Neonate birthwt >2499g, normal newborn or neonate w other problem |
1696 |
$4,258 |
$1,736 |
$7,221,732 |
$2,943,886 |
2.27 |
Vaginal delivery |
1101 |
$8,833 |
$4,920 |
$9,724,810 |
$5,416,439 |
2.28 |
Cesarean delivery |
713 |
$13,697 |
$6,836 |
$9,766,048 |
$4,874,193 |
2.96 |
Procedures for obesity |
460 |
$28,960 |
$8,479 |
$13,321,621 |
$3,900,446 |
1.70 |
Septicemia & disseminated infections |
429 |
$40,631 |
$12,238 |
$17,430,583 |
$5,250,232 |
6.82 |
Chronic obstructive pulmonary disease |
403 |
$22,774 |
$7,418 |
$9,178,086 |
$2,989,451 |
5.26 |
CVA & precerebral occlusion w infarct |
397 |
$31,906 |
$8,232 |
$12,666,587 |
$3,267,922 |
3.98 |
Major depressive disorders & other/unspecified psychoses |
326 |
$9,950 |
$3,454 |
$3,243,788 |
$1,126,077 |
4.29 |
Other pneumonia |
315 |
$18,649 |
$6,502 |
$5,874,287 |
$2,048,009 |
4.23 |
Heart failure |
313 |
$25,975 |
$8,452 |
$8,130,150 |
$2,645,509 |
5.54 |
Schizophrenia |
311 |
$18,285 |
$6,610 |
$5,686,498 |
$2,055,851 |
9.35 |
Kidney & urinary tract infections |
233 |
$18,754 |
$6,251 |
$4,369,755 |
$1,456,569 |
4.58 |
Bipolar disorders |
217 |
$11,071 |
$3,883 |
$2,402,316 |
$842,680 |
4.97 |
Acute Kidney Injury |
204 |
$29,452 |
$9,533 |
$6,008,239 |
$1,944,783 |
6.36 |
Depression except major depressive disorder |
198 |
$7,278 |
$2,552 |
$1,440,998 |
$505,274 |
2.90 |
Other disorders of nervous system |
192 |
$33,435 |
$15,208 |
$6,419,516 |
$2,919,975 |
11.12 |
Other aftercare & convalescence |
182 |
$25,846 |
$12,807 |
$4,703,989 |
$2,330,953 |
9.82 |
Cellulitis & other skin infections |
179 |
$16,514 |
$5,913 |
$2,955,968 |
$1,058,371 |
4.57 |
Hypovolemia & related electrolyte disorders |
167 |
$16,390 |
$5,327 |
$2,737,071 |
$889,603 |
3.82 |
Transient ischemia |
160 |
$18,226 |
$4,666 |
$2,916,092 |
$746,627 |
2.36 |
Respiratory Failure |
146 |
$36,377 |
$11,344 |
$5,311,019 |
$1,656,245 |
6.07 |
Diabetes |
138 |
$24,053 |
$7,482 |
$3,319,366 |
$1,032,504 |
4.57 |
Extracranial vascular procedures |
136 |
$55,272 |
$17,716 |
$7,517,024 |
$2,409,309 |
2.94 |
Diverticulitis & diverticulosis |
129 |
$15,268 |
$4,958 |
$1,969,570 |
$639,520 |
3.67 |
Cardiac arrhythmia & conduction disorders |
124 |
$20,081 |
$5,791 |
$2,490,036 |
$718,036 |
3.57 |
Signs, symptoms & other factors influencing health status |
123 |
$20,853 |
$7,580 |
$2,564,907 |
$932,322 |
5.36 |
Intestinal obstruction |
119 |
$17,864 |
$5,961 |
$2,125,854 |
$709,304 |
4.50 |
Seizure |
118 |
$22,002 |
$6,554 |
$2,596,266 |
$773,349 |
3.79 |
Alcohol abuse & dependence |
117 |
$17,449 |
$6,020 |
$2,041,566 |
$704,327 |
4.24 |
Other gastroenteritis, nausa & vomiting |
113 |
$15,801 |
$5,009 |
$1,785,521 |
$565,968 |
3.62 |
Other back & neck disorders, fractures & injuries |
113 |
$19,071 |
$6,407 |
$2,155,071 |
$723,980 |
4.47 |
Major respiratory infections & inflammations |
112 |
$28,832 |
$9,269 |
$3,229,168 |
$1,038,145 |
6.14 |
Other digestive system diagnoses |
105 |
$15,804 |
$5,164 |
$1,659,402 |
$542,168 |
3.56 |
Major small & large bowel procedures |
104 |
$58,938 |
$20,751 |
$6,129,601 |
$2,158,068 |
8.36 |
Other anemia & disorders of blood & blood-forming organs |
104 |
$20,275 |
$6,439 |
$2,108,552 |
$669,676 |
3.82 |
Electrolyte disorders except hypovolemia related |
102 |
$21,824 |
$6,905 |
$2,226,097 |
$704,262 |
4.54 |
Other & unspecified gastrointestinal hemorrhage |
96 |
$22,741 |
$7,270 |
$2,183,166 |
$697,906 |
4.32 |
Laparoscopic cholecystectomy |
88 |
$33,431 |
$11,464 |
$2,941,913 |
$1,008,816 |
3.94 |
Moderately extensive procedure unrelated to principal diagnosis |
87 |
$58,653 |
$18,164 |
$5,102,801 |
$1,580,256 |
9.62 |
Malfunction, reaction, complic of genitourinary device or proc |
85 |
$25,171 |
$8,018 |
$2,139,563 |
$681,493 |
5.28 |
Appendectomy |
82 |
$22,961 |
$7,419 |
$1,882,833 |
$608,365 |
2.22 |
Major gastrointestinal & peritoneal infections |
79 |
$21,325 |
$7,184 |
$1,684,667 |
$567,565 |
5.42 |
Other antepartum diagnoses |
79 |
$8,306 |
$3,211 |
$656,145 |
$253,688 |
2.15 |
Neonate bwt 2000-2499g, normal newborn or neonate w other problem |
79 |
$10,533 |
$4,436 |
$832,082 |
$350,482 |
4.61 |
Cervical spinal fusion & other back/neck proc exc disc excis/decomp |
78 |
$49,023 |
$15,427 |
$3,823,831 |
$1,203,286 |
3.46 |
Other Chemotherapy |
75 |
$39,783 |
$11,543 |
$2,983,726 |
$865,689 |
7.88 |
Disorders of pancreas except malignancy |
72 |
$17,084 |
$5,330 |
$1,230,077 |
$383,754 |
3.44 |
Peptic ulcer & gastritis |
71 |
$24,995 |
$7,821 |
$1,774,633 |
$555,324 |
4.80 |
Pulmonary embolism |
69 |
$33,079 |
$9,128 |
$2,282,469 |
$629,822 |
4.90 |
Nontraumatic stupor & coma |
66 |
$27,955 |
$9,345 |
$1,845,033 |
$616,756 |
6.12 |
Infections of upper respiratory tract |
65 |
$13,102 |
$4,674 |
$851,610 |
$303,785 |
2.95 |
Infectious & parasitic diseases including HIV w O.R. procedure |
63 |
$84,910 |
$26,451 |
$5,349,317 |
$1,666,444 |
12.83 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
62 |
$32,390 |
$9,875 |
$2,008,180 |
$612,236 |
6.45 |
Disorders of gallbladder & biliary tract |
60 |
$23,496 |
$7,773 |
$1,409,756 |
$466,374 |
3.80 |
Respiratory malignancy |
56 |
$44,276 |
$12,973 |
$2,479,432 |
$726,465 |
7.48 |
Syncope & collapse |
55 |
$16,611 |
$4,868 |
$913,597 |
$267,756 |
2.85 |
Hip and femur fracture repair |
55 |
$35,698 |
$13,271 |
$1,963,392 |
$729,907 |
4.15 |
Migraine & other headaches |
54 |
$17,140 |
$4,703 |
$925,542 |
$253,967 |
2.26 |
Peripheral & other vascular disorders |
54 |
$23,224 |
$7,389 |
$1,254,084 |
$398,997 |
4.22 |
Dorsal & lumbar fusion proc except for curvature of back |
54 |
$63,146 |
$20,164 |
$3,409,874 |
$1,088,862 |
4.50 |
Urinary stones & acquired upper urinary tract obstruction |
54 |
$15,137 |
$4,549 |
$817,372 |
$245,625 |
2.44 |
Other small & large bowel procedures |
52 |
$44,679 |
$14,815 |
$2,323,285 |
$770,375 |
7.27 |
Chronic Kidney Disease |
52 |
$22,192 |
$7,225 |
$1,154,008 |
$375,683 |
4.69 |
Poisoning of medicinal agents |
52 |
$17,890 |
$5,295 |
$930,293 |
$275,316 |
2.71 |
Hip joint replacement |
51 |
$51,262 |
$18,393 |
$2,614,361 |
$938,029 |
3.24 |
Intracranial hemorrhage |
50 |
$29,928 |
$8,155 |
$1,496,388 |
$407,774 |
3.98 |
Uterine & adnexa procedures for non-malignancy except leiomyoma |
50 |
$25,305 |
$9,073 |
$1,265,226 |
$453,625 |
2.42 |
Other peripheral vascular procedures |
49 |
$77,758 |
$24,785 |
$3,810,123 |
$1,214,443 |
4.67 |
Hypertension |
49 |
$24,663 |
$6,979 |
$1,208,483 |
$341,992 |
3.96 |
Acute anxiety & delirium states |
49 |
$10,993 |
$3,577 |
$538,659 |
$175,266 |
3.47 |
Lower extremity arterial procedures |
47 |
$63,408 |
$21,248 |
$2,980,193 |
$998,639 |
6.91 |
Adjustment disorders & neuroses except depressive diagnoses |
47 |
$6,779 |
$2,371 |
$318,590 |
$111,449 |
2.79 |
Knee joint replacement |
45 |
$44,370 |
$16,517 |
$1,996,647 |
$743,277 |
2.49 |
Lymphoma, myeloma & non-acute leukemia |
44 |
$45,879 |
$13,257 |
$2,018,676 |
$583,305 |
8.20 |
Head trauma w coma >1 hr or hemorrhage |
43 |
$33,359 |
$9,560 |
$1,434,455 |
$411,086 |
5.21 |
Digestive malignancy |
40 |
$34,011 |
$10,522 |
$1,360,424 |
$420,895 |
7.10 |
Other kidney & urinary tract diagnoses, signs & symptoms |
40 |
$19,995 |
$6,240 |
$799,787 |
$249,591 |
4.18 |
Extensive procedure unrelated to principal diagnosis |
40 |
$66,718 |
$20,849 |
$2,668,717 |
$833,970 |
8.63 |
Craniotomy except for trauma |
39 |
$132,657 |
$38,737 |
$5,173,627 |
$1,510,756 |
11.26 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
36 |
$26,338 |
$7,986 |
$948,182 |
$287,488 |
4.36 |
Acute myocardial infarction |
36 |
$21,337 |
$5,965 |
$768,122 |
$214,725 |
3.11 |
Nonextensive procedure unrelated to principal diagnosis |
36 |
$43,237 |
$13,723 |
$1,556,542 |
$494,033 |
8.06 |
Nervous system malignancy |
35 |
$23,633 |
$7,374 |
$827,143 |
$258,096 |
4.34 |
Post-operative, post-traumatic, other device infections |
35 |
$32,425 |
$10,182 |
$1,134,869 |
$356,377 |
7.46 |
Kidney & urinary tract procedures for nonmalignancy |
34 |
$36,826 |
$11,731 |
$1,252,088 |
$398,849 |
6.74 |
Malignancy of hepatobiliary system & pancreas |
33 |
$29,689 |
$9,131 |
$979,722 |
$301,325 |
6.03 |
Other endocrine disorders |
33 |
$23,472 |
$7,166 |
$774,574 |
$236,477 |
4.73 |
Behavioral disorders |
33 |
$5,825 |
$2,062 |
$192,217 |
$68,054 |
2.24 |
Asthma |
32 |
$13,456 |
$6,191 |
$430,596 |
$198,101 |
3.63 |
Uterine & adnexa procedures for leiomyoma |
32 |
$24,305 |
$8,994 |
$777,763 |
$287,811 |
2.19 |
Other complications of treatment |
32 |
$21,702 |
$6,791 |
$694,466 |
$217,325 |
3.88 |
Degenerative nervous system disorders exc mult sclerosis |
31 |
$19,808 |
$6,699 |
$614,033 |
$207,656 |
4.77 |
Other circulatory system diagnoses |
31 |
$28,093 |
$8,796 |
$870,898 |
$272,671 |
4.97 |
Hernia procedures except inguinal, femoral & umbilical |
31 |
$33,432 |
$11,520 |
$1,036,377 |
$357,105 |
3.77 |
Other hepatobiliary, pancreas & abdominal procedures |
31 |
$44,264 |
$13,884 |
$1,372,177 |
$430,400 |
6.48 |
Hepatic coma & other major acute liver disorders |
31 |
$28,495 |
$9,200 |
$883,351 |
$285,213 |
6.26 |
Other musculoskeletal system & connective tissue diagnoses |
31 |
$21,554 |
$6,769 |
$668,169 |
$209,829 |
4.06 |
Other skin, subcutaneous tissue & related procedures |
31 |
$30,951 |
$10,437 |
$959,467 |
$323,542 |
6.35 |
Inflammatory bowel disease |
30 |
$22,191 |
$7,192 |
$665,742 |
$215,749 |
5.07 |
Postpartum & post abortion diagnoses w/o procedure |
30 |
$17,671 |
$5,970 |
$530,129 |
$179,097 |
2.93 |
Preterm labor |
30 |
$3,743 |
$1,258 |
$112,286 |
$37,753 |
1.27 |
Organic mental health disturbances |
29 |
$16,319 |
$5,243 |
$473,238 |
$152,053 |
4.38 |
Peripheral, cranial & autonomic nerve disorders |
28 |
$27,485 |
$8,339 |
$769,591 |
$233,499 |
5.32 |
Respiratory signs, symptoms & minor diagnoses |
28 |
$17,260 |
$5,546 |
$483,278 |
$155,275 |
3.36 |
Alcoholic liver disease |
28 |
$24,781 |
$7,757 |
$693,869 |
$217,192 |
5.11 |
Skin ulcers |
28 |
$20,023 |
$6,509 |
$560,640 |
$182,260 |
4.61 |
Bronchiolitis & RSV pneumonia |
27 |
$9,030 |
$5,916 |
$243,809 |
$159,725 |
2.63 |
Neonate bwt 1500-1999g w or w/o other significant condition |
26 |
$35,107 |
$15,071 |
$912,772 |
$391,858 |
13.31 |
Nonspecific CVA & precerebral occlusion w/o infarct |
25 |
$22,958 |
$6,489 |
$573,957 |
$162,228 |
3.36 |
Respiratory system diagnosis w ventilator support 96+ hours |
25 |
$129,761 |
$40,810 |
$3,244,017 |
$1,020,262 |
17.96 |
Neonatal aftercare |
25 |
$47,016 |
$20,133 |
$1,175,411 |
$503,316 |
17.16 |
Angina pectoris & coronary atherosclerosis |
24 |
$13,627 |
$3,697 |
$327,059 |
$88,723 |
1.67 |
Abdominal pain |
24 |
$13,631 |
$4,579 |
$327,146 |
$109,891 |
2.88 |
Fractures & dislocations except femur, pelvis & back |
24 |
$18,005 |
$6,032 |
$432,129 |
$144,757 |
4.00 |
Malnutrition, failure to thrive & other nutritional disorders |
24 |
$16,853 |
$5,904 |
$404,460 |
$141,702 |
4.58 |
Neonate, transferred < 5 days old, born here |
24 |
$6,608 |
$2,015 |
$158,598 |
$48,371 |
1.25 |
Neonate birthwt >2499g w other significant condition |
24 |
$13,018 |
$5,212 |
$312,435 |
$125,095 |
5.21 |
Viral illness |
24 |
$13,624 |
$4,549 |
$326,983 |
$109,174 |
2.71 |
Other drug abuse & dependence |
24 |
$9,002 |
$2,824 |
$216,050 |
$67,765 |
2.50 |
Vertigo & other labyrinth disorders |
23 |
$17,227 |
$4,862 |
$396,221 |
$111,830 |
3.17 |
Other digestive system & abdominal procedures |
23 |
$50,645 |
$15,404 |
$1,164,843 |
$354,296 |
6.39 |
Urethral & transurethral procedures |
23 |
$18,553 |
$5,660 |
$426,715 |
$130,191 |
2.30 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
23 |
$14,639 |
$6,977 |
$336,693 |
$160,468 |
2.78 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
23 |
$30,895 |
$9,240 |
$710,595 |
$212,521 |
5.91 |
Shoulder, upper arm & forearm procedures except joint replacement |
22 |
$48,388 |
$17,144 |
$1,064,542 |
$377,177 |
1.59 |
Knee & lower leg procedures except foot |
21 |
$36,919 |
$13,112 |
$775,309 |
$275,348 |
3.48 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
21 |
$40,471 |
$12,807 |
$849,900 |
$268,944 |
7.05 |
Other esophageal disorders |
20 |
$19,993 |
$6,253 |
$399,869 |
$125,065 |
3.65 |
Malfunction, reaction & complication of GI device or procedure |
20 |
$26,453 |
$8,666 |
$529,066 |
$173,325 |
4.90 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
20 |
$30,126 |
$10,331 |
$602,511 |
$206,622 |
7.10 |
Male reproductive system diagnoses except malignancy |
20 |
$20,928 |
$6,761 |
$418,552 |
$135,220 |
4.45 |
Drug & alcohol abuse or dependence, left against medical advice |
20 |
$9,002 |
$3,011 |
$180,040 |
$60,215 |
1.85 |
Chest pain |
19 |
$13,725 |
$3,764 |
$260,783 |
$71,521 |
2.05 |
Peritoneal adhesiolysis |
18 |
$32,493 |
$10,656 |
$584,873 |
$191,812 |
4.56 |
Toxic effects of non-medicinal substances |
18 |
$32,055 |
$8,278 |
$576,995 |
$149,002 |
3.50 |
Other stomach, esophageal & duodenal procedures |
17 |
$61,294 |
$19,414 |
$1,041,998 |
$330,036 |
10.65 |
Major biliary tract procedures |
17 |
$48,993 |
$15,480 |
$832,889 |
$263,168 |
9.24 |
Gastrointestinal vascular insufficiency |
16 |
$20,327 |
$6,244 |
$325,224 |
$99,906 |
4.56 |
Mastectomy procedures |
16 |
$43,623 |
$14,260 |
$697,971 |
$228,153 |
1.94 |
Fever |
16 |
$17,598 |
$5,895 |
$281,570 |
$94,318 |
3.88 |
Other infectious & parasitic diseases |
16 |
$14,847 |
$5,041 |
$237,546 |
$80,659 |
2.88 |
Foot & toe procedures |
15 |
$49,768 |
$16,612 |
$746,522 |
$249,187 |
9.60 |
Vaginal delivery w sterilization &/or D&C |
15 |
$12,215 |
$6,116 |
$183,232 |
$91,747 |
2.67 |
Multiple sclerosis & other demyelinating diseases |
14 |
$30,863 |
$9,822 |
$432,084 |
$137,509 |
5.14 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
14 |
$21,434 |
$6,645 |
$300,073 |
$93,028 |
4.57 |
Other disorders of the liver |
14 |
$19,045 |
$5,121 |
$266,635 |
$71,700 |
2.64 |
Female reproductive system infections |
14 |
$16,389 |
$5,527 |
$229,439 |
$77,384 |
4.29 |
Neonate birthwt >2499g w major anomaly |
14 |
$5,984 |
$2,135 |
$83,770 |
$29,896 |
2.57 |
Coagulation & platelet disorders |
14 |
$42,814 |
$11,728 |
$599,398 |
$164,198 |
6.64 |
Major esophageal disorders |
13 |
$23,151 |
$7,243 |
$300,969 |
$94,154 |
4.08 |
Cholecystectomy except laparoscopic |
13 |
$42,185 |
$14,868 |
$548,406 |
$193,280 |
5.85 |
Amputation of lower limb except toes |
13 |
$46,813 |
$15,386 |
$608,565 |
$200,013 |
8.62 |
Sickle cell anemia crisis |
13 |
$18,726 |
$6,812 |
$243,436 |
$88,557 |
5.31 |
Acute leukemia |
13 |
$54,488 |
$18,418 |
$708,348 |
$239,431 |
12.69 |
Craniotomy for trauma |
12 |
$78,402 |
$22,714 |
$940,818 |
$272,567 |
9.00 |
Other respiratory & chest procedures |
12 |
$92,410 |
$29,427 |
$1,108,915 |
$353,127 |
13.58 |
Other circulatory system procedures |
12 |
$104,485 |
$34,285 |
$1,253,814 |
$411,422 |
21.67 |
Inguinal, femoral & umbilical hernia procedures |
12 |
$37,834 |
$12,561 |
$454,013 |
$150,730 |
6.25 |
Tendon, muscle & other soft tissue procedures |
12 |
$25,838 |
$8,494 |
$310,059 |
$101,929 |
4.25 |
Fracture of femur |
12 |
$18,357 |
$5,691 |
$220,280 |
$68,290 |
4.08 |
Fracture of pelvis or dislocation of hip |
12 |
$17,139 |
$5,438 |
$205,664 |
$65,252 |
3.75 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
12 |
$13,126 |
$4,319 |
$157,513 |
$51,826 |
2.83 |
Post-op, post-trauma, other device infections w O.R. procedure |
12 |
$45,117 |
$13,888 |
$541,409 |
$166,654 |
7.67 |
Disorders of personality & impulse control |
12 |
$8,864 |
$3,274 |
$106,371 |
$39,282 |
4.25 |
Opioid abuse & dependence |
12 |
$11,016 |
$3,710 |
$132,191 |
$44,519 |
3.50 |
O.R. procedure for other complications of treatment |
12 |
$41,217 |
$12,980 |
$494,602 |
$155,756 |
4.08 |
Intervertebral disc excision & decompression |
11 |
$31,729 |
$10,022 |
$349,017 |
$110,247 |
3.18 |
Other skin, subcutaneous tissue & breast disorders |
11 |
$14,466 |
$4,824 |
$159,122 |
$53,062 |
3.18 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
10 |
$14,103 |
$4,065 |
$141,028 |
$40,651 |
3.40 |
Other significant hip and femur surgery |
10 |
$46,386 |
$16,471 |
$463,862 |
$164,709 |
4.60 |
Tracheostomy w MV 96+ hours w extensive procedure or ECMO |
9 |
$367,065 |
$105,713 |
$3,303,586 |
$951,413 |
36.33 |
Dental & oral diseases & injuries |
9 |
$13,613 |
$4,368 |
$122,521 |
$39,315 |
3.44 |
Major chest & respiratory trauma |
9 |
$16,027 |
$4,853 |
$144,242 |
$43,678 |
3.00 |
Major bladder procedures |
9 |
$41,327 |
$13,742 |
$371,944 |
$123,682 |
6.56 |
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond |
9 |
$23,995 |
$9,325 |
$215,959 |
$83,923 |
7.33 |
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms |
9 |
$46,146 |
$13,639 |
$415,312 |
$122,747 |
6.56 |
Chemotherapy for acute leukemia |
9 |
$44,090 |
$13,890 |
$396,811 |
$125,006 |
11.11 |
Cocaine abuse & dependence |
9 |
$7,629 |
$2,553 |
$68,665 |
$22,979 |
2.67 |
Spinal procedures |
8 |
$71,265 |
$21,656 |
$570,117 |
$173,249 |
8.38 |
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma |
8 |
$17,186 |
$5,326 |
$137,489 |
$42,606 |
3.50 |
Interstitial & alveolar lung diseases |
8 |
$20,667 |
$5,999 |
$165,334 |
$47,989 |
3.25 |
Major abdominal vascular procedures |
8 |
$83,974 |
$28,187 |
$671,788 |
$225,494 |
8.50 |
Other procedures for endocrine, nutritional & metabolic disorders |
8 |
$54,779 |
$17,378 |
$438,228 |
$139,021 |
9.13 |
Other female reproductive system & related procedures |
8 |
$50,939 |
$16,884 |
$407,514 |
$135,068 |
11.25 |
Bacterial & tuberculous infections of nervous system |
7 |
$42,647 |
$15,245 |
$298,531 |
$106,713 |
10.00 |
Eye disorders except major infections |
7 |
$11,495 |
$3,158 |
$80,466 |
$22,104 |
2.14 |
Malignant breast disorders |
7 |
$20,419 |
$6,195 |
$142,932 |
$43,366 |
4.43 |
Female reproductive system malignancy |
7 |
$21,858 |
$6,589 |
$153,008 |
$46,126 |
3.29 |
Neonate bwt 2000-2499g w other significant condition |
7 |
$37,034 |
$16,119 |
$259,241 |
$112,835 |
14.57 |
Procedure w diag of rehab, aftercare or oth contact w health service |
7 |
$61,866 |
$19,876 |
$433,065 |
$139,133 |
4.71 |
Musculoskeletal & other procedures for multiple significant trauma |
7 |
$51,638 |
$17,130 |
$361,466 |
$119,908 |
5.43 |
Spinal disorders & injuries |
6 |
$32,274 |
$14,610 |
$193,641 |
$87,660 |
10.17 |
Acute & subacute endocarditis |
6 |
$32,658 |
$10,327 |
$195,947 |
$61,961 |
8.17 |
Anal procedures |
6 |
$15,049 |
$4,975 |
$90,296 |
$29,850 |
3.33 |
Malfunction, reaction, complic of orthopedic device or procedure |
6 |
$19,254 |
$6,508 |
$115,525 |
$39,045 |
3.67 |
Menstrual & other female reproductive system disorders |
6 |
$9,975 |
$3,165 |
$59,850 |
$18,987 |
1.67 |
False labor |
6 |
$4,276 |
$1,398 |
$25,654 |
$8,386 |
1.17 |
Neonate bwt <500g or GA <24 weeks |
6 |
$1,431 |
$658 |
$8,585 |
$3,950 |
1.00 |
Allergic reactions |
6 |
$34,123 |
$8,499 |
$204,738 |
$50,994 |
3.83 |
HIV w major HIV related condition |
6 |
$43,969 |
$13,600 |
$263,811 |
$81,601 |
8.00 |
Non-bacterial infections of nervous system exc viral meningitis |
5 |
$37,753 |
$12,323 |
$188,763 |
$61,613 |
8.00 |
Ear, nose, mouth, throat, cranial/facial malignancies |
5 |
$35,672 |
$10,969 |
$178,361 |
$54,843 |
6.40 |
Cardiac arrest and shock |
5 |
$56,401 |
$16,315 |
$282,005 |
$81,573 |
6.20 |
Dorsal & lumbar fusion proc for curvature of back |
5 |
$134,096 |
$42,326 |
$670,482 |
$211,628 |
9.40 |
Connective tissue disorders |
5 |
$20,750 |
$6,707 |
$103,752 |
$33,536 |
4.00 |
Skin graft for skin & subcutaneous tissue diagnoses |
5 |
$28,782 |
$9,446 |
$143,911 |
$47,228 |
5.80 |
Inborn errors of metabolism |
5 |
$30,813 |
$9,882 |
$154,065 |
$49,410 |
7.60 |
Nephritis & nephrosis |
5 |
$39,478 |
$12,889 |
$197,388 |
$64,444 |
9.20 |
Neonate bwt 2000-2499g w major anomaly |
5 |
$29,915 |
$12,671 |
$149,574 |
$63,354 |
11.00 |
Other procedures of blood & blood-forming organs |
5 |
$29,962 |
$9,759 |
$149,809 |
$48,793 |
3.80 |
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms |
5 |
$63,790 |
$19,349 |
$318,948 |
$96,746 |
8.40 |
Major respiratory & chest procedures |
4 |
$104,544 |
$30,725 |
$418,175 |
$122,900 |
14.25 |
Perm cardiac pacemaker implant w/o AMI, heart failure or shock |
4 |
$30,853 |
$9,794 |
$123,413 |
$39,176 |
8.25 |
Cardiac catheterization for other non-coronary conditions |
4 |
$59,898 |
$20,642 |
$239,592 |
$82,566 |
13.00 |
Major stomach, esophageal & duodenal procedures |
4 |
$86,347 |
$27,746 |
$345,386 |
$110,982 |
13.25 |
Other musculoskeletal system & connective tissue procedures |
4 |
$31,898 |
$10,940 |
$127,592 |
$43,760 |
4.50 |
Malignancy, male reproductive system |
4 |
$30,251 |
$9,721 |
$121,002 |
$38,885 |
5.75 |
Neonate bwt 2000-2499g w resp dist synd/oth maj resp cond |
4 |
$49,270 |
$20,762 |
$197,081 |
$83,049 |
18.25 |
Tracheostomy w MV 96+ hours w/o extensive procedure |
3 |
$336,191 |
$105,500 |
$1,008,574 |
$316,501 |
48.00 |
Ventricular shunt procedures |
3 |
$68,866 |
$20,728 |
$206,597 |
$62,183 |
9.33 |
Acute major eye infections |
3 |
$14,335 |
$5,913 |
$43,006 |
$17,740 |
4.67 |
Other ear, nose, mouth & throat procedures |
3 |
$37,460 |
$10,513 |
$112,380 |
$31,540 |
2.67 |
Other cardiothoracic & thoracic vascular procedures |
3 |
$33,134 |
$10,101 |
$99,403 |
$30,303 |
6.00 |
Thyroid, parathyroid & thyroglossal procedures |
3 |
$40,019 |
$11,309 |
$120,057 |
$33,926 |
3.33 |
Other kidney, urinary tract & related procedures |
3 |
$72,445 |
$21,181 |
$217,336 |
$63,544 |
11.33 |
Neonate bwt 1250-1499g w or w/o other significant condition |
3 |
$55,168 |
$24,050 |
$165,504 |
$72,149 |
21.67 |
Mental illness diagnosis w O.R. procedure |
3 |
$10,926 |
$3,375 |
$32,779 |
$10,126 |
3.33 |
Other mental health disorders |
3 |
$13,730 |
$5,090 |
$41,191 |
$15,271 |
7.33 |
HIV w one signif HIV cond or w/o signif related cond |
3 |
$16,273 |
$5,120 |
$48,819 |
$15,361 |
3.33 |
Cardiac structural & valvular disorders |
2 |
$17,450 |
$6,457 |
$34,900 |
$12,913 |
5.00 |
Cardiomyopathy |
2 |
$48,318 |
$14,738 |
$96,635 |
$29,476 |
7.00 |
Major skin disorders |
2 |
$43,562 |
$12,600 |
$87,123 |
$25,200 |
5.00 |
Other bladder procedures |
2 |
$29,027 |
$9,939 |
$58,053 |
$19,877 |
8.50 |
Kidney & urinary tract malignancy |
2 |
$52,795 |
$18,061 |
$105,589 |
$36,121 |
11.50 |
Female reproductive system reconstructive procedures |
2 |
$24,584 |
$9,151 |
$49,168 |
$18,302 |
2.50 |
Dilation & curettage for non-obstetric diagnoses |
2 |
$19,070 |
$5,660 |
$38,139 |
$11,319 |
4.00 |
D&C, aspiration curettage or hysterotomy for obstetric diagnoses |
2 |
$16,253 |
$5,616 |
$32,505 |
$11,232 |
2.00 |
Other O.R. proc for obstetric diagnoses except delivery diagnoses |
2 |
$7,561 |
$2,681 |
$15,121 |
$5,361 |
1.00 |
Neonate bwt 1500-1999g w resp dist synd/oth maj resp cond |
2 |
$75,303 |
$31,653 |
$150,606 |
$63,306 |
27.50 |
Multiple significant trauma w/o O.R. procedure |
2 |
$16,921 |
$3,493 |
$33,841 |
$6,986 |
2.00 |
Other nervous system & related procedures |
1 |
$58,894 |
$15,245 |
$58,894 |
$15,245 |
11.00 |
Viral meningitis |
1 |
$23,436 |
$7,215 |
$23,436 |
$7,215 |
4.00 |
Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma |
1 |
$25,467 |
$7,049 |
$25,467 |
$7,049 |
3.00 |
Tonsil & adenoid procedures |
1 |
$70,790 |
$20,002 |
$70,790 |
$20,002 |
7.00 |
Breast procedures except mastectomy |
1 |
$16,023 |
$5,479 |
$16,023 |
$5,479 |
1.00 |
Kidney & urinary tract procedures for malignancy |
1 |
$42,689 |
$13,239 |
$42,689 |
$13,239 |
5.00 |
Penis procedures |
1 |
$14,633 |
$4,072 |
$14,633 |
$4,072 |
1.00 |
Testes & scrotal procedures |
1 |
$65,227 |
$16,378 |
$65,227 |
$16,378 |
2.00 |
Uterine & adnexa procedures for non-ovarian & non-adnexal malig |
1 |
$23,307 |
$9,375 |
$23,307 |
$9,375 |
3.00 |
Neonate, transferred <5 days old, not born here |
1 |
$6,283 |
$2,126 |
$6,283 |
$2,126 |
1.00 |
Neonate bwt 1000-1249g w resp dist synd/oth maj resp or maj anom |
1 |
$2,315 |
$1,065 |
$2,315 |
$1,065 |
1.00 |
Neonate birthwt 1000-1249g w or w/o other significant condition |
1 |
$1,254 |
$577 |
$1,254 |
$577 |
1.00 |
Neonate bwt 1250-1499g w resp dist synd/oth maj resp or maj anom |
1 |
$84,736 |
$34,753 |
$84,736 |
$34,753 |
30.00 |
Other injury, poisoning & toxic effect diagnoses |
1 |
$9,223 |
$2,611 |
$9,223 |
$2,611 |
1.00 |
HIV w multiple major HIV related conditions |
1 |
$23,619 |
$8,999 |
$23,619 |
$8,999 |
6.00 |