Average Gross Charges ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC ,254 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC - 280

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ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC - 281 15,254 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC - 280 24,827 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC - 282 11,575 AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC - 560 49,791 AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/OCC/MCC - 561 5,355 ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC - 897 16,494 ALLERGIC REACTIONS W MCC - 915 12,344 AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS WCC - 617 15,775 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W CC - 240 48,846 AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W CC - 475 36,978 AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W/O CC/MCC - 476 45,473 ANGINA PECTORIS - 311 10,275 APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC - 340 27,794 APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC - 343 17,581 ATHEROSCLEROSIS W/O MCC - 303 14,735 BACK & NECK PROC EXC SPINAL FUSION W CC - 519 24,236 BACK & NECK PROC EXC SPINAL FUSION W MCC OR DISC DEVICE/NEUROSTIM - 518 29,972 BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC - 520 15,138 BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITYW/O MCC - 462 58,477 BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC - 478 27,486 BONE DISEASES & ARTHROPATHIES W/O MCC - 554 10,895 BRONCHITIS & ASTHMA W CC/MCC - 202 27,214 BRONCHITIS & ASTHMA W/O CC/MCC - 203 14,556 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC - 309 15,857 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC - 310 10,007 CELLULITIS W MCC - 602 16,027 CELLULITIS W/O MCC - 603 12,839 CERVICAL SPINAL FUSION W CC - 472 39,304 CERVICAL SPINAL FUSION W/O CC/MCC - 473 33,263 CHEST PAIN - 313 7,979 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC - 191 20,241 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC - 190 26,065 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC - 192 17,081 CIRRHOSIS & ALCOHOLIC HEPATITIS W/O CC/MCC - 434 13,505 COAGULATION DISORDERS - 813 20,058 COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC - 454 70,795 COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC - 455 69,871 COMPLICATIONS OF TREATMENT W CC - 920 10,617 COMPLICATIONS OF TREATMENT W/O CC/MCC - 921 9,398 CONNECTIVE TISSUE DISORDERS W CC - 546 11,310 DIABETES W CC - 638 13,768 DIABETES W MCC - 637 11,289 DIABETES W/O CC/MCC - 639 11,315 DIGESTIVE MALIGNANCY W CC - 375 7,034 DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W CC - 442 10,338 DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W/O CC/MCC - 443 10,074

DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC - 439 18,696 DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC - 438 16,021 DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC - 440 12,389 DISORDERS OF PERSONALITY & IMPULSE CONTROL - 883 13,893 DISORDERS OF THE BILIARY TRACT W MCC - 444 58,059 DYSEQUILIBRIUM - 149 6,587 ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC - 391 13,647 ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC - 392 11,162 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSISW CC - 982 42,057 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSISW/O CC/MCC - 983 35,054 FOOT PROCEDURES W CC - 504 24,458 FRACTURES OF HIP & PELVIS W MCC - 535 6,416 FRACTURES OF HIP & PELVIS W/O MCC - 536 16,922 FULL THICKNESS BURN W/O SKIN GRFT OR INHAL INJ - 934 21,723 FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC - 563 22,790 G.I. HEMORRHAGE W CC - 378 15,846 G.I. HEMORRHAGE W MCC - 377 30,661 G.I. HEMORRHAGE W/O CC/MCC - 379 17,857 HEART FAILURE & SHOCK W CC - 292 17,003 HEART FAILURE & SHOCK W MCC - 291 21,277 HEART FAILURE & SHOCK W/O CC/MCC - 293 12,150 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC - 481 37,775 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC - 480 34,954 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC - 482 31,325 HYPERTENSION W MCC - 304 23,929 HYPERTENSION W/O MCC - 305 15,080 INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC - 854 137,753 INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC - 853 72,421 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC - 728 3,611 INFLAMMATORY BOWEL DISEASE W CC - 386 27,981 INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC - 352 21,910 INTERSTITIAL LUNG DISEASE W CC - 197 31,967 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPAIN 24 HRS - 65 14,418 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC - 64 18,919 KIDNEY & URINARY TRACT INFECTIONS W MCC - 689 18,224 KIDNEY & URINARY TRACT INFECTIONS W/O MCC - 690 14,325 KNEE PROCEDURES W PDX OF INFECTION W CC - 486 32,686 KNEE PROCEDURES W PDX OF INFECTION W MCC - 485 100,938 KNEE PROCEDURES W PDX OF INFECTION W/O CC/MCC - 487 22,499 KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC - 488 29,767 KNEE PROCEDURES W/O PDX OF INFECTION W/O CC/MCC - 489 22,499 LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC - 417 38,943 LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC - 419 22,589 LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC/MCC - 497 8,868 LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR WCC - 496 19,521 LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR W/O CC/MCC - 499 23,717

LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR WCC/MCC - 498 51,454 LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W CC - 493 43,846 LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W MCC - 492 88,210 LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W/O CC/MCC - 494 34,731 LYMPHOMA & NON-ACUTE LEUKEMIA W CC - 841 13,324 LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER O.R. PROC W MCC - 823 161,614 MAJOR CHEST TRAUMA W MCC - 183 19,276 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC - 373 16,439 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WCC - 372 7,273 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WCC - 809 18,860 MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITYW MCC - 469 59,105 MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITYW/O MCC - 470 36,564 MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES - 483 40,251 MAJOR SMALL & LARGE BOWEL PROCEDURES W CC - 330 52,606 MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC - 329 70,540 MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC - 331 33,747 MEDICAL BACK PROBLEMS W/O MCC - 552 9,949 MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTESW MCC - 640 26,658 MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTESW/O MCC - 641 14,169 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC - 989 15,668 NON-MALIGNANT BREAST DISORDERS W/O CC/MCC - 601 5,402 NONSPECIFIC CEREBROVASCULAR DISORDERS W CC - 71 38,469 NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC - 68 14,329 O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES WCC - 940 42,059 ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY - 884 10,981 OTHER CIRCULATORY SYSTEM DIAGNOSES W CC - 315 15,470 OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O MCC - 923 10,358 OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC - 699 33,223 OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC - 673 49,822 OTHER MENTAL DISORDER DIAGNOSES - 887 13,641 OTHER MULTIPLE SIGNIFICANT TRAUMA W CC - 964 13,527 OTHER MULTIPLE SIGNIFICANT TRAUMA W/O CC/MCC - 965 7,970 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC - 516 12,695 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC - 515 67,241 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC - 517 14,853 OTHER O.R. PROCEDURES FOR INJURIES W CC - 908 25,964 OTHER O.R. PROCEDURES FOR INJURIES W/O CC/MCC - 909 19,528 OTHER SKIN, SUBCUT TISS & BREAST PROC W CC - 580 25,734 OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC - 581 11,483 OTITIS MEDIA & URI W/O MCC - 153 7,019 PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WMCC - 542 65,582 PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC - 42 15,844 PERIPHERAL VASCULAR DISORDERS W CC - 300 11,687 PERIPHERAL VASCULAR DISORDERS W MCC - 299 8,225 PERIPHERAL VASCULAR DISORDERS W/O CC/MCC - 301 13,060 POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC - 863 23,416

POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC - 857 35,676 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/OCC/MCC - 858 23,023 PULMONARY EDEMA & RESPIRATORY FAILURE - 189 17,266 PULMONARY EMBOLISM W MCC - 175 19,126 PULMONARY EMBOLISM W/O MCC - 176 17,154 RED BLOOD CELL DISORDERS W MCC - 811 17,859 RED BLOOD CELL DISORDERS W/O MCC - 812 12,778 RENAL FAILURE W CC - 683 11,944 RENAL FAILURE W MCC - 682 6,023 RENAL FAILURE W/O CC/MCC - 684 10,205 RESPIRATORY INFECTIONS & INFLAMMATIONS W CC - 178 14,183 RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC - 177 48,310 RESPIRATORY NEOPLASMS W CC - 181 44,236 RESPIRATORY NEOPLASMS W MCC - 180 20,423 RESPIRATORY NEOPLASMS W/O CC/MCC - 182 22,614 RESPIRATORY SIGNS & SYMPTOMS - 204 21,864 RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS - 208 9,701 REVISION OF HIP OR KNEE REPLACEMENT W CC - 467 57,648 REVISION OF HIP OR KNEE REPLACEMENT W MCC - 466 91,771 REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC - 468 54,882 SEIZURES W/O MCC - 101 7,413 SEPTIC ARTHRITIS W/O CC/MCC - 550 34,660 SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC - 871 27,021 SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC - 872 24,059 SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W CC - 511 27,745 SIMPLE PNEUMONIA & PLEURISY W CC - 194 28,067 SIMPLE PNEUMONIA & PLEURISY W MCC - 193 28,905 SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC - 195 18,162 SKIN DEBRIDEMENT W CC - 571 27,041 SOFT TISSUE PROCEDURES W CC - 501 30,902 SOFT TISSUE PROCEDURES W/O CC/MCC - 502 15,197 SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W/O CC/MCC - 458 90,642 SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS WCC - 457 109,550 SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS WMCC - 456 187,956 SPINAL FUSION EXCEPT CERVICAL W MCC - 459 70,984 SPINAL FUSION EXCEPT CERVICAL W/O MCC - 460 62,366 SPINAL PROCEDURES W CC OR SPINAL NEUROSTIMULATORS - 29 30,186 SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH WCC/MCC - 537 4,044 STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC - 328 13,027 TENDONITIS, MYOSITIS & BURSITIS W/O MCC - 558 9,417 TRAUMATIC INJURY W/O MCC - 914 16,647 VIRAL ILLNESS W/O MCC - 866 11,662 WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DISW CC - 464 55,518 WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DISW MCC - 463 68,978 WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DISW/O CC/MCC - 465 31,166 WOUND DEBRIDEMENTS FOR INJURIES W CC - 902 32,571

WOUND DEBRIDEMENTS FOR INJURIES W/O CC/MCC - 903 21,377