NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM |
349 |
$1,983 |
$2,387 |
$691,932 |
$833,166 |
1.92 |
MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS |
329 |
$35,282 |
$19,106 |
$11,607,732 |
$6,285,767 |
6.61 |
SEPTICEMIA AND DISSEMINATED INFECTIONS |
321 |
$33,738 |
$17,194 |
$10,830,054 |
$5,519,120 |
6.61 |
VAGINAL DELIVERY |
265 |
$8,348 |
$6,451 |
$2,212,130 |
$1,709,429 |
2.13 |
HEART FAILURE |
229 |
$16,429 |
$7,015 |
$3,762,137 |
$1,606,486 |
3.83 |
CESAREAN SECTION WITHOUT STERILIZATION |
96 |
$18,246 |
$9,530 |
$1,751,588 |
$914,839 |
2.69 |
PROCEDURES FOR OBESITY |
89 |
$23,026 |
$7,952 |
$2,049,355 |
$707,688 |
1.08 |
OTHER PNEUMONIA |
84 |
$17,581 |
$7,927 |
$1,476,804 |
$665,868 |
3.75 |
ACUTE KIDNEY INJURY |
83 |
$15,638 |
$6,697 |
$1,297,994 |
$555,854 |
3.58 |
RESPIRATORY FAILURE |
76 |
$16,754 |
$8,040 |
$1,273,315 |
$611,043 |
3.49 |
DIABETES |
74 |
$14,538 |
$7,174 |
$1,075,813 |
$530,890 |
2.77 |
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS |
62 |
$14,070 |
$6,589 |
$872,324 |
$408,512 |
2.94 |
CELLULITIS AND OTHER SKIN INFECTIONS |
57 |
$15,008 |
$6,628 |
$855,456 |
$377,823 |
3.89 |
CHRONIC OBSTRUCTIVE PULMONARY DISEASE |
54 |
$15,092 |
$6,617 |
$814,950 |
$357,291 |
2.87 |
DISORDERS OF PANCREAS EXCEPT MALIGNANCY |
52 |
$13,159 |
$5,495 |
$684,250 |
$285,716 |
2.96 |
KIDNEY AND URINARY TRACT INFECTIONS |
51 |
$14,214 |
$5,716 |
$724,929 |
$291,524 |
3.06 |
DIVERTICULITIS AND DIVERTICULOSIS |
51 |
$13,366 |
$5,428 |
$681,675 |
$276,803 |
2.90 |
CESAREAN SECTION WITH STERILIZATION |
42 |
$18,811 |
$8,828 |
$790,079 |
$370,788 |
2.00 |
INTESTINAL OBSTRUCTION |
41 |
$13,438 |
$5,319 |
$550,970 |
$218,061 |
3.07 |
ACUTE MYOCARDIAL INFARCTION |
34 |
$11,040 |
$4,164 |
$375,356 |
$141,565 |
1.85 |
PULMONARY EMBOLISM |
32 |
$18,038 |
$8,025 |
$577,228 |
$256,804 |
3.56 |
NON-HYPOVOLEMIC SODIUM DISORDERS |
32 |
$13,618 |
$5,789 |
$435,770 |
$185,250 |
3.28 |
OTHER GASTROENTERITIS, NAUSEA AND VOMITING |
32 |
$15,967 |
$6,784 |
$510,958 |
$217,098 |
3.50 |
PEPTIC ULCER AND GASTRITIS |
30 |
$21,440 |
$10,157 |
$643,212 |
$304,696 |
3.50 |
MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE |
30 |
$16,507 |
$7,856 |
$495,195 |
$235,689 |
4.40 |
INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE |
30 |
$54,519 |
$25,746 |
$1,635,560 |
$772,391 |
8.17 |
ALCOHOLIC LIVER DISEASE |
29 |
$21,776 |
$10,931 |
$631,508 |
$317,009 |
4.66 |
OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE |
27 |
$20,274 |
$8,645 |
$547,395 |
$233,403 |
3.70 |
DISORDERS OF GALLBLADDER AND BILIARY TRACT |
27 |
$18,723 |
$8,232 |
$505,525 |
$222,257 |
3.15 |
CHOLECYSTECTOMY |
26 |
$31,779 |
$12,531 |
$826,253 |
$325,801 |
2.96 |
OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES |
25 |
$15,838 |
$6,711 |
$395,951 |
$167,783 |
3.84 |
HIP AND FEMUR FRACTURE REPAIR |
24 |
$45,488 |
$16,929 |
$1,091,723 |
$406,303 |
6.71 |
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS |
24 |
$14,802 |
$6,822 |
$355,247 |
$163,739 |
5.96 |
MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS |
24 |
$19,313 |
$8,465 |
$463,502 |
$203,166 |
4.00 |
PERIPHERAL AND OTHER VASCULAR DISORDERS |
24 |
$15,992 |
$6,439 |
$383,810 |
$154,545 |
3.54 |
CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION |
23 |
$21,589 |
$7,432 |
$496,536 |
$170,940 |
3.48 |
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS |
23 |
$99,477 |
$60,830 |
$2,287,961 |
$1,399,099 |
13.65 |
OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS |
22 |
$17,197 |
$7,001 |
$378,341 |
$154,025 |
3.45 |
NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM |
21 |
$3,560 |
$3,867 |
$74,754 |
$81,203 |
2.95 |
SKIN ULCERS |
21 |
$28,447 |
$13,476 |
$597,377 |
$282,987 |
7.52 |
NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE |
21 |
$2,212 |
$1,635 |
$46,443 |
$34,338 |
1.10 |
OTHER DIGESTIVE SYSTEM DIAGNOSES |
19 |
$15,977 |
$6,939 |
$303,554 |
$131,837 |
2.74 |
ALCOHOL ABUSE AND DEPENDENCE |
18 |
$24,859 |
$13,116 |
$447,466 |
$236,093 |
6.39 |
ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS |
18 |
$9,912 |
$3,676 |
$178,413 |
$66,170 |
1.33 |
HYPERTENSION |
17 |
$16,048 |
$6,572 |
$272,819 |
$111,719 |
2.88 |
NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT |
17 |
$42,435 |
$14,625 |
$721,389 |
$248,628 |
5.47 |
FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK |
15 |
$14,842 |
$6,311 |
$222,632 |
$94,663 |
4.33 |
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES |
15 |
$12,494 |
$4,916 |
$187,410 |
$73,741 |
2.67 |
UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA |
14 |
$17,191 |
$7,303 |
$240,678 |
$102,242 |
1.14 |
INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE |
13 |
$12,116 |
$6,467 |
$157,513 |
$84,066 |
2.08 |
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION |
13 |
$2,879 |
$3,088 |
$37,432 |
$40,143 |
2.38 |
ANTEPARTUM WITHOUT O.R. PROCEDURE |
12 |
$9,529 |
$4,968 |
$114,347 |
$59,619 |
1.92 |
AMPUTATION OF LOWER LIMB EXCEPT TOES |
11 |
$36,288 |
$16,682 |
$399,163 |
$183,497 |
8.64 |
FOOT AND TOE PROCEDURES |
11 |
$36,685 |
$16,310 |
$403,532 |
$179,414 |
8.27 |
INFLAMMATORY BOWEL DISEASE |
11 |
$10,992 |
$4,185 |
$120,908 |
$46,034 |
2.36 |
MAJOR LARGE BOWEL PROCEDURES |
11 |
$45,908 |
$20,827 |
$504,983 |
$229,098 |
5.82 |
HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS |
11 |
$27,716 |
$13,254 |
$304,881 |
$145,799 |
7.00 |
OTHER COMPLICATIONS OF TREATMENT |
10 |
$17,649 |
$7,275 |
$176,490 |
$72,746 |
4.20 |
OTHER DISORDERS OF THE LIVER |
10 |
$29,785 |
$12,333 |
$297,845 |
$123,328 |
6.80 |
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS |
10 |
$12,971 |
$5,785 |
$129,711 |
$57,850 |
3.30 |
KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT |
10 |
$39,796 |
$14,850 |
$397,963 |
$148,495 |
4.80 |
MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE |
8 |
$21,175 |
$9,218 |
$169,400 |
$73,744 |
3.88 |
OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS |
8 |
$29,704 |
$13,225 |
$237,631 |
$105,800 |
7.00 |
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES |
8 |
$13,760 |
$6,293 |
$110,083 |
$50,344 |
3.63 |
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL |
8 |
$29,694 |
$12,352 |
$237,549 |
$98,816 |
3.38 |
OTHER ESOPHAGEAL DISORDERS |
7 |
$18,232 |
$7,501 |
$127,621 |
$52,507 |
2.57 |
MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION |
7 |
$24,795 |
$11,861 |
$173,563 |
$83,024 |
5.86 |
POISONING OF MEDICINAL AGENTS |
7 |
$18,129 |
$9,612 |
$126,905 |
$67,282 |
3.43 |
FRACTURE OF FEMUR |
7 |
$14,121 |
$6,455 |
$98,846 |
$45,188 |
5.00 |
OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES |
7 |
$12,478 |
$4,828 |
$87,344 |
$33,794 |
2.43 |
MAJOR ESOPHAGEAL DISORDERS |
7 |
$23,303 |
$9,901 |
$163,123 |
$69,307 |
3.57 |
FRACTURE OF PELVIS OR DISLOCATION OF HIP |
6 |
$15,072 |
$6,138 |
$90,429 |
$36,829 |
3.67 |
GASTROINTESTINAL VASCULAR INSUFFICIENCY |
6 |
$20,616 |
$7,835 |
$123,698 |
$47,012 |
4.00 |
RESPIRATORY MALIGNANCY |
6 |
$17,712 |
$7,828 |
$106,272 |
$46,969 |
3.33 |
SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS |
6 |
$15,254 |
$6,427 |
$91,524 |
$38,559 |
3.67 |
OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS |
6 |
$19,424 |
$8,060 |
$116,546 |
$48,361 |
3.33 |
MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS |
6 |
$17,924 |
$7,480 |
$107,546 |
$44,880 |
4.33 |
OTHER ENDOCRINE DISORDERS |
6 |
$16,747 |
$7,682 |
$100,480 |
$46,091 |
3.50 |
DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE |
6 |
$6,260 |
$2,803 |
$37,562 |
$16,818 |
1.17 |
COAGULATION AND PLATELET DISORDERS |
6 |
$28,997 |
$16,048 |
$173,980 |
$96,287 |
4.33 |
ELECTIVE HIP JOINT REPLACEMENT |
6 |
$42,686 |
$14,524 |
$256,118 |
$87,145 |
3.67 |
MAJOR SMALL BOWEL PROCEDURES |
6 |
$40,115 |
$17,877 |
$240,691 |
$107,261 |
5.50 |
MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
6 |
$31,908 |
$14,113 |
$191,446 |
$84,677 |
7.50 |
ACUTE BRONCHITIS AND RELATED SYMPTOMS |
6 |
$10,978 |
$4,972 |
$65,866 |
$29,832 |
2.50 |
OTHER DISORDERS OF NERVOUS SYSTEM |
5 |
$12,167 |
$4,597 |
$60,833 |
$22,985 |
2.60 |
DIGESTIVE MALIGNANCY |
5 |
$23,327 |
$9,239 |
$116,635 |
$46,196 |
5.80 |
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES |
5 |
$15,788 |
$7,712 |
$78,940 |
$38,561 |
1.60 |
ELECTIVE KNEE JOINT REPLACEMENT |
5 |
$34,725 |
$11,006 |
$173,623 |
$55,030 |
3.00 |
OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS |
5 |
$17,016 |
$7,610 |
$85,080 |
$38,050 |
3.40 |
HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS |
5 |
$9,633 |
$3,904 |
$48,164 |
$19,519 |
2.00 |
UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA |
5 |
$16,742 |
$7,498 |
$83,711 |
$37,491 |
1.40 |
CHEST PAIN |
5 |
$10,241 |
$3,460 |
$51,203 |
$17,300 |
1.40 |
SYNCOPE AND COLLAPSE |
5 |
$15,375 |
$4,667 |
$76,877 |
$23,334 |
1.60 |
THYROID DISORDERS |
5 |
$17,117 |
$7,817 |
$85,587 |
$39,087 |
3.80 |
CHRONIC KIDNEY DISEASE |
5 |
$21,607 |
$10,416 |
$108,034 |
$52,081 |
3.20 |
ALTERATION IN CONSCIOUSNESS |
5 |
$23,569 |
$9,051 |
$117,844 |
$45,257 |
4.00 |
PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS |
4 |
$13,858 |
$6,591 |
$55,433 |
$26,364 |
2.75 |
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDIT |
4 |
$4,826 |
$4,184 |
$19,304 |
$16,735 |
3.25 |
OTHER INFECTIOUS AND PARASITIC DISEASES |
4 |
$25,691 |
$11,508 |
$102,765 |
$46,030 |
6.00 |
URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION |
4 |
$14,128 |
$5,561 |
$56,510 |
$22,242 |
1.50 |
CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE |
4 |
$15,081 |
$6,421 |
$60,322 |
$25,685 |
3.50 |
VIRAL ILLNESS |
4 |
$12,961 |
$4,179 |
$51,844 |
$16,714 |
2.25 |
RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES |
3 |
$13,588 |
$4,863 |
$40,764 |
$14,590 |
2.67 |
SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT |
3 |
$31,696 |
$11,855 |
$95,089 |
$35,565 |
3.33 |
PERITONEAL ADHESIOLYSIS |
3 |
$30,179 |
$13,127 |
$90,537 |
$39,381 |
4.00 |
TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE |
3 |
$336,492 |
$236,801 |
$1,009,476 |
$710,402 |
58.67 |
URETHRAL AND TRANSURETHRAL PROCEDURES |
3 |
$30,093 |
$12,668 |
$90,279 |
$38,004 |
6.00 |
SCHIZOPHRENIA |
3 |
$12,443 |
$6,427 |
$37,328 |
$19,281 |
3.00 |
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY |
3 |
$16,127 |
$6,228 |
$48,382 |
$18,684 |
3.33 |
MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS |
3 |
$9,324 |
$4,242 |
$27,971 |
$12,726 |
3.00 |
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS |
3 |
$49,767 |
$20,641 |
$149,302 |
$61,923 |
8.33 |
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS |
3 |
$54,681 |
$27,571 |
$164,044 |
$82,713 |
13.67 |
OTHER AFTERCARE AND CONVALESCENCE |
3 |
$8,328 |
$4,062 |
$24,983 |
$12,185 |
3.67 |
VERTIGO AND OTHER LABYRINTH DISORDERS |
3 |
$11,379 |
$3,886 |
$34,138 |
$11,659 |
1.33 |
INTRACRANIAL HEMORRHAGE |
3 |
$12,118 |
$5,126 |
$36,355 |
$15,378 |
3.00 |
OTHER CIRCULATORY SYSTEM DIAGNOSES |
3 |
$14,918 |
$5,528 |
$44,754 |
$16,585 |
2.33 |
NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
3 |
$22,471 |
$8,033 |
$67,413 |
$24,100 |
3.00 |
MAJOR CHEST AND RESPIRATORY TRAUMA |
3 |
$9,121 |
$4,059 |
$27,364 |
$12,178 |
2.33 |
SEIZURE |
3 |
$24,102 |
$11,373 |
$72,307 |
$34,118 |
5.33 |
LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA |
3 |
$23,467 |
$10,145 |
$70,400 |
$30,435 |
4.67 |
LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR |
3 |
$10,498 |
$4,062 |
$31,493 |
$12,185 |
2.00 |
BRONCHIOLITIS AND RSV PNEUMONIA |
3 |
$12,235 |
$4,798 |
$36,705 |
$14,393 |
3.00 |
OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES |
2 |
$29,571 |
$13,284 |
$59,142 |
$26,568 |
4.00 |
KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY |
2 |
$36,498 |
$17,603 |
$72,996 |
$35,205 |
3.00 |
KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY |
2 |
$24,991 |
$10,546 |
$49,981 |
$21,091 |
2.00 |
OTHER DRUG ABUSE AND DEPENDENCE |
2 |
$20,519 |
$9,946 |
$41,037 |
$19,892 |
7.50 |
OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES |
2 |
$23,515 |
$10,497 |
$47,029 |
$20,993 |
2.50 |
ACUTE LEUKEMIA |
2 |
$24,473 |
$10,985 |
$48,945 |
$21,969 |
3.00 |
ACUTE ANXIETY AND DELIRIUM STATES |
2 |
$9,214 |
$4,167 |
$18,428 |
$8,333 |
2.00 |
MAJOR BLADDER PROCEDURES |
2 |
$45,634 |
$18,919 |
$91,268 |
$37,837 |
3.50 |
MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE |
2 |
$40,521 |
$18,085 |
$81,041 |
$36,169 |
11.00 |
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS |
2 |
$30,655 |
$10,853 |
$61,309 |
$21,705 |
3.00 |
OPIOID ABUSE AND DEPENDENCE |
2 |
$18,638 |
$10,544 |
$37,276 |
$21,087 |
6.00 |
OTHER SMALL AND LARGE BOWEL PROCEDURES |
2 |
$41,101 |
$19,014 |
$82,202 |
$38,027 |
9.50 |
FEMALE REPRODUCTIVE SYSTEM INFECTIONS |
2 |
$14,717 |
$6,886 |
$29,433 |
$13,771 |
4.50 |
TRANSIENT ISCHEMIA |
2 |
$11,803 |
$3,485 |
$23,605 |
$6,970 |
1.00 |
ASTHMA |
2 |
$4,649 |
$1,819 |
$9,297 |
$3,638 |
1.00 |
MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES |
2 |
$37,373 |
$14,172 |
$74,746 |
$28,343 |
3.50 |
ABDOMINAL PAIN |
2 |
$14,034 |
$4,485 |
$28,068 |
$8,969 |
2.50 |
OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES |
1 |
$32,384 |
$12,847 |
$32,384 |
$12,847 |
2.00 |
CONNECTIVE TISSUE DISORDERS |
1 |
$24,081 |
$8,223 |
$24,081 |
$8,223 |
4.00 |
MALIGNANCY, MALE REPRODUCTIVE SYSTEM |
1 |
$12,613 |
$5,426 |
$12,613 |
$5,426 |
2.00 |
OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS |
1 |
$37,183 |
$11,616 |
$37,183 |
$11,616 |
3.00 |
MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
1 |
$47,909 |
$20,138 |
$47,909 |
$20,138 |
1.00 |
TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES |
1 |
$29,960 |
$13,305 |
$29,960 |
$13,305 |
6.00 |
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
1 |
$60,422 |
$34,332 |
$60,422 |
$34,332 |
6.00 |
CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA |
1 |
$13,936 |
$4,899 |
$13,936 |
$4,899 |
2.00 |
INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES |
1 |
$17,769 |
$6,892 |
$17,769 |
$6,892 |
1.00 |
MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE |
1 |
$32,485 |
$10,967 |
$32,485 |
$10,967 |
6.00 |
ANTEPARTUM WITH O.R. PROCEDURE |
1 |
$14,015 |
$7,511 |
$14,015 |
$7,511 |
2.00 |
OTHER MENTAL HEALTH DISORDERS |
1 |
$21,106 |
$6,271 |
$21,106 |
$6,271 |
1.00 |
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION |
1 |
$11,665 |
$13,362 |
$11,665 |
$13,362 |
12.00 |
ANAL PROCEDURES |
1 |
$15,778 |
$5,660 |
$15,778 |
$5,660 |
1.00 |
MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES |
1 |
$8,558 |
$3,414 |
$8,558 |
$3,414 |
1.00 |
CARDIAC STRUCTURAL AND VALVULAR DISORDERS |
1 |
$14,527 |
$8,288 |
$14,527 |
$8,288 |
2.00 |
NEPHRITIS AND NEPHROSIS |
1 |
$15,558 |
$7,240 |
$15,558 |
$7,240 |
3.00 |
ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES |
1 |
$32,386 |
$11,044 |
$32,386 |
$11,044 |
7.00 |
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY |
1 |
$1,731 |
$2,195 |
$1,731 |
$2,195 |
2.00 |
EATING DISORDERS |
1 |
$10,162 |
$3,141 |
$10,162 |
$3,141 |
1.00 |
NERVOUS SYSTEM MALIGNANCY |
1 |
$8,172 |
$2,371 |
$8,172 |
$2,371 |
1.00 |
PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT |
1 |
$6,825 |
$2,922 |
$6,825 |
$2,922 |
2.00 |
MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES |
1 |
$19,788 |
$5,971 |
$19,788 |
$5,971 |
3.00 |
HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS |
1 |
$13,555 |
$7,260 |
$13,555 |
$7,260 |
3.00 |
MAJOR SKIN DISORDERS |
1 |
$15,030 |
$7,606 |
$15,030 |
$7,606 |
6.00 |
MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS |
1 |
$6,622 |
$3,943 |
$6,622 |
$3,943 |
1.00 |
TRANSURETHRAL PROSTATECTOMY |
1 |
$29,852 |
$11,359 |
$29,852 |
$11,359 |
3.00 |
OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS |
1 |
$51,824 |
$24,648 |
$51,824 |
$24,648 |
13.00 |
NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION |
1 |
$14,184 |
$3,799 |
$14,184 |
$3,799 |
1.00 |
INTERSTITIAL AND ALVEOLAR LUNG DISEASES |
1 |
$10,381 |
$5,117 |
$10,381 |
$5,117 |
4.00 |
UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY |
1 |
$20,606 |
$8,682 |
$20,606 |
$8,682 |
2.00 |
MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA |
1 |
$27,770 |
$11,917 |
$27,770 |
$11,917 |
3.00 |
TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE |
1 |
$406,566 |
$280,345 |
$406,566 |
$280,345 |
67.00 |
OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES |
1 |
$217,382 |
$104,143 |
$217,382 |
$104,143 |
51.00 |
EYE INFECTIONS AND OTHER EYE DISORDERS |
1 |
$11,833 |
$5,663 |
$11,833 |
$5,663 |
4.00 |
NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CON |
1 |
$3,038 |
$1,984 |
$3,038 |
$1,984 |
1.00 |
UNGROUPABLE |
1 |
$15,011 |
$5,567 |
$15,011 |
$5,567 |
4.00 |
INFECTIONS OF UPPER RESPIRATORY TRACT |
1 |
$15,033 |
$6,410 |
$15,033 |
$6,410 |
4.00 |
FEVER AND INFLAMMATORY CONDITIONS |
1 |
$38,873 |
$12,752 |
$38,873 |
$12,752 |
7.00 |