NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM |
626 |
$8,881 |
$2,369 |
$5,559,721 |
$1,482,814 |
1.99 |
SEPTICEMIA & DISSEMINATED INFECTIONS |
519 |
$88,714 |
$25,927 |
$46,042,490 |
$13,456,097 |
6.37 |
VAGINAL DELIVERY |
413 |
$19,690 |
$6,383 |
$8,131,966 |
$2,636,292 |
2.00 |
CESAREAN SECTION W/O STERILIZATION |
190 |
$29,551 |
$9,013 |
$5,614,760 |
$1,712,512 |
2.82 |
HEART FAILURE |
137 |
$56,221 |
$15,686 |
$7,702,209 |
$2,148,989 |
4.05 |
MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS |
93 |
$82,159 |
$24,292 |
$7,640,823 |
$2,259,193 |
7.45 |
CELLULITIS & OTHER SKIN INFECTIONS |
80 |
$39,154 |
$10,884 |
$3,132,314 |
$870,687 |
3.09 |
ALCOHOL ABUSE & DEPENDENCE |
78 |
$46,803 |
$12,985 |
$3,650,604 |
$1,012,842 |
3.76 |
OTHER PNEUMONIA |
56 |
$57,456 |
$15,707 |
$3,217,537 |
$879,598 |
4.23 |
DIVERTICULITIS & DIVERTICULOSIS |
53 |
$41,865 |
$11,094 |
$2,218,825 |
$587,984 |
2.96 |
KIDNEY & URINARY TRACT INFECTIONS |
53 |
$43,782 |
$11,702 |
$2,320,460 |
$620,212 |
3.04 |
CESAREAN SECTION W STERILIZATION |
51 |
$30,460 |
$9,927 |
$1,553,464 |
$506,296 |
2.45 |
HIP & FEMUR FRACTURE REPAIR |
51 |
$98,239 |
$35,241 |
$5,010,187 |
$1,797,313 |
5.51 |
CHRONIC OBSTRUCTIVE PULMONARY DISEASE |
49 |
$49,907 |
$13,647 |
$2,445,449 |
$668,701 |
3.78 |
OTHER GASTROENTERITIS, NAUSEA & VOMITING |
48 |
$38,002 |
$9,574 |
$1,824,089 |
$459,567 |
2.52 |
CHOLECYSTECTOMY |
46 |
$61,415 |
$21,377 |
$2,825,091 |
$983,355 |
2.85 |
HIP JOINT REPLACEMENT |
44 |
$98,229 |
$40,810 |
$4,322,069 |
$1,795,647 |
4.70 |
NON-HYPOVOLEMIC SODIUM DISORDERS |
41 |
$58,589 |
$16,433 |
$2,402,159 |
$673,772 |
4.54 |
ALCOHOLIC LIVER DISEASE |
41 |
$75,857 |
$21,136 |
$3,110,120 |
$866,556 |
4.88 |
DIABETES |
40 |
$53,275 |
$14,381 |
$2,130,991 |
$575,236 |
2.75 |
CVA & PRECEREBRAL OCCLUSION W INFARCT |
38 |
$58,769 |
$13,157 |
$2,233,235 |
$499,978 |
3.18 |
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS |
37 |
$48,752 |
$13,636 |
$1,803,836 |
$504,550 |
3.16 |
PERCUTANEOUS CARDIAC INTERVENTION W AMI |
37 |
$100,239 |
$27,836 |
$3,708,844 |
$1,029,936 |
2.24 |
PULMONARY EMBOLISM |
35 |
$58,087 |
$14,822 |
$2,033,040 |
$518,755 |
3.66 |
PEPTIC ULCER & GASTRITIS |
34 |
$63,908 |
$17,976 |
$2,172,856 |
$611,178 |
3.71 |
DISORDERS OF PANCREAS EXCEPT MALIGNANCY |
32 |
$65,481 |
$17,679 |
$2,095,401 |
$565,723 |
4.50 |
OTHER DIGESTIVE SYSTEM DIAGNOSES |
32 |
$44,709 |
$11,991 |
$1,430,690 |
$383,708 |
2.78 |
OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES |
31 |
$53,276 |
$14,306 |
$1,651,549 |
$443,478 |
4.03 |
INTESTINAL OBSTRUCTION |
28 |
$44,665 |
$11,855 |
$1,250,616 |
$331,931 |
3.25 |
ACUTE KIDNEY INJURY |
28 |
$73,065 |
$20,627 |
$2,045,824 |
$577,555 |
5.64 |
INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE |
28 |
$149,292 |
$48,309 |
$4,180,166 |
$1,352,665 |
7.93 |
OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE |
27 |
$64,988 |
$17,843 |
$1,754,680 |
$481,755 |
3.96 |
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS |
27 |
$130,184 |
$40,909 |
$3,514,966 |
$1,104,553 |
12.22 |
MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC |
26 |
$70,236 |
$20,667 |
$1,826,139 |
$537,338 |
5.31 |
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES |
26 |
$47,216 |
$12,689 |
$1,227,616 |
$329,918 |
3.69 |
KNEE JOINT REPLACEMENT |
24 |
$77,877 |
$38,991 |
$1,869,054 |
$935,792 |
2.46 |
OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS |
24 |
$57,484 |
$15,361 |
$1,379,624 |
$368,662 |
3.50 |
MAJOR CHEST & RESPIRATORY TRAUMA |
24 |
$58,870 |
$15,167 |
$1,412,884 |
$364,003 |
3.38 |
UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA |
22 |
$37,656 |
$14,144 |
$828,422 |
$311,163 |
1.95 |
OTHER DISORDERS OF NERVOUS SYSTEM |
21 |
$55,563 |
$15,307 |
$1,166,822 |
$321,454 |
5.00 |
DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE |
20 |
$26,097 |
$6,826 |
$521,942 |
$136,524 |
1.60 |
KNEE & LOWER LEG PROCEDURES EXCEPT FOOT |
19 |
$87,075 |
$35,745 |
$1,654,433 |
$679,147 |
4.11 |
FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK |
19 |
$42,171 |
$10,992 |
$801,248 |
$208,843 |
2.95 |
POISONING OF MEDICINAL AGENTS |
19 |
$55,620 |
$14,733 |
$1,056,774 |
$279,935 |
3.21 |
UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA |
19 |
$35,413 |
$13,573 |
$672,856 |
$257,891 |
2.11 |
MASTECTOMY PROCEDURES |
19 |
$64,200 |
$26,673 |
$1,219,806 |
$506,795 |
2.42 |
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES |
18 |
$31,992 |
$8,252 |
$575,849 |
$148,528 |
1.67 |
ACUTE MYOCARDIAL INFARCTION |
17 |
$52,755 |
$13,943 |
$896,840 |
$237,027 |
2.59 |
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS |
17 |
$48,786 |
$17,878 |
$829,354 |
$303,928 |
1.82 |
MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS |
17 |
$56,693 |
$15,041 |
$963,774 |
$255,697 |
3.76 |
RESPIRATORY MALIGNANCY |
16 |
$46,779 |
$12,444 |
$748,456 |
$199,109 |
2.69 |
DIGESTIVE MALIGNANCY |
16 |
$61,227 |
$15,842 |
$979,634 |
$253,467 |
4.13 |
MAJOR LARGE BOWEL PROCEDURES |
16 |
$165,051 |
$56,426 |
$2,640,815 |
$902,813 |
10.50 |
NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM |
16 |
$11,159 |
$2,917 |
$178,537 |
$46,672 |
2.44 |
VAGINAL DELIVERY W O.R. PROCEDURE EXCEPT STERILIZATION &/OR D&C |
16 |
$24,315 |
$7,431 |
$389,038 |
$118,893 |
2.38 |
CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE |
15 |
$35,189 |
$8,949 |
$527,838 |
$134,233 |
2.00 |
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS |
15 |
$77,415 |
$26,641 |
$1,161,220 |
$399,618 |
4.73 |
VAGINAL DELIVERY W STERILIZATION &/OR D&C |
15 |
$24,130 |
$7,400 |
$361,948 |
$111,005 |
2.33 |
INFECTIONS OF UPPER RESPIRATORY TRACT |
14 |
$29,076 |
$7,475 |
$407,067 |
$104,647 |
1.93 |
OTHER PERIPHERAL VASCULAR PROCEDURES |
14 |
$162,722 |
$72,780 |
$2,278,113 |
$1,018,920 |
3.71 |
MAJOR ESOPHAGEAL DISORDERS |
14 |
$49,615 |
$14,039 |
$694,604 |
$196,541 |
2.79 |
OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS |
13 |
$93,904 |
$28,915 |
$1,220,753 |
$375,897 |
8.38 |
SYNCOPE & COLLAPSE |
13 |
$38,353 |
$8,830 |
$498,587 |
$114,793 |
2.23 |
ASTHMA |
13 |
$42,118 |
$11,051 |
$547,530 |
$143,658 |
3.00 |
URETHRAL & TRANSURETHRAL PROCEDURES |
13 |
$82,454 |
$26,781 |
$1,071,900 |
$348,153 |
5.85 |
SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS |
13 |
$32,775 |
$8,367 |
$426,077 |
$108,774 |
2.00 |
OTHER CIRCULATORY SYSTEM DIAGNOSES |
13 |
$38,947 |
$10,149 |
$506,307 |
$131,938 |
2.00 |
PERIPHERAL & OTHER VASCULAR DISORDERS |
12 |
$49,246 |
$14,743 |
$590,950 |
$176,919 |
3.33 |
OTHER ESOPHAGEAL DISORDERS |
12 |
$71,086 |
$21,615 |
$853,036 |
$259,380 |
7.50 |
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS |
12 |
$81,033 |
$24,730 |
$972,393 |
$296,765 |
6.83 |
DISORDERS OF GALLBLADDER & BILIARY TRACT |
12 |
$68,294 |
$19,114 |
$819,526 |
$229,365 |
4.67 |
HYPERTENSION |
12 |
$37,703 |
$9,453 |
$452,438 |
$113,440 |
2.17 |
HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS |
11 |
$38,807 |
$8,996 |
$426,877 |
$98,957 |
2.00 |
NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION |
11 |
$10,027 |
$2,665 |
$110,298 |
$29,315 |
2.27 |
INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES |
11 |
$79,151 |
$27,529 |
$870,664 |
$302,815 |
3.55 |
FRACTURE OF PELVIS OR DISLOCATION OF HIP |
11 |
$47,407 |
$11,763 |
$521,481 |
$129,395 |
3.45 |
TRANSIENT ISCHEMIA |
10 |
$35,239 |
$7,661 |
$352,392 |
$76,614 |
1.70 |
OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES |
10 |
$64,222 |
$20,401 |
$642,221 |
$204,008 |
3.10 |
MAJOR SMALL BOWEL PROCEDURES |
10 |
$151,578 |
$51,783 |
$1,515,775 |
$517,832 |
11.60 |
OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS |
10 |
$55,985 |
$15,968 |
$559,849 |
$159,683 |
4.20 |
SEIZURE |
9 |
$48,635 |
$12,308 |
$437,713 |
$110,771 |
3.44 |
CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS |
9 |
$128,472 |
$37,145 |
$1,156,244 |
$334,305 |
11.44 |
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS |
9 |
$35,914 |
$9,025 |
$323,223 |
$81,229 |
2.11 |
CHEST PAIN |
9 |
$31,320 |
$7,112 |
$281,884 |
$64,005 |
1.67 |
NEONATE BIRTHWT >2499G W MAJOR ANOMALY |
9 |
$11,235 |
$3,139 |
$101,112 |
$28,251 |
2.33 |
ANTEPARTUM W/O O.R. PROCEDURE |
9 |
$29,053 |
$7,775 |
$261,479 |
$69,971 |
1.89 |
VIRAL ILLNESS |
9 |
$44,372 |
$10,997 |
$399,347 |
$98,977 |
2.78 |
OPIOID ABUSE & DEPENDENCE |
9 |
$112,127 |
$35,174 |
$1,009,146 |
$316,563 |
13.56 |
CHRONIC KIDNEY DISEASE |
9 |
$40,947 |
$11,034 |
$368,520 |
$99,304 |
2.44 |
URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION |
9 |
$42,591 |
$12,036 |
$383,317 |
$108,320 |
2.00 |
TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES |
8 |
$64,425 |
$22,612 |
$515,400 |
$180,896 |
3.75 |
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL |
8 |
$65,110 |
$23,363 |
$520,876 |
$186,904 |
3.88 |
PERCUTANEOUS CARDIAC INTERVENTION W/O AMI |
8 |
$90,183 |
$25,148 |
$721,462 |
$201,187 |
1.38 |
SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT |
8 |
$74,624 |
$29,335 |
$596,992 |
$234,681 |
3.63 |
OTHER COMPLICATIONS OF TREATMENT |
8 |
$86,162 |
$25,984 |
$689,294 |
$207,868 |
5.63 |
PROCEDURES FOR OBESITY |
8 |
$43,851 |
$24,283 |
$350,805 |
$194,267 |
1.50 |
MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
8 |
$100,774 |
$32,710 |
$806,191 |
$261,682 |
7.25 |
FOOT & TOE PROCEDURES |
8 |
$78,991 |
$24,285 |
$631,929 |
$194,282 |
6.00 |
MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL |
8 |
$80,445 |
$21,350 |
$643,556 |
$170,803 |
5.50 |
OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES |
7 |
$52,153 |
$13,221 |
$365,073 |
$92,544 |
3.57 |
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS |
7 |
$325,308 |
$108,181 |
$2,277,159 |
$757,268 |
21.43 |
OTHER INFECTIOUS & PARASITIC DISEASES |
7 |
$43,412 |
$10,561 |
$303,881 |
$73,926 |
2.29 |
PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS |
7 |
$61,563 |
$16,319 |
$430,941 |
$114,234 |
4.29 |
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES |
7 |
$42,843 |
$12,254 |
$299,901 |
$85,778 |
2.00 |
COAGULATION & PLATELET DISORDERS |
7 |
$59,732 |
$16,268 |
$418,122 |
$113,879 |
2.71 |
TRANSURETHRAL PROSTATECTOMY |
7 |
$47,008 |
$17,952 |
$329,058 |
$125,665 |
2.71 |
ALTERATION IN CONSCIOUSNESS |
7 |
$63,804 |
$17,417 |
$446,631 |
$121,922 |
5.57 |
OTHER DISORDERS OF THE LIVER |
7 |
$64,073 |
$17,572 |
$448,509 |
$123,004 |
3.86 |
NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
6 |
$150,636 |
$48,854 |
$903,815 |
$293,124 |
8.67 |
OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS |
6 |
$35,240 |
$9,716 |
$211,440 |
$58,298 |
2.67 |
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY |
6 |
$52,549 |
$15,620 |
$315,296 |
$93,722 |
3.50 |
RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES |
6 |
$39,343 |
$9,031 |
$236,056 |
$54,183 |
2.00 |
MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS |
6 |
$100,966 |
$29,733 |
$605,798 |
$178,399 |
10.50 |
PERITONEAL ADHESIOLYSIS |
6 |
$84,111 |
$28,054 |
$504,668 |
$168,324 |
5.83 |
INTENTIONAL SELF-HARM & ATTEMPTED SUICIDE |
6 |
$26,886 |
$7,020 |
$161,313 |
$42,118 |
1.83 |
SHOULDER & ELBOW JOINT REPLACEMENT |
6 |
$107,484 |
$53,756 |
$644,906 |
$322,536 |
3.00 |
VERTIGO & OTHER LABYRINTH DISORDERS |
5 |
$34,245 |
$8,539 |
$171,223 |
$42,693 |
2.40 |
MAJOR ABDOMINAL VASCULAR PROCEDURES |
5 |
$275,896 |
$120,903 |
$1,379,481 |
$604,513 |
6.00 |
SICKLE CELL ANEMIA CRISIS |
5 |
$77,999 |
$23,585 |
$389,995 |
$117,925 |
8.00 |
OTHER SMALL & LARGE BOWEL PROCEDURES |
5 |
$84,217 |
$28,832 |
$421,084 |
$144,158 |
5.40 |
FEMALE REPRODUCTIVE SYSTEM INFECTIONS |
5 |
$31,968 |
$8,798 |
$159,839 |
$43,990 |
2.20 |
POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE |
5 |
$78,345 |
$27,606 |
$391,723 |
$138,028 |
5.80 |
MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE |
5 |
$76,705 |
$23,937 |
$383,526 |
$119,685 |
5.20 |
OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES |
5 |
$132,338 |
$41,259 |
$661,689 |
$206,295 |
7.80 |
OPEN EXTRACRANIAL VASCULAR PROCEDURES |
5 |
$40,650 |
$17,492 |
$203,252 |
$87,462 |
1.00 |
FRACTURE OF FEMUR |
4 |
$37,040 |
$10,330 |
$148,161 |
$41,318 |
3.25 |
LOWER EXTREMITY ARTERIAL PROCEDURES |
4 |
$246,693 |
$109,581 |
$986,773 |
$438,325 |
8.00 |
ACUTE BRONCHITIS & RELATED SYMPTOMS |
4 |
$40,911 |
$10,261 |
$163,644 |
$41,043 |
2.75 |
EYE INFECTIONS & OTHER EYE DISORDERS |
4 |
$37,485 |
$8,390 |
$149,941 |
$33,558 |
2.00 |
ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS |
4 |
$32,947 |
$8,194 |
$131,788 |
$32,776 |
2.00 |
EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
4 |
$154,494 |
$53,490 |
$617,977 |
$213,961 |
8.50 |
FEVER & INFLAMMATORY CONDITIONS |
4 |
$40,635 |
$9,310 |
$162,541 |
$37,241 |
2.00 |
ABDOMINAL PAIN |
4 |
$34,075 |
$7,289 |
$136,299 |
$29,157 |
1.50 |
MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES |
4 |
$50,146 |
$11,276 |
$200,584 |
$45,103 |
3.25 |
HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS |
4 |
$65,604 |
$17,847 |
$262,417 |
$71,387 |
3.75 |
OTHER ENDOCRINE DISORDERS |
4 |
$64,972 |
$16,949 |
$259,886 |
$67,796 |
4.50 |
INFLAMMATORY BOWEL DISEASE |
4 |
$34,961 |
$8,225 |
$139,844 |
$32,901 |
2.25 |
LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR |
4 |
$41,404 |
$9,888 |
$165,617 |
$39,550 |
2.50 |
MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS |
3 |
$59,810 |
$15,547 |
$179,429 |
$46,642 |
3.67 |
MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA |
3 |
$104,993 |
$40,077 |
$314,978 |
$120,231 |
5.33 |
MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE |
3 |
$53,335 |
$16,587 |
$160,006 |
$49,762 |
3.33 |
AMPUTATION OF LOWER LIMB EXCEPT TOES |
3 |
$317,115 |
$110,782 |
$951,344 |
$332,346 |
21.33 |
INTERSTITIAL & ALVEOLAR LUNG DISEASES |
3 |
$81,425 |
$23,040 |
$244,275 |
$69,119 |
7.67 |
OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES |
3 |
$56,324 |
$16,157 |
$168,973 |
$48,470 |
4.00 |
BREAST PROCEDURES EXCEPT MASTECTOMY |
3 |
$56,984 |
$24,936 |
$170,952 |
$74,808 |
3.00 |
MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE |
3 |
$30,283 |
$8,270 |
$90,849 |
$24,809 |
2.00 |
OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS |
3 |
$65,758 |
$15,112 |
$197,275 |
$45,337 |
2.67 |
DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES |
3 |
$44,117 |
$13,322 |
$132,350 |
$39,966 |
2.00 |
CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE |
3 |
$37,188 |
$10,598 |
$111,563 |
$31,793 |
1.00 |
SKIN ULCERS |
3 |
$81,383 |
$25,101 |
$244,149 |
$75,303 |
9.33 |
MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE |
3 |
$52,156 |
$14,097 |
$156,467 |
$42,291 |
3.33 |
RESPIRATORY FAILURE |
3 |
$68,094 |
$18,120 |
$204,281 |
$54,360 |
3.00 |
ACUTE LEUKEMIA |
3 |
$61,955 |
$14,270 |
$185,864 |
$42,809 |
3.33 |
OTHER RESPIRATORY & CHEST PROCEDURES |
2 |
$98,090 |
$36,044 |
$196,180 |
$72,088 |
6.00 |
INTRACRANIAL HEMORRHAGE |
2 |
$40,037 |
$11,638 |
$80,074 |
$23,275 |
3.50 |
CARDIAC ARREST & SHOCK |
2 |
$95,487 |
$26,636 |
$190,973 |
$53,272 |
4.50 |
MALIGNANT BREAST DISORDERS |
2 |
$44,918 |
$9,710 |
$89,836 |
$19,420 |
2.00 |
HAND & WRIST PROCEDURES |
2 |
$32,343 |
$11,555 |
$64,685 |
$23,109 |
1.50 |
PENIS, TESTES & SCROTAL PROCEDURES |
2 |
$335,091 |
$112,019 |
$670,181 |
$224,037 |
22.00 |
SPLENECTOMY |
2 |
$113,389 |
$37,902 |
$226,778 |
$75,804 |
4.00 |
CARDIOMYOPATHY |
2 |
$44,089 |
$12,911 |
$88,177 |
$25,821 |
3.50 |
MAJOR MALE PELVIC PROCEDURES |
2 |
$55,790 |
$19,469 |
$111,580 |
$38,937 |
4.00 |
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES |
2 |
$55,473 |
$17,185 |
$110,945 |
$34,370 |
3.00 |
MIGRAINE & OTHER HEADACHES |
2 |
$33,903 |
$8,571 |
$67,806 |
$17,142 |
2.00 |
MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES |
2 |
$43,066 |
$11,472 |
$86,132 |
$22,944 |
3.00 |
MAJOR SKIN DISORDERS |
2 |
$71,271 |
$20,915 |
$142,542 |
$41,829 |
6.50 |
OTHER DRUG ABUSE & DEPENDENCE |
2 |
$22,491 |
$4,813 |
$44,982 |
$9,626 |
1.00 |
OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES |
2 |
$57,905 |
$13,241 |
$115,810 |
$26,482 |
3.50 |
HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION |
2 |
$57,223 |
$15,256 |
$114,445 |
$30,512 |
4.00 |
MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
2 |
$51,828 |
$18,834 |
$103,655 |
$37,667 |
3.50 |
MALIGNANCY, MALE REPRODUCTIVE SYSTEM |
2 |
$30,093 |
$7,762 |
$60,186 |
$15,523 |
2.00 |
RENAL DIALYSIS ACCESS DEVICE PROCEDURES & VESSEL REPAIR |
2 |
$168,915 |
$53,716 |
$337,830 |
$107,431 |
11.50 |
GASTROINTESTINAL VASCULAR INSUFFICIENCY |
2 |
$33,460 |
$8,087 |
$66,920 |
$16,174 |
2.00 |
CARDIAC STRUCTURAL & VALVULAR DISORDERS |
2 |
$42,278 |
$10,801 |
$84,556 |
$21,602 |
3.00 |
KIDNEY & URINARY TRACT MALIGNANCY |
2 |
$49,184 |
$15,181 |
$98,368 |
$30,362 |
2.50 |
ALLERGIC REACTIONS |
2 |
$20,621 |
$5,611 |
$41,241 |
$11,222 |
1.00 |
VIRAL MENINGITIS |
2 |
$53,969 |
$13,635 |
$107,937 |
$27,270 |
3.00 |
ACUTE ANXIETY & DELIRIUM STATES |
1 |
$20,423 |
$4,650 |
$20,423 |
$4,650 |
1.00 |
KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY |
1 |
$78,300 |
$23,382 |
$78,300 |
$23,382 |
4.00 |
OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES |
1 |
$66,966 |
$31,999 |
$66,966 |
$31,999 |
2.00 |
INTERVERTEBRAL DISC EXCISION & DECOMPRESSION |
1 |
$130,762 |
$50,108 |
$130,762 |
$50,108 |
7.00 |
SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES |
1 |
$57,944 |
$17,661 |
$57,944 |
$17,661 |
3.00 |
OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES |
1 |
$31,176 |
$12,320 |
$31,176 |
$12,320 |
1.00 |
OTHER CIRCULATORY SYSTEM PROCEDURES |
1 |
$93,053 |
$21,011 |
$93,053 |
$21,011 |
5.00 |
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS |
1 |
$30,370 |
$7,575 |
$30,370 |
$7,575 |
2.00 |
MAJOR BLADDER PROCEDURES |
1 |
$86,545 |
$35,231 |
$86,545 |
$35,231 |
6.00 |
TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE |
1 |
$978,998 |
$346,383 |
$978,998 |
$346,383 |
66.00 |
THYROID DISORDERS |
1 |
$33,475 |
$9,597 |
$33,475 |
$9,597 |
2.00 |
ORGANIC MENTAL HEALTH DISTURBANCES |
1 |
$61,556 |
$18,542 |
$61,556 |
$18,542 |
7.00 |
CONNECTIVE TISSUE DISORDERS |
1 |
$126,088 |
$36,656 |
$126,088 |
$36,656 |
8.00 |
SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES |
1 |
$55,088 |
$17,519 |
$55,088 |
$17,519 |
5.00 |
CYSTIC FIBROSIS - PULMONARY DISEASE |
1 |
$49,639 |
$10,186 |
$49,639 |
$10,186 |
2.00 |
CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT |
1 |
$49,352 |
$13,388 |
$49,352 |
$13,388 |
1.00 |
MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG |
1 |
$28,598 |
$6,854 |
$28,598 |
$6,854 |
1.00 |
OTHER SIGNIFICANT HIP & FEMUR SURGERY |
1 |
$74,915 |
$29,091 |
$74,915 |
$29,091 |
4.00 |
COCAINE ABUSE & DEPENDENCE |
1 |
$58,277 |
$17,910 |
$58,277 |
$17,910 |
6.00 |
NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
1 |
$40,548 |
$15,244 |
$40,548 |
$15,244 |
2.00 |
NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS |
1 |
$48,496 |
$11,921 |
$48,496 |
$11,921 |
3.00 |
DENTAL DISEASES & DISORDERS |
1 |
$41,692 |
$10,990 |
$41,692 |
$10,990 |
3.00 |
UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG |
1 |
$74,789 |
$22,323 |
$74,789 |
$22,323 |
4.00 |
EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES |
1 |
$37,047 |
$7,016 |
$37,047 |
$7,016 |
1.00 |
NEPHRITIS & NEPHROSIS |
1 |
$100,073 |
$30,482 |
$100,073 |
$30,482 |
10.00 |
EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA |
1 |
$165,101 |
$60,624 |
$165,101 |
$60,624 |
4.00 |
MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS |
1 |
$154,607 |
$55,855 |
$154,607 |
$55,855 |
10.00 |
DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER |
1 |
$21,512 |
$4,727 |
$21,512 |
$4,727 |
1.00 |
LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA |
1 |
$30,130 |
$6,177 |
$30,130 |
$6,177 |
1.00 |
HIV W MAJOR HIV RELATED CONDITION |
1 |
$205,312 |
$59,293 |
$205,312 |
$59,293 |
15.00 |