Neonate birthwt >2499g, normal newborn or neonate w other problem |
1248 |
$12,996 |
$6,330 |
$16,219,121 |
$7,900,110 |
2.47 |
Septicemia & disseminated infections |
924 |
$52,310 |
$16,160 |
$48,334,328 |
$14,932,109 |
6.08 |
Vaginal delivery |
797 |
$16,319 |
$6,516 |
$13,006,586 |
$5,193,170 |
2.44 |
Heart failure |
580 |
$45,776 |
$14,989 |
$26,550,022 |
$8,693,813 |
5.59 |
Cesarean delivery |
543 |
$23,766 |
$9,468 |
$12,904,697 |
$5,140,867 |
3.56 |
Cardiac arrhythmia & conduction disorders |
375 |
$31,807 |
$8,745 |
$11,927,600 |
$3,279,468 |
3.30 |
Kidney & urinary tract infections |
298 |
$29,597 |
$9,455 |
$8,819,912 |
$2,817,712 |
4.13 |
Cellulitis & other skin infections |
287 |
$28,760 |
$9,221 |
$8,254,123 |
$2,646,519 |
4.07 |
Major respiratory infections & inflammations |
260 |
$51,835 |
$18,392 |
$13,477,225 |
$4,782,045 |
6.41 |
Procedures for obesity |
258 |
$31,883 |
$10,686 |
$8,225,752 |
$2,756,926 |
2.00 |
Hip joint replacement |
248 |
$62,353 |
$20,247 |
$15,463,495 |
$5,021,278 |
4.05 |
Knee joint replacement |
234 |
$68,236 |
$23,236 |
$15,967,161 |
$5,437,246 |
2.89 |
Chronic obstructive pulmonary disease |
225 |
$44,515 |
$16,115 |
$10,015,926 |
$3,625,852 |
5.04 |
Major small & large bowel procedures |
214 |
$63,198 |
$19,569 |
$13,524,302 |
$4,187,659 |
6.87 |
Other pneumonia |
209 |
$39,280 |
$13,293 |
$8,209,446 |
$2,778,247 |
4.68 |
Other back & neck disorders, fractures & injuries |
204 |
$31,642 |
$9,964 |
$6,455,047 |
$2,032,597 |
3.79 |
CVA & precerebral occlusion w infarct |
203 |
$55,421 |
$17,736 |
$11,250,471 |
$3,600,324 |
4.30 |
Acute Kidney Injury |
196 |
$38,261 |
$11,579 |
$7,499,145 |
$2,269,483 |
4.81 |
Syncope & collapse |
191 |
$28,970 |
$7,683 |
$5,533,189 |
$1,467,406 |
2.59 |
Respiratory Failure |
182 |
$53,950 |
$19,404 |
$9,818,965 |
$3,531,540 |
5.84 |
Hip and femur fracture repair |
181 |
$65,656 |
$20,119 |
$11,883,647 |
$3,641,495 |
5.15 |
Dorsal & lumbar fusion proc except for curvature of back |
175 |
$123,993 |
$38,325 |
$21,698,818 |
$6,706,821 |
5.51 |
Cardiac catheterization for other non-coronary conditions |
174 |
$48,099 |
$13,154 |
$8,369,299 |
$2,288,823 |
4.52 |
Other gastroenteritis, nausa & vomiting |
172 |
$28,396 |
$8,022 |
$4,884,166 |
$1,379,776 |
3.16 |
Chest pain |
170 |
$20,394 |
$5,031 |
$3,467,024 |
$855,196 |
1.58 |
Other & unspecified gastrointestinal hemorrhage |
170 |
$43,059 |
$12,653 |
$7,319,954 |
$2,150,958 |
4.46 |
Percutaneous coronary intervention w/o AMI |
165 |
$73,153 |
$18,691 |
$12,070,235 |
$3,084,063 |
3.36 |
Appendectomy |
157 |
$31,027 |
$8,945 |
$4,871,309 |
$1,404,430 |
2.10 |
Angina pectoris & coronary atherosclerosis |
150 |
$21,469 |
$5,683 |
$3,220,414 |
$852,443 |
2.11 |
Intestinal obstruction |
148 |
$29,423 |
$8,468 |
$4,354,624 |
$1,253,216 |
3.68 |
Diverticulitis & diverticulosis |
145 |
$34,415 |
$9,699 |
$4,990,244 |
$1,406,302 |
4.10 |
Infectious & parasitic diseases including HIV w O.R. procedure |
145 |
$110,539 |
$33,088 |
$16,028,195 |
$4,797,829 |
10.85 |
Hypovolemia & related electrolyte disorders |
140 |
$28,609 |
$8,551 |
$4,005,265 |
$1,197,146 |
3.29 |
Other digestive system diagnoses |
139 |
$32,139 |
$9,210 |
$4,467,285 |
$1,280,164 |
3.63 |
Acute myocardial infarction |
129 |
$41,203 |
$11,179 |
$5,315,164 |
$1,442,095 |
3.78 |
Laparoscopic cholecystectomy |
128 |
$42,118 |
$12,928 |
$5,391,052 |
$1,654,836 |
3.75 |
Percutaneous coronary intervention w AMI |
126 |
$79,122 |
$19,068 |
$9,969,313 |
$2,402,598 |
3.41 |
Major depressive disorders & other/unspecified psychoses |
124 |
$54,215 |
$14,562 |
$6,722,605 |
$1,805,642 |
11.60 |
Bipolar disorders |
122 |
$64,593 |
$17,517 |
$7,880,371 |
$2,137,099 |
13.63 |
Transient ischemia |
120 |
$34,724 |
$10,079 |
$4,166,870 |
$1,209,436 |
2.40 |
Alcohol abuse & dependence |
113 |
$45,288 |
$12,873 |
$5,117,553 |
$1,454,695 |
6.19 |
Infections of upper respiratory tract |
110 |
$30,295 |
$9,979 |
$3,332,439 |
$1,097,681 |
3.66 |
Seizure |
108 |
$39,063 |
$10,470 |
$4,218,852 |
$1,130,749 |
3.72 |
Other musculoskeletal system & connective tissue diagnoses |
107 |
$27,397 |
$8,367 |
$2,931,442 |
$895,257 |
3.38 |
Diabetes |
103 |
$27,432 |
$7,758 |
$2,825,473 |
$799,027 |
3.44 |
Schizophrenia |
103 |
$118,298 |
$32,336 |
$12,184,663 |
$3,330,567 |
25.18 |
Hypertension |
101 |
$28,124 |
$7,526 |
$2,840,571 |
$760,076 |
2.87 |
Cardiac catheterization for coronary artery disease |
100 |
$29,190 |
$7,622 |
$2,918,984 |
$762,168 |
2.34 |
Peptic ulcer & gastritis |
95 |
$37,178 |
$10,408 |
$3,531,919 |
$988,801 |
3.60 |
Cervical spinal fusion & other back/neck proc exc disc excis/decomp |
94 |
$61,180 |
$19,052 |
$5,750,918 |
$1,790,862 |
3.10 |
Major chest & respiratory trauma |
92 |
$36,093 |
$10,810 |
$3,320,600 |
$994,548 |
3.98 |
Disorders of pancreas except malignancy |
92 |
$36,224 |
$9,926 |
$3,332,579 |
$913,233 |
4.08 |
Disorders of gallbladder & biliary tract |
90 |
$30,836 |
$8,559 |
$2,775,283 |
$770,266 |
3.03 |
Other anemia & disorders of blood & blood-forming organs |
90 |
$36,684 |
$10,015 |
$3,301,571 |
$901,386 |
3.33 |
Peripheral & other vascular disorders |
89 |
$34,800 |
$9,629 |
$3,097,205 |
$857,007 |
4.01 |
Fractures & dislocations except femur, pelvis & back |
85 |
$28,705 |
$8,950 |
$2,439,903 |
$760,754 |
3.24 |
Malfunction, reaction, complic of genitourinary device or proc |
85 |
$39,856 |
$12,615 |
$3,387,772 |
$1,072,233 |
5.26 |
Head trauma w coma >1 hr or hemorrhage |
84 |
$40,676 |
$11,006 |
$3,416,785 |
$924,517 |
3.81 |
Shoulder, upper arm & forearm procedures except joint replacement |
84 |
$51,550 |
$15,841 |
$4,330,207 |
$1,330,612 |
2.50 |
Knee & lower leg procedures except foot |
83 |
$51,994 |
$16,460 |
$4,315,465 |
$1,366,203 |
3.70 |
Perm cardiac pacemaker implant w/o AMI, heart failure or shock |
81 |
$80,172 |
$22,233 |
$6,493,898 |
$1,800,853 |
4.65 |
Other disorders of nervous system |
73 |
$33,688 |
$10,177 |
$2,459,218 |
$742,954 |
3.26 |
Asthma |
70 |
$24,859 |
$10,988 |
$1,740,155 |
$769,189 |
2.70 |
Respiratory signs, symptoms & minor diagnoses |
67 |
$30,744 |
$9,115 |
$2,059,876 |
$610,719 |
2.91 |
Signs, symptoms & other factors influencing health status |
65 |
$26,679 |
$8,020 |
$1,734,120 |
$521,299 |
3.17 |
Other circulatory system diagnoses |
63 |
$31,321 |
$8,294 |
$1,973,247 |
$522,542 |
3.16 |
Major gastrointestinal & peritoneal infections |
61 |
$38,041 |
$11,595 |
$2,320,512 |
$707,286 |
5.05 |
Other complications of treatment |
61 |
$33,036 |
$9,479 |
$2,015,193 |
$578,200 |
3.66 |
Post-operative, post-traumatic, other device infections |
60 |
$53,395 |
$16,002 |
$3,203,688 |
$960,131 |
6.80 |
Poisoning of medicinal agents |
59 |
$34,373 |
$9,518 |
$2,028,014 |
$561,585 |
3.68 |
Vertigo & other labyrinth disorders |
58 |
$25,138 |
$7,048 |
$1,458,013 |
$408,784 |
2.10 |
Pulmonary embolism |
58 |
$41,760 |
$10,569 |
$2,422,099 |
$613,025 |
4.17 |
Other small & large bowel procedures |
56 |
$50,041 |
$15,452 |
$2,802,279 |
$865,336 |
5.59 |
Other esophageal disorders |
56 |
$31,755 |
$9,917 |
$1,778,260 |
$555,339 |
3.30 |
Migraine & other headaches |
54 |
$27,308 |
$7,254 |
$1,474,652 |
$391,690 |
2.35 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
54 |
$34,880 |
$10,847 |
$1,883,530 |
$585,762 |
4.93 |
Degenerative nervous system disorders exc mult sclerosis |
52 |
$38,967 |
$13,271 |
$2,026,278 |
$690,075 |
5.23 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
52 |
$33,901 |
$10,524 |
$1,762,841 |
$547,243 |
3.94 |
Urinary stones & acquired upper urinary tract obstruction |
52 |
$19,953 |
$5,533 |
$1,037,539 |
$287,699 |
1.90 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
51 |
$31,519 |
$8,866 |
$1,607,459 |
$452,188 |
3.06 |
Hernia procedures except inguinal, femoral & umbilical |
50 |
$38,317 |
$11,858 |
$1,915,830 |
$592,895 |
3.72 |
Other antepartum diagnoses |
50 |
$16,635 |
$4,602 |
$831,744 |
$230,109 |
2.08 |
Breast procedures except mastectomy |
49 |
$43,449 |
$12,279 |
$2,129,017 |
$601,664 |
2.96 |
Electrolyte disorders except hypovolemia related |
48 |
$31,887 |
$9,440 |
$1,530,573 |
$453,111 |
3.42 |
Intracranial hemorrhage |
46 |
$51,378 |
$15,514 |
$2,363,371 |
$713,642 |
4.41 |
Foot & toe procedures |
46 |
$63,133 |
$19,726 |
$2,904,095 |
$907,397 |
6.89 |
Mastectomy procedures |
46 |
$59,587 |
$16,556 |
$2,741,002 |
$761,585 |
1.98 |
Other respiratory & chest procedures |
44 |
$85,764 |
$28,869 |
$3,773,604 |
$1,270,231 |
8.43 |
Respiratory malignancy |
43 |
$49,606 |
$15,139 |
$2,133,058 |
$650,971 |
5.23 |
Intervertebral disc excision & decompression |
43 |
$48,113 |
$15,138 |
$2,068,851 |
$650,934 |
3.53 |
Depression except major depressive disorder |
43 |
$44,497 |
$11,844 |
$1,913,360 |
$509,298 |
9.14 |
Organic mental health disturbances |
43 |
$36,107 |
$11,588 |
$1,552,585 |
$498,304 |
5.53 |
Nontraumatic stupor & coma |
42 |
$40,498 |
$11,219 |
$1,700,932 |
$471,180 |
3.55 |
Neonate birthwt >2499g w other significant condition |
42 |
$31,970 |
$15,339 |
$1,342,749 |
$644,223 |
4.62 |
Moderately extensive procedure unrelated to principal diagnosis |
42 |
$91,158 |
$28,743 |
$3,828,624 |
$1,207,199 |
9.45 |
Peripheral, cranial & autonomic nerve disorders |
40 |
$38,773 |
$11,536 |
$1,550,907 |
$461,448 |
3.85 |
Digestive malignancy |
39 |
$50,147 |
$14,973 |
$1,955,737 |
$583,943 |
5.62 |
Other skin, subcutaneous tissue & related procedures |
39 |
$33,622 |
$10,187 |
$1,311,263 |
$397,300 |
4.15 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
38 |
$29,705 |
$8,793 |
$1,128,797 |
$334,139 |
3.39 |
Viral illness |
38 |
$30,204 |
$8,075 |
$1,147,761 |
$306,847 |
2.97 |
Inflammatory bowel disease |
37 |
$34,437 |
$9,495 |
$1,274,175 |
$351,323 |
3.89 |
Abdominal pain |
37 |
$25,929 |
$6,459 |
$959,372 |
$238,995 |
2.51 |
Other endocrine disorders |
36 |
$40,774 |
$11,767 |
$1,467,872 |
$423,629 |
4.83 |
Fever |
35 |
$32,261 |
$9,457 |
$1,129,118 |
$330,996 |
3.89 |
Post-op, post-trauma, other device infections w O.R. procedure |
34 |
$51,111 |
$15,081 |
$1,737,772 |
$512,754 |
5.32 |
Craniotomy except for trauma |
33 |
$85,698 |
$25,565 |
$2,828,043 |
$843,629 |
6.64 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
33 |
$36,176 |
$9,834 |
$1,193,812 |
$324,532 |
3.39 |
Neonate bwt 2000-2499g, normal newborn or neonate w other problem |
33 |
$24,635 |
$11,938 |
$812,955 |
$393,948 |
3.76 |
Major stomach, esophageal & duodenal procedures |
32 |
$56,409 |
$18,238 |
$1,805,091 |
$583,604 |
5.91 |
Extensive procedure unrelated to principal diagnosis |
31 |
$126,970 |
$37,155 |
$3,936,073 |
$1,151,796 |
9.94 |
Lower extremity arterial procedures |
30 |
$102,425 |
$29,812 |
$3,072,742 |
$894,365 |
9.17 |
Uterine & adnexa procedures for non-malignancy except leiomyoma |
30 |
$31,661 |
$10,666 |
$949,840 |
$319,970 |
2.57 |
Major respiratory & chest procedures |
29 |
$69,073 |
$23,184 |
$2,003,122 |
$672,335 |
6.76 |
Fracture of pelvis or dislocation of hip |
29 |
$30,721 |
$10,048 |
$890,919 |
$291,404 |
3.90 |
Cardiac defibrillator & heart assist implant |
28 |
$201,195 |
$55,717 |
$5,633,467 |
$1,560,072 |
6.21 |
Other disorders of the liver |
28 |
$41,986 |
$11,316 |
$1,175,606 |
$316,861 |
4.25 |
Fracture of femur |
28 |
$28,204 |
$8,755 |
$789,698 |
$245,126 |
3.64 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
28 |
$18,356 |
$7,294 |
$513,966 |
$204,238 |
2.79 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
28 |
$50,922 |
$13,676 |
$1,425,809 |
$382,933 |
5.04 |
Alcoholic liver disease |
27 |
$42,267 |
$11,678 |
$1,141,211 |
$315,295 |
4.93 |
Nonextensive procedure unrelated to principal diagnosis |
27 |
$62,166 |
$19,196 |
$1,678,494 |
$518,287 |
7.00 |
Bronchiolitis & RSV pneumonia |
26 |
$19,974 |
$8,601 |
$519,332 |
$223,617 |
2.54 |
Inguinal, femoral & umbilical hernia procedures |
26 |
$33,279 |
$9,666 |
$865,257 |
$251,303 |
2.54 |
Gastrointestinal vascular insufficiency |
26 |
$39,513 |
$11,071 |
$1,027,331 |
$287,853 |
4.35 |
Other kidney & urinary tract diagnoses, signs & symptoms |
26 |
$38,150 |
$10,918 |
$991,909 |
$283,856 |
4.42 |
Uterine & adnexa procedures for leiomyoma |
26 |
$29,167 |
$8,804 |
$758,331 |
$228,908 |
2.58 |
O.R. procedure for other complications of treatment |
26 |
$64,663 |
$19,947 |
$1,681,244 |
$518,619 |
6.19 |
Other stomach, esophageal & duodenal procedures |
25 |
$37,056 |
$11,691 |
$926,396 |
$292,280 |
3.12 |
Skin graft for skin & subcutaneous tissue diagnoses |
25 |
$63,997 |
$20,418 |
$1,599,929 |
$510,445 |
5.92 |
Other hepatobiliary, pancreas & abdominal procedures |
24 |
$79,026 |
$23,281 |
$1,896,618 |
$558,751 |
9.33 |
Shoulder & elbow joint replacement |
24 |
$60,616 |
$18,541 |
$1,454,793 |
$444,986 |
2.25 |
Other cardiothoracic & thoracic vascular procedures |
23 |
$100,525 |
$28,350 |
$2,312,078 |
$652,042 |
6.70 |
Malfunction, reaction & complication of GI device or procedure |
23 |
$36,759 |
$11,095 |
$845,457 |
$255,184 |
4.43 |
Hepatic coma & other major acute liver disorders |
23 |
$46,368 |
$13,280 |
$1,066,462 |
$305,449 |
6.09 |
Malignancy of hepatobiliary system & pancreas |
23 |
$54,593 |
$15,805 |
$1,255,639 |
$363,519 |
6.43 |
Kidney & urinary tract procedures for nonmalignancy |
23 |
$50,071 |
$15,887 |
$1,151,627 |
$365,398 |
5.22 |
Vaginal delivery w sterilization &/or D&C |
23 |
$21,225 |
$8,311 |
$488,169 |
$191,145 |
2.70 |
Lymphoma, myeloma & non-acute leukemia |
23 |
$69,581 |
$18,881 |
$1,600,356 |
$434,264 |
5.35 |
Multiple significant trauma w/o O.R. procedure |
23 |
$47,940 |
$12,810 |
$1,102,630 |
$294,620 |
4.52 |
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma |
22 |
$25,852 |
$6,364 |
$568,737 |
$140,013 |
2.05 |
Tendon, muscle & other soft tissue procedures |
22 |
$43,253 |
$13,456 |
$951,576 |
$296,036 |
4.18 |
Other skin, subcutaneous tissue & breast disorders |
22 |
$24,989 |
$7,272 |
$549,767 |
$159,975 |
2.86 |
Chronic Kidney Disease |
22 |
$34,576 |
$10,733 |
$760,671 |
$236,135 |
3.77 |
Extracranial vascular procedures |
21 |
$32,249 |
$9,408 |
$677,220 |
$197,577 |
2.67 |
Other peripheral vascular procedures |
21 |
$97,568 |
$29,666 |
$2,048,935 |
$622,981 |
6.81 |
Skin ulcers |
21 |
$31,084 |
$10,143 |
$652,770 |
$212,999 |
4.33 |
Other infectious & parasitic diseases |
21 |
$39,514 |
$11,491 |
$829,804 |
$241,302 |
4.24 |
Opioid abuse & dependence |
21 |
$37,518 |
$10,751 |
$787,875 |
$225,770 |
5.33 |
Nervous system malignancy |
20 |
$51,391 |
$16,078 |
$1,027,823 |
$321,558 |
5.85 |
Connective tissue disorders |
20 |
$56,389 |
$16,401 |
$1,127,778 |
$328,025 |
6.30 |
Respiratory system diagnosis w ventilator support 96+ hours |
19 |
$143,730 |
$45,381 |
$2,730,870 |
$862,230 |
13.42 |
Other circulatory system procedures |
19 |
$95,900 |
$29,035 |
$1,822,107 |
$551,665 |
10.11 |
Other digestive system & abdominal procedures |
19 |
$71,933 |
$22,217 |
$1,366,733 |
$422,130 |
7.74 |
Other musculoskeletal system & connective tissue procedures |
19 |
$42,416 |
$13,405 |
$805,905 |
$254,691 |
3.21 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
19 |
$39,972 |
$12,755 |
$759,475 |
$242,341 |
5.58 |
Urethral & transurethral procedures |
19 |
$34,230 |
$9,862 |
$650,375 |
$187,382 |
2.95 |
Interstitial & alveolar lung diseases |
18 |
$43,271 |
$14,393 |
$778,884 |
$259,072 |
5.28 |
Postpartum & post abortion diagnoses w/o procedure |
18 |
$25,696 |
$6,748 |
$462,520 |
$121,463 |
2.78 |
Neonate birthwt >2499g w major anomaly |
18 |
$23,869 |
$11,377 |
$429,650 |
$204,777 |
3.67 |
Peritoneal adhesiolysis |
17 |
$80,240 |
$23,275 |
$1,364,083 |
$395,680 |
9.94 |
Cardiac pacemaker & defibrillator device replacement |
16 |
$107,059 |
$30,287 |
$1,712,944 |
$484,584 |
4.69 |
Hand & wrist procedures |
16 |
$35,333 |
$10,827 |
$565,329 |
$173,228 |
3.00 |
Neonate, transferred < 5 days old, born here |
16 |
$12,738 |
$5,199 |
$203,801 |
$83,189 |
1.56 |
Drug & alcohol abuse or dependence, left against medical advice |
15 |
$27,398 |
$7,211 |
$410,974 |
$108,172 |
3.60 |
Spinal procedures |
14 |
$68,548 |
$20,220 |
$959,676 |
$283,081 |
5.21 |
Eye disorders except major infections |
14 |
$32,599 |
$8,940 |
$456,390 |
$125,166 |
2.50 |
Cardiac structural & valvular disorders |
14 |
$36,155 |
$10,861 |
$506,175 |
$152,047 |
3.43 |
Major biliary tract procedures |
14 |
$52,502 |
$16,122 |
$735,026 |
$225,702 |
5.43 |
Renal dialysis access device procedure only |
14 |
$90,003 |
$28,073 |
$1,260,045 |
$393,024 |
9.50 |
Male reproductive system diagnoses except malignancy |
14 |
$32,085 |
$10,058 |
$449,193 |
$140,814 |
4.79 |
Other Chemotherapy |
14 |
$46,261 |
$14,126 |
$647,653 |
$197,759 |
3.36 |
Procedure w diag of rehab, aftercare or oth contact w health service |
14 |
$81,200 |
$25,616 |
$1,136,795 |
$358,617 |
4.86 |
Musculoskeletal & other procedures for multiple significant trauma |
14 |
$113,324 |
$32,781 |
$1,586,529 |
$458,938 |
8.86 |
Tracheostomy w MV 96+ hours w extensive procedure or ECMO |
13 |
$424,036 |
$122,442 |
$5,512,462 |
$1,591,744 |
33.08 |
Anal procedures |
13 |
$24,045 |
$7,442 |
$312,581 |
$96,742 |
2.08 |
Malfunction, reaction, complic of orthopedic device or procedure |
13 |
$42,006 |
$13,601 |
$546,074 |
$176,816 |
5.46 |
Transurethral prostatectomy |
13 |
$36,178 |
$10,804 |
$470,314 |
$140,456 |
4.31 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
13 |
$83,574 |
$24,785 |
$1,086,468 |
$322,211 |
7.15 |
Toxic effects of non-medicinal substances |
13 |
$53,674 |
$15,188 |
$697,759 |
$197,445 |
2.77 |
Multiple sclerosis & other demyelinating diseases |
12 |
$44,612 |
$13,328 |
$535,349 |
$159,938 |
4.33 |
Kidney & urinary tract procedures for malignancy |
12 |
$32,911 |
$12,778 |
$394,934 |
$153,330 |
3.08 |
Other nervous system & related procedures |
11 |
$43,082 |
$13,521 |
$473,898 |
$148,726 |
3.27 |
Dental & oral diseases & injuries |
11 |
$25,202 |
$6,497 |
$277,222 |
$71,463 |
2.55 |
Dorsal & lumbar fusion proc for curvature of back |
11 |
$166,646 |
$50,659 |
$1,833,108 |
$557,247 |
5.45 |
Allergic reactions |
11 |
$27,298 |
$8,292 |
$300,277 |
$91,211 |
4.27 |
Bacterial & tuberculous infections of nervous system |
10 |
$77,332 |
$22,624 |
$773,317 |
$226,237 |
6.60 |
Non-bacterial infections of nervous system exc viral meningitis |
10 |
$79,063 |
$21,404 |
$790,629 |
$214,040 |
7.80 |
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond |
10 |
$36,380 |
$17,130 |
$363,803 |
$171,300 |
4.80 |
Sickle cell anemia crisis |
10 |
$37,752 |
$9,162 |
$377,517 |
$91,619 |
3.50 |
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms |
10 |
$87,155 |
$26,263 |
$871,552 |
$262,633 |
9.00 |
Amputation of lower limb except toes |
9 |
$151,692 |
$48,583 |
$1,365,224 |
$437,245 |
17.22 |
Neonate bwt 2000-2499g w other significant condition |
9 |
$65,743 |
$31,517 |
$591,691 |
$283,655 |
8.44 |
Coagulation & platelet disorders |
9 |
$64,041 |
$19,481 |
$576,367 |
$175,329 |
5.67 |
Other drug abuse & dependence |
9 |
$26,984 |
$7,739 |
$242,852 |
$69,648 |
3.67 |
Craniotomy for trauma |
8 |
$116,497 |
$34,716 |
$931,979 |
$277,725 |
9.75 |
Tonsil & adenoid procedures |
8 |
$26,928 |
$8,551 |
$215,427 |
$68,409 |
3.00 |
Cardiac arrest and shock |
8 |
$13,069 |
$3,209 |
$104,551 |
$25,668 |
1.13 |
Cholecystectomy except laparoscopic |
8 |
$85,642 |
$23,786 |
$685,136 |
$190,284 |
7.75 |
Inborn errors of metabolism |
8 |
$37,897 |
$10,933 |
$303,174 |
$87,462 |
5.50 |
Menstrual & other female reproductive system disorders |
8 |
$22,080 |
$6,086 |
$176,642 |
$48,690 |
1.88 |
Other mental health disorders |
8 |
$49,745 |
$13,201 |
$397,957 |
$105,611 |
11.00 |
Spinal disorders & injuries |
7 |
$48,681 |
$14,578 |
$340,767 |
$102,045 |
5.14 |
Major abdominal vascular procedures |
7 |
$67,348 |
$18,044 |
$471,439 |
$126,310 |
4.14 |
Cardiac pacemaker & defibrillator revision except device replacement |
7 |
$77,300 |
$20,178 |
$541,102 |
$141,245 |
5.43 |
Kidney & urinary tract malignancy |
7 |
$54,303 |
$17,761 |
$380,118 |
$124,328 |
7.86 |
Other male reproductive system & related procedures |
7 |
$25,966 |
$7,513 |
$181,763 |
$52,593 |
2.14 |
Female reproductive system infections |
7 |
$27,689 |
$7,699 |
$193,823 |
$53,892 |
3.57 |
Adjustment disorders & neuroses except depressive diagnoses |
7 |
$44,230 |
$12,001 |
$309,610 |
$84,007 |
8.43 |
Acute anxiety & delirium states |
7 |
$26,033 |
$6,804 |
$182,232 |
$47,630 |
5.00 |
Other injury, poisoning & toxic effect diagnoses |
7 |
$27,730 |
$7,038 |
$194,113 |
$49,268 |
2.86 |
Tracheostomy w MV 96+ hours w/o extensive procedure |
6 |
$311,169 |
$94,174 |
$1,867,014 |
$565,044 |
29.33 |
Other significant hip and femur surgery |
6 |
$91,616 |
$29,253 |
$549,698 |
$175,515 |
7.50 |
Malnutrition, failure to thrive & other nutritional disorders |
6 |
$33,549 |
$11,764 |
$201,295 |
$70,582 |
3.50 |
Female reproductive system malignancy |
6 |
$51,926 |
$16,764 |
$311,555 |
$100,585 |
6.50 |
Neonate bwt 1500-1999g w or w/o other significant condition |
6 |
$96,482 |
$47,157 |
$578,890 |
$282,942 |
12.83 |
Other aftercare & convalescence |
6 |
$51,415 |
$15,481 |
$308,492 |
$92,883 |
6.00 |
HIV w multiple major HIV related conditions |
6 |
$57,579 |
$15,655 |
$345,474 |
$93,931 |
5.67 |
Ventricular shunt procedures |
5 |
$42,271 |
$13,048 |
$211,355 |
$65,238 |
2.60 |
Other ear, nose, mouth & throat procedures |
5 |
$56,103 |
$15,427 |
$280,516 |
$77,133 |
5.20 |
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses |
5 |
$102,530 |
$33,311 |
$512,649 |
$166,556 |
9.00 |
Other kidney, urinary tract & related procedures |
5 |
$121,286 |
$40,329 |
$606,432 |
$201,647 |
14.20 |
Other female reproductive system & related procedures |
5 |
$40,542 |
$11,462 |
$202,711 |
$57,312 |
3.40 |
Mental illness diagnosis w O.R. procedure |
5 |
$126,624 |
$34,346 |
$633,119 |
$171,729 |
25.40 |
Cocaine abuse & dependence |
5 |
$19,002 |
$5,185 |
$95,008 |
$25,925 |
3.00 |
Viral meningitis |
4 |
$43,592 |
$11,101 |
$174,366 |
$44,402 |
3.75 |
Ear, nose, mouth, throat, cranial/facial malignancies |
4 |
$45,392 |
$12,899 |
$181,569 |
$51,597 |
5.25 |
Major esophageal disorders |
4 |
$34,904 |
$9,933 |
$139,614 |
$39,730 |
3.75 |
Malignancy, male reproductive system |
4 |
$33,081 |
$8,944 |
$132,323 |
$35,774 |
3.25 |
D&C, aspiration curettage or hysterotomy for obstetric diagnoses |
4 |
$18,236 |
$5,125 |
$72,943 |
$20,499 |
1.00 |
Nonspecific CVA & precerebral occlusion w/o infarct |
3 |
$33,596 |
$8,817 |
$100,789 |
$26,452 |
2.67 |
Major cranial/facial bone procedures |
3 |
$15,273 |
$4,892 |
$45,819 |
$14,677 |
1.00 |
Major bladder procedures |
3 |
$61,727 |
$19,803 |
$185,180 |
$59,410 |
7.00 |
Other procedures of blood & blood-forming organs |
3 |
$27,273 |
$8,870 |
$81,818 |
$26,611 |
1.67 |
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms |
3 |
$86,423 |
$25,594 |
$259,268 |
$76,783 |
9.00 |
Acute leukemia |
3 |
$30,172 |
$6,667 |
$90,517 |
$20,001 |
2.00 |
Disorders of personality & impulse control |
3 |
$38,507 |
$10,882 |
$115,521 |
$32,647 |
8.33 |
Acute major eye infections |
2 |
$16,155 |
$5,170 |
$32,309 |
$10,339 |
2.50 |
Permanent cardiac pacemaker implant w AMI, heart failure or shock |
2 |
$141,355 |
$42,511 |
$282,710 |
$85,021 |
12.00 |
Cardiomyopathy |
2 |
$24,871 |
$5,662 |
$49,742 |
$11,323 |
1.50 |
Major pancreas, liver & shunt procedures |
2 |
$72,659 |
$19,923 |
$145,317 |
$39,845 |
5.50 |
Major skin disorders |
2 |
$21,092 |
$4,586 |
$42,184 |
$9,171 |
2.50 |
Pituitary & adrenal procedures |
2 |
$89,805 |
$23,738 |
$179,610 |
$47,476 |
7.00 |
Other procedures for endocrine, nutritional & metabolic disorders |
2 |
$144,970 |
$40,616 |
$289,939 |
$81,231 |
15.50 |
Nephritis & nephrosis |
2 |
$45,942 |
$14,059 |
$91,883 |
$28,117 |
6.50 |
Major male pelvic procedures |
2 |
$27,739 |
$8,147 |
$55,477 |
$16,293 |
2.50 |
Female reproductive system reconstructive procedures |
2 |
$38,566 |
$17,298 |
$77,131 |
$34,595 |
2.00 |
Preterm labor |
2 |
$17,267 |
$10,045 |
$34,534 |
$20,089 |
2.00 |
Neonate bwt 1500-1999g w resp dist synd/oth maj resp cond |
2 |
$110,155 |
$53,828 |
$220,310 |
$107,655 |
14.50 |
Neonate bwt 2000-2499g w resp dist synd/oth maj resp cond |
2 |
$43,873 |
$20,900 |
$87,745 |
$41,800 |
5.50 |
Neonate birthwt >2499g w congenital/perinatal infection |
2 |
$16,765 |
$7,815 |
$33,529 |
$15,630 |
2.00 |
Splenectomy |
2 |
$271,544 |
$72,731 |
$543,087 |
$145,461 |
20.00 |
Behavioral disorders |
2 |
$102,436 |
$27,277 |
$204,872 |
$54,553 |
23.00 |
Partial thickness burns without skin graft |
2 |
$14,710 |
$4,241 |
$29,420 |
$8,481 |
2.00 |
HIV w major HIV related condition |
2 |
$32,473 |
$9,916 |
$64,946 |
$19,832 |
3.00 |
Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma |
1 |
$38,011 |
$9,731 |
$38,011 |
$9,731 |
3.00 |
Facial bone procedures except major cranial/facial bone procedures |
1 |
$90,811 |
$24,679 |
$90,811 |
$24,679 |
9.00 |
Malignant breast disorders |
1 |
$18,042 |
$5,340 |
$18,042 |
$5,340 |
2.00 |
Thyroid, parathyroid & thyroglossal procedures |
1 |
$19,555 |
$5,288 |
$19,555 |
$5,288 |
3.00 |
Other bladder procedures |
1 |
$40,747 |
$9,469 |
$40,747 |
$9,469 |
2.00 |
Penis procedures |
1 |
$8,444 |
$2,275 |
$8,444 |
$2,275 |
1.00 |
Testes & scrotal procedures |
1 |
$32,375 |
$9,239 |
$32,375 |
$9,239 |
3.00 |
Uterine & adnexa procedures for non-ovarian & non-adnexal malig |
1 |
$34,654 |
$8,936 |
$34,654 |
$8,936 |
2.00 |
False labor |
1 |
$23,220 |
$17,967 |
$23,220 |
$17,967 |
2.00 |
Neonate bwt 1250-1499g w resp dist synd/oth maj resp or maj anom |
1 |
$154,955 |
$76,151 |
$154,955 |
$76,151 |
20.00 |
Neonate bwt 1250-1499g w or w/o other significant condition |
1 |
$120,356 |
$59,374 |
$120,356 |
$59,374 |
17.00 |
Neonate bwt 2000-2499g w major anomaly |
1 |
$138,955 |
$65,238 |
$138,955 |
$65,238 |
17.00 |
Chemotherapy for acute leukemia |
1 |
$113,036 |
$33,444 |
$113,036 |
$33,444 |
5.00 |
Burns with skin graft except extensive 3rd degree burns |
1 |
$26,141 |
$7,675 |
$26,141 |
$7,675 |
2.00 |
Neonatal aftercare |
1 |
$69,579 |
$35,156 |
$69,579 |
$35,156 |
10.00 |