Neonate birthwt >2499g, normal newborn or neonate w other problem |
915 |
$1,273 |
$538 |
$1,165,043 |
$492,525 |
1.89 |
Vaginal delivery |
716 |
$7,482 |
$4,002 |
$5,356,919 |
$2,865,368 |
2.18 |
Septicemia & disseminated infections |
473 |
$24,038 |
$14,620 |
$11,370,019 |
$6,915,103 |
5.92 |
Heart failure |
269 |
$18,949 |
$10,974 |
$5,097,262 |
$2,952,050 |
5.42 |
Cesarean delivery |
254 |
$15,260 |
$7,509 |
$3,876,032 |
$1,907,246 |
2.81 |
Hip joint replacement |
235 |
$42,994 |
$19,356 |
$10,103,647 |
$4,548,558 |
4.14 |
Cardiac arrhythmia & conduction disorders |
202 |
$17,042 |
$10,653 |
$3,442,556 |
$2,151,930 |
4.13 |
Percutaneous coronary intervention w AMI |
181 |
$52,899 |
$25,185 |
$9,574,709 |
$4,558,456 |
3.22 |
Major small & large bowel procedures |
159 |
$57,453 |
$28,601 |
$9,135,040 |
$4,547,541 |
7.97 |
Knee joint replacement |
151 |
$36,380 |
$16,136 |
$5,493,315 |
$2,436,588 |
2.97 |
Other pneumonia |
149 |
$17,061 |
$9,090 |
$2,542,144 |
$1,354,339 |
4.41 |
CVA & precerebral occlusion w infarct |
132 |
$21,655 |
$11,766 |
$2,858,507 |
$1,553,061 |
4.20 |
Major depressive disorders & other/unspecified psychoses |
126 |
$9,914 |
$10,184 |
$1,249,142 |
$1,283,230 |
9.90 |
Chronic obstructive pulmonary disease |
119 |
$15,606 |
$8,559 |
$1,857,067 |
$1,018,472 |
3.97 |
Cellulitis & other skin infections |
118 |
$11,503 |
$5,965 |
$1,357,346 |
$703,854 |
3.84 |
Bipolar disorders |
115 |
$9,729 |
$9,489 |
$1,118,849 |
$1,091,252 |
8.90 |
Percutaneous coronary intervention w/o AMI |
103 |
$55,246 |
$26,263 |
$5,690,375 |
$2,705,077 |
3.88 |
Kidney & urinary tract infections |
99 |
$11,819 |
$6,159 |
$1,170,078 |
$609,782 |
4.13 |
Hip and femur fracture repair |
98 |
$40,175 |
$18,848 |
$3,937,182 |
$1,847,087 |
5.74 |
Procedures for obesity |
98 |
$31,942 |
$13,826 |
$3,130,320 |
$1,354,943 |
1.73 |
Lower extremity arterial procedures |
93 |
$48,688 |
$23,832 |
$4,528,027 |
$2,216,361 |
5.47 |
Intestinal obstruction |
93 |
$12,726 |
$6,644 |
$1,183,521 |
$617,883 |
4.04 |
Infectious & parasitic diseases including HIV w O.R. procedure |
90 |
$74,138 |
$43,662 |
$6,672,422 |
$3,929,560 |
13.91 |
Respiratory Failure |
89 |
$28,052 |
$19,265 |
$2,496,667 |
$1,714,619 |
6.44 |
Acute myocardial infarction |
87 |
$25,765 |
$15,053 |
$2,241,519 |
$1,309,601 |
4.64 |
Cardiac catheterization for other non-coronary conditions |
87 |
$37,950 |
$21,358 |
$3,301,670 |
$1,858,160 |
6.13 |
Laparoscopic cholecystectomy |
87 |
$32,055 |
$14,664 |
$2,788,773 |
$1,275,802 |
3.94 |
Depression except major depressive disorder |
81 |
$5,682 |
$5,257 |
$460,282 |
$425,792 |
4.77 |
Other gastroenteritis, nausa & vomiting |
78 |
$14,526 |
$7,238 |
$1,132,992 |
$564,570 |
4.23 |
Schizophrenia |
76 |
$13,282 |
$13,494 |
$1,009,396 |
$1,025,563 |
12.99 |
Acute Kidney Injury |
75 |
$22,363 |
$13,215 |
$1,677,207 |
$991,154 |
6.20 |
Other digestive system diagnoses |
74 |
$15,393 |
$8,134 |
$1,139,058 |
$601,923 |
4.22 |
Knee & lower leg procedures except foot |
73 |
$44,744 |
$20,538 |
$3,266,305 |
$1,499,280 |
5.01 |
Pulmonary embolism |
72 |
$21,499 |
$11,821 |
$1,547,918 |
$851,139 |
4.74 |
Electrolyte disorders except hypovolemia related |
70 |
$19,990 |
$10,695 |
$1,399,331 |
$748,617 |
4.96 |
Disorders of pancreas except malignancy |
69 |
$19,440 |
$10,709 |
$1,341,338 |
$738,906 |
4.72 |
Malfunction, reaction, complic of genitourinary device or proc |
69 |
$18,048 |
$9,968 |
$1,245,333 |
$687,804 |
5.29 |
Other & unspecified gastrointestinal hemorrhage |
68 |
$20,113 |
$10,879 |
$1,367,705 |
$739,803 |
4.65 |
Diabetes |
68 |
$13,917 |
$8,566 |
$946,322 |
$582,483 |
3.71 |
Poisoning of medicinal agents |
61 |
$12,886 |
$8,151 |
$786,031 |
$497,211 |
3.80 |
Peptic ulcer & gastritis |
56 |
$20,276 |
$12,318 |
$1,135,481 |
$689,790 |
4.64 |
Post-operative, post-traumatic, other device infections |
55 |
$17,385 |
$9,204 |
$956,150 |
$506,213 |
5.13 |
Perm cardiac pacemaker implant w/o AMI, heart failure or shock |
53 |
$46,031 |
$24,916 |
$2,439,625 |
$1,320,543 |
5.08 |
Other anemia & disorders of blood & blood-forming organs |
53 |
$18,592 |
$9,247 |
$985,364 |
$490,103 |
4.11 |
Dorsal & lumbar fusion proc except for curvature of back |
52 |
$115,158 |
$49,859 |
$5,988,215 |
$2,592,674 |
4.63 |
Other back & neck disorders, fractures & injuries |
52 |
$17,280 |
$8,495 |
$898,550 |
$441,744 |
4.63 |
Major gastrointestinal & peritoneal infections |
51 |
$22,327 |
$11,636 |
$1,138,681 |
$593,457 |
7.25 |
Signs, symptoms & other factors influencing health status |
51 |
$15,205 |
$7,961 |
$775,473 |
$405,993 |
4.71 |
Angina pectoris & coronary atherosclerosis |
50 |
$12,455 |
$6,603 |
$622,730 |
$330,140 |
2.30 |
Cardiac catheterization for coronary artery disease |
48 |
$24,715 |
$12,153 |
$1,186,337 |
$583,360 |
2.90 |
Seizure |
47 |
$15,395 |
$8,679 |
$723,583 |
$407,905 |
4.40 |
Diverticulitis & diverticulosis |
47 |
$13,664 |
$7,039 |
$642,195 |
$330,817 |
3.57 |
Cervical spinal fusion & other back/neck proc exc disc excis/decomp |
47 |
$68,191 |
$30,109 |
$3,204,974 |
$1,415,113 |
5.11 |
Other musculoskeletal system & connective tissue diagnoses |
47 |
$14,881 |
$7,864 |
$699,419 |
$369,591 |
4.62 |
Moderately extensive procedure unrelated to principal diagnosis |
47 |
$49,797 |
$27,175 |
$2,340,481 |
$1,277,226 |
8.83 |
Coronary bypass w/o AMI or complex PDX |
46 |
$128,990 |
$72,809 |
$5,933,534 |
$3,349,210 |
11.22 |
Peripheral & other vascular disorders |
46 |
$19,474 |
$10,408 |
$895,813 |
$478,782 |
4.78 |
Kidney & urinary tract procedures for nonmalignancy |
45 |
$31,089 |
$15,183 |
$1,399,001 |
$683,248 |
4.78 |
Other peripheral vascular procedures |
43 |
$60,532 |
$29,165 |
$2,602,896 |
$1,254,114 |
4.81 |
Amputation of lower limb except toes |
43 |
$42,410 |
$20,997 |
$1,823,625 |
$902,870 |
9.93 |
Other skin, subcutaneous tissue & related procedures |
42 |
$26,581 |
$13,468 |
$1,116,382 |
$565,647 |
7.74 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
41 |
$21,511 |
$11,916 |
$881,945 |
$488,571 |
5.27 |
Hypovolemia & related electrolyte disorders |
41 |
$13,811 |
$7,501 |
$566,266 |
$307,525 |
4.02 |
Extracranial vascular procedures |
40 |
$30,541 |
$14,403 |
$1,221,644 |
$576,104 |
2.00 |
Major respiratory infections & inflammations |
40 |
$17,557 |
$10,147 |
$702,267 |
$405,879 |
5.35 |
Other small & large bowel procedures |
39 |
$38,988 |
$19,748 |
$1,520,525 |
$770,167 |
7.23 |
Hernia procedures except inguinal, femoral & umbilical |
39 |
$43,975 |
$20,876 |
$1,715,013 |
$814,168 |
6.23 |
Adjustment disorders & neuroses except depressive diagnoses |
39 |
$6,056 |
$5,410 |
$236,172 |
$210,989 |
5.77 |
Alcohol abuse & dependence |
39 |
$11,569 |
$7,760 |
$451,190 |
$302,646 |
4.87 |
Foot & toe procedures |
38 |
$26,632 |
$12,915 |
$1,012,007 |
$490,752 |
5.97 |
Other antepartum diagnoses |
38 |
$4,485 |
$2,556 |
$170,439 |
$97,115 |
1.66 |
Shoulder, upper arm & forearm procedures except joint replacement |
37 |
$39,226 |
$17,663 |
$1,451,358 |
$653,523 |
4.35 |
Major respiratory & chest procedures |
35 |
$45,816 |
$24,391 |
$1,603,557 |
$853,689 |
6.14 |
Major chest & respiratory trauma |
35 |
$13,338 |
$7,068 |
$466,846 |
$247,364 |
3.60 |
Appendectomy |
35 |
$27,497 |
$12,804 |
$962,383 |
$448,155 |
3.89 |
Neonate bwt 2000-2499g, normal newborn or neonate w other problem |
35 |
$2,396 |
$1,104 |
$83,848 |
$38,643 |
3.29 |
Other respiratory & chest procedures |
34 |
$33,010 |
$15,730 |
$1,122,349 |
$534,826 |
5.21 |
Cardiac valve procedures w/o AMI or complex PDX |
34 |
$133,690 |
$76,711 |
$4,545,454 |
$2,608,157 |
11.15 |
Coronary bypass w AMI or complex PDX |
33 |
$138,209 |
$78,135 |
$4,560,892 |
$2,578,467 |
12.48 |
Skin graft for skin & subcutaneous tissue diagnoses |
33 |
$48,650 |
$26,586 |
$1,605,450 |
$877,331 |
17.21 |
Kidney & urinary tract procedures for malignancy |
33 |
$34,763 |
$16,095 |
$1,147,165 |
$531,130 |
3.24 |
Respiratory malignancy |
32 |
$25,682 |
$13,242 |
$821,827 |
$423,735 |
5.81 |
Hypertension |
32 |
$13,106 |
$7,141 |
$419,394 |
$228,508 |
2.47 |
Syncope & collapse |
31 |
$12,031 |
$5,873 |
$372,951 |
$182,077 |
2.84 |
Disorders of gallbladder & biliary tract |
31 |
$25,684 |
$12,700 |
$796,190 |
$393,712 |
4.29 |
Other complications of treatment |
31 |
$17,887 |
$9,169 |
$554,495 |
$284,248 |
4.35 |
Post-op, post-trauma, other device infections w O.R. procedure |
30 |
$33,472 |
$17,768 |
$1,004,153 |
$533,033 |
6.73 |
O.R. procedure for other complications of treatment |
30 |
$46,266 |
$24,073 |
$1,387,975 |
$722,192 |
8.37 |
Respiratory signs, symptoms & minor diagnoses |
29 |
$12,734 |
$6,370 |
$369,290 |
$184,732 |
3.66 |
Other digestive system & abdominal procedures |
28 |
$37,548 |
$19,493 |
$1,051,334 |
$545,798 |
7.86 |
Skin ulcers |
28 |
$16,431 |
$8,434 |
$460,060 |
$236,155 |
5.36 |
Inflammatory bowel disease |
26 |
$16,431 |
$8,537 |
$427,204 |
$221,968 |
5.58 |
Hepatic coma & other major acute liver disorders |
26 |
$17,884 |
$9,282 |
$464,984 |
$241,327 |
4.85 |
Fractures & dislocations except femur, pelvis & back |
26 |
$17,161 |
$8,233 |
$446,178 |
$214,058 |
3.35 |
Other disorders of nervous system |
25 |
$16,916 |
$9,057 |
$422,899 |
$226,414 |
5.00 |
Major stomach, esophageal & duodenal procedures |
25 |
$67,758 |
$34,654 |
$1,693,962 |
$866,361 |
8.84 |
Malignancy of hepatobiliary system & pancreas |
25 |
$24,959 |
$12,861 |
$623,965 |
$321,524 |
6.96 |
Urinary stones & acquired upper urinary tract obstruction |
25 |
$13,636 |
$6,456 |
$340,899 |
$161,400 |
2.04 |
Neonate, transferred < 5 days old, born here |
25 |
$1,762 |
$733 |
$44,048 |
$18,317 |
1.20 |
Other infectious & parasitic diseases |
25 |
$18,961 |
$9,848 |
$474,037 |
$246,201 |
4.92 |
Other circulatory system diagnoses |
24 |
$20,474 |
$10,783 |
$491,377 |
$258,782 |
3.50 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
24 |
$9,636 |
$5,004 |
$231,271 |
$120,099 |
4.63 |
Nervous system malignancy |
23 |
$24,433 |
$12,137 |
$561,957 |
$279,155 |
6.26 |
Uterine & adnexa procedures for non-malignancy except leiomyoma |
23 |
$22,352 |
$10,048 |
$514,095 |
$231,097 |
2.39 |
Organic mental health disturbances |
23 |
$12,028 |
$8,042 |
$276,634 |
$184,969 |
7.87 |
Intervertebral disc excision & decompression |
22 |
$44,822 |
$20,174 |
$986,075 |
$443,826 |
3.73 |
Uterine & adnexa procedures for leiomyoma |
22 |
$24,144 |
$10,939 |
$531,174 |
$240,659 |
2.59 |
Other significant hip and femur surgery |
21 |
$49,016 |
$22,831 |
$1,029,336 |
$479,452 |
7.14 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
21 |
$22,930 |
$11,546 |
$481,521 |
$242,461 |
5.71 |
Extensive procedure unrelated to principal diagnosis |
21 |
$44,573 |
$22,030 |
$936,035 |
$462,636 |
6.19 |
Nontraumatic stupor & coma |
20 |
$19,577 |
$11,678 |
$391,535 |
$233,561 |
5.40 |
Infections of upper respiratory tract |
20 |
$6,701 |
$3,949 |
$134,018 |
$78,976 |
2.40 |
Cardiac defibrillator & heart assist implant |
20 |
$126,679 |
$64,552 |
$2,533,582 |
$1,291,032 |
8.65 |
Acute anxiety & delirium states |
20 |
$7,258 |
$5,981 |
$145,156 |
$119,610 |
4.35 |
Head trauma w coma >1 hr or hemorrhage |
19 |
$22,546 |
$14,389 |
$428,383 |
$273,390 |
5.53 |
Malfunction, reaction & complication of GI device or procedure |
19 |
$21,191 |
$10,433 |
$402,637 |
$198,228 |
5.16 |
Malfunction, reaction, complic of orthopedic device or procedure |
19 |
$15,181 |
$7,853 |
$288,441 |
$149,199 |
4.95 |
Neonate birthwt >2499g w other significant condition |
19 |
$4,516 |
$2,231 |
$85,803 |
$42,390 |
7.32 |
Craniotomy except for trauma |
18 |
$73,760 |
$39,860 |
$1,327,671 |
$717,488 |
7.89 |
Degenerative nervous system disorders exc mult sclerosis |
18 |
$17,207 |
$8,906 |
$309,722 |
$160,303 |
6.06 |
Other esophageal disorders |
18 |
$22,586 |
$12,016 |
$406,549 |
$216,294 |
5.94 |
Alcoholic liver disease |
18 |
$21,410 |
$11,866 |
$385,387 |
$213,593 |
6.06 |
Vaginal delivery w sterilization &/or D&C |
18 |
$11,567 |
$5,949 |
$208,205 |
$107,078 |
2.72 |
Tracheostomy w MV 96+ hours w extensive procedure or ECMO |
17 |
$225,320 |
$145,300 |
$3,830,445 |
$2,470,093 |
29.24 |
Other endocrine disorders |
17 |
$12,103 |
$6,104 |
$205,746 |
$103,762 |
3.12 |
Other kidney & urinary tract diagnoses, signs & symptoms |
17 |
$33,040 |
$16,409 |
$561,678 |
$278,956 |
6.59 |
Neonate birthwt >2499g w major anomaly |
17 |
$1,596 |
$664 |
$27,133 |
$11,283 |
1.94 |
Transient ischemia |
16 |
$15,602 |
$7,428 |
$249,630 |
$118,841 |
2.50 |
Respiratory system diagnosis w ventilator support 96+ hours |
16 |
$78,229 |
$62,633 |
$1,251,660 |
$1,002,132 |
16.88 |
Chest pain |
16 |
$9,577 |
$4,790 |
$153,238 |
$76,635 |
2.31 |
Digestive malignancy |
16 |
$28,028 |
$14,276 |
$448,446 |
$228,412 |
5.56 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
16 |
$16,944 |
$8,635 |
$271,096 |
$138,163 |
4.19 |
Other male reproductive system & related procedures |
16 |
$24,587 |
$10,632 |
$393,389 |
$170,105 |
1.38 |
Intracranial hemorrhage |
15 |
$23,805 |
$14,223 |
$357,081 |
$213,339 |
4.73 |
Other hepatobiliary, pancreas & abdominal procedures |
15 |
$33,597 |
$16,884 |
$503,956 |
$253,255 |
7.47 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
15 |
$35,107 |
$19,029 |
$526,605 |
$285,433 |
7.33 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
15 |
$12,684 |
$6,461 |
$190,257 |
$96,917 |
3.80 |
Major bladder procedures |
15 |
$58,261 |
$29,453 |
$873,910 |
$441,797 |
8.67 |
Male reproductive system diagnoses except malignancy |
15 |
$16,053 |
$8,212 |
$240,791 |
$123,182 |
4.93 |
Coagulation & platelet disorders |
15 |
$29,537 |
$13,704 |
$443,059 |
$205,560 |
4.53 |
Nonextensive procedure unrelated to principal diagnosis |
15 |
$40,095 |
$21,884 |
$601,420 |
$328,254 |
6.87 |
Major abdominal vascular procedures |
14 |
$75,930 |
$38,819 |
$1,063,026 |
$543,470 |
7.50 |
Peritoneal adhesiolysis |
14 |
$37,978 |
$19,033 |
$531,688 |
$266,456 |
7.50 |
Abdominal pain |
14 |
$15,280 |
$7,321 |
$213,919 |
$102,491 |
3.50 |
Opioid abuse & dependence |
14 |
$5,608 |
$4,732 |
$78,511 |
$66,248 |
3.00 |
Asthma |
13 |
$15,683 |
$7,911 |
$203,884 |
$102,841 |
4.85 |
Other cardiothoracic & thoracic vascular procedures |
13 |
$76,933 |
$44,346 |
$1,000,125 |
$576,492 |
8.23 |
Other circulatory system procedures |
13 |
$46,924 |
$23,197 |
$610,006 |
$301,565 |
9.08 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
13 |
$30,538 |
$18,385 |
$396,989 |
$239,007 |
6.62 |
Other disorders of the liver |
13 |
$18,394 |
$9,390 |
$239,123 |
$122,069 |
5.92 |
Tendon, muscle & other soft tissue procedures |
13 |
$31,046 |
$15,702 |
$403,595 |
$204,123 |
9.62 |
Postpartum & post abortion diagnoses w/o procedure |
13 |
$6,052 |
$3,835 |
$78,676 |
$49,857 |
2.08 |
Spinal procedures |
12 |
$92,936 |
$45,888 |
$1,115,232 |
$550,659 |
9.17 |
Migraine & other headaches |
12 |
$12,491 |
$6,195 |
$149,888 |
$74,345 |
3.50 |
Inguinal, femoral & umbilical hernia procedures |
12 |
$24,940 |
$12,267 |
$299,274 |
$147,206 |
4.33 |
Gastrointestinal vascular insufficiency |
12 |
$23,257 |
$13,058 |
$279,079 |
$156,697 |
5.67 |
Procedure w diag of rehab, aftercare or oth contact w health service |
12 |
$57,038 |
$25,167 |
$684,457 |
$302,009 |
4.92 |
Major biliary tract procedures |
11 |
$36,334 |
$18,537 |
$399,678 |
$203,905 |
6.91 |
Cholecystectomy except laparoscopic |
11 |
$76,843 |
$35,405 |
$845,272 |
$389,460 |
10.91 |
Fracture of pelvis or dislocation of hip |
11 |
$11,532 |
$6,628 |
$126,854 |
$72,905 |
4.64 |
Chronic Kidney Disease |
11 |
$16,782 |
$8,514 |
$184,598 |
$93,653 |
3.91 |
Peripheral, cranial & autonomic nerve disorders |
10 |
$10,749 |
$5,551 |
$107,487 |
$55,505 |
3.60 |
Interstitial & alveolar lung diseases |
10 |
$22,770 |
$14,247 |
$227,697 |
$142,470 |
6.50 |
Other musculoskeletal system & connective tissue procedures |
10 |
$40,518 |
$19,122 |
$405,178 |
$191,219 |
5.70 |
Pituitary & adrenal procedures |
10 |
$43,273 |
$21,624 |
$432,726 |
$216,238 |
3.60 |
Other procedures for endocrine, nutritional & metabolic disorders |
10 |
$48,655 |
$23,882 |
$486,549 |
$238,817 |
9.60 |
Nephritis & nephrosis |
10 |
$22,608 |
$11,152 |
$226,080 |
$111,515 |
5.50 |
Lymphoma, myeloma & non-acute leukemia |
10 |
$31,257 |
$16,128 |
$312,571 |
$161,278 |
5.60 |
Other Chemotherapy |
10 |
$41,986 |
$18,361 |
$419,857 |
$183,610 |
3.30 |
Major pancreas, liver & shunt procedures |
9 |
$145,462 |
$75,092 |
$1,309,160 |
$675,828 |
19.00 |
Urethral & transurethral procedures |
9 |
$17,483 |
$8,297 |
$157,351 |
$74,674 |
2.56 |
Other kidney, urinary tract & related procedures |
9 |
$78,777 |
$43,341 |
$708,992 |
$390,071 |
14.11 |
Craniotomy for trauma |
8 |
$57,205 |
$32,182 |
$457,636 |
$257,453 |
11.25 |
Multiple sclerosis & other demyelinating diseases |
8 |
$17,808 |
$8,883 |
$142,461 |
$71,064 |
5.50 |
Dental & oral diseases & injuries |
8 |
$13,787 |
$6,625 |
$110,294 |
$52,999 |
3.38 |
Bronchiolitis & RSV pneumonia |
8 |
$3,245 |
$2,091 |
$25,958 |
$16,731 |
2.38 |
Malnutrition, failure to thrive & other nutritional disorders |
8 |
$13,922 |
$7,117 |
$111,377 |
$56,934 |
4.63 |
Transurethral prostatectomy |
8 |
$22,380 |
$10,389 |
$179,043 |
$83,112 |
3.50 |
Menstrual & other female reproductive system disorders |
8 |
$6,862 |
$3,497 |
$54,896 |
$27,973 |
1.63 |
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond |
8 |
$1,993 |
$829 |
$15,947 |
$6,632 |
2.38 |
Fever |
8 |
$17,652 |
$9,165 |
$141,212 |
$73,316 |
4.63 |
Other drug abuse & dependence |
8 |
$5,130 |
$3,154 |
$41,037 |
$25,234 |
3.63 |
Other injury, poisoning & toxic effect diagnoses |
8 |
$19,279 |
$10,229 |
$154,232 |
$81,828 |
4.75 |
Musculoskeletal & other procedures for multiple significant trauma |
8 |
$86,333 |
$44,764 |
$690,667 |
$358,112 |
9.50 |
Multiple significant trauma w/o O.R. procedure |
8 |
$27,092 |
$14,179 |
$216,735 |
$113,433 |
4.38 |
Cardiac valve procedures w AMI or complex PDX |
7 |
$133,769 |
$78,459 |
$936,382 |
$549,213 |
11.57 |
Cardiac structural & valvular disorders |
7 |
$14,936 |
$8,654 |
$104,552 |
$60,581 |
5.29 |
Hand & wrist procedures |
7 |
$14,241 |
$6,909 |
$99,686 |
$48,365 |
3.29 |
Malignancy, male reproductive system |
7 |
$24,336 |
$11,647 |
$170,355 |
$81,526 |
5.86 |
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms |
7 |
$71,629 |
$35,217 |
$501,405 |
$246,516 |
10.57 |
Acute leukemia |
7 |
$58,744 |
$28,213 |
$411,208 |
$197,490 |
9.14 |
Other nervous system & related procedures |
6 |
$31,987 |
$15,935 |
$191,924 |
$95,611 |
8.50 |
Vertigo & other labyrinth disorders |
6 |
$7,574 |
$3,774 |
$45,445 |
$22,643 |
2.17 |
Cardiac pacemaker & defibrillator device replacement |
6 |
$65,433 |
$32,755 |
$392,597 |
$196,527 |
4.67 |
Major esophageal disorders |
6 |
$28,375 |
$15,643 |
$170,252 |
$93,856 |
5.33 |
Shoulder & elbow joint replacement |
6 |
$46,507 |
$20,403 |
$279,039 |
$122,416 |
3.33 |
Major male pelvic procedures |
6 |
$26,279 |
$11,268 |
$157,672 |
$67,608 |
1.00 |
Preterm labor |
6 |
$3,112 |
$1,767 |
$18,671 |
$10,599 |
1.17 |
Viral illness |
6 |
$14,048 |
$7,055 |
$84,289 |
$42,329 |
4.17 |
Drug & alcohol abuse or dependence, left against medical advice |
6 |
$9,877 |
$5,947 |
$59,259 |
$35,680 |
4.33 |
Allergic reactions |
6 |
$11,910 |
$9,070 |
$71,460 |
$54,418 |
4.67 |
Bacterial & tuberculous infections of nervous system |
5 |
$65,832 |
$31,687 |
$329,158 |
$158,433 |
8.60 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
5 |
$12,963 |
$7,313 |
$64,813 |
$36,566 |
4.00 |
Cardiac pacemaker & defibrillator revision except device replacement |
5 |
$34,483 |
$20,820 |
$172,415 |
$104,100 |
5.80 |
Cardiomyopathy |
5 |
$17,627 |
$10,458 |
$88,134 |
$52,288 |
3.60 |
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses |
5 |
$31,273 |
$14,972 |
$156,366 |
$74,859 |
6.40 |
Connective tissue disorders |
5 |
$21,925 |
$11,878 |
$109,625 |
$59,392 |
5.60 |
Other skin, subcutaneous tissue & breast disorders |
5 |
$26,051 |
$13,343 |
$130,253 |
$66,715 |
8.20 |
Inborn errors of metabolism |
5 |
$71,505 |
$30,625 |
$357,523 |
$153,123 |
4.00 |
Female reproductive system infections |
5 |
$12,972 |
$7,311 |
$64,860 |
$36,555 |
4.40 |
Toxic effects of non-medicinal substances |
5 |
$5,957 |
$4,510 |
$29,784 |
$22,552 |
2.80 |
Ventricular shunt procedures |
4 |
$37,738 |
$16,948 |
$150,950 |
$67,792 |
2.50 |
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma |
4 |
$14,546 |
$6,766 |
$58,183 |
$27,064 |
2.75 |
Facial bone procedures except major cranial/facial bone procedures |
4 |
$41,428 |
$18,497 |
$165,710 |
$73,987 |
4.25 |
Other ear, nose, mouth & throat procedures |
4 |
$67,799 |
$33,860 |
$271,195 |
$135,439 |
7.00 |
Ear, nose, mouth, throat, cranial/facial malignancies |
4 |
$31,260 |
$17,225 |
$125,038 |
$68,899 |
5.75 |
Cardiac arrest and shock |
4 |
$15,671 |
$7,954 |
$62,684 |
$31,817 |
2.75 |
Anal procedures |
4 |
$23,141 |
$10,368 |
$92,563 |
$41,473 |
4.00 |
Mastectomy procedures |
4 |
$45,911 |
$20,757 |
$183,644 |
$83,029 |
5.25 |
Breast procedures except mastectomy |
4 |
$44,945 |
$20,649 |
$179,781 |
$82,594 |
6.25 |
Major skin disorders |
4 |
$13,766 |
$8,438 |
$55,062 |
$33,751 |
5.00 |
False labor |
4 |
$1,286 |
$929 |
$5,142 |
$3,714 |
1.00 |
Splenectomy |
4 |
$49,102 |
$24,992 |
$196,407 |
$99,967 |
7.50 |
Sickle cell anemia crisis |
4 |
$34,162 |
$18,293 |
$136,648 |
$73,172 |
12.25 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
4 |
$19,365 |
$9,181 |
$77,461 |
$36,724 |
4.00 |
Disorders of personality & impulse control |
4 |
$10,862 |
$11,179 |
$43,447 |
$44,715 |
11.00 |
Behavioral disorders |
4 |
$12,556 |
$14,211 |
$50,225 |
$56,844 |
15.25 |
Other aftercare & convalescence |
4 |
$10,756 |
$7,066 |
$43,023 |
$28,265 |
5.00 |
Extensive abdominal/thoracic procedures for mult significant trauma |
4 |
$140,788 |
$67,841 |
$563,151 |
$271,364 |
13.25 |
Tracheostomy w MV 96+ hours w/o extensive procedure |
3 |
$218,356 |
$194,059 |
$655,069 |
$582,177 |
53.33 |
Non-bacterial infections of nervous system exc viral meningitis |
3 |
$38,246 |
$24,929 |
$114,739 |
$74,786 |
8.00 |
Eye disorders except major infections |
3 |
$10,221 |
$5,244 |
$30,663 |
$15,731 |
3.67 |
Acute & subacute endocarditis |
3 |
$32,932 |
$20,797 |
$98,797 |
$62,390 |
9.00 |
Other stomach, esophageal & duodenal procedures |
3 |
$32,094 |
$14,361 |
$96,283 |
$43,084 |
3.33 |
Dorsal & lumbar fusion proc for curvature of back |
3 |
$179,467 |
$82,991 |
$538,400 |
$248,974 |
11.00 |
Fracture of femur |
3 |
$14,856 |
$8,185 |
$44,567 |
$24,555 |
6.67 |
Thyroid, parathyroid & thyroglossal procedures |
3 |
$29,581 |
$14,653 |
$88,743 |
$43,958 |
2.67 |
Neonate bwt 1500-1999g w or w/o other significant condition |
3 |
$3,016 |
$1,254 |
$9,048 |
$3,763 |
6.00 |
Spinal disorders & injuries |
2 |
$27,714 |
$13,972 |
$55,428 |
$27,943 |
4.50 |
Acute major eye infections |
2 |
$12,579 |
$8,499 |
$25,158 |
$16,998 |
8.00 |
Major cranial/facial bone procedures |
2 |
$49,203 |
$26,204 |
$98,405 |
$52,407 |
5.50 |
Malignant breast disorders |
2 |
$59,907 |
$28,400 |
$119,813 |
$56,799 |
11.00 |
Kidney & urinary tract malignancy |
2 |
$25,880 |
$19,050 |
$51,760 |
$38,100 |
9.00 |
Testes & scrotal procedures |
2 |
$17,964 |
$8,897 |
$35,927 |
$17,793 |
6.00 |
Dilation & curettage for non-obstetric diagnoses |
2 |
$11,364 |
$5,993 |
$22,727 |
$11,986 |
4.00 |
Other female reproductive system & related procedures |
2 |
$21,735 |
$9,990 |
$43,470 |
$19,979 |
3.50 |
D&C, aspiration curettage or hysterotomy for obstetric diagnoses |
2 |
$11,591 |
$5,450 |
$23,182 |
$10,899 |
1.50 |
Neonate bwt 2000-2499g w major anomaly |
2 |
$3,296 |
$1,371 |
$6,592 |
$2,741 |
4.50 |
Neonate bwt 2000-2499g w other significant condition |
2 |
$6,295 |
$3,037 |
$12,589 |
$6,074 |
7.00 |
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms |
2 |
$47,744 |
$20,965 |
$95,487 |
$41,930 |
4.00 |
Radiotherapy |
2 |
$15,141 |
$6,804 |
$30,282 |
$13,608 |
2.00 |
Mental illness diagnosis w O.R. procedure |
2 |
$41,031 |
$18,648 |
$82,062 |
$37,296 |
5.00 |
Other mental health disorders |
2 |
$14,958 |
$13,347 |
$29,916 |
$26,694 |
12.00 |
HIV w major HIV related condition |
2 |
$140,500 |
$81,008 |
$281,000 |
$162,016 |
23.50 |
HIV w one signif HIV cond or w/o signif related cond |
2 |
$5,747 |
$2,866 |
$11,494 |
$5,731 |
1.50 |
Viral meningitis |
1 |
$14,400 |
$6,623 |
$14,400 |
$6,623 |
2.00 |
Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma |
1 |
$10,339 |
$6,517 |
$10,339 |
$6,517 |
7.00 |
Orbital procedures |
1 |
$64,536 |
$29,057 |
$64,536 |
$29,057 |
7.00 |
Other major head & neck procedures |
1 |
$115,601 |
$70,768 |
$115,601 |
$70,768 |
14.00 |
Sinus & mastoid procedures |
1 |
$131,393 |
$55,595 |
$131,393 |
$55,595 |
3.00 |
Tonsil & adenoid procedures |
1 |
$46,185 |
$20,475 |
$46,185 |
$20,475 |
4.00 |
Permanent cardiac pacemaker implant w AMI, heart failure or shock |
1 |
$38,870 |
$22,264 |
$38,870 |
$22,264 |
4.00 |
Penis procedures |
1 |
$44,703 |
$18,908 |
$44,703 |
$18,908 |
1.00 |
Female reproductive system malignancy |
1 |
$40,459 |
$19,361 |
$40,459 |
$19,361 |
12.00 |
Neonate, transferred <5 days old, not born here |
1 |
$2,861 |
$1,609 |
$2,861 |
$1,609 |
1.00 |
Neonate birthwt 750-999g w/o major procedure |
1 |
$400 |
$166 |
$400 |
$166 |
1.00 |
Cocaine abuse & dependence |
1 |
$3,151 |
$4,409 |
$3,151 |
$4,409 |
5.00 |
HIV w multiple major HIV related conditions |
1 |
$21,234 |
$11,619 |
$21,234 |
$11,619 |
8.00 |
HIV w multiple significant HIV related conditions |
1 |
$40,081 |
$35,197 |
$40,081 |
$35,197 |
8.00 |