Neonate birthwt >2499g, normal newborn or neonate w other problem |
1796 |
$7,337 |
$1,161 |
$13,177,866 |
$2,086,008 |
2.23 |
Septicemia & disseminated infections |
1492 |
$56,725 |
$20,403 |
$84,634,361 |
$30,441,842 |
6.78 |
Vaginal delivery |
1228 |
$20,597 |
$6,383 |
$25,293,007 |
$7,838,542 |
2.46 |
Heart failure |
687 |
$48,471 |
$19,521 |
$33,299,844 |
$13,410,950 |
5.69 |
Cesarean delivery |
650 |
$35,544 |
$11,633 |
$23,103,696 |
$7,561,143 |
3.40 |
Chronic obstructive pulmonary disease |
559 |
$41,487 |
$14,638 |
$23,191,146 |
$8,182,653 |
5.18 |
Knee joint replacement |
516 |
$44,043 |
$14,935 |
$22,726,376 |
$7,706,238 |
2.87 |
Cardiac arrhythmia & conduction disorders |
434 |
$34,153 |
$13,747 |
$14,822,238 |
$5,966,104 |
3.47 |
Cellulitis & other skin infections |
404 |
$30,486 |
$9,431 |
$12,316,330 |
$3,810,019 |
4.13 |
Other pneumonia |
369 |
$32,158 |
$10,631 |
$11,866,246 |
$3,922,763 |
4.09 |
Procedures for obesity |
362 |
$25,948 |
$9,772 |
$9,393,318 |
$3,537,595 |
1.09 |
Respiratory Failure |
328 |
$50,545 |
$18,645 |
$16,578,812 |
$6,115,461 |
5.93 |
Seizure |
313 |
$30,208 |
$10,375 |
$9,455,128 |
$3,247,375 |
3.51 |
Kidney & urinary tract infections |
313 |
$31,718 |
$9,328 |
$9,927,648 |
$2,919,673 |
4.33 |
CVA & precerebral occlusion w infarct |
310 |
$55,676 |
$19,934 |
$17,259,433 |
$6,179,468 |
5.53 |
Hip joint replacement |
310 |
$47,886 |
$16,387 |
$14,844,768 |
$5,080,042 |
3.08 |
Other aftercare & convalescence |
308 |
$55,730 |
$15,115 |
$17,164,757 |
$4,655,403 |
10.23 |
Major depressive disorders & other/unspecified psychoses |
304 |
$28,742 |
$9,132 |
$8,737,604 |
$2,776,279 |
8.19 |
Percutaneous coronary intervention w AMI |
293 |
$72,245 |
$21,155 |
$21,167,894 |
$6,198,431 |
3.37 |
Acute Kidney Injury |
292 |
$46,978 |
$16,462 |
$13,717,645 |
$4,806,998 |
5.90 |
Schizophrenia |
274 |
$43,494 |
$13,491 |
$11,917,256 |
$3,696,534 |
12.63 |
Acute myocardial infarction |
262 |
$43,846 |
$16,234 |
$11,487,638 |
$4,253,371 |
4.07 |
Intestinal obstruction |
233 |
$31,612 |
$9,111 |
$7,365,639 |
$2,122,869 |
4.64 |
Bipolar disorders |
233 |
$34,344 |
$11,121 |
$8,002,197 |
$2,591,155 |
9.77 |
Other disorders of nervous system |
230 |
$65,858 |
$18,385 |
$15,147,299 |
$4,228,469 |
10.93 |
Other gastroenteritis, nausa & vomiting |
212 |
$28,039 |
$8,450 |
$5,944,233 |
$1,791,495 |
3.75 |
Diabetes |
211 |
$29,692 |
$9,638 |
$6,264,972 |
$2,033,553 |
3.67 |
Laparoscopic cholecystectomy |
206 |
$38,324 |
$12,504 |
$7,894,678 |
$2,575,908 |
3.67 |
Major small & large bowel procedures |
197 |
$74,725 |
$26,098 |
$14,720,918 |
$5,141,344 |
8.04 |
Other digestive system diagnoses |
197 |
$39,389 |
$13,071 |
$7,759,690 |
$2,574,909 |
4.84 |
Diverticulitis & diverticulosis |
187 |
$32,396 |
$9,760 |
$6,058,034 |
$1,825,082 |
4.54 |
Asthma |
182 |
$22,342 |
$7,173 |
$4,066,172 |
$1,305,475 |
3.12 |
Signs, symptoms & other factors influencing health status |
167 |
$46,297 |
$13,102 |
$7,731,517 |
$2,188,046 |
7.27 |
Other anemia & disorders of blood & blood-forming organs |
166 |
$40,160 |
$14,174 |
$6,666,506 |
$2,352,821 |
4.31 |
Infectious & parasitic diseases including HIV w O.R. procedure |
164 |
$124,991 |
$47,313 |
$20,498,507 |
$7,759,313 |
13.23 |
Hypertension |
158 |
$33,434 |
$12,463 |
$5,282,493 |
$1,969,153 |
3.66 |
Alcohol abuse & dependence |
157 |
$34,094 |
$12,851 |
$5,352,809 |
$2,017,598 |
4.63 |
Cardiac catheterization for other non-coronary conditions |
154 |
$47,777 |
$16,720 |
$7,357,698 |
$2,574,895 |
4.06 |
Disorders of pancreas except malignancy |
152 |
$32,483 |
$10,082 |
$4,937,386 |
$1,532,453 |
4.50 |
Other & unspecified gastrointestinal hemorrhage |
150 |
$42,685 |
$15,940 |
$6,402,738 |
$2,390,948 |
4.65 |
Electrolyte disorders except hypovolemia related |
150 |
$37,086 |
$13,513 |
$5,562,876 |
$2,026,979 |
4.12 |
Pulmonary embolism |
143 |
$46,523 |
$16,874 |
$6,652,746 |
$2,412,947 |
4.65 |
Hip and femur fracture repair |
142 |
$65,136 |
$21,454 |
$9,249,273 |
$3,046,470 |
5.77 |
Other musculoskeletal system & connective tissue diagnoses |
134 |
$38,363 |
$12,307 |
$5,140,661 |
$1,649,138 |
5.01 |
Peptic ulcer & gastritis |
133 |
$41,389 |
$15,029 |
$5,504,781 |
$1,998,921 |
4.26 |
Extracranial vascular procedures |
119 |
$49,715 |
$20,007 |
$5,916,095 |
$2,380,798 |
4.08 |
Lower extremity arterial procedures |
119 |
$108,261 |
$41,690 |
$12,883,060 |
$4,961,064 |
8.78 |
Major respiratory infections & inflammations |
118 |
$54,063 |
$19,014 |
$6,379,486 |
$2,243,648 |
7.08 |
Transient ischemia |
116 |
$31,525 |
$10,451 |
$3,656,888 |
$1,212,356 |
2.85 |
Other back & neck disorders, fractures & injuries |
114 |
$37,497 |
$10,967 |
$4,274,690 |
$1,250,294 |
4.69 |
Peripheral & other vascular disorders |
110 |
$43,595 |
$15,085 |
$4,795,411 |
$1,659,385 |
5.09 |
Other antepartum diagnoses |
110 |
$15,113 |
$4,285 |
$1,662,470 |
$471,402 |
2.14 |
Nontraumatic stupor & coma |
108 |
$44,394 |
$15,020 |
$4,794,534 |
$1,622,121 |
5.44 |
Syncope & collapse |
107 |
$37,576 |
$12,864 |
$4,020,609 |
$1,376,430 |
3.71 |
Poisoning of medicinal agents |
106 |
$39,847 |
$14,739 |
$4,223,809 |
$1,562,326 |
4.90 |
Angina pectoris & coronary atherosclerosis |
98 |
$28,539 |
$10,672 |
$2,796,828 |
$1,045,896 |
2.99 |
Major gastrointestinal & peritoneal infections |
97 |
$44,581 |
$14,198 |
$4,324,315 |
$1,377,209 |
6.20 |
Infections of upper respiratory tract |
95 |
$21,331 |
$6,771 |
$2,026,437 |
$643,278 |
2.80 |
Hypovolemia & related electrolyte disorders |
94 |
$36,478 |
$12,207 |
$3,428,930 |
$1,147,452 |
4.80 |
Dorsal & lumbar fusion proc except for curvature of back |
90 |
$116,660 |
$41,958 |
$10,499,427 |
$3,776,175 |
3.23 |
Knee & lower leg procedures except foot |
89 |
$59,002 |
$19,614 |
$5,251,173 |
$1,745,635 |
4.60 |
Moderately extensive procedure unrelated to principal diagnosis |
88 |
$78,958 |
$28,322 |
$6,948,341 |
$2,492,297 |
7.88 |
Bronchiolitis & RSV pneumonia |
86 |
$13,164 |
$3,388 |
$1,132,096 |
$291,390 |
2.10 |
Depression except major depressive disorder |
82 |
$19,580 |
$6,399 |
$1,605,525 |
$524,729 |
5.60 |
Cardiac catheterization for coronary artery disease |
81 |
$36,396 |
$12,368 |
$2,948,108 |
$1,001,781 |
3.07 |
Other circulatory system diagnoses |
81 |
$32,801 |
$11,691 |
$2,656,848 |
$946,934 |
3.33 |
Percutaneous coronary intervention w/o AMI |
80 |
$80,622 |
$26,069 |
$6,449,776 |
$2,085,489 |
4.80 |
Disorders of gallbladder & biliary tract |
77 |
$35,066 |
$11,204 |
$2,700,095 |
$862,671 |
3.91 |
Major chest & respiratory trauma |
75 |
$35,264 |
$11,661 |
$2,644,768 |
$874,561 |
3.49 |
Head trauma w coma >1 hr or hemorrhage |
74 |
$48,496 |
$16,589 |
$3,588,715 |
$1,227,587 |
4.81 |
Appendectomy |
74 |
$35,115 |
$11,918 |
$2,598,473 |
$881,952 |
3.35 |
Malfunction, reaction, complic of genitourinary device or proc |
72 |
$51,340 |
$18,092 |
$3,696,478 |
$1,302,597 |
6.53 |
Other infectious & parasitic diseases |
70 |
$31,916 |
$10,109 |
$2,234,149 |
$707,632 |
3.97 |
Neonate bwt 2000-2499g, normal newborn or neonate w other problem |
68 |
$17,550 |
$4,066 |
$1,193,386 |
$276,505 |
3.78 |
Sickle cell anemia crisis |
67 |
$51,963 |
$14,348 |
$3,481,495 |
$961,286 |
8.84 |
Degenerative nervous system disorders exc mult sclerosis |
65 |
$78,895 |
$26,220 |
$5,128,154 |
$1,704,277 |
12.38 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
64 |
$53,388 |
$19,106 |
$3,416,831 |
$1,222,814 |
6.38 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
63 |
$38,676 |
$11,734 |
$2,436,561 |
$739,262 |
4.62 |
Migraine & other headaches |
62 |
$30,141 |
$8,699 |
$1,868,726 |
$539,317 |
3.71 |
Other peripheral vascular procedures |
62 |
$100,139 |
$38,506 |
$6,208,601 |
$2,387,379 |
6.89 |
Perm cardiac pacemaker implant w/o AMI, heart failure or shock |
61 |
$95,001 |
$42,788 |
$5,795,062 |
$2,610,049 |
5.72 |
Shoulder, upper arm & forearm procedures except joint replacement |
61 |
$52,578 |
$17,386 |
$3,207,285 |
$1,060,545 |
4.23 |
Intracranial hemorrhage |
60 |
$57,238 |
$20,752 |
$3,434,291 |
$1,245,141 |
6.45 |
Hernia procedures except inguinal, femoral & umbilical |
58 |
$57,069 |
$19,778 |
$3,309,996 |
$1,147,117 |
4.62 |
Fractures & dislocations except femur, pelvis & back |
58 |
$29,598 |
$7,742 |
$1,716,666 |
$449,016 |
3.33 |
Respiratory malignancy |
57 |
$54,624 |
$17,711 |
$3,113,562 |
$1,009,510 |
5.91 |
Inflammatory bowel disease |
57 |
$41,273 |
$12,640 |
$2,352,587 |
$720,499 |
5.84 |
Malignancy of hepatobiliary system & pancreas |
57 |
$38,819 |
$10,498 |
$2,212,657 |
$598,404 |
5.16 |
Cervical spinal fusion & other back/neck proc exc disc excis/decomp |
56 |
$78,021 |
$28,724 |
$4,369,158 |
$1,608,535 |
6.29 |
Other endocrine disorders |
55 |
$47,232 |
$15,855 |
$2,597,783 |
$872,041 |
5.78 |
Nervous system malignancy |
53 |
$62,173 |
$16,682 |
$3,295,182 |
$884,160 |
7.74 |
Uterine & adnexa procedures for leiomyoma |
53 |
$25,579 |
$8,504 |
$1,355,667 |
$450,728 |
2.19 |
Chest pain |
52 |
$26,950 |
$8,652 |
$1,401,398 |
$449,902 |
2.48 |
Other small & large bowel procedures |
52 |
$59,243 |
$20,181 |
$3,080,621 |
$1,049,389 |
7.06 |
Other skin, subcutaneous tissue & related procedures |
51 |
$43,184 |
$13,156 |
$2,202,404 |
$670,968 |
5.12 |
Digestive malignancy |
50 |
$47,850 |
$14,473 |
$2,392,502 |
$723,669 |
5.92 |
Post-operative, post-traumatic, other device infections |
50 |
$50,209 |
$14,810 |
$2,510,436 |
$740,512 |
6.44 |
Other esophageal disorders |
49 |
$42,799 |
$13,999 |
$2,097,127 |
$685,931 |
4.67 |
Abdominal pain |
49 |
$27,651 |
$7,513 |
$1,354,903 |
$368,138 |
3.45 |
Alcoholic liver disease |
48 |
$59,042 |
$19,978 |
$2,834,015 |
$958,951 |
7.13 |
Foot & toe procedures |
46 |
$68,553 |
$22,300 |
$3,153,416 |
$1,025,819 |
7.20 |
Extensive procedure unrelated to principal diagnosis |
46 |
$124,127 |
$45,739 |
$5,709,860 |
$2,103,982 |
13.11 |
Major respiratory & chest procedures |
45 |
$63,489 |
$26,530 |
$2,856,992 |
$1,193,828 |
5.76 |
Urinary stones & acquired upper urinary tract obstruction |
45 |
$28,576 |
$9,337 |
$1,285,922 |
$420,169 |
3.29 |
Respiratory signs, symptoms & minor diagnoses |
44 |
$27,801 |
$8,831 |
$1,223,249 |
$388,545 |
3.18 |
Opioid abuse & dependence |
43 |
$31,086 |
$10,262 |
$1,336,689 |
$441,284 |
6.30 |
Other disorders of the liver |
42 |
$37,379 |
$11,803 |
$1,569,899 |
$495,739 |
4.60 |
Viral illness |
42 |
$23,593 |
$6,686 |
$990,925 |
$280,817 |
2.90 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
40 |
$28,575 |
$8,885 |
$1,142,982 |
$355,392 |
3.38 |
Peripheral, cranial & autonomic nerve disorders |
39 |
$44,134 |
$12,470 |
$1,721,241 |
$486,328 |
5.41 |
Lymphoma, myeloma & non-acute leukemia |
39 |
$71,597 |
$22,555 |
$2,792,274 |
$879,662 |
8.18 |
Hepatic coma & other major acute liver disorders |
38 |
$52,701 |
$17,773 |
$2,002,641 |
$675,384 |
6.92 |
Vertigo & other labyrinth disorders |
37 |
$30,391 |
$9,409 |
$1,124,455 |
$348,133 |
3.08 |
Other respiratory & chest procedures |
36 |
$63,669 |
$25,385 |
$2,292,066 |
$913,865 |
5.92 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
36 |
$45,345 |
$13,064 |
$1,632,402 |
$470,296 |
5.19 |
Amputation of lower limb except toes |
35 |
$100,300 |
$35,246 |
$3,510,490 |
$1,233,593 |
11.54 |
Other musculoskeletal system & connective tissue procedures |
34 |
$53,282 |
$16,999 |
$1,811,577 |
$577,962 |
4.74 |
Fracture of pelvis or dislocation of hip |
34 |
$37,500 |
$10,170 |
$1,274,994 |
$345,785 |
4.94 |
Toxic effects of non-medicinal substances |
34 |
$35,743 |
$13,233 |
$1,215,247 |
$449,932 |
3.82 |
Craniotomy except for trauma |
33 |
$101,147 |
$36,569 |
$3,337,859 |
$1,206,766 |
9.61 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
33 |
$75,919 |
$19,127 |
$2,505,319 |
$631,176 |
9.15 |
Kidney & urinary tract procedures for nonmalignancy |
33 |
$44,444 |
$16,038 |
$1,466,642 |
$529,246 |
4.64 |
Skin ulcers |
32 |
$47,169 |
$16,035 |
$1,509,399 |
$513,107 |
5.69 |
Other skin, subcutaneous tissue & breast disorders |
32 |
$23,150 |
$6,556 |
$740,796 |
$209,789 |
3.44 |
Acute anxiety & delirium states |
32 |
$25,025 |
$8,546 |
$800,797 |
$273,469 |
4.88 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
31 |
$38,692 |
$11,255 |
$1,199,465 |
$348,916 |
5.29 |
Connective tissue disorders |
31 |
$43,493 |
$14,139 |
$1,348,291 |
$438,324 |
5.29 |
Other drug abuse & dependence |
31 |
$27,918 |
$9,192 |
$865,473 |
$284,945 |
6.03 |
Male reproductive system diagnoses except malignancy |
30 |
$29,105 |
$9,221 |
$873,151 |
$276,617 |
3.83 |
Other complications of treatment |
30 |
$39,587 |
$14,107 |
$1,187,603 |
$423,206 |
4.57 |
Nonextensive procedure unrelated to principal diagnosis |
30 |
$68,744 |
$25,385 |
$2,062,332 |
$761,560 |
7.93 |
Multiple sclerosis & other demyelinating diseases |
29 |
$41,698 |
$14,689 |
$1,209,250 |
$425,988 |
4.66 |
Other kidney & urinary tract diagnoses, signs & symptoms |
29 |
$35,839 |
$10,946 |
$1,039,337 |
$317,433 |
4.62 |
Adjustment disorders & neuroses except depressive diagnoses |
29 |
$26,296 |
$6,737 |
$762,594 |
$195,385 |
5.59 |
Allergic reactions |
29 |
$20,863 |
$7,290 |
$605,023 |
$211,414 |
2.66 |
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma |
28 |
$30,973 |
$8,249 |
$867,236 |
$230,984 |
2.18 |
Dental & oral diseases & injuries |
28 |
$26,991 |
$8,690 |
$755,740 |
$243,324 |
3.36 |
Other digestive system & abdominal procedures |
28 |
$82,230 |
$30,459 |
$2,302,442 |
$852,841 |
7.93 |
Urethral & transurethral procedures |
28 |
$39,902 |
$13,404 |
$1,117,249 |
$375,324 |
3.71 |
Preterm labor |
28 |
$11,352 |
$2,930 |
$317,848 |
$82,030 |
1.21 |
Drug & alcohol abuse or dependence, left against medical advice |
28 |
$20,101 |
$7,191 |
$562,825 |
$201,358 |
2.04 |
Major stomach, esophageal & duodenal procedures |
26 |
$61,106 |
$22,706 |
$1,588,766 |
$590,346 |
5.69 |
Fever |
26 |
$30,622 |
$10,192 |
$796,163 |
$264,987 |
3.54 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
25 |
$73,505 |
$29,968 |
$1,837,616 |
$749,196 |
7.44 |
Postpartum & post abortion diagnoses w/o procedure |
25 |
$19,209 |
$5,916 |
$480,221 |
$147,905 |
2.12 |
Coagulation & platelet disorders |
25 |
$52,653 |
$19,717 |
$1,316,314 |
$492,932 |
4.32 |
Post-op, post-trauma, other device infections w O.R. procedure |
25 |
$102,673 |
$36,536 |
$2,566,835 |
$913,411 |
10.68 |
Musculoskeletal & other procedures for multiple significant trauma |
25 |
$106,015 |
$37,610 |
$2,650,369 |
$940,256 |
7.44 |
Bacterial & tuberculous infections of nervous system |
24 |
$84,168 |
$33,816 |
$2,020,020 |
$811,587 |
8.92 |
Chronic Kidney Disease |
24 |
$42,991 |
$15,511 |
$1,031,780 |
$372,253 |
4.88 |
Neonate birthwt >2499g w major anomaly |
24 |
$15,857 |
$3,069 |
$380,579 |
$73,652 |
3.46 |
Peritoneal adhesiolysis |
23 |
$72,570 |
$23,407 |
$1,669,117 |
$538,372 |
9.74 |
Intervertebral disc excision & decompression |
23 |
$76,059 |
$25,032 |
$1,749,354 |
$575,739 |
8.35 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
23 |
$60,632 |
$17,885 |
$1,394,541 |
$411,352 |
7.61 |
Other Chemotherapy |
23 |
$35,078 |
$12,834 |
$806,802 |
$295,184 |
3.83 |
Eye disorders except major infections |
22 |
$28,759 |
$7,589 |
$632,697 |
$166,960 |
3.23 |
Neonate birthwt >2499g w other significant condition |
22 |
$28,172 |
$6,674 |
$619,794 |
$146,826 |
5.64 |
Organic mental health disturbances |
22 |
$43,607 |
$13,991 |
$959,352 |
$307,812 |
9.18 |
Other ear, nose, mouth & throat procedures |
21 |
$33,257 |
$10,992 |
$698,399 |
$230,841 |
3.48 |
Fracture of femur |
20 |
$33,209 |
$10,719 |
$664,170 |
$214,380 |
4.15 |
Uterine & adnexa procedures for non-malignancy except leiomyoma |
20 |
$27,037 |
$8,872 |
$540,744 |
$177,430 |
2.10 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
20 |
$23,099 |
$7,317 |
$461,988 |
$146,339 |
2.65 |
O.R. procedure for other complications of treatment |
20 |
$51,876 |
$18,385 |
$1,037,521 |
$367,696 |
5.45 |
Non-bacterial infections of nervous system exc viral meningitis |
19 |
$63,545 |
$19,619 |
$1,207,355 |
$372,770 |
7.89 |
Interstitial & alveolar lung diseases |
19 |
$55,022 |
$22,142 |
$1,045,411 |
$420,704 |
7.42 |
Malfunction, reaction & complication of GI device or procedure |
19 |
$34,870 |
$10,841 |
$662,534 |
$205,982 |
4.47 |
Vaginal delivery w sterilization &/or D&C |
19 |
$27,627 |
$8,944 |
$524,921 |
$169,944 |
2.63 |
Cocaine abuse & dependence |
19 |
$25,849 |
$8,897 |
$491,129 |
$169,041 |
5.68 |
Menstrual & other female reproductive system disorders |
18 |
$19,284 |
$5,562 |
$347,119 |
$100,117 |
2.22 |
Craniotomy for trauma |
17 |
$111,413 |
$44,253 |
$1,894,025 |
$752,302 |
10.53 |
Respiratory system diagnosis w ventilator support 96+ hours |
17 |
$161,816 |
$64,503 |
$2,750,868 |
$1,096,557 |
16.88 |
Inguinal, femoral & umbilical hernia procedures |
17 |
$35,634 |
$12,764 |
$605,770 |
$216,985 |
3.65 |
Other significant hip and femur surgery |
17 |
$74,202 |
$23,646 |
$1,261,432 |
$401,989 |
7.71 |
Hand & wrist procedures |
17 |
$29,493 |
$9,517 |
$501,378 |
$161,784 |
2.65 |
Renal dialysis access device procedure only |
17 |
$107,598 |
$40,155 |
$1,829,163 |
$682,637 |
11.59 |
Multiple significant trauma w/o O.R. procedure |
17 |
$37,676 |
$10,435 |
$640,484 |
$177,392 |
3.65 |
Malfunction, reaction, complic of orthopedic device or procedure |
16 |
$50,221 |
$17,297 |
$803,535 |
$276,750 |
6.00 |
Neonate bwt 1500-1999g w or w/o other significant condition |
16 |
$73,517 |
$19,326 |
$1,176,272 |
$309,223 |
14.19 |
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond |
16 |
$29,858 |
$7,657 |
$477,721 |
$122,509 |
5.19 |
Procedure w diag of rehab, aftercare or oth contact w health service |
16 |
$85,225 |
$28,254 |
$1,363,601 |
$452,056 |
7.50 |
Tracheostomy w MV 96+ hours w/o extensive procedure |
15 |
$260,209 |
$114,855 |
$3,903,136 |
$1,722,822 |
24.33 |
Facial bone procedures except major cranial/facial bone procedures |
15 |
$37,612 |
$13,011 |
$564,185 |
$195,166 |
2.47 |
Acute & subacute endocarditis |
15 |
$47,813 |
$15,989 |
$717,192 |
$239,839 |
5.40 |
Cardiac arrest and shock |
15 |
$37,615 |
$14,696 |
$564,219 |
$220,442 |
2.80 |
Spinal procedures |
14 |
$96,447 |
$31,602 |
$1,350,253 |
$442,427 |
11.07 |
Cardiac pacemaker & defibrillator device replacement |
14 |
$193,329 |
$84,611 |
$2,706,610 |
$1,184,549 |
10.50 |
Other circulatory system procedures |
14 |
$79,990 |
$31,306 |
$1,119,857 |
$438,285 |
7.64 |
Other hepatobiliary, pancreas & abdominal procedures |
14 |
$82,010 |
$30,394 |
$1,148,135 |
$425,517 |
9.43 |
Cardiac defibrillator & heart assist implant |
13 |
$195,887 |
$82,751 |
$2,546,526 |
$1,075,763 |
7.46 |
Major abdominal vascular procedures |
13 |
$119,683 |
$50,034 |
$1,555,878 |
$650,442 |
8.85 |
Other stomach, esophageal & duodenal procedures |
13 |
$37,916 |
$11,322 |
$492,904 |
$147,186 |
4.31 |
Major esophageal disorders |
13 |
$42,908 |
$13,049 |
$557,800 |
$169,636 |
5.46 |
Gastrointestinal vascular insufficiency |
13 |
$35,330 |
$10,723 |
$459,289 |
$139,397 |
4.31 |
Cholecystectomy except laparoscopic |
13 |
$56,489 |
$19,237 |
$734,361 |
$250,085 |
6.38 |
Tendon, muscle & other soft tissue procedures |
13 |
$43,272 |
$13,440 |
$562,537 |
$174,722 |
4.08 |
Neonate, transferred < 5 days old, born here |
12 |
$8,617 |
$2,279 |
$103,407 |
$27,343 |
1.08 |
Cardiac structural & valvular disorders |
11 |
$45,083 |
$15,399 |
$495,918 |
$169,386 |
4.91 |
Major biliary tract procedures |
11 |
$66,982 |
$21,043 |
$736,801 |
$231,471 |
7.82 |
Skin graft for skin & subcutaneous tissue diagnoses |
11 |
$58,711 |
$18,920 |
$645,816 |
$208,118 |
6.82 |
Malnutrition, failure to thrive & other nutritional disorders |
11 |
$51,812 |
$18,213 |
$569,932 |
$200,346 |
7.09 |
Female reproductive system malignancy |
11 |
$40,103 |
$11,414 |
$441,130 |
$125,555 |
4.73 |
Neonate bwt 2000-2499g w other significant condition |
11 |
$38,394 |
$9,562 |
$422,338 |
$105,177 |
7.91 |
Spinal disorders & injuries |
10 |
$52,292 |
$17,511 |
$522,915 |
$175,114 |
6.00 |
Ear, nose, mouth, throat, cranial/facial malignancies |
10 |
$68,381 |
$21,709 |
$683,806 |
$217,092 |
7.20 |
Other cardiothoracic & thoracic vascular procedures |
10 |
$105,612 |
$41,270 |
$1,056,122 |
$412,703 |
8.70 |
Female reproductive system infections |
10 |
$18,758 |
$4,678 |
$187,579 |
$46,780 |
2.80 |
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms |
10 |
$150,057 |
$50,129 |
$1,500,566 |
$501,287 |
18.00 |
Tracheostomy w MV 96+ hours w extensive procedure or ECMO |
9 |
$283,802 |
$119,249 |
$2,554,217 |
$1,073,244 |
23.67 |
Other nervous system & related procedures |
9 |
$83,937 |
$30,213 |
$755,435 |
$271,913 |
8.56 |
Malignant breast disorders |
9 |
$80,448 |
$23,500 |
$724,029 |
$211,502 |
9.89 |
Other kidney, urinary tract & related procedures |
9 |
$140,277 |
$54,312 |
$1,262,492 |
$488,804 |
13.44 |
Behavioral disorders |
9 |
$17,274 |
$5,492 |
$155,467 |
$49,427 |
4.67 |
Other injury, poisoning & toxic effect diagnoses |
9 |
$25,114 |
$8,051 |
$226,025 |
$72,463 |
2.67 |
HIV w multiple major HIV related conditions |
9 |
$73,584 |
$23,100 |
$662,253 |
$207,903 |
8.89 |
Anal procedures |
8 |
$37,180 |
$14,639 |
$297,442 |
$117,109 |
3.88 |
Kidney & urinary tract malignancy |
8 |
$51,160 |
$17,720 |
$409,282 |
$141,759 |
6.75 |
Transurethral prostatectomy |
8 |
$36,717 |
$11,247 |
$293,737 |
$89,975 |
4.00 |
Other male reproductive system & related procedures |
8 |
$29,417 |
$10,369 |
$235,339 |
$82,954 |
1.13 |
False labor |
8 |
$10,878 |
$3,073 |
$87,021 |
$24,586 |
1.13 |
Neonate bwt 2000-2499g w resp dist synd/oth maj resp cond |
8 |
$59,630 |
$15,784 |
$477,040 |
$126,271 |
11.25 |
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms |
8 |
$65,997 |
$23,758 |
$527,979 |
$190,060 |
6.75 |
Viral meningitis |
7 |
$51,150 |
$15,421 |
$358,052 |
$107,949 |
6.43 |
D&C, aspiration curettage or hysterotomy for obstetric diagnoses |
7 |
$16,536 |
$4,482 |
$115,749 |
$31,377 |
1.43 |
Disorders of personality & impulse control |
7 |
$26,256 |
$9,374 |
$183,792 |
$65,621 |
6.71 |
HIV w major HIV related condition |
7 |
$42,306 |
$12,399 |
$296,139 |
$86,792 |
5.57 |
Ventricular shunt procedures |
6 |
$54,927 |
$18,363 |
$329,561 |
$110,175 |
4.17 |
Acute major eye infections |
6 |
$27,229 |
$9,919 |
$163,375 |
$59,514 |
3.83 |
Major pancreas, liver & shunt procedures |
6 |
$68,529 |
$24,985 |
$411,175 |
$149,910 |
6.67 |
Other procedures for endocrine, nutritional & metabolic disorders |
6 |
$100,984 |
$34,725 |
$605,901 |
$208,348 |
11.00 |
Inborn errors of metabolism |
6 |
$34,245 |
$10,528 |
$205,468 |
$63,168 |
4.67 |
Neonate birthwt >2499g w congenital/perinatal infection |
6 |
$43,761 |
$11,496 |
$262,564 |
$68,978 |
8.00 |
Radiotherapy |
6 |
$28,183 |
$10,861 |
$169,095 |
$65,165 |
2.00 |
Other mental health disorders |
6 |
$37,186 |
$10,703 |
$223,118 |
$64,218 |
9.67 |
Nonspecific CVA & precerebral occlusion w/o infarct |
5 |
$40,855 |
$11,658 |
$204,277 |
$58,288 |
4.80 |
Other major head & neck procedures |
5 |
$38,503 |
$14,624 |
$192,513 |
$73,119 |
2.20 |
Breast procedures except mastectomy |
5 |
$32,358 |
$11,547 |
$161,788 |
$57,734 |
2.60 |
Kidney & urinary tract procedures for malignancy |
5 |
$47,315 |
$18,231 |
$236,573 |
$91,153 |
5.00 |
Other female reproductive system & related procedures |
5 |
$29,537 |
$9,371 |
$147,687 |
$46,857 |
2.80 |
Neonate bwt 1500-1999g w resp dist synd/oth maj resp cond |
5 |
$157,149 |
$41,802 |
$785,744 |
$209,008 |
29.60 |
Other procedures of blood & blood-forming organs |
5 |
$50,004 |
$15,978 |
$250,021 |
$79,889 |
5.60 |
Tonsil & adenoid procedures |
4 |
$13,100 |
$3,856 |
$52,400 |
$15,425 |
1.75 |
Cardiomyopathy |
4 |
$55,198 |
$19,651 |
$220,790 |
$78,603 |
7.25 |
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses |
4 |
$43,441 |
$12,339 |
$173,765 |
$49,354 |
6.00 |
Thyroid, parathyroid & thyroglossal procedures |
4 |
$82,395 |
$27,481 |
$329,581 |
$109,922 |
9.50 |
Major male pelvic procedures |
4 |
$30,416 |
$10,766 |
$121,663 |
$43,065 |
1.75 |
Acute leukemia |
4 |
$28,342 |
$10,953 |
$113,367 |
$43,812 |
3.00 |
Neonatal aftercare |
4 |
$23,251 |
$6,217 |
$93,002 |
$24,867 |
4.75 |
Orbital procedures |
3 |
$53,049 |
$18,667 |
$159,146 |
$56,002 |
4.67 |
Mastectomy procedures |
3 |
$64,806 |
$18,295 |
$194,419 |
$54,886 |
6.00 |
Major bladder procedures |
3 |
$50,107 |
$14,526 |
$150,320 |
$43,578 |
6.33 |
Other bladder procedures |
3 |
$35,602 |
$10,008 |
$106,805 |
$30,025 |
4.33 |
Malignancy, male reproductive system |
3 |
$32,852 |
$7,912 |
$98,557 |
$23,737 |
4.67 |
Dilation & curettage for non-obstetric diagnoses |
3 |
$37,100 |
$11,631 |
$111,299 |
$34,894 |
4.33 |
Neonate bwt 2000-2499g w major anomaly |
3 |
$83,323 |
$22,017 |
$249,970 |
$66,050 |
15.67 |
Splenectomy |
3 |
$77,505 |
$31,529 |
$232,516 |
$94,587 |
6.67 |
Extensive abdominal/thoracic procedures for mult significant trauma |
3 |
$109,684 |
$40,368 |
$329,051 |
$121,104 |
5.00 |
Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma |
2 |
$33,321 |
$9,959 |
$66,641 |
$19,918 |
3.00 |
Major cranial/facial bone procedures |
2 |
$44,295 |
$17,529 |
$88,589 |
$35,057 |
5.50 |
Sinus & mastoid procedures |
2 |
$23,207 |
$6,890 |
$46,414 |
$13,779 |
2.50 |
Permanent cardiac pacemaker implant w AMI, heart failure or shock |
2 |
$138,853 |
$66,460 |
$277,705 |
$132,920 |
10.50 |
Cardiac pacemaker & defibrillator revision except device replacement |
2 |
$126,394 |
$57,972 |
$252,787 |
$115,944 |
4.50 |
Dorsal & lumbar fusion proc for curvature of back |
2 |
$220,133 |
$78,966 |
$440,266 |
$157,931 |
4.50 |
Shoulder & elbow joint replacement |
2 |
$95,840 |
$33,251 |
$191,679 |
$66,502 |
7.00 |
Testes & scrotal procedures |
2 |
$58,890 |
$18,720 |
$117,779 |
$37,439 |
8.00 |
Other O.R. proc for obstetric diagnoses except delivery diagnoses |
2 |
$17,272 |
$5,447 |
$34,543 |
$10,893 |
1.00 |
Neonate bwt <500g or GA <24 weeks |
2 |
$3,521 |
$450 |
$7,042 |
$899 |
1.00 |
Neonate bwt 1250-1499g w resp dist synd/oth maj resp or maj anom |
2 |
$171,315 |
$45,588 |
$342,630 |
$91,175 |
30.00 |
Neonate bwt 2000-2499g w congenital/perinatal infection |
2 |
$45,827 |
$11,977 |
$91,653 |
$23,954 |
9.00 |
Mental illness diagnosis w O.R. procedure |
2 |
$40,030 |
$13,091 |
$80,059 |
$26,181 |
6.50 |
Principal diagnosis invalid as discharge diagnosis |
2 |
$7,820 |
$1,947 |
$15,640 |
$3,894 |
1.00 |
Eye procedures except orbit |
1 |
$21,197 |
$3,683 |
$21,197 |
$3,683 |
1.00 |
Pituitary & adrenal procedures |
1 |
$19,568 |
$7,586 |
$19,568 |
$7,586 |
1.00 |
Nephritis & nephrosis |
1 |
$24,470 |
$5,411 |
$24,470 |
$5,411 |
2.00 |
Penis procedures |
1 |
$47,386 |
$13,930 |
$47,386 |
$13,930 |
5.00 |
Neonate bwt 1000-1249g w resp dist synd/oth maj resp or maj anom |
1 |
$178,402 |
$47,323 |
$178,402 |
$47,323 |
34.00 |
Neonate birthwt 1500-1999g w major anomaly |
1 |
$134,425 |
$35,397 |
$134,425 |
$35,397 |
26.00 |
Neonate birthwt 1500-1999g w congenital/perinatal infection |
1 |
$93,764 |
$25,017 |
$93,764 |
$25,017 |
18.00 |
Eating disorders |
1 |
$34,499 |
$8,351 |
$34,499 |
$8,351 |
5.00 |
Alcohol & drug dependence w rehab or rehab/detox therapy |
1 |
$60,314 |
$27,070 |
$60,314 |
$27,070 |
7.00 |
Partial thickness burns without skin graft |
1 |
$21,024 |
$5,556 |
$21,024 |
$5,556 |
3.00 |
HIV w multiple significant HIV related conditions |
1 |
$25,526 |
$10,256 |
$25,526 |
$10,256 |
2.00 |
HIV w one signif HIV cond or w/o signif related cond |
1 |
$19,373 |
$4,547 |
$19,373 |
$4,547 |
2.00 |