TABLE 13A - 1996 SPARCS - TOP 50 FEDERAL DRGS 1
RANK-DRG CODE AND NAME (FEDERAL DRG - TWELFTH REVISION) NUMBER PERCENT AVE CHARGE
-----------------------------------------------------------------------------------------------------------------------------
ALL DRGS 2473624 100.00 $9,989.17
1 391-NORMAL NEWBORN 179539 7.26 $1,328.16
2 373-VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES 163479 6.61 $3,095.61
3 430-PSYCHOSES 72905 2.95 $16,540.62
4 127-HEART FAILURE & SHOCK 65838 2.66 $10,341.05
5 435-ALC/DRUG ABUSE OR DEPEND, DETOX OR OTH SYMPT TREAT W/O CC 57369 2.32 $5,654.54
6 089-SIMPLE PNEUMONIA & PLEURISY AGE >17 W CC 43720 1.77 $10,646.16
7 371-CESAREAN SECTION W/O CC 41316 1.67 $5,599.14
8 088-CHRONIC OBSTRUCTIVE PULMONARY DISEASE 35107 1.42 $9,012.57
9 143-CHEST PAIN 33265 1.34 $3,989.57
10 390-NEONATE W OTHER SIGNIFICANT PROBLEMS 33119 1.34 $2,634.09
11 014-SPECIFIC CEREBROVASCULAR DISORDERS EXCEPT TIA 32211 1.30 $14,210.24
12 410-CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS 28977 1.17 $6,415.15
13 098-BRONCHITIS & ASTHMA AGE 0-17 27845 1.13 $4,103.40
14 209-MAJOR JOINT & LIMB REATTACHMENT PROCEDURES OF LOWER EXTREMITY 27046 1.09 $17,728.73
15 112-PERCUTANEOUS CARDIOVASCULAR PROCEDURES 26942 1.09 $13,467.27
16 462-REHABILITATION 26159 1.06 $22,859.11
17 182-ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS AGE >17 W CC 25812 1.04 $7,031.11
18 489-HIV W MAJOR RELATED CONDITION 24158 0.98 $21,585.68
19 140-ANGINA PECTORIS 22201 0.90 $5,452.32
20 359-UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC 21780 0.88 $6,106.79
21 174-G.I. HEMORRHAGE W CC 21748 0.88 $9,523.07
22 389-FULL TERM NEONATE W MAJOR PROBLEMS 20542 0.83 $7,006.13
23 372-VAGINAL DELIVERY W COMPLICATING DIAGNOSES 20431 0.83 $4,186.30
24 138-CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC 19811 0.80 $7,932.23
25 183-ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS AGE >17 W/O CC 19747 0.80 $4,377.23
26 296-NUTRITIONAL & MISC METABOLIC DISORDERS AGE >17 W CC 19211 0.78 $10,372.09
27 383-OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS 17757 0.72 $4,078.66
28 433-ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA 17504 0.71 $3,544.26
29 132-ATHEROSCLEROSIS W CC 16833 0.68 $5,901.83
30 370-CESAREAN SECTION W CC 16468 0.67 $8,065.73
31 494-LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC 16364 0.66 $5,365.55
32 434-ALC/DRUG ABUSE OR DEPEND, DETOX OR OTH SYMPT TREAT W CC 16236 0.66 $7,122.16
33 148-MAJOR SMALL & LARGE BOWEL PROCEDURES W CC 16178 0.65 $25,588.71
34 124-CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH & COMPLEX DIAG 16013 0.65 $10,032.07
35 416-SEPTICEMIA AGE >17 15894 0.64 $15,690.76
36 320-KIDNEY & URINARY TRACT INFECTIONS AGE >17 W CC 15757 0.64 $10,017.78
37 121-CIRCULATORY DISORDERS W AMI & C.V. COMP DISCH ALIVE 15730 0.64 $13,992.22
38 294-DIABETES AGE >35 15724 0.64 $8,618.72
39 015-TRANSIENT ISCHEMIC ATTACK & PRECEREBRAL OCCLUSIONS 15301 0.62 $7,159.89
40 122-CIRCULATORY DISORDERS W AMI W/O C.V. COMP DISCH ALIVE 15234 0.62 $9,452.40
41 215-BACK & NECK PROCEDURES W/O CC 14965 0.60 $7,395.75
42 097-BRONCHITIS & ASTHMA AGE >17 W/O CC 14817 0.60 $4,898.90
43 395-RED BLOOD CELL DISORDERS AGE >17 14750 0.60 $8,816.82
44 470-UNGROUPABLE 14198 0.57 $11,135.43
45 277-CELLULITIS AGE >17 W CC 13013 0.53 $8,973.84
46 475-RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT 12417 0.50 $29,926.52
47 079-RESPIRATORY INFECTIONS & INFLAMMATIONS AGE >17 W CC 12320 0.50 $17,310.33
48 139-CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC 12051 0.49 $4,564.92
49 096-BRONCHITIS & ASTHMA AGE >17 W CC 11688 0.47 $7,050.76
50 478-OTHER VASCULAR PROCEDURES W CC 11500 0.46 $20,059.98
ALL OTHER 1004634 40.61 $12,724.85
TABLE 13B - 1996 SPARCS - TOP 50 PRINCIPAL DIAGNOSTIC CATEGORIES 2
RANK-DIAGNOSTIC CATEGORY AND NAME (ICD-9-CM CODE AND NAME) NUMBER PERCENT AVE CHARGE
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ALL PRINCIPAL DIAGNOSTIC CATEGORIES 2473624 100.00 $9,989.17
1 V30-SINGLE LIVEBORN 240737 9.73 $3,262.90
2 428-HEART FAILURE 64872 2.62 $12,311.22
3 414-OTH CHR ISCHEMIC HRT DIS 64157 2.59 $15,372.80
4 486-PNEUMONIA, ORGANISM NOS 57373 2.32 $11,128.09
5 493-ASTHMA 50891 2.06 $6,042.95
6 304-DRUG DEPENDENCE 49705 2.01 $5,748.66
7 664-PERINEAL TRAUMA W DEL 46480 1.88 $3,052.81
8 410-AMI 45884 1.85 $17,027.14
9 780-GENERAL SYMPTOMS 45027 1.82 $6,929.50
10 786-RESP SYST/OTH CHEST SX 42561 1.72 $4,370.72
11 650-NORMAL DELIVERY 41495 1.68 $2,894.94
12 427-CARDIAC DYSRHYTHMIAS 39578 1.60 $10,267.47
13 296-AFFECTIVE PSYCHOSES 36310 1.47 $14,159.54
14 V58-ENCOUNTER PX/AFTRCR NEC 35326 1.43 $7,091.47
15 303-ALCOHOL DEPENDENCE SYND 34444 1.39 $5,671.82
16 250-DIABETES MELLITUS 33218 1.34 $12,752.42
17 574-CHOLELITHIASIS 33141 1.34 $8,679.65
18 295-SCHIZOPHRENIC DISORDERS 29199 1.18 $20,771.90
19 276-FLUID/ELECTROLYTE DISORD 27969 1.13 $8,640.35
20 996-REPLACEMENT & GRAFT COMP 27880 1.13 $16,063.48
21 042-HIV DISEASE 27227 1.10 $22,113.40
22 V57-REHABILITATION PROCEDURE 26609 1.08 $23,263.70
23 682-OTHER CELLULITIS/ABSCESS 24244 0.98 $8,548.42
24 434-CEREBRAL ARTERY OCCLUS 24000 0.97 $16,241.26
25 411-OTH AC ISCHEMIC HRT DIS 20748 0.84 $6,792.23
26 715-OSTEOARTHROSIS ET AL 20666 0.84 $16,096.47
27 599-OTH URINARY TRACT DISORD 20626 0.83 $9,744.65
28 654-ABN PELVIC ORGAN IN PREG 20582 0.83 $4,504.07
29 648-OTH CURRENT COND IN PREG 20577 0.83 $3,957.17
30 491-CHRONIC BRONCHITIS 20243 0.82 $10,146.99
31 656-OTH FETAL PBX AFF MOTH 20128 0.81 $4,616.92
32 658-OTH AMNIOTIC CAVITY PROB 20088 0.81 $4,488.84
33 820-FRACTURE NECK OF FEMUR 19114 0.77 $17,382.52
34 038-SEPTICEMIA 18597 0.75 $19,415.23
35 644-EARLY/THREATENED LABOR 18142 0.73 $4,421.45
36 722-INTERVERTEBRAL DISC DIS 16600 0.67 $7,201.47
37 218-UTERINE LEIOMYOMA 15883 0.64 $7,166.54
38 560-INTESTINAL OBSTRUCTION 15791 0.64 $12,380.76
39 661-ABNORMAL FORCES OF LABOR 15326 0.62 $4,781.65
40 663-UMBILICAL CORD COMP 14779 0.60 $3,073.61
41 562-DIVERTICULA OF INTESTINE 14233 0.58 $11,515.39
42 435-TRANSIENT CEREB ISCHEMIA 14059 0.57 $7,294.13
43 540-ACUTE APPENDICITIS 13517 0.55 $7,731.82
44 592-RENAL/URETERAL CALCULUS 13025 0.53 $5,316.89
45 558-OTH NONINF GASTROENTERIT 12978 0.52 $4,579.23
46 466-AC BRONCHITIS/BRONCHIOL 12730 0.51 $5,704.31
47 174-MAL NEOPL FEMALE BREAST 11485 0.46 $8,482.27
48 433-PRECEREBRAL OCCLUSION 11272 0.46 $10,626.30
49 482-OTH BACTERIAL PNEUMONIA 11092 0.45 $22,534.38
50 998-OTH SURGICAL COMP NEC 11084 0.45 $12,347.23
ALL OTHER 901932 36.46 $11,574.69
TABLE 13C - 1996 SPARCS - TOP 50 SURGICAL PRINCIPAL PROCEDURE CATEGORIES 3
RANK-SURGICAL PROCEDURE CATEGORY (ICD-9-CM CODE AND NAME) NUMBER PERCENT AVE CHARGE
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ALL SURGICAL PROCEDURE CATEGORIES 1096073 100.00 $12,205.32
1 73-ASSIST/INDUCE DEL NEC 105560 9.63 $3,211.78
2 64-OPERATIONS ON PENIS 76546 6.98 $2,074.69
3 45-INTESTINAL INC/EXC/ANAST 70726 6.45 $15,046.38
4 75-OTHER OBSTETRIC OPS 63906 5.83 $3,312.99
5 74-CD & REMOVAL FETUS 57742 5.27 $6,313.53
6 37-OTH HRT/PERICARDIUM OPS 54853 5.00 $14,934.22
7 81-JOINT REPAIR 45179 4.12 $15,791.08
8 36-OPS ON HEART VESSELS 41663 3.80 $23,864.68
9 86-SKIN & SUBCU OPERATIONS 40802 3.72 $17,309.73
10 51-GB & BILIARY TRACT OPS 39019 3.56 $10,301.34
11 79-REDUCTION FX/DISLOCATION 35148 3.21 $12,241.27
12 39-OTHER OPS ON VESSELS 31879 2.91 $18,289.23
13 68-OTHER UTERINE INC & EXC 31648 2.89 $7,992.88
14 38-VESSEL PROCEDURES NEC 29070 2.65 $20,233.33
15 03-SPINAL CORD & CANAL OPS 25878 2.36 $11,778.45
16 54-OTHER ABDOMEN REGION OPS 18269 1.67 $16,142.93
17 57-URINARY BLADDER OPS 16108 1.47 $10,666.42
18 60-PROS/SEM VESICLES OPS 15998 1.46 $9,530.04
19 80-INC/EXC JOINT STRUCT 15814 1.44 $8,346.80
20 85-OPERATIONS ON THE BREAST 15615 1.42 $7,022.50
21 47-OPERATIONS ON APPENDIX 14406 1.31 $7,329.48
22 72-FORCEP/VACUUM/BREECH DEL 14225 1.30 $3,422.63
23 34-THORAX OPS EXCEPT LUNG 13507 1.23 $17,477.92
24 53-REPAIR OF HERNIA 12963 1.18 $9,334.23
25 69-OTH UTER/SUPP STRUCT OPS 12008 1.10 $4,018.94
26 33-OTHER BRONCHIAL/LUNG OPS 11502 1.05 $23,050.65
27 66-FALLOPIAN TUBE OPERATION 9412 0.86 $4,968.96
28 31-LARYNX/TRACHEA OPS NEC 9008 0.82 $95,708.80
29 43-INC & EXC OF STOMACH 8848 0.81 $26,922.82
30 84-OTHER MUSCULOSKELETAL PX 8359 0.76 $27,752.70
31 55-OPERATIONS ON KIDNEY 7994 0.73 $18,610.03
32 65-OPERATIONS ON OVARY 7209 0.66 $7,792.94
33 41-BONE MARROW & SPLEEN OPS 7090 0.65 $32,565.14
34 83-OTH MUSC/TEND/FASC OP 7077 0.65 $8,656.67
35 01-INC & EXC BRAIN/SKULL 6766 0.62 $28,413.89
36 35-HEART VALVES & SEPTA OPS 6487 0.59 $48,927.84
37 06-THYROID/PARATHYROID OPS 6103 0.56 $6,609.10
38 44-OTHER GASTRIC OPERATIONS 5422 0.49 $19,182.22
39 48-RECTAL & PERIRECTAL OPS 5318 0.49 $15,558.82
40 77-INC/EXC/DIV BONE NEC 5175 0.47 $13,551.44
41 32-LUNG & BRONCHUS EXCISION 5049 0.46 $22,782.88
42 40-LYMPHATIC SYSTEM OPS 4872 0.44 $14,486.30
43 46-OTHER INTESTINAL OPS 4817 0.44 $22,198.20
44 59-OTHER URINARY TRACT OPS 4615 0.42 $8,014.46
45 78-OTHER BONE OPS X FACIAL 4552 0.42 $11,309.06
46 56-OPERATIONS ON URETER 3911 0.36 $8,488.58
47 76-FACIAL BONE & JOINT OPS 3849 0.35 $9,497.48
48 28-TONSIL & ADENOID OPS 3565 0.33 $4,105.83
49 02-OTHER SKULL/BRAIN OPS 3468 0.32 $25,244.94
50 70-VAGINA & CUL-DE-SAC OPS 3445 0.31 $6,364.62
ALL OTHER 43628 3.98 $11,501.08
TABLE 13D - 1996 SPARCS - TOP 50 SURGICAL PROCEDURE CATEGORIES (ANY OCCURRENCE) 4
RANK-SURGICAL PROCEDURE CATEGORY (ICD-9-CM CODE AND NAME) NUMBER PERCENT AVE CHARGE
-----------------------------------------------------------------------------------------------------------------------------
ALL SURGICAL PROCEDURE CATEGORIES 2099860 100.00 $15,523.68
1 75-OTHER OBSTETRIC OPS 226028 10.76 $3,971.12
2 73-ASSIST/INDUCE DEL NEC 192593 9.17 $3,426.49
3 45-INTESTINAL INC/EXC/ANAST 123806 5.90 $20,439.16
4 37-OTH HRT/PERICARDIUM OPS 110975 5.28 $21,398.59
5 39-OTHER OPS ON VESSELS 89384 4.26 $26,625.26
6 86-SKIN & SUBCU OPERATIONS 85326 4.06 $24,328.25
7 64-OPERATIONS ON PENIS 81719 3.89 $3,120.17
8 38-VESSEL PROCEDURES NEC 79187 3.77 $31,947.87
9 36-OPS ON HEART VESSELS 71484 3.40 $24,766.01
10 54-OTHER ABDOMEN REGION OPS 67456 3.21 $19,122.20
11 74-CD & REMOVAL FETUS 57957 2.76 $6,336.61
12 51-GB & BILIARY TRACT OPS 55227 2.63 $13,763.59
13 57-URINARY BLADDER OPS 55045 2.62 $12,962.82
14 03-SPINAL CORD & CANAL OPS 54960 2.62 $16,528.68
15 81-JOINT REPAIR 54616 2.60 $16,022.49
16 79-REDUCTION FX/DISLOCATION 42530 2.03 $13,752.37
17 68-OTHER UTERINE INC & EXC 35809 1.71 $8,383.49
18 34-THORAX OPS EXCEPT LUNG 35160 1.67 $28,055.12
19 65-OPERATIONS ON OVARY 32590 1.55 $8,550.64
20 80-INC/EXC JOINT STRUCT 27262 1.30 $9,946.14
21 66-FALLOPIAN TUBE OPERATION 24068 1.15 $5,397.13
22 33-OTHER BRONCHIAL/LUNG OPS 23571 1.12 $32,261.92
23 85-OPERATIONS ON THE BREAST 22034 1.05 $8,009.56
24 40-LYMPHATIC SYSTEM OPS 21589 1.03 $14,097.83
25 69-OTH UTER/SUPP STRUCT OPS 20371 0.97 $5,505.36
26 47-OPERATIONS ON APPENDIX 19131 0.91 $9,759.03
27 53-REPAIR OF HERNIA 19087 0.91 $12,352.17
28 60-PROS/SEM VESICLES OPS 19000 0.90 $10,533.47
29 77-INC/EXC/DIV BONE NEC 17321 0.82 $17,088.89
30 72-FORCEP/VACUUM/BREECH DEL 16907 0.81 $3,529.47
31 59-OTHER URINARY TRACT OPS 16542 0.79 $10,484.27
32 43-INC & EXC OF STOMACH 16261 0.77 $45,815.24
33 83-OTH MUSC/TEND/FASC OP 15367 0.73 $13,318.05
34 42-OPERATIONS ON ESOPHAGUS 14665 0.70 $23,936.45
35 31-LARYNX/TRACHEA OPS NEC 14589 0.69 $76,300.03
36 46-OTHER INTESTINAL OPS 13185 0.63 $35,718.48
37 41-BONE MARROW & SPLEEN OPS 13050 0.62 $35,033.03
38 70-VAGINA & CUL-DE-SAC OPS 12424 0.59 $7,334.98
39 78-OTHER BONE OPS X FACIAL 12131 0.58 $15,874.15
40 84-OTHER MUSCULOSKELETAL PX 11212 0.53 $33,780.46
41 55-OPERATIONS ON KIDNEY 10588 0.50 $20,832.81
42 48-RECTAL & PERIRECTAL OPS 9673 0.46 $17,371.39
43 44-OTHER GASTRIC OPERATIONS 9548 0.45 $26,035.82
44 01-INC & EXC BRAIN/SKULL 9299 0.44 $33,894.43
45 35-HEART VALVES & SEPTA OPS 8249 0.39 $52,561.27
46 14-POSTERIOR SEGMENT OPS 8134 0.39 $8,173.19
47 56-OPERATIONS ON URETER 7926 0.38 $11,654.15
48 06-THYROID/PARATHYROID OPS 7584 0.36 $8,765.23
49 50-OPERATIONS ON LIVER 7430 0.35 $29,007.59
50 76-FACIAL BONE & JOINT OPS 7302 0.35 $13,110.51
ALL OTHER 92508 4.41 $13,256.11
