| 871 |
Septicemia or severe sepsis without MV >96 hours with complication |
$20,266.59 |
| 872 |
Septicemia or severe sepsis without MV >96 hours without complication |
$11,377.13 |
| 057 |
Degenerative nervous system disorders without complication |
$23,957.44 |
| 064 |
Intracranial hemorrhage or cerebral infarction with complication |
$29,638.97 |
| 795 |
Normal newborn |
$3,396.03 |
| 560 |
Aftercare, musculoskeletal system and connective tissue with comorbidity |
$9,122.52 |
| 065 |
Intracranial hemorrhage or cerebral infarction with comorbidity or tPA in 24 hours |
$14,842.47 |
| 101 |
Seizures without complication |
$10,892.53 |
| 807 |
Vaginal delivery without sterilization or D&C without comorbidity/complication |
$9,865.83 |
| 027 |
Craniotomy and endovascular intracranial procedures without comorbidity/complication |
$46,085.63 |
| 023 |
Craniotomy with major device implant or acute complex CNS principal diagnosis with complication or chemotherapy implant or epilepsy with neurostimulator |
$100,152.91 |
| 794 |
Neonate with other significant problems |
$5,668.09 |
| 853 |
Infectious and parasitic diseases with O.R. procedures with complication |
$81,391.73 |
| 025 |
Craniotomy and endovascular intracranial procedures with complication |
$72,559.54 |
| 026 |
Craniotomy and endovascular intracranial procedures with comorbidity |
$54,849.07 |
| 552 |
Medical back problems without complication |
$9,837.37 |
| 392 |
Esophagitis, gastroenteritis and miscellaneous digestive disorders without complication |
$9,778.30 |
| 330 |
Major small and large bowel procedures with comorbidity |
$19,230.12 |
| 291 |
Heart failure and shock with complication |
$11,100.06 |
| 189 |
Pulmonary edema and respiratory failure |
$10,696.98 |
| 945 |
Rehabilitation with comorbidity/complication |
$24,805.58 |
| 177 |
Respiratory infections and inflammations with complication |
$13,773.13 |
| 640 |
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with complication |
$4,238.59 |
| 092 |
Other disorders of nervous system with comorbidity |
$12,008.64 |
| 056 |
Degenerative nervous system disorders with complication |
$40,113.40 |
| 100 |
Seizures with complication |
$20,382.40 |
| 247 |
Percutaneous cardiovascular procedures with drug-eluting stent without complication |
$35,713.54 |
| 331 |
Major small and large bowel procedures without comorbidity/complication |
$15,307.75 |
| 682 |
Renal failure with complication |
$16,810.08 |
| 193 |
Simple pneumonia and pleurisy with complication |
$12,134.23 |
| 951 |
Other factors influencing health status |
$4,111.66 |
| 455 |
Combined anterior and posterior spinal fusion without comorbidity/complication |
$47,050.48 |
| 793 |
Full term neonate with major problems |
$11,118.11 |
| 024 |
Craniotomy with major device implant or acute complex CNS principal diagnosis without complication |
$46,758.57 |
| 603 |
Cellulitis without complication |
$9,055.35 |
| 897 |
Alcohol, drug abuse or dependence without rehabilitation therapy without complication |
$21,451.79 |
| 312 |
Syncope and collapse |
$11,337.97 |
| 280 |
Acute myocardial infarction, discharged alive with complication |
$13,087.83 |
| 003 |
ECMO or tracheostomy with MV >96 hours or principal diagnosis except face, mouth and neck with major O.R. procedures |
$442,407.57 |
| 854 |
Infectious and parasitic diseases with O.R. procedures with comorbidity |
$46,568.58 |
| 698 |
Other kidney and urinary tract diagnoses with complication |
$16,183.30 |
| 641 |
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without complication |
$8,129.65 |
| 806 |
Vaginal delivery without sterilization or D&C with comorbidity |
$10,745.26 |
| 087 |
Traumatic stupor and coma <1 hour without comorbidity/complication |
$13,166.40 |
| 313 |
Chest pain |
$8,710.58 |
| 690 |
Kidney and urinary tract infections without complication |
$9,139.26 |
| 004 |
Tracheostomy with MV >96 hours or principal diagnosis except face, mouth and neck without major O.R. procedures |
$238,001.96 |
| 472 |
Cervical spinal fusion with comorbidity |
$31,009.61 |
| 658 |
Kidney and ureter procedures for neoplasm without comorbidity/complication |
$23,648.19 |
| 787 |
Cesarean section without sterilization with comorbidity |
$21,316.42 |
| 481 |
Hip and femur procedures except major joint with comorbidity |
$21,264.69 |