Neonate birthwt >2499g, normal newborn or neonate w other problem |
502 |
$1,650 |
$940 |
$828,230 |
$472,081 |
2.03 |
Vaginal delivery |
439 |
$4,351 |
$2,997 |
$1,910,102 |
$1,315,547 |
2.07 |
Septicemia & disseminated infections |
432 |
$22,042 |
$11,120 |
$9,522,301 |
$4,803,939 |
6.53 |
Chronic obstructive pulmonary disease |
380 |
$14,301 |
$7,042 |
$5,434,456 |
$2,676,113 |
5.18 |
Acute myocardial infarction |
299 |
$16,437 |
$7,483 |
$4,914,667 |
$2,237,538 |
3.81 |
Heart failure |
224 |
$16,147 |
$8,514 |
$3,617,026 |
$1,907,086 |
6.17 |
Cesarean delivery |
187 |
$9,260 |
$4,383 |
$1,731,683 |
$819,631 |
2.83 |
Percutaneous coronary intervention w AMI |
181 |
$40,323 |
$17,395 |
$7,298,378 |
$3,148,503 |
2.89 |
Other pneumonia |
152 |
$12,876 |
$6,265 |
$1,957,145 |
$952,281 |
4.76 |
Cardiac arrhythmia & conduction disorders |
144 |
$10,365 |
$4,985 |
$1,492,621 |
$717,869 |
3.56 |
Major depressive disorders & other/unspecified psychoses |
144 |
$5,758 |
$4,447 |
$829,081 |
$640,420 |
5.72 |
Acute Kidney Injury |
141 |
$12,544 |
$6,578 |
$1,768,676 |
$927,448 |
5.16 |
Depression except major depressive disorder |
119 |
$4,312 |
$3,089 |
$513,115 |
$367,556 |
3.83 |
Knee joint replacement |
109 |
$32,742 |
$16,148 |
$3,568,843 |
$1,760,106 |
2.89 |
Respiratory Failure |
107 |
$22,011 |
$11,562 |
$2,355,183 |
$1,237,082 |
7.18 |
Schizophrenia |
107 |
$9,500 |
$7,632 |
$1,016,518 |
$816,596 |
9.93 |
Cellulitis & other skin infections |
99 |
$11,112 |
$6,138 |
$1,100,054 |
$607,641 |
5.22 |
Major small & large bowel procedures |
90 |
$31,599 |
$15,371 |
$2,843,893 |
$1,383,376 |
7.01 |
Other gastroenteritis, nausa & vomiting |
85 |
$9,327 |
$4,392 |
$792,769 |
$373,322 |
3.64 |
Hip joint replacement |
76 |
$32,187 |
$15,542 |
$2,446,197 |
$1,181,159 |
4.13 |
CVA & precerebral occlusion w infarct |
74 |
$22,198 |
$9,473 |
$1,642,656 |
$701,002 |
5.07 |
Kidney & urinary tract infections |
70 |
$10,168 |
$5,085 |
$711,763 |
$355,966 |
4.26 |
Alcohol abuse & dependence |
69 |
$7,434 |
$4,677 |
$512,915 |
$322,726 |
4.33 |
Bipolar disorders |
64 |
$7,161 |
$5,646 |
$458,312 |
$361,323 |
7.34 |
Pulmonary embolism |
57 |
$14,322 |
$6,080 |
$816,380 |
$346,562 |
3.77 |
Laparoscopic cholecystectomy |
56 |
$23,300 |
$10,343 |
$1,304,792 |
$579,214 |
4.36 |
Intestinal obstruction |
52 |
$10,812 |
$5,265 |
$562,217 |
$273,772 |
4.50 |
Diverticulitis & diverticulosis |
51 |
$11,130 |
$5,273 |
$567,623 |
$268,914 |
4.14 |
Electrolyte disorders except hypovolemia related |
48 |
$9,624 |
$5,173 |
$461,974 |
$248,282 |
4.04 |
Other & unspecified gastrointestinal hemorrhage |
46 |
$16,402 |
$7,689 |
$754,473 |
$353,688 |
4.61 |
Diabetes |
44 |
$11,554 |
$5,963 |
$508,379 |
$262,387 |
4.14 |
Infectious & parasitic diseases including HIV w O.R. procedure |
43 |
$44,409 |
$21,673 |
$1,909,608 |
$931,944 |
9.95 |
Hip and femur fracture repair |
41 |
$28,602 |
$13,961 |
$1,172,693 |
$572,418 |
5.98 |
Perm cardiac pacemaker implant w/o AMI, heart failure or shock |
39 |
$28,397 |
$14,107 |
$1,107,477 |
$550,157 |
3.51 |
Disorders of gallbladder & biliary tract |
39 |
$13,626 |
$6,127 |
$531,421 |
$238,945 |
3.51 |
Disorders of pancreas except malignancy |
38 |
$11,482 |
$5,261 |
$436,316 |
$199,909 |
4.29 |
Cardiac catheterization for other non-coronary conditions |
37 |
$21,681 |
$9,634 |
$802,189 |
$356,440 |
4.78 |
Adjustment disorders & neuroses except depressive diagnoses |
37 |
$3,817 |
$2,630 |
$141,224 |
$97,307 |
3.22 |
Peptic ulcer & gastritis |
34 |
$16,837 |
$6,929 |
$572,459 |
$235,601 |
4.15 |
Neonate bwt 2000-2499g, normal newborn or neonate w other problem |
33 |
$2,098 |
$1,228 |
$69,242 |
$40,510 |
2.61 |
Hypovolemia & related electrolyte disorders |
31 |
$10,617 |
$5,713 |
$329,117 |
$177,094 |
4.94 |
Other digestive system diagnoses |
29 |
$11,632 |
$5,443 |
$337,335 |
$157,851 |
4.21 |
Major respiratory infections & inflammations |
27 |
$17,503 |
$9,721 |
$472,572 |
$262,474 |
7.85 |
Peripheral & other vascular disorders |
27 |
$12,942 |
$6,294 |
$349,441 |
$169,937 |
4.52 |
Syncope & collapse |
27 |
$9,771 |
$4,825 |
$263,804 |
$130,283 |
3.89 |
Major gastrointestinal & peritoneal infections |
26 |
$14,789 |
$8,449 |
$384,507 |
$219,669 |
7.73 |
Poisoning of medicinal agents |
26 |
$11,930 |
$6,474 |
$310,175 |
$168,333 |
3.12 |
Inflammatory bowel disease |
25 |
$11,995 |
$5,295 |
$299,867 |
$132,385 |
4.04 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
23 |
$10,492 |
$5,450 |
$241,306 |
$125,359 |
4.09 |
Other endocrine disorders |
23 |
$12,745 |
$6,902 |
$293,146 |
$158,741 |
6.13 |
Neonate, transferred < 5 days old, born here |
22 |
$1,363 |
$662 |
$29,983 |
$14,555 |
1.23 |
Extracranial vascular procedures |
21 |
$22,057 |
$10,713 |
$463,193 |
$224,982 |
4.24 |
Transient ischemia |
21 |
$13,289 |
$5,281 |
$279,074 |
$110,903 |
2.86 |
Nontraumatic stupor & coma |
20 |
$12,855 |
$6,199 |
$257,102 |
$123,975 |
4.15 |
Gastrointestinal vascular insufficiency |
20 |
$12,297 |
$5,571 |
$245,949 |
$111,414 |
4.15 |
Urethral & transurethral procedures |
20 |
$16,026 |
$7,564 |
$320,520 |
$151,278 |
4.25 |
Other anemia & disorders of blood & blood-forming organs |
20 |
$14,733 |
$5,626 |
$294,666 |
$112,512 |
3.70 |
Seizure |
19 |
$10,507 |
$5,081 |
$199,636 |
$96,539 |
3.47 |
Behavioral disorders |
18 |
$4,080 |
$2,876 |
$73,446 |
$51,766 |
3.44 |
Acute anxiety & delirium states |
17 |
$5,750 |
$3,974 |
$97,758 |
$67,554 |
5.00 |
Other esophageal disorders |
16 |
$14,556 |
$6,411 |
$232,888 |
$102,575 |
4.44 |
Uterine & adnexa procedures for non-malignancy except leiomyoma |
16 |
$17,208 |
$7,477 |
$275,324 |
$119,638 |
2.38 |
Other back & neck disorders, fractures & injuries |
15 |
$9,944 |
$4,096 |
$149,159 |
$61,434 |
3.33 |
Malfunction, reaction, complic of genitourinary device or proc |
15 |
$20,728 |
$11,368 |
$310,916 |
$170,524 |
8.33 |
Opioid abuse & dependence |
15 |
$4,326 |
$2,751 |
$64,896 |
$41,261 |
3.13 |
Cardiac catheterization for coronary artery disease |
14 |
$20,204 |
$8,343 |
$282,854 |
$116,797 |
3.43 |
Appendectomy |
14 |
$15,655 |
$6,680 |
$219,165 |
$93,513 |
2.64 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
14 |
$13,668 |
$7,041 |
$191,345 |
$98,568 |
5.07 |
Skin ulcers |
14 |
$19,275 |
$10,043 |
$269,846 |
$140,599 |
7.14 |
Coagulation & platelet disorders |
14 |
$20,064 |
$8,680 |
$280,895 |
$121,526 |
6.36 |
Organic mental health disturbances |
14 |
$6,590 |
$4,707 |
$92,256 |
$65,903 |
5.64 |
Other drug abuse & dependence |
14 |
$4,828 |
$3,527 |
$67,598 |
$49,382 |
4.43 |
Moderately extensive procedure unrelated to principal diagnosis |
14 |
$32,062 |
$15,613 |
$448,863 |
$218,584 |
7.64 |
Foot & toe procedures |
13 |
$24,691 |
$12,598 |
$320,982 |
$163,771 |
8.54 |
Vaginal delivery w sterilization &/or D&C |
13 |
$8,356 |
$4,402 |
$108,629 |
$57,223 |
2.38 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
13 |
$15,626 |
$6,716 |
$203,136 |
$87,302 |
4.69 |
Post-operative, post-traumatic, other device infections |
13 |
$16,062 |
$8,492 |
$208,801 |
$110,393 |
6.23 |
Nonextensive procedure unrelated to principal diagnosis |
12 |
$24,022 |
$12,120 |
$288,269 |
$145,441 |
8.33 |
Other disorders of the liver |
11 |
$9,067 |
$3,839 |
$99,741 |
$42,226 |
3.00 |
Other musculoskeletal system & connective tissue diagnoses |
11 |
$9,839 |
$5,290 |
$108,226 |
$58,191 |
4.55 |
Signs, symptoms & other factors influencing health status |
11 |
$6,637 |
$3,224 |
$73,004 |
$35,460 |
2.64 |
Alcoholic liver disease |
10 |
$21,978 |
$9,953 |
$219,782 |
$99,525 |
5.60 |
Shoulder, upper arm & forearm procedures except joint replacement |
10 |
$37,646 |
$18,958 |
$376,462 |
$189,581 |
5.20 |
Kidney & urinary tract procedures for nonmalignancy |
10 |
$15,507 |
$7,160 |
$155,073 |
$71,600 |
4.40 |
Peripheral, cranial & autonomic nerve disorders |
9 |
$10,221 |
$4,525 |
$91,992 |
$40,725 |
2.78 |
Respiratory system diagnosis w ventilator support 96+ hours |
9 |
$76,678 |
$41,464 |
$690,100 |
$373,180 |
14.33 |
Major chest & respiratory trauma |
9 |
$16,431 |
$7,579 |
$147,881 |
$68,208 |
5.22 |
Asthma |
9 |
$7,070 |
$3,655 |
$63,627 |
$32,894 |
2.89 |
Lower extremity arterial procedures |
9 |
$16,579 |
$7,621 |
$149,209 |
$68,587 |
2.11 |
Other hepatobiliary, pancreas & abdominal procedures |
9 |
$14,475 |
$7,698 |
$130,272 |
$69,278 |
3.67 |
Uterine & adnexa procedures for leiomyoma |
9 |
$14,582 |
$6,285 |
$131,240 |
$56,567 |
1.78 |
Other complications of treatment |
9 |
$8,553 |
$3,984 |
$76,975 |
$35,856 |
2.67 |
Permanent cardiac pacemaker implant w AMI, heart failure or shock |
8 |
$56,553 |
$30,722 |
$452,424 |
$245,778 |
8.50 |
Percutaneous coronary intervention w/o AMI |
8 |
$36,464 |
$15,145 |
$291,711 |
$121,158 |
2.13 |
Hernia procedures except inguinal, femoral & umbilical |
8 |
$30,501 |
$14,488 |
$244,009 |
$115,902 |
7.25 |
Hepatic coma & other major acute liver disorders |
8 |
$12,536 |
$6,067 |
$100,286 |
$48,535 |
4.75 |
Fracture of femur |
8 |
$8,546 |
$4,137 |
$68,371 |
$33,094 |
3.13 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
8 |
$8,394 |
$5,359 |
$67,148 |
$42,870 |
3.00 |
Cocaine abuse & dependence |
8 |
$5,670 |
$4,000 |
$45,359 |
$31,997 |
5.00 |
Respiratory malignancy |
7 |
$24,363 |
$12,388 |
$170,538 |
$86,717 |
9.86 |
Hypertension |
7 |
$12,162 |
$5,894 |
$85,137 |
$41,255 |
3.00 |
Other small & large bowel procedures |
7 |
$29,998 |
$15,119 |
$209,987 |
$105,832 |
7.00 |
Fractures & dislocations except femur, pelvis & back |
7 |
$8,444 |
$4,110 |
$59,108 |
$28,772 |
3.57 |
Other skin, subcutaneous tissue & related procedures |
7 |
$23,918 |
$10,846 |
$167,424 |
$75,920 |
7.14 |
Chronic Kidney Disease |
7 |
$21,118 |
$11,929 |
$147,826 |
$83,505 |
7.71 |
Male reproductive system diagnoses except malignancy |
7 |
$10,748 |
$5,738 |
$75,238 |
$40,166 |
4.43 |
Toxic effects of non-medicinal substances |
7 |
$20,806 |
$9,580 |
$145,645 |
$67,059 |
4.57 |
Degenerative nervous system disorders exc mult sclerosis |
6 |
$7,141 |
$4,036 |
$42,847 |
$24,214 |
4.33 |
Migraine & other headaches |
6 |
$8,494 |
$3,964 |
$50,966 |
$23,784 |
3.33 |
Angina pectoris & coronary atherosclerosis |
6 |
$10,800 |
$4,050 |
$64,800 |
$24,297 |
2.17 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
6 |
$11,897 |
$5,471 |
$71,379 |
$32,827 |
3.17 |
Inguinal, femoral & umbilical hernia procedures |
6 |
$18,958 |
$8,567 |
$113,746 |
$51,404 |
4.00 |
Digestive malignancy |
6 |
$16,047 |
$7,956 |
$96,282 |
$47,735 |
5.83 |
Amputation of lower limb except toes |
6 |
$31,541 |
$16,656 |
$189,247 |
$99,935 |
11.67 |
Knee & lower leg procedures except foot |
6 |
$19,149 |
$9,593 |
$114,895 |
$57,555 |
4.00 |
Neonate bwt 1500-1999g w or w/o other significant condition |
6 |
$3,567 |
$2,065 |
$21,399 |
$12,390 |
4.50 |
Fever |
6 |
$9,707 |
$4,001 |
$58,241 |
$24,003 |
2.83 |
Multiple sclerosis & other demyelinating diseases |
5 |
$13,165 |
$6,647 |
$65,827 |
$33,235 |
5.80 |
Other disorders of nervous system |
5 |
$8,048 |
$4,166 |
$40,242 |
$20,830 |
3.60 |
Chest pain |
5 |
$10,393 |
$3,967 |
$51,966 |
$19,836 |
2.40 |
Other circulatory system diagnoses |
5 |
$10,543 |
$5,301 |
$52,713 |
$26,504 |
4.40 |
Anal procedures |
5 |
$16,741 |
$8,236 |
$83,704 |
$41,181 |
3.20 |
Fracture of pelvis or dislocation of hip |
5 |
$9,192 |
$4,948 |
$45,962 |
$24,738 |
4.80 |
Other skin, subcutaneous tissue & breast disorders |
5 |
$6,066 |
$3,029 |
$30,330 |
$15,145 |
2.60 |
Urinary stones & acquired upper urinary tract obstruction |
5 |
$10,024 |
$4,469 |
$50,119 |
$22,347 |
3.20 |
Other antepartum diagnoses |
5 |
$3,569 |
$1,493 |
$17,846 |
$7,467 |
1.80 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
5 |
$20,864 |
$9,771 |
$104,318 |
$48,857 |
6.20 |
Other infectious & parasitic diseases |
5 |
$10,381 |
$5,257 |
$51,907 |
$26,283 |
4.60 |
Drug & alcohol abuse or dependence, left against medical advice |
5 |
$5,097 |
$2,550 |
$25,485 |
$12,748 |
1.40 |
Extensive procedure unrelated to principal diagnosis |
5 |
$86,509 |
$40,422 |
$432,546 |
$202,108 |
14.00 |
Nervous system malignancy |
4 |
$18,907 |
$10,412 |
$75,629 |
$41,647 |
9.75 |
Ear, nose, mouth, throat, cranial/facial malignancies |
4 |
$10,670 |
$5,531 |
$42,681 |
$22,122 |
4.00 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
4 |
$13,342 |
$7,349 |
$53,366 |
$29,396 |
5.50 |
Cystic fibrosis - pulmonary disease |
4 |
$15,476 |
$7,687 |
$61,905 |
$30,749 |
5.25 |
Major abdominal vascular procedures |
4 |
$29,966 |
$14,100 |
$119,863 |
$56,401 |
5.75 |
Other circulatory system procedures |
4 |
$28,320 |
$13,418 |
$113,278 |
$53,671 |
7.75 |
Cardiac arrest and shock |
4 |
$28,190 |
$16,210 |
$112,759 |
$64,838 |
5.50 |
Major esophageal disorders |
4 |
$12,672 |
$6,046 |
$50,688 |
$24,184 |
3.25 |
Malfunction, reaction & complication of GI device or procedure |
4 |
$10,756 |
$5,762 |
$43,024 |
$23,047 |
5.50 |
Cholecystectomy except laparoscopic |
4 |
$32,712 |
$15,302 |
$130,847 |
$61,206 |
8.00 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
4 |
$15,144 |
$6,951 |
$60,574 |
$27,802 |
4.25 |
Female reproductive system reconstructive procedures |
4 |
$13,094 |
$5,648 |
$52,375 |
$22,593 |
1.50 |
Female reproductive system malignancy |
4 |
$9,725 |
$5,247 |
$38,898 |
$20,989 |
4.75 |
Sickle cell anemia crisis |
4 |
$14,350 |
$6,464 |
$57,400 |
$25,857 |
5.25 |
Viral illness |
4 |
$3,807 |
$1,727 |
$15,229 |
$6,909 |
1.50 |
Intracranial hemorrhage |
3 |
$20,382 |
$9,725 |
$61,147 |
$29,176 |
6.33 |
Acute major eye infections |
3 |
$10,529 |
$5,046 |
$31,587 |
$15,139 |
4.00 |
Vertigo & other labyrinth disorders |
3 |
$10,411 |
$4,969 |
$31,232 |
$14,907 |
4.33 |
Infections of upper respiratory tract |
3 |
$7,685 |
$3,704 |
$23,055 |
$11,113 |
3.33 |
Other peripheral vascular procedures |
3 |
$34,643 |
$18,079 |
$103,928 |
$54,238 |
9.00 |
Other digestive system & abdominal procedures |
3 |
$16,347 |
$7,836 |
$49,040 |
$23,507 |
3.00 |
Major biliary tract procedures |
3 |
$17,593 |
$8,002 |
$52,779 |
$24,007 |
4.67 |
Tendon, muscle & other soft tissue procedures |
3 |
$37,185 |
$19,047 |
$111,554 |
$57,141 |
7.67 |
Other musculoskeletal system & connective tissue procedures |
3 |
$19,801 |
$10,279 |
$59,402 |
$30,836 |
6.33 |
Shoulder & elbow joint replacement |
3 |
$38,596 |
$19,684 |
$115,789 |
$59,053 |
4.67 |
Connective tissue disorders |
3 |
$7,139 |
$4,199 |
$21,418 |
$12,596 |
3.67 |
Other kidney & urinary tract diagnoses, signs & symptoms |
3 |
$10,626 |
$5,393 |
$31,879 |
$16,180 |
4.67 |
D&C, aspiration curettage or hysterotomy for obstetric diagnoses |
3 |
$18,157 |
$6,423 |
$54,472 |
$19,269 |
2.00 |
Neonate birthwt >2499g w major anomaly |
3 |
$1,311 |
$821 |
$3,934 |
$2,462 |
2.00 |
Disorders of personality & impulse control |
3 |
$6,389 |
$5,096 |
$19,168 |
$15,288 |
6.67 |
O.R. procedure for other complications of treatment |
3 |
$21,557 |
$11,294 |
$64,670 |
$33,881 |
6.67 |
HIV w major HIV related condition |
3 |
$20,598 |
$9,249 |
$61,793 |
$27,746 |
5.67 |
Tracheostomy w MV 96+ hours w extensive procedure or ECMO |
2 |
$271,600 |
$149,009 |
$543,199 |
$298,018 |
45.50 |
Tracheostomy w MV 96+ hours w/o extensive procedure |
2 |
$185,806 |
$99,073 |
$371,611 |
$198,145 |
32.00 |
Bacterial & tuberculous infections of nervous system |
2 |
$63,881 |
$26,465 |
$127,761 |
$52,929 |
5.00 |
Non-bacterial infections of nervous system exc viral meningitis |
2 |
$8,585 |
$3,853 |
$17,169 |
$7,705 |
3.00 |
Viral meningitis |
2 |
$5,843 |
$2,663 |
$11,686 |
$5,326 |
2.00 |
Bronchiolitis & RSV pneumonia |
2 |
$2,673 |
$1,566 |
$5,345 |
$3,131 |
1.50 |
Respiratory signs, symptoms & minor diagnoses |
2 |
$8,658 |
$4,213 |
$17,316 |
$8,426 |
3.50 |
Cardiac defibrillator & heart assist implant |
2 |
$132,169 |
$58,109 |
$264,337 |
$116,217 |
4.50 |
Cardiac pacemaker & defibrillator device replacement |
2 |
$22,826 |
$12,017 |
$45,651 |
$24,034 |
5.00 |
Major stomach, esophageal & duodenal procedures |
2 |
$31,428 |
$14,461 |
$62,855 |
$28,922 |
8.00 |
Other stomach, esophageal & duodenal procedures |
2 |
$25,099 |
$10,668 |
$50,198 |
$21,335 |
6.50 |
Abdominal pain |
2 |
$11,925 |
$5,653 |
$23,850 |
$11,306 |
4.00 |
Other significant hip and femur surgery |
2 |
$17,482 |
$7,624 |
$34,964 |
$15,247 |
2.50 |
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses |
2 |
$20,206 |
$10,746 |
$40,411 |
$21,492 |
5.50 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
2 |
$21,255 |
$10,795 |
$42,509 |
$21,590 |
9.50 |
Skin graft for skin & subcutaneous tissue diagnoses |
2 |
$16,523 |
$7,233 |
$33,046 |
$14,465 |
4.50 |
Breast procedures except mastectomy |
2 |
$10,414 |
$5,791 |
$20,828 |
$11,581 |
5.00 |
Other procedures for endocrine, nutritional & metabolic disorders |
2 |
$21,885 |
$11,125 |
$43,769 |
$22,249 |
6.50 |
Malnutrition, failure to thrive & other nutritional disorders |
2 |
$3,645 |
$2,750 |
$7,289 |
$5,499 |
3.00 |
Nephritis & nephrosis |
2 |
$75,124 |
$32,783 |
$150,248 |
$65,566 |
11.50 |
Transurethral prostatectomy |
2 |
$10,036 |
$4,977 |
$20,072 |
$9,954 |
2.00 |
Menstrual & other female reproductive system disorders |
2 |
$8,741 |
$2,323 |
$17,481 |
$4,645 |
1.00 |
Other O.R. proc for obstetric diagnoses except delivery diagnoses |
2 |
$5,591 |
$2,041 |
$11,182 |
$4,082 |
2.50 |
Postpartum & post abortion diagnoses w/o procedure |
2 |
$8,411 |
$4,310 |
$16,821 |
$8,619 |
2.50 |
Neonate birthwt >2499g w other significant condition |
2 |
$2,006 |
$955 |
$4,011 |
$1,910 |
1.50 |
Other procedures of blood & blood-forming organs |
2 |
$20,290 |
$7,777 |
$40,579 |
$15,553 |
4.50 |
Post-op, post-trauma, other device infections w O.R. procedure |
2 |
$24,594 |
$10,992 |
$49,188 |
$21,984 |
8.00 |
Allergic reactions |
2 |
$4,211 |
$2,991 |
$8,422 |
$5,982 |
1.50 |
Procedure w diag of rehab, aftercare or oth contact w health service |
2 |
$21,923 |
$11,291 |
$43,845 |
$22,582 |
4.50 |
Other aftercare & convalescence |
2 |
$11,332 |
$6,864 |
$22,663 |
$13,727 |
5.50 |
Multiple significant trauma w/o O.R. procedure |
2 |
$6,949 |
$3,201 |
$13,898 |
$6,401 |
3.00 |
Other nervous system & related procedures |
1 |
$91,066 |
$36,196 |
$91,066 |
$36,196 |
18.00 |
Spinal disorders & injuries |
1 |
$50,758 |
$27,979 |
$50,758 |
$27,979 |
12.00 |
Head trauma w coma >1 hr or hemorrhage |
1 |
$8,063 |
$3,794 |
$8,063 |
$3,794 |
4.00 |
Dental & oral diseases & injuries |
1 |
$6,936 |
$3,300 |
$6,936 |
$3,300 |
3.00 |
Major respiratory & chest procedures |
1 |
$83,172 |
$42,024 |
$83,172 |
$42,024 |
13.00 |
Other respiratory & chest procedures |
1 |
$27,956 |
$12,481 |
$27,956 |
$12,481 |
9.00 |
Other cardiothoracic & thoracic vascular procedures |
1 |
$11,286 |
$2,890 |
$11,286 |
$2,890 |
1.00 |
Cardiomyopathy |
1 |
$6,132 |
$4,601 |
$6,132 |
$4,601 |
2.00 |
Peritoneal adhesiolysis |
1 |
$29,303 |
$14,891 |
$29,303 |
$14,891 |
10.00 |
Malignancy of hepatobiliary system & pancreas |
1 |
$24,146 |
$12,208 |
$24,146 |
$12,208 |
11.00 |
Malfunction, reaction, complic of orthopedic device or procedure |
1 |
$8,058 |
$4,060 |
$8,058 |
$4,060 |
3.00 |
Mastectomy procedures |
1 |
$13,142 |
$6,096 |
$13,142 |
$6,096 |
2.00 |
Malignant breast disorders |
1 |
$18,108 |
$7,330 |
$18,108 |
$7,330 |
4.00 |
Inborn errors of metabolism |
1 |
$8,793 |
$3,615 |
$8,793 |
$3,615 |
3.00 |
Major bladder procedures |
1 |
$33,114 |
$16,850 |
$33,114 |
$16,850 |
8.00 |
Other bladder procedures |
1 |
$53,602 |
$27,191 |
$53,602 |
$27,191 |
21.00 |
Other kidney, urinary tract & related procedures |
1 |
$8,931 |
$3,515 |
$8,931 |
$3,515 |
2.00 |
Kidney & urinary tract malignancy |
1 |
$19,013 |
$10,361 |
$19,013 |
$10,361 |
9.00 |
Penis procedures |
1 |
$23,233 |
$12,503 |
$23,233 |
$12,503 |
8.00 |
Testes & scrotal procedures |
1 |
$14,743 |
$6,016 |
$14,743 |
$6,016 |
3.00 |
Uterine & adnexa procedures for ovarian & adnexal malignancy |
1 |
$19,883 |
$7,730 |
$19,883 |
$7,730 |
2.00 |
Dilation & curettage for non-obstetric diagnoses |
1 |
$17,134 |
$7,714 |
$17,134 |
$7,714 |
5.00 |
Female reproductive system infections |
1 |
$12,772 |
$4,664 |
$12,772 |
$4,664 |
3.00 |
False labor |
1 |
$1,154 |
$463 |
$1,154 |
$463 |
1.00 |
Splenectomy |
1 |
$54,310 |
$27,177 |
$54,310 |
$27,177 |
16.00 |
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms |
1 |
$33,845 |
$15,844 |
$33,845 |
$15,844 |
12.00 |
Acute leukemia |
1 |
$13,427 |
$4,624 |
$13,427 |
$4,624 |
2.00 |
Lymphoma, myeloma & non-acute leukemia |
1 |
$25,748 |
$16,082 |
$25,748 |
$16,082 |
16.00 |
Other mental health disorders |
1 |
$8,678 |
$4,464 |
$8,678 |
$4,464 |
4.00 |
Other injury, poisoning & toxic effect diagnoses |
1 |
$11,112 |
$4,700 |
$11,112 |
$4,700 |
3.00 |
HIV w multiple major HIV related conditions |
1 |
$9,272 |
$3,073 |
$9,272 |
$3,073 |
2.00 |
Musculoskeletal & other procedures for multiple significant trauma |
1 |
$26,175 |
$11,095 |
$26,175 |
$11,095 |
4.00 |