Good Samaritan Hospital of Suffern

2020 Age Distribution

2020 Patient Race:

White12,005
Other Race2,151
Black/African American1,406
Multi-racial90

2020 Payers:

Medicare 5,379
Medicaid 6,948
Private Health Insurance 2,038
Blue Cross/Blue Shield 1,081
Self-Pay 164
Miscellaneous/Other 25
Federal/State/Local/VA 17

Conditions treated in 2020

Click on a column header to sort ascending or descending.
DRG Count Avg. Charge Avg. Cost Sum all Charges Sum all Costs Avg. LOS
NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM 3102 $10,847 $2,655 $33,646,887 $8,234,909 1.83
VAGINAL DELIVERY 2884 $33,950 $4,545 $97,913,007 $13,107,783 1.96
MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS 802 $90,718 $19,068 $72,756,227 $15,292,221 6.59
SEPTICEMIA & DISSEMINATED INFECTIONS 637 $134,343 $30,495 $85,576,775 $19,425,535 7.32
HEART FAILURE 323 $86,229 $21,814 $27,852,088 $7,046,030 5.17
OTHER PNEUMONIA 322 $72,740 $14,232 $23,422,440 $4,582,754 4.62
CESAREAN SECTION W/O STERILIZATION 283 $59,678 $8,471 $16,888,803 $2,397,167 3.19
ALCOHOL ABUSE & DEPENDENCE 246 $45,475 $9,917 $11,186,855 $2,439,670 4.57
KIDNEY & URINARY TRACT INFECTIONS 233 $68,188 $11,100 $15,887,815 $2,586,369 4.29
ACUTE KIDNEY INJURY 220 $95,335 $19,426 $20,973,746 $4,273,799 5.81
KNEE JOINT REPLACEMENT 194 $127,468 $20,048 $24,728,735 $3,889,377 2.35
OPIOID ABUSE & DEPENDENCE 192 $31,550 $6,545 $6,057,648 $1,256,659 4.26
PERCUTANEOUS CARDIAC INTERVENTION W AMI 189 $141,798 $28,029 $26,799,811 $5,297,570 2.85
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS 184 $60,051 $14,871 $11,049,458 $2,736,185 3.11
ALCOHOL & DRUG DEPENDENCE W REHAB OR REHAB/DETOX THERAPY 179 $91,643 $22,387 $16,404,034 $4,007,246 13.94
PROCEDURES FOR OBESITY 168 $94,912 $17,120 $15,945,149 $2,876,083 1.13
CVA & PRECEREBRAL OCCLUSION W INFARCT 140 $80,566 $16,667 $11,279,207 $2,333,395 3.71
HIP JOINT REPLACEMENT 137 $135,774 $21,880 $18,600,973 $2,997,538 2.90
CELLULITIS & OTHER SKIN INFECTIONS 133 $63,406 $10,385 $8,433,034 $1,381,199 4.44
CHRONIC OBSTRUCTIVE PULMONARY DISEASE 132 $77,169 $14,787 $10,186,244 $1,951,865 4.48
ACUTE MYOCARDIAL INFARCTION 119 $86,455 $20,078 $10,288,200 $2,389,329 3.47
DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE 118 $23,098 $4,729 $2,725,587 $558,010 2.57
SEIZURE 114 $75,975 $17,914 $8,661,118 $2,042,145 4.55
CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS 102 $114,522 $25,393 $11,681,213 $2,590,135 4.01
DIVERTICULITIS & DIVERTICULOSIS 98 $79,721 $13,897 $7,812,669 $1,361,902 4.44
DIABETES 96 $69,137 $14,920 $6,637,132 $1,432,316 4.40
PERCUTANEOUS CARDIAC INTERVENTION W/O AMI 94 $182,393 $34,244 $17,144,982 $3,218,915 2.89
ANTEPARTUM W/O O.R. PROCEDURE 91 $29,065 $4,833 $2,644,917 $439,794 2.42
OTHER DIGESTIVE SYSTEM DIAGNOSES 86 $73,045 $11,426 $6,281,838 $982,630 3.97
MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC 86 $108,434 $18,879 $9,325,346 $1,623,603 6.50
INTESTINAL OBSTRUCTION 85 $69,970 $11,260 $5,947,459 $957,094 4.60
DISORDERS OF PANCREAS EXCEPT MALIGNANCY 84 $72,659 $11,800 $6,103,378 $991,213 4.30
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS 83 $303,466 $87,296 $25,187,643 $7,245,546 14.93
OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS 76 $86,847 $18,856 $6,600,355 $1,433,072 4.18
HIP & FEMUR FRACTURE REPAIR 75 $137,779 $24,798 $10,333,456 $1,859,830 5.25
OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE 74 $96,911 $21,401 $7,171,426 $1,583,639 4.74
SYNCOPE & COLLAPSE 69 $63,509 $10,922 $4,382,108 $753,645 3.25
MAJOR LARGE BOWEL PROCEDURES 69 $195,668 $39,264 $13,501,094 $2,709,197 5.71
CHOLECYSTECTOMY 68 $125,195 $19,181 $8,513,284 $1,304,326 4.06
INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE 67 $263,633 $58,851 $17,663,429 $3,943,019 10.96
OTHER GASTROENTERITIS, NAUSEA & VOMITING 67 $64,283 $9,104 $4,306,936 $609,966 4.04
OTHER PERIPHERAL VASCULAR PROCEDURES 67 $211,080 $36,755 $14,142,360 $2,462,567 5.21
PEPTIC ULCER & GASTRITIS 66 $103,643 $21,578 $6,840,423 $1,424,132 4.52
PULMONARY EMBOLISM 62 $76,346 $16,531 $4,733,465 $1,024,898 4.18
NON-HYPOVOLEMIC SODIUM DISORDERS 56 $69,473 $14,273 $3,890,476 $799,268 4.45
CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE 52 $89,494 $16,348 $4,653,712 $850,096 2.38
OTHER DISORDERS OF NERVOUS SYSTEM 50 $64,734 $11,800 $3,236,697 $590,003 3.82
NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND 50 $82,083 $20,217 $4,104,129 $1,010,826 5.54
NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM 50 $33,837 $8,585 $1,691,861 $429,246 3.38
SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS 48 $63,324 $11,435 $3,039,568 $548,884 3.81
LOWER EXTREMITY ARTERIAL PROCEDURES 48 $179,387 $34,622 $8,610,569 $1,661,845 4.81
PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK 46 $191,307 $37,010 $8,800,113 $1,702,459 3.96
VAGINAL DELIVERY W O.R. PROCEDURE EXCEPT STERILIZATION &/OR D&C 44 $44,589 $6,561 $1,961,928 $288,689 2.34
OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES 43 $61,800 $9,953 $2,657,382 $427,962 3.81
RESPIRATORY FAILURE 42 $102,193 $22,128 $4,292,122 $929,378 5.62
OPEN EXTRACRANIAL VASCULAR PROCEDURES 42 $77,788 $13,743 $3,267,091 $577,200 1.17
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES 41 $76,381 $11,826 $3,131,638 $484,866 4.61
DISORDERS OF GALLBLADDER & BILIARY TRACT 41 $89,878 $14,541 $3,684,997 $596,190 4.63
PERIPHERAL & OTHER VASCULAR DISORDERS 40 $73,681 $14,172 $2,947,235 $566,882 3.95
CORONARY BYPASS W/O AMI OR COMPLEX PDX 37 $260,154 $64,186 $9,625,715 $2,374,872 6.00
ALCOHOLIC LIVER DISEASE 36 $98,887 $20,265 $3,559,940 $729,549 6.03
MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 36 $227,997 $45,439 $8,207,890 $1,635,809 10.56
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS 36 $70,041 $16,869 $2,521,459 $607,288 4.14
URETHRAL & TRANSURETHRAL PROCEDURES 34 $116,332 $19,162 $3,955,295 $651,494 4.32
TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE 34 $585,028 $162,640 $19,890,935 $5,529,751 26.94
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES 34 $72,956 $15,440 $2,480,515 $524,962 4.09
HYPERTENSION 33 $70,367 $16,753 $2,322,099 $552,864 3.97
ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS 32 $42,842 $9,585 $1,370,954 $306,715 2.41
INFLAMMATORY BOWEL DISEASE 32 $47,842 $7,520 $1,530,952 $240,647 2.72
CORONARY BYPASS W AMI OR COMPLEX PDX 31 $365,254 $89,492 $11,322,882 $2,774,267 9.45
HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE 30 $83,338 $20,704 $2,500,144 $621,107 4.83
MASTECTOMY PROCEDURES 30 $140,283 $23,559 $4,208,483 $706,769 1.67
TRANSIENT ISCHEMIA 30 $71,030 $12,076 $2,130,888 $362,273 3.27
URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION 30 $59,631 $8,035 $1,788,938 $241,039 2.10
MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS 29 $85,809 $14,145 $2,488,456 $410,206 5.72
OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS 29 $98,057 $15,385 $2,843,660 $446,179 6.41
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS 28 $140,809 $25,746 $3,942,665 $720,899 8.57
OTHER RESPIRATORY & CHEST PROCEDURES 28 $114,605 $25,806 $3,208,940 $722,569 3.04
NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION 28 $67,084 $16,889 $1,878,344 $472,889 5.11
OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS 28 $73,733 $11,929 $2,064,536 $334,020 4.29
INTRACRANIAL HEMORRHAGE 27 $84,734 $21,424 $2,287,829 $578,437 4.19
FOOT & TOE PROCEDURES 27 $155,717 $21,764 $4,204,371 $587,620 7.67
MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES 26 $208,417 $49,438 $5,418,839 $1,285,385 6.50
COCAINE ABUSE & DEPENDENCE 26 $31,822 $6,290 $827,374 $163,546 4.15
AMPUTATION OF LOWER LIMB EXCEPT TOES 26 $195,693 $31,476 $5,088,020 $818,368 9.35
INFECTIONS OF UPPER RESPIRATORY TRACT 26 $72,104 $13,372 $1,874,713 $347,681 4.35
KNEE & LOWER LEG PROCEDURES EXCEPT FOOT 25 $137,336 $21,149 $3,433,393 $528,736 4.52
MAJOR RESPIRATORY & CHEST PROCEDURES 25 $191,836 $51,083 $4,795,906 $1,277,074 4.84
OTHER CIRCULATORY SYSTEM DIAGNOSES 24 $83,773 $20,121 $2,010,555 $482,896 3.83
NEONATE BIRTHWT >2499G W MAJOR ANOMALY 24 $61,785 $14,735 $1,482,833 $353,633 4.75
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES 23 $115,636 $18,157 $2,659,632 $417,615 4.13
ALTERATION IN CONSCIOUSNESS 23 $77,933 $14,457 $1,792,468 $332,509 4.30
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS 22 $108,733 $17,589 $2,392,122 $386,956 3.14
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS 22 $67,069 $10,550 $1,475,515 $232,108 4.82
ASTHMA 22 $72,256 $12,838 $1,589,637 $282,431 4.14
ACUTE BRONCHITIS & RELATED SYMPTOMS 21 $56,014 $10,061 $1,176,289 $211,288 3.00
POISONING OF MEDICINAL AGENTS 21 $64,553 $14,964 $1,355,615 $314,248 3.52
HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS 21 $67,557 $11,116 $1,418,693 $233,434 5.05
INTERVERTEBRAL DISC EXCISION & DECOMPRESSION 21 $115,516 $20,027 $2,425,836 $420,565 3.33
OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES 21 $78,791 $15,597 $1,654,617 $327,528 4.86
NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION 20 $60,814 $14,990 $1,216,275 $299,808 4.15
MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS 19 $75,291 $11,561 $1,430,538 $219,662 5.42
MAJOR ESOPHAGEAL DISORDERS 19 $109,630 $23,547 $2,082,964 $447,392 4.89
SKIN ULCERS 19 $88,608 $14,145 $1,683,560 $268,746 6.11
RESPIRATORY MALIGNANCY 19 $90,386 $14,479 $1,717,333 $275,104 4.84
INTENTIONAL SELF-HARM & ATTEMPTED SUICIDE 18 $79,912 $16,346 $1,438,417 $294,235 4.78
VERTIGO & OTHER LABYRINTH DISORDERS 18 $57,076 $8,119 $1,027,362 $146,145 2.89
FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK 18 $59,766 $9,287 $1,075,792 $167,168 3.72
DEFIBRILLATOR IMPLANTS 18 $290,313 $62,052 $5,225,640 $1,116,934 5.67
CHEST PAIN 18 $47,290 $8,984 $851,226 $161,714 2.11
MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE 18 $128,217 $28,367 $2,307,902 $510,609 6.67
NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE 16 $21,608 $4,554 $345,724 $72,857 1.19
PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS 16 $77,340 $14,399 $1,237,433 $230,389 4.00
MAJOR SMALL BOWEL PROCEDURES 16 $246,289 $49,969 $3,940,616 $799,502 9.56
NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND 16 $184,412 $47,378 $2,950,587 $758,044 13.25
CHRONIC KIDNEY DISEASE 16 $67,840 $13,411 $1,085,433 $214,580 3.63
FEVER & INFLAMMATORY CONDITIONS 15 $83,065 $13,744 $1,245,976 $206,163 3.33
MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL 15 $83,214 $17,564 $1,248,207 $263,457 4.27
GASTROINTESTINAL VASCULAR INSUFFICIENCY 15 $81,078 $13,538 $1,216,171 $203,077 4.80
CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE 15 $67,825 $12,193 $1,017,375 $182,892 3.67
SHOULDER & ELBOW JOINT REPLACEMENT 15 $147,773 $24,489 $2,216,588 $367,342 2.47
NERVOUS SYSTEM MALIGNANCY 14 $113,665 $21,596 $1,591,310 $302,342 5.71
OPEN CRANIOTOMY EXCEPT TRAUMA 14 $180,213 $41,748 $2,522,984 $584,466 5.21
UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA 14 $78,073 $11,655 $1,093,025 $163,170 2.07
MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS 14 $130,508 $26,226 $1,827,118 $367,160 6.50
MIGRAINE & OTHER HEADACHES 13 $68,402 $11,668 $889,221 $151,682 3.54
EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 13 $216,775 $46,320 $2,818,079 $602,160 7.23
DIGESTIVE MALIGNANCY 13 $105,994 $16,841 $1,377,921 $218,934 5.38
OTHER DISORDERS OF THE LIVER 13 $98,657 $19,871 $1,282,541 $258,318 5.46
VIRAL ILLNESS 13 $46,165 $6,875 $600,151 $89,380 2.77
MAJOR CHEST & RESPIRATORY TRAUMA 12 $83,981 $16,871 $1,007,776 $202,455 4.17
OTHER ESOPHAGEAL DISORDERS 12 $85,986 $10,409 $1,031,836 $124,912 4.42
OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES 12 $114,424 $15,507 $1,373,083 $186,078 6.67
LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR 12 $106,370 $19,596 $1,276,445 $235,153 5.33
OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS 12 $70,413 $10,788 $844,958 $129,457 5.25
CARDIAC VALVE PROCEDURES W/O AMI OR COMPLEX PDX 12 $297,379 $73,046 $3,568,550 $876,555 6.42
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS 11 $104,906 $15,384 $1,153,971 $169,219 3.00
FRACTURE OF PELVIS OR DISLOCATION OF HIP 11 $55,300 $7,431 $608,304 $81,741 3.27
COAGULATION & PLATELET DISORDERS 11 $90,238 $22,523 $992,621 $247,757 4.91
HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS 11 $74,823 $14,649 $823,049 $161,137 4.45
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL 11 $150,852 $24,288 $1,659,371 $267,166 4.27
DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK 10 $200,953 $39,273 $2,009,529 $392,727 3.50
SICKLE CELL ANEMIA CRISIS 10 $69,713 $13,811 $697,129 $138,107 4.60
ANTEPARTUM W O.R. PROCEDURE 10 $84,897 $12,908 $848,973 $129,075 2.50
CARDIAC STRUCTURAL & VALVULAR DISORDERS 10 $52,216 $11,916 $522,160 $119,156 2.80
INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES 10 $124,851 $17,724 $1,248,509 $177,241 5.10
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY 10 $67,768 $9,634 $677,678 $96,335 4.70
FRACTURE OF FEMUR 10 $58,139 $9,991 $581,392 $99,910 3.20
RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES 9 $81,999 $12,579 $737,987 $113,210 4.11
TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES 9 $149,669 $20,525 $1,347,021 $184,722 6.56
MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE 9 $111,187 $17,156 $1,000,682 $154,405 7.44
ABDOMINAL PAIN 9 $67,409 $8,616 $606,680 $77,543 3.33
OTHER SMALL & LARGE BOWEL PROCEDURES 9 $159,486 $29,022 $1,435,370 $261,202 6.00
OTHER INFECTIOUS & PARASITIC DISEASES 9 $70,165 $12,548 $631,487 $112,935 4.00
INTERSTITIAL & ALVEOLAR LUNG DISEASES 8 $81,312 $13,848 $650,498 $110,785 5.75
RENAL DIALYSIS ACCESS DEVICE PROCEDURES & VESSEL REPAIR 8 $171,817 $32,053 $1,374,533 $256,423 7.50
CARDIAC ARREST & SHOCK 8 $123,127 $27,099 $985,019 $216,792 3.88
LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA 8 $109,429 $25,760 $875,434 $206,078 5.00
OPEN CRANIOTOMY FOR TRAUMA 8 $146,673 $39,070 $1,173,384 $312,560 5.00
CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP 8 $162,750 $26,205 $1,301,996 $209,643 5.50
POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE 8 $126,808 $25,303 $1,014,462 $202,426 3.88
MAJOR ABDOMINAL VASCULAR PROCEDURES 8 $126,909 $24,665 $1,015,274 $197,322 2.25
NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 8 $157,726 $26,223 $1,261,808 $209,780 8.00
MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE 8 $89,305 $19,373 $714,442 $154,982 5.00
ACUTE ANXIETY & DELIRIUM STATES 8 $53,804 $11,432 $430,432 $91,456 2.75
OTHER COMPLICATIONS OF TREATMENT 8 $74,811 $14,440 $598,487 $115,516 3.88
SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT 8 $156,200 $29,417 $1,249,600 $235,337 5.50
MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG 7 $105,670 $17,394 $739,689 $121,758 5.71
OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES 7 $119,769 $24,103 $838,383 $168,724 3.57
KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY 7 $125,385 $21,289 $877,692 $149,026 2.57
PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE 7 $199,854 $45,886 $1,398,979 $321,199 3.57
VAGINAL DELIVERY W STERILIZATION &/OR D&C 7 $47,063 $6,210 $329,441 $43,473 2.29
EXTERNAL HEART ASSIST SYSTEMS 7 $353,743 $69,848 $2,476,203 $488,933 4.00
MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE 6 $90,638 $23,578 $543,825 $141,466 4.17
INSERTION, REVISION & REPLACEMENTS OF PACEMAKER & OTHER CARDIAC DEVICES 6 $176,087 $32,629 $1,056,520 $195,775 3.33
CONNECTIVE TISSUE DISORDERS 6 $108,670 $23,318 $652,021 $139,905 6.00
TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE 6 $785,483 $217,279 $4,712,897 $1,303,674 29.83
MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES 6 $80,118 $16,031 $480,709 $96,187 4.50
OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES 6 $227,148 $44,763 $1,362,885 $268,578 5.67
UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA 5 $93,445 $16,028 $467,227 $80,139 2.40
HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION 5 $60,439 $10,718 $302,193 $53,588 4.00
OTHER DRUG ABUSE & DEPENDENCE 5 $33,791 $5,236 $168,953 $26,179 3.00
PERITONEAL ADHESIOLYSIS 5 $158,237 $31,295 $791,185 $156,473 6.80
NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION 5 $142,000 $36,433 $710,000 $182,163 11.80
EYE INFECTIONS & OTHER EYE DISORDERS 5 $54,287 $9,929 $271,434 $49,646 1.60
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY 5 $90,876 $17,539 $454,378 $87,695 4.60
MAJOR MALE PELVIC PROCEDURES 5 $173,970 $45,474 $869,850 $227,368 4.40
OTHER ENDOCRINE DISORDERS 5 $126,634 $30,222 $633,171 $151,111 6.80
TRANSURETHRAL PROSTATECTOMY 5 $78,232 $10,988 $391,161 $54,941 1.80
MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES 5 $42,412 $5,278 $212,060 $26,390 3.00
CESAREAN SECTION W STERILIZATION 4 $103,369 $20,335 $413,474 $81,341 4.50
CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT 4 $276,605 $69,603 $1,106,420 $278,413 9.25
NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION 4 $160,997 $41,930 $643,986 $167,718 12.25
ALLERGIC REACTIONS 4 $54,388 $10,625 $217,552 $42,499 2.00
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS 4 $71,646 $15,083 $286,584 $60,332 2.50
OTHER CIRCULATORY SYSTEM PROCEDURES 4 $301,744 $67,478 $1,206,976 $269,912 13.50
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES 4 $42,002 $10,643 $168,008 $42,571 2.25
OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES 4 $89,741 $15,717 $358,962 $62,868 1.75
SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES 4 $198,437 $29,748 $793,746 $118,992 10.00
PERCUTANEOUS INTRA & EXTRACRANIAL VASCULAR PROCEDURES 4 $103,824 $21,643 $415,295 $86,572 1.25
MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 4 $314,654 $53,477 $1,258,616 $213,907 14.50
PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES 4 $325,847 $60,312 $1,303,388 $241,247 1.00
DENTAL DISEASES & DISORDERS 3 $81,912 $10,371 $245,736 $31,114 5.00
SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES 3 $199,359 $45,522 $598,076 $136,567 11.33
SCHIZOPHRENIA 3 $52,661 $8,439 $157,982 $25,316 5.67
OTHER NERVOUS SYSTEM & RELATED PROCEDURES 3 $135,511 $30,200 $406,532 $90,601 3.67
SPINAL PROCEDURES 3 $117,429 $19,218 $352,287 $57,653 4.00
BIPOLAR DISORDERS 3 $80,416 $10,790 $241,249 $32,369 6.00
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM 3 $170,947 $36,088 $512,840 $108,264 7.00
MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS 3 $227,496 $41,373 $682,487 $124,120 10.67
MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA 3 $154,243 $29,211 $462,728 $87,634 5.33
OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES 3 $149,732 $31,866 $449,197 $95,598 3.33
OTHER BLADDER PROCEDURES 2 $211,320 $49,273 $422,640 $98,545 5.00
NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS 2 $103,906 $24,093 $207,812 $48,186 5.50
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT 2 $83,326 $14,279 $166,652 $28,557 3.00
FEMALE REPRODUCTIVE SYSTEM INFECTIONS 2 $36,645 $4,553 $73,290 $9,105 2.00
PENIS, TESTES & SCROTAL PROCEDURES 2 $88,419 $11,270 $176,838 $22,540 2.00
OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES 2 $230,338 $52,732 $460,675 $105,463 11.50
CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX 2 $377,681 $94,000 $755,362 $188,000 8.50
OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES 2 $33,824 $3,936 $67,647 $7,871 1.00
KIDNEY & URINARY TRACT MALIGNANCY 2 $67,532 $15,128 $135,064 $30,255 4.00
BREAST PROCEDURES EXCEPT MASTECTOMY 2 $191,127 $44,649 $382,253 $89,297 3.00
EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 2 $135,879 $18,998 $271,757 $37,995 4.50
NEONATAL AFTERCARE 2 $207,357 $53,383 $414,714 $106,766 15.00
CARDIOMYOPATHY 2 $56,942 $12,738 $113,884 $25,475 3.50
OTHER MENTAL HEALTH DISORDERS 2 $58,042 $7,226 $116,083 $14,451 4.50
OTHER SIGNIFICANT HIP & FEMUR SURGERY 2 $164,567 $27,698 $329,134 $55,395 4.00
THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES 2 $97,869 $18,644 $195,738 $37,288 2.00
NEPHRITIS & NEPHROSIS 1 $59,674 $10,063 $59,674 $10,063 3.00
PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK 1 $222,008 $45,730 $222,008 $45,730 7.00
THYROID DISORDERS 1 $26,126 $3,973 $26,126 $3,973 3.00
VENTRICULAR SHUNT PROCEDURES 1 $122,974 $23,392 $122,974 $23,392 5.00
OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS 1 $73,654 $15,607 $73,654 $15,607 1.00
OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES 1 $222,399 $39,001 $222,399 $39,001 11.00
NEONATE BWT 2000-2499G W CONGENITAL/PERINATAL INFECTION 1 $197,113 $50,367 $197,113 $50,367 14.00
CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA 1 $51,740 $10,248 $51,740 $10,248 1.00
ANOXIC & OTHER SEVERE BRAIN DAMAGE 1 $309,674 $100,641 $309,674 $100,641 13.00
DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES 1 $116,096 $25,623 $116,096 $25,623 3.00
DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER 1 $53,294 $7,762 $53,294 $7,762 5.00
SPINAL DISORDERS & INJURIES 1 $84,180 $17,258 $84,180 $17,258 6.00
BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA 1 $66,160 $20,916 $66,160 $20,916 3.00
INBORN ERRORS OF METABOLISM 1 $44,819 $10,908 $44,819 $10,908 3.00
NEONATE BWT 1500-1999G W RESP DIST SYND/OTH MAJ RESP COND 1 $508,408 $128,582 $508,408 $128,582 35.00
GASTRIC FUNDOPLICATION 1 $116,906 $22,998 $116,906 $22,998 2.00
NEONATE BWT 2000-2499G W MAJOR ANOMALY 1 $120,121 $33,234 $120,121 $33,234 7.00
KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY 1 $188,826 $43,476 $188,826 $43,476 5.00
PARTIAL THICKNESS BURNS W/O SKIN GRAFT 1 $89,008 $12,038 $89,008 $12,038 7.00
HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND 1 $63,206 $16,812 $63,206 $16,812 3.00
NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM 1 $562,708 $143,136 $562,708 $143,136 39.00
ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES 1 $184,498 $26,628 $184,498 $26,628 17.00
ANAL PROCEDURES 1 $98,239 $12,848 $98,239 $12,848 5.00
VIRAL MENINGITIS 1 $81,732 $11,232 $81,732 $11,232 6.00
OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES 1 $164,034 $22,338 $164,034 $22,338 8.00
OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES 1 $211,649 $39,145 $211,649 $39,145 4.00
NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 1 $181,398 $43,307 $181,398 $43,307 7.00