SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC 84, ,037.80
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1 Inpatient Visits by DRG Inpatient Discharges between 10/01/17 and 09/30/18 DRG DRG Description Average Charge Self-Pay Price VAGINAL DELIVERY W/O COMPLICATING 775 DIAGNOSES 14, , NORMAL NEWBORN 2, PSYCHOSES 23, , SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC 84, , MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC 96, , NEONATE W OTHER SIGNIFICANT PROBLEMS 2, , PULMONARY EDEMA RESPIRATORY FAILURE 63, , CESAREAN SECTION W/O CC/MCC 24, , ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC 29, , ESOPHAGITIS GASTROENT MISC DIGEST DISORDERS W/O MCC 37, , SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC 53, , PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC 118, , INFECTIOUS PARASITIC DISEASES W O.R. PROCEDURE W MCC 212, , HEART FAILURE SHOCK W MCC 57, , VAGINAL DELIVERY W STERILIZATION /OR DC 32, , CELLULITIS W/O MCC 34, , KIDNEY URINARY TRACT INFECTIONS W/O MCC 37, , RENAL FAILURE W CC 43, , INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS 57, , G.I. HEMORRHAGE W CC 51, , CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC 52, , CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC 42, ,165.54
2 57 DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC 47, , SIMPLE PNEUMONIA PLEURISY W CC 39, , PREMATURITY W/O MAJOR PROBLEMS 12, , FULL TERM NEONATE W MAJOR PROBLEMS 11, , CESAREAN SECTION W CC/MCC 32, , HEART FAILURE SHOCK W CC 44, , DIABETES W CC 50, , MEDICAL BACK PROBLEMS W/O MCC 44, , SEIZURES W/O MCC 42, , POISONING TOXIC EFFECTS OF DRUGS W MCC 63, , MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES 101, , HIP FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC 97, , VAGINAL DELIVERY W COMPLICATING DIAGNOSES 21, , DEPRESSIVE NEUROSES 20, , CIRCULATORY DISORDERS EXCEPT AMI W CARD CATH W/O MCC 65, , RENAL FAILURE W MCC 59, , MAJOR SMALL LARGE BOWEL PROCEDURES W CC 113, , CARDIAC ARRHYTHMIA CONDUCTION DISORDERS W CC 41, , DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC 42, , DIABETES W/O CC/MCC 43, , MISC DISORDERS OF NUTRITIONMETABOLISMFLUIDS/ELECTROL YTES W/O MCC 37, , OTHER RESP SYSTEM O.R. PROCEDURES W MCC 128, , ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY 36, , PULMONARY EMBOLISM W/O MCC 52, , MISC DISORDERS OF NUTRITIONMETABOLISMFLUIDS/ELECTROL YTES W MCC 49, , INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC 84, , COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC 318, ,181.43
3 331 MAJOR SMALL LARGE BOWEL PROCEDURES W/O CC/MCC 73, , DIABETES W MCC 63, , RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS 97, , PERC CARDIOVASC PROC W DRUG-ELUTING STENT W MCC OR 4+ VESSELS/STENTS 164, , SIGNS SYMPTOMS W/O MCC 42, , SPINAL FUSION EXCEPT CERVICAL W/O MCC 259, , AFTERCARE MUSCULOSKELETAL SYSTEM CONNECTIVE TISSUE W CC 44, , DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC 30, , G.I. OBSTRUCTION W CC 35, , OTHER RESP SYSTEM O.R. PROCEDURES W CC 75, , CIRRHOSIS ALCOHOLIC HEPATITIS W CC 53, , SYNCOPE COLLAPSE 45, , G.I. HEMORRHAGE W MCC 79, , OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS 14, , POISONING TOXIC EFFECTS OF DRUGS W/O MCC 51, , SIMPLE PNEUMONIA PLEURISY W MCC 54, , HYPERTENSION W/O MCC 41, , CIRRHOSIS ALCOHOLIC HEPATITIS W MCC 82, , PREMATURITY W MAJOR PROBLEMS 32, , RED BLOOD CELL DISORDERS W/O MCC 43, , CARDIAC ARRHYTHMIA CONDUCTION DISORDERS W MCC 61, , G.I. OBSTRUCTION W/O CC/MCC 30, , CERVICAL SPINAL FUSION W CC 136, , AFTERCARE MUSCULOSKELETAL SYSTEM CONNECTIVE TISSUE W/O CC/MCC 38, , INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC 43, , PULMONARY EMBOLISM W MCC 77, , RESPIRATORY INFECTIONS INFLAMMATIONS W CC 49, , SIMPLE PNEUMONIA PLEURISY W/O CC/MCC 29, , CHEST PAIN 33, ,638.74
4 329 MAJOR SMALL LARGE BOWEL PROCEDURES W MCC 196, , INFECTIOUS PARASITIC DISEASES W O.R. PROCEDURE W CC 103, , BRONCHITIS ASTHMA W/O CC/MCC 19, , G.I. HEMORRHAGE W/O CC/MCC 36, , ORGANIC DISTURBANCES INTELLECTUAL DISABILITY 35, , HIP FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC 81, , CARDIAC ARRHYTHMIA CONDUCTION DISORDERS W/O CC/MCC 32, , NONSPECIFIC CEREBROVASCULAR DISORDERS W CC 44, , LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC 78, , BRONCHITIS ASTHMA W CC/MCC 33, , LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC 86, , OTHER DIGESTIVE SYSTEM DIAGNOSES W CC 44, , LOWER EXTREM HUMER PROC EXCEPT HIPFOOTFEMUR W/O CC/MCC 85, , EXTRACRANIAL PROCEDURES W/O CC/MCC 68, , CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC 34, , CORONARY BYPASS W CARDIAC CATH W/O MCC 280, , ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC 71, , CIRCULATORY DISORDERS EXCEPT AMI W CARD CATH W MCC 114, , COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC 244, , OTHER VASCULAR PROCEDURES W/O CC/MCC 95, , MAJOR GASTROINTESTINAL DISORDERS 372 PERITONEAL INFECTIONS W CC 41, , OTHER VASCULAR PROCEDURES W CC 132, , DISORDERS OF THE BILIARY TRACT W CC 60, , LOWER EXTREM HUMER PROC EXCEPT 493 HIPFOOTFEMUR W CC 117, ,687.76
5 789 NEONATES DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY 14, , SEPTICEMIA OR SEVERE SEPSIS W MV >96 HOURS 239, , ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE W MCC 86, , HEART FAILURE SHOCK W/O CC/MCC 36, , ESOPHAGITIS GASTROENT MISC DIGEST DISORDERS W MCC 53, , THREATENED ABORTION 6, , EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATE 59, , PERMANENT CARDIAC PACEMAKER IMPLANT W CC 145, , KIDNEY URINARY TRACT INFECTIONS W MCC 53, , AFTERCARE W CC/MCC 45, , RESPIRATORY INFECTIONS INFLAMMATIONS W MCC 73, , AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W/O MCC 181, , PERIPHERAL VASCULAR DISORDERS W CC 50, , OTHER CIRCULATORY SYSTEM DIAGNOSES W CC 44, , DISORDERS OF LIVER EXCEPT MALIGCIRRALC HEPA W CC 58, , HIP FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC 150, , FX SPRN STRN DISL EXCEPT FEMUR HIP PELVIS THIGH W/O MCC 44, , RENAL FAILURE W/O CC/MCC 29, , ALCOHOL/DRUG ABUSE OR DEPENDENCE LEFT AMA 32, , ACUTE ISCHEMIC STROKE W USE OF THROMBOLYTIC AGENT W CC 91, , DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC 80, , CERVICAL SPINAL FUSION W/O CC/MCC 121, , CRANIOTOMY ENDOVASCULAR INTRACRANIAL PROCEDURES W MCC 211, , ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE W CC 61, ,321.51
6 699 OTHER KIDNEY URINARY TRACT DIAGNOSES W CC 43, , UTERINE ADNEXA PROC FOR NON- MALIGNANCY W/O CC/MCC 51, , MAJOR CHEST PROCEDURES W CC 126, , CORONARY BYPASS W/O CARDIAC CATH W/O MCC 219, , OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC 100, , TRAUMATIC STUPOR COMA COMA <1 HR W/O CC/MCC 40, , LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC 91, , OTHER KIDNEY URINARY TRACT DIAGNOSES W MCC 59, , OTHER O.R. PROCEDURES FOR INJURIES W CC 96, , ECMO OR TRACH W MV >96 HRS OR PDX EXC FACE MOUTH NECK W MAJ O.R. 564, , TRANSIENT ISCHEMIA 43, , PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC 118, , OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC 213, , AMPUTAT OF LOWER LIMB FOR ENDOCRINENUTRIT METABOL DIS W CC 94, , FRACTURES OF HIP PELVIS W/O MCC 38, , ENDOCRINE DISORDERS W CC 58, , POSTPARTUM POST ABORTION DIAGNOSES W/O O.R. PROCEDURE 28, , CRANIAL PERIPHERAL NERVE DISORDERS W/O MCC 54, , OTHER VASCULAR PROCEDURES W MCC 196, , MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC 150, , OTHER MUSCULOSKELET SYS CONN TISS O.R. PROC W/O CC/MCC 76, , TRACH W MV >96 HRS OR PDX EXC FACE MOUTH NECK W/O MAJ O.R. 359, , OTHER DISORDERS OF NERVOUS SYSTEM W CC 59, , SEIZURES W MCC 66, , PNEUMOTHORAX W CC 45, ,286.75
7 373 MAJOR GASTROINTESTINAL DISORDERS PERITONEAL INFECTIONS W/O CC/MCC 35, , ACUTE ADJUSTMENT REACTION PSYCHOSOCIAL DYSFUNCTION 42, , EXTRACRANIAL PROCEDURES W CC 101, , DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC 86, , CORONARY BYPASS W CARDIAC CATH W MCC 367, , OTHER MUSCULOSKELET SYS CONN TISS O.R. PROC W CC 109, , REVISION OF HIP OR KNEE REPLACEMENT W CC 169, , SOFT TISSUE PROCEDURES W CC 91, , TRAUMATIC STUPOR COMA COMA <1 HR W CC 50, , OTITIS MEDIA URI W/O MCC 28, , ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE W/O CC/MCC 56, , ENDOCRINE DISORDERS W/O CC/MCC 36, , POSTOPERATIVE POST-TRAUMATIC INFECTIONS W/O MCC 41, , EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC 114, , MAJOR CHEST PROCEDURES W MCC 189, , OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC 36, , TENDONITIS MYOSITIS BURSITIS W/O MCC 35, , OTHER SKIN SUBCUT TISS BREAST PROC W CC 74, , OTHER ANTEPARTUM DIAGNOSES W/O MEDICAL COMPLICATIONS 5, , NEUROSES EXCEPT DEPRESSIVE 19, , COMPLICATIONS OF TREATMENT W CC 50, , LIMB REATTACHMENT HIP FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA 176, , EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC 180, , PERIPH/CRANIAL NERVE OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM 94, ,967.66
8 70 NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC 70, , CARDIAC VALVE OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W MCC 404, , CARDIAC VALVE OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W CC 284, , DISORDERS OF LIVER EXCEPT MALIGCIRRALC HEPA W MCC 72, , BACK NECK PROC EXC SPINAL FUSION W/O CC/MCC 97, , MAJOR MALE PELVIC PROCEDURES W/O CC/MCC 67, , CERVICAL SPINAL FUSION W MCC 179, , TRAUMA TO THE SKIN SUBCUT TISS BREAST W/O MCC 43, , KIDNEY URETER PROCEDURES FOR NEOPLASM W/O CC/MCC 68, , NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC 169, , NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC 74, , OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC 33, , PERMANENT CARDIAC PACEMAKER IMPLANT W MCC 180, , CARDIAC ARREST UNEXPLAINED W MCC 93, , DIGESTIVE MALIGNANCY W CC 54, , DISORDERS OF THE BILIARY TRACT W MCC 97, , SIGNS SYMPTOMS OF MUSCULOSKELETAL SYSTEM CONN TISSUE W/O MCC 34, , POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC 186, , OTHER MULTIPLE SIGNIFICANT TRAUMA W CC 63, , CRANIOTOMY ENDOVASCULAR INTRACRANIAL PROCEDURES W CC 140, , NERVOUS SYSTEM NEOPLASMS W MCC 48, , TRAUMATIC STUPOR COMA COMA >1 HR W MCC 100, ,152.33
9 93 OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC 34, , HEADACHES W/O MCC 53, , OTHER CIRCULATORY SYSTEM O.R. PROCEDURES 86, , HYPERTENSION W MCC 57, , STOMACH ESOPHAGEAL DUODENAL PROC W MCC 202, , APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC 52, , MAJOR GASTROINTESTINAL DISORDERS PERITONEAL INFECTIONS W MCC 72, , OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC 91, , COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC 437, , URINARY STONES W/O ESW LITHOTRIPSY W/O MCC 45, , POSTOPERATIVE POST-TRAUMATIC INFECTIONS W MCC 61, , ACUTE ISCHEMIC STROKE W USE OF THROMBOLYTIC AGENT W/O CC/MCC 86, , RESPIRATORY INFECTIONS INFLAMMATIONS W/O CC/MCC 40, , OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC 178, , ATHEROSCLEROSIS W/O MCC 27, , SOFT TISSUE PROCEDURES W/O CC/MCC 56, , BACK NECK PROC EXC SPINAL FUSION W CC 131, , UTERINE ADNEXA PROC FOR NON- MALIGNANCY W CC/MCC 65, , COAGULATION DISORDERS 42, , OTHER O.R. PROCEDURES FOR INJURIES W/O CC/MCC 64, , EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC 71, , NERVOUS SYSTEM NEOPLASMS W/O MCC 42, , MULTIPLE SCLEROSIS CEREBELLAR ATAXIA W/O CC/MCC 35, , DYSEQUILIBRIUM 43, , PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W/O MCC 101, ,516.23
10 381 COMPLICATED PEPTIC ULCER W CC 48, , G.I. OBSTRUCTION W MCC 60, , REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC 139, , MEDICAL BACK PROBLEMS W MCC 63, , TRAUMATIC STUPOR COMA COMA >1 HR W CC 64, , AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB TOE W CC 140, , OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC 110, , DISORDERS OF LIVER EXCEPT MALIGCIRRALC HEPA W/O CC/MCC 41, , AFTERCARE MUSCULOSKELETAL SYSTEM CONNECTIVE TISSUE W MCC 71, , POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC 84, , DISORDERS OF PERSONALITY IMPULSE CONTROL 21, , ALLERGIC REACTIONS W/O MCC 34, , OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W MCC 243, , OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W CC 177, , PERIPH/CRANIAL NERVE OTHER NERV SYST PROC W/O CC/MCC 66, , NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC 44, , TRAUMATIC STUPOR COMA COMA >1 HR W/O CC/MCC 44, , OTHER DISORDERS OF NERVOUS SYSTEM W MCC 57, , MAJOR CHEST TRAUMA W MCC 58, , MAJOR CHEST TRAUMA W CC 43, , PLEURAL EFFUSION W MCC 85, , PLEURAL EFFUSION W CC 56, , INTERSTITIAL LUNG DISEASE W CC 62, , RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT >96 HOURS 159, , CORONARY BYPASS W/O CARDIAC CATH W MCC 244, , ACUTE MYOCARDIAL INFARCTION EXPIRED W MCC 87, , HERNIA PROCEDURES EXCEPT INGUINAL FEMORAL W/O CC/MCC 69, ,291.89
11 357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC 88, , INFLAMMATORY BOWEL DISEASE W CC 42, , DISORDERS OF THE BILIARY TRACT W/O CC/MCC 60, , OTHER MUSCULOSKELETAL SYS CONNECTIVE TISSUE DIAGNOSES W CC 43, , ENDOCRINE DISORDERS W MCC 81, , ABORTION W DC ASPIRATION CURETTAGE OR HYSTEROTOMY 33, , FEVER 31, , CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA 216, ,388.69
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