Final APR-DRG Weights Effective July 1, 2018 (v34)

July 1, 2018 APR–DRG Service Intensity Weights, Average Length of Stay and High Cost Outlier Thresholds

  • Final Weights are also available in EXCEL Format (XLSX) Updated 01/02/2019
APR–DRG Severity APR–DRG Description Service Intensity Weight Average Length of Stay Cost Outlier Threshold
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