Long Island Jewish Valley Stream

2020 Age Distribution

2020 Patient Race:

Other Race1,575
Black/African American4,605
White2,692

2020 Payers:

Medicare 4,511
Managed Care, Unspecified 203
Medicaid 1,913
Private Health Insurance 948
Miscellaneous/Other 262
Blue Cross/Blue Shield 873
Self-Pay 155
Federal/State/Local/VA 7

Conditions treated in 2020

Click on a column header to sort ascending or descending.
DRG Count Avg. Charge Avg. Cost Sum all Charges Sum all Costs Avg. LOS
SEPTICEMIA & DISSEMINATED INFECTIONS 840 $130,095 $29,310 $109,279,641 $24,620,800 8.13
KNEE JOINT REPLACEMENT 674 $67,876 $15,758 $45,748,482 $10,621,179 1.54
MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS 665 $79,901 $15,165 $53,134,442 $10,084,925 6.25
HIP JOINT REPLACEMENT 389 $63,870 $14,407 $24,845,429 $5,604,386 1.66
HEART FAILURE 313 $83,458 $16,279 $26,122,262 $5,095,232 6.00
CVA & PRECEREBRAL OCCLUSION W INFARCT 233 $90,734 $16,345 $21,140,925 $3,808,290 5.39
DIABETES 174 $65,606 $12,481 $11,415,422 $2,171,751 4.64
SEIZURE 173 $52,250 $10,465 $9,039,264 $1,810,460 3.32
OTHER PNEUMONIA 170 $57,020 $10,469 $9,693,450 $1,779,810 3.95
SYNCOPE & COLLAPSE 155 $53,006 $9,065 $8,215,958 $1,405,066 3.50
ALCOHOL ABUSE & DEPENDENCE 152 $60,076 $12,647 $9,131,525 $1,922,313 4.50
KIDNEY & URINARY TRACT INFECTIONS 146 $69,190 $12,639 $10,101,683 $1,845,292 5.27
CHRONIC OBSTRUCTIVE PULMONARY DISEASE 121 $66,672 $11,847 $8,067,356 $1,433,506 4.27
ACUTE KIDNEY INJURY 121 $77,472 $15,496 $9,374,112 $1,874,961 5.75
OTHER GASTROENTERITIS, NAUSEA & VOMITING 118 $47,205 $7,971 $5,570,245 $940,574 3.25
TRANSIENT ISCHEMIA 112 $54,142 $8,173 $6,063,877 $915,347 3.00
SHOULDER & ELBOW JOINT REPLACEMENT 111 $76,060 $18,302 $8,442,628 $2,031,522 1.24
PEPTIC ULCER & GASTRITIS 107 $66,879 $14,477 $7,156,024 $1,549,002 4.02
INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE 102 $281,115 $60,173 $28,673,771 $6,137,668 18.57
HYPERTENSION 101 $54,406 $9,988 $5,495,013 $1,008,761 3.47
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS 101 $50,880 $9,703 $5,138,890 $980,000 3.25
CELLULITIS & OTHER SKIN INFECTIONS 95 $64,908 $13,189 $6,166,237 $1,252,954 4.96
DISORDERS OF PANCREAS EXCEPT MALIGNANCY 93 $56,069 $9,460 $5,214,418 $879,770 3.73
DIVERTICULITIS & DIVERTICULOSIS 91 $77,276 $15,976 $7,032,079 $1,453,833 5.19
RESPIRATORY FAILURE 90 $97,790 $21,843 $8,801,106 $1,965,889 5.32
DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK 86 $154,607 $36,783 $13,296,168 $3,163,339 4.14
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES 86 $67,921 $12,703 $5,841,188 $1,092,481 5.56
CHOLECYSTECTOMY 85 $67,512 $12,128 $5,738,495 $1,030,865 3.07
CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP 83 $77,439 $17,334 $6,427,455 $1,438,753 1.98
OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE 80 $76,623 $15,686 $6,129,804 $1,254,901 5.11
MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC 74 $92,924 $18,003 $6,876,377 $1,332,211 6.92
ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS 73 $41,689 $7,248 $3,043,269 $529,084 2.62
CHEST PAIN 71 $40,995 $6,950 $2,910,658 $493,458 2.39
OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES 71 $65,046 $11,606 $4,618,271 $824,055 5.01
ASTHMA 68 $55,982 $10,061 $3,806,779 $684,122 3.41
OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS 66 $62,389 $14,268 $4,117,667 $941,717 3.73
PERIPHERAL & OTHER VASCULAR DISORDERS 64 $62,402 $11,727 $3,993,749 $750,530 4.75
ACUTE MYOCARDIAL INFARCTION 64 $51,416 $8,946 $3,290,634 $572,553 3.16
INTESTINAL OBSTRUCTION 59 $58,345 $9,949 $3,442,326 $586,976 4.14
PULMONARY EMBOLISM 58 $65,364 $12,844 $3,791,105 $744,976 4.02
VERTIGO & OTHER LABYRINTH DISORDERS 57 $40,039 $6,332 $2,282,219 $360,897 2.46
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS 55 $43,130 $6,895 $2,372,142 $379,213 1.29
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS 55 $89,095 $17,012 $4,900,236 $935,682 7.40
OTHER DIGESTIVE SYSTEM DIAGNOSES 55 $55,863 $10,036 $3,072,450 $551,960 3.58
OTHER DISORDERS OF NERVOUS SYSTEM 54 $55,251 $9,334 $2,983,572 $504,019 3.63
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS 53 $290,722 $79,956 $15,408,250 $4,237,644 14.87
HIP & FEMUR FRACTURE REPAIR 51 $112,176 $24,419 $5,720,979 $1,245,352 5.55
INTERVERTEBRAL DISC EXCISION & DECOMPRESSION 49 $72,701 $16,548 $3,562,336 $810,843 2.22
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL 47 $63,593 $12,820 $2,988,871 $602,531 2.87
SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS 45 $54,255 $9,515 $2,441,497 $428,168 3.93
INFECTIONS OF UPPER RESPIRATORY TRACT 44 $48,788 $8,506 $2,146,658 $374,275 3.34
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS 43 $63,285 $13,100 $2,721,274 $563,294 4.35
KNEE & LOWER LEG PROCEDURES EXCEPT FOOT 43 $134,463 $29,133 $5,781,904 $1,252,721 7.02
SICKLE CELL ANEMIA CRISIS 43 $72,486 $14,864 $3,116,898 $639,145 6.09
DISORDERS OF GALLBLADDER & BILIARY TRACT 41 $59,697 $10,582 $2,447,560 $433,866 3.90
OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES 39 $73,354 $13,833 $2,860,812 $539,502 5.26
URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION 38 $44,298 $7,566 $1,683,331 $287,497 2.53
OTHER CIRCULATORY SYSTEM DIAGNOSES 38 $53,254 $9,600 $2,023,633 $364,792 3.63
PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS 36 $55,745 $9,347 $2,006,830 $336,486 3.86
HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS 35 $59,577 $10,539 $2,085,194 $368,868 4.51
INFLAMMATORY BOWEL DISEASE 35 $81,504 $14,466 $2,852,644 $506,301 6.26
MAJOR LARGE BOWEL PROCEDURES 35 $162,909 $32,428 $5,701,823 $1,134,976 11.29
CHRONIC KIDNEY DISEASE 33 $68,088 $14,146 $2,246,893 $466,819 4.70
OTHER AFTERCARE & CONVALESCENCE 28 $47,831 $8,515 $1,339,271 $238,413 3.29
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES 27 $71,838 $15,241 $1,939,629 $411,508 4.00
POISONING OF MEDICINAL AGENTS 27 $66,875 $15,065 $1,805,622 $406,749 3.89
URETHRAL & TRANSURETHRAL PROCEDURES 26 $135,105 $27,255 $3,512,734 $708,620 9.15
MAJOR SMALL BOWEL PROCEDURES 25 $151,577 $30,453 $3,789,427 $761,322 9.64
ALTERATION IN CONSCIOUSNESS 25 $67,197 $11,030 $1,679,917 $275,755 4.44
DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE 25 $33,514 $5,704 $837,854 $142,597 2.16
NON-HYPOVOLEMIC SODIUM DISORDERS 25 $71,228 $12,840 $1,780,695 $320,993 5.36
SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT 25 $62,587 $12,494 $1,564,667 $312,347 2.96
ALCOHOLIC LIVER DISEASE 24 $121,192 $26,731 $2,908,616 $641,553 7.13
ABDOMINAL PAIN 24 $37,377 $5,974 $897,049 $143,376 2.33
MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS 22 $113,790 $22,484 $2,503,379 $494,637 8.59
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS 22 $33,519 $7,597 $737,414 $167,142 1.64
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS 21 $73,625 $17,253 $1,546,126 $362,321 4.67
FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK 20 $49,887 $9,168 $997,749 $183,364 3.50
MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS 20 $114,331 $21,429 $2,286,621 $428,581 10.15
MIGRAINE & OTHER HEADACHES 19 $52,290 $8,156 $993,506 $154,964 2.79
RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES 19 $48,223 $8,103 $916,228 $153,948 3.16
INTRACRANIAL HEMORRHAGE 19 $122,650 $24,022 $2,330,342 $456,426 7.11
SKIN ULCERS 18 $97,686 $19,075 $1,758,356 $343,348 8.28
OTHER COMPLICATIONS OF TREATMENT 18 $60,018 $11,173 $1,080,321 $201,120 4.39
OTHER ESOPHAGEAL DISORDERS 18 $55,399 $9,665 $997,187 $173,964 3.61
MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 18 $179,168 $35,034 $3,225,023 $630,618 14.50
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS 17 $63,907 $10,775 $1,086,424 $183,178 3.00
OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS 17 $40,409 $7,215 $686,956 $122,647 2.76
INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES 16 $64,405 $11,749 $1,030,472 $187,985 2.94
CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE 16 $46,085 $8,464 $737,357 $135,426 3.25
ALLERGIC REACTIONS 15 $56,240 $14,724 $843,596 $220,858 3.27
DIGESTIVE MALIGNANCY 15 $95,602 $17,735 $1,434,026 $266,024 6.60
VIRAL ILLNESS 14 $44,497 $8,080 $622,956 $113,125 3.36
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES 14 $82,117 $20,456 $1,149,631 $286,390 5.43
ACUTE BRONCHITIS & RELATED SYMPTOMS 14 $37,311 $6,155 $522,349 $86,163 2.14
ACUTE ANXIETY & DELIRIUM STATES 14 $40,841 $6,391 $571,772 $89,476 2.36
TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES 14 $92,681 $18,531 $1,297,530 $259,434 5.86
OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS 14 $45,028 $8,381 $630,392 $117,334 3.00
OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS 14 $88,548 $16,851 $1,239,672 $235,911 6.57
KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY 13 $91,575 $17,311 $1,190,479 $225,048 5.77
OTHER INFECTIOUS & PARASITIC DISEASES 13 $69,316 $12,824 $901,102 $166,711 4.92
MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES 13 $86,411 $14,768 $1,123,342 $191,982 6.31
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY 13 $65,706 $11,911 $854,175 $154,841 5.00
MAJOR ESOPHAGEAL DISORDERS 13 $100,339 $21,389 $1,304,412 $278,061 5.38
POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE 12 $195,223 $43,084 $2,342,674 $517,005 12.58
FOOT & TOE PROCEDURES 12 $84,875 $17,478 $1,018,497 $209,730 4.58
CONNECTIVE TISSUE DISORDERS 12 $108,480 $28,109 $1,301,756 $337,312 8.08
FEVER & INFLAMMATORY CONDITIONS 12 $50,685 $8,667 $608,223 $104,008 3.42
TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE 12 $912,780 $225,518 $10,953,359 $2,706,219 47.58
RESPIRATORY MALIGNANCY 12 $86,546 $15,467 $1,038,555 $185,600 6.25
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES 12 $54,871 $14,611 $658,456 $175,328 3.08
OPIOID ABUSE & DEPENDENCE 12 $72,266 $13,324 $867,196 $159,884 5.92
LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA 11 $116,665 $23,000 $1,283,312 $252,997 8.45
HAND & WRIST PROCEDURES 11 $42,976 $8,067 $472,735 $88,741 2.73
OTHER ENDOCRINE DISORDERS 11 $75,441 $17,290 $829,853 $190,190 4.36
AMPUTATION OF LOWER LIMB EXCEPT TOES 11 $164,782 $32,846 $1,812,607 $361,308 11.55
PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE 11 $118,649 $29,800 $1,305,140 $327,795 4.91
INTENTIONAL SELF-HARM & ATTEMPTED SUICIDE 10 $44,272 $8,059 $442,717 $80,586 2.60
HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS 10 $190,968 $44,729 $1,909,684 $447,287 12.80
THYROID DISORDERS 10 $37,613 $6,188 $376,127 $61,880 2.40
NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 10 $154,654 $30,531 $1,546,543 $305,310 12.30
MAJOR CHEST & RESPIRATORY TRAUMA 10 $68,356 $12,254 $683,555 $122,538 5.10
OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES 9 $66,538 $11,597 $598,839 $104,369 4.78
PERITONEAL ADHESIOLYSIS 9 $164,738 $49,707 $1,482,644 $447,361 8.56
OTHER DISORDERS OF THE LIVER 9 $84,196 $15,099 $757,762 $135,887 5.78
HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS 9 $50,199 $9,558 $451,789 $86,021 3.11
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY 8 $107,386 $19,221 $859,088 $153,771 7.50
FRACTURE OF PELVIS OR DISLOCATION OF HIP 8 $51,921 $9,736 $415,368 $77,886 4.13
TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE 8 $1,114,977 $412,499 $8,919,814 $3,299,989 54.00
MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE 7 $75,993 $15,045 $531,952 $105,313 5.29
TRANSURETHRAL PROSTATECTOMY 7 $89,896 $16,984 $629,271 $118,886 6.00
INTERSTITIAL & ALVEOLAR LUNG DISEASES 7 $94,281 $17,013 $659,964 $119,090 6.43
MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE 7 $86,930 $17,024 $608,508 $119,171 6.71
DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK 7 $169,971 $41,340 $1,189,798 $289,377 3.57
MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES 7 $47,807 $8,521 $334,648 $59,646 3.57
OTHER SIGNIFICANT HIP & FEMUR SURGERY 6 $95,683 $20,349 $574,099 $122,092 4.33
SPINAL PROCEDURES 6 $209,167 $53,183 $1,255,004 $319,098 7.00
MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE 6 $61,278 $12,978 $367,666 $77,866 4.17
CARDIAC ARREST & SHOCK 6 $94,614 $16,573 $567,684 $99,439 4.17
OTHER DRUG ABUSE & DEPENDENCE 6 $40,528 $7,109 $243,170 $42,656 3.00
LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR 6 $100,065 $20,211 $600,387 $121,268 6.67
ANAL PROCEDURES 6 $49,710 $9,829 $298,262 $58,976 2.83
MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES 6 $198,506 $56,494 $1,191,037 $338,965 7.50
OTHER SMALL & LARGE BOWEL PROCEDURES 6 $61,438 $10,957 $368,625 $65,741 2.83
SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES 6 $106,228 $20,387 $637,367 $122,320 6.50
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM 5 $180,430 $38,348 $902,150 $191,739 8.20
EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 5 $252,976 $55,393 $1,264,882 $276,967 16.80
MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS 5 $52,639 $9,351 $263,195 $46,755 3.60
GASTROINTESTINAL VASCULAR INSUFFICIENCY 5 $77,555 $17,325 $387,777 $86,626 5.80
MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL 5 $124,579 $25,200 $622,893 $126,001 8.20
HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND 5 $54,562 $9,959 $272,810 $49,795 4.40
OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES 5 $166,335 $33,476 $831,674 $167,379 11.40
ANTEPARTUM W/O O.R. PROCEDURE 5 $25,426 $4,548 $127,132 $22,741 1.40
EYE INFECTIONS & OTHER EYE DISORDERS 5 $44,250 $7,175 $221,251 $35,875 3.00
BRONCHIOLITIS & RSV PNEUMONIA 4 $77,101 $13,233 $308,403 $52,930 4.75
MALIGNANT BREAST DISORDERS 4 $109,500 $19,061 $437,999 $76,245 7.25
OTHER BLADDER PROCEDURES 4 $198,250 $39,930 $793,001 $159,718 16.50
SCHIZOPHRENIA 4 $46,349 $8,160 $185,397 $32,638 3.50
ORGANIC MENTAL HEALTH DISTURBANCES 4 $49,185 $8,426 $196,739 $33,702 4.00
HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE 4 $51,910 $8,036 $207,639 $32,144 3.25
MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG 4 $77,754 $13,364 $311,015 $53,455 5.00
NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 4 $72,707 $17,817 $290,829 $71,268 4.25
COAGULATION & PLATELET DISORDERS 4 $68,432 $12,850 $273,726 $51,399 3.50
SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES 4 $171,073 $32,634 $684,291 $130,535 12.50
MALIGNANCY, MALE REPRODUCTIVE SYSTEM 4 $58,054 $10,849 $232,217 $43,396 4.25
OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES 3 $36,317 $6,322 $108,950 $18,966 2.67
COCAINE ABUSE & DEPENDENCE 3 $38,497 $7,121 $115,492 $21,363 3.33
OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES 3 $32,712 $5,788 $98,136 $17,363 2.33
NERVOUS SYSTEM MALIGNANCY 3 $36,802 $5,231 $110,405 $15,693 2.00
ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES 3 $35,437 $6,237 $106,310 $18,710 2.67
MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 3 $40,756 $7,404 $122,269 $22,213 2.00
PENIS, TESTES & SCROTAL PROCEDURES 3 $149,242 $28,011 $447,726 $84,034 8.33
OTHER MENTAL HEALTH DISORDERS 3 $39,232 $6,584 $117,697 $19,751 3.00
FRACTURE OF FEMUR 3 $80,249 $14,486 $240,748 $43,459 5.67
KIDNEY & URINARY TRACT MALIGNANCY 3 $87,646 $16,855 $262,939 $50,564 5.00
FEMALE REPRODUCTIVE SYSTEM INFECTIONS 3 $40,711 $7,978 $122,132 $23,935 2.33
MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE 3 $64,851 $11,097 $194,554 $33,292 2.67
OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS 3 $87,974 $14,909 $263,923 $44,728 5.00
CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA 2 $29,898 $5,111 $59,796 $10,221 2.00
DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER 2 $38,503 $6,228 $77,005 $12,456 3.00
MAJOR SKIN DISORDERS 2 $100,063 $17,578 $200,125 $35,155 7.50
NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS 2 $66,239 $12,685 $132,478 $25,369 3.50
HIV W MAJOR HIV RELATED CONDITION 2 $43,237 $7,721 $86,473 $15,442 3.00
OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES 2 $77,583 $15,279 $155,165 $30,557 4.50
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT 2 $39,341 $6,261 $78,681 $12,522 2.50
SPINAL DISORDERS & INJURIES 2 $53,893 $12,551 $107,785 $25,101 3.00
OTHER PERIPHERAL VASCULAR PROCEDURES 2 $158,518 $31,946 $317,036 $63,891 6.50
OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES 2 $172,884 $33,457 $345,768 $66,913 12.00
OTHER RESPIRATORY & CHEST PROCEDURES 2 $254,298 $48,037 $508,596 $96,073 18.50
BREAST PROCEDURES EXCEPT MASTECTOMY 1 $35,639 $6,915 $35,639 $6,915 1.00
RENAL DIALYSIS ACCESS DEVICE PROCEDURES & VESSEL REPAIR 1 $32,351 $6,406 $32,351 $6,406 1.00
BIPOLAR DISORDERS 1 $51,247 $9,859 $51,247 $9,859 5.00
OTHER CIRCULATORY SYSTEM PROCEDURES 1 $78,650 $12,002 $78,650 $12,002 4.00
MASTECTOMY PROCEDURES 1 $31,499 $5,949 $31,499 $5,949 1.00
OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES 1 $76,967 $12,536 $76,967 $12,536 4.00
HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS 1 $188,735 $33,767 $188,735 $33,767 11.00
ORBIT & EYE PROCEDURES 1 $41,562 $7,448 $41,562 $7,448 2.00
ANTEPARTUM W O.R. PROCEDURE 1 $44,667 $7,097 $44,667 $7,097 1.00
MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS 1 $74,512 $14,700 $74,512 $14,700 3.00
UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA 1 $57,734 $14,235 $57,734 $14,235 1.00
OTHER NERVOUS SYSTEM & RELATED PROCEDURES 1 $20,673 $2,722 $20,673 $2,722 1.00
NEPHRITIS & NEPHROSIS 1 $202,036 $38,587 $202,036 $38,587 14.00
MAJOR RESPIRATORY & CHEST PROCEDURES 1 $212,191 $84,381 $212,191 $84,381 9.00
CARDIAC STRUCTURAL & VALVULAR DISORDERS 1 $34,978 $6,342 $34,978 $6,342 3.00
MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA 1 $329,343 $109,917 $329,343 $109,917 20.00
HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION 1 $78,084 $34,853 $78,084 $34,853 3.00
DISORDERS OF PERSONALITY & IMPULSE CONTROL 1 $30,874 $4,460 $30,874 $4,460 1.00
EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 1 $92,823 $20,233 $92,823 $20,233 5.00
INBORN ERRORS OF METABOLISM 1 $20,533 $3,370 $20,533 $3,370 1.00
ACUTE & SUBACUTE ENDOCARDITIS 1 $249,702 $46,194 $249,702 $46,194 14.00
SPLENECTOMY 1 $316,438 $107,262 $316,438 $107,262 14.00
LOWER EXTREMITY ARTERIAL PROCEDURES 1 $61,704 $17,869 $61,704 $17,869 4.00
ANOXIC & OTHER SEVERE BRAIN DAMAGE 1 $215,668 $46,260 $215,668 $46,260 15.00
MAJOR BLADDER PROCEDURES 1 $218,921 $82,227 $218,921 $82,227 9.00
MAJOR BILIARY TRACT PROCEDURES 1 $46,064 $8,725 $46,064 $8,725 2.00