NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM |
413 |
$2,642 |
$885 |
$1,091,211 |
$365,626 |
1.66 |
SEPTICEMIA & DISSEMINATED INFECTIONS |
319 |
$34,804 |
$12,562 |
$11,102,539 |
$4,007,355 |
5.22 |
VAGINAL DELIVERY |
276 |
$6,926 |
$4,083 |
$1,911,658 |
$1,126,795 |
1.93 |
HEART FAILURE |
215 |
$25,298 |
$9,946 |
$5,439,034 |
$2,138,289 |
4.05 |
MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS |
190 |
$45,644 |
$16,051 |
$8,672,281 |
$3,049,752 |
6.44 |
OTHER PNEUMONIA |
145 |
$23,065 |
$8,370 |
$3,344,470 |
$1,213,636 |
3.31 |
KNEE JOINT REPLACEMENT |
129 |
$44,460 |
$13,087 |
$5,735,300 |
$1,688,225 |
1.90 |
CESAREAN SECTION W/O STERILIZATION |
118 |
$19,571 |
$7,571 |
$2,309,435 |
$893,388 |
2.69 |
HIP JOINT REPLACEMENT |
103 |
$52,847 |
$15,611 |
$5,443,196 |
$1,607,958 |
2.73 |
CELLULITIS & OTHER SKIN INFECTIONS |
100 |
$18,524 |
$7,492 |
$1,852,369 |
$749,151 |
3.30 |
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS |
96 |
$18,910 |
$7,226 |
$1,815,313 |
$693,653 |
2.72 |
CVA & PRECEREBRAL OCCLUSION W INFARCT |
93 |
$39,704 |
$9,695 |
$3,692,496 |
$901,664 |
3.35 |
CHRONIC OBSTRUCTIVE PULMONARY DISEASE |
78 |
$20,177 |
$7,935 |
$1,573,832 |
$618,952 |
3.01 |
KIDNEY & URINARY TRACT INFECTIONS |
76 |
$18,518 |
$6,810 |
$1,407,370 |
$517,597 |
2.84 |
RESPIRATORY FAILURE |
72 |
$28,971 |
$11,546 |
$2,085,877 |
$831,334 |
4.25 |
MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC |
64 |
$23,758 |
$10,030 |
$1,520,500 |
$641,896 |
4.63 |
DISORDERS OF PANCREAS EXCEPT MALIGNANCY |
61 |
$21,743 |
$7,322 |
$1,326,306 |
$446,664 |
3.16 |
DIABETES |
61 |
$19,064 |
$6,369 |
$1,162,914 |
$388,531 |
2.61 |
INTESTINAL OBSTRUCTION |
58 |
$17,459 |
$6,280 |
$1,012,618 |
$364,222 |
2.60 |
HIP & FEMUR FRACTURE REPAIR |
58 |
$51,713 |
$17,317 |
$2,999,377 |
$1,004,406 |
5.41 |
ACUTE KIDNEY INJURY |
57 |
$24,056 |
$9,629 |
$1,371,176 |
$548,881 |
4.28 |
DIVERTICULITIS & DIVERTICULOSIS |
56 |
$18,483 |
$6,552 |
$1,035,066 |
$366,901 |
2.77 |
OTHER DIGESTIVE SYSTEM DIAGNOSES |
44 |
$21,720 |
$7,310 |
$955,667 |
$321,632 |
2.64 |
CESAREAN SECTION W STERILIZATION |
36 |
$19,120 |
$7,019 |
$688,322 |
$252,686 |
2.14 |
MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS |
30 |
$18,157 |
$7,397 |
$544,720 |
$221,896 |
3.27 |
ALCOHOL ABUSE & DEPENDENCE |
30 |
$22,135 |
$8,263 |
$664,055 |
$247,902 |
3.87 |
OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS |
30 |
$27,871 |
$10,441 |
$836,137 |
$313,228 |
4.27 |
NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE |
29 |
$2,810 |
$855 |
$81,504 |
$24,809 |
1.07 |
URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION |
28 |
$16,195 |
$5,025 |
$453,460 |
$140,691 |
1.50 |
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES |
28 |
$20,284 |
$6,568 |
$567,942 |
$183,906 |
2.68 |
OTHER GASTROENTERITIS, NAUSEA & VOMITING |
28 |
$16,153 |
$5,497 |
$452,273 |
$153,918 |
2.29 |
ACUTE MYOCARDIAL INFARCTION |
28 |
$21,947 |
$7,721 |
$614,516 |
$216,176 |
2.82 |
DISORDERS OF GALLBLADDER & BILIARY TRACT |
27 |
$31,698 |
$10,029 |
$855,851 |
$270,787 |
3.63 |
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS |
26 |
$31,678 |
$9,644 |
$823,625 |
$250,734 |
3.35 |
PULMONARY EMBOLISM |
26 |
$26,124 |
$7,408 |
$679,219 |
$192,608 |
2.62 |
KNEE & LOWER LEG PROCEDURES EXCEPT FOOT |
25 |
$47,007 |
$14,495 |
$1,175,178 |
$362,386 |
3.76 |
NON-HYPOVOLEMIC SODIUM DISORDERS |
25 |
$25,699 |
$9,827 |
$642,480 |
$245,683 |
4.36 |
TRANSIENT ISCHEMIA |
25 |
$26,317 |
$4,895 |
$657,923 |
$122,380 |
1.40 |
SEIZURE |
23 |
$20,870 |
$5,650 |
$480,009 |
$129,958 |
1.96 |
INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE |
23 |
$54,355 |
$18,403 |
$1,250,158 |
$423,272 |
6.87 |
OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE |
22 |
$29,071 |
$8,789 |
$639,560 |
$193,351 |
3.14 |
INFLAMMATORY BOWEL DISEASE |
22 |
$21,303 |
$6,825 |
$468,661 |
$150,147 |
2.59 |
CHOLECYSTECTOMY |
21 |
$48,874 |
$14,101 |
$1,026,356 |
$296,119 |
3.29 |
INTENTIONAL SELF-HARM & ATTEMPTED SUICIDE |
21 |
$22,168 |
$8,417 |
$465,538 |
$176,767 |
3.33 |
ANTEPARTUM W/O O.R. PROCEDURE |
21 |
$7,724 |
$3,398 |
$162,194 |
$71,357 |
1.48 |
HYPERTENSION |
20 |
$18,317 |
$6,231 |
$366,346 |
$124,618 |
2.60 |
PEPTIC ULCER & GASTRITIS |
20 |
$29,250 |
$8,983 |
$584,991 |
$179,660 |
3.10 |
UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA |
19 |
$36,224 |
$10,313 |
$688,248 |
$195,955 |
2.00 |
HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS |
17 |
$20,962 |
$7,870 |
$356,358 |
$133,791 |
3.41 |
ALCOHOLIC LIVER DISEASE |
17 |
$24,253 |
$8,985 |
$412,302 |
$152,744 |
4.00 |
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES |
16 |
$20,036 |
$7,013 |
$320,573 |
$112,210 |
2.56 |
SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS |
16 |
$20,667 |
$7,620 |
$330,679 |
$121,915 |
3.38 |
VAGINAL DELIVERY W O.R. PROCEDURE EXCEPT STERILIZATION &/OR D&C |
16 |
$15,455 |
$6,353 |
$247,272 |
$101,643 |
2.38 |
FOOT & TOE PROCEDURES |
15 |
$34,506 |
$12,208 |
$517,584 |
$183,116 |
4.80 |
SYNCOPE & COLLAPSE |
15 |
$21,752 |
$6,794 |
$326,279 |
$101,910 |
2.13 |
OTHER DISORDERS OF THE LIVER |
15 |
$31,636 |
$10,282 |
$474,533 |
$154,227 |
4.00 |
OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES |
15 |
$21,965 |
$7,545 |
$329,471 |
$113,179 |
2.73 |
OTHER DISORDERS OF NERVOUS SYSTEM |
14 |
$32,278 |
$10,035 |
$451,892 |
$140,493 |
4.36 |
URETHRAL & TRANSURETHRAL PROCEDURES |
14 |
$23,108 |
$7,081 |
$323,510 |
$99,135 |
1.64 |
SHOULDER & ELBOW JOINT REPLACEMENT |
14 |
$45,724 |
$11,531 |
$640,136 |
$161,432 |
1.00 |
FRACTURE OF FEMUR |
14 |
$19,871 |
$6,797 |
$278,197 |
$95,151 |
2.79 |
NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM |
14 |
$2,770 |
$872 |
$38,778 |
$12,211 |
1.71 |
HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS |
14 |
$29,972 |
$9,339 |
$419,602 |
$130,746 |
3.43 |
PERIPHERAL & OTHER VASCULAR DISORDERS |
12 |
$19,674 |
$6,608 |
$236,087 |
$79,295 |
2.58 |
INFECTIONS OF UPPER RESPIRATORY TRACT |
12 |
$15,465 |
$6,011 |
$185,574 |
$72,133 |
2.42 |
ALTERATION IN CONSCIOUSNESS |
12 |
$31,616 |
$9,640 |
$379,392 |
$115,682 |
3.83 |
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS |
11 |
$23,761 |
$9,993 |
$261,372 |
$109,927 |
4.73 |
MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL |
11 |
$35,220 |
$10,799 |
$387,422 |
$118,784 |
4.18 |
ASTHMA |
10 |
$16,075 |
$5,976 |
$160,750 |
$59,764 |
2.20 |
OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES |
10 |
$25,457 |
$9,114 |
$254,567 |
$91,137 |
4.30 |
VERTIGO & OTHER LABYRINTH DISORDERS |
10 |
$17,872 |
$5,170 |
$178,723 |
$51,699 |
1.70 |
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS |
10 |
$42,459 |
$14,833 |
$424,594 |
$148,327 |
5.90 |
ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS |
10 |
$20,329 |
$5,592 |
$203,290 |
$55,917 |
1.70 |
SKIN ULCERS |
10 |
$23,303 |
$9,183 |
$233,031 |
$91,834 |
4.30 |
POISONING OF MEDICINAL AGENTS |
10 |
$22,934 |
$6,819 |
$229,342 |
$68,188 |
2.40 |
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY |
9 |
$19,238 |
$7,214 |
$173,140 |
$64,926 |
3.33 |
MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE |
9 |
$17,940 |
$6,086 |
$161,458 |
$54,774 |
2.22 |
OTHER INFECTIOUS & PARASITIC DISEASES |
9 |
$26,967 |
$8,623 |
$242,705 |
$77,606 |
3.44 |
OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS |
8 |
$34,895 |
$13,239 |
$279,162 |
$105,911 |
5.50 |
MAJOR LARGE BOWEL PROCEDURES |
8 |
$67,755 |
$22,257 |
$542,036 |
$178,056 |
6.75 |
FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK |
8 |
$19,815 |
$6,612 |
$158,521 |
$52,893 |
2.88 |
OTHER CIRCULATORY SYSTEM DIAGNOSES |
8 |
$18,203 |
$5,479 |
$145,620 |
$43,833 |
2.13 |
OTHER ESOPHAGEAL DISORDERS |
8 |
$27,547 |
$8,795 |
$220,372 |
$70,357 |
2.75 |
ACUTE BRONCHITIS & RELATED SYMPTOMS |
7 |
$15,798 |
$5,969 |
$110,589 |
$41,780 |
2.43 |
RESPIRATORY MALIGNANCY |
7 |
$21,879 |
$6,498 |
$153,156 |
$45,487 |
2.57 |
NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION |
7 |
$4,689 |
$1,552 |
$32,824 |
$10,862 |
2.43 |
GASTROINTESTINAL VASCULAR INSUFFICIENCY |
7 |
$25,069 |
$8,385 |
$175,484 |
$58,696 |
3.14 |
OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES |
7 |
$22,551 |
$7,088 |
$157,856 |
$49,617 |
2.71 |
CHEST PAIN |
7 |
$15,541 |
$4,451 |
$108,786 |
$31,159 |
1.29 |
MIGRAINE & OTHER HEADACHES |
7 |
$28,303 |
$6,813 |
$198,123 |
$47,691 |
2.14 |
BRONCHIOLITIS & RSV PNEUMONIA |
6 |
$12,587 |
$4,651 |
$75,519 |
$27,904 |
1.67 |
OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS |
6 |
$19,412 |
$7,396 |
$116,470 |
$44,376 |
3.00 |
OTHER COMPLICATIONS OF TREATMENT |
6 |
$18,899 |
$6,642 |
$113,394 |
$39,850 |
2.83 |
MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
6 |
$51,917 |
$16,624 |
$311,501 |
$99,743 |
5.83 |
INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES |
6 |
$31,270 |
$9,660 |
$187,620 |
$57,960 |
2.67 |
NERVOUS SYSTEM MALIGNANCY |
6 |
$20,655 |
$5,738 |
$123,931 |
$34,425 |
2.33 |
POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE |
6 |
$28,719 |
$10,907 |
$172,313 |
$65,444 |
4.33 |
INTERSTITIAL & ALVEOLAR LUNG DISEASES |
5 |
$23,719 |
$9,477 |
$118,597 |
$47,383 |
4.00 |
LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR |
5 |
$30,124 |
$8,685 |
$150,620 |
$43,426 |
3.20 |
DIGESTIVE MALIGNANCY |
5 |
$21,117 |
$6,935 |
$105,585 |
$34,675 |
2.80 |
TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES |
5 |
$30,877 |
$9,388 |
$154,383 |
$46,940 |
2.80 |
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS |
5 |
$29,945 |
$8,274 |
$149,726 |
$41,370 |
1.40 |
DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE |
5 |
$17,008 |
$5,430 |
$85,040 |
$27,150 |
1.60 |
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS |
5 |
$33,271 |
$9,495 |
$166,356 |
$47,477 |
2.00 |
CONNECTIVE TISSUE DISORDERS |
5 |
$19,228 |
$5,487 |
$96,141 |
$27,437 |
2.00 |
COAGULATION & PLATELET DISORDERS |
5 |
$29,686 |
$10,267 |
$148,432 |
$51,333 |
4.20 |
MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG |
5 |
$29,611 |
$10,314 |
$148,057 |
$51,569 |
4.40 |
MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS |
5 |
$31,387 |
$11,574 |
$156,937 |
$57,871 |
4.80 |
MAJOR SMALL BOWEL PROCEDURES |
5 |
$101,723 |
$34,034 |
$508,614 |
$170,172 |
10.60 |
THYROID DISORDERS |
4 |
$27,248 |
$7,897 |
$108,992 |
$31,587 |
3.00 |
SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT |
4 |
$46,305 |
$15,056 |
$185,219 |
$60,222 |
3.75 |
ANTEPARTUM W O.R. PROCEDURE |
4 |
$11,901 |
$6,243 |
$47,603 |
$24,972 |
2.50 |
MAJOR ESOPHAGEAL DISORDERS |
4 |
$44,368 |
$16,521 |
$177,472 |
$66,082 |
6.50 |
UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA |
4 |
$38,405 |
$10,752 |
$153,620 |
$43,007 |
2.25 |
FRACTURE OF PELVIS OR DISLOCATION OF HIP |
4 |
$15,675 |
$6,832 |
$62,699 |
$27,328 |
3.25 |
PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS |
4 |
$25,971 |
$9,172 |
$103,883 |
$36,687 |
3.75 |
PERITONEAL ADHESIOLYSIS |
4 |
$47,087 |
$16,095 |
$188,349 |
$64,378 |
6.00 |
MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE |
4 |
$45,559 |
$15,033 |
$182,234 |
$60,133 |
6.25 |
NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
4 |
$45,265 |
$15,795 |
$181,061 |
$63,180 |
4.75 |
ABDOMINAL PAIN |
4 |
$15,128 |
$4,069 |
$60,510 |
$16,277 |
1.50 |
ACUTE ANXIETY & DELIRIUM STATES |
4 |
$22,470 |
$6,236 |
$89,879 |
$24,944 |
2.00 |
CARDIAC ARREST & SHOCK |
3 |
$27,407 |
$10,132 |
$82,220 |
$30,396 |
2.67 |
RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES |
3 |
$12,976 |
$4,043 |
$38,929 |
$12,129 |
1.33 |
OTHER SIGNIFICANT HIP & FEMUR SURGERY |
3 |
$35,099 |
$10,719 |
$105,298 |
$32,158 |
2.33 |
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES |
3 |
$67,796 |
$25,896 |
$203,389 |
$77,688 |
11.33 |
VIRAL ILLNESS |
3 |
$11,511 |
$5,370 |
$34,532 |
$16,109 |
2.33 |
LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA |
3 |
$38,048 |
$13,572 |
$114,144 |
$40,716 |
5.67 |
ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES |
3 |
$18,535 |
$6,487 |
$55,605 |
$19,462 |
2.67 |
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL |
3 |
$39,504 |
$15,429 |
$118,513 |
$46,288 |
6.67 |
FEMALE REPRODUCTIVE SYSTEM INFECTIONS |
3 |
$12,462 |
$4,007 |
$37,386 |
$12,021 |
1.33 |
KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY |
3 |
$16,715 |
$5,761 |
$50,145 |
$17,282 |
2.00 |
INTRACRANIAL HEMORRHAGE |
3 |
$24,547 |
$4,546 |
$73,641 |
$13,639 |
1.33 |
MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS |
3 |
$40,418 |
$14,393 |
$121,254 |
$43,179 |
6.00 |
NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS |
3 |
$43,046 |
$12,781 |
$129,139 |
$38,343 |
5.33 |
OTHER BLADDER PROCEDURES |
3 |
$38,353 |
$13,187 |
$115,059 |
$39,560 |
4.00 |
CYSTIC FIBROSIS - PULMONARY DISEASE |
2 |
$27,015 |
$10,180 |
$54,030 |
$20,360 |
4.00 |
CARDIAC STRUCTURAL & VALVULAR DISORDERS |
2 |
$28,656 |
$14,290 |
$57,311 |
$28,579 |
7.50 |
OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS |
2 |
$25,083 |
$10,172 |
$50,165 |
$20,344 |
4.50 |
EYE INFECTIONS & OTHER EYE DISORDERS |
2 |
$23,493 |
$4,651 |
$46,986 |
$9,302 |
1.50 |
OPIOID ABUSE & DEPENDENCE |
2 |
$22,408 |
$6,616 |
$44,815 |
$13,231 |
2.50 |
COCAINE ABUSE & DEPENDENCE |
2 |
$12,177 |
$4,506 |
$24,353 |
$9,012 |
1.50 |
OTHER DRUG ABUSE & DEPENDENCE |
2 |
$26,685 |
$8,414 |
$53,369 |
$16,828 |
3.00 |
NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND |
2 |
$3,670 |
$1,210 |
$7,340 |
$2,419 |
1.50 |
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT |
2 |
$22,475 |
$3,589 |
$44,950 |
$7,177 |
1.00 |
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS |
2 |
$84,350 |
$35,750 |
$168,699 |
$71,499 |
17.00 |
MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES |
2 |
$28,740 |
$8,452 |
$57,480 |
$16,903 |
3.00 |
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES |
2 |
$26,632 |
$7,979 |
$53,263 |
$15,958 |
2.50 |
CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE |
2 |
$22,673 |
$9,065 |
$45,346 |
$18,129 |
4.00 |
FEVER & INFLAMMATORY CONDITIONS |
2 |
$21,648 |
$5,473 |
$43,295 |
$10,945 |
2.00 |
OTHER ENDOCRINE DISORDERS |
2 |
$12,321 |
$4,408 |
$24,641 |
$8,816 |
1.50 |
OTHER SMALL & LARGE BOWEL PROCEDURES |
2 |
$67,507 |
$23,983 |
$135,013 |
$47,965 |
8.00 |
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY |
2 |
$18,832 |
$6,688 |
$37,663 |
$13,375 |
2.50 |
MALIGNANT BREAST DISORDERS |
2 |
$24,996 |
$6,700 |
$49,991 |
$13,400 |
1.50 |
HIV W MAJOR HIV RELATED CONDITION |
1 |
$12,695 |
$5,697 |
$12,695 |
$5,697 |
2.00 |
SPINAL DISORDERS & INJURIES |
1 |
$51,197 |
$11,524 |
$51,197 |
$11,524 |
5.00 |
NEONATE BIRTHWT >2499G W MAJOR ANOMALY |
1 |
$2,530 |
$821 |
$2,530 |
$821 |
2.00 |
MALIGNANCY, MALE REPRODUCTIVE SYSTEM |
1 |
$12,559 |
$2,776 |
$12,559 |
$2,776 |
1.00 |
MAJOR CHEST & RESPIRATORY TRAUMA |
1 |
$38,155 |
$13,695 |
$38,155 |
$13,695 |
6.00 |
DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER |
1 |
$25,410 |
$7,202 |
$25,410 |
$7,202 |
3.00 |
DENTAL DISEASES & DISORDERS |
1 |
$12,358 |
$4,749 |
$12,358 |
$4,749 |
2.00 |
CARDIOMYOPATHY |
1 |
$41,695 |
$9,859 |
$41,695 |
$9,859 |
3.00 |
SICKLE CELL ANEMIA CRISIS |
1 |
$16,415 |
$4,273 |
$16,415 |
$4,273 |
1.00 |
ACUTE & SUBACUTE ENDOCARDITIS |
1 |
$40,917 |
$10,536 |
$40,917 |
$10,536 |
4.00 |
MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE |
1 |
$18,793 |
$6,162 |
$18,793 |
$6,162 |
1.00 |
MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE |
1 |
$29,303 |
$8,745 |
$29,303 |
$8,745 |
4.00 |
SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES |
1 |
$26,313 |
$10,467 |
$26,313 |
$10,467 |
5.00 |
HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION |
1 |
$21,090 |
$5,741 |
$21,090 |
$5,741 |
1.00 |
ALLERGIC REACTIONS |
1 |
$13,194 |
$3,042 |
$13,194 |
$3,042 |
1.00 |
OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES |
1 |
$20,995 |
$7,057 |
$20,995 |
$7,057 |
3.00 |
NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION |
1 |
$4,514 |
$1,399 |
$4,514 |
$1,399 |
3.00 |
DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES |
1 |
$7,114 |
$1,657 |
$7,114 |
$1,657 |
1.00 |
NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
1 |
$18,025 |
$4,966 |
$18,025 |
$4,966 |
1.00 |
HAND & WRIST PROCEDURES |
1 |
$26,084 |
$9,922 |
$26,084 |
$9,922 |
4.00 |
MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA |
1 |
$48,437 |
$14,181 |
$48,437 |
$14,181 |
4.00 |
EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
1 |
$47,049 |
$14,303 |
$47,049 |
$14,303 |
4.00 |
EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
1 |
$60,320 |
$21,301 |
$60,320 |
$21,301 |
8.00 |
MAJOR MALE PELVIC PROCEDURES |
1 |
$39,385 |
$12,954 |
$39,385 |
$12,954 |
4.00 |
ANAL PROCEDURES |
1 |
$60,994 |
$24,509 |
$60,994 |
$24,509 |
10.00 |
EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES |
1 |
$68,990 |
$14,738 |
$68,990 |
$14,738 |
1.00 |