SCHIZOPHRENIA |
284 |
$24,423 |
$9,518 |
$6,936,087 |
$2,703,067 |
15.85 |
DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER |
270 |
$9,081 |
$3,546 |
$2,451,924 |
$957,396 |
4.88 |
BIPOLAR DISORDERS |
198 |
$14,537 |
$5,806 |
$2,878,362 |
$1,149,589 |
8.78 |
SEPTICEMIA & DISSEMINATED INFECTIONS |
166 |
$22,479 |
$12,949 |
$3,731,574 |
$2,149,500 |
5.92 |
MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES |
149 |
$14,417 |
$5,591 |
$2,148,207 |
$833,108 |
8.38 |
NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM |
132 |
$1,352 |
$573 |
$178,508 |
$75,601 |
1.83 |
HEART FAILURE |
77 |
$10,688 |
$4,760 |
$822,977 |
$366,558 |
3.25 |
OTHER PNEUMONIA |
73 |
$15,397 |
$7,520 |
$1,123,968 |
$548,930 |
4.81 |
CELLULITIS & OTHER SKIN INFECTIONS |
72 |
$10,461 |
$4,455 |
$753,196 |
$320,743 |
3.33 |
VAGINAL DELIVERY |
72 |
$7,052 |
$4,673 |
$507,762 |
$336,481 |
1.75 |
CESAREAN SECTION W/O STERILIZATION |
56 |
$12,711 |
$7,190 |
$711,806 |
$402,645 |
2.52 |
ACUTE KIDNEY INJURY |
54 |
$19,838 |
$10,517 |
$1,071,228 |
$567,922 |
6.28 |
MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS |
52 |
$20,255 |
$12,147 |
$1,053,237 |
$631,638 |
5.60 |
CHRONIC OBSTRUCTIVE PULMONARY DISEASE |
48 |
$12,691 |
$5,987 |
$609,184 |
$287,370 |
3.73 |
KIDNEY & URINARY TRACT INFECTIONS |
39 |
$11,244 |
$5,255 |
$438,525 |
$204,938 |
2.97 |
RESPIRATORY FAILURE |
39 |
$16,394 |
$11,074 |
$639,356 |
$431,874 |
4.31 |
INTESTINAL OBSTRUCTION |
38 |
$11,197 |
$4,362 |
$425,502 |
$165,737 |
3.58 |
OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE |
37 |
$16,549 |
$8,459 |
$612,311 |
$312,974 |
3.49 |
DISORDERS OF PANCREAS EXCEPT MALIGNANCY |
34 |
$11,492 |
$5,496 |
$390,728 |
$186,858 |
2.88 |
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS |
24 |
$9,996 |
$6,998 |
$239,914 |
$167,952 |
2.79 |
OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS |
24 |
$15,032 |
$6,594 |
$360,758 |
$158,263 |
3.00 |
DIABETES |
23 |
$12,472 |
$9,123 |
$286,854 |
$209,833 |
3.17 |
DIVERTICULITIS & DIVERTICULOSIS |
22 |
$11,096 |
$5,552 |
$244,103 |
$122,153 |
3.18 |
HIP & FEMUR FRACTURE REPAIR |
21 |
$23,198 |
$9,254 |
$487,153 |
$194,327 |
4.43 |
CHOLECYSTECTOMY |
20 |
$26,030 |
$11,446 |
$520,596 |
$228,910 |
3.75 |
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS |
20 |
$14,292 |
$7,528 |
$285,839 |
$150,550 |
4.05 |
MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS |
18 |
$16,631 |
$7,232 |
$299,358 |
$130,179 |
4.89 |
SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS |
18 |
$12,437 |
$4,853 |
$223,869 |
$87,353 |
5.11 |
CESAREAN SECTION W STERILIZATION |
17 |
$11,859 |
$6,370 |
$201,604 |
$108,296 |
2.24 |
NON-HYPOVOLEMIC SODIUM DISORDERS |
16 |
$11,243 |
$6,392 |
$179,892 |
$102,276 |
3.00 |
OTHER GASTROENTERITIS, NAUSEA & VOMITING |
16 |
$14,889 |
$6,565 |
$238,216 |
$105,041 |
3.56 |
OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS |
16 |
$14,754 |
$8,276 |
$236,061 |
$132,417 |
4.63 |
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES |
16 |
$16,829 |
$7,751 |
$269,263 |
$124,021 |
3.75 |
HIP JOINT REPLACEMENT |
15 |
$23,489 |
$8,882 |
$352,342 |
$133,231 |
3.73 |
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS |
15 |
$16,849 |
$6,653 |
$252,740 |
$99,797 |
17.47 |
MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC |
14 |
$13,022 |
$7,609 |
$182,305 |
$106,530 |
4.21 |
CVA & PRECEREBRAL OCCLUSION W INFARCT |
13 |
$15,636 |
$5,157 |
$203,266 |
$67,039 |
2.54 |
OTHER DIGESTIVE SYSTEM DIAGNOSES |
13 |
$12,385 |
$5,183 |
$161,010 |
$67,382 |
2.92 |
ASTHMA |
12 |
$9,356 |
$3,760 |
$112,277 |
$45,114 |
2.67 |
URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION |
12 |
$19,262 |
$7,757 |
$231,145 |
$93,078 |
1.50 |
MAJOR LARGE BOWEL PROCEDURES |
12 |
$44,332 |
$25,845 |
$531,984 |
$310,135 |
7.00 |
PULMONARY EMBOLISM |
12 |
$12,396 |
$6,872 |
$148,748 |
$82,458 |
3.33 |
SEIZURE |
11 |
$13,313 |
$6,764 |
$146,444 |
$74,399 |
1.91 |
ALCOHOL ABUSE & DEPENDENCE |
11 |
$13,782 |
$8,100 |
$151,605 |
$89,099 |
4.27 |
NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE |
11 |
$2,244 |
$877 |
$24,681 |
$9,644 |
1.09 |
MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL |
10 |
$19,791 |
$9,575 |
$197,913 |
$95,750 |
4.20 |
SYNCOPE & COLLAPSE |
10 |
$12,824 |
$4,607 |
$128,243 |
$46,066 |
3.40 |
ANTEPARTUM W/O O.R. PROCEDURE |
10 |
$7,906 |
$5,803 |
$79,064 |
$58,030 |
2.30 |
INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE |
10 |
$35,927 |
$15,491 |
$359,270 |
$154,905 |
8.40 |
HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS |
9 |
$14,704 |
$6,862 |
$132,332 |
$61,759 |
4.33 |
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS |
8 |
$38,929 |
$33,564 |
$311,429 |
$268,515 |
10.00 |
HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS |
8 |
$14,678 |
$8,163 |
$117,421 |
$65,306 |
4.50 |
NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM |
8 |
$2,266 |
$895 |
$18,129 |
$7,157 |
3.63 |
MAJOR CHEST & RESPIRATORY TRAUMA |
7 |
$22,057 |
$15,581 |
$154,399 |
$109,068 |
5.86 |
DIGESTIVE MALIGNANCY |
7 |
$16,332 |
$8,042 |
$114,321 |
$56,293 |
4.29 |
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS |
7 |
$21,153 |
$8,437 |
$148,074 |
$59,060 |
3.57 |
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES |
7 |
$10,744 |
$4,308 |
$75,206 |
$30,156 |
3.57 |
OTHER INFECTIOUS & PARASITIC DISEASES |
7 |
$24,004 |
$9,557 |
$168,027 |
$66,898 |
5.71 |
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL |
7 |
$25,834 |
$14,608 |
$180,838 |
$102,256 |
5.86 |
RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES |
6 |
$10,019 |
$4,962 |
$60,115 |
$29,769 |
3.83 |
OTHER CHEMOTHERAPY |
6 |
$4,390 |
$1,736 |
$26,337 |
$10,416 |
2.33 |
ACUTE MYOCARDIAL INFARCTION |
6 |
$13,657 |
$7,635 |
$81,941 |
$45,812 |
2.50 |
INFECTIONS OF UPPER RESPIRATORY TRACT |
6 |
$10,513 |
$6,012 |
$63,078 |
$36,073 |
2.50 |
NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION |
6 |
$7,194 |
$2,911 |
$43,162 |
$17,464 |
19.33 |
FOOT & TOE PROCEDURES |
6 |
$19,922 |
$7,237 |
$119,531 |
$43,421 |
6.17 |
KNEE JOINT REPLACEMENT |
6 |
$36,338 |
$12,327 |
$218,026 |
$73,964 |
2.50 |
KNEE & LOWER LEG PROCEDURES EXCEPT FOOT |
6 |
$29,808 |
$11,771 |
$178,849 |
$70,624 |
6.83 |
INTENTIONAL SELF-HARM & ATTEMPTED SUICIDE |
6 |
$9,370 |
$7,469 |
$56,220 |
$44,815 |
1.83 |
ALTERATION IN CONSCIOUSNESS |
6 |
$18,357 |
$7,624 |
$110,142 |
$45,744 |
4.17 |
PEPTIC ULCER & GASTRITIS |
6 |
$13,909 |
$5,571 |
$83,453 |
$33,424 |
2.33 |
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES |
6 |
$6,852 |
$4,314 |
$41,109 |
$25,881 |
1.33 |
DISORDERS OF GALLBLADDER & BILIARY TRACT |
6 |
$11,997 |
$4,944 |
$71,983 |
$29,666 |
2.33 |
OTHER CIRCULATORY SYSTEM DIAGNOSES |
6 |
$13,099 |
$7,914 |
$78,596 |
$47,484 |
2.83 |
CHRONIC KIDNEY DISEASE |
5 |
$14,756 |
$6,715 |
$73,780 |
$33,577 |
3.60 |
OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES |
5 |
$12,837 |
$5,047 |
$64,183 |
$25,234 |
5.20 |
OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES |
5 |
$11,271 |
$5,779 |
$56,356 |
$28,893 |
2.20 |
INFLAMMATORY BOWEL DISEASE |
5 |
$14,645 |
$8,217 |
$73,227 |
$41,087 |
5.00 |
ACUTE BRONCHITIS & RELATED SYMPTOMS |
4 |
$14,367 |
$5,719 |
$57,466 |
$22,874 |
5.00 |
UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA |
4 |
$23,065 |
$9,759 |
$92,259 |
$39,036 |
2.25 |
PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS |
4 |
$15,076 |
$5,898 |
$60,303 |
$23,591 |
3.75 |
TRANSIENT ISCHEMIA |
4 |
$16,026 |
$5,811 |
$64,103 |
$23,244 |
3.50 |
FEVER & INFLAMMATORY CONDITIONS |
4 |
$19,011 |
$7,624 |
$76,045 |
$30,495 |
2.50 |
MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
4 |
$37,379 |
$18,495 |
$149,516 |
$73,978 |
8.50 |
DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE |
4 |
$15,363 |
$14,531 |
$61,451 |
$58,122 |
5.00 |
OTHER DRUG ABUSE & DEPENDENCE |
3 |
$10,852 |
$4,137 |
$32,555 |
$12,412 |
4.00 |
BRONCHIOLITIS & RSV PNEUMONIA |
3 |
$13,635 |
$13,061 |
$40,904 |
$39,184 |
3.00 |
OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES |
3 |
$10,328 |
$3,808 |
$30,983 |
$11,424 |
2.67 |
ANTEPARTUM W O.R. PROCEDURE |
3 |
$9,693 |
$6,806 |
$29,080 |
$20,419 |
2.67 |
PERIPHERAL & OTHER VASCULAR DISORDERS |
3 |
$19,371 |
$7,473 |
$58,114 |
$22,420 |
6.33 |
FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK |
3 |
$14,980 |
$5,362 |
$44,940 |
$16,086 |
3.33 |
MAJOR SMALL BOWEL PROCEDURES |
3 |
$24,326 |
$14,562 |
$72,977 |
$43,686 |
4.00 |
REHABILITATION |
3 |
$8,902 |
$2,940 |
$26,706 |
$8,819 |
6.67 |
RESPIRATORY MALIGNANCY |
3 |
$27,785 |
$10,762 |
$83,356 |
$32,286 |
6.00 |
OTHER DISORDERS OF THE LIVER |
3 |
$15,477 |
$8,149 |
$46,431 |
$24,447 |
5.00 |
ACUTE ANXIETY & DELIRIUM STATES |
3 |
$10,905 |
$4,728 |
$32,715 |
$14,184 |
5.00 |
HYPERTENSION |
3 |
$18,490 |
$6,463 |
$55,469 |
$19,390 |
1.67 |
OTHER AFTERCARE & CONVALESCENCE |
3 |
$6,377 |
$4,884 |
$19,130 |
$14,651 |
1.33 |
POISONING OF MEDICINAL AGENTS |
3 |
$14,032 |
$9,012 |
$42,096 |
$27,035 |
2.00 |
DISORDERS OF PERSONALITY & IMPULSE CONTROL |
3 |
$9,436 |
$3,392 |
$28,308 |
$10,175 |
4.33 |
INTERSTITIAL & ALVEOLAR LUNG DISEASES |
2 |
$13,127 |
$5,069 |
$26,254 |
$10,137 |
4.50 |
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS |
2 |
$22,348 |
$7,650 |
$44,695 |
$15,300 |
3.00 |
ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES |
2 |
$4,194 |
$1,631 |
$8,388 |
$3,262 |
1.50 |
INTRACRANIAL HEMORRHAGE |
2 |
$26,627 |
$10,458 |
$53,253 |
$20,916 |
10.00 |
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM |
2 |
$11,110 |
$5,448 |
$22,219 |
$10,895 |
6.00 |
COAGULATION & PLATELET DISORDERS |
2 |
$13,230 |
$5,609 |
$26,459 |
$11,217 |
3.50 |
CHEST PAIN |
2 |
$11,354 |
$5,550 |
$22,708 |
$11,099 |
2.50 |
TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES |
2 |
$17,100 |
$5,429 |
$34,200 |
$10,858 |
2.00 |
EATING DISORDERS |
2 |
$10,946 |
$4,225 |
$21,891 |
$8,450 |
5.00 |
SKIN ULCERS |
2 |
$22,318 |
$8,565 |
$44,636 |
$17,130 |
9.00 |
CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE |
2 |
$9,952 |
$3,915 |
$19,903 |
$7,830 |
3.50 |
OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS |
2 |
$21,301 |
$14,369 |
$42,601 |
$28,738 |
7.50 |
GASTROINTESTINAL VASCULAR INSUFFICIENCY |
2 |
$22,874 |
$22,568 |
$45,747 |
$45,136 |
7.00 |
ABDOMINAL PAIN |
2 |
$13,099 |
$5,742 |
$26,197 |
$11,484 |
1.50 |
OPIOID ABUSE & DEPENDENCE |
2 |
$4,784 |
$1,876 |
$9,568 |
$3,752 |
3.00 |
ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS |
2 |
$19,092 |
$11,948 |
$38,183 |
$23,895 |
4.50 |
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY |
2 |
$21,532 |
$8,904 |
$43,063 |
$17,807 |
4.00 |
NERVOUS SYSTEM MALIGNANCY |
2 |
$6,984 |
$5,979 |
$13,967 |
$11,957 |
2.00 |
ALLERGIC REACTIONS |
2 |
$10,341 |
$5,387 |
$20,681 |
$10,774 |
1.00 |
ALCOHOLIC LIVER DISEASE |
2 |
$13,723 |
$7,182 |
$27,445 |
$14,363 |
3.00 |
FRACTURE OF PELVIS OR DISLOCATION OF HIP |
2 |
$9,777 |
$3,556 |
$19,553 |
$7,112 |
2.50 |
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY |
2 |
$18,877 |
$6,570 |
$37,753 |
$13,140 |
5.00 |
VAGINAL DELIVERY W O.R. PROCEDURE EXCEPT STERILIZATION &/OR D&C |
2 |
$14,536 |
$8,294 |
$29,071 |
$16,588 |
2.50 |
NEPHRITIS & NEPHROSIS |
2 |
$21,582 |
$7,970 |
$43,163 |
$15,940 |
7.00 |
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS |
2 |
$12,856 |
$9,840 |
$25,712 |
$19,680 |
5.00 |
DENTAL DISEASES & DISORDERS |
2 |
$12,313 |
$3,959 |
$24,625 |
$7,917 |
4.50 |
AMPUTATION OF LOWER LIMB EXCEPT TOES |
2 |
$18,788 |
$6,975 |
$37,576 |
$13,949 |
6.50 |
OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES |
2 |
$34,882 |
$14,971 |
$69,764 |
$29,942 |
4.50 |
VIRAL ILLNESS |
1 |
$37,429 |
$36,171 |
$37,429 |
$36,171 |
22.00 |
UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA |
1 |
$17,706 |
$7,842 |
$17,706 |
$7,842 |
2.00 |
FRACTURE OF FEMUR |
1 |
$11,471 |
$4,414 |
$11,471 |
$4,414 |
4.00 |
MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
1 |
$35,622 |
$12,852 |
$35,622 |
$12,852 |
1.00 |
RENAL DIALYSIS ACCESS DEVICE PROCEDURES & VESSEL REPAIR |
1 |
$18,271 |
$6,238 |
$18,271 |
$6,238 |
3.00 |
MALIGNANT BREAST DISORDERS |
1 |
$15,949 |
$5,337 |
$15,949 |
$5,337 |
2.00 |
VERTIGO & OTHER LABYRINTH DISORDERS |
1 |
$15,698 |
$6,262 |
$15,698 |
$6,262 |
6.00 |
EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
1 |
$44,628 |
$18,252 |
$44,628 |
$18,252 |
2.00 |
SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT |
1 |
$17,180 |
$5,643 |
$17,180 |
$5,643 |
3.00 |
OTHER MENTAL HEALTH DISORDERS |
1 |
$19,696 |
$7,633 |
$19,696 |
$7,633 |
13.00 |
MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES |
1 |
$38,071 |
$13,806 |
$38,071 |
$13,806 |
4.00 |
OTHER ESOPHAGEAL DISORDERS |
1 |
$16,482 |
$11,231 |
$16,482 |
$11,231 |
2.00 |
KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY |
1 |
$23,856 |
$8,688 |
$23,856 |
$8,688 |
7.00 |
MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE |
1 |
$15,673 |
$5,729 |
$15,673 |
$5,729 |
1.00 |
MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG |
1 |
$37,472 |
$13,819 |
$37,472 |
$13,819 |
14.00 |
OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES |
1 |
$58,537 |
$55,152 |
$58,537 |
$55,152 |
17.00 |
EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES |
1 |
$12,902 |
$4,467 |
$12,902 |
$4,467 |
4.00 |
OTHER CIRCULATORY SYSTEM PROCEDURES |
1 |
$20,391 |
$7,551 |
$20,391 |
$7,551 |
1.00 |
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS |
1 |
$9,405 |
$4,134 |
$9,405 |
$4,134 |
2.00 |
OTHER COMPLICATIONS OF TREATMENT |
1 |
$10,441 |
$3,578 |
$10,441 |
$3,578 |
1.00 |
OTHER NERVOUS SYSTEM & RELATED PROCEDURES |
1 |
$42,688 |
$16,046 |
$42,688 |
$16,046 |
10.00 |
MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS |
1 |
$9,883 |
$3,971 |
$9,883 |
$3,971 |
9.00 |
LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA |
1 |
$42,052 |
$15,910 |
$42,052 |
$15,910 |
7.00 |
NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
1 |
$22,032 |
$8,117 |
$22,032 |
$8,117 |
2.00 |
SHOULDER & ELBOW JOINT REPLACEMENT |
1 |
$30,450 |
$11,638 |
$30,450 |
$11,638 |
2.00 |
HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE |
1 |
$10,020 |
$3,186 |
$10,020 |
$3,186 |
2.00 |
PERITONEAL ADHESIOLYSIS |
1 |
$15,972 |
$5,822 |
$15,972 |
$5,822 |
3.00 |
INBORN ERRORS OF METABOLISM |
1 |
$18,927 |
$7,175 |
$18,927 |
$7,175 |
3.00 |
MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE |
1 |
$31,165 |
$25,614 |
$31,165 |
$25,614 |
10.00 |
OTHER ENDOCRINE DISORDERS |
1 |
$10,576 |
$3,745 |
$10,576 |
$3,745 |
3.00 |
OTHER DISORDERS OF NERVOUS SYSTEM |
1 |
$9,158 |
$3,578 |
$9,158 |
$3,578 |
4.00 |
CARDIOMYOPATHY |
1 |
$21,880 |
$8,191 |
$21,880 |
$8,191 |
6.00 |
URETHRAL & TRANSURETHRAL PROCEDURES |
1 |
$82,881 |
$63,412 |
$82,881 |
$63,412 |
17.00 |
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES |
1 |
$12,618 |
$4,892 |
$12,618 |
$4,892 |
7.00 |
ANOXIC & OTHER SEVERE BRAIN DAMAGE |
1 |
$15,999 |
$8,273 |
$15,999 |
$8,273 |
1.00 |
NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION |
1 |
$2,567 |
$973 |
$2,567 |
$973 |
5.00 |
MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS |
1 |
$8,796 |
$3,700 |
$8,796 |
$3,700 |
4.00 |