Olean General Hospital

2020 Age Distribution

2020 Patient Race:

White5,658
Black/African American101
Other Race273

2020 Payers:

Medicare 2,767
Medicaid 1,683
Blue Cross/Blue Shield 777
Self-Pay 170
Federal/State/Local/VA 166
Private Health Insurance 446
Department of Corrections 7
Miscellaneous/Other 16

Conditions treated in 2020

Click on a column header to sort ascending or descending.
DRG Count Avg. Charge Avg. Cost Sum all Charges Sum all Costs Avg. LOS
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