001 |
1 |
Liver transplant &/or intestinal transplant |
6.1633 |
22 |
$626,969 |
001 |
2 |
Liver transplant &/or intestinal transplant |
6.1633 |
22 |
$626,969 |
001 |
3 |
Liver transplant &/or intestinal transplant |
8.3665 |
22 |
$626,969 |
001 |
4 |
Liver transplant &/or intestinal transplant |
17.5054 |
22 |
$626,969 |
002 |
1 |
Heart &/or lung transplant |
12.1001 |
53 |
$2,562,294 |
002 |
2 |
Heart &/or lung transplant |
12.8458 |
53 |
$2,562,294 |
002 |
3 |
Heart &/or lung transplant |
15.0688 |
53 |
$2,562,294 |
002 |
4 |
Heart &/or lung transplant |
34.8934 |
53 |
$2,562,294 |
003 |
1 |
Bone marrow transplant |
6.6256 |
28 |
$604,379 |
003 |
2 |
Bone marrow transplant |
7.7606 |
28 |
$604,379 |
003 |
3 |
Bone marrow transplant |
11.8231 |
28 |
$604,379 |
003 |
4 |
Bone marrow transplant |
22.4103 |
28 |
$604,379 |
004 |
1 |
Tracheostomy w MV 96+ hours w extensive procedure or ECMO |
7.1886 |
47 |
$1,071,974 |
004 |
2 |
Tracheostomy w MV 96+ hours w extensive procedure or ECMO |
7.1886 |
47 |
$1,071,974 |
004 |
3 |
Tracheostomy w MV 96+ hours w extensive procedure or ECMO |
10.0706 |
47 |
$1,071,974 |
004 |
4 |
Tracheostomy w MV 96+ hours w extensive procedure or ECMO |
18.0721 |
47 |
$1,071,974 |
005 |
1 |
Tracheostomy w MV 96+ hours w/o extensive procedure |
5.6961 |
44 |
$666,101 |
005 |
2 |
Tracheostomy w MV 96+ hours w/o extensive procedure |
5.8436 |
44 |
$666,101 |
005 |
3 |
Tracheostomy w MV 96+ hours w/o extensive procedure |
9.2327 |
44 |
$666,101 |
005 |
4 |
Tracheostomy w MV 96+ hours w/o extensive procedure |
13.7895 |
44 |
$666,101 |
006 |
1 |
Pancreas transplant |
5.0554 |
9 |
$418,535 |
006 |
2 |
Pancreas transplant |
5.0554 |
9 |
$418,535 |
006 |
3 |
Pancreas transplant |
7.3142 |
9 |
$418,535 |
006 |
4 |
Pancreas transplant |
7.6389 |
9 |
$418,535 |
020 |
1 |
Craniotomy for trauma |
1.7856 |
9 |
$177,338 |
020 |
2 |
Craniotomy for trauma |
2.2554 |
9 |
$177,338 |
020 |
3 |
Craniotomy for trauma |
3.5424 |
9 |
$177,338 |
020 |
4 |
Craniotomy for trauma |
6.6900 |
9 |
$177,338 |
021 |
1 |
Craniotomy except for trauma |
1.8941 |
8 |
$211,794 |
021 |
2 |
Craniotomy except for trauma |
2.6772 |
8 |
$211,794 |
021 |
3 |
Craniotomy except for trauma |
4.3319 |
8 |
$211,794 |
021 |
4 |
Craniotomy except for trauma |
7.2414 |
8 |
$211,794 |
022 |
1 |
Ventricular shunt procedures |
1.2748 |
5 |
$94,385 |
022 |
2 |
Ventricular shunt procedures |
1.6300 |
5 |
$94,385 |
022 |
3 |
Ventricular shunt procedures |
2.6720 |
5 |
$94,385 |
022 |
4 |
Ventricular shunt procedures |
5.3875 |
5 |
$94,385 |
023 |
1 |
Spinal procedures |
1.6410 |
6 |
$157,615 |
023 |
2 |
Spinal procedures |
2.2060 |
6 |
$157,615 |
023 |
3 |
Spinal procedures |
4.2964 |
6 |
$157,615 |
023 |
4 |
Spinal procedures |
8.0821 |
6 |
$157,615 |
024 |
1 |
Extracranial vascular procedures |
1.5017 |
4 |
$161,861 |
024 |
2 |
Extracranial vascular procedures |
2.1305 |
4 |
$161,861 |
024 |
3 |
Extracranial vascular procedures |
3.6903 |
4 |
$161,861 |
024 |
4 |
Extracranial vascular procedures |
6.7936 |
4 |
$161,861 |
026 |
1 |
Other nervous system & related procedures |
1.2267 |
5 |
$109,853 |
026 |
2 |
Other nervous system & related procedures |
1.7960 |
5 |
$109,853 |
026 |
3 |
Other nervous system & related procedures |
2.6684 |
5 |
$109,853 |
026 |
4 |
Other nervous system & related procedures |
6.2759 |
5 |
$109,853 |
040 |
1 |
Spinal disorders & injuries |
0.8159 |
6 |
$81,664 |
040 |
2 |
Spinal disorders & injuries |
1.2843 |
6 |
$81,664 |
040 |
3 |
Spinal disorders & injuries |
2.2965 |
6 |
$81,664 |
040 |
4 |
Spinal disorders & injuries |
2.7160 |
6 |
$81,664 |
041 |
1 |
Nervous system malignancy |
0.7508 |
6 |
$86,311 |
041 |
2 |
Nervous system malignancy |
0.8664 |
6 |
$86,311 |
041 |
3 |
Nervous system malignancy |
1.4739 |
6 |
$86,311 |
041 |
4 |
Nervous system malignancy |
2.7313 |
6 |
$86,311 |
042 |
1 |
Degenerative nervous system disorders exc mult sclerosis |
0.6372 |
6 |
$68,318 |
042 |
2 |
Degenerative nervous system disorders exc mult sclerosis |
0.8827 |
6 |
$68,318 |
042 |
3 |
Degenerative nervous system disorders exc mult sclerosis |
1.8257 |
6 |
$68,318 |
042 |
4 |
Degenerative nervous system disorders exc mult sclerosis |
1.9434 |
6 |
$68,318 |
043 |
1 |
Multiple sclerosis & other demyelinating diseases |
0.7839 |
5 |
$49,845 |
043 |
2 |
Multiple sclerosis & other demyelinating diseases |
1.0748 |
5 |
$49,845 |
043 |
3 |
Multiple sclerosis & other demyelinating diseases |
2.2581 |
5 |
$49,845 |
043 |
4 |
Multiple sclerosis & other demyelinating diseases |
5.9177 |
5 |
$49,845 |
044 |
1 |
Intracranial hemorrhage |
1.0001 |
7 |
$129,442 |
044 |
2 |
Intracranial hemorrhage |
1.4631 |
7 |
$129,442 |
044 |
3 |
Intracranial hemorrhage |
2.1155 |
7 |
$129,442 |
044 |
4 |
Intracranial hemorrhage |
2.7787 |
7 |
$129,442 |
045 |
1 |
CVA & precerebral occlusion w infarct |
0.7973 |
5 |
$70,979 |
045 |
2 |
CVA & precerebral occlusion w infarct |
1.1113 |
5 |
$70,979 |
045 |
3 |
CVA & precerebral occlusion w infarct |
1.7213 |
5 |
$70,979 |
045 |
4 |
CVA & precerebral occlusion w infarct |
3.4202 |
5 |
$70,979 |
046 |
1 |
Nonspecific CVA & precerebral occlusion w/o infarct |
0.6315 |
4 |
$48,485 |
046 |
2 |
Nonspecific CVA & precerebral occlusion w/o infarct |
0.8484 |
4 |
$48,485 |
046 |
3 |
Nonspecific CVA & precerebral occlusion w/o infarct |
1.1058 |
4 |
$48,485 |
046 |
4 |
Nonspecific CVA & precerebral occlusion w/o infarct |
1.1555 |
4 |
$48,485 |
047 |
1 |
Transient ischemia |
0.5134 |
2 |
$27,786 |
047 |
2 |
Transient ischemia |
0.6329 |
2 |
$27,786 |
047 |
3 |
Transient ischemia |
0.8756 |
2 |
$27,786 |
047 |
4 |
Transient ischemia |
0.8965 |
2 |
$27,786 |
048 |
1 |
Peripheral, cranial & autonomic nerve disorders |
0.5538 |
4 |
$40,850 |
048 |
2 |
Peripheral, cranial & autonomic nerve disorders |
0.7393 |
4 |
$40,850 |
048 |
3 |
Peripheral, cranial & autonomic nerve disorders |
1.1061 |
4 |
$40,850 |
048 |
4 |
Peripheral, cranial & autonomic nerve disorders |
3.4843 |
4 |
$40,850 |
049 |
1 |
Bacterial & tuberculous infections of nervous system |
1.1648 |
9 |
$163,210 |
049 |
2 |
Bacterial & tuberculous infections of nervous system |
2.4891 |
9 |
$163,210 |
049 |
3 |
Bacterial & tuberculous infections of nervous system |
3.2005 |
9 |
$163,210 |
049 |
4 |
Bacterial & tuberculous infections of nervous system |
5.9675 |
9 |
$163,210 |
050 |
1 |
Non–bacterial infections of nervous system exc viral meningitis |
0.7505 |
7 |
$114,573 |
050 |
2 |
Non–bacterial infections of nervous system exc viral meningitis |
1.3525 |
7 |
$114,573 |
050 |
3 |
Non–bacterial infections of nervous system exc viral meningitis |
2.2046 |
7 |
$114,573 |
050 |
4 |
Non–bacterial infections of nervous system exc viral meningitis |
5.3465 |
7 |
$114,573 |
051 |
1 |
Viral meningitis |
0.6172 |
4 |
$35,920 |
051 |
2 |
Viral meningitis |
0.7832 |
4 |
$35,920 |
051 |
3 |
Viral meningitis |
1.5168 |
4 |
$35,920 |
051 |
4 |
Viral meningitis |
1.7309 |
4 |
$35,920 |
052 |
1 |
Nontraumatic stupor & coma |
0.5553 |
4 |
$42,579 |
052 |
2 |
Nontraumatic stupor & coma |
0.7268 |
4 |
$42,579 |
052 |
3 |
Nontraumatic stupor & coma |
1.0023 |
4 |
$42,579 |
052 |
4 |
Nontraumatic stupor & coma |
2.2772 |
4 |
$42,579 |
053 |
1 |
Seizure |
0.4880 |
3 |
$36,007 |
053 |
2 |
Seizure |
0.5821 |
3 |
$36,007 |
053 |
3 |
Seizure |
0.8199 |
3 |
$36,007 |
053 |
4 |
Seizure |
2.6769 |
3 |
$36,007 |
054 |
1 |
Migraine & other headaches |
0.4921 |
2 |
$29,543 |
054 |
2 |
Migraine & other headaches |
0.6122 |
2 |
$29,543 |
054 |
3 |
Migraine & other headaches |
0.7899 |
2 |
$29,543 |
054 |
4 |
Migraine & other headaches |
0.8044 |
2 |
$29,543 |
055 |
1 |
Head trauma w coma >1 hr or hemorrhage |
0.5569 |
4 |
$57,297 |
055 |
2 |
Head trauma w coma >1 hr or hemorrhage |
0.8775 |
4 |
$57,297 |
055 |
3 |
Head trauma w coma >1 hr or hemorrhage |
1.5008 |
4 |
$57,297 |
055 |
4 |
Head trauma w coma >1 hr or hemorrhage |
3.3832 |
4 |
$57,297 |
056 |
1 |
Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma |
0.5193 |
4 |
$51,662 |
056 |
2 |
Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma |
0.8016 |
4 |
$51,662 |
056 |
3 |
Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma |
1.4267 |
4 |
$51,662 |
056 |
4 |
Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma |
3.8040 |
4 |
$51,662 |
057 |
1 |
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma |
0.3969 |
2 |
$23,221 |
057 |
2 |
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma |
0.5399 |
2 |
$23,221 |
057 |
3 |
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma |
0.9684 |
2 |
$23,221 |
057 |
4 |
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma |
2.9538 |
2 |
$23,221 |
058 |
1 |
Other disorders of nervous system |
0.5385 |
3 |
$42,765 |
058 |
2 |
Other disorders of nervous system |
0.7829 |
3 |
$42,765 |
058 |
3 |
Other disorders of nervous system |
1.2643 |
3 |
$42,765 |
058 |
4 |
Other disorders of nervous system |
3.3883 |
3 |
$42,765 |
070 |
1 |
Orbital procedures |
0.8042 |
3 |
$58,458 |
070 |
2 |
Orbital procedures |
1.2338 |
3 |
$58,458 |
070 |
3 |
Orbital procedures |
2.0389 |
3 |
$58,458 |
070 |
4 |
Orbital procedures |
2.3207 |
3 |
$58,458 |
073 |
1 |
Eye procedures except orbit |
0.6590 |
3 |
$47,190 |
073 |
2 |
Eye procedures except orbit |
0.8460 |
3 |
$47,190 |
073 |
3 |
Eye procedures except orbit |
2.4648 |
3 |
$47,190 |
073 |
4 |
Eye procedures except orbit |
2.5766 |
3 |
$47,190 |
080 |
1 |
Acute major eye infections |
0.5497 |
4 |
$39,537 |
080 |
2 |
Acute major eye infections |
0.7023 |
4 |
$39,537 |
080 |
3 |
Acute major eye infections |
1.2112 |
4 |
$39,537 |
080 |
4 |
Acute major eye infections |
1.3520 |
4 |
$39,537 |
082 |
1 |
Eye disorders except major infections |
0.4895 |
3 |
$33,324 |
082 |
2 |
Eye disorders except major infections |
0.5935 |
3 |
$33,324 |
082 |
3 |
Eye disorders except major infections |
1.0261 |
3 |
$33,324 |
082 |
4 |
Eye disorders except major infections |
1.0549 |
3 |
$33,324 |
089 |
1 |
Major cranial/facial bone procedures |
1.3634 |
5 |
$142,109 |
089 |
2 |
Major cranial/facial bone procedures |
2.1622 |
5 |
$142,109 |
089 |
3 |
Major cranial/facial bone procedures |
3.8100 |
5 |
$142,109 |
089 |
4 |
Major cranial/facial bone procedures |
6.8186 |
5 |
$142,109 |
090 |
1 |
Major larynx & trachea procedures |
0.7586 |
11 |
$245,908 |
090 |
2 |
Major larynx & trachea procedures |
2.2721 |
11 |
$245,908 |
090 |
3 |
Major larynx & trachea procedures |
4.0866 |
11 |
$245,908 |
090 |
4 |
Major larynx & trachea procedures |
11.2304 |
11 |
$245,908 |
091 |
1 |
Other major head & neck procedures |
1.3346 |
4 |
$170,472 |
091 |
2 |
Other major head & neck procedures |
2.8490 |
4 |
$170,472 |
091 |
3 |
Other major head & neck procedures |
3.6846 |
4 |
$170,472 |
091 |
4 |
Other major head & neck procedures |
4.1427 |
4 |
$170,472 |
092 |
1 |
Facial bone procedures except major cranial/facial bone procedures |
1.0516 |
3 |
$59,798 |
092 |
2 |
Facial bone procedures except major cranial/facial bone procedures |
1.3645 |
3 |
$59,798 |
092 |
3 |
Facial bone procedures except major cranial/facial bone procedures |
2.1792 |
3 |
$59,798 |
092 |
4 |
Facial bone procedures except major cranial/facial bone procedures |
7.3534 |
3 |
$59,798 |
093 |
1 |
Sinus & mastoid procedures |
0.8970 |
3 |
$57,671 |
093 |
2 |
Sinus & mastoid procedures |
1.2338 |
3 |
$57,671 |
093 |
3 |
Sinus & mastoid procedures |
2.3681 |
3 |
$57,671 |
093 |
4 |
Sinus & mastoid procedures |
2.7810 |
3 |
$57,671 |
095 |
1 |
Cleft lip & palate repair |
0.7169 |
2 |
$37,240 |
095 |
2 |
Cleft lip & palate repair |
0.9070 |
2 |
$37,240 |
095 |
3 |
Cleft lip & palate repair |
1.3864 |
2 |
$37,240 |
095 |
4 |
Cleft lip & palate repair |
2.5435 |
2 |
$37,240 |
097 |
1 |
Tonsil & adenoid procedures |
0.4842 |
2 |
$28,741 |
097 |
2 |
Tonsil & adenoid procedures |
0.6906 |
2 |
$28,741 |
097 |
3 |
Tonsil & adenoid procedures |
1.4791 |
2 |
$28,741 |
097 |
4 |
Tonsil & adenoid procedures |
3.9742 |
2 |
$28,741 |
098 |
1 |
Other ear, nose, mouth & throat procedures |
0.6847 |
3 |
$43,531 |
098 |
2 |
Other ear, nose, mouth & throat procedures |
0.9753 |
3 |
$43,531 |
098 |
3 |
Other ear, nose, mouth & throat procedures |
1.8633 |
3 |
$43,531 |
098 |
4 |
Other ear, nose, mouth & throat procedures |
4.1615 |
3 |
$43,531 |
110 |
1 |
Ear, nose, mouth, throat, cranial/facial malignancies |
0.7172 |
8 |
$110,787 |
110 |
2 |
Ear, nose, mouth, throat, cranial/facial malignancies |
0.9025 |
8 |
$110,787 |
110 |
3 |
Ear, nose, mouth, throat, cranial/facial malignancies |
1.7735 |
8 |
$110,787 |
110 |
4 |
Ear, nose, mouth, throat, cranial/facial malignancies |
3.6277 |
8 |
$110,787 |
111 |
1 |
Vertigo & other labyrinth disorders |
0.4378 |
2 |
$25,410 |
111 |
2 |
Vertigo & other labyrinth disorders |
0.5417 |
2 |
$25,410 |
111 |
3 |
Vertigo & other labyrinth disorders |
0.7626 |
2 |
$25,410 |
111 |
4 |
Vertigo & other labyrinth disorders |
0.7765 |
2 |
$25,410 |
113 |
1 |
Infections of upper respiratory tract |
0.3881 |
2 |
$26,399 |
113 |
2 |
Infections of upper respiratory tract |
0.4974 |
2 |
$26,399 |
113 |
3 |
Infections of upper respiratory tract |
0.7786 |
2 |
$26,399 |
113 |
4 |
Infections of upper respiratory tract |
2.0864 |
2 |
$26,399 |
114 |
1 |
Dental & oral diseases & injuries |
0.4787 |
3 |
$36,228 |
114 |
2 |
Dental & oral diseases & injuries |
0.6054 |
3 |
$36,228 |
114 |
3 |
Dental & oral diseases & injuries |
1.1998 |
3 |
$36,228 |
114 |
4 |
Dental & oral diseases & injuries |
2.4676 |
3 |
$36,228 |
115 |
1 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
0.4416 |
3 |
$32,482 |
115 |
2 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
0.6014 |
3 |
$32,482 |
115 |
3 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
0.9930 |
3 |
$32,482 |
115 |
4 |
Other ear, nose, mouth,throat & cranial/facial diagnoses |
2.6218 |
3 |
$32,482 |
120 |
1 |
Major respiratory & chest procedures |
1.7327 |
8 |
$108,276 |
120 |
2 |
Major respiratory & chest procedures |
2.1111 |
8 |
$108,276 |
120 |
3 |
Major respiratory & chest procedures |
3.3643 |
8 |
$108,276 |
120 |
4 |
Major respiratory & chest procedures |
6.0908 |
8 |
$108,276 |
121 |
1 |
Other respiratory & chest procedures |
1.2087 |
7 |
$99,669 |
121 |
2 |
Other respiratory & chest procedures |
1.6274 |
7 |
$99,669 |
121 |
3 |
Other respiratory & chest procedures |
2.8436 |
7 |
$99,669 |
121 |
4 |
Other respiratory & chest procedures |
6.0571 |
7 |
$99,669 |
130 |
1 |
Respiratory system diagnosis w ventilator support 96+ hours |
3.4302 |
16 |
$267,698 |
130 |
2 |
Respiratory system diagnosis w ventilator support 96+ hours |
3.4302 |
16 |
$267,698 |
130 |
3 |
Respiratory system diagnosis w ventilator support 96+ hours |
4.2794 |
16 |
$267,698 |
130 |
4 |
Respiratory system diagnosis w ventilator support 96+ hours |
6.0728 |
16 |
$267,698 |
131 |
1 |
Cystic fibrosis – pulmonary disease |
1.3800 |
9 |
$137,198 |
131 |
2 |
Cystic fibrosis – pulmonary disease |
1.7298 |
9 |
$137,198 |
131 |
3 |
Cystic fibrosis – pulmonary disease |
2.5534 |
9 |
$137,198 |
131 |
4 |
Cystic fibrosis – pulmonary disease |
2.7335 |
9 |
$137,198 |
132 |
1 |
BPD & oth chronic respiratory diseases arising in perinatal period |
0.5902 |
5 |
$80,418 |
132 |
2 |
BPD & oth chronic respiratory diseases arising in perinatal period |
0.7843 |
5 |
$80,418 |
132 |
3 |
BPD & oth chronic respiratory diseases arising in perinatal period |
1.3177 |
5 |
$80,418 |
132 |
4 |
BPD & oth chronic respiratory diseases arising in perinatal period |
2.4008 |
5 |
$80,418 |
133 |
1 |
Respiratory Failure |
0.9215 |
5 |
$77,978 |
133 |
2 |
Respiratory Failure |
0.9234 |
5 |
$77,978 |
133 |
3 |
Respiratory Failure |
1.3668 |
5 |
$77,978 |
133 |
4 |
Respiratory Failure |
2.0171 |
5 |
$77,978 |
134 |
1 |
Pulmonary embolism |
0.7047 |
5 |
$51,936 |
134 |
2 |
Pulmonary embolism |
0.9351 |
5 |
$51,936 |
134 |
3 |
Pulmonary embolism |
1.5094 |
5 |
$51,936 |
134 |
4 |
Pulmonary embolism |
2.5564 |
5 |
$51,936 |
135 |
1 |
Major chest & respiratory trauma |
0.5176 |
3 |
$39,132 |
135 |
2 |
Major chest & respiratory trauma |
0.7209 |
3 |
$39,132 |
135 |
3 |
Major chest & respiratory trauma |
1.2267 |
3 |
$39,132 |
135 |
4 |
Major chest & respiratory trauma |
1.8157 |
3 |
$39,132 |
136 |
1 |
Respiratory malignancy |
0.5690 |
7 |
$86,968 |
136 |
2 |
Respiratory malignancy |
0.9039 |
7 |
$86,968 |
136 |
3 |
Respiratory malignancy |
1.5597 |
7 |
$86,968 |
136 |
4 |
Respiratory malignancy |
2.2936 |
7 |
$86,968 |
137 |
1 |
Major respiratory infections & inflammations |
0.6958 |
7 |
$86,931 |
137 |
2 |
Major respiratory infections & inflammations |
1.0308 |
7 |
$86,931 |
137 |
3 |
Major respiratory infections & inflammations |
1.6768 |
7 |
$86,931 |
137 |
4 |
Major respiratory infections & inflammations |
2.6121 |
7 |
$86,931 |
138 |
1 |
Bronchiolitis & RSV pneumonia |
0.4877 |
3 |
$38,168 |
138 |
2 |
Bronchiolitis & RSV pneumonia |
0.6303 |
3 |
$38,168 |
138 |
3 |
Bronchiolitis & RSV pneumonia |
1.3648 |
3 |
$38,168 |
138 |
4 |
Bronchiolitis & RSV pneumonia |
3.0237 |
3 |
$38,168 |
139 |
1 |
Other pneumonia |
0.5137 |
4 |
$40,642 |
139 |
2 |
Other pneumonia |
0.6783 |
4 |
$40,642 |
139 |
3 |
Other pneumonia |
1.1381 |
4 |
$40,642 |
139 |
4 |
Other pneumonia |
2.1698 |
4 |
$40,642 |
140 |
1 |
Chronic obstructive pulmonary disease |
0.5751 |
4 |
$41,106 |
140 |
2 |
Chronic obstructive pulmonary disease |
0.7220 |
4 |
$41,106 |
140 |
3 |
Chronic obstructive pulmonary disease |
1.0123 |
4 |
$41,106 |
140 |
4 |
Chronic obstructive pulmonary disease |
1.9704 |
4 |
$41,106 |
141 |
1 |
Asthma |
0.4736 |
3 |
$32,283 |
141 |
2 |
Asthma |
0.6173 |
3 |
$32,283 |
141 |
3 |
Asthma |
0.9377 |
3 |
$32,283 |
141 |
4 |
Asthma |
1.6519 |
3 |
$32,283 |
142 |
1 |
Interstitial & alveolar lung diseases |
0.6671 |
5 |
$61,580 |
142 |
2 |
Interstitial & alveolar lung diseases |
0.8591 |
5 |
$61,580 |
142 |
3 |
Interstitial & alveolar lung diseases |
1.3308 |
5 |
$61,580 |
142 |
4 |
Interstitial & alveolar lung diseases |
2.7816 |
5 |
$61,580 |
143 |
1 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
0.5311 |
4 |
$49,582 |
143 |
2 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
0.7590 |
4 |
$49,582 |
143 |
3 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
1.2828 |
4 |
$49,582 |
143 |
4 |
Other respiratory diagnoses except signs, symptoms & minor diagnoses |
2.0577 |
4 |
$49,582 |
144 |
1 |
Respiratory signs, symptoms & minor diagnoses |
0.4527 |
3 |
$33,226 |
144 |
2 |
Respiratory signs, symptoms & minor diagnoses |
0.5689 |
3 |
$33,226 |
144 |
3 |
Respiratory signs, symptoms & minor diagnoses |
0.8642 |
3 |
$33,226 |
144 |
4 |
Respiratory signs, symptoms & minor diagnoses |
1.6989 |
3 |
$33,226 |
160 |
1 |
Major cardiothoracic repair of heart anomaly |
3.1462 |
10 |
$286,279 |
160 |
2 |
Major cardiothoracic repair of heart anomaly |
3.3978 |
10 |
$286,279 |
160 |
3 |
Major cardiothoracic repair of heart anomaly |
4.7801 |
10 |
$286,279 |
160 |
4 |
Major cardiothoracic repair of heart anomaly |
9.9439 |
10 |
$286,279 |
161 |
1 |
Cardiac defibrillator & heart assist implant |
4.0143 |
7 |
$258,160 |
161 |
2 |
Cardiac defibrillator & heart assist implant |
6.1276 |
7 |
$258,160 |
161 |
3 |
Cardiac defibrillator & heart assist implant |
9.8396 |
7 |
$258,160 |
161 |
4 |
Cardiac defibrillator & heart assist implant |
23.0808 |
7 |
$258,160 |
162 |
1 |
Cardiac valve procedures w AMI or complex PDX |
3.4621 |
13 |
$288,062 |
162 |
2 |
Cardiac valve procedures w AMI or complex PDX |
4.4821 |
13 |
$288,062 |
162 |
3 |
Cardiac valve procedures w AMI or complex PDX |
5.7367 |
13 |
$288,062 |
162 |
4 |
Cardiac valve procedures w AMI or complex PDX |
9.3847 |
13 |
$288,062 |
163 |
1 |
Cardiac valve procedures w/o AMI or complex PDX |
3.0247 |
8 |
$173,655 |
163 |
2 |
Cardiac valve procedures w/o AMI or complex PDX |
3.7001 |
8 |
$173,655 |
163 |
3 |
Cardiac valve procedures w/o AMI or complex PDX |
4.5456 |
8 |
$173,655 |
163 |
4 |
Cardiac valve procedures w/o AMI or complex PDX |
7.0470 |
8 |
$173,655 |
165 |
1 |
Coronary bypass w AMI or complex PDX |
3.9335 |
11 |
$158,010 |
165 |
2 |
Coronary bypass w AMI or complex PDX |
3.9470 |
11 |
$158,010 |
165 |
3 |
Coronary bypass w AMI or complex PDX |
4.8614 |
11 |
$158,010 |
165 |
4 |
Coronary bypass w AMI or complex PDX |
7.0766 |
11 |
$158,010 |
166 |
1 |
Coronary bypass w/o AMI or complex PDX |
3.0037 |
8 |
$130,867 |
166 |
2 |
Coronary bypass w/o AMI or complex PDX |
3.2616 |
8 |
$130,867 |
166 |
3 |
Coronary bypass w/o AMI or complex PDX |
4.0158 |
8 |
$130,867 |
166 |
4 |
Coronary bypass w/o AMI or complex PDX |
6.2312 |
8 |
$130,867 |
167 |
1 |
Other cardiothoracic & thoracic vascular procedures |
2.4257 |
8 |
$193,052 |
167 |
2 |
Other cardiothoracic & thoracic vascular procedures |
2.8397 |
8 |
$193,052 |
167 |
3 |
Other cardiothoracic & thoracic vascular procedures |
3.6812 |
8 |
$193,052 |
167 |
4 |
Other cardiothoracic & thoracic vascular procedures |
6.6312 |
8 |
$193,052 |
169 |
1 |
Major abdominal vascular procedures |
1.7833 |
8 |
$142,648 |
169 |
2 |
Major abdominal vascular procedures |
2.2884 |
8 |
$142,648 |
169 |
3 |
Major abdominal vascular procedures |
3.7154 |
8 |
$142,648 |
169 |
4 |
Major abdominal vascular procedures |
7.1829 |
8 |
$142,648 |
170 |
1 |
Permanent cardiac pacemaker implant w AMI, heart failure or shock |
2.7056 |
10 |
$174,290 |
170 |
2 |
Permanent cardiac pacemaker implant w AMI, heart failure or shock |
2.7354 |
10 |
$174,290 |
170 |
3 |
Permanent cardiac pacemaker implant w AMI, heart failure or shock |
3.6030 |
10 |
$174,290 |
170 |
4 |
Permanent cardiac pacemaker implant w AMI, heart failure or shock |
4.8125 |
10 |
$174,290 |
171 |
1 |
Perm cardiac pacemaker implant w/o AMI, heart failure or shock |
1.7398 |
4 |
$94,994 |
171 |
2 |
Perm cardiac pacemaker implant w/o AMI, heart failure or shock |
2.1440 |
4 |
$94,994 |
171 |
3 |
Perm cardiac pacemaker implant w/o AMI, heart failure or shock |
2.9879 |
4 |
$94,994 |
171 |
4 |
Perm cardiac pacemaker implant w/o AMI, heart failure or shock |
5.9638 |
4 |
$94,994 |
174 |
1 |
Percutaneous coronary intervention w AMI |
1.7650 |
3 |
$81,422 |
174 |
2 |
Percutaneous coronary intervention w AMI |
1.9423 |
3 |
$81,422 |
174 |
3 |
Percutaneous coronary intervention w AMI |
2.5064 |
3 |
$81,422 |
174 |
4 |
Percutaneous coronary intervention w AMI |
3.8288 |
3 |
$81,422 |
175 |
1 |
Percutaneous coronary intervention w/o AMI |
1.4754 |
2 |
$82,216 |
175 |
2 |
Percutaneous coronary intervention w/o AMI |
1.6741 |
2 |
$82,216 |
175 |
3 |
Percutaneous coronary intervention w/o AMI |
2.4184 |
2 |
$82,216 |
175 |
4 |
Percutaneous coronary intervention w/o AMI |
4.9107 |
2 |
$82,216 |
176 |
1 |
Cardiac pacemaker & defibrillator device replacement |
1.4329 |
3 |
$154,191 |
176 |
2 |
Cardiac pacemaker & defibrillator device replacement |
2.6404 |
3 |
$154,191 |
176 |
3 |
Cardiac pacemaker & defibrillator device replacement |
3.3646 |
3 |
$154,191 |
176 |
4 |
Cardiac pacemaker & defibrillator device replacement |
3.5511 |
3 |
$154,191 |
177 |
1 |
Cardiac pacemaker & defibrillator revision except device replacement |
1.3942 |
5 |
$92,971 |
177 |
2 |
Cardiac pacemaker & defibrillator revision except device replacement |
1.7472 |
5 |
$92,971 |
177 |
3 |
Cardiac pacemaker & defibrillator revision except device replacement |
2.6806 |
5 |
$92,971 |
177 |
4 |
Cardiac pacemaker & defibrillator revision except device replacement |
6.3346 |
5 |
$92,971 |
180 |
1 |
Other circulatory system procedures |
1.1390 |
9 |
$136,041 |
180 |
2 |
Other circulatory system procedures |
1.6462 |
9 |
$136,041 |
180 |
3 |
Other circulatory system procedures |
2.4195 |
9 |
$136,041 |
180 |
4 |
Other circulatory system procedures |
4.8191 |
9 |
$136,041 |
181 |
1 |
Lower extremity arterial procedures # |
1.4350 |
7 |
$143,097 |
181 |
2 |
Lower extremity arterial procedures # |
2.2777 |
7 |
$143,097 |
181 |
3 |
Lower extremity arterial procedures # |
4.0903 |
7 |
$143,097 |
181 |
4 |
Lower extremity arterial procedures # |
6.6165 |
7 |
$143,097 |
182 |
1 |
Other peripheral vascular procedures # |
1.5004 |
5 |
$129,516 |
182 |
2 |
Other peripheral vascular procedures # |
2.1180 |
5 |
$129,516 |
182 |
3 |
Other peripheral vascular procedures # |
3.2240 |
5 |
$129,516 |
182 |
4 |
Other peripheral vascular procedures # |
6.2720 |
5 |
$129,516 |
190 |
1 |
Acute myocardial infarction |
0.7357 |
4 |
$61,326 |
190 |
2 |
Acute myocardial infarction |
0.9583 |
4 |
$61,326 |
190 |
3 |
Acute myocardial infarction |
1.4508 |
4 |
$61,326 |
190 |
4 |
Acute myocardial infarction |
2.8132 |
4 |
$61,326 |
191 |
1 |
Cardiac catheterization for coronary artery disease |
0.7170 |
2 |
$39,678 |
191 |
2 |
Cardiac catheterization for coronary artery disease |
0.8762 |
2 |
$39,678 |
191 |
3 |
Cardiac catheterization for coronary artery disease |
1.4267 |
2 |
$39,678 |
191 |
4 |
Cardiac catheterization for coronary artery disease |
2.6475 |
2 |
$39,678 |
192 |
1 |
Cardiac catheterization for other non–coronary conditions |
0.7181 |
4 |
$61,559 |
192 |
2 |
Cardiac catheterization for other non–coronary conditions |
1.0194 |
4 |
$61,559 |
192 |
3 |
Cardiac catheterization for other non–coronary conditions |
1.8199 |
4 |
$61,559 |
192 |
4 |
Cardiac catheterization for other non–coronary conditions |
4.1173 |
4 |
$61,559 |
193 |
1 |
Acute & subacute endocarditis |
1.0318 |
11 |
$121,620 |
193 |
2 |
Acute & subacute endocarditis |
1.3781 |
11 |
$121,620 |
193 |
3 |
Acute & subacute endocarditis |
2.1532 |
11 |
$121,620 |
193 |
4 |
Acute & subacute endocarditis |
4.4642 |
11 |
$121,620 |
194 |
1 |
Heart failure |
0.5698 |
5 |
$57,181 |
194 |
2 |
Heart failure |
0.7912 |
5 |
$57,181 |
194 |
3 |
Heart failure |
1.2937 |
5 |
$57,181 |
194 |
4 |
Heart failure |
2.8884 |
5 |
$57,181 |
196 |
1 |
Cardiac arrest and shock |
0.5857 |
4 |
$79,828 |
196 |
2 |
Cardiac arrest and shock |
0.6320 |
4 |
$79,828 |
196 |
3 |
Cardiac arrest and shock |
0.7015 |
4 |
$79,828 |
196 |
4 |
Cardiac arrest and shock |
2.0908 |
4 |
$79,828 |
197 |
1 |
Peripheral & other vascular disorders |
0.5860 |
4 |
$51,378 |
197 |
2 |
Peripheral & other vascular disorders |
0.7923 |
4 |
$51,378 |
197 |
3 |
Peripheral & other vascular disorders |
1.1809 |
4 |
$51,378 |
197 |
4 |
Peripheral & other vascular disorders |
2.8639 |
4 |
$51,378 |
198 |
1 |
Angina pectoris & coronary atherosclerosis |
0.4083 |
2 |
$28,629 |
198 |
2 |
Angina pectoris & coronary atherosclerosis |
0.5343 |
2 |
$28,629 |
198 |
3 |
Angina pectoris & coronary atherosclerosis |
0.8177 |
2 |
$28,629 |
198 |
4 |
Angina pectoris & coronary atherosclerosis |
2.4207 |
2 |
$28,629 |
199 |
1 |
Hypertension |
0.4525 |
2 |
$30,464 |
199 |
2 |
Hypertension |
0.5924 |
2 |
$30,464 |
199 |
3 |
Hypertension |
0.9319 |
2 |
$30,464 |
199 |
4 |
Hypertension |
2.4563 |
2 |
$30,464 |
200 |
1 |
Cardiac structural & valvular disorders |
0.5073 |
4 |
$54,268 |
200 |
2 |
Cardiac structural & valvular disorders |
0.6960 |
4 |
$54,268 |
200 |
3 |
Cardiac structural & valvular disorders |
1.2516 |
4 |
$54,268 |
200 |
4 |
Cardiac structural & valvular disorders |
3.9395 |
4 |
$54,268 |
201 |
1 |
Cardiac arrhythmia & conduction disorders |
0.4325 |
3 |
$31,209 |
201 |
2 |
Cardiac arrhythmia & conduction disorders |
0.6247 |
3 |
$31,209 |
201 |
3 |
Cardiac arrhythmia & conduction disorders |
1.0849 |
3 |
$31,209 |
201 |
4 |
Cardiac arrhythmia & conduction disorders |
2.5400 |
3 |
$31,209 |
203 |
1 |
Chest pain |
0.3938 |
2 |
$25,743 |
203 |
2 |
Chest pain |
0.4913 |
2 |
$25,743 |
203 |
3 |
Chest pain |
0.7059 |
2 |
$25,743 |
203 |
4 |
Chest pain |
2.3552 |
2 |
$25,743 |
204 |
1 |
Syncope & collapse |
0.4603 |
2 |
$29,705 |
204 |
2 |
Syncope & collapse |
0.5750 |
2 |
$29,705 |
204 |
3 |
Syncope & collapse |
0.8594 |
2 |
$29,705 |
204 |
4 |
Syncope & collapse |
2.1207 |
2 |
$29,705 |
205 |
1 |
Cardiomyopathy |
0.5876 |
4 |
$61,031 |
205 |
2 |
Cardiomyopathy |
0.7463 |
4 |
$61,031 |
205 |
3 |
Cardiomyopathy |
1.4534 |
4 |
$61,031 |
205 |
4 |
Cardiomyopathy |
1.7721 |
4 |
$61,031 |
206 |
1 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
0.5498 |
5 |
$76,253 |
206 |
2 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
0.7277 |
5 |
$76,253 |
206 |
3 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
1.2442 |
5 |
$76,253 |
206 |
4 |
Malfunction,reaction,complication of cardiac/vasc device or procedure |
3.4045 |
5 |
$76,253 |
207 |
1 |
Other circulatory system diagnoses |
0.4889 |
3 |
$45,387 |
207 |
2 |
Other circulatory system diagnoses |
0.7171 |
3 |
$45,387 |
207 |
3 |
Other circulatory system diagnoses |
1.2029 |
3 |
$45,387 |
207 |
4 |
Other circulatory system diagnoses |
2.5270 |
3 |
$45,387 |
220 |
1 |
Major stomach, esophageal & duodenal procedures |
1.1586 |
8 |
$127,212 |
220 |
2 |
Major stomach, esophageal & duodenal procedures |
1.8452 |
8 |
$127,212 |
220 |
3 |
Major stomach, esophageal & duodenal procedures |
3.4028 |
8 |
$127,212 |
220 |
4 |
Major stomach, esophageal & duodenal procedures |
7.0877 |
8 |
$127,212 |
221 |
1 |
Major small & large bowel procedures |
1.4866 |
8 |
$92,208 |
221 |
2 |
Major small & large bowel procedures |
1.8827 |
8 |
$92,208 |
221 |
3 |
Major small & large bowel procedures |
3.1014 |
8 |
$92,208 |
221 |
4 |
Major small & large bowel procedures |
6.6083 |
8 |
$92,208 |
222 |
1 |
Other stomach, esophageal & duodenal procedures |
0.8229 |
3 |
$47,945 |
222 |
2 |
Other stomach, esophageal & duodenal procedures |
1.1339 |
3 |
$47,945 |
222 |
3 |
Other stomach, esophageal & duodenal procedures |
2.0477 |
3 |
$47,945 |
222 |
4 |
Other stomach, esophageal & duodenal procedures |
5.5340 |
3 |
$47,945 |
223 |
1 |
Other small & large bowel procedures |
1.1769 |
6 |
$72,889 |
223 |
2 |
Other small & large bowel procedures |
1.5746 |
6 |
$72,889 |
223 |
3 |
Other small & large bowel procedures |
2.6603 |
6 |
$72,889 |
223 |
4 |
Other small & large bowel procedures |
5.5785 |
6 |
$72,889 |
224 |
1 |
Peritoneal adhesiolysis |
1.2018 |
7 |
$77,447 |
224 |
2 |
Peritoneal adhesiolysis |
1.6013 |
7 |
$77,447 |
224 |
3 |
Peritoneal adhesiolysis |
2.6538 |
7 |
$77,447 |
224 |
4 |
Peritoneal adhesiolysis |
5.5686 |
7 |
$77,447 |
225 |
1 |
Appendectomy |
0.7200 |
2 |
$32,173 |
225 |
2 |
Appendectomy |
1.1044 |
2 |
$32,173 |
225 |
3 |
Appendectomy |
2.0288 |
2 |
$32,173 |
225 |
4 |
Appendectomy |
4.0622 |
2 |
$32,173 |
226 |
1 |
Anal procedures |
0.6189 |
3 |
$32,555 |
226 |
2 |
Anal procedures |
0.8830 |
3 |
$32,555 |
226 |
3 |
Anal procedures |
1.4984 |
3 |
$32,555 |
226 |
4 |
Anal procedures |
3.6289 |
3 |
$32,555 |
227 |
1 |
Hernia procedures except inguinal, femoral & umbilical |
1.0394 |
4 |
$57,035 |
227 |
2 |
Hernia procedures except inguinal, femoral & umbilical |
1.3504 |
4 |
$57,035 |
227 |
3 |
Hernia procedures except inguinal, femoral & umbilical |
2.3184 |
4 |
$57,035 |
227 |
4 |
Hernia procedures except inguinal, femoral & umbilical |
5.2737 |
4 |
$57,035 |
228 |
1 |
Inguinal, femoral & umbilical hernia procedures |
0.6972 |
2 |
$35,049 |
228 |
2 |
Inguinal, femoral & umbilical hernia procedures |
0.9533 |
2 |
$35,049 |
228 |
3 |
Inguinal, femoral & umbilical hernia procedures |
1.6136 |
2 |
$35,049 |
228 |
4 |
Inguinal, femoral & umbilical hernia procedures |
4.4558 |
2 |
$35,049 |
229 |
1 |
Other digestive system & abdominal procedures |
1.0213 |
7 |
$93,599 |
229 |
2 |
Other digestive system & abdominal procedures |
1.4802 |
7 |
$93,599 |
229 |
3 |
Other digestive system & abdominal procedures |
2.6057 |
7 |
$93,599 |
229 |
4 |
Other digestive system & abdominal procedures |
5.7868 |
7 |
$93,599 |
240 |
1 |
Digestive malignancy |
0.6998 |
7 |
$90,882 |
240 |
2 |
Digestive malignancy |
0.9493 |
7 |
$90,882 |
240 |
3 |
Digestive malignancy |
1.5834 |
7 |
$90,882 |
240 |
4 |
Digestive malignancy |
2.9739 |
7 |
$90,882 |
241 |
1 |
Peptic ulcer & gastritis |
0.5405 |
3 |
$39,630 |
241 |
2 |
Peptic ulcer & gastritis |
0.7757 |
3 |
$39,630 |
241 |
3 |
Peptic ulcer & gastritis |
1.2427 |
3 |
$39,630 |
241 |
4 |
Peptic ulcer & gastritis |
3.1297 |
3 |
$39,630 |
242 |
1 |
Major esophageal disorders |
0.5525 |
4 |
$58,199 |
242 |
2 |
Major esophageal disorders |
0.7944 |
4 |
$58,199 |
242 |
3 |
Major esophageal disorders |
1.2483 |
4 |
$58,199 |
242 |
4 |
Major esophageal disorders |
3.1552 |
4 |
$58,199 |
243 |
1 |
Other esophageal disorders |
0.4346 |
3 |
$34,175 |
243 |
2 |
Other esophageal disorders |
0.6290 |
3 |
$34,175 |
243 |
3 |
Other esophageal disorders |
1.0551 |
3 |
$34,175 |
243 |
4 |
Other esophageal disorders |
2.2987 |
3 |
$34,175 |
244 |
1 |
Diverticulitis & diverticulosis |
0.5202 |
4 |
$28,240 |
244 |
2 |
Diverticulitis & diverticulosis |
0.6935 |
4 |
$28,240 |
244 |
3 |
Diverticulitis & diverticulosis |
1.1617 |
4 |
$28,240 |
244 |
4 |
Diverticulitis & diverticulosis |
3.0729 |
4 |
$28,240 |
245 |
1 |
Inflammatory bowel disease |
0.6247 |
4 |
$43,701 |
245 |
2 |
Inflammatory bowel disease |
0.7755 |
4 |
$43,701 |
245 |
3 |
Inflammatory bowel disease |
1.2181 |
4 |
$43,701 |
245 |
4 |
Inflammatory bowel disease |
2.1554 |
4 |
$43,701 |
246 |
1 |
Gastrointestinal vascular insufficiency |
0.6231 |
4 |
$35,859 |
246 |
2 |
Gastrointestinal vascular insufficiency |
0.7846 |
4 |
$35,859 |
246 |
3 |
Gastrointestinal vascular insufficiency |
1.2927 |
4 |
$35,859 |
246 |
4 |
Gastrointestinal vascular insufficiency |
2.8515 |
4 |
$35,859 |
247 |
1 |
Intestinal obstruction |
0.4905 |
3 |
$29,320 |
247 |
2 |
Intestinal obstruction |
0.6730 |
3 |
$29,320 |
247 |
3 |
Intestinal obstruction |
1.2043 |
3 |
$29,320 |
247 |
4 |
Intestinal obstruction |
2.5557 |
3 |
$29,320 |
248 |
1 |
Major gastrointestinal & peritoneal infections |
0.5951 |
5 |
$48,587 |
248 |
2 |
Major gastrointestinal & peritoneal infections |
0.8464 |
5 |
$48,587 |
248 |
3 |
Major gastrointestinal & peritoneal infections |
1.3189 |
5 |
$48,587 |
248 |
4 |
Major gastrointestinal & peritoneal infections |
3.2365 |
5 |
$48,587 |
249 |
1 |
Other gastroenteritis, nausa & vomiting |
0.4251 |
3 |
$26,252 |
249 |
2 |
Other gastroenteritis, nausa & vomiting |
0.5343 |
3 |
$26,252 |
249 |
3 |
Other gastroenteritis, nausa & vomiting |
0.8354 |
3 |
$26,252 |
249 |
4 |
Other gastroenteritis, nausa & vomiting |
2.0227 |
3 |
$26,252 |
251 |
1 |
Abdominal pain |
0.4283 |
2 |
$27,334 |
251 |
2 |
Abdominal pain |
0.5669 |
2 |
$27,334 |
251 |
3 |
Abdominal pain |
0.8474 |
2 |
$27,334 |
251 |
4 |
Abdominal pain |
1.9363 |
2 |
$27,334 |
252 |
1 |
Malfunction, reaction & complication of GI device or procedure |
0.6093 |
5 |
$52,515 |
252 |
2 |
Malfunction, reaction & complication of GI device or procedure |
0.7808 |
5 |
$52,515 |
252 |
3 |
Malfunction, reaction & complication of GI device or procedure |
1.2420 |
5 |
$52,515 |
252 |
4 |
Malfunction, reaction & complication of GI device or procedure |
2.8342 |
5 |
$52,515 |
253 |
1 |
Other & unspecified gastrointestinal hemorrhage |
0.6104 |
4 |
$48,514 |
253 |
2 |
Other & unspecified gastrointestinal hemorrhage |
0.8153 |
4 |
$48,514 |
253 |
3 |
Other & unspecified gastrointestinal hemorrhage |
1.3367 |
4 |
$48,514 |
253 |
4 |
Other & unspecified gastrointestinal hemorrhage |
2.3659 |
4 |
$48,514 |
254 |
1 |
Other digestive system diagnoses |
0.4994 |
3 |
$37,258 |
254 |
2 |
Other digestive system diagnoses |
0.7217 |
3 |
$37,258 |
254 |
3 |
Other digestive system diagnoses |
1.2126 |
3 |
$37,258 |
254 |
4 |
Other digestive system diagnoses |
2.6081 |
3 |
$37,258 |
260 |
1 |
Major pancreas, liver & shunt procedures |
1.4598 |
9 |
$145,661 |
260 |
2 |
Major pancreas, liver & shunt procedures |
1.9923 |
9 |
$145,661 |
260 |
3 |
Major pancreas, liver & shunt procedures |
3.1452 |
9 |
$145,661 |
260 |
4 |
Major pancreas, liver & shunt procedures |
7.4265 |
9 |
$145,661 |
261 |
1 |
Major biliary tract procedures |
1.3983 |
9 |
$120,637 |
261 |
2 |
Major biliary tract procedures |
2.0020 |
9 |
$120,637 |
261 |
3 |
Major biliary tract procedures |
3.0883 |
9 |
$120,637 |
261 |
4 |
Major biliary tract procedures |
6.1406 |
9 |
$120,637 |
262 |
1 |
Cholecystectomy except laparoscopic |
1.3137 |
6 |
$73,048 |
262 |
2 |
Cholecystectomy except laparoscopic |
1.6055 |
6 |
$73,048 |
262 |
3 |
Cholecystectomy except laparoscopic |
2.7370 |
6 |
$73,048 |
262 |
4 |
Cholecystectomy except laparoscopic |
6.0536 |
6 |
$73,048 |
263 |
1 |
Laparoscopic cholecystectomy |
0.8846 |
3 |
$43,302 |
263 |
2 |
Laparoscopic cholecystectomy |
1.1717 |
3 |
$43,302 |
263 |
3 |
Laparoscopic cholecystectomy |
1.6154 |
3 |
$43,302 |
263 |
4 |
Laparoscopic cholecystectomy |
3.6697 |
3 |
$43,302 |
264 |
1 |
Other hepatobiliary, pancreas & abdominal procedures |
1.3339 |
10 |
$150,327 |
264 |
2 |
Other hepatobiliary, pancreas & abdominal procedures |
1.5121 |
10 |
$150,327 |
264 |
3 |
Other hepatobiliary, pancreas & abdominal procedures |
2.8565 |
10 |
$150,327 |
264 |
4 |
Other hepatobiliary, pancreas & abdominal procedures |
6.1546 |
10 |
$150,327 |
279 |
1 |
Hepatic coma & other major acute liver disorders |
0.5496 |
7 |
$89,651 |
279 |
2 |
Hepatic coma & other major acute liver disorders |
0.7823 |
7 |
$89,651 |
279 |
3 |
Hepatic coma & other major acute liver disorders |
1.3577 |
7 |
$89,651 |
279 |
4 |
Hepatic coma & other major acute liver disorders |
3.7050 |
7 |
$89,651 |
280 |
1 |
Alcoholic liver disease |
0.5359 |
6 |
$74,043 |
280 |
2 |
Alcoholic liver disease |
0.7530 |
6 |
$74,043 |
280 |
3 |
Alcoholic liver disease |
1.2672 |
6 |
$74,043 |
280 |
4 |
Alcoholic liver disease |
3.4123 |
6 |
$74,043 |
281 |
1 |
Malignancy of hepatobiliary system & pancreas |
0.6671 |
7 |
$82,597 |
281 |
2 |
Malignancy of hepatobiliary system & pancreas |
0.9402 |
7 |
$82,597 |
281 |
3 |
Malignancy of hepatobiliary system & pancreas |
1.3781 |
7 |
$82,597 |
281 |
4 |
Malignancy of hepatobiliary system & pancreas |
2.4185 |
7 |
$82,597 |
282 |
1 |
Disorders of pancreas except malignancy |
0.5520 |
4 |
$38,584 |
282 |
2 |
Disorders of pancreas except malignancy |
0.7469 |
4 |
$38,584 |
282 |
3 |
Disorders of pancreas except malignancy |
1.3619 |
4 |
$38,584 |
282 |
4 |
Disorders of pancreas except malignancy |
3.4568 |
4 |
$38,584 |
283 |
1 |
Other disorders of the liver |
0.5636 |
5 |
$58,520 |
283 |
2 |
Other disorders of the liver |
0.7473 |
5 |
$58,520 |
283 |
3 |
Other disorders of the liver |
1.2045 |
5 |
$58,520 |
283 |
4 |
Other disorders of the liver |
2.5897 |
5 |
$58,520 |
284 |
1 |
Disorders of gallbladder & biliary tract |
0.5776 |
4 |
$44,778 |
284 |
2 |
Disorders of gallbladder & biliary tract |
0.8276 |
4 |
$44,778 |
284 |
3 |
Disorders of gallbladder & biliary tract |
1.3179 |
4 |
$44,778 |
284 |
4 |
Disorders of gallbladder & biliary tract |
2.9642 |
4 |
$44,778 |
301 |
1 |
Hip joint replacement |
1.8454 |
3 |
$64,012 |
301 |
2 |
Hip joint replacement |
1.9179 |
3 |
$64,012 |
301 |
3 |
Hip joint replacement |
2.5367 |
3 |
$64,012 |
301 |
4 |
Hip joint replacement |
6.0537 |
3 |
$64,012 |
302 |
1 |
Knee joint replacement |
1.7731 |
3 |
$67,304 |
302 |
2 |
Knee joint replacement |
2.0006 |
3 |
$67,304 |
302 |
3 |
Knee joint replacement |
2.6936 |
3 |
$67,304 |
302 |
4 |
Knee joint replacement |
5.4428 |
3 |
$67,304 |
303 |
1 |
Dorsal & lumbar fusion proc for curvature of back |
4.4198 |
6 |
$240,618 |
303 |
2 |
Dorsal & lumbar fusion proc for curvature of back |
5.2884 |
6 |
$240,618 |
303 |
3 |
Dorsal & lumbar fusion proc for curvature of back |
6.9880 |
6 |
$240,618 |
303 |
4 |
Dorsal & lumbar fusion proc for curvature of back |
10.8945 |
6 |
$240,618 |
304 |
1 |
Dorsal & lumbar fusion proc except for curvature of back |
3.0661 |
4 |
$141,801 |
304 |
2 |
Dorsal & lumbar fusion proc except for curvature of back |
3.7348 |
4 |
$141,801 |
304 |
3 |
Dorsal & lumbar fusion proc except for curvature of back |
5.3276 |
4 |
$141,801 |
304 |
4 |
Dorsal & lumbar fusion proc except for curvature of back |
9.1822 |
4 |
$141,801 |
305 |
1 |
Amputation of lower limb except toes |
1.3612 |
14 |
$215,520 |
305 |
2 |
Amputation of lower limb except toes |
1.9171 |
14 |
$215,520 |
305 |
3 |
Amputation of lower limb except toes |
3.3819 |
14 |
$215,520 |
305 |
4 |
Amputation of lower limb except toes |
6.3018 |
14 |
$215,520 |
308 |
1 |
Hip and femur fracture repair |
1.3356 |
6 |
$77,812 |
308 |
2 |
Hip and femur fracture repair |
1.8388 |
6 |
$77,812 |
308 |
3 |
Hip and femur fracture repair |
2.7457 |
6 |
$77,812 |
308 |
4 |
Hip and femur fracture repair |
5.7688 |
6 |
$77,812 |
309 |
1 |
Other significant hip and femur surgery |
1.2454 |
5 |
$107,151 |
309 |
2 |
Other significant hip and femur surgery |
1.8748 |
5 |
$107,151 |
309 |
3 |
Other significant hip and femur surgery |
3.0219 |
5 |
$107,151 |
309 |
4 |
Other significant hip and femur surgery |
5.7451 |
5 |
$107,151 |
310 |
1 |
Intervertebral disc excision & decompression |
0.8619 |
3 |
$47,755 |
310 |
2 |
Intervertebral disc excision & decompression |
1.2220 |
3 |
$47,755 |
310 |
3 |
Intervertebral disc excision & decompression |
2.5450 |
3 |
$47,755 |
310 |
4 |
Intervertebral disc excision & decompression |
6.8422 |
3 |
$47,755 |
312 |
1 |
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses |
1.2189 |
11 |
$189,566 |
312 |
2 |
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses |
2.2533 |
11 |
$189,566 |
312 |
3 |
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses |
4.5277 |
11 |
$189,566 |
312 |
4 |
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses |
9.0023 |
11 |
$189,566 |
313 |
1 |
Knee & lower leg procedures except foot |
1.1963 |
4 |
$76,615 |
313 |
2 |
Knee & lower leg procedures except foot |
1.7556 |
4 |
$76,615 |
313 |
3 |
Knee & lower leg procedures except foot |
2.8750 |
4 |
$76,615 |
313 |
4 |
Knee & lower leg procedures except foot |
6.4713 |
4 |
$76,615 |
314 |
1 |
Foot & toe procedures |
1.0584 |
7 |
$79,504 |
314 |
2 |
Foot & toe procedures |
1.3543 |
7 |
$79,504 |
314 |
3 |
Foot & toe procedures |
2.0326 |
7 |
$79,504 |
314 |
4 |
Foot & toe procedures |
3.8450 |
7 |
$79,504 |
315 |
1 |
Shoulder, upper arm & forearm procedures except joint replacement |
0.8087 |
3 |
$63,277 |
315 |
2 |
Shoulder, upper arm & forearm procedures except joint replacement |
1.3830 |
3 |
$63,277 |
315 |
3 |
Shoulder, upper arm & forearm procedures except joint replacement |
2.6682 |
3 |
$63,277 |
315 |
4 |
Shoulder, upper arm & forearm procedures except joint replacement |
5.1334 |
3 |
$63,277 |
316 |
1 |
Hand & wrist procedures |
0.7165 |
3 |
$42,141 |
316 |
2 |
Hand & wrist procedures |
1.1806 |
3 |
$42,141 |
316 |
3 |
Hand & wrist procedures |
2.1331 |
3 |
$42,141 |
316 |
4 |
Hand & wrist procedures |
2.3874 |
3 |
$42,141 |
317 |
1 |
Tendon, muscle & other soft tissue procedures |
0.8998 |
5 |
$66,392 |
317 |
2 |
Tendon, muscle & other soft tissue procedures |
1.4349 |
5 |
$66,392 |
317 |
3 |
Tendon, muscle & other soft tissue procedures |
2.6078 |
5 |
$66,392 |
317 |
4 |
Tendon, muscle & other soft tissue procedures |
6.3180 |
5 |
$66,392 |
320 |
1 |
Other musculoskeletal system & connective tissue procedures |
1.0254 |
5 |
$92,749 |
320 |
2 |
Other musculoskeletal system & connective tissue procedures |
1.6278 |
5 |
$92,749 |
320 |
3 |
Other musculoskeletal system & connective tissue procedures |
2.5149 |
5 |
$92,749 |
320 |
4 |
Other musculoskeletal system & connective tissue procedures |
5.0036 |
5 |
$92,749 |
321 |
1 |
Cervical spinal fusion & other back/neck proc exc disc excis/decomp |
1.6317 |
2 |
$78,165 |
321 |
2 |
Cervical spinal fusion & other back/neck proc exc disc excis/decomp |
2.1471 |
2 |
$78,165 |
321 |
3 |
Cervical spinal fusion & other back/neck proc exc disc excis/decomp |
3.7026 |
2 |
$78,165 |
321 |
4 |
Cervical spinal fusion & other back/neck proc exc disc excis/decomp |
7.0642 |
2 |
$78,165 |
322 |
1 |
Shoulder & elbow joint replacement # |
1.5803 |
2 |
$54,660 |
322 |
2 |
Shoulder & elbow joint replacement # |
1.7456 |
2 |
$54,660 |
322 |
3 |
Shoulder & elbow joint replacement # |
2.9236 |
2 |
$54,660 |
322 |
4 |
Shoulder & elbow joint replacement # |
3.4184 |
2 |
$54,660 |
340 |
1 |
Fracture of femur |
0.5287 |
5 |
$49,245 |
340 |
2 |
Fracture of femur |
0.7081 |
5 |
$49,245 |
340 |
3 |
Fracture of femur |
1.7035 |
5 |
$49,245 |
340 |
4 |
Fracture of femur |
2.3181 |
5 |
$49,245 |
341 |
1 |
Fracture of pelvis or dislocation of hip |
0.5725 |
4 |
$43,651 |
341 |
2 |
Fracture of pelvis or dislocation of hip |
0.7138 |
4 |
$43,651 |
341 |
3 |
Fracture of pelvis or dislocation of hip |
0.9621 |
4 |
$43,651 |
341 |
4 |
Fracture of pelvis or dislocation of hip |
1.0238 |
4 |
$43,651 |
342 |
1 |
Fractures & dislocations except femur, pelvis & back |
0.4446 |
3 |
$31,060 |
342 |
2 |
Fractures & dislocations except femur, pelvis & back |
0.6593 |
3 |
$31,060 |
342 |
3 |
Fractures & dislocations except femur, pelvis & back |
1.0834 |
3 |
$31,060 |
342 |
4 |
Fractures & dislocations except femur, pelvis & back |
2.6466 |
3 |
$31,060 |
343 |
1 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
0.8297 |
9 |
$108,976 |
343 |
2 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
0.9976 |
9 |
$108,976 |
343 |
3 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
2.1466 |
9 |
$108,976 |
343 |
4 |
Musculoskeletal malignancy & pathol fracture d/t muscskel malig |
3.8518 |
9 |
$108,976 |
344 |
1 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
0.8041 |
7 |
$74,824 |
344 |
2 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
1.1498 |
7 |
$74,824 |
344 |
3 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
1.7834 |
7 |
$74,824 |
344 |
4 |
Osteomyelitis, septic arthritis & other musculoskeletal infections |
3.4328 |
7 |
$74,824 |
346 |
1 |
Connective tissue disorders |
0.7315 |
5 |
$79,638 |
346 |
2 |
Connective tissue disorders |
0.9622 |
5 |
$79,638 |
346 |
3 |
Connective tissue disorders |
1.6629 |
5 |
$79,638 |
346 |
4 |
Connective tissue disorders |
4.8745 |
5 |
$79,638 |
347 |
1 |
Other back & neck disorders, fractures & injuries |
0.5491 |
3 |
$38,134 |
347 |
2 |
Other back & neck disorders, fractures & injuries |
0.7447 |
3 |
$38,134 |
347 |
3 |
Other back & neck disorders, fractures & injuries |
1.1237 |
3 |
$38,134 |
347 |
4 |
Other back & neck disorders, fractures & injuries |
3.1553 |
3 |
$38,134 |
349 |
1 |
Malfunction, reaction, complic of orthopedic device or procedure |
0.5439 |
5 |
$65,403 |
349 |
2 |
Malfunction, reaction, complic of orthopedic device or procedure |
0.8792 |
5 |
$65,403 |
349 |
3 |
Malfunction, reaction, complic of orthopedic device or procedure |
1.5580 |
5 |
$65,403 |
349 |
4 |
Malfunction, reaction, complic of orthopedic device or procedure |
3.5714 |
5 |
$65,403 |
351 |
1 |
Other musculoskeletal system & connective tissue diagnoses |
0.4909 |
3 |
$38,985 |
351 |
2 |
Other musculoskeletal system & connective tissue diagnoses |
0.6388 |
3 |
$38,985 |
351 |
3 |
Other musculoskeletal system & connective tissue diagnoses |
1.1547 |
3 |
$38,985 |
351 |
4 |
Other musculoskeletal system & connective tissue diagnoses |
3.0805 |
3 |
$38,985 |
361 |
1 |
Skin graft for skin & subcutaneous tissue diagnoses |
1.3263 |
6 |
$103,983 |
361 |
2 |
Skin graft for skin & subcutaneous tissue diagnoses |
1.8779 |
6 |
$103,983 |
361 |
3 |
Skin graft for skin & subcutaneous tissue diagnoses |
3.3398 |
6 |
$103,983 |
361 |
4 |
Skin graft for skin & subcutaneous tissue diagnoses |
9.6005 |
6 |
$103,983 |
362 |
1 |
Mastectomy procedures |
1.3637 |
2 |
$86,685 |
362 |
2 |
Mastectomy procedures |
1.8053 |
2 |
$86,685 |
362 |
3 |
Mastectomy procedures |
2.7783 |
2 |
$86,685 |
362 |
4 |
Mastectomy procedures |
2.9037 |
2 |
$86,685 |
363 |
1 |
Breast procedures except mastectomy |
0.9053 |
3 |
$64,591 |
363 |
2 |
Breast procedures except mastectomy |
1.5184 |
3 |
$64,591 |
363 |
3 |
Breast procedures except mastectomy |
2.2953 |
3 |
$64,591 |
363 |
4 |
Breast procedures except mastectomy |
2.3603 |
3 |
$64,591 |
364 |
1 |
Other skin, subcutaneous tissue & related procedures |
0.7695 |
4 |
$53,273 |
364 |
2 |
Other skin, subcutaneous tissue & related procedures |
1.1098 |
4 |
$53,273 |
364 |
3 |
Other skin, subcutaneous tissue & related procedures |
2.0231 |
4 |
$53,273 |
364 |
4 |
Other skin, subcutaneous tissue & related procedures |
5.3093 |
4 |
$53,273 |
380 |
1 |
Skin ulcers |
0.6865 |
5 |
$52,633 |
380 |
2 |
Skin ulcers |
0.8343 |
5 |
$52,633 |
380 |
3 |
Skin ulcers |
1.2978 |
5 |
$52,633 |
380 |
4 |
Skin ulcers |
2.4923 |
5 |
$52,633 |
381 |
1 |
Major skin disorders |
0.5945 |
5 |
$56,761 |
381 |
2 |
Major skin disorders |
0.8806 |
5 |
$56,761 |
381 |
3 |
Major skin disorders |
1.9271 |
5 |
$56,761 |
381 |
4 |
Major skin disorders |
5.9028 |
5 |
$56,761 |
382 |
1 |
Malignant breast disorders |
0.6225 |
7 |
$95,202 |
382 |
2 |
Malignant breast disorders |
0.8334 |
7 |
$95,202 |
382 |
3 |
Malignant breast disorders |
1.5061 |
7 |
$95,202 |
382 |
4 |
Malignant breast disorders |
2.8937 |
7 |
$95,202 |
383 |
1 |
Cellulitis & other skin infections |
0.5051 |
4 |
$33,117 |
383 |
2 |
Cellulitis & other skin infections |
0.6842 |
4 |
$33,117 |
383 |
3 |
Cellulitis & other skin infections |
1.1819 |
4 |
$33,117 |
383 |
4 |
Cellulitis & other skin infections |
2.7936 |
4 |
$33,117 |
384 |
1 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
0.4128 |
2 |
$26,230 |
384 |
2 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
0.5792 |
2 |
$26,230 |
384 |
3 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
1.0132 |
2 |
$26,230 |
384 |
4 |
Contusion, open wound & other trauma to skin & subcutaneous tissue |
1.8397 |
2 |
$26,230 |
385 |
1 |
Other skin, subcutaneous tissue & breast disorders |
0.4793 |
3 |
$33,532 |
385 |
2 |
Other skin, subcutaneous tissue & breast disorders |
0.6558 |
3 |
$33,532 |
385 |
3 |
Other skin, subcutaneous tissue & breast disorders |
1.0830 |
3 |
$33,532 |
385 |
4 |
Other skin, subcutaneous tissue & breast disorders |
2.8947 |
3 |
$33,532 |
401 |
1 |
Pituitary & adrenal procedures |
1.2371 |
4 |
$90,821 |
401 |
2 |
Pituitary & adrenal procedures |
1.6928 |
4 |
$90,821 |
401 |
3 |
Pituitary & adrenal procedures |
3.0989 |
4 |
$90,821 |
401 |
4 |
Pituitary & adrenal procedures |
6.9877 |
4 |
$90,821 |
403 |
1 |
Procedures for obesity |
1.1400 |
2 |
$45,995 |
403 |
2 |
Procedures for obesity |
1.2816 |
2 |
$45,995 |
403 |
3 |
Procedures for obesity |
2.1006 |
2 |
$45,995 |
403 |
4 |
Procedures for obesity |
6.5767 |
2 |
$45,995 |
404 |
1 |
Thyroid, parathyroid & thyroglossal procedures |
0.6684 |
1 |
$28,183 |
404 |
2 |
Thyroid, parathyroid & thyroglossal procedures |
0.8682 |
1 |
$28,183 |
404 |
3 |
Thyroid, parathyroid & thyroglossal procedures |
2.2295 |
1 |
$28,183 |
404 |
4 |
Thyroid, parathyroid & thyroglossal procedures |
2.6667 |
1 |
$28,183 |
405 |
1 |
Other procedures for endocrine, nutritional & metabolic disorders |
1.1658 |
12 |
$176,231 |
405 |
2 |
Other procedures for endocrine, nutritional & metabolic disorders |
1.6936 |
12 |
$176,231 |
405 |
3 |
Other procedures for endocrine, nutritional & metabolic disorders |
2.9451 |
12 |
$176,231 |
405 |
4 |
Other procedures for endocrine, nutritional & metabolic disorders |
8.3881 |
12 |
$176,231 |
420 |
1 |
Diabetes |
0.4556 |
3 |
$36,294 |
420 |
2 |
Diabetes |
0.6311 |
3 |
$36,294 |
420 |
3 |
Diabetes |
0.9773 |
3 |
$36,294 |
420 |
4 |
Diabetes |
2.5400 |
3 |
$36,294 |
421 |
1 |
Malnutrition, failure to thrive & other nutritional disorders |
0.6250 |
6 |
$69,790 |
421 |
2 |
Malnutrition, failure to thrive & other nutritional disorders |
0.9133 |
6 |
$69,790 |
421 |
3 |
Malnutrition, failure to thrive & other nutritional disorders |
1.3876 |
6 |
$69,790 |
421 |
4 |
Malnutrition, failure to thrive & other nutritional disorders |
3.2013 |
6 |
$69,790 |
422 |
1 |
Hypovolemia & related electrolyte disorders |
0.3781 |
3 |
$31,551 |
422 |
2 |
Hypovolemia & related electrolyte disorders |
0.5260 |
3 |
$31,551 |
422 |
3 |
Hypovolemia & related electrolyte disorders |
0.9020 |
3 |
$31,551 |
422 |
4 |
Hypovolemia & related electrolyte disorders |
2.2703 |
3 |
$31,551 |
423 |
1 |
Inborn errors of metabolism |
0.6144 |
5 |
$79,546 |
423 |
2 |
Inborn errors of metabolism |
1.0113 |
5 |
$79,546 |
423 |
3 |
Inborn errors of metabolism |
1.5998 |
5 |
$79,546 |
423 |
4 |
Inborn errors of metabolism |
5.4383 |
5 |
$79,546 |
424 |
1 |
Other endocrine disorders |
0.4989 |
4 |
$43,937 |
424 |
2 |
Other endocrine disorders |
0.7594 |
4 |
$43,937 |
424 |
3 |
Other endocrine disorders |
1.1853 |
4 |
$43,937 |
424 |
4 |
Other endocrine disorders |
2.7831 |
4 |
$43,937 |
425 |
1 |
Electrolyte disorders except hypovolemia related |
0.4308 |
4 |
$42,453 |
425 |
2 |
Electrolyte disorders except hypovolemia related |
0.6008 |
4 |
$42,453 |
425 |
3 |
Electrolyte disorders except hypovolemia related |
0.9984 |
4 |
$42,453 |
425 |
4 |
Electrolyte disorders except hypovolemia related |
2.4910 |
4 |
$42,453 |
440 |
1 |
Kidney transplant |
3.7060 |
6 |
$172,221 |
440 |
2 |
Kidney transplant |
4.6454 |
6 |
$172,221 |
440 |
3 |
Kidney transplant |
5.6724 |
6 |
$172,221 |
440 |
4 |
Kidney transplant |
10.3841 |
6 |
$172,221 |
441 |
1 |
Major bladder procedures |
1.2804 |
8 |
$133,098 |
441 |
2 |
Major bladder procedures |
2.2263 |
8 |
$133,098 |
441 |
3 |
Major bladder procedures |
3.1477 |
8 |
$133,098 |
441 |
4 |
Major bladder procedures |
6.7633 |
8 |
$133,098 |
442 |
1 |
Kidney & urinary tract procedures for malignancy |
1.2940 |
4 |
$72,322 |
442 |
2 |
Kidney & urinary tract procedures for malignancy |
1.5373 |
4 |
$72,322 |
442 |
3 |
Kidney & urinary tract procedures for malignancy |
2.8157 |
4 |
$72,322 |
442 |
4 |
Kidney & urinary tract procedures for malignancy |
6.3759 |
4 |
$72,322 |
443 |
1 |
Kidney & urinary tract procedures for nonmalignancy |
1.0725 |
3 |
$54,404 |
443 |
2 |
Kidney & urinary tract procedures for nonmalignancy |
1.1919 |
3 |
$54,404 |
443 |
3 |
Kidney & urinary tract procedures for nonmalignancy |
2.2718 |
3 |
$54,404 |
443 |
4 |
Kidney & urinary tract procedures for nonmalignancy |
5.0678 |
3 |
$54,404 |
444 |
1 |
Renal dialysis access device procedure only |
0.9824 |
11 |
$162,162 |
444 |
2 |
Renal dialysis access device procedure only |
1.7469 |
11 |
$162,162 |
444 |
3 |
Renal dialysis access device procedure only |
3.2326 |
11 |
$162,162 |
444 |
4 |
Renal dialysis access device procedure only |
6.1859 |
11 |
$162,162 |
445 |
1 |
Other bladder procedures |
0.8214 |
4 |
$77,703 |
445 |
2 |
Other bladder procedures |
1.2691 |
4 |
$77,703 |
445 |
3 |
Other bladder procedures |
1.8728 |
4 |
$77,703 |
445 |
4 |
Other bladder procedures |
2.4496 |
4 |
$77,703 |
446 |
1 |
Urethral & transurethral procedures |
0.6845 |
2 |
$32,763 |
446 |
2 |
Urethral & transurethral procedures |
0.7902 |
2 |
$32,763 |
446 |
3 |
Urethral & transurethral procedures |
1.5078 |
2 |
$32,763 |
446 |
4 |
Urethral & transurethral procedures |
3.2889 |
2 |
$32,763 |
447 |
1 |
Other kidney, urinary tract & related procedures |
1.1967 |
9 |
$130,935 |
447 |
2 |
Other kidney, urinary tract & related procedures |
1.3024 |
9 |
$130,935 |
447 |
3 |
Other kidney, urinary tract & related procedures |
2.9312 |
9 |
$130,935 |
447 |
4 |
Other kidney, urinary tract & related procedures |
7.6306 |
9 |
$130,935 |
461 |
1 |
Kidney & urinary tract malignancy |
0.4546 |
6 |
$80,165 |
461 |
2 |
Kidney & urinary tract malignancy |
0.8052 |
6 |
$80,165 |
461 |
3 |
Kidney & urinary tract malignancy |
1.5029 |
6 |
$80,165 |
461 |
4 |
Kidney & urinary tract malignancy |
2.3281 |
6 |
$80,165 |
462 |
1 |
Nephritis & nephrosis |
0.5902 |
4 |
$55,768 |
462 |
2 |
Nephritis & nephrosis |
0.7169 |
4 |
$55,768 |
462 |
3 |
Nephritis & nephrosis |
1.2648 |
4 |
$55,768 |
462 |
4 |
Nephritis & nephrosis |
4.0181 |
4 |
$55,768 |
463 |
1 |
Kidney & urinary tract infections |
0.4969 |
3 |
$32,113 |
463 |
2 |
Kidney & urinary tract infections |
0.6302 |
3 |
$32,113 |
463 |
3 |
Kidney & urinary tract infections |
0.9871 |
3 |
$32,113 |
463 |
4 |
Kidney & urinary tract infections |
2.1810 |
3 |
$32,113 |
465 |
1 |
Urinary stones & acquired upper urinary tract obstruction |
0.4482 |
2 |
$27,577 |
465 |
2 |
Urinary stones & acquired upper urinary tract obstruction |
0.5223 |
2 |
$27,577 |
465 |
3 |
Urinary stones & acquired upper urinary tract obstruction |
0.8706 |
2 |
$27,577 |
465 |
4 |
Urinary stones & acquired upper urinary tract obstruction |
2.1690 |
2 |
$27,577 |
466 |
1 |
Malfunction, reaction, complic of genitourinary device or proc |
0.5023 |
5 |
$71,542 |
466 |
2 |
Malfunction, reaction, complic of genitourinary device or proc |
0.6979 |
5 |
$71,542 |
466 |
3 |
Malfunction, reaction, complic of genitourinary device or proc |
1.1635 |
5 |
$71,542 |
466 |
4 |
Malfunction, reaction, complic of genitourinary device or proc |
2.3277 |
5 |
$71,542 |
468 |
1 |
Other kidney & urinary tract diagnoses, signs & symptoms |
0.5036 |
4 |
$46,839 |
468 |
2 |
Other kidney & urinary tract diagnoses, signs & symptoms |
0.7269 |
4 |
$46,839 |
468 |
3 |
Other kidney & urinary tract diagnoses, signs & symptoms |
1.1894 |
4 |
$46,839 |
468 |
4 |
Other kidney & urinary tract diagnoses, signs & symptoms |
2.8087 |
4 |
$46,839 |
469 |
1 |
Acute Kidney Injury # |
0.5265 |
5 |
$59,561 |
469 |
2 |
Acute Kidney Injury # |
0.7445 |
5 |
$59,561 |
469 |
3 |
Acute Kidney Injury # |
1.3582 |
5 |
$59,561 |
469 |
4 |
Acute Kidney Injury # |
3.3013 |
5 |
$59,561 |
470 |
1 |
Chronic Kidney Disease # |
0.4787 |
4 |
$59,531 |
470 |
2 |
Chronic Kidney Disease # |
0.6833 |
4 |
$59,531 |
470 |
3 |
Chronic Kidney Disease # |
1.1921 |
4 |
$59,531 |
470 |
4 |
Chronic Kidney Disease # |
2.6562 |
4 |
$59,531 |
480 |
1 |
Major male pelvic procedures |
1.0986 |
2 |
$35,336 |
480 |
2 |
Major male pelvic procedures |
1.2543 |
2 |
$35,336 |
480 |
3 |
Major male pelvic procedures |
2.1573 |
2 |
$35,336 |
480 |
4 |
Major male pelvic procedures |
2.5975 |
2 |
$35,336 |
481 |
1 |
Penis procedures |
0.7421 |
2 |
$47,061 |
481 |
2 |
Penis procedures |
1.2195 |
2 |
$47,061 |
481 |
3 |
Penis procedures |
1.9546 |
2 |
$47,061 |
481 |
4 |
Penis procedures |
2.0664 |
2 |
$47,061 |
482 |
1 |
Transurethral prostatectomy |
0.6050 |
2 |
$22,904 |
482 |
2 |
Transurethral prostatectomy |
0.8478 |
2 |
$22,904 |
482 |
3 |
Transurethral prostatectomy |
2.3539 |
2 |
$22,904 |
482 |
4 |
Transurethral prostatectomy |
2.7057 |
2 |
$22,904 |
483 |
1 |
Testes & scrotal procedures |
0.6317 |
3 |
$34,437 |
483 |
2 |
Testes & scrotal procedures |
1.2810 |
3 |
$34,437 |
483 |
3 |
Testes & scrotal procedures |
3.1815 |
3 |
$34,437 |
483 |
4 |
Testes & scrotal procedures |
4.2780 |
3 |
$34,437 |
484 |
1 |
Other male reproductive system & related procedures |
0.8784 |
3 |
$63,183 |
484 |
2 |
Other male reproductive system & related procedures |
1.1766 |
3 |
$63,183 |
484 |
3 |
Other male reproductive system & related procedures |
1.9720 |
3 |
$63,183 |
484 |
4 |
Other male reproductive system & related procedures |
2.1479 |
3 |
$63,183 |
500 |
1 |
Malignancy, male reproductive system |
0.4219 |
7 |
$79,798 |
500 |
2 |
Malignancy, male reproductive system |
0.9427 |
7 |
$79,798 |
500 |
3 |
Malignancy, male reproductive system |
1.5797 |
7 |
$79,798 |
500 |
4 |
Malignancy, male reproductive system |
1.8418 |
7 |
$79,798 |
501 |
1 |
Male reproductive system diagnoses except malignancy |
0.4834 |
3 |
$31,679 |
501 |
2 |
Male reproductive system diagnoses except malignancy |
0.6859 |
3 |
$31,679 |
501 |
3 |
Male reproductive system diagnoses except malignancy |
1.1227 |
3 |
$31,679 |
501 |
4 |
Male reproductive system diagnoses except malignancy |
2.1326 |
3 |
$31,679 |
510 |
1 |
Pelvic evisceration, radical hysterectomy & other radical GYN procs |
1.1244 |
4 |
$67,002 |
510 |
2 |
Pelvic evisceration, radical hysterectomy & other radical GYN procs |
1.4338 |
4 |
$67,002 |
510 |
3 |
Pelvic evisceration, radical hysterectomy & other radical GYN procs |
2.6313 |
4 |
$67,002 |
510 |
4 |
Pelvic evisceration, radical hysterectomy & other radical GYN procs |
6.4093 |
4 |
$67,002 |
511 |
1 |
Uterine & adnexa procedures for ovarian & adnexal malignancy |
1.2809 |
5 |
$70,932 |
511 |
2 |
Uterine & adnexa procedures for ovarian & adnexal malignancy |
1.5398 |
5 |
$70,932 |
511 |
3 |
Uterine & adnexa procedures for ovarian & adnexal malignancy |
2.5540 |
5 |
$70,932 |
511 |
4 |
Uterine & adnexa procedures for ovarian & adnexal malignancy |
6.2264 |
5 |
$70,932 |
512 |
1 |
Uterine & adnexa procedures for non–ovarian & non–adnexal malig |
1.0951 |
3 |
$45,741 |
512 |
2 |
Uterine & adnexa procedures for non–ovarian & non–adnexal malig |
1.3566 |
3 |
$45,741 |
512 |
3 |
Uterine & adnexa procedures for non–ovarian & non–adnexal malig |
2.3046 |
3 |
$45,741 |
512 |
4 |
Uterine & adnexa procedures for non–ovarian & non–adnexal malig |
7.5034 |
3 |
$45,741 |
513 |
1 |
Uterine & adnexa procedures for non–malignancy except leiomyoma |
0.8727 |
2 |
$35,086 |
513 |
2 |
Uterine & adnexa procedures for non–malignancy except leiomyoma |
1.0382 |
2 |
$35,086 |
513 |
3 |
Uterine & adnexa procedures for non–malignancy except leiomyoma |
1.8502 |
2 |
$35,086 |
513 |
4 |
Uterine & adnexa procedures for non–malignancy except leiomyoma |
4.8016 |
2 |
$35,086 |
514 |
1 |
Female reproductive system reconstructive procedures |
0.9942 |
1 |
$38,162 |
514 |
2 |
Female reproductive system reconstructive procedures |
0.9942 |
1 |
$38,162 |
514 |
3 |
Female reproductive system reconstructive procedures |
0.9942 |
1 |
$38,162 |
514 |
4 |
Female reproductive system reconstructive procedures |
3.1251 |
1 |
$38,162 |
517 |
1 |
Dilation & curettage for non–obstetric diagnoses |
0.6677 |
3 |
$34,897 |
517 |
2 |
Dilation & curettage for non–obstetric diagnoses |
0.9345 |
3 |
$34,897 |
517 |
3 |
Dilation & curettage for non–obstetric diagnoses |
2.0359 |
3 |
$34,897 |
517 |
4 |
Dilation & curettage for non–obstetric diagnoses |
2.1499 |
3 |
$34,897 |
518 |
1 |
Other female reproductive system & related procedures |
0.7559 |
3 |
$49,462 |
518 |
2 |
Other female reproductive system & related procedures |
1.0825 |
3 |
$49,462 |
518 |
3 |
Other female reproductive system & related procedures |
2.1188 |
3 |
$49,462 |
518 |
4 |
Other female reproductive system & related procedures |
5.9779 |
3 |
$49,462 |
519 |
1 |
Uterine & adnexa procedures for leiomyoma |
0.8588 |
2 |
$34,311 |
519 |
2 |
Uterine & adnexa procedures for leiomyoma |
1.0751 |
2 |
$34,311 |
519 |
3 |
Uterine & adnexa procedures for leiomyoma |
1.9793 |
2 |
$34,311 |
519 |
4 |
Uterine & adnexa procedures for leiomyoma |
6.0488 |
2 |
$34,311 |
530 |
1 |
Female reproductive system malignancy |
0.6102 |
6 |
$73,785 |
530 |
2 |
Female reproductive system malignancy |
0.7823 |
6 |
$73,785 |
530 |
3 |
Female reproductive system malignancy |
1.4519 |
6 |
$73,785 |
530 |
4 |
Female reproductive system malignancy |
2.5071 |
6 |
$73,785 |
531 |
1 |
Female reproductive system infections |
0.5400 |
3 |
$33,749 |
531 |
2 |
Female reproductive system infections |
0.7303 |
3 |
$33,749 |
531 |
3 |
Female reproductive system infections |
1.1590 |
3 |
$33,749 |
531 |
4 |
Female reproductive system infections |
1.3019 |
3 |
$33,749 |
532 |
1 |
Menstrual & other female reproductive system disorders |
0.4037 |
2 |
$25,344 |
532 |
2 |
Menstrual & other female reproductive system disorders |
0.5587 |
2 |
$25,344 |
532 |
3 |
Menstrual & other female reproductive system disorders |
0.9707 |
2 |
$25,344 |
532 |
4 |
Menstrual & other female reproductive system disorders |
1.0288 |
2 |
$25,344 |
540 |
1 |
Cesarean delivery |
0.8011 |
4 |
$34,848 |
540 |
2 |
Cesarean delivery |
0.9187 |
4 |
$34,848 |
540 |
3 |
Cesarean delivery |
1.1764 |
4 |
$34,848 |
540 |
4 |
Cesarean delivery |
2.7056 |
4 |
$34,848 |
541 |
1 |
Vaginal delivery w sterilization &/or D&C |
0.7031 |
3 |
$29,476 |
541 |
2 |
Vaginal delivery w sterilization &/or D&C |
0.7601 |
3 |
$29,476 |
541 |
3 |
Vaginal delivery w sterilization &/or D&C |
0.9958 |
3 |
$29,476 |
541 |
4 |
Vaginal delivery w sterilization &/or D&C |
1.0909 |
3 |
$29,476 |
542 |
1 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
0.5951 |
3 |
$32,882 |
542 |
2 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
0.6782 |
3 |
$32,882 |
542 |
3 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
1.2216 |
3 |
$32,882 |
542 |
4 |
Vaginal delivery w complicating procedures exc sterilization &/or D&C |
1.5409 |
3 |
$32,882 |
544 |
1 |
D&C, aspiration curettage or hysterotomy for obstetric diagnoses |
0.4799 |
2 |
$24,489 |
544 |
2 |
D&C, aspiration curettage or hysterotomy for obstetric diagnoses |
0.6189 |
2 |
$24,489 |
544 |
3 |
D&C, aspiration curettage or hysterotomy for obstetric diagnoses |
1.0994 |
2 |
$24,489 |
544 |
4 |
D&C, aspiration curettage or hysterotomy for obstetric diagnoses |
2.8706 |
2 |
$24,489 |
545 |
1 |
Ectopic pregnancy procedure |
0.6951 |
2 |
$26,060 |
545 |
2 |
Ectopic pregnancy procedure |
0.7850 |
2 |
$26,060 |
545 |
3 |
Ectopic pregnancy procedure |
1.1013 |
2 |
$26,060 |
545 |
4 |
Ectopic pregnancy procedure |
1.1751 |
2 |
$26,060 |
546 |
1 |
Other O.R. proc for obstetric diagnoses except delivery diagnoses |
0.5754 |
3 |
$37,650 |
546 |
2 |
Other O.R. proc for obstetric diagnoses except delivery diagnoses |
0.7795 |
3 |
$37,650 |
546 |
3 |
Other O.R. proc for obstetric diagnoses except delivery diagnoses |
1.6739 |
3 |
$37,650 |
546 |
4 |
Other O.R. proc for obstetric diagnoses except delivery diagnoses |
4.3077 |
3 |
$37,650 |
560 |
1 |
Vaginal delivery |
0.5295 |
2 |
$23,669 |
560 |
2 |
Vaginal delivery |
0.5852 |
2 |
$23,669 |
560 |
3 |
Vaginal delivery |
0.7264 |
2 |
$23,669 |
560 |
4 |
Vaginal delivery |
1.6966 |
2 |
$23,669 |
561 |
1 |
Postpartum & post abortion diagnoses w/o procedure |
0.3790 |
2 |
$20,414 |
561 |
2 |
Postpartum & post abortion diagnoses w/o procedure |
0.4486 |
2 |
$20,414 |
561 |
3 |
Postpartum & post abortion diagnoses w/o procedure |
0.6737 |
2 |
$20,414 |
561 |
4 |
Postpartum & post abortion diagnoses w/o procedure |
1.4578 |
2 |
$20,414 |
563 |
1 |
Preterm labor |
0.3480 |
2 |
$20,960 |
563 |
2 |
Preterm labor |
0.4188 |
2 |
$20,960 |
563 |
3 |
Preterm labor |
0.5946 |
2 |
$20,960 |
563 |
4 |
Preterm labor |
0.5946 |
2 |
$20,960 |
564 |
1 |
Abortion w/o D&C, aspiration curettage or hysterotomy |
0.3649 |
2 |
$21,483 |
564 |
2 |
Abortion w/o D&C, aspiration curettage or hysterotomy |
0.4223 |
2 |
$21,483 |
564 |
3 |
Abortion w/o D&C, aspiration curettage or hysterotomy |
0.6034 |
2 |
$21,483 |
564 |
4 |
Abortion w/o D&C, aspiration curettage or hysterotomy |
0.7253 |
2 |
$21,483 |
565 |
1 |
False labor |
0.2276 |
1 |
$9,456 |
565 |
2 |
False labor |
0.2824 |
1 |
$9,456 |
565 |
3 |
False labor |
0.2874 |
1 |
$9,456 |
565 |
4 |
False labor |
0.2874 |
1 |
$9,456 |
566 |
1 |
Other antepartum diagnoses |
0.3407 |
3 |
$24,107 |
566 |
2 |
Other antepartum diagnoses |
0.4459 |
3 |
$24,107 |
566 |
3 |
Other antepartum diagnoses |
0.6561 |
3 |
$24,107 |
566 |
4 |
Other antepartum diagnoses |
1.3618 |
3 |
$24,107 |
580 |
1 |
Neonate, transferred <5 days old, not born here |
0.3049 |
2 |
$19,988 |
580 |
2 |
Neonate, transferred <5 days old, not born here |
0.3860 |
2 |
$19,988 |
580 |
3 |
Neonate, transferred <5 days old, not born here |
0.5418 |
2 |
$19,988 |
580 |
4 |
Neonate, transferred <5 days old, not born here |
1.1132 |
2 |
$19,988 |
581 |
1 |
Neonate, transferred < 5 days old, born here |
0.1365 |
1 |
$10,536 |
581 |
2 |
Neonate, transferred < 5 days old, born here |
0.1858 |
1 |
$10,536 |
581 |
3 |
Neonate, transferred < 5 days old, born here |
0.2740 |
1 |
$10,536 |
581 |
4 |
Neonate, transferred < 5 days old, born here |
0.4946 |
1 |
$10,536 |
583 |
1 |
Neonate w ECMO |
14.3195 |
39 |
$1,577,388 |
583 |
2 |
Neonate w ECMO |
14.3195 |
39 |
$1,577,388 |
583 |
3 |
Neonate w ECMO |
14.5924 |
39 |
$1,577,388 |
583 |
4 |
Neonate w ECMO |
25.6857 |
39 |
$1,577,388 |
588 |
1 |
Neonate bwt <1500g w major procedure |
19.3045 |
105 |
$1,567,510 |
588 |
2 |
Neonate bwt <1500g w major procedure |
19.3045 |
105 |
$1,567,510 |
588 |
3 |
Neonate bwt <1500g w major procedure |
25.2342 |
105 |
$1,567,510 |
588 |
4 |
Neonate bwt <1500g w major procedure |
25.2342 |
105 |
$1,567,510 |
589 |
1 |
Neonate bwt <500g or GA <24 weeks |
12.1389 |
8 |
$12,633 |
589 |
2 |
Neonate bwt <500g or GA <24 weeks |
12.1389 |
8 |
$12,633 |
589 |
3 |
Neonate bwt <500g or GA <24 weeks |
4.3999 |
8 |
$12,633 |
589 |
4 |
Neonate bwt <500g or GA <24 weeks |
0.1135 |
8 |
$12,633 |
591 |
1 |
Neonate birthwt 500–749g w/o major procedure |
8.8894 |
76 |
$1,248,850 |
591 |
2 |
Neonate birthwt 500–749g w/o major procedure |
11.0219 |
76 |
$1,248,850 |
591 |
3 |
Neonate birthwt 500–749g w/o major procedure |
11.8148 |
76 |
$1,248,850 |
591 |
4 |
Neonate birthwt 500–749g w/o major procedure |
19.3745 |
76 |
$1,248,850 |
593 |
1 |
Neonate birthwt 750–999g w/o major procedure |
10.8028 |
71 |
$839,104 |
593 |
2 |
Neonate birthwt 750–999g w/o major procedure |
11.1421 |
71 |
$839,104 |
593 |
3 |
Neonate birthwt 750–999g w/o major procedure |
13.6180 |
71 |
$839,104 |
593 |
4 |
Neonate birthwt 750–999g w/o major procedure |
17.4359 |
71 |
$839,104 |
602 |
1 |
Neonate bwt 1000–1249g w resp dist synd/oth maj resp or maj anom |
6.4927 |
56 |
$651,756 |
602 |
2 |
Neonate bwt 1000–1249g w resp dist synd/oth maj resp or maj anom |
9.4840 |
56 |
$651,756 |
602 |
3 |
Neonate bwt 1000–1249g w resp dist synd/oth maj resp or maj anom |
11.1621 |
56 |
$651,756 |
602 |
4 |
Neonate bwt 1000–1249g w resp dist synd/oth maj resp or maj anom |
15.1216 |
56 |
$651,756 |
603 |
1 |
Neonate birthwt 1000–1249g w or w/o other significant condition |
5.1742 |
41 |
$391,892 |
603 |
2 |
Neonate birthwt 1000–1249g w or w/o other significant condition |
6.8985 |
41 |
$391,892 |
603 |
3 |
Neonate birthwt 1000–1249g w or w/o other significant condition |
8.9785 |
41 |
$391,892 |
603 |
4 |
Neonate birthwt 1000–1249g w or w/o other significant condition |
13.9298 |
41 |
$391,892 |
607 |
1 |
Neonate bwt 1250–1499g w resp dist synd/oth maj resp or maj anom |
6.0412 |
43 |
$458,761 |
607 |
2 |
Neonate bwt 1250–1499g w resp dist synd/oth maj resp or maj anom |
7.4784 |
43 |
$458,761 |
607 |
3 |
Neonate bwt 1250–1499g w resp dist synd/oth maj resp or maj anom |
9.1491 |
43 |
$458,761 |
607 |
4 |
Neonate bwt 1250–1499g w resp dist synd/oth maj resp or maj anom |
12.3456 |
43 |
$458,761 |
608 |
1 |
Neonate bwt 1250–1499g w or w/o other significant condition |
4.2444 |
30 |
$266,610 |
608 |
2 |
Neonate bwt 1250–1499g w or w/o other significant condition |
5.6860 |
30 |
$266,610 |
608 |
3 |
Neonate bwt 1250–1499g w or w/o other significant condition |
6.8236 |
30 |
$266,610 |
608 |
4 |
Neonate bwt 1250–1499g w or w/o other significant condition |
7.1824 |
30 |
$266,610 |
609 |
1 |
Neonate bwt 1500–2499g w major procedure |
3.5677 |
50 |
$889,861 |
609 |
2 |
Neonate bwt 1500–2499g w major procedure |
3.5951 |
50 |
$889,861 |
609 |
3 |
Neonate bwt 1500–2499g w major procedure |
7.2831 |
50 |
$889,861 |
609 |
4 |
Neonate bwt 1500–2499g w major procedure |
15.9642 |
50 |
$889,861 |
611 |
1 |
Neonate birthwt 1500–1999g w major anomaly |
2.5050 |
26 |
$307,527 |
611 |
2 |
Neonate birthwt 1500–1999g w major anomaly |
4.0349 |
26 |
$307,527 |
611 |
3 |
Neonate birthwt 1500–1999g w major anomaly |
6.2658 |
26 |
$307,527 |
611 |
4 |
Neonate birthwt 1500–1999g w major anomaly |
8.2137 |
26 |
$307,527 |
612 |
1 |
Neonate bwt 1500–1999g w resp dist synd/oth maj resp cond |
3.5182 |
27 |
$294,162 |
612 |
2 |
Neonate bwt 1500–1999g w resp dist synd/oth maj resp cond |
4.5501 |
27 |
$294,162 |
612 |
3 |
Neonate bwt 1500–1999g w resp dist synd/oth maj resp cond |
6.3430 |
27 |
$294,162 |
612 |
4 |
Neonate bwt 1500–1999g w resp dist synd/oth maj resp cond |
8.4736 |
27 |
$294,162 |
613 |
1 |
Neonate birthwt 1500–1999g w congenital/perinatal infection |
2.6641 |
21 |
$214,316 |
613 |
2 |
Neonate birthwt 1500–1999g w congenital/perinatal infection |
4.0276 |
21 |
$214,316 |
613 |
3 |
Neonate birthwt 1500–1999g w congenital/perinatal infection |
5.0477 |
21 |
$214,316 |
613 |
4 |
Neonate birthwt 1500–1999g w congenital/perinatal infection |
5.1781 |
21 |
$214,316 |
614 |
1 |
Neonate bwt 1500–1999g w or w/o other significant condition |
1.9946 |
14 |
$168,493 |
614 |
2 |
Neonate bwt 1500–1999g w or w/o other significant condition |
3.2983 |
14 |
$168,493 |
614 |
3 |
Neonate bwt 1500–1999g w or w/o other significant condition |
5.0361 |
14 |
$168,493 |
614 |
4 |
Neonate bwt 1500–1999g w or w/o other significant condition |
5.0361 |
14 |
$168,493 |
621 |
1 |
Neonate bwt 2000–2499g w major anomaly |
0.9077 |
14 |
$210,917 |
621 |
2 |
Neonate bwt 2000–2499g w major anomaly |
2.0940 |
14 |
$210,917 |
621 |
3 |
Neonate bwt 2000–2499g w major anomaly |
3.9783 |
14 |
$210,917 |
621 |
4 |
Neonate bwt 2000–2499g w major anomaly |
6.7921 |
14 |
$210,917 |
622 |
1 |
Neonate bwt 2000–2499g w resp dist synd/oth maj resp cond |
1.9373 |
14 |
$171,243 |
622 |
2 |
Neonate bwt 2000–2499g w resp dist synd/oth maj resp cond |
2.6304 |
14 |
$171,243 |
622 |
3 |
Neonate bwt 2000–2499g w resp dist synd/oth maj resp cond |
3.6058 |
14 |
$171,243 |
622 |
4 |
Neonate bwt 2000–2499g w resp dist synd/oth maj resp cond |
5.1690 |
14 |
$171,243 |
623 |
1 |
Neonate bwt 2000–2499g w congenital/perinatal infection |
1.4549 |
11 |
$112,213 |
623 |
2 |
Neonate bwt 2000–2499g w congenital/perinatal infection |
2.1582 |
11 |
$112,213 |
623 |
3 |
Neonate bwt 2000–2499g w congenital/perinatal infection |
3.1251 |
11 |
$112,213 |
623 |
4 |
Neonate bwt 2000–2499g w congenital/perinatal infection |
3.1251 |
11 |
$112,213 |
625 |
1 |
Neonate bwt 2000–2499g w other significant condition |
1.5998 |
11 |
$127,495 |
625 |
2 |
Neonate bwt 2000–2499g w other significant condition |
2.5873 |
11 |
$127,495 |
625 |
3 |
Neonate bwt 2000–2499g w other significant condition |
3.2943 |
11 |
$127,495 |
625 |
4 |
Neonate bwt 2000–2499g w other significant condition |
3.2943 |
11 |
$127,495 |
626 |
1 |
Neonate bwt 2000–2499g, normal newborn or neonate w other problem |
0.2083 |
4 |
$27,202 |
626 |
2 |
Neonate bwt 2000–2499g, normal newborn or neonate w other problem |
0.4166 |
4 |
$27,202 |
626 |
3 |
Neonate bwt 2000–2499g, normal newborn or neonate w other problem |
1.3379 |
4 |
$27,202 |
626 |
4 |
Neonate bwt 2000–2499g, normal newborn or neonate w other problem |
1.3394 |
4 |
$27,202 |
630 |
1 |
Neonate birthwt >2499g w major cardiovascular procedure |
3.4488 |
26 |
$544,273 |
630 |
2 |
Neonate birthwt >2499g w major cardiovascular procedure |
3.5867 |
26 |
$544,273 |
630 |
3 |
Neonate birthwt >2499g w major cardiovascular procedure |
5.9255 |
26 |
$544,273 |
630 |
4 |
Neonate birthwt >2499g w major cardiovascular procedure |
12.2295 |
26 |
$544,273 |
631 |
1 |
Neonate birthwt >2499g w other major procedure |
1.6281 |
25 |
$357,531 |
631 |
2 |
Neonate birthwt >2499g w other major procedure |
2.9340 |
25 |
$357,531 |
631 |
3 |
Neonate birthwt >2499g w other major procedure |
4.8760 |
25 |
$357,531 |
631 |
4 |
Neonate birthwt >2499g w other major procedure |
10.5134 |
25 |
$357,531 |
633 |
1 |
Neonate birthwt >2499g w major anomaly |
0.2818 |
6 |
$52,128 |
633 |
2 |
Neonate birthwt >2499g w major anomaly |
0.9105 |
6 |
$52,128 |
633 |
3 |
Neonate birthwt >2499g w major anomaly |
2.3964 |
6 |
$52,128 |
633 |
4 |
Neonate birthwt >2499g w major anomaly |
5.3539 |
6 |
$52,128 |
634 |
1 |
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond |
0.8041 |
7 |
$97,391 |
634 |
2 |
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond |
1.3331 |
7 |
$97,391 |
634 |
3 |
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond |
2.2522 |
7 |
$97,391 |
634 |
4 |
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond |
4.0335 |
7 |
$97,391 |
636 |
1 |
Neonate birthwt >2499g w congenital/perinatal infection |
0.9874 |
6 |
$74,783 |
636 |
2 |
Neonate birthwt >2499g w congenital/perinatal infection |
1.3400 |
6 |
$74,783 |
636 |
3 |
Neonate birthwt >2499g w congenital/perinatal infection |
2.0571 |
6 |
$74,783 |
636 |
4 |
Neonate birthwt >2499g w congenital/perinatal infection |
2.6817 |
6 |
$74,783 |
639 |
1 |
Neonate birthwt >2499g w other significant condition |
0.5157 |
5 |
$46,792 |
639 |
2 |
Neonate birthwt >2499g w other significant condition |
1.2966 |
5 |
$46,792 |
639 |
3 |
Neonate birthwt >2499g w other significant condition |
1.8637 |
5 |
$46,792 |
639 |
4 |
Neonate birthwt >2499g w other significant condition |
3.8343 |
5 |
$46,792 |
640 |
1 |
Neonate birthwt >2499g, normal newborn or neonate w other problem |
0.1749 |
2 |
$10,159 |
640 |
2 |
Neonate birthwt >2499g, normal newborn or neonate w other problem |
0.2430 |
2 |
$10,159 |
640 |
3 |
Neonate birthwt >2499g, normal newborn or neonate w other problem |
0.5401 |
2 |
$10,159 |
640 |
4 |
Neonate birthwt >2499g, normal newborn or neonate w other problem |
0.5407 |
2 |
$10,159 |
650 |
1 |
Splenectomy |
1.2993 |
6 |
$80,455 |
650 |
2 |
Splenectomy |
1.9844 |
6 |
$80,455 |
650 |
3 |
Splenectomy |
2.3913 |
6 |
$80,455 |
650 |
4 |
Splenectomy |
5.7030 |
6 |
$80,455 |
651 |
1 |
Other procedures of blood & blood–forming organs |
1.0413 |
5 |
$65,617 |
651 |
2 |
Other procedures of blood & blood–forming organs |
1.3809 |
5 |
$65,617 |
651 |
3 |
Other procedures of blood & blood–forming organs |
2.6071 |
5 |
$65,617 |
651 |
4 |
Other procedures of blood & blood–forming organs |
3.7719 |
5 |
$65,617 |
660 |
1 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
0.6973 |
5 |
$69,367 |
660 |
2 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
0.8999 |
5 |
$69,367 |
660 |
3 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
1.5217 |
5 |
$69,367 |
660 |
4 |
Major hematologic/immunologic diag exc sickle cell crisis & coagul |
4.9780 |
5 |
$69,367 |
661 |
1 |
Coagulation & platelet disorders |
1.0096 |
4 |
$80,769 |
661 |
2 |
Coagulation & platelet disorders |
1.1858 |
4 |
$80,769 |
661 |
3 |
Coagulation & platelet disorders |
1.9558 |
4 |
$80,769 |
661 |
4 |
Coagulation & platelet disorders |
4.5661 |
4 |
$80,769 |
662 |
1 |
Sickle cell anemia crisis |
0.6688 |
5 |
$58,177 |
662 |
2 |
Sickle cell anemia crisis |
0.9652 |
5 |
$58,177 |
662 |
3 |
Sickle cell anemia crisis |
1.5407 |
5 |
$58,177 |
662 |
4 |
Sickle cell anemia crisis |
3.3123 |
5 |
$58,177 |
663 |
1 |
Other anemia & disorders of blood & blood–forming organs |
0.5133 |
3 |
$37,235 |
663 |
2 |
Other anemia & disorders of blood & blood–forming organs |
0.7046 |
3 |
$37,235 |
663 |
3 |
Other anemia & disorders of blood & blood–forming organs |
1.1104 |
3 |
$37,235 |
663 |
4 |
Other anemia & disorders of blood & blood–forming organs |
2.3554 |
3 |
$37,235 |
680 |
1 |
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms |
1.3840 |
11 |
$207,423 |
680 |
2 |
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms |
2.1817 |
11 |
$207,423 |
680 |
3 |
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms |
3.8687 |
11 |
$207,423 |
680 |
4 |
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms |
8.9463 |
11 |
$207,423 |
681 |
1 |
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms |
0.9482 |
9 |
$170,258 |
681 |
2 |
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms |
1.5855 |
9 |
$170,258 |
681 |
3 |
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms |
3.8193 |
9 |
$170,258 |
681 |
4 |
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms |
8.9712 |
9 |
$170,258 |
690 |
1 |
Acute leukemia |
1.3367 |
21 |
$524,044 |
690 |
2 |
Acute leukemia |
2.7187 |
21 |
$524,044 |
690 |
3 |
Acute leukemia |
6.0629 |
21 |
$524,044 |
690 |
4 |
Acute leukemia |
8.7531 |
21 |
$524,044 |
691 |
1 |
Lymphoma, myeloma & non–acute leukemia |
1.0227 |
10 |
$180,260 |
691 |
2 |
Lymphoma, myeloma & non–acute leukemia |
1.4840 |
10 |
$180,260 |
691 |
3 |
Lymphoma, myeloma & non–acute leukemia |
2.5127 |
10 |
$180,260 |
691 |
4 |
Lymphoma, myeloma & non–acute leukemia |
6.3328 |
10 |
$180,260 |
692 |
1 |
Radiotherapy |
0.5959 |
6 |
$116,945 |
692 |
2 |
Radiotherapy |
1.3009 |
6 |
$116,945 |
692 |
3 |
Radiotherapy |
2.7838 |
6 |
$116,945 |
692 |
4 |
Radiotherapy |
3.1237 |
6 |
$116,945 |
694 |
1 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
0.6227 |
7 |
$101,193 |
694 |
2 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
0.9815 |
7 |
$101,193 |
694 |
3 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
1.6209 |
7 |
$101,193 |
694 |
4 |
Lymphatic & other malignancies & neoplasms of uncertain behavior |
3.3814 |
7 |
$101,193 |
695 |
1 |
Chemotherapy for acute leukemia # |
0.9049 |
9 |
$83,031 |
695 |
2 |
Chemotherapy for acute leukemia # |
0.9062 |
9 |
$83,031 |
695 |
3 |
Chemotherapy for acute leukemia # |
2.4380 |
9 |
$83,031 |
695 |
4 |
Chemotherapy for acute leukemia # |
7.3868 |
9 |
$83,031 |
696 |
1 |
Other Chemotherapy # |
0.7469 |
4 |
$70,127 |
696 |
2 |
Other Chemotherapy # |
1.0044 |
4 |
$70,127 |
696 |
3 |
Other Chemotherapy # |
1.5150 |
4 |
$70,127 |
696 |
4 |
Other Chemotherapy # |
4.3944 |
4 |
$70,127 |
710 |
1 |
Infectious & parasitic diseases including HIV w O.R. procedure |
1.0839 |
15 |
$223,074 |
710 |
2 |
Infectious & parasitic diseases including HIV w O.R. procedure |
1.6661 |
15 |
$223,074 |
710 |
3 |
Infectious & parasitic diseases including HIV w O.R. procedure |
2.9756 |
15 |
$223,074 |
710 |
4 |
Infectious & parasitic diseases including HIV w O.R. procedure |
6.3204 |
15 |
$223,074 |
711 |
1 |
Post–op, post–trauma, other device infections w O.R. procedure |
1.1583 |
9 |
$117,318 |
711 |
2 |
Post–op, post–trauma, other device infections w O.R. procedure |
1.5845 |
9 |
$117,318 |
711 |
3 |
Post–op, post–trauma, other device infections w O.R. procedure |
2.8749 |
9 |
$117,318 |
711 |
4 |
Post–op, post–trauma, other device infections w O.R. procedure |
6.0359 |
9 |
$117,318 |
720 |
1 |
Septicemia & disseminated infections |
0.6044 |
7 |
$91,619 |
720 |
2 |
Septicemia & disseminated infections |
0.8337 |
7 |
$91,619 |
720 |
3 |
Septicemia & disseminated infections |
1.4880 |
7 |
$91,619 |
720 |
4 |
Septicemia & disseminated infections |
3.2003 |
7 |
$91,619 |
721 |
1 |
Post–operative, post–traumatic, other device infections |
0.6438 |
6 |
$65,973 |
721 |
2 |
Post–operative, post–traumatic, other device infections |
0.8465 |
6 |
$65,973 |
721 |
3 |
Post–operative, post–traumatic, other device infections |
1.4316 |
6 |
$65,973 |
721 |
4 |
Post–operative, post–traumatic, other device infections |
2.8310 |
6 |
$65,973 |
722 |
1 |
Fever |
0.5134 |
3 |
$30,062 |
722 |
2 |
Fever |
0.5849 |
3 |
$30,062 |
722 |
3 |
Fever |
0.8490 |
3 |
$30,062 |
722 |
4 |
Fever |
1.7920 |
3 |
$30,062 |
723 |
1 |
Viral illness |
0.4598 |
3 |
$30,606 |
723 |
2 |
Viral illness |
0.5554 |
3 |
$30,606 |
723 |
3 |
Viral illness |
0.8544 |
3 |
$30,606 |
723 |
4 |
Viral illness |
2.6877 |
3 |
$30,606 |
724 |
1 |
Other infectious & parasitic diseases |
0.6461 |
5 |
$54,014 |
724 |
2 |
Other infectious & parasitic diseases |
0.7672 |
5 |
$54,014 |
724 |
3 |
Other infectious & parasitic diseases |
1.3629 |
5 |
$54,014 |
724 |
4 |
Other infectious & parasitic diseases |
3.6206 |
5 |
$54,014 |
740 |
1 |
Mental illness diagnosis w O.R. procedure |
3.0260 |
14 |
$45,005 |
740 |
2 |
Mental illness diagnosis w O.R. procedure |
3.0260 |
14 |
$45,005 |
740 |
3 |
Mental illness diagnosis w O.R. procedure |
3.0260 |
14 |
$45,005 |
740 |
4 |
Mental illness diagnosis w O.R. procedure |
3.0260 |
14 |
$45,005 |
750 |
1 |
Schizophrenia |
1.4866 |
12 |
$102,779 |
750 |
2 |
Schizophrenia |
1.7327 |
12 |
$102,779 |
750 |
3 |
Schizophrenia |
2.1705 |
12 |
$102,779 |
750 |
4 |
Schizophrenia |
2.9049 |
12 |
$102,779 |
751 |
1 |
Major depressive disorders & other/unspecified psychoses |
0.8581 |
7 |
$58,876 |
751 |
2 |
Major depressive disorders & other/unspecified psychoses |
1.0562 |
7 |
$58,876 |
751 |
3 |
Major depressive disorders & other/unspecified psychoses |
1.7952 |
7 |
$58,876 |
751 |
4 |
Major depressive disorders & other/unspecified psychoses |
2.3080 |
7 |
$58,876 |
752 |
1 |
Disorders of personality & impulse control |
0.9482 |
5 |
$147,625 |
752 |
2 |
Disorders of personality & impulse control |
0.9482 |
5 |
$147,625 |
752 |
3 |
Disorders of personality & impulse control |
0.9482 |
5 |
$147,625 |
752 |
4 |
Disorders of personality & impulse control |
0.9482 |
5 |
$147,625 |
753 |
1 |
Bipolar disorders |
0.8284 |
6 |
$64,804 |
753 |
2 |
Bipolar disorders |
1.0264 |
6 |
$64,804 |
753 |
3 |
Bipolar disorders |
1.6490 |
6 |
$64,804 |
753 |
4 |
Bipolar disorders |
1.7746 |
6 |
$64,804 |
754 |
1 |
Depression except major depressive disorder |
0.6929 |
4 |
$21,794 |
754 |
2 |
Depression except major depressive disorder |
0.6929 |
4 |
$21,794 |
754 |
3 |
Depression except major depressive disorder |
0.8522 |
4 |
$21,794 |
754 |
4 |
Depression except major depressive disorder |
0.8522 |
4 |
$21,794 |
755 |
1 |
Adjustment disorders & neuroses except depressive diagnoses |
0.5103 |
3 |
$31,892 |
755 |
2 |
Adjustment disorders & neuroses except depressive diagnoses |
0.8067 |
3 |
$31,892 |
755 |
3 |
Adjustment disorders & neuroses except depressive diagnoses |
0.8067 |
3 |
$31,892 |
755 |
4 |
Adjustment disorders & neuroses except depressive diagnoses |
0.8067 |
3 |
$31,892 |
756 |
1 |
Acute anxiety & delirium states |
0.4561 |
2 |
$21,824 |
756 |
2 |
Acute anxiety & delirium states |
0.5899 |
2 |
$21,824 |
756 |
3 |
Acute anxiety & delirium states |
0.8952 |
2 |
$21,824 |
756 |
4 |
Acute anxiety & delirium states |
0.8980 |
2 |
$21,824 |
757 |
1 |
Organic mental health disturbances |
0.8069 |
5 |
$26,352 |
757 |
2 |
Organic mental health disturbances |
0.8069 |
5 |
$26,352 |
757 |
3 |
Organic mental health disturbances |
0.9637 |
5 |
$26,352 |
757 |
4 |
Organic mental health disturbances |
0.9637 |
5 |
$26,352 |
758 |
1 |
Behavioral disorders |
0.5380 |
5 |
$45,049 |
758 |
2 |
Behavioral disorders |
1.1309 |
5 |
$45,049 |
758 |
3 |
Behavioral disorders |
1.1309 |
5 |
$45,049 |
758 |
4 |
Behavioral disorders |
1.1309 |
5 |
$45,049 |
759 |
1 |
Eating disorders |
1.2963 |
10 |
$71,296 |
759 |
2 |
Eating disorders |
1.2963 |
10 |
$71,296 |
759 |
3 |
Eating disorders |
2.1156 |
10 |
$71,296 |
759 |
4 |
Eating disorders |
2.1156 |
10 |
$71,296 |
760 |
1 |
Other mental health disorders |
0.5519 |
4 |
$31,356 |
760 |
2 |
Other mental health disorders |
0.8133 |
4 |
$31,356 |
760 |
3 |
Other mental health disorders |
0.8495 |
4 |
$31,356 |
760 |
4 |
Other mental health disorders |
0.8495 |
4 |
$31,356 |
770 |
1 |
Drug & alcohol abuse or dependence, left against medical advice |
0.2990 |
2 |
$15,672 |
770 |
2 |
Drug & alcohol abuse or dependence, left against medical advice |
0.3790 |
2 |
$15,672 |
770 |
3 |
Drug & alcohol abuse or dependence, left against medical advice |
0.7868 |
2 |
$15,672 |
770 |
4 |
Drug & alcohol abuse or dependence, left against medical advice |
0.8937 |
2 |
$15,672 |
772 |
1 |
Alcohol & drug dependence w rehab or rehab/detox therapy |
0.9901 |
22 |
$36,295 |
772 |
2 |
Alcohol & drug dependence w rehab or rehab/detox therapy |
0.9901 |
22 |
$36,295 |
772 |
3 |
Alcohol & drug dependence w rehab or rehab/detox therapy |
0.9901 |
22 |
$36,295 |
772 |
4 |
Alcohol & drug dependence w rehab or rehab/detox therapy |
1.0904 |
22 |
$36,295 |
773 |
1 |
Opioid abuse & dependence |
0.3664 |
4 |
$36,314 |
773 |
2 |
Opioid abuse & dependence |
0.4985 |
4 |
$36,314 |
773 |
3 |
Opioid abuse & dependence |
1.1327 |
4 |
$36,314 |
773 |
4 |
Opioid abuse & dependence |
1.3002 |
4 |
$36,314 |
774 |
1 |
Cocaine abuse & dependence |
0.4956 |
4 |
$32,678 |
774 |
2 |
Cocaine abuse & dependence |
0.5006 |
4 |
$32,678 |
774 |
3 |
Cocaine abuse & dependence |
0.8087 |
4 |
$32,678 |
774 |
4 |
Cocaine abuse & dependence |
1.0099 |
4 |
$32,678 |
775 |
1 |
Alcohol abuse & dependence |
0.4563 |
4 |
$37,220 |
775 |
2 |
Alcohol abuse & dependence |
0.6501 |
4 |
$37,220 |
775 |
3 |
Alcohol abuse & dependence |
1.2324 |
4 |
$37,220 |
775 |
4 |
Alcohol abuse & dependence |
3.9193 |
4 |
$37,220 |
776 |
1 |
Other drug abuse & dependence |
0.5230 |
4 |
$27,490 |
776 |
2 |
Other drug abuse & dependence |
0.5535 |
4 |
$27,490 |
776 |
3 |
Other drug abuse & dependence |
0.6202 |
4 |
$27,490 |
776 |
4 |
Other drug abuse & dependence |
0.6202 |
4 |
$27,490 |
791 |
1 |
O.R. procedure for other complications of treatment |
0.8480 |
6 |
$95,102 |
791 |
2 |
O.R. procedure for other complications of treatment |
1.4233 |
6 |
$95,102 |
791 |
3 |
O.R. procedure for other complications of treatment |
2.6741 |
6 |
$95,102 |
791 |
4 |
O.R. procedure for other complications of treatment |
6.6107 |
6 |
$95,102 |
811 |
1 |
Allergic reactions |
0.3390 |
2 |
$29,304 |
811 |
2 |
Allergic reactions |
0.4720 |
2 |
$29,304 |
811 |
3 |
Allergic reactions |
1.0474 |
2 |
$29,304 |
811 |
4 |
Allergic reactions |
2.3612 |
2 |
$29,304 |
812 |
1 |
Poisoning of medicinal agents |
0.4095 |
3 |
$37,611 |
812 |
2 |
Poisoning of medicinal agents |
0.5423 |
3 |
$37,611 |
812 |
3 |
Poisoning of medicinal agents |
0.9200 |
3 |
$37,611 |
812 |
4 |
Poisoning of medicinal agents |
2.1864 |
3 |
$37,611 |
813 |
1 |
Other complications of treatment |
0.4975 |
3 |
$42,745 |
813 |
2 |
Other complications of treatment |
0.6871 |
3 |
$42,745 |
813 |
3 |
Other complications of treatment |
1.1381 |
3 |
$42,745 |
813 |
4 |
Other complications of treatment |
2.6136 |
3 |
$42,745 |
815 |
1 |
Other injury, poisoning & toxic effect diagnoses |
0.3613 |
3 |
$40,952 |
815 |
2 |
Other injury, poisoning & toxic effect diagnoses |
0.6180 |
3 |
$40,952 |
815 |
3 |
Other injury, poisoning & toxic effect diagnoses |
1.0546 |
3 |
$40,952 |
815 |
4 |
Other injury, poisoning & toxic effect diagnoses |
2.7045 |
3 |
$40,952 |
816 |
1 |
Toxic effects of non–medicinal substances |
0.4480 |
3 |
$46,808 |
816 |
2 |
Toxic effects of non–medicinal substances |
0.5664 |
3 |
$46,808 |
816 |
3 |
Toxic effects of non–medicinal substances |
0.8811 |
3 |
$46,808 |
816 |
4 |
Toxic effects of non–medicinal substances |
2.0940 |
3 |
$46,808 |
841 |
1 |
Extensive 3rd degree burns w skin graft |
5.3668 |
45 |
$815,677 |
841 |
2 |
Extensive 3rd degree burns w skin graft |
7.0819 |
45 |
$815,677 |
841 |
3 |
Extensive 3rd degree burns w skin graft |
14.6429 |
45 |
$815,677 |
841 |
4 |
Extensive 3rd degree burns w skin graft |
18.7384 |
45 |
$815,677 |
842 |
1 |
Burns with skin graft except extensive 3rd degree burns |
2.1552 |
13 |
$211,732 |
842 |
2 |
Burns with skin graft except extensive 3rd degree burns |
2.8344 |
13 |
$211,732 |
842 |
3 |
Burns with skin graft except extensive 3rd degree burns |
4.3635 |
13 |
$211,732 |
842 |
4 |
Burns with skin graft except extensive 3rd degree burns |
8.6377 |
13 |
$211,732 |
843 |
1 |
Extensive 3rd degree or full thickness burns w/o skin graft |
1.9714 |
5 |
$98,430 |
843 |
2 |
Extensive 3rd degree or full thickness burns w/o skin graft |
1.9714 |
5 |
$98,430 |
843 |
3 |
Extensive 3rd degree or full thickness burns w/o skin graft |
1.9714 |
5 |
$98,430 |
843 |
4 |
Extensive 3rd degree or full thickness burns w/o skin graft |
1.9714 |
5 |
$98,430 |
844 |
1 |
Partial thickness burns without skin graft |
0.6493 |
4 |
$68,509 |
844 |
2 |
Partial thickness burns without skin graft |
1.0636 |
4 |
$68,509 |
844 |
3 |
Partial thickness burns without skin graft |
1.8821 |
4 |
$68,509 |
844 |
4 |
Partial thickness burns without skin graft |
5.0797 |
4 |
$68,509 |
850 |
1 |
Procedure w diag of rehab, aftercare or oth contact w health service |
1.1611 |
5 |
$117,263 |
850 |
2 |
Procedure w diag of rehab, aftercare or oth contact w health service |
1.6578 |
5 |
$117,263 |
850 |
3 |
Procedure w diag of rehab, aftercare or oth contact w health service |
3.2373 |
5 |
$117,263 |
850 |
4 |
Procedure w diag of rehab, aftercare or oth contact w health service |
7.6267 |
5 |
$117,263 |
860 |
1 |
Rehabilitation |
1.5323 |
16 |
$64,093 |
860 |
2 |
Rehabilitation |
1.7939 |
16 |
$64,093 |
860 |
3 |
Rehabilitation |
2.3722 |
16 |
$64,093 |
860 |
4 |
Rehabilitation |
2.3722 |
16 |
$64,093 |
861 |
1 |
Signs, symptoms & other factors influencing health status |
0.4502 |
3 |
$37,846 |
861 |
2 |
Signs, symptoms & other factors influencing health status |
0.6303 |
3 |
$37,846 |
861 |
3 |
Signs, symptoms & other factors influencing health status |
1.0578 |
3 |
$37,846 |
861 |
4 |
Signs, symptoms & other factors influencing health status |
2.0902 |
3 |
$37,846 |
862 |
1 |
Other aftercare & convalescence |
0.5121 |
3 |
$44,425 |
862 |
2 |
Other aftercare & convalescence |
0.7336 |
3 |
$44,425 |
862 |
3 |
Other aftercare & convalescence |
1.2283 |
3 |
$44,425 |
862 |
4 |
Other aftercare & convalescence |
2.1425 |
3 |
$44,425 |
863 |
1 |
Neonatal aftercare |
0.9105 |
17 |
$124,563 |
863 |
2 |
Neonatal aftercare |
2.1892 |
17 |
$124,563 |
863 |
3 |
Neonatal aftercare |
4.1515 |
17 |
$124,563 |
863 |
4 |
Neonatal aftercare |
5.2990 |
17 |
$124,563 |
890 |
1 |
HIV w multiple major HIV related conditions |
1.1135 |
13 |
$186,689 |
890 |
2 |
HIV w multiple major HIV related conditions |
1.1151 |
13 |
$186,689 |
890 |
3 |
HIV w multiple major HIV related conditions |
1.9260 |
13 |
$186,689 |
890 |
4 |
HIV w multiple major HIV related conditions |
3.7865 |
13 |
$186,689 |
892 |
1 |
HIV w major HIV related condition |
0.7201 |
6 |
$84,219 |
892 |
2 |
HIV w major HIV related condition |
0.9331 |
6 |
$84,219 |
892 |
3 |
HIV w major HIV related condition |
1.3095 |
6 |
$84,219 |
892 |
4 |
HIV w major HIV related condition |
2.3345 |
6 |
$84,219 |
893 |
1 |
HIV w multiple significant HIV related conditions |
0.7823 |
6 |
$83,022 |
893 |
2 |
HIV w multiple significant HIV related conditions |
0.9245 |
6 |
$83,022 |
893 |
3 |
HIV w multiple significant HIV related conditions |
1.4524 |
6 |
$83,022 |
893 |
4 |
HIV w multiple significant HIV related conditions |
1.4814 |
6 |
$83,022 |
894 |
1 |
HIV w one signif HIV cond or w/o signif related cond |
0.6138 |
4 |
$53,148 |
894 |
2 |
HIV w one signif HIV cond or w/o signif related cond |
0.7620 |
4 |
$53,148 |
894 |
3 |
HIV w one signif HIV cond or w/o signif related cond |
1.1592 |
4 |
$53,148 |
894 |
4 |
HIV w one signif HIV cond or w/o signif related cond |
1.1592 |
4 |
$53,148 |
910 |
1 |
Craniotomy for multiple significant trauma |
3.7594 |
15 |
$387,457 |
910 |
2 |
Craniotomy for multiple significant trauma |
3.7594 |
15 |
$387,457 |
910 |
3 |
Craniotomy for multiple significant trauma |
3.8771 |
15 |
$387,457 |
910 |
4 |
Craniotomy for multiple significant trauma |
7.1825 |
15 |
$387,457 |
911 |
1 |
Extensive abdominal/thoracic procedures for mult significant trauma |
1.8714 |
13 |
$323,703 |
911 |
2 |
Extensive abdominal/thoracic procedures for mult significant trauma |
1.8714 |
13 |
$323,703 |
911 |
3 |
Extensive abdominal/thoracic procedures for mult significant trauma |
2.5631 |
13 |
$323,703 |
911 |
4 |
Extensive abdominal/thoracic procedures for mult significant trauma |
6.4903 |
13 |
$323,703 |
912 |
1 |
Musculoskeletal & other procedures for multiple significant trauma |
2.3640 |
13 |
$279,636 |
912 |
2 |
Musculoskeletal & other procedures for multiple significant trauma |
2.3658 |
13 |
$279,636 |
912 |
3 |
Musculoskeletal & other procedures for multiple significant trauma |
3.9355 |
13 |
$279,636 |
912 |
4 |
Musculoskeletal & other procedures for multiple significant trauma |
7.5766 |
13 |
$279,636 |
930 |
1 |
Multiple significant trauma w/o O.R. procedure |
0.8819 |
6 |
$82,077 |
930 |
2 |
Multiple significant trauma w/o O.R. procedure |
0.8865 |
6 |
$82,077 |
930 |
3 |
Multiple significant trauma w/o O.R. procedure |
1.5827 |
6 |
$82,077 |
930 |
4 |
Multiple significant trauma w/o O.R. procedure |
3.6540 |
6 |
$82,077 |
950 |
1 |
Extensive procedure unrelated to principal diagnosis |
1.3624 |
12 |
$238,391 |
950 |
2 |
Extensive procedure unrelated to principal diagnosis |
2.1590 |
12 |
$238,391 |
950 |
3 |
Extensive procedure unrelated to principal diagnosis |
3.9944 |
12 |
$238,391 |
950 |
4 |
Extensive procedure unrelated to principal diagnosis |
8.1143 |
12 |
$238,391 |
951 |
1 |
Moderately extensive procedure unrelated to principal diagnosis |
0.9211 |
8 |
$118,349 |
951 |
2 |
Moderately extensive procedure unrelated to principal diagnosis |
1.3906 |
8 |
$118,349 |
951 |
3 |
Moderately extensive procedure unrelated to principal diagnosis |
2.7118 |
8 |
$118,349 |
951 |
4 |
Moderately extensive procedure unrelated to principal diagnosis |
6.2751 |
8 |
$118,349 |
952 |
1 |
Nonextensive procedure unrelated to principal diagnosis |
0.7849 |
6 |
$88,793 |
952 |
2 |
Nonextensive procedure unrelated to principal diagnosis |
1.1962 |
6 |
$88,793 |
952 |
3 |
Nonextensive procedure unrelated to principal diagnosis |
2.4439 |
6 |
$88,793 |
952 |
4 |
Nonextensive procedure unrelated to principal diagnosis |
5.9316 |
6 |
$88,793 |