United Health Services Hospitals Inc. - Wilson Medical Center

2017 Age Distribution

2017 Patient Race:

Black/African American672
Other Race1,045
White11,125

2017 Payers:

Blue Cross/Blue Shield 2,038
Federal/State/Local/VA 76
Medicaid 3,263
Medicare 5,870
Miscellaneous/Other 187
Private Health Insurance 1,205
Self-Pay 203

Conditions treated in 2017

Click on a column header to sort ascending or descending.
DRG Count Avg. Charge Avg. Cost Sum all Charges Sum all Costs Avg. LOS
Neonate birthwt >2499g, normal newborn or neonate w other problem 1267 $2,064 $770 $2,615,109 $976,032 2.25
Vaginal delivery 1009 $5,619 $4,584 $5,669,583 $4,625,574 2.29
Cesarean delivery 500 $10,605 $7,997 $5,302,479 $3,998,643 3.01
Septicemia & disseminated infections 357 $32,193 $12,131 $11,493,062 $4,330,928 7.39
Chronic obstructive pulmonary disease 344 $15,840 $6,238 $5,448,818 $2,145,742 3.88
Heart failure 333 $15,050 $6,314 $5,011,630 $2,102,514 4.37
Cardiac arrhythmia & conduction disorders 332 $12,926 $4,833 $4,291,347 $1,604,424 3.22
Percutaneous coronary intervention w AMI 272 $49,852 $11,962 $13,559,629 $3,253,634 2.78
Acute myocardial infarction 255 $19,693 $5,821 $5,021,773 $1,484,346 3.22
Other pneumonia 231 $16,525 $6,522 $3,817,314 $1,506,566 4.26
Dorsal & lumbar fusion proc except for curvature of back 222 $66,853 $32,336 $14,841,411 $7,178,499 5.10
CVA & precerebral occlusion w infarct 211 $26,710 $9,405 $5,635,856 $1,984,391 4.76
Cellulitis & other skin infections 195 $12,936 $5,703 $2,522,537 $1,112,182 3.97
Moderately extensive procedure unrelated to principal diagnosis 181 $55,979 $20,659 $10,132,266 $3,739,297 9.96
Major small & large bowel procedures 169 $58,355 $26,660 $9,861,994 $4,505,577 8.18
Extracranial vascular procedures 159 $43,474 $19,501 $6,912,349 $3,100,661 3.84
Respiratory Failure 159 $24,913 $8,938 $3,961,154 $1,421,097 5.27
Kidney & urinary tract infections 155 $14,219 $5,852 $2,203,983 $906,997 4.04
Percutaneous coronary intervention w/o AMI 138 $74,509 $26,418 $10,282,286 $3,645,657 3.26
Lower extremity arterial procedures 134 $54,611 $26,292 $7,317,853 $3,523,177 5.54
Acute Kidney Injury 125 $19,831 $8,100 $2,478,858 $1,012,542 5.04
Cervical spinal fusion & other back/neck proc exc disc excis/decomp 117 $46,015 $24,812 $5,383,759 $2,903,052 4.92
Neonate birthwt >2499g w other significant condition 111 $19,225 $6,538 $2,133,959 $725,768 10.03
Laparoscopic cholecystectomy 102 $35,227 $17,494 $3,593,115 $1,784,435 4.23
Hip and femur fracture repair 99 $41,486 $19,572 $4,107,103 $1,937,632 5.44
Craniotomy except for trauma 95 $76,764 $35,456 $7,292,545 $3,368,315 9.53
Diabetes 95 $15,912 $5,570 $1,511,611 $529,192 3.32
Electrolyte disorders except hypovolemia related 95 $15,036 $5,529 $1,428,453 $525,229 3.36
Head trauma w coma >1 hr or hemorrhage 92 $25,500 $8,116 $2,345,955 $746,703 4.42
Diverticulitis & diverticulosis 92 $12,600 $4,806 $1,159,237 $442,187 3.25
Major respiratory infections & inflammations 90 $21,363 $9,090 $1,922,627 $818,058 6.06
Other digestive system diagnoses 88 $14,882 $5,881 $1,309,574 $517,569 3.83
Infectious & parasitic diseases including HIV w O.R. procedure 86 $74,645 $30,033 $6,419,485 $2,582,862 13.12
Coronary bypass w/o AMI or complex PDX 83 $85,253 $31,296 $7,076,004 $2,597,585 9.58
Peptic ulcer & gastritis 83 $16,514 $6,298 $1,370,697 $522,766 3.47
Cardiac catheterization for other non-coronary conditions 82 $24,534 $6,655 $2,011,764 $545,732 3.46
Other back & neck disorders, fractures & injuries 80 $12,644 $5,459 $1,011,517 $436,723 3.60
Disorders of pancreas except malignancy 79 $12,478 $4,359 $985,732 $344,354 2.96
Infections of upper respiratory tract 78 $10,019 $4,064 $781,506 $316,973 2.81
Seizure 76 $16,741 $5,611 $1,272,316 $426,466 3.36
Malfunction, reaction, complic of genitourinary device or proc 73 $21,104 $9,616 $1,540,616 $701,999 6.56
Pulmonary embolism 65 $25,530 $9,699 $1,659,472 $630,410 4.23
Perm cardiac pacemaker implant w/o AMI, heart failure or shock 62 $54,798 $23,948 $3,397,506 $1,484,747 3.79
Neonate bwt 2000-2499g, normal newborn or neonate w other problem 62 $7,163 $2,387 $444,135 $148,021 4.60
Other anemia & disorders of blood & blood-forming organs 62 $14,784 $5,942 $916,624 $368,434 3.66
Other peripheral vascular procedures 60 $60,039 $25,890 $3,602,335 $1,553,388 4.18
Other gastroenteritis, nausa & vomiting 60 $11,499 $4,332 $689,913 $259,912 2.92
Intestinal obstruction 59 $17,157 $6,453 $1,012,273 $380,701 4.12
Major gastrointestinal & peritoneal infections 59 $16,205 $6,685 $956,114 $394,438 4.75
Cardiac valve procedures w/o AMI or complex PDX 58 $98,753 $35,241 $5,727,686 $2,043,952 8.69
Other & unspecified gastrointestinal hemorrhage 58 $19,198 $7,038 $1,113,470 $408,215 3.78
Angina pectoris & coronary atherosclerosis 56 $11,507 $3,984 $644,415 $223,078 2.34
Intracranial hemorrhage 55 $34,903 $13,000 $1,919,643 $715,027 6.44
Peripheral & other vascular disorders 55 $16,689 $7,160 $917,897 $393,780 3.67
Transient ischemia 52 $16,894 $6,747 $878,462 $350,829 3.04
Tracheostomy w MV 96+ hours w extensive procedure or ECMO 51 $240,476 $83,919 $12,264,278 $4,279,858 28.73
Urinary stones & acquired upper urinary tract obstruction 51 $13,509 $6,054 $688,969 $308,729 2.02
Other skin, subcutaneous tissue & related procedures 50 $29,935 $13,721 $1,496,726 $686,044 6.04
Hypovolemia & related electrolyte disorders 50 $16,502 $6,640 $825,088 $331,997 4.74
Coronary bypass w AMI or complex PDX 49 $102,209 $35,789 $5,008,232 $1,753,651 11.65
Knee & lower leg procedures except foot 49 $44,887 $21,228 $2,199,486 $1,040,188 5.90
Asthma 48 $10,104 $4,005 $484,984 $192,249 2.23
Other circulatory system diagnoses 48 $18,034 $5,771 $865,612 $277,020 3.33
Poisoning of medicinal agents 48 $23,297 $7,806 $1,118,264 $374,706 4.79
Major chest & respiratory trauma 47 $21,279 $6,971 $1,000,123 $327,642 4.43
Other respiratory diagnoses except signs, symptoms & minor diagnoses 47 $14,613 $6,265 $686,801 $294,470 4.28
Post-operative, post-traumatic, other device infections 46 $23,252 $10,101 $1,069,601 $464,665 6.50
Uterine & adnexa procedures for non-malignancy except leiomyoma 45 $16,384 $9,553 $737,274 $429,873 2.49
Other musculoskeletal system & connective tissue diagnoses 44 $16,460 $6,827 $724,239 $300,367 4.77
Extensive procedure unrelated to principal diagnosis 44 $68,024 $28,826 $2,993,043 $1,268,355 8.05
Hypertension 43 $15,073 $5,134 $648,150 $220,768 3.19
Other disorders of nervous system 41 $17,898 $7,837 $733,807 $321,319 3.71
Alcohol abuse & dependence 41 $15,350 $5,978 $629,354 $245,088 4.41
Other respiratory & chest procedures 39 $43,545 $20,953 $1,698,259 $817,148 7.41
Migraine & other headaches 38 $13,594 $5,227 $516,580 $198,626 2.71
Signs, symptoms & other factors influencing health status 38 $12,941 $5,580 $491,741 $212,022 3.84
Spinal procedures 36 $51,855 $26,802 $1,866,762 $964,886 7.42
Respiratory malignancy 36 $25,112 $11,009 $904,035 $396,329 5.47
Hip joint replacement 36 $47,923 $22,771 $1,725,239 $819,754 6.67
Other infectious & parasitic diseases 36 $15,207 $5,992 $547,459 $215,703 4.61
Nonextensive procedure unrelated to principal diagnosis 36 $38,160 $16,488 $1,373,748 $593,585 6.47
Cardiac catheterization for coronary artery disease 35 $18,049 $4,700 $631,706 $164,513 1.89
Intervertebral disc excision & decompression 35 $29,896 $17,626 $1,046,364 $616,896 4.77
Other complications of treatment 35 $13,094 $5,895 $458,286 $206,323 2.97
Respiratory signs, symptoms & minor diagnoses 34 $13,865 $5,448 $471,423 $185,230 3.32
Fractures & dislocations except femur, pelvis & back 34 $15,730 $5,744 $534,807 $195,306 3.26
Syncope & collapse 33 $14,804 $5,674 $488,523 $187,250 3.48
Hernia procedures except inguinal, femoral & umbilical 33 $34,135 $17,653 $1,126,446 $582,562 4.21
Neonate bwt 1500-1999g w or w/o other significant condition 33 $35,349 $11,614 $1,166,511 $383,269 16.76
Nonspecific CVA & precerebral occlusion w/o infarct 32 $14,614 $7,372 $467,651 $235,901 2.16
Other antepartum diagnoses 32 $8,917 $4,611 $285,331 $147,548 3.66
Uterine & adnexa procedures for leiomyoma 31 $14,435 $8,614 $447,491 $267,021 2.45
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond 31 $40,926 $12,996 $1,268,705 $402,883 15.84
Major respiratory & chest procedures 28 $42,645 $20,216 $1,194,065 $566,037 5.96
Other endocrine disorders 28 $13,341 $5,722 $373,542 $160,213 4.11
Musculoskeletal & other procedures for multiple significant trauma 28 $85,945 $35,048 $2,406,451 $981,341 8.14
Bronchiolitis & RSV pneumonia 27 $7,237 $3,546 $195,405 $95,750 2.30
Inflammatory bowel disease 27 $12,450 $4,685 $336,162 $126,502 3.04
Vaginal delivery w sterilization &/or D&C 27 $9,831 $7,276 $265,441 $196,444 2.74
Neonate bwt 2000-2499g w other significant condition 27 $22,232 $7,293 $600,265 $196,915 10.59
Other small & large bowel procedures 26 $38,981 $19,215 $1,013,518 $499,593 5.77
Gastrointestinal vascular insufficiency 26 $21,667 $8,010 $563,333 $208,248 5.00
Alcoholic liver disease 26 $20,981 $7,974 $545,500 $207,330 4.85
Disorders of gallbladder & biliary tract 26 $16,921 $5,956 $439,948 $154,844 2.88
Post-op, post-trauma, other device infections w O.R. procedure 26 $59,545 $27,705 $1,548,181 $720,329 12.31
Viral illness 26 $9,256 $3,462 $240,666 $90,018 2.35
Major stomach, esophageal & duodenal procedures 25 $50,631 $22,924 $1,265,774 $573,088 6.96
Other esophageal disorders 25 $12,067 $4,736 $301,669 $118,400 3.20
Amputation of lower limb except toes 25 $37,729 $20,283 $943,223 $507,087 8.44
Skin ulcers 25 $23,470 $11,654 $586,750 $291,344 8.36
Preterm labor 25 $5,382 $3,137 $134,558 $78,421 2.64
Multiple significant trauma w/o O.R. procedure 25 $27,841 $8,593 $696,023 $214,830 5.08
Ventricular shunt procedures 24 $46,617 $21,640 $1,118,810 $519,360 5.92
Cardiac defibrillator & heart assist implant 24 $116,911 $38,033 $2,805,863 $912,787 6.17
Other cardiothoracic & thoracic vascular procedures 24 $72,784 $31,135 $1,746,812 $747,235 3.38
Urethral & transurethral procedures 24 $24,995 $12,588 $599,880 $302,113 2.88
Craniotomy for trauma 23 $68,211 $29,263 $1,568,845 $673,056 8.78
Nontraumatic stupor & coma 23 $14,573 $5,227 $335,170 $120,225 3.96
Other Chemotherapy 23 $31,995 $12,750 $735,876 $293,259 5.22
Major hematologic/immunologic diag exc sickle cell crisis & coagul 22 $30,543 $12,776 $671,943 $281,075 7.36
Appendectomy 21 $30,528 $15,494 $641,084 $325,372 3.95
Other musculoskeletal system & connective tissue procedures 21 $34,837 $18,983 $731,583 $398,640 5.81
Neonate bwt 1500-1999g w resp dist synd/oth maj resp cond 21 $74,996 $24,830 $1,574,913 $521,438 34.48
Degenerative nervous system disorders exc mult sclerosis 20 $16,664 $6,820 $333,274 $136,408 4.40
Respiratory system diagnosis w ventilator support 96+ hours 20 $84,195 $27,038 $1,683,902 $540,759 13.60
Malfunction,reaction,complication of cardiac/vasc device or procedure 20 $31,775 $13,994 $635,509 $279,889 8.45
Hepatic coma & other major acute liver disorders 20 $23,486 $9,432 $469,729 $188,647 5.25
Fever 20 $18,701 $7,883 $374,022 $157,651 5.55
Major abdominal vascular procedures 19 $61,220 $26,744 $1,163,187 $508,138 6.21
Malignancy of hepatobiliary system & pancreas 19 $15,517 $6,413 $294,824 $121,849 3.84
Neonate, transferred < 5 days old, born here 19 $6,283 $1,760 $119,373 $33,435 1.11
Neonate birthwt >2499g w major anomaly 19 $16,181 $5,241 $307,433 $99,574 7.53
O.R. procedure for other complications of treatment 19 $39,363 $18,890 $747,902 $358,907 5.21
Toxic effects of non-medicinal substances 19 $22,379 $7,304 $425,208 $138,773 3.79
Multiple sclerosis & other demyelinating diseases 18 $16,628 $6,272 $299,302 $112,904 3.61
Interstitial & alveolar lung diseases 18 $18,807 $6,764 $338,525 $121,755 3.94
Other disorders of the liver 18 $14,512 $5,516 $261,220 $99,295 2.67
Osteomyelitis, septic arthritis & other musculoskeletal infections 18 $22,576 $10,760 $406,371 $193,677 6.89
Other stomach, esophageal & duodenal procedures 17 $57,640 $22,912 $979,872 $389,507 10.06
Vaginal delivery w complicating procedures exc sterilization &/or D&C 17 $6,272 $5,107 $106,618 $86,822 2.18
Nervous system malignancy 16 $19,363 $8,395 $309,814 $134,317 4.63
Foot & toe procedures 16 $42,117 $22,977 $673,879 $367,637 8.88
Musculoskeletal malignancy & pathol fracture d/t muscskel malig 16 $21,781 $10,473 $348,499 $167,567 6.38
Procedures for obesity 16 $38,522 $19,829 $616,358 $317,258 2.38
Kidney & urinary tract procedures for nonmalignancy 16 $37,002 $19,088 $592,027 $305,407 5.81
Procedure w diag of rehab, aftercare or oth contact w health service 16 $67,354 $32,121 $1,077,659 $513,936 4.88
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma 15 $20,373 $5,731 $305,595 $85,961 2.13
Tendon, muscle & other soft tissue procedures 15 $62,411 $23,639 $936,172 $354,581 7.13
Connective tissue disorders 15 $18,494 $7,089 $277,415 $106,333 4.27
Neonate bwt 2000-2499g w resp dist synd/oth maj resp cond 15 $35,556 $11,560 $533,346 $173,397 15.80
Lymphoma, myeloma & non-acute leukemia 15 $37,425 $14,090 $561,377 $211,353 5.80
Inguinal, femoral & umbilical hernia procedures 14 $25,298 $13,405 $354,170 $187,666 3.14
Contusion, open wound & other trauma to skin & subcutaneous tissue 14 $21,468 $6,951 $300,558 $97,312 4.07
Other circulatory system procedures 13 $86,417 $37,498 $1,123,427 $487,474 19.15
Digestive malignancy 13 $16,571 $6,914 $215,429 $89,888 4.77
Other hepatobiliary, pancreas & abdominal procedures 13 $32,518 $13,325 $422,732 $173,220 6.38
Fracture of pelvis or dislocation of hip 13 $18,677 $7,012 $242,797 $91,154 3.69
Thyroid, parathyroid & thyroglossal procedures 13 $18,539 $10,274 $241,012 $133,568 1.08
Postpartum & post abortion diagnoses w/o procedure 13 $13,150 $4,103 $170,952 $53,336 2.23
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms 13 $65,539 $30,937 $852,009 $402,185 9.08
Organic mental health disturbances 13 $14,482 $5,775 $188,266 $75,071 4.15
HIV w multiple major HIV related conditions 13 $74,181 $28,820 $964,353 $374,654 15.92
Eye disorders except major infections 12 $14,586 $5,529 $175,035 $66,350 3.00
Peritoneal adhesiolysis 12 $41,515 $20,503 $498,175 $246,032 7.92
Other kidney & urinary tract diagnoses, signs & symptoms 12 $12,116 $4,705 $145,386 $56,464 2.83
Dental & oral diseases & injuries 11 $11,822 $4,701 $130,042 $51,708 2.73
Other ear, nose, mouth,throat & cranial/facial diagnoses 11 $18,456 $6,536 $203,011 $71,900 4.27
Other digestive system & abdominal procedures 11 $48,550 $21,696 $534,048 $238,661 9.91
Major esophageal disorders 11 $21,706 $7,548 $238,762 $83,024 3.09
Dorsal & lumbar fusion proc for curvature of back 11 $123,241 $53,923 $1,355,648 $593,154 7.00
Malnutrition, failure to thrive & other nutritional disorders 11 $32,082 $14,937 $352,904 $164,305 10.82
Uterine & adnexa procedures for non-ovarian & non-adnexal malig 11 $19,899 $10,524 $218,887 $115,759 3.82
Tracheostomy w MV 96+ hours w/o extensive procedure 10 $204,996 $69,692 $2,049,961 $696,917 34.60
Other kidney, urinary tract & related procedures 10 $54,820 $29,441 $548,197 $294,405 11.00
Chronic Kidney Disease 10 $16,091 $6,371 $160,906 $63,709 3.80
Male reproductive system diagnoses except malignancy 10 $10,537 $4,690 $105,371 $46,899 3.60
Coagulation & platelet disorders 10 $56,908 $19,463 $569,080 $194,625 5.90
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms 10 $72,327 $31,646 $723,267 $316,464 14.00
Neonatal aftercare 10 $70,262 $24,264 $702,624 $242,640 32.70
Cardiac arrest and shock 9 $46,929 $15,127 $422,365 $136,146 7.44
Major biliary tract procedures 9 $62,872 $26,970 $565,846 $242,733 15.00
Cholecystectomy except laparoscopic 9 $46,309 $21,955 $416,781 $197,594 8.00
Shoulder, upper arm & forearm procedures except joint replacement 9 $42,895 $20,331 $386,052 $182,983 8.44
Fracture of femur 9 $15,974 $6,102 $143,763 $54,917 4.22
Other skin, subcutaneous tissue & breast disorders 9 $13,952 $6,084 $125,567 $54,753 4.33
Acute anxiety & delirium states 9 $11,628 $4,342 $104,650 $39,075 3.00
Peripheral, cranial & autonomic nerve disorders 8 $20,320 $7,217 $162,561 $57,734 4.63
Abdominal pain 8 $13,200 $4,756 $105,598 $38,044 2.25
Other significant hip and femur surgery 8 $56,934 $25,747 $455,472 $205,977 6.00
Skin graft for skin & subcutaneous tissue diagnoses 8 $33,469 $15,785 $267,752 $126,278 6.13
Pituitary & adrenal procedures 8 $43,606 $23,607 $348,848 $188,854 5.88
Acute leukemia 8 $67,200 $27,155 $537,599 $217,238 12.38
Extensive abdominal/thoracic procedures for mult significant trauma 8 $122,412 $51,168 $979,296 $409,347 14.50
Acute & subacute endocarditis 7 $23,094 $9,451 $161,657 $66,155 7.57
Cardiac structural & valvular disorders 7 $11,199 $4,727 $78,396 $33,090 4.14
Malfunction, reaction & complication of GI device or procedure 7 $21,627 $10,648 $151,389 $74,539 7.43
Major pancreas, liver & shunt procedures 7 $71,202 $32,869 $498,416 $230,081 13.14
Other procedures for endocrine, nutritional & metabolic disorders 7 $73,068 $34,286 $511,476 $240,004 14.86
Kidney & urinary tract malignancy 7 $21,638 $9,095 $151,463 $63,663 5.86
Neonate bwt 2000-2499g w major anomaly 7 $38,506 $12,219 $269,541 $85,535 16.00
Bacterial & tuberculous infections of nervous system 6 $44,870 $22,091 $269,219 $132,543 10.67
Cardiac valve procedures w AMI or complex PDX 6 $199,305 $71,933 $1,195,832 $431,596 25.67
Cardiac pacemaker & defibrillator device replacement 6 $125,644 $46,389 $753,862 $278,335 6.33
Chest pain 6 $8,016 $3,085 $48,094 $18,509 2.00
Neonate bwt 1250-1499g w resp dist synd/oth maj resp or maj anom 6 $85,339 $27,396 $512,034 $164,374 34.67
Splenectomy 6 $56,308 $24,636 $337,847 $147,817 5.67
Drug & alcohol abuse or dependence, left against medical advice 6 $14,112 $4,650 $84,669 $27,897 2.67
Tonsil & adenoid procedures 5 $15,223 $7,483 $76,117 $37,416 1.40
Vertigo & other labyrinth disorders 5 $15,350 $6,288 $76,750 $31,441 1.40
BPD & oth chronic respiratory diseases arising in perinatal period 5 $36,117 $12,087 $180,587 $60,436 13.00
Nephritis & nephrosis 5 $17,506 $9,399 $87,532 $46,994 8.00
Female reproductive system malignancy 5 $29,233 $13,592 $146,163 $67,962 6.80
Neonate bwt 1250-1499g w or w/o other significant condition 5 $58,450 $19,858 $292,250 $99,292 29.40
Lymphatic & other malignancies & neoplasms of uncertain behavior 5 $29,565 $12,660 $147,824 $63,299 5.60
HIV w major HIV related condition 5 $44,590 $17,050 $222,951 $85,251 10.20
Non-bacterial infections of nervous system exc viral meningitis 4 $22,775 $8,389 $91,098 $33,556 5.75
Malfunction, reaction, complic of orthopedic device or procedure 4 $36,595 $18,157 $146,381 $72,628 9.25
Kidney & urinary tract procedures for malignancy 4 $33,586 $17,496 $134,343 $69,984 6.50
Other female reproductive system & related procedures 4 $25,580 $13,525 $102,321 $54,099 7.25
Menstrual & other female reproductive system disorders 4 $8,960 $3,527 $35,839 $14,107 2.25
Neonate bwt 1000-1249g w resp dist synd/oth maj resp or maj anom 4 $138,071 $44,505 $552,283 $178,018 58.25
Opioid abuse & dependence 4 $14,383 $5,558 $57,531 $22,232 4.00
Other injury, poisoning & toxic effect diagnoses 4 $36,614 $13,852 $146,454 $55,406 7.00
Craniotomy for multiple significant trauma 4 $106,054 $37,097 $424,216 $148,387 11.75
Spinal disorders & injuries 3 $15,272 $5,335 $45,816 $16,005 3.67
Other ear, nose, mouth & throat procedures 3 $104,655 $47,878 $313,965 $143,633 28.33
Malignant breast disorders 3 $23,614 $8,064 $70,842 $24,193 5.67
Transurethral prostatectomy 3 $23,358 $12,049 $70,074 $36,146 4.67
Malignancy, male reproductive system 3 $13,583 $5,922 $40,748 $17,765 2.67
Uterine & adnexa procedures for ovarian & adnexal malignancy 3 $44,906 $19,765 $134,717 $59,295 6.00
Female reproductive system infections 3 $11,649 $5,156 $34,946 $15,467 3.67
Neonate birthwt >2499g w congenital/perinatal infection 3 $21,038 $7,161 $63,114 $21,482 10.00
Other aftercare & convalescence 3 $12,462 $4,738 $37,387 $14,214 1.33
Other nervous system & related procedures 2 $44,099 $19,217 $88,197 $38,433 3.00
Viral meningitis 2 $14,258 $5,781 $28,516 $11,562 4.00
Acute major eye infections 2 $6,208 $3,229 $12,416 $6,458 2.50
Cardiac pacemaker & defibrillator revision except device replacement 2 $24,585 $17,071 $49,170 $34,141 3.00
Hand & wrist procedures 2 $28,018 $16,210 $56,035 $32,420 7.00
Major skin disorders 2 $5,523 $2,191 $11,046 $4,381 1.00
Renal dialysis access device procedure only 2 $30,226 $17,123 $60,452 $34,246 6.00
Other bladder procedures 2 $15,652 $9,703 $31,304 $19,405 3.00
D&C, aspiration curettage or hysterotomy for obstetric diagnoses 2 $14,656 $8,279 $29,311 $16,558 1.00
Neonate, transferred <5 days old, not born here 2 $6,692 $1,635 $13,384 $3,270 1.00
Neonate bwt <500g or GA <24 weeks 2 $2,084 $622 $4,167 $1,243 1.00
Neonate birthwt 1000-1249g w or w/o other significant condition 2 $67,211 $22,829 $134,422 $45,658 34.00
Neonate birthwt 1500-1999g w major anomaly 2 $66,066 $21,304 $132,132 $42,608 26.50
Neonate bwt 2000-2499g w congenital/perinatal infection 2 $22,798 $6,957 $45,596 $13,913 8.50
Allergic reactions 2 $10,399 $4,767 $20,798 $9,533 3.50
Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma 1 $50,897 $21,640 $50,897 $21,640 12.00
Eye procedures except orbit 1 $21,080 $9,870 $21,080 $9,870 1.00
Sinus & mastoid procedures 1 $48,178 $23,412 $48,178 $23,412 8.00
Ear, nose, mouth, throat, cranial/facial malignancies 1 $9,834 $3,784 $9,834 $3,784 3.00
Major cardiothoracic repair of heart anomaly 1 $51,032 $21,939 $51,032 $21,939 4.00
Permanent cardiac pacemaker implant w AMI, heart failure or shock 1 $51,038 $23,893 $51,038 $23,893 2.00
Cardiomyopathy 1 $11,932 $2,619 $11,932 $2,619 1.00
Anal procedures 1 $28,947 $14,361 $28,947 $14,361 5.00
Knee joint replacement 1 $62,931 $24,066 $62,931 $24,066 4.00
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses 1 $73,764 $30,082 $73,764 $30,082 14.00
Mastectomy procedures 1 $41,659 $19,270 $41,659 $19,270 1.00
Breast procedures except mastectomy 1 $32,862 $17,994 $32,862 $17,994 9.00
Major bladder procedures 1 $58,577 $25,791 $58,577 $25,791 13.00
Testes & scrotal procedures 1 $25,415 $14,549 $25,415 $14,549 5.00
Pelvic evisceration, radical hysterectomy & other radical GYN procs 1 $23,956 $11,047 $23,956 $11,047 5.00
Female reproductive system reconstructive procedures 1 $17,644 $9,607 $17,644 $9,607 2.00
Dilation & curettage for non-obstetric diagnoses 1 $27,115 $13,744 $27,115 $13,744 2.00
Other O.R. proc for obstetric diagnoses except delivery diagnoses 1 $5,591 $4,183 $5,591 $4,183 2.00
False labor 1 $8,009 $4,204 $8,009 $4,204 2.00
Neonate birthwt 750-999g w/o major procedure 1 $83,944 $27,493 $83,944 $27,493 40.00
Neonate bwt 1500-2499g w major procedure 1 $79,194 $24,134 $79,194 $24,134 27.00
Neonate birthwt >2499g w major cardiovascular procedure 1 $89,915 $26,006 $89,915 $26,006 17.00
Other procedures of blood & blood-forming organs 1 $23,478 $13,298 $23,478 $13,298 2.00
Chemotherapy for acute leukemia 1 $9,684 $6,264 $9,684 $6,264 6.00
Mental illness diagnosis w O.R. procedure 1 $30,815 $13,900 $30,815 $13,900 1.00
Adjustment disorders & neuroses except depressive diagnoses 1 $53,754 $14,700 $53,754 $14,700 4.00
Other mental health disorders 1 $10,035 $4,474 $10,035 $4,474 3.00
Alcohol & drug dependence w rehab or rehab/detox therapy 1 $8,841 $4,099 $8,841 $4,099 3.00
Cocaine abuse & dependence 1 $21,198 $7,063 $21,198 $7,063 6.00
HIV w one signif HIV cond or w/o signif related cond 1 $15,062 $3,051 $15,062 $3,051 2.00