St Elizabeth Medical Center

2019 Age Distribution

2019 Patient Race:

White7,882
Black/African American651
Other Race1,261

2019 Payers:

Medicare 5,318
Medicaid 1,626
Blue Cross/Blue Shield 1,929
Private Health Insurance 382
Self-Pay 279
Federal/State/Local/VA 103
Miscellaneous/Other 127
Department of Corrections 30

Conditions treated in 2019

Click on a column header to sort ascending or descending.
DRG Count Avg. Charge Avg. Cost Sum all Charges Sum all Costs Avg. LOS
HEART FAILURE 534 $33,748 $11,911 $18,021,185 $6,360,427 7.14
KNEE JOINT REPLACEMENT 466 $44,035 $18,839 $20,520,497 $8,778,874 1.55
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS 403 $23,733 $8,307 $9,564,429 $3,347,568 3.87
HIP JOINT REPLACEMENT 381 $45,890 $19,249 $17,484,200 $7,333,869 1.81
CHRONIC OBSTRUCTIVE PULMONARY DISEASE 380 $30,989 $10,355 $11,775,792 $3,934,954 5.83
SEPTICEMIA & DISSEMINATED INFECTIONS 376 $58,208 $21,427 $21,886,107 $8,056,616 10.10
PERCUTANEOUS CORONARY INTERVENTION W AMI 321 $81,723 $26,276 $26,233,073 $8,434,597 3.36
MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES 313 $15,030 $5,211 $4,704,339 $1,630,912 6.15
OTHER PNEUMONIA 308 $32,630 $10,999 $10,050,113 $3,387,786 6.49
CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS 306 $41,129 $10,526 $12,585,470 $3,220,945 3.76
PERCUTANEOUS CORONARY INTERVENTION W/O AMI 301 $90,269 $33,536 $27,171,069 $10,094,306 2.92
BIPOLAR DISORDERS 191 $12,887 $4,217 $2,461,384 $805,510 4.86
CELLULITIS & OTHER SKIN INFECTIONS 182 $23,907 $7,813 $4,351,105 $1,422,004 5.73
ACUTE MYOCARDIAL INFARCTION 174 $44,633 $13,576 $7,766,226 $2,362,137 4.76
SCHIZOPHRENIA 166 $26,768 $9,734 $4,443,409 $1,615,812 12.16
ACUTE KIDNEY INJURY 148 $31,038 $10,624 $4,593,576 $1,572,374 6.58
KIDNEY & URINARY TRACT INFECTIONS 146 $22,207 $6,455 $3,242,241 $942,429 5.25
CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE 139 $33,769 $7,977 $4,693,959 $1,108,815 2.55
HIP & FEMUR FRACTURE REPAIR 133 $46,346 $16,994 $6,163,989 $2,260,169 5.43
ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS 116 $15,785 $4,778 $1,831,085 $554,301 2.72
OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE 110 $32,456 $11,672 $3,570,191 $1,283,873 5.28
OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES 107 $23,726 $6,200 $2,538,702 $663,408 4.49
DIABETES 107 $23,997 $8,404 $2,567,658 $899,184 4.58
ALCOHOL ABUSE & DEPENDENCE 105 $24,240 $9,085 $2,545,149 $953,888 4.87
CHEST PAIN 91 $13,573 $3,654 $1,235,172 $332,486 2.25
CORONARY BYPASS W/O AMI OR COMPLEX PDX 91 $112,984 $43,402 $10,281,555 $3,949,546 8.01
BEHAVIORAL DISORDERS 88 $13,673 $4,591 $1,203,254 $403,990 5.14
OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS 88 $29,730 $10,064 $2,616,227 $885,652 5.08
MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS 88 $43,131 $14,778 $3,795,563 $1,300,465 8.75
PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK 84 $67,479 $25,594 $5,668,236 $2,149,932 5.71
SYNCOPE & COLLAPSE 83 $17,855 $4,800 $1,481,992 $398,360 3.22
DIVERTICULITIS & DIVERTICULOSIS 83 $27,724 $9,345 $2,301,099 $775,640 5.48
PEPTIC ULCER & GASTRITIS 78 $32,132 $11,618 $2,506,259 $906,190 4.91
OTHER GASTROENTERITIS, NAUSEA & VOMITING 76 $18,804 $5,061 $1,429,100 $384,673 3.67
CHOLECYSTECTOMY 71 $41,131 $13,346 $2,920,272 $947,539 5.49
KNEE & LOWER LEG PROCEDURES EXCEPT FOOT 69 $45,822 $16,446 $3,161,724 $1,134,749 4.68
OTHER DIGESTIVE SYSTEM DIAGNOSES 65 $24,039 $7,545 $1,562,546 $490,396 4.58
PULMONARY EMBOLISM 62 $37,918 $12,120 $2,350,917 $751,429 5.19
INTESTINAL OBSTRUCTION 62 $20,243 $5,069 $1,255,091 $314,270 3.82
INFECTIONS OF UPPER RESPIRATORY TRACT 60 $19,799 $6,561 $1,187,930 $393,686 4.15
DISORDERS OF PANCREAS EXCEPT MALIGNANCY 57 $24,922 $7,579 $1,420,568 $431,975 4.61
MAJOR CHEST & RESPIRATORY TRAUMA 57 $29,809 $8,311 $1,699,105 $473,717 5.23
CORONARY BYPASS W AMI OR COMPLEX PDX 56 $144,415 $53,610 $8,087,216 $3,002,142 11.54
CARDIAC DEFIBRILLATOR & HEART ASSIST IMPLANT 54 $151,963 $60,838 $8,206,019 $3,285,260 5.31
MAJOR LARGE BOWEL PROCEDURES 53 $67,254 $25,042 $3,564,454 $1,327,247 6.64
INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE 52 $123,303 $47,048 $6,411,761 $2,446,510 17.13
OTHER CIRCULATORY SYSTEM DIAGNOSES 52 $32,645 $11,374 $1,697,565 $591,437 5.73
HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS 51 $17,721 $5,128 $903,768 $261,505 3.98
LOWER EXTREMITY ARTERIAL PROCEDURES 50 $79,450 $32,746 $3,972,491 $1,637,275 5.82
NON-HYPOVOLEMIC SODIUM DISORDERS 45 $21,454 $6,951 $965,416 $312,811 4.64
HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE 43 $53,005 $18,514 $2,279,196 $796,104 6.21
FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK 42 $20,500 $5,639 $861,008 $236,835 3.90
OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES 41 $23,987 $7,946 $983,483 $325,776 4.61
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS 40 $22,149 $6,743 $885,976 $269,734 2.03
SEIZURE 40 $27,976 $9,334 $1,119,042 $373,348 5.33
MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS 38 $44,981 $16,106 $1,709,268 $612,043 9.37
EXTRACRANIAL VASCULAR PROCEDURES 38 $34,308 $12,635 $1,303,691 $480,141 2.45
MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 36 $91,179 $32,827 $3,282,459 $1,181,758 11.94
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES 35 $19,220 $5,774 $672,691 $202,095 3.97
HYPERTENSION 35 $23,130 $8,062 $809,537 $282,153 4.00
OTHER RESPIRATORY & CHEST PROCEDURES 34 $79,249 $30,331 $2,694,455 $1,031,265 8.29
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL 33 $38,956 $14,223 $1,285,547 $469,345 3.76
URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION 33 $20,897 $5,906 $689,614 $194,883 2.97
CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE 31 $26,313 $7,657 $815,704 $237,366 4.74
SHOULDER & ELBOW JOINT REPLACEMENT 29 $45,770 $19,592 $1,327,342 $568,160 1.28
RESPIRATORY MALIGNANCY 29 $58,814 $19,645 $1,705,599 $569,706 9.31
MAJOR SMALL BOWEL PROCEDURES 29 $79,664 $29,152 $2,310,263 $845,402 10.07
POISONING OF MEDICINAL AGENTS 29 $20,820 $7,841 $603,789 $227,401 2.97
MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE 29 $56,748 $19,079 $1,645,705 $553,298 7.86
PERIPHERAL & OTHER VASCULAR DISORDERS 27 $23,333 $7,263 $629,982 $196,091 4.19
OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS 27 $21,935 $6,486 $592,249 $175,120 4.63
SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS 26 $17,657 $4,803 $459,071 $124,882 3.38
ASTHMA 26 $27,216 $9,137 $707,625 $237,555 5.12
MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC 25 $42,555 $14,797 $1,063,878 $369,917 10.80
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS 25 $36,278 $12,571 $906,943 $314,272 6.60
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES 25 $33,052 $11,045 $826,302 $276,119 5.64
FOOT & TOE PROCEDURES 24 $54,822 $20,649 $1,315,726 $495,579 11.67
EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 23 $147,802 $58,579 $3,399,448 $1,347,324 21.70
FRACTURE OF FEMUR 23 $14,539 $4,118 $334,391 $94,714 3.83
OTHER DISORDERS OF THE LIVER 23 $34,755 $11,347 $799,365 $260,979 6.74
FRACTURE OF PELVIS OR DISLOCATION OF HIP 22 $21,833 $5,653 $480,329 $124,361 4.68
ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES 22 $8,498 $2,469 $186,962 $54,312 2.59
OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS 22 $33,712 $12,128 $741,653 $266,813 8.59
DISORDERS OF GALLBLADDER & BILIARY TRACT 21 $16,689 $3,925 $350,462 $82,415 2.38
CARDIAC VALVE PROCEDURES W/O AMI OR COMPLEX PDX 21 $123,280 $51,083 $2,588,870 $1,072,740 7.95
OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES 21 $59,304 $20,904 $1,245,380 $438,980 10.10
SKIN ULCERS 20 $29,246 $9,791 $584,912 $195,822 7.00
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS 20 $18,187 $5,015 $363,743 $100,304 4.70
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS 19 $119,946 $48,550 $2,278,975 $922,457 16.58
INFLAMMATORY BOWEL DISEASE 19 $23,079 $6,419 $438,496 $121,965 5.58
AMPUTATION OF LOWER LIMB EXCEPT TOES 19 $52,063 $19,381 $989,193 $368,238 9.47
ACUTE ANXIETY & DELIRIUM STATES 18 $13,970 $4,378 $251,453 $78,796 5.22
RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES 18 $16,575 $4,411 $298,353 $79,404 2.78
DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER 18 $9,374 $2,888 $168,727 $51,976 3.06
RESPIRATORY FAILURE 18 $38,635 $14,232 $695,427 $256,167 6.17
OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES 17 $43,459 $16,012 $738,806 $272,207 7.35
OVERDOSE 17 $22,324 $8,804 $379,515 $149,666 2.88
ALCOHOLIC LIVER DISEASE 16 $39,140 $14,091 $626,240 $225,448 7.56
URETHRAL & TRANSURETHRAL PROCEDURES 16 $50,457 $16,734 $807,317 $267,747 9.88
VERTIGO & OTHER LABYRINTH DISORDERS 16 $16,037 $4,357 $256,587 $69,717 3.00
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES 15 $36,672 $13,423 $550,081 $201,347 4.73
INTERSTITIAL & ALVEOLAR LUNG DISEASES 15 $54,904 $19,882 $823,555 $298,225 9.93
MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES 15 $63,760 $26,266 $956,405 $393,988 6.33
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS 14 $35,539 $12,802 $497,547 $179,228 6.71
ABDOMINAL PAIN 14 $18,321 $4,806 $256,497 $67,285 3.00
CVA & PRECEREBRAL OCCLUSION W INFARCT 13 $31,023 $9,219 $403,303 $119,846 4.62
DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE 13 $16,185 $5,607 $210,409 $72,893 2.69
OTHER PERIPHERAL VASCULAR PROCEDURES 13 $147,535 $63,841 $1,917,957 $829,928 6.00
LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR 13 $36,607 $12,672 $475,888 $164,742 7.62
SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT 13 $41,753 $14,556 $542,790 $189,231 4.38
OTHER ESOPHAGEAL DISORDERS 12 $27,590 $7,822 $331,082 $93,858 4.75
CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA 12 $38,330 $10,714 $459,957 $128,568 5.75
OTHER SIGNIFICANT HIP & FEMUR SURGERY 12 $59,209 $21,870 $710,506 $262,438 7.08
MAJOR ABDOMINAL VASCULAR PROCEDURES 11 $148,838 $60,561 $1,637,219 $666,175 6.55
OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES 11 $113,004 $40,298 $1,243,043 $443,283 6.73
CARDIAC ARREST & SHOCK 11 $47,294 $17,135 $520,230 $188,490 4.27
SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES 11 $66,184 $23,626 $728,019 $259,890 14.09
MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA 11 $91,333 $34,243 $1,004,666 $376,668 7.91
OTHER SMALL & LARGE BOWEL PROCEDURES 10 $35,126 $11,934 $351,261 $119,339 6.00
CHRONIC KIDNEY DISEASE 10 $23,235 $7,788 $232,353 $77,875 6.20
MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS 10 $23,823 $6,761 $238,230 $67,607 4.80
THYROID DISORDERS 10 $19,515 $5,813 $195,151 $58,128 4.40
PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS 10 $21,008 $6,364 $210,075 $63,639 3.80
SICKLE CELL ANEMIA CRISIS 9 $21,815 $6,876 $196,337 $61,883 4.67
CRANIOTOMY FOR TRAUMA 9 $90,149 $32,131 $811,339 $289,182 10.22
COAGULATION & PLATELET DISORDERS 9 $48,246 $18,900 $434,212 $170,103 8.89
MAJOR ESOPHAGEAL DISORDERS 9 $34,605 $12,448 $311,442 $112,029 5.11
NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 9 $71,270 $25,830 $641,434 $232,471 9.11
ALTERATION IN CONSCIOUSNESS 9 $24,820 $6,670 $223,384 $60,031 4.89
KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY 9 $41,221 $15,313 $370,990 $137,820 3.89
CARDIAC STRUCTURAL & VALVULAR DISORDERS 8 $21,742 $7,436 $173,939 $59,488 4.25
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY 8 $21,968 $7,148 $175,741 $57,182 4.50
ACUTE BRONCHITIS AND RELATED SYMPTOMS 8 $19,020 $5,535 $152,160 $44,280 3.63
HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS 8 $38,414 $10,933 $307,309 $87,467 6.75
TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE 8 $393,926 $169,539 $3,151,408 $1,356,310 61.13
POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE 8 $71,863 $30,117 $574,901 $240,935 13.63
OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS 8 $13,375 $4,303 $106,998 $34,424 4.00
MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS 8 $15,560 $5,043 $124,480 $40,346 4.00
ALLERGIC REACTIONS 8 $29,222 $10,817 $233,778 $86,533 4.25
MIGRAINE & OTHER HEADACHES 8 $18,671 $5,020 $149,368 $40,160 3.88
OTHER CIRCULATORY SYSTEM PROCEDURES 8 $76,815 $28,195 $614,522 $225,558 16.38
KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY 8 $41,799 $15,093 $334,393 $120,743 4.75
MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL 8 $34,800 $12,257 $278,400 $98,057 6.63
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES 7 $35,382 $13,070 $247,675 $91,487 4.00
TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES 7 $39,446 $13,463 $276,125 $94,244 6.86
OTHER INFECTIOUS & PARASITIC DISEASES 7 $21,187 $7,006 $148,312 $49,041 5.43
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS 7 $22,760 $7,694 $159,321 $53,858 3.29
CARDIAC PACEMAKER & DEFIBRILLATOR DEVICE REPLACEMENT 7 $102,723 $43,080 $719,063 $301,563 5.57
COCAINE ABUSE & DEPENDENCE 7 $32,381 $12,412 $226,668 $86,885 6.00
UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA 7 $32,839 $10,815 $229,874 $75,702 1.57
ACUTE & SUBACUTE ENDOCARDITIS 6 $65,384 $24,887 $392,306 $149,321 14.83
OTHER COMPLICATIONS OF TREATMENT 6 $23,944 $8,588 $143,666 $51,528 4.00
INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES 6 $30,365 $10,734 $182,187 $64,406 4.67
MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 6 $53,756 $20,386 $322,536 $122,317 11.00
INTRACRANIAL HEMORRHAGE 6 $43,439 $16,644 $260,636 $99,863 5.17
OTHER MAJOR HEAD & NECK PROCEDURES 6 $40,619 $15,174 $243,716 $91,046 4.00
TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE 6 $387,061 $168,872 $2,322,368 $1,013,233 41.67
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS 6 $32,860 $9,711 $197,160 $58,264 4.67
ACUTE LEUKEMIA 6 $40,442 $14,075 $242,649 $84,449 6.83
OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES 5 $43,945 $14,815 $219,725 $74,076 8.00
NERVOUS SYSTEM MALIGNANCY 5 $64,726 $23,835 $323,630 $119,174 8.40
OTHER DISORDERS OF NERVOUS SYSTEM 5 $14,498 $3,386 $72,492 $16,929 3.00
DIGESTIVE MALIGNANCY 5 $71,432 $26,565 $357,158 $132,825 13.80
OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL & METABOLIC DISORDERS 5 $68,919 $26,312 $344,593 $131,559 11.60
MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE 5 $17,867 $5,785 $89,335 $28,925 4.00
VIRAL ILLNESS 5 $14,599 $4,113 $72,995 $20,563 2.40
CRANIOTOMY EXCEPT FOR TRAUMA 5 $84,728 $30,764 $423,641 $153,818 9.60
KIDNEY & URINARY TRACT MALIGNANCY 5 $28,711 $9,678 $143,553 $48,388 6.20
CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT 5 $37,614 $13,993 $188,070 $69,963 3.60
MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE 5 $23,074 $7,541 $115,372 $37,705 4.40
EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 5 $57,132 $22,661 $285,660 $113,305 6.40
OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES 5 $47,245 $16,169 $236,226 $80,845 4.60
GASTROINTESTINAL VASCULAR INSUFFICIENCY 4 $37,706 $13,225 $150,823 $52,900 6.00
MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG 4 $18,907 $4,725 $75,627 $18,901 3.50
OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES 4 $61,466 $20,870 $245,864 $83,479 9.50
EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA 4 $125,717 $45,960 $502,866 $183,840 10.75
DENTAL DISEASES AND DISORDERS 4 $15,285 $5,141 $61,141 $20,562 4.25
CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX 4 $177,833 $67,862 $711,331 $271,447 16.25
HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS 4 $62,497 $22,145 $249,987 $88,579 16.25
MAJOR BILIARY TRACT PROCEDURES 4 $45,821 $15,819 $183,283 $63,277 9.25
CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP 4 $102,546 $35,379 $410,184 $141,515 12.25
CARDIOMYOPATHY 4 $14,581 $5,963 $58,323 $23,851 2.75
OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES 4 $15,540 $3,960 $62,159 $15,839 1.75
OPIOID ABUSE & DEPENDENCE 4 $16,796 $4,839 $67,184 $19,356 3.75
PERITONEAL ADHESIOLYSIS 4 $56,342 $19,959 $225,367 $79,837 9.50
MAJOR MALE PELVIC PROCEDURES 4 $37,745 $13,031 $150,980 $52,125 1.75
MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE 4 $85,911 $29,491 $343,644 $117,964 21.00
OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES 3 $115,596 $41,518 $346,788 $124,555 23.33
NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 3 $39,361 $13,191 $118,082 $39,574 10.00
OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS 3 $32,981 $10,946 $98,944 $32,838 3.33
BRONCHIOLITIS & RSV PNEUMONIA 3 $27,148 $8,982 $81,443 $26,946 5.33
UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY 3 $44,312 $15,912 $132,937 $47,736 3.00
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY 3 $37,443 $13,249 $112,329 $39,746 6.00
MAJOR RESPIRATORY & CHEST PROCEDURES 3 $41,759 $15,642 $125,277 $46,925 1.67
OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES 3 $32,550 $10,881 $97,650 $32,643 4.00
EYE INFECTIONS AND OTHER EYE DISORDERS 3 $21,844 $4,012 $65,532 $12,036 3.00
LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA 3 $39,361 $12,684 $118,083 $38,051 5.67
PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE 3 $54,372 $21,622 $163,115 $64,865 4.67
TRANSIENT ISCHEMIA 3 $7,243 $1,795 $21,728 $5,384 1.00
FEVER 3 $14,508 $3,423 $43,525 $10,270 3.00
UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG 3 $44,991 $16,823 $134,973 $50,470 1.00
FEMALE REPRODUCTIVE SYSTEM INFECTIONS 3 $17,836 $4,239 $53,508 $12,716 3.67
BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA 3 $56,178 $21,970 $168,533 $65,910 5.67
OTHER BLADDER PROCEDURES 3 $26,328 $7,444 $78,984 $22,333 3.33
OTHER MENTAL HEALTH DISORDERS 3 $19,205 $6,876 $57,614 $20,628 8.00
SPINAL DISORDERS & INJURIES 3 $54,706 $18,172 $164,117 $54,516 5.33
EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES 3 $19,547 $6,639 $58,641 $19,918 3.33
SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES 3 $43,413 $18,433 $130,240 $55,299 4.00
OTHER ANTEPARTUM DIAGNOSES 2 $9,995 $4,004 $19,990 $8,008 1.50
MALIGNANCY, MALE REPRODUCTIVE SYSTEM 2 $36,810 $10,844 $73,619 $21,688 8.00
DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK 2 $114,163 $43,339 $228,325 $86,678 10.00
NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS 2 $35,620 $14,555 $71,239 $29,109 7.00
MAJOR BLADDER PROCEDURES 2 $51,985 $18,955 $103,970 $37,909 5.50
TRANSURETHRAL PROSTATECTOMY 2 $18,685 $5,785 $37,369 $11,570 2.00
NEPHRITIS & NEPHROSIS 2 $25,799 $9,219 $51,597 $18,437 8.50
INTERVERTEBRAL DISC EXCISION & DECOMPRESSION 2 $46,714 $15,374 $93,427 $30,748 9.00
MAJOR CRANIAL/FACIAL BONE PROCEDURES 2 $36,263 $13,273 $72,525 $26,545 6.50
HIV W MAJOR HIV RELATED CONDITION 2 $38,121 $14,761 $76,241 $29,522 5.50
BREAST PROCEDURES EXCEPT MASTECTOMY 2 $52,373 $19,775 $104,746 $39,549 10.50
HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION 2 $16,282 $6,911 $32,564 $13,822 2.50
CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA 2 $126,225 $44,770 $252,449 $89,539 9.00
OTHER ENDOCRINE DISORDERS 2 $18,285 $4,543 $36,570 $9,086 3.50
THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES 2 $18,274 $6,351 $36,548 $12,701 1.00
CONNECTIVE TISSUE DISORDERS 2 $62,642 $18,106 $125,283 $36,212 12.00
DISORDERS OF PERSONALITY & IMPULSE CONTROL 1 $9,660 $2,903 $9,660 $2,903 3.00
OTHER NERVOUS SYSTEM & RELATED PROCEDURES 1 $23,151 $7,219 $23,151 $7,219 3.00
ORBIT AND EYE PROCEDURES 1 $11,327 $5,293 $11,327 $5,293 2.00
HEAD TRAUMA WITH DEEP COMA 1 $196,192 $75,007 $196,192 $75,007 18.00
OTHER DRUG ABUSE & DEPENDENCE 1 $13,024 $4,694 $13,024 $4,694 5.00
PENIS, TESTES & SCROTAL PROCEDURES 1 $35,620 $9,026 $35,620 $9,026 4.00
PARTIAL THICKNESS BURNS W/O SKIN GRAFT 1 $7,125 $1,851 $7,125 $1,851 1.00
MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS 1 $62,471 $21,986 $62,471 $21,986 14.00
HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND 1 $18,257 $7,438 $18,257 $7,438 6.00
MAJOR SKIN DISORDERS 1 $19,957 $7,498 $19,957 $7,498 5.00
MAJOR PANCREAS, LIVER & SHUNT PROCEDURES 1 $55,405 $29,154 $55,405 $29,154 1.00
RENAL DIALYSIS ACCESS DEVICE AND VESSEL REPAIR 1 $79,866 $28,482 $79,866 $28,482 21.00
ANAL PROCEDURES 1 $17,823 $6,978 $17,823 $6,978 3.00
ADRENAL PROCEDURES 1 $56,492 $20,564 $56,492 $20,564 2.00
FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES 1 $42,898 $14,955 $42,898 $14,955 8.00
ANOXIC & OTHER SEVERE BRAIN DAMAGE 1 $280,216 $113,221 $280,216 $113,221 51.00
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM 1 $91,708 $33,969 $91,708 $33,969 20.00
PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK 1 $208,111 $76,920 $208,111 $76,920 17.00
UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA 1 $25,352 $9,378 $25,352 $9,378 1.00
MALIGNANT BREAST DISORDERS 1 $51,919 $18,607 $51,919 $18,607 18.00
MENTAL ILLNESS DIAGNOSIS W O.R. PROCEDURE 1 $17,878 $5,749 $17,878 $5,749 4.00
SPINAL PROCEDURES 1 $97,616 $38,142 $97,616 $38,142 11.00
SPLENECTOMY 1 $130,935 $53,747 $130,935 $53,747 17.00
MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES 1 $12,752 $3,523 $12,752 $3,523 4.00
OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS 1 $22,477 $7,754 $22,477 $7,754 1.00
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT 1 $16,870 $5,812 $16,870 $5,812 1.00
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES 1 $33,662 $13,122 $33,662 $13,122 1.00
ORGANIC MENTAL HEALTH DISTURBANCES 1 $9,532 $3,806 $9,532 $3,806 5.00