Good Samaritan Hospital Medical Center

2017 Age Distribution

2017 Patient Race:

Black/African American3,567
Other Race4,968
White17,604

2017 Payers:

Blue Cross/Blue Shield 4,092
Federal/State/Local/VA 41
Managed Care, Unspecified 639
Medicaid 7,489
Medicare 10,460
Miscellaneous/Other 540
Private Health Insurance 2,468
Self-Pay 410

Conditions treated in 2017

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 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