SCHIZOPHRENIA |
413 |
$16,114 |
$7,973 |
$6,655,069 |
$3,292,696 |
7.93 |
MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES |
360 |
$11,459 |
$5,516 |
$4,125,321 |
$1,985,583 |
5.41 |
NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM |
289 |
$4,177 |
$2,818 |
$1,207,128 |
$814,338 |
2.14 |
BIPOLAR DISORDERS |
271 |
$11,405 |
$5,481 |
$3,090,806 |
$1,485,397 |
5.40 |
DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER |
183 |
$9,603 |
$4,521 |
$1,757,383 |
$827,346 |
4.37 |
VAGINAL DELIVERY |
181 |
$7,265 |
$3,685 |
$1,315,008 |
$666,920 |
2.10 |
DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK |
164 |
$44,767 |
$25,368 |
$7,341,842 |
$4,160,338 |
1.99 |
HEART FAILURE |
129 |
$18,288 |
$9,044 |
$2,359,113 |
$1,166,689 |
5.66 |
CESAREAN SECTION W/O STERILIZATION |
123 |
$10,827 |
$6,926 |
$1,331,725 |
$851,952 |
2.62 |
OTHER PNEUMONIA |
116 |
$16,021 |
$7,822 |
$1,858,452 |
$907,405 |
4.91 |
ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES |
106 |
$7,655 |
$3,496 |
$811,395 |
$370,592 |
3.37 |
MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS |
105 |
$21,396 |
$10,525 |
$2,246,560 |
$1,105,171 |
7.16 |
CHRONIC OBSTRUCTIVE PULMONARY DISEASE |
97 |
$14,382 |
$6,960 |
$1,395,101 |
$675,148 |
4.30 |
DIABETES |
93 |
$12,540 |
$6,031 |
$1,166,242 |
$560,881 |
3.80 |
RESPIRATORY FAILURE |
90 |
$24,145 |
$12,001 |
$2,173,070 |
$1,080,108 |
6.64 |
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS |
79 |
$12,400 |
$5,807 |
$979,561 |
$458,765 |
3.23 |
ACUTE MYOCARDIAL INFARCTION |
74 |
$19,834 |
$9,157 |
$1,467,720 |
$677,640 |
3.36 |
ACUTE KIDNEY INJURY |
74 |
$16,162 |
$8,101 |
$1,195,961 |
$599,447 |
5.04 |
PERCUTANEOUS CARDIAC INTERVENTION W AMI |
69 |
$30,734 |
$14,230 |
$2,120,675 |
$981,896 |
2.81 |
PROCEDURES FOR OBESITY |
67 |
$17,050 |
$9,437 |
$1,142,373 |
$632,268 |
1.42 |
SEPTICEMIA & DISSEMINATED INFECTIONS |
64 |
$38,868 |
$20,612 |
$2,487,523 |
$1,319,183 |
10.55 |
CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP |
61 |
$26,068 |
$16,196 |
$1,590,139 |
$987,953 |
1.70 |
OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS |
50 |
$16,160 |
$9,872 |
$807,993 |
$493,624 |
4.22 |
KIDNEY & URINARY TRACT INFECTIONS |
45 |
$11,746 |
$5,868 |
$528,587 |
$264,062 |
3.89 |
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS |
38 |
$12,358 |
$6,066 |
$469,586 |
$230,495 |
3.34 |
CELLULITIS & OTHER SKIN INFECTIONS |
38 |
$13,257 |
$6,599 |
$503,770 |
$250,769 |
4.24 |
ALCOHOL ABUSE & DEPENDENCE |
36 |
$12,005 |
$5,795 |
$432,187 |
$208,620 |
4.61 |
DISORDERS OF PANCREAS EXCEPT MALIGNANCY |
30 |
$10,540 |
$5,227 |
$316,189 |
$156,797 |
3.20 |
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS |
30 |
$71,216 |
$37,193 |
$2,136,478 |
$1,115,802 |
17.50 |
MAJOR LARGE BOWEL PROCEDURES |
28 |
$30,260 |
$18,056 |
$847,291 |
$505,569 |
7.36 |
CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS |
28 |
$28,782 |
$13,404 |
$805,904 |
$375,320 |
5.71 |
COCAINE ABUSE & DEPENDENCE |
28 |
$10,503 |
$4,979 |
$294,083 |
$139,418 |
4.61 |
CESAREAN SECTION W STERILIZATION |
27 |
$10,283 |
$6,935 |
$277,646 |
$187,236 |
2.33 |
INTENTIONAL SELF-HARM & ATTEMPTED SUICIDE |
27 |
$14,665 |
$6,921 |
$395,953 |
$186,865 |
3.52 |
OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES |
26 |
$29,753 |
$17,108 |
$773,588 |
$444,819 |
9.62 |
INTESTINAL OBSTRUCTION |
25 |
$10,673 |
$5,248 |
$266,816 |
$131,197 |
3.52 |
DIVERTICULITIS & DIVERTICULOSIS |
24 |
$11,837 |
$6,304 |
$284,078 |
$151,294 |
3.75 |
OTHER GASTROENTERITIS, NAUSEA & VOMITING |
21 |
$13,956 |
$7,208 |
$293,072 |
$151,367 |
4.62 |
OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE |
21 |
$20,483 |
$12,583 |
$430,153 |
$264,250 |
5.38 |
NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE |
19 |
$2,717 |
$1,739 |
$51,622 |
$33,047 |
1.26 |
ACUTE ANXIETY & DELIRIUM STATES |
19 |
$8,914 |
$4,151 |
$169,360 |
$78,867 |
3.84 |
MAJOR SMALL BOWEL PROCEDURES |
19 |
$50,800 |
$28,279 |
$965,205 |
$537,297 |
13.68 |
CHRONIC KIDNEY DISEASE |
18 |
$9,807 |
$4,758 |
$176,532 |
$85,641 |
2.72 |
HIP & FEMUR FRACTURE REPAIR |
18 |
$27,423 |
$15,807 |
$493,617 |
$284,527 |
5.39 |
PULMONARY EMBOLISM |
18 |
$13,395 |
$6,229 |
$241,103 |
$112,127 |
3.61 |
OTHER PERIPHERAL VASCULAR PROCEDURES |
18 |
$42,890 |
$21,088 |
$772,028 |
$379,578 |
7.67 |
PEPTIC ULCER & GASTRITIS |
18 |
$20,942 |
$12,614 |
$376,964 |
$227,057 |
5.67 |
INTERVERTEBRAL DISC EXCISION & DECOMPRESSION |
18 |
$26,383 |
$15,505 |
$474,896 |
$279,089 |
1.78 |
CVA & PRECEREBRAL OCCLUSION W INFARCT |
17 |
$12,725 |
$6,440 |
$216,317 |
$109,482 |
3.06 |
HYPERTENSION |
17 |
$9,342 |
$4,381 |
$158,814 |
$74,475 |
2.06 |
ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS |
17 |
$8,823 |
$3,873 |
$149,993 |
$65,840 |
2.06 |
NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM |
17 |
$6,734 |
$4,580 |
$114,475 |
$77,865 |
3.59 |
SYNCOPE & COLLAPSE |
16 |
$8,064 |
$3,631 |
$129,017 |
$58,098 |
1.94 |
POISONING OF MEDICINAL AGENTS |
15 |
$13,579 |
$6,507 |
$203,690 |
$97,599 |
3.53 |
ALTERATION IN CONSCIOUSNESS |
15 |
$16,008 |
$7,656 |
$240,114 |
$114,843 |
4.87 |
SKIN ULCERS |
15 |
$20,063 |
$10,651 |
$300,949 |
$159,767 |
7.07 |
CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE |
15 |
$18,388 |
$8,211 |
$275,814 |
$123,158 |
2.07 |
SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS |
15 |
$12,063 |
$5,914 |
$180,948 |
$88,713 |
3.80 |
HIP JOINT REPLACEMENT |
15 |
$34,975 |
$20,017 |
$524,619 |
$300,249 |
6.47 |
CHEST PAIN |
14 |
$8,340 |
$3,841 |
$116,766 |
$53,774 |
1.50 |
TRANSIENT ISCHEMIA |
14 |
$11,204 |
$5,528 |
$156,854 |
$77,385 |
2.29 |
NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION |
14 |
$8,176 |
$5,523 |
$114,467 |
$77,321 |
4.29 |
NON-HYPOVOLEMIC SODIUM DISORDERS |
14 |
$11,323 |
$5,517 |
$158,522 |
$77,243 |
3.93 |
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES |
14 |
$15,396 |
$8,119 |
$215,537 |
$113,665 |
5.00 |
OPIOID ABUSE & DEPENDENCE |
13 |
$9,648 |
$4,481 |
$125,421 |
$58,251 |
3.92 |
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES |
13 |
$22,316 |
$11,677 |
$290,104 |
$151,801 |
8.00 |
CHOLECYSTECTOMY |
13 |
$28,117 |
$16,612 |
$365,525 |
$215,959 |
5.85 |
ALCOHOLIC LIVER DISEASE |
13 |
$21,393 |
$11,871 |
$278,109 |
$154,329 |
6.69 |
LOWER EXTREMITY ARTERIAL PROCEDURES |
13 |
$23,907 |
$14,434 |
$310,797 |
$187,646 |
4.38 |
KNEE JOINT REPLACEMENT |
13 |
$32,214 |
$19,211 |
$418,784 |
$249,747 |
4.08 |
OTHER INFECTIOUS & PARASITIC DISEASES |
12 |
$18,077 |
$9,301 |
$216,925 |
$111,612 |
5.83 |
MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS |
12 |
$17,590 |
$9,269 |
$211,079 |
$111,225 |
5.67 |
PERCUTANEOUS CARDIAC INTERVENTION W/O AMI |
12 |
$33,390 |
$15,395 |
$400,683 |
$184,739 |
2.75 |
AMPUTATION OF LOWER LIMB EXCEPT TOES |
12 |
$31,056 |
$17,808 |
$372,675 |
$213,696 |
9.75 |
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS |
12 |
$13,280 |
$7,662 |
$159,361 |
$91,948 |
1.92 |
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES |
12 |
$27,615 |
$14,462 |
$331,381 |
$173,541 |
8.08 |
KNEE & LOWER LEG PROCEDURES EXCEPT FOOT |
12 |
$22,565 |
$12,821 |
$270,781 |
$153,856 |
5.17 |
HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS |
12 |
$18,870 |
$10,535 |
$226,444 |
$126,425 |
5.83 |
MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL |
11 |
$16,402 |
$9,540 |
$180,423 |
$104,939 |
4.73 |
OTHER DIGESTIVE SYSTEM DIAGNOSES |
11 |
$14,429 |
$7,964 |
$158,718 |
$87,606 |
3.82 |
OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS |
10 |
$17,492 |
$9,200 |
$174,923 |
$91,999 |
5.10 |
OTHER CIRCULATORY SYSTEM DIAGNOSES |
10 |
$17,349 |
$8,211 |
$173,491 |
$82,109 |
4.00 |
FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK |
10 |
$13,443 |
$6,689 |
$134,431 |
$66,893 |
4.80 |
RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES |
10 |
$13,554 |
$6,545 |
$135,536 |
$65,452 |
3.90 |
DISORDERS OF PERSONALITY & IMPULSE CONTROL |
10 |
$8,666 |
$4,025 |
$86,656 |
$40,248 |
3.80 |
PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK |
10 |
$29,699 |
$16,628 |
$296,994 |
$166,275 |
4.50 |
RESPIRATORY MALIGNANCY |
9 |
$16,443 |
$8,393 |
$147,990 |
$75,541 |
5.67 |
TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES |
9 |
$24,427 |
$13,824 |
$219,844 |
$124,416 |
8.78 |
ANTEPARTUM W/O O.R. PROCEDURE |
9 |
$10,147 |
$4,801 |
$91,323 |
$43,212 |
4.33 |
FOOT & TOE PROCEDURES |
9 |
$26,365 |
$14,538 |
$237,284 |
$130,839 |
8.00 |
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL |
9 |
$15,946 |
$9,933 |
$143,510 |
$89,401 |
3.44 |
OTHER DRUG ABUSE & DEPENDENCE |
8 |
$8,554 |
$3,882 |
$68,432 |
$31,054 |
3.50 |
MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES |
8 |
$19,214 |
$10,905 |
$153,708 |
$87,239 |
2.38 |
OTHER DISORDERS OF NERVOUS SYSTEM |
8 |
$10,239 |
$5,139 |
$81,915 |
$41,109 |
3.13 |
EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
8 |
$42,101 |
$24,298 |
$336,808 |
$194,386 |
11.75 |
OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS |
8 |
$17,503 |
$9,410 |
$140,021 |
$75,281 |
5.88 |
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS |
7 |
$16,281 |
$8,040 |
$113,968 |
$56,281 |
7.43 |
PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE |
7 |
$43,022 |
$23,470 |
$301,151 |
$164,293 |
2.14 |
INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE |
7 |
$62,790 |
$34,414 |
$439,532 |
$240,899 |
15.86 |
OPEN EXTRACRANIAL VASCULAR PROCEDURES |
7 |
$12,998 |
$8,577 |
$90,985 |
$60,038 |
2.00 |
URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION |
7 |
$10,865 |
$5,823 |
$76,057 |
$40,761 |
2.57 |
DISORDERS OF GALLBLADDER & BILIARY TRACT |
7 |
$10,922 |
$5,270 |
$76,451 |
$36,889 |
2.86 |
COAGULATION & PLATELET DISORDERS |
6 |
$17,817 |
$11,545 |
$106,903 |
$69,271 |
4.50 |
ASTHMA |
6 |
$14,624 |
$7,238 |
$87,743 |
$43,428 |
4.33 |
SEIZURE |
6 |
$10,685 |
$5,572 |
$64,112 |
$33,432 |
3.17 |
OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES |
6 |
$15,856 |
$8,143 |
$95,137 |
$48,856 |
4.50 |
ABDOMINAL PAIN |
6 |
$9,825 |
$4,802 |
$58,949 |
$28,810 |
3.00 |
OTHER DISORDERS OF THE LIVER |
6 |
$14,134 |
$7,436 |
$84,806 |
$44,618 |
4.17 |
PERITONEAL ADHESIOLYSIS |
6 |
$20,024 |
$12,343 |
$120,145 |
$74,056 |
4.33 |
MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC |
6 |
$23,203 |
$12,774 |
$139,215 |
$76,645 |
6.67 |
MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
6 |
$30,589 |
$17,541 |
$183,534 |
$105,245 |
9.67 |
PERIPHERAL & OTHER VASCULAR DISORDERS |
6 |
$27,507 |
$14,638 |
$165,044 |
$87,829 |
9.17 |
VAGINAL DELIVERY W O.R. PROCEDURE EXCEPT STERILIZATION &/OR D&C |
5 |
$8,969 |
$5,039 |
$44,844 |
$25,196 |
2.60 |
INFLAMMATORY BOWEL DISEASE |
5 |
$14,333 |
$7,305 |
$71,663 |
$36,524 |
5.00 |
INFECTIONS OF UPPER RESPIRATORY TRACT |
5 |
$13,157 |
$6,239 |
$65,787 |
$31,197 |
4.20 |
LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR |
5 |
$17,219 |
$8,491 |
$86,094 |
$42,457 |
6.40 |
FRACTURE OF PELVIS OR DISLOCATION OF HIP |
5 |
$15,233 |
$7,836 |
$76,163 |
$39,180 |
5.20 |
MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS |
5 |
$14,709 |
$7,606 |
$73,547 |
$38,030 |
3.60 |
ORGANIC MENTAL HEALTH DISTURBANCES |
5 |
$8,417 |
$3,883 |
$42,084 |
$19,415 |
4.20 |
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES |
5 |
$9,481 |
$6,152 |
$47,403 |
$30,759 |
1.40 |
KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY |
5 |
$14,190 |
$8,303 |
$70,952 |
$41,513 |
2.80 |
FRACTURE OF FEMUR |
5 |
$15,333 |
$7,898 |
$76,667 |
$39,488 |
4.00 |
LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA |
5 |
$18,002 |
$9,597 |
$90,011 |
$47,985 |
5.00 |
CARDIAC ARREST & SHOCK |
5 |
$24,297 |
$16,499 |
$121,486 |
$82,494 |
2.80 |
INTERSTITIAL & ALVEOLAR LUNG DISEASES |
4 |
$14,633 |
$7,132 |
$58,531 |
$28,528 |
4.75 |
OTHER RESPIRATORY & CHEST PROCEDURES |
4 |
$40,710 |
$22,122 |
$162,841 |
$88,486 |
11.00 |
HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS |
4 |
$11,758 |
$5,593 |
$47,030 |
$22,372 |
4.00 |
DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK |
4 |
$59,568 |
$35,010 |
$238,271 |
$140,040 |
2.75 |
PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS |
4 |
$9,373 |
$4,429 |
$37,491 |
$17,717 |
2.50 |
OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL & METABOLIC DISORDERS |
4 |
$28,510 |
$15,481 |
$114,041 |
$61,922 |
9.25 |
NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
4 |
$40,784 |
$21,692 |
$163,135 |
$86,767 |
14.00 |
NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
4 |
$16,385 |
$9,419 |
$65,541 |
$37,677 |
4.00 |
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS |
4 |
$20,194 |
$11,175 |
$80,775 |
$44,698 |
4.50 |
MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS |
4 |
$18,918 |
$10,236 |
$75,672 |
$40,945 |
6.00 |
OTHER COMPLICATIONS OF TREATMENT |
4 |
$20,878 |
$10,895 |
$83,510 |
$43,578 |
5.50 |
INTRACRANIAL HEMORRHAGE |
4 |
$5,836 |
$2,766 |
$23,342 |
$11,064 |
1.25 |
OTHER SMALL & LARGE BOWEL PROCEDURES |
3 |
$23,224 |
$13,952 |
$69,672 |
$41,857 |
6.33 |
MAJOR CHEST & RESPIRATORY TRAUMA |
3 |
$21,651 |
$10,458 |
$64,952 |
$31,373 |
7.33 |
MAJOR MALE PELVIC PROCEDURES |
3 |
$10,824 |
$7,355 |
$32,471 |
$22,065 |
2.33 |
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY |
3 |
$14,351 |
$6,982 |
$43,052 |
$20,946 |
4.67 |
OTHER CIRCULATORY SYSTEM PROCEDURES |
3 |
$35,659 |
$19,591 |
$106,976 |
$58,772 |
9.33 |
MENTAL ILLNESS DIAGNOSIS W O.R. PROCEDURE |
3 |
$13,388 |
$6,440 |
$40,163 |
$19,320 |
6.33 |
INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES |
3 |
$22,372 |
$13,914 |
$67,115 |
$41,742 |
4.00 |
BEHAVIORAL DISORDERS |
3 |
$6,315 |
$2,895 |
$18,945 |
$8,686 |
3.33 |
TRANSURETHRAL PROSTATECTOMY |
3 |
$15,210 |
$10,217 |
$45,631 |
$30,652 |
2.67 |
MAJOR ABDOMINAL VASCULAR PROCEDURES |
3 |
$29,402 |
$18,980 |
$88,205 |
$56,941 |
5.33 |
SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES |
3 |
$20,918 |
$11,915 |
$62,753 |
$35,746 |
7.33 |
SHOULDER & ELBOW JOINT REPLACEMENT |
3 |
$28,673 |
$18,051 |
$86,019 |
$54,154 |
2.00 |
VERTIGO & OTHER LABYRINTH DISORDERS |
2 |
$12,367 |
$6,350 |
$24,734 |
$12,699 |
3.50 |
MAJOR BILIARY TRACT PROCEDURES |
2 |
$18,435 |
$12,400 |
$36,869 |
$24,799 |
3.50 |
ACUTE BRONCHITIS & RELATED SYMPTOMS |
2 |
$6,281 |
$2,706 |
$12,562 |
$5,411 |
2.00 |
VAGINAL DELIVERY W STERILIZATION &/OR D&C |
2 |
$8,634 |
$4,973 |
$17,267 |
$9,945 |
2.50 |
GASTROINTESTINAL VASCULAR INSUFFICIENCY |
2 |
$24,622 |
$14,183 |
$49,243 |
$28,366 |
7.50 |
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT |
2 |
$6,986 |
$3,731 |
$13,971 |
$7,461 |
2.50 |
MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE |
2 |
$44,843 |
$23,694 |
$89,686 |
$47,388 |
13.50 |
OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES |
2 |
$13,180 |
$8,933 |
$26,360 |
$17,866 |
2.50 |
TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE |
2 |
$508,062 |
$281,320 |
$1,016,123 |
$562,639 |
88.50 |
SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT |
2 |
$37,347 |
$22,049 |
$74,694 |
$44,098 |
9.00 |
MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES |
2 |
$10,953 |
$5,496 |
$21,905 |
$10,991 |
4.00 |
FEMALE REPRODUCTIVE SYSTEM INFECTIONS |
2 |
$8,030 |
$3,794 |
$16,060 |
$7,588 |
2.00 |
OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES |
2 |
$10,744 |
$6,197 |
$21,487 |
$12,393 |
3.00 |
DIGESTIVE MALIGNANCY |
2 |
$22,832 |
$12,761 |
$45,663 |
$25,522 |
5.00 |
OTHER ESOPHAGEAL DISORDERS |
2 |
$9,850 |
$5,541 |
$19,700 |
$11,081 |
2.50 |
SPINAL PROCEDURES |
2 |
$26,196 |
$16,644 |
$52,392 |
$33,288 |
1.00 |
MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
2 |
$29,074 |
$16,902 |
$58,148 |
$33,804 |
2.50 |
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS |
2 |
$8,907 |
$5,138 |
$17,814 |
$10,276 |
2.50 |
URETHRAL & TRANSURETHRAL PROCEDURES |
2 |
$11,005 |
$5,753 |
$22,009 |
$11,506 |
1.50 |
OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES |
2 |
$24,517 |
$12,336 |
$49,034 |
$24,671 |
6.50 |
ANOXIC & OTHER SEVERE BRAIN DAMAGE |
2 |
$106,735 |
$53,861 |
$213,470 |
$107,721 |
31.00 |
KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY |
2 |
$40,265 |
$23,870 |
$80,530 |
$47,739 |
7.50 |
DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES |
1 |
$13,976 |
$9,142 |
$13,976 |
$9,142 |
1.00 |
HIV W MAJOR HIV RELATED CONDITION |
1 |
$28,859 |
$16,156 |
$28,859 |
$16,156 |
5.00 |
ALCOHOL & DRUG DEPENDENCE W REHAB OR REHAB/DETOX THERAPY |
1 |
$5,132 |
$2,168 |
$5,132 |
$2,168 |
1.00 |
POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE |
1 |
$20,000 |
$11,863 |
$20,000 |
$11,863 |
6.00 |
OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES |
1 |
$11,624 |
$7,320 |
$11,624 |
$7,320 |
2.00 |
OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES |
1 |
$37,418 |
$18,164 |
$37,418 |
$18,164 |
9.00 |
HAND & WRIST PROCEDURES |
1 |
$22,207 |
$11,654 |
$22,207 |
$11,654 |
8.00 |
TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE |
1 |
$98,132 |
$51,181 |
$98,132 |
$51,181 |
28.00 |
MAJOR ESOPHAGEAL DISORDERS |
1 |
$10,162 |
$5,784 |
$10,162 |
$5,784 |
2.00 |
MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA |
1 |
$35,126 |
$19,439 |
$35,126 |
$19,439 |
5.00 |
MIGRAINE & OTHER HEADACHES |
1 |
$15,823 |
$8,786 |
$15,823 |
$8,786 |
4.00 |
OTHER NERVOUS SYSTEM & RELATED PROCEDURES |
1 |
$9,623 |
$6,662 |
$9,623 |
$6,662 |
1.00 |
ANTEPARTUM W O.R. PROCEDURE |
1 |
$9,234 |
$6,242 |
$9,234 |
$6,242 |
2.00 |
NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND |
1 |
$4,892 |
$2,984 |
$4,892 |
$2,984 |
2.00 |
OTHER BLADDER PROCEDURES |
1 |
$30,117 |
$20,107 |
$30,117 |
$20,107 |
4.00 |
CARDIAC STRUCTURAL & VALVULAR DISORDERS |
1 |
$12,107 |
$5,578 |
$12,107 |
$5,578 |
3.00 |
MAJOR PANCREAS, LIVER & SHUNT PROCEDURES |
1 |
$27,040 |
$16,298 |
$27,040 |
$16,298 |
7.00 |
OPEN CRANIOTOMY EXCEPT TRAUMA |
1 |
$9,713 |
$5,579 |
$9,713 |
$5,579 |
1.00 |
OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS |
1 |
$16,491 |
$8,484 |
$16,491 |
$8,484 |
5.00 |
FEVER & INFLAMMATORY CONDITIONS |
1 |
$11,083 |
$5,741 |
$11,083 |
$5,741 |
3.00 |
MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE |
1 |
$94,008 |
$49,533 |
$94,008 |
$49,533 |
36.00 |
NEONATE BIRTHWT >2499G W MAJOR ANOMALY |
1 |
$3,686 |
$2,540 |
$3,686 |
$2,540 |
2.00 |
NEONATE BWT < 500G, OR BWT 500-999G & GESTATIONAL AGE <24 WKS, OR BWT 500-749G W MAJOR ANOMALY OR W/O LIFE SUSTAINING IN |
1 |
$303 |
$114 |
$303 |
$114 |
1.00 |
THYROID DISORDERS |
1 |
$14,333 |
$8,257 |
$14,333 |
$8,257 |
4.00 |
DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE |
1 |
$5,444 |
$2,317 |
$5,444 |
$2,317 |
1.00 |
EYE INFECTIONS & OTHER EYE DISORDERS |
1 |
$6,711 |
$3,043 |
$6,711 |
$3,043 |
1.00 |
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES |
1 |
$4,913 |
$3,520 |
$4,913 |
$3,520 |
1.00 |
SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES |
1 |
$49,999 |
$30,579 |
$49,999 |
$30,579 |
15.00 |
BREAST PROCEDURES EXCEPT MASTECTOMY |
1 |
$8,636 |
$5,036 |
$8,636 |
$5,036 |
2.00 |
ACUTE LEUKEMIA |
1 |
$15,405 |
$7,399 |
$15,405 |
$7,399 |
4.00 |
MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE |
1 |
$18,837 |
$8,663 |
$18,837 |
$8,663 |
6.00 |
MALIGNANT BREAST DISORDERS |
1 |
$67,845 |
$40,914 |
$67,845 |
$40,914 |
22.00 |
UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY |
1 |
$91,923 |
$82,255 |
$91,923 |
$82,255 |
3.00 |
MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG |
1 |
$16,160 |
$9,311 |
$16,160 |
$9,311 |
6.00 |
HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND |
1 |
$12,063 |
$8,944 |
$12,063 |
$8,944 |
2.00 |
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY |
1 |
$17,366 |
$11,735 |
$17,366 |
$11,735 |
4.00 |
UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA |
1 |
$12,366 |
$9,379 |
$12,366 |
$9,379 |
2.00 |
UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA |
1 |
$9,898 |
$6,192 |
$9,898 |
$6,192 |
2.00 |
OTHER AFTERCARE & CONVALESCENCE |
1 |
$10,851 |
$5,686 |
$10,851 |
$5,686 |
6.00 |
VIRAL MENINGITIS |
1 |
$22,931 |
$11,394 |
$22,931 |
$11,394 |
7.00 |
ALLERGIC REACTIONS |
1 |
$12,454 |
$7,129 |
$12,454 |
$7,129 |
4.00 |
CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA |
1 |
$9,368 |
$4,822 |
$9,368 |
$4,822 |
2.00 |