Good Samaritan Hospital of Suffern

2019 Age Distribution

2019 Patient Race:

White13,247
Black/African American1,597
Multi-racial96
Other Race2,348

2019 Payers:

Blue Cross/Blue Shield 1,208
Medicare 6,663
Medicaid 6,902
Private Health Insurance 2,181
Self-Pay 209
Miscellaneous/Other 75
Federal/State/Local/VA 50

Conditions treated in 2019

Click on a column header to sort ascending or descending.
DRG Count Avg. Charge Avg. Cost Sum all Charges Sum all Costs Avg. LOS
VAGINAL DELIVERY 3021 $33,082 $5,842 $99,941,476 $17,648,988 2.16
NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM 2880 $11,807 $2,284 $34,003,741 $6,576,770 2.09
SEPTICEMIA & DISSEMINATED INFECTIONS 739 $137,527 $22,483 $101,632,239 $16,614,930 7.76
HEART FAILURE 533 $96,379 $16,215 $51,369,757 $8,642,690 6.02
OTHER PNEUMONIA 478 $84,321 $13,602 $40,305,539 $6,501,883 5.15
KIDNEY & URINARY TRACT INFECTIONS 413 $67,018 $10,591 $27,678,611 $4,374,020 4.59
CESAREAN DELIVERY 342 $56,618 $9,620 $19,363,408 $3,289,943 3.45
ALCOHOL ABUSE & DEPENDENCE 297 $39,293 $6,659 $11,669,975 $1,977,806 4.28
CELLULITIS & OTHER SKIN INFECTIONS 239 $62,928 $10,458 $15,039,862 $2,499,390 4.63
PERCUTANEOUS CORONARY INTERVENTION W AMI 235 $176,559 $23,410 $41,491,461 $5,501,396 3.54
KNEE JOINT REPLACEMENT 234 $120,823 $20,178 $28,272,684 $4,721,643 2.31
CHRONIC OBSTRUCTIVE PULMONARY DISEASE 230 $76,012 $12,241 $17,482,769 $2,815,410 4.70
ALCOHOL & DRUG DEPENDENCE W REHAB OR REHAB/DETOX THERAPY 220 $78,172 $17,486 $17,197,774 $3,846,887 12.83
OPIOID ABUSE & DEPENDENCE 214 $29,998 $5,456 $6,419,470 $1,167,672 4.26
ACUTE KIDNEY INJURY 206 $102,901 $16,873 $21,197,691 $3,475,809 6.71
PROCEDURES FOR OBESITY 202 $85,279 $14,764 $17,226,273 $2,982,394 1.21
ACUTE MYOCARDIAL INFARCTION 188 $91,212 $13,357 $17,147,792 $2,511,068 3.91
CVA & PRECEREBRAL OCCLUSION W INFARCT 180 $80,523 $11,666 $14,494,062 $2,099,919 3.84
CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS 180 $109,649 $15,718 $19,736,784 $2,829,208 4.54
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS 180 $59,895 $9,236 $10,781,163 $1,662,508 3.30
MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS 170 $119,086 $19,506 $20,244,602 $3,316,071 7.52
HIP JOINT REPLACEMENT 147 $131,040 $21,968 $19,262,942 $3,229,243 2.83
SEIZURE 135 $64,218 $9,759 $8,669,400 $1,317,484 3.70
DIVERTICULITIS & DIVERTICULOSIS 128 $81,503 $11,535 $10,432,361 $1,476,472 4.44
DISORDERS OF PANCREAS EXCEPT MALIGNANCY 128 $65,899 $9,874 $8,435,105 $1,263,827 4.27
DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE 109 $27,343 $4,928 $2,980,434 $537,187 3.08
MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC 106 $105,470 $17,714 $11,179,824 $1,877,719 6.42
OTHER GASTROENTERITIS, NAUSEA & VOMITING 105 $64,180 $9,211 $6,738,859 $967,125 3.92
OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE 101 $88,646 $12,572 $8,953,242 $1,269,773 4.53
PEPTIC ULCER & GASTRITIS 100 $91,196 $11,902 $9,119,634 $1,190,151 3.93
INTESTINAL OBSTRUCTION 98 $71,420 $10,589 $6,999,118 $1,037,734 4.51
CHOLECYSTECTOMY 98 $120,819 $18,524 $11,840,298 $1,815,341 4.22
LOWER EXTREMITY ARTERIAL PROCEDURES 97 $214,106 $31,948 $20,768,262 $3,098,984 6.39
HIP & FEMUR FRACTURE REPAIR 95 $129,050 $20,922 $12,259,712 $1,987,550 4.96
PERCUTANEOUS CORONARY INTERVENTION W/O AMI 92 $209,124 $28,131 $19,239,434 $2,588,041 4.34
OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS 90 $82,893 $12,023 $7,460,409 $1,082,066 4.43
DIABETES 83 $83,876 $13,417 $6,961,688 $1,113,631 5.08
PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK 80 $174,485 $27,492 $13,958,796 $2,199,330 4.93
OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES 80 $70,941 $10,794 $5,675,306 $863,480 4.44
CORONARY BYPASS W/O AMI OR COMPLEX PDX 77 $267,328 $48,237 $20,584,286 $3,714,267 6.79
OTHER DIGESTIVE SYSTEM DIAGNOSES 74 $77,677 $10,911 $5,748,126 $807,390 4.35
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS 73 $64,139 $11,414 $4,682,169 $833,232 3.75
OTHER ANTEPARTUM DIAGNOSES 71 $31,821 $5,547 $2,259,325 $393,803 3.28
CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE 70 $83,760 $11,224 $5,863,172 $785,678 2.76
NON-HYPOVOLEMIC SODIUM DISORDERS 66 $74,607 $11,699 $4,924,065 $772,158 4.89
MAJOR LARGE BOWEL PROCEDURES 66 $201,333 $33,640 $13,287,984 $2,220,220 6.27
MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS 65 $87,864 $14,128 $5,711,182 $918,320 6.42
SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS 64 $64,542 $9,879 $4,130,704 $632,266 4.08
SYNCOPE & COLLAPSE 64 $60,514 $8,801 $3,872,904 $563,273 3.06
INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE 63 $297,251 $49,498 $18,726,836 $3,118,382 13.25
PERIPHERAL & OTHER VASCULAR DISORDERS 59 $87,275 $14,160 $5,149,229 $835,457 6.29
PULMONARY EMBOLISM 55 $77,624 $11,905 $4,269,304 $654,771 4.33
EXTRACRANIAL VASCULAR PROCEDURES 54 $94,015 $13,596 $5,076,824 $734,185 2.11
RESPIRATORY FAILURE 51 $107,449 $17,877 $5,479,917 $911,744 6.00
NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND 51 $82,925 $16,244 $4,229,194 $828,449 6.12
URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION 50 $74,286 $10,586 $3,714,313 $529,312 2.86
MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 50 $167,621 $26,719 $8,381,060 $1,335,937 7.58
DISORDERS OF GALLBLADDER & BILIARY TRACT 50 $85,756 $12,812 $4,287,820 $640,620 4.54
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES 49 $68,746 $10,736 $3,368,567 $526,065 4.57
OTHER PERIPHERAL VASCULAR PROCEDURES 49 $191,044 $33,918 $9,361,179 $1,661,964 3.47
OTHER DISORDERS OF NERVOUS SYSTEM 48 $72,726 $10,809 $3,490,869 $518,817 4.27
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES 48 $65,845 $10,379 $3,160,559 $498,182 3.90
OTHER RESPIRATORY & CHEST PROCEDURES 48 $137,260 $22,309 $6,588,501 $1,070,844 4.33
HYPERTENSION 45 $63,086 $9,831 $2,838,891 $442,405 3.73
OTHER CIRCULATORY SYSTEM DIAGNOSES 45 $59,595 $9,163 $2,681,791 $412,327 3.24
KNEE & LOWER LEG PROCEDURES EXCEPT FOOT 45 $115,012 $21,827 $5,175,531 $982,219 3.60
TRANSIENT ISCHEMIA 41 $68,973 $9,819 $2,827,901 $402,597 3.41
CORONARY BYPASS W AMI OR COMPLEX PDX 41 $343,362 $60,715 $14,077,861 $2,489,297 9.12
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL 40 $139,541 $21,586 $5,581,620 $863,436 5.28
ASTHMA 40 $66,172 $10,461 $2,646,893 $418,452 3.98
NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM 40 $41,528 $8,334 $1,661,136 $333,343 4.03
HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE 39 $89,704 $14,438 $3,498,471 $563,082 4.69
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS 38 $92,427 $15,285 $3,512,216 $580,848 6.74
HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS 38 $80,019 $12,466 $3,040,735 $473,695 5.42
INFLAMMATORY BOWEL DISEASE 38 $77,838 $11,689 $2,957,849 $444,172 4.74
ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS 37 $51,286 $8,205 $1,897,564 $303,577 2.46
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS 36 $114,379 $19,485 $4,117,627 $701,457 6.75
INFECTIONS OF UPPER RESPIRATORY TRACT 36 $57,299 $8,989 $2,062,765 $323,599 3.67
VAGINAL DELIVERY W STERILIZATION &/OR D&C 35 $43,387 $7,138 $1,518,550 $249,831 2.29
OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS 35 $110,176 $17,040 $3,856,158 $596,415 6.26
VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C 34 $41,223 $7,100 $1,401,568 $241,389 2.44
URETHRAL & TRANSURETHRAL PROCEDURES 33 $104,378 $16,000 $3,444,463 $528,009 3.94
ALTERATION IN CONSCIOUSNESS 32 $87,679 $13,660 $2,805,729 $437,135 5.13
FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK 32 $55,528 $8,416 $1,776,896 $269,327 3.63
INTERVERTEBRAL DISC EXCISION & DECOMPRESSION 32 $94,032 $13,589 $3,009,037 $434,832 3.22
TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE 32 $429,772 $71,915 $13,752,714 $2,301,277 19.47
CARDIAC DEFIBRILLATOR & HEART ASSIST IMPLANT 32 $375,355 $59,758 $12,011,370 $1,912,243 6.69
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS 31 $246,630 $41,003 $7,645,536 $1,271,089 12.87
NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION 31 $54,724 $10,869 $1,696,453 $336,949 5.13
FOOT & TOE PROCEDURES 29 $147,899 $22,760 $4,289,069 $660,048 7.41
OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS 29 $82,113 $13,580 $2,381,273 $393,810 5.83
CHRONIC KIDNEY DISEASE 28 $73,836 $15,511 $2,067,417 $434,308 4.39
EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 27 $199,045 $32,660 $5,374,217 $881,826 7.70
MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES 27 $142,976 $23,357 $3,860,362 $630,628 3.59
MASTECTOMY PROCEDURES 26 $141,162 $24,313 $3,670,221 $632,143 2.50
POISONING OF MEDICINAL AGENTS 26 $66,732 $10,652 $1,735,032 $276,948 4.23
ACUTE BRONCHITIS AND RELATED SYMPTOMS 26 $61,141 $9,135 $1,589,676 $237,522 3.65
INTRACRANIAL HEMORRHAGE 25 $90,787 $14,171 $2,269,669 $354,267 4.60
AMPUTATION OF LOWER LIMB EXCEPT TOES 25 $165,669 $26,731 $4,141,715 $668,279 9.44
DIGESTIVE MALIGNANCY 24 $115,019 $16,703 $2,760,446 $400,872 7.08
NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE 24 $26,094 $4,368 $626,252 $104,839 1.42
OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES 23 $160,172 $23,878 $3,683,963 $549,185 7.22
MAJOR RESPIRATORY & CHEST PROCEDURES 23 $154,626 $25,114 $3,556,391 $577,617 3.57
RESPIRATORY MALIGNANCY 22 $82,276 $12,550 $1,810,065 $276,095 4.68
SKIN ULCERS 22 $73,155 $11,884 $1,609,402 $261,454 4.91
NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION 22 $76,700 $15,100 $1,687,389 $332,205 5.73
ALCOHOLIC LIVER DISEASE 21 $104,426 $16,909 $2,192,941 $355,081 7.05
MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL 21 $72,552 $11,754 $1,523,599 $246,830 4.95
CARDIAC VALVE PROCEDURES W/O AMI OR COMPLEX PDX 20 $303,298 $55,836 $6,065,958 $1,116,714 7.85
MAJOR CHEST & RESPIRATORY TRAUMA 20 $64,492 $9,138 $1,289,846 $182,750 3.65
MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS 20 $100,581 $15,026 $2,011,626 $300,521 5.25
MAJOR SMALL BOWEL PROCEDURES 20 $242,076 $40,586 $4,841,512 $811,714 10.25
OTHER INFECTIOUS & PARASITIC DISEASES 19 $72,630 $10,680 $1,379,975 $202,924 4.32
MAJOR ABDOMINAL VASCULAR PROCEDURES 19 $174,282 $27,587 $3,311,361 $524,162 3.68
UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA 19 $84,238 $12,924 $1,600,515 $245,557 2.26
PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS 19 $68,551 $10,688 $1,302,464 $203,064 4.26
GASTROINTESTINAL VASCULAR INSUFFICIENCY 19 $76,507 $10,851 $1,453,637 $206,163 4.21
VERTIGO & OTHER LABYRINTH DISORDERS 18 $55,573 $8,038 $1,000,305 $144,686 3.00
FRACTURE OF PELVIS OR DISLOCATION OF HIP 17 $50,248 $7,634 $854,215 $129,781 3.41
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES 17 $105,551 $15,848 $1,794,374 $269,410 4.00
ABDOMINAL PAIN 17 $63,905 $8,376 $1,086,381 $142,394 3.24
FEVER 17 $56,093 $8,170 $953,576 $138,890 3.29
NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 17 $154,867 $24,778 $2,632,743 $421,220 6.65
SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT 17 $95,781 $15,278 $1,628,279 $259,727 2.12
OTHER DISORDERS OF THE LIVER 17 $66,944 $9,769 $1,138,040 $166,068 4.35
COCAINE ABUSE & DEPENDENCE 17 $28,347 $4,937 $481,894 $83,934 3.59
NEONATE BIRTHWT >2499G W MAJOR ANOMALY 17 $66,525 $12,843 $1,130,927 $218,332 5.41
OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES 16 $65,000 $10,265 $1,039,997 $164,238 3.81
CRANIOTOMY EXCEPT FOR TRAUMA 16 $210,742 $34,255 $3,371,874 $548,075 8.31
FRACTURE OF FEMUR 16 $54,694 $8,483 $875,096 $135,728 3.63
COAGULATION & PLATELET DISORDERS 16 $93,008 $14,468 $1,488,131 $231,480 4.63
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY 16 $54,502 $8,085 $872,024 $129,356 3.63
MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE 16 $102,490 $16,848 $1,639,840 $269,566 6.13
SHOULDER & ELBOW JOINT REPLACEMENT 16 $118,390 $21,054 $1,894,239 $336,866 1.63
OTHER CIRCULATORY SYSTEM PROCEDURES 16 $216,855 $36,099 $3,469,673 $577,583 10.38
MAJOR ESOPHAGEAL DISORDERS 15 $81,843 $10,407 $1,227,652 $156,109 3.67
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS 15 $92,362 $14,430 $1,385,434 $216,457 2.27
CHEST PAIN 15 $42,234 $6,068 $633,504 $91,013 2.00
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS 14 $104,011 $16,474 $1,456,159 $230,641 3.36
OTHER COMPLICATIONS OF TREATMENT 14 $101,890 $15,409 $1,426,456 $215,722 4.79
POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE 14 $187,360 $31,066 $2,623,040 $434,919 9.50
OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS 13 $75,981 $11,910 $987,749 $154,826 5.46
OTHER SMALL & LARGE BOWEL PROCEDURES 13 $140,403 $22,388 $1,825,239 $291,046 5.92
HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION 13 $92,254 $13,174 $1,199,307 $171,257 3.85
KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY 13 $139,081 $22,597 $1,808,059 $293,766 3.85
OVERDOSE 12 $47,212 $7,825 $566,546 $93,896 3.25
MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE 12 $102,843 $15,884 $1,234,121 $190,604 5.75
TRANSURETHRAL PROSTATECTOMY 12 $102,806 $17,678 $1,233,677 $212,140 3.83
TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES 12 $104,074 $15,817 $1,248,890 $189,808 5.67
NERVOUS SYSTEM MALIGNANCY 12 $92,287 $13,620 $1,107,438 $163,440 4.75
MIGRAINE & OTHER HEADACHES 12 $56,605 $8,107 $679,258 $97,283 3.08
VIRAL ILLNESS 11 $67,845 $10,204 $746,295 $112,243 4.36
LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA 11 $111,026 $14,998 $1,221,283 $164,976 6.00
FALSE LABOR 11 $20,007 $3,529 $220,081 $38,814 1.18
MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE 11 $71,027 $10,127 $781,297 $111,399 4.09
EYE INFECTIONS AND OTHER EYE DISORDERS 11 $52,946 $7,381 $582,404 $81,187 2.55
PERITONEAL ADHESIOLYSIS 11 $156,077 $25,396 $1,716,847 $279,355 7.91
CRANIOTOMY FOR TRAUMA 11 $189,967 $31,577 $2,089,641 $347,350 8.09
NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND 11 $173,074 $34,681 $1,903,815 $381,488 13.18
CARDIAC PACEMAKER & DEFIBRILLATOR DEVICE REPLACEMENT 10 $241,343 $37,910 $2,413,425 $379,102 5.00
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES 10 $82,931 $12,907 $829,310 $129,074 4.90
OTHER ESOPHAGEAL DISORDERS 9 $90,120 $12,229 $811,076 $110,059 4.56
LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR 9 $87,741 $13,058 $789,666 $117,522 4.44
KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY 9 $165,896 $28,954 $1,493,061 $260,588 4.00
RENAL DIALYSIS ACCESS DEVICE AND VESSEL REPAIR 9 $168,715 $28,845 $1,518,433 $259,606 7.89
MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS 9 $55,882 $9,284 $502,940 $83,558 4.67
CONNECTIVE TISSUE DISORDERS 8 $98,094 $15,955 $784,753 $127,643 7.13
DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK 8 $176,684 $30,221 $1,413,473 $241,767 3.25
CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE 8 $69,481 $9,902 $555,845 $79,219 3.25
INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES 8 $109,675 $15,716 $877,397 $125,730 4.13
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS 8 $53,831 $6,900 $430,651 $55,200 2.63
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY 8 $132,400 $21,093 $1,059,199 $168,746 7.38
PRETERM LABOR 8 $21,429 $3,550 $171,429 $28,401 1.63
UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA 8 $79,039 $10,949 $632,315 $87,590 2.13
MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES 7 $78,602 $11,443 $550,216 $80,102 4.86
HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS 7 $134,017 $21,902 $938,118 $153,312 9.00
OTHER DRUG ABUSE & DEPENDENCE 7 $61,761 $10,953 $432,324 $76,668 5.71
SICKLE CELL ANEMIA CRISIS 7 $82,543 $14,435 $577,803 $101,043 7.00
DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES 7 $95,723 $13,351 $670,062 $93,458 2.71
MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG 7 $94,282 $13,846 $659,975 $96,922 4.43
MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES 7 $78,458 $14,247 $549,208 $99,728 6.57
OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES 7 $230,327 $38,532 $1,612,286 $269,727 9.29
MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 6 $209,678 $33,235 $1,258,069 $199,412 8.33
OTHER NERVOUS SYSTEM & RELATED PROCEDURES 6 $118,655 $18,575 $711,927 $111,451 3.50
CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP 6 $160,175 $26,289 $961,048 $157,731 5.50
ACUTE ANXIETY & DELIRIUM STATES 6 $61,245 $9,592 $367,472 $57,549 4.00
OTHER SIGNIFICANT HIP & FEMUR SURGERY 6 $112,493 $16,986 $674,960 $101,916 3.50
CARDIAC ARREST & SHOCK 6 $100,920 $15,322 $605,518 $91,934 3.83
BREAST PROCEDURES EXCEPT MASTECTOMY 6 $151,103 $24,600 $906,618 $147,599 2.00
THYROID DISORDERS 6 $98,715 $15,172 $592,290 $91,029 5.83
TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE 6 $728,495 $118,385 $4,370,972 $710,308 27.67
INTERSTITIAL & ALVEOLAR LUNG DISEASES 6 $91,257 $14,604 $547,539 $87,626 5.00
RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES 6 $53,503 $7,221 $321,020 $43,324 2.33
CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA 5 $77,042 $12,488 $385,210 $62,441 4.40
PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE 5 $135,995 $24,301 $679,977 $121,504 2.80
OTHER BLADDER PROCEDURES 5 $152,720 $24,398 $763,601 $121,990 5.60
OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES 5 $173,825 $29,019 $869,124 $145,097 7.40
OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS 5 $144,631 $22,186 $723,156 $110,932 6.80
ALLERGIC REACTIONS 5 $112,311 $19,527 $561,555 $97,634 5.60
CARDIAC STRUCTURAL & VALVULAR DISORDERS 5 $59,101 $8,809 $295,506 $44,044 2.40
NEONATE BWT 1500-1999G W RESP DIST SYND/OTH MAJ RESP COND 5 $318,663 $64,512 $1,593,313 $322,559 24.80
NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION 5 $134,844 $26,925 $674,220 $134,627 10.40
HAND & WRIST PROCEDURES 4 $72,033 $10,663 $288,131 $42,653 4.25
ACUTE & SUBACUTE ENDOCARDITIS 4 $178,257 $28,445 $713,026 $113,779 11.25
ANAL PROCEDURES 4 $85,661 $12,268 $342,644 $49,071 3.25
SPINAL PROCEDURES 4 $173,655 $26,739 $694,618 $106,954 7.25
OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL & METABOLIC DISORDERS 4 $187,526 $30,745 $750,104 $122,980 7.75
NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION 4 $233,617 $47,438 $934,469 $189,750 18.50
ACUTE LEUKEMIA 3 $76,723 $14,203 $230,169 $42,610 5.67
KIDNEY & URINARY TRACT MALIGNANCY 3 $118,030 $19,629 $354,090 $58,886 4.67
FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES 3 $219,348 $51,993 $658,043 $155,980 1.00
THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES 3 $79,218 $12,249 $237,653 $36,748 1.33
HIV W MAJOR HIV RELATED CONDITION 3 $74,571 $10,315 $223,712 $30,945 4.00
CARDIOMYOPATHY 3 $51,428 $8,197 $154,285 $24,592 3.00
OTHER ENDOCRINE DISORDERS 3 $126,037 $18,583 $378,112 $55,749 6.33
MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS 3 $141,897 $26,788 $425,690 $80,364 3.00
DENTAL DISEASES AND DISORDERS 3 $67,037 $9,965 $201,112 $29,894 3.67
NEPHRITIS & NEPHROSIS 3 $202,142 $35,219 $606,425 $105,656 14.00
MALIGNANT BREAST DISORDERS 3 $87,299 $13,092 $261,898 $39,277 5.00
CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT 2 $256,734 $41,982 $513,468 $83,964 8.00
CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX 2 $417,440 $74,003 $834,880 $148,005 14.00
MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA 2 $219,587 $36,272 $439,174 $72,543 4.00
GASTRIC FUNDOPLICATION 2 $119,258 $18,332 $238,516 $36,664 4.00
OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS 2 $90,963 $15,240 $181,925 $30,480 1.50
HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS 2 $89,512 $14,229 $179,024 $28,457 5.00
D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY FOR OBSTETRIC DIAGNOSES 2 $24,524 $4,532 $49,047 $9,063 2.00
MAJOR BLADDER PROCEDURES 2 $234,713 $35,453 $469,425 $70,905 7.00
FEMALE REPRODUCTIVE SYSTEM INFECTIONS 2 $43,851 $5,958 $87,701 $11,916 2.50
HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND 2 $28,915 $3,396 $57,829 $6,791 1.50
OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES 2 $222,774 $36,858 $445,548 $73,716 12.50
OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES 2 $33,299 $4,297 $66,598 $8,594 1.50
OTHER AFTERCARE & CONVALESCENCE 2 $60,726 $10,499 $121,451 $20,998 5.00
SCHIZOPHRENIA 2 $82,728 $15,480 $165,455 $30,960 8.50
VENTRICULAR SHUNT PROCEDURES 2 $111,868 $18,595 $223,736 $37,190 1.50
NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS 2 $111,201 $15,975 $222,402 $31,950 5.50
SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES 2 $99,587 $17,918 $199,173 $35,835 8.00
EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 2 $161,355 $24,682 $322,709 $49,364 5.50
HEAD TRAUMA WITH DEEP COMA 2 $175,903 $31,093 $351,806 $62,186 10.00
OTHER MENTAL HEALTH DISORDERS 2 $71,426 $11,780 $142,851 $23,559 6.00
EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES 2 $114,745 $19,593 $229,489 $39,185 10.00
BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA 1 $82,164 $12,619 $82,164 $12,619 5.00
DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER 1 $130,895 $27,525 $130,895 $27,525 12.00
MALIGNANCY, MALE REPRODUCTIVE SYSTEM 1 $53,873 $9,066 $53,873 $9,066 5.00
HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS 1 $49,360 $6,765 $49,360 $6,765 3.00
ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES 1 $40,780 $7,666 $40,780 $7,666 5.00
BIPOLAR DISORDERS 1 $43,059 $6,212 $43,059 $6,212 3.00
MAJOR BILIARY TRACT PROCEDURES 1 $172,700 $28,976 $172,700 $28,976 6.00
VIRAL MENINGITIS 1 $77,404 $12,722 $77,404 $12,722 6.00
SPINAL DISORDERS & INJURIES 1 $169,507 $31,018 $169,507 $31,018 10.00
PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK 1 $239,011 $38,745 $239,011 $38,745 5.00
PENIS, TESTES & SCROTAL PROCEDURES 1 $150,606 $27,939 $150,606 $27,939 2.00
NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 1 $193,284 $28,677 $193,284 $28,677 6.00
SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES 1 $219,033 $33,148 $219,033 $33,148 12.00
OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES 1 $207,610 $30,499 $207,610 $30,499 5.00
NEONATAL AFTERCARE 1 $96,018 $20,013 $96,018 $20,013 8.00
PARTIAL THICKNESS BURNS W/O SKIN GRAFT 1 $50,542 $8,392 $50,542 $8,392 4.00
NEONATE BIRTHWT 1500-1999G W MAJOR ANOMALY 1 $243,638 $46,485 $243,638 $46,485 17.00
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM 1 $245,664 $39,340 $245,664 $39,340 8.00
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT 1 $61,528 $8,660 $61,528 $8,660 3.00
CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA 1 $448,465 $72,027 $448,465 $72,027 18.00
MAJOR MALE PELVIC PROCEDURES 1 $169,103 $28,919 $169,103 $28,919 6.00
NEONATE BWT 2000-2499G W CONGENITAL/PERINATAL INFECTION 1 $28,101 $5,471 $28,101 $5,471 2.00
OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES 1 $170,445 $28,394 $170,445 $28,394 6.00
NEONATE BWT 2000-2499G W MAJOR ANOMALY 1 $23,391 $3,062 $23,391 $3,062 2.00