Stony Brook Southampton Hospital

2019 Age Distribution

2019 Patient Race:

White3,917
Black/African American301
Other Race662

2019 Payers:

Medicare 2,184
Medicaid 1,281
Private Health Insurance 645
Blue Cross/Blue Shield 549
Self-Pay 124
Miscellaneous/Other 62
Federal/State/Local/VA 35

Conditions treated in 2019

Click on a column header to sort ascending or descending.
DRG Count Avg. Charge Avg. Cost Sum all Charges Sum all Costs Avg. LOS
NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM 604 $7,551 $1,969 $4,561,024 $1,189,531 2.32
SEPTICEMIA & DISSEMINATED INFECTIONS 445 $60,626 $16,826 $26,978,360 $7,487,625 5.27
VAGINAL DELIVERY 380 $17,132 $6,829 $6,510,105 $2,594,922 2.32
CESAREAN DELIVERY 224 $25,100 $9,330 $5,622,464 $2,089,938 3.19
HEART FAILURE 167 $37,832 $10,378 $6,317,895 $1,733,169 3.43
CELLULITIS & OTHER SKIN INFECTIONS 135 $29,943 $8,464 $4,042,287 $1,142,664 2.91
CHRONIC OBSTRUCTIVE PULMONARY DISEASE 127 $38,123 $10,523 $4,841,576 $1,336,401 3.65
ACUTE KIDNEY INJURY 103 $46,429 $12,898 $4,782,213 $1,328,490 4.62
OTHER PNEUMONIA 91 $41,642 $11,211 $3,789,398 $1,020,236 3.92
ALCOHOL ABUSE & DEPENDENCE 87 $40,902 $11,329 $3,558,496 $985,586 4.16
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS 84 $30,100 $7,739 $2,528,406 $650,069 2.17
KIDNEY & URINARY TRACT INFECTIONS 83 $40,126 $11,158 $3,330,441 $926,123 4.31
DIVERTICULITIS & DIVERTICULOSIS 69 $37,427 $10,016 $2,582,433 $691,132 3.58
CHOLECYSTECTOMY 58 $53,038 $18,547 $3,076,220 $1,075,727 2.97
MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC 55 $55,293 $15,898 $3,041,097 $874,395 5.29
OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES 51 $36,717 $9,475 $1,872,550 $483,217 3.53
CVA & PRECEREBRAL OCCLUSION W INFARCT 49 $48,468 $10,966 $2,374,950 $537,328 3.49
OTHER GASTROENTERITIS, NAUSEA & VOMITING 48 $33,970 $8,572 $1,630,565 $411,461 2.79
HIP & FEMUR FRACTURE REPAIR 47 $71,501 $26,692 $3,360,565 $1,254,508 4.79
INTESTINAL OBSTRUCTION 39 $29,821 $7,571 $1,163,014 $295,262 2.67
PEPTIC ULCER & GASTRITIS 39 $41,778 $11,288 $1,629,347 $440,218 3.03
PERCUTANEOUS CORONARY INTERVENTION W AMI 38 $81,269 $23,311 $3,088,229 $885,802 2.39
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS 38 $68,096 $20,500 $2,587,657 $778,983 7.79
OTHER DIGESTIVE SYSTEM DIAGNOSES 37 $33,526 $8,880 $1,240,476 $328,567 2.62
OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE 36 $45,818 $12,638 $1,649,432 $454,959 3.61
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES 36 $34,903 $9,340 $1,256,506 $336,236 3.17
OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS 35 $37,597 $9,770 $1,315,890 $341,946 2.86
HIP JOINT REPLACEMENT 35 $98,415 $41,715 $3,444,509 $1,460,033 5.03
FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK 34 $50,932 $14,710 $1,731,678 $500,150 6.26
MAJOR CHEST & RESPIRATORY TRAUMA 34 $35,815 $8,000 $1,217,698 $272,008 2.47
NON-HYPOVOLEMIC SODIUM DISORDERS 33 $49,176 $14,010 $1,622,799 $462,315 6.15
KNEE & LOWER LEG PROCEDURES EXCEPT FOOT 31 $75,458 $29,577 $2,339,192 $916,892 4.81
DISORDERS OF PANCREAS EXCEPT MALIGNANCY 30 $37,294 $9,485 $1,118,819 $284,561 3.53
DIABETES 29 $36,413 $9,745 $1,055,985 $282,611 2.90
ACUTE MYOCARDIAL INFARCTION 29 $37,528 $9,749 $1,088,322 $282,720 2.24
MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS 29 $75,986 $22,305 $2,203,603 $646,853 8.48
KNEE JOINT REPLACEMENT 26 $77,596 $38,051 $2,017,501 $989,319 3.42
VAGINAL DELIVERY W STERILIZATION &/OR D&C 25 $20,652 $8,197 $516,288 $204,935 2.36
DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE 25 $22,480 $5,814 $561,992 $145,338 1.84
ALCOHOLIC LIVER DISEASE 25 $49,351 $13,653 $1,233,767 $341,333 3.92
POISONING OF MEDICINAL AGENTS 24 $38,266 $9,899 $918,372 $237,582 3.00
MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS 24 $49,673 $13,829 $1,192,140 $331,896 5.04
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS 24 $42,719 $15,501 $1,025,265 $372,019 1.79
PERIPHERAL & OTHER VASCULAR DISORDERS 24 $44,948 $13,392 $1,078,743 $321,408 4.08
SEIZURE 24 $53,226 $14,098 $1,277,415 $338,340 4.25
INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE 23 $142,584 $45,673 $3,279,437 $1,050,474 9.74
URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION 22 $44,875 $14,526 $987,239 $319,565 2.91
HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS 21 $37,452 $9,566 $786,488 $200,890 3.14
HYPERTENSION 21 $55,257 $15,924 $1,160,390 $334,405 7.24
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS 20 $53,510 $15,903 $1,070,209 $318,057 4.90
SYNCOPE & COLLAPSE 20 $32,055 $7,721 $641,096 $154,410 2.35
URETHRAL & TRANSURETHRAL PROCEDURES 19 $43,853 $14,697 $833,201 $279,234 2.42
OTHER CIRCULATORY SYSTEM DIAGNOSES 19 $42,771 $10,917 $812,655 $207,427 3.58
ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS 18 $40,266 $11,348 $724,784 $204,263 4.33
ACUTE BRONCHITIS AND RELATED SYMPTOMS 18 $30,968 $7,551 $557,418 $135,917 2.17
INFECTIONS OF UPPER RESPIRATORY TRACT 18 $28,965 $7,650 $521,376 $137,701 2.39
PULMONARY EMBOLISM 18 $47,548 $12,111 $855,865 $217,997 3.78
OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS 18 $50,822 $14,422 $914,790 $259,592 4.67
OTHER DISORDERS OF NERVOUS SYSTEM 18 $30,651 $7,645 $551,709 $137,601 2.78
UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA 18 $33,398 $14,344 $601,157 $258,188 2.11
MAJOR LARGE BOWEL PROCEDURES 18 $75,633 $27,709 $1,361,393 $498,757 6.33
OTHER INFECTIOUS & PARASITIC DISEASES 18 $32,985 $8,720 $593,725 $156,951 2.56
CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS 17 $55,410 $15,364 $941,976 $261,190 3.35
OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES 17 $27,952 $6,484 $475,178 $110,226 2.00
OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS 16 $32,192 $8,935 $515,073 $142,959 2.31
OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES 16 $44,611 $14,457 $713,780 $231,311 3.56
PERCUTANEOUS CORONARY INTERVENTION W/O AMI 16 $77,625 $21,079 $1,242,000 $337,268 1.88
MAJOR SMALL BOWEL PROCEDURES 15 $95,868 $33,407 $1,438,025 $501,108 8.20
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS 15 $33,705 $9,241 $505,574 $138,612 2.73
CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE 15 $48,116 $13,439 $721,733 $201,583 5.53
ASTHMA 15 $30,727 $8,049 $460,905 $120,728 2.60
UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA 14 $34,509 $14,601 $483,123 $204,416 1.93
MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG 14 $51,276 $13,590 $717,865 $190,264 4.64
MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 14 $96,694 $31,580 $1,353,719 $442,118 6.14
DISORDERS OF GALLBLADDER & BILIARY TRACT 14 $40,095 $10,222 $561,336 $143,103 2.71
NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM 14 $8,242 $2,117 $115,385 $29,640 2.43
FRACTURE OF PELVIS OR DISLOCATION OF HIP 13 $42,438 $11,110 $551,688 $144,436 4.31
LOWER EXTREMITY ARTERIAL PROCEDURES 13 $193,617 $79,186 $2,517,017 $1,029,414 5.08
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES 13 $38,429 $11,007 $499,574 $143,093 3.69
CHEST PAIN 12 $29,977 $7,291 $359,727 $87,486 2.08
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL 12 $58,633 $23,663 $703,593 $283,956 3.25
PROCEDURES FOR OBESITY 12 $39,654 $20,409 $475,845 $244,908 1.42
SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS 12 $38,661 $10,221 $463,930 $122,656 4.25
MASTECTOMY PROCEDURES 11 $58,143 $25,457 $639,570 $280,032 2.64
RESPIRATORY MALIGNANCY 11 $55,793 $15,031 $613,722 $165,343 5.36
INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES 10 $46,042 $16,156 $460,419 $161,559 2.50
ALTERATION IN CONSCIOUSNESS 10 $40,154 $9,662 $401,544 $96,623 2.90
MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL 10 $64,031 $17,279 $640,311 $172,790 5.40
HAND & WRIST PROCEDURES 10 $31,719 $11,308 $317,190 $113,081 2.40
CHRONIC KIDNEY DISEASE 10 $25,679 $6,764 $256,790 $67,637 1.80
OTHER COMPLICATIONS OF TREATMENT 9 $42,745 $12,758 $384,708 $114,823 4.33
SKIN ULCERS 9 $59,192 $18,570 $532,728 $167,129 6.44
VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C 9 $19,166 $7,726 $172,496 $69,530 2.56
OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS 9 $24,005 $7,425 $216,049 $66,825 1.89
TRANSIENT ISCHEMIA 9 $29,356 $5,645 $264,202 $50,809 1.33
FOOT & TOE PROCEDURES 9 $84,553 $28,611 $760,978 $257,503 7.44
TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES 9 $99,884 $33,081 $898,960 $297,730 9.33
OTHER ANTEPARTUM DIAGNOSES 8 $18,300 $4,750 $146,397 $38,002 1.50
INFLAMMATORY BOWEL DISEASE 8 $31,896 $7,881 $255,171 $63,044 2.63
RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES 8 $40,800 $9,596 $326,396 $76,770 2.38
OVERDOSE 8 $56,358 $16,529 $450,862 $132,233 6.50
PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS 8 $33,126 $8,303 $265,005 $66,420 2.63
DIGESTIVE MALIGNANCY 8 $54,483 $13,997 $435,867 $111,977 4.88
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS 8 $52,819 $18,658 $422,554 $149,265 2.88
OTHER ESOPHAGEAL DISORDERS 8 $44,368 $11,210 $354,947 $89,680 2.88
ALLERGIC REACTIONS 7 $33,107 $10,183 $231,752 $71,280 3.00
SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT 7 $52,758 $20,406 $369,308 $142,839 2.43
OPIOID ABUSE & DEPENDENCE 7 $37,595 $10,811 $263,162 $75,680 4.14
MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE 7 $38,769 $11,473 $271,385 $80,309 2.71
CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE 7 $43,407 $11,359 $303,850 $79,510 2.29
KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY 7 $67,801 $25,510 $474,605 $178,571 5.29
VIRAL ILLNESS 6 $33,022 $8,361 $198,132 $50,164 2.83
PERITONEAL ADHESIOLYSIS 6 $53,786 $17,367 $322,713 $104,199 4.00
FRACTURE OF FEMUR 6 $48,151 $13,642 $288,904 $81,850 5.00
AMPUTATION OF LOWER LIMB EXCEPT TOES 6 $151,702 $51,439 $910,213 $308,633 11.83
OTHER SMALL & LARGE BOWEL PROCEDURES 6 $60,954 $20,221 $365,723 $121,327 5.17
MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE 6 $43,094 $11,682 $258,565 $70,094 4.17
MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE 6 $51,191 $12,596 $307,146 $75,573 4.00
CONNECTIVE TISSUE DISORDERS 6 $42,405 $10,946 $254,432 $65,677 3.67
ACUTE ANXIETY & DELIRIUM STATES 6 $36,079 $8,357 $216,476 $50,142 2.67
COAGULATION & PLATELET DISORDERS 6 $39,745 $11,273 $238,468 $67,639 2.17
OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES 6 $31,933 $8,398 $191,598 $50,390 3.00
MIGRAINE & OTHER HEADACHES 6 $39,234 $8,901 $235,404 $53,408 2.67
HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS 6 $92,478 $26,709 $554,867 $160,253 7.33
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES 6 $25,896 $6,866 $155,378 $41,196 2.17
RESPIRATORY FAILURE 6 $67,072 $21,812 $402,430 $130,870 6.33
EYE INFECTIONS AND OTHER EYE DISORDERS 6 $33,797 $7,707 $202,784 $46,241 2.17
VERTIGO & OTHER LABYRINTH DISORDERS 6 $29,428 $6,998 $176,570 $41,985 2.33
NEONATE BIRTHWT >2499G W MAJOR ANOMALY 6 $7,001 $1,979 $42,005 $11,876 2.00
OTHER DISORDERS OF THE LIVER 5 $28,471 $6,786 $142,353 $33,932 1.80
SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES 5 $27,332 $9,198 $136,661 $45,992 1.60
MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS 5 $70,338 $21,322 $351,692 $106,609 7.60
EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 5 $111,087 $37,236 $555,433 $186,179 4.80
BREAST PROCEDURES EXCEPT MASTECTOMY 5 $40,317 $16,206 $201,583 $81,031 2.20
NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 5 $90,233 $25,252 $451,165 $126,262 7.00
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY 5 $30,049 $8,217 $150,244 $41,083 2.80
NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION 5 $7,600 $1,864 $38,001 $9,320 2.40
MAJOR ESOPHAGEAL DISORDERS 4 $53,913 $15,360 $215,651 $61,439 5.25
MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA 4 $93,300 $33,478 $373,199 $133,910 4.25
SICKLE CELL ANEMIA CRISIS 4 $39,684 $11,073 $158,735 $44,291 4.00
EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 4 $211,213 $71,740 $844,853 $286,960 12.50
COCAINE ABUSE & DEPENDENCE 4 $21,791 $5,195 $87,165 $20,778 1.50
LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA 4 $217,882 $63,235 $871,529 $252,938 21.75
CARDIAC ARREST & SHOCK 4 $76,863 $20,352 $307,451 $81,406 4.50
TRANSURETHRAL PROSTATECTOMY 4 $32,568 $12,957 $130,270 $51,828 1.50
MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS 3 $23,384 $6,216 $70,152 $18,648 2.33
FEVER 3 $59,305 $15,392 $177,914 $46,175 4.67
OTHER PERIPHERAL VASCULAR PROCEDURES 3 $82,676 $38,377 $248,029 $115,132 1.67
SHOULDER & ELBOW JOINT REPLACEMENT 3 $81,027 $41,442 $243,082 $124,327 2.67
OTHER SIGNIFICANT HIP & FEMUR SURGERY 3 $143,839 $50,848 $431,517 $152,543 13.00
ABDOMINAL PAIN 3 $32,573 $8,073 $97,718 $24,220 2.67
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES 3 $44,011 $15,360 $132,034 $46,081 3.67
MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES 3 $108,947 $36,280 $326,840 $108,841 8.33
NERVOUS SYSTEM MALIGNANCY 3 $36,278 $9,768 $108,835 $29,304 4.00
FEMALE REPRODUCTIVE SYSTEM INFECTIONS 3 $23,087 $6,117 $69,260 $18,352 2.00
NEPHRITIS & NEPHROSIS 3 $37,760 $10,902 $113,281 $32,707 4.33
BIPOLAR DISORDERS 3 $153,273 $47,789 $459,818 $143,367 25.00
VIRAL MENINGITIS 3 $43,751 $9,952 $131,252 $29,856 3.00
EXTRACRANIAL VASCULAR PROCEDURES 3 $36,625 $15,712 $109,876 $47,137 2.00
POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE 3 $36,376 $11,249 $109,129 $33,746 2.33
OTHER RESPIRATORY & CHEST PROCEDURES 3 $162,309 $51,749 $486,928 $155,248 13.67
NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND 3 $7,904 $2,217 $23,713 $6,650 2.33
BRONCHIOLITIS & RSV PNEUMONIA 2 $24,577 $6,237 $49,153 $12,473 2.00
DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER 2 $27,145 $7,474 $54,289 $14,948 3.00
HIV W MAJOR HIV RELATED CONDITION 2 $21,453 $5,315 $42,905 $10,629 1.50
KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY 2 $80,829 $33,181 $161,658 $66,361 7.00
MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES 2 $80,215 $23,221 $160,429 $46,442 11.50
NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS 2 $47,764 $13,949 $95,528 $27,898 5.00
MAJOR MALE PELVIC PROCEDURES 2 $38,626 $15,370 $77,251 $30,740 2.50
SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES 2 $111,009 $44,073 $222,017 $88,146 9.50
PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE 2 $26,337 $11,867 $52,673 $23,733 1.50
MAJOR ABDOMINAL VASCULAR PROCEDURES 2 $190,314 $77,873 $380,627 $155,746 9.50
CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA 2 $30,316 $6,257 $60,631 $12,513 1.50
MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE 2 $39,826 $12,364 $79,652 $24,727 4.50
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY 2 $24,088 $6,371 $48,176 $12,742 1.50
D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY FOR OBSTETRIC DIAGNOSES 2 $26,145 $9,081 $52,290 $18,161 1.00
OTHER DRUG ABUSE & DEPENDENCE 2 $42,030 $10,658 $84,059 $21,316 3.50
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT 2 $37,138 $6,550 $74,276 $13,100 1.50
ORBIT AND EYE PROCEDURES 2 $84,225 $33,047 $168,449 $66,094 4.00
CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP 2 $74,416 $27,955 $148,831 $55,909 6.50
ACUTE LEUKEMIA 2 $45,431 $12,571 $90,861 $25,141 4.00
INTERSTITIAL & ALVEOLAR LUNG DISEASES 2 $34,029 $8,734 $68,057 $17,467 3.00
PARTIAL THICKNESS BURNS W/O SKIN GRAFT 1 $23,512 $7,057 $23,512 $7,057 3.00
OTHER O.R. PROC FOR OBSTETRIC DIAGNOSES EXCEPT DELIVERY DIAGNOSES 1 $68,310 $23,809 $68,310 $23,809 3.00
INTERVERTEBRAL DISC EXCISION & DECOMPRESSION 1 $57,407 $20,636 $57,407 $20,636 5.00
MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 1 $45,148 $14,028 $45,148 $14,028 2.00
OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES 1 $42,935 $16,884 $42,935 $16,884 4.00
FALSE LABOR 1 $6,501 $2,213 $6,501 $2,213 1.00
PENIS, TESTES & SCROTAL PROCEDURES 1 $30,940 $10,483 $30,940 $10,483 1.00
OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES 1 $167,739 $48,800 $167,739 $48,800 16.00
OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES 1 $39,967 $14,228 $39,967 $14,228 2.00
OTHER BLADDER PROCEDURES 1 $37,300 $11,159 $37,300 $11,159 2.00
MAJOR BILIARY TRACT PROCEDURES 1 $126,122 $47,291 $126,122 $47,291 10.00
OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES 1 $124,018 $37,736 $124,018 $37,736 10.00
HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION 1 $20,368 $6,183 $20,368 $6,183 2.00
OTHER CIRCULATORY SYSTEM PROCEDURES 1 $42,584 $15,588 $42,584 $15,588 1.00
RENAL DIALYSIS ACCESS DEVICE AND VESSEL REPAIR 1 $110,890 $36,181 $110,890 $36,181 5.00
INBORN ERRORS OF METABOLISM 1 $31,088 $7,074 $31,088 $7,074 2.00
OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES 1 $30,137 $11,545 $30,137 $11,545 2.00
PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK 1 $111,134 $36,432 $111,134 $36,432 3.00
OTHER ENDOCRINE DISORDERS 1 $17,608 $4,678 $17,608 $4,678 1.00
CARDIAC STRUCTURAL & VALVULAR DISORDERS 1 $19,793 $4,208 $19,793 $4,208 1.00
OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS 1 $55,601 $20,539 $55,601 $20,539 6.00
HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE 1 $17,992 $3,586 $17,992 $3,586 1.00
ACUTE & SUBACUTE ENDOCARDITIS 1 $56,516 $15,265 $56,516 $15,265 5.00
EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA 1 $70,997 $22,017 $70,997 $22,017 4.00
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS 1 $89,422 $28,679 $89,422 $28,679 8.00
NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 1 $28,027 $9,712 $28,027 $9,712 2.00
KIDNEY & URINARY TRACT MALIGNANCY 1 $30,683 $7,278 $30,683 $7,278 2.00
OTHER NERVOUS SYSTEM & RELATED PROCEDURES 1 $24,358 $8,952 $24,358 $8,952 1.00
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES 1 $38,243 $15,117 $38,243 $15,117 3.00
OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES 1 $46,164 $17,370 $46,164 $17,370 2.00
MALIGNANT BREAST DISORDERS 1 $10,098 $2,926 $10,098 $2,926 1.00
HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS 1 $57,339 $17,090 $57,339 $17,090 5.00