| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC |
$23,466.00 |
| KIDNEY & URINARY TRACT INFECTIONS W/O MCC |
$20,220.00 |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC |
$33,398.00 |
| MAJOR SMALL & LARGE BOWEL PROCEDURES W CC |
$57,273.00 |
| MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC |
$37,550.00 |
| MEDICAL BACK PROBLEMS W/O MCC |
$21,721.00 |
| NEONATE W OTHER SIGNIFICANT PROBLEMS |
$8,582.00 |
| NORMAL NEWBORN |
$5,328.00 |
| PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC |
$92,112.00 |
| POISONING & TOXIC EFFECTS OF DRUGS W MCC |
$40,037.00 |
| PREMATURITY W/O MAJOR PROBLEMS |
$25,172.00 |
| PSYCHOSES |
$30,212.00 |
| PULMONARY EDEMA & RESPIRATORY FAILURE |
$34,081.00 |
| PULMONARY EMBOLISM W/O MCC |
$24,710.00 |
| RENAL FAILURE W CC |
$22,919.00 |
| RENAL FAILURE W MCC |
$42,173.00 |
| SEIZURES W/O MCC |
$26,416.00 |
| SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC |
$56,900.00 |
| SIMPLE PNEUMONIA & PLEURISY W CC |
$22,168.00 |
| SIMPLE PNEUMONIA & PLEURISY W MCC |
$35,314.00 |
