NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM |
399 |
$1,966 |
$2,346 |
$784,326 |
$936,035 |
1.93 |
SEPTICEMIA & DISSEMINATED INFECTIONS |
345 |
$24,673 |
$12,957 |
$8,512,351 |
$4,470,324 |
5.13 |
VAGINAL DELIVERY |
284 |
$7,959 |
$6,268 |
$2,260,269 |
$1,780,080 |
2.13 |
HEART FAILURE |
195 |
$17,745 |
$8,619 |
$3,460,297 |
$1,680,649 |
4.46 |
MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS |
117 |
$29,865 |
$16,469 |
$3,494,243 |
$1,926,925 |
6.25 |
RESPIRATORY FAILURE |
97 |
$19,345 |
$9,836 |
$1,876,440 |
$954,140 |
3.86 |
PROCEDURES FOR OBESITY |
97 |
$21,693 |
$7,516 |
$2,104,210 |
$729,070 |
1.12 |
CESAREAN SECTION W/O STERILIZATION |
95 |
$16,155 |
$8,713 |
$1,534,757 |
$827,775 |
2.58 |
OTHER PNEUMONIA |
82 |
$15,632 |
$7,350 |
$1,281,822 |
$602,740 |
3.57 |
ACUTE KIDNEY INJURY |
82 |
$13,419 |
$5,900 |
$1,100,351 |
$483,799 |
3.32 |
DIABETES |
67 |
$14,560 |
$7,924 |
$975,528 |
$530,886 |
2.99 |
DISORDERS OF PANCREAS EXCEPT MALIGNANCY |
60 |
$12,994 |
$5,864 |
$779,631 |
$351,811 |
3.10 |
CHRONIC OBSTRUCTIVE PULMONARY DISEASE |
59 |
$12,182 |
$5,358 |
$718,717 |
$316,148 |
2.86 |
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS |
54 |
$12,007 |
$6,345 |
$648,369 |
$342,624 |
2.85 |
CELLULITIS & OTHER SKIN INFECTIONS |
48 |
$15,178 |
$6,669 |
$728,520 |
$320,092 |
3.88 |
DIVERTICULITIS & DIVERTICULOSIS |
46 |
$12,499 |
$5,592 |
$574,975 |
$257,241 |
2.96 |
CESAREAN SECTION W STERILIZATION |
45 |
$15,818 |
$8,568 |
$711,832 |
$385,573 |
2.31 |
KIDNEY & URINARY TRACT INFECTIONS |
43 |
$14,851 |
$7,314 |
$638,598 |
$314,499 |
3.77 |
INTESTINAL OBSTRUCTION |
39 |
$12,259 |
$4,993 |
$478,088 |
$194,739 |
2.87 |
OTHER GASTROENTERITIS, NAUSEA & VOMITING |
37 |
$12,498 |
$5,020 |
$462,414 |
$185,741 |
2.35 |
OTHER DIGESTIVE SYSTEM DIAGNOSES |
37 |
$15,584 |
$6,599 |
$576,592 |
$244,151 |
3.08 |
MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC |
35 |
$17,487 |
$8,251 |
$612,055 |
$288,798 |
4.57 |
UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA |
32 |
$16,242 |
$7,716 |
$519,733 |
$246,911 |
1.59 |
OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE |
31 |
$21,005 |
$10,145 |
$651,158 |
$314,501 |
4.03 |
CHOLECYSTECTOMY |
31 |
$25,215 |
$10,213 |
$781,670 |
$316,598 |
2.81 |
OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS |
29 |
$19,530 |
$8,824 |
$566,374 |
$255,905 |
3.34 |
INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE |
27 |
$51,221 |
$24,547 |
$1,382,979 |
$662,760 |
9.11 |
ACUTE MYOCARDIAL INFARCTION |
27 |
$11,343 |
$5,008 |
$306,257 |
$135,211 |
2.04 |
HIP & FEMUR FRACTURE REPAIR |
24 |
$40,793 |
$15,110 |
$979,031 |
$362,632 |
6.29 |
PEPTIC ULCER & GASTRITIS |
24 |
$22,311 |
$11,396 |
$535,461 |
$273,499 |
3.71 |
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES |
24 |
$12,042 |
$5,436 |
$289,010 |
$130,456 |
3.13 |
ALCOHOLIC LIVER DISEASE |
23 |
$18,121 |
$8,317 |
$416,780 |
$191,284 |
4.52 |
HIP JOINT REPLACEMENT |
23 |
$37,516 |
$13,238 |
$862,864 |
$304,483 |
4.35 |
ALCOHOL ABUSE & DEPENDENCE |
23 |
$17,715 |
$9,620 |
$407,448 |
$221,256 |
4.22 |
KNEE JOINT REPLACEMENT |
21 |
$30,760 |
$9,432 |
$645,966 |
$198,077 |
1.95 |
PERIPHERAL & OTHER VASCULAR DISORDERS |
21 |
$14,121 |
$5,860 |
$296,540 |
$123,055 |
3.33 |
MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS |
20 |
$17,710 |
$7,832 |
$354,202 |
$156,642 |
4.90 |
HYPERTENSION |
20 |
$9,304 |
$3,944 |
$186,086 |
$78,889 |
1.85 |
DISORDERS OF GALLBLADDER & BILIARY TRACT |
20 |
$15,097 |
$6,137 |
$301,939 |
$122,732 |
2.60 |
NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE |
19 |
$2,255 |
$1,564 |
$42,836 |
$29,715 |
1.05 |
NON-HYPOVOLEMIC SODIUM DISORDERS |
18 |
$13,297 |
$5,719 |
$239,345 |
$102,936 |
3.28 |
OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES |
18 |
$13,025 |
$5,245 |
$234,445 |
$94,418 |
2.44 |
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS |
18 |
$16,594 |
$7,946 |
$298,692 |
$143,026 |
5.89 |
INTENTIONAL SELF-HARM & ATTEMPTED SUICIDE |
17 |
$17,048 |
$9,594 |
$289,819 |
$163,105 |
3.06 |
CVA & PRECEREBRAL OCCLUSION W INFARCT |
17 |
$15,306 |
$5,767 |
$260,210 |
$98,045 |
2.65 |
HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS |
17 |
$18,774 |
$9,130 |
$319,159 |
$155,214 |
4.76 |
PULMONARY EMBOLISM |
17 |
$18,150 |
$7,528 |
$308,551 |
$127,984 |
4.35 |
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS |
16 |
$69,253 |
$43,188 |
$1,108,044 |
$691,002 |
11.44 |
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES |
15 |
$17,968 |
$9,653 |
$269,527 |
$144,800 |
4.60 |
SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS |
15 |
$10,996 |
$4,717 |
$164,936 |
$70,762 |
2.93 |
FRACTURE OF FEMUR |
14 |
$10,736 |
$4,757 |
$150,297 |
$66,593 |
2.79 |
MAJOR LARGE BOWEL PROCEDURES |
14 |
$46,098 |
$20,283 |
$645,372 |
$283,956 |
6.57 |
OTHER CIRCULATORY SYSTEM DIAGNOSES |
14 |
$12,636 |
$5,812 |
$176,906 |
$81,372 |
2.57 |
INFLAMMATORY BOWEL DISEASE |
14 |
$12,939 |
$5,316 |
$181,139 |
$74,420 |
2.86 |
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS |
13 |
$12,663 |
$6,317 |
$164,619 |
$82,124 |
2.31 |
OTHER ESOPHAGEAL DISORDERS |
11 |
$18,913 |
$9,001 |
$208,043 |
$99,012 |
3.45 |
OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS |
10 |
$16,975 |
$7,155 |
$169,750 |
$71,553 |
4.20 |
FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK |
10 |
$14,388 |
$6,077 |
$143,883 |
$60,772 |
4.40 |
MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL |
10 |
$25,333 |
$11,668 |
$253,331 |
$116,676 |
5.80 |
MAJOR SMALL BOWEL PROCEDURES |
10 |
$60,650 |
$26,328 |
$606,496 |
$263,282 |
8.70 |
SKIN ULCERS |
10 |
$12,772 |
$5,508 |
$127,724 |
$55,075 |
3.30 |
OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS |
10 |
$18,081 |
$8,321 |
$180,810 |
$83,206 |
3.70 |
OTHER DISORDERS OF THE LIVER |
10 |
$30,792 |
$14,930 |
$307,916 |
$149,298 |
6.90 |
GASTROINTESTINAL VASCULAR INSUFFICIENCY |
9 |
$22,501 |
$10,447 |
$202,506 |
$94,020 |
4.00 |
NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION |
9 |
$3,162 |
$3,815 |
$28,460 |
$34,336 |
3.00 |
DIGESTIVE MALIGNANCY |
9 |
$17,310 |
$7,387 |
$155,791 |
$66,483 |
3.44 |
CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE |
9 |
$14,681 |
$5,965 |
$132,133 |
$53,685 |
3.33 |
HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS |
9 |
$11,183 |
$4,739 |
$100,648 |
$42,655 |
2.44 |
FOOT & TOE PROCEDURES |
8 |
$32,684 |
$14,575 |
$261,474 |
$116,600 |
7.50 |
MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS |
8 |
$15,746 |
$6,207 |
$125,969 |
$49,654 |
3.63 |
POISONING OF MEDICINAL AGENTS |
8 |
$16,735 |
$8,843 |
$133,880 |
$70,744 |
2.38 |
FRACTURE OF PELVIS OR DISLOCATION OF HIP |
8 |
$12,033 |
$5,419 |
$96,260 |
$43,348 |
3.25 |
OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES |
8 |
$21,757 |
$9,569 |
$174,053 |
$76,549 |
4.25 |
PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS |
8 |
$15,723 |
$7,527 |
$125,781 |
$60,217 |
3.00 |
ALTERATION IN CONSCIOUSNESS |
7 |
$15,172 |
$6,471 |
$106,205 |
$45,297 |
3.00 |
OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES |
7 |
$17,508 |
$7,737 |
$122,554 |
$54,161 |
4.29 |
AMPUTATION OF LOWER LIMB EXCEPT TOES |
7 |
$33,320 |
$14,856 |
$233,241 |
$103,993 |
7.57 |
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS |
6 |
$26,685 |
$10,790 |
$160,109 |
$64,737 |
5.00 |
ASTHMA |
6 |
$15,646 |
$8,390 |
$93,874 |
$50,339 |
3.17 |
OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS |
6 |
$12,073 |
$5,654 |
$72,436 |
$33,922 |
3.50 |
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS |
5 |
$21,877 |
$8,045 |
$109,384 |
$40,225 |
2.20 |
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL |
5 |
$36,861 |
$15,183 |
$184,305 |
$75,913 |
6.60 |
OTHER AFTERCARE & CONVALESCENCE |
5 |
$6,230 |
$2,758 |
$31,152 |
$13,790 |
2.20 |
ORGANIC MENTAL HEALTH DISTURBANCES |
5 |
$13,088 |
$5,752 |
$65,440 |
$28,762 |
3.40 |
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY |
5 |
$12,529 |
$5,654 |
$62,643 |
$28,271 |
4.40 |
INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES |
4 |
$19,114 |
$7,652 |
$76,457 |
$30,608 |
2.25 |
INTRACRANIAL HEMORRHAGE |
4 |
$8,581 |
$3,474 |
$34,325 |
$13,896 |
1.50 |
KNEE & LOWER LEG PROCEDURES EXCEPT FOOT |
4 |
$23,237 |
$7,712 |
$92,947 |
$30,847 |
1.75 |
MAJOR ESOPHAGEAL DISORDERS |
4 |
$12,319 |
$5,552 |
$49,277 |
$22,207 |
2.00 |
NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM |
4 |
$3,640 |
$3,723 |
$14,560 |
$14,891 |
2.75 |
SYNCOPE & COLLAPSE |
4 |
$14,783 |
$5,085 |
$59,133 |
$20,341 |
2.00 |
OTHER DISORDERS OF NERVOUS SYSTEM |
4 |
$13,017 |
$5,958 |
$52,069 |
$23,830 |
2.50 |
SEIZURE |
4 |
$12,908 |
$5,211 |
$51,632 |
$20,844 |
2.25 |
ANTEPARTUM W/O O.R. PROCEDURE |
4 |
$9,569 |
$6,282 |
$38,274 |
$25,129 |
2.25 |
OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES |
4 |
$10,605 |
$4,408 |
$42,418 |
$17,632 |
2.00 |
MAJOR CHEST & RESPIRATORY TRAUMA |
4 |
$11,986 |
$5,097 |
$47,942 |
$20,389 |
2.25 |
POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE |
4 |
$36,913 |
$17,665 |
$147,651 |
$70,658 |
7.50 |
EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
4 |
$46,145 |
$20,491 |
$184,581 |
$81,963 |
9.00 |
COAGULATION & PLATELET DISORDERS |
4 |
$13,134 |
$5,638 |
$52,536 |
$22,551 |
2.00 |
NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
4 |
$38,612 |
$17,129 |
$154,449 |
$68,515 |
5.50 |
RESPIRATORY MALIGNANCY |
3 |
$20,222 |
$9,501 |
$60,666 |
$28,504 |
5.33 |
CONNECTIVE TISSUE DISORDERS |
3 |
$18,189 |
$7,516 |
$54,567 |
$22,547 |
6.00 |
PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE |
3 |
$16,669 |
$7,991 |
$50,008 |
$23,972 |
1.67 |
SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES |
3 |
$16,288 |
$7,694 |
$48,864 |
$23,082 |
3.33 |
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS |
3 |
$28,038 |
$10,943 |
$84,115 |
$32,828 |
1.67 |
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT |
3 |
$12,180 |
$4,189 |
$36,540 |
$12,566 |
2.33 |
MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
3 |
$36,469 |
$15,236 |
$109,408 |
$45,709 |
5.33 |
MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE |
3 |
$17,591 |
$7,173 |
$52,773 |
$21,518 |
3.33 |
NEONATE BIRTHWT >2499G W MAJOR ANOMALY |
3 |
$2,308 |
$2,754 |
$6,924 |
$8,263 |
2.33 |
DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE |
3 |
$8,059 |
$4,369 |
$24,176 |
$13,108 |
2.33 |
ALLERGIC REACTIONS |
3 |
$15,385 |
$7,869 |
$46,156 |
$23,606 |
2.33 |
MIGRAINE & OTHER HEADACHES |
3 |
$15,142 |
$6,322 |
$45,427 |
$18,965 |
3.00 |
MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE |
3 |
$13,617 |
$5,513 |
$40,850 |
$16,538 |
3.67 |
LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR |
3 |
$9,444 |
$3,467 |
$28,332 |
$10,402 |
1.67 |
VAGINAL DELIVERY W O.R. PROCEDURE EXCEPT STERILIZATION &/OR D&C |
3 |
$15,154 |
$9,871 |
$45,462 |
$29,613 |
2.67 |
HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION |
3 |
$23,444 |
$10,164 |
$70,333 |
$30,492 |
3.33 |
THYROID DISORDERS |
3 |
$10,736 |
$4,161 |
$32,209 |
$12,482 |
2.67 |
CARDIAC STRUCTURAL & VALVULAR DISORDERS |
2 |
$13,563 |
$5,803 |
$27,126 |
$11,605 |
3.50 |
INFECTIONS OF UPPER RESPIRATORY TRACT |
2 |
$15,274 |
$8,048 |
$30,547 |
$16,095 |
3.50 |
KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY |
2 |
$33,255 |
$15,398 |
$66,510 |
$30,796 |
3.00 |
MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS |
2 |
$12,970 |
$4,458 |
$25,940 |
$8,916 |
2.00 |
URETHRAL & TRANSURETHRAL PROCEDURES |
2 |
$30,829 |
$13,345 |
$61,657 |
$26,690 |
7.50 |
OTHER ENDOCRINE DISORDERS |
2 |
$11,466 |
$5,205 |
$22,932 |
$10,409 |
1.50 |
LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA |
2 |
$21,118 |
$10,537 |
$42,235 |
$21,074 |
6.50 |
OTHER SMALL & LARGE BOWEL PROCEDURES |
2 |
$85,661 |
$46,789 |
$171,321 |
$93,577 |
9.50 |
MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES |
2 |
$61,005 |
$33,779 |
$122,010 |
$67,557 |
6.50 |
TRANSURETHRAL PROSTATECTOMY |
2 |
$23,713 |
$9,983 |
$47,425 |
$19,966 |
4.50 |
ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS |
2 |
$8,962 |
$4,119 |
$17,924 |
$8,238 |
2.50 |
ACUTE BRONCHITIS & RELATED SYMPTOMS |
2 |
$8,091 |
$3,146 |
$16,182 |
$6,291 |
2.00 |
TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES |
2 |
$28,610 |
$13,357 |
$57,219 |
$26,713 |
7.50 |
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES |
2 |
$5,368 |
$1,802 |
$10,735 |
$3,604 |
1.00 |
OTHER INFECTIOUS & PARASITIC DISEASES |
2 |
$33,861 |
$17,250 |
$67,721 |
$34,499 |
15.00 |
DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES |
2 |
$16,770 |
$7,354 |
$33,540 |
$14,707 |
2.00 |
RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES |
2 |
$12,284 |
$4,776 |
$24,567 |
$9,551 |
3.50 |
OTHER SIGNIFICANT HIP & FEMUR SURGERY |
2 |
$82,318 |
$33,363 |
$164,635 |
$66,726 |
12.50 |
OTHER DRUG ABUSE & DEPENDENCE |
2 |
$9,125 |
$3,382 |
$18,249 |
$6,764 |
2.00 |
SHOULDER & ELBOW JOINT REPLACEMENT |
2 |
$54,781 |
$12,537 |
$109,562 |
$25,074 |
3.00 |
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS |
2 |
$12,564 |
$5,504 |
$25,128 |
$11,007 |
2.00 |
INTERSTITIAL & ALVEOLAR LUNG DISEASES |
2 |
$13,440 |
$6,691 |
$26,879 |
$13,382 |
2.50 |
URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION |
2 |
$13,968 |
$5,827 |
$27,936 |
$11,653 |
1.50 |
VAGINAL DELIVERY W STERILIZATION &/OR D&C |
2 |
$6,661 |
$5,227 |
$13,321 |
$10,453 |
1.50 |
KIDNEY & URINARY TRACT MALIGNANCY |
2 |
$8,609 |
$3,066 |
$17,217 |
$6,132 |
1.00 |
OTHER NERVOUS SYSTEM & RELATED PROCEDURES |
2 |
$18,765 |
$8,459 |
$37,529 |
$16,918 |
4.00 |
MAJOR BLADDER PROCEDURES |
2 |
$33,457 |
$14,074 |
$66,913 |
$28,148 |
3.50 |
MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG |
2 |
$17,128 |
$6,380 |
$34,256 |
$12,759 |
1.50 |
MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE |
1 |
$4,347 |
$1,756 |
$4,347 |
$1,756 |
1.00 |
ANOXIC & OTHER SEVERE BRAIN DAMAGE |
1 |
$44,608 |
$29,090 |
$44,608 |
$29,090 |
7.00 |
FEMALE REPRODUCTIVE SYSTEM INFECTIONS |
1 |
$13,761 |
$6,064 |
$13,761 |
$6,064 |
3.00 |
SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT |
1 |
$35,154 |
$10,857 |
$35,154 |
$10,857 |
4.00 |
OPIOID ABUSE & DEPENDENCE |
1 |
$9,618 |
$7,312 |
$9,618 |
$7,312 |
2.00 |
CHEST PAIN |
1 |
$9,317 |
$3,521 |
$9,317 |
$3,521 |
1.00 |
NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION |
1 |
$8,723 |
$8,622 |
$8,723 |
$8,622 |
6.00 |
HIV W MAJOR HIV RELATED CONDITION |
1 |
$14,043 |
$8,372 |
$14,043 |
$8,372 |
2.00 |
MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS |
1 |
$41,988 |
$17,229 |
$41,988 |
$17,229 |
7.00 |
HAND & WRIST PROCEDURES |
1 |
$18,656 |
$8,453 |
$18,656 |
$8,453 |
4.00 |
NEONATE BWT < 500G, OR BWT 500-999G & GESTATIONAL AGE <24 WKS, OR BWT 500-749G W MAJOR ANOMALY OR W/O LIFE SUSTAINING IN |
1 |
$766 |
$1,033 |
$766 |
$1,033 |
1.00 |
MALIGNANT BREAST DISORDERS |
1 |
$30,315 |
$10,347 |
$30,315 |
$10,347 |
4.00 |
MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
1 |
$46,835 |
$19,856 |
$46,835 |
$19,856 |
2.00 |
EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES |
1 |
$15,128 |
$7,087 |
$15,128 |
$7,087 |
5.00 |
CHRONIC KIDNEY DISEASE |
1 |
$13,477 |
$5,875 |
$13,477 |
$5,875 |
1.00 |
OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL & METABOLIC DISORDERS |
1 |
$37,112 |
$16,234 |
$37,112 |
$16,234 |
8.00 |
MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE |
1 |
$8,749 |
$3,143 |
$8,749 |
$3,143 |
2.00 |
MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES |
1 |
$9,563 |
$3,373 |
$9,563 |
$3,373 |
1.00 |
NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS |
1 |
$19,633 |
$8,173 |
$19,633 |
$8,173 |
4.00 |
SCHIZOPHRENIA |
1 |
$22,678 |
$16,150 |
$22,678 |
$16,150 |
4.00 |
OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS |
1 |
$22,374 |
$7,675 |
$22,374 |
$7,675 |
4.00 |
FEVER & INFLAMMATORY CONDITIONS |
1 |
$26,251 |
$14,805 |
$26,251 |
$14,805 |
5.00 |
OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES |
1 |
$22,842 |
$9,365 |
$22,842 |
$9,365 |
2.00 |
ABDOMINAL PAIN |
1 |
$6,280 |
$2,046 |
$6,280 |
$2,046 |
1.00 |
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM |
1 |
$23,207 |
$9,184 |
$23,207 |
$9,184 |
6.00 |
KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY |
1 |
$34,468 |
$16,990 |
$34,468 |
$16,990 |
4.00 |
NERVOUS SYSTEM MALIGNANCY |
1 |
$13,360 |
$4,166 |
$13,360 |
$4,166 |
1.00 |
UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY |
1 |
$15,299 |
$6,803 |
$15,299 |
$6,803 |
1.00 |
VERTIGO & OTHER LABYRINTH DISORDERS |
1 |
$15,654 |
$6,748 |
$15,654 |
$6,748 |
1.00 |
ACUTE & SUBACUTE ENDOCARDITIS |
1 |
$30,597 |
$20,480 |
$30,597 |
$20,480 |
7.00 |
UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA |
1 |
$14,808 |
$7,595 |
$14,808 |
$7,595 |
2.00 |
OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES |
1 |
$126,537 |
$76,480 |
$126,537 |
$76,480 |
28.00 |
NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND |
1 |
$4,992 |
$3,258 |
$4,992 |
$3,258 |
2.00 |
VIRAL ILLNESS |
1 |
$12,370 |
$4,730 |
$12,370 |
$4,730 |
1.00 |
CARDIAC ARREST & SHOCK |
1 |
$6,210 |
$2,697 |
$6,210 |
$2,697 |
2.00 |
MAJOR SKIN DISORDERS |
1 |
$8,939 |
$3,797 |
$8,939 |
$3,797 |
3.00 |
TRANSIENT ISCHEMIA |
1 |
$21,742 |
$7,366 |
$21,742 |
$7,366 |
4.00 |