| 871 |
Septicemia or severe sepsis without MV >96 hours with complication |
$17,671.62 |
| 795 |
Normal newborn |
$2,815.92 |
| 807 |
Vaginal delivery without sterilization or D&C without comorbidity/complication |
$10,153.07 |
| 872 |
Septicemia or severe sepsis without MV >96 hours without complication |
$12,166.27 |
| 454 |
Combined anterior and posterior spinal fusion with comorbidity |
$69,587.33 |
| 621 |
O.R. procedures for obesity without comorbidity/complication |
$47,577.78 |
| 794 |
Neonate with other significant problems |
$5,095.07 |
| 392 |
Esophagitis, gastroenteritis and miscellaneous digestive disorders without complication |
$10,516.13 |
| 455 |
Combined anterior and posterior spinal fusion without comorbidity/complication |
$73,371.27 |
| 853 |
Infectious and parasitic diseases with O.R. procedures with complication |
$66,859.05 |
| 330 |
Major small and large bowel procedures with comorbidity |
$23,280.26 |
| 177 |
Respiratory infections and inflammations with complication |
$15,587.08 |
| 792 |
Prematurity without major problems |
$21,723.25 |
| 552 |
Medical back problems without complication |
$8,882.07 |
| 329 |
Major small and large bowel procedures with complication |
$46,334.20 |
| 189 |
Pulmonary edema and respiratory failure |
$8,705.73 |
| 787 |
Cesarean section without sterilization with comorbidity |
$21,605.29 |
| 806 |
Vaginal delivery without sterilization or D&C with comorbidity |
$11,801.96 |
| 788 |
Cesarean section without sterilization without comorbidity/complication |
$17,935.20 |
| 460 |
Spinal fusion except cervical without complication |
$44,564.98 |
| 247 |
Percutaneous cardiovascular procedures with drug-eluting stent without complication |
$16,183.48 |
| 193 |
Simple pneumonia and pleurisy with complication |
$10,098.01 |
| 467 |
Revision of hip or knee replacement with comorbidity |
$34,443.32 |
| 470 |
Major hip and knee joint replacement or reattachment of lower extremity without complication |
$18,257.02 |
| 793 |
Full term neonate with major problems |
$9,584.98 |
| 246 |
Percutaneous cardiovascular procedures with drug-eluting stent with complication or 4+ arteries or stents |
$25,087.44 |
| 331 |
Major small and large bowel procedures without comorbidity/complication |
$19,385.94 |
| 517 |
Other musculoskeletal system and connective tissue O.R. procedures without comorbidity/complication |
$29,954.20 |
| 640 |
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with complication |
$2,259.89 |
| 472 |
Cervical spinal fusion with comorbidity |
$26,329.01 |
| 481 |
Hip and femur procedures except major joint with comorbidity |
$30,325.22 |
| 683 |
Renal failure with comorbidity |
$8,225.31 |
| 389 |
Gastrointestinal obstruction with comorbidity |
$7,927.84 |
| 291 |
Heart failure and shock with complication |
$9,611.36 |
| 768 |
Vaginal delivery with O.R. procedures except sterilization and/or D&C |
$13,307.84 |
| 854 |
Infectious and parasitic diseases with O.R. procedures with comorbidity |
$20,367.04 |
| 641 |
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without complication |
$7,446.07 |
| 682 |
Renal failure with complication |
$11,115.75 |
| 896 |
Alcohol, drug abuse or dependence without rehabilitation therapy with complication |
$20,196.11 |
| 280 |
Acute myocardial infarction, discharged alive with complication |
$13,590.98 |
| 708 |
Major male pelvic procedures without comorbidity/complication |
$12,863.34 |
| 791 |
Prematurity with major problems |
$31,193.66 |
| 661 |
Kidney and ureter procedures for non-neoplasm without comorbidity/complication |
$10,807.22 |
| 065 |
Intracranial hemorrhage or cerebral infarction with comorbidity or tPA in 24 hours |
$9,805.22 |
| 784 |
Cesarean section with sterilization with complication or comorbidity |
$15,205.05 |
| 394 |
Other digestive system diagnoses with comorbidity |
$14,467.44 |
| 064 |
Intracranial hemorrhage or cerebral infarction with complication |
$17,889.86 |
| 516 |
Other musculoskeletal system and connective tissue O.R. procedures with comorbidity |
$26,464.21 |
| 805 |
Vaginal delivery without sterilization or D&C with complication |
$12,593.50 |
| 698 |
Other kidney and urinary tract diagnoses with complication |
$11,221.92 |