Neonate birthwt >2499g, normal newborn or neonate w other problem |
499 |
$1,906 |
$659 |
$951,020 |
$328,943 |
1.66 |
Vaginal delivery |
361 |
$6,752 |
$4,443 |
$2,437,496 |
$1,604,019 |
1.82 |
Septicemia & disseminated infections |
355 |
$23,103 |
$8,146 |
$8,201,731 |
$2,891,828 |
4.36 |
Heart failure |
245 |
$16,754 |
$6,583 |
$4,104,787 |
$1,612,890 |
3.58 |
Knee joint replacement |
243 |
$38,983 |
$11,855 |
$9,472,903 |
$2,880,739 |
2.77 |
Chronic obstructive pulmonary disease |
171 |
$15,109 |
$6,018 |
$2,583,678 |
$1,029,046 |
3.16 |
Cesarean delivery |
166 |
$14,458 |
$5,253 |
$2,400,038 |
$871,998 |
2.51 |
Cardiac arrhythmia & conduction disorders |
140 |
$14,042 |
$4,981 |
$1,965,943 |
$697,321 |
2.49 |
Respiratory Failure |
127 |
$24,400 |
$8,539 |
$3,098,827 |
$1,084,497 |
4.27 |
Hip joint replacement |
113 |
$41,491 |
$12,565 |
$4,688,513 |
$1,419,894 |
3.26 |
Other pneumonia |
104 |
$14,606 |
$5,715 |
$1,519,001 |
$594,361 |
3.00 |
CVA & precerebral occlusion w infarct |
91 |
$35,094 |
$8,442 |
$3,193,522 |
$768,240 |
2.93 |
Kidney & urinary tract infections |
85 |
$14,576 |
$5,384 |
$1,238,968 |
$457,639 |
2.94 |
Acute Kidney Injury |
83 |
$15,930 |
$6,420 |
$1,322,176 |
$532,862 |
3.73 |
Cellulitis & other skin infections |
75 |
$13,700 |
$5,560 |
$1,027,469 |
$417,002 |
3.09 |
Hip and femur fracture repair |
63 |
$40,587 |
$13,389 |
$2,556,968 |
$843,525 |
5.06 |
Intestinal obstruction |
60 |
$12,779 |
$4,966 |
$766,745 |
$297,984 |
3.00 |
Major respiratory infections & inflammations |
54 |
$19,967 |
$7,709 |
$1,078,240 |
$416,299 |
4.22 |
Disorders of pancreas except malignancy |
54 |
$17,401 |
$5,720 |
$939,670 |
$308,875 |
3.11 |
Other anemia & disorders of blood & blood-forming organs |
54 |
$16,768 |
$5,299 |
$905,493 |
$286,139 |
2.33 |
Other gastroenteritis, nausa & vomiting |
53 |
$14,443 |
$5,645 |
$765,475 |
$299,203 |
3.30 |
Diabetes |
50 |
$15,697 |
$5,176 |
$784,874 |
$258,801 |
2.66 |
Pulmonary embolism |
41 |
$14,498 |
$4,766 |
$594,429 |
$195,404 |
2.44 |
Malfunction, reaction, complic of genitourinary device or proc |
41 |
$17,116 |
$6,460 |
$701,749 |
$264,848 |
3.56 |
Acute myocardial infarction |
37 |
$14,230 |
$4,670 |
$526,508 |
$172,805 |
2.27 |
Alcohol abuse & dependence |
33 |
$17,436 |
$6,458 |
$575,382 |
$213,105 |
3.79 |
Electrolyte disorders except hypovolemia related |
32 |
$16,572 |
$5,313 |
$530,309 |
$170,015 |
2.56 |
Diverticulitis & diverticulosis |
30 |
$13,964 |
$5,356 |
$418,911 |
$160,679 |
3.17 |
Poisoning of medicinal agents |
30 |
$18,230 |
$5,700 |
$546,905 |
$170,991 |
2.73 |
Other & unspecified gastrointestinal hemorrhage |
29 |
$21,054 |
$6,619 |
$610,571 |
$191,938 |
3.03 |
Infectious & parasitic diseases including HIV w O.R. procedure |
28 |
$48,855 |
$16,126 |
$1,367,942 |
$451,514 |
8.04 |
Laparoscopic cholecystectomy |
27 |
$29,349 |
$8,758 |
$792,412 |
$236,460 |
3.11 |
Major gastrointestinal & peritoneal infections |
25 |
$16,015 |
$6,611 |
$400,366 |
$165,276 |
3.88 |
Signs, symptoms & other factors influencing health status |
25 |
$11,768 |
$5,502 |
$294,207 |
$137,551 |
3.48 |
Major small & large bowel procedures |
24 |
$50,363 |
$18,337 |
$1,208,719 |
$440,088 |
8.17 |
Other digestive system diagnoses |
24 |
$15,925 |
$5,537 |
$382,192 |
$132,898 |
2.79 |
Other musculoskeletal system & connective tissue diagnoses |
23 |
$15,989 |
$6,311 |
$367,744 |
$145,162 |
3.96 |
Urinary stones & acquired upper urinary tract obstruction |
22 |
$18,841 |
$6,173 |
$414,508 |
$135,803 |
2.73 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
22 |
$16,740 |
$5,789 |
$368,273 |
$127,353 |
2.77 |
Hypovolemia & related electrolyte disorders |
21 |
$12,464 |
$4,830 |
$261,750 |
$101,431 |
2.62 |
Moderately extensive procedure unrelated to principal diagnosis |
21 |
$38,687 |
$12,219 |
$812,423 |
$256,603 |
6.05 |
Respiratory signs, symptoms & minor diagnoses |
20 |
$12,326 |
$4,662 |
$246,528 |
$93,246 |
2.50 |
Seizure |
19 |
$22,743 |
$6,762 |
$432,124 |
$128,480 |
3.58 |
Appendectomy |
19 |
$23,148 |
$7,131 |
$439,803 |
$135,493 |
2.42 |
Fractures & dislocations except femur, pelvis & back |
19 |
$18,262 |
$6,850 |
$346,974 |
$130,157 |
3.79 |
Other back & neck disorders, fractures & injuries |
19 |
$21,552 |
$6,497 |
$409,492 |
$123,439 |
3.37 |
Disorders of gallbladder & biliary tract |
18 |
$16,127 |
$4,509 |
$290,292 |
$81,168 |
2.17 |
Transient ischemia |
17 |
$16,634 |
$3,886 |
$282,779 |
$66,068 |
1.71 |
Hypertension |
17 |
$14,282 |
$3,969 |
$242,787 |
$67,473 |
1.94 |
Peptic ulcer & gastritis |
17 |
$19,828 |
$7,153 |
$337,075 |
$121,601 |
3.59 |
Neonate, transferred < 5 days old, born here |
17 |
$2,163 |
$544 |
$36,769 |
$9,245 |
1.24 |
Inflammatory bowel disease |
16 |
$15,076 |
$5,741 |
$241,222 |
$91,858 |
3.06 |
Knee & lower leg procedures except foot |
16 |
$42,357 |
$14,338 |
$677,715 |
$229,403 |
4.88 |
Other endocrine disorders |
15 |
$18,040 |
$6,110 |
$270,597 |
$91,652 |
3.40 |
Peripheral & other vascular disorders |
14 |
$13,296 |
$5,041 |
$186,139 |
$70,569 |
2.79 |
Fracture of pelvis or dislocation of hip |
14 |
$16,269 |
$6,149 |
$227,759 |
$86,087 |
3.64 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
14 |
$12,119 |
$6,217 |
$169,666 |
$87,033 |
2.00 |
Asthma |
13 |
$13,364 |
$5,371 |
$173,735 |
$69,822 |
2.77 |
Gastrointestinal vascular insufficiency |
13 |
$24,073 |
$8,040 |
$312,949 |
$104,518 |
3.62 |
Other disorders of the liver |
13 |
$17,130 |
$5,348 |
$222,694 |
$69,523 |
2.38 |
Degenerative nervous system disorders exc mult sclerosis |
12 |
$22,686 |
$8,796 |
$272,234 |
$105,555 |
5.17 |
Infections of upper respiratory tract |
12 |
$19,597 |
$7,531 |
$235,164 |
$90,373 |
4.33 |
Syncope & collapse |
12 |
$17,429 |
$6,132 |
$209,146 |
$73,589 |
2.83 |
Foot & toe procedures |
12 |
$30,875 |
$10,414 |
$370,505 |
$124,962 |
4.92 |
Uterine & adnexa procedures for leiomyoma |
12 |
$23,533 |
$7,388 |
$282,398 |
$88,656 |
2.25 |
Post-operative, post-traumatic, other device infections |
12 |
$21,983 |
$8,063 |
$263,792 |
$96,752 |
4.42 |
Other disorders of nervous system |
11 |
$18,908 |
$6,126 |
$207,989 |
$67,390 |
3.45 |
Respiratory malignancy |
11 |
$16,498 |
$6,449 |
$181,475 |
$70,941 |
3.45 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
11 |
$16,586 |
$5,785 |
$182,443 |
$63,632 |
3.18 |
Other circulatory system diagnoses |
11 |
$20,033 |
$6,739 |
$220,360 |
$74,130 |
3.27 |
Digestive malignancy |
11 |
$14,266 |
$5,894 |
$156,925 |
$64,829 |
3.64 |
Alcoholic liver disease |
11 |
$27,709 |
$9,011 |
$304,800 |
$99,124 |
4.36 |
Fracture of femur |
11 |
$16,250 |
$5,807 |
$178,755 |
$63,873 |
3.27 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
11 |
$20,278 |
$7,385 |
$223,055 |
$81,239 |
4.27 |
Connective tissue disorders |
11 |
$15,489 |
$5,424 |
$170,384 |
$59,661 |
2.64 |
Other kidney & urinary tract diagnoses, signs & symptoms |
11 |
$12,783 |
$4,491 |
$140,610 |
$49,402 |
2.64 |
Uterine & adnexa procedures for non-malignancy except leiomyoma |
11 |
$20,376 |
$6,322 |
$224,132 |
$69,537 |
1.73 |
Nontraumatic stupor & coma |
10 |
$17,459 |
$5,971 |
$174,590 |
$59,711 |
3.50 |
Hepatic coma & other major acute liver disorders |
10 |
$14,557 |
$5,481 |
$145,566 |
$54,807 |
3.10 |
Malnutrition, failure to thrive & other nutritional disorders |
10 |
$15,315 |
$7,868 |
$153,152 |
$78,677 |
5.10 |
Angina pectoris & coronary atherosclerosis |
9 |
$11,327 |
$3,359 |
$101,947 |
$30,231 |
1.11 |
Other small & large bowel procedures |
9 |
$43,745 |
$14,697 |
$393,707 |
$132,272 |
6.44 |
Other hepatobiliary, pancreas & abdominal procedures |
9 |
$14,587 |
$5,353 |
$131,280 |
$48,173 |
3.00 |
Other antepartum diagnoses |
9 |
$3,602 |
$1,823 |
$32,417 |
$16,404 |
1.22 |
Interstitial & alveolar lung diseases |
8 |
$20,096 |
$6,761 |
$160,771 |
$54,090 |
3.38 |
Urethral & transurethral procedures |
8 |
$19,332 |
$6,151 |
$154,655 |
$49,211 |
2.13 |
Cardiac arrest and shock |
7 |
$10,374 |
$3,322 |
$72,620 |
$23,253 |
1.57 |
Malfunction, reaction & complication of GI device or procedure |
7 |
$25,840 |
$8,157 |
$180,878 |
$57,099 |
3.29 |
Malignancy of hepatobiliary system & pancreas |
7 |
$12,447 |
$3,879 |
$87,132 |
$27,150 |
2.14 |
Other musculoskeletal system & connective tissue procedures |
7 |
$34,149 |
$11,278 |
$239,041 |
$78,948 |
4.00 |
Male reproductive system diagnoses except malignancy |
7 |
$11,140 |
$3,617 |
$77,977 |
$25,320 |
1.71 |
Neonate bwt 2000-2499g, normal newborn or neonate w other problem |
7 |
$2,463 |
$842 |
$17,242 |
$5,896 |
2.43 |
Post-op, post-trauma, other device infections w O.R. procedure |
7 |
$26,405 |
$9,175 |
$184,838 |
$64,224 |
4.00 |
Nonextensive procedure unrelated to principal diagnosis |
7 |
$18,612 |
$6,549 |
$130,286 |
$45,843 |
3.00 |
Intracranial hemorrhage |
6 |
$9,643 |
$3,119 |
$57,860 |
$18,714 |
1.67 |
Major chest & respiratory trauma |
6 |
$20,144 |
$7,426 |
$120,864 |
$44,553 |
4.50 |
Inguinal, femoral & umbilical hernia procedures |
6 |
$32,204 |
$9,924 |
$193,225 |
$59,544 |
4.17 |
Other esophageal disorders |
6 |
$28,892 |
$8,148 |
$173,349 |
$48,888 |
2.50 |
Other skin, subcutaneous tissue & related procedures |
6 |
$17,038 |
$6,107 |
$102,230 |
$36,644 |
2.50 |
Skin ulcers |
6 |
$11,430 |
$4,284 |
$68,578 |
$25,703 |
2.50 |
Viral illness |
6 |
$12,857 |
$3,636 |
$77,140 |
$21,815 |
2.00 |
Multiple sclerosis & other demyelinating diseases |
5 |
$14,914 |
$7,408 |
$74,569 |
$37,042 |
5.00 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
5 |
$25,974 |
$9,646 |
$129,868 |
$48,231 |
5.40 |
Abdominal pain |
5 |
$12,096 |
$4,071 |
$60,482 |
$20,356 |
2.00 |
Cholecystectomy except laparoscopic |
5 |
$57,904 |
$21,012 |
$289,519 |
$105,061 |
10.20 |
Shoulder, upper arm & forearm procedures except joint replacement |
5 |
$55,003 |
$16,138 |
$275,017 |
$80,692 |
3.60 |
Vaginal delivery w sterilization &/or D&C |
5 |
$20,311 |
$8,746 |
$101,557 |
$43,730 |
2.40 |
Postpartum & post abortion diagnoses w/o procedure |
5 |
$8,607 |
$3,610 |
$43,034 |
$18,051 |
2.00 |
Coagulation & platelet disorders |
5 |
$36,035 |
$12,659 |
$180,177 |
$63,295 |
5.60 |
Other infectious & parasitic diseases |
5 |
$17,629 |
$7,102 |
$88,147 |
$35,512 |
4.00 |
Other complications of treatment |
5 |
$18,281 |
$5,800 |
$91,406 |
$28,998 |
2.40 |
Toxic effects of non-medicinal substances |
5 |
$12,619 |
$4,039 |
$63,096 |
$20,194 |
2.00 |
Nervous system malignancy |
4 |
$14,581 |
$5,804 |
$58,323 |
$23,215 |
3.75 |
Peripheral, cranial & autonomic nerve disorders |
4 |
$15,494 |
$4,887 |
$61,974 |
$19,549 |
2.50 |
Migraine & other headaches |
4 |
$13,198 |
$3,628 |
$52,791 |
$14,513 |
1.50 |
Respiratory system diagnosis w ventilator support 96+ hours |
4 |
$74,187 |
$23,032 |
$296,748 |
$92,129 |
11.75 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
4 |
$22,420 |
$6,883 |
$89,678 |
$27,531 |
3.50 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
4 |
$20,597 |
$6,792 |
$82,389 |
$27,168 |
3.00 |
Allergic reactions |
4 |
$11,234 |
$3,755 |
$44,935 |
$15,021 |
1.75 |
Non-bacterial infections of nervous system exc viral meningitis |
3 |
$19,998 |
$5,298 |
$59,995 |
$15,895 |
2.67 |
Vertigo & other labyrinth disorders |
3 |
$13,794 |
$2,758 |
$41,383 |
$8,273 |
1.00 |
Dental & oral diseases & injuries |
3 |
$10,308 |
$4,233 |
$30,924 |
$12,698 |
2.33 |
Bronchiolitis & RSV pneumonia |
3 |
$6,070 |
$3,255 |
$18,209 |
$9,764 |
1.67 |
Chest pain |
3 |
$18,813 |
$4,844 |
$56,438 |
$14,531 |
2.00 |
Other significant hip and femur surgery |
3 |
$48,229 |
$15,154 |
$144,686 |
$45,463 |
4.67 |
Tendon, muscle & other soft tissue procedures |
3 |
$33,680 |
$11,565 |
$101,041 |
$34,694 |
5.33 |
Other skin, subcutaneous tissue & breast disorders |
3 |
$12,905 |
$3,872 |
$38,716 |
$11,616 |
1.33 |
Acute leukemia |
3 |
$12,930 |
$3,731 |
$38,790 |
$11,192 |
1.33 |
Drug & alcohol abuse or dependence, left against medical advice |
3 |
$21,837 |
$6,420 |
$65,511 |
$19,260 |
3.00 |
Musculoskeletal & other procedures for multiple significant trauma |
3 |
$52,843 |
$14,726 |
$158,530 |
$44,177 |
5.00 |
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma |
2 |
$19,603 |
$3,986 |
$39,206 |
$7,971 |
1.00 |
Other stomach, esophageal & duodenal procedures |
2 |
$30,685 |
$11,135 |
$61,370 |
$22,269 |
5.50 |
Peritoneal adhesiolysis |
2 |
$48,998 |
$21,771 |
$97,995 |
$43,541 |
13.50 |
Malfunction, reaction, complic of orthopedic device or procedure |
2 |
$31,508 |
$9,327 |
$63,016 |
$18,654 |
4.00 |
Malignant breast disorders |
2 |
$7,988 |
$3,242 |
$15,976 |
$6,484 |
2.00 |
Inborn errors of metabolism |
2 |
$14,974 |
$5,723 |
$29,948 |
$11,446 |
3.50 |
Kidney & urinary tract procedures for nonmalignancy |
2 |
$19,028 |
$6,669 |
$38,055 |
$13,338 |
2.50 |
Kidney & urinary tract malignancy |
2 |
$30,987 |
$11,172 |
$61,973 |
$22,343 |
6.50 |
Transurethral prostatectomy |
2 |
$39,524 |
$13,556 |
$79,048 |
$27,112 |
6.50 |
Female reproductive system infections |
2 |
$17,900 |
$6,646 |
$35,800 |
$13,291 |
3.50 |
Neonate bwt 1500-1999g w or w/o other significant condition |
2 |
$2,735 |
$879 |
$5,470 |
$1,757 |
3.00 |
Neonate birthwt >2499g w major anomaly |
2 |
$2,544 |
$1,121 |
$5,087 |
$2,242 |
2.00 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
2 |
$7,121 |
$2,540 |
$14,242 |
$5,080 |
1.50 |
Fever |
2 |
$8,192 |
$3,142 |
$16,384 |
$6,284 |
1.50 |
Acute anxiety & delirium states |
2 |
$17,913 |
$5,188 |
$35,826 |
$10,375 |
2.50 |
Cocaine abuse & dependence |
2 |
$7,308 |
$2,841 |
$14,615 |
$5,682 |
1.50 |
Procedure w diag of rehab, aftercare or oth contact w health service |
2 |
$39,467 |
$10,231 |
$78,933 |
$20,461 |
1.50 |
Other aftercare & convalescence |
2 |
$19,430 |
$7,749 |
$38,859 |
$15,497 |
5.00 |
HIV w multiple major HIV related conditions |
2 |
$26,134 |
$13,308 |
$52,268 |
$26,615 |
9.50 |
HIV w one signif HIV cond or w/o signif related cond |
2 |
$10,300 |
$3,261 |
$20,599 |
$6,522 |
1.50 |
Spinal disorders & injuries |
1 |
$51,995 |
$17,557 |
$51,995 |
$17,557 |
9.00 |
Nonspecific CVA & precerebral occlusion w/o infarct |
1 |
$15,730 |
$2,804 |
$15,730 |
$2,804 |
1.00 |
Bacterial & tuberculous infections of nervous system |
1 |
$20,951 |
$4,673 |
$20,951 |
$4,673 |
2.00 |
Tonsil & adenoid procedures |
1 |
$4,729 |
$2,047 |
$4,729 |
$2,047 |
1.00 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
1 |
$19,477 |
$5,115 |
$19,477 |
$5,115 |
1.00 |
Other circulatory system procedures |
1 |
$96,240 |
$30,130 |
$96,240 |
$30,130 |
16.00 |
Acute & subacute endocarditis |
1 |
$31,830 |
$12,636 |
$31,830 |
$12,636 |
3.00 |
Cardiac structural & valvular disorders |
1 |
$17,882 |
$6,403 |
$17,882 |
$6,403 |
4.00 |
Cardiomyopathy |
1 |
$3,743 |
$2,670 |
$3,743 |
$2,670 |
2.00 |
Hernia procedures except inguinal, femoral & umbilical |
1 |
$23,208 |
$7,798 |
$23,208 |
$7,798 |
3.00 |
Other digestive system & abdominal procedures |
1 |
$108,395 |
$23,292 |
$108,395 |
$23,292 |
1.00 |
Major esophageal disorders |
1 |
$6,511 |
$3,183 |
$6,511 |
$3,183 |
2.00 |
Amputation of lower limb except toes |
1 |
$23,500 |
$9,357 |
$23,500 |
$9,357 |
5.00 |
Mastectomy procedures |
1 |
$18,916 |
$4,905 |
$18,916 |
$4,905 |
1.00 |
Other procedures for endocrine, nutritional & metabolic disorders |
1 |
$26,949 |
$9,344 |
$26,949 |
$9,344 |
5.00 |
Other bladder procedures |
1 |
$15,288 |
$5,197 |
$15,288 |
$5,197 |
2.00 |
Chronic Kidney Disease |
1 |
$16,555 |
$3,880 |
$16,555 |
$3,880 |
2.00 |
Major male pelvic procedures |
1 |
$28,531 |
$9,504 |
$28,531 |
$9,504 |
4.00 |
Other male reproductive system & related procedures |
1 |
$12,044 |
$3,588 |
$12,044 |
$3,588 |
1.00 |
Malignancy, male reproductive system |
1 |
$44,215 |
$17,626 |
$44,215 |
$17,626 |
7.00 |
Dilation & curettage for non-obstetric diagnoses |
1 |
$20,140 |
$5,379 |
$20,140 |
$5,379 |
2.00 |
Female reproductive system malignancy |
1 |
$12,879 |
$4,356 |
$12,879 |
$4,356 |
2.00 |
D&C, aspiration curettage or hysterotomy for obstetric diagnoses |
1 |
$17,622 |
$5,549 |
$17,622 |
$5,549 |
1.00 |
Preterm labor |
1 |
$2,224 |
$1,332 |
$2,224 |
$1,332 |
1.00 |
Neonate bwt <500g or GA <24 weeks |
1 |
$1 |
$0 |
$1 |
$0 |
1.00 |
Neonate birthwt >2499g w other significant condition |
1 |
$1,767 |
$559 |
$1,767 |
$559 |
2.00 |
Other procedures of blood & blood-forming organs |
1 |
$32,858 |
$9,255 |
$32,858 |
$9,255 |
4.00 |
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms |
1 |
$54,558 |
$20,952 |
$54,558 |
$20,952 |
11.00 |
Lymphoma, myeloma & non-acute leukemia |
1 |
$40,148 |
$16,145 |
$40,148 |
$16,145 |
9.00 |
Major depressive disorders & other/unspecified psychoses |
1 |
$24,829 |
$14,742 |
$24,829 |
$14,742 |
2.00 |
Depression except major depressive disorder |
1 |
$13,955 |
$4,038 |
$13,955 |
$4,038 |
1.00 |
Adjustment disorders & neuroses except depressive diagnoses |
1 |
$9,693 |
$2,679 |
$9,693 |
$2,679 |
1.00 |
Organic mental health disturbances |
1 |
$2,882 |
$1,518 |
$2,882 |
$1,518 |
1.00 |
Other drug abuse & dependence |
1 |
$13,281 |
$5,029 |
$13,281 |
$5,029 |
3.00 |
O.R. procedure for other complications of treatment |
1 |
$20,701 |
$5,000 |
$20,701 |
$5,000 |
1.00 |
Partial thickness burns without skin graft |
1 |
$13,997 |
$7,461 |
$13,997 |
$7,461 |
5.00 |
Extensive procedure unrelated to principal diagnosis |
1 |
$92,925 |
$31,121 |
$92,925 |
$31,121 |
16.00 |
Ungroupable |
1 |
$2,771 |
$874 |
$2,771 |
$874 |
3.00 |