Good Samaritan Hospital of Suffern

2017 Age Distribution

2017 Patient Race:

Black/African American1,487
Multi-racial113
Other Race2,416
White12,130

2017 Payers:

Blue Cross/Blue Shield 1,401
Federal/State/Local/VA 11
Medicaid 5,931
Medicare 6,360
Miscellaneous/Other 52
Private Health Insurance 2,193
Self-Pay 198

Conditions treated in 2017

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 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