NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM |
508 |
$7,482 |
$2,815 |
$3,800,875 |
$1,430,202 |
2.08 |
SEPTICEMIA AND DISSEMINATED INFECTIONS |
406 |
$68,289 |
$16,142 |
$27,725,169 |
$6,553,726 |
6.79 |
VAGINAL DELIVERY |
363 |
$20,847 |
$9,352 |
$7,567,541 |
$3,394,767 |
2.09 |
MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS |
228 |
$71,308 |
$17,979 |
$16,258,280 |
$4,099,285 |
7.82 |
RESPIRATORY FAILURE |
179 |
$51,776 |
$12,106 |
$9,267,989 |
$2,167,007 |
5.20 |
SCHIZOPHRENIA |
155 |
$63,646 |
$29,646 |
$9,865,151 |
$4,595,132 |
14.96 |
CESAREAN SECTION WITHOUT STERILIZATION |
150 |
$38,635 |
$14,573 |
$5,795,184 |
$2,185,955 |
2.95 |
MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES |
103 |
$42,029 |
$19,355 |
$4,328,966 |
$1,993,580 |
9.83 |
HEART FAILURE |
102 |
$47,448 |
$10,444 |
$4,839,725 |
$1,065,332 |
5.05 |
KIDNEY AND URINARY TRACT INFECTIONS |
83 |
$56,783 |
$12,768 |
$4,713,030 |
$1,059,754 |
7.07 |
ACUTE KIDNEY INJURY |
80 |
$46,841 |
$10,246 |
$3,747,286 |
$819,695 |
5.10 |
CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION |
76 |
$54,372 |
$11,596 |
$4,132,272 |
$881,295 |
4.89 |
BIPOLAR DISORDERS |
74 |
$50,825 |
$23,748 |
$3,761,082 |
$1,757,355 |
12.04 |
OTHER PNEUMONIA |
69 |
$52,228 |
$11,672 |
$3,603,763 |
$805,337 |
5.68 |
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS |
68 |
$37,401 |
$7,535 |
$2,543,285 |
$512,346 |
3.54 |
INTESTINAL OBSTRUCTION |
66 |
$28,441 |
$5,889 |
$1,877,125 |
$388,680 |
3.26 |
DIABETES |
58 |
$41,024 |
$8,804 |
$2,379,402 |
$510,616 |
4.88 |
ACUTE MYOCARDIAL INFARCTION |
45 |
$30,064 |
$5,840 |
$1,352,891 |
$262,811 |
2.71 |
DISORDERS OF PANCREAS EXCEPT MALIGNANCY |
42 |
$40,136 |
$8,626 |
$1,685,727 |
$362,277 |
4.31 |
CHRONIC OBSTRUCTIVE PULMONARY DISEASE |
40 |
$39,068 |
$9,060 |
$1,562,735 |
$362,412 |
4.35 |
MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE |
37 |
$54,234 |
$12,447 |
$2,006,657 |
$460,539 |
6.22 |
NON-HYPOVOLEMIC SODIUM DISORDERS |
37 |
$37,692 |
$8,075 |
$1,394,605 |
$298,762 |
3.76 |
CELLULITIS AND OTHER SKIN INFECTIONS |
37 |
$41,835 |
$9,395 |
$1,547,910 |
$347,601 |
4.92 |
CESAREAN SECTION WITH STERILIZATION |
36 |
$37,529 |
$14,221 |
$1,351,057 |
$511,963 |
2.61 |
ALCOHOL ABUSE AND DEPENDENCE |
34 |
$35,195 |
$8,005 |
$1,196,622 |
$272,162 |
4.18 |
INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE |
34 |
$153,386 |
$37,380 |
$5,215,109 |
$1,270,935 |
15.76 |
OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE |
32 |
$45,284 |
$10,172 |
$1,449,093 |
$325,493 |
4.53 |
DIVERTICULITIS AND DIVERTICULOSIS |
32 |
$33,039 |
$6,967 |
$1,057,248 |
$222,928 |
3.81 |
NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE |
32 |
$7,365 |
$2,601 |
$235,676 |
$83,235 |
1.28 |
PEPTIC ULCER AND GASTRITIS |
31 |
$42,919 |
$9,108 |
$1,330,474 |
$282,336 |
3.48 |
HYPERTENSION |
30 |
$37,386 |
$8,026 |
$1,121,581 |
$240,788 |
3.73 |
HIP AND FEMUR FRACTURE REPAIR |
28 |
$79,988 |
$19,969 |
$2,239,677 |
$559,129 |
7.89 |
OTHER GASTROENTERITIS, NAUSEA AND VOMITING |
27 |
$36,924 |
$7,621 |
$996,941 |
$205,767 |
4.15 |
CHOLECYSTECTOMY |
27 |
$48,475 |
$11,623 |
$1,308,833 |
$313,822 |
3.59 |
OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS |
27 |
$39,088 |
$8,502 |
$1,055,378 |
$229,555 |
3.67 |
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES |
26 |
$38,861 |
$8,161 |
$1,010,392 |
$212,180 |
4.35 |
MAJOR LARGE BOWEL PROCEDURES |
25 |
$83,877 |
$20,584 |
$2,096,920 |
$514,608 |
7.56 |
ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES |
21 |
$23,756 |
$9,839 |
$498,877 |
$206,611 |
4.62 |
SEIZURE |
21 |
$50,427 |
$10,346 |
$1,058,958 |
$217,257 |
4.95 |
ALTERATION IN CONSCIOUSNESS |
20 |
$47,226 |
$9,802 |
$944,516 |
$196,045 |
5.05 |
MAJOR SMALL BOWEL PROCEDURES |
20 |
$91,944 |
$22,885 |
$1,838,889 |
$457,708 |
7.95 |
OTHER AFTERCARE AND CONVALESCENCE |
20 |
$19,753 |
$4,818 |
$395,061 |
$96,367 |
2.95 |
TRANSIENT ISCHEMIA |
20 |
$36,266 |
$6,306 |
$725,312 |
$126,115 |
2.75 |
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS |
18 |
$41,016 |
$8,669 |
$738,279 |
$156,040 |
4.50 |
OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS |
16 |
$66,416 |
$14,977 |
$1,062,653 |
$239,627 |
8.38 |
OTHER DIGESTIVE SYSTEM DIAGNOSES |
15 |
$40,438 |
$8,420 |
$606,569 |
$126,306 |
4.40 |
POISONING OF MEDICINAL AGENTS |
15 |
$42,087 |
$8,810 |
$631,298 |
$132,147 |
3.87 |
ASTHMA |
14 |
$25,906 |
$5,814 |
$362,681 |
$81,397 |
2.79 |
PULMONARY EMBOLISM |
14 |
$38,830 |
$7,663 |
$543,619 |
$107,287 |
3.71 |
MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES |
13 |
$47,876 |
$9,628 |
$622,387 |
$125,168 |
4.92 |
OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES |
13 |
$58,185 |
$12,723 |
$756,401 |
$165,404 |
6.08 |
INFLAMMATORY BOWEL DISEASE |
13 |
$40,307 |
$8,452 |
$523,985 |
$109,871 |
4.54 |
MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS |
13 |
$43,384 |
$9,435 |
$563,996 |
$122,651 |
5.38 |
NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM |
13 |
$8,845 |
$3,141 |
$114,985 |
$40,838 |
2.23 |
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES |
13 |
$29,821 |
$6,371 |
$387,677 |
$82,817 |
2.38 |
DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE |
13 |
$25,696 |
$5,450 |
$334,049 |
$70,853 |
2.62 |
URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION |
12 |
$42,998 |
$10,207 |
$515,974 |
$122,483 |
3.33 |
HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS |
12 |
$45,531 |
$9,870 |
$546,367 |
$118,442 |
5.00 |
UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA |
12 |
$37,788 |
$9,981 |
$453,455 |
$119,775 |
1.92 |
PERIPHERAL AND OTHER VASCULAR DISORDERS |
11 |
$68,445 |
$14,852 |
$752,892 |
$163,372 |
8.18 |
NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT |
11 |
$110,015 |
$28,181 |
$1,210,162 |
$309,993 |
11.09 |
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS |
11 |
$41,954 |
$9,063 |
$461,493 |
$99,688 |
5.27 |
OTHER INFECTIOUS AND PARASITIC DISEASES |
11 |
$42,549 |
$8,784 |
$468,035 |
$96,620 |
4.09 |
KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT |
10 |
$61,248 |
$15,982 |
$612,475 |
$159,818 |
5.10 |
HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS |
10 |
$40,085 |
$8,426 |
$400,852 |
$84,261 |
4.70 |
OTHER CIRCULATORY SYSTEM DIAGNOSES |
10 |
$33,573 |
$6,550 |
$335,732 |
$65,497 |
3.70 |
UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA |
10 |
$42,666 |
$10,927 |
$426,655 |
$109,265 |
2.80 |
SYNCOPE AND COLLAPSE |
10 |
$34,741 |
$5,953 |
$347,405 |
$59,530 |
2.80 |
FOOT AND TOE PROCEDURES |
9 |
$54,556 |
$12,496 |
$491,005 |
$112,465 |
4.89 |
CARDIAC ARREST AND SHOCK |
9 |
$34,831 |
$7,174 |
$313,475 |
$64,566 |
1.78 |
SKIN ULCERS |
9 |
$46,009 |
$9,950 |
$414,078 |
$89,550 |
5.11 |
OTHER DRUG ABUSE AND DEPENDENCE |
8 |
$24,853 |
$9,136 |
$198,820 |
$73,088 |
4.75 |
MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS |
8 |
$42,147 |
$9,369 |
$337,174 |
$74,954 |
5.25 |
DISORDERS OF GALLBLADDER AND BILIARY TRACT |
8 |
$37,662 |
$8,118 |
$301,294 |
$64,942 |
3.75 |
FRACTURE OF FEMUR |
8 |
$40,656 |
$8,813 |
$325,244 |
$70,500 |
5.25 |
OPIOID ABUSE AND DEPENDENCE |
8 |
$39,527 |
$10,685 |
$316,218 |
$85,476 |
5.00 |
VERTIGO AND OTHER LABYRINTH DISORDERS |
8 |
$34,225 |
$6,248 |
$273,802 |
$49,985 |
3.13 |
INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE |
8 |
$60,120 |
$17,276 |
$480,960 |
$138,204 |
6.63 |
SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS |
8 |
$51,780 |
$11,535 |
$414,241 |
$92,277 |
6.38 |
OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES |
8 |
$63,477 |
$15,547 |
$507,814 |
$124,376 |
5.88 |
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS |
7 |
$372,916 |
$106,027 |
$2,610,412 |
$742,187 |
30.57 |
PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS |
7 |
$76,036 |
$17,952 |
$532,249 |
$125,661 |
8.14 |
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES |
7 |
$71,176 |
$17,789 |
$498,233 |
$124,523 |
8.57 |
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS |
7 |
$42,442 |
$9,026 |
$297,096 |
$63,179 |
4.00 |
ANTEPARTUM WITHOUT O.R. PROCEDURE |
7 |
$23,808 |
$7,688 |
$166,657 |
$53,818 |
2.71 |
ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS |
7 |
$32,933 |
$6,784 |
$230,528 |
$47,489 |
3.57 |
FRACTURE OF PELVIS OR DISLOCATION OF HIP |
6 |
$41,712 |
$8,870 |
$250,270 |
$53,222 |
4.83 |
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION |
6 |
$10,861 |
$3,936 |
$65,166 |
$23,615 |
2.67 |
DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER |
6 |
$42,886 |
$13,144 |
$257,318 |
$78,866 |
7.17 |
OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS |
6 |
$131,654 |
$29,122 |
$789,926 |
$174,732 |
18.33 |
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL |
5 |
$59,980 |
$15,432 |
$299,898 |
$77,158 |
4.80 |
OTHER MENTAL HEALTH DISORDERS |
5 |
$83,769 |
$41,359 |
$418,845 |
$206,795 |
20.20 |
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY |
5 |
$66,934 |
$14,905 |
$334,669 |
$74,524 |
8.00 |
OTHER DISORDERS OF NERVOUS SYSTEM |
5 |
$48,287 |
$9,603 |
$241,435 |
$48,014 |
5.00 |
PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS |
5 |
$16,967 |
$5,558 |
$84,836 |
$27,788 |
1.80 |
INTRACRANIAL HEMORRHAGE |
5 |
$64,916 |
$23,030 |
$324,581 |
$115,151 |
3.40 |
URETHRAL AND TRANSURETHRAL PROCEDURES |
5 |
$54,913 |
$12,798 |
$274,567 |
$63,992 |
4.20 |
HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS |
4 |
$66,693 |
$14,384 |
$266,772 |
$57,536 |
7.00 |
AMPUTATION OF LOWER LIMB EXCEPT TOES |
4 |
$121,827 |
$28,865 |
$487,308 |
$115,461 |
14.25 |
MAJOR ESOPHAGEAL DISORDERS |
4 |
$87,448 |
$19,505 |
$349,791 |
$78,020 |
9.75 |
NERVOUS SYSTEM MALIGNANCY |
4 |
$27,947 |
$5,440 |
$111,787 |
$21,761 |
2.75 |
MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION |
4 |
$27,071 |
$5,870 |
$108,282 |
$23,479 |
2.75 |
OTHER ENDOCRINE DISORDERS |
4 |
$41,386 |
$8,593 |
$165,542 |
$34,370 |
3.50 |
RENAL DIALYSIS ACCESS DEVICE PROCEDURES AND VESSEL REPAIR |
4 |
$63,144 |
$15,038 |
$252,576 |
$60,150 |
5.00 |
MAJOR CHEST AND RESPIRATORY TRAUMA |
4 |
$39,673 |
$8,660 |
$158,690 |
$34,640 |
4.25 |
ACUTE BRONCHITIS AND RELATED SYMPTOMS |
4 |
$48,382 |
$10,085 |
$193,526 |
$40,341 |
4.50 |
FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK |
4 |
$52,344 |
$11,640 |
$209,376 |
$46,560 |
5.50 |
INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES |
4 |
$42,944 |
$10,051 |
$171,776 |
$40,203 |
3.25 |
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS |
4 |
$49,353 |
$11,963 |
$197,410 |
$47,852 |
4.00 |
VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C |
4 |
$34,380 |
$13,110 |
$137,518 |
$52,438 |
2.25 |
DIGESTIVE MALIGNANCY |
4 |
$57,037 |
$12,624 |
$228,149 |
$50,494 |
7.75 |
ABDOMINAL PAIN |
4 |
$27,298 |
$5,044 |
$109,192 |
$20,175 |
2.50 |
RESPIRATORY MALIGNANCY |
4 |
$51,117 |
$11,158 |
$204,469 |
$44,632 |
4.75 |
OTHER DISORDERS OF THE LIVER |
4 |
$34,938 |
$7,232 |
$139,752 |
$28,928 |
4.00 |
VIRAL ILLNESS |
4 |
$39,917 |
$8,441 |
$159,669 |
$33,763 |
4.25 |
ALCOHOLIC LIVER DISEASE |
4 |
$75,834 |
$16,935 |
$303,336 |
$67,741 |
9.25 |
ACUTE ANXIETY AND DELIRIUM STATES |
3 |
$41,286 |
$14,200 |
$123,858 |
$42,599 |
7.00 |
VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C |
3 |
$30,201 |
$10,600 |
$90,604 |
$31,800 |
2.00 |
TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES |
3 |
$140,449 |
$33,366 |
$421,346 |
$100,098 |
16.67 |
CHEST PAIN |
3 |
$28,435 |
$5,751 |
$85,305 |
$17,252 |
2.33 |
CARDIAC STRUCTURAL AND VALVULAR DISORDERS |
3 |
$37,830 |
$10,694 |
$113,490 |
$32,082 |
4.67 |
POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE |
3 |
$75,473 |
$18,102 |
$226,419 |
$54,306 |
7.67 |
ALLERGIC REACTIONS |
3 |
$125,908 |
$30,293 |
$377,723 |
$90,878 |
10.00 |
UNGROUPABLE |
3 |
$243,065 |
$112,732 |
$729,196 |
$338,196 |
42.67 |
TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE |
3 |
$602,979 |
$180,571 |
$1,808,938 |
$541,713 |
41.67 |
ELECTIVE KNEE JOINT REPLACEMENT |
3 |
$80,205 |
$21,438 |
$240,616 |
$64,314 |
6.67 |
MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
3 |
$162,993 |
$37,656 |
$488,978 |
$112,968 |
16.67 |
ORGANIC MENTAL HEALTH DISTURBANCES |
3 |
$50,277 |
$22,865 |
$150,830 |
$68,596 |
10.67 |
DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES |
3 |
$47,800 |
$10,816 |
$143,399 |
$32,447 |
3.67 |
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
3 |
$184,605 |
$44,464 |
$553,815 |
$133,393 |
18.33 |
OTHER SMALL AND LARGE BOWEL PROCEDURES |
3 |
$53,624 |
$12,057 |
$160,871 |
$36,172 |
5.67 |
HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE |
3 |
$58,289 |
$22,384 |
$174,867 |
$67,153 |
2.67 |
MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS |
3 |
$26,719 |
$5,065 |
$80,158 |
$15,196 |
2.33 |
FEVER AND INFLAMMATORY CONDITIONS |
3 |
$32,000 |
$6,628 |
$95,999 |
$19,885 |
3.33 |
NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
3 |
$104,281 |
$25,234 |
$312,842 |
$75,702 |
11.33 |
CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE |
3 |
$23,288 |
$4,712 |
$69,865 |
$14,136 |
2.00 |
KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY |
2 |
$48,524 |
$11,045 |
$97,047 |
$22,089 |
3.50 |
BEHAVIORAL DISORDERS |
2 |
$38,454 |
$16,323 |
$76,908 |
$32,645 |
7.50 |
OTHER ESOPHAGEAL DISORDERS |
2 |
$54,875 |
$11,863 |
$109,749 |
$23,725 |
6.00 |
NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION |
2 |
$28,457 |
$4,200 |
$56,914 |
$8,399 |
1.50 |
OTHER PERIPHERAL VASCULAR PROCEDURES |
2 |
$61,934 |
$16,360 |
$123,868 |
$32,719 |
5.50 |
FEMALE REPRODUCTIVE SYSTEM INFECTIONS |
2 |
$62,258 |
$13,703 |
$124,515 |
$27,405 |
7.00 |
SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT |
2 |
$44,254 |
$12,578 |
$88,507 |
$25,155 |
2.00 |
RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES |
2 |
$35,569 |
$8,406 |
$71,137 |
$16,811 |
3.00 |
OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES |
2 |
$33,732 |
$6,767 |
$67,464 |
$13,534 |
3.50 |
MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE |
2 |
$31,053 |
$8,210 |
$62,105 |
$16,420 |
3.50 |
ANTEPARTUM WITH O.R. PROCEDURE |
2 |
$15,424 |
$5,848 |
$30,847 |
$11,696 |
2.00 |
BRONCHIOLITIS AND RSV PNEUMONIA |
2 |
$42,830 |
$9,961 |
$85,660 |
$19,922 |
4.50 |
NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY |
2 |
$11,307 |
$4,002 |
$22,614 |
$8,003 |
2.50 |
MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY |
2 |
$54,368 |
$11,353 |
$108,736 |
$22,706 |
5.50 |
PERITONEAL ADHESIOLYSIS |
2 |
$66,700 |
$15,297 |
$133,399 |
$30,593 |
7.00 |
MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE |
2 |
$129,299 |
$28,003 |
$258,598 |
$56,006 |
14.00 |
MALIGNANCY, MALE REPRODUCTIVE SYSTEM |
2 |
$43,966 |
$8,553 |
$87,931 |
$17,105 |
5.50 |
CHRONIC KIDNEY DISEASE |
2 |
$25,236 |
$5,587 |
$50,471 |
$11,173 |
2.50 |
INFECTIONS OF UPPER RESPIRATORY TRACT |
2 |
$22,317 |
$4,946 |
$44,633 |
$9,891 |
2.00 |
MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE |
2 |
$31,275 |
$6,832 |
$62,550 |
$13,664 |
3.00 |
EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
2 |
$111,618 |
$29,034 |
$223,236 |
$58,067 |
8.00 |
OTHER COMPLICATIONS OF TREATMENT |
2 |
$31,709 |
$6,901 |
$63,417 |
$13,802 |
3.50 |
CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA |
1 |
$22,965 |
$3,629 |
$22,965 |
$3,629 |
2.00 |
OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES |
1 |
$42,388 |
$13,080 |
$42,388 |
$13,080 |
2.00 |
ADRENAL PROCEDURES |
1 |
$55,516 |
$14,182 |
$55,516 |
$14,182 |
4.00 |
OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES |
1 |
$394,399 |
$93,483 |
$394,399 |
$93,483 |
49.00 |
INTERVERTEBRAL DISC EXCISION AND DECOMPRESSION |
1 |
$103,461 |
$26,926 |
$103,461 |
$26,926 |
9.00 |
VIRAL MENINGITIS |
1 |
$61,833 |
$13,561 |
$61,833 |
$13,561 |
5.00 |
DENTAL DISEASES AND DISORDERS |
1 |
$19,345 |
$4,241 |
$19,345 |
$4,241 |
2.00 |
ANOXIC AND OTHER SEVERE BRAIN DAMAGE |
1 |
$185,585 |
$37,382 |
$185,585 |
$37,382 |
10.00 |
MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES |
1 |
$80,954 |
$19,360 |
$80,954 |
$19,360 |
6.00 |
TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE |
1 |
$540,952 |
$148,235 |
$540,952 |
$148,235 |
48.00 |
MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE |
1 |
$157,985 |
$36,790 |
$157,985 |
$36,790 |
20.00 |
SICKLE CELL ANEMIA CRISIS |
1 |
$13,093 |
$2,541 |
$13,093 |
$2,541 |
1.00 |
OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES |
1 |
$21,280 |
$5,707 |
$21,280 |
$5,707 |
1.00 |
LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR |
1 |
$41,505 |
$8,811 |
$41,505 |
$8,811 |
4.00 |
INBORN ERRORS OF METABOLISM |
1 |
$26,276 |
$4,495 |
$26,276 |
$4,495 |
2.00 |
OTHER CIRCULATORY SYSTEM PROCEDURES |
1 |
$189,491 |
$46,262 |
$189,491 |
$46,262 |
23.00 |
PENIS, TESTES AND SCROTAL PROCEDURES |
1 |
$46,485 |
$11,749 |
$46,485 |
$11,749 |
2.00 |
ELECTIVE HIP JOINT REPLACEMENT |
1 |
$51,988 |
$16,247 |
$51,988 |
$16,247 |
3.00 |
MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
1 |
$30,984 |
$7,579 |
$30,984 |
$7,579 |
2.00 |
CERVICAL SPINAL FUSION AND OTHER BACK OR NECK PROCEDURES EXCEPT DISC EXCISION OR DECOMPRESSION |
1 |
$136,711 |
$33,010 |
$136,711 |
$33,010 |
16.00 |
EYE INFECTIONS AND OTHER EYE DISORDERS |
1 |
$19,715 |
$4,093 |
$19,715 |
$4,093 |
2.00 |
INTERSTITIAL AND ALVEOLAR LUNG DISEASES |
1 |
$76,038 |
$15,568 |
$76,038 |
$15,568 |
9.00 |
MIGRAINE AND OTHER HEADACHES |
1 |
$27,409 |
$3,953 |
$27,409 |
$3,953 |
1.00 |
NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRT |
1 |
$2,629 |
$1,087 |
$2,629 |
$1,087 |
1.00 |
ACUTE AND SUBACUTE ENDOCARDITIS |
1 |
$116,011 |
$26,452 |
$116,011 |
$26,452 |
16.00 |
MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES |
1 |
$48,112 |
$12,984 |
$48,112 |
$12,984 |
2.00 |
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS |
1 |
$23,722 |
$6,220 |
$23,722 |
$6,220 |
1.00 |
NEPHRITIS AND NEPHROSIS |
1 |
$42,648 |
$9,037 |
$42,648 |
$9,037 |
4.00 |
COCAINE ABUSE AND DEPENDENCE |
1 |
$66,045 |
$15,173 |
$66,045 |
$15,173 |
8.00 |