Chronic obstructive pulmonary disease |
242 |
$20,043 |
$6,805 |
$4,850,295 |
$1,646,805 |
4.63 |
Septicemia & disseminated infections |
234 |
$26,153 |
$10,386 |
$6,119,735 |
$2,430,367 |
5.96 |
Knee joint replacement |
233 |
$30,118 |
$18,119 |
$7,017,575 |
$4,221,780 |
2.37 |
Hip joint replacement |
141 |
$32,826 |
$19,100 |
$4,628,427 |
$2,693,057 |
3.16 |
Cellulitis & other skin infections |
124 |
$14,017 |
$5,459 |
$1,738,117 |
$676,877 |
4.19 |
Respiratory Failure |
117 |
$25,854 |
$9,507 |
$3,024,926 |
$1,112,292 |
5.22 |
Heart failure |
114 |
$17,242 |
$6,504 |
$1,965,624 |
$741,427 |
4.89 |
Dorsal & lumbar fusion proc except for curvature of back |
114 |
$67,631 |
$43,890 |
$7,709,896 |
$5,003,515 |
3.79 |
Kidney & urinary tract infections |
114 |
$13,484 |
$5,103 |
$1,537,232 |
$581,714 |
3.82 |
Other pneumonia |
85 |
$20,583 |
$7,575 |
$1,749,568 |
$643,892 |
5.07 |
Cervical spinal fusion & other back/neck proc exc disc excis/decomp |
84 |
$35,755 |
$21,927 |
$3,003,443 |
$1,841,908 |
1.60 |
CVA & precerebral occlusion w infarct |
78 |
$16,735 |
$6,113 |
$1,305,323 |
$476,796 |
3.55 |
Major respiratory infections & inflammations |
73 |
$24,952 |
$9,630 |
$1,821,520 |
$702,965 |
6.40 |
Acute Kidney Injury |
70 |
$16,093 |
$6,210 |
$1,126,478 |
$434,725 |
4.81 |
Cardiac arrhythmia & conduction disorders |
69 |
$14,293 |
$5,724 |
$986,239 |
$394,938 |
3.54 |
Other gastroenteritis, nausa & vomiting |
68 |
$14,122 |
$5,179 |
$960,294 |
$352,152 |
3.75 |
Diabetes |
66 |
$15,513 |
$6,552 |
$1,023,831 |
$432,404 |
3.70 |
Disorders of pancreas except malignancy |
55 |
$13,483 |
$5,306 |
$741,550 |
$291,820 |
3.69 |
Major small & large bowel procedures |
52 |
$41,324 |
$18,707 |
$2,148,839 |
$972,742 |
7.10 |
Other digestive system diagnoses |
47 |
$17,550 |
$6,848 |
$824,847 |
$321,866 |
4.04 |
Malfunction, reaction, complic of genitourinary device or proc |
44 |
$21,597 |
$8,744 |
$950,261 |
$384,717 |
5.93 |
Diverticulitis & diverticulosis |
42 |
$13,739 |
$5,133 |
$577,031 |
$215,567 |
3.86 |
Intestinal obstruction |
42 |
$11,413 |
$4,196 |
$479,342 |
$176,220 |
3.55 |
Hip and femur fracture repair |
42 |
$32,932 |
$15,738 |
$1,383,158 |
$661,007 |
5.95 |
Shoulder, upper arm & forearm procedures except joint replacement |
42 |
$34,321 |
$20,625 |
$1,441,472 |
$866,251 |
2.67 |
Other anemia & disorders of blood & blood-forming organs |
42 |
$14,360 |
$5,133 |
$603,100 |
$215,581 |
3.31 |
Other musculoskeletal system & connective tissue diagnoses |
39 |
$15,753 |
$7,424 |
$614,380 |
$289,543 |
4.67 |
Major gastrointestinal & peritoneal infections |
37 |
$17,297 |
$6,583 |
$639,971 |
$243,587 |
4.86 |
Electrolyte disorders except hypovolemia related |
36 |
$14,482 |
$5,745 |
$521,357 |
$206,826 |
4.00 |
Other disorders of nervous system |
35 |
$27,629 |
$21,469 |
$967,007 |
$751,412 |
11.00 |
Infectious & parasitic diseases including HIV w O.R. procedure |
35 |
$66,413 |
$27,921 |
$2,324,472 |
$977,222 |
11.14 |
Knee & lower leg procedures except foot |
33 |
$24,012 |
$11,584 |
$792,400 |
$382,288 |
3.45 |
Peptic ulcer & gastritis |
32 |
$17,567 |
$6,929 |
$562,157 |
$221,727 |
3.69 |
Acute myocardial infarction |
30 |
$13,757 |
$5,475 |
$412,719 |
$164,251 |
2.87 |
Poisoning of medicinal agents |
30 |
$17,655 |
$7,192 |
$529,654 |
$215,774 |
2.90 |
Signs, symptoms & other factors influencing health status |
30 |
$13,246 |
$4,950 |
$397,375 |
$148,490 |
4.20 |
Other back & neck disorders, fractures & injuries |
29 |
$16,393 |
$6,627 |
$475,394 |
$192,197 |
5.48 |
Laparoscopic cholecystectomy |
28 |
$21,845 |
$8,899 |
$611,657 |
$249,165 |
3.46 |
Hypovolemia & related electrolyte disorders |
27 |
$11,071 |
$4,327 |
$298,919 |
$116,842 |
3.70 |
Alcohol abuse & dependence |
27 |
$19,152 |
$8,110 |
$517,104 |
$218,965 |
4.63 |
Inflammatory bowel disease |
26 |
$15,333 |
$5,850 |
$398,645 |
$152,088 |
3.65 |
Peripheral & other vascular disorders |
24 |
$18,727 |
$7,923 |
$449,439 |
$190,146 |
4.13 |
Other & unspecified gastrointestinal hemorrhage |
22 |
$20,787 |
$8,283 |
$457,309 |
$182,233 |
4.00 |
Other small & large bowel procedures |
21 |
$21,519 |
$9,919 |
$451,902 |
$208,301 |
3.86 |
Rehabilitation |
21 |
$28,787 |
$25,289 |
$604,518 |
$531,060 |
13.00 |
Moderately extensive procedure unrelated to principal diagnosis |
21 |
$71,889 |
$29,572 |
$1,509,679 |
$621,022 |
13.10 |
Other circulatory system diagnoses |
20 |
$22,184 |
$9,235 |
$443,674 |
$184,699 |
5.85 |
Pulmonary embolism |
19 |
$12,887 |
$4,811 |
$244,849 |
$91,413 |
3.37 |
Respiratory signs, symptoms & minor diagnoses |
19 |
$12,179 |
$4,337 |
$231,407 |
$82,397 |
3.37 |
Shoulder & elbow joint replacement |
17 |
$40,854 |
$27,720 |
$694,518 |
$471,246 |
1.41 |
Seizure |
16 |
$14,897 |
$5,977 |
$238,354 |
$95,630 |
5.13 |
Fractures & dislocations except femur, pelvis & back |
15 |
$13,135 |
$5,086 |
$197,022 |
$76,285 |
3.80 |
Respiratory malignancy |
14 |
$17,574 |
$6,641 |
$246,040 |
$92,969 |
4.71 |
Hernia procedures except inguinal, femoral & umbilical |
14 |
$26,893 |
$12,458 |
$376,495 |
$174,409 |
4.21 |
Appendectomy |
13 |
$24,814 |
$10,535 |
$322,576 |
$136,957 |
4.69 |
Intervertebral disc excision & decompression |
13 |
$17,314 |
$8,432 |
$225,083 |
$109,611 |
1.31 |
Post-operative, post-traumatic, other device infections |
13 |
$18,253 |
$7,245 |
$237,284 |
$94,188 |
5.00 |
Hypertension |
12 |
$12,181 |
$4,602 |
$146,171 |
$55,218 |
2.67 |
Syncope & collapse |
12 |
$17,778 |
$6,830 |
$213,339 |
$81,956 |
3.25 |
Hepatic coma & other major acute liver disorders |
12 |
$16,216 |
$6,847 |
$194,593 |
$82,159 |
4.17 |
Disorders of gallbladder & biliary tract |
12 |
$13,336 |
$5,064 |
$160,028 |
$60,771 |
3.83 |
Fracture of femur |
12 |
$14,867 |
$5,896 |
$178,407 |
$70,747 |
5.08 |
Skin ulcers |
12 |
$18,968 |
$7,530 |
$227,611 |
$90,354 |
5.58 |
Toxic effects of non-medicinal substances |
12 |
$11,438 |
$4,618 |
$137,251 |
$55,419 |
2.58 |
Extensive procedure unrelated to principal diagnosis |
12 |
$64,748 |
$28,440 |
$776,974 |
$341,284 |
11.00 |
Digestive malignancy |
11 |
$15,001 |
$5,789 |
$165,012 |
$63,681 |
4.82 |
Alcoholic liver disease |
11 |
$24,486 |
$10,348 |
$269,346 |
$113,832 |
6.55 |
Malignancy of hepatobiliary system & pancreas |
11 |
$14,192 |
$4,975 |
$156,108 |
$54,722 |
3.82 |
Other disorders of the liver |
11 |
$15,437 |
$5,970 |
$169,802 |
$65,675 |
3.73 |
Malfunction, reaction, complic of orthopedic device or procedure |
11 |
$18,463 |
$7,102 |
$203,091 |
$78,123 |
6.00 |
Other skin, subcutaneous tissue & related procedures |
11 |
$18,608 |
$7,396 |
$204,684 |
$81,357 |
4.18 |
Asthma |
10 |
$19,613 |
$6,414 |
$196,131 |
$64,137 |
3.30 |
Lower extremity arterial procedures |
10 |
$73,358 |
$32,303 |
$733,575 |
$323,025 |
10.20 |
Cardiac structural & valvular disorders |
10 |
$20,838 |
$8,487 |
$208,377 |
$84,870 |
6.90 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
10 |
$30,270 |
$11,892 |
$302,701 |
$118,919 |
6.30 |
Other esophageal disorders |
10 |
$19,310 |
$7,088 |
$193,102 |
$70,877 |
4.10 |
Transient ischemia |
9 |
$13,574 |
$4,114 |
$122,167 |
$37,024 |
2.78 |
Chest pain |
9 |
$9,423 |
$3,459 |
$84,806 |
$31,127 |
2.33 |
Tendon, muscle & other soft tissue procedures |
9 |
$21,267 |
$8,677 |
$191,402 |
$78,091 |
3.56 |
Fracture of pelvis or dislocation of hip |
9 |
$13,781 |
$5,191 |
$124,032 |
$46,715 |
4.22 |
Other kidney & urinary tract diagnoses, signs & symptoms |
9 |
$9,409 |
$3,307 |
$84,677 |
$29,761 |
2.00 |
Male reproductive system diagnoses except malignancy |
9 |
$15,842 |
$6,223 |
$142,582 |
$56,008 |
4.11 |
Head trauma w coma >1 hr or hemorrhage |
8 |
$11,905 |
$5,486 |
$95,242 |
$43,888 |
3.25 |
Infections of upper respiratory tract |
8 |
$14,012 |
$5,303 |
$112,098 |
$42,424 |
4.63 |
Gastrointestinal vascular insufficiency |
8 |
$13,535 |
$4,940 |
$108,277 |
$39,522 |
3.25 |
Malfunction, reaction & complication of GI device or procedure |
8 |
$15,835 |
$5,546 |
$126,682 |
$44,364 |
3.88 |
Amputation of lower limb except toes |
8 |
$44,427 |
$18,385 |
$355,414 |
$147,078 |
8.88 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
8 |
$22,583 |
$9,145 |
$180,663 |
$73,161 |
5.75 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
8 |
$10,525 |
$3,683 |
$84,196 |
$29,465 |
2.88 |
Dental & oral diseases & injuries |
7 |
$15,083 |
$6,137 |
$105,584 |
$42,961 |
4.14 |
Other digestive system & abdominal procedures |
7 |
$35,170 |
$14,001 |
$246,190 |
$98,008 |
7.57 |
Coagulation & platelet disorders |
7 |
$27,508 |
$11,550 |
$192,557 |
$80,851 |
6.43 |
Sickle cell anemia crisis |
7 |
$14,227 |
$5,527 |
$99,592 |
$38,692 |
2.43 |
Organic mental health disturbances |
7 |
$17,688 |
$7,304 |
$123,816 |
$51,127 |
6.86 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
6 |
$12,606 |
$4,589 |
$75,637 |
$27,533 |
2.83 |
Peritoneal adhesiolysis |
6 |
$36,948 |
$15,498 |
$221,688 |
$92,987 |
9.17 |
Other significant hip and femur surgery |
6 |
$40,349 |
$20,515 |
$242,093 |
$123,092 |
6.17 |
Foot & toe procedures |
6 |
$61,614 |
$25,524 |
$369,681 |
$153,143 |
15.67 |
Other musculoskeletal system & connective tissue procedures |
6 |
$17,413 |
$8,055 |
$104,475 |
$48,331 |
2.83 |
Other skin, subcutaneous tissue & breast disorders |
6 |
$11,983 |
$4,821 |
$71,900 |
$28,923 |
2.83 |
Other complications of treatment |
6 |
$14,767 |
$6,129 |
$88,601 |
$36,775 |
4.17 |
Extracranial vascular procedures |
5 |
$17,138 |
$7,989 |
$85,690 |
$39,945 |
1.00 |
Intracranial hemorrhage |
5 |
$9,379 |
$3,306 |
$46,894 |
$16,528 |
1.80 |
Peripheral, cranial & autonomic nerve disorders |
5 |
$13,989 |
$4,994 |
$69,943 |
$24,969 |
3.80 |
Respiratory system diagnosis w ventilator support 96+ hours |
5 |
$107,996 |
$42,708 |
$539,980 |
$213,542 |
15.80 |
Angina pectoris & coronary atherosclerosis |
5 |
$10,988 |
$4,117 |
$54,942 |
$20,586 |
1.60 |
Major stomach, esophageal & duodenal procedures |
5 |
$40,605 |
$17,597 |
$203,026 |
$87,984 |
6.20 |
Malnutrition, failure to thrive & other nutritional disorders |
5 |
$26,797 |
$18,551 |
$133,984 |
$92,754 |
11.00 |
Urinary stones & acquired upper urinary tract obstruction |
5 |
$16,821 |
$6,300 |
$84,103 |
$31,500 |
3.40 |
Post-op, post-trauma, other device infections w O.R. procedure |
5 |
$62,161 |
$26,140 |
$310,804 |
$130,702 |
12.40 |
Fever |
5 |
$12,128 |
$4,731 |
$60,639 |
$23,657 |
4.20 |
Viral illness |
5 |
$16,014 |
$6,309 |
$80,071 |
$31,547 |
3.60 |
Other infectious & parasitic diseases |
5 |
$25,168 |
$9,717 |
$125,840 |
$48,584 |
4.20 |
Drug & alcohol abuse or dependence, left against medical advice |
5 |
$26,549 |
$11,322 |
$132,745 |
$56,609 |
6.20 |
Nonextensive procedure unrelated to principal diagnosis |
5 |
$31,720 |
$11,701 |
$158,600 |
$58,504 |
7.40 |
Nervous system malignancy |
4 |
$10,374 |
$3,264 |
$41,496 |
$13,056 |
2.50 |
Degenerative nervous system disorders exc mult sclerosis |
4 |
$19,985 |
$7,879 |
$79,938 |
$31,517 |
9.00 |
Multiple sclerosis & other demyelinating diseases |
4 |
$12,519 |
$7,225 |
$50,075 |
$28,901 |
3.75 |
Migraine & other headaches |
4 |
$13,047 |
$4,487 |
$52,186 |
$17,949 |
3.50 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
4 |
$14,018 |
$5,506 |
$56,072 |
$22,025 |
3.50 |
Major esophageal disorders |
4 |
$19,961 |
$7,764 |
$79,842 |
$31,056 |
3.75 |
Abdominal pain |
4 |
$16,678 |
$7,075 |
$66,713 |
$28,301 |
3.75 |
Hand & wrist procedures |
4 |
$48,468 |
$20,944 |
$193,873 |
$83,776 |
10.25 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
4 |
$12,443 |
$4,451 |
$49,770 |
$17,805 |
4.00 |
Other endocrine disorders |
4 |
$11,328 |
$3,879 |
$45,312 |
$15,516 |
2.75 |
Chronic Kidney Disease |
4 |
$12,289 |
$4,912 |
$49,157 |
$19,646 |
3.00 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
4 |
$27,348 |
$10,652 |
$109,391 |
$42,607 |
7.75 |
HIV w multiple significant HIV related conditions |
4 |
$10,912 |
$4,549 |
$43,649 |
$18,194 |
4.00 |
Non-bacterial infections of nervous system exc viral meningitis |
3 |
$32,744 |
$13,872 |
$98,231 |
$41,616 |
5.67 |
Inguinal, femoral & umbilical hernia procedures |
3 |
$17,342 |
$6,690 |
$52,025 |
$20,070 |
2.33 |
Cholecystectomy except laparoscopic |
3 |
$33,432 |
$12,393 |
$100,295 |
$37,180 |
5.00 |
Connective tissue disorders |
3 |
$10,868 |
$3,803 |
$32,604 |
$11,408 |
3.00 |
Skin graft for skin & subcutaneous tissue diagnoses |
3 |
$20,495 |
$8,628 |
$61,485 |
$25,883 |
3.33 |
Mastectomy procedures |
3 |
$21,150 |
$10,217 |
$63,449 |
$30,650 |
1.33 |
Kidney & urinary tract procedures for nonmalignancy |
3 |
$13,649 |
$5,766 |
$40,947 |
$17,297 |
2.00 |
Female reproductive system malignancy |
3 |
$8,584 |
$3,411 |
$25,751 |
$10,234 |
2.67 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
3 |
$17,947 |
$6,619 |
$53,840 |
$19,856 |
4.33 |
Allergic reactions |
3 |
$6,601 |
$3,170 |
$19,803 |
$9,511 |
2.00 |
Tracheostomy w MV 96+ hours w/o extensive procedure |
2 |
$143,225 |
$62,666 |
$286,450 |
$125,332 |
31.00 |
Nontraumatic stupor & coma |
2 |
$8,348 |
$3,189 |
$16,695 |
$6,377 |
3.00 |
Eye disorders except major infections |
2 |
$15,429 |
$5,039 |
$30,857 |
$10,078 |
3.50 |
Major chest & respiratory trauma |
2 |
$21,250 |
$7,975 |
$42,500 |
$15,950 |
3.50 |
Major abdominal vascular procedures |
2 |
$50,334 |
$22,648 |
$100,668 |
$45,295 |
3.50 |
Other circulatory system procedures |
2 |
$44,008 |
$17,359 |
$88,016 |
$34,718 |
11.00 |
Cardiomyopathy |
2 |
$16,487 |
$5,348 |
$32,973 |
$10,695 |
3.50 |
Anal procedures |
2 |
$18,506 |
$7,759 |
$37,012 |
$15,517 |
3.50 |
Other procedures for endocrine, nutritional & metabolic disorders |
2 |
$15,866 |
$5,603 |
$31,732 |
$11,206 |
4.00 |
O.R. procedure for other complications of treatment |
2 |
$29,727 |
$13,929 |
$59,453 |
$27,858 |
6.50 |
Tracheostomy w MV 96+ hours w extensive procedure or ECMO |
1 |
$248,416 |
$116,181 |
$248,416 |
$116,181 |
60.00 |
Other nervous system & related procedures |
1 |
$14,849 |
$4,177 |
$14,849 |
$4,177 |
2.00 |
Viral meningitis |
1 |
$19,147 |
$6,930 |
$19,147 |
$6,930 |
4.00 |
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma |
1 |
$14,548 |
$4,509 |
$14,548 |
$4,509 |
3.00 |
Vertigo & other labyrinth disorders |
1 |
$21,338 |
$7,550 |
$21,338 |
$7,550 |
7.00 |
Bronchiolitis & RSV pneumonia |
1 |
$29,432 |
$9,899 |
$29,432 |
$9,899 |
6.00 |
Interstitial & alveolar lung diseases |
1 |
$9,374 |
$3,614 |
$9,374 |
$3,614 |
3.00 |
Cardiac catheterization for other non-coronary conditions |
1 |
$17,676 |
$7,079 |
$17,676 |
$7,079 |
7.00 |
Acute & subacute endocarditis |
1 |
$10,902 |
$3,725 |
$10,902 |
$3,725 |
2.00 |
Other stomach, esophageal & duodenal procedures |
1 |
$119,523 |
$47,360 |
$119,523 |
$47,360 |
15.00 |
Major biliary tract procedures |
1 |
$31,271 |
$11,838 |
$31,271 |
$11,838 |
5.00 |
Dorsal & lumbar fusion proc for curvature of back |
1 |
$75,777 |
$50,692 |
$75,777 |
$50,692 |
3.00 |
Breast procedures except mastectomy |
1 |
$20,698 |
$8,755 |
$20,698 |
$8,755 |
3.00 |
Major skin disorders |
1 |
$9,686 |
$4,031 |
$9,686 |
$4,031 |
3.00 |
Inborn errors of metabolism |
1 |
$8,200 |
$2,534 |
$8,200 |
$2,534 |
1.00 |
Kidney & urinary tract procedures for malignancy |
1 |
$32,011 |
$14,763 |
$32,011 |
$14,763 |
5.00 |
Female reproductive system infections |
1 |
$14,315 |
$4,975 |
$14,315 |
$4,975 |
4.00 |
Postpartum & post abortion diagnoses w/o procedure |
1 |
$10,309 |
$3,739 |
$10,309 |
$3,739 |
3.00 |
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms |
1 |
$37,071 |
$15,812 |
$37,071 |
$15,812 |
5.00 |
Lymphoma, myeloma & non-acute leukemia |
1 |
$11,050 |
$4,065 |
$11,050 |
$4,065 |
2.00 |
Schizophrenia |
1 |
$24,469 |
$11,260 |
$24,469 |
$11,260 |
16.00 |
Adjustment disorders & neuroses except depressive diagnoses |
1 |
$6,733 |
$1,634 |
$6,733 |
$1,634 |
1.00 |
Other drug abuse & dependence |
1 |
$12,805 |
$6,359 |
$12,805 |
$6,359 |
4.00 |
Procedure w diag of rehab, aftercare or oth contact w health service |
1 |
$37,852 |
$24,835 |
$37,852 |
$24,835 |
4.00 |
Other aftercare & convalescence |
1 |
$2,475 |
$2,090 |
$2,475 |
$2,090 |
1.00 |
HIV w multiple major HIV related conditions |
1 |
$21,614 |
$6,941 |
$21,614 |
$6,941 |
4.00 |
Musculoskeletal & other procedures for multiple significant trauma |
1 |
$33,632 |
$17,476 |
$33,632 |
$17,476 |
5.00 |