Neonate birthwt >2499g, normal newborn or neonate w other problem |
1748 |
$10,333 |
$2,105 |
$18,062,877 |
$3,679,415 |
2.37 |
Vaginal delivery |
1343 |
$20,893 |
$5,028 |
$28,058,849 |
$6,752,700 |
2.32 |
Septicemia & disseminated infections |
871 |
$98,056 |
$19,174 |
$85,406,393 |
$16,700,866 |
8.80 |
Cesarean delivery |
505 |
$29,967 |
$5,912 |
$15,133,180 |
$2,985,313 |
3.45 |
Alcohol & drug dependence w rehab or rehab/detox therapy |
496 |
$35,896 |
$8,531 |
$17,804,512 |
$4,231,437 |
10.60 |
Other pneumonia |
349 |
$50,677 |
$9,426 |
$17,686,200 |
$3,289,522 |
4.79 |
Kidney & urinary tract infections |
251 |
$44,262 |
$8,873 |
$11,109,841 |
$2,227,033 |
4.94 |
Schizophrenia |
241 |
$93,123 |
$21,852 |
$22,442,684 |
$5,266,436 |
19.15 |
Chronic obstructive pulmonary disease |
233 |
$59,761 |
$10,755 |
$13,924,276 |
$2,505,977 |
5.33 |
Cellulitis & other skin infections |
222 |
$41,948 |
$8,857 |
$9,312,488 |
$1,966,354 |
5.08 |
Respiratory Failure |
212 |
$79,641 |
$14,654 |
$16,883,938 |
$3,106,667 |
6.35 |
Alcohol abuse & dependence |
194 |
$27,416 |
$5,885 |
$5,318,758 |
$1,141,711 |
4.94 |
CVA & precerebral occlusion w infarct |
185 |
$67,301 |
$12,925 |
$12,450,726 |
$2,391,209 |
5.96 |
Major respiratory infections & inflammations |
160 |
$83,916 |
$16,247 |
$13,426,618 |
$2,599,558 |
7.88 |
Heart failure |
138 |
$52,569 |
$10,168 |
$7,254,508 |
$1,403,153 |
5.13 |
Other back & neck disorders, fractures & injuries |
136 |
$48,608 |
$9,233 |
$6,610,703 |
$1,255,745 |
4.64 |
Acute Kidney Injury |
136 |
$60,857 |
$12,197 |
$8,276,490 |
$1,658,734 |
6.31 |
Knee joint replacement |
132 |
$59,594 |
$14,511 |
$7,866,467 |
$1,915,441 |
2.39 |
Cardiac arrhythmia & conduction disorders |
124 |
$46,577 |
$8,903 |
$5,775,585 |
$1,103,971 |
4.16 |
Bipolar disorders |
122 |
$61,646 |
$14,274 |
$7,520,816 |
$1,741,370 |
12.34 |
Hip joint replacement |
118 |
$67,553 |
$15,604 |
$7,971,280 |
$1,841,307 |
3.40 |
Drug & alcohol abuse or dependence, left against medical advice |
116 |
$13,123 |
$2,875 |
$1,522,247 |
$333,492 |
3.18 |
Other gastroenteritis, nausa & vomiting |
115 |
$33,908 |
$6,322 |
$3,899,390 |
$726,980 |
3.16 |
Laparoscopic cholecystectomy |
115 |
$48,343 |
$10,081 |
$5,559,475 |
$1,159,295 |
3.15 |
Intestinal obstruction |
95 |
$37,140 |
$6,863 |
$3,528,319 |
$652,002 |
3.94 |
Disorders of pancreas except malignancy |
93 |
$41,024 |
$7,688 |
$3,815,242 |
$715,028 |
4.18 |
Nontraumatic stupor & coma |
91 |
$67,912 |
$13,955 |
$6,180,002 |
$1,269,938 |
7.35 |
Diverticulitis & diverticulosis |
86 |
$48,229 |
$9,225 |
$4,147,729 |
$793,359 |
4.83 |
Depression except major depressive disorder |
85 |
$40,142 |
$9,175 |
$3,412,081 |
$779,883 |
7.98 |
Asthma |
84 |
$38,413 |
$6,610 |
$3,226,680 |
$555,234 |
3.17 |
Hip and femur fracture repair |
84 |
$70,442 |
$14,832 |
$5,917,148 |
$1,245,854 |
4.96 |
Other musculoskeletal system & connective tissue diagnoses |
84 |
$37,113 |
$7,137 |
$3,117,468 |
$599,476 |
3.85 |
Seizure |
76 |
$42,983 |
$8,736 |
$3,266,706 |
$663,949 |
4.16 |
Diabetes |
76 |
$44,364 |
$8,850 |
$3,371,639 |
$672,564 |
4.36 |
Infectious & parasitic diseases including HIV w O.R. procedure |
75 |
$225,017 |
$44,831 |
$16,876,246 |
$3,362,315 |
15.59 |
Other digestive system diagnoses |
74 |
$50,677 |
$9,972 |
$3,750,085 |
$737,891 |
4.26 |
Electrolyte disorders except hypovolemia related |
73 |
$38,440 |
$7,534 |
$2,806,154 |
$549,989 |
3.78 |
Major depressive disorders & other/unspecified psychoses |
73 |
$61,787 |
$14,239 |
$4,510,461 |
$1,039,483 |
11.79 |
Major small & large bowel procedures |
71 |
$97,023 |
$21,119 |
$6,888,648 |
$1,499,448 |
8.08 |
Other & unspecified gastrointestinal hemorrhage |
67 |
$62,314 |
$12,358 |
$4,175,071 |
$828,008 |
5.15 |
Other anemia & disorders of blood & blood-forming organs |
63 |
$45,217 |
$8,483 |
$2,848,666 |
$534,439 |
3.73 |
Appendectomy |
61 |
$43,494 |
$8,971 |
$2,653,150 |
$547,227 |
2.85 |
Poisoning of medicinal agents |
60 |
$45,245 |
$9,410 |
$2,714,717 |
$564,599 |
4.95 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
56 |
$58,374 |
$11,004 |
$3,268,932 |
$616,215 |
5.30 |
Knee & lower leg procedures except foot |
56 |
$63,623 |
$13,940 |
$3,562,901 |
$780,640 |
3.71 |
Other disorders of nervous system |
55 |
$46,843 |
$8,550 |
$2,576,339 |
$470,266 |
4.00 |
Infections of upper respiratory tract |
55 |
$28,319 |
$5,351 |
$1,557,534 |
$294,329 |
2.53 |
Major gastrointestinal & peritoneal infections |
55 |
$68,650 |
$13,552 |
$3,775,739 |
$745,380 |
6.85 |
Shoulder, upper arm & forearm procedures except joint replacement |
55 |
$67,642 |
$15,438 |
$3,720,290 |
$849,068 |
2.95 |
Head trauma w coma >1 hr or hemorrhage |
54 |
$54,332 |
$9,628 |
$2,933,951 |
$519,908 |
4.13 |
Malfunction, reaction, complic of genitourinary device or proc |
51 |
$61,039 |
$12,475 |
$3,112,966 |
$636,225 |
6.29 |
Opioid abuse & dependence |
51 |
$22,588 |
$5,056 |
$1,151,974 |
$257,881 |
5.18 |
Major chest & respiratory trauma |
50 |
$52,068 |
$8,941 |
$2,603,386 |
$447,036 |
3.96 |
Peptic ulcer & gastritis |
49 |
$72,945 |
$14,366 |
$3,574,293 |
$703,926 |
5.84 |
Hypovolemia & related electrolyte disorders |
48 |
$42,973 |
$8,542 |
$2,062,683 |
$410,030 |
4.50 |
Acute myocardial infarction |
47 |
$31,729 |
$5,808 |
$1,491,267 |
$272,982 |
2.28 |
Respiratory signs, symptoms & minor diagnoses |
45 |
$41,863 |
$7,628 |
$1,883,837 |
$343,254 |
3.82 |
Neonate bwt 2000-2499g, normal newborn or neonate w other problem |
45 |
$39,632 |
$8,146 |
$1,783,419 |
$366,577 |
5.42 |
Pulmonary embolism |
44 |
$54,860 |
$10,620 |
$2,413,840 |
$467,284 |
4.34 |
Syncope & collapse |
44 |
$37,999 |
$6,715 |
$1,671,977 |
$295,466 |
3.02 |
Other antepartum diagnoses |
44 |
$17,891 |
$3,420 |
$787,207 |
$150,496 |
2.05 |
Urinary stones & acquired upper urinary tract obstruction |
41 |
$34,831 |
$6,977 |
$1,428,062 |
$286,044 |
2.54 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
41 |
$21,195 |
$5,044 |
$869,013 |
$206,821 |
2.41 |
Fractures & dislocations except femur, pelvis & back |
39 |
$36,002 |
$6,507 |
$1,404,081 |
$253,761 |
3.18 |
Neonate birthwt >2499g w other significant condition |
38 |
$51,012 |
$10,368 |
$1,938,470 |
$393,973 |
6.29 |
Transient ischemia |
36 |
$37,964 |
$6,396 |
$1,366,710 |
$230,240 |
2.75 |
Bronchiolitis & RSV pneumonia |
35 |
$31,308 |
$5,235 |
$1,095,763 |
$183,235 |
3.06 |
Intracranial hemorrhage |
34 |
$78,334 |
$15,293 |
$2,663,360 |
$519,965 |
6.59 |
Angina pectoris & coronary atherosclerosis |
34 |
$25,175 |
$4,478 |
$855,950 |
$152,248 |
1.74 |
Disorders of gallbladder & biliary tract |
33 |
$51,891 |
$9,453 |
$1,712,389 |
$311,953 |
4.24 |
Uterine & adnexa procedures for non-malignancy except leiomyoma |
33 |
$46,617 |
$10,300 |
$1,538,373 |
$339,890 |
2.45 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
33 |
$72,924 |
$14,388 |
$2,406,508 |
$474,788 |
6.88 |
Peripheral & other vascular disorders |
32 |
$46,299 |
$9,606 |
$1,481,558 |
$307,403 |
4.41 |
Respiratory malignancy |
31 |
$99,512 |
$19,643 |
$3,084,866 |
$608,929 |
8.45 |
Post-operative, post-traumatic, other device infections |
29 |
$70,719 |
$13,833 |
$2,050,842 |
$401,153 |
6.79 |
Other circulatory system diagnoses |
28 |
$39,393 |
$7,463 |
$1,103,011 |
$208,953 |
3.43 |
Abdominal pain |
28 |
$31,743 |
$5,458 |
$888,798 |
$152,834 |
2.46 |
Fracture of pelvis or dislocation of hip |
28 |
$35,022 |
$6,759 |
$980,613 |
$189,256 |
3.39 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
28 |
$59,813 |
$13,248 |
$1,674,755 |
$370,933 |
7.00 |
Mastectomy procedures |
28 |
$70,980 |
$16,665 |
$1,987,447 |
$466,611 |
1.29 |
Digestive malignancy |
27 |
$72,876 |
$14,222 |
$1,967,662 |
$384,003 |
7.81 |
Intervertebral disc excision & decompression |
25 |
$46,064 |
$10,128 |
$1,151,599 |
$253,192 |
2.68 |
Signs, symptoms & other factors influencing health status |
25 |
$34,527 |
$6,462 |
$863,182 |
$161,558 |
3.60 |
Hypertension |
23 |
$42,864 |
$7,953 |
$985,864 |
$182,922 |
3.39 |
Hernia procedures except inguinal, femoral & umbilical |
23 |
$58,158 |
$12,938 |
$1,337,629 |
$297,575 |
4.26 |
Moderately extensive procedure unrelated to principal diagnosis |
22 |
$142,575 |
$28,043 |
$3,136,647 |
$616,942 |
10.82 |
Tracheostomy w MV 96+ hours w/o extensive procedure |
21 |
$602,885 |
$117,828 |
$12,660,590 |
$2,474,391 |
31.76 |
Peripheral, cranial & autonomic nerve disorders |
21 |
$45,335 |
$8,668 |
$952,034 |
$182,026 |
4.00 |
Lower extremity arterial procedures |
20 |
$126,757 |
$26,791 |
$2,535,134 |
$535,819 |
8.35 |
Gastrointestinal vascular insufficiency |
20 |
$46,371 |
$8,730 |
$927,416 |
$174,600 |
4.40 |
Other endocrine disorders |
20 |
$55,100 |
$10,743 |
$1,101,999 |
$214,869 |
5.75 |
Kidney & urinary tract procedures for nonmalignancy |
20 |
$71,412 |
$14,662 |
$1,428,233 |
$293,241 |
6.10 |
Uterine & adnexa procedures for leiomyoma |
20 |
$37,153 |
$8,859 |
$743,059 |
$177,181 |
2.50 |
Inflammatory bowel disease |
19 |
$61,024 |
$12,875 |
$1,159,461 |
$244,631 |
5.68 |
Hepatic coma & other major acute liver disorders |
19 |
$65,471 |
$12,740 |
$1,243,946 |
$242,065 |
5.68 |
Malignancy of hepatobiliary system & pancreas |
19 |
$56,226 |
$10,745 |
$1,068,292 |
$204,154 |
4.53 |
Postpartum & post abortion diagnoses w/o procedure |
19 |
$33,702 |
$6,502 |
$640,335 |
$123,531 |
3.42 |
Sickle cell anemia crisis |
18 |
$51,103 |
$10,417 |
$919,857 |
$187,497 |
5.22 |
Lymphoma, myeloma & non-acute leukemia |
18 |
$120,339 |
$24,327 |
$2,166,110 |
$437,885 |
11.72 |
Viral illness |
18 |
$28,941 |
$5,494 |
$520,945 |
$98,893 |
3.06 |
Other infectious & parasitic diseases |
18 |
$48,142 |
$9,460 |
$866,557 |
$170,285 |
4.78 |
Allergic reactions |
18 |
$43,139 |
$8,373 |
$776,509 |
$150,706 |
3.33 |
Degenerative nervous system disorders exc mult sclerosis |
17 |
$63,241 |
$13,215 |
$1,075,100 |
$224,647 |
8.47 |
Alcoholic liver disease |
17 |
$100,381 |
$20,139 |
$1,706,471 |
$342,366 |
9.88 |
Dorsal & lumbar fusion proc except for curvature of back |
17 |
$123,923 |
$27,620 |
$2,106,697 |
$469,534 |
3.59 |
Neonate birthwt >2499g w major anomaly |
17 |
$21,272 |
$4,154 |
$361,619 |
$70,613 |
3.18 |
Fever |
17 |
$29,265 |
$5,679 |
$497,497 |
$96,539 |
3.41 |
Nervous system malignancy |
16 |
$60,914 |
$11,555 |
$974,626 |
$184,883 |
4.81 |
Migraine & other headaches |
16 |
$33,841 |
$5,984 |
$541,452 |
$95,740 |
2.06 |
Vertigo & other labyrinth disorders |
16 |
$45,806 |
$8,287 |
$732,900 |
$132,587 |
4.06 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
16 |
$32,916 |
$6,218 |
$526,654 |
$99,483 |
3.00 |
Other hepatobiliary, pancreas & abdominal procedures |
16 |
$62,062 |
$12,755 |
$992,987 |
$204,082 |
5.88 |
Perm cardiac pacemaker implant w/o AMI, heart failure or shock |
15 |
$72,933 |
$15,513 |
$1,093,988 |
$232,691 |
2.93 |
Other peripheral vascular procedures |
15 |
$127,736 |
$25,600 |
$1,916,046 |
$384,004 |
8.07 |
Major stomach, esophageal & duodenal procedures |
15 |
$87,295 |
$17,961 |
$1,309,421 |
$269,412 |
6.00 |
Foot & toe procedures |
15 |
$81,024 |
$17,809 |
$1,215,354 |
$267,133 |
7.00 |
Fracture of femur |
15 |
$56,157 |
$11,088 |
$842,348 |
$166,320 |
6.00 |
Other kidney & urinary tract diagnoses, signs & symptoms |
15 |
$58,039 |
$11,209 |
$870,579 |
$168,129 |
6.27 |
Neonate, transferred < 5 days old, born here |
15 |
$17,579 |
$3,255 |
$263,689 |
$48,820 |
1.80 |
Other complications of treatment |
15 |
$47,274 |
$9,118 |
$709,105 |
$136,775 |
4.53 |
Nonextensive procedure unrelated to principal diagnosis |
15 |
$85,460 |
$16,938 |
$1,281,903 |
$254,068 |
7.27 |
Multiple sclerosis & other demyelinating diseases |
14 |
$48,681 |
$9,125 |
$681,537 |
$127,750 |
4.50 |
Other small & large bowel procedures |
14 |
$80,895 |
$16,602 |
$1,132,527 |
$232,433 |
6.86 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
14 |
$95,724 |
$18,651 |
$1,340,142 |
$261,115 |
8.71 |
Malnutrition, failure to thrive & other nutritional disorders |
14 |
$71,838 |
$13,953 |
$1,005,733 |
$195,347 |
7.36 |
Male reproductive system diagnoses except malignancy |
14 |
$64,002 |
$12,529 |
$896,028 |
$175,410 |
6.43 |
Menstrual & other female reproductive system disorders |
14 |
$50,961 |
$8,809 |
$713,449 |
$123,321 |
3.79 |
Cocaine abuse & dependence |
14 |
$29,863 |
$6,630 |
$418,078 |
$92,822 |
5.79 |
Extensive procedure unrelated to principal diagnosis |
14 |
$164,071 |
$32,791 |
$2,296,989 |
$459,068 |
12.86 |
Extracranial vascular procedures |
13 |
$49,072 |
$10,470 |
$637,942 |
$136,108 |
3.00 |
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma |
13 |
$51,508 |
$9,308 |
$669,605 |
$121,002 |
4.31 |
Other respiratory & chest procedures |
13 |
$157,589 |
$35,076 |
$2,048,661 |
$455,993 |
10.23 |
Respiratory system diagnosis w ventilator support 96+ hours |
13 |
$243,620 |
$46,179 |
$3,167,056 |
$600,327 |
16.62 |
Interstitial & alveolar lung diseases |
13 |
$44,954 |
$8,055 |
$584,396 |
$104,712 |
3.85 |
Other digestive system & abdominal procedures |
13 |
$119,906 |
$24,268 |
$1,558,772 |
$315,478 |
9.54 |
Malfunction, reaction, complic of orthopedic device or procedure |
13 |
$47,055 |
$10,121 |
$611,721 |
$131,568 |
5.31 |
Procedures for obesity |
13 |
$50,895 |
$12,040 |
$661,629 |
$156,517 |
1.92 |
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms |
13 |
$150,023 |
$30,853 |
$1,950,305 |
$401,085 |
14.92 |
Organic mental health disturbances |
13 |
$166,950 |
$37,813 |
$2,170,347 |
$491,564 |
20.92 |
Other drug abuse & dependence |
13 |
$34,812 |
$8,018 |
$452,561 |
$104,228 |
8.54 |
Major respiratory & chest procedures |
12 |
$118,593 |
$25,815 |
$1,423,117 |
$309,782 |
7.25 |
Malfunction, reaction & complication of GI device or procedure |
12 |
$48,390 |
$9,390 |
$580,681 |
$112,685 |
3.92 |
Other disorders of the liver |
12 |
$44,301 |
$8,000 |
$531,614 |
$95,996 |
3.92 |
Skin ulcers |
12 |
$50,130 |
$10,546 |
$601,565 |
$126,554 |
5.58 |
Toxic effects of non-medicinal substances |
12 |
$53,646 |
$10,541 |
$643,746 |
$126,486 |
5.08 |
Chest pain |
11 |
$24,372 |
$4,251 |
$268,089 |
$46,760 |
2.09 |
Other esophageal disorders |
11 |
$58,322 |
$12,298 |
$641,541 |
$135,275 |
6.18 |
Chronic Kidney Disease |
11 |
$68,477 |
$14,584 |
$753,247 |
$160,429 |
6.91 |
Neonate bwt 2000-2499g w other significant condition |
11 |
$84,040 |
$16,954 |
$924,440 |
$186,499 |
9.91 |
Craniotomy except for trauma |
10 |
$156,339 |
$33,192 |
$1,563,393 |
$331,920 |
10.10 |
Tendon, muscle & other soft tissue procedures |
10 |
$48,213 |
$10,730 |
$482,128 |
$107,298 |
4.80 |
Cervical spinal fusion & other back/neck proc exc disc excis/decomp |
10 |
$86,895 |
$18,558 |
$868,951 |
$185,581 |
3.80 |
Neonate bwt 1500-1999g w or w/o other significant condition |
10 |
$107,325 |
$21,954 |
$1,073,252 |
$219,536 |
13.20 |
Neonate birthwt >2499g w congenital/perinatal infection |
10 |
$29,751 |
$6,005 |
$297,508 |
$60,052 |
4.00 |
Other circulatory system procedures |
9 |
$139,610 |
$30,271 |
$1,256,487 |
$272,436 |
14.56 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
9 |
$50,956 |
$8,817 |
$458,600 |
$79,350 |
2.78 |
Inborn errors of metabolism |
9 |
$32,666 |
$6,632 |
$293,990 |
$59,689 |
4.11 |
Coagulation & platelet disorders |
9 |
$46,382 |
$9,237 |
$417,438 |
$83,132 |
4.00 |
Tracheostomy w MV 96+ hours w extensive procedure or ECMO |
8 |
$843,587 |
$162,299 |
$6,748,695 |
$1,298,392 |
50.13 |
Viral meningitis |
8 |
$21,162 |
$4,285 |
$169,292 |
$34,276 |
2.25 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
8 |
$89,764 |
$18,460 |
$718,115 |
$147,681 |
7.88 |
Amputation of lower limb except toes |
8 |
$155,831 |
$34,393 |
$1,246,651 |
$275,147 |
16.75 |
Other significant hip and femur surgery |
8 |
$72,163 |
$16,302 |
$577,300 |
$130,419 |
5.38 |
Other musculoskeletal system & connective tissue procedures |
8 |
$56,130 |
$13,203 |
$449,040 |
$105,622 |
3.63 |
Other skin, subcutaneous tissue & breast disorders |
8 |
$28,862 |
$6,479 |
$230,894 |
$51,832 |
3.88 |
Renal dialysis access device procedure only |
8 |
$188,570 |
$42,805 |
$1,508,563 |
$342,443 |
22.88 |
Adjustment disorders & neuroses except depressive diagnoses |
8 |
$18,426 |
$4,065 |
$147,406 |
$32,517 |
3.50 |
Musculoskeletal & other procedures for multiple significant trauma |
8 |
$113,786 |
$20,625 |
$910,289 |
$164,999 |
6.50 |
Spinal procedures |
7 |
$55,474 |
$12,657 |
$388,317 |
$88,596 |
4.43 |
Cardiac structural & valvular disorders |
7 |
$31,664 |
$5,649 |
$221,651 |
$39,540 |
2.86 |
Peritoneal adhesiolysis |
7 |
$98,600 |
$21,002 |
$690,200 |
$147,013 |
9.86 |
Malignant breast disorders |
7 |
$58,913 |
$11,358 |
$412,392 |
$79,504 |
5.57 |
Kidney & urinary tract malignancy |
7 |
$52,768 |
$10,337 |
$369,378 |
$72,362 |
4.86 |
Female reproductive system infections |
7 |
$27,451 |
$4,893 |
$192,157 |
$34,249 |
2.43 |
Vaginal delivery w sterilization &/or D&C |
7 |
$23,572 |
$5,321 |
$165,004 |
$37,248 |
2.43 |
Neonate bwt 2000-2499g w congenital/perinatal infection |
7 |
$75,047 |
$15,425 |
$525,330 |
$107,978 |
9.29 |
Acute anxiety & delirium states |
7 |
$37,636 |
$8,367 |
$263,453 |
$58,569 |
6.71 |
Other injury, poisoning & toxic effect diagnoses |
7 |
$29,862 |
$5,293 |
$209,035 |
$37,049 |
2.71 |
Dental & oral diseases & injuries |
6 |
$16,705 |
$3,307 |
$100,229 |
$19,843 |
1.67 |
Other stomach, esophageal & duodenal procedures |
6 |
$194,089 |
$44,309 |
$1,164,535 |
$265,855 |
17.00 |
Shoulder & elbow joint replacement |
6 |
$56,010 |
$13,334 |
$336,062 |
$80,002 |
1.17 |
Urethral & transurethral procedures |
6 |
$38,027 |
$8,009 |
$228,164 |
$48,051 |
1.67 |
Female reproductive system malignancy |
6 |
$61,409 |
$12,317 |
$368,455 |
$73,901 |
6.00 |
Post-op, post-trauma, other device infections w O.R. procedure |
6 |
$78,076 |
$15,660 |
$468,453 |
$93,962 |
6.33 |
HIV w multiple major HIV related conditions |
6 |
$151,056 |
$30,058 |
$906,334 |
$180,348 |
11.83 |
Craniotomy for trauma |
5 |
$129,784 |
$25,637 |
$648,920 |
$128,187 |
8.60 |
Other nervous system & related procedures |
5 |
$215,767 |
$45,568 |
$1,078,834 |
$227,840 |
20.60 |
Nonspecific CVA & precerebral occlusion w/o infarct |
5 |
$42,753 |
$7,202 |
$213,766 |
$36,011 |
2.40 |
Non-bacterial infections of nervous system exc viral meningitis |
5 |
$56,595 |
$11,741 |
$282,973 |
$58,705 |
6.40 |
Inguinal, femoral & umbilical hernia procedures |
5 |
$78,038 |
$16,331 |
$390,189 |
$81,653 |
6.20 |
Major biliary tract procedures |
5 |
$103,920 |
$19,840 |
$519,602 |
$99,201 |
8.40 |
Connective tissue disorders |
5 |
$93,577 |
$19,375 |
$467,886 |
$96,874 |
9.00 |
Dilation & curettage for non-obstetric diagnoses |
5 |
$36,723 |
$7,314 |
$183,613 |
$36,569 |
1.80 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
5 |
$54,350 |
$10,704 |
$271,751 |
$53,519 |
5.00 |
Other mental health disorders |
5 |
$30,802 |
$6,309 |
$154,009 |
$31,547 |
4.40 |
O.R. procedure for other complications of treatment |
5 |
$60,290 |
$13,006 |
$301,449 |
$65,028 |
4.40 |
Multiple significant trauma w/o O.R. procedure |
5 |
$45,401 |
$6,769 |
$227,006 |
$33,845 |
3.20 |
Eye disorders except major infections |
4 |
$26,100 |
$4,608 |
$104,401 |
$18,431 |
2.25 |
Ear, nose, mouth, throat, cranial/facial malignancies |
4 |
$88,174 |
$18,992 |
$352,695 |
$75,968 |
9.00 |
Other skin, subcutaneous tissue & related procedures |
4 |
$47,639 |
$10,122 |
$190,556 |
$40,486 |
5.50 |
Malignancy, male reproductive system |
4 |
$90,893 |
$17,600 |
$363,573 |
$70,401 |
8.50 |
Neonate birthwt 1500-1999g w major anomaly |
4 |
$165,425 |
$33,840 |
$661,701 |
$135,360 |
20.00 |
Neonate bwt 2000-2499g w resp dist synd/oth maj resp cond |
4 |
$117,443 |
$23,776 |
$469,773 |
$95,103 |
14.25 |
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond |
4 |
$35,198 |
$6,951 |
$140,793 |
$27,803 |
4.00 |
HIV w major HIV related condition |
4 |
$55,866 |
$9,919 |
$223,464 |
$39,674 |
4.00 |
HIV w one signif HIV cond or w/o signif related cond |
4 |
$38,034 |
$7,901 |
$152,135 |
$31,602 |
4.00 |
Spinal disorders & injuries |
3 |
$108,469 |
$19,512 |
$325,407 |
$58,535 |
7.33 |
Bacterial & tuberculous infections of nervous system |
3 |
$133,311 |
$34,770 |
$399,934 |
$104,310 |
7.67 |
Acute & subacute endocarditis |
3 |
$55,985 |
$10,756 |
$167,955 |
$32,269 |
5.33 |
Cardiac arrest and shock |
3 |
$42,516 |
$7,135 |
$127,548 |
$21,405 |
1.33 |
Anal procedures |
3 |
$37,515 |
$7,680 |
$112,544 |
$23,039 |
3.00 |
Skin graft for skin & subcutaneous tissue diagnoses |
3 |
$43,955 |
$9,482 |
$131,866 |
$28,446 |
5.67 |
Breast procedures except mastectomy |
3 |
$33,418 |
$7,575 |
$100,253 |
$22,726 |
1.67 |
Nephritis & nephrosis |
3 |
$120,171 |
$23,920 |
$360,513 |
$71,761 |
12.00 |
Uterine & adnexa procedures for ovarian & adnexal malignancy |
3 |
$66,786 |
$14,727 |
$200,358 |
$44,181 |
4.33 |
Female reproductive system reconstructive procedures |
3 |
$34,228 |
$8,365 |
$102,683 |
$25,096 |
2.67 |
D&C, aspiration curettage or hysterotomy for obstetric diagnoses |
3 |
$21,238 |
$4,714 |
$63,713 |
$14,141 |
1.67 |
Neonate bwt 1500-1999g w resp dist synd/oth maj resp cond |
3 |
$114,518 |
$23,372 |
$343,555 |
$70,116 |
14.00 |
Neonate bwt 2000-2499g w major anomaly |
3 |
$155,959 |
$32,256 |
$467,878 |
$96,768 |
18.67 |
Neonate birthwt >2499g w other major procedure |
3 |
$65,490 |
$12,955 |
$196,471 |
$38,866 |
7.67 |
Other procedures of blood & blood-forming organs |
3 |
$64,696 |
$12,523 |
$194,087 |
$37,569 |
4.00 |
Acute leukemia |
3 |
$159,359 |
$30,620 |
$478,076 |
$91,861 |
16.67 |
Disorders of personality & impulse control |
3 |
$19,877 |
$4,361 |
$59,630 |
$13,082 |
3.33 |
Behavioral disorders |
3 |
$62,541 |
$14,184 |
$187,624 |
$42,551 |
12.67 |
Other aftercare & convalescence |
3 |
$26,033 |
$5,555 |
$78,098 |
$16,665 |
3.33 |
Extensive abdominal/thoracic procedures for mult significant trauma |
3 |
$83,665 |
$15,131 |
$250,996 |
$45,392 |
5.33 |
Acute major eye infections |
2 |
$38,993 |
$8,989 |
$77,985 |
$17,977 |
6.50 |
Other ear, nose, mouth & throat procedures |
2 |
$28,835 |
$6,301 |
$57,670 |
$12,602 |
3.00 |
BPD & oth chronic respiratory diseases arising in perinatal period |
2 |
$21,998 |
$3,369 |
$43,996 |
$6,738 |
1.50 |
Major esophageal disorders |
2 |
$62,520 |
$11,624 |
$125,039 |
$23,248 |
5.50 |
Major pancreas, liver & shunt procedures |
2 |
$85,214 |
$18,356 |
$170,427 |
$36,711 |
5.50 |
Cholecystectomy except laparoscopic |
2 |
$37,700 |
$9,464 |
$75,399 |
$18,928 |
3.00 |
Other procedures for endocrine, nutritional & metabolic disorders |
2 |
$173,737 |
$37,764 |
$347,473 |
$75,527 |
16.00 |
Kidney & urinary tract procedures for malignancy |
2 |
$105,297 |
$21,923 |
$210,593 |
$43,845 |
9.00 |
Transurethral prostatectomy |
2 |
$74,136 |
$15,689 |
$148,271 |
$31,377 |
6.50 |
Other female reproductive system & related procedures |
2 |
$132,253 |
$30,194 |
$264,505 |
$60,387 |
12.00 |
Preterm labor |
2 |
$12,382 |
$2,254 |
$24,763 |
$4,508 |
1.00 |
Other Chemotherapy |
2 |
$59,648 |
$14,425 |
$119,295 |
$28,850 |
6.00 |
Procedure w diag of rehab, aftercare or oth contact w health service |
2 |
$96,635 |
$21,558 |
$193,269 |
$43,116 |
7.00 |
Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma |
1 |
$68,230 |
$13,476 |
$68,230 |
$13,476 |
7.00 |
Facial bone procedures except major cranial/facial bone procedures |
1 |
$41,907 |
$8,222 |
$41,907 |
$8,222 |
1.00 |
Other cardiothoracic & thoracic vascular procedures |
1 |
$98,713 |
$19,590 |
$98,713 |
$19,590 |
7.00 |
Major skin disorders |
1 |
$26,320 |
$5,483 |
$26,320 |
$5,483 |
3.00 |
Major bladder procedures |
1 |
$84,341 |
$17,290 |
$84,341 |
$17,290 |
7.00 |
Other bladder procedures |
1 |
$118,316 |
$28,078 |
$118,316 |
$28,078 |
14.00 |
Other kidney, urinary tract & related procedures |
1 |
$128,002 |
$24,647 |
$128,002 |
$24,647 |
12.00 |
Penis procedures |
1 |
$21,387 |
$4,754 |
$21,387 |
$4,754 |
1.00 |
Uterine & adnexa procedures for non-ovarian & non-adnexal malig |
1 |
$116,574 |
$23,644 |
$116,574 |
$23,644 |
8.00 |
Other O.R. proc for obstetric diagnoses except delivery diagnoses |
1 |
$10,813 |
$1,992 |
$10,813 |
$1,992 |
2.00 |
False labor |
1 |
$8,456 |
$1,440 |
$8,456 |
$1,440 |
1.00 |
Neonate bwt <500g or GA <24 weeks |
1 |
$1 |
$0 |
$1 |
$0 |
1.00 |
Neonate bwt 1250-1499g w or w/o other significant condition |
1 |
$195,469 |
$40,431 |
$195,469 |
$40,431 |
25.00 |
Neonate birthwt 1500-1999g w congenital/perinatal infection |
1 |
$77,129 |
$15,555 |
$77,129 |
$15,555 |
9.00 |
Splenectomy |
1 |
$44,477 |
$10,249 |
$44,477 |
$10,249 |
4.00 |
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms |
1 |
$184,533 |
$38,411 |
$184,533 |
$38,411 |
16.00 |
Mental illness diagnosis w O.R. procedure |
1 |
$65,485 |
$15,070 |
$65,485 |
$15,070 |
10.00 |
Eating disorders |
1 |
$17,851 |
$3,892 |
$17,851 |
$3,892 |
3.00 |
Ungroupable |
1 |
$209,162 |
$42,148 |
$209,162 |
$42,148 |
25.00 |