NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM |
368 |
$15,501 |
$3,374 |
$5,704,315 |
$1,241,513 |
1.94 |
VAGINAL DELIVERY |
225 |
$36,495 |
$5,424 |
$8,211,312 |
$1,220,317 |
1.97 |
CESAREAN SECTION WITHOUT STERILIZATION |
147 |
$77,220 |
$10,191 |
$11,351,358 |
$1,498,128 |
2.75 |
MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS |
125 |
$99,916 |
$23,113 |
$12,489,439 |
$2,889,099 |
5.80 |
SEPTICEMIA AND DISSEMINATED INFECTIONS |
109 |
$114,817 |
$30,785 |
$12,515,047 |
$3,355,530 |
5.92 |
HEART FAILURE |
81 |
$75,782 |
$14,891 |
$6,138,367 |
$1,206,174 |
4.22 |
OTHER PNEUMONIA |
63 |
$81,862 |
$13,462 |
$5,157,310 |
$848,088 |
4.65 |
SHOULDER AND ELBOW JOINT REPLACEMENT |
41 |
$134,300 |
$23,610 |
$5,506,303 |
$968,017 |
1.68 |
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS |
36 |
$66,049 |
$16,577 |
$2,377,746 |
$596,774 |
2.83 |
DIVERTICULITIS AND DIVERTICULOSIS |
34 |
$62,679 |
$10,449 |
$2,131,072 |
$355,273 |
4.00 |
HIP AND FEMUR FRACTURE REPAIR |
30 |
$129,838 |
$19,749 |
$3,895,127 |
$592,471 |
4.13 |
KIDNEY AND URINARY TRACT INFECTIONS |
29 |
$76,921 |
$14,036 |
$2,230,699 |
$407,054 |
5.48 |
ACUTE MYOCARDIAL INFARCTION |
27 |
$74,485 |
$17,087 |
$2,011,098 |
$461,345 |
3.33 |
ACUTE KIDNEY INJURY |
23 |
$68,953 |
$12,468 |
$1,585,924 |
$286,769 |
4.48 |
CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION |
22 |
$78,788 |
$10,903 |
$1,733,346 |
$239,858 |
3.95 |
LOWER EXTREMITY ARTERIAL PROCEDURES |
19 |
$159,897 |
$34,061 |
$3,038,036 |
$647,157 |
3.37 |
INTESTINAL OBSTRUCTION |
18 |
$70,733 |
$10,900 |
$1,273,200 |
$196,203 |
4.72 |
CHRONIC OBSTRUCTIVE PULMONARY DISEASE |
17 |
$87,602 |
$23,015 |
$1,489,228 |
$391,256 |
4.35 |
NON-HYPOVOLEMIC SODIUM DISORDERS |
16 |
$66,970 |
$15,116 |
$1,071,512 |
$241,856 |
4.06 |
ELECTIVE KNEE JOINT REPLACEMENT |
16 |
$119,668 |
$18,599 |
$1,914,689 |
$297,591 |
1.50 |
CHOLECYSTECTOMY |
15 |
$118,077 |
$15,689 |
$1,771,151 |
$235,332 |
3.00 |
CELLULITIS AND OTHER SKIN INFECTIONS |
15 |
$57,683 |
$9,956 |
$865,252 |
$149,333 |
3.87 |
PULMONARY EMBOLISM |
14 |
$68,930 |
$12,882 |
$965,015 |
$180,342 |
3.29 |
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES |
12 |
$68,144 |
$9,934 |
$817,726 |
$119,207 |
4.33 |
DISORDERS OF GALLBLADDER AND BILIARY TRACT |
11 |
$65,365 |
$11,173 |
$719,018 |
$122,901 |
2.73 |
PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES |
11 |
$137,081 |
$31,840 |
$1,507,889 |
$350,238 |
2.45 |
DISORDERS OF PANCREAS EXCEPT MALIGNANCY |
11 |
$96,423 |
$24,837 |
$1,060,657 |
$273,204 |
5.36 |
NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT |
11 |
$181,054 |
$33,670 |
$1,991,598 |
$370,375 |
6.00 |
INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE |
10 |
$184,098 |
$38,935 |
$1,840,979 |
$389,347 |
6.90 |
ALCOHOL ABUSE AND DEPENDENCE |
10 |
$69,102 |
$20,429 |
$691,019 |
$204,293 |
3.80 |
DIABETES |
10 |
$66,845 |
$20,012 |
$668,451 |
$200,120 |
3.10 |
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS |
10 |
$94,091 |
$13,060 |
$940,913 |
$130,599 |
2.00 |
OTHER GASTROENTERITIS, NAUSEA AND VOMITING |
9 |
$61,109 |
$9,862 |
$549,978 |
$88,757 |
3.67 |
ELECTIVE HIP JOINT REPLACEMENT |
9 |
$131,669 |
$21,650 |
$1,185,020 |
$194,854 |
2.44 |
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
9 |
$159,279 |
$29,998 |
$1,433,514 |
$269,985 |
3.67 |
NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE |
9 |
$11,848 |
$2,112 |
$106,633 |
$19,007 |
1.00 |
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS |
9 |
$121,107 |
$17,310 |
$1,089,962 |
$155,787 |
3.33 |
RESPIRATORY FAILURE |
9 |
$101,332 |
$22,623 |
$911,990 |
$203,611 |
5.11 |
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS |
8 |
$80,454 |
$14,884 |
$643,633 |
$119,072 |
4.88 |
PEPTIC ULCER AND GASTRITIS |
8 |
$108,062 |
$20,408 |
$864,495 |
$163,262 |
3.13 |
SEIZURE |
8 |
$59,257 |
$13,884 |
$474,057 |
$111,072 |
2.75 |
MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE |
8 |
$84,527 |
$14,512 |
$676,212 |
$116,094 |
5.50 |
MAJOR ABDOMINAL VASCULAR PROCEDURES |
8 |
$196,665 |
$50,049 |
$1,573,317 |
$400,392 |
1.50 |
ALTERATION IN CONSCIOUSNESS |
7 |
$66,148 |
$13,044 |
$463,036 |
$91,305 |
3.57 |
MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION |
7 |
$64,869 |
$15,041 |
$454,082 |
$105,289 |
3.00 |
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS |
7 |
$109,822 |
$18,614 |
$768,752 |
$130,300 |
5.86 |
OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS |
7 |
$66,051 |
$8,322 |
$462,360 |
$58,253 |
2.43 |
ASTHMA |
7 |
$64,328 |
$10,981 |
$450,298 |
$76,865 |
3.00 |
UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA |
7 |
$88,808 |
$11,165 |
$621,658 |
$78,158 |
2.14 |
POISONING OF MEDICINAL AGENTS |
7 |
$68,203 |
$19,814 |
$477,423 |
$138,701 |
2.57 |
OTHER DISORDERS OF NERVOUS SYSTEM |
6 |
$89,163 |
$14,225 |
$534,979 |
$85,352 |
6.00 |
PERIPHERAL AND OTHER VASCULAR DISORDERS |
6 |
$84,608 |
$17,057 |
$507,648 |
$102,344 |
4.67 |
INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE |
6 |
$69,326 |
$24,493 |
$415,953 |
$146,958 |
3.00 |
MAJOR LARGE BOWEL PROCEDURES |
6 |
$252,175 |
$41,217 |
$1,513,051 |
$247,303 |
8.83 |
OTHER DIGESTIVE SYSTEM DIAGNOSES |
6 |
$75,502 |
$10,309 |
$453,011 |
$61,852 |
3.83 |
OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES |
6 |
$85,001 |
$12,319 |
$510,007 |
$73,914 |
5.00 |
NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM |
6 |
$21,573 |
$4,985 |
$129,437 |
$29,912 |
3.00 |
OPEN EXTRACRANIAL VASCULAR PROCEDURES |
6 |
$96,388 |
$17,975 |
$578,326 |
$107,848 |
1.83 |
OTHER ESOPHAGEAL DISORDERS |
5 |
$72,213 |
$15,153 |
$361,066 |
$75,765 |
2.20 |
ALCOHOLIC LIVER DISEASE |
5 |
$60,557 |
$15,985 |
$302,786 |
$79,923 |
2.80 |
FRACTURE OF PELVIS OR DISLOCATION OF HIP |
5 |
$87,414 |
$12,793 |
$437,071 |
$63,966 |
5.20 |
OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE |
5 |
$62,323 |
$10,296 |
$311,613 |
$51,478 |
3.00 |
TRANSIENT ISCHEMIA |
5 |
$67,874 |
$8,582 |
$339,372 |
$42,911 |
2.60 |
OTHER SMALL AND LARGE BOWEL PROCEDURES |
5 |
$171,282 |
$26,174 |
$856,411 |
$130,869 |
5.20 |
SICKLE CELL ANEMIA CRISIS |
5 |
$134,261 |
$26,135 |
$671,306 |
$130,675 |
10.40 |
VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C |
4 |
$51,412 |
$7,424 |
$205,649 |
$29,696 |
2.25 |
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS |
4 |
$497,262 |
$180,099 |
$1,989,049 |
$720,395 |
22.00 |
MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS |
4 |
$47,639 |
$6,790 |
$190,557 |
$27,158 |
2.50 |
NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
4 |
$82,731 |
$10,341 |
$330,925 |
$41,365 |
2.75 |
SYNCOPE AND COLLAPSE |
4 |
$50,454 |
$6,113 |
$201,817 |
$24,450 |
2.50 |
LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA |
4 |
$111,703 |
$16,339 |
$446,812 |
$65,357 |
3.50 |
MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS |
3 |
$64,100 |
$9,142 |
$192,300 |
$27,426 |
4.00 |
ANTEPARTUM WITHOUT O.R. PROCEDURE |
3 |
$23,847 |
$3,301 |
$71,540 |
$9,903 |
1.00 |
DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE |
3 |
$58,440 |
$15,683 |
$175,320 |
$47,048 |
2.33 |
CONNECTIVE TISSUE DISORDERS |
3 |
$99,054 |
$15,494 |
$297,162 |
$46,483 |
4.67 |
CHEST PAIN |
3 |
$51,502 |
$6,807 |
$154,505 |
$20,420 |
3.00 |
UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA |
3 |
$122,229 |
$15,511 |
$366,687 |
$46,534 |
2.00 |
TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES |
3 |
$84,485 |
$11,392 |
$253,455 |
$34,175 |
3.67 |
VIRAL ILLNESS |
3 |
$56,322 |
$7,891 |
$168,965 |
$23,673 |
3.67 |
HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS |
3 |
$75,429 |
$9,678 |
$226,286 |
$29,035 |
4.33 |
FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK |
3 |
$91,078 |
$14,996 |
$273,233 |
$44,989 |
6.00 |
VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C |
3 |
$87,715 |
$11,187 |
$263,146 |
$33,561 |
2.67 |
URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION |
3 |
$71,636 |
$9,238 |
$214,908 |
$27,715 |
2.33 |
INFLAMMATORY BOWEL DISEASE |
3 |
$63,772 |
$9,755 |
$191,315 |
$29,264 |
3.33 |
INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES |
3 |
$93,559 |
$13,771 |
$280,677 |
$41,312 |
2.33 |
OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES |
3 |
$131,071 |
$18,744 |
$393,214 |
$56,233 |
5.33 |
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS |
3 |
$92,090 |
$20,263 |
$276,271 |
$60,788 |
5.33 |
HYPERTENSION |
3 |
$54,659 |
$11,182 |
$163,977 |
$33,547 |
2.33 |
MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES |
2 |
$87,383 |
$18,605 |
$174,766 |
$37,209 |
4.00 |
CARDIAC ARREST AND SHOCK |
2 |
$74,365 |
$11,045 |
$148,729 |
$22,090 |
1.00 |
FEVER AND INFLAMMATORY CONDITIONS |
2 |
$49,427 |
$6,967 |
$98,854 |
$13,933 |
3.00 |
MAJOR ESOPHAGEAL DISORDERS |
2 |
$97,514 |
$19,196 |
$195,027 |
$38,391 |
3.50 |
INFECTIONS OF UPPER RESPIRATORY TRACT |
2 |
$47,658 |
$8,067 |
$95,315 |
$16,134 |
3.00 |
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY |
2 |
$45,008 |
$5,661 |
$90,015 |
$11,322 |
1.50 |
OTHER INFECTIOUS AND PARASITIC DISEASES |
2 |
$69,380 |
$8,980 |
$138,760 |
$17,959 |
3.50 |
KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT |
2 |
$192,811 |
$27,492 |
$385,622 |
$54,984 |
6.00 |
SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT |
2 |
$199,145 |
$28,629 |
$398,289 |
$57,258 |
8.00 |
GASTROINTESTINAL VASCULAR INSUFFICIENCY |
2 |
$115,307 |
$18,895 |
$230,613 |
$37,789 |
5.50 |
SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS |
2 |
$90,010 |
$12,972 |
$180,020 |
$25,944 |
4.00 |
DIGESTIVE MALIGNANCY |
2 |
$81,866 |
$10,486 |
$163,732 |
$20,972 |
3.50 |
OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS |
2 |
$84,172 |
$14,567 |
$168,343 |
$29,133 |
5.00 |
MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY |
2 |
$57,969 |
$9,621 |
$115,938 |
$19,241 |
4.00 |
MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
2 |
$166,477 |
$27,969 |
$332,953 |
$55,938 |
10.50 |
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES |
2 |
$108,186 |
$31,770 |
$216,372 |
$63,539 |
3.00 |
MAJOR SMALL BOWEL PROCEDURES |
2 |
$385,324 |
$95,357 |
$770,647 |
$190,713 |
13.50 |
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES |
2 |
$105,457 |
$15,377 |
$210,914 |
$30,754 |
4.00 |
FRACTURE OF FEMUR |
2 |
$42,627 |
$6,770 |
$85,254 |
$13,540 |
2.50 |
RESPIRATORY MALIGNANCY |
2 |
$165,870 |
$26,021 |
$331,739 |
$52,041 |
6.50 |
LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR |
2 |
$40,317 |
$5,144 |
$80,633 |
$10,288 |
2.00 |
AMPUTATION OF LOWER LIMB EXCEPT TOES |
2 |
$137,114 |
$20,794 |
$274,227 |
$41,587 |
7.00 |
FOOT AND TOE PROCEDURES |
2 |
$151,184 |
$22,138 |
$302,368 |
$44,275 |
6.50 |
ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS |
2 |
$51,336 |
$8,480 |
$102,671 |
$16,959 |
3.50 |
OPIOID ABUSE AND DEPENDENCE |
2 |
$108,997 |
$35,689 |
$217,993 |
$71,377 |
7.00 |
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES |
2 |
$118,110 |
$27,511 |
$236,220 |
$55,021 |
6.00 |
ABDOMINAL PAIN |
2 |
$54,457 |
$7,187 |
$108,913 |
$14,374 |
2.50 |
OTHER DISORDERS OF THE LIVER |
1 |
$45,984 |
$6,670 |
$45,984 |
$6,670 |
2.00 |
OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES |
1 |
$121,756 |
$17,064 |
$121,756 |
$17,064 |
5.00 |
PROCEDURES FOR OBESITY |
1 |
$118,122 |
$17,014 |
$118,122 |
$17,014 |
3.00 |
MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE |
1 |
$141,516 |
$34,365 |
$141,516 |
$34,365 |
6.00 |
MAJOR BILIARY TRACT PROCEDURES |
1 |
$84,106 |
$9,909 |
$84,106 |
$9,909 |
1.00 |
CERVICAL SPINAL FUSION AND OTHER BACK OR NECK PROCEDURES EXCEPT DISC EXCISION OR DECOMPRESSION |
1 |
$151,071 |
$25,835 |
$151,071 |
$25,835 |
3.00 |
MAJOR CHEST AND RESPIRATORY TRAUMA |
1 |
$61,353 |
$8,760 |
$61,353 |
$8,760 |
3.00 |
EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
1 |
$167,872 |
$34,086 |
$167,872 |
$34,086 |
3.00 |
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL |
1 |
$184,885 |
$29,767 |
$184,885 |
$29,767 |
5.00 |
OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS |
1 |
$44,827 |
$6,351 |
$44,827 |
$6,351 |
2.00 |
SKIN ULCERS |
1 |
$40,888 |
$7,161 |
$40,888 |
$7,161 |
3.00 |
CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE |
1 |
$67,011 |
$7,030 |
$67,011 |
$7,030 |
3.00 |
PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES |
1 |
$121,581 |
$20,370 |
$121,581 |
$20,370 |
6.00 |
OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS |
1 |
$81,974 |
$9,735 |
$81,974 |
$9,735 |
1.00 |
NERVOUS SYSTEM MALIGNANCY |
1 |
$90,387 |
$15,277 |
$90,387 |
$15,277 |
7.00 |
VERTIGO AND OTHER LABYRINTH DISORDERS |
1 |
$44,110 |
$5,126 |
$44,110 |
$5,126 |
2.00 |
KIDNEY AND URINARY TRACT MALIGNANCY |
1 |
$27,728 |
$3,427 |
$27,728 |
$3,427 |
1.00 |
ACUTE BRONCHITIS AND RELATED SYMPTOMS |
1 |
$98,775 |
$13,773 |
$98,775 |
$13,773 |
5.00 |
PERITONEAL ADHESIOLYSIS |
1 |
$103,378 |
$18,915 |
$103,378 |
$18,915 |
2.00 |
PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS |
1 |
$42,751 |
$7,117 |
$42,751 |
$7,117 |
3.00 |
OTHER PERIPHERAL VASCULAR PROCEDURES |
1 |
$117,540 |
$21,400 |
$117,540 |
$21,400 |
2.00 |
TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE |
1 |
$662,741 |
$232,948 |
$662,741 |
$232,948 |
25.00 |
OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES |
1 |
$118,422 |
$16,910 |
$118,422 |
$16,910 |
3.00 |
ANAL PROCEDURES |
1 |
$88,260 |
$10,489 |
$88,260 |
$10,489 |
3.00 |
HAND AND WRIST PROCEDURES |
1 |
$116,707 |
$16,729 |
$116,707 |
$16,729 |
6.00 |
MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS |
1 |
$66,919 |
$7,533 |
$66,919 |
$7,533 |
3.00 |
OTHER RESPIRATORY AND CHEST PROCEDURES |
1 |
$117,147 |
$36,896 |
$117,147 |
$36,896 |
3.00 |
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY |
1 |
$14,488 |
$3,339 |
$14,488 |
$3,339 |
2.00 |
FEMALE REPRODUCTIVE SYSTEM INFECTIONS |
1 |
$32,643 |
$4,303 |
$32,643 |
$4,303 |
2.00 |
EYE INFECTIONS AND OTHER EYE DISORDERS |
1 |
$77,769 |
$8,474 |
$77,769 |
$8,474 |
3.00 |
BRONCHIOLITIS AND RSV PNEUMONIA |
1 |
$154,099 |
$24,881 |
$154,099 |
$24,881 |
9.00 |
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY |
1 |
$49,680 |
$6,731 |
$49,680 |
$6,731 |
3.00 |
POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE |
1 |
$67,648 |
$8,836 |
$67,648 |
$8,836 |
2.00 |
NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION |
1 |
$20,541 |
$4,904 |
$20,541 |
$4,904 |
3.00 |
MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
1 |
$78,078 |
$14,266 |
$78,078 |
$14,266 |
1.00 |
MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS |
1 |
$33,576 |
$4,075 |
$33,576 |
$4,075 |
1.00 |
OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES |
1 |
$40,266 |
$7,135 |
$40,266 |
$7,135 |
3.00 |
MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE |
1 |
$137,546 |
$21,589 |
$137,546 |
$21,589 |
7.00 |
NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT |
1 |
$258,751 |
$37,833 |
$258,751 |
$37,833 |
6.00 |