Neonate birthwt >2499g, normal newborn or neonate w other problem |
2530 |
$10,321 |
$4,801 |
$26,111,176 |
$12,145,476 |
2.15 |
Vaginal delivery |
2345 |
$27,014 |
$6,680 |
$63,347,704 |
$15,665,300 |
2.17 |
Septicemia & disseminated infections |
1020 |
$101,993 |
$23,596 |
$104,032,966 |
$24,068,417 |
7.28 |
Heart failure |
498 |
$71,974 |
$17,407 |
$35,842,937 |
$8,668,789 |
5.47 |
Opioid abuse & dependence |
367 |
$45,789 |
$13,907 |
$16,804,391 |
$5,103,801 |
7.61 |
Cesarean delivery |
330 |
$46,831 |
$11,283 |
$15,454,107 |
$3,723,340 |
3.48 |
Alcohol abuse & dependence |
303 |
$47,833 |
$13,734 |
$14,493,424 |
$4,161,328 |
7.02 |
Chronic obstructive pulmonary disease |
282 |
$55,499 |
$12,866 |
$15,650,780 |
$3,628,195 |
4.21 |
Cellulitis & other skin infections |
278 |
$47,934 |
$11,032 |
$13,325,727 |
$3,066,963 |
4.40 |
Other pneumonia |
257 |
$60,616 |
$13,986 |
$15,578,352 |
$3,594,367 |
4.82 |
Acute Kidney Injury |
229 |
$68,322 |
$15,414 |
$15,645,704 |
$3,529,722 |
5.52 |
Procedures for obesity |
219 |
$70,753 |
$14,075 |
$15,494,980 |
$3,082,368 |
1.19 |
Percutaneous coronary intervention w AMI |
216 |
$170,868 |
$25,194 |
$36,907,405 |
$5,441,814 |
3.69 |
Cardiac arrhythmia & conduction disorders |
215 |
$46,029 |
$10,328 |
$9,896,182 |
$2,220,530 |
3.29 |
Kidney & urinary tract infections |
212 |
$53,622 |
$11,899 |
$11,367,809 |
$2,522,522 |
4.44 |
CVA & precerebral occlusion w infarct |
196 |
$75,783 |
$15,386 |
$14,853,484 |
$3,015,610 |
4.30 |
Knee joint replacement |
191 |
$97,647 |
$18,867 |
$18,650,610 |
$3,603,518 |
2.69 |
Acute myocardial infarction |
189 |
$72,652 |
$14,163 |
$13,731,162 |
$2,676,844 |
3.47 |
Cardiac catheterization for other non-coronary conditions |
174 |
$90,020 |
$16,835 |
$15,663,528 |
$2,929,305 |
4.33 |
Hip joint replacement |
158 |
$114,724 |
$22,922 |
$18,126,441 |
$3,621,722 |
3.70 |
Major small & large bowel procedures |
148 |
$195,408 |
$44,151 |
$28,920,423 |
$6,534,313 |
8.62 |
Infectious & parasitic diseases including HIV w O.R. procedure |
133 |
$200,112 |
$44,790 |
$26,614,840 |
$5,957,064 |
11.79 |
Other & unspecified gastrointestinal hemorrhage |
126 |
$72,325 |
$13,945 |
$9,113,006 |
$1,757,053 |
4.26 |
Disorders of pancreas except malignancy |
125 |
$54,073 |
$11,426 |
$6,759,117 |
$1,428,265 |
4.14 |
Drug & alcohol abuse or dependence, left against medical advice |
122 |
$22,199 |
$6,013 |
$2,708,321 |
$733,569 |
3.15 |
Intestinal obstruction |
119 |
$57,805 |
$12,004 |
$6,878,824 |
$1,428,425 |
4.39 |
Seizure |
107 |
$78,536 |
$17,229 |
$8,403,333 |
$1,843,541 |
5.53 |
Diverticulitis & diverticulosis |
105 |
$57,090 |
$11,345 |
$5,994,443 |
$1,191,257 |
3.98 |
Diabetes |
86 |
$59,939 |
$13,064 |
$5,154,787 |
$1,123,488 |
4.13 |
Percutaneous coronary intervention w/o AMI |
84 |
$168,821 |
$24,556 |
$14,180,931 |
$2,062,738 |
3.52 |
Other gastroenteritis, nausa & vomiting |
84 |
$52,223 |
$10,494 |
$4,386,762 |
$881,520 |
3.79 |
Other digestive system diagnoses |
84 |
$67,185 |
$13,406 |
$5,643,517 |
$1,126,135 |
4.93 |
Other anemia & disorders of blood & blood-forming organs |
84 |
$78,663 |
$15,580 |
$6,607,656 |
$1,308,741 |
4.98 |
Laparoscopic cholecystectomy |
83 |
$105,826 |
$20,557 |
$8,783,553 |
$1,706,225 |
4.54 |
Syncope & collapse |
82 |
$49,591 |
$10,087 |
$4,066,460 |
$827,170 |
3.16 |
Electrolyte disorders except hypovolemia related |
82 |
$65,665 |
$14,897 |
$5,384,553 |
$1,221,563 |
4.99 |
Lower extremity arterial procedures |
81 |
$146,708 |
$28,646 |
$11,883,317 |
$2,320,289 |
5.80 |
Hip and femur fracture repair |
78 |
$110,921 |
$23,106 |
$8,651,838 |
$1,802,305 |
4.76 |
Major respiratory infections & inflammations |
77 |
$82,368 |
$18,749 |
$6,342,346 |
$1,443,707 |
6.30 |
Perm cardiac pacemaker implant w/o AMI, heart failure or shock |
73 |
$144,679 |
$25,055 |
$10,561,568 |
$1,829,038 |
4.10 |
Malfunction, reaction, complic of genitourinary device or proc |
72 |
$63,438 |
$14,133 |
$4,567,571 |
$1,017,550 |
4.92 |
Post-operative, post-traumatic, other device infections |
70 |
$73,167 |
$16,538 |
$5,121,710 |
$1,157,685 |
5.87 |
Neonate birthwt >2499g w congenital/perinatal infection |
68 |
$47,775 |
$22,141 |
$3,248,681 |
$1,505,621 |
4.19 |
Other back & neck disorders, fractures & injuries |
67 |
$62,399 |
$14,143 |
$4,180,722 |
$947,604 |
4.93 |
Urinary stones & acquired upper urinary tract obstruction |
66 |
$57,995 |
$10,905 |
$3,827,664 |
$719,724 |
2.70 |
Peptic ulcer & gastritis |
65 |
$78,367 |
$13,802 |
$5,093,881 |
$897,122 |
4.18 |
Other antepartum diagnoses |
65 |
$25,150 |
$6,275 |
$1,634,776 |
$407,878 |
3.00 |
Respiratory Failure |
64 |
$80,391 |
$18,736 |
$5,144,992 |
$1,199,135 |
5.33 |
Cardiac catheterization for coronary artery disease |
64 |
$63,881 |
$10,480 |
$4,088,415 |
$670,739 |
2.44 |
Other peripheral vascular procedures |
58 |
$155,104 |
$29,745 |
$8,996,020 |
$1,725,205 |
4.38 |
Angina pectoris & coronary atherosclerosis |
54 |
$42,485 |
$8,179 |
$2,294,171 |
$441,641 |
2.17 |
Inflammatory bowel disease |
54 |
$53,964 |
$11,410 |
$2,914,069 |
$616,147 |
4.46 |
Hypovolemia & related electrolyte disorders |
52 |
$57,638 |
$13,052 |
$2,997,187 |
$678,686 |
4.40 |
Hypertension |
50 |
$50,267 |
$10,626 |
$2,513,340 |
$531,322 |
3.18 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
49 |
$66,540 |
$14,423 |
$3,260,481 |
$706,728 |
4.43 |
Peripheral & other vascular disorders |
49 |
$59,181 |
$12,882 |
$2,899,878 |
$631,221 |
4.47 |
Neonate birthwt >2499g w other significant condition |
49 |
$32,186 |
$15,223 |
$1,577,138 |
$745,913 |
3.55 |
Transient ischemia |
46 |
$57,248 |
$11,060 |
$2,633,387 |
$508,749 |
3.09 |
Extracranial vascular procedures |
45 |
$72,238 |
$14,901 |
$3,250,710 |
$670,554 |
2.02 |
Major respiratory & chest procedures |
44 |
$194,937 |
$47,792 |
$8,577,212 |
$2,102,840 |
8.61 |
Other disorders of nervous system |
43 |
$63,739 |
$13,417 |
$2,740,763 |
$576,925 |
4.58 |
Head trauma w coma >1 hr or hemorrhage |
42 |
$64,722 |
$13,376 |
$2,718,336 |
$561,799 |
3.86 |
Other musculoskeletal system & connective tissue diagnoses |
41 |
$55,753 |
$12,438 |
$2,285,860 |
$509,949 |
4.59 |
Moderately extensive procedure unrelated to principal diagnosis |
41 |
$174,019 |
$36,537 |
$7,134,778 |
$1,498,019 |
9.15 |
Asthma |
39 |
$46,414 |
$11,091 |
$1,810,161 |
$432,537 |
3.90 |
Coronary bypass w/o AMI or complex PDX |
39 |
$276,543 |
$59,362 |
$10,785,178 |
$2,315,111 |
7.85 |
Neonate bwt 2000-2499g, normal newborn or neonate w other problem |
39 |
$36,064 |
$17,802 |
$1,406,513 |
$694,293 |
4.03 |
Poisoning of medicinal agents |
39 |
$62,151 |
$13,954 |
$2,423,887 |
$544,201 |
4.13 |
Pulmonary embolism |
38 |
$64,584 |
$13,532 |
$2,454,191 |
$514,232 |
3.95 |
Appendectomy |
38 |
$109,848 |
$22,228 |
$4,174,227 |
$844,662 |
4.66 |
Major gastrointestinal & peritoneal infections |
38 |
$71,344 |
$16,040 |
$2,711,055 |
$609,506 |
6.24 |
Signs, symptoms & other factors influencing health status |
38 |
$61,011 |
$14,242 |
$2,318,422 |
$541,192 |
5.50 |
Other esophageal disorders |
36 |
$70,787 |
$12,675 |
$2,548,320 |
$456,300 |
4.17 |
Knee & lower leg procedures except foot |
35 |
$113,552 |
$23,424 |
$3,974,322 |
$819,846 |
4.49 |
Coronary bypass w AMI or complex PDX |
34 |
$338,528 |
$68,752 |
$11,509,953 |
$2,337,555 |
9.82 |
Other small & large bowel procedures |
34 |
$122,199 |
$26,656 |
$4,154,774 |
$906,297 |
6.71 |
Kidney & urinary tract procedures for nonmalignancy |
34 |
$134,974 |
$29,737 |
$4,589,107 |
$1,011,068 |
7.47 |
Vaginal delivery w sterilization &/or D&C |
34 |
$31,535 |
$7,225 |
$1,072,173 |
$245,637 |
2.15 |
Intervertebral disc excision & decompression |
33 |
$87,100 |
$17,540 |
$2,874,284 |
$578,819 |
2.97 |
Other kidney & urinary tract diagnoses, signs & symptoms |
33 |
$79,976 |
$17,286 |
$2,639,213 |
$570,424 |
5.61 |
Infections of upper respiratory tract |
32 |
$51,543 |
$12,173 |
$1,649,375 |
$389,525 |
4.44 |
Other respiratory & chest procedures |
32 |
$148,857 |
$34,829 |
$4,763,431 |
$1,114,525 |
8.13 |
Major stomach, esophageal & duodenal procedures |
32 |
$149,872 |
$32,551 |
$4,795,895 |
$1,041,617 |
6.34 |
Hernia procedures except inguinal, femoral & umbilical |
32 |
$96,733 |
$19,413 |
$3,095,460 |
$621,221 |
3.94 |
Intracranial hemorrhage |
31 |
$84,064 |
$18,936 |
$2,605,978 |
$587,027 |
4.81 |
Disorders of gallbladder & biliary tract |
31 |
$60,190 |
$11,628 |
$1,865,887 |
$360,483 |
3.55 |
Other skin, subcutaneous tissue & related procedures |
31 |
$90,585 |
$18,198 |
$2,808,122 |
$564,145 |
5.65 |
Respiratory signs, symptoms & minor diagnoses |
30 |
$47,167 |
$10,016 |
$1,415,001 |
$300,467 |
3.33 |
Coagulation & platelet disorders |
30 |
$97,521 |
$19,912 |
$2,925,642 |
$597,353 |
6.07 |
Other circulatory system diagnoses |
29 |
$63,932 |
$15,302 |
$1,854,041 |
$443,765 |
4.83 |
Foot & toe procedures |
29 |
$132,295 |
$27,297 |
$3,836,554 |
$791,619 |
8.41 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
29 |
$31,924 |
$7,770 |
$925,796 |
$225,320 |
2.52 |
Cocaine abuse & dependence |
29 |
$63,899 |
$20,088 |
$1,853,062 |
$582,541 |
10.55 |
Nontraumatic stupor & coma |
28 |
$76,432 |
$17,357 |
$2,140,089 |
$486,008 |
5.93 |
Fractures & dislocations except femur, pelvis & back |
27 |
$63,627 |
$13,699 |
$1,717,932 |
$369,870 |
4.85 |
Neonate, transferred < 5 days old, born here |
27 |
$19,386 |
$7,091 |
$523,418 |
$191,461 |
1.26 |
Cardiac defibrillator & heart assist implant |
26 |
$355,704 |
$57,968 |
$9,248,293 |
$1,507,156 |
7.04 |
Gastrointestinal vascular insufficiency |
26 |
$83,314 |
$17,258 |
$2,166,154 |
$448,710 |
6.35 |
Nonextensive procedure unrelated to principal diagnosis |
26 |
$94,298 |
$19,094 |
$2,451,756 |
$496,438 |
4.92 |
Major chest & respiratory trauma |
25 |
$56,118 |
$11,260 |
$1,402,962 |
$281,506 |
3.56 |
Mastectomy procedures |
25 |
$90,553 |
$17,611 |
$2,263,820 |
$440,279 |
2.00 |
Other complications of treatment |
25 |
$57,683 |
$12,010 |
$1,442,077 |
$300,247 |
3.80 |
Fracture of femur |
24 |
$55,687 |
$11,599 |
$1,336,490 |
$278,374 |
4.08 |
Post-op, post-trauma, other device infections w O.R. procedure |
24 |
$136,677 |
$30,555 |
$3,280,259 |
$733,318 |
8.54 |
Vertigo & other labyrinth disorders |
23 |
$50,257 |
$10,069 |
$1,155,917 |
$231,586 |
2.91 |
Respiratory system diagnosis w ventilator support 96+ hours |
23 |
$211,861 |
$53,463 |
$4,872,810 |
$1,229,656 |
14.26 |
Shoulder, upper arm & forearm procedures except joint replacement |
23 |
$113,856 |
$21,354 |
$2,618,678 |
$491,131 |
3.30 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
23 |
$71,753 |
$15,372 |
$1,650,320 |
$353,567 |
5.43 |
Neonate birthwt >2499g w major anomaly |
23 |
$39,331 |
$17,552 |
$904,620 |
$403,693 |
4.13 |
Extensive procedure unrelated to principal diagnosis |
23 |
$207,664 |
$43,216 |
$4,776,264 |
$993,961 |
10.13 |
Degenerative nervous system disorders exc mult sclerosis |
22 |
$78,834 |
$18,904 |
$1,734,356 |
$415,895 |
7.41 |
Other infectious & parasitic diseases |
22 |
$68,188 |
$15,632 |
$1,500,128 |
$343,908 |
4.77 |
Tracheostomy w MV 96+ hours w/o extensive procedure |
21 |
$495,254 |
$120,191 |
$10,400,327 |
$2,524,002 |
28.29 |
Abdominal pain |
21 |
$50,784 |
$9,195 |
$1,066,471 |
$193,098 |
3.05 |
Alcoholic liver disease |
21 |
$79,301 |
$18,310 |
$1,665,323 |
$384,505 |
7.33 |
Fracture of pelvis or dislocation of hip |
21 |
$57,861 |
$13,313 |
$1,215,073 |
$279,565 |
4.24 |
Urethral & transurethral procedures |
21 |
$87,023 |
$17,516 |
$1,827,489 |
$367,839 |
4.81 |
Postpartum & post abortion diagnoses w/o procedure |
21 |
$31,023 |
$6,651 |
$651,478 |
$139,680 |
2.10 |
Peripheral, cranial & autonomic nerve disorders |
20 |
$57,633 |
$11,862 |
$1,152,658 |
$237,240 |
4.10 |
Major abdominal vascular procedures |
20 |
$189,110 |
$35,030 |
$3,782,206 |
$700,605 |
6.00 |
Uterine & adnexa procedures for non-malignancy except leiomyoma |
20 |
$74,526 |
$14,360 |
$1,490,518 |
$287,203 |
2.50 |
Other hepatobiliary, pancreas & abdominal procedures |
19 |
$108,343 |
$22,053 |
$2,058,520 |
$419,004 |
6.26 |
Cervical spinal fusion & other back/neck proc exc disc excis/decomp |
19 |
$108,889 |
$24,788 |
$2,068,896 |
$470,975 |
4.47 |
Uterine & adnexa procedures for leiomyoma |
19 |
$69,480 |
$14,184 |
$1,320,124 |
$269,493 |
2.53 |
Respiratory malignancy |
18 |
$100,617 |
$23,447 |
$1,811,106 |
$422,044 |
7.06 |
Malignancy of hepatobiliary system & pancreas |
18 |
$74,464 |
$15,454 |
$1,340,358 |
$278,180 |
4.94 |
Breast procedures except mastectomy |
18 |
$146,900 |
$31,700 |
$2,644,198 |
$570,592 |
3.00 |
Tracheostomy w MV 96+ hours w extensive procedure or ECMO |
17 |
$597,448 |
$138,669 |
$10,156,622 |
$2,357,377 |
28.41 |
Amputation of lower limb except toes |
17 |
$147,064 |
$33,125 |
$2,500,091 |
$563,122 |
9.24 |
Other endocrine disorders |
17 |
$62,704 |
$14,954 |
$1,065,968 |
$254,218 |
5.06 |
Migraine & other headaches |
16 |
$56,341 |
$11,731 |
$901,449 |
$187,692 |
3.69 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
16 |
$52,972 |
$11,057 |
$847,551 |
$176,909 |
3.44 |
Malfunction, reaction & complication of GI device or procedure |
16 |
$79,651 |
$15,806 |
$1,274,411 |
$252,898 |
5.25 |
Other musculoskeletal system & connective tissue procedures |
16 |
$85,874 |
$17,863 |
$1,373,986 |
$285,801 |
3.75 |
Male reproductive system diagnoses except malignancy |
16 |
$48,570 |
$11,332 |
$777,116 |
$181,305 |
4.63 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
16 |
$67,752 |
$14,981 |
$1,084,024 |
$239,700 |
4.94 |
Lymphoma, myeloma & non-acute leukemia |
16 |
$78,815 |
$16,557 |
$1,261,034 |
$264,914 |
5.25 |
Other drug abuse & dependence |
16 |
$63,146 |
$19,319 |
$1,010,337 |
$309,105 |
9.94 |
Craniotomy except for trauma |
15 |
$164,961 |
$35,112 |
$2,474,415 |
$526,684 |
5.73 |
Other circulatory system procedures |
15 |
$139,386 |
$30,945 |
$2,090,784 |
$464,174 |
7.93 |
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond |
15 |
$68,613 |
$32,267 |
$1,029,197 |
$484,009 |
6.07 |
Fever |
15 |
$57,508 |
$12,237 |
$862,623 |
$183,560 |
4.07 |
Other stomach, esophageal & duodenal procedures |
14 |
$100,699 |
$19,237 |
$1,409,782 |
$269,323 |
3.79 |
Skin ulcers |
14 |
$63,638 |
$14,294 |
$890,937 |
$200,114 |
5.71 |
Renal dialysis access device procedure only |
14 |
$105,762 |
$22,198 |
$1,480,662 |
$310,776 |
6.00 |
Chronic Kidney Disease |
14 |
$49,700 |
$11,067 |
$695,794 |
$154,934 |
3.50 |
D&C, aspiration curettage or hysterotomy for obstetric diagnoses |
14 |
$38,712 |
$8,035 |
$541,967 |
$112,487 |
2.00 |
Multiple sclerosis & other demyelinating diseases |
13 |
$75,423 |
$15,850 |
$980,496 |
$206,051 |
5.38 |
Digestive malignancy |
13 |
$123,669 |
$25,778 |
$1,607,698 |
$335,108 |
7.85 |
Tendon, muscle & other soft tissue procedures |
13 |
$102,532 |
$21,899 |
$1,332,917 |
$284,690 |
5.77 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
13 |
$88,513 |
$19,649 |
$1,150,670 |
$255,437 |
7.23 |
Sickle cell anemia crisis |
13 |
$61,488 |
$14,866 |
$799,343 |
$193,255 |
5.92 |
O.R. procedure for other complications of treatment |
13 |
$131,945 |
$28,311 |
$1,715,290 |
$368,046 |
6.46 |
Chest pain |
12 |
$33,315 |
$6,805 |
$399,776 |
$81,664 |
1.92 |
Peritoneal adhesiolysis |
12 |
$159,750 |
$35,174 |
$1,917,001 |
$422,087 |
8.67 |
False labor |
12 |
$6,575 |
$2,083 |
$78,905 |
$24,991 |
1.00 |
HIV w multiple major HIV related conditions |
12 |
$165,633 |
$39,540 |
$1,987,592 |
$474,482 |
14.92 |
Dental & oral diseases & injuries |
11 |
$35,561 |
$7,216 |
$391,169 |
$79,376 |
2.55 |
Other cardiothoracic & thoracic vascular procedures |
11 |
$203,206 |
$41,935 |
$2,235,261 |
$461,282 |
8.73 |
Dorsal & lumbar fusion proc except for curvature of back |
11 |
$146,702 |
$27,694 |
$1,613,723 |
$304,630 |
3.27 |
Other significant hip and femur surgery |
11 |
$125,608 |
$27,442 |
$1,381,692 |
$301,859 |
6.18 |
Other skin, subcutaneous tissue & breast disorders |
11 |
$52,950 |
$11,004 |
$582,449 |
$121,046 |
3.55 |
Other digestive system & abdominal procedures |
10 |
$121,674 |
$26,718 |
$1,216,736 |
$267,181 |
8.80 |
Major biliary tract procedures |
10 |
$203,140 |
$43,753 |
$2,031,404 |
$437,530 |
12.00 |
Kidney & urinary tract procedures for malignancy |
10 |
$184,283 |
$41,855 |
$1,842,831 |
$418,546 |
8.00 |
Alcohol & drug dependence w rehab or rehab/detox therapy |
10 |
$40,394 |
$11,844 |
$403,942 |
$118,437 |
7.10 |
Inguinal, femoral & umbilical hernia procedures |
9 |
$157,792 |
$33,131 |
$1,420,130 |
$298,175 |
6.89 |
Hepatic coma & other major acute liver disorders |
9 |
$80,047 |
$15,961 |
$720,419 |
$143,646 |
5.11 |
Toxic effects of non-medicinal substances |
9 |
$64,130 |
$13,524 |
$577,168 |
$121,720 |
3.89 |
Nervous system malignancy |
8 |
$99,166 |
$22,336 |
$793,329 |
$178,688 |
7.75 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
8 |
$39,585 |
$8,340 |
$316,682 |
$66,718 |
2.75 |
Interstitial & alveolar lung diseases |
8 |
$79,856 |
$18,270 |
$638,846 |
$146,159 |
6.00 |
Connective tissue disorders |
8 |
$116,070 |
$28,129 |
$928,562 |
$225,035 |
8.00 |
Skin graft for skin & subcutaneous tissue diagnoses |
8 |
$110,916 |
$23,102 |
$887,329 |
$184,813 |
6.88 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
8 |
$43,243 |
$8,156 |
$345,944 |
$65,251 |
2.50 |
Other kidney, urinary tract & related procedures |
8 |
$210,500 |
$47,045 |
$1,683,997 |
$376,362 |
15.38 |
Female reproductive system infections |
8 |
$71,453 |
$15,393 |
$571,621 |
$123,144 |
4.88 |
Menstrual & other female reproductive system disorders |
8 |
$45,227 |
$7,821 |
$361,814 |
$62,569 |
2.13 |
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms |
8 |
$143,658 |
$29,799 |
$1,149,263 |
$238,391 |
9.13 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
8 |
$40,187 |
$7,978 |
$321,496 |
$63,823 |
2.38 |
Spinal procedures |
7 |
$141,882 |
$30,549 |
$993,173 |
$213,840 |
6.14 |
Cardiac valve procedures w/o AMI or complex PDX |
7 |
$277,879 |
$57,980 |
$1,945,151 |
$405,863 |
7.14 |
Cardiac structural & valvular disorders |
7 |
$42,844 |
$9,616 |
$299,911 |
$67,309 |
3.14 |
Anal procedures |
7 |
$80,488 |
$16,167 |
$563,417 |
$113,172 |
4.43 |
Other disorders of the liver |
7 |
$102,361 |
$21,113 |
$716,529 |
$147,794 |
6.14 |
Shoulder & elbow joint replacement |
7 |
$107,575 |
$19,967 |
$753,024 |
$139,766 |
2.29 |
Thyroid, parathyroid & thyroglossal procedures |
7 |
$99,998 |
$22,118 |
$699,984 |
$154,825 |
3.29 |
Allergic reactions |
7 |
$61,328 |
$14,181 |
$429,295 |
$99,264 |
3.43 |
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma |
6 |
$48,617 |
$9,797 |
$291,703 |
$58,784 |
3.17 |
Cardiac pacemaker & defibrillator device replacement |
6 |
$302,292 |
$54,166 |
$1,813,749 |
$324,997 |
7.17 |
Cardiac arrest and shock |
6 |
$38,014 |
$8,659 |
$228,084 |
$51,955 |
1.67 |
Female reproductive system malignancy |
6 |
$69,967 |
$15,069 |
$419,801 |
$90,416 |
5.33 |
Preterm labor |
6 |
$10,044 |
$2,381 |
$60,266 |
$14,285 |
1.33 |
Neonate bwt 2000-2499g w other significant condition |
6 |
$96,632 |
$47,007 |
$579,790 |
$282,039 |
8.67 |
Acute anxiety & delirium states |
6 |
$45,254 |
$9,650 |
$271,525 |
$57,902 |
3.33 |
HIV w major HIV related condition |
6 |
$90,021 |
$20,665 |
$540,123 |
$123,987 |
7.83 |
Non-bacterial infections of nervous system exc viral meningitis |
5 |
$91,958 |
$18,053 |
$459,789 |
$90,266 |
5.80 |
Major esophageal disorders |
5 |
$130,011 |
$27,812 |
$650,056 |
$139,062 |
9.40 |
Pituitary & adrenal procedures |
5 |
$115,895 |
$27,354 |
$579,474 |
$136,772 |
2.80 |
Nephritis & nephrosis |
5 |
$57,878 |
$12,923 |
$289,391 |
$64,615 |
4.80 |
Neonate bwt 1500-1999g w or w/o other significant condition |
5 |
$142,216 |
$68,681 |
$711,081 |
$343,404 |
12.60 |
Craniotomy for trauma |
4 |
$198,228 |
$46,822 |
$792,911 |
$187,289 |
12.00 |
Ventricular shunt procedures |
4 |
$79,624 |
$15,128 |
$318,496 |
$60,513 |
1.25 |
Spinal disorders & injuries |
4 |
$79,327 |
$13,700 |
$317,306 |
$54,801 |
3.75 |
Viral meningitis |
4 |
$86,065 |
$19,393 |
$344,258 |
$77,570 |
6.25 |
Facial bone procedures except major cranial/facial bone procedures |
4 |
$147,405 |
$33,546 |
$589,618 |
$134,184 |
1.00 |
Malfunction, reaction, complic of orthopedic device or procedure |
4 |
$43,300 |
$9,287 |
$173,200 |
$37,148 |
3.25 |
Neonate bwt 2000-2499g w resp dist synd/oth maj resp cond |
4 |
$108,033 |
$51,511 |
$432,131 |
$206,042 |
9.50 |
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms |
4 |
$138,780 |
$33,591 |
$555,118 |
$134,364 |
6.00 |
Viral illness |
4 |
$52,327 |
$10,513 |
$209,309 |
$42,051 |
3.25 |
Major depressive disorders & other/unspecified psychoses |
4 |
$30,219 |
$5,964 |
$120,875 |
$23,854 |
2.25 |
Procedure w diag of rehab, aftercare or oth contact w health service |
4 |
$123,127 |
$24,638 |
$492,509 |
$98,553 |
4.00 |
Other aftercare & convalescence |
4 |
$51,369 |
$11,223 |
$205,475 |
$44,890 |
4.25 |
Other nervous system & related procedures |
3 |
$237,522 |
$44,407 |
$712,567 |
$133,220 |
8.00 |
Nonspecific CVA & precerebral occlusion w/o infarct |
3 |
$55,919 |
$8,900 |
$167,757 |
$26,699 |
2.00 |
Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma |
3 |
$71,309 |
$18,581 |
$213,926 |
$55,744 |
7.00 |
Acute & subacute endocarditis |
3 |
$93,412 |
$20,138 |
$280,237 |
$60,415 |
6.00 |
Major skin disorders |
3 |
$41,318 |
$11,559 |
$123,953 |
$34,678 |
4.33 |
Other procedures for endocrine, nutritional & metabolic disorders |
3 |
$179,638 |
$41,151 |
$538,913 |
$123,454 |
13.33 |
Malignancy, male reproductive system |
3 |
$104,401 |
$21,368 |
$313,204 |
$64,105 |
9.00 |
Other female reproductive system & related procedures |
3 |
$64,878 |
$13,653 |
$194,633 |
$40,958 |
5.00 |
Neonate birthwt 1500-1999g w major anomaly |
3 |
$206,890 |
$94,942 |
$620,670 |
$284,825 |
17.33 |
Organic mental health disturbances |
3 |
$57,938 |
$12,983 |
$173,815 |
$38,950 |
5.33 |
Other injury, poisoning & toxic effect diagnoses |
3 |
$32,039 |
$6,514 |
$96,116 |
$19,542 |
2.00 |
Multiple significant trauma w/o O.R. procedure |
3 |
$63,608 |
$15,698 |
$190,823 |
$47,095 |
4.33 |
Bacterial & tuberculous infections of nervous system |
2 |
$101,387 |
$18,199 |
$202,774 |
$36,397 |
5.50 |
Eye disorders except major infections |
2 |
$39,688 |
$7,096 |
$79,375 |
$14,191 |
2.00 |
Major cranial/facial bone procedures |
2 |
$119,423 |
$26,127 |
$238,846 |
$52,254 |
2.00 |
Other ear, nose, mouth & throat procedures |
2 |
$47,322 |
$8,591 |
$94,643 |
$17,181 |
1.50 |
Ear, nose, mouth, throat, cranial/facial malignancies |
2 |
$217,270 |
$52,512 |
$434,539 |
$105,024 |
19.00 |
Cardiac pacemaker & defibrillator revision except device replacement |
2 |
$151,041 |
$29,938 |
$302,081 |
$59,876 |
5.00 |
Cardiomyopathy |
2 |
$40,636 |
$10,031 |
$81,272 |
$20,062 |
3.00 |
Cholecystectomy except laparoscopic |
2 |
$117,807 |
$24,408 |
$235,614 |
$48,816 |
4.50 |
Malignant breast disorders |
2 |
$82,443 |
$14,144 |
$164,885 |
$28,287 |
4.50 |
Malnutrition, failure to thrive & other nutritional disorders |
2 |
$69,224 |
$14,365 |
$138,447 |
$28,729 |
1.50 |
Major bladder procedures |
2 |
$205,753 |
$45,568 |
$411,506 |
$91,135 |
8.50 |
Kidney & urinary tract malignancy |
2 |
$70,767 |
$17,468 |
$141,533 |
$34,935 |
8.50 |
Transurethral prostatectomy |
2 |
$124,581 |
$30,364 |
$249,161 |
$60,727 |
8.50 |
Uterine & adnexa procedures for non-ovarian & non-adnexal malig |
2 |
$60,815 |
$12,723 |
$121,630 |
$25,446 |
2.00 |
Neonate bwt 1500-1999g w resp dist synd/oth maj resp cond |
2 |
$210,904 |
$104,889 |
$421,808 |
$209,777 |
19.50 |
Other procedures of blood & blood-forming organs |
2 |
$118,139 |
$26,337 |
$236,277 |
$52,674 |
5.00 |
Acute leukemia |
2 |
$117,841 |
$19,997 |
$235,682 |
$39,994 |
3.50 |
Other mental health disorders |
2 |
$47,437 |
$13,549 |
$94,873 |
$27,097 |
5.50 |
Extensive abdominal/thoracic procedures for mult significant trauma |
2 |
$121,658 |
$24,765 |
$243,315 |
$49,530 |
5.50 |
Acute major eye infections |
1 |
$86,181 |
$19,033 |
$86,181 |
$19,033 |
6.00 |
Cystic fibrosis - pulmonary disease |
1 |
$26,059 |
$5,734 |
$26,059 |
$5,734 |
1.00 |
Cardiac valve procedures w AMI or complex PDX |
1 |
$424,170 |
$87,034 |
$424,170 |
$87,034 |
17.00 |
Permanent cardiac pacemaker implant w AMI, heart failure or shock |
1 |
$190,648 |
$44,223 |
$190,648 |
$44,223 |
14.00 |
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses |
1 |
$63,111 |
$13,142 |
$63,111 |
$13,142 |
3.00 |
Hand & wrist procedures |
1 |
$44,100 |
$7,450 |
$44,100 |
$7,450 |
1.00 |
Other bladder procedures |
1 |
$16,018 |
$3,160 |
$16,018 |
$3,160 |
1.00 |
Testes & scrotal procedures |
1 |
$133,610 |
$23,625 |
$133,610 |
$23,625 |
2.00 |
Other male reproductive system & related procedures |
1 |
$40,211 |
$7,320 |
$40,211 |
$7,320 |
1.00 |
Dilation & curettage for non-obstetric diagnoses |
1 |
$173,313 |
$33,478 |
$173,313 |
$33,478 |
8.00 |
Neonate bwt 1250-1499g w or w/o other significant condition |
1 |
$209,033 |
$102,658 |
$209,033 |
$102,658 |
19.00 |
Neonate bwt 2000-2499g w major anomaly |
1 |
$31,959 |
$13,314 |
$31,959 |
$13,314 |
3.00 |
Splenectomy |
1 |
$368,105 |
$74,447 |
$368,105 |
$74,447 |
17.00 |
Bipolar disorders |
1 |
$35,209 |
$6,446 |
$35,209 |
$6,446 |
2.00 |
Depression except major depressive disorder |
1 |
$51,054 |
$13,842 |
$51,054 |
$13,842 |
5.00 |
Adjustment disorders & neuroses except depressive diagnoses |
1 |
$18,864 |
$3,358 |
$18,864 |
$3,358 |
1.00 |
Neonatal aftercare |
1 |
$253,817 |
$130,710 |
$253,817 |
$130,710 |
24.00 |
HIV w one signif HIV cond or w/o signif related cond |
1 |
$23,054 |
$5,016 |
$23,054 |
$5,016 |
2.00 |
Musculoskeletal & other procedures for multiple significant trauma |
1 |
$136,427 |
$27,520 |
$136,427 |
$27,520 |
7.00 |
Principal diagnosis invalid as discharge diagnosis |
1 |
$6,807 |
$2,122 |
$6,807 |
$2,122 |
1.00 |