Septicemia & disseminated infections |
644 |
$44,240 |
$11,440 |
$28,490,643 |
$7,367,236 |
6.81 |
Neonate birthwt >2499g, normal newborn or neonate w other problem |
638 |
$6,337 |
$1,628 |
$4,043,263 |
$1,038,601 |
2.18 |
Knee joint replacement |
537 |
$35,477 |
$12,615 |
$19,051,367 |
$6,774,371 |
2.72 |
Vaginal delivery |
473 |
$15,677 |
$8,350 |
$7,415,175 |
$3,949,604 |
2.29 |
Chronic obstructive pulmonary disease |
434 |
$39,031 |
$9,923 |
$16,939,406 |
$4,306,579 |
5.94 |
Hip joint replacement |
425 |
$36,763 |
$12,700 |
$15,624,365 |
$5,397,636 |
3.20 |
Heart failure |
289 |
$35,700 |
$8,924 |
$10,317,439 |
$2,578,914 |
5.63 |
Procedures for obesity |
251 |
$27,076 |
$8,842 |
$6,795,979 |
$2,219,314 |
1.36 |
Cesarean delivery |
230 |
$21,629 |
$7,998 |
$4,974,555 |
$1,839,628 |
3.12 |
Other pneumonia |
221 |
$30,232 |
$7,629 |
$6,681,277 |
$1,685,972 |
5.04 |
Major depressive disorders & other/unspecified psychoses |
206 |
$23,256 |
$6,607 |
$4,790,815 |
$1,360,973 |
6.26 |
Cellulitis & other skin infections |
181 |
$22,720 |
$5,992 |
$4,112,253 |
$1,084,578 |
4.15 |
Kidney & urinary tract infections |
167 |
$26,128 |
$6,485 |
$4,363,333 |
$1,083,036 |
5.02 |
Bipolar disorders |
150 |
$21,235 |
$5,976 |
$3,185,285 |
$896,380 |
5.48 |
Cardiac arrhythmia & conduction disorders |
145 |
$25,969 |
$6,172 |
$3,765,470 |
$894,882 |
3.72 |
Alcohol abuse & dependence |
142 |
$22,136 |
$5,852 |
$3,143,314 |
$831,052 |
4.43 |
Acute Kidney Injury |
139 |
$29,774 |
$7,327 |
$4,138,578 |
$1,018,426 |
4.86 |
Depression except major depressive disorder |
133 |
$16,127 |
$4,405 |
$2,144,945 |
$585,808 |
3.77 |
Acute myocardial infarction |
124 |
$31,687 |
$7,448 |
$3,929,161 |
$923,571 |
3.48 |
Major small & large bowel procedures |
124 |
$70,463 |
$19,921 |
$8,737,446 |
$2,470,197 |
6.64 |
Disorders of pancreas except malignancy |
122 |
$26,566 |
$6,090 |
$3,241,023 |
$743,008 |
4.11 |
Respiratory Failure |
120 |
$47,316 |
$12,269 |
$5,677,942 |
$1,472,283 |
6.26 |
Other gastroenteritis, nausa & vomiting |
120 |
$24,305 |
$5,486 |
$2,916,635 |
$658,292 |
3.67 |
Diverticulitis & diverticulosis |
119 |
$26,812 |
$6,489 |
$3,190,626 |
$772,247 |
3.76 |
Schizophrenia |
118 |
$31,851 |
$9,296 |
$3,758,406 |
$1,096,923 |
8.42 |
Dorsal & lumbar fusion proc except for curvature of back |
107 |
$70,262 |
$26,155 |
$7,518,085 |
$2,798,625 |
4.53 |
Intestinal obstruction |
97 |
$24,033 |
$5,246 |
$2,331,167 |
$508,892 |
3.64 |
Diabetes |
84 |
$31,220 |
$7,649 |
$2,622,499 |
$642,546 |
5.20 |
Infectious & parasitic diseases including HIV w O.R. procedure |
84 |
$119,806 |
$32,688 |
$10,063,676 |
$2,745,753 |
14.74 |
Major male pelvic procedures |
80 |
$40,361 |
$12,662 |
$3,228,883 |
$1,012,944 |
1.03 |
Major respiratory infections & inflammations |
74 |
$43,114 |
$11,602 |
$3,190,439 |
$858,566 |
7.70 |
Other & unspecified gastrointestinal hemorrhage |
74 |
$34,323 |
$8,542 |
$2,539,899 |
$632,107 |
4.19 |
Hip and femur fracture repair |
74 |
$56,250 |
$16,164 |
$4,162,501 |
$1,196,133 |
7.45 |
Knee & lower leg procedures except foot |
72 |
$38,751 |
$11,432 |
$2,790,064 |
$823,071 |
4.49 |
Percutaneous coronary intervention w AMI |
71 |
$66,154 |
$19,044 |
$4,696,959 |
$1,352,107 |
3.37 |
Peptic ulcer & gastritis |
71 |
$41,312 |
$10,911 |
$2,933,119 |
$774,701 |
5.80 |
Other digestive system diagnoses |
69 |
$28,323 |
$6,846 |
$1,954,283 |
$472,365 |
4.04 |
Malfunction, reaction, complic of genitourinary device or proc |
67 |
$43,271 |
$11,745 |
$2,899,151 |
$786,913 |
7.37 |
Other anemia & disorders of blood & blood-forming organs |
62 |
$26,117 |
$6,286 |
$1,619,232 |
$389,713 |
3.44 |
Poisoning of medicinal agents |
59 |
$27,564 |
$7,005 |
$1,626,291 |
$413,298 |
3.71 |
Cardiac catheterization for other non-coronary conditions |
58 |
$47,375 |
$11,062 |
$2,747,757 |
$641,607 |
4.97 |
Appendectomy |
58 |
$34,255 |
$8,753 |
$1,986,779 |
$507,665 |
2.52 |
Major gastrointestinal & peritoneal infections |
57 |
$37,330 |
$9,601 |
$2,127,803 |
$547,239 |
6.32 |
Laparoscopic cholecystectomy |
53 |
$39,984 |
$9,784 |
$2,119,136 |
$518,571 |
3.28 |
Electrolyte disorders except hypovolemia related |
53 |
$24,300 |
$6,316 |
$1,287,886 |
$334,761 |
3.26 |
Peripheral & other vascular disorders |
51 |
$33,270 |
$8,374 |
$1,696,785 |
$427,075 |
5.16 |
Other back & neck disorders, fractures & injuries |
50 |
$38,262 |
$9,566 |
$1,913,099 |
$478,321 |
7.36 |
Perm cardiac pacemaker implant w/o AMI, heart failure or shock |
49 |
$69,772 |
$18,960 |
$3,418,834 |
$929,052 |
4.33 |
Other musculoskeletal system & connective tissue diagnoses |
49 |
$25,609 |
$6,347 |
$1,254,849 |
$311,019 |
4.51 |
CVA & precerebral occlusion w infarct |
48 |
$43,880 |
$9,917 |
$2,106,223 |
$476,035 |
6.42 |
Syncope & collapse |
47 |
$24,526 |
$5,052 |
$1,152,720 |
$237,444 |
3.19 |
Pulmonary embolism |
46 |
$31,908 |
$7,742 |
$1,467,771 |
$356,127 |
4.00 |
Respiratory malignancy |
43 |
$46,965 |
$12,007 |
$2,019,478 |
$516,313 |
7.00 |
Disorders of gallbladder & biliary tract |
42 |
$30,748 |
$7,090 |
$1,291,401 |
$297,780 |
3.74 |
Major stomach, esophageal & duodenal procedures |
41 |
$40,891 |
$11,013 |
$1,676,529 |
$451,528 |
2.98 |
Fractures & dislocations except femur, pelvis & back |
41 |
$26,429 |
$6,730 |
$1,083,583 |
$275,917 |
5.00 |
Cardiac catheterization for coronary artery disease |
40 |
$30,390 |
$6,732 |
$1,215,601 |
$269,282 |
2.25 |
Hypovolemia & related electrolyte disorders |
40 |
$27,129 |
$6,644 |
$1,085,170 |
$265,741 |
4.83 |
Infections of upper respiratory tract |
38 |
$25,671 |
$6,381 |
$975,497 |
$242,463 |
3.84 |
Lower extremity arterial procedures |
38 |
$77,880 |
$20,792 |
$2,959,458 |
$790,089 |
8.26 |
Shoulder, upper arm & forearm procedures except joint replacement |
38 |
$39,349 |
$15,213 |
$1,495,250 |
$578,103 |
2.58 |
Asthma |
37 |
$37,423 |
$9,556 |
$1,384,643 |
$353,582 |
6.19 |
Digestive malignancy |
37 |
$37,256 |
$9,580 |
$1,378,462 |
$354,443 |
6.70 |
Cervical spinal fusion & other back/neck proc exc disc excis/decomp |
37 |
$52,804 |
$18,870 |
$1,953,759 |
$698,178 |
2.19 |
Inflammatory bowel disease |
35 |
$39,621 |
$11,267 |
$1,386,729 |
$394,349 |
4.57 |
Respiratory signs, symptoms & minor diagnoses |
34 |
$26,466 |
$6,266 |
$899,846 |
$213,050 |
3.56 |
Degenerative nervous system disorders exc mult sclerosis |
33 |
$58,936 |
$17,631 |
$1,944,889 |
$581,824 |
13.00 |
Hepatic coma & other major acute liver disorders |
33 |
$38,523 |
$10,420 |
$1,271,263 |
$343,867 |
6.82 |
Other infectious & parasitic diseases |
33 |
$33,156 |
$7,599 |
$1,094,135 |
$250,771 |
5.03 |
Moderately extensive procedure unrelated to principal diagnosis |
33 |
$102,086 |
$28,193 |
$3,368,844 |
$930,353 |
13.12 |
Mastectomy procedures |
32 |
$51,356 |
$17,093 |
$1,643,391 |
$546,977 |
1.19 |
Signs, symptoms & other factors influencing health status |
32 |
$25,459 |
$6,576 |
$814,683 |
$210,437 |
4.31 |
Hernia procedures except inguinal, femoral & umbilical |
31 |
$50,310 |
$14,411 |
$1,559,599 |
$446,733 |
4.58 |
Foot & toe procedures |
31 |
$41,807 |
$11,739 |
$1,296,030 |
$363,907 |
5.97 |
Shoulder & elbow joint replacement |
31 |
$36,899 |
$14,605 |
$1,143,884 |
$452,741 |
1.48 |
Major chest & respiratory trauma |
30 |
$33,762 |
$7,428 |
$1,012,862 |
$222,848 |
4.87 |
Urinary stones & acquired upper urinary tract obstruction |
29 |
$23,150 |
$5,179 |
$671,350 |
$150,180 |
2.38 |
Adjustment disorders & neuroses except depressive diagnoses |
29 |
$15,135 |
$4,076 |
$438,901 |
$118,200 |
3.31 |
Nonextensive procedure unrelated to principal diagnosis |
29 |
$89,122 |
$23,678 |
$2,584,539 |
$686,665 |
10.83 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
28 |
$32,420 |
$8,315 |
$907,768 |
$232,818 |
5.54 |
Other circulatory system diagnoses |
28 |
$30,981 |
$7,151 |
$867,470 |
$200,237 |
4.07 |
Kidney & urinary tract procedures for nonmalignancy |
27 |
$44,974 |
$11,452 |
$1,214,309 |
$309,205 |
5.15 |
Urethral & transurethral procedures |
27 |
$34,490 |
$8,276 |
$931,225 |
$223,456 |
2.93 |
Viral illness |
27 |
$22,383 |
$5,369 |
$604,343 |
$144,972 |
3.48 |
Gastrointestinal vascular insufficiency |
25 |
$29,217 |
$6,681 |
$730,414 |
$167,025 |
4.32 |
Other musculoskeletal system & connective tissue procedures |
25 |
$52,621 |
$15,523 |
$1,315,520 |
$388,085 |
6.04 |
Alcoholic liver disease |
24 |
$42,858 |
$11,162 |
$1,028,600 |
$267,894 |
7.83 |
Post-operative, post-traumatic, other device infections |
24 |
$40,004 |
$10,768 |
$960,105 |
$258,424 |
6.17 |
Extensive procedure unrelated to principal diagnosis |
24 |
$96,783 |
$27,295 |
$2,322,783 |
$655,088 |
10.29 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
23 |
$43,300 |
$12,943 |
$995,893 |
$297,695 |
5.30 |
Disorders of personality & impulse control |
23 |
$16,469 |
$4,617 |
$378,795 |
$106,190 |
3.96 |
Seizure |
21 |
$26,217 |
$5,694 |
$550,562 |
$119,566 |
3.24 |
Percutaneous coronary intervention w/o AMI |
21 |
$70,605 |
$19,280 |
$1,482,697 |
$404,874 |
4.71 |
Other small & large bowel procedures |
21 |
$62,332 |
$16,409 |
$1,308,971 |
$344,588 |
6.76 |
Other antepartum diagnoses |
21 |
$13,126 |
$3,812 |
$275,647 |
$80,062 |
2.38 |
Other complications of treatment |
21 |
$24,817 |
$6,113 |
$521,153 |
$128,373 |
3.33 |
Fracture of pelvis or dislocation of hip |
20 |
$34,163 |
$8,886 |
$683,266 |
$177,718 |
6.60 |
Organic mental health disturbances |
20 |
$35,117 |
$9,362 |
$702,344 |
$187,238 |
9.35 |
Toxic effects of non-medicinal substances |
20 |
$31,005 |
$7,510 |
$620,100 |
$150,205 |
3.55 |
Peripheral, cranial & autonomic nerve disorders |
19 |
$27,977 |
$6,431 |
$531,565 |
$122,194 |
4.16 |
Nontraumatic stupor & coma |
19 |
$42,189 |
$10,282 |
$801,599 |
$195,358 |
8.05 |
Other esophageal disorders |
19 |
$29,717 |
$6,559 |
$564,630 |
$124,620 |
3.21 |
Other hepatobiliary, pancreas & abdominal procedures |
19 |
$59,123 |
$15,342 |
$1,123,336 |
$291,493 |
8.89 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
19 |
$63,608 |
$18,028 |
$1,208,558 |
$342,523 |
12.53 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
19 |
$19,477 |
$4,643 |
$370,061 |
$88,211 |
3.11 |
Neonate birthwt >2499g w major anomaly |
19 |
$6,423 |
$1,648 |
$122,044 |
$31,306 |
2.26 |
Migraine & other headaches |
17 |
$26,336 |
$5,980 |
$447,712 |
$101,661 |
4.06 |
Other respiratory & chest procedures |
17 |
$73,424 |
$21,103 |
$1,248,214 |
$358,749 |
9.35 |
Malignancy of hepatobiliary system & pancreas |
17 |
$35,347 |
$8,893 |
$600,893 |
$151,180 |
6.06 |
Amputation of lower limb except toes |
17 |
$97,908 |
$26,525 |
$1,664,439 |
$450,932 |
16.12 |
Post-op, post-trauma, other device infections w O.R. procedure |
17 |
$64,671 |
$17,889 |
$1,099,399 |
$304,111 |
8.65 |
Acute anxiety & delirium states |
17 |
$19,275 |
$5,209 |
$327,677 |
$88,560 |
4.59 |
Drug & alcohol abuse or dependence, left against medical advice |
17 |
$13,053 |
$3,302 |
$221,907 |
$56,137 |
1.71 |
Hypertension |
16 |
$21,667 |
$4,750 |
$346,665 |
$75,996 |
2.31 |
Other digestive system & abdominal procedures |
16 |
$71,139 |
$18,686 |
$1,138,229 |
$298,969 |
8.69 |
Neonate birthwt >2499g w other significant condition |
16 |
$8,255 |
$2,059 |
$132,078 |
$32,938 |
3.00 |
Lymphoma, myeloma & non-acute leukemia |
16 |
$65,366 |
$18,384 |
$1,045,850 |
$294,138 |
7.56 |
Nervous system malignancy |
15 |
$46,557 |
$11,547 |
$698,359 |
$173,212 |
7.07 |
Skin ulcers |
15 |
$45,606 |
$12,170 |
$684,096 |
$182,557 |
9.60 |
Neonate bwt 2000-2499g, normal newborn or neonate w other problem |
15 |
$8,484 |
$2,037 |
$127,259 |
$30,550 |
3.00 |
O.R. procedure for other complications of treatment |
15 |
$50,979 |
$14,066 |
$764,686 |
$210,993 |
5.73 |
Major respiratory & chest procedures |
14 |
$74,565 |
$21,082 |
$1,043,903 |
$295,141 |
7.86 |
Intervertebral disc excision & decompression |
14 |
$39,970 |
$11,080 |
$559,586 |
$155,120 |
3.14 |
Other skin, subcutaneous tissue & breast disorders |
14 |
$19,621 |
$4,988 |
$274,691 |
$69,837 |
3.64 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
14 |
$20,854 |
$10,420 |
$291,952 |
$145,881 |
2.71 |
Neonate, transferred < 5 days old, born here |
14 |
$6,172 |
$1,497 |
$86,405 |
$20,957 |
1.21 |
Transient ischemia |
13 |
$18,669 |
$3,149 |
$242,698 |
$40,938 |
1.77 |
Other significant hip and femur surgery |
13 |
$60,601 |
$17,829 |
$787,809 |
$231,771 |
7.23 |
Other skin, subcutaneous tissue & related procedures |
13 |
$38,856 |
$10,779 |
$505,128 |
$140,130 |
5.00 |
Kidney & urinary tract procedures for malignancy |
13 |
$50,061 |
$13,957 |
$650,799 |
$181,442 |
3.15 |
Angina pectoris & coronary atherosclerosis |
12 |
$25,971 |
$5,998 |
$311,651 |
$71,978 |
2.92 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
12 |
$35,807 |
$8,335 |
$429,689 |
$100,025 |
4.42 |
Skin graft for skin & subcutaneous tissue diagnoses |
12 |
$46,047 |
$13,009 |
$552,567 |
$156,109 |
5.50 |
Other endocrine disorders |
12 |
$35,272 |
$9,185 |
$423,262 |
$110,218 |
6.50 |
Vertigo & other labyrinth disorders |
11 |
$27,593 |
$5,922 |
$303,522 |
$65,146 |
4.82 |
Interstitial & alveolar lung diseases |
11 |
$58,620 |
$16,202 |
$644,820 |
$178,218 |
8.91 |
Peritoneal adhesiolysis |
11 |
$37,550 |
$9,434 |
$413,050 |
$103,778 |
4.18 |
Chronic Kidney Disease |
11 |
$22,139 |
$5,206 |
$243,525 |
$57,269 |
2.73 |
Opioid abuse & dependence |
11 |
$12,962 |
$2,958 |
$142,583 |
$32,543 |
2.27 |
Other drug abuse & dependence |
11 |
$32,001 |
$8,923 |
$352,010 |
$98,155 |
5.18 |
Procedure w diag of rehab, aftercare or oth contact w health service |
11 |
$53,577 |
$18,313 |
$589,343 |
$201,445 |
3.91 |
Cardiac arrest and shock |
10 |
$53,432 |
$15,214 |
$534,316 |
$152,139 |
5.00 |
Malfunction, reaction & complication of GI device or procedure |
10 |
$29,775 |
$6,844 |
$297,751 |
$68,435 |
4.40 |
Other disorders of the liver |
10 |
$38,051 |
$9,855 |
$380,512 |
$98,545 |
6.00 |
Fracture of femur |
10 |
$31,151 |
$8,297 |
$311,508 |
$82,970 |
6.60 |
Malnutrition, failure to thrive & other nutritional disorders |
10 |
$23,758 |
$6,362 |
$237,575 |
$63,620 |
5.00 |
Other kidney & urinary tract diagnoses, signs & symptoms |
10 |
$23,273 |
$5,634 |
$232,731 |
$56,343 |
3.40 |
Male reproductive system diagnoses except malignancy |
10 |
$25,758 |
$6,679 |
$257,575 |
$66,787 |
4.40 |
Coagulation & platelet disorders |
10 |
$66,961 |
$21,152 |
$669,608 |
$211,521 |
7.20 |
Extracranial vascular procedures |
9 |
$27,561 |
$7,114 |
$248,053 |
$64,027 |
2.11 |
Other disorders of nervous system |
9 |
$29,338 |
$7,332 |
$264,046 |
$65,988 |
6.44 |
Respiratory system diagnosis w ventilator support 96+ hours |
9 |
$160,205 |
$45,396 |
$1,441,841 |
$408,565 |
18.67 |
Other peripheral vascular procedures |
9 |
$50,155 |
$13,406 |
$451,392 |
$120,656 |
4.33 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
9 |
$40,126 |
$10,129 |
$361,132 |
$91,163 |
6.00 |
Inguinal, femoral & umbilical hernia procedures |
8 |
$36,652 |
$9,099 |
$293,216 |
$72,790 |
3.63 |
Cholecystectomy except laparoscopic |
8 |
$68,926 |
$18,218 |
$551,408 |
$145,747 |
7.00 |
Breast procedures except mastectomy |
8 |
$43,345 |
$11,483 |
$346,762 |
$91,862 |
2.25 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
8 |
$61,434 |
$16,491 |
$491,473 |
$131,929 |
9.25 |
Other Chemotherapy |
8 |
$45,052 |
$16,385 |
$360,414 |
$131,080 |
4.63 |
Multiple significant trauma w/o O.R. procedure |
8 |
$36,822 |
$8,597 |
$294,577 |
$68,775 |
6.13 |
Intracranial hemorrhage |
7 |
$14,816 |
$3,749 |
$103,711 |
$26,240 |
3.00 |
Dental & oral diseases & injuries |
7 |
$42,399 |
$10,696 |
$296,796 |
$74,871 |
6.57 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
7 |
$35,329 |
$8,745 |
$247,301 |
$61,215 |
5.29 |
Major abdominal vascular procedures |
7 |
$70,647 |
$19,586 |
$494,532 |
$137,101 |
6.00 |
Transurethral prostatectomy |
7 |
$42,540 |
$11,259 |
$297,781 |
$78,815 |
4.29 |
Vaginal delivery w sterilization &/or D&C |
7 |
$23,803 |
$9,919 |
$166,624 |
$69,436 |
2.57 |
Postpartum & post abortion diagnoses w/o procedure |
7 |
$14,650 |
$4,208 |
$102,548 |
$29,455 |
2.14 |
Behavioral disorders |
7 |
$19,538 |
$5,660 |
$136,765 |
$39,623 |
5.57 |
Cardiac pacemaker & defibrillator device replacement |
6 |
$42,537 |
$12,652 |
$255,219 |
$75,913 |
2.50 |
Chest pain |
6 |
$22,046 |
$4,916 |
$132,276 |
$29,493 |
2.50 |
Other stomach, esophageal & duodenal procedures |
6 |
$62,323 |
$17,456 |
$373,939 |
$104,738 |
4.33 |
Anal procedures |
6 |
$59,513 |
$16,161 |
$357,077 |
$96,965 |
6.83 |
Tendon, muscle & other soft tissue procedures |
6 |
$37,493 |
$10,467 |
$224,957 |
$62,802 |
4.83 |
Connective tissue disorders |
6 |
$88,866 |
$28,227 |
$533,195 |
$169,362 |
8.50 |
Malfunction, reaction, complic of orthopedic device or procedure |
6 |
$30,490 |
$8,628 |
$182,940 |
$51,765 |
5.00 |
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms |
6 |
$68,788 |
$17,399 |
$412,726 |
$104,396 |
8.50 |
Fever |
6 |
$19,541 |
$4,373 |
$117,247 |
$26,239 |
3.00 |
Other mental health disorders |
6 |
$22,353 |
$6,075 |
$134,116 |
$36,447 |
5.50 |
Other circulatory system procedures |
5 |
$76,539 |
$19,541 |
$382,693 |
$97,705 |
9.60 |
Hand & wrist procedures |
5 |
$29,370 |
$7,045 |
$146,852 |
$35,225 |
4.20 |
Thyroid, parathyroid & thyroglossal procedures |
5 |
$33,667 |
$8,393 |
$168,333 |
$41,967 |
3.00 |
Uterine & adnexa procedures for non-malignancy except leiomyoma |
5 |
$37,916 |
$11,693 |
$189,580 |
$58,467 |
1.80 |
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond |
5 |
$10,362 |
$2,530 |
$51,809 |
$12,650 |
3.00 |
Cocaine abuse & dependence |
5 |
$17,421 |
$4,487 |
$87,106 |
$22,435 |
3.20 |
Tracheostomy w MV 96+ hours w extensive procedure or ECMO |
4 |
$325,114 |
$94,831 |
$1,300,457 |
$379,324 |
35.00 |
Tracheostomy w MV 96+ hours w/o extensive procedure |
4 |
$312,651 |
$84,716 |
$1,250,602 |
$338,865 |
30.50 |
Non-bacterial infections of nervous system exc viral meningitis |
4 |
$43,229 |
$10,804 |
$172,915 |
$43,217 |
6.75 |
Viral meningitis |
4 |
$34,457 |
$8,918 |
$137,827 |
$35,670 |
6.50 |
Head trauma w coma >1 hr or hemorrhage |
4 |
$43,802 |
$9,509 |
$175,208 |
$38,034 |
10.25 |
Acute & subacute endocarditis |
4 |
$46,440 |
$11,592 |
$185,758 |
$46,368 |
8.75 |
Major esophageal disorders |
4 |
$39,243 |
$9,164 |
$156,970 |
$36,655 |
5.25 |
Abdominal pain |
4 |
$35,629 |
$7,676 |
$142,515 |
$30,705 |
3.50 |
Major biliary tract procedures |
4 |
$148,784 |
$41,102 |
$595,136 |
$164,407 |
33.75 |
Other kidney, urinary tract & related procedures |
4 |
$50,963 |
$14,014 |
$203,850 |
$56,054 |
8.25 |
Kidney & urinary tract malignancy |
4 |
$51,182 |
$12,566 |
$204,727 |
$50,262 |
7.00 |
Menstrual & other female reproductive system disorders |
4 |
$17,600 |
$4,292 |
$70,398 |
$17,167 |
3.25 |
Preterm labor |
4 |
$5,445 |
$2,660 |
$21,779 |
$10,640 |
1.00 |
False labor |
4 |
$8,023 |
$4,286 |
$32,092 |
$17,142 |
1.00 |
Sickle cell anemia crisis |
4 |
$21,729 |
$6,087 |
$86,915 |
$24,349 |
4.25 |
Allergic reactions |
4 |
$18,223 |
$4,519 |
$72,891 |
$18,074 |
1.75 |
Other injury, poisoning & toxic effect diagnoses |
4 |
$27,936 |
$6,134 |
$111,745 |
$24,537 |
3.50 |
Spinal procedures |
3 |
$89,442 |
$24,592 |
$268,326 |
$73,777 |
11.33 |
Other nervous system & related procedures |
3 |
$105,110 |
$28,341 |
$315,329 |
$85,024 |
13.00 |
Multiple sclerosis & other demyelinating diseases |
3 |
$43,879 |
$11,751 |
$131,637 |
$35,254 |
11.00 |
Other ear, nose, mouth & throat procedures |
3 |
$36,974 |
$9,404 |
$110,922 |
$28,213 |
4.00 |
Cardiomyopathy |
3 |
$24,191 |
$5,298 |
$72,572 |
$15,893 |
3.00 |
Dorsal & lumbar fusion proc for curvature of back |
3 |
$79,491 |
$30,500 |
$238,474 |
$91,499 |
4.00 |
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses |
3 |
$54,105 |
$14,062 |
$162,315 |
$42,185 |
5.33 |
Major skin disorders |
3 |
$16,209 |
$4,321 |
$48,626 |
$12,962 |
3.33 |
Malignant breast disorders |
3 |
$30,117 |
$7,468 |
$90,351 |
$22,404 |
5.67 |
Other male reproductive system & related procedures |
3 |
$35,600 |
$10,700 |
$106,799 |
$32,099 |
2.00 |
Uterine & adnexa procedures for leiomyoma |
3 |
$22,126 |
$6,354 |
$66,379 |
$19,061 |
1.33 |
Female reproductive system malignancy |
3 |
$12,201 |
$3,048 |
$36,603 |
$9,145 |
2.33 |
Partial thickness burns without skin graft |
3 |
$49,771 |
$14,311 |
$149,313 |
$42,933 |
11.00 |
Musculoskeletal & other procedures for multiple significant trauma |
3 |
$84,230 |
$22,547 |
$252,691 |
$67,642 |
9.00 |
Bacterial & tuberculous infections of nervous system |
2 |
$65,844 |
$13,106 |
$131,688 |
$26,212 |
6.00 |
Eye disorders except major infections |
2 |
$32,248 |
$6,784 |
$64,495 |
$13,567 |
4.00 |
Facial bone procedures except major cranial/facial bone procedures |
2 |
$60,007 |
$19,036 |
$120,014 |
$38,071 |
2.00 |
Ear, nose, mouth, throat, cranial/facial malignancies |
2 |
$43,207 |
$11,923 |
$86,413 |
$23,845 |
11.50 |
Cardiac structural & valvular disorders |
2 |
$24,142 |
$5,468 |
$48,283 |
$10,936 |
4.00 |
Major pancreas, liver & shunt procedures |
2 |
$73,746 |
$22,162 |
$147,491 |
$44,323 |
12.00 |
Major bladder procedures |
2 |
$78,010 |
$17,113 |
$156,020 |
$34,225 |
8.50 |
Renal dialysis access device procedure only |
2 |
$65,751 |
$17,384 |
$131,502 |
$34,768 |
9.00 |
Other female reproductive system & related procedures |
2 |
$20,353 |
$4,408 |
$40,705 |
$8,815 |
1.00 |
Female reproductive system infections |
2 |
$17,780 |
$4,795 |
$35,559 |
$9,589 |
3.00 |
Acute leukemia |
2 |
$28,538 |
$7,991 |
$57,076 |
$15,982 |
8.50 |
HIV w multiple major HIV related conditions |
2 |
$46,657 |
$13,175 |
$93,313 |
$26,350 |
7.50 |
Spinal disorders & injuries |
1 |
$25,015 |
$2,678 |
$25,015 |
$2,678 |
1.00 |
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma |
1 |
$9,835 |
$2,534 |
$9,835 |
$2,534 |
2.00 |
Cystic fibrosis - pulmonary disease |
1 |
$30,476 |
$8,264 |
$30,476 |
$8,264 |
4.00 |
Bronchiolitis & RSV pneumonia |
1 |
$145,166 |
$41,312 |
$145,166 |
$41,312 |
31.00 |
Permanent cardiac pacemaker implant w AMI, heart failure or shock |
1 |
$80,003 |
$21,220 |
$80,003 |
$21,220 |
4.00 |
Inborn errors of metabolism |
1 |
$17,141 |
$4,205 |
$17,141 |
$4,205 |
3.00 |
Other bladder procedures |
1 |
$20,644 |
$4,469 |
$20,644 |
$4,469 |
1.00 |
Nephritis & nephrosis |
1 |
$14,942 |
$3,871 |
$14,942 |
$3,871 |
3.00 |
Testes & scrotal procedures |
1 |
$43,843 |
$11,970 |
$43,843 |
$11,970 |
8.00 |
Malignancy, male reproductive system |
1 |
$11,186 |
$3,114 |
$11,186 |
$3,114 |
2.00 |
Female reproductive system reconstructive procedures |
1 |
$60,518 |
$18,826 |
$60,518 |
$18,826 |
2.00 |
Dilation & curettage for non-obstetric diagnoses |
1 |
$25,350 |
$5,992 |
$25,350 |
$5,992 |
2.00 |
D&C, aspiration curettage or hysterotomy for obstetric diagnoses |
1 |
$62,170 |
$15,441 |
$62,170 |
$15,441 |
4.00 |
Neonate bwt <500g or GA <24 weeks |
1 |
$1,855 |
$489 |
$1,855 |
$489 |
1.00 |
Neonate bwt 1500-1999g w or w/o other significant condition |
1 |
$10,388 |
$2,372 |
$10,388 |
$2,372 |
4.00 |
Other procedures of blood & blood-forming organs |
1 |
$51,784 |
$15,565 |
$51,784 |
$15,565 |
6.00 |
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms |
1 |
$38,408 |
$10,007 |
$38,408 |
$10,007 |
2.00 |
Alcohol & drug dependence w rehab or rehab/detox therapy |
1 |
$18,118 |
$3,277 |
$18,118 |
$3,277 |
1.00 |
Other aftercare & convalescence |
1 |
$15,203 |
$4,710 |
$15,203 |
$4,710 |
4.00 |
HIV w major HIV related condition |
1 |
$114,465 |
$26,994 |
$114,465 |
$26,994 |
13.00 |
HIV w one signif HIV cond or w/o signif related cond |
1 |
$21,792 |
$4,737 |
$21,792 |
$4,737 |
3.00 |