871 |
Septicemia or severe sepsis without MV >96 hours with complication |
$20,938 |
795 |
Normal newborn |
$2,103 |
807 |
Vaginal delivery without sterilization or D&C without comorbidity/complication |
$7,911 |
247 |
Percutaneous cardiovascular procedures with drug-eluting stent without complication |
$34,449 |
872 |
Septicemia or severe sepsis without MV >96 hours without complication |
$10,922 |
794 |
Neonate with other significant problems |
$3,063 |
280 |
Acute myocardial infarction, discharged alive with complication |
$13,175 |
189 |
Pulmonary edema and respiratory failure |
$13,595 |
806 |
Vaginal delivery without sterilization or D&C with comorbidity |
$8,753 |
246 |
Percutaneous cardiovascular procedures with drug-eluting stent with complication or 4+ arteries or stents |
$42,512 |
291 |
Heart failure and shock with complication |
$9,837 |
787 |
Cesarean section without sterilization with comorbidity |
$16,622 |
640 |
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with complication |
$1,450 |
193 |
Simple pneumonia and pleurisy with complication |
$11,278 |
683 |
Renal failure with comorbidity |
$9,528 |
552 |
Medical back problems without complication |
$24,130 |
682 |
Renal failure with complication |
$13,884 |
177 |
Respiratory infections and inflammations with complication |
$16,121 |
853 |
Infectious and parasitic diseases with O.R. procedures with complication |
$53,478 |
064 |
Intracranial hemorrhage or cerebral infarction with complication |
$23,009 |
637 |
Diabetes with complication |
$18,290 |
281 |
Acute myocardial infarction, discharged alive with comorbidity |
$13,473 |
481 |
Hip and femur procedures except major joint with comorbidity |
$18,560 |
603 |
Cellulitis without complication |
$10,586 |
313 |
Chest pain |
$22,858 |
560 |
Aftercare, musculoskeletal system and connective tissue with comorbidity |
$2,879 |
389 |
Gastrointestinal obstruction with comorbidity |
$9,583 |
065 |
Intracranial hemorrhage or cerebral infarction with comorbidity or tPA in 24 hours |
$16,437 |
793 |
Full term neonate with major problems |
$12,492 |
917 |
Poisoning and toxic effects of drugs with complication |
$24,534 |
788 |
Cesarean section without sterilization without comorbidity/complication |
$14,236 |
698 |
Other kidney and urinary tract diagnoses with complication |
$14,392 |
812 |
Red blood cell disorders without complication |
$14,787 |
194 |
Simple pneumonia and pleurisy with comorbidity |
$7,820 |
870 |
Septicemia or severe sepsis with MV >96 hours |
$77,491 |
951 |
Other factors influencing health status |
$1,498 |
309 |
Cardiac arrhythmia and conduction disorders with comorbidity |
$6,202 |
392 |
Esophagitis, gastroenteritis and miscellaneous digestive disorders without complication |
$10,161 |
208 |
Respiratory system diagnosis with ventilator support <=96 hours |
$24,993 |
638 |
Diabetes with comorbidity |
$9,726 |
086 |
Traumatic stupor and coma <1 hour with comorbidity |
$23,273 |
343 |
Appendectomy without complicated principal diagnosis without comorbidity/complication |
$25,421 |
286 |
Circulatory disorders except AMI, with cardiac catheterization with complication |
$20,398 |
896 |
Alcohol, drug abuse or dependence without rehabilitation therapy with complication |
$33,300 |
243 |
Permanent cardiac pacemaker implant with comorbidity |
$12,259 |
792 |
Prematurity without major problems |
$11,359 |
419 |
Laparoscopic cholecystectomy without C.D.E. without comorbidity/complication |
$76,248 |
433 |
Cirrhosis and alcoholic hepatitis with comorbidity |
$18,722 |
420 |
Hepatobiliary diagnostic procedures with complication |
$4,227 |
480 |
Hip and femur procedures except major joint with complication |
$22,731 |