Neonate birthwt >2499g, normal newborn or neonate w other problem |
707 |
$5,168 |
$1,790 |
$3,654,116 |
$1,265,520 |
2.22 |
Vaginal delivery |
531 |
$16,817 |
$7,338 |
$8,929,698 |
$3,896,365 |
2.32 |
Knee joint replacement |
377 |
$52,082 |
$22,529 |
$19,634,770 |
$8,493,472 |
3.21 |
Hip joint replacement |
310 |
$58,140 |
$23,637 |
$18,023,435 |
$7,327,358 |
3.87 |
Major depressive disorders & other/unspecified psychoses |
284 |
$48,524 |
$13,689 |
$13,780,928 |
$3,887,685 |
10.35 |
Septicemia & disseminated infections |
251 |
$56,898 |
$21,102 |
$14,281,408 |
$5,296,653 |
7.16 |
Procedures for obesity |
240 |
$38,601 |
$15,573 |
$9,264,195 |
$3,737,565 |
2.60 |
Cesarean delivery |
230 |
$25,375 |
$11,248 |
$5,836,354 |
$2,586,993 |
3.08 |
Chronic obstructive pulmonary disease |
222 |
$29,684 |
$11,290 |
$6,589,957 |
$2,506,436 |
4.21 |
Shoulder, upper arm & forearm procedures except joint replacement |
220 |
$47,200 |
$20,041 |
$10,384,093 |
$4,409,085 |
2.00 |
Schizophrenia |
177 |
$54,863 |
$15,401 |
$9,710,770 |
$2,726,018 |
11.92 |
Cellulitis & other skin infections |
175 |
$26,744 |
$10,575 |
$4,680,228 |
$1,850,615 |
4.43 |
Other pneumonia |
155 |
$29,403 |
$11,128 |
$4,557,398 |
$1,724,866 |
4.38 |
Heart failure |
147 |
$35,634 |
$13,772 |
$5,238,269 |
$2,024,517 |
5.27 |
Shoulder & elbow joint replacement |
143 |
$43,369 |
$18,250 |
$6,201,819 |
$2,609,811 |
1.54 |
Bipolar disorders |
141 |
$42,355 |
$12,002 |
$5,972,125 |
$1,692,265 |
9.05 |
Rehabilitation |
141 |
$96,330 |
$36,507 |
$13,582,549 |
$5,147,439 |
14.19 |
Kidney & urinary tract infections |
133 |
$27,208 |
$10,449 |
$3,618,649 |
$1,389,663 |
4.32 |
Depression except major depressive disorder |
125 |
$30,455 |
$8,718 |
$3,806,851 |
$1,089,713 |
6.88 |
Seizure |
111 |
$37,423 |
$12,854 |
$4,154,003 |
$1,426,804 |
3.26 |
Other disorders of nervous system |
100 |
$122,932 |
$46,098 |
$12,293,214 |
$4,609,801 |
17.95 |
Disorders of pancreas except malignancy |
99 |
$23,636 |
$9,256 |
$2,339,958 |
$916,318 |
3.79 |
Respiratory Failure |
91 |
$55,912 |
$20,395 |
$5,088,001 |
$1,855,967 |
6.60 |
Major small & large bowel procedures |
86 |
$95,326 |
$36,343 |
$8,197,994 |
$3,125,504 |
10.22 |
Diabetes |
75 |
$24,732 |
$8,632 |
$1,854,917 |
$647,394 |
2.95 |
Other digestive system diagnoses |
73 |
$30,340 |
$12,015 |
$2,214,834 |
$877,103 |
4.30 |
Hip and femur fracture repair |
70 |
$59,420 |
$23,771 |
$4,159,429 |
$1,663,978 |
5.94 |
Other gastroenteritis, nausa & vomiting |
67 |
$26,510 |
$9,829 |
$1,776,185 |
$658,570 |
4.00 |
Acute anxiety & delirium states |
67 |
$28,057 |
$9,116 |
$1,879,847 |
$610,805 |
3.69 |
Laparoscopic cholecystectomy |
62 |
$40,323 |
$15,386 |
$2,500,002 |
$953,914 |
3.58 |
Intestinal obstruction |
61 |
$26,271 |
$9,461 |
$1,602,552 |
$577,151 |
4.16 |
Diverticulitis & diverticulosis |
60 |
$28,078 |
$10,547 |
$1,684,660 |
$632,815 |
4.08 |
Hypovolemia & related electrolyte disorders |
56 |
$33,357 |
$12,683 |
$1,867,976 |
$710,238 |
5.27 |
Kidney & urinary tract procedures for nonmalignancy |
55 |
$59,033 |
$20,339 |
$3,246,791 |
$1,118,655 |
3.87 |
Pulmonary embolism |
51 |
$29,923 |
$10,715 |
$1,526,068 |
$546,462 |
4.08 |
Cardiac arrhythmia & conduction disorders |
50 |
$29,270 |
$10,980 |
$1,463,521 |
$548,990 |
3.80 |
Peptic ulcer & gastritis |
47 |
$36,312 |
$14,120 |
$1,706,658 |
$663,651 |
4.60 |
Major gastrointestinal & peritoneal infections |
47 |
$28,891 |
$10,301 |
$1,357,866 |
$484,126 |
4.32 |
Alcohol abuse & dependence |
47 |
$26,581 |
$9,188 |
$1,249,285 |
$431,820 |
5.19 |
Other musculoskeletal system & connective tissue diagnoses |
46 |
$27,778 |
$10,206 |
$1,277,807 |
$469,488 |
3.78 |
Other back & neck disorders, fractures & injuries |
45 |
$44,371 |
$16,005 |
$1,996,714 |
$720,221 |
6.64 |
Knee & lower leg procedures except foot |
43 |
$54,262 |
$21,505 |
$2,333,255 |
$924,731 |
4.65 |
Acute Kidney Injury |
41 |
$36,455 |
$14,299 |
$1,494,652 |
$586,264 |
5.54 |
Major respiratory infections & inflammations |
40 |
$46,610 |
$18,769 |
$1,864,400 |
$750,759 |
7.13 |
Disorders of gallbladder & biliary tract |
40 |
$35,008 |
$14,568 |
$1,400,308 |
$582,739 |
4.95 |
Other skin, subcutaneous tissue & related procedures |
37 |
$38,553 |
$14,577 |
$1,426,454 |
$539,334 |
5.32 |
Appendectomy |
34 |
$28,576 |
$10,796 |
$971,593 |
$367,077 |
2.12 |
Other male reproductive system & related procedures |
34 |
$35,781 |
$11,824 |
$1,216,569 |
$402,031 |
1.68 |
Infectious & parasitic diseases including HIV w O.R. procedure |
34 |
$132,646 |
$48,830 |
$4,509,968 |
$1,660,220 |
13.79 |
Other antepartum diagnoses |
33 |
$15,057 |
$6,714 |
$496,879 |
$221,569 |
2.15 |
Poisoning of medicinal agents |
33 |
$35,963 |
$12,235 |
$1,186,785 |
$403,747 |
5.85 |
Other & unspecified gastrointestinal hemorrhage |
31 |
$31,489 |
$13,506 |
$976,150 |
$418,671 |
4.55 |
Malfunction, reaction, complic of genitourinary device or proc |
31 |
$30,254 |
$11,763 |
$937,886 |
$364,665 |
4.35 |
Major stomach, esophageal & duodenal procedures |
29 |
$83,860 |
$30,907 |
$2,431,943 |
$896,308 |
9.07 |
Abdominal pain |
29 |
$18,801 |
$6,692 |
$545,240 |
$194,054 |
2.31 |
Fractures & dislocations except femur, pelvis & back |
29 |
$38,586 |
$13,791 |
$1,118,995 |
$399,947 |
6.03 |
Hernia procedures except inguinal, femoral & umbilical |
28 |
$47,044 |
$17,014 |
$1,317,225 |
$476,404 |
4.57 |
Urinary stones & acquired upper urinary tract obstruction |
28 |
$17,419 |
$6,005 |
$487,741 |
$168,131 |
1.89 |
Lower extremity arterial procedures |
27 |
$82,857 |
$30,567 |
$2,237,132 |
$825,308 |
6.48 |
Cocaine abuse & dependence |
27 |
$27,900 |
$8,397 |
$753,307 |
$226,710 |
5.93 |
Infections of upper respiratory tract |
25 |
$29,552 |
$10,165 |
$738,789 |
$254,126 |
4.04 |
Syncope & collapse |
25 |
$29,742 |
$10,160 |
$743,558 |
$254,004 |
4.08 |
Inflammatory bowel disease |
25 |
$30,521 |
$11,128 |
$763,036 |
$278,194 |
4.40 |
Other anemia & disorders of blood & blood-forming organs |
25 |
$22,614 |
$10,413 |
$565,358 |
$260,334 |
2.84 |
Extracranial vascular procedures |
24 |
$39,954 |
$12,160 |
$958,886 |
$291,851 |
1.17 |
Peripheral & other vascular disorders |
24 |
$27,847 |
$10,345 |
$668,326 |
$248,290 |
3.67 |
Amputation of lower limb except toes |
23 |
$109,935 |
$42,821 |
$2,528,500 |
$984,873 |
15.96 |
Other significant hip and femur surgery |
23 |
$66,985 |
$25,995 |
$1,540,664 |
$597,891 |
5.39 |
Moderately extensive procedure unrelated to principal diagnosis |
23 |
$77,611 |
$29,214 |
$1,785,062 |
$671,921 |
8.17 |
Asthma |
22 |
$27,364 |
$10,044 |
$602,009 |
$220,963 |
3.64 |
Electrolyte disorders except hypovolemia related |
22 |
$27,502 |
$10,126 |
$605,054 |
$222,780 |
3.73 |
Fracture of pelvis or dislocation of hip |
21 |
$36,503 |
$13,654 |
$766,568 |
$286,734 |
5.76 |
Neonate bwt 2000-2499g, normal newborn or neonate w other problem |
20 |
$9,410 |
$2,986 |
$188,206 |
$59,728 |
3.10 |
Adjustment disorders & neuroses except depressive diagnoses |
20 |
$31,281 |
$9,240 |
$625,619 |
$184,805 |
5.90 |
Procedure w diag of rehab, aftercare or oth contact w health service |
20 |
$75,652 |
$30,683 |
$1,513,044 |
$613,651 |
4.35 |
Post-op, post-trauma, other device infections w O.R. procedure |
19 |
$60,364 |
$23,206 |
$1,146,910 |
$440,914 |
6.58 |
Opioid abuse & dependence |
18 |
$34,335 |
$10,332 |
$618,022 |
$185,972 |
7.39 |
Other small & large bowel procedures |
17 |
$43,085 |
$15,832 |
$732,451 |
$269,139 |
4.59 |
Foot & toe procedures |
17 |
$50,500 |
$19,587 |
$858,497 |
$332,974 |
5.00 |
Post-operative, post-traumatic, other device infections |
17 |
$26,481 |
$10,569 |
$450,183 |
$179,665 |
4.29 |
Degenerative nervous system disorders exc mult sclerosis |
15 |
$74,454 |
$28,317 |
$1,116,807 |
$424,752 |
14.07 |
Multiple sclerosis & other demyelinating diseases |
15 |
$83,016 |
$31,144 |
$1,245,233 |
$467,155 |
12.20 |
Acute myocardial infarction |
15 |
$44,467 |
$15,928 |
$667,007 |
$238,919 |
5.73 |
Vaginal delivery w sterilization &/or D&C |
15 |
$19,561 |
$8,625 |
$293,420 |
$129,371 |
2.40 |
Postpartum & post abortion diagnoses w/o procedure |
15 |
$23,255 |
$9,590 |
$348,818 |
$143,845 |
3.40 |
Organic mental health disturbances |
15 |
$58,710 |
$22,483 |
$880,652 |
$337,242 |
11.60 |
Migraine & other headaches |
14 |
$24,931 |
$8,956 |
$349,040 |
$125,388 |
3.57 |
Respiratory signs, symptoms & minor diagnoses |
14 |
$35,716 |
$13,066 |
$500,024 |
$182,922 |
4.86 |
Dorsal & lumbar fusion proc except for curvature of back |
14 |
$64,214 |
$25,387 |
$898,989 |
$355,419 |
3.00 |
Major chest & respiratory trauma |
13 |
$29,007 |
$9,568 |
$377,096 |
$124,384 |
3.62 |
Major bladder procedures |
13 |
$74,758 |
$27,430 |
$971,854 |
$356,588 |
5.62 |
Other kidney & urinary tract diagnoses, signs & symptoms |
13 |
$21,574 |
$8,114 |
$280,458 |
$105,480 |
3.31 |
Other mental health disorders |
13 |
$36,826 |
$10,458 |
$478,744 |
$135,951 |
7.62 |
Other esophageal disorders |
12 |
$28,194 |
$10,954 |
$338,331 |
$131,453 |
3.75 |
Alcoholic liver disease |
12 |
$37,541 |
$14,287 |
$450,497 |
$171,438 |
4.92 |
Cervical spinal fusion & other back/neck proc exc disc excis/decomp |
12 |
$38,029 |
$14,406 |
$456,350 |
$172,876 |
2.25 |
O.R. procedure for other complications of treatment |
12 |
$59,092 |
$22,064 |
$709,098 |
$264,763 |
5.25 |
Signs, symptoms & other factors influencing health status |
12 |
$27,461 |
$10,202 |
$329,528 |
$122,423 |
4.25 |
Other aftercare & convalescence |
12 |
$108,145 |
$41,588 |
$1,297,743 |
$499,058 |
15.33 |
Hypertension |
11 |
$32,268 |
$10,483 |
$354,953 |
$115,313 |
4.73 |
Malfunction, reaction & complication of GI device or procedure |
11 |
$34,279 |
$13,479 |
$377,072 |
$148,272 |
4.55 |
Tendon, muscle & other soft tissue procedures |
11 |
$42,920 |
$16,146 |
$472,122 |
$177,602 |
5.09 |
Other musculoskeletal system & connective tissue procedures |
11 |
$27,482 |
$9,957 |
$302,307 |
$109,527 |
2.18 |
Urethral & transurethral procedures |
11 |
$31,141 |
$11,056 |
$342,549 |
$121,621 |
2.55 |
Major male pelvic procedures |
11 |
$35,549 |
$11,484 |
$391,034 |
$126,326 |
1.55 |
Other complications of treatment |
11 |
$29,310 |
$11,178 |
$322,405 |
$122,959 |
3.73 |
Other stomach, esophageal & duodenal procedures |
10 |
$38,005 |
$14,776 |
$380,047 |
$147,759 |
2.80 |
Other endocrine disorders |
10 |
$46,315 |
$17,002 |
$463,153 |
$170,024 |
6.40 |
Disorders of personality & impulse control |
10 |
$46,685 |
$13,591 |
$466,845 |
$135,911 |
9.60 |
Peritoneal adhesiolysis |
9 |
$47,368 |
$17,325 |
$426,311 |
$155,927 |
4.67 |
Fracture of femur |
9 |
$44,780 |
$18,486 |
$403,024 |
$166,373 |
7.67 |
Mastectomy procedures |
9 |
$29,655 |
$9,912 |
$266,892 |
$89,205 |
1.00 |
Kidney & urinary tract procedures for malignancy |
9 |
$51,821 |
$19,876 |
$466,391 |
$178,880 |
2.56 |
Uterine & adnexa procedures for leiomyoma |
9 |
$32,452 |
$11,582 |
$292,066 |
$104,236 |
1.67 |
Viral illness |
9 |
$35,370 |
$13,410 |
$318,332 |
$120,691 |
5.44 |
Interstitial & alveolar lung diseases |
8 |
$53,361 |
$21,007 |
$426,885 |
$168,057 |
8.13 |
Other circulatory system diagnoses |
8 |
$21,702 |
$8,441 |
$173,617 |
$67,528 |
3.25 |
Other digestive system & abdominal procedures |
8 |
$58,618 |
$22,030 |
$468,942 |
$176,237 |
5.00 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
8 |
$73,003 |
$29,324 |
$584,020 |
$234,588 |
12.50 |
Malfunction, reaction, complic of orthopedic device or procedure |
8 |
$39,453 |
$16,121 |
$315,626 |
$128,968 |
5.75 |
Skin ulcers |
8 |
$45,905 |
$19,076 |
$367,239 |
$152,608 |
7.63 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
8 |
$18,569 |
$7,098 |
$148,548 |
$56,783 |
2.50 |
Pituitary & adrenal procedures |
8 |
$45,769 |
$15,722 |
$366,148 |
$125,779 |
2.75 |
Neonate birthwt >2499g w other significant condition |
8 |
$10,457 |
$3,540 |
$83,655 |
$28,322 |
4.25 |
Other infectious & parasitic diseases |
8 |
$25,855 |
$9,643 |
$206,843 |
$77,142 |
2.88 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
7 |
$21,037 |
$7,781 |
$147,260 |
$54,470 |
2.29 |
Respiratory system diagnosis w ventilator support 96+ hours |
7 |
$199,085 |
$68,967 |
$1,393,597 |
$482,768 |
16.14 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
7 |
$30,670 |
$11,599 |
$214,687 |
$81,194 |
4.29 |
Hepatic coma & other major acute liver disorders |
7 |
$42,547 |
$15,931 |
$297,831 |
$111,520 |
5.57 |
Other skin, subcutaneous tissue & breast disorders |
7 |
$19,833 |
$8,982 |
$138,833 |
$62,873 |
2.57 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
7 |
$20,069 |
$9,223 |
$140,481 |
$64,559 |
2.43 |
Viral meningitis |
6 |
$46,912 |
$17,519 |
$281,472 |
$105,113 |
6.67 |
Bronchiolitis & RSV pneumonia |
6 |
$38,968 |
$14,263 |
$233,805 |
$85,579 |
6.67 |
Angina pectoris & coronary atherosclerosis |
6 |
$21,660 |
$7,638 |
$129,959 |
$45,825 |
3.00 |
Inguinal, femoral & umbilical hernia procedures |
6 |
$28,579 |
$10,578 |
$171,475 |
$63,468 |
2.50 |
Digestive malignancy |
6 |
$40,635 |
$16,066 |
$243,812 |
$96,396 |
5.50 |
Major biliary tract procedures |
6 |
$75,460 |
$30,794 |
$452,758 |
$184,765 |
10.33 |
Malignancy of hepatobiliary system & pancreas |
6 |
$61,739 |
$24,336 |
$370,434 |
$146,014 |
9.17 |
Other disorders of the liver |
6 |
$44,718 |
$16,803 |
$268,307 |
$100,817 |
6.50 |
Female reproductive system infections |
6 |
$22,295 |
$8,722 |
$133,770 |
$52,334 |
3.33 |
Neonate, transferred < 5 days old, born here |
6 |
$4,336 |
$1,409 |
$26,015 |
$8,454 |
1.17 |
Neonate bwt 1500-1999g w or w/o other significant condition |
6 |
$14,384 |
$4,754 |
$86,304 |
$28,521 |
5.00 |
Toxic effects of non-medicinal substances |
6 |
$79,763 |
$23,997 |
$478,575 |
$143,979 |
14.50 |
Extensive procedure unrelated to principal diagnosis |
6 |
$57,603 |
$20,402 |
$345,616 |
$122,412 |
4.50 |
Nontraumatic stupor & coma |
5 |
$48,289 |
$17,938 |
$241,447 |
$89,691 |
7.60 |
Vertigo & other labyrinth disorders |
5 |
$26,018 |
$8,467 |
$130,090 |
$42,337 |
3.20 |
Cystic fibrosis - pulmonary disease |
5 |
$62,822 |
$22,286 |
$314,112 |
$111,428 |
6.40 |
Major esophageal disorders |
5 |
$24,034 |
$9,622 |
$120,170 |
$48,111 |
3.00 |
Breast procedures except mastectomy |
5 |
$43,856 |
$14,223 |
$219,280 |
$71,116 |
1.40 |
Transurethral prostatectomy |
5 |
$46,605 |
$17,307 |
$233,026 |
$86,535 |
4.20 |
Male reproductive system diagnoses except malignancy |
5 |
$17,348 |
$7,261 |
$86,741 |
$36,307 |
2.20 |
Preterm labor |
5 |
$7,904 |
$3,653 |
$39,518 |
$18,263 |
1.00 |
Other drug abuse & dependence |
5 |
$22,136 |
$7,700 |
$110,679 |
$38,502 |
4.20 |
Respiratory malignancy |
4 |
$119,207 |
$49,657 |
$476,826 |
$198,626 |
24.50 |
Gastrointestinal vascular insufficiency |
4 |
$50,135 |
$17,619 |
$200,538 |
$70,475 |
6.50 |
Other hepatobiliary, pancreas & abdominal procedures |
4 |
$38,667 |
$15,371 |
$154,666 |
$61,485 |
5.25 |
Hand & wrist procedures |
4 |
$45,928 |
$17,631 |
$183,712 |
$70,525 |
4.50 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
4 |
$30,556 |
$11,995 |
$122,224 |
$47,981 |
5.50 |
Malnutrition, failure to thrive & other nutritional disorders |
4 |
$33,324 |
$13,362 |
$133,294 |
$53,447 |
3.75 |
Uterine & adnexa procedures for non-malignancy except leiomyoma |
4 |
$43,376 |
$15,884 |
$173,504 |
$63,535 |
2.75 |
Other female reproductive system & related procedures |
4 |
$29,422 |
$10,985 |
$117,686 |
$43,940 |
3.50 |
Neonate birthwt >2499g w major anomaly |
4 |
$5,659 |
$2,091 |
$22,634 |
$8,362 |
2.00 |
Drug & alcohol abuse or dependence, left against medical advice |
4 |
$17,625 |
$6,488 |
$70,501 |
$25,953 |
2.25 |
Allergic reactions |
4 |
$17,622 |
$6,551 |
$70,489 |
$26,205 |
1.75 |
Nonextensive procedure unrelated to principal diagnosis |
4 |
$69,014 |
$26,970 |
$276,056 |
$107,878 |
8.50 |
Spinal procedures |
3 |
$229,501 |
$86,379 |
$688,504 |
$259,136 |
17.00 |
Non-bacterial infections of nervous system exc viral meningitis |
3 |
$45,448 |
$16,482 |
$136,345 |
$49,447 |
6.00 |
Other ear, nose, mouth & throat procedures |
3 |
$34,964 |
$10,872 |
$104,893 |
$32,615 |
2.00 |
Major abdominal vascular procedures |
3 |
$124,811 |
$44,778 |
$374,434 |
$134,334 |
7.33 |
Other peripheral vascular procedures |
3 |
$107,425 |
$39,388 |
$322,276 |
$118,163 |
8.67 |
Chest pain |
3 |
$33,381 |
$11,230 |
$100,143 |
$33,689 |
5.33 |
Intervertebral disc excision & decompression |
3 |
$31,052 |
$11,129 |
$93,156 |
$33,386 |
2.33 |
Connective tissue disorders |
3 |
$46,383 |
$17,304 |
$139,148 |
$51,911 |
7.33 |
Thyroid, parathyroid & thyroglossal procedures |
3 |
$61,108 |
$19,552 |
$183,323 |
$58,656 |
2.67 |
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond |
3 |
$9,504 |
$3,115 |
$28,512 |
$9,345 |
2.67 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
3 |
$12,498 |
$4,833 |
$37,494 |
$14,498 |
2.00 |
Coagulation & platelet disorders |
3 |
$31,891 |
$14,241 |
$95,672 |
$42,723 |
3.33 |
Fever |
3 |
$26,975 |
$9,610 |
$80,924 |
$28,831 |
3.67 |
HIV w major HIV related condition |
3 |
$22,917 |
$8,151 |
$68,750 |
$24,453 |
2.33 |
Tracheostomy w MV 96+ hours w extensive procedure or ECMO |
2 |
$869,963 |
$299,229 |
$1,739,926 |
$598,458 |
72.50 |
CVA & precerebral occlusion w infarct |
2 |
$46,790 |
$16,865 |
$93,579 |
$33,729 |
6.00 |
Peripheral, cranial & autonomic nerve disorders |
2 |
$58,865 |
$21,908 |
$117,729 |
$43,816 |
9.00 |
Bacterial & tuberculous infections of nervous system |
2 |
$52,603 |
$20,038 |
$105,205 |
$40,076 |
8.00 |
Head trauma w coma >1 hr or hemorrhage |
2 |
$94,378 |
$34,097 |
$188,756 |
$68,193 |
14.00 |
Acute & subacute endocarditis |
2 |
$118,087 |
$48,094 |
$236,173 |
$96,187 |
21.50 |
Cholecystectomy except laparoscopic |
2 |
$44,476 |
$15,540 |
$88,952 |
$31,079 |
4.00 |
Other procedures for endocrine, nutritional & metabolic disorders |
2 |
$120,558 |
$46,788 |
$241,116 |
$93,575 |
17.50 |
Female reproductive system reconstructive procedures |
2 |
$47,524 |
$16,108 |
$95,048 |
$32,215 |
2.50 |
Female reproductive system malignancy |
2 |
$47,717 |
$19,060 |
$95,433 |
$38,120 |
7.50 |
Menstrual & other female reproductive system disorders |
2 |
$20,777 |
$12,425 |
$41,554 |
$24,849 |
2.00 |
Other O.R. proc for obstetric diagnoses except delivery diagnoses |
2 |
$31,874 |
$11,327 |
$63,748 |
$22,654 |
3.50 |
False labor |
2 |
$14,273 |
$6,477 |
$28,545 |
$12,954 |
1.50 |
Neonate bwt 2000-2499g w resp dist synd/oth maj resp cond |
2 |
$26,640 |
$9,281 |
$53,280 |
$18,561 |
8.00 |
Splenectomy |
2 |
$35,232 |
$12,708 |
$70,463 |
$25,415 |
1.50 |
Other procedures of blood & blood-forming organs |
2 |
$27,961 |
$9,550 |
$55,922 |
$19,100 |
2.00 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
2 |
$78,116 |
$29,012 |
$156,231 |
$58,023 |
12.50 |
Other injury, poisoning & toxic effect diagnoses |
2 |
$15,922 |
$5,248 |
$31,843 |
$10,495 |
2.00 |
HIV w multiple major HIV related conditions |
2 |
$340,681 |
$133,995 |
$681,361 |
$267,989 |
45.00 |
Musculoskeletal & other procedures for multiple significant trauma |
2 |
$399,669 |
$148,324 |
$799,337 |
$296,648 |
49.50 |
Multiple significant trauma w/o O.R. procedure |
2 |
$101,025 |
$33,678 |
$202,049 |
$67,355 |
12.50 |
Tracheostomy w MV 96+ hours w/o extensive procedure |
1 |
$280,980 |
$96,401 |
$280,980 |
$96,401 |
34.00 |
Other nervous system & related procedures |
1 |
$153,526 |
$57,180 |
$153,526 |
$57,180 |
19.00 |
Spinal disorders & injuries |
1 |
$210,585 |
$80,073 |
$210,585 |
$80,073 |
35.00 |
Nervous system malignancy |
1 |
$45,632 |
$14,779 |
$45,632 |
$14,779 |
5.00 |
Intracranial hemorrhage |
1 |
$191,358 |
$73,555 |
$191,358 |
$73,555 |
29.00 |
Major cranial/facial bone procedures |
1 |
$241,848 |
$96,151 |
$241,848 |
$96,151 |
42.00 |
Other major head & neck procedures |
1 |
$109,505 |
$41,538 |
$109,505 |
$41,538 |
11.00 |
Dental & oral diseases & injuries |
1 |
$19,319 |
$7,152 |
$19,319 |
$7,152 |
2.00 |
Other respiratory & chest procedures |
1 |
$120,998 |
$43,878 |
$120,998 |
$43,878 |
14.00 |
Cardiac catheterization for other non-coronary conditions |
1 |
$25,622 |
$8,830 |
$25,622 |
$8,830 |
4.00 |
Cardiac structural & valvular disorders |
1 |
$25,916 |
$10,384 |
$25,916 |
$10,384 |
4.00 |
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses |
1 |
$29,777 |
$12,139 |
$29,777 |
$12,139 |
1.00 |
Skin graft for skin & subcutaneous tissue diagnoses |
1 |
$53,916 |
$16,632 |
$53,916 |
$16,632 |
1.00 |
Inborn errors of metabolism |
1 |
$10,826 |
$3,231 |
$10,826 |
$3,231 |
2.00 |
Renal dialysis access device procedure only |
1 |
$28,572 |
$8,779 |
$28,572 |
$8,779 |
1.00 |
Other bladder procedures |
1 |
$20,035 |
$7,925 |
$20,035 |
$7,925 |
3.00 |
Penis procedures |
1 |
$190,820 |
$79,392 |
$190,820 |
$79,392 |
16.00 |
Malignancy, male reproductive system |
1 |
$51,485 |
$18,519 |
$51,485 |
$18,519 |
9.00 |
Dilation & curettage for non-obstetric diagnoses |
1 |
$50,058 |
$21,184 |
$50,058 |
$21,184 |
3.00 |
D&C, aspiration curettage or hysterotomy for obstetric diagnoses |
1 |
$10,936 |
$4,194 |
$10,936 |
$4,194 |
1.00 |
Neonate bwt <500g or GA <24 weeks |
1 |
$1,827 |
$674 |
$1,827 |
$674 |
1.00 |
Neonate bwt 2000-2499g w major anomaly |
1 |
$21,975 |
$7,513 |
$21,975 |
$7,513 |
7.00 |
Neonate bwt 2000-2499g w other significant condition |
1 |
$8,578 |
$2,714 |
$8,578 |
$2,714 |
3.00 |
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms |
1 |
$39,818 |
$13,161 |
$39,818 |
$13,161 |
1.00 |
Lymphoma, myeloma & non-acute leukemia |
1 |
$12,544 |
$5,281 |
$12,544 |
$5,281 |
3.00 |
Mental illness diagnosis w O.R. procedure |
1 |
$39,852 |
$13,613 |
$39,852 |
$13,613 |
3.00 |
Eating disorders |
1 |
$45,868 |
$12,385 |
$45,868 |
$12,385 |
3.00 |
HIV w one signif HIV cond or w/o signif related cond |
1 |
$15,817 |
$5,395 |
$15,817 |
$5,395 |
2.00 |