Samaritan Hospital

2019 Age Distribution

2019 Patient Race:

White6,987
Other Race511
Black/African American914

2019 Payers:

Medicare 4,887
Medicaid 1,797
Self-Pay 97
Federal/State/Local/VA 114
Private Health Insurance 796
Blue Cross/Blue Shield 619
Miscellaneous/Other 102

Conditions treated in 2019

Click on a column header to sort ascending or descending.
DRG Count Avg. Charge Avg. Cost Sum all Charges Sum all Costs Avg. LOS
SEPTICEMIA & DISSEMINATED INFECTIONS 775 $31,615 $7,062 $24,501,965 $5,473,060 5.18
HEART FAILURE 460 $23,975 $5,192 $11,028,652 $2,388,417 4.57
BIPOLAR DISORDERS 447 $18,693 $8,132 $8,355,695 $3,635,108 8.48
SCHIZOPHRENIA 353 $33,627 $14,438 $11,870,403 $5,096,764 14.99
MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES 302 $23,946 $10,499 $7,231,838 $3,170,669 11.01
OTHER PNEUMONIA 288 $21,863 $4,880 $6,296,578 $1,405,540 4.26
RESPIRATORY FAILURE 242 $26,543 $6,313 $6,423,494 $1,527,755 4.61
CHRONIC OBSTRUCTIVE PULMONARY DISEASE 209 $17,826 $4,234 $3,725,549 $884,991 3.29
PROCEDURES FOR OBESITY 191 $26,672 $8,399 $5,094,346 $1,604,241 2.09
ACUTE KIDNEY INJURY 190 $27,080 $5,870 $5,145,232 $1,115,293 4.58
DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER 165 $15,867 $6,867 $2,618,133 $1,133,075 7.02
ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES 157 $13,610 $6,008 $2,136,745 $943,312 5.94
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS 143 $22,095 $4,620 $3,159,543 $660,658 3.69
KIDNEY & URINARY TRACT INFECTIONS 143 $19,577 $4,472 $2,799,458 $639,515 3.69
CELLULITIS & OTHER SKIN INFECTIONS 143 $19,033 $4,391 $2,721,692 $627,844 4.11
CVA & PRECEREBRAL OCCLUSION W INFARCT 130 $33,449 $8,284 $4,348,327 $1,076,983 3.65
DISORDERS OF PERSONALITY & IMPULSE CONTROL 111 $14,722 $6,711 $1,634,159 $744,956 6.18
DIABETES 108 $21,710 $4,045 $2,344,682 $436,909 3.18
DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK 104 $35,439 $10,454 $3,685,696 $1,087,259 2.53
OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE 99 $28,349 $5,964 $2,806,526 $590,464 4.14
ALCOHOL ABUSE & DEPENDENCE 99 $18,206 $4,139 $1,802,412 $409,713 4.06
HIP JOINT REPLACEMENT 94 $34,981 $10,476 $3,288,192 $984,734 3.30
DISORDERS OF PANCREAS EXCEPT MALIGNANCY 93 $20,651 $4,258 $1,920,546 $395,986 3.91
INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE 93 $54,202 $14,018 $5,040,783 $1,303,678 8.01
INTESTINAL OBSTRUCTION 92 $15,755 $3,386 $1,449,437 $311,506 3.36
ACUTE ANXIETY & DELIRIUM STATES 87 $13,972 $6,054 $1,215,564 $526,671 5.87
MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS 83 $31,593 $7,211 $2,622,260 $598,544 5.54
DIVERTICULITIS & DIVERTICULOSIS 79 $18,450 $4,107 $1,457,545 $324,462 3.75
CHOLECYSTECTOMY 77 $30,842 $8,247 $2,374,810 $635,023 4.51
ACUTE MYOCARDIAL INFARCTION 67 $30,971 $7,864 $2,075,036 $526,908 3.85
HIP & FEMUR FRACTURE REPAIR 62 $38,946 $10,640 $2,414,629 $659,673 5.21
PEPTIC ULCER & GASTRITIS 62 $30,153 $6,330 $1,869,472 $392,448 4.37
MAJOR LARGE BOWEL PROCEDURES 59 $47,297 $13,509 $2,790,499 $797,015 6.20
MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC 59 $25,444 $5,915 $1,501,191 $349,007 4.98
OTHER DIGESTIVE SYSTEM DIAGNOSES 58 $21,949 $4,496 $1,273,066 $260,759 3.36
CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS 57 $36,760 $9,965 $2,095,339 $568,008 4.04
OTHER GASTROENTERITIS, NAUSEA & VOMITING 55 $19,218 $3,944 $1,056,991 $216,935 3.36
KNEE JOINT REPLACEMENT 53 $33,440 $10,403 $1,772,317 $551,337 2.28
POISONING OF MEDICINAL AGENTS 49 $27,562 $7,615 $1,350,516 $373,126 4.08
PERCUTANEOUS CORONARY INTERVENTION W AMI 45 $63,728 $20,217 $2,867,768 $909,757 3.69
NON-HYPOVOLEMIC SODIUM DISORDERS 39 $25,562 $5,674 $996,932 $221,277 4.69
PULMONARY EMBOLISM 39 $25,072 $4,730 $977,810 $184,482 2.95
CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP 39 $34,137 $10,569 $1,331,352 $412,177 2.51
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS 37 $102,965 $25,254 $3,809,703 $934,396 13.54
MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS 37 $21,395 $4,788 $791,617 $177,156 4.97
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS 37 $21,244 $5,814 $786,037 $215,128 5.73
HYPERTENSION 37 $18,102 $3,653 $669,789 $135,160 2.84
ALCOHOLIC LIVER DISEASE 36 $32,050 $6,788 $1,153,799 $244,377 5.42
EXTRACRANIAL VASCULAR PROCEDURES 36 $24,334 $7,357 $876,015 $264,853 2.69
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS 35 $31,016 $7,466 $1,085,568 $261,299 5.71
DISORDERS OF GALLBLADDER & BILIARY TRACT 34 $21,481 $4,394 $730,364 $149,388 3.41
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES 34 $19,716 $4,564 $670,351 $155,174 3.44
LOWER EXTREMITY ARTERIAL PROCEDURES 33 $61,033 $15,518 $2,014,074 $512,110 6.82
PERIPHERAL & OTHER VASCULAR DISORDERS 31 $25,045 $5,311 $776,383 $164,650 3.48
PERCUTANEOUS CORONARY INTERVENTION W/O AMI 30 $54,219 $18,503 $1,626,578 $555,102 2.90
SEIZURE 30 $24,705 $5,237 $741,137 $157,108 3.97
OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS 29 $24,357 $4,968 $706,363 $144,081 3.03
SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS 29 $23,141 $5,439 $671,088 $157,732 5.62
MAJOR SMALL BOWEL PROCEDURES 28 $58,137 $16,614 $1,627,837 $465,204 8.57
OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES 27 $20,278 $4,778 $547,517 $128,993 4.00
KNEE & LOWER LEG PROCEDURES EXCEPT FOOT 27 $34,326 $9,752 $926,808 $263,303 3.81
OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES 27 $23,980 $6,429 $647,454 $173,570 4.30
FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK 27 $24,151 $6,592 $652,089 $177,981 4.37
INFLAMMATORY BOWEL DISEASE 26 $15,883 $3,319 $412,954 $86,292 3.23
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES 26 $22,840 $4,786 $593,827 $124,441 4.12
MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 26 $46,235 $11,891 $1,202,103 $309,160 6.62
OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS 26 $28,154 $6,381 $732,006 $165,914 4.92
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL 24 $31,846 $9,196 $764,302 $220,709 3.92
OPIOID ABUSE & DEPENDENCE 24 $15,459 $3,996 $371,008 $95,915 3.83
FOOT & TOE PROCEDURES 24 $39,463 $10,918 $947,107 $262,035 5.29
ALTERATION IN CONSCIOUSNESS 24 $25,882 $5,443 $621,177 $130,633 5.46
ASTHMA 23 $15,949 $3,787 $366,838 $87,103 2.96
HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS 23 $25,786 $5,337 $593,086 $122,745 3.91
PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE 23 $32,042 $9,753 $736,970 $224,329 2.39
URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION 23 $17,209 $4,392 $395,797 $101,007 2.57
OVERDOSE 22 $23,418 $5,821 $515,198 $128,053 4.50
SKIN ULCERS 22 $26,390 $7,647 $580,578 $168,236 3.59
PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK 21 $51,125 $12,621 $1,073,619 $265,039 5.19
OTHER DISORDERS OF THE LIVER 21 $27,622 $5,652 $580,053 $118,696 5.10
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS 21 $15,937 $3,751 $334,672 $78,776 2.76
OTHER COMPLICATIONS OF TREATMENT 20 $21,916 $6,034 $438,327 $120,683 2.75
INFECTIONS OF UPPER RESPIRATORY TRACT 19 $13,212 $3,103 $251,025 $58,949 3.11
MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL 19 $33,718 $6,440 $640,642 $122,367 4.42
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES 18 $36,024 $7,932 $648,427 $142,777 3.83
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS 18 $17,119 $4,916 $308,145 $88,484 1.56
SYNCOPE & COLLAPSE 18 $22,069 $5,168 $397,241 $93,018 3.17
URETHRAL & TRANSURETHRAL PROCEDURES 17 $24,067 $6,454 $409,144 $109,719 3.59
OTHER MENTAL HEALTH DISORDERS 16 $38,603 $17,993 $617,655 $287,887 19.69
OTHER CIRCULATORY SYSTEM DIAGNOSES 16 $23,414 $4,655 $374,617 $74,472 3.63
DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE 15 $8,346 $1,785 $125,195 $26,771 2.07
MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE 15 $17,848 $3,952 $267,719 $59,275 4.47
FRACTURE OF FEMUR 15 $16,405 $3,651 $246,071 $54,767 3.40
OTHER INFECTIOUS & PARASITIC DISEASES 15 $21,663 $4,603 $324,949 $69,038 3.60
UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA 14 $14,799 $5,245 $207,192 $73,424 1.36
MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE 14 $24,829 $5,941 $347,606 $83,175 4.50
OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS 14 $15,489 $3,398 $216,842 $47,571 2.79
HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS 14 $30,565 $6,571 $427,908 $91,997 4.64
NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 14 $82,192 $19,550 $1,150,687 $273,696 11.21
UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA 14 $18,089 $5,593 $253,252 $78,308 2.29
DIGESTIVE MALIGNANCY 13 $34,420 $7,489 $447,462 $97,357 6.46
SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT 13 $29,851 $8,251 $388,069 $107,263 4.54
TRANSIENT ISCHEMIA 13 $20,879 $4,450 $271,424 $57,848 2.08
OTHER SMALL & LARGE BOWEL PROCEDURES 13 $27,676 $7,858 $359,788 $102,148 4.23
BEHAVIORAL DISORDERS 13 $21,700 $9,506 $282,095 $123,578 10.62
ORGANIC MENTAL HEALTH DISTURBANCES 13 $33,492 $12,798 $435,401 $166,375 15.77
PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS 13 $17,918 $3,584 $232,934 $46,589 3.00
CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE 13 $26,044 $7,417 $338,570 $96,427 1.92
AMPUTATION OF LOWER LIMB EXCEPT TOES 12 $84,977 $26,106 $1,019,726 $313,275 10.50
OTHER ESOPHAGEAL DISORDERS 12 $22,733 $4,491 $272,800 $53,891 3.58
MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS 12 $51,933 $12,956 $623,195 $155,467 6.42
COAGULATION & PLATELET DISORDERS 12 $32,678 $11,190 $392,141 $134,276 3.42
OTHER PERIPHERAL VASCULAR PROCEDURES 12 $42,463 $11,197 $509,556 $134,369 5.17
OTHER RESPIRATORY & CHEST PROCEDURES 12 $42,696 $10,582 $512,353 $126,980 6.75
MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES 12 $32,030 $9,772 $384,357 $117,261 3.92
RESPIRATORY MALIGNANCY 12 $58,519 $12,855 $702,230 $154,261 8.08
SICKLE CELL ANEMIA CRISIS 11 $19,461 $4,326 $214,073 $47,591 6.00
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES 11 $31,326 $10,547 $344,589 $116,019 4.18
PERITONEAL ADHESIOLYSIS 11 $51,326 $16,650 $564,587 $183,155 6.82
POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE 11 $84,496 $24,724 $929,452 $271,960 10.27
COCAINE ABUSE & DEPENDENCE 11 $15,504 $3,855 $170,543 $42,406 4.09
EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 10 $71,979 $19,239 $719,794 $192,388 8.20
MIGRAINE & OTHER HEADACHES 10 $21,799 $6,294 $217,992 $62,938 3.30
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS 10 $24,969 $7,161 $249,690 $71,611 4.40
CHRONIC KIDNEY DISEASE 10 $36,282 $8,561 $362,822 $85,608 8.80
OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS 10 $13,382 $2,650 $133,822 $26,496 1.80
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY 10 $20,223 $5,135 $202,230 $51,353 4.50
GASTROINTESTINAL VASCULAR INSUFFICIENCY 10 $23,522 $4,468 $235,215 $44,679 4.10
INTERVERTEBRAL DISC EXCISION & DECOMPRESSION 10 $20,678 $6,561 $206,779 $65,607 2.60
NERVOUS SYSTEM MALIGNANCY 10 $25,767 $5,527 $257,674 $55,272 4.30
ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS 10 $14,835 $2,779 $148,347 $27,785 1.80
MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG 9 $47,041 $10,159 $423,372 $91,435 8.33
OTHER CIRCULATORY SYSTEM PROCEDURES 9 $72,208 $22,847 $649,874 $205,625 9.11
ABDOMINAL PAIN 9 $15,749 $2,911 $141,738 $26,195 2.44
HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS 9 $34,084 $6,916 $306,754 $62,242 6.00
MAJOR ABDOMINAL VASCULAR PROCEDURES 9 $49,170 $14,313 $442,528 $128,819 5.67
KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY 8 $28,825 $8,563 $230,598 $68,507 2.00
OTHER DRUG ABUSE & DEPENDENCE 8 $15,691 $6,769 $125,528 $54,154 7.13
HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION 8 $38,333 $8,901 $306,662 $71,210 5.38
OTHER DISORDERS OF NERVOUS SYSTEM 8 $30,733 $7,712 $245,867 $61,697 4.50
CARDIAC ARREST & SHOCK 8 $36,067 $7,727 $288,534 $61,812 2.50
INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES 8 $26,998 $8,929 $215,986 $71,435 3.13
VERTIGO & OTHER LABYRINTH DISORDERS 8 $19,660 $4,041 $157,277 $32,330 3.25
MAJOR ESOPHAGEAL DISORDERS 7 $32,471 $7,046 $227,294 $49,319 4.00
MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 7 $31,817 $9,230 $222,721 $64,610 3.00
CARDIAC DEFIBRILLATOR & HEART ASSIST IMPLANT 7 $104,882 $27,421 $734,175 $191,948 3.29
CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE 7 $21,646 $4,585 $151,521 $32,092 4.00
TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE 7 $179,738 $44,876 $1,258,166 $314,130 23.14
OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES 7 $19,795 $5,935 $138,564 $41,542 2.86
INTERSTITIAL & ALVEOLAR LUNG DISEASES 7 $18,148 $4,219 $127,033 $29,533 3.43
MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE 7 $24,342 $5,373 $170,391 $37,609 4.43
MAJOR CHEST & RESPIRATORY TRAUMA 7 $15,901 $3,550 $111,305 $24,853 3.29
ACUTE BRONCHITIS AND RELATED SYMPTOMS 7 $16,640 $3,345 $116,480 $23,416 2.43
CONNECTIVE TISSUE DISORDERS 7 $39,944 $11,015 $279,609 $77,107 6.14
LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA 6 $56,580 $11,818 $339,478 $70,906 6.83
OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES 6 $9,328 $2,178 $55,970 $13,065 2.33
MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS 6 $24,285 $5,942 $145,709 $35,652 5.33
KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY 6 $31,341 $9,361 $188,048 $56,163 2.17
THYROID DISORDERS 6 $22,630 $5,086 $135,779 $30,514 5.67
FEMALE REPRODUCTIVE SYSTEM INFECTIONS 6 $17,157 $3,360 $102,939 $20,158 2.83
FEVER 6 $40,643 $7,934 $243,859 $47,606 6.00
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS 6 $14,990 $3,174 $89,942 $19,042 1.83
ACUTE & SUBACUTE ENDOCARDITIS 5 $52,645 $11,647 $263,226 $58,237 8.00
TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES 5 $38,279 $9,952 $191,394 $49,762 6.60
MALIGNANT BREAST DISORDERS 5 $35,797 $8,312 $178,986 $41,562 5.60
OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES 5 $35,848 $10,649 $179,238 $53,246 2.80
CHEST PAIN 5 $21,983 $4,493 $109,917 $22,464 2.80
NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS 5 $75,555 $15,552 $377,773 $77,758 12.80
VIRAL ILLNESS 5 $18,296 $3,303 $91,481 $16,515 2.80
VAGINAL DELIVERY 4 $6,632 $1,539 $26,528 $6,155 1.25
CARDIAC STRUCTURAL & VALVULAR DISORDERS 4 $16,878 $3,018 $67,513 $12,073 1.75
SHOULDER & ELBOW JOINT REPLACEMENT 4 $49,957 $14,094 $199,827 $56,377 3.00
BREAST PROCEDURES EXCEPT MASTECTOMY 4 $24,905 $7,041 $99,620 $28,165 3.00
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY 4 $34,122 $6,993 $136,489 $27,972 7.25
ALLERGIC REACTIONS 4 $43,124 $14,870 $172,494 $59,480 6.00
TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE 4 $259,802 $71,377 $1,039,209 $285,507 33.50
OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES 4 $45,984 $12,346 $183,936 $49,383 4.00
HIV W MAJOR HIV RELATED CONDITION 4 $65,078 $12,000 $260,311 $47,998 10.50
LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR 4 $98,192 $21,373 $392,769 $85,490 13.25
MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA 3 $62,592 $15,451 $187,777 $46,354 7.67
OTHER BLADDER PROCEDURES 3 $21,559 $6,449 $64,676 $19,348 4.00
CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA 3 $17,442 $3,522 $52,325 $10,565 3.33
SPINAL DISORDERS & INJURIES 3 $29,272 $6,505 $87,815 $19,515 6.33
FRACTURE OF PELVIS OR DISLOCATION OF HIP 3 $23,433 $6,047 $70,300 $18,142 5.67
HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND 3 $29,439 $7,921 $88,317 $23,763 2.00
OTHER AFTERCARE & CONVALESCENCE 3 $12,807 $4,250 $38,421 $12,750 3.67
HAND & WRIST PROCEDURES 3 $17,927 $5,199 $53,781 $15,598 3.67
MASTECTOMY PROCEDURES 3 $29,711 $9,026 $89,133 $27,079 2.33
OTHER CHEMOTHERAPY 3 $13,389 $4,704 $40,166 $14,113 4.00
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM 3 $79,425 $27,240 $238,275 $81,719 8.00
SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES 3 $25,817 $8,104 $77,451 $24,313 3.67
TRANSURETHRAL PROSTATECTOMY 2 $20,049 $6,126 $40,097 $12,252 3.50
EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES 2 $23,579 $3,930 $47,157 $7,859 2.00
OTHER ENDOCRINE DISORDERS 2 $12,312 $2,372 $24,624 $4,743 2.50
MALIGNANCY, MALE REPRODUCTIVE SYSTEM 2 $32,800 $4,979 $65,600 $9,958 3.50
KIDNEY & URINARY TRACT MALIGNANCY 2 $32,915 $7,870 $65,829 $15,739 6.00
MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES 2 $7,810 $2,131 $15,620 $4,262 2.50
ACUTE LEUKEMIA 2 $31,328 $5,643 $62,656 $11,286 3.50
MAJOR MALE PELVIC PROCEDURES 2 $17,320 $5,819 $34,639 $11,637 2.50
MAJOR RESPIRATORY & CHEST PROCEDURES 2 $43,765 $8,857 $87,530 $17,713 5.00
MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE 2 $26,719 $5,925 $53,437 $11,849 6.00
VIRAL MENINGITIS 2 $24,038 $4,553 $48,076 $9,105 2.50
CARDIOMYOPATHY 2 $19,172 $3,515 $38,344 $7,030 3.00
OTHER ANTEPARTUM DIAGNOSES 2 $12,147 $3,537 $24,293 $7,073 3.50
SPLENECTOMY 2 $62,133 $25,302 $124,266 $50,604 1.00
INTRACRANIAL HEMORRHAGE 2 $6,797 $1,283 $13,594 $2,566 1.00
SPINAL PROCEDURES 2 $31,706 $10,249 $63,412 $20,498 2.00
NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 2 $49,547 $12,523 $99,094 $25,045 10.50
EYE INFECTIONS AND OTHER EYE DISORDERS 2 $13,728 $2,872 $27,455 $5,744 3.00
OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS 2 $40,905 $8,988 $81,809 $17,975 6.00
DENTAL DISEASES AND DISORDERS 2 $6,968 $1,478 $13,935 $2,955 1.50
CARDIAC PACEMAKER & DEFIBRILLATOR DEVICE REPLACEMENT 2 $128,097 $33,532 $256,193 $67,064 11.00
OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES 2 $26,426 $8,681 $52,851 $17,362 4.50
OTHER SIGNIFICANT HIP & FEMUR SURGERY 2 $37,498 $11,203 $74,996 $22,405 3.00
OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES 2 $13,455 $4,818 $26,910 $9,635 1.00
RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES 2 $26,345 $5,280 $52,689 $10,560 4.00
OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES 2 $29,797 $8,473 $59,594 $16,945 4.00
HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE 2 $15,675 $3,024 $31,350 $6,047 1.50
CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT 1 $70,696 $18,381 $70,696 $18,381 1.00
NEPHRITIS & NEPHROSIS 1 $16,405 $3,109 $16,405 $3,109 4.00
PENIS, TESTES & SCROTAL PROCEDURES 1 $14,856 $4,480 $14,856 $4,480 2.00
MAJOR BILIARY TRACT PROCEDURES 1 $29,485 $9,304 $29,485 $9,304 5.00
HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS 1 $28,812 $6,005 $28,812 $6,005 4.00
CORONARY BYPASS W AMI OR COMPLEX PDX 1 $57,156 $19,580 $57,156 $19,580 4.00
MENTAL ILLNESS DIAGNOSIS W O.R. PROCEDURE 1 $73,213 $36,707 $73,213 $36,707 42.00
OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL & METABOLIC DISORDERS 1 $32,835 $7,753 $32,835 $7,753 3.00
RENAL DIALYSIS ACCESS DEVICE AND VESSEL REPAIR 1 $86,323 $20,876 $86,323 $20,876 18.00
MAJOR BLADDER PROCEDURES 1 $32,614 $10,287 $32,614 $10,287 5.00
OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES 1 $29,087 $7,006 $29,087 $7,006 4.00
ANAL PROCEDURES 1 $24,024 $6,425 $24,024 $6,425 3.00
ADRENAL PROCEDURES 1 $25,315 $8,330 $25,315 $8,330 3.00
OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES 1 $58,765 $16,944 $58,765 $16,944 7.00
INBORN ERRORS OF METABOLISM 1 $9,112 $1,534 $9,112 $1,534 1.00
EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 1 $27,926 $8,058 $27,926 $8,058 5.00
ANOXIC & OTHER SEVERE BRAIN DAMAGE 1 $12,010 $2,762 $12,010 $2,762 3.00
SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES 1 $37,618 $7,925 $37,618 $7,925 6.00
BRONCHIOLITIS & RSV PNEUMONIA 1 $28,890 $5,293 $28,890 $5,293 4.00
DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES 1 $23,091 $5,862 $23,091 $5,862 4.00
CRANIOTOMY EXCEPT FOR TRAUMA 1 $17,451 $6,412 $17,451 $6,412 1.00