Neonate birthwt >2499g, normal newborn or neonate w other problem |
552 |
$1,567 |
$668 |
$864,739 |
$368,629 |
2.03 |
Vaginal delivery |
457 |
$5,259 |
$5,267 |
$2,403,552 |
$2,406,832 |
2.11 |
Septicemia & disseminated infections |
319 |
$21,135 |
$9,715 |
$6,742,106 |
$3,098,980 |
6.28 |
Knee joint replacement |
300 |
$30,921 |
$17,117 |
$9,276,383 |
$5,135,231 |
2.27 |
Heart failure |
222 |
$14,415 |
$6,679 |
$3,200,100 |
$1,482,645 |
4.66 |
Chronic obstructive pulmonary disease |
180 |
$13,111 |
$6,001 |
$2,359,997 |
$1,080,164 |
3.75 |
Hip joint replacement |
176 |
$36,184 |
$21,258 |
$6,368,303 |
$3,741,424 |
2.58 |
Other pneumonia |
167 |
$15,056 |
$6,875 |
$2,514,293 |
$1,148,095 |
4.50 |
Kidney & urinary tract infections |
136 |
$9,525 |
$4,235 |
$1,295,387 |
$576,017 |
3.57 |
Cesarean delivery |
134 |
$11,897 |
$7,678 |
$1,594,171 |
$1,028,819 |
3.07 |
CVA & precerebral occlusion w infarct |
120 |
$17,112 |
$5,992 |
$2,053,432 |
$719,048 |
3.60 |
Cellulitis & other skin infections |
120 |
$9,731 |
$4,601 |
$1,167,675 |
$552,092 |
4.00 |
Respiratory Failure |
108 |
$21,919 |
$10,473 |
$2,367,261 |
$1,131,049 |
5.33 |
Major respiratory infections & inflammations |
87 |
$19,522 |
$8,866 |
$1,698,439 |
$771,338 |
6.28 |
Cardiac arrhythmia & conduction disorders |
76 |
$11,070 |
$4,667 |
$841,356 |
$354,678 |
3.11 |
Intestinal obstruction |
71 |
$8,196 |
$3,509 |
$581,882 |
$249,168 |
3.17 |
Pulmonary embolism |
67 |
$15,969 |
$6,391 |
$1,069,938 |
$428,165 |
4.22 |
Diverticulitis & diverticulosis |
67 |
$11,002 |
$4,654 |
$737,144 |
$311,787 |
3.49 |
Acute Kidney Injury |
67 |
$11,909 |
$5,608 |
$797,934 |
$375,739 |
4.66 |
Electrolyte disorders except hypovolemia related |
62 |
$9,742 |
$4,527 |
$603,979 |
$280,700 |
3.35 |
Disorders of pancreas except malignancy |
59 |
$8,731 |
$3,816 |
$515,105 |
$225,163 |
3.17 |
Major small & large bowel procedures |
56 |
$36,530 |
$14,177 |
$2,045,685 |
$793,931 |
5.96 |
Infectious & parasitic diseases including HIV w O.R. procedure |
56 |
$39,003 |
$16,313 |
$2,184,142 |
$913,554 |
9.48 |
Acute myocardial infarction |
54 |
$11,167 |
$4,619 |
$602,991 |
$249,451 |
2.85 |
Other gastroenteritis, nausa & vomiting |
53 |
$9,803 |
$4,146 |
$519,563 |
$219,757 |
3.38 |
Malfunction, reaction, complic of genitourinary device or proc |
47 |
$13,309 |
$5,938 |
$625,509 |
$279,084 |
4.64 |
Other back & neck disorders, fractures & injuries |
43 |
$11,595 |
$4,735 |
$498,579 |
$203,617 |
3.81 |
Hip and femur fracture repair |
42 |
$26,115 |
$13,347 |
$1,096,831 |
$560,578 |
5.45 |
Other digestive system diagnoses |
40 |
$11,404 |
$4,948 |
$456,160 |
$197,922 |
3.75 |
Other anemia & disorders of blood & blood-forming organs |
40 |
$12,384 |
$5,202 |
$495,364 |
$208,093 |
2.85 |
Alcohol abuse & dependence |
40 |
$11,388 |
$4,901 |
$455,530 |
$196,047 |
3.48 |
Neonate, transferred < 5 days old, born here |
39 |
$1,890 |
$736 |
$73,704 |
$28,707 |
1.38 |
Laparoscopic cholecystectomy |
38 |
$23,328 |
$8,839 |
$886,466 |
$335,883 |
4.74 |
Diabetes |
38 |
$10,566 |
$4,714 |
$401,514 |
$179,131 |
2.87 |
Infections of upper respiratory tract |
37 |
$12,094 |
$5,845 |
$447,485 |
$216,249 |
4.32 |
Peptic ulcer & gastritis |
35 |
$16,212 |
$6,536 |
$567,429 |
$228,755 |
3.86 |
Nontraumatic stupor & coma |
34 |
$15,607 |
$6,753 |
$530,640 |
$229,595 |
4.68 |
Lower extremity arterial procedures |
31 |
$63,650 |
$20,188 |
$1,973,137 |
$625,828 |
3.58 |
Respiratory signs, symptoms & minor diagnoses |
30 |
$11,705 |
$5,028 |
$351,157 |
$150,843 |
3.57 |
Syncope & collapse |
29 |
$12,162 |
$4,831 |
$352,700 |
$140,099 |
3.07 |
Major gastrointestinal & peritoneal infections |
29 |
$12,943 |
$6,237 |
$375,359 |
$180,883 |
5.10 |
Poisoning of medicinal agents |
28 |
$14,142 |
$6,139 |
$395,964 |
$171,900 |
2.54 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
27 |
$20,121 |
$8,609 |
$543,275 |
$232,436 |
5.44 |
Other musculoskeletal system & connective tissue diagnoses |
27 |
$7,812 |
$3,378 |
$210,932 |
$91,214 |
2.74 |
Seizure |
24 |
$11,004 |
$4,431 |
$264,098 |
$106,334 |
3.25 |
Other small & large bowel procedures |
24 |
$30,500 |
$12,729 |
$732,001 |
$305,492 |
8.08 |
Shoulder, upper arm & forearm procedures except joint replacement |
24 |
$39,098 |
$26,150 |
$938,347 |
$627,610 |
1.46 |
Vaginal delivery w sterilization &/or D&C |
23 |
$8,072 |
$6,395 |
$185,662 |
$147,078 |
2.48 |
Neonate birthwt >2499g w other significant condition |
23 |
$2,932 |
$1,199 |
$67,441 |
$27,587 |
3.00 |
Signs, symptoms & other factors influencing health status |
23 |
$12,465 |
$5,563 |
$286,693 |
$127,950 |
5.04 |
Intervertebral disc excision & decompression |
22 |
$16,534 |
$5,716 |
$363,756 |
$125,753 |
2.45 |
Other & unspecified gastrointestinal hemorrhage |
21 |
$17,590 |
$7,335 |
$369,388 |
$154,031 |
4.38 |
Hypovolemia & related electrolyte disorders |
21 |
$12,631 |
$6,243 |
$265,254 |
$131,110 |
6.29 |
Extracranial vascular procedures |
19 |
$29,841 |
$8,718 |
$566,980 |
$165,635 |
1.89 |
Transient ischemia |
17 |
$12,130 |
$3,806 |
$206,218 |
$64,708 |
2.35 |
Peripheral & other vascular disorders |
17 |
$11,206 |
$5,020 |
$190,506 |
$85,336 |
3.94 |
Respiratory malignancy |
16 |
$22,407 |
$8,247 |
$358,519 |
$131,955 |
5.06 |
Other peripheral vascular procedures |
16 |
$65,103 |
$43,564 |
$1,041,643 |
$697,027 |
2.31 |
Gastrointestinal vascular insufficiency |
16 |
$14,561 |
$6,185 |
$232,982 |
$98,958 |
4.31 |
Shoulder & elbow joint replacement |
16 |
$32,939 |
$16,975 |
$527,024 |
$271,595 |
1.13 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
16 |
$11,670 |
$5,229 |
$186,720 |
$83,663 |
3.50 |
Abdominal pain |
15 |
$10,687 |
$4,539 |
$160,304 |
$68,083 |
3.73 |
Knee & lower leg procedures except foot |
15 |
$25,181 |
$10,947 |
$377,722 |
$164,199 |
3.87 |
Post-operative, post-traumatic, other device infections |
15 |
$14,360 |
$5,457 |
$215,402 |
$81,857 |
4.27 |
Hepatic coma & other major acute liver disorders |
14 |
$14,074 |
$6,360 |
$197,039 |
$89,034 |
4.86 |
Urethral & transurethral procedures |
14 |
$20,104 |
$8,110 |
$281,459 |
$113,546 |
5.93 |
Fever |
14 |
$13,674 |
$5,754 |
$191,429 |
$80,558 |
3.36 |
Toxic effects of non-medicinal substances |
14 |
$9,167 |
$4,078 |
$128,340 |
$57,089 |
2.14 |
Peritoneal adhesiolysis |
13 |
$29,701 |
$12,755 |
$386,109 |
$165,821 |
7.54 |
Hernia procedures except inguinal, femoral & umbilical |
13 |
$29,405 |
$11,196 |
$382,259 |
$145,551 |
6.08 |
Moderately extensive procedure unrelated to principal diagnosis |
13 |
$30,917 |
$12,122 |
$401,915 |
$157,589 |
6.85 |
Hypertension |
12 |
$10,649 |
$4,168 |
$127,792 |
$50,010 |
2.83 |
Alcoholic liver disease |
12 |
$13,457 |
$6,666 |
$161,480 |
$79,994 |
5.92 |
Dorsal & lumbar fusion proc except for curvature of back |
12 |
$29,629 |
$15,070 |
$355,552 |
$180,836 |
2.50 |
Other skin, subcutaneous tissue & related procedures |
12 |
$15,902 |
$7,009 |
$190,828 |
$84,105 |
5.67 |
Urinary stones & acquired upper urinary tract obstruction |
12 |
$9,278 |
$3,221 |
$111,340 |
$38,653 |
1.75 |
Nonextensive procedure unrelated to principal diagnosis |
12 |
$27,717 |
$12,859 |
$332,607 |
$154,304 |
10.00 |
Other esophageal disorders |
11 |
$14,993 |
$6,063 |
$164,918 |
$66,688 |
4.55 |
Other disorders of the liver |
11 |
$14,653 |
$5,788 |
$161,183 |
$63,669 |
3.45 |
Lymphoma, myeloma & non-acute leukemia |
11 |
$25,652 |
$11,433 |
$282,167 |
$125,763 |
5.27 |
Other disorders of nervous system |
10 |
$12,022 |
$5,220 |
$120,217 |
$52,196 |
4.10 |
Asthma |
10 |
$11,089 |
$5,180 |
$110,890 |
$51,796 |
3.20 |
Major abdominal vascular procedures |
10 |
$69,280 |
$24,828 |
$692,802 |
$248,283 |
3.80 |
Disorders of gallbladder & biliary tract |
10 |
$17,853 |
$7,615 |
$178,533 |
$76,154 |
4.90 |
Tendon, muscle & other soft tissue procedures |
10 |
$18,951 |
$7,408 |
$189,512 |
$74,078 |
4.70 |
Fracture of femur |
10 |
$11,217 |
$5,227 |
$112,167 |
$52,272 |
4.50 |
Neonate bwt 2000-2499g, normal newborn or neonate w other problem |
10 |
$2,186 |
$925 |
$21,859 |
$9,249 |
2.90 |
Major chest & respiratory trauma |
9 |
$13,504 |
$5,682 |
$121,535 |
$51,140 |
4.11 |
Angina pectoris & coronary atherosclerosis |
9 |
$9,074 |
$3,543 |
$81,669 |
$31,890 |
2.22 |
Appendectomy |
9 |
$19,171 |
$7,229 |
$172,542 |
$65,061 |
2.89 |
Digestive malignancy |
9 |
$22,421 |
$11,313 |
$201,790 |
$101,813 |
10.56 |
Inflammatory bowel disease |
9 |
$10,471 |
$4,592 |
$94,239 |
$41,327 |
3.67 |
Other musculoskeletal system & connective tissue procedures |
9 |
$20,715 |
$7,098 |
$186,432 |
$63,880 |
2.56 |
Other endocrine disorders |
9 |
$10,489 |
$4,950 |
$94,401 |
$44,549 |
4.11 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
9 |
$6,963 |
$6,900 |
$62,663 |
$62,098 |
2.78 |
Extensive procedure unrelated to principal diagnosis |
9 |
$39,100 |
$16,856 |
$351,901 |
$151,700 |
10.67 |
Degenerative nervous system disorders exc mult sclerosis |
8 |
$11,231 |
$5,355 |
$89,851 |
$42,840 |
4.38 |
Migraine & other headaches |
8 |
$15,315 |
$5,638 |
$122,517 |
$45,107 |
2.63 |
Bronchiolitis & RSV pneumonia |
8 |
$16,552 |
$8,092 |
$132,415 |
$64,739 |
4.50 |
Interstitial & alveolar lung diseases |
8 |
$22,917 |
$11,541 |
$183,339 |
$92,328 |
8.88 |
Other digestive system & abdominal procedures |
8 |
$26,509 |
$9,439 |
$212,072 |
$75,515 |
4.88 |
Other hepatobiliary, pancreas & abdominal procedures |
8 |
$28,658 |
$12,214 |
$229,263 |
$97,708 |
8.63 |
Amputation of lower limb except toes |
8 |
$36,468 |
$14,172 |
$291,741 |
$113,375 |
11.25 |
Fractures & dislocations except femur, pelvis & back |
8 |
$11,317 |
$4,583 |
$90,536 |
$36,661 |
3.88 |
Kidney & urinary tract procedures for nonmalignancy |
8 |
$32,647 |
$12,384 |
$261,178 |
$99,073 |
8.00 |
Uterine & adnexa procedures for non-malignancy except leiomyoma |
8 |
$19,870 |
$5,661 |
$158,959 |
$45,289 |
1.25 |
Nervous system malignancy |
7 |
$19,503 |
$8,673 |
$136,518 |
$60,709 |
7.00 |
Fracture of pelvis or dislocation of hip |
7 |
$14,945 |
$6,502 |
$104,618 |
$45,517 |
6.29 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
7 |
$13,198 |
$4,858 |
$92,384 |
$34,005 |
3.57 |
Intracranial hemorrhage |
6 |
$9,181 |
$3,690 |
$55,087 |
$22,139 |
2.00 |
Chest pain |
6 |
$9,062 |
$3,329 |
$54,373 |
$19,976 |
2.00 |
Other circulatory system diagnoses |
6 |
$8,740 |
$3,431 |
$52,438 |
$20,588 |
2.00 |
Major stomach, esophageal & duodenal procedures |
6 |
$25,346 |
$9,782 |
$152,076 |
$58,693 |
3.67 |
Inguinal, femoral & umbilical hernia procedures |
6 |
$27,617 |
$9,956 |
$165,701 |
$59,733 |
3.33 |
Foot & toe procedures |
6 |
$15,969 |
$5,811 |
$95,816 |
$34,866 |
4.00 |
Cervical spinal fusion & other back/neck proc exc disc excis/decomp |
6 |
$18,373 |
$9,239 |
$110,240 |
$55,434 |
1.17 |
Skin ulcers |
6 |
$12,393 |
$5,732 |
$74,359 |
$34,390 |
5.00 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
6 |
$14,305 |
$6,353 |
$85,827 |
$38,116 |
5.17 |
Other kidney & urinary tract diagnoses, signs & symptoms |
6 |
$11,776 |
$3,993 |
$70,657 |
$23,957 |
1.83 |
Male reproductive system diagnoses except malignancy |
6 |
$8,831 |
$3,287 |
$52,987 |
$19,721 |
2.33 |
Postpartum & post abortion diagnoses w/o procedure |
6 |
$5,600 |
$3,593 |
$33,600 |
$21,556 |
2.33 |
Other antepartum diagnoses |
6 |
$7,161 |
$3,643 |
$42,966 |
$21,857 |
2.67 |
Drug & alcohol abuse or dependence, left against medical advice |
6 |
$6,893 |
$3,457 |
$41,360 |
$20,740 |
2.17 |
O.R. procedure for other complications of treatment |
6 |
$25,800 |
$8,712 |
$154,802 |
$52,272 |
3.33 |
Peripheral, cranial & autonomic nerve disorders |
5 |
$13,462 |
$4,635 |
$67,311 |
$23,173 |
3.20 |
Viral meningitis |
5 |
$10,574 |
$4,726 |
$52,872 |
$23,630 |
3.60 |
Head trauma w coma >1 hr or hemorrhage |
5 |
$13,329 |
$5,231 |
$66,643 |
$26,157 |
3.60 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
5 |
$16,760 |
$6,580 |
$83,801 |
$32,899 |
5.60 |
Uterine & adnexa procedures for leiomyoma |
5 |
$22,452 |
$5,716 |
$112,261 |
$28,579 |
1.40 |
Neonate birthwt >2499g w major anomaly |
5 |
$1,684 |
$707 |
$8,422 |
$3,535 |
2.20 |
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond |
5 |
$5,366 |
$2,217 |
$26,830 |
$11,085 |
5.20 |
Other complications of treatment |
5 |
$7,603 |
$3,444 |
$38,017 |
$17,220 |
2.60 |
Tracheostomy w MV 96+ hours w/o extensive procedure |
4 |
$135,461 |
$64,516 |
$541,842 |
$258,064 |
25.50 |
Multiple sclerosis & other demyelinating diseases |
4 |
$10,019 |
$3,782 |
$40,075 |
$15,129 |
2.75 |
Non-bacterial infections of nervous system exc viral meningitis |
4 |
$35,276 |
$13,936 |
$141,102 |
$55,743 |
10.00 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
4 |
$8,840 |
$3,890 |
$35,360 |
$15,558 |
3.50 |
Respiratory system diagnosis w ventilator support 96+ hours |
4 |
$70,999 |
$34,342 |
$283,995 |
$137,369 |
12.50 |
Acute & subacute endocarditis |
4 |
$25,071 |
$8,592 |
$100,284 |
$34,366 |
3.75 |
Major biliary tract procedures |
4 |
$25,102 |
$8,550 |
$100,406 |
$34,198 |
5.50 |
Female reproductive system infections |
4 |
$7,908 |
$3,822 |
$31,631 |
$15,288 |
3.50 |
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms |
4 |
$26,541 |
$7,845 |
$106,164 |
$31,378 |
3.25 |
Opioid abuse & dependence |
4 |
$9,696 |
$4,455 |
$38,784 |
$17,818 |
2.75 |
Other nervous system & related procedures |
3 |
$28,516 |
$15,759 |
$85,549 |
$47,278 |
3.33 |
Vertigo & other labyrinth disorders |
3 |
$11,557 |
$3,908 |
$34,671 |
$11,724 |
2.33 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
3 |
$23,775 |
$9,453 |
$71,325 |
$28,360 |
3.67 |
Major esophageal disorders |
3 |
$10,114 |
$4,368 |
$30,342 |
$13,104 |
1.67 |
Malignancy of hepatobiliary system & pancreas |
3 |
$31,783 |
$14,469 |
$95,348 |
$43,407 |
11.67 |
Malfunction, reaction, complic of orthopedic device or procedure |
3 |
$10,856 |
$4,495 |
$32,567 |
$13,486 |
2.00 |
Thyroid, parathyroid & thyroglossal procedures |
3 |
$26,246 |
$8,582 |
$78,737 |
$25,745 |
2.67 |
Other procedures for endocrine, nutritional & metabolic disorders |
3 |
$19,016 |
$8,261 |
$57,048 |
$24,782 |
8.33 |
Other kidney, urinary tract & related procedures |
3 |
$36,413 |
$10,863 |
$109,239 |
$32,588 |
5.33 |
Kidney & urinary tract malignancy |
3 |
$21,872 |
$8,325 |
$65,615 |
$24,974 |
5.33 |
Major male pelvic procedures |
3 |
$40,777 |
$11,121 |
$122,332 |
$33,364 |
1.67 |
Other infectious & parasitic diseases |
3 |
$16,907 |
$5,504 |
$50,722 |
$16,513 |
3.33 |
Organic mental health disturbances |
3 |
$12,464 |
$5,515 |
$37,391 |
$16,544 |
5.33 |
Tracheostomy w MV 96+ hours w extensive procedure or ECMO |
2 |
$236,684 |
$122,063 |
$473,367 |
$244,125 |
57.00 |
Other respiratory & chest procedures |
2 |
$45,233 |
$22,491 |
$90,466 |
$44,982 |
16.00 |
Other circulatory system procedures |
2 |
$64,380 |
$32,057 |
$128,759 |
$64,113 |
21.00 |
Cardiac structural & valvular disorders |
2 |
$12,978 |
$4,872 |
$25,956 |
$9,743 |
4.50 |
Malfunction, reaction & complication of GI device or procedure |
2 |
$7,136 |
$4,018 |
$14,272 |
$8,035 |
5.00 |
Cholecystectomy except laparoscopic |
2 |
$30,569 |
$11,418 |
$61,137 |
$22,835 |
6.50 |
Skin graft for skin & subcutaneous tissue diagnoses |
2 |
$13,544 |
$6,319 |
$27,087 |
$12,638 |
5.50 |
Other skin, subcutaneous tissue & breast disorders |
2 |
$4,725 |
$2,175 |
$9,449 |
$4,349 |
1.50 |
Chronic Kidney Disease |
2 |
$17,271 |
$6,677 |
$34,541 |
$13,354 |
4.50 |
Neonate bwt 2000-2499g w other significant condition |
2 |
$2,973 |
$1,238 |
$5,945 |
$2,475 |
3.00 |
Neonate birthwt >2499g w congenital/perinatal infection |
2 |
$5,504 |
$2,304 |
$11,008 |
$4,607 |
6.00 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
2 |
$21,319 |
$10,998 |
$42,638 |
$21,996 |
9.00 |
Post-op, post-trauma, other device infections w O.R. procedure |
2 |
$17,191 |
$6,759 |
$34,381 |
$13,518 |
4.50 |
Allergic reactions |
2 |
$7,779 |
$3,012 |
$15,558 |
$6,024 |
1.50 |
Nonspecific CVA & precerebral occlusion w/o infarct |
1 |
$3,658 |
$1,929 |
$3,658 |
$1,929 |
1.00 |
Bacterial & tuberculous infections of nervous system |
1 |
$48,749 |
$17,007 |
$48,749 |
$17,007 |
5.00 |
Eye disorders except major infections |
1 |
$20,535 |
$6,471 |
$20,535 |
$6,471 |
4.00 |
Dental & oral diseases & injuries |
1 |
$5,893 |
$2,069 |
$5,893 |
$2,069 |
1.00 |
Other cardiothoracic & thoracic vascular procedures |
1 |
$21,825 |
$9,468 |
$21,825 |
$9,468 |
7.00 |
Cardiac catheterization for other non-coronary conditions |
1 |
$23,602 |
$10,695 |
$23,602 |
$10,695 |
8.00 |
Cardiac arrest and shock |
1 |
$17,024 |
$7,947 |
$17,024 |
$7,947 |
4.00 |
Other significant hip and femur surgery |
1 |
$7,807 |
$3,829 |
$7,807 |
$3,829 |
1.00 |
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses |
1 |
$14,093 |
$5,497 |
$14,093 |
$5,497 |
3.00 |
Mastectomy procedures |
1 |
$38,729 |
$9,394 |
$38,729 |
$9,394 |
2.00 |
Major skin disorders |
1 |
$5,931 |
$3,582 |
$5,931 |
$3,582 |
4.00 |
Malnutrition, failure to thrive & other nutritional disorders |
1 |
$13,514 |
$8,527 |
$13,514 |
$8,527 |
10.00 |
Major bladder procedures |
1 |
$62,750 |
$26,394 |
$62,750 |
$26,394 |
12.00 |
Transurethral prostatectomy |
1 |
$21,101 |
$8,878 |
$21,101 |
$8,878 |
5.00 |
Testes & scrotal procedures |
1 |
$18,658 |
$7,241 |
$18,658 |
$7,241 |
6.00 |
Other male reproductive system & related procedures |
1 |
$26,754 |
$6,613 |
$26,754 |
$6,613 |
1.00 |
Malignancy, male reproductive system |
1 |
$3,069 |
$1,409 |
$3,069 |
$1,409 |
1.00 |
Menstrual & other female reproductive system disorders |
1 |
$6,989 |
$2,769 |
$6,989 |
$2,769 |
1.00 |
D&C, aspiration curettage or hysterotomy for obstetric diagnoses |
1 |
$3,092 |
$2,746 |
$3,092 |
$2,746 |
1.00 |
Neonate bwt <500g or GA <24 weeks |
1 |
$540 |
$249 |
$540 |
$249 |
1.00 |
Neonate bwt 1500-1999g w or w/o other significant condition |
1 |
$2,949 |
$1,341 |
$2,949 |
$1,341 |
5.00 |
Coagulation & platelet disorders |
1 |
$13,870 |
$6,074 |
$13,870 |
$6,074 |
2.00 |
Sickle cell anemia crisis |
1 |
$3,419 |
$1,415 |
$3,419 |
$1,415 |
1.00 |
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms |
1 |
$49,757 |
$17,918 |
$49,757 |
$17,918 |
5.00 |
Viral illness |
1 |
$35,928 |
$13,364 |
$35,928 |
$13,364 |
6.00 |
Schizophrenia |
1 |
$8,714 |
$5,185 |
$8,714 |
$5,185 |
6.00 |
Adjustment disorders & neuroses except depressive diagnoses |
1 |
$9,841 |
$4,134 |
$9,841 |
$4,134 |
3.00 |
Acute anxiety & delirium states |
1 |
$11,897 |
$4,399 |
$11,897 |
$4,399 |
3.00 |
Other mental health disorders |
1 |
$9,880 |
$3,531 |
$9,880 |
$3,531 |
2.00 |
Multiple significant trauma w/o O.R. procedure |
1 |
$16,319 |
$5,320 |
$16,319 |
$5,320 |
3.00 |