| 871 |
Septicemia or severe sepsis without MV >96 hours with complication |
$34,085 |
| 795 |
Normal newborn |
$2,644 |
| 189 |
Pulmonary edema and respiratory failure |
$18,916 |
| 807 |
Vaginal delivery without sterilization or D&C without comorbidity/complication |
$12,426 |
| 834 |
Acute leukemia without major O.R. procedures with complication |
$147,725 |
| 794 |
Neonate with other significant problems |
$8,648 |
| 793 |
Full term neonate with major problems |
$90,121 |
| 392 |
Esophagitis, gastroenteritis and miscellaneous digestive disorders without complication |
$12,505 |
| 791 |
Prematurity with major problems |
$207,838 |
| 330 |
Major small and large bowel procedures with comorbidity |
$36,494 |
| 790 |
Extreme immaturity or respiratory distress syndrome, neonate |
$725,899 |
| 193 |
Simple pneumonia and pleurisy with complication |
$21,282 |
| 847 |
Chemotherapy without acute leukemia as secondary diagnosis with comorbidity |
$23,652 |
| 016 |
Autologous bone marrow transplant with comorbidity/complication |
$124,520 |
| 640 |
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with complication |
$2,211 |
| 872 |
Septicemia or severe sepsis without MV >96 hours without complication |
$17,784 |
| 194 |
Simple pneumonia and pleurisy with comorbidity |
$11,066 |
| 454 |
Combined anterior and posterior spinal fusion with comorbidity |
$74,563 |
| 787 |
Cesarean section without sterilization with comorbidity |
$32,338 |
| 806 |
Vaginal delivery without sterilization or D&C with comorbidity |
$14,811 |
| 467 |
Revision of hip or knee replacement with comorbidity |
$46,917 |
| 203 |
Bronchitis and asthma without comorbidity/complication |
$10,754 |
| 792 |
Prematurity without major problems |
$58,222 |
| 253 |
Other vascular procedures with comorbidity |
$24,082 |
| 788 |
Cesarean section without sterilization without comorbidity/complication |
$40,656 |
| 853 |
Infectious and parasitic diseases with O.R. procedures with complication |
$72,142 |
| 470 |
Major hip and knee joint replacement or reattachment of lower extremity without complication |
$34,771 |
| 690 |
Kidney and urinary tract infections without complication |
$22,459 |
| 331 |
Major small and large bowel procedures without comorbidity/complication |
$36,151 |
| 812 |
Red blood cell disorders without complication |
$7,104 |
| 833 |
Other antepartum diagnoses without O.R. procedures without comorbidity/complication |
$12,849 |
| 682 |
Renal failure with complication |
$25,484 |
| 840 |
Lymphoma and non-acute leukemia with complication |
$56,409 |
| 832 |
Other antepartum diagnoses without O.R. procedures with comorbidity |
$17,991 |
| 837 |
Chemotherapy with acute leukemia as secondary diagnosis or with high dose chemotherapy agent with complication |
$76,544 |
| 652 |
Kidney transplant |
$69,639 |
| 432 |
Cirrhosis and alcoholic hepatitis with complication |
$130,349 |
| 951 |
Other factors influencing health status |
$7,542 |
| 014 |
Allogeneic bone marrow transplant |
$230,271 |
| 468 |
Revision of hip or knee replacement without complication or comorbidity (comorbidity) / major complication or comorbidity (complication) |
$28,189 |
| 786 |
Vaginal delivery without sterilization/dace with comorbidity |
$84,107 |
| 177 |
Respiratory infections and inflammations with complication |
$16,111 |
| 841 |
Lymphoma and non-acute leukemia with comorbidity |
$16,191 |
| 202 |
Bronchitis and asthma with comorbidity/complication |
$19,013 |
| 683 |
Renal failure with comorbidity |
$9,837 |
| 603 |
Cellulitis without complication |
$12,915 |
| 805 |
Vaginal delivery without sterilization or D&C with complication |
$31,496 |
| 460 |
Spinal fusion except cervical without complication |
$26,006 |
| 809 |
Major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders with comorbidity |
$22,004 |
| 560 |
Aftercare, musculoskeletal system and connective tissue with comorbidity |
$3,911 |