SEPTICEMIA & DISSEMINATED INFECTIONS |
452 |
$63,544 |
$15,048 |
$28,721,818 |
$6,801,651 |
7.24 |
NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM |
447 |
$6,827 |
$2,493 |
$3,051,847 |
$1,114,593 |
2.03 |
VAGINAL DELIVERY |
327 |
$18,008 |
$7,689 |
$5,888,600 |
$2,514,343 |
2.00 |
RESPIRATORY FAILURE |
205 |
$43,436 |
$10,151 |
$8,904,336 |
$2,080,855 |
4.99 |
CESAREAN SECTION W/O STERILIZATION |
179 |
$34,669 |
$13,187 |
$6,205,738 |
$2,360,473 |
2.85 |
SCHIZOPHRENIA |
174 |
$35,200 |
$16,108 |
$6,124,839 |
$2,802,808 |
15.03 |
MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS |
148 |
$62,344 |
$14,588 |
$9,226,915 |
$2,158,989 |
7.92 |
MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES |
138 |
$22,512 |
$9,739 |
$3,106,679 |
$1,343,995 |
8.79 |
OTHER PNEUMONIA |
77 |
$35,966 |
$8,241 |
$2,769,407 |
$634,541 |
4.43 |
BIPOLAR DISORDERS |
76 |
$28,491 |
$12,896 |
$2,165,296 |
$980,086 |
11.74 |
ACUTE KIDNEY INJURY |
72 |
$52,719 |
$11,848 |
$3,795,787 |
$853,079 |
6.35 |
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS |
66 |
$28,492 |
$5,736 |
$1,880,449 |
$378,571 |
3.14 |
CVA & PRECEREBRAL OCCLUSION W INFARCT |
64 |
$52,826 |
$11,114 |
$3,380,871 |
$711,304 |
5.22 |
HEART FAILURE |
61 |
$48,584 |
$10,915 |
$2,963,599 |
$665,826 |
6.18 |
KIDNEY & URINARY TRACT INFECTIONS |
61 |
$43,467 |
$9,509 |
$2,651,462 |
$580,060 |
5.90 |
ACUTE MYOCARDIAL INFARCTION |
60 |
$24,377 |
$4,773 |
$1,462,613 |
$286,392 |
2.43 |
NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE |
50 |
$6,139 |
$2,180 |
$306,930 |
$109,003 |
1.10 |
INTESTINAL OBSTRUCTION |
48 |
$29,815 |
$6,391 |
$1,431,125 |
$306,791 |
3.75 |
DISORDERS OF PANCREAS EXCEPT MALIGNANCY |
48 |
$36,828 |
$7,848 |
$1,767,753 |
$376,698 |
4.21 |
OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE |
47 |
$37,957 |
$8,470 |
$1,783,963 |
$398,104 |
4.23 |
CELLULITIS & OTHER SKIN INFECTIONS |
44 |
$30,134 |
$6,732 |
$1,325,881 |
$296,210 |
3.75 |
HIP & FEMUR FRACTURE REPAIR |
39 |
$61,810 |
$15,962 |
$2,410,609 |
$622,500 |
6.08 |
DIABETES |
38 |
$31,456 |
$6,846 |
$1,195,332 |
$260,143 |
3.26 |
ALCOHOL ABUSE & DEPENDENCE |
35 |
$38,177 |
$8,775 |
$1,336,189 |
$307,127 |
4.94 |
NON-HYPOVOLEMIC SODIUM DISORDERS |
33 |
$44,372 |
$9,825 |
$1,464,270 |
$324,232 |
5.58 |
SEIZURE |
33 |
$30,291 |
$6,181 |
$999,608 |
$203,975 |
3.27 |
INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE |
33 |
$108,792 |
$26,892 |
$3,590,122 |
$887,435 |
10.48 |
OTHER GASTROENTERITIS, NAUSEA & VOMITING |
31 |
$45,760 |
$10,166 |
$1,418,571 |
$315,151 |
5.77 |
CHRONIC OBSTRUCTIVE PULMONARY DISEASE |
30 |
$32,501 |
$7,408 |
$975,035 |
$222,233 |
3.80 |
CESAREAN SECTION W STERILIZATION |
29 |
$33,040 |
$12,852 |
$958,157 |
$372,699 |
2.52 |
DIVERTICULITIS & DIVERTICULOSIS |
29 |
$29,622 |
$6,810 |
$859,035 |
$197,496 |
3.28 |
HYPERTENSION |
28 |
$32,273 |
$6,665 |
$903,636 |
$186,613 |
3.25 |
MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC |
27 |
$44,502 |
$10,312 |
$1,201,547 |
$278,426 |
6.22 |
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS |
26 |
$35,833 |
$8,400 |
$931,669 |
$218,404 |
4.46 |
NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM |
24 |
$9,004 |
$3,136 |
$216,098 |
$75,253 |
2.33 |
TRANSIENT ISCHEMIA |
23 |
$34,153 |
$6,503 |
$785,513 |
$149,573 |
2.91 |
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES |
23 |
$35,481 |
$7,407 |
$816,067 |
$170,364 |
4.04 |
POISONING OF MEDICINAL AGENTS |
23 |
$43,165 |
$9,588 |
$992,798 |
$220,535 |
4.43 |
OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS |
20 |
$34,509 |
$7,117 |
$690,186 |
$142,331 |
3.50 |
CHOLECYSTECTOMY |
20 |
$46,509 |
$11,271 |
$930,172 |
$225,419 |
3.80 |
INTENTIONAL SELF-HARM & ATTEMPTED SUICIDE |
19 |
$34,542 |
$7,642 |
$656,306 |
$145,196 |
3.53 |
MAJOR LARGE BOWEL PROCEDURES |
19 |
$78,203 |
$19,594 |
$1,485,853 |
$372,295 |
7.21 |
MAJOR SMALL BOWEL PROCEDURES |
19 |
$106,163 |
$25,658 |
$2,017,099 |
$487,504 |
10.89 |
PEPTIC ULCER & GASTRITIS |
18 |
$40,616 |
$8,671 |
$731,089 |
$156,077 |
4.33 |
ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES |
16 |
$9,442 |
$3,509 |
$151,067 |
$56,139 |
2.94 |
ALTERATION IN CONSCIOUSNESS |
16 |
$51,566 |
$10,970 |
$825,049 |
$175,526 |
5.25 |
OTHER DISORDERS OF NERVOUS SYSTEM |
15 |
$44,186 |
$9,561 |
$662,797 |
$143,410 |
5.20 |
ANTEPARTUM W/O O.R. PROCEDURE |
15 |
$17,102 |
$4,538 |
$256,537 |
$68,070 |
2.07 |
PULMONARY EMBOLISM |
15 |
$40,352 |
$8,244 |
$605,285 |
$123,653 |
4.20 |
OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS |
15 |
$47,611 |
$11,038 |
$714,163 |
$165,566 |
6.13 |
HIP JOINT REPLACEMENT |
13 |
$68,975 |
$19,104 |
$896,671 |
$248,358 |
6.08 |
FOOT & TOE PROCEDURES |
13 |
$48,184 |
$11,233 |
$626,395 |
$146,033 |
5.08 |
MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS |
13 |
$42,117 |
$9,198 |
$547,523 |
$119,570 |
5.38 |
OTHER DRUG ABUSE & DEPENDENCE |
12 |
$25,219 |
$6,098 |
$302,628 |
$73,180 |
4.17 |
ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS |
12 |
$22,513 |
$4,275 |
$270,159 |
$51,303 |
2.42 |
SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS |
12 |
$21,890 |
$4,541 |
$262,677 |
$54,488 |
2.83 |
OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES |
12 |
$48,199 |
$10,430 |
$578,389 |
$125,157 |
6.50 |
MAJOR ESOPHAGEAL DISORDERS |
11 |
$51,492 |
$11,684 |
$566,408 |
$128,525 |
5.18 |
OTHER DIGESTIVE SYSTEM DIAGNOSES |
11 |
$33,915 |
$7,413 |
$373,067 |
$81,538 |
4.00 |
HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS |
11 |
$25,266 |
$4,936 |
$277,926 |
$54,293 |
2.64 |
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS |
10 |
$190,210 |
$49,665 |
$1,902,096 |
$496,648 |
19.70 |
DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER |
10 |
$10,284 |
$4,163 |
$102,844 |
$41,632 |
3.90 |
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS |
10 |
$79,961 |
$17,753 |
$799,611 |
$177,533 |
12.10 |
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES |
9 |
$32,363 |
$6,830 |
$291,269 |
$61,472 |
3.56 |
URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION |
9 |
$23,654 |
$5,690 |
$212,884 |
$51,211 |
1.67 |
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES |
9 |
$26,750 |
$5,573 |
$240,750 |
$50,156 |
2.78 |
NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION |
9 |
$11,960 |
$4,429 |
$107,644 |
$39,857 |
3.33 |
PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS |
8 |
$52,651 |
$10,842 |
$421,211 |
$86,739 |
5.75 |
DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE |
8 |
$16,857 |
$3,646 |
$134,858 |
$29,168 |
1.88 |
SYNCOPE & COLLAPSE |
8 |
$33,865 |
$6,001 |
$270,922 |
$48,011 |
3.25 |
MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS |
8 |
$52,471 |
$11,223 |
$419,764 |
$89,785 |
7.25 |
UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA |
8 |
$31,120 |
$8,485 |
$248,963 |
$67,878 |
2.13 |
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS |
8 |
$23,865 |
$5,800 |
$190,916 |
$46,400 |
1.00 |
HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS |
8 |
$37,198 |
$7,971 |
$297,582 |
$63,766 |
4.00 |
MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES |
7 |
$39,266 |
$8,266 |
$274,863 |
$57,863 |
4.43 |
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL |
7 |
$56,927 |
$14,997 |
$398,486 |
$104,977 |
4.71 |
INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES |
7 |
$38,264 |
$9,554 |
$267,848 |
$66,880 |
2.86 |
PERIPHERAL & OTHER VASCULAR DISORDERS |
7 |
$37,554 |
$8,917 |
$262,875 |
$62,419 |
4.71 |
OPIOID ABUSE & DEPENDENCE |
7 |
$22,265 |
$7,761 |
$155,855 |
$54,324 |
6.14 |
OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS |
6 |
$126,356 |
$27,130 |
$758,136 |
$162,780 |
16.00 |
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS |
6 |
$18,165 |
$3,557 |
$108,991 |
$21,342 |
1.50 |
CHRONIC KIDNEY DISEASE |
6 |
$50,097 |
$12,096 |
$300,582 |
$72,575 |
6.33 |
INFECTIONS OF UPPER RESPIRATORY TRACT |
6 |
$26,566 |
$6,126 |
$159,394 |
$36,758 |
3.00 |
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY |
5 |
$38,860 |
$8,812 |
$194,301 |
$44,061 |
5.00 |
OTHER INFECTIOUS & PARASITIC DISEASES |
5 |
$37,235 |
$7,666 |
$186,176 |
$38,331 |
4.40 |
UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA |
5 |
$36,104 |
$9,231 |
$180,518 |
$46,156 |
2.60 |
CARDIAC ARREST & SHOCK |
5 |
$32,717 |
$6,921 |
$163,585 |
$34,606 |
2.40 |
FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK |
5 |
$37,384 |
$8,330 |
$186,921 |
$41,648 |
4.60 |
KNEE JOINT REPLACEMENT |
5 |
$41,497 |
$13,027 |
$207,484 |
$65,135 |
2.60 |
MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE |
4 |
$48,773 |
$11,685 |
$195,093 |
$46,738 |
5.00 |
BEHAVIORAL DISORDERS |
4 |
$15,415 |
$6,516 |
$61,658 |
$26,065 |
6.00 |
INTRACRANIAL HEMORRHAGE |
4 |
$50,747 |
$12,522 |
$202,989 |
$50,086 |
4.75 |
OTHER CIRCULATORY SYSTEM DIAGNOSES |
4 |
$29,850 |
$5,764 |
$119,400 |
$23,057 |
2.50 |
FRACTURE OF PELVIS OR DISLOCATION OF HIP |
4 |
$21,482 |
$4,734 |
$85,928 |
$18,937 |
2.50 |
ALCOHOLIC LIVER DISEASE |
4 |
$26,702 |
$5,837 |
$106,807 |
$23,349 |
3.50 |
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS |
4 |
$40,166 |
$9,842 |
$160,664 |
$39,367 |
3.50 |
DISORDERS OF PERSONALITY & IMPULSE CONTROL |
4 |
$12,020 |
$5,069 |
$48,079 |
$20,277 |
4.50 |
RENAL DIALYSIS ACCESS DEVICE PROCEDURES & VESSEL REPAIR |
4 |
$98,519 |
$23,911 |
$394,077 |
$95,645 |
9.75 |
VAGINAL DELIVERY W STERILIZATION &/OR D&C |
4 |
$29,432 |
$10,654 |
$117,728 |
$42,614 |
2.50 |
ASTHMA |
4 |
$49,294 |
$12,762 |
$197,174 |
$51,046 |
5.50 |
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS |
4 |
$65,252 |
$14,705 |
$261,008 |
$58,818 |
8.00 |
PERITONEAL ADHESIOLYSIS |
4 |
$60,878 |
$14,440 |
$243,511 |
$57,761 |
7.00 |
INFLAMMATORY BOWEL DISEASE |
4 |
$25,959 |
$5,308 |
$103,836 |
$21,230 |
3.25 |
INTERSTITIAL & ALVEOLAR LUNG DISEASES |
4 |
$40,667 |
$9,226 |
$162,668 |
$36,902 |
4.75 |
ACUTE BRONCHITIS & RELATED SYMPTOMS |
4 |
$32,567 |
$7,333 |
$130,267 |
$29,331 |
3.75 |
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT |
4 |
$60,708 |
$12,881 |
$242,832 |
$51,523 |
7.25 |
MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
4 |
$152,686 |
$39,634 |
$610,745 |
$158,535 |
16.00 |
OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES |
3 |
$67,332 |
$15,651 |
$201,996 |
$46,952 |
9.67 |
KNEE & LOWER LEG PROCEDURES EXCEPT FOOT |
3 |
$35,942 |
$9,431 |
$107,827 |
$28,292 |
2.67 |
ACUTE ANXIETY & DELIRIUM STATES |
3 |
$31,526 |
$6,688 |
$94,579 |
$20,064 |
4.33 |
VERTIGO & OTHER LABYRINTH DISORDERS |
3 |
$33,247 |
$6,425 |
$99,742 |
$19,276 |
4.00 |
OTHER DISORDERS OF THE LIVER |
3 |
$22,899 |
$4,139 |
$68,697 |
$12,416 |
1.33 |
MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS |
3 |
$78,078 |
$17,378 |
$234,234 |
$52,135 |
2.67 |
TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE |
3 |
$404,210 |
$104,787 |
$1,212,630 |
$314,361 |
41.00 |
OTHER ENDOCRINE DISORDERS |
3 |
$46,981 |
$10,536 |
$140,942 |
$31,609 |
4.00 |
SKIN ULCERS |
3 |
$27,390 |
$6,003 |
$82,169 |
$18,008 |
3.33 |
OTHER ESOPHAGEAL DISORDERS |
3 |
$24,374 |
$4,636 |
$73,123 |
$13,909 |
2.67 |
VAGINAL DELIVERY W O.R. PROCEDURE EXCEPT STERILIZATION &/OR D&C |
3 |
$26,428 |
$9,831 |
$79,283 |
$29,493 |
2.67 |
ORGANIC MENTAL HEALTH DISTURBANCES |
3 |
$14,410 |
$5,288 |
$43,229 |
$15,864 |
4.00 |
OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS |
3 |
$34,899 |
$7,275 |
$104,697 |
$21,826 |
3.33 |
OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES |
3 |
$30,296 |
$6,151 |
$90,888 |
$18,453 |
3.67 |
NEONATE BIRTHWT >2499G W MAJOR ANOMALY |
3 |
$6,935 |
$2,399 |
$20,804 |
$7,198 |
2.00 |
TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE |
2 |
$337,641 |
$86,392 |
$675,282 |
$172,784 |
31.50 |
COCAINE ABUSE & DEPENDENCE |
2 |
$21,412 |
$6,153 |
$42,824 |
$12,305 |
4.50 |
MAJOR CHEST & RESPIRATORY TRAUMA |
2 |
$23,515 |
$5,105 |
$47,029 |
$10,210 |
2.50 |
DIGESTIVE MALIGNANCY |
2 |
$58,415 |
$13,501 |
$116,830 |
$27,002 |
7.00 |
PENIS, TESTES & SCROTAL PROCEDURES |
2 |
$32,054 |
$7,407 |
$64,108 |
$14,814 |
3.50 |
OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES |
2 |
$25,558 |
$5,361 |
$51,116 |
$10,721 |
3.50 |
HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS |
2 |
$74,551 |
$17,936 |
$149,102 |
$35,872 |
9.00 |
RESPIRATORY MALIGNANCY |
2 |
$49,555 |
$10,889 |
$99,110 |
$21,777 |
6.50 |
MAJOR BILIARY TRACT PROCEDURES |
2 |
$110,609 |
$28,599 |
$221,218 |
$57,198 |
9.00 |
LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA |
2 |
$132,561 |
$35,770 |
$265,121 |
$71,539 |
16.50 |
ACUTE & SUBACUTE ENDOCARDITIS |
2 |
$54,850 |
$10,819 |
$109,699 |
$21,637 |
5.50 |
VIRAL ILLNESS |
2 |
$21,923 |
$3,640 |
$43,846 |
$7,279 |
2.00 |
GASTROINTESTINAL VASCULAR INSUFFICIENCY |
2 |
$26,053 |
$4,974 |
$52,106 |
$9,948 |
2.50 |
NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
2 |
$100,684 |
$23,339 |
$201,368 |
$46,677 |
10.00 |
DISORDERS OF GALLBLADDER & BILIARY TRACT |
2 |
$60,561 |
$13,571 |
$121,121 |
$27,141 |
5.00 |
FRACTURE OF FEMUR |
2 |
$18,629 |
$3,699 |
$37,258 |
$7,398 |
2.50 |
PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE |
2 |
$123,854 |
$32,345 |
$247,708 |
$64,689 |
11.50 |
URETHRAL & TRANSURETHRAL PROCEDURES |
2 |
$33,506 |
$8,098 |
$67,011 |
$16,195 |
2.00 |
CONNECTIVE TISSUE DISORDERS |
2 |
$39,702 |
$8,228 |
$79,403 |
$16,455 |
4.50 |
SPINAL DISORDERS & INJURIES |
2 |
$42,634 |
$8,458 |
$85,268 |
$16,915 |
3.50 |
OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES |
2 |
$68,245 |
$14,745 |
$136,490 |
$29,490 |
6.50 |
OTHER AFTERCARE & CONVALESCENCE |
2 |
$9,055 |
$3,015 |
$18,109 |
$6,029 |
5.00 |
OTHER COMPLICATIONS OF TREATMENT |
2 |
$50,577 |
$11,682 |
$101,154 |
$23,363 |
5.50 |
CHEST PAIN |
2 |
$21,556 |
$4,040 |
$43,112 |
$8,079 |
2.50 |
ABDOMINAL PAIN |
2 |
$24,680 |
$4,872 |
$49,359 |
$9,743 |
2.50 |
TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES |
2 |
$43,519 |
$10,936 |
$87,037 |
$21,872 |
5.00 |
AMPUTATION OF LOWER LIMB EXCEPT TOES |
2 |
$77,911 |
$19,864 |
$155,822 |
$39,727 |
8.50 |
FEVER & INFLAMMATORY CONDITIONS |
2 |
$67,329 |
$14,912 |
$134,657 |
$29,823 |
9.00 |
DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES |
1 |
$25,789 |
$6,436 |
$25,789 |
$6,436 |
1.00 |
KIDNEY & URINARY TRACT MALIGNANCY |
1 |
$70,868 |
$16,985 |
$70,868 |
$16,985 |
9.00 |
CARDIAC STRUCTURAL & VALVULAR DISORDERS |
1 |
$23,176 |
$4,536 |
$23,176 |
$4,536 |
2.00 |
ANOXIC & OTHER SEVERE BRAIN DAMAGE |
1 |
$36,043 |
$7,751 |
$36,043 |
$7,751 |
5.00 |
SICKLE CELL ANEMIA CRISIS |
1 |
$49,590 |
$12,630 |
$49,590 |
$12,630 |
8.00 |
HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS |
1 |
$36,380 |
$7,464 |
$36,380 |
$7,464 |
6.00 |
OTHER BLADDER PROCEDURES |
1 |
$17,686 |
$3,633 |
$17,686 |
$3,633 |
2.00 |
KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY |
1 |
$30,752 |
$6,887 |
$30,752 |
$6,887 |
2.00 |
NERVOUS SYSTEM MALIGNANCY |
1 |
$41,769 |
$7,827 |
$41,769 |
$7,827 |
3.00 |
CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA |
1 |
$16,010 |
$2,893 |
$16,010 |
$2,893 |
2.00 |
MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE |
1 |
$103,734 |
$25,725 |
$103,734 |
$25,725 |
11.00 |
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY |
1 |
$25,895 |
$5,352 |
$25,895 |
$5,352 |
2.00 |
PARTIAL THICKNESS BURNS W/O SKIN GRAFT |
1 |
$59,145 |
$14,405 |
$59,145 |
$14,405 |
7.00 |
EYE INFECTIONS & OTHER EYE DISORDERS |
1 |
$46,853 |
$9,544 |
$46,853 |
$9,544 |
5.00 |
NEONATE, TRANSFERRED <5 DAYS OLD, NOT BORN HERE |
1 |
$3,617 |
$1,193 |
$3,617 |
$1,193 |
1.00 |
INTERVERTEBRAL DISC EXCISION & DECOMPRESSION |
1 |
$61,418 |
$18,990 |
$61,418 |
$18,990 |
3.00 |
RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES |
1 |
$5,300 |
$1,239 |
$5,300 |
$1,239 |
1.00 |
OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES |
1 |
$79,347 |
$17,898 |
$79,347 |
$17,898 |
7.00 |
EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
1 |
$74,761 |
$19,089 |
$74,761 |
$19,089 |
5.00 |
MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL |
1 |
$13,287 |
$2,726 |
$13,287 |
$2,726 |
1.00 |
SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES |
1 |
$73,948 |
$17,163 |
$73,948 |
$17,163 |
9.00 |
THYROID DISORDERS |
1 |
$25,094 |
$5,179 |
$25,094 |
$5,179 |
3.00 |
MENTAL ILLNESS DIAGNOSIS W O.R. PROCEDURE |
1 |
$8,282 |
$2,654 |
$8,282 |
$2,654 |
2.00 |
FEMALE REPRODUCTIVE SYSTEM INFECTIONS |
1 |
$18,303 |
$3,615 |
$18,303 |
$3,615 |
2.00 |
NEPHRITIS & NEPHROSIS |
1 |
$72,878 |
$17,029 |
$72,878 |
$17,029 |
5.00 |
INBORN ERRORS OF METABOLISM |
1 |
$32,810 |
$5,887 |
$32,810 |
$5,887 |
4.00 |
COAGULATION & PLATELET DISORDERS |
1 |
$17,552 |
$3,154 |
$17,552 |
$3,154 |
2.00 |
EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
1 |
$137,068 |
$35,429 |
$137,068 |
$35,429 |
15.00 |
OTHER RESPIRATORY & CHEST PROCEDURES |
1 |
$119,833 |
$29,748 |
$119,833 |
$29,748 |
12.00 |
HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE |
1 |
$31,879 |
$6,194 |
$31,879 |
$6,194 |
3.00 |
MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE |
1 |
$105,154 |
$22,851 |
$105,154 |
$22,851 |
15.00 |
OTHER SMALL & LARGE BOWEL PROCEDURES |
1 |
$55,100 |
$13,337 |
$55,100 |
$13,337 |
6.00 |
NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS |
1 |
$32,498 |
$7,831 |
$32,498 |
$7,831 |
4.00 |
ANAL PROCEDURES |
1 |
$31,554 |
$7,476 |
$31,554 |
$7,476 |
2.00 |
ALLERGIC REACTIONS |
1 |
$15,510 |
$2,857 |
$15,510 |
$2,857 |
2.00 |
MAJOR SKIN DISORDERS |
1 |
$61,594 |
$14,975 |
$61,594 |
$14,975 |
8.00 |