Septicemia & disseminated infections |
362 |
$82,913 |
$21,584 |
$30,014,640 |
$7,813,550 |
6.96 |
Other pneumonia |
352 |
$57,939 |
$14,638 |
$20,394,451 |
$5,152,561 |
5.08 |
Heart failure |
303 |
$53,599 |
$13,940 |
$16,240,357 |
$4,223,679 |
4.48 |
Chronic obstructive pulmonary disease |
288 |
$49,773 |
$12,588 |
$14,334,593 |
$3,625,297 |
4.07 |
Neonate birthwt >2499g, normal newborn or neonate w other problem |
235 |
$7,921 |
$8,218 |
$1,861,367 |
$1,931,218 |
2.12 |
Cellulitis & other skin infections |
225 |
$48,095 |
$12,792 |
$10,821,363 |
$2,878,247 |
4.16 |
Kidney & urinary tract infections |
219 |
$47,671 |
$12,337 |
$10,439,889 |
$2,701,735 |
4.21 |
Vaginal delivery |
173 |
$17,312 |
$15,826 |
$2,995,031 |
$2,737,958 |
2.06 |
Respiratory Failure |
169 |
$67,703 |
$16,877 |
$11,441,788 |
$2,852,151 |
5.68 |
Cardiac arrhythmia & conduction disorders |
158 |
$40,831 |
$10,288 |
$6,451,271 |
$1,625,454 |
3.04 |
Signs, symptoms & other factors influencing health status |
155 |
$43,476 |
$11,031 |
$6,738,727 |
$1,709,730 |
3.59 |
Acute Kidney Injury |
146 |
$63,703 |
$16,558 |
$9,300,699 |
$2,417,403 |
5.67 |
Syncope & collapse |
110 |
$41,836 |
$10,173 |
$4,602,010 |
$1,119,070 |
2.52 |
Other gastroenteritis, nausa & vomiting |
105 |
$41,777 |
$10,667 |
$4,386,605 |
$1,120,022 |
3.18 |
Cesarean delivery |
104 |
$26,609 |
$23,677 |
$2,767,329 |
$2,462,378 |
3.14 |
CVA & precerebral occlusion w infarct |
99 |
$59,662 |
$15,934 |
$5,906,524 |
$1,577,460 |
4.25 |
Hypovolemia & related electrolyte disorders |
99 |
$48,998 |
$12,546 |
$4,850,848 |
$1,242,032 |
4.17 |
Diabetes |
97 |
$45,919 |
$11,693 |
$4,454,108 |
$1,134,229 |
3.78 |
Other anemia & disorders of blood & blood-forming organs |
95 |
$43,534 |
$11,667 |
$4,135,691 |
$1,108,324 |
3.37 |
Other back & neck disorders, fractures & injuries |
90 |
$50,232 |
$12,505 |
$4,520,845 |
$1,125,441 |
3.98 |
Angina pectoris & coronary atherosclerosis |
88 |
$35,830 |
$8,946 |
$3,153,070 |
$787,219 |
2.01 |
Other musculoskeletal system & connective tissue diagnoses |
87 |
$50,905 |
$12,876 |
$4,428,743 |
$1,120,188 |
4.30 |
Chest pain |
86 |
$33,870 |
$8,281 |
$2,912,818 |
$712,192 |
1.71 |
Intestinal obstruction |
85 |
$40,388 |
$10,360 |
$3,433,022 |
$880,583 |
3.36 |
Laparoscopic cholecystectomy |
80 |
$43,053 |
$12,933 |
$3,444,247 |
$1,034,669 |
3.03 |
Acute myocardial infarction |
72 |
$48,584 |
$11,946 |
$3,498,041 |
$860,102 |
3.38 |
Disorders of pancreas except malignancy |
72 |
$36,622 |
$9,291 |
$2,636,760 |
$668,979 |
2.88 |
Poisoning of medicinal agents |
72 |
$41,879 |
$10,669 |
$3,015,293 |
$768,178 |
3.07 |
Diverticulitis & diverticulosis |
68 |
$39,235 |
$10,299 |
$2,667,994 |
$700,357 |
3.22 |
Seizure |
64 |
$40,762 |
$10,113 |
$2,608,737 |
$647,205 |
2.84 |
Other digestive system diagnoses |
62 |
$41,363 |
$10,942 |
$2,564,513 |
$678,397 |
3.08 |
Respiratory signs, symptoms & minor diagnoses |
55 |
$43,305 |
$10,924 |
$2,381,773 |
$600,812 |
3.55 |
Fractures & dislocations except femur, pelvis & back |
54 |
$49,172 |
$12,013 |
$2,655,289 |
$648,676 |
3.48 |
Hip and femur fracture repair |
53 |
$76,337 |
$23,376 |
$4,045,860 |
$1,238,928 |
5.43 |
Major respiratory infections & inflammations |
51 |
$67,666 |
$17,509 |
$3,450,959 |
$892,943 |
6.16 |
Other & unspecified gastrointestinal hemorrhage |
49 |
$45,130 |
$12,243 |
$2,211,351 |
$599,886 |
3.59 |
Alcohol abuse & dependence |
49 |
$47,927 |
$12,091 |
$2,348,415 |
$592,455 |
4.00 |
Electrolyte disorders except hypovolemia related |
46 |
$43,808 |
$11,480 |
$2,015,170 |
$528,082 |
3.50 |
Abdominal pain |
45 |
$31,641 |
$8,015 |
$1,423,826 |
$360,667 |
2.27 |
Transient ischemia |
43 |
$40,042 |
$9,354 |
$1,721,799 |
$402,236 |
2.07 |
Pulmonary embolism |
43 |
$41,969 |
$10,479 |
$1,804,659 |
$450,609 |
3.26 |
Asthma |
43 |
$45,535 |
$11,550 |
$1,957,997 |
$496,667 |
3.60 |
Skin ulcers |
42 |
$62,705 |
$17,761 |
$2,633,628 |
$745,966 |
5.86 |
Hip joint replacement |
41 |
$83,673 |
$26,303 |
$3,430,591 |
$1,078,431 |
5.90 |
Cardiac catheterization for other non-coronary conditions |
40 |
$48,765 |
$11,422 |
$1,950,618 |
$456,865 |
2.73 |
Peptic ulcer & gastritis |
40 |
$44,703 |
$12,259 |
$1,788,114 |
$490,371 |
3.45 |
Infectious & parasitic diseases including HIV w O.R. procedure |
40 |
$162,948 |
$44,380 |
$6,517,900 |
$1,775,211 |
14.25 |
Respiratory malignancy |
37 |
$88,475 |
$24,516 |
$3,273,557 |
$907,075 |
7.76 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
37 |
$55,159 |
$14,494 |
$2,040,877 |
$536,280 |
4.49 |
Other infectious & parasitic diseases |
35 |
$68,055 |
$17,964 |
$2,381,929 |
$628,756 |
6.43 |
Degenerative nervous system disorders exc mult sclerosis |
34 |
$67,802 |
$17,557 |
$2,305,254 |
$596,944 |
6.68 |
Major small & large bowel procedures |
34 |
$92,836 |
$28,369 |
$3,156,432 |
$964,532 |
8.53 |
Disorders of gallbladder & biliary tract |
33 |
$41,727 |
$10,638 |
$1,376,989 |
$351,057 |
3.30 |
Peripheral & other vascular disorders |
32 |
$40,463 |
$10,048 |
$1,294,819 |
$321,530 |
3.16 |
Peripheral, cranial & autonomic nerve disorders |
30 |
$57,037 |
$14,369 |
$1,711,124 |
$431,066 |
4.43 |
Moderately extensive procedure unrelated to principal diagnosis |
30 |
$86,886 |
$25,015 |
$2,606,576 |
$750,437 |
7.27 |
Other disorders of nervous system |
29 |
$50,728 |
$12,409 |
$1,471,119 |
$359,875 |
4.17 |
Knee & lower leg procedures except foot |
29 |
$69,239 |
$22,349 |
$2,007,920 |
$648,121 |
4.41 |
Major gastrointestinal & peritoneal infections |
28 |
$86,577 |
$23,073 |
$2,424,160 |
$646,045 |
8.46 |
Urinary stones & acquired upper urinary tract obstruction |
28 |
$36,211 |
$10,165 |
$1,013,911 |
$284,632 |
2.82 |
Neonate, transferred < 5 days old, born here |
28 |
$4,287 |
$3,712 |
$120,034 |
$103,936 |
1.00 |
Cardiac catheterization for coronary artery disease |
27 |
$45,239 |
$10,295 |
$1,221,454 |
$277,974 |
2.04 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
25 |
$59,615 |
$16,382 |
$1,490,364 |
$409,553 |
5.12 |
Organic mental health disturbances |
25 |
$71,882 |
$18,360 |
$1,797,057 |
$458,999 |
7.12 |
Other kidney & urinary tract diagnoses, signs & symptoms |
24 |
$51,050 |
$13,339 |
$1,225,206 |
$320,133 |
4.67 |
Appendectomy |
23 |
$28,534 |
$9,161 |
$656,287 |
$210,699 |
1.83 |
Other skin, subcutaneous tissue & related procedures |
23 |
$53,418 |
$14,659 |
$1,228,612 |
$337,151 |
4.65 |
Infections of upper respiratory tract |
22 |
$44,583 |
$11,377 |
$980,834 |
$250,295 |
3.91 |
Fever |
22 |
$75,944 |
$16,114 |
$1,670,775 |
$354,506 |
3.77 |
Nonextensive procedure unrelated to principal diagnosis |
22 |
$110,554 |
$30,526 |
$2,432,184 |
$671,581 |
10.09 |
Other circulatory system diagnoses |
21 |
$38,359 |
$9,615 |
$805,529 |
$201,908 |
2.48 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
21 |
$37,591 |
$9,532 |
$789,417 |
$200,169 |
2.48 |
Other skin, subcutaneous tissue & breast disorders |
21 |
$37,537 |
$9,951 |
$788,279 |
$208,961 |
3.24 |
Hepatic coma & other major acute liver disorders |
20 |
$46,748 |
$12,263 |
$934,955 |
$245,258 |
3.95 |
Fracture of pelvis or dislocation of hip |
20 |
$48,030 |
$12,268 |
$960,597 |
$245,351 |
4.40 |
Extensive procedure unrelated to principal diagnosis |
20 |
$304,178 |
$72,921 |
$6,083,564 |
$1,458,416 |
15.00 |
Migraine & other headaches |
19 |
$37,545 |
$9,390 |
$713,363 |
$178,417 |
2.00 |
Vertigo & other labyrinth disorders |
19 |
$42,209 |
$10,182 |
$801,971 |
$193,464 |
2.11 |
Other small & large bowel procedures |
19 |
$65,211 |
$19,054 |
$1,239,017 |
$362,033 |
5.95 |
Amputation of lower limb except toes |
19 |
$87,619 |
$25,039 |
$1,664,763 |
$475,750 |
8.68 |
Urethral & transurethral procedures |
19 |
$52,420 |
$15,554 |
$995,975 |
$295,533 |
4.42 |
Other complications of treatment |
19 |
$49,338 |
$13,706 |
$937,423 |
$260,405 |
3.89 |
Hypertension |
18 |
$49,868 |
$12,549 |
$897,624 |
$225,880 |
3.11 |
Other esophageal disorders |
18 |
$54,251 |
$14,435 |
$976,521 |
$259,836 |
4.39 |
Alcoholic liver disease |
18 |
$59,458 |
$15,768 |
$1,070,251 |
$283,816 |
5.33 |
Inborn errors of metabolism |
18 |
$90,387 |
$45,709 |
$1,626,972 |
$822,758 |
3.06 |
Major chest & respiratory trauma |
17 |
$31,530 |
$7,922 |
$536,015 |
$134,682 |
2.47 |
Malignancy of hepatobiliary system & pancreas |
17 |
$52,379 |
$14,119 |
$890,450 |
$240,029 |
5.00 |
Respiratory system diagnosis w ventilator support 96+ hours |
16 |
$150,379 |
$45,320 |
$2,406,058 |
$725,126 |
11.50 |
Digestive malignancy |
16 |
$58,818 |
$16,228 |
$941,081 |
$259,650 |
5.19 |
Other hepatobiliary, pancreas & abdominal procedures |
16 |
$77,053 |
$21,147 |
$1,232,853 |
$338,359 |
7.00 |
Malfunction, reaction, complic of orthopedic device or procedure |
16 |
$38,254 |
$10,572 |
$612,062 |
$169,155 |
3.31 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
15 |
$37,693 |
$9,247 |
$565,393 |
$138,700 |
3.00 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
15 |
$81,103 |
$24,472 |
$1,216,547 |
$367,083 |
7.47 |
Other endocrine disorders |
15 |
$77,540 |
$20,065 |
$1,163,100 |
$300,982 |
7.47 |
Other Chemotherapy |
15 |
$59,923 |
$19,934 |
$898,846 |
$299,006 |
5.53 |
Post-operative, post-traumatic, other device infections |
15 |
$119,606 |
$28,164 |
$1,794,093 |
$422,455 |
6.53 |
Head trauma w coma >1 hr or hemorrhage |
14 |
$67,516 |
$17,688 |
$945,224 |
$247,638 |
5.50 |
Foot & toe procedures |
14 |
$74,379 |
$22,767 |
$1,041,301 |
$318,744 |
6.36 |
Kidney & urinary tract procedures for nonmalignancy |
14 |
$63,363 |
$20,365 |
$887,078 |
$285,112 |
5.14 |
Other aftercare & convalescence |
14 |
$31,839 |
$8,378 |
$445,750 |
$117,288 |
2.36 |
Cardiac arrest and shock |
13 |
$39,296 |
$10,358 |
$510,848 |
$134,655 |
2.69 |
Cardiac structural & valvular disorders |
13 |
$31,607 |
$7,955 |
$410,893 |
$103,412 |
2.54 |
Hernia procedures except inguinal, femoral & umbilical |
13 |
$81,147 |
$24,582 |
$1,054,916 |
$319,560 |
7.85 |
Malfunction, reaction & complication of GI device or procedure |
13 |
$41,108 |
$11,024 |
$534,407 |
$143,309 |
2.69 |
Nontraumatic stupor & coma |
12 |
$41,895 |
$11,041 |
$502,745 |
$132,492 |
2.75 |
Fracture of femur |
12 |
$35,272 |
$8,948 |
$423,264 |
$107,379 |
2.75 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
12 |
$63,197 |
$15,999 |
$758,359 |
$191,987 |
5.83 |
Male reproductive system diagnoses except malignancy |
12 |
$48,427 |
$12,570 |
$581,121 |
$150,837 |
4.42 |
Acute anxiety & delirium states |
12 |
$42,746 |
$10,550 |
$512,955 |
$126,602 |
2.92 |
Intracranial hemorrhage |
11 |
$49,960 |
$14,245 |
$549,563 |
$156,698 |
3.27 |
Inguinal, femoral & umbilical hernia procedures |
11 |
$27,269 |
$8,793 |
$299,962 |
$96,723 |
1.91 |
Malnutrition, failure to thrive & other nutritional disorders |
11 |
$75,596 |
$19,698 |
$831,558 |
$216,675 |
7.55 |
Lymphoma, myeloma & non-acute leukemia |
11 |
$90,976 |
$28,553 |
$1,000,738 |
$314,083 |
7.45 |
Viral illness |
11 |
$45,269 |
$11,354 |
$497,962 |
$124,892 |
4.00 |
Opioid abuse & dependence |
11 |
$60,598 |
$15,345 |
$666,582 |
$168,793 |
4.45 |
Eye disorders except major infections |
10 |
$32,864 |
$7,942 |
$328,641 |
$79,423 |
1.90 |
Major respiratory & chest procedures |
10 |
$107,987 |
$30,393 |
$1,079,872 |
$303,932 |
9.70 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
10 |
$85,726 |
$22,255 |
$857,258 |
$222,545 |
7.50 |
Major esophageal disorders |
10 |
$57,253 |
$15,045 |
$572,530 |
$150,450 |
4.70 |
Neonate bwt 2000-2499g, normal newborn or neonate w other problem |
10 |
$10,699 |
$11,020 |
$106,994 |
$110,201 |
3.00 |
Coagulation & platelet disorders |
10 |
$40,451 |
$11,272 |
$404,506 |
$112,718 |
2.90 |
Other circulatory system procedures |
9 |
$133,160 |
$35,123 |
$1,198,442 |
$316,109 |
13.11 |
Peritoneal adhesiolysis |
9 |
$55,782 |
$15,897 |
$502,034 |
$143,069 |
5.22 |
Inflammatory bowel disease |
9 |
$43,051 |
$10,910 |
$387,457 |
$98,194 |
3.78 |
Other disorders of the liver |
9 |
$41,167 |
$10,751 |
$370,504 |
$96,756 |
3.67 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
9 |
$61,802 |
$16,214 |
$556,222 |
$145,922 |
5.56 |
Other respiratory & chest procedures |
8 |
$156,437 |
$41,284 |
$1,251,492 |
$330,273 |
14.50 |
Malfunction, reaction, complic of genitourinary device or proc |
8 |
$69,427 |
$17,931 |
$555,419 |
$143,451 |
5.88 |
Acute leukemia |
8 |
$94,241 |
$26,006 |
$753,925 |
$208,049 |
9.00 |
Nervous system malignancy |
7 |
$66,953 |
$17,749 |
$468,669 |
$124,246 |
5.43 |
Shoulder, upper arm & forearm procedures except joint replacement |
7 |
$67,119 |
$20,291 |
$469,830 |
$142,034 |
4.71 |
Tendon, muscle & other soft tissue procedures |
7 |
$69,097 |
$19,989 |
$483,678 |
$139,920 |
6.43 |
Chronic Kidney Disease |
7 |
$63,448 |
$17,205 |
$444,135 |
$120,438 |
6.00 |
Transurethral prostatectomy |
7 |
$28,545 |
$9,246 |
$199,816 |
$64,723 |
2.71 |
Other antepartum diagnoses |
7 |
$19,410 |
$6,585 |
$135,873 |
$46,097 |
1.14 |
Non-bacterial infections of nervous system exc viral meningitis |
6 |
$122,564 |
$32,717 |
$735,385 |
$196,303 |
11.33 |
Dental & oral diseases & injuries |
6 |
$97,585 |
$25,947 |
$585,512 |
$155,681 |
10.17 |
Other stomach, esophageal & duodenal procedures |
6 |
$107,092 |
$29,082 |
$642,554 |
$174,489 |
10.33 |
Other digestive system & abdominal procedures |
6 |
$116,914 |
$32,134 |
$701,481 |
$192,803 |
10.83 |
Skin graft for skin & subcutaneous tissue diagnoses |
6 |
$84,445 |
$23,453 |
$506,670 |
$140,720 |
8.67 |
Vaginal delivery w sterilization &/or D&C |
6 |
$18,976 |
$17,539 |
$113,856 |
$105,232 |
2.17 |
Postpartum & post abortion diagnoses w/o procedure |
6 |
$19,260 |
$8,666 |
$115,559 |
$51,998 |
1.67 |
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms |
6 |
$115,501 |
$33,919 |
$693,005 |
$203,514 |
10.33 |
Drug & alcohol abuse or dependence, left against medical advice |
6 |
$28,127 |
$6,886 |
$168,760 |
$41,314 |
1.83 |
O.R. procedure for other complications of treatment |
6 |
$91,995 |
$26,321 |
$551,972 |
$157,928 |
9.00 |
Toxic effects of non-medicinal substances |
6 |
$44,526 |
$11,469 |
$267,158 |
$68,811 |
2.67 |
Multiple sclerosis & other demyelinating diseases |
5 |
$102,871 |
$26,185 |
$514,356 |
$130,923 |
10.80 |
Interstitial & alveolar lung diseases |
5 |
$53,907 |
$13,393 |
$269,534 |
$66,966 |
4.20 |
Major stomach, esophageal & duodenal procedures |
5 |
$84,540 |
$24,467 |
$422,698 |
$122,334 |
7.40 |
Gastrointestinal vascular insufficiency |
5 |
$36,996 |
$9,975 |
$184,980 |
$49,874 |
2.60 |
Connective tissue disorders |
5 |
$55,324 |
$14,377 |
$276,620 |
$71,885 |
4.40 |
Kidney & urinary tract malignancy |
5 |
$47,722 |
$13,165 |
$238,608 |
$65,827 |
4.80 |
Neonate birthwt >2499g w other significant condition |
5 |
$12,457 |
$13,179 |
$62,285 |
$65,895 |
3.60 |
Sickle cell anemia crisis |
5 |
$65,902 |
$17,284 |
$329,510 |
$86,421 |
6.40 |
Allergic reactions |
5 |
$27,562 |
$6,992 |
$137,811 |
$34,962 |
2.00 |
HIV w one signif HIV cond or w/o signif related cond |
5 |
$37,990 |
$10,388 |
$189,952 |
$51,938 |
3.80 |
Tracheostomy w MV 96+ hours w extensive procedure or ECMO |
4 |
$580,601 |
$135,925 |
$2,322,404 |
$543,701 |
34.00 |
Nonspecific CVA & precerebral occlusion w/o infarct |
4 |
$47,519 |
$11,119 |
$190,074 |
$44,474 |
2.75 |
Other peripheral vascular procedures |
4 |
$110,510 |
$33,775 |
$442,041 |
$135,099 |
7.75 |
Acute & subacute endocarditis |
4 |
$207,514 |
$66,246 |
$830,056 |
$264,983 |
19.25 |
Major bladder procedures |
4 |
$79,066 |
$22,357 |
$316,263 |
$89,429 |
7.75 |
Uterine & adnexa procedures for non-malignancy except leiomyoma |
4 |
$45,869 |
$19,512 |
$183,476 |
$78,049 |
4.25 |
Female reproductive system malignancy |
4 |
$52,575 |
$13,344 |
$210,298 |
$53,375 |
3.75 |
Female reproductive system infections |
4 |
$71,810 |
$19,990 |
$287,240 |
$79,960 |
6.50 |
Neonate birthwt >2499g w major anomaly |
4 |
$8,734 |
$8,558 |
$34,935 |
$34,232 |
2.25 |
Chemotherapy for acute leukemia |
4 |
$28,229 |
$8,247 |
$112,915 |
$32,988 |
3.00 |
Other injury, poisoning & toxic effect diagnoses |
4 |
$60,849 |
$15,283 |
$243,394 |
$61,131 |
5.75 |
Tracheostomy w MV 96+ hours w/o extensive procedure |
3 |
$389,500 |
$102,426 |
$1,168,501 |
$307,279 |
32.00 |
Spinal disorders & injuries |
3 |
$25,571 |
$5,603 |
$76,714 |
$16,808 |
1.33 |
Bacterial & tuberculous infections of nervous system |
3 |
$125,376 |
$44,483 |
$376,127 |
$133,450 |
7.33 |
Cardiomyopathy |
3 |
$68,052 |
$24,768 |
$204,157 |
$74,303 |
4.00 |
Dorsal & lumbar fusion proc except for curvature of back |
3 |
$78,289 |
$32,918 |
$234,866 |
$98,755 |
3.00 |
Other significant hip and femur surgery |
3 |
$59,957 |
$19,322 |
$179,871 |
$57,966 |
4.33 |
Intervertebral disc excision & decompression |
3 |
$55,505 |
$19,272 |
$166,515 |
$57,815 |
4.33 |
Other procedures for endocrine, nutritional & metabolic disorders |
3 |
$75,531 |
$19,901 |
$226,594 |
$59,704 |
7.00 |
Testes & scrotal procedures |
3 |
$41,441 |
$12,313 |
$124,323 |
$36,940 |
4.00 |
Malignancy, male reproductive system |
3 |
$82,954 |
$22,118 |
$248,863 |
$66,353 |
8.67 |
Uterine & adnexa procedures for leiomyoma |
3 |
$20,978 |
$11,481 |
$62,934 |
$34,443 |
1.33 |
Menstrual & other female reproductive system disorders |
3 |
$17,925 |
$10,773 |
$53,776 |
$32,318 |
1.67 |
Other mental health disorders |
3 |
$59,589 |
$15,287 |
$178,767 |
$45,860 |
5.33 |
Other drug abuse & dependence |
3 |
$35,694 |
$8,180 |
$107,082 |
$24,540 |
2.00 |
Musculoskeletal & other procedures for multiple significant trauma |
3 |
$89,318 |
$26,662 |
$267,953 |
$79,987 |
5.67 |
Multiple significant trauma w/o O.R. procedure |
3 |
$58,270 |
$14,194 |
$174,811 |
$42,582 |
5.00 |
Viral meningitis |
2 |
$59,640 |
$16,123 |
$119,279 |
$32,246 |
5.50 |
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma |
2 |
$31,639 |
$7,284 |
$63,278 |
$14,568 |
2.00 |
Acute major eye infections |
2 |
$52,486 |
$13,895 |
$104,971 |
$27,789 |
5.50 |
Ear, nose, mouth, throat, cranial/facial malignancies |
2 |
$52,996 |
$13,266 |
$105,992 |
$26,531 |
5.00 |
Major biliary tract procedures |
2 |
$73,931 |
$22,038 |
$147,862 |
$44,075 |
7.00 |
Knee joint replacement |
2 |
$177,807 |
$65,238 |
$355,613 |
$130,475 |
8.00 |
Malignant breast disorders |
2 |
$35,971 |
$9,031 |
$71,942 |
$18,062 |
3.00 |
Other bladder procedures |
2 |
$28,781 |
$8,188 |
$57,561 |
$16,376 |
2.50 |
Other kidney, urinary tract & related procedures |
2 |
$121,111 |
$34,999 |
$242,222 |
$69,997 |
12.00 |
Other procedures of blood & blood-forming organs |
2 |
$128,337 |
$36,650 |
$256,673 |
$73,300 |
12.50 |
Post-op, post-trauma, other device infections w O.R. procedure |
2 |
$78,962 |
$24,733 |
$157,924 |
$49,465 |
7.50 |
Procedure w diag of rehab, aftercare or oth contact w health service |
2 |
$113,589 |
$31,270 |
$227,177 |
$62,539 |
11.00 |
HIV w multiple major HIV related conditions |
2 |
$127,546 |
$48,521 |
$255,092 |
$97,042 |
11.00 |
HIV w major HIV related condition |
2 |
$68,227 |
$17,940 |
$136,453 |
$35,880 |
6.00 |
Ventricular shunt procedures |
1 |
$101,940 |
$30,847 |
$101,940 |
$30,847 |
8.00 |
Other ear, nose, mouth & throat procedures |
1 |
$72,354 |
$20,500 |
$72,354 |
$20,500 |
7.00 |
Cardiac pacemaker & defibrillator device replacement |
1 |
$47,532 |
$26,889 |
$47,532 |
$26,889 |
1.00 |
Cholecystectomy except laparoscopic |
1 |
$73,972 |
$23,538 |
$73,972 |
$23,538 |
7.00 |
Hand & wrist procedures |
1 |
$4,893 |
$2,568 |
$4,893 |
$2,568 |
1.00 |
Other musculoskeletal system & connective tissue procedures |
1 |
$173,089 |
$46,402 |
$173,089 |
$46,402 |
19.00 |
Cervical spinal fusion & other back/neck proc exc disc excis/decomp |
1 |
$135,605 |
$42,422 |
$135,605 |
$42,422 |
11.00 |
Major skin disorders |
1 |
$50,426 |
$13,437 |
$50,426 |
$13,437 |
5.00 |
Nephritis & nephrosis |
1 |
$35,164 |
$8,782 |
$35,164 |
$8,782 |
3.00 |
Other male reproductive system & related procedures |
1 |
$57,432 |
$15,754 |
$57,432 |
$15,754 |
5.00 |
Other female reproductive system & related procedures |
1 |
$20,901 |
$5,524 |
$20,901 |
$5,524 |
1.00 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
1 |
$17,732 |
$14,562 |
$17,732 |
$14,562 |
2.00 |
D&C, aspiration curettage or hysterotomy for obstetric diagnoses |
1 |
$10,279 |
$8,604 |
$10,279 |
$8,604 |
1.00 |
Preterm labor |
1 |
$12,494 |
$8,009 |
$12,494 |
$8,009 |
1.00 |
Neonate bwt <500g or GA <24 weeks |
1 |
$3,358 |
$3,550 |
$3,358 |
$3,550 |
1.00 |
Neonate bwt 1500-1999g w or w/o other significant condition |
1 |
$3,885 |
$3,638 |
$3,885 |
$3,638 |
1.00 |
Neonate bwt 2000-2499g w other significant condition |
1 |
$20,432 |
$21,352 |
$20,432 |
$21,352 |
6.00 |
Splenectomy |
1 |
$64,709 |
$17,944 |
$64,709 |
$17,944 |
5.00 |
Mental illness diagnosis w O.R. procedure |
1 |
$16,383 |
$15,191 |
$16,383 |
$15,191 |
2.00 |
Major depressive disorders & other/unspecified psychoses |
1 |
$24,077 |
$6,064 |
$24,077 |
$6,064 |
2.00 |
Bipolar disorders |
1 |
$17,895 |
$4,403 |
$17,895 |
$4,403 |
1.00 |
Adjustment disorders & neuroses except depressive diagnoses |
1 |
$42,803 |
$10,800 |
$42,803 |
$10,800 |
4.00 |
HIV w multiple significant HIV related conditions |
1 |
$42,307 |
$11,686 |
$42,307 |
$11,686 |
4.00 |