NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM |
335 |
$3,080 |
$1,011 |
$1,031,727 |
$338,717 |
1.92 |
SEPTICEMIA & DISSEMINATED INFECTIONS |
299 |
$31,890 |
$9,088 |
$9,535,033 |
$2,717,385 |
5.86 |
VAGINAL DELIVERY |
233 |
$10,499 |
$1,859 |
$2,446,343 |
$433,104 |
2.20 |
HEART FAILURE |
217 |
$22,349 |
$6,551 |
$4,849,790 |
$1,421,635 |
4.76 |
MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS |
173 |
$25,606 |
$7,616 |
$4,429,874 |
$1,317,516 |
5.34 |
CHRONIC OBSTRUCTIVE PULMONARY DISEASE |
135 |
$15,869 |
$4,660 |
$2,142,333 |
$629,036 |
3.26 |
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS |
122 |
$17,729 |
$5,036 |
$2,162,931 |
$614,442 |
3.48 |
ALCOHOL ABUSE & DEPENDENCE |
113 |
$15,327 |
$4,340 |
$1,731,906 |
$490,381 |
3.49 |
OTHER PNEUMONIA |
112 |
$19,326 |
$5,277 |
$2,164,562 |
$591,063 |
3.99 |
BIPOLAR DISORDERS |
111 |
$21,039 |
$6,722 |
$2,335,349 |
$746,130 |
9.02 |
SCHIZOPHRENIA |
110 |
$28,539 |
$9,110 |
$3,139,270 |
$1,002,148 |
12.58 |
DIABETES |
105 |
$17,181 |
$4,587 |
$1,804,011 |
$481,683 |
3.06 |
KIDNEY & URINARY TRACT INFECTIONS |
102 |
$17,426 |
$4,675 |
$1,777,422 |
$476,892 |
3.65 |
CELLULITIS & OTHER SKIN INFECTIONS |
100 |
$15,702 |
$4,632 |
$1,570,187 |
$463,186 |
3.18 |
RESPIRATORY FAILURE |
94 |
$24,193 |
$7,016 |
$2,274,167 |
$659,510 |
4.32 |
CESAREAN SECTION W/O STERILIZATION |
93 |
$16,100 |
$5,566 |
$1,497,276 |
$517,655 |
2.67 |
MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES |
84 |
$20,156 |
$6,274 |
$1,693,118 |
$527,015 |
8.42 |
DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER |
84 |
$15,564 |
$4,863 |
$1,307,382 |
$408,525 |
6.49 |
PROCEDURES FOR OBESITY |
76 |
$25,971 |
$8,887 |
$1,973,826 |
$675,381 |
1.09 |
OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE |
72 |
$21,871 |
$6,533 |
$1,574,686 |
$470,395 |
3.74 |
CVA & PRECEREBRAL OCCLUSION W INFARCT |
71 |
$28,927 |
$7,577 |
$2,053,820 |
$537,955 |
3.68 |
ACUTE KIDNEY INJURY |
61 |
$19,377 |
$5,525 |
$1,181,998 |
$337,049 |
3.93 |
HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS |
57 |
$16,176 |
$4,363 |
$922,033 |
$248,675 |
3.21 |
NON-HYPOVOLEMIC SODIUM DISORDERS |
52 |
$17,897 |
$4,865 |
$930,624 |
$252,993 |
4.04 |
INTENTIONAL SELF-HARM & ATTEMPTED SUICIDE |
48 |
$19,866 |
$5,985 |
$953,552 |
$287,278 |
5.08 |
DIVERTICULITIS & DIVERTICULOSIS |
46 |
$15,033 |
$4,083 |
$691,529 |
$187,822 |
2.83 |
HIP JOINT REPLACEMENT |
45 |
$37,647 |
$12,466 |
$1,694,136 |
$560,959 |
3.44 |
HYPERTENSION |
43 |
$16,493 |
$4,370 |
$709,191 |
$187,921 |
2.93 |
SYNCOPE & COLLAPSE |
43 |
$16,689 |
$4,172 |
$717,619 |
$179,390 |
2.40 |
HIP & FEMUR FRACTURE REPAIR |
42 |
$39,047 |
$12,383 |
$1,639,953 |
$520,081 |
4.45 |
OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS |
41 |
$20,638 |
$6,281 |
$846,165 |
$257,525 |
3.24 |
OTHER GASTROENTERITIS, NAUSEA & VOMITING |
40 |
$18,389 |
$4,766 |
$735,546 |
$190,630 |
3.40 |
MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC |
38 |
$27,135 |
$7,850 |
$1,031,127 |
$298,313 |
5.66 |
INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE |
37 |
$59,384 |
$17,796 |
$2,197,202 |
$658,465 |
10.30 |
INTESTINAL OBSTRUCTION |
37 |
$16,427 |
$4,198 |
$607,798 |
$155,311 |
3.59 |
ALTERATION IN CONSCIOUSNESS |
34 |
$25,455 |
$6,840 |
$865,462 |
$232,558 |
4.79 |
OTHER DIGESTIVE SYSTEM DIAGNOSES |
33 |
$16,482 |
$4,633 |
$543,908 |
$152,882 |
2.97 |
PEPTIC ULCER & GASTRITIS |
30 |
$19,751 |
$5,512 |
$592,523 |
$165,366 |
3.33 |
DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE |
30 |
$16,937 |
$5,154 |
$508,110 |
$154,611 |
3.20 |
MAJOR LARGE BOWEL PROCEDURES |
29 |
$39,313 |
$12,755 |
$1,140,080 |
$369,902 |
4.69 |
CHOLECYSTECTOMY |
29 |
$26,766 |
$8,064 |
$776,213 |
$233,842 |
2.79 |
PULMONARY EMBOLISM |
28 |
$19,362 |
$4,834 |
$542,146 |
$135,338 |
2.89 |
MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS |
26 |
$18,137 |
$4,455 |
$471,561 |
$115,830 |
3.00 |
CESAREAN SECTION W STERILIZATION |
24 |
$14,848 |
$3,149 |
$356,361 |
$75,582 |
2.17 |
DISORDERS OF PANCREAS EXCEPT MALIGNANCY |
24 |
$18,296 |
$4,690 |
$439,094 |
$112,566 |
3.21 |
TRANSIENT ISCHEMIA |
24 |
$17,282 |
$3,616 |
$414,775 |
$86,784 |
1.67 |
OPIOID ABUSE & DEPENDENCE |
24 |
$13,190 |
$3,944 |
$316,549 |
$94,666 |
4.33 |
SEIZURE |
23 |
$16,919 |
$4,336 |
$389,133 |
$99,730 |
3.00 |
KNEE JOINT REPLACEMENT |
23 |
$44,187 |
$14,910 |
$1,016,311 |
$342,940 |
3.26 |
URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION |
22 |
$14,474 |
$4,052 |
$318,422 |
$89,151 |
1.68 |
OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES |
21 |
$16,535 |
$4,539 |
$347,233 |
$95,314 |
3.24 |
POISONING OF MEDICINAL AGENTS |
20 |
$18,020 |
$4,789 |
$360,392 |
$95,774 |
3.60 |
INFECTIONS OF UPPER RESPIRATORY TRACT |
20 |
$13,067 |
$3,244 |
$261,335 |
$64,880 |
2.35 |
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS |
20 |
$17,077 |
$5,200 |
$341,547 |
$103,991 |
3.15 |
RESPIRATORY MALIGNANCY |
19 |
$18,010 |
$5,282 |
$342,183 |
$100,361 |
4.00 |
HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS |
19 |
$23,429 |
$6,489 |
$445,146 |
$123,288 |
4.53 |
MAJOR SMALL BOWEL PROCEDURES |
18 |
$41,238 |
$12,993 |
$742,286 |
$233,876 |
6.61 |
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES |
18 |
$18,235 |
$5,220 |
$328,229 |
$93,967 |
4.72 |
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS |
18 |
$21,059 |
$6,120 |
$379,057 |
$110,156 |
5.89 |
FRACTURE OF FEMUR |
17 |
$14,020 |
$3,685 |
$238,335 |
$62,644 |
2.76 |
ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS |
16 |
$11,527 |
$3,151 |
$184,430 |
$50,409 |
1.69 |
SKIN ULCERS |
15 |
$19,451 |
$5,335 |
$291,763 |
$80,021 |
4.80 |
FRACTURE OF PELVIS OR DISLOCATION OF HIP |
14 |
$14,842 |
$3,996 |
$207,791 |
$55,945 |
3.57 |
OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES |
14 |
$18,820 |
$5,317 |
$263,482 |
$74,434 |
3.93 |
OTHER DRUG ABUSE & DEPENDENCE |
14 |
$15,082 |
$4,839 |
$211,148 |
$67,746 |
6.50 |
FOOT & TOE PROCEDURES |
13 |
$39,121 |
$12,136 |
$508,578 |
$157,765 |
5.69 |
COCAINE ABUSE & DEPENDENCE |
12 |
$13,269 |
$3,956 |
$159,222 |
$47,472 |
4.08 |
PERIPHERAL & OTHER VASCULAR DISORDERS |
12 |
$14,792 |
$4,135 |
$177,509 |
$49,623 |
2.42 |
FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK |
12 |
$16,994 |
$4,541 |
$203,923 |
$54,491 |
2.67 |
ANTEPARTUM W/O O.R. PROCEDURE |
12 |
$8,792 |
$2,678 |
$105,505 |
$32,130 |
1.92 |
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES |
11 |
$21,415 |
$5,495 |
$235,560 |
$60,440 |
3.36 |
ASTHMA |
11 |
$12,388 |
$3,646 |
$136,266 |
$40,106 |
2.55 |
SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS |
11 |
$16,472 |
$4,833 |
$181,188 |
$53,164 |
2.45 |
OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES |
11 |
$31,298 |
$10,220 |
$344,279 |
$112,417 |
3.91 |
NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM |
10 |
$3,805 |
$1,234 |
$38,052 |
$12,341 |
2.40 |
PERITONEAL ADHESIOLYSIS |
10 |
$40,207 |
$12,416 |
$402,073 |
$124,155 |
7.80 |
ACUTE BRONCHITIS & RELATED SYMPTOMS |
10 |
$16,898 |
$4,693 |
$168,981 |
$46,926 |
3.20 |
INFLAMMATORY BOWEL DISEASE |
10 |
$13,407 |
$3,589 |
$134,070 |
$35,889 |
2.30 |
CHEST PAIN |
10 |
$13,495 |
$4,326 |
$134,954 |
$43,262 |
1.40 |
MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE |
9 |
$15,020 |
$4,009 |
$135,180 |
$36,077 |
3.11 |
OTHER INFECTIOUS & PARASITIC DISEASES |
9 |
$27,098 |
$8,402 |
$243,879 |
$75,616 |
6.22 |
KNEE & LOWER LEG PROCEDURES EXCEPT FOOT |
9 |
$46,734 |
$14,473 |
$420,603 |
$130,254 |
6.33 |
ALCOHOLIC LIVER DISEASE |
9 |
$20,040 |
$5,635 |
$180,363 |
$50,716 |
2.44 |
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS |
9 |
$114,242 |
$38,188 |
$1,028,180 |
$343,695 |
17.11 |
NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE |
8 |
$2,393 |
$722 |
$19,143 |
$5,778 |
1.25 |
CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE |
8 |
$18,541 |
$5,737 |
$148,328 |
$45,899 |
3.75 |
PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS |
8 |
$17,710 |
$4,700 |
$141,677 |
$37,599 |
3.50 |
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES |
8 |
$21,472 |
$6,118 |
$171,774 |
$48,946 |
2.75 |
URETHRAL & TRANSURETHRAL PROCEDURES |
8 |
$20,224 |
$6,087 |
$161,789 |
$48,698 |
2.63 |
INTRACRANIAL HEMORRHAGE |
7 |
$16,118 |
$3,746 |
$112,827 |
$26,220 |
3.57 |
ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES |
7 |
$6,532 |
$1,943 |
$45,724 |
$13,598 |
2.57 |
OTHER DISORDERS OF THE LIVER |
7 |
$27,884 |
$7,675 |
$195,190 |
$53,722 |
6.43 |
CARDIAC ARREST & SHOCK |
7 |
$28,463 |
$8,117 |
$199,244 |
$56,821 |
4.57 |
ACUTE ANXIETY & DELIRIUM STATES |
7 |
$19,737 |
$6,258 |
$138,162 |
$43,806 |
6.29 |
COAGULATION & PLATELET DISORDERS |
7 |
$32,549 |
$10,465 |
$227,842 |
$73,256 |
3.71 |
DISORDERS OF GALLBLADDER & BILIARY TRACT |
7 |
$16,077 |
$4,269 |
$112,538 |
$29,880 |
2.86 |
OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS |
7 |
$11,028 |
$3,339 |
$77,196 |
$23,374 |
2.29 |
LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA |
7 |
$26,848 |
$7,581 |
$187,934 |
$53,066 |
5.14 |
AMPUTATION OF LOWER LIMB EXCEPT TOES |
7 |
$41,719 |
$13,125 |
$292,035 |
$91,878 |
7.14 |
OTHER CIRCULATORY SYSTEM DIAGNOSES |
7 |
$18,093 |
$5,143 |
$126,648 |
$36,001 |
2.29 |
ABDOMINAL PAIN |
6 |
$12,487 |
$3,781 |
$74,921 |
$22,683 |
2.50 |
MAJOR CHEST & RESPIRATORY TRAUMA |
6 |
$24,433 |
$7,130 |
$146,597 |
$42,779 |
4.50 |
OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS |
6 |
$25,601 |
$6,543 |
$153,607 |
$39,255 |
5.17 |
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL |
6 |
$25,492 |
$8,034 |
$152,951 |
$48,206 |
3.17 |
VERTIGO & OTHER LABYRINTH DISORDERS |
6 |
$15,480 |
$3,709 |
$92,879 |
$22,255 |
2.50 |
LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR |
6 |
$23,971 |
$7,343 |
$143,823 |
$44,060 |
4.00 |
TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES |
5 |
$26,503 |
$8,007 |
$132,517 |
$40,035 |
4.00 |
OTHER ENDOCRINE DISORDERS |
5 |
$21,812 |
$6,104 |
$109,061 |
$30,520 |
3.80 |
SHOULDER & ELBOW JOINT REPLACEMENT |
5 |
$41,853 |
$14,486 |
$209,266 |
$72,430 |
2.00 |
OTHER AFTERCARE & CONVALESCENCE |
5 |
$8,762 |
$2,541 |
$43,812 |
$12,707 |
3.20 |
NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
5 |
$26,096 |
$7,392 |
$130,480 |
$36,961 |
3.60 |
OTHER SMALL & LARGE BOWEL PROCEDURES |
5 |
$35,644 |
$11,409 |
$178,221 |
$57,045 |
5.20 |
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS |
5 |
$28,370 |
$7,600 |
$141,849 |
$37,999 |
5.20 |
MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL |
5 |
$33,967 |
$10,277 |
$169,836 |
$51,383 |
5.60 |
OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS |
5 |
$35,516 |
$10,356 |
$177,581 |
$51,780 |
10.00 |
MAJOR ESOPHAGEAL DISORDERS |
5 |
$20,215 |
$5,170 |
$101,073 |
$25,849 |
2.60 |
KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY |
5 |
$32,426 |
$10,571 |
$162,130 |
$52,855 |
2.00 |
CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP |
5 |
$38,446 |
$12,246 |
$192,232 |
$61,232 |
4.40 |
MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE |
5 |
$15,428 |
$4,562 |
$77,141 |
$22,809 |
3.60 |
MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE |
4 |
$12,975 |
$3,589 |
$51,898 |
$14,355 |
2.00 |
POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE |
4 |
$26,542 |
$8,006 |
$106,169 |
$32,023 |
4.50 |
EYE INFECTIONS & OTHER EYE DISORDERS |
4 |
$23,475 |
$6,413 |
$93,900 |
$25,650 |
2.50 |
VIRAL ILLNESS |
4 |
$14,494 |
$3,658 |
$57,975 |
$14,633 |
2.00 |
OTHER DISORDERS OF NERVOUS SYSTEM |
4 |
$17,143 |
$5,185 |
$68,571 |
$20,741 |
3.50 |
NERVOUS SYSTEM MALIGNANCY |
4 |
$14,612 |
$3,121 |
$58,448 |
$12,483 |
1.50 |
CHRONIC KIDNEY DISEASE |
4 |
$10,396 |
$3,209 |
$41,585 |
$12,836 |
2.75 |
MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
4 |
$34,281 |
$10,021 |
$137,124 |
$40,083 |
6.75 |
OTHER SIGNIFICANT HIP & FEMUR SURGERY |
4 |
$42,177 |
$13,302 |
$168,709 |
$53,206 |
5.50 |
OTHER COMPLICATIONS OF TREATMENT |
4 |
$18,772 |
$5,060 |
$75,086 |
$20,241 |
3.50 |
THYROID DISORDERS |
4 |
$10,887 |
$2,636 |
$43,548 |
$10,544 |
1.75 |
ACUTE MYOCARDIAL INFARCTION |
4 |
$22,730 |
$5,896 |
$90,920 |
$23,582 |
5.00 |
HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION |
3 |
$29,858 |
$9,218 |
$89,573 |
$27,655 |
6.33 |
MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS |
3 |
$16,439 |
$5,331 |
$49,317 |
$15,992 |
4.00 |
MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES |
3 |
$32,833 |
$10,924 |
$98,499 |
$32,772 |
2.67 |
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY |
3 |
$13,238 |
$3,423 |
$39,713 |
$10,269 |
3.00 |
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS |
3 |
$9,155 |
$2,509 |
$27,466 |
$7,527 |
1.67 |
ORGANIC MENTAL HEALTH DISTURBANCES |
3 |
$10,502 |
$3,041 |
$31,506 |
$9,124 |
4.00 |
MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS |
3 |
$18,735 |
$4,829 |
$56,205 |
$14,487 |
3.33 |
VAGINAL DELIVERY W O.R. PROCEDURE EXCEPT STERILIZATION &/OR D&C |
3 |
$10,243 |
$2,104 |
$30,728 |
$6,312 |
2.33 |
ACUTE & SUBACUTE ENDOCARDITIS |
3 |
$28,274 |
$9,298 |
$84,821 |
$27,893 |
5.67 |
INTERSTITIAL & ALVEOLAR LUNG DISEASES |
3 |
$19,867 |
$5,601 |
$59,600 |
$16,802 |
3.33 |
OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES |
3 |
$20,702 |
$5,480 |
$62,105 |
$16,439 |
3.00 |
INTERVERTEBRAL DISC EXCISION & DECOMPRESSION |
3 |
$42,904 |
$13,265 |
$128,712 |
$39,794 |
5.33 |
DIGESTIVE MALIGNANCY |
3 |
$21,518 |
$5,695 |
$64,553 |
$17,086 |
5.00 |
HIV W MAJOR HIV RELATED CONDITION |
3 |
$56,214 |
$18,075 |
$168,641 |
$54,225 |
11.33 |
ALLERGIC REACTIONS |
3 |
$16,471 |
$5,392 |
$49,412 |
$16,175 |
3.00 |
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS |
3 |
$22,165 |
$6,608 |
$66,496 |
$19,825 |
1.33 |
EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
3 |
$85,949 |
$28,126 |
$257,848 |
$84,377 |
12.67 |
SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT |
3 |
$33,791 |
$10,593 |
$101,372 |
$31,778 |
2.67 |
MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES |
2 |
$22,933 |
$4,962 |
$45,866 |
$9,923 |
3.50 |
INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES |
2 |
$31,461 |
$9,443 |
$62,922 |
$18,886 |
4.00 |
MIGRAINE & OTHER HEADACHES |
2 |
$12,823 |
$4,131 |
$25,646 |
$8,262 |
1.50 |
MALIGNANT BREAST DISORDERS |
2 |
$19,133 |
$4,951 |
$38,266 |
$9,902 |
4.50 |
ANAL PROCEDURES |
2 |
$27,053 |
$8,832 |
$54,106 |
$17,664 |
4.50 |
RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES |
2 |
$20,112 |
$6,609 |
$40,224 |
$13,218 |
2.50 |
EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
2 |
$48,694 |
$15,221 |
$97,388 |
$30,442 |
3.50 |
PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE |
2 |
$48,297 |
$16,936 |
$96,593 |
$33,871 |
3.00 |
CYSTIC FIBROSIS - PULMONARY DISEASE |
2 |
$18,990 |
$4,520 |
$37,979 |
$9,040 |
3.00 |
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES |
2 |
$55,474 |
$17,599 |
$110,948 |
$35,197 |
9.00 |
NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND |
2 |
$4,883 |
$1,485 |
$9,765 |
$2,970 |
3.00 |
OTHER ESOPHAGEAL DISORDERS |
2 |
$21,471 |
$5,386 |
$42,941 |
$10,771 |
4.00 |
MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG |
2 |
$16,131 |
$5,691 |
$32,261 |
$11,381 |
2.00 |
FEMALE REPRODUCTIVE SYSTEM INFECTIONS |
2 |
$8,633 |
$2,415 |
$17,265 |
$4,830 |
1.50 |
OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL & METABOLIC DISORDERS |
2 |
$76,878 |
$24,629 |
$153,755 |
$49,258 |
13.50 |
DISORDERS OF PERSONALITY & IMPULSE CONTROL |
2 |
$7,133 |
$2,232 |
$14,265 |
$4,463 |
2.50 |
NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS |
2 |
$19,067 |
$3,701 |
$38,133 |
$7,401 |
1.50 |
VAGINAL DELIVERY W STERILIZATION &/OR D&C |
2 |
$13,081 |
$3,278 |
$26,161 |
$6,556 |
2.00 |
NEPHRITIS & NEPHROSIS |
2 |
$23,867 |
$6,686 |
$47,733 |
$13,371 |
5.50 |
NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION |
1 |
$6,156 |
$1,883 |
$6,156 |
$1,883 |
4.00 |
OTHER PERIPHERAL VASCULAR PROCEDURES |
1 |
$58,849 |
$23,347 |
$58,849 |
$23,347 |
6.00 |
CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA |
1 |
$28,081 |
$7,418 |
$28,081 |
$7,418 |
3.00 |
MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS |
1 |
$29,650 |
$10,043 |
$29,650 |
$10,043 |
3.00 |
MENTAL ILLNESS DIAGNOSIS W O.R. PROCEDURE |
1 |
$15,643 |
$4,878 |
$15,643 |
$4,878 |
6.00 |
ANTEPARTUM W O.R. PROCEDURE |
1 |
$16,683 |
$5,495 |
$16,683 |
$5,495 |
2.00 |
HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND |
1 |
$10,844 |
$2,202 |
$10,844 |
$2,202 |
1.00 |
TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE |
1 |
$366,729 |
$130,888 |
$366,729 |
$130,888 |
51.00 |
OTHER MENTAL HEALTH DISORDERS |
1 |
$11,559 |
$3,811 |
$11,559 |
$3,811 |
6.00 |
SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES |
1 |
$13,594 |
$3,599 |
$13,594 |
$3,599 |
3.00 |
ACUTE LEUKEMIA |
1 |
$14,940 |
$5,554 |
$14,940 |
$5,554 |
1.00 |
EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES |
1 |
$13,025 |
$3,663 |
$13,025 |
$3,663 |
2.00 |
THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES |
1 |
$80,401 |
$27,516 |
$80,401 |
$27,516 |
13.00 |
OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES |
1 |
$41,742 |
$12,495 |
$41,742 |
$12,495 |
5.00 |
OTHER NERVOUS SYSTEM & RELATED PROCEDURES |
1 |
$52,301 |
$20,544 |
$52,301 |
$20,544 |
8.00 |
HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS |
1 |
$17,421 |
$4,592 |
$17,421 |
$4,592 |
3.00 |
INBORN ERRORS OF METABOLISM |
1 |
$14,996 |
$3,971 |
$14,996 |
$3,971 |
3.00 |
MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
1 |
$55,806 |
$16,045 |
$55,806 |
$16,045 |
15.00 |
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY |
1 |
$25,944 |
$6,131 |
$25,944 |
$6,131 |
3.00 |
ANOXIC & OTHER SEVERE BRAIN DAMAGE |
1 |
$28,243 |
$7,914 |
$28,243 |
$7,914 |
5.00 |
OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES |
1 |
$18,139 |
$5,388 |
$18,139 |
$5,388 |
2.00 |
CARDIAC STRUCTURAL & VALVULAR DISORDERS |
1 |
$5,654 |
$1,599 |
$5,654 |
$1,599 |
1.00 |
OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES |
1 |
$23,457 |
$7,011 |
$23,457 |
$7,011 |
2.00 |
MASTECTOMY PROCEDURES |
1 |
$21,854 |
$7,438 |
$21,854 |
$7,438 |
1.00 |
MAJOR CRANIAL/FACIAL BONE PROCEDURES |
1 |
$42,524 |
$12,598 |
$42,524 |
$12,598 |
5.00 |
NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
1 |
$21,303 |
$5,610 |
$21,303 |
$5,610 |
3.00 |
DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES |
1 |
$37,680 |
$12,022 |
$37,680 |
$12,022 |
4.00 |
KIDNEY & URINARY TRACT MALIGNANCY |
1 |
$17,829 |
$4,054 |
$17,829 |
$4,054 |
3.00 |
TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE |
1 |
$332,610 |
$112,532 |
$332,610 |
$112,532 |
58.00 |
DENTAL DISEASES & DISORDERS |
1 |
$12,224 |
$2,544 |
$12,224 |
$2,544 |
2.00 |
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT |
1 |
$17,551 |
$4,040 |
$17,551 |
$4,040 |
2.00 |
BRONCHIOLITIS & RSV PNEUMONIA |
1 |
$16,201 |
$3,871 |
$16,201 |
$3,871 |
3.00 |
HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE |
1 |
$7,952 |
$1,646 |
$7,952 |
$1,646 |
2.00 |
CONNECTIVE TISSUE DISORDERS |
1 |
$23,517 |
$5,689 |
$23,517 |
$5,689 |
4.00 |
CARDIOMYOPATHY |
1 |
$12,420 |
$2,980 |
$12,420 |
$2,980 |
2.00 |
NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION |
1 |
$3,038 |
$1,075 |
$3,038 |
$1,075 |
2.00 |
HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS |
1 |
$52,138 |
$14,300 |
$52,138 |
$14,300 |
7.00 |
GASTROINTESTINAL VASCULAR INSUFFICIENCY |
1 |
$13,989 |
$3,717 |
$13,989 |
$3,717 |
3.00 |
FEVER & INFLAMMATORY CONDITIONS |
1 |
$21,519 |
$7,095 |
$21,519 |
$7,095 |
12.00 |