871 |
Septicemia or severe sepsis without MV >96 hours with complication |
$26,850.27 |
795 |
Normal newborn |
$3,172.16 |
454 |
Combined anterior and posterior spinal fusion with comorbidity |
$99,159.40 |
794 |
Neonate with other significant problems |
$10,503.81 |
806 |
Vaginal delivery without sterilization or D&C with comorbidity |
$12,348.46 |
189 |
Pulmonary edema and respiratory failure |
$20,348.18 |
834 |
Acute leukemia without major O.R. procedures with complication |
$141,393.66 |
807 |
Vaginal delivery without sterilization or D&C without comorbidity/complication |
$11,313.66 |
793 |
Full term neonate with major problems |
$72,273.37 |
392 |
Esophagitis, gastroenteritis and miscellaneous digestive disorders without complication |
$11,188.65 |
847 |
Chemotherapy without acute leukemia as secondary diagnosis with comorbidity |
$26,663.22 |
203 |
Bronchitis and asthma without comorbidity/complication |
$12,060.74 |
016 |
Autologous bone marrow transplant with comorbidity/complication |
$135,342.13 |
640 |
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with complication |
$2,627.79 |
787 |
Cesarean section without sterilization with comorbidity |
$41,035.19 |
193 |
Simple pneumonia and pleurisy with complication |
$24,358.20 |
330 |
Major small and large bowel procedures with comorbidity |
$52,850.30 |
014 |
Allogeneic bone marrow transplant |
$332,719.40 |
790 |
Extreme immaturity or respiratory distress syndrome, neonate |
$619,333.37 |
840 |
Lymphoma and non-acute leukemia with complication |
$75,903.58 |
194 |
Simple pneumonia and pleurisy with comorbidity |
$8,592.43 |
872 |
Septicemia or severe sepsis without MV >96 hours without complication |
$12,435.99 |
792 |
Prematurity without major problems |
$76,767.28 |
467 |
Revision of hip or knee replacement with comorbidity |
$45,203.83 |
331 |
Major small and large bowel procedures without comorbidity/complication |
$30,856.93 |
786 |
Vaginal delivery without sterilization/dace with comorbidity |
$49,909.23 |
177 |
Respiratory infections and inflammations with complication |
$22,111.24 |
202 |
Bronchitis and asthma with comorbidity/complication |
$16,866.17 |
144 |
Other ear, nose, mouth and throat O.R. procedures with comorbidity |
$10,019.67 |
846 |
Chemotherapy without acute leukemia as secondary diagnosis with complication |
$62,889.23 |
470 |
Major hip and knee joint replacement or reattachment of lower extremity without complication |
$15,662.40 |
460 |
Spinal fusion except cervical without complication |
$39,426.51 |
833 |
Other antepartum diagnoses without O.R. procedures without comorbidity/complication |
$14,708.24 |
788 |
Cesarean section without sterilization without comorbidity/complication |
$33,109.43 |
683 |
Renal failure with comorbidity |
$8,062.44 |
791 |
Prematurity with major problems |
$194,746.52 |
776 |
Postpartum and post abortion diagnoses without O.R. procedures |
$9,540.75 |
698 |
Other kidney and urinary tract diagnoses with complication |
$15,650.39 |
690 |
Kidney and urinary tract infections without complication |
$24,593.90 |
457 |
Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive fusions with comorbidity |
$135,197.98 |
837 |
Chemotherapy with acute leukemia as secondary diagnosis or with high dose chemotherapy agent with complication |
$141,611.33 |
857 |
Postoperative or post-traumatic infections with O.R. procedures with comorbidity |
$39,694.70 |
560 |
Aftercare, musculoskeletal system and connective tissue with comorbidity |
$3,977.36 |
853 |
Infectious and parasitic diseases with O.R. procedures with complication |
$99,266.33 |
809 |
Major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders with comorbidity |
$27,894.95 |
101 |
Seizures without complication |
$10,780.40 |
805 |
Vaginal delivery without sterilization or D&C with complication |
$25,208.78 |
314 |
Other circulatory system diagnoses with complication |
$92,588.03 |
603 |
Cellulitis without complication |
$17,494.97 |
432 |
Cirrhosis and Alcoholic Hepatitis with MCC |
$68,917.61 |