Neonate birthwt >2499g, normal newborn or neonate w other problem |
2224 |
$13,213 |
$2,546 |
$29,386,822 |
$5,662,690 |
2.70 |
Vaginal delivery |
1267 |
$24,452 |
$5,892 |
$30,980,677 |
$7,465,577 |
2.46 |
Cesarean delivery |
1241 |
$39,478 |
$10,185 |
$48,992,048 |
$12,639,149 |
3.86 |
Septicemia & disseminated infections |
1060 |
$90,154 |
$19,225 |
$95,563,731 |
$20,379,003 |
8.75 |
Chronic obstructive pulmonary disease |
806 |
$54,551 |
$10,529 |
$43,968,151 |
$8,486,057 |
5.81 |
Other pneumonia |
665 |
$46,711 |
$9,270 |
$31,062,975 |
$6,164,378 |
5.24 |
Kidney & urinary tract infections |
580 |
$41,205 |
$7,869 |
$23,898,739 |
$4,563,792 |
5.00 |
Cellulitis & other skin infections |
570 |
$37,356 |
$7,218 |
$21,293,193 |
$4,114,069 |
4.46 |
Heart failure |
565 |
$55,936 |
$11,917 |
$31,603,708 |
$6,733,145 |
5.81 |
Other gastroenteritis, nausa & vomiting |
366 |
$30,473 |
$5,517 |
$11,153,124 |
$2,019,251 |
3.39 |
Cardiac arrhythmia & conduction disorders |
304 |
$39,933 |
$7,352 |
$12,139,484 |
$2,235,047 |
3.55 |
Laparoscopic cholecystectomy |
301 |
$59,956 |
$12,827 |
$18,046,646 |
$3,861,028 |
4.38 |
Other back & neck disorders, fractures & injuries |
296 |
$41,735 |
$6,944 |
$12,353,463 |
$2,055,455 |
4.17 |
Seizure |
290 |
$30,105 |
$5,613 |
$8,730,487 |
$1,627,762 |
2.78 |
CVA & precerebral occlusion w infarct |
275 |
$70,794 |
$12,351 |
$19,468,311 |
$3,396,542 |
5.36 |
Other anemia & disorders of blood & blood-forming organs |
264 |
$48,337 |
$8,873 |
$12,760,841 |
$2,342,391 |
4.16 |
Cardiac catheterization for other non-coronary conditions |
259 |
$71,502 |
$14,015 |
$18,519,000 |
$3,629,823 |
4.39 |
Diverticulitis & diverticulosis |
258 |
$43,164 |
$8,337 |
$11,136,298 |
$2,150,844 |
4.79 |
Other digestive system diagnoses |
258 |
$42,588 |
$8,523 |
$10,987,695 |
$2,198,933 |
4.45 |
Other antepartum diagnoses |
253 |
$24,166 |
$4,323 |
$6,114,019 |
$1,093,754 |
2.64 |
Acute Kidney Injury |
249 |
$61,506 |
$13,484 |
$15,314,981 |
$3,357,518 |
6.69 |
Infectious & parasitic diseases including HIV w O.R. procedure |
245 |
$219,945 |
$54,772 |
$53,886,442 |
$13,419,253 |
17.17 |
Diabetes |
243 |
$44,500 |
$9,026 |
$10,813,389 |
$2,193,411 |
4.16 |
Other & unspecified gastrointestinal hemorrhage |
240 |
$58,982 |
$12,391 |
$14,155,720 |
$2,973,958 |
5.39 |
Percutaneous coronary intervention w/o AMI |
233 |
$140,064 |
$24,590 |
$32,635,013 |
$5,729,413 |
3.39 |
Percutaneous coronary intervention w AMI |
231 |
$150,519 |
$28,202 |
$34,769,958 |
$6,514,579 |
3.81 |
Disorders of pancreas except malignancy |
230 |
$41,895 |
$7,287 |
$9,635,955 |
$1,676,092 |
4.51 |
Asthma |
212 |
$28,523 |
$5,639 |
$6,046,784 |
$1,195,448 |
2.79 |
Major small & large bowel procedures |
210 |
$125,610 |
$28,895 |
$26,378,165 |
$6,068,014 |
9.12 |
Appendectomy |
204 |
$46,815 |
$11,743 |
$9,550,190 |
$2,395,647 |
2.90 |
Peptic ulcer & gastritis |
202 |
$51,401 |
$10,453 |
$10,382,979 |
$2,111,504 |
4.60 |
Procedures for obesity |
184 |
$48,991 |
$15,142 |
$9,014,400 |
$2,786,120 |
2.04 |
Other musculoskeletal system & connective tissue diagnoses |
182 |
$41,148 |
$7,147 |
$7,488,898 |
$1,300,710 |
4.16 |
Hip and femur fracture repair |
181 |
$104,830 |
$20,138 |
$18,974,276 |
$3,644,906 |
5.90 |
Dorsal & lumbar fusion proc except for curvature of back |
179 |
$207,369 |
$40,915 |
$37,119,124 |
$7,323,707 |
6.01 |
Hypovolemia & related electrolyte disorders |
174 |
$37,450 |
$6,674 |
$6,516,236 |
$1,161,199 |
4.36 |
Alcohol abuse & dependence |
174 |
$58,083 |
$11,440 |
$10,106,469 |
$1,990,621 |
6.65 |
Intestinal obstruction |
169 |
$35,183 |
$6,422 |
$5,946,005 |
$1,085,399 |
4.29 |
Uterine & adnexa procedures for non-malignancy except leiomyoma |
167 |
$50,379 |
$10,281 |
$8,413,253 |
$1,716,893 |
2.29 |
Moderately extensive procedure unrelated to principal diagnosis |
163 |
$140,932 |
$35,620 |
$22,971,981 |
$5,806,035 |
11.44 |
Knee joint replacement |
161 |
$119,063 |
$24,548 |
$19,169,213 |
$3,952,294 |
2.40 |
Hip joint replacement |
157 |
$140,612 |
$27,346 |
$22,076,101 |
$4,293,395 |
4.27 |
Syncope & collapse |
153 |
$40,034 |
$7,224 |
$6,125,151 |
$1,105,239 |
3.17 |
Uterine & adnexa procedures for leiomyoma |
149 |
$45,812 |
$9,223 |
$6,825,965 |
$1,374,198 |
2.03 |
Acute myocardial infarction |
148 |
$65,070 |
$11,767 |
$9,630,377 |
$1,741,494 |
5.01 |
Infections of upper respiratory tract |
147 |
$25,863 |
$4,907 |
$3,801,810 |
$721,378 |
2.84 |
Coronary bypass w/o AMI or complex PDX |
144 |
$263,543 |
$52,161 |
$37,950,164 |
$7,511,114 |
8.26 |
Signs, symptoms & other factors influencing health status |
140 |
$43,167 |
$8,333 |
$6,043,328 |
$1,166,582 |
4.42 |
Transient ischemia |
137 |
$41,631 |
$6,380 |
$5,703,469 |
$874,014 |
3.15 |
Pulmonary embolism |
135 |
$54,131 |
$9,252 |
$7,307,690 |
$1,249,013 |
4.69 |
Peripheral & other vascular disorders |
130 |
$48,243 |
$8,944 |
$6,271,542 |
$1,162,769 |
5.05 |
Other skin, subcutaneous tissue & related procedures |
130 |
$65,193 |
$14,254 |
$8,475,112 |
$1,853,016 |
6.34 |
Abdominal pain |
126 |
$32,429 |
$5,626 |
$4,086,052 |
$708,908 |
3.15 |
Electrolyte disorders except hypovolemia related |
123 |
$52,031 |
$14,284 |
$6,399,873 |
$1,756,879 |
4.62 |
Cervical spinal fusion & other back/neck proc exc disc excis/decomp |
122 |
$124,622 |
$25,520 |
$15,203,857 |
$3,113,395 |
3.94 |
Lower extremity arterial procedures |
121 |
$169,440 |
$36,872 |
$20,502,185 |
$4,461,494 |
8.50 |
Major respiratory infections & inflammations |
114 |
$66,966 |
$12,997 |
$7,634,094 |
$1,481,671 |
8.27 |
Extracranial vascular procedures |
113 |
$103,853 |
$19,808 |
$11,735,333 |
$2,238,351 |
3.50 |
Malfunction, reaction, complic of genitourinary device or proc |
113 |
$72,946 |
$16,482 |
$8,242,929 |
$1,862,451 |
8.60 |
Head trauma w coma >1 hr or hemorrhage |
112 |
$61,076 |
$12,122 |
$6,840,462 |
$1,357,626 |
4.61 |
Poisoning of medicinal agents |
112 |
$46,350 |
$9,209 |
$5,191,245 |
$1,031,403 |
3.79 |
Respiratory Failure |
107 |
$77,501 |
$18,732 |
$8,292,606 |
$2,004,295 |
6.63 |
Knee & lower leg procedures except foot |
105 |
$99,298 |
$22,268 |
$10,426,284 |
$2,338,108 |
6.16 |
Intervertebral disc excision & decompression |
103 |
$66,643 |
$14,005 |
$6,864,225 |
$1,442,560 |
3.36 |
Major gastrointestinal & peritoneal infections |
101 |
$45,255 |
$7,960 |
$4,570,801 |
$803,928 |
5.60 |
Sickle cell anemia crisis |
101 |
$36,781 |
$7,193 |
$3,714,924 |
$726,513 |
4.37 |
Fractures & dislocations except femur, pelvis & back |
100 |
$36,179 |
$7,777 |
$3,617,879 |
$777,738 |
3.30 |
Major chest & respiratory trauma |
97 |
$50,129 |
$9,494 |
$4,862,473 |
$920,882 |
4.49 |
Bronchiolitis & RSV pneumonia |
97 |
$25,259 |
$6,102 |
$2,450,133 |
$591,896 |
3.11 |
Respiratory signs, symptoms & minor diagnoses |
95 |
$37,639 |
$7,031 |
$3,575,668 |
$667,921 |
3.77 |
Neonate bwt 2000-2499g, normal newborn or neonate w other problem |
91 |
$23,349 |
$3,333 |
$2,124,803 |
$303,312 |
3.86 |
Cardiac catheterization for coronary artery disease |
90 |
$47,062 |
$8,274 |
$4,235,604 |
$744,671 |
2.27 |
Urinary stones & acquired upper urinary tract obstruction |
89 |
$35,722 |
$6,273 |
$3,179,231 |
$558,309 |
2.88 |
Hypertension |
85 |
$37,533 |
$7,006 |
$3,190,339 |
$595,479 |
3.39 |
Postpartum & post abortion diagnoses w/o procedure |
85 |
$25,810 |
$4,485 |
$2,193,857 |
$381,237 |
2.48 |
Coronary bypass w AMI or complex PDX |
82 |
$330,352 |
$75,920 |
$27,088,893 |
$6,225,431 |
11.18 |
Angina pectoris & coronary atherosclerosis |
82 |
$27,370 |
$5,321 |
$2,244,337 |
$436,283 |
2.51 |
Foot & toe procedures |
82 |
$102,579 |
$22,513 |
$8,411,443 |
$1,846,035 |
9.18 |
Preterm labor |
82 |
$19,573 |
$3,722 |
$1,604,991 |
$305,201 |
2.11 |
Intracranial hemorrhage |
81 |
$85,638 |
$19,323 |
$6,936,698 |
$1,565,146 |
7.00 |
Kidney & urinary tract procedures for nonmalignancy |
79 |
$77,698 |
$15,844 |
$6,138,133 |
$1,251,715 |
6.32 |
Shoulder, upper arm & forearm procedures except joint replacement |
77 |
$75,163 |
$14,796 |
$5,787,579 |
$1,139,303 |
2.66 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
76 |
$52,341 |
$10,353 |
$3,977,919 |
$786,801 |
5.08 |
Peripheral, cranial & autonomic nerve disorders |
74 |
$41,460 |
$7,572 |
$3,068,005 |
$560,362 |
4.35 |
Other disorders of nervous system |
74 |
$52,950 |
$8,656 |
$3,918,295 |
$640,573 |
4.30 |
Disorders of gallbladder & biliary tract |
74 |
$44,192 |
$8,330 |
$3,270,243 |
$616,436 |
3.88 |
Other peripheral vascular procedures |
72 |
$154,086 |
$40,484 |
$11,094,159 |
$2,914,865 |
7.13 |
Inflammatory bowel disease |
72 |
$44,455 |
$7,962 |
$3,200,754 |
$573,277 |
5.15 |
Neonate birthwt >2499g w other significant condition |
72 |
$46,496 |
$5,343 |
$3,347,700 |
$384,669 |
6.35 |
Viral illness |
72 |
$31,926 |
$6,635 |
$2,298,697 |
$477,728 |
3.44 |
Other esophageal disorders |
67 |
$42,676 |
$7,799 |
$2,859,269 |
$522,527 |
4.21 |
Cardiac valve procedures w/o AMI or complex PDX |
66 |
$286,124 |
$56,934 |
$18,884,174 |
$3,757,631 |
8.17 |
Hernia procedures except inguinal, femoral & umbilical |
64 |
$71,213 |
$13,888 |
$4,557,657 |
$888,845 |
4.16 |
Other complications of treatment |
64 |
$43,593 |
$9,025 |
$2,789,967 |
$577,583 |
3.95 |
Tracheostomy w MV 96+ hours w extensive procedure or ECMO |
62 |
$819,541 |
$205,682 |
$50,811,561 |
$12,752,314 |
44.50 |
Amputation of lower limb except toes |
62 |
$138,780 |
$30,749 |
$8,604,351 |
$1,906,413 |
13.66 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
62 |
$55,761 |
$10,597 |
$3,457,202 |
$657,003 |
6.82 |
Other kidney & urinary tract diagnoses, signs & symptoms |
62 |
$51,698 |
$10,432 |
$3,205,305 |
$646,798 |
5.60 |
Skin ulcers |
60 |
$51,391 |
$12,384 |
$3,083,444 |
$743,042 |
6.03 |
Toxic effects of non-medicinal substances |
60 |
$49,156 |
$9,583 |
$2,949,330 |
$574,965 |
3.38 |
Respiratory malignancy |
59 |
$90,297 |
$16,147 |
$5,327,551 |
$952,684 |
8.98 |
Cardiac defibrillator & heart assist implant |
59 |
$354,339 |
$68,578 |
$20,906,005 |
$4,046,130 |
7.95 |
Perm cardiac pacemaker implant w/o AMI, heart failure or shock |
59 |
$112,399 |
$22,083 |
$6,631,518 |
$1,302,921 |
5.54 |
Skin graft for skin & subcutaneous tissue diagnoses |
59 |
$94,862 |
$20,894 |
$5,596,869 |
$1,232,722 |
7.46 |
Migraine & other headaches |
57 |
$30,923 |
$5,059 |
$1,762,617 |
$288,381 |
2.49 |
Alcoholic liver disease |
57 |
$79,890 |
$14,157 |
$4,553,749 |
$806,968 |
8.25 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
57 |
$31,593 |
$5,514 |
$1,800,773 |
$314,324 |
2.65 |
Chest pain |
56 |
$30,205 |
$5,246 |
$1,691,501 |
$293,765 |
2.52 |
Other ear, nose, mouth & throat procedures |
55 |
$43,735 |
$8,064 |
$2,405,445 |
$443,511 |
3.40 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
54 |
$33,525 |
$6,302 |
$1,810,352 |
$340,315 |
3.35 |
Hand & wrist procedures |
54 |
$53,842 |
$10,592 |
$2,907,480 |
$571,978 |
3.48 |
Urethral & transurethral procedures |
54 |
$65,512 |
$12,158 |
$3,537,651 |
$656,552 |
5.41 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
54 |
$89,472 |
$16,544 |
$4,831,466 |
$893,379 |
7.06 |
Post-operative, post-traumatic, other device infections |
53 |
$47,987 |
$10,087 |
$2,543,315 |
$534,621 |
5.36 |
Drug & alcohol abuse or dependence, left against medical advice |
51 |
$25,417 |
$4,544 |
$1,296,257 |
$231,752 |
2.51 |
Other respiratory & chest procedures |
50 |
$125,276 |
$26,347 |
$6,263,792 |
$1,317,344 |
9.34 |
Other circulatory system diagnoses |
49 |
$38,770 |
$8,999 |
$1,899,754 |
$440,930 |
3.31 |
Other endocrine disorders |
49 |
$59,159 |
$13,804 |
$2,898,782 |
$676,382 |
6.49 |
Other musculoskeletal system & connective tissue procedures |
48 |
$77,956 |
$15,423 |
$3,741,878 |
$740,281 |
5.79 |
Fever |
48 |
$27,525 |
$5,152 |
$1,321,208 |
$247,303 |
2.88 |
Craniotomy except for trauma |
47 |
$199,720 |
$43,032 |
$9,386,822 |
$2,022,490 |
8.98 |
Other small & large bowel procedures |
47 |
$104,081 |
$35,343 |
$4,891,817 |
$1,661,132 |
9.13 |
Tendon, muscle & other soft tissue procedures |
47 |
$79,840 |
$15,227 |
$3,752,499 |
$715,668 |
6.79 |
O.R. procedure for other complications of treatment |
47 |
$107,165 |
$25,544 |
$5,036,768 |
$1,200,589 |
7.15 |
Extensive procedure unrelated to principal diagnosis |
46 |
$245,167 |
$50,971 |
$11,277,683 |
$2,344,678 |
14.48 |
Fracture of pelvis or dislocation of hip |
44 |
$44,612 |
$9,376 |
$1,962,941 |
$412,558 |
4.61 |
Dental & oral diseases & injuries |
43 |
$35,547 |
$6,705 |
$1,528,512 |
$288,295 |
3.88 |
Coagulation & platelet disorders |
42 |
$91,934 |
$20,509 |
$3,861,231 |
$861,382 |
4.36 |
Nonextensive procedure unrelated to principal diagnosis |
42 |
$83,191 |
$17,137 |
$3,494,004 |
$719,734 |
8.21 |
Other digestive system & abdominal procedures |
41 |
$70,559 |
$15,178 |
$2,892,907 |
$622,293 |
5.39 |
Hepatic coma & other major acute liver disorders |
41 |
$48,462 |
$8,039 |
$1,986,922 |
$329,584 |
5.39 |
Chronic Kidney Disease |
41 |
$72,093 |
$25,353 |
$2,955,830 |
$1,039,492 |
7.71 |
Male reproductive system diagnoses except malignancy |
41 |
$44,752 |
$8,250 |
$1,834,813 |
$338,237 |
5.76 |
Other circulatory system procedures |
40 |
$168,197 |
$55,172 |
$6,727,884 |
$2,206,873 |
14.28 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
40 |
$25,018 |
$6,055 |
$1,000,712 |
$242,192 |
2.63 |
Nontraumatic stupor & coma |
39 |
$67,972 |
$14,410 |
$2,650,900 |
$561,982 |
6.62 |
Vertigo & other labyrinth disorders |
39 |
$31,714 |
$4,599 |
$1,236,862 |
$179,360 |
2.46 |
Major respiratory & chest procedures |
39 |
$147,834 |
$33,641 |
$5,765,544 |
$1,311,985 |
11.38 |
Post-op, post-trauma, other device infections w O.R. procedure |
39 |
$119,240 |
$38,847 |
$4,650,372 |
$1,515,028 |
10.18 |
Degenerative nervous system disorders exc mult sclerosis |
38 |
$63,058 |
$12,028 |
$2,396,189 |
$457,057 |
6.11 |
Malfunction, reaction & complication of GI device or procedure |
38 |
$51,873 |
$9,514 |
$1,971,180 |
$361,542 |
5.45 |
Fracture of femur |
38 |
$38,358 |
$6,401 |
$1,457,605 |
$243,235 |
4.24 |
Other skin, subcutaneous tissue & breast disorders |
38 |
$31,648 |
$6,606 |
$1,202,638 |
$251,032 |
3.58 |
Digestive malignancy |
36 |
$67,785 |
$12,251 |
$2,440,260 |
$441,048 |
6.67 |
Major stomach, esophageal & duodenal procedures |
35 |
$159,379 |
$40,873 |
$5,578,253 |
$1,430,547 |
10.03 |
Other stomach, esophageal & duodenal procedures |
35 |
$119,798 |
$24,852 |
$4,192,933 |
$869,808 |
9.11 |
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond |
34 |
$79,261 |
$7,670 |
$2,694,871 |
$260,781 |
8.56 |
Multiple sclerosis & other demyelinating diseases |
33 |
$41,017 |
$6,677 |
$1,353,566 |
$220,357 |
4.18 |
Peritoneal adhesiolysis |
33 |
$91,369 |
$18,902 |
$3,015,192 |
$623,770 |
7.97 |
Other disorders of the liver |
33 |
$54,978 |
$10,971 |
$1,814,289 |
$362,052 |
4.82 |
Neonate bwt 2000-2499g w resp dist synd/oth maj resp cond |
33 |
$112,461 |
$11,209 |
$3,711,204 |
$369,908 |
13.55 |
Other Chemotherapy |
32 |
$49,026 |
$10,601 |
$1,568,830 |
$339,219 |
4.16 |
Malignancy of hepatobiliary system & pancreas |
30 |
$69,112 |
$12,141 |
$2,073,358 |
$364,218 |
7.00 |
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses |
30 |
$62,517 |
$19,321 |
$1,875,523 |
$579,621 |
6.27 |
Mastectomy procedures |
30 |
$102,829 |
$22,204 |
$3,084,861 |
$666,109 |
1.87 |
Female reproductive system malignancy |
30 |
$69,380 |
$13,123 |
$2,081,400 |
$393,698 |
6.20 |
Menstrual & other female reproductive system disorders |
30 |
$26,562 |
$4,835 |
$796,858 |
$145,059 |
2.03 |
Eye disorders except major infections |
29 |
$41,905 |
$7,909 |
$1,215,234 |
$229,352 |
3.55 |
Connective tissue disorders |
29 |
$64,101 |
$15,532 |
$1,858,918 |
$450,419 |
5.10 |
Lymphoma, myeloma & non-acute leukemia |
28 |
$94,930 |
$17,483 |
$2,658,053 |
$489,513 |
7.57 |
Musculoskeletal & other procedures for multiple significant trauma |
28 |
$176,956 |
$34,973 |
$4,954,760 |
$979,256 |
8.18 |
Neonate birthwt >2499g w major anomaly |
27 |
$45,374 |
$5,545 |
$1,225,091 |
$149,727 |
6.04 |
Neonate birthwt >2499g w congenital/perinatal infection |
27 |
$66,500 |
$8,082 |
$1,795,501 |
$218,215 |
8.93 |
Respiratory system diagnosis w ventilator support 96+ hours |
26 |
$245,236 |
$52,456 |
$6,376,139 |
$1,363,864 |
19.23 |
Neonate bwt 2000-2499g w other significant condition |
26 |
$83,102 |
$8,839 |
$2,160,661 |
$229,817 |
10.65 |
Craniotomy for trauma |
25 |
$271,579 |
$59,109 |
$6,789,473 |
$1,477,736 |
15.52 |
Nervous system malignancy |
25 |
$73,175 |
$12,265 |
$1,829,363 |
$306,631 |
4.60 |
Facial bone procedures except major cranial/facial bone procedures |
25 |
$91,325 |
$18,298 |
$2,283,117 |
$457,451 |
4.52 |
Inguinal, femoral & umbilical hernia procedures |
25 |
$53,144 |
$10,536 |
$1,328,608 |
$263,393 |
3.44 |
Opioid abuse & dependence |
25 |
$71,485 |
$15,980 |
$1,787,133 |
$399,502 |
7.72 |
Gastrointestinal vascular insufficiency |
24 |
$44,597 |
$8,121 |
$1,070,316 |
$194,915 |
4.92 |
Malfunction, reaction, complic of orthopedic device or procedure |
24 |
$57,566 |
$10,075 |
$1,381,585 |
$241,808 |
5.04 |
Malnutrition, failure to thrive & other nutritional disorders |
24 |
$38,538 |
$6,962 |
$924,907 |
$167,081 |
4.54 |
Spinal procedures |
23 |
$137,995 |
$27,373 |
$3,173,874 |
$629,572 |
6.87 |
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma |
23 |
$25,431 |
$4,065 |
$584,923 |
$93,502 |
1.48 |
Major abdominal vascular procedures |
23 |
$293,133 |
$62,123 |
$6,742,064 |
$1,428,840 |
10.83 |
Pelvic evisceration, radical hysterectomy & other radical GYN procs |
23 |
$96,176 |
$21,685 |
$2,212,041 |
$498,763 |
4.91 |
Neonate bwt 1500-1999g w or w/o other significant condition |
23 |
$102,672 |
$10,721 |
$2,361,458 |
$246,583 |
14.04 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
23 |
$62,119 |
$10,722 |
$1,428,733 |
$246,598 |
5.70 |
Other infectious & parasitic diseases |
21 |
$35,910 |
$6,350 |
$754,102 |
$133,347 |
4.05 |
Other nervous system & related procedures |
20 |
$80,052 |
$20,050 |
$1,601,034 |
$401,002 |
5.15 |
Orbital procedures |
20 |
$87,586 |
$17,276 |
$1,751,715 |
$345,522 |
5.35 |
Other hepatobiliary, pancreas & abdominal procedures |
20 |
$163,629 |
$31,843 |
$3,272,580 |
$636,858 |
14.60 |
Uterine & adnexa procedures for non-ovarian & non-adnexal malig |
20 |
$89,686 |
$18,831 |
$1,793,710 |
$376,625 |
3.80 |
Tonsil & adenoid procedures |
19 |
$36,932 |
$7,814 |
$701,716 |
$148,465 |
3.16 |
Female reproductive system infections |
19 |
$28,138 |
$5,266 |
$534,626 |
$100,052 |
2.95 |
Vaginal delivery w sterilization &/or D&C |
19 |
$41,928 |
$9,580 |
$796,638 |
$182,025 |
3.32 |
D&C, aspiration curettage or hysterotomy for obstetric diagnoses |
19 |
$26,129 |
$4,873 |
$496,453 |
$92,595 |
1.74 |
Tracheostomy w MV 96+ hours w/o extensive procedure |
18 |
$627,902 |
$158,315 |
$11,302,239 |
$2,849,666 |
44.33 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
18 |
$57,917 |
$15,341 |
$1,042,503 |
$276,136 |
5.06 |
Nephritis & nephrosis |
18 |
$32,931 |
$9,084 |
$592,763 |
$163,507 |
3.39 |
Other female reproductive system & related procedures |
18 |
$84,147 |
$16,847 |
$1,514,638 |
$303,244 |
5.56 |
Organic mental health disturbances |
18 |
$39,733 |
$6,669 |
$715,199 |
$120,037 |
5.06 |
Procedure w diag of rehab, aftercare or oth contact w health service |
18 |
$139,240 |
$28,915 |
$2,506,316 |
$520,462 |
6.67 |
Multiple significant trauma w/o O.R. procedure |
17 |
$65,095 |
$12,482 |
$1,106,611 |
$212,194 |
4.76 |
Other cardiothoracic & thoracic vascular procedures |
16 |
$251,756 |
$49,872 |
$4,028,102 |
$797,949 |
8.63 |
Dilation & curettage for non-obstetric diagnoses |
16 |
$48,027 |
$8,711 |
$768,430 |
$139,373 |
3.06 |
Renal dialysis access device procedure only |
15 |
$119,666 |
$52,584 |
$1,794,983 |
$788,754 |
10.93 |
Partial thickness burns without skin graft |
15 |
$21,873 |
$5,049 |
$328,094 |
$75,737 |
3.60 |
Non-bacterial infections of nervous system exc viral meningitis |
14 |
$54,037 |
$9,083 |
$756,520 |
$127,161 |
5.07 |
Major biliary tract procedures |
14 |
$106,619 |
$20,248 |
$1,492,660 |
$283,475 |
9.43 |
Other significant hip and femur surgery |
14 |
$157,390 |
$30,393 |
$2,203,455 |
$425,496 |
7.50 |
Allergic reactions |
14 |
$27,889 |
$5,549 |
$390,447 |
$77,685 |
2.50 |
Bacterial & tuberculous infections of nervous system |
13 |
$154,681 |
$33,807 |
$2,010,850 |
$439,494 |
8.62 |
Interstitial & alveolar lung diseases |
13 |
$74,277 |
$15,002 |
$965,603 |
$195,028 |
6.92 |
Cardiac valve procedures w AMI or complex PDX |
13 |
$365,098 |
$80,319 |
$4,746,273 |
$1,044,141 |
13.92 |
Major esophageal disorders |
13 |
$41,435 |
$7,867 |
$538,658 |
$102,266 |
4.08 |
Cholecystectomy except laparoscopic |
13 |
$90,456 |
$17,915 |
$1,175,926 |
$232,899 |
6.92 |
Breast procedures except mastectomy |
13 |
$117,456 |
$23,025 |
$1,526,922 |
$299,323 |
8.46 |
Other procedures for endocrine, nutritional & metabolic disorders |
13 |
$173,714 |
$56,942 |
$2,258,280 |
$740,246 |
15.92 |
Uterine & adnexa procedures for ovarian & adnexal malignancy |
13 |
$153,456 |
$31,708 |
$1,994,923 |
$412,203 |
11.08 |
Neonate bwt 1500-1999g w resp dist synd/oth maj resp cond |
13 |
$215,552 |
$22,100 |
$2,802,176 |
$287,303 |
29.00 |
Acute leukemia |
13 |
$61,710 |
$9,487 |
$802,234 |
$123,335 |
4.38 |
Viral meningitis |
12 |
$39,430 |
$6,849 |
$473,157 |
$82,192 |
4.33 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
12 |
$76,257 |
$12,550 |
$915,089 |
$150,598 |
8.00 |
Malignant breast disorders |
12 |
$110,794 |
$19,814 |
$1,329,524 |
$237,770 |
9.50 |
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms |
12 |
$319,613 |
$60,682 |
$3,835,360 |
$728,185 |
30.83 |
Cardiac arrest and shock |
11 |
$38,547 |
$7,160 |
$424,013 |
$78,757 |
2.00 |
Anal procedures |
11 |
$85,847 |
$15,602 |
$944,317 |
$171,617 |
8.27 |
Thyroid, parathyroid & thyroglossal procedures |
11 |
$52,895 |
$10,509 |
$581,846 |
$115,604 |
2.36 |
Transurethral prostatectomy |
11 |
$73,302 |
$14,407 |
$806,323 |
$158,482 |
5.45 |
Neonate bwt <500g or GA <24 weeks |
10 |
$262,487 |
$28,254 |
$2,624,870 |
$282,544 |
24.10 |
Other procedures of blood & blood-forming organs |
10 |
$91,853 |
$17,058 |
$918,533 |
$170,580 |
8.30 |
Acute anxiety & delirium states |
10 |
$32,383 |
$5,062 |
$323,827 |
$50,619 |
3.60 |
Other injury, poisoning & toxic effect diagnoses |
10 |
$29,688 |
$5,472 |
$296,882 |
$54,719 |
2.70 |
HIV w major HIV related condition |
10 |
$83,475 |
$14,557 |
$834,750 |
$145,573 |
11.00 |
HIV w one signif HIV cond or w/o signif related cond |
10 |
$39,310 |
$6,640 |
$393,102 |
$66,402 |
4.00 |
Cardiac structural & valvular disorders |
9 |
$39,480 |
$7,107 |
$355,323 |
$63,961 |
4.11 |
Other kidney, urinary tract & related procedures |
9 |
$286,623 |
$201,496 |
$2,579,603 |
$1,813,463 |
24.44 |
Neonate bwt 2000-2499g w major anomaly |
9 |
$136,155 |
$16,892 |
$1,225,395 |
$152,026 |
17.89 |
Cocaine abuse & dependence |
9 |
$45,394 |
$8,934 |
$408,547 |
$80,407 |
4.56 |
Ventricular shunt procedures |
8 |
$143,187 |
$28,779 |
$1,145,497 |
$230,233 |
6.38 |
Cardiac pacemaker & defibrillator device replacement |
8 |
$196,844 |
$38,301 |
$1,574,754 |
$306,411 |
6.13 |
Shoulder & elbow joint replacement |
8 |
$104,946 |
$20,312 |
$839,567 |
$162,494 |
2.13 |
Malignancy, male reproductive system |
8 |
$73,709 |
$12,711 |
$589,669 |
$101,685 |
8.88 |
Other O.R. proc for obstetric diagnoses except delivery diagnoses |
8 |
$27,025 |
$5,254 |
$216,201 |
$42,029 |
1.88 |
Neonate birthwt 750-999g w/o major procedure |
8 |
$741,675 |
$86,091 |
$5,933,402 |
$688,731 |
82.63 |
Neonate bwt 1000-1249g w resp dist synd/oth maj resp or maj anom |
8 |
$483,247 |
$58,881 |
$3,865,972 |
$471,046 |
61.25 |
Nonspecific CVA & precerebral occlusion w/o infarct |
7 |
$43,779 |
$6,687 |
$306,456 |
$46,812 |
3.29 |
Acute major eye infections |
7 |
$33,025 |
$6,138 |
$231,172 |
$42,966 |
4.14 |
Kidney & urinary tract malignancy |
7 |
$103,153 |
$18,026 |
$722,073 |
$126,185 |
10.86 |
Neonate birthwt 500-749g w/o major procedure |
7 |
$685,397 |
$75,205 |
$4,797,782 |
$526,433 |
76.71 |
Neonate bwt 1250-1499g w resp dist synd/oth maj resp or maj anom |
7 |
$296,123 |
$33,265 |
$2,072,863 |
$232,854 |
34.71 |
Neonate bwt 1250-1499g w or w/o other significant condition |
7 |
$250,043 |
$23,758 |
$1,750,299 |
$166,306 |
33.71 |
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms |
7 |
$192,868 |
$38,042 |
$1,350,073 |
$266,296 |
13.71 |
HIV w multiple major HIV related conditions |
7 |
$188,522 |
$36,046 |
$1,319,651 |
$252,319 |
20.43 |
Major cranial/facial bone procedures |
6 |
$214,719 |
$44,078 |
$1,288,313 |
$264,469 |
14.33 |
Permanent cardiac pacemaker implant w AMI, heart failure or shock |
6 |
$188,652 |
$35,815 |
$1,131,910 |
$214,889 |
12.00 |
Acute & subacute endocarditis |
6 |
$125,586 |
$21,489 |
$753,515 |
$128,935 |
18.00 |
Major pancreas, liver & shunt procedures |
6 |
$69,931 |
$14,284 |
$419,587 |
$85,704 |
4.67 |
Neonate, transferred < 5 days old, born here |
6 |
$23,849 |
$3,345 |
$143,094 |
$20,072 |
1.67 |
Splenectomy |
6 |
$153,195 |
$33,886 |
$919,172 |
$203,317 |
7.67 |
Other aftercare & convalescence |
6 |
$35,579 |
$5,636 |
$213,472 |
$33,816 |
3.50 |
Cystic fibrosis - pulmonary disease |
5 |
$49,005 |
$10,187 |
$245,026 |
$50,937 |
4.40 |
Dorsal & lumbar fusion proc for curvature of back |
5 |
$341,807 |
$69,609 |
$1,709,034 |
$348,047 |
6.40 |
Kidney & urinary tract procedures for malignancy |
5 |
$103,966 |
$22,652 |
$519,831 |
$113,261 |
5.60 |
Other bladder procedures |
5 |
$101,906 |
$21,109 |
$509,530 |
$105,543 |
6.40 |
Other drug abuse & dependence |
5 |
$25,056 |
$4,793 |
$125,278 |
$23,964 |
3.20 |
HIV w multiple significant HIV related conditions |
5 |
$58,230 |
$9,512 |
$291,148 |
$47,561 |
6.00 |
Ear, nose, mouth, throat, cranial/facial malignancies |
4 |
$124,195 |
$23,029 |
$496,781 |
$92,117 |
14.00 |
Inborn errors of metabolism |
4 |
$42,814 |
$23,926 |
$171,255 |
$95,704 |
3.75 |
Major bladder procedures |
4 |
$160,713 |
$30,440 |
$642,851 |
$121,759 |
9.75 |
Testes & scrotal procedures |
4 |
$27,145 |
$4,947 |
$108,581 |
$19,789 |
1.50 |
False labor |
4 |
$16,315 |
$2,896 |
$65,261 |
$11,584 |
1.25 |
Neonate bwt 2000-2499g w congenital/perinatal infection |
4 |
$65,320 |
$9,468 |
$261,280 |
$37,872 |
9.00 |
Bipolar disorders |
4 |
$42,359 |
$18,365 |
$169,436 |
$73,458 |
4.50 |
Extensive abdominal/thoracic procedures for mult significant trauma |
4 |
$306,962 |
$65,026 |
$1,227,846 |
$260,103 |
12.75 |
Spinal disorders & injuries |
3 |
$85,494 |
$13,425 |
$256,481 |
$40,275 |
5.67 |
Cardiac pacemaker & defibrillator revision except device replacement |
3 |
$165,200 |
$31,109 |
$495,599 |
$93,327 |
14.00 |
Major skin disorders |
3 |
$15,398 |
$3,026 |
$46,193 |
$9,078 |
2.00 |
Pituitary & adrenal procedures |
3 |
$60,176 |
$14,059 |
$180,527 |
$42,177 |
2.33 |
Neonate bwt <1500g w major procedure |
3 |
$826,509 |
$82,031 |
$2,479,526 |
$246,093 |
86.67 |
Behavioral disorders |
3 |
$11,762 |
$2,595 |
$35,286 |
$7,786 |
1.67 |
Burns with skin graft except extensive 3rd degree burns |
3 |
$61,034 |
$12,542 |
$183,101 |
$37,626 |
8.00 |
Eye procedures except orbit |
2 |
$40,295 |
$8,554 |
$80,589 |
$17,108 |
1.50 |
Other major head & neck procedures |
2 |
$50,592 |
$9,222 |
$101,183 |
$18,444 |
2.00 |
Neonate birthwt 1500-1999g w major anomaly |
2 |
$181,188 |
$15,819 |
$362,376 |
$31,638 |
22.00 |
Neonate birthwt 1500-1999g w congenital/perinatal infection |
2 |
$333,751 |
$27,775 |
$667,502 |
$55,549 |
40.00 |
Neonate birthwt >2499g w other major procedure |
2 |
$255,640 |
$29,538 |
$511,280 |
$59,075 |
23.50 |
Major depressive disorders & other/unspecified psychoses |
2 |
$31,440 |
$5,498 |
$62,880 |
$10,995 |
5.00 |
Adjustment disorders & neuroses except depressive diagnoses |
2 |
$24,750 |
$5,077 |
$49,500 |
$10,154 |
3.50 |
Ungroupable |
2 |
$44,116 |
$3,956 |
$88,232 |
$7,912 |
5.00 |
Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma |
1 |
$22,461 |
$2,907 |
$22,461 |
$2,907 |
1.00 |
BPD & oth chronic respiratory diseases arising in perinatal period |
1 |
$21,230 |
$4,653 |
$21,230 |
$4,653 |
3.00 |
Major male pelvic procedures |
1 |
$68,707 |
$13,089 |
$68,707 |
$13,089 |
4.00 |
Other male reproductive system & related procedures |
1 |
$182,858 |
$36,692 |
$182,858 |
$36,692 |
19.00 |
Female reproductive system reconstructive procedures |
1 |
$32,705 |
$6,848 |
$32,705 |
$6,848 |
1.00 |
Neonate birthwt 1000-1249g w or w/o other significant condition |
1 |
$660,173 |
$110,722 |
$660,173 |
$110,722 |
82.00 |
Neonate bwt 1500-2499g w major procedure |
1 |
$425,175 |
$56,181 |
$425,175 |
$56,181 |
46.00 |
Radiotherapy |
1 |
$167,312 |
$34,640 |
$167,312 |
$34,640 |
7.00 |
Mental illness diagnosis w O.R. procedure |
1 |
$14,353 |
$3,510 |
$14,353 |
$3,510 |
2.00 |
Schizophrenia |
1 |
$29,800 |
$4,550 |
$29,800 |
$4,550 |
2.00 |
Other mental health disorders |
1 |
$29,593 |
$6,969 |
$29,593 |
$6,969 |
2.00 |
Alcohol & drug dependence w rehab or rehab/detox therapy |
1 |
$62,362 |
$12,067 |
$62,362 |
$12,067 |
12.00 |
Craniotomy for multiple significant trauma |
1 |
$129,949 |
$30,243 |
$129,949 |
$30,243 |
9.00 |