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 |