TABLE 13A - 1997 SPARCS - TOP 50 FEDERAL DRGS 1
RANK-DRG CODE AND NAME (FEDERAL DRG - TWELFTH REVISION) NUMBER PERCENT AVE CHARGE
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ALL DRGS 2431215 100.00 $11,194.15
1 391-NORMAL NEWBORN 174034 7.16 $1,533.88
2 373-VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES 158463 6.52 $3,800.67
3 430-PSYCHOSES 76281 3.14 $17,774.59
4 127-HEART FAILURE & SHOCK 66138 2.72 $11,190.10
5 435-ALC/DRUG ABUSE OR DEPEND, DETOX OR OTH SYMPT TREAT W/O CC 53717 2.21 $5,951.72
6 089-SIMPLE PNEUMONIA & PLEURISY AGE >17 W CC 42264 1.74 $11,745.73
7 371-CESAREAN SECTION W/O CC 40987 1.69 $6,619.82
8 143-CHEST PAIN 35717 1.47 $4,443.91
9 088-CHRONIC OBSTRUCTIVE PULMONARY DISEASE 34097 1.40 $9,711.90
10 390-NEONATE W OTHER SIGNIFICANT PROBLEMS 33273 1.37 $2,876.51
11 014-SPECIFIC CEREBROVASCULAR DISORDERS EXCEPT TIA 31077 1.28 $15,413.35
12 112-PERCUTANEOUS CARDIOVASCULAR PROCEDURES 30962 1.27 $15,003.45
13 098-BRONCHITIS & ASTHMA AGE 0-17 30570 1.26 $5,030.95
14 462-REHABILITATION 29809 1.23 $22,663.60
15 209-MAJOR JOINT & LIMB REATTACHMENT PROCEDURES OF LOWER EXTREMITY 28728 1.18 $18,477.16
16 182-ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS AGE >17 W CC 25713 1.06 $7,810.82
17 359-UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC 23778 0.98 $6,691.68
18 410-CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS 23045 0.95 $7,464.95
19 174-G.I. HEMORRHAGE W CC 22206 0.91 $10,427.47
20 183-ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS AGE >17 W/O CC 20636 0.85 $5,007.38
21 296-NUTRITIONAL & MISC METABOLIC DISORDERS AGE >17 W CC 19659 0.81 $12,984.90
22 138-CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC 19518 0.80 $9,022.61
23 389-FULL TERM NEONATE W MAJOR PROBLEMS 19423 0.80 $8,551.26
24 372-VAGINAL DELIVERY W COMPLICATING DIAGNOSES 19388 0.80 $5,070.53
25 132-ATHEROSCLEROSIS W CC 18860 0.78 $6,499.13
26 140-ANGINA PECTORIS 18695 0.77 $5,981.36
27 433-ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA 16904 0.70 $3,807.23
28 489-HIV W MAJOR RELATED CONDITION 16814 0.69 $24,977.42
29 148-MAJOR SMALL & LARGE BOWEL PROCEDURES W CC 16565 0.68 $27,955.00
30 124-CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH & COMPLEX DIAG 16441 0.68 $11,111.74
31 416-SEPTICEMIA AGE >17 16173 0.67 $17,295.28
32 215-BACK & NECK PROCEDURES W/O CC 15938 0.66 $8,374.00
33 383-OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS 15832 0.65 $4,894.24
34 294-DIABETES AGE >35 15828 0.65 $9,467.89
35 015-TRANSIENT ISCHEMIC ATTACK & PRECEREBRAL OCCLUSIONS 15808 0.65 $7,936.17
36 121-CIRCULATORY DISORDERS W AMI & C.V. COMP DISCH ALIVE 15447 0.64 $15,193.15
37 320-KIDNEY & URINARY TRACT INFECTIONS AGE >17 W CC 15267 0.63 $11,129.25
38 370-CESAREAN SECTION W CC 14826 0.61 $9,356.76
39 494-LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC 14646 0.60 $6,483.50
40 395-RED BLOOD CELL DISORDERS AGE >17 14570 0.60 $9,951.84
41 122-CIRCULATORY DISORDERS W AMI W/O C.V. COMP DISCH ALIVE 14512 0.60 $10,278.62
42 097-BRONCHITIS & ASTHMA AGE >17 W/O CC 14332 0.59 $5,770.73
43 434-ALC/DRUG ABUSE OR DEPEND, DETOX OR OTH SYMPT TREAT W CC 14252 0.59 $7,982.46
44 475-RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT 13288 0.55 $34,371.25
45 139-CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC 12805 0.53 $5,159.00
46 277-CELLULITIS AGE >17 W CC 12771 0.53 $10,138.69
47 478-OTHER VASCULAR PROCEDURES W CC 12193 0.50 $22,533.82
48 079-RESPIRATORY INFECTIONS & INFLAMMATIONS AGE >17 W CC 12115 0.50 $19,721.87
49 426-DEPRESSIVE NEUROSES 11933 0.49 $6,683.68
50 141-SYNCOPE & COLLAPSE W CC 11603 0.48 $8,179.63
ALL OTHER 983314 40.45 $14,350.27
TABLE 13B - 1997 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 2431215 100.00 $11,194.15
1 V30-SINGLE LIVEBORN 233688 9.61 $3,737.39
2 414-OTH CHR ISCHEMIC HRT DIS 69757 2.87 $16,463.74
3 428-HEART FAILURE 65174 2.68 $13,570.48
4 486-PNEUMONIA, ORGANISM NOS 56223 2.31 $12,747.22
5 493-ASTHMA 48867 2.01 $7,073.39
6 664-PERINEAL TRAUMA W DEL 47290 1.95 $3,781.44
7 410-AMI 45655 1.88 $18,925.00
8 780-GENERAL SYMPTOMS 45569 1.87 $7,914.37
9 786-RESP SYST/OTH CHEST SX 45426 1.87 $4,881.05
10 304-DRUG DEPENDENCE 42494 1.75 $6,120.02
11 427-CARDIAC DYSRHYTHMIAS 40839 1.68 $11,362.03
12 296-AFFECTIVE PSYCHOSES 38463 1.58 $14,736.68
13 650-NORMAL DELIVERY 38283 1.57 $3,577.32
14 250-DIABETES MELLITUS 33176 1.36 $13,966.96
15 303-ALCOHOL DEPENDENCE SYND 32978 1.36 $6,153.45
16 V57-REHABILITATION PROCEDURE 30391 1.25 $23,152.66
17 295-SCHIZOPHRENIC DISORDERS 30354 1.25 $22,834.45
18 V58-ENCOUNTER PX/AFTRCR NEC 29928 1.23 $8,806.83
19 574-CHOLELITHIASIS 29525 1.21 $10,011.92
20 276-FLUID/ELECTROLYTE DISORD 29393 1.21 $9,356.94
21 996-REPLACEMENT & GRAFT COMP 26477 1.09 $18,137.24
22 682-OTHER CELLULITIS/ABSCESS 24453 1.01 $9,707.76
23 434-CEREBRAL ARTERY OCCLUS 23021 0.95 $17,307.12
24 715-OSTEOARTHROSIS ET AL 21895 0.90 $16,676.26
25 491-CHRONIC BRONCHITIS 21110 0.87 $11,265.22
26 599-OTH URINARY TRACT DISORD 20610 0.85 $10,831.48
27 654-ABN PELVIC ORGAN IN PREG 20202 0.83 $5,423.76
28 038-SEPTICEMIA 19529 0.80 $21,650.58
29 658-OTH AMNIOTIC CAVITY PROB 19187 0.79 $5,520.15
30 656-OTH FETAL PBX AFF MOTH 18934 0.78 $5,503.12
31 820-FRACTURE NECK OF FEMUR 18862 0.78 $18,662.09
32 042-HIV DISEASE 18627 0.77 $25,826.99
33 648-OTH CURRENT COND IN PREG 18174 0.75 $4,736.08
34 411-OTH AC ISCHEMIC HRT DIS 17596 0.72 $7,343.40
35 722-INTERVERTEBRAL DISC DIS 17114 0.70 $8,119.34
36 644-EARLY/THREATENED LABOR 16754 0.69 $5,361.84
37 218-UTERINE LEIOMYOMA 16252 0.67 $7,916.84
38 560-INTESTINAL OBSTRUCTION 16004 0.66 $14,015.70
39 562-DIVERTICULA OF INTESTINE 15125 0.62 $12,338.17
40 661-ABNORMAL FORCES OF LABOR 14855 0.61 $5,652.22
41 540-ACUTE APPENDICITIS 14272 0.59 $8,575.16
42 663-UMBILICAL CORD COMP 14185 0.58 $3,837.37
43 435-TRANSIENT CEREB ISCHEMIA 14117 0.58 $7,991.97
44 466-AC BRONCHITIS/BRONCHIOL 13082 0.54 $6,328.45
45 592-RENAL/URETERAL CALCULUS 12996 0.53 $5,973.52
46 558-OTH NONINF GASTROENTERIT 12965 0.53 $5,245.06
47 998-OTH SURGICAL COMP NEC 12182 0.50 $14,125.27
48 433-PRECEREBRAL OCCLUSION 11379 0.47 $11,261.50
49 789-OTH ABDOMEN/PELVIS SX 11256 0.46 $5,102.46
50 174-MAL NEOPL FEMALE BREAST 10762 0.44 $9,151.91
ALL OTHER 885765 36.43 $13,250.50
TABLE 13C - 1997 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 1074802 100.00 $13,688.50
1 73-ASSIST/INDUCE DEL NEC 100363 9.34 $3,880.83
2 64-OPERATIONS ON PENIS 73734 6.86 $2,355.26
3 45-INTESTINAL INC/EXC/ANAST 71860 6.69 $16,290.42
4 75-OTHER OBSTETRIC OPS 63886 5.94 $4,138.97
5 37-OTH HRT/PERICARDIUM OPS 57121 5.31 $16,451.60
6 74-CD & REMOVAL FETUS 55780 5.19 $7,348.67
7 81-JOINT REPAIR 47251 4.40 $16,946.93
8 36-OPS ON HEART VESSELS 44885 4.18 $25,301.01
9 86-SKIN & SUBCU OPERATIONS 39876 3.71 $18,957.79
10 51-GB & BILIARY TRACT OPS 35568 3.31 $11,987.26
11 79-REDUCTION FX/DISLOCATION 33564 3.12 $13,865.08
12 39-OTHER OPS ON VESSELS 32388 3.01 $19,993.95
13 68-OTHER UTERINE INC & EXC 32032 2.98 $8,688.59
14 38-VESSEL PROCEDURES NEC 30267 2.82 $21,247.69
15 03-SPINAL CORD & CANAL OPS 24281 2.26 $12,681.95
16 54-OTHER ABDOMEN REGION OPS 17401 1.62 $18,827.87
17 80-INC/EXC JOINT STRUCT 15626 1.45 $9,255.07
18 60-PROS/SEM VESICLES OPS 15434 1.44 $10,093.87
19 47-OPERATIONS ON APPENDIX 15378 1.43 $8,243.81
20 57-URINARY BLADDER OPS 15259 1.42 $11,797.52
21 85-OPERATIONS ON THE BREAST 14739 1.37 $7,603.82
22 34-THORAX OPS EXCEPT LUNG 13541 1.26 $19,159.40
23 72-FORCEP/VACUUM/BREECH DEL 13140 1.22 $4,125.89
24 53-REPAIR OF HERNIA 12223 1.14 $10,525.43
25 33-OTHER BRONCHIAL/LUNG OPS 10275 0.96 $25,049.79
26 69-OTH UTER/SUPP STRUCT OPS 10158 0.95 $5,020.49
27 31-LARYNX/TRACHEA OPS NEC 9061 0.84 $107,417.10
28 43-INC & EXC OF STOMACH 8827 0.82 $28,545.98
29 66-FALLOPIAN TUBE OPERATION 8720 0.81 $5,708.62
30 84-OTHER MUSCULOSKELETAL PX 8237 0.77 $29,462.95
31 55-OPERATIONS ON KIDNEY 8179 0.76 $20,329.16
32 35-HEART VALVES & SEPTA OPS 7252 0.67 $52,514.30
33 83-OTH MUSC/TEND/FASC OP 6975 0.65 $10,375.63
34 65-OPERATIONS ON OVARY 6952 0.65 $8,436.89
35 01-INC & EXC BRAIN/SKULL 6751 0.63 $30,699.15
36 41-BONE MARROW & SPLEEN OPS 6603 0.61 $35,810.41
37 06-THYROID/PARATHYROID OPS 6103 0.57 $7,155.05
38 44-OTHER GASTRIC OPERATIONS 5557 0.52 $20,341.30
39 48-RECTAL & PERIRECTAL OPS 5311 0.49 $16,839.82
40 32-LUNG & BRONCHUS EXCISION 5189 0.48 $24,689.10
41 77-INC/EXC/DIV BONE NEC 5003 0.47 $15,221.13
42 46-OTHER INTESTINAL OPS 4925 0.46 $23,727.06
43 59-OTHER URINARY TRACT OPS 4838 0.45 $8,391.06
44 40-LYMPHATIC SYSTEM OPS 4426 0.41 $16,067.58
45 78-OTHER BONE OPS X FACIAL 4226 0.39 $13,618.12
46 56-OPERATIONS ON URETER 3882 0.36 $9,349.19
47 02-OTHER SKULL/BRAIN OPS 3593 0.33 $27,111.85
48 70-VAGINA & CUL-DE-SAC OPS 3472 0.32 $6,755.86
49 76-FACIAL BONE & JOINT OPS 3444 0.32 $11,049.23
50 50-OPERATIONS ON LIVER 3442 0.32 $33,648.10
ALL OTHER 37804 3.52 $11,079.79
TABLE 13D - 1997 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 2055918 100.00 $17,381.53
1 75-OTHER OBSTETRIC OPS 215592 10.49 $4,755.34
2 73-ASSIST/INDUCE DEL NEC 186004 9.05 $4,127.46
3 45-INTESTINAL INC/EXC/ANAST 125555 6.11 $22,065.20
4 37-OTH HRT/PERICARDIUM OPS 118325 5.76 $23,102.37
5 39-OTHER OPS ON VESSELS 90097 4.38 $28,984.18
6 36-OPS ON HEART VESSELS 83330 4.05 $25,929.96
7 86-SKIN & SUBCU OPERATIONS 82660 4.02 $26,382.17
8 38-VESSEL PROCEDURES NEC 80769 3.93 $34,466.44
9 64-OPERATIONS ON PENIS 78934 3.84 $3,523.43
10 54-OTHER ABDOMEN REGION OPS 60823 2.96 $21,745.70
11 81-JOINT REPAIR 56608 2.75 $17,334.21
12 74-CD & REMOVAL FETUS 55986 2.72 $7,361.30
13 03-SPINAL CORD & CANAL OPS 52713 2.56 $17,797.34
14 51-GB & BILIARY TRACT OPS 51380 2.50 $15,944.22
15 57-URINARY BLADDER OPS 50658 2.46 $14,423.73
16 79-REDUCTION FX/DISLOCATION 40820 1.99 $15,830.04
17 68-OTHER UTERINE INC & EXC 36010 1.75 $9,185.81
18 34-THORAX OPS EXCEPT LUNG 34812 1.69 $31,794.15
19 65-OPERATIONS ON OVARY 32042 1.56 $9,344.46
20 80-INC/EXC JOINT STRUCT 27244 1.33 $11,195.95
21 66-FALLOPIAN TUBE OPERATION 22361 1.09 $6,255.87
22 33-OTHER BRONCHIAL/LUNG OPS 21976 1.07 $35,919.76
23 40-LYMPHATIC SYSTEM OPS 20787 1.01 $15,322.41
24 85-OPERATIONS ON THE BREAST 20601 1.00 $8,809.98
25 47-OPERATIONS ON APPENDIX 19942 0.97 $10,498.86
26 53-REPAIR OF HERNIA 18464 0.90 $13,683.73
27 60-PROS/SEM VESICLES OPS 18134 0.88 $10,959.87
28 69-OTH UTER/SUPP STRUCT OPS 17244 0.84 $6,467.04
29 59-OTHER URINARY TRACT OPS 17127 0.83 $11,468.12
30 77-INC/EXC/DIV BONE NEC 16956 0.82 $18,387.71
31 43-INC & EXC OF STOMACH 16771 0.82 $49,824.84
32 72-FORCEP/VACUUM/BREECH DEL 15815 0.77 $4,276.09
33 42-OPERATIONS ON ESOPHAGUS 15682 0.76 $26,117.26
34 83-OTH MUSC/TEND/FASC OP 15203 0.74 $14,963.40
35 31-LARYNX/TRACHEA OPS NEC 14258 0.69 $87,139.03
36 46-OTHER INTESTINAL OPS 13207 0.64 $38,160.39
37 70-VAGINA & CUL-DE-SAC OPS 12438 0.60 $7,838.38
38 41-BONE MARROW & SPLEEN OPS 11874 0.58 $37,976.27
39 78-OTHER BONE OPS X FACIAL 11419 0.56 $18,678.88
40 84-OTHER MUSCULOSKELETAL PX 11007 0.54 $36,052.19
41 55-OPERATIONS ON KIDNEY 10646 0.52 $22,958.57
42 48-RECTAL & PERIRECTAL OPS 9533 0.46 $19,027.51
43 44-OTHER GASTRIC OPERATIONS 9430 0.46 $27,749.31
44 01-INC & EXC BRAIN/SKULL 9219 0.45 $36,858.63
45 35-HEART VALVES & SEPTA OPS 9019 0.44 $57,287.91
46 56-OPERATIONS ON URETER 7776 0.38 $12,513.88
47 06-THYROID/PARATHYROID OPS 7526 0.37 $9,153.44
48 50-OPERATIONS ON LIVER 7503 0.36 $33,542.25
49 76-FACIAL BONE & JOINT OPS 6540 0.32 $14,634.46
50 02-OTHER SKULL/BRAIN OPS 6331 0.31 $40,909.47
ALL OTHER 80767 3.93 $13,117.26
