,066,000 |
$235,735 |
5.76 |
Malnutrition, failure to thrive & other nutritional disorders |
21 |
$38,085 |
$8,319 |
$799,784 |
$174,706 |
5.52 |
Other complications of treatment |
21 |
$54,580 |
$11,684 |
$1,146,175 |
$245,364 |
6.33 |
Toxic effects of non-medicinal substances |
21 |
$36,775 |
$7,632 |
$772,269 |
$160,280 |
3.33 |
Nontraumatic stupor & coma |
20 |
$52,548 |
$11,126 |
$1,050,958 |
$222,518 |
5.90 |
Nonextensive procedure unrelated to principal diagnosis |
20 |
$95,123 |
$20,591 |
$1,902,461 |
$411,812 |
8.65 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
19 |
$34,481 |
$7,218 |
$655,136 |
$137,139 |
4.05 |
Other circulatory system diagnoses |
19 |
$33,088 |
$7,039 |
$628,680 |
$133,742 |
3.53 |
Viral illness |
19 |
$31,179 |
$5,772 |
$592,396 |
$109,660 |
2.95 |
Respiratory system diagnosis w ventilator support 96+ hours |
18 |
$204,004 |
$52,713 |
$3,672,063 |
$948,834 |
18.33 |
Mastectomy procedures |
18 |
$110,707 |
$28,312 |
$1,992,734 |
$509,621 |
2.72 |
Male reproductive system diagnoses except malignancy |
18 |
$39,690 |
$8,146 |
$714,423 |
$146,619 |
5.00 |
Skin ulcers |
17 |
$50,641 |
$11,739 |
$860,901 |
$199,561 |
6.76 |
Other endocrine disorders |
17 |
$49,682 |
$10,767 |
$844,595 |
$183,035 |
5.24 |
Kidney & urinary tract procedures for malignancy |
17 |
$67,746 |
$15,579 |
$1,151,675 |
$264,846 |
4.06 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
16 |
$46,975 |
$10,052 |
$751,605 |
$160,833 |
4.88 |
Urethral & transurethral procedures |
16 |
$68,051 |
$13,765 |
$1,088,812 |
$220,244 |
5.38 |
Chronic Kidney Disease |
16 |
$65,150 |
$15,686 |
$1,042,395 |
$250,978 |
7.31 |
Intervertebral disc excision & decompression |
15 |
$85,981 |
$19,059 |
$1,289,721 |
$285,883 |
5.07 |
Urinary stones & acquired upper urinary tract obstruction |
15 |
$39,110 |
$7,460 |
$586,643 |
$111,900 |
3.73 |
Adjustment disorders & neuroses except depressive diagnoses |
15 |
$19,215 |
$4,494 |
$288,225 |
$67,403 |
4.60 |
Extracranial vascular procedures |
14 |
$56,007 |
$12,205 |
$784,103 |
$170,870 |
1.93 |
Malignancy of hepatobiliary system & pancreas |
14 |
$55,115 |
$10,339 |
$771,610 |
$144,749 |
5.29 |
Knee & lower leg procedures except foot |
14 |
$99,680 |
$22,391 |
$1,395,526 |
$313,467 |
7.43 |
Fracture of femur |
14 |
$32,361 |
$6,699 |
$453,060 |
$93,786 |
3.36 |
Female reproductive system malignancy |
14 |
$61,040 |
$12,164 |
$854,554 |
$170,294 |
6.64 |
Other infectious & parasitic diseases |
14 |
$51,307 |
$11,526 |
$718,299 |
$161,358 |
5.36 |
Other aftercare & convalescence |
14 |
$59,207 |
$15,130 |
$828,893 |
$211,815 |
7.50 |
Migraine & other headaches |
13 |
$35,873 |
$5,688 |
$466,350 |
$73,950 |
2.08 |
Other peripheral vascular procedures |
13 |
$110,510 |
$25,345 |
$1,436,633 |
$329,489 |
5.54 |
Other stomach, esophageal & duodenal procedures |
13 |
$73,597 |
$16,183 |
$956,766 |
$210,375 |
6.00 |
Alcoholic liver disease |
13 |
$102,923 |
$23,307 |
$1,338,002 |
$302,994 |
8.77 |
Craniotomy except for trauma |
12 |
$177,649 |
$37,393 |
$2,131,793 |
$448,720 |
10.50 |
Inguinal, femoral & umbilical hernia procedures |
12 |
$79,065 |
$15,804 |
$948,775 |
$189,650 |
6.58 |
Other digestive system & abdominal procedures |
12 |
$148,699 |
$33,756 |
$1,784,382 |
$405,071 |
14.00 |
Gastrointestinal vascular insufficiency |
12 |
$58,943 |
$12,725 |
$707,316 |
$152,698 |
4.58 |
Hepatic coma & other major acute liver disorders |
12 |
$55,871 |
$11,075 |
$670,456 |
$132,900 |
5.17 |
Other disorders of the liver |
12 |
$65,176 |
$14,028 |
$782,111 |
$168,336 |
5.25 |
Fracture of pelvis or dislocation of hip |
12 |
$32,098 |
$6,156 |
$385,172 |
$73,871 |
3.83 |
Kidney & urinary tract procedures for nonmalignancy |
12 |
$97,064 |
$21,277 |
$1,164,764 |
$255,320 |
7.42 |
Extensive procedure unrelated to principal diagnosis |
12 |
$233,080 |
$56,043 |
$2,796,958 |
$672,517 |
18.92 |
Cardiac defibrillator & heart assist implant |
11 |
$251,405 |
$54,394 |
$2,765,456 |
$598,329 |
8.36 |
Perm cardiac pacemaker implant w/o AMI, heart failure or shock |
11 |
$101,162 |
$22,504 |
$1,112,783 |
$247,540 |
3.91 |
Other musculoskeletal system & connective tissue procedures |
11 |
$124,440 |
$28,112 |
$1,368,840 |
$309,228 |
9.64 |
Malfunction, reaction, complic of orthopedic device or procedure |
11 |
$71,331 |
$15,350 |
$784,645 |
$168,847 |
9.09 |
Other skin, subcutaneous tissue & breast disorders |
11 |
$35,506 |
$7,657 |
$390,568 |
$84,226 |
4.45 |
Other kidney & urinary tract diagnoses, signs & symptoms |
11 |
$38,562 |
$7,499 |
$424,186 |
$82,489 |
4.00 |
Uterine & adnexa procedures for non-malignancy except leiomyoma |
11 |
$40,108 |
$8,752 |
$441,183 |
$96,273 |
2.55 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
11 |
$73,857 |
$14,452 |
$812,432 |
$158,969 |
8.73 |
Tracheostomy w MV 96+ hours w extensive procedure or ECMO |
10 |
$727,109 |
$183,814 |
$7,271,092 |
$1,838,139 |
54.70 |
Multiple sclerosis & other demyelinating diseases |
10 |
$58,575 |
$13,499 |
$585,752 |
$134,987 |
7.70 |
Other respiratory & chest procedures |
10 |
$154,811 |
$35,148 |
$1,548,107 |
$351,483 |
14.20 |
Major esophageal disorders |
10 |
$39,023 |
$8,293 |
$390,228 |
$82,930 |
5.00 |
Foot & toe procedures |
10 |
$66,070 |
$14,744 |
$660,698 |
$147,439 |
6.60 |
Renal dialysis access device procedure only |
10 |
$125,946 |
$29,280 |
$1,259,463 |
$292,800 |
10.50 |
Postpartum & post abortion diagnoses w/o procedure |
10 |
$38,398 |
$8,466 |
$383,983 |
$84,657 |
6.40 |
Neonate birthwt >2499g w major anomaly |
10 |
$41,321 |
$10,376 |
$413,210 |
$103,761 |
6.30 |
O.R. procedure for other complications of treatment |
10 |
$118,315 |
$26,802 |
$1,183,150 |
$268,024 |
8.40 |
Allergic reactions |
10 |
$30,561 |
$7,023 |
$305,610 |
$70,232 |
2.80 |
Connective tissue disorders |
9 |
$64,550 |
$16,902 |
$580,946 |
$152,115 |
6.78 |
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond |
9 |
$96,158 |
$23,882 |
$865,422 |
$214,935 |
12.44 |
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms |
9 |
$83,268 |
$16,582 |
$749,410 |
$149,234 |
6.33 |
Major chest & respiratory trauma |
8 |
$49,030 |
$9,751 |
$392,237 |
$78,004 |
5.13 |
Other circulatory system procedures |
8 |
$186,810 |
$47,119 |
$1,494,480 |
$376,951 |
17.63 |
Transurethral prostatectomy |
8 |
$67,272 |
$14,306 |
$538,172 |
$114,450 |
6.00 |
Female reproductive system infections |
8 |
$38,855 |
$7,635 |
$310,836 |
$61,078 |
4.75 |
Preterm labor |
8 |
$30,523 |
$7,686 |
$244,180 |
$61,488 |
4.75 |
Neonate bwt 1500-1999g w or w/o other significant condition |
8 |
$131,160 |
$36,608 |
$1,049,277 |
$292,863 |
19.13 |
Coagulation & platelet disorders |
8 |
$106,381 |
$31,336 |
$851,051 |
$250,684 |
6.38 |
Post-op, post-trauma, other device infections w O.R. procedure |
8 |
$87,005 |
$19,586 |
$696,039 |
$156,690 |
8.75 |
Cholecystectomy except laparoscopic |
7 |
$95,827 |
$21,029 |
$670,790 |
$147,200 |
7.14 |
Neonate birthwt >2499g w congenital/perinatal infection |
7 |
$51,520 |
$13,183 |
$360,641 |
$92,283 |
7.14 |
Acute anxiety & delirium states |
7 |
$23,054 |
$5,693 |
$161,377 |
$39,853 |
5.57 |
Drug & alcohol abuse or dependence, left against medical advice |
7 |
$16,409 |
$3,273 |
$114,863 |
$22,913 |
1.57 |
Procedure w diag of rehab, aftercare or oth contact w health service |
7 |
$164,765 |
$37,129 |
$1,153,357 |
$259,905 |
7.14 |
Cardiac arrest and shock |
6 |
$51,636 |
$11,185 |
$309,815 |
$67,107 |
3.67 |
Major stomach, esophageal & duodenal procedures |
6 |
$102,256 |
$22,520 |
$613,536 |
$135,121 |
9.00 |
Peritoneal adhesiolysis |
6 |
$86,426 |
$17,881 |
$518,555 |
$107,283 |
7.67 |
Other hepatobiliary, pancreas & abdominal procedures |
6 |
$96,638 |
$18,891 |
$579,826 |
$113,343 |
7.00 |
Skin graft for skin & subcutaneous tissue diagnoses |
6 |
$63,075 |
$14,256 |
$378,450 |
$85,534 |
6.50 |
Kidney & urinary tract malignancy |
6 |
$65,535 |
$12,086 |
$393,211 |
$72,516 |
5.00 |
Vaginal delivery w sterilization &/or D&C |
6 |
$47,522 |
$13,926 |
$285,130 |
$83,557 |
2.17 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
6 |
$38,086 |
$9,550 |
$228,516 |
$57,302 |
3.83 |
Other Chemotherapy |
6 |
$116,828 |
$32,213 |
$700,970 |
$193,279 |
11.50 |
Opioid abuse & dependence |
6 |
$36,939 |
$7,861 |
$221,634 |
$47,167 |
5.17 |
Tracheostomy w MV 96+ hours w/o extensive procedure |
5 |
$455,449 |
$114,085 |
$2,277,246 |
$570,424 |
38.80 |
Spinal procedures |
5 |
$155,101 |
$33,998 |
$775,503 |
$169,989 |
6.00 |
Bacterial & tuberculous infections of nervous system |
5 |
$144,569 |
$40,918 |
$722,845 |
$204,589 |
14.40 |
Breast procedures except mastectomy |
5 |
$169,800 |
$45,083 |
$849,000 |
$225,415 |
3.40 |
Malignant breast disorders |
5 |
$25,068 |
$5,227 |
$125,341 |
$26,136 |
2.80 |
Neonate bwt 1500-1999g w resp dist synd/oth maj resp cond |
5 |
$163,510 |
$43,407 |
$817,548 |
$217,034 |
22.80 |
Craniotomy for trauma |
4 |
$410,710 |
$96,407 |
$1,642,840 |
$385,629 |
26.75 |
Spinal disorders & injuries |
4 |
$143,819 |
$34,384 |
$575,276 |
$137,534 |
18.00 |
Eye disorders except major infections |
4 |
$24,460 |
$3,892 |
$97,840 |
$15,568 |
1.50 |
Other ear, nose, mouth & throat procedures |
4 |
$76,525 |
$16,509 |
$306,101 |
$66,035 |
7.75 |
Dental & oral diseases & injuries |
4 |
$40,329 |
$8,810 |
$161,317 |
$35,241 |
5.00 |
Major respiratory & chest procedures |
4 |
$172,871 |
$42,919 |
$691,482 |
$171,675 |
17.50 |
Other cardiothoracic & thoracic vascular procedures |
4 |
$102,722 |
$26,154 |
$410,887 |
$104,615 |
11.00 |
Major abdominal vascular procedures |
4 |
$103,563 |
$23,889 |
$414,251 |
$95,555 |
8.75 |
Cardiac pacemaker & defibrillator device replacement |
4 |
$124,915 |
$27,792 |
$499,661 |
$111,169 |
4.25 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
4 |
$88,207 |
$19,425 |
$352,827 |
$77,701 |
10.50 |
Hernia procedures except inguinal, femoral & umbilical |
4 |
$84,111 |
$19,325 |
$336,445 |
$77,300 |
2.75 |
Major biliary tract procedures |
4 |
$302,881 |
$69,212 |
$1,211,523 |
$276,849 |
23.00 |
Menstrual & other female reproductive system disorders |
4 |
$59,783 |
$11,700 |
$239,130 |
$46,799 |
4.25 |
Other O.R. proc for obstetric diagnoses except delivery diagnoses |
4 |
$37,603 |
$8,732 |
$150,413 |
$34,927 |
4.25 |
Neonate bwt 1250-1499g w resp dist synd/oth maj resp or maj anom |
4 |
$331,623 |
$87,236 |
$1,326,492 |
$348,942 |
45.25 |
Neonate bwt 2000-2499g w other significant condition |
4 |
$71,829 |
$19,156 |
$287,317 |
$76,624 |
10.50 |
HIV w multiple major HIV related conditions |
4 |
$157,655 |
$39,535 |
$630,621 |
$158,141 |
10.00 |
Other nervous system & related procedures |
3 |
$100,377 |
$20,352 |
$301,131 |
$61,056 |
6.00 |
Interstitial & alveolar lung diseases |
3 |
$58,144 |
$12,032 |
$174,432 |
$36,095 |
6.67 |
Cardiac structural & valvular disorders |
3 |
$43,316 |
$10,497 |
$129,947 |
$31,491 |
6.33 |
Cardiomyopathy |
3 |
$55,212 |
$14,172 |
$165,637 |
$42,517 |
9.00 |
Shoulder, upper arm & forearm procedures except joint replacement |
3 |
$104,676 |
$22,981 |
$314,028 |
$68,942 |
4.67 |
Tendon, muscle & other soft tissue procedures |
3 |
$42,014 |
$9,418 |
$126,041 |
$28,253 |
2.67 |
Other procedures for endocrine, nutritional & metabolic disorders |
3 |
$150,269 |
$37,411 |
$450,806 |
$112,234 |
13.00 |
Other kidney, urinary tract & related procedures |
3 |
$89,470 |
$20,265 |
$268,410 |
$60,794 |
6.67 |
Malignancy, male reproductive system |
3 |
$48,225 |
$8,880 |
$144,674 |
$26,640 |
5.67 |
Dilation & curettage for non-obstetric diagnoses |
3 |
$42,653 |
$7,702 |
$127,958 |
$23,105 |
2.67 |
Neonate, transferred < 5 days old, born here |
3 |
$14,814 |
$3,244 |
$44,441 |
$9,732 |
1.67 |
Neonate bwt <500g or GA <24 weeks |
3 |
$261,962 |
$61,447 |
$785,886 |
$184,341 |
21.67 |
Neonate birthwt 750-999g w/o major procedure |
3 |
$358,906 |
$92,306 |
$1,076,717 |
$276,918 |
45.33 |
Neonate bwt 2000-2499g w resp dist synd/oth maj resp cond |
3 |
$107,658 |
$27,482 |
$322,974 |
$82,446 |
15.33 |
Radiotherapy |
3 |
$69,219 |
$14,869 |
$207,658 |
$44,606 |
11.67 |
Other mental health disorders |
3 |
$39,019 |
$9,720 |
$117,057 |
$29,160 |
11.00 |
Other drug abuse & dependence |
3 |
$25,191 |
$5,918 |
$75,573 |
$17,754 |
5.67 |
Other injury, poisoning & toxic effect diagnoses |
3 |
$41,811 |
$9,102 |
$125,434 |
$27,307 |
5.33 |
HIV w major HIV related condition |
3 |
$39,883 |
$8,730 |
$119,650 |
$26,191 |
5.00 |
HIV w one signif HIV cond or w/o signif related cond |
3 |
$33,417 |
$6,363 |
$100,252 |
$19,090 |
2.67 |
Multiple significant trauma w/o O.R. procedure |
3 |
$47,254 |
$7,638 |
$141,763 |
$22,914 |
4.67 |
Non-bacterial infections of nervous system exc viral meningitis |
2 |
$67,356 |
$10,928 |
$134,712 |
$21,855 |
5.50 |
Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma |
2 |
$32,949 |
$5,251 |
$65,898 |
$10,501 |
2.00 |
Permanent cardiac pacemaker implant w AMI, heart failure or shock |
2 |
$197,830 |
$42,723 |
$395,660 |
$85,445 |
12.50 |
Percutaneous coronary intervention w/o AMI |
2 |
$209,302 |
$53,542 |
$418,603 |
$107,084 |
12.50 |
Other significant hip and femur surgery |
2 |
$147,356 |
$34,688 |
$294,712 |
$69,376 |
15.00 |
Major skin disorders |
2 |
$21,722 |
$4,737 |
$43,444 |
$9,473 |
3.50 |
Major bladder procedures |
2 |
$162,579 |
$35,429 |
$325,157 |
$70,858 |
13.00 |
Nephritis & nephrosis |
2 |
$44,833 |
$8,605 |
$89,665 |
$17,209 |
4.50 |
Major male pelvic procedures |
2 |
$56,407 |
$12,098 |
$112,813 |
$24,196 |
5.00 |
Penis procedures |
2 |
$72,075 |
$16,701 |
$144,150 |
$33,401 |
7.00 |
Other female reproductive system & related procedures |
2 |
$25,730 |
$5,369 |
$51,460 |
$10,738 |
2.00 |
D&C, aspiration curettage or hysterotomy for obstetric diagnoses |
2 |
$82,506 |
$24,657 |
$165,012 |
$49,314 |
4.50 |
Neonate bwt 1000-1249g w resp dist synd/oth maj resp or maj anom |
2 |
$290,977 |
$80,105 |
$581,954 |
$160,209 |
42.00 |
Neonate birthwt 1000-1249g w or w/o other significant condition |
2 |
$432,266 |
$107,939 |
$864,532 |
$215,877 |
62.50 |
Neonate bwt 2000-2499g w major anomaly |
2 |
$19,539 |
$5,190 |
$39,077 |
$10,380 |
3.50 |
Acute leukemia |
2 |
$69,079 |
$15,303 |
$138,157 |
$30,606 |
9.50 |
Behavioral disorders |
2 |
$47,228 |
$12,245 |
$94,456 |
$24,490 |
13.50 |
Nonspecific CVA & precerebral occlusion w/o infarct |
1 |
$35,661 |
$3,341 |
$35,661 |
$3,341 |
1.00 |
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma |
1 |
$24,075 |
$4,247 |
$24,075 |
$4,247 |
1.00 |
Acute major eye infections |
1 |
$43,360 |
$10,061 |
$43,360 |
$10,061 |
2.00 |
Tonsil & adenoid procedures |
1 |
$15,318 |
$2,738 |
$15,318 |
$2,738 |
1.00 |
Cardiac pacemaker & defibrillator revision except device replacement |
1 |
$43,947 |
$8,889 |
$43,947 |
$8,889 |
4.00 |
Acute & subacute endocarditis |
1 |
$100,118 |
$16,622 |
$100,118 |
$16,622 |
9.00 |
Anal procedures |
1 |
$36,494 |
$6,707 |
$36,494 |
$6,707 |
2.00 |
Major pancreas, liver & shunt procedures |
1 |
$48,207 |
$8,668 |
$48,207 |
$8,668 |
3.00 |
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses |
1 |
$103,175 |
$23,999 |
$103,175 |
$23,999 |
14.00 |
Hand & wrist procedures |
1 |
$46,117 |
$10,564 |
$46,117 |
$10,564 |
6.00 |
Other bladder procedures |
1 |
$45,185 |
$9,777 |
$45,185 |
$9,777 |
5.00 |
False labor |
1 |
$11,950 |
$2,836 |
$11,950 |
$2,836 |
2.00 |
Neonate bwt <1500g w major procedure |
1 |
$365,931 |
$76,556 |
$365,931 |
$76,556 |
26.00 |
Neonate birthwt 500-749g w/o major procedure |
1 |
$1,005,450 |
$218,607 |
$1,005,450 |
$218,607 |
90.00 |
Neonate bwt 1250-1499g w or w/o other significant condition |
1 |
$200,089 |
$53,138 |
$200,089 |
$53,138 |
29.00 |
Neonate birthwt 1500-1999g w major anomaly |
1 |
$97,003 |
$24,690 |
$97,003 |
$24,690 |
13.00 |
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms |
1 |
$126,749 |
$26,077 |
$126,749 |
$26,077 |
12.00 |
Disorders of personality & impulse control |
1 |
$17,168 |
$4,536 |
$17,168 |
$4,536 |
5.00 |
Eating disorders |
1 |
$50,190 |
$10,941 |
$50,190 |
$10,941 |
7.00 |
Cocaine abuse & dependence |
1 |
$25,506 |
$6,596 |
$25,506 |
$6,596 |
5.00 |
Partial thickness burns without skin graft |
1 |
$17,427 |
$4,056 |
$17,427 |
$4,056 |
2.00 |