Good Samaritan Hospital Medical Center

2020 Age Distribution

2020 Patient Race:

White14,699
Other Race5,616
Black/African American3,101

2020 Payers:

Medicaid 5,901
Managed Care, Unspecified 2,291
Medicare 9,243
Blue Cross/Blue Shield 3,719
Miscellaneous/Other 375
Private Health Insurance 1,353
Federal/State/Local/VA 247
Self-Pay 287

Conditions treated in 2020

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DRG Count Avg. Charge Avg. Cost Sum all Charges Sum all Costs Avg. LOS
NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM 2449 $11,961 $2,462 $29,292,349 $6,030,301 2.05
CESAREAN SECTION W/O STERILIZATION 1352 $40,288 $11,009 $54,469,821 $14,884,730 3.13
VAGINAL DELIVERY 1312 $25,910 $7,737 $33,993,417 $10,150,666 2.03
SEPTICEMIA & DISSEMINATED INFECTIONS 1222 $99,107 $19,163 $121,108,345 $23,417,482 7.61
MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS 1030 $66,827 $12,754 $68,832,026 $13,136,108 7.09
HEART FAILURE 507 $60,326 $10,433 $30,585,315 $5,289,328 5.11
KIDNEY & URINARY TRACT INFECTIONS 422 $42,095 $7,341 $17,763,883 $3,097,926 4.02
OTHER PNEUMONIA 401 $49,108 $8,601 $19,692,116 $3,449,092 4.47
CELLULITIS & OTHER SKIN INFECTIONS 340 $42,837 $7,882 $14,564,487 $2,679,833 4.09
ACUTE KIDNEY INJURY 327 $69,046 $12,493 $22,578,046 $4,085,104 5.69
CVA & PRECEREBRAL OCCLUSION W INFARCT 311 $93,743 $15,741 $29,154,033 $4,895,471 5.11
CHOLECYSTECTOMY 288 $68,884 $12,818 $19,838,592 $3,691,501 3.93
SEIZURE 240 $43,635 $7,761 $10,472,302 $1,862,523 3.16
ANTEPARTUM W/O O.R. PROCEDURE 237 $33,660 $8,754 $7,977,317 $2,074,798 3.43
PERCUTANEOUS CARDIAC INTERVENTION W AMI 234 $168,080 $20,983 $39,330,684 $4,910,104 3.15
PEPTIC ULCER & GASTRITIS 214 $67,957 $12,132 $14,542,726 $2,596,160 4.77
ALCOHOL ABUSE & DEPENDENCE 211 $49,349 $9,250 $10,412,605 $1,951,705 5.18
DIABETES 211 $45,638 $8,502 $9,629,597 $1,793,991 3.46
OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE 203 $62,108 $11,063 $12,608,004 $2,245,724 4.60
OTHER GASTROENTERITIS, NAUSEA & VOMITING 202 $39,141 $6,544 $7,906,517 $1,321,941 3.50
OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES 201 $46,166 $7,595 $9,279,366 $1,526,609 3.60
PROCEDURES FOR OBESITY 199 $49,097 $9,777 $9,770,217 $1,945,568 1.58
DIVERTICULITIS & DIVERTICULOSIS 199 $48,497 $8,423 $9,650,943 $1,676,135 4.25
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS 198 $48,720 $7,875 $9,646,511 $1,559,221 3.39
RESPIRATORY FAILURE 194 $85,223 $16,167 $16,533,336 $3,136,445 6.47
DISORDERS OF PANCREAS EXCEPT MALIGNANCY 193 $49,397 $8,509 $9,533,575 $1,642,145 4.40
OTHER DIGESTIVE SYSTEM DIAGNOSES 191 $50,591 $8,962 $9,662,916 $1,711,660 4.34
HIP JOINT REPLACEMENT 184 $123,350 $23,730 $22,696,467 $4,366,228 3.88
CHRONIC OBSTRUCTIVE PULMONARY DISEASE 181 $61,589 $10,913 $11,147,662 $1,975,324 5.15
PERCUTANEOUS CARDIAC INTERVENTION W/O AMI 179 $176,241 $22,524 $31,547,089 $4,031,799 3.53
PULMONARY EMBOLISM 172 $70,607 $11,794 $12,144,460 $2,028,499 4.28
DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK 171 $205,855 $39,085 $35,201,213 $6,683,472 5.40
INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE 169 $241,095 $46,448 $40,745,051 $7,849,739 14.07
OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS 166 $47,622 $8,352 $7,905,207 $1,386,395 3.35
HIP & FEMUR FRACTURE REPAIR 162 $108,223 $20,136 $17,532,051 $3,262,102 4.90
CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS 161 $98,649 $14,552 $15,882,480 $2,342,952 4.88
ACUTE MYOCARDIAL INFARCTION 155 $84,472 $13,776 $13,093,221 $2,135,260 4.51
INTESTINAL OBSTRUCTION 143 $46,475 $8,378 $6,645,899 $1,198,080 4.48
MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC 130 $64,053 $11,815 $8,326,897 $1,535,991 5.82
KNEE & LOWER LEG PROCEDURES EXCEPT FOOT 126 $96,605 $19,856 $12,172,249 $2,501,804 4.22
PERCUTANEOUS INTRA & EXTRACRANIAL VASCULAR PROCEDURES 124 $202,536 $37,890 $25,114,437 $4,698,353 5.25
HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE 123 $71,591 $13,479 $8,805,686 $1,657,867 4.07
KNEE JOINT REPLACEMENT 122 $110,991 $21,434 $13,540,921 $2,614,914 2.34
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS 120 $64,246 $11,907 $7,709,467 $1,428,896 4.23
PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES 112 $324,747 $55,684 $36,371,649 $6,236,631 2.54
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES 108 $46,453 $7,843 $5,016,974 $847,095 3.84
OTHER PERIPHERAL VASCULAR PROCEDURES 107 $191,121 $35,531 $20,449,895 $3,801,790 6.49
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS 107 $271,595 $61,298 $29,060,624 $6,558,936 18.51
CORONARY BYPASS W/O AMI OR COMPLEX PDX 106 $278,428 $52,519 $29,513,331 $5,567,001 8.04
UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA 103 $49,211 $10,212 $5,068,758 $1,051,807 1.71
CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP 103 $124,973 $24,047 $12,872,185 $2,476,825 3.28
NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM 102 $27,984 $5,601 $2,854,350 $571,322 4.01
INFECTIONS OF UPPER RESPIRATORY TRACT 100 $34,343 $6,414 $3,434,262 $641,439 3.39
PERIPHERAL & OTHER VASCULAR DISORDERS 99 $46,837 $7,762 $4,636,825 $768,430 3.49
SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS 99 $48,959 $7,725 $4,846,909 $764,745 3.56
MAJOR LARGE BOWEL PROCEDURES 98 $131,311 $25,787 $12,868,504 $2,527,102 7.35
UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA 95 $57,724 $11,511 $5,483,770 $1,093,532 2.38
MAJOR CHEST & RESPIRATORY TRAUMA 89 $50,421 $8,553 $4,487,452 $761,220 3.49
INTRACRANIAL HEMORRHAGE 89 $101,424 $19,796 $9,026,722 $1,761,819 6.03
OTHER DISORDERS OF NERVOUS SYSTEM 88 $60,410 $9,479 $5,316,115 $834,194 3.42
TRANSIENT ISCHEMIA 87 $63,446 $9,692 $5,519,783 $843,161 3.25
NON-HYPOVOLEMIC SODIUM DISORDERS 86 $53,207 $9,162 $4,575,844 $787,936 4.51
OPEN EXTRACRANIAL VASCULAR PROCEDURES 84 $75,289 $15,042 $6,324,264 $1,263,541 2.13
VAGINAL DELIVERY W O.R. PROCEDURE EXCEPT STERILIZATION &/OR D&C 81 $29,686 $8,899 $2,404,531 $720,827 2.47
HAND & WRIST PROCEDURES 81 $46,453 $9,640 $3,762,666 $780,868 2.73
CARDIAC VALVE PROCEDURES W/O AMI OR COMPLEX PDX 80 $329,164 $61,347 $26,333,116 $4,907,796 8.64
OPEN CRANIOTOMY EXCEPT TRAUMA 80 $237,100 $48,398 $18,968,005 $3,871,861 9.28
SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT 80 $76,572 $14,568 $6,125,786 $1,165,417 3.01
ALCOHOLIC LIVER DISEASE 79 $76,288 $13,931 $6,026,785 $1,100,579 6.61
MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS 79 $51,167 $9,092 $4,042,208 $718,305 4.97
OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES 79 $70,196 $13,134 $5,545,471 $1,037,623 5.29
HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS 78 $36,612 $6,084 $2,855,697 $474,532 3.13
TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE 75 $605,527 $143,196 $45,414,543 $10,739,671 39.13
ASTHMA 73 $37,030 $6,981 $2,703,223 $509,585 3.03
DISORDERS OF GALLBLADDER & BILIARY TRACT 72 $67,474 $11,545 $4,858,092 $831,257 4.89
OTHER RESPIRATORY & CHEST PROCEDURES 71 $130,941 $26,350 $9,296,837 $1,870,828 7.59
TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE 70 $1,121,568 $250,930 $78,509,743 $17,565,070 53.09
HYPERTENSION 70 $45,412 $7,241 $3,178,863 $506,875 3.07
MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 69 $198,162 $37,778 $13,673,176 $2,606,672 11.70
SICKLE CELL ANEMIA CRISIS 66 $48,997 $9,513 $3,233,773 $627,842 5.00
INFLAMMATORY BOWEL DISEASE 65 $47,568 $8,370 $3,091,908 $544,026 4.85
DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE 63 $20,389 $3,213 $1,284,502 $202,412 1.67
PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK 62 $128,592 $24,595 $7,972,720 $1,524,913 3.45
SYNCOPE & COLLAPSE 61 $48,432 $7,250 $2,954,338 $442,261 2.61
MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS 60 $93,818 $16,627 $5,629,078 $997,638 6.85
CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE 60 $41,492 $6,607 $2,489,547 $396,405 2.30
POISONING OF MEDICINAL AGENTS 60 $44,805 $8,657 $2,688,313 $519,432 3.07
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES 59 $57,163 $10,520 $3,372,596 $620,697 4.53
SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES 59 $97,523 $18,884 $5,753,882 $1,114,185 6.00
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS 57 $66,518 $13,244 $3,791,540 $754,916 4.54
AMPUTATION OF LOWER LIMB EXCEPT TOES 56 $148,998 $27,724 $8,343,909 $1,552,551 9.13
MAJOR SMALL BOWEL PROCEDURES 56 $215,698 $43,679 $12,079,073 $2,446,038 13.38
INTERVERTEBRAL DISC EXCISION & DECOMPRESSION 55 $62,965 $13,126 $3,463,073 $721,931 2.60
LOWER EXTREMITY ARTERIAL PROCEDURES 54 $179,765 $34,543 $9,707,306 $1,865,315 7.24
NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION 54 $73,677 $14,826 $3,978,575 $800,596 9.20
MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL 54 $134,688 $24,615 $7,273,167 $1,329,199 8.11
OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS 53 $64,278 $11,769 $3,406,736 $623,748 5.75
URETHRAL & TRANSURETHRAL PROCEDURES 53 $71,088 $13,531 $3,767,643 $717,133 4.92
OTHER ESOPHAGEAL DISORDERS 53 $49,388 $8,655 $2,617,582 $458,706 3.85
VIRAL ILLNESS 52 $32,804 $5,231 $1,705,829 $272,030 2.63
FOOT & TOE PROCEDURES 52 $114,706 $21,864 $5,964,725 $1,136,933 7.92
FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK 51 $53,903 $9,708 $2,749,075 $495,127 4.76
RESPIRATORY MALIGNANCY 50 $106,080 $17,785 $5,304,007 $889,268 7.66
EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 50 $222,048 $43,490 $11,102,421 $2,174,483 11.62
TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES 50 $93,984 $18,106 $4,699,219 $905,324 4.78
ALTERATION IN CONSCIOUSNESS 49 $72,945 $12,382 $3,574,304 $606,726 5.88
OTHER DISORDERS OF THE LIVER 49 $65,595 $11,951 $3,214,132 $585,601 4.84
CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE 47 $61,717 $8,075 $2,900,686 $379,530 2.34
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS 46 $92,125 $17,399 $4,237,741 $800,354 6.78
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS 45 $48,659 $9,038 $2,189,662 $406,726 1.84
OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS 45 $44,544 $7,633 $2,004,464 $343,470 3.44
FEVER & INFLAMMATORY CONDITIONS 44 $45,714 $7,559 $2,011,403 $332,598 3.77
COAGULATION & PLATELET DISORDERS 44 $99,931 $18,633 $4,396,944 $819,854 5.07
INTENTIONAL SELF-HARM & ATTEMPTED SUICIDE 43 $52,484 $10,460 $2,256,828 $449,763 3.98
OTHER CIRCULATORY SYSTEM DIAGNOSES 43 $68,929 $11,368 $2,963,938 $488,808 5.02
MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE 43 $74,297 $13,121 $3,194,783 $564,195 3.88
URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION 42 $45,301 $8,097 $1,902,626 $340,053 3.24
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL 41 $70,422 $13,297 $2,887,302 $545,173 3.95
OTHER CIRCULATORY SYSTEM PROCEDURES 41 $121,101 $23,001 $4,965,160 $943,023 6.44
ABDOMINAL PAIN 41 $35,865 $6,251 $1,470,447 $256,300 3.05
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES 41 $62,483 $12,034 $2,561,809 $493,406 4.10
CORONARY BYPASS W AMI OR COMPLEX PDX 40 $329,827 $60,764 $13,193,085 $2,430,542 10.60
OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES 40 $36,125 $6,251 $1,445,017 $250,021 3.00
MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 38 $127,647 $21,637 $4,850,571 $822,218 5.32
MAJOR ABDOMINAL VASCULAR PROCEDURES 38 $241,502 $39,987 $9,177,073 $1,519,492 4.58
POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE 38 $185,795 $38,280 $7,060,213 $1,454,648 11.71
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS 38 $70,430 $13,286 $2,676,332 $504,861 6.82
OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES 38 $55,614 $10,728 $2,113,335 $407,672 3.32
PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS 38 $46,290 $7,004 $1,759,007 $266,155 3.53
SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES 36 $61,815 $12,357 $2,225,344 $444,869 4.00
DIGESTIVE MALIGNANCY 35 $86,521 $15,611 $3,028,225 $546,386 7.09
SKIN ULCERS 35 $56,614 $10,144 $1,981,490 $355,023 5.00
NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION 34 $74,428 $14,767 $2,530,557 $502,061 8.97
NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND 33 $83,651 $16,452 $2,760,468 $542,909 9.33
OTHER COMPLICATIONS OF TREATMENT 33 $57,412 $10,589 $1,894,611 $349,422 4.15
NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION 33 $79,839 $16,259 $2,634,701 $536,560 9.97
INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES 31 $65,204 $12,045 $2,021,334 $373,396 3.26
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS 31 $26,708 $4,446 $827,955 $137,818 1.65
MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE 30 $102,669 $19,485 $3,080,056 $584,544 9.67
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY 30 $36,461 $6,367 $1,093,834 $191,016 3.33
FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES 30 $106,850 $21,042 $3,205,506 $631,265 4.70
ACUTE BRONCHITIS & RELATED SYMPTOMS 30 $36,671 $5,896 $1,100,139 $176,874 2.77
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES 30 $73,907 $14,403 $2,217,223 $432,089 3.20
CHRONIC KIDNEY DISEASE 29 $61,484 $12,276 $1,783,035 $356,001 4.83
NERVOUS SYSTEM MALIGNANCY 28 $82,925 $13,389 $2,321,901 $374,897 4.79
NEONATE BWT 1500-1999G W RESP DIST SYND/OTH MAJ RESP COND 27 $173,084 $35,004 $4,673,255 $945,104 21.89
DEFIBRILLATOR IMPLANTS 27 $321,647 $57,478 $8,684,463 $1,551,903 7.00
VERTIGO & OTHER LABYRINTH DISORDERS 27 $47,677 $6,608 $1,287,274 $178,415 2.59
OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS 27 $42,672 $8,140 $1,152,152 $219,773 3.48
OTHER SMALL & LARGE BOWEL PROCEDURES 27 $104,060 $20,341 $2,809,627 $549,203 4.78
RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES 26 $39,432 $6,618 $1,025,242 $172,064 3.04
LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA 26 $85,058 $14,913 $2,211,518 $387,746 6.65
MAJOR ESOPHAGEAL DISORDERS 26 $62,766 $11,558 $1,631,913 $300,501 4.81
PERITONEAL ADHESIOLYSIS 26 $126,882 $25,005 $3,298,931 $650,132 7.58
KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY 25 $90,417 $17,168 $2,260,432 $429,197 4.28
MIGRAINE & OTHER HEADACHES 25 $55,446 $8,111 $1,386,147 $202,771 2.76
MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG 24 $106,728 $15,932 $2,561,477 $382,372 5.92
OTHER NERVOUS SYSTEM & RELATED PROCEDURES 24 $89,316 $16,755 $2,143,578 $402,116 4.08
MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA 24 $190,293 $36,101 $4,567,020 $866,414 7.67
FRACTURE OF PELVIS OR DISLOCATION OF HIP 24 $45,537 $7,332 $1,092,876 $175,960 3.42
FRACTURE OF FEMUR 23 $45,714 $7,325 $1,051,417 $168,465 3.39
CARDIAC ARREST & SHOCK 23 $84,404 $18,647 $1,941,287 $428,876 4.43
MASTECTOMY PROCEDURES 22 $169,989 $32,233 $3,739,758 $709,126 1.68
LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR 22 $54,778 $9,045 $1,205,125 $198,982 4.09
FEMALE REPRODUCTIVE SYSTEM INFECTIONS 22 $41,375 $6,984 $910,258 $153,648 3.45
OTHER SIGNIFICANT HIP & FEMUR SURGERY 22 $162,994 $32,177 $3,585,873 $707,891 7.82
HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS 22 $81,152 $15,092 $1,785,336 $332,014 6.82
OTHER CHEMOTHERAPY 22 $75,610 $15,164 $1,663,416 $333,600 4.32
ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS 22 $52,592 $9,969 $1,157,032 $219,308 3.64
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY 22 $81,242 $15,155 $1,787,333 $333,416 7.05
MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES 21 $111,297 $22,195 $2,337,231 $466,102 7.00
INTERSTITIAL & ALVEOLAR LUNG DISEASES 21 $70,757 $11,975 $1,485,899 $251,479 6.00
NEONATE BIRTHWT >2499G W MAJOR ANOMALY 21 $72,701 $14,392 $1,526,727 $302,238 9.14
NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND 21 $138,494 $27,715 $2,908,383 $582,023 16.90
NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 21 $114,765 $21,003 $2,410,075 $441,060 7.95
MAJOR RESPIRATORY & CHEST PROCEDURES 20 $140,215 $27,113 $2,804,309 $542,269 5.35
ANTEPARTUM W O.R. PROCEDURE 20 $65,559 $15,329 $1,311,181 $306,588 4.85
CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA 20 $51,885 $9,152 $1,037,697 $183,031 2.80
CESAREAN SECTION W STERILIZATION 20 $45,781 $11,656 $915,618 $233,129 3.00
EYE INFECTIONS & OTHER EYE DISORDERS 20 $43,460 $7,340 $869,205 $146,799 3.50
TRANSURETHRAL PROSTATECTOMY 19 $79,033 $15,521 $1,501,620 $294,905 3.89
BRONCHIOLITIS & RSV PNEUMONIA 19 $32,158 $6,455 $611,006 $122,640 3.37
MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE 18 $38,553 $6,995 $693,958 $125,917 2.67
MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE 18 $82,377 $15,268 $1,482,788 $274,823 4.50
ORBIT & EYE PROCEDURES 18 $95,611 $18,066 $1,721,006 $325,181 4.33
SHOULDER & ELBOW JOINT REPLACEMENT 18 $120,144 $22,400 $2,162,596 $403,199 2.89
RENAL DIALYSIS ACCESS DEVICE PROCEDURES & VESSEL REPAIR 18 $150,755 $32,384 $2,713,585 $582,910 12.28
MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS 17 $59,339 $11,247 $1,008,762 $191,191 5.12
OPEN CRANIOTOMY FOR TRAUMA 17 $218,846 $47,491 $3,720,380 $807,348 10.00
NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION 16 $124,179 $25,068 $1,986,859 $401,091 16.31
DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES 15 $52,154 $9,106 $782,307 $136,585 2.73
CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX 15 $678,433 $128,917 $10,176,495 $1,933,751 16.27
SPINAL PROCEDURES 15 $167,480 $30,915 $2,512,196 $463,724 6.87
EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 15 $306,008 $58,815 $4,590,124 $882,231 14.80
COCAINE ABUSE & DEPENDENCE 15 $39,989 $6,978 $599,842 $104,666 3.67
OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES 15 $372,093 $69,657 $5,581,402 $1,044,851 10.53
PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS 15 $98,389 $19,765 $1,475,830 $296,472 5.27
OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES 15 $99,485 $19,441 $1,492,282 $291,619 2.73
OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES 14 $172,035 $33,471 $2,408,492 $468,588 7.71
OTHER AFTERCARE & CONVALESCENCE 14 $23,640 $3,942 $330,959 $55,187 1.86
CONNECTIVE TISSUE DISORDERS 14 $91,081 $18,408 $1,275,129 $257,713 5.14
KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY 14 $114,085 $23,387 $1,597,193 $327,421 4.07
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT 13 $79,651 $13,511 $1,035,458 $175,642 4.69
CHEST PAIN 13 $28,450 $4,284 $369,846 $55,694 2.08
ACUTE ANXIETY & DELIRIUM STATES 12 $38,526 $6,451 $462,315 $77,409 3.50
UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG 12 $93,005 $18,980 $1,116,064 $227,754 4.08
PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE 11 $271,171 $51,251 $2,982,882 $563,765 12.82
ALLERGIC REACTIONS 11 $64,149 $13,271 $705,640 $145,981 4.18
OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES 11 $93,203 $20,278 $1,025,230 $223,055 5.27
NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM 11 $525,394 $102,415 $5,779,338 $1,126,566 63.00
OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES 10 $34,896 $5,602 $348,956 $56,020 1.60
NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS 10 $82,391 $14,733 $823,906 $147,326 5.20
RADIOTHERAPY 10 $198,367 $27,129 $1,983,672 $271,288 8.70
NEPHRITIS & NEPHROSIS 10 $63,565 $13,336 $635,653 $133,364 5.70
OTHER INFECTIOUS & PARASITIC DISEASES 10 $49,176 $8,985 $491,759 $89,846 4.20
GASTROINTESTINAL VASCULAR INSUFFICIENCY 10 $51,375 $9,145 $513,754 $91,451 3.80
HIV W MAJOR HIV RELATED CONDITION 9 $158,349 $29,220 $1,425,142 $262,977 12.00
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM 9 $142,311 $26,087 $1,280,799 $234,784 6.67
NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM 9 $348,485 $71,235 $3,136,369 $641,119 45.00
VENTRICULAR SHUNT PROCEDURES 9 $129,076 $26,409 $1,161,680 $237,679 5.00
PARTIAL THICKNESS BURNS W/O SKIN GRAFT 9 $24,491 $4,557 $220,421 $41,017 2.78
OPIOID ABUSE & DEPENDENCE 9 $44,755 $8,550 $402,797 $76,950 4.22
EXTERNAL HEART ASSIST SYSTEMS 9 $604,333 $101,409 $5,439,000 $912,685 7.22
NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE 9 $446,226 $89,242 $4,016,037 $803,176 52.00
EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA 9 $371,451 $75,911 $3,343,061 $683,199 19.00
MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES 8 $59,652 $9,222 $477,216 $73,772 4.50
CARDIAC STRUCTURAL & VALVULAR DISORDERS 8 $61,126 $10,055 $489,009 $80,439 3.25
OTHER DRUG ABUSE & DEPENDENCE 8 $36,917 $6,423 $295,336 $51,385 3.25
MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS 8 $255,178 $48,860 $2,041,425 $390,881 11.13
DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK 8 $311,165 $59,080 $2,489,316 $472,643 5.38
NEONATE BWT 2000-2499G W MAJOR ANOMALY 8 $138,921 $27,552 $1,111,371 $220,413 16.38
OTHER ENDOCRINE DISORDERS 8 $87,495 $19,265 $699,957 $154,123 6.63
PENIS, TESTES & SCROTAL PROCEDURES 7 $132,406 $28,235 $926,840 $197,648 10.57
ANAL PROCEDURES 7 $72,015 $13,674 $504,105 $95,719 5.43
SPINAL DISORDERS & INJURIES 7 $111,142 $19,207 $777,992 $134,448 5.86
HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS 7 $114,186 $24,170 $799,301 $169,191 10.71
OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES 7 $90,845 $15,674 $635,914 $109,721 5.57
INSERTION, REVISION & REPLACEMENTS OF PACEMAKER & OTHER CARDIAC DEVICES 7 $152,992 $28,168 $1,070,943 $197,178 9.29
MALIGNANT BREAST DISORDERS 6 $57,580 $9,814 $345,481 $58,882 4.33
MALIGNANCY, MALE REPRODUCTIVE SYSTEM 6 $73,209 $11,945 $439,255 $71,672 6.83
MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES 6 $27,543 $4,795 $165,256 $28,772 3.00
KIDNEY & URINARY TRACT MALIGNANCY 6 $70,988 $12,616 $425,925 $75,695 6.17
OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES 6 $69,481 $13,030 $416,883 $78,180 4.17
OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL & METABOLIC DISORDERS 6 $198,146 $39,857 $1,188,874 $239,144 11.83
ALCOHOL & DRUG DEPENDENCE W REHAB OR REHAB/DETOX THERAPY 6 $43,867 $7,360 $263,201 $44,157 4.67
UNGROUPABLE 5 $22,790 $5,311 $113,949 $26,556 3.40
THYROID DISORDERS 5 $45,479 $7,355 $227,397 $36,774 3.20
HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION 5 $50,779 $7,784 $253,894 $38,920 2.20
THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES 5 $57,309 $11,666 $286,543 $58,330 1.20
INBORN ERRORS OF METABOLISM 4 $139,043 $28,499 $556,172 $113,997 10.00
OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES 4 $109,231 $22,313 $436,925 $89,252 5.00
NEONATE BWT < 500G, OR BWT 500-999G & GESTATIONAL AGE <24 WKS, OR BWT 500-749G W MAJOR ANOMALY OR W/O LIFE SUSTAINING IN 4 $655,248 $114,758 $2,620,993 $459,031 62.50
DENTAL DISEASES & DISORDERS 4 $24,430 $4,293 $97,721 $17,172 1.50
MAJOR BILIARY TRACT PROCEDURES 4 $149,516 $30,056 $598,063 $120,225 9.75
OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS 4 $98,340 $18,741 $393,358 $74,964 5.25
BREAST PROCEDURES EXCEPT MASTECTOMY 4 $41,901 $8,398 $167,605 $33,591 2.50
BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA 4 $61,282 $11,989 $245,129 $47,956 2.00
MAJOR MALE PELVIC PROCEDURES 4 $84,038 $18,007 $336,151 $72,028 1.75
NEONATE BIRTHWT 1500-1999G W MAJOR ANOMALY 4 $227,958 $46,593 $911,830 $186,373 29.25
MAJOR SKIN DISORDERS 4 $40,915 $8,288 $163,659 $33,153 5.50
BURNS W SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS 4 $127,096 $26,176 $508,385 $104,702 10.00
MAJOR CRANIAL/FACIAL BONE PROCEDURES 3 $150,399 $25,554 $451,196 $76,661 12.67
NEONATE BIRTHWT 500-749G W/O MAJOR PROCEDURE 3 $498,040 $98,520 $1,494,121 $295,560 55.33
NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 3 $70,927 $14,166 $212,782 $42,499 5.00
NEONATE BWT 2000-2499G W CONGENITAL/PERINATAL INFECTION 3 $101,509 $20,408 $304,527 $61,225 12.67
VIRAL MENINGITIS 3 $67,306 $10,455 $201,919 $31,366 5.00
NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE 3 $24,939 $4,616 $74,817 $13,847 2.00
OTHER BLADDER PROCEDURES 3 $32,711 $6,191 $98,134 $18,574 1.67
ACUTE LEUKEMIA 3 $58,195 $8,809 $174,586 $26,428 3.67
NEONATE BWT <1500G W MAJOR PROCEDURE 2 $1,239,736 $219,102 $2,479,472 $438,203 104.00
HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS 2 $85,887 $13,075 $171,773 $26,150 6.00
SPLENECTOMY 2 $123,272 $23,185 $246,543 $46,370 5.00
ORGANIC MENTAL HEALTH DISTURBANCES 2 $10,657 $1,807 $21,313 $3,613 1.00
VAGINAL DELIVERY W STERILIZATION &/OR D&C 2 $66,143 $19,544 $132,286 $39,087 7.00
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES 2 $63,902 $12,773 $127,803 $25,546 1.50
TONSIL & ADENOID PROCEDURES 2 $44,177 $12,406 $88,353 $24,811 3.50
CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA 2 $295,834 $61,891 $591,667 $123,781 12.00
MAJOR PANCREAS, LIVER & SHUNT PROCEDURES 2 $307,129 $58,890 $614,258 $117,780 16.00
EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES 2 $124,923 $24,307 $249,846 $48,614 10.00
EATING DISORDERS 2 $27,121 $5,604 $54,242 $11,207 4.50
OTHER OPEN CRANIOTOMY 2 $234,581 $44,319 $469,162 $88,637 12.00
EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) 2 $1,150,651 $224,640 $2,301,301 $449,280 19.00
CARDIOMYOPATHY 2 $19,433 $4,113 $38,866 $8,225 1.00
PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK 2 $160,447 $27,168 $320,894 $54,336 1.00
ACUTE & SUBACUTE ENDOCARDITIS 1 $27,882 $3,611 $27,882 $3,611 1.00
BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD 1 $283,794 $58,808 $283,794 $58,808 35.00
OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES 1 $97,599 $21,300 $97,599 $21,300 4.00
MAJOR BLADDER PROCEDURES 1 $385,659 $82,550 $385,659 $82,550 20.00
OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS 1 $175,789 $42,978 $175,789 $42,978 15.00
NEONATE BIRTHWT 1500-1999G W CONGENITAL/PERINATAL INFECTION 1 $119,424 $24,037 $119,424 $24,037 15.00
ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES 1 $43,433 $4,038 $43,433 $4,038 1.00
SCHIZOPHRENIA 1 $44,566 $9,823 $44,566 $9,823 8.00
HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND 1 $26,060 $3,641 $26,060 $3,641 2.00
NEONATE BWT 1500-2499G W MAJOR PROCEDURE 1 $555,389 $111,865 $555,389 $111,865 63.00
NEONATAL AFTERCARE 1 $351,418 $72,715 $351,418 $72,715 46.00
CYSTIC FIBROSIS - PULMONARY DISEASE 1 $58,054 $9,082 $58,054 $9,082 4.00
ANOXIC & OTHER SEVERE BRAIN DAMAGE 1 $41,276 $13,468 $41,276 $13,468 6.00