NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM |
3001 |
$4,605 |
$2,082 |
$13,819,359 |
$6,248,816 |
2.31 |
VAGINAL DELIVERY |
2207 |
$7,860 |
$4,156 |
$17,348,034 |
$9,172,277 |
2.69 |
CESAREAN SECTION WITHOUT STERILIZATION |
1149 |
$13,634 |
$7,084 |
$15,665,166 |
$8,139,895 |
4.47 |
SEPTICEMIA AND DISSEMINATED INFECTIONS |
779 |
$40,464 |
$16,891 |
$31,521,246 |
$13,157,814 |
9.40 |
MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS |
762 |
$36,118 |
$15,201 |
$27,521,944 |
$11,583,465 |
9.14 |
CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION |
564 |
$24,632 |
$10,113 |
$13,892,282 |
$5,703,941 |
4.86 |
HEART FAILURE |
523 |
$26,657 |
$10,895 |
$13,941,759 |
$5,697,861 |
7.05 |
PROCEDURES FOR OBESITY |
294 |
$27,242 |
$11,228 |
$8,009,122 |
$3,301,103 |
1.37 |
ANTEPARTUM WITHOUT O.R. PROCEDURE |
287 |
$12,346 |
$5,940 |
$3,543,398 |
$1,704,817 |
3.83 |
OTHER PNEUMONIA |
279 |
$24,176 |
$9,750 |
$6,745,062 |
$2,720,375 |
6.07 |
ACUTE KIDNEY INJURY |
272 |
$26,530 |
$11,027 |
$7,216,090 |
$2,999,232 |
7.31 |
KIDNEY AND URINARY TRACT INFECTIONS |
257 |
$19,414 |
$8,057 |
$4,989,495 |
$2,070,734 |
5.61 |
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS |
234 |
$15,577 |
$6,464 |
$3,644,992 |
$1,512,654 |
3.78 |
ALCOHOL ABUSE AND DEPENDENCE |
206 |
$15,171 |
$6,379 |
$3,125,256 |
$1,314,075 |
4.81 |
CESAREAN SECTION WITH STERILIZATION |
197 |
$14,832 |
$7,467 |
$2,921,860 |
$1,470,907 |
4.35 |
CHRONIC OBSTRUCTIVE PULMONARY DISEASE |
188 |
$22,310 |
$8,692 |
$4,194,206 |
$1,634,013 |
5.07 |
DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK |
180 |
$59,157 |
$30,550 |
$10,648,283 |
$5,498,993 |
3.85 |
MAJOR LARGE BOWEL PROCEDURES |
178 |
$43,624 |
$18,432 |
$7,765,052 |
$3,280,930 |
6.78 |
CELLULITIS AND OTHER SKIN INFECTIONS |
173 |
$21,679 |
$9,077 |
$3,750,444 |
$1,570,404 |
6.48 |
NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM |
171 |
$12,942 |
$6,042 |
$2,213,150 |
$1,033,133 |
4.92 |
OTHER DIGESTIVE SYSTEM DIAGNOSES |
164 |
$26,877 |
$10,976 |
$4,407,809 |
$1,800,101 |
6.41 |
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY |
161 |
$19,149 |
$8,743 |
$3,083,015 |
$1,407,613 |
5.84 |
CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS |
156 |
$23,278 |
$9,220 |
$3,631,383 |
$1,438,293 |
4.51 |
HIP AND FEMUR FRACTURE REPAIR |
151 |
$39,845 |
$17,682 |
$6,016,534 |
$2,670,026 |
7.05 |
PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES |
150 |
$62,827 |
$25,621 |
$9,424,031 |
$3,843,109 |
4.67 |
MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE |
148 |
$26,690 |
$11,135 |
$3,950,047 |
$1,647,986 |
7.24 |
DISORDERS OF PANCREAS EXCEPT MALIGNANCY |
148 |
$22,720 |
$9,337 |
$3,362,566 |
$1,381,906 |
6.84 |
PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI |
148 |
$55,468 |
$25,911 |
$8,209,228 |
$3,834,874 |
3.23 |
DIVERTICULITIS AND DIVERTICULOSIS |
146 |
$18,087 |
$7,310 |
$2,640,772 |
$1,067,286 |
5.08 |
DIABETES |
138 |
$18,472 |
$7,689 |
$2,549,155 |
$1,061,067 |
4.12 |
PERCUTANEOUS CARDIAC INTERVENTION WITH AMI |
138 |
$42,782 |
$17,827 |
$5,903,984 |
$2,460,062 |
3.30 |
PEPTIC ULCER AND GASTRITIS |
134 |
$25,031 |
$9,958 |
$3,354,153 |
$1,334,336 |
5.68 |
INTESTINAL OBSTRUCTION |
126 |
$17,609 |
$7,218 |
$2,218,700 |
$909,527 |
4.97 |
ACUTE MYOCARDIAL INFARCTION |
122 |
$19,305 |
$7,590 |
$2,355,177 |
$926,029 |
3.20 |
RESPIRATORY FAILURE |
121 |
$40,563 |
$16,442 |
$4,908,167 |
$1,989,503 |
8.27 |
MAJOR SMALL BOWEL PROCEDURES |
118 |
$53,013 |
$22,565 |
$6,255,556 |
$2,662,654 |
9.47 |
CERVICAL SPINAL FUSION AND OTHER BACK OR NECK PROCEDURES EXCEPT DISC EXCISION OR DECOMPRESSION |
113 |
$40,017 |
$19,201 |
$4,521,967 |
$2,169,671 |
3.48 |
NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT |
113 |
$42,619 |
$19,932 |
$4,815,905 |
$2,252,329 |
6.34 |
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES |
107 |
$22,346 |
$9,832 |
$2,391,000 |
$1,052,058 |
5.43 |
OPEN CRANIOTOMY EXCEPT TRAUMA |
107 |
$93,642 |
$40,895 |
$10,019,682 |
$4,375,734 |
10.11 |
PULMONARY EMBOLISM |
104 |
$22,944 |
$9,188 |
$2,386,155 |
$955,599 |
5.40 |
OTHER GASTROENTERITIS, NAUSEA AND VOMITING |
103 |
$20,997 |
$8,582 |
$2,162,642 |
$883,922 |
5.87 |
SEIZURE |
100 |
$20,803 |
$8,647 |
$2,080,345 |
$864,677 |
4.62 |
NON-HYPOVOLEMIC SODIUM DISORDERS |
94 |
$20,581 |
$8,698 |
$1,934,620 |
$817,621 |
5.59 |
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION |
91 |
$60,300 |
$28,337 |
$5,487,259 |
$2,578,656 |
19.38 |
DISORDERS OF GALLBLADDER AND BILIARY TRACT |
90 |
$24,327 |
$9,540 |
$2,189,403 |
$858,571 |
5.56 |
OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE |
90 |
$34,594 |
$14,061 |
$3,113,426 |
$1,265,498 |
7.62 |
INTRACRANIAL HEMORRHAGE |
86 |
$40,239 |
$17,674 |
$3,460,562 |
$1,519,976 |
7.87 |
OTHER DISORDERS OF NERVOUS SYSTEM |
80 |
$21,932 |
$8,992 |
$1,754,539 |
$719,370 |
4.43 |
MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS |
79 |
$26,638 |
$11,142 |
$2,104,365 |
$880,183 |
7.58 |
CHOLECYSTECTOMY |
77 |
$28,518 |
$11,798 |
$2,195,900 |
$908,454 |
4.13 |
INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE |
76 |
$87,178 |
$37,261 |
$6,625,507 |
$2,831,863 |
16.20 |
PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK |
75 |
$33,209 |
$17,175 |
$2,490,709 |
$1,288,140 |
4.13 |
OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS |
72 |
$25,986 |
$10,748 |
$1,870,983 |
$773,857 |
5.78 |
CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE |
71 |
$14,832 |
$5,669 |
$1,053,060 |
$402,473 |
2.37 |
OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES |
70 |
$23,070 |
$9,735 |
$1,614,931 |
$681,459 |
5.74 |
ELECTIVE KNEE JOINT REPLACEMENT |
69 |
$28,212 |
$14,545 |
$1,946,611 |
$1,003,592 |
2.12 |
HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE |
68 |
$31,517 |
$13,527 |
$2,143,155 |
$919,853 |
6.85 |
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS |
68 |
$23,400 |
$10,059 |
$1,591,188 |
$684,021 |
5.54 |
KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT |
67 |
$37,950 |
$18,179 |
$2,542,642 |
$1,217,982 |
4.04 |
ALCOHOLIC LIVER DISEASE |
65 |
$44,182 |
$18,713 |
$2,871,809 |
$1,216,313 |
10.63 |
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION |
65 |
$19,845 |
$9,286 |
$1,289,954 |
$603,605 |
6.57 |
MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES |
64 |
$43,093 |
$18,260 |
$2,757,971 |
$1,168,608 |
5.34 |
PERIPHERAL AND OTHER VASCULAR DISORDERS |
63 |
$23,542 |
$9,612 |
$1,483,137 |
$605,537 |
5.49 |
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS |
62 |
$22,954 |
$9,711 |
$1,423,132 |
$602,078 |
7.61 |
OTHER AFTERCARE AND CONVALESCENCE |
61 |
$9,897 |
$4,071 |
$603,698 |
$248,350 |
2.89 |
INFLAMMATORY BOWEL DISEASE |
60 |
$30,420 |
$12,680 |
$1,825,222 |
$760,808 |
9.32 |
VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C |
60 |
$9,516 |
$4,950 |
$570,944 |
$297,023 |
2.98 |
NERVOUS SYSTEM MALIGNANCY |
60 |
$25,457 |
$10,617 |
$1,527,413 |
$637,006 |
5.82 |
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS |
59 |
$33,177 |
$13,934 |
$1,957,465 |
$822,121 |
8.32 |
UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA |
58 |
$26,224 |
$11,053 |
$1,520,996 |
$641,088 |
2.78 |
MAJOR RESPIRATORY AND CHEST PROCEDURES |
57 |
$42,963 |
$17,771 |
$2,448,863 |
$1,012,972 |
5.95 |
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS |
57 |
$115,661 |
$50,448 |
$6,592,665 |
$2,875,564 |
20.28 |
RESPIRATORY MALIGNANCY |
56 |
$31,688 |
$12,794 |
$1,774,530 |
$716,461 |
7.05 |
HYPERTENSION |
55 |
$18,732 |
$7,737 |
$1,030,277 |
$425,559 |
4.80 |
SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS |
52 |
$18,966 |
$7,961 |
$986,224 |
$413,946 |
5.06 |
OTHER CIRCULATORY SYSTEM DIAGNOSES |
52 |
$23,399 |
$9,679 |
$1,216,747 |
$503,319 |
5.37 |
ALTERATION IN CONSCIOUSNESS |
51 |
$27,504 |
$11,517 |
$1,402,682 |
$587,353 |
6.98 |
KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY |
50 |
$32,776 |
$14,006 |
$1,638,788 |
$700,321 |
4.14 |
URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION |
49 |
$15,449 |
$6,346 |
$757,005 |
$310,965 |
2.61 |
SYNCOPE AND COLLAPSE |
49 |
$16,888 |
$6,879 |
$827,519 |
$337,091 |
4.88 |
HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS |
48 |
$30,249 |
$12,633 |
$1,451,949 |
$606,403 |
7.77 |
MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION |
48 |
$33,522 |
$14,029 |
$1,609,063 |
$673,402 |
7.33 |
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES |
47 |
$21,649 |
$8,729 |
$1,017,503 |
$410,278 |
5.49 |
HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS |
46 |
$14,811 |
$6,067 |
$681,320 |
$279,064 |
4.50 |
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDIT |
46 |
$47,215 |
$21,234 |
$2,171,892 |
$976,752 |
11.50 |
OPEN EXTRACRANIAL VASCULAR PROCEDURES |
45 |
$27,806 |
$12,133 |
$1,251,257 |
$545,965 |
1.89 |
KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY |
45 |
$34,687 |
$14,699 |
$1,560,928 |
$661,460 |
5.13 |
OTHER DISORDERS OF THE LIVER |
45 |
$35,077 |
$14,639 |
$1,578,452 |
$658,734 |
9.09 |
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION |
45 |
$31,586 |
$14,821 |
$1,421,377 |
$666,928 |
10.13 |
ELECTIVE HIP JOINT REPLACEMENT |
44 |
$25,811 |
$13,146 |
$1,135,681 |
$578,445 |
1.77 |
OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS |
43 |
$23,527 |
$9,999 |
$1,011,675 |
$429,966 |
6.95 |
UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA |
43 |
$21,955 |
$9,438 |
$944,063 |
$405,838 |
2.33 |
DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE |
43 |
$9,858 |
$4,075 |
$423,880 |
$175,231 |
2.49 |
LOWER EXTREMITY ARTERIAL PROCEDURES |
42 |
$35,023 |
$16,742 |
$1,470,955 |
$703,165 |
3.93 |
MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
42 |
$49,037 |
$21,100 |
$2,059,545 |
$886,216 |
8.43 |
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL |
42 |
$31,935 |
$13,919 |
$1,341,265 |
$584,602 |
4.52 |
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
41 |
$74,369 |
$32,852 |
$3,049,124 |
$1,346,952 |
14.00 |
POISONING OF MEDICINAL AGENTS |
41 |
$24,156 |
$9,978 |
$990,384 |
$409,083 |
4.98 |
DIGESTIVE MALIGNANCY |
41 |
$31,887 |
$12,623 |
$1,307,351 |
$517,524 |
7.49 |
DEFIBRILLATOR IMPLANTS |
40 |
$90,539 |
$47,660 |
$3,621,568 |
$1,906,414 |
9.88 |
UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY |
38 |
$39,203 |
$16,685 |
$1,489,725 |
$634,013 |
5.74 |
MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS |
37 |
$31,933 |
$12,795 |
$1,181,520 |
$473,418 |
7.81 |
POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE |
36 |
$52,805 |
$22,933 |
$1,900,995 |
$825,585 |
10.53 |
OTHER PERIPHERAL VASCULAR PROCEDURES |
35 |
$53,187 |
$23,379 |
$1,861,536 |
$818,280 |
6.00 |
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY |
34 |
$26,105 |
$10,949 |
$887,581 |
$372,262 |
5.06 |
NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE |
34 |
$308,182 |
$138,455 |
$10,478,194 |
$4,707,457 |
77.06 |
OTHER RESPIRATORY AND CHEST PROCEDURES |
33 |
$49,644 |
$20,138 |
$1,638,265 |
$664,562 |
7.82 |
MAJOR ABDOMINAL VASCULAR PROCEDURES |
30 |
$76,353 |
$38,666 |
$2,290,584 |
$1,159,977 |
4.47 |
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CON |
30 |
$104,538 |
$48,082 |
$3,136,130 |
$1,442,464 |
30.37 |
PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES |
30 |
$30,218 |
$12,866 |
$906,544 |
$385,970 |
3.03 |
SHOULDER AND ELBOW JOINT REPLACEMENT |
30 |
$37,514 |
$20,429 |
$1,125,432 |
$612,868 |
1.37 |
MAJOR ESOPHAGEAL DISORDERS |
29 |
$25,327 |
$10,243 |
$734,474 |
$297,037 |
6.45 |
SKIN ULCERS |
29 |
$28,432 |
$11,929 |
$824,531 |
$345,932 |
8.79 |
OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS |
28 |
$17,665 |
$7,418 |
$494,627 |
$207,708 |
5.18 |
NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION |
28 |
$96,748 |
$44,980 |
$2,708,947 |
$1,259,435 |
30.82 |
OTHER COMPLICATIONS OF TREATMENT |
28 |
$22,729 |
$9,701 |
$636,412 |
$271,637 |
4.68 |
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY |
28 |
$64,664 |
$29,735 |
$1,810,598 |
$832,577 |
18.14 |
LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR |
28 |
$53,481 |
$21,723 |
$1,497,472 |
$608,248 |
12.07 |
URETHRAL AND TRANSURETHRAL PROCEDURES |
27 |
$24,722 |
$10,417 |
$667,494 |
$281,264 |
5.30 |
PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS |
27 |
$18,598 |
$7,631 |
$502,158 |
$206,024 |
4.41 |
MAJOR CHEST AND RESPIRATORY TRAUMA |
27 |
$19,188 |
$7,660 |
$518,073 |
$206,832 |
5.48 |
NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CON |
27 |
$158,752 |
$73,173 |
$4,286,311 |
$1,975,659 |
46.30 |
PERITONEAL ADHESIOLYSIS |
26 |
$38,290 |
$16,334 |
$995,548 |
$424,690 |
8.12 |
OTHER INFECTIOUS AND PARASITIC DISEASES |
26 |
$24,538 |
$10,219 |
$637,976 |
$265,698 |
6.42 |
MAJOR MALE PELVIC PROCEDURES |
26 |
$34,800 |
$15,032 |
$904,789 |
$390,825 |
2.81 |
MAJOR BLADDER PROCEDURES |
25 |
$70,209 |
$29,354 |
$1,755,221 |
$733,849 |
8.20 |
MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE |
24 |
$20,295 |
$8,069 |
$487,084 |
$193,648 |
4.58 |
ORGANIC MENTAL HEALTH DISTURBANCES |
24 |
$19,341 |
$8,115 |
$464,174 |
$194,771 |
5.96 |
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES |
24 |
$29,402 |
$13,150 |
$705,651 |
$315,607 |
4.08 |
MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE |
23 |
$27,882 |
$11,225 |
$641,284 |
$258,184 |
6.74 |
OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES |
23 |
$24,814 |
$10,377 |
$570,716 |
$238,672 |
5.70 |
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES |
22 |
$23,814 |
$10,087 |
$523,906 |
$221,905 |
4.77 |
TRANSIENT ISCHEMIA |
22 |
$18,649 |
$7,484 |
$410,269 |
$164,637 |
3.23 |
FRACTURE OF PELVIS OR DISLOCATION OF HIP |
22 |
$16,123 |
$6,587 |
$354,711 |
$144,907 |
4.64 |
LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA |
22 |
$75,146 |
$31,668 |
$1,653,217 |
$696,689 |
11.27 |
MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS |
22 |
$32,603 |
$14,108 |
$717,268 |
$310,382 |
11.45 |
INTERVERTEBRAL DISC EXCISION AND DECOMPRESSION |
22 |
$25,211 |
$11,185 |
$554,635 |
$246,059 |
3.09 |
MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
22 |
$28,975 |
$12,343 |
$637,448 |
$271,549 |
4.82 |
OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES |
21 |
$40,035 |
$16,625 |
$840,736 |
$349,128 |
5.76 |
OTHER ESOPHAGEAL DISORDERS |
21 |
$36,030 |
$14,056 |
$756,636 |
$295,168 |
8.24 |
OTHER CHEMOTHERAPY |
21 |
$24,684 |
$10,743 |
$518,355 |
$225,608 |
3.86 |
NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT |
21 |
$49,049 |
$25,246 |
$1,030,026 |
$530,171 |
4.38 |
FEVER AND INFLAMMATORY CONDITIONS |
21 |
$12,415 |
$5,019 |
$260,716 |
$105,406 |
3.29 |
FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK |
20 |
$18,641 |
$7,570 |
$372,813 |
$151,392 |
5.10 |
NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE |
20 |
$462,859 |
$204,361 |
$9,257,177 |
$4,087,219 |
98.05 |
AMPUTATION OF LOWER LIMB EXCEPT TOES |
20 |
$70,304 |
$30,141 |
$1,406,089 |
$602,824 |
14.70 |
RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES |
20 |
$16,741 |
$6,565 |
$334,822 |
$131,293 |
3.60 |
NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRT |
20 |
$262,165 |
$116,050 |
$5,243,302 |
$2,320,994 |
57.85 |
NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CON |
20 |
$216,948 |
$98,680 |
$4,338,969 |
$1,973,595 |
59.45 |
TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES |
20 |
$50,246 |
$21,639 |
$1,004,922 |
$432,782 |
9.10 |
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES |
20 |
$29,922 |
$13,409 |
$598,438 |
$268,182 |
2.75 |
UNGROUPABLE |
20 |
$43,223 |
$18,738 |
$864,450 |
$374,763 |
7.60 |
NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION |
20 |
$141,945 |
$65,427 |
$2,838,895 |
$1,308,544 |
44.00 |
CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE |
19 |
$21,623 |
$9,025 |
$410,831 |
$171,483 |
4.74 |
TRANSURETHRAL PROSTATECTOMY |
19 |
$17,941 |
$7,714 |
$340,875 |
$146,562 |
1.21 |
ABDOMINAL PAIN |
18 |
$16,524 |
$6,607 |
$297,430 |
$118,922 |
4.28 |
EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
18 |
$51,381 |
$22,137 |
$924,853 |
$398,472 |
8.72 |
ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS |
18 |
$16,710 |
$6,720 |
$300,786 |
$120,962 |
3.22 |
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS |
18 |
$24,821 |
$10,176 |
$446,783 |
$183,174 |
3.94 |
FRACTURE OF FEMUR |
18 |
$21,118 |
$8,707 |
$380,123 |
$156,733 |
5.44 |
SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT |
17 |
$37,437 |
$16,639 |
$636,421 |
$282,856 |
7.18 |
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY |
17 |
$105,165 |
$48,762 |
$1,787,806 |
$828,948 |
32.18 |
COAGULATION AND PLATELET DISORDERS |
17 |
$33,060 |
$13,950 |
$562,019 |
$237,158 |
6.71 |
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CON |
17 |
$66,909 |
$30,448 |
$1,137,445 |
$517,613 |
18.18 |
OTHER ENDOCRINE DISORDERS |
17 |
$30,275 |
$13,229 |
$514,672 |
$224,891 |
9.18 |
INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE |
16 |
$36,645 |
$15,629 |
$586,321 |
$250,060 |
5.94 |
EYE INFECTIONS AND OTHER EYE DISORDERS |
16 |
$16,947 |
$6,938 |
$271,153 |
$111,015 |
4.44 |
MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE |
16 |
$28,000 |
$11,720 |
$447,994 |
$187,527 |
7.31 |
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS |
15 |
$21,029 |
$8,600 |
$315,436 |
$129,000 |
2.13 |
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY |
15 |
$20,682 |
$8,681 |
$310,226 |
$130,210 |
6.60 |
HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION |
15 |
$19,525 |
$7,629 |
$292,879 |
$114,442 |
4.33 |
CHRONIC KIDNEY DISEASE |
15 |
$29,070 |
$12,978 |
$436,054 |
$194,671 |
8.47 |
ASTHMA |
15 |
$16,349 |
$6,346 |
$245,236 |
$95,197 |
3.47 |
UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY |
15 |
$38,255 |
$16,192 |
$573,829 |
$242,876 |
4.60 |
OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES |
15 |
$17,568 |
$7,531 |
$263,518 |
$112,971 |
2.20 |
MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES |
14 |
$46,628 |
$19,804 |
$652,796 |
$277,249 |
11.00 |
VENTRICULAR SHUNT PROCEDURES |
14 |
$38,301 |
$18,802 |
$536,213 |
$263,225 |
4.21 |
OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS |
14 |
$19,757 |
$8,219 |
$276,604 |
$115,069 |
5.36 |
NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
14 |
$38,962 |
$16,362 |
$545,469 |
$229,064 |
8.64 |
ACUTE BRONCHITIS AND RELATED SYMPTOMS |
14 |
$12,431 |
$4,923 |
$174,040 |
$68,920 |
2.71 |
PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES |
13 |
$50,280 |
$26,643 |
$653,643 |
$346,353 |
2.31 |
FEMALE REPRODUCTIVE SYSTEM INFECTIONS |
13 |
$15,775 |
$6,537 |
$205,070 |
$84,980 |
4.38 |
CONNECTIVE TISSUE DISORDERS |
12 |
$27,292 |
$11,262 |
$327,499 |
$135,148 |
5.92 |
OPIOID ABUSE AND DEPENDENCE |
12 |
$14,136 |
$6,086 |
$169,631 |
$73,028 |
4.92 |
NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE |
12 |
$246,319 |
$111,288 |
$2,955,823 |
$1,335,458 |
53.92 |
OPEN CRANIOTOMY FOR TRAUMA |
12 |
$89,679 |
$40,070 |
$1,076,152 |
$480,841 |
13.75 |
VERTIGO AND OTHER LABYRINTH DISORDERS |
12 |
$14,181 |
$5,721 |
$170,166 |
$68,651 |
3.17 |
OTHER SMALL AND LARGE BOWEL PROCEDURES |
12 |
$31,741 |
$13,446 |
$380,894 |
$161,347 |
5.33 |
OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES |
12 |
$28,816 |
$12,551 |
$345,796 |
$150,616 |
2.08 |
OTHER SIGNIFICANT HIP AND FEMUR SURGERY |
12 |
$80,362 |
$34,992 |
$964,347 |
$419,898 |
15.50 |
NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE |
12 |
$700,673 |
$304,143 |
$8,408,080 |
$3,649,721 |
89.33 |
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE |
12 |
$293,939 |
$129,793 |
$3,527,264 |
$1,557,520 |
49.08 |
ACUTE ANXIETY AND DELIRIUM STATES |
11 |
$40,061 |
$17,052 |
$440,674 |
$187,574 |
12.73 |
MIGRAINE AND OTHER HEADACHES |
11 |
$20,503 |
$8,140 |
$225,532 |
$89,544 |
4.73 |
MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY |
11 |
$32,311 |
$13,273 |
$355,423 |
$146,008 |
7.45 |
BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM |
11 |
$76,885 |
$32,734 |
$845,737 |
$360,079 |
12.91 |
MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS |
11 |
$21,298 |
$8,943 |
$234,280 |
$98,373 |
3.64 |
ANAL PROCEDURES |
11 |
$20,215 |
$8,749 |
$222,360 |
$96,244 |
2.55 |
TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE |
11 |
$382,948 |
$166,196 |
$4,212,432 |
$1,828,152 |
61.45 |
SPINAL PROCEDURES |
11 |
$51,482 |
$24,479 |
$566,302 |
$269,273 |
4.09 |
INTERSTITIAL AND ALVEOLAR LUNG DISEASES |
11 |
$29,185 |
$11,552 |
$321,032 |
$127,071 |
6.82 |
TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE |
10 |
$411,294 |
$176,946 |
$4,112,940 |
$1,769,461 |
67.50 |
FOOT AND TOE PROCEDURES |
10 |
$44,992 |
$19,507 |
$449,917 |
$195,070 |
10.20 |
KIDNEY AND URINARY TRACT MALIGNANCY |
10 |
$29,456 |
$12,172 |
$294,560 |
$121,719 |
5.80 |
NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION |
10 |
$16,984 |
$6,771 |
$169,837 |
$67,713 |
4.00 |
VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C |
10 |
$13,017 |
$6,452 |
$130,174 |
$64,517 |
2.50 |
GASTROINTESTINAL VASCULAR INSUFFICIENCY |
10 |
$15,348 |
$6,101 |
$153,482 |
$61,007 |
4.40 |
OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS |
10 |
$62,773 |
$26,079 |
$627,733 |
$260,793 |
9.00 |
ANTEPARTUM WITH O.R. PROCEDURE |
10 |
$30,866 |
$13,358 |
$308,664 |
$133,579 |
4.60 |
OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS |
9 |
$26,533 |
$10,993 |
$238,801 |
$98,933 |
3.78 |
MALIGNANT BREAST DISORDERS |
9 |
$30,853 |
$13,211 |
$277,678 |
$118,895 |
5.56 |
DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK |
9 |
$104,027 |
$53,942 |
$936,245 |
$485,480 |
4.22 |
BRONCHIOLITIS AND RSV PNEUMONIA |
9 |
$24,214 |
$9,570 |
$217,929 |
$86,134 |
6.00 |
CHEST PAIN |
8 |
$11,420 |
$4,631 |
$91,361 |
$37,048 |
3.38 |
OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES |
8 |
$82,934 |
$36,079 |
$663,472 |
$288,633 |
16.38 |
ACUTE LEUKEMIA |
8 |
$42,163 |
$17,425 |
$337,307 |
$139,398 |
9.38 |
SICKLE CELL ANEMIA CRISIS |
8 |
$19,465 |
$8,208 |
$155,719 |
$65,664 |
5.25 |
INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES |
7 |
$20,649 |
$8,950 |
$144,541 |
$62,653 |
3.43 |
VIRAL ILLNESS |
7 |
$26,171 |
$10,745 |
$183,198 |
$75,218 |
5.57 |
MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE |
7 |
$25,736 |
$10,129 |
$180,150 |
$70,904 |
5.71 |
NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS |
7 |
$31,472 |
$13,278 |
$220,307 |
$92,946 |
6.71 |
OTHER NERVOUS SYSTEM AND RELATED PROCEDURES |
6 |
$70,129 |
$32,386 |
$420,771 |
$194,315 |
12.33 |
MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA |
6 |
$50,393 |
$21,852 |
$302,360 |
$131,110 |
9.50 |
NEONATE WITH ECMO |
6 |
$252,537 |
$105,406 |
$1,515,219 |
$632,437 |
35.33 |
VIRAL MENINGITIS |
6 |
$27,796 |
$11,366 |
$166,776 |
$68,195 |
7.67 |
ACUTE AND SUBACUTE ENDOCARDITIS |
6 |
$47,513 |
$19,657 |
$285,080 |
$117,940 |
14.17 |
CARDIAC STRUCTURAL AND VALVULAR DISORDERS |
6 |
$15,045 |
$5,890 |
$90,271 |
$35,340 |
3.67 |
NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE |
6 |
$16,468 |
$7,269 |
$98,805 |
$43,615 |
3.00 |
MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS |
6 |
$103,356 |
$44,324 |
$620,138 |
$265,943 |
20.33 |
CHEMOTHERAPY FOR ACUTE LEUKEMIA |
5 |
$59,974 |
$26,141 |
$299,868 |
$130,707 |
7.60 |
OTHER BLADDER PROCEDURES |
5 |
$23,170 |
$9,966 |
$115,850 |
$49,828 |
2.00 |
CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA |
5 |
$31,379 |
$13,277 |
$156,895 |
$66,383 |
7.40 |
ADRENAL PROCEDURES |
5 |
$27,147 |
$11,743 |
$135,733 |
$58,716 |
1.80 |
OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES |
5 |
$16,825 |
$7,168 |
$84,123 |
$35,842 |
3.40 |
RENAL DIALYSIS ACCESS DEVICE PROCEDURES AND VESSEL REPAIR |
5 |
$75,268 |
$32,985 |
$376,339 |
$164,925 |
17.20 |
EXTERNAL HEART ASSIST SYSTEMS |
5 |
$178,215 |
$72,018 |
$891,075 |
$360,092 |
9.20 |
NEPHRITIS AND NEPHROSIS |
5 |
$33,164 |
$14,595 |
$165,820 |
$72,977 |
8.60 |
INFECTIONS OF UPPER RESPIRATORY TRACT |
5 |
$11,670 |
$4,844 |
$58,352 |
$24,222 |
3.20 |
OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES |
5 |
$60,059 |
$24,943 |
$300,296 |
$124,714 |
11.20 |
PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS |
5 |
$11,501 |
$5,556 |
$57,503 |
$27,778 |
3.20 |
NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE |
4 |
$9,778 |
$3,989 |
$39,112 |
$15,955 |
1.25 |
OTHER DRUG ABUSE AND DEPENDENCE |
4 |
$14,417 |
$5,909 |
$57,667 |
$23,636 |
3.25 |
SPINAL DISORDERS AND INJURIES |
4 |
$32,364 |
$13,495 |
$129,454 |
$53,978 |
9.00 |
ORBIT AND EYE PROCEDURES |
4 |
$24,148 |
$10,532 |
$96,592 |
$42,127 |
6.00 |
ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY |
4 |
$14,203 |
$6,163 |
$56,813 |
$24,652 |
5.50 |
OTHER CIRCULATORY SYSTEM PROCEDURES |
4 |
$54,570 |
$23,717 |
$218,279 |
$94,868 |
9.25 |
CYSTIC FIBROSIS - PULMONARY DISEASE |
4 |
$43,254 |
$17,773 |
$173,015 |
$71,090 |
8.50 |
ALLERGIC REACTIONS |
4 |
$21,528 |
$9,337 |
$86,111 |
$37,346 |
5.00 |
MAJOR BILIARY TRACT PROCEDURES |
3 |
$33,936 |
$14,274 |
$101,808 |
$42,821 |
5.00 |
OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS |
3 |
$57,302 |
$25,397 |
$171,907 |
$76,192 |
4.00 |
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION |
3 |
$32,393 |
$15,077 |
$97,179 |
$45,232 |
10.33 |
THYROID DISORDERS |
3 |
$11,482 |
$4,480 |
$34,445 |
$13,440 |
2.33 |
OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES |
3 |
$8,987 |
$3,683 |
$26,961 |
$11,049 |
2.67 |
OTHER MENTAL HEALTH DISORDERS |
3 |
$22,031 |
$8,609 |
$66,093 |
$25,828 |
5.33 |
MALIGNANCY, MALE REPRODUCTIVE SYSTEM |
3 |
$19,706 |
$8,342 |
$59,119 |
$25,026 |
3.67 |
MASTECTOMY PROCEDURES |
3 |
$36,594 |
$17,477 |
$109,781 |
$52,432 |
1.33 |
MAJOR CRANIAL OR FACIAL BONE PROCEDURES |
3 |
$36,778 |
$18,255 |
$110,333 |
$54,764 |
4.00 |
INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES |
3 |
$53,874 |
$28,485 |
$161,623 |
$85,454 |
7.00 |
CARDIAC ARREST AND SHOCK |
3 |
$14,223 |
$5,832 |
$42,668 |
$17,495 |
3.00 |
ANOXIC AND OTHER SEVERE BRAIN DAMAGE |
2 |
$50,649 |
$22,181 |
$101,297 |
$44,362 |
11.00 |
CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT |
2 |
$60,231 |
$30,805 |
$120,462 |
$61,609 |
5.50 |
ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES |
2 |
$26,538 |
$11,265 |
$53,075 |
$22,529 |
9.00 |
THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES |
2 |
$18,608 |
$7,969 |
$37,216 |
$15,937 |
1.00 |
OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES |
2 |
$28,533 |
$12,317 |
$57,066 |
$24,634 |
3.50 |
DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES |
2 |
$18,528 |
$8,008 |
$37,055 |
$16,016 |
4.00 |
OTHER OPEN CRANIOTOMY |
2 |
$57,765 |
$24,714 |
$115,529 |
$49,427 |
8.50 |
GASTRIC FUNDOPLICATION |
2 |
$16,962 |
$7,190 |
$33,923 |
$14,380 |
1.50 |
SPLENECTOMY |
2 |
$125,395 |
$53,718 |
$250,790 |
$107,436 |
16.00 |
NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
2 |
$12,227 |
$5,330 |
$24,454 |
$10,660 |
1.50 |
OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES |
2 |
$68,589 |
$28,841 |
$137,177 |
$57,681 |
16.00 |
COCAINE ABUSE AND DEPENDENCE |
2 |
$17,401 |
$7,189 |
$34,801 |
$14,377 |
5.50 |
BREAST PROCEDURES EXCEPT MASTECTOMY |
2 |
$28,834 |
$12,387 |
$57,667 |
$24,774 |
7.00 |
MAJOR SKIN DISORDERS |
1 |
$18,638 |
$7,749 |
$18,638 |
$7,749 |
6.00 |
MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES |
1 |
$50,677 |
$20,825 |
$50,677 |
$20,825 |
17.00 |
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE |
1 |
$123,722 |
$54,627 |
$123,722 |
$54,627 |
28.00 |
NEONATAL AFTERCARE |
1 |
$20,346 |
$9,659 |
$20,346 |
$9,659 |
7.00 |
BIPOLAR DISORDERS |
1 |
$12,394 |
$4,975 |
$12,394 |
$4,975 |
2.00 |
SCHIZOPHRENIA |
1 |
$108,232 |
$47,897 |
$108,232 |
$47,897 |
36.00 |
INBORN ERRORS OF METABOLISM |
1 |
$7,758 |
$3,408 |
$7,758 |
$3,408 |
1.00 |
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION |
1 |
$92,584 |
$42,952 |
$92,584 |
$42,952 |
25.00 |
HIV WITH MAJOR HIV RELATED CONDITION |
1 |
$26,866 |
$10,967 |
$26,866 |
$10,967 |
5.00 |
DISORDERS OF PERSONALITY AND IMPULSE CONTROL |
1 |
$11,144 |
$4,393 |
$11,144 |
$4,393 |
3.00 |
PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT |
1 |
$15,412 |
$6,702 |
$15,412 |
$6,702 |
5.00 |
SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES |
1 |
$9,290 |
$3,971 |
$9,290 |
$3,971 |
1.00 |
PENIS, TESTES AND SCROTAL PROCEDURES |
1 |
$14,992 |
$5,688 |
$14,992 |
$5,688 |
1.00 |
HAND AND WRIST PROCEDURES |
1 |
$18,597 |
$8,064 |
$18,597 |
$8,064 |
3.00 |
PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK |
1 |
$90,960 |
$39,181 |
$90,960 |
$39,181 |
16.00 |
OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES |
1 |
$22,298 |
$11,227 |
$22,298 |
$11,227 |
1.00 |
REHABILITATION |
1 |
$6,084 |
$2,612 |
$6,084 |
$2,612 |
2.00 |
HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS |
1 |
$302,560 |
$126,744 |
$302,560 |
$126,744 |
35.00 |
BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA |
1 |
$94,620 |
$41,392 |
$94,620 |
$41,392 |
18.00 |
HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS |
1 |
$18,253 |
$7,764 |
$18,253 |
$7,764 |
6.00 |
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION |
1 |
$40,325 |
$18,948 |
$40,325 |
$18,948 |
12.00 |
OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES |
1 |
$22,813 |
$9,889 |
$22,813 |
$9,889 |
1.00 |