NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM |
643 |
$2,133 |
$794 |
$1,371,415 |
$510,406 |
1.94 |
SEPTICEMIA & DISSEMINATED INFECTIONS |
585 |
$23,303 |
$9,392 |
$13,632,147 |
$5,494,500 |
6.45 |
VAGINAL DELIVERY |
456 |
$4,234 |
$2,586 |
$1,930,610 |
$1,179,039 |
2.03 |
HEART FAILURE |
282 |
$15,475 |
$6,367 |
$4,363,925 |
$1,795,429 |
5.30 |
OTHER PNEUMONIA |
197 |
$14,416 |
$5,701 |
$2,839,910 |
$1,123,054 |
5.03 |
CESAREAN SECTION W/O STERILIZATION |
195 |
$9,418 |
$3,618 |
$1,836,453 |
$705,473 |
2.64 |
DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER |
157 |
$5,310 |
$3,765 |
$833,610 |
$591,086 |
4.85 |
CHRONIC OBSTRUCTIVE PULMONARY DISEASE |
153 |
$11,126 |
$4,336 |
$1,702,271 |
$663,335 |
3.76 |
MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS |
144 |
$24,225 |
$9,497 |
$3,488,405 |
$1,367,504 |
7.48 |
ACUTE KIDNEY INJURY |
131 |
$14,028 |
$5,804 |
$1,837,676 |
$760,362 |
4.96 |
SCHIZOPHRENIA |
119 |
$9,014 |
$6,843 |
$1,072,680 |
$814,303 |
9.08 |
BIPOLAR DISORDERS |
117 |
$6,807 |
$4,916 |
$796,472 |
$575,215 |
6.40 |
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS |
110 |
$8,073 |
$3,522 |
$888,069 |
$387,426 |
3.15 |
PERCUTANEOUS CARDIAC INTERVENTION W AMI |
91 |
$41,647 |
$15,068 |
$3,789,896 |
$1,371,179 |
2.19 |
RESPIRATORY FAILURE |
89 |
$22,702 |
$8,838 |
$2,020,506 |
$786,568 |
5.64 |
ALCOHOL ABUSE & DEPENDENCE |
88 |
$11,489 |
$5,642 |
$1,011,068 |
$496,505 |
5.09 |
ACUTE MYOCARDIAL INFARCTION |
86 |
$14,039 |
$5,308 |
$1,207,349 |
$456,520 |
2.47 |
KNEE JOINT REPLACEMENT |
84 |
$31,043 |
$12,434 |
$2,607,614 |
$1,044,451 |
3.18 |
NON-HYPOVOLEMIC SODIUM DISORDERS |
79 |
$9,138 |
$3,963 |
$721,905 |
$313,047 |
4.03 |
DIABETES |
77 |
$12,770 |
$5,774 |
$983,312 |
$444,605 |
3.82 |
CVA & PRECEREBRAL OCCLUSION W INFARCT |
76 |
$20,106 |
$6,993 |
$1,528,073 |
$531,453 |
4.74 |
HIP JOINT REPLACEMENT |
69 |
$27,397 |
$10,864 |
$1,890,416 |
$749,641 |
4.28 |
CELLULITIS & OTHER SKIN INFECTIONS |
67 |
$13,095 |
$5,260 |
$877,334 |
$352,431 |
4.84 |
CESAREAN SECTION W STERILIZATION |
62 |
$10,663 |
$3,854 |
$661,098 |
$238,935 |
2.19 |
INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE |
57 |
$40,486 |
$16,042 |
$2,307,721 |
$914,398 |
9.26 |
ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES |
57 |
$4,890 |
$3,417 |
$278,714 |
$194,777 |
4.37 |
MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES |
56 |
$6,329 |
$4,756 |
$354,421 |
$266,363 |
6.27 |
KIDNEY & URINARY TRACT INFECTIONS |
53 |
$9,882 |
$3,951 |
$523,757 |
$209,381 |
3.92 |
OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE |
50 |
$20,030 |
$7,672 |
$1,001,513 |
$383,598 |
5.12 |
INTESTINAL OBSTRUCTION |
50 |
$9,580 |
$3,696 |
$478,991 |
$184,814 |
3.66 |
OTHER DRUG ABUSE & DEPENDENCE |
48 |
$4,881 |
$3,437 |
$234,270 |
$164,995 |
4.42 |
PEPTIC ULCER & GASTRITIS |
47 |
$17,462 |
$6,440 |
$820,736 |
$302,668 |
3.87 |
DISORDERS OF PANCREAS EXCEPT MALIGNANCY |
46 |
$9,690 |
$3,760 |
$445,760 |
$172,950 |
3.50 |
NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM |
42 |
$2,560 |
$962 |
$107,508 |
$40,422 |
2.36 |
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS |
41 |
$9,809 |
$4,090 |
$402,150 |
$167,692 |
3.66 |
NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE |
39 |
$1,692 |
$557 |
$65,989 |
$21,736 |
1.21 |
OPIOID ABUSE & DEPENDENCE |
36 |
$4,867 |
$3,202 |
$175,195 |
$115,278 |
4.03 |
OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS |
33 |
$13,092 |
$4,860 |
$432,048 |
$160,382 |
3.45 |
PULMONARY EMBOLISM |
31 |
$16,204 |
$5,577 |
$502,329 |
$172,899 |
3.90 |
DIVERTICULITIS & DIVERTICULOSIS |
31 |
$11,799 |
$4,506 |
$365,771 |
$139,687 |
4.16 |
OTHER GASTROENTERITIS, NAUSEA & VOMITING |
31 |
$10,169 |
$3,928 |
$315,235 |
$121,759 |
3.68 |
FOOT & TOE PROCEDURES |
28 |
$20,580 |
$8,423 |
$576,253 |
$235,839 |
6.46 |
DISORDERS OF GALLBLADDER & BILIARY TRACT |
26 |
$12,793 |
$4,499 |
$332,619 |
$116,964 |
3.00 |
SEIZURE |
26 |
$12,763 |
$4,932 |
$331,836 |
$128,220 |
4.23 |
HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS |
25 |
$27,772 |
$11,059 |
$694,289 |
$276,485 |
7.36 |
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES |
24 |
$10,472 |
$4,616 |
$251,318 |
$110,787 |
4.71 |
HIP & FEMUR FRACTURE REPAIR |
23 |
$36,169 |
$15,115 |
$831,884 |
$347,646 |
8.43 |
CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS |
23 |
$19,243 |
$7,070 |
$442,581 |
$162,613 |
3.04 |
URETHRAL & TRANSURETHRAL PROCEDURES |
23 |
$13,150 |
$5,003 |
$302,461 |
$115,059 |
3.17 |
MAJOR LARGE BOWEL PROCEDURES |
22 |
$29,807 |
$11,717 |
$655,748 |
$257,768 |
7.05 |
CHOLECYSTECTOMY |
22 |
$21,464 |
$7,552 |
$472,211 |
$166,135 |
3.86 |
MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS |
21 |
$12,495 |
$4,752 |
$262,397 |
$99,792 |
4.24 |
PERIPHERAL & OTHER VASCULAR DISORDERS |
20 |
$14,010 |
$5,848 |
$280,190 |
$116,961 |
4.95 |
OPEN EXTRACRANIAL VASCULAR PROCEDURES |
18 |
$17,499 |
$7,460 |
$314,990 |
$134,271 |
2.50 |
POISONING OF MEDICINAL AGENTS |
18 |
$17,617 |
$7,453 |
$317,098 |
$134,160 |
4.17 |
OTHER CIRCULATORY SYSTEM DIAGNOSES |
18 |
$12,489 |
$5,000 |
$224,798 |
$90,000 |
3.94 |
INTENTIONAL SELF-HARM & ATTEMPTED SUICIDE |
18 |
$16,063 |
$7,553 |
$289,133 |
$135,961 |
4.44 |
OTHER DISORDERS OF THE LIVER |
17 |
$13,831 |
$5,325 |
$235,132 |
$90,526 |
4.82 |
ALTERATION IN CONSCIOUSNESS |
17 |
$14,859 |
$6,286 |
$252,599 |
$106,865 |
4.59 |
URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION |
17 |
$16,489 |
$6,047 |
$280,309 |
$102,807 |
3.65 |
HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS |
17 |
$10,777 |
$4,017 |
$183,210 |
$68,284 |
3.65 |
MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL |
16 |
$19,980 |
$7,464 |
$319,687 |
$119,416 |
5.25 |
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS |
16 |
$133,069 |
$51,652 |
$2,129,097 |
$826,428 |
17.06 |
OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS |
16 |
$18,566 |
$7,849 |
$297,052 |
$125,577 |
6.75 |
PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS |
15 |
$11,774 |
$4,155 |
$176,617 |
$62,321 |
3.07 |
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS |
15 |
$24,459 |
$9,372 |
$366,887 |
$140,586 |
4.67 |
COCAINE ABUSE & DEPENDENCE |
15 |
$4,271 |
$3,087 |
$64,070 |
$46,303 |
3.93 |
DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK |
14 |
$75,701 |
$29,699 |
$1,059,816 |
$415,782 |
1.93 |
ANTEPARTUM W/O O.R. PROCEDURE |
14 |
$4,264 |
$1,563 |
$59,689 |
$21,877 |
2.00 |
VAGINAL DELIVERY W STERILIZATION &/OR D&C |
14 |
$8,756 |
$3,803 |
$122,589 |
$53,241 |
2.43 |
PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK |
13 |
$34,468 |
$14,258 |
$448,080 |
$185,351 |
4.15 |
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES |
13 |
$10,972 |
$4,036 |
$142,639 |
$52,462 |
2.85 |
OTHER DIGESTIVE SYSTEM DIAGNOSES |
13 |
$10,874 |
$3,878 |
$141,359 |
$50,415 |
3.08 |
ALCOHOLIC LIVER DISEASE |
13 |
$21,134 |
$8,925 |
$274,746 |
$116,031 |
7.85 |
TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE |
12 |
$222,283 |
$90,094 |
$2,667,394 |
$1,081,124 |
31.25 |
DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE |
12 |
$5,191 |
$1,757 |
$62,296 |
$21,085 |
1.58 |
ACUTE ANXIETY & DELIRIUM STATES |
12 |
$5,451 |
$3,489 |
$65,413 |
$41,866 |
4.33 |
INFLAMMATORY BOWEL DISEASE |
12 |
$5,778 |
$2,077 |
$69,336 |
$24,922 |
1.92 |
OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES |
11 |
$12,409 |
$4,655 |
$136,498 |
$51,201 |
5.09 |
COAGULATION & PLATELET DISORDERS |
11 |
$19,784 |
$6,327 |
$217,625 |
$69,592 |
2.73 |
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES |
10 |
$21,375 |
$8,095 |
$213,747 |
$80,951 |
4.70 |
MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS |
10 |
$18,418 |
$7,100 |
$184,178 |
$70,996 |
6.10 |
SKIN ULCERS |
10 |
$17,212 |
$6,766 |
$172,119 |
$67,656 |
5.20 |
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS |
9 |
$28,028 |
$11,688 |
$252,253 |
$105,194 |
8.78 |
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS |
9 |
$9,766 |
$5,112 |
$87,894 |
$46,007 |
5.89 |
UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA |
9 |
$26,432 |
$8,801 |
$237,889 |
$79,209 |
3.78 |
ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS |
9 |
$6,416 |
$2,287 |
$57,740 |
$20,585 |
1.67 |
SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS |
9 |
$7,609 |
$3,693 |
$68,478 |
$33,236 |
4.44 |
BEHAVIORAL DISORDERS |
9 |
$4,370 |
$2,999 |
$39,334 |
$26,987 |
3.78 |
MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE |
8 |
$14,498 |
$5,658 |
$115,983 |
$45,266 |
4.38 |
MAJOR CHEST & RESPIRATORY TRAUMA |
8 |
$10,393 |
$3,562 |
$83,140 |
$28,494 |
3.50 |
MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
8 |
$35,818 |
$13,504 |
$286,542 |
$108,032 |
8.50 |
CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE |
7 |
$16,438 |
$6,211 |
$115,065 |
$43,476 |
1.71 |
LOWER EXTREMITY ARTERIAL PROCEDURES |
7 |
$24,548 |
$9,439 |
$171,836 |
$66,074 |
4.14 |
MAJOR ESOPHAGEAL DISORDERS |
7 |
$19,764 |
$7,478 |
$138,349 |
$52,349 |
5.29 |
OTHER DISORDERS OF NERVOUS SYSTEM |
7 |
$17,417 |
$7,505 |
$121,922 |
$52,534 |
8.00 |
TRANSIENT ISCHEMIA |
6 |
$10,287 |
$3,468 |
$61,719 |
$20,807 |
2.83 |
SYNCOPE & COLLAPSE |
6 |
$9,291 |
$3,211 |
$55,743 |
$19,264 |
2.67 |
CHRONIC KIDNEY DISEASE |
6 |
$12,449 |
$5,484 |
$74,693 |
$32,906 |
4.83 |
MAJOR SMALL BOWEL PROCEDURES |
6 |
$56,945 |
$20,571 |
$341,672 |
$123,428 |
9.33 |
DIGESTIVE MALIGNANCY |
6 |
$15,055 |
$5,448 |
$90,327 |
$32,688 |
4.00 |
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES |
6 |
$7,936 |
$2,902 |
$47,613 |
$17,413 |
1.67 |
AMPUTATION OF LOWER LIMB EXCEPT TOES |
6 |
$36,102 |
$13,949 |
$216,614 |
$83,691 |
9.00 |
KNEE & LOWER LEG PROCEDURES EXCEPT FOOT |
6 |
$30,144 |
$12,380 |
$180,865 |
$74,279 |
8.33 |
PERITONEAL ADHESIOLYSIS |
6 |
$19,836 |
$8,029 |
$119,017 |
$48,176 |
6.17 |
VAGINAL DELIVERY W O.R. PROCEDURE EXCEPT STERILIZATION &/OR D&C |
5 |
$20,301 |
$8,401 |
$101,505 |
$42,004 |
3.00 |
MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC |
5 |
$20,232 |
$7,999 |
$101,158 |
$39,996 |
5.80 |
HYPERTENSION |
5 |
$12,445 |
$4,997 |
$62,224 |
$24,986 |
4.20 |
NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
5 |
$22,998 |
$9,018 |
$114,991 |
$45,091 |
6.20 |
EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
5 |
$51,140 |
$20,846 |
$255,702 |
$104,229 |
9.60 |
FRACTURE OF PELVIS OR DISLOCATION OF HIP |
5 |
$10,897 |
$5,147 |
$54,485 |
$25,733 |
5.60 |
SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES |
5 |
$31,571 |
$13,415 |
$157,854 |
$67,077 |
7.60 |
OTHER PERIPHERAL VASCULAR PROCEDURES |
5 |
$40,135 |
$13,529 |
$200,675 |
$67,645 |
3.00 |
RESPIRATORY MALIGNANCY |
5 |
$20,333 |
$7,800 |
$101,665 |
$39,002 |
5.20 |
NEONATE BIRTHWT >2499G W MAJOR ANOMALY |
4 |
$3,104 |
$1,132 |
$12,417 |
$4,527 |
2.50 |
GASTROINTESTINAL VASCULAR INSUFFICIENCY |
4 |
$10,918 |
$4,181 |
$43,673 |
$16,724 |
4.25 |
ACUTE BRONCHITIS & RELATED SYMPTOMS |
4 |
$7,017 |
$2,593 |
$28,066 |
$10,370 |
2.25 |
INFECTIONS OF UPPER RESPIRATORY TRACT |
4 |
$11,404 |
$4,445 |
$45,615 |
$17,781 |
4.50 |
INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES |
4 |
$11,477 |
$4,155 |
$45,906 |
$16,618 |
2.50 |
MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG |
4 |
$19,776 |
$6,287 |
$79,103 |
$25,149 |
4.50 |
FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK |
4 |
$10,752 |
$4,912 |
$43,008 |
$19,649 |
5.75 |
OTHER INFECTIOUS & PARASITIC DISEASES |
4 |
$27,311 |
$12,423 |
$109,245 |
$49,693 |
8.50 |
KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY |
4 |
$16,659 |
$6,648 |
$66,637 |
$26,593 |
4.25 |
POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE |
4 |
$18,217 |
$7,060 |
$72,867 |
$28,240 |
4.00 |
MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES |
4 |
$11,907 |
$5,405 |
$47,627 |
$21,618 |
5.75 |
LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR |
4 |
$16,645 |
$5,867 |
$66,580 |
$23,468 |
3.00 |
TONSIL & ADENOID PROCEDURES |
4 |
$8,926 |
$3,111 |
$35,702 |
$12,444 |
1.50 |
OTHER ENDOCRINE DISORDERS |
4 |
$14,793 |
$6,966 |
$59,172 |
$27,865 |
6.50 |
FEMALE REPRODUCTIVE SYSTEM INFECTIONS |
4 |
$7,186 |
$2,906 |
$28,744 |
$11,625 |
2.75 |
ASTHMA |
4 |
$11,598 |
$3,828 |
$46,392 |
$15,313 |
2.75 |
CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE |
4 |
$28,859 |
$9,491 |
$115,434 |
$37,962 |
3.50 |
OTHER SMALL & LARGE BOWEL PROCEDURES |
4 |
$22,532 |
$10,040 |
$90,127 |
$40,159 |
8.00 |
TRANSURETHRAL PROSTATECTOMY |
4 |
$17,788 |
$6,934 |
$71,151 |
$27,734 |
4.25 |
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS |
4 |
$13,046 |
$4,498 |
$52,185 |
$17,990 |
2.00 |
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL |
4 |
$16,507 |
$6,348 |
$66,027 |
$25,390 |
4.50 |
CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP |
3 |
$26,880 |
$10,494 |
$80,641 |
$31,483 |
3.33 |
NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS |
3 |
$35,411 |
$14,197 |
$106,232 |
$42,591 |
10.33 |
OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS |
3 |
$25,102 |
$10,466 |
$75,306 |
$31,397 |
6.67 |
TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES |
3 |
$22,988 |
$9,595 |
$68,963 |
$28,786 |
7.33 |
PERCUTANEOUS CARDIAC INTERVENTION W/O AMI |
3 |
$38,503 |
$13,602 |
$115,510 |
$40,805 |
1.00 |
HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE |
3 |
$7,607 |
$2,774 |
$22,821 |
$8,322 |
2.67 |
DISORDERS OF PERSONALITY & IMPULSE CONTROL |
3 |
$9,876 |
$6,831 |
$29,627 |
$20,494 |
8.67 |
SPINAL PROCEDURES |
3 |
$41,485 |
$15,865 |
$124,454 |
$47,596 |
5.67 |
UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA |
3 |
$22,927 |
$8,003 |
$68,781 |
$24,008 |
3.33 |
PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE |
3 |
$38,856 |
$15,131 |
$116,569 |
$45,394 |
1.67 |
ALLERGIC REACTIONS |
3 |
$19,737 |
$5,941 |
$59,212 |
$17,824 |
2.67 |
VIRAL MENINGITIS |
3 |
$20,130 |
$7,998 |
$60,390 |
$23,993 |
7.33 |
MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE |
3 |
$15,656 |
$7,570 |
$46,967 |
$22,711 |
8.33 |
SICKLE CELL ANEMIA CRISIS |
3 |
$10,694 |
$5,430 |
$32,081 |
$16,291 |
6.00 |
MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES |
3 |
$26,653 |
$9,639 |
$79,959 |
$28,917 |
6.00 |
MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE |
2 |
$24,144 |
$10,787 |
$48,287 |
$21,573 |
11.00 |
NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION |
2 |
$2,888 |
$1,053 |
$5,776 |
$2,106 |
2.50 |
OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS |
2 |
$4,338 |
$1,980 |
$8,676 |
$3,960 |
2.00 |
OTHER ESOPHAGEAL DISORDERS |
2 |
$50,783 |
$18,061 |
$101,565 |
$36,121 |
13.00 |
OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES |
2 |
$44,027 |
$16,024 |
$88,053 |
$32,047 |
8.00 |
LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA |
2 |
$15,873 |
$5,930 |
$31,745 |
$11,860 |
4.50 |
OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES |
2 |
$29,783 |
$12,005 |
$59,566 |
$24,010 |
9.00 |
OTHER COMPLICATIONS OF TREATMENT |
2 |
$17,947 |
$6,752 |
$35,894 |
$13,504 |
5.00 |
BREAST PROCEDURES EXCEPT MASTECTOMY |
2 |
$13,295 |
$4,883 |
$26,590 |
$9,766 |
2.00 |
OTHER MENTAL HEALTH DISORDERS |
2 |
$3,519 |
$1,941 |
$7,038 |
$3,881 |
2.00 |
OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES |
2 |
$11,429 |
$3,487 |
$22,857 |
$6,974 |
3.00 |
CONNECTIVE TISSUE DISORDERS |
2 |
$25,107 |
$10,679 |
$50,213 |
$21,358 |
8.00 |
VIRAL ILLNESS |
2 |
$9,985 |
$2,678 |
$19,970 |
$5,356 |
2.00 |
VERTIGO & OTHER LABYRINTH DISORDERS |
2 |
$11,510 |
$6,215 |
$23,020 |
$12,429 |
7.50 |
ORGANIC MENTAL HEALTH DISTURBANCES |
2 |
$3,809 |
$2,445 |
$7,618 |
$4,890 |
3.00 |
MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA |
2 |
$44,966 |
$16,691 |
$89,932 |
$33,382 |
8.00 |
CARDIAC ARREST & SHOCK |
2 |
$4,927 |
$2,221 |
$9,853 |
$4,441 |
1.50 |
ACUTE & SUBACUTE ENDOCARDITIS |
2 |
$23,754 |
$9,158 |
$47,507 |
$18,316 |
5.00 |
MAJOR ABDOMINAL VASCULAR PROCEDURES |
2 |
$43,738 |
$19,808 |
$87,475 |
$39,616 |
7.00 |
ANOXIC & OTHER SEVERE BRAIN DAMAGE |
2 |
$15,853 |
$7,738 |
$31,705 |
$15,476 |
4.00 |
OTHER SIGNIFICANT HIP & FEMUR SURGERY |
2 |
$21,580 |
$8,749 |
$43,159 |
$17,497 |
5.50 |
FRACTURE OF FEMUR |
2 |
$9,679 |
$3,511 |
$19,358 |
$7,021 |
3.50 |
MASTECTOMY PROCEDURES |
2 |
$13,930 |
$5,313 |
$27,860 |
$10,626 |
2.50 |
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES |
2 |
$11,768 |
$3,719 |
$23,535 |
$7,438 |
1.50 |
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY |
2 |
$14,893 |
$6,812 |
$29,786 |
$13,624 |
7.50 |
MIGRAINE & OTHER HEADACHES |
1 |
$12,759 |
$3,525 |
$12,759 |
$3,525 |
3.00 |
INTERSTITIAL & ALVEOLAR LUNG DISEASES |
1 |
$20,008 |
$8,795 |
$20,008 |
$8,795 |
8.00 |
MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
1 |
$9,494 |
$4,163 |
$9,494 |
$4,163 |
3.00 |
THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES |
1 |
$8,415 |
$2,950 |
$8,415 |
$2,950 |
1.00 |
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY |
1 |
$5,593 |
$1,851 |
$5,593 |
$1,851 |
2.00 |
SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES |
1 |
$5,538 |
$2,341 |
$5,538 |
$2,341 |
2.00 |
INSERTION, REVISION & REPLACEMENTS OF PACEMAKER & OTHER CARDIAC DEVICES |
1 |
$27,193 |
$10,112 |
$27,193 |
$10,112 |
3.00 |
EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES |
1 |
$20,279 |
$7,850 |
$20,279 |
$7,850 |
5.00 |
NEONATE BWT < 500G, OR BWT 500-999G & GESTATIONAL AGE <24 WKS, OR BWT 500-749G W MAJOR ANOMALY OR W/O LIFE SUSTAINING IN |
1 |
$500 |
$241 |
$500 |
$241 |
1.00 |
INTERVERTEBRAL DISC EXCISION & DECOMPRESSION |
1 |
$11,421 |
$4,048 |
$11,421 |
$4,048 |
1.00 |
DENTAL DISEASES & DISORDERS |
1 |
$8,098 |
$3,558 |
$8,098 |
$3,558 |
4.00 |
NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION |
1 |
$3,944 |
$1,413 |
$3,944 |
$1,413 |
3.00 |
HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION |
1 |
$8,824 |
$3,661 |
$8,824 |
$3,661 |
2.00 |
TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE |
1 |
$519,329 |
$245,891 |
$519,329 |
$245,891 |
120.00 |
MAJOR BILIARY TRACT PROCEDURES |
1 |
$13,121 |
$4,220 |
$13,121 |
$4,220 |
2.00 |
EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
1 |
$65,351 |
$22,617 |
$65,351 |
$22,617 |
2.00 |
MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS |
1 |
$5,233 |
$1,767 |
$5,233 |
$1,767 |
1.00 |
NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION |
1 |
$4,876 |
$1,761 |
$4,876 |
$1,761 |
4.00 |
INTRACRANIAL HEMORRHAGE |
1 |
$15,197 |
$4,075 |
$15,197 |
$4,075 |
3.00 |
CARDIAC STRUCTURAL & VALVULAR DISORDERS |
1 |
$18,093 |
$5,579 |
$18,093 |
$5,579 |
3.00 |
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT |
1 |
$19,977 |
$5,827 |
$19,977 |
$5,827 |
3.00 |
NERVOUS SYSTEM MALIGNANCY |
1 |
$12,256 |
$4,278 |
$12,256 |
$4,278 |
5.00 |
MENTAL ILLNESS DIAGNOSIS W O.R. PROCEDURE |
1 |
$6,021 |
$3,958 |
$6,021 |
$3,958 |
5.00 |
OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES |
1 |
$94,670 |
$41,000 |
$94,670 |
$41,000 |
17.00 |
EYE INFECTIONS & OTHER EYE DISORDERS |
1 |
$4,307 |
$1,879 |
$4,307 |
$1,879 |
2.00 |
CARDIOMYOPATHY |
1 |
$8,630 |
$3,351 |
$8,630 |
$3,351 |
3.00 |
NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
1 |
$9,988 |
$4,343 |
$9,988 |
$4,343 |
3.00 |
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS |
1 |
$6,625 |
$2,693 |
$6,625 |
$2,693 |
2.00 |
OTHER BLADDER PROCEDURES |
1 |
$44,881 |
$17,030 |
$44,881 |
$17,030 |
10.00 |
OTHER RESPIRATORY & CHEST PROCEDURES |
1 |
$32,191 |
$12,335 |
$32,191 |
$12,335 |
7.00 |
HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS |
1 |
$35,636 |
$19,363 |
$35,636 |
$19,363 |
24.00 |
OTHER AFTERCARE & CONVALESCENCE |
1 |
$10,831 |
$3,473 |
$10,831 |
$3,473 |
3.00 |
ANAL PROCEDURES |
1 |
$10,234 |
$3,770 |
$10,234 |
$3,770 |
2.00 |