Patent Application: US-20503394-A

Abstract:
a computer - based method aids comparison of competitive performance of a first provider of services with other providers of the services , where the services are provided to a mix of customers belonging to different classes and the performance in providing the services is different for customers belonging to different classes . data representing the first provider &# 39 ; s competitive performance in providing various services to its customers is stored . also stored is mix data representing the mix of its customers to which the services are provided . similar data is stored representing each of the other providers &# 39 ; competitive performance in providing various services to its customers . the data of the other providers is adjusted in accordance with the mix data of the first provider . the unadjusted data of the first provider is visually provided together with the adjusted data of the other providers . other aspects include automatically generating a printed report of information comparing performance of a first provider of services with performances of other providers of the services ; and more broadly generating a report of an analysis of data .

Description:
fig1 is a block diagram of a computer - based system for analyzing and reporting healthcare information ; fig2 is a flow chart of a process for using the system ; fig3 is a flow chart for creation of a database of healthcare information ; fig6 is a mapping of state categories to federal departments ; fig7 is a flow diagram of a process for the entry of report request parameters ; fig9 is a flow diagram of the report generation process ; fig1 a - 11c are an example of the generation of a report section . fig1 a through 13f are bar graphs included in a report . referring to fig1 healthcare facility ( i . e ., hospital ) financial information is managed by a computer system 5 controlled by a program 10 . this financial information is used by the system to analyze the comparative performance of competing hospitals and produce a report on the results . the report helps hospitals plan strategies for cutting costs and improving their competitive position . referring also to fig2 in a first main step , a database 12 is created 102 from raw patient level information 14 and raw hospital cost information 16 . patient level information 14 is usually acquired from a state government and generally provides patient - by - patient healthcare data in several state - defined charge categories for each healthcare patient in a given year . massachusetts , for example , provides patient level information which includes demographic , clinical , and charge data in forty - two charge categories for each patient , as described above . hospital cost information 16 is usually acquired from the hcfa in the form of a medicare cost report , which includes cost and charge information for the twenty - five departments for every hospital in the united states . the patient level information 14 and hospital cost information 16 are combined in the database 12 to provide patient level cost and charge information 12d for every department of every hospital . the cost and charge information provided by the state and federal governments is sufficient for generation of many comparison reports , and is called level i analysis . a client hospital may also need a report which includes a financial analysis at levels beyond the government defined departments . at a so - called level ii , the client hospital &# 39 ; s internal cost and charge information is entered into the database and combined with the public information . a hospital &# 39 ; s internal information may include , for example , the total charges of its physicians within each department , or total costs incurred for certain procedures , such as x - rays or lab work , performed by a department . the client hospital may need even more detail in the report . at a level iii , cost and charge information similar to level ii information is entered into the database for each of the competing hospitals . this allows a more detailed comparison between a client hospital and its competitors . in a second main step , a hospital comparison report is requested . to request a report , a user must enter 104 report request parameters 18 which are used by the computer system 5 to retrieve and manipulate the cost and charge information stored in the database 12 . the parameters 18 input by the user determine , for example , which patient groups to compare in which hospitals and , therefore , which of the patient level cost and charge information 12d to retrieve from the database 12 . once the appropriate information has been retrieved , the information is accumulated to create total cost and charge information 20 for the chosen patient groups in the chosen hospitals . even though the maintenance of cost and charge information for every patient of every hospital in a city ( or even the nation ) requires an enormous database , retrieval and combination of data according to user - defined parameters eliminates unnecessary manipulation of data irrelevant to the particular report being generated . in a third main step , a final printed report 22 is generated 106 to provide , among other things , a hospital - by - hospital comparison of adjusted cost and charge information 24 for the patient group specified by the user . the adjusted cost and charge data 24 is created by adjusting the accumulated data 20 for each hospital to conform to a mix adjustment field of a reference hospital ( the client hospital ). mix adjustment fields are described in more detail below . the final report 22 not only presents a mathematical and graphical comparison according to the user &# 39 ; s parameters 18 , but it also constructs an english - language prose explanation of the results of the comparison . a report may contain one or more of several sections . these sections include analyses of the client hospital &# 39 ; s market share , payor mix , patient demographics , admit source , case mix , length of stay , and cost per case . the report also searches for comparison results of particular interest to the client hospital . internal rules 28 cause the system 5 to determine , for example , if the client hospital has significantly ( more than 110 %) higher costs than its competitors , or which single competitor is most superior in a particular report area . in addition , the report includes an &# 34 ; opportunity analysis / action plan &# 34 ; section which provides suggestions to help the client hospital improve its competitiveness . for each section of the report , the system 5 selects a report file 26 , which provides guidelines for generating text and creating graphical representations of the results of the hospital comparisons . the graphical representations and text are merged according to the report file 26 to produce an easily readable final report 22 on the requested information . the final report is of a quality and style that is as good as or better than what might be prepared by hand by a consultant on a one - shot custom basis . the report also highlights the information determined by the internal rules 28 to be of particular interest to the client hospital . an example of such a report is shown in appendix h . referring to fig3 through 6 , the database is created by entering and combining the appropriate cost and charge information . for a healthcare cost and charge database for hospitals in the state of massachusetts , patient level demographic , clinical , and charge information from a given year is entered 120 for each patient according to the forty - two state - defined charge categories , which are detailed in fig4 . for example , from the state - provided information , a patient &# 39 ; s age , sex , and race are entered as demographic data . then clinical information such as length of stay ( los ) and days spent in intensive care ( icu ) is entered . in addition , the total amount ( in dollars ) charged to the patient in each category is entered into the database . the patient level information is then divided and stored 122 in two database files . the first file is a &# 34 ; patient summary &# 34 ; file 12a ( fig1 ) which includes individual patient discharge information derived from the demographic and clinical data described above . the second file is a &# 34 ; patient charge &# 34 ; file 126 ( fig1 ). this file contains patient level charge information for each state - defined charge category . creation of the &# 34 ; patient summary &# 34 ; and &# 34 ; patient charge &# 34 ; files allows maintenance of demographic and clinical information separately from charge information . along with patient level information , cost and charge information for each of twenty - five federally - defined departments in every hospital in the united states is entered 124 from a medicare cost report provided by the hcfa . as shown in fig5 the medicare cost report covers twenty - five departments in a hospital and divides costs into direct and indirect ( overhead ) costs . the cost report further divides indirect costs into salary related and non - salary related costs . the cost report also provides total charge information for each of the twenty - five departments . using this charge information , a ratio of cost to charge ( rcc ) is calculated 126 for total cost , direct cost , salary cost and non - salary cost in each of the twenty - five departments . the forty - two state - defined charge categories are then mapped to the twenty - five federal departments , and the results are stored 128 along with the corresponding rccs in a &# 34 ; department cost &# 34 ; file 12c ( fig1 ). the mapping of the forty - two massachusetts state departments to the twenty - five federal departments is shown in fig6 . the patient level information and hospital cost information provided by the state and federal governments are sufficient to create a level i comparison . however , for a level ii comparison , as described above , hospital specific internal cost information must be supplied 130 to the database . for example , if a hospital requests a department - by - department charge comparison of several of its doctors , detailed charge information for each doctor must be entered into the database . to perform a level iii comparison , the database requires 132 similar internal cost information for the hospitals in which the client hospital is interested . for example , if the client hospital requests a report on its departmental x - ray costs as compared to its chief competitors , detailed internal cost information from each competing hospital must be entered into the database . level ii and iii information is optional . as discussed above , all hospital services are divided among federally - defined diagnosis related groups ( drg ). in order to enhance the comparison capabilities of the invention , the drgs are &# 34 ; refined &# 34 ; 134 according to a methodology developed at yale university and marketed by karen schneider associates located in new haven , conn . refining a drg includes the addition of &# 34 ; level of severity &# 34 ; information to each group . in other words , the drgs are further defined by describing each diagnosis in terms of three or four levels of medical severity ( refinement classes ). the calculation of a severity level for each patient within a drg considers whether the drg is a grouping of medical or surgical diagnoses , the patient &# 39 ; s sex , the patient &# 39 ; s age , length of stay , whether the patient died within two days of admission , and whether the patient was discharged against medical advice . for example , an infant requiring heart surgery and intensive care for weeks is likely to place a greater drain on resources than a middle - aged victim of a minor heart attack . even though these patients fall into the same drg , the cost attributed to the treatment of each can be more accurately analyzed due to the refining of the drg . in this manner , refined drgs group patients according to resource intensity , and thus allow more accurate comparisons . in addition to departmental cost and charge information , supplemental code tables are entered 136 into the database . supplemental code tables are description or translation tables which allow the report generator to &# 34 ; translate &# 34 ; the data from the database into information understood by the user . for example , payor data may be handled for &# 34 ; payor 1 &# 34 ; and &# 34 ; payor 2 &# 34 ;. to provide a useful report , however , the report generator must inform the user who &# 34 ; payor 1 &# 34 ; and &# 34 ; payor 2 &# 34 ; are . therefore , a supplemental code table will indicate that &# 34 ; payor 1 &# 34 ; and &# 34 ; payor 2 &# 34 ; are , for example , medicare and blue cross , respectively . supplemental code tables will also indicate , for example , that data under &# 34 ; drg 103 &# 34 ; represents heart transplant patients . after all mandatory and optional information has been entered into the database , costs are calculated 138 for each patient by combining patient level information with hospital cost information . the rccs and charge category / department mappings in the &# 34 ; department cost &# 34 ; file are applied to the patient level charge information in the &# 34 ; patient charge &# 34 ; file . the total costs , direct costs , salary related costs , and non - salary related costs in each charge category are determined for each patient by multiplying the corresponding rcc with the category charge for the patient . in this manner , a database containing departmental costs and charges for every patient is created . from this departmental cost database , hospital comparisons are performed according to patient groups defined by the user , as described below . a diagram showing the structure for the completed database is shown in fig1 a - 12d . the database comprises several structure groups , each of which contains at least one field of information . for example , a &# 34 ; patient summary &# 34 ; structure 310 includes a patient &# 39 ; s unique id 312 ( in the form of a long integer , l ), identification 314 of the hospital at which the patient was treated ( in the form of a four - character alphanumeric word , a ), the patient &# 39 ; s age 316 ( in the form of an integer , i ), the patient &# 39 ; s home zip code 318 ( in the form of a five character alphanumeric word ), and many other critical information fields . some of the fields within a structure may be linked to a substructure which provides further detail for the field . for example , within the &# 34 ; patient summary &# 34 ; structure 310 , the &# 34 ; zip code &# 34 ; field 318 is linked to a &# 34 ; zip code &# 34 ; structure 320 . the &# 34 ; zip code &# 34 ; structure 320 further defines the &# 34 ; zip code &# 34 ; field 318 by storing zip code , town and community information for each patient . in addition , a field within a structure may not contain data in and of itself , but instead may comprise a subfile which holds several critical subfields related to that field . for example , within a &# 34 ; patient cost &# 34 ; structure 322 , a &# 34 ; cost &# 34 ; field 324 comprises a &# 34 ; cost &# 34 ; subfile 326 which includes &# 34 ; department code &# 34 ;, &# 34 ; charges &# 34 ;, &# 34 ; total cost &# 34 ;, and &# 34 ; direct cost &# 34 ; subfields 328 , all of which describe the &# 34 ; cost &# 34 ; field 324 of the &# 34 ; patient cost &# 34 ; 322 structure group . many fields within the database contain critical information which is to be available quickly without the usual search process . these critical fields , such as a patient &# 39 ; s unique id or a hospital code , are indexed for easy retrieval from the database . the indexed fields are shown in bold type in the database structure diagram of fig1 a - 12d . the database structures and field definitions are shown in table ii . in addition to demographic data , clinical data , and cost and charge data , the database contains report files and report graphics . a &# 34 ; report file &# 34 ; data structure 330 comprises fields which indicate the report id , the study group compared in the report , and the client hospital , as well as information on the report organization options chosen by the user . a &# 34 ; report pics &# 34 ; data structure 332 holds the id for each report and graphical representations ( such as cost tables and cost graphs ) of the results of the comparisons . the report files and report pictures are described in more detail below . referring to fig7 and 8a through 8c , parameters 18 ( fig1 ) for generation of a comparison report are derived from a request form completed by a client hospital . report request parameters determine which fields of information are retrieved from the database for analysis . despite the vast amount of healthcare information stored in the database , the report request parameters allow the retrieval of only that information requested by the client hospital . for example , if the client hospital requests an analysis of its performance against its five primary competitors in pediatric services , only pediatric - related drg data for six hospitals is needed . this limited amount of information is easily accumulated and adjusted for comparison . in this manner , report request parameters allow the creation of a useful , low cost report from a large , comprehensive database of healthcare information . in fig8 a - 8c , the report request parameters 18 for a comparison report of a so - called &# 34 ; mcard4 &# 34 ; study group are entered 152 into an apple macintosh computer . this report compares only the cardiology - related drgs within the hospitals selected by the user . in this example , the user enters 154 the report name 170 and a description 172 of the patient group to be compared . any special patient groupings are then defined 156 by the user . in this example , patients are grouped according to a user - defined &# 34 ; carddrg &# 34 ; grouping , which will be described in more detail below . the user then enters 158 the selected patient group into a patient group display field 174 . the patent group display field 174 determines which patients will be displayed in the report . the case mix or severity field 176 by which comparison data is adjusted ( mix adjustment field ) is then entered 160 . the user then enters 162 a patient selection field 178 which determines the broad group of patients to be included in the comparison data . finally , the user enters 164 the names and / or identification codes 180 of the hospitals to be included in the comparison report . included in the hospital selection list is the client hospital requesting the report ( brockton hospital ). in fig8 b , the &# 34 ; carddrg &# 34 ; patient group display field 174 of fig8 a is created by the user . this custom patient group creates a comparison of the standard cardiology drgs of the selected hospitals . to create the &# 34 ; carddrg &# 34 ; group , the user selects the specific drgs to be included in the group and enters the appropriate drg descriptions 182 and id values 184 . the drg descriptions and values are listed in table iii below . as will be described in more detail below , the &# 34 ; mcard4 &# 34 ; report is generated by combining and comparing cost , charge , and demographic information for every patient of the user - selected cardiology drgs for each of the selected hospitals . in fig8 c , the user enters 166 the report organization instructions . to do so , the user assigns a name 190 to the report , selects the study group 192 to be included ( as discussed with reference to fig8 a above ), and selects the client hospital 194 , from whose perspective the report will be generated . the user then selects the amount and type of comparison data 196 to be included in the generated report . for example , one section of the report compares the cost per cardiology case 198 for each hospital , providing a summary of the results , a detailed analysis of the results , and the data from which the results were determined . the &# 34 ; mcard4 &# 34 ; report is described in detail hereinafter , with focus on the &# 34 ; cost per case &# 34 ; section . referring to fig9 the report request parameters input 200 by the user are used to create the requested report . these report request parameters allow the system to retrieve 202 only the information requested by the user . once the appropriate information has been retrieved from the database , patient level information is accumulated 204 for each hospital as summary data . in table iv , summary data , including total cases , total patient age , total days , routine days , icu days , and total charges , is shown for the &# 34 ; mcard4 &# 34 ; study group for each selected hospital , including the client hospital . for example , table iv shows that st . luke &# 39 ; s hospital of new bedford charged a total of $ 1 , 074 , 529 for 64 cases in drg 116 . in addition to summary data , detailed cost and charge information is accumulated 204 for the patient group . this detailed information may , for example , show total charge by charge category for the patient group in each hospital . table v shows total cost information for the &# 34 ; mcard4 &# 34 ; patient group broken down into the forty - two charge categories defined by the state of massachusetts . for example , table v shows that within drg 127 , cape cod hospital charged $ 104 , 634 for medical / surgical supplies . tables iv and v indicate the vast amount of information that the user may request from the database . table v , in particular , shows the power of combining patient level charge information acquired from the state with hospital cost information provided by the hcfa . the healthcare reports , however , are not limited to the detail provided in tables iv and v . instead , an important feature of the invention is its ability to accumulate and compare data according to almost any combination of factors chosen by the user . once the summary and detailed data is accumulated , the data for each of the selected hospitals is adjusted 206 for direct comparison with the data for the client hospital . in performing a mix adjustment of competing hospital data , consideration is given to what the cost , length of stay , and charges would be for the competing hospitals if the competing hospitals treated the exact same mix of patients ( or treated the same severity levels ) as the client hospital . therefore , the client hospital &# 39 ; s case mix is assigned to the competing hospitals , and the competing hospital data is adjusted accordingly . the client hospital &# 39 ; s data , however , is unaffected by mix adjustment . referring to fig1 , in a simple example of case mix adjustment , the total number of cases and cost per case for six drgs ( a - f ) are shown for &# 34 ; your &# 34 ; hospital ( in column c1 ) and an &# 34 ; other &# 34 ; hospital ( in column c2 ). line 215 shows that for your hospital there are 4 , 000 total cases at $ 2 , 500 per case , while at the other hospital there are 3 , 500 cases for $ 2 , 400 per case . in view of these values , it appears that the other hospital controls its costs better than your hospital . however , in column c3 the other hospital &# 39 ; s cases are adjusted to reflect the case mix of your hospital , while the cost per case in each drg is held constant . after the adjustment in column c3 , line 215 shows that when the other hospital treats the same 4 , 000 cases as your hospital , its cost per case rises to $ 2 , 950 , or $ 550 greater than the cost per case of your hospital . the adjustment in column c3 provides a more accurate comparison and reveals that your hospital &# 39 ; s cost is actually lower than the other hospital &# 39 ; s cost . column c2 shows that the other hospital had no cases in drg &# 34 ; e &# 34 ;. as a result , drg &# 34 ; e &# 34 ; has no cost per case . when this situation occurs , the cost per case for your hospital is assigned to the other hospital during adjustment . therefore , in column c3 , the adjusted data for the other hospital includes 400 cases for drg &# 34 ; e &# 34 ; at $ 2 , 000 per case . adjusting the data in this manner prevents skewing of the overall cost per case for the other hospital . table iv shows the adjusted summary data for the &# 34 ; cost per case &# 34 ; section of the &# 34 ; mcard4 &# 34 ; report . brockton hospital , whose summary data appears in table iv , is the client hospital , so each competing hospital is assigned brockton &# 39 ; s case mix during adjustment . therefore , each drg under one hospital has the same number of cases as the same drg under every other hospital . the remaining data fields ( age , charges , etc .) are adjusted for each competing hospital by multiplying the average per case from the unadjusted summary data ( table v ) by the adjusted number of cases . similarly , the total costs , direct costs , and total charges for each of the forty - two state - defined charge categories within each hospital are calculated from the adjusted data . table vii shows the adjusted charge and cost data in each of the forty - two categories for each of the selected hospitals . in the &# 34 ; mcard4 &# 34 ; example of tables iv through vii , a user - selected group of cardiology drgs serves as the basis for mix adjustment . however , while drgs or refined drgs are typically selected as the basis for adjustment , the invention is not limited to the use of these groups . instead , the user may select any field or user - defined group . for example , mix adjustment may be performed according to fields such as patient age , payor , length of stay , principal diagnosis , or discharge status , as well as many other fields contained in the database . in addition , a combination of fields may be used as the basis for adjustment . as described above , the mix adjustment field is determined by the report request parameters entered by the user . referring again to fig9 after the data for the competing hospitals has been adjusted , the data for all of the hospitals is analyzed and compared . for the &# 34 ; cost per case &# 34 ; section of the &# 34 ; mcard4 &# 34 ; report , the total number of cardiology cases is determined from table vi , and the total cost ( not shown ) is determined . the cost per cardiology case is then calculated for each hospital , and the cost per case for the client hospital is compared 208 to the adjusted cost per case of each of the other hospitals . during the comparison , internal rules 28 ( fig1 ) cause the system to look 210 for results which may be of particular interest to the client hospital . for example , in the &# 34 ; mcard4 &# 34 ; report , if the client hospital &# 39 ; s cost per case is less than 110 % of the average adjusted cost per case of the competing hospitals , the comparison focuses on the differences between the client hospital and the hospital with the lowest adjusted cost per case . this special comparison allows the report to display the client hospital &# 39 ; s performance with respect to the average competitors , while at the same time focusing on the changes necessary to compete more effectively with the highest performing competitor . the internal rules determine information of particular interest in each of the report sections described above . other examples of information gathered according to the internal rules are as follows : comparing the proportion of revenues paid by each of the client hospital &# 39 ; s top three payors to the average proportion paid by the same three payors at all of the compared hospitals ( see fig1 a ); comparing the proportion of minority patients at the client hospital to the average proportion of minority patients ( see fig1 b ); comparing the proportion of the client hospital &# 39 ; s patients admitted through its primary admission source to the average proportion of patients admitted through the same source ( see fig1 c ). many areas of particular interest are determined according to the internal rules and reported to the user , most of which are clearly presented in the final report , an example of which is described below with respect to fig1 a through 13f . once comparison of the hospital is complete , a report template for the &# 34 ; cost per case &# 34 ; section is selected 212 . the template is then completed 214 by inserting text , graphs , and charts according to the comparison results . referring to fig1 a through 11c , the &# 34 ; cost per case &# 34 ; report section is generated by inserting the appropriate information into the report template . first , the abbreviation of the client hospital &# 39 ; s name ( brockton ) is inserted at 221 . the description of the comparison group ( cardiology ) is inserted at 222 , and the average total cost per case for the client hospital ($ 4 , 385 ) is inserted at 223 . the system then inserts the number of competing hospitals ( seven ) at 224 and the average total cost per case of the competing hospitals ($ 4 , 119 ) at 225 . the dollar difference ($ 266 ) and percentage difference ( 6 % lower ) between the average total cost per case for the competing hospitals and the total cost per case for the client hospital are determined and inserted at 225 and 226 , respectively . the name of the client hospital ( brockton hospital ) and the abbreviation of the client &# 39 ; s name ( brockton ) are inserted at 228 and 229 . the relative rank of the client hospital &# 39 ; s total cost per case in relation to the average total cost per case of the competing hospitals is then determined . this rank is used to report information of special interest to the client hospital according to the internal rules 28 ( fig1 ), as described above . if the client hospital has the lowest total cost per case ( ranked first ), the phrase &# 34 ; lowest total cost per case , followed by x with y &# 34 ; is inserted at 231 . the name of the second ranking hospital replaces &# 34 ; x &# 34 ;, and the total cost per case of the second ranking hospital replaces &# 34 ; y &# 34 ;. if the client hospital has the highest total cost per case , the phrase &# 34 ; highest total cost per case &# 34 ; is inserted at 231 . if the client hospital &# 39 ; s total cost per case is greater than the competitor average , but not the highest , the rank of the client hospital &# 39 ; s total cost per case is inserted at 231 , followed by the phrase &# 34 ; highest total cost per case .&# 34 ; if the client hospital &# 39 ; s total cost per case is less than or equal to the competitor &# 39 ; s average , but is not the lowest , the rank of the client hospital &# 39 ; s total cost per case is inserted at 231 , followed by the phrase &# 34 ; lowest total cost per case .&# 34 ; for all of the above situations , except where the client hospital is ranked first , the phrase &# 34 ; x had the lowest total cost with y dollars &# 34 ; is inserted after the last phrase at 231 . in this case , the abbreviation of the name of the first ranked hospital replaces &# 34 ; x &# 34 ; and the first ranked hospital &# 39 ; s total cost per case replaces &# 34 ; y &# 34 ;. at 233 , the description of the client hospital ( brockton hospital ) is inserted . a cost table depicting the comparison between the hospitals is inserted at 234 . the cost table is created by inserting the adjusted data into five columns of a preformatted spreadsheet . the abbreviations of the names of the hospitals are inserted in column 1 , with the client hospital inserted into the first row . the phrase &# 34 ; average excluding z &# 34 ;, where &# 34 ; z &# 34 ; is replaced by the abbreviation of the name of the client hospital , is inserted into the last row . the adjusted total cost per case for each hospital is then inserted into column 2 . an average of these values , excluding the client hospital , is placed in the final row . in column 3 , the percentage difference between each competing hospital &# 39 ; s total cost per case and the client hospital &# 39 ; s total cost per case is inserted . in the last row , the percentage difference between the average total cost per case and the client hospital &# 39 ; s total cost per case is inserted . columns 4 and 5 are similar to columns 2 and 3 , except that direct cost per case and percentage difference of direct cost per case are inserted . when the cost graph is complete , the graph is stored as a picture in the &# 34 ; report pics &# 34 ; file 332 ( fig1 c ) in the database . at 235 , the abbreviation of the name of the client hospital is inserted . the system then inserts at 236 a column chart which shows the adjusted total cost per case for several cardiology department groups for each hospital . the cardiology department groups are defined by the user during entry of the report request parameters . the data for the client hospital is placed in the first column of the chart , and the column chart is stored as a picture in the &# 34 ; report pics &# 34 ; file . the abbreviation of the name of the client hospital is inserted at 237 . the difference between the total cost per case of the client hospital and the total cost per case of the highest ( first ) ranking hospital ( or second ranking if the client is highest ranking ) is inserted at 238 . if the client hospital is the highest ranking hospital , the difference inserted at 238 is followed by the word &# 34 ; lower &# 34 ;; otherwise the difference is followed by the word &# 34 ; higher &# 34 ;. this word is then followed by the phrase &# 34 ; total cost per case than the lowest cost competitor x and &# 34 ;, where the name of the lowest cost competitor replaces &# 34 ; x &# 34 ;. the difference between the total cost per case of the client hospital and the average total cost per case for the competing hospitals is inserted along with the word &# 34 ; higher &# 34 ; or &# 34 ; lower &# 34 ;, depending on this difference value . the phrase &# 34 ; total cost per case than the competitor &# 39 ; s average &# 34 ; is then inserted as the last phrase at 238 . the system then inserts another cost table at 239 . the cost table compares the total cost per case for the client hospital to the adjusted total cost per case for the lowest ranking hospital in each of the user defined department groups . the table also compares total cost per case for the client hospital to the average cost per case of all of the competing hospitals in the user - defined department groups . the completed cost graph is stored in the database file &# 34 ; report pics &# 34 ;. at 240 , a phrase is inserted indicating in which user - defined department groups brockton &# 39 ; s total cost exceeds the total cost of the lowest cost competitor by more than $ 100 . no more than two department groups are listed . at 241 a phrase is inserted which indicates in which department groups brockton &# 39 ; s total cost is lower than the total cost of the lowest cost competitor by more than $ 100 . the phrase &# 34 ; significantly above &# 34 ; is used when brockton &# 39 ; s costs exceed the competitor &# 39 ; s by more than $ 100 , and the phrase &# 34 ; significantly lower &# 34 ; is used when brockton &# 39 ; s costs are lower than the competitors by more than $ 100 . referring to fig1 a through 13f , the printed report may , in one embodiment , look as follows . central caribbean medical center treated 1 , 328 cardiology patients in 1992 . this volume compared with 1 , 601 cases for st . thomas hospital , 1 , 743 cases for aruba hospital , 1 , 553 cases for martinique hospital , 2 , 250 cases for st . john hospital , 1862 cases for st . bart &# 39 ; s hospital , and 1 , 271 cases for st . croix hospital . medicare dominated the cardiology payor mix at central caribbean medical center with 66 . 7 % of the patients , followed by blue cross with 13 . 0 %, and hmo with 7 . 2 %. central caribbean medical center had the second highest proportion of medicare for cardiology patients , had an average percentage of blue cross patients , and had a below average share of hmo patients compared with the hospitals in the group . central caribbean medical center &# 39 ; s cardiology patients were about the same age as the average of its competitors ( 69 . 5 years compared to 68 . 6 years ). the largest source of admissions for central caribbean medical center &# 39 ; s cardiology patients was emergency room ( 75 % of patients ), followed by physician referral ( 20 %) and unknown ( 4 %). central caribbean had an above average proportion of emergency room for cardiology patients compared to the other hospitals in the group , and had an average percentage of physician referral patients . the top five cardiology patient groups for central caribbean medical center accounted for 1 , 066 or 80 % of the hospital &# 39 ; s total cardiology cases . these groups were angina pectoris ( 23 %), heart failure & amp ; shock ( 20 %), ami ( 18 %), cardiac arrhythmia ( 12 %), and chest pain ( 7 %). central caribbean medical center &# 39 ; s average length of stay per cardiology case was 6 . 8 days , 0 . 1 days or 1 % lower than the case mix adjusted average of its six major competitors of 6 . 9 days . st . bart &# 39 ; s hospital had the lowest length of stay of 5 . 6 days , 1 . 2 days of 18 % lower than central caribbean &# 39 ; s . central caribbean &# 39 ; s average total cost per cardiology case was $ 5 , 240 . the case mix adjusted average of its six major competitors was $ 4 , 633 -$ 608 or 12 % lower than central caribbean medical center . central caribbean had the highest cost per case . st . thomas hospital had the lowest cost with $ 4 , 099 . when examining major cost components , the key area of lower total cost for central caribbean was ekg / eeg . central caribbean &# 39 ; s total cost for routine care , laboratory / cath , radiology , and other services were significantly above st . thomas hospital &# 39 ; s costs . for additional cost savings , central caribbean should consider ways to reduce routine care , laboratory / cath , radiology , and other services costs for cardiology cases to the cost of st . thomas hospital and to emulate the length of stay achieved by st . bart &# 39 ; s hospital . such actions have the potential to save central caribbean medical center $ 609 , 123 to $ 1 , 015 , 206 a year --$ 192 , 018 to $ 320 , 029 related to ancillary services and $ 417 , 106 to $ 695 , 176 related to length of stay reductions . medicare dominated the cardiology payor mix at central caribbean medical center with 66 . 7 % of the patients , followed by blue cross with 13 . 0 %, and hmo with 7 . 2 %. central caribbean &# 39 ; s payor mix as compared with the cardiology payor mix for all hospitals in the comparison group was as shown in table viii . fig1 a compares the cardiology payor mix for central caribbean medical center with that of its primary cardiology competitors . central caribbean medical center had the second highest proportion of medicare for cardiology patients , had an average percentage of blue cross patients , and had a below average share of hmo patients compared with the hospitals in the group . as shown in table ix , central caribbean medical center &# 39 ; s cardiology patients were about the same age as the average of its competitors ( 69 . 5 years compared to 68 . 6 years ). males represented a lower proportion of cardiology ( 47 % versus 52 %), while minorities mad up an average share of patients compared to the competitor average ( 3 . 8 % versus 3 . 5 %). fig1 b provides more detail on the age distribution of central caribbean &# 39 ; s patients compared to its competitors . the largest source of admissions for central caribbean medical center &# 39 ; s cardiology patients was emergency room ( 75 % of patients ), followed by physician referral ( 20 %) and unknown ( 4 %). fig1 c compares the admit source of central caribbean &# 39 ; s cardiology patients with that of its primary competitors . emergency room , the largest source of admissions for central caribbean medical center , was also the largest source of admissions for all the other hospitals in the group . central caribbean had an above average proportion of emergency room for cardiology patients compared to the other hospitals in the group , and had an average percentage of physician referral patients . the top five cardiology patient groups for central caribbean medical center accounted for 1 . 066 or 80 % of the hospital &# 39 ; s total cardiology cases . these key patient groups were as shown in table x . fig1 d shows the specialty mix of these cardiology patient groups for central caribbean versus its six main competitors . central caribbean had an above average proportion of angina pectoris cases and an above average proportion of heart failure and shock cases compared with the other six hospitals in the group . as shown in table xi , central caribbean medical center &# 39 ; s average length of stay per cardiology case was 6 . 8 days , 0 . 1 days or 1 % lower than the average of its six major competitors of 6 . 9 days . st . bart &# 39 ; s hospital had the lowest length of stay of 5 . 6 days , 1 . 2 days or 18 % lower than central caribbean &# 39 ; s . central caribbean &# 39 ; s length of stay was consistently above st . bart &# 39 ; s los across the key patient groups . fig1 e shows a comparison of central caribbean medical center with st . bart &# 39 ; s hospital . central caribbean &# 39 ; s average total cost per cardiology case was $ 5 , 240 . the average of its six major competitors was $ 4 , 633 -$ 608 or 12 % lower than central caribbean medical center . control caribbean had the highest cost per case . st . thomas hospital had the lowest cost with $ 4 , 099 . specifically , the cost per case for each hospital as compared to central caribbean medical center was as shown in table xii . fig1 f shows the composition of the cost per case by department group for central caribbean and its competitors . the $ 1 , 141 lower cost per case for st . thomas hospital compared to central caribbean medical center was composed of the elements shown in table xiii . as shown in table xiii , the key area of lower total cost for central caribbean was ekg / eeg . central caribbean &# 39 ; s total costs for routine care , laboratory / cath , radiology , and other services were significantly above st . thomas hospital &# 39 ; s costs . central caribbean medical center spent $ 806 , 847 more treating its 1 , 328 cardiology cases than if it had performed at the comparative average ( 1 , 328 cases * $ 608 per case ). this increased cost was primarily due to its significantly higher routine care , intensive care , and radiology costs than its competitors . for additional cost savings , central caribbean should consider ways to reduce routine care , laboratory / cath , radiology , and other services costs for cardiology cases to the cost of st . thomas hospital and to emulate the length of stay achieved by st . bart &# 39 ; s hospital . such actions have the potential to save central caribbean medical center $ 609 , 123 to $ 1 , 015 , 206 a year --$ 192 , 108 to $ 320 , 029 related to ancillary services and $ 417 , 106 to $ 695 , 176 related to length of stay reductions . to achieve the potential savings , central caribbean medical center should focus on meeting the following goals : reduce the average length of stay in the intensive care units from 1 . 3 days to the 0 . 8 days of st . bart &# 39 ; s hospital ( savings of $ 201 , 662 to $ 336 , 104 ) reduce the average length of stay in the routine units from 5 . 5 days to the 4 . 8 days of st . bart &# 39 ; s hospital ( savings of $ 81 , 248 to $ 135 , 414 ) reduce routine care cost per day by 25 % to the cost of st . thomas hospital ( savings of $ 134 , 195 to $ 223 , 659 ) reduce radiology expenditure by 63 % to the cost of st . thomas hospital ( savings of $ 89 , 387 to $ 148 , 979 ) reduce laboratory / cath expenditure by 32 % to the cost of st . thomas hospital ( savings of $ 50 , 832 to $ 84 , 720 ) reduce other services expenditure by 32 % to the cost of st . thomas hospital ( savings of $ 51 , 798 to $ 86 , 330 ). other embodiments are within the scope of the following claims . for example , the technique could be applied to a comparison of educational institutions , such as colleges or universities , or to any other kind of service organization for which comparable data is available . table i__________________________________________________________________________fy 1992 ( as filed ) mcr - 2552 cost reportkbo & amp ; co . / costrep + micro - 2552 - 92 file : ye92 version : 155 1 / 28 / 1993 15 : 25 s3 provider no . : 22 - 0053 period : hospital and hospital - health care complex from 10 / 01 / 91statistical data symmes hospital to 9 / 30 / 92 inpatient days bed days total all no . of beds available title v title xviii title xix patientscomponent 1 2 3 4 5 6__________________________________________________________________________ 1 . 01 hospital ( excluding swing bed ) 114 41 , 724 0 20 , 368 302 27 , 608 1 . 02 hospital - swing bed snf *** *** *** 0 *** 0 1 . 03 hospital - swing bed nf *** *** 0 *** 0 0 1 . 04 hospice *** *** *** 0 0 0 1 . 05 total adults / ped . ( ex . obs . beds ) 114 41 , 724 0 20 , 368 302 27 , 608 2 intensive care unit 8 2 , 928 0 1 , 307 26 1 , 925 3 coronary care unit 0 0 0 0 0 0 4 burn intensive care unit 0 0 0 0 0 0 5 surg intensive care unit 0 0 0 0 0 0 6 0 0 0 0 0 0 7 nursery 0 0 0 0 0 0 8 total hospital ( sum lines 1 . 05 - 7 ) 122 44 , 652 0 21 , 675 328 29 , 533 9 subprovider 1 0 0 0 0 0 011 skilled nursing facility 1 0 0 0 0 0 012 other nursing facility 1 0 0 0 *** 0 013 other long term care 0 0 *** *** *** 014 . 01 home health agency 2 *** *** *** *** *** *** 15 corf *** *** *** *** *** *** 16 asc *** *** *** *** *** *** 17 hospice 0 0 *** 0 0 018 total ( sum of lines 8 - 17 ) 122 44 , 652 0 21 , 675 328 29 , 53319 observation bed days *** *** *** *** *** 0__________________________________________________________________________fy 1992 ( as filed ) mcr - 2552 cost reportkbo & amp ; co . / costrep + micro - 2552 - 92 file : ye92 version : 155 1 / 28 / 1993 15 : 26 areclassification and adjustment provider no . : 22 - 0053 period : of trail balance of expenses from 10 / 01 / 91 symmes hospital to 9 / 30 / 92 reclassed net expense reclassi - trial adjust - forcost center description salaries other total fications balance ments allocation ( omit cents ) ( 1 ) ( 2 ) ( 3 ) ( 4 ) ( 5 ) ( 6 ) ( 7 ) __________________________________________________________________________ general services c . c .&# 39 ; s *** *** *** *** *** *** *** 0100 old capital - bldg + fix *** 1 , 469 , 513 1 , 469 , 513 538 , 577 2 , 008 , 090 0 2 , 008 , 0900200 old capital - mov equip *** 0 0 1 , 047 , 987 1 , 047 , 987 ( 101 , 081 ) 946 , 9060300 new capital - bldg + fix *** 0 0 11 , 003 11 , 003 0 11 , 0030400 new capital - mov equip *** 0 0 424 , 684 424 , 684 ( 112 , 701 ) 311 , 9830500 employee benefits 159 , 624 2 , 415 , 466 2 , 575 , 090 0 2 , 575 , 090 0 2 , 575 , 0900600 administrative + general 2 , 536 , 338 2 , 536 , 338 5 , 295 , 632 ( 37 , 495 ) 5 , 258 , 137 ( 86 , 045 ) 5 , 172 , 0920700 maintenance and repairs 205 , 124 234 , 706 439 , 830 ( 57 ) 439 , 773 0 439 , 7730800 operation of plant 153 , 403 524 , 654 678 , 057 0 678 , 057 ( 2 , 809 ) 675 , 2480900 laundry and linen service 15 , 659 179 , 318 194 , 977 0 194 , 977 0 194 , 9771000 housekeeping 360 , 130 84 , 632 444 , 762 0 444 , 762 0 444 , 7621100 dietary 606 , 342 311 , 297 917 , 639 ( 365 , 088 ) 552 , 551 0 552 , 5511200 cafeteria 0 0 0 361 , 880 361 , 880 0 361 , 8801300 maintenance of personnel 0 0 0 0 0 0 01400 nursing administration 294 , 300 25 , 972 320 , 272 0 320 , 272 0 320 , 2721500 central services + supply 84 , 419 64 , 872 149 , 291 977 , 577 1 , 126 , 868 ( 4 , 225 ) 1 , 122 , 6431600 pharmacy 214 , 147 626 , 143 840 , 290 96 , 311 936 , 601 ( 14 , 580 ) 922 , 0211700 medical records + library 328 , 090 125 , 082 453 , 172 0 453 , 172 ( 19 , 509 ) 433 , 6631800 social service 142 , 900 4 , 364 147 , 264 0 147 , 264 0 147 , 264 0 0 0 0 0 0 02000 nonphysician anesthetists 0 0 0 0 0 0 02100 nursing school 0 0 0 0 0 0 02200 intern - resident ( salary ) 0 0 0 0 0 0 02300 intern - resident ( other ) 0 0 0 0 0 0 0 paramedical education 0 0 0 0 0 0 0 i / p rout . srvc cost cntrs . *** *** *** *** *** *** *** 2500 adults and pediatrics 3 , 612 , 021 867 , 000 4 , 479 , 021 ( 254 , 947 ) 4 , 224 , 074 ( 335 , 633 ) 3 , 888 , 4412600 intensive care unit 809 , 374 110 , 007 919 , 381 ( 51 , 483 ) 867 , 898 0 867 , 8982700 coronary care unit 0 0 0 0 0 0 02800 burn intensive care unit 0 0 0 0 0 0 02900 surg intensive care unit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 03300 nursery 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ancillary service c . c .&# 39 ; s *** *** *** *** *** *** *** 3700 operating room 731 , 692 1 , 341 , 210 2 , 072 , 902 ( 447 , 636 ) 1 , 625 , 266 0 1 , 625 , 2663800 recovery room 297 , 115 39 , 537 336 , 652 ( 13 , 932 ) 322 , 720 0 322 , 7203900 delivery and labor rooms 0 0 0 0 0 0 04000 anesthesiology 0 88 , 224 88 , 224 ( 74 , 762 ) 13 , 462 0 13 , 4624100 radiology - diagnostic 661 , 900 642 , 348 1 , 304 , 248 ( 65 , 915 ) 1 , 238 , 333 ( 735 ) 1 , 237 , 5984200 radiology - therapeutic 0 0 0 0 0 0 04300 radioisotope 56 , 871 86 , 080 142 , 951 ( 1 , 538 ) 141 , 413 0 141 , 4134400 laboratory 1 , 004 , 169 906 , 714 1 , 910 , 883 75 , 172 1 , 986 , 055 ( 90 , 000 ) 1 , 896 , 0554500 pbp clinical lab service *** 0 0 0 0 0 04600 whole blood and prbc &# 39 ; s 0 0 0 0 0 0 04700 blood storing + processing 0 0 0 0 0 0 04800 intravenous therapy 118 , 163 31 , 404 149 , 567 ( 128 , 650 ) 20 , 917 0 20 , 9174900 respiratory therapy 367 , 431 114 , 874 482 , 305 14 , 811 497 , 116 ( 65 , 427 ) 431 , 6895000 physical therapy 281 , 361 6 , 277 287 , 638 ( 2 , 043 ) 285 , 595 ( 31 , 842 ) 253 , 7535100 occupational therapy 20 , 751 3 , 993 24 , 744 ( 2 , 876 ) 21 , 868 0 21 , 8685200 speech pathology 9 , 746 492 10 , 238 0 10 , 238 0 10 , 2385300 electrocardiology 69 , 805 101 , 540 171 , 345 ( 3 , 963 ) 167 , 382 ( 17 , 600 ) 149 , 7825400 electroencephalography 22 , 816 2 , 776 25 , 592 ( 123 ) 25 , 469 0 25 , 4695500 med . suppl . chd . to patients 0 0 0 0 0 0 05600 drugs charged to patients 0 0 0 0 0 0 05700 renal dialysis 0 0 0 0 0 0 05800 asc ( non - distinct part ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 outpat . service c . c .&# 39 ; s *** *** *** *** *** *** *** 6000 clinic 381 , 083 160 , 268 541 , 351 ( 34 , 262 ) 507 , 089 ( 7 , 713 ) 499 , 3766100 emergency 1 , 168 , 539 340 , 064 1 , 508 , 603 ( 81 , 520 ) 1 , 427 , 083 ( 725 , 920 ) 701 , 1636200 observation beds ( non - d ) *** *** *** *** *** *** *** 6101 advanced life support 350 , 048 390 , 691 740 , 739 ( 7 , 711 ) 733 , 028 ( 11 , 440 ) 721 , 588 0 0 0 0 0 0 0 other reimbursable c . c .&# 39 ; s *** *** *** *** *** *** *** 0 0 0 0 0 0 06500 ambulance services 0 0 0 0 0 0 06600 durable med . equip .- rented 0 0 0 0 0 0 06700 durable med . equip .- sold 0 0 0 0 0 0 0 0 0 0 0 0 0 07000 intern - resident ( not appr ) 0 0 0 0 0 0 0__________________________________________________________________________fy 1992 ( as filed ) mcr - 2552 cost reportkbo & amp ; co . / costrep + micro - 2552 - 92 file : ye92 version : 155 1 / 28 / 1993 15 : 38 c provider no . : 22 - 0053 period : computation of ratios of costs to charges from 10 / 01 / 91 symmes hospital to 9 / 30 / 92 wkst . 8 , pt 1 rt / pt limit total rce total total col . 27 adjustment costs disallowance costs chargescost center description 1 2 3 4 5 6__________________________________________________________________________ i / p rout . srvc cost . cntrs . *** *** *** *** *** *** adults and pediatrics 10 , 225 , 629 *** 10 , 225 , 629 0 10 , 225 , 629 9 , 431 , 026 invensive care unit 1 , 704 , 674 *** 1 , 704 , 674 0 1 , 704 , 674 1 , 046 , 068 coronary care unit 0 *** 0 0 0 0 burn intensive care unit 0 *** 0 0 0 0 surg intensive care unit 0 *** 0 0 0 0 0 *** 0 0 0 0 0 *** 0 0 0 0 nursery 0 *** 0 0 0 0 0 *** 0 0 0 0 0 *** 0 0 0 0 0 *** 0 0 0 0 ancillary service c . c .&# 39 ; s *** *** *** *** *** *** operating room 3 , 165 , 571 *** 3 , 165 , 571 0 3 , 165 , 571 6 , 536 , 725 recovery room 622 , 489 *** 622 , 489 0 622 , 489 2 , 145 , 544 delivery and labor rooms 0 *** 0 0 0 0 anesthesiology 249 , 139 *** 249 , 139 0 249 , 139 1 , 209 , 934 radiology - diagnostic 2 , 465 , 401 *** 2 , 465 , 401 0 2 , 465 , 401 6 , 465 , 992 radiology - therapeutic 0 *** 0 0 0 0 radioisotope 346 , 227 *** 346 , 227 0 346 , 227 849 , 177 laboratory 3 , 041 , 904 *** 3 , 041 , 904 0 3 , 041 , 904 4 , 582 , 858 pbp clinical lab service 0 *** 0 0 0 0 whole blood and prbc &# 39 ; s 0 *** 0 0 0 0 blood storing + processing 0 *** 0 0 0 0 intravenous therapy 85 , 909 *** 85 , 909 0 85 , 909 120 , 013 respiratory therapy 784 , 800 0 784 , 800 0 784 , 800 234 , 401 physical therapy 488 , 724 0 488 , 724 0 488 , 724 1 , 128 , 458 occupational therapy 51 , 645 *** 51 , 645 0 51 , 645 109 , 970 speech pathology 22 , 409 *** 22 , 409 0 22 , 409 46 , 681 electrocardiology 306 , 098 *** 306 , 098 0 306 , 098 1 , 906 , 873 electroencephalography 47 , 326 *** 47 , 326 0 47 , 326 48 , 917 med . suppl . chd . to patients 717 , 671 *** 717 , 671 0 717 , 671 2 , 185 , 222 drugs charged to patients 999 , 755 *** 999 , 755 0 999 , 755 1 , 105 , 642 renal dialysis 0 *** 0 0 0 0 asc ( non - distinct part ) 0 *** 0 0 0 0 0 *** 0 0 0 0 outpat . service c . c .&# 39 ; s *** *** *** *** *** *** clinic 1 , 011 , 380 *** 1 , 011 , 380 0 1 , 011 , 380 237 , 003 emergency 1 , 597 , 000 *** 1 , 597 , 000 0 1 , 597 , 000 1 , 086 , 739 observation beds ( non - d ) 0 *** 0 *** 0 001 advanced life support 1 , 012 , 834 *** 1 , 012 , 834 *** 1 , 012 , 834 707 , 130 0 *** 0 0 0 0 other reimbursable c . c .&# 39 ; s *** *** *** *** *** *** 0 *** 0 0 0 0 ambulance services 0 *** 0 0 0 0 durable med . equip .- rented 0 *** 0 0 0 0 durable med . equip .- sold 0 *** 0 0 0 0 0 *** 0 0 0 0 subtotal 28 , 946 , 585 *** 28 , 946 , 585 0 28 , 946 , 585 41 , 184 , 373 less observation beds 0 *** 0 *** 0 *** total 28 , 946 , 585 *** 28 , 946 , 585 0 28 , 946 , 585 41 , 184 , 373__________________________________________________________________________ table ii______________________________________structure : patient summary______________________________________unique id long integer indexed ; unique ; enterable ; modifi - ableyear alpha 2 enterable ; modifiablehospital alpha 4 indexed ; enterable ; modifiablepayor alpha 4 indexed ; enterable ; modifiablespecialty alpha 2 indexed ; enterable ; modifiablemdc alpha 2 indexed ; enterable ; modifiabledrg alpha 3 indexed ; enterable ; modifiableprin diagnosis alpha 5 indexed ; enterable ; modifiableprin procedure alpha 4 indexed ; enterable ; modifiablesex alpha 2 indexed ; enterable ; modifiableage integer indexed ; enterable ; modifiabletown alpha 20 indexed ; enterable ; modifiablezip code alpha 5 indexed ; enterable ; modifiabledisposition alpha 2 indexed ; enterable ; modifiablerace alpha 2 indexed ; enterable ; modifiableadmit type alpha 2 enterable ; modifiableadmit source alpha 2 indexed ; enterable ; modifiableadmit day integer enterable ; modifiableadmit month integer enterable ; modifiabledischarge day integer enterable ; modifiabledischarge month integer enterable ; modifiablelos integer indexed ; enterable ; modifiableroutine days integer enterable ; modifiableicu days integer enterable ; modifiablepreop days integer enterable ; modifiabletotal charges real enterable ; modifiableroutine charges real enterable ; modifiableicu charges real enterable ; modifiableancill charges real enterable ; modifiablenet revenue real enterable ; modifiabletotal cost real enterable ; modifiabledirect cost real enterable ; modifiablevbl cost real enterable ; modifiablenet profit real enterable ; modifiabledirect contr real enterable ; modifiablevbl contr real enterable ; modifiablepatient id alpha 10 enterable ; modifiableleave days integer enterable ; modifiableadmin nec days integer enterable ; modifiablesecondary payor alpha 2 enterable ; modifiableadmitting md alpha 2 enterable ; modifiableoperating md alpha 2 enterable ; modifiableveteran status alpha 2 enterable ; modifiabledrg old alpha 3 enterable ; modifiablenum sec procs integer enterable ; modifiablepharm charges integer enterable ; modifiablepharm cost real enterable ; modifiableinfection boolean enterable ; modifiablecompl . sub .-- comorb boolean enterable ; modifiableexpired boolean enterable ; modifiablenum infections integer enterable ; modifiablenum comp . sub .-- corm integer enterable ; modifiablepharmacy charge real enterable ; modifiablepharmacy cost real enterable ; modifiablesupplies charge real enterable ; modifiablesupplies cost real enterable ; modifiablelab charge real enterable ; modifiablelab cost real enterable ; modifiablergn alpha 4 enterable ; modifiable______________________________________structure : patient detail______________________________________unique id long integer indexed ; unique ; enterable ; modifi - ablediagnoses subfileprocedures subfilepat calc flds subfile______________________________________structure : diagnoses______________________________________diagnosis code alpha 5 enterable ; modifiable______________________________________structure procedures______________________________________procedure code alpha 4 enterable ; modifiable______________________________________structure : pat calc flds______________________________________element alpha 10 mandatory ; enterable ; modifiablevalue real enterable ; modifiable______________________________________structure : patient cost______________________________________unique id long integer indexed ; unique ; enterable ; modifi - ablecost subfilehospital alpha 4 enterable ; modifiabledirect cost real enterable ; modifiabletotal cost real enterable ; modifiable______________________________________structure : cost______________________________________department code alpha 3 enterable ; modifiablecharges real enterable ; modifiabletotal cost real enterable ; modifiabledirect cost real enterable ; modifiablevbl cost real enterable ; modifiablequantity real enterable ; modifiable______________________________________structure : dept cost______________________________________medicare code alpha 6 indexed ; enterable ; modifiableyear alpha 2 enterable ; modifiabledepartment code alpha 3 indexed ; enterable ; modifiabletotal cost real enterable ; modifiabletotal charges real enterable ; modifiabletotal volume long integer enterable ; modifiabletotal rcc real enterable ; modifiabledirect cost real enterable ; modifiabledirect rcc real enterable ; modifiablesalary cost real enterable ; modifiablesalary rcc real enterable ; modifiablenonsalary cost real enterable ; modifiablenonsalary rcc real enterable ; modifiablepps year alpha 2 indexed ; enterable ; modifiableunused1 alpha 2 enterable ; modifiableunused2 alpha 2 enterable ; modifiable______________________________________structure : hospital______________________________________code alpha 4 indexed ; enterable ; modifiableabbrev alpha 12 enterable ; modifiabledescription alpha 40 indexed ; enterable ; modifiableattributes subfilemedicare code alpha 6 indexed ; unique ; enterable ; modifi - abledatabase id alpha 2 enterable ; modifiable______________________________________structure : attributes______________________________________attribute alpha 6 indexed ; enterable ; modifiableattribute value alpha 6 indexed ; enterable ; modifiable______________________________________structure : payor______________________________________code alpha 2 indexed ; unique ; enterable ; modifi - ableabbrev alpha 10 enterable ; modifiabledescription alpha 30 enterable ; modifiable______________________________________structure : specialty______________________________________code alpha 20 indexed ; unique ; enterable ; modifi - ableabbrev alpha 10 enterable ; modifiabledescription alpha 30 enterable ; modifiable______________________________________structure : disposition______________________________________code alpha 2 indexed ; unique ; enterable ; modifi - ableabbrev alpha 10 enterable ; modifiabledescription alpha 40 enterable ; modifiable______________________________________structure : departments______________________________________department code alpha 3 indexed ; unique ; enterable ; modifi - ableabbrev alpha 10 enterable ; modifiabledescription alpha 40 enterable ; modifiabledept group alpha 2 indexed ; enterable ; modifiable______________________________________structure : race______________________________________code alpha 2 indexed ; unique ; enterable ; modifi - ableabbrev alpha 10 enterable ; modifiabledescription alpha 20 enterable ; modifiable______________________________________structure : admit type______________________________________code alpha 2 indexed ; enterable ; modifiableabbrev alpha 10 enterable ; modifiabledescription alpha 30 enterable ; modifiable______________________________________structure : admit source______________________________________code alpha 2 indexed ; enterable ; modifiableabbrev alpha 10 enterable ; modifiabledescription alpha 30 enterable ; modifiable______________________________________structure : procedure code______________________________________code alpha 5 indexed ; unique ; enterable ; modifi - ableabbrev alpha 10 enterable ; modifiabledescription alpha 40 enterable ; modifiableinfection integer enterable ; modifiablecompl . sub .-- comorb integer enterable ; modifiable______________________________________structure : diagnosis code______________________________________code alpha 5 indexed ; unique ; enterable ; modifi - ableabbrev alpha 10 enterable ; modifiabledescription alpha 40 enterable ; modifiableinfection integer enterable ; modifiablecompl . sub .-- comorb integer enterable ; modifiable______________________________________structure : batchreports______________________________________report alpha 20 indexed ; enterable ; modifiableprocess time time enterable ; modifiabledepartment code alpha 3 enterable ; modifiablevolume long integer enterable ; modifiablecharges real enterable ; modifiabletotal cost real indexed ; enterable ; modifiabledirect cost real enterable ; modifiabletotal rcc real enterable ; modifiabledirect rcc real enterable ; modifiablestatus alpha 2 enterable ; modifiable______________________________________structure : hospital data______________________________________hospital alpha 4 indexed ; mandatory ; enterable ; modifiableyear alpha 2 indexed ; enterable ; modifiablestate alpha 2 indexed ; enterable ; modifiablebeds integer enterable ; modifiabledischarges integer enterable ; modifiablepatient days long integer enterable ; modifiabletotal charges real enterable ; modifiabletotal cost real enterable ; modifiabledirect cost real enterable ; modifiableindirect cost real enterable ; modifiableindirect rcc real enterable ; modifiablestatus alpha 2 indexed ; enterable ; modifiable______________________________________structure : hosp attributes______________________________________hospital code alpha 4 indexed ; mandatory ; enterable ; modifiableattribute alpha 5 indexed ; enterable ; modifiableattribute value alpha 6 indexed ; enterable ; modifiable______________________________________structure : attrib master______________________________________attribute code alpha 6 indexed ; unique ; enterable ; modifi - ableabbrev alpha 10 enterable ; modifiabledescription alpha 40 enterable ; modifiabletype alpha 2 indexed ; enterable ; modifiableattrib values subfile______________________________________structure : attrib values______________________________________attribute value alpha 6 indexed ; unique ; enterable ; modifi - ablevalue abbrev alpha 10 enterable ; modifiablevalue descrip alpha 40 enterable ; modifiable______________________________________structure : sg summary______________________________________study group alpha 6 indexed ; mandatory ; enterable ; modifi - ablehospital alpha 4 indexed ; enterable ; modifiablepg index integer indexed ; enterable ; modifiablecases real enterable ; modifiablecharges real enterable ; modifiabledirect cost real enterable ; modifiabletotal cost real enterable ; modifiablepatient days real enterable ; modifiablestudy group id long integer indexed ; enterable ; modifiable______________________________________structure : sg cost______________________________________study group id long integer indexed ; enterable ; modifiabledepartment code alpha 3 indexed ; enterable ; modifiablecharges real enterable ; modifiabledirect cost real enterable ; modifiablequantity real enterable ; modifiable______________________________________structure : sg structure______________________________________study group alpha 6 indexed ; enterable ; modifiablepg index integer indexed ; enterable ; modifiablepg1 index integer indexed ; enterable ; modifiablepg1 value alpha 10 indexed ; enterable ; modifiablepg2 index integer indexed ; enterable ; modifiablepg2 value alpha 10 indexed ; enterable ; modifiablesg children subfile______________________________________structure : sg children______________________________________pg child index integer indexed ; enterable ; modifiable______________________________________structure : sg description______________________________________study group alpha 10 indexed ; mandatory ; enterable ; modifiablepg1 field alpha 20 enterable ; modifiablepg2 field alpha 20 enterable ; modifiablenum hospitals integer enterable ; modifiablenum discharges long integer enterable ; modifiablesg abbrev alpha 15 enterable ; modifiablesg description alpha 40 enterable ; modifiablesg attributes subfilesg hospitals subfileadjust cost boolean enterable ; modifiable______________________________________structure : sg attributes______________________________________attribute field alpha 20 enterable ; modifiableattrib values subfileattrib type alpha 2 enterable ; modifiable______________________________________structure : attrib values______________________________________attrib values alpha 20 enterable ; modifiable______________________________________structure : sg hospitals______________________________________hospital alpha 4 indexed ; enterable ; modifiabledescription alpha 40 indexed ; enterable ; modifiable______________________________________structure : report pics______________________________________pmtable picture enterable ; modifiablepmgraph picture enterable ; modifiablereport id alpha 10 indexed ; enterable ; modifiablepmdoc picture enterable ; modifiablelostable picture enterable ; modifiablelosgraph picture enterable ; modifiablepdtable picture enterable ; modifiablepdgraph picture enterable ; modifiablemstable picture enterable ; modifiablemsgraph picture enterable ; modifiableasgraph picture enterable ; modifiablecmtable picture enterable ; modifiablecmgraph picture enterable ; modifiablecosttable picture enterable ; modifiablecostgraph picture enterable ; modifiablecosttable2 picture enterable ; modifiableastable picture enterable ; modifiablechargetable picture enterable ; modifiablechargegraph picture enterable ; modifiable______________________________________structure : groups______________________________________group name alpha 10 indexed ; enterable ; modifiableabbrev alpha 15 enterable ; modifiabledescription alpha 40 enterable ; modifiablegroup values subfiledescription2 alpha 30 enterable ; modifiable______________________________________structure : group values______________________________________group value alpha 6 indexed ; enterable ; modifiableabbrev alpha 15 enterable ; modifiabledescription alpha 40 indexed ; enterable ; modifiablebase file info subfiledescription2 alpha 20 enterable ; modifiable______________________________________structure : base file info______________________________________base field alpha 20 enterable ; modifiabletype alpha 2 enterable ; modifiablefield values subfile______________________________________structure : field values______________________________________sequence integer enterable ; modifiablevalue alpha 10 enterable ; modifiable______________________________________structure : report file______________________________________study group alpha 10 choices ; mandatory ; enterable ; modifiablehospital alpha 4 choices ; mandatory ; enterable ; modifiablereport id alpha 10 indexed ; mandatory ; enterable ; modifiablesummary options subfiledetail options subfiledata options subfileoption11 integer enterable ; modifiableoption12 integer enterable ; modifiableoption13 integer enterable ; modifiableoption21 integer enterable ; modifiableoption22 integer enterable ; modifiableoption23 integer enterable ; modifiableoption31 integer enterable ; modifiableoption32 integer enterable ; modifiableoption33 integer enterable ; modifiableoption41 integer enterable ; modifiableoption42 integer enterable ; modifiableoption43 integer enterable ; modifiableoption51 integer enterable ; modifiableoption52 integer enterable ; modifiableoption53 integer enterable ; modifiableoption61 integer enterable ; modifiableoption62 integer enterable ; modifiableoption63 integer enterable ; modifiableoption71 integer enterable ; modifiableoption72 integer enterable ; modifiableoption73 integer enterable ; modifiableoption81 integer enterable ; modifiableoption82 integer enterable ; modifiableoption83 integer enterable ; modifiableadjust info boolean enterable ; modifiableoption91 integer enterable ; modifiableoption92 integer enterable ; modifiableoption93 integer enterable ; modifiable______________________________________structure : summary options______________________________________options integer enterable ; modifiable______________________________________structure : detail options______________________________________options integer enterable ; modifiable______________________________________structure : data options______________________________________options integer enterable ; modifiable______________________________________structure : drg______________________________________code alpha 3 indexed ; enterable ; modifiableabbrev alpha 15 enterable ; modifiabledescription alpha 30 enterable ; modifiablespecialty alpha 2 indexed ; enterable ; modifiabledescription2 alpha 3 enterable ; modifiable______________________________________structure : zip code______________________________________zip code alpha 5 indexed ; enterable ; modifiableabbrev alpha 20 enterable ; modifiabletown alpha 20 enterable ; modifiablecommunity alpha 20 indexed ; enterable ; modifiable______________________________________structure : sex______________________________________code alpha 2 indexed ; enterable ; modifiableabbrev alpha 10 enterable ; modifiabledescription alpha 20 enterable ; modifiable______________________________________structure : dept group______________________________________code alpha 2 indexed ; enterable ; modifiableabbrev alpha 10 enterable ; modifiabledescription alpha 40 enterable ; modifiable______________________________________structure : output______________________________________report name alpha 20 indexed ; enterable ; modifiablei value integer indexed ; enterable ; modifiablej value integer indexed ; enterable ; modifiabledocument picture enterable ; modifiable______________________________________structure : hold file______________________________________group name alpha 10 enterable ; modifiableabbrev alpha 15 enterable ; modifiabledescription alpha 40 enterable ; modifiablegroup values subfile______________________________________structure : group values______________________________________group value value 6 enterable ; modifiableabbrev alpha 15 enterable ; modifiabledescription alpha 40 enterable ; modifiabledescription2 alpha 20 enterable ; modifiablebase field alpha 20 enterable ; modifiabletype alpha 2 enterable ; modifiablevalue alpha 10 enterable ; modifiable______________________________________structure : database info______________________________________database id alpha 2 enterable ; modifiabledatabase name alpha 20 enterable ; modifiable______________________________________ table iii__________________________________________________________________________drg descriptions , average lengths of stay , day outller thresholds andrelative weights fiscal 91 geometric fiscal 90 fiscal 91 fy 90 - 91 mean day day fiscal 90 fiscal charge indrg length of outller outller relative relative relativeno . type description stay threshold threshold weights weights weights__________________________________________________________________________mdc 01 - diseases & amp ; disorders of the nervous system 1 surg craniotomy except trauma age & gt ; 17 12 . 9 42 42 3 . 5670 3 . 3580 - 0 . 2090 2 surg craniotomy for trauma age & gt ; 17 12 . 1 41 41 4 . 1379 3 . 5485 - 0 . 5894 3 surg craniotomy age 0 - 17 12 . 7 41 42 2 . 8830 2 . 8830 0 . 0000 4 surg spinal procedures 10 . 8 40 40 2 . 6483 2 . 4532 - 0 . 1951 5 surg extracranial vascular procedures 5 . 8 34 35 1 . 5214 1 . 5246 0 . 0032 6 surg carpal tunnel release 2 . 0 17 19 0 . 4709 0 . 4823 0 . 0114 7 surg periph & amp ; cran . nerve & amp ; other nerv . sys . with c . c . 11 . 5 41 41 3 . 1110 2 . 6823 - 0 . 4287 proc . 8 surg periph & amp ; cran . nerve & amp ; other nerv . sys . w / o c . c . 3 . 0 31 32 0 . 7355 0 . 7451 0 . 0096 proc . 9 med spinal disorders & amp ; injuries 6 . 9 35 36 1 . 4058 1 . 2229 - 0 . 1829 10 med nervous system neoplasms with c . c . 7 . 8 36 37 1 . 2449 1 . 2765 0 . 0316 11 med nervous system neoplasms w / o c . c . 4 . 7 33 34 0 . 7451 0 . 7771 0 . 0320 12 med degenerative nervous system disorders 6 . 9 35 36 0 . 9391 0 . 9256 - 0 . 0135 13 med multiple sclerosis & amp ; cerebellar ataxia 7 . 1 35 36 0 . 8699 0 . 8726 0 . 0027 14 med spec cerebrovascular disorders ex tia 7 . 3 35 36 1 . 2260 1 . 2212 - 0 . 0048 15 med transient ischemic attacks & amp ; precerebral 4 . 2 32 33 0 . 6350 0 . 6420 0 . 0070 occ . 16 med nonspecific cerebrovascular disorders with c . c . 6 . 7 35 36 1 . 0949 1 . 0703 - 0 . 0246 17 med nonspecific cerebrovascular disorders w / o c . c . 4 . 4 33 33 0 . 6452 0 . 6326 - 0 . 0126 18 med cranial & amp ; peripheral nerve disorders with c . c . 6 . 0 34 35 0 . 9640 0 . 8749 - 0 . 0891 19 med cranial & amp ; peripheral nerve disorders w / o c . c . 3 . 9 32 33 0 . 5869 0 . 5629 - 0 . 0240 20 med nerv sys . infection ex . viral meningitis 8 . 4 36 37 1 . 7817 1 . 8683 0 . 0866 21 med viral meningitis 7 . 5 36 37 1 . 4190 1 . 4439 0 . 0249 22 med hypertensive encephalopathy 4 . 4 32 33 0 . 6981 0 . 7206 0 . 0225 23 med nontraumatic stupor & amp ; coma 4 . 3 32 33 0 . 8698 0 . 8322 - 0 . 0376 24 med seizure & amp ; headache age & gt ; 17 w / c . c . 5 . 3 33 34 0 . 9689 0 . 9602 - 0 . 0067 25 med seizure & amp ; headache age & gt ; 17 w / o c . c . 3 . 5 29 28 0 . 5270 0 . 5197 - 0 . 0073 26 med seizure & amp ; headache age 0 - 17 4 . 0 31 33 0 . 7313 0 . 8176 0 . 0863 27 med traumatic stupor & amp ; coma , coma & gt ; 1 hr . 4 . 3 33 33 1 . 6124 1 . 3481 - 0 . 2643 28 med traumatic stupor & amp ; coma , coma & lt ; 1 hr . age & gt ; 17 w / c . c . 5 . 9 34 35 1 . 2750 1 . 2060 - 0 . 0690 29 med traumatic stupor & amp ; coma , coma & lt ; 1 hr . age & gt ; 17 w / o c . c . 3 . 3 31 32 0 . 5730 0 . 5674 - 0 . 0056 30 med traumatic stupor & amp ; coma , coma & lt ; 1 hr . age 0 - 17 2 . 0 17 17 0 . 3496 0 . 3496 0 . 0000 31 med concussion age & gt ; 17 w / c . c . 4 . 2 32 33 0 . 7007 0 . 6933 - 0 . 0074 32 med concussion age & gt ; 17 w / o c . c . 2 . 7 25 25 0 . 4038 0 . 4100 0 . 0062 33 med concussion age 0 - 17 1 . 6 9 9 0 . 2427 0 . 2427 0 . 0000 34 med other disorders of nervous system w / c . c . 6 . 0 34 35 1 . 2069 1 . 1714 - 0 . 0355 35 med other disorders of nervous system w / o c . c . 3 . 6 32 33 0 . 5597 0 . 5464 - 0 . 0133mdc 02 - diseases & amp ; disorders of the eye 36 surg retinal procedures 2 . 3 14 13 0 . 6443 0 . 6487 0 . 0044 37 surg orbital procedures 2 . 9 31 32 0 . 7415 0 . 7431 0 . 0016 38 surg primary iris procedures 2 . 2 16 17 0 . 3550 0 . 3614 0 . 0064 39 surg lens procedures w / or w / o vitrectomy 1 . 6 7 8 0 . 4494 0 . 4456 - 0 . 0038 40 surg extraocular procedures except orbit age & gt ; 17 2 . 0 20 21 0 . 4762 0 . 4923 0 . 0161 41 surg extraocular procedures except orbit age 0 - 17 1 . 6 7 7 0 . 3613 0 . 3613 0 . 0000 42 surg intraccular proc . ex . retina , iris & amp ; lens 2 . 2 16 16 0 . 6305 0 . 6202 - 0 . 0103 43 med hyphema 4 . 0 24 32 0 . 3350 0 . 3867 0 . 0517 44 med acute major eye infections 5 . 5 33 35 0 . 6035 0 . 5879 - 0 . 0056 45 med neurological eye disorders 3 . 4 30 29 0 . 5454 0 . 5650 0 . 0196 46 med other disorders of the eye age & gt ; 17 with c . c . 4 . 2 32 33 0 . 6495 0 . 6701 0 . 0206 47 med other disorders of the eye age & gt ; 17 w / o c . c . 2 . 6 28 28 0 . 3539 0 . 3608 0 . 0069 48 med other disorders of the eye age 0 - 17 2 . 9 30 30 0 . 3969 0 . 3969 0 . 0000mdc 03 - diseases & amp ; disorders othe ear , nose & amp ; throat 49 surg major head & amp ; neck procedures 7 . 4 39 36 2 . 8633 2 . 3273 - 0 . 5360 50 surg sialodenectomy 2 . 2 15 14 0 . 6298 0 . 6413 0 . 0115 51 surg salivary gland proc . ex . sialodenectomy 2 . 1 18 20 0 . 5647 0 . 5822 0 . 0175 52 surg cleft up & amp ; palate repair 2 . 6 26 25 0 . 8129 0 . 7394 - 0 . 0735 53 surg sinus & amp ; mastoid procedures age & gt ; 17 1 . 9 20 19 0 . 6161 0 . 6308 0 . 0147 54 surg sinus & amp ; mastoid procedures age 0 - 17 3 . 2 22 22 0 . 6805 0 . 6805 0 . 0000 55 surg miscellaneous ear , nose & amp ; throat proc . 1 . 6 14 13 0 . 4879 0 . 4905 0 . 0026 56 surg rhinoplasty 1 . 7 14 13 0 . 4881 0 . 4982 0 . 0101 57 surg t & amp ; a proc . except tonsil and / or age & gt ; 17 3 . 4 32 32 0 . 9313 0 . 8774 - 0 . 0539 adenoid 58 surg t & amp ; a proc . except tonsil and / or age 0 - 17 1 . 5 4 4 0 . 3060 0 . 3060 0 . 0000 adenoid 59 surg tonsillectomy and / or adenoidectomy age & gt ; 17 1 . 6 11 12 0 . 3878 0 . 4192 0 . 0314 60 surg tonsillectomy and / or adenoidectomy age 0 - 17 1 . 5 4 4 0 . 2584 0 . 2584 0 . 0000 61 surg myringotomy w / tube insertion age & gt ; 17 2 . 3 30 / 31 0 . 6945 0 . 7656 0 . 0711 62 surg myringotomy w / tube insertion age 0 - 17 1 . 3 5 5 0 . 3052 0 . 3052 0 . 0000 63 surg other ear , nose , mouth & amp ; throat o . r . 3 . 8 32 33 1 . 1822 1 . 0111 - 0 . 1771 proc . 64 med ear , nose , mouth & amp ; throat malignancy 5 . 0 33 34 1 . 1762 1 . 0651 - 0 . 1111 65 med dysequilibrium 3 . 3 23 23 0 . 4564 0 . 4636 0 . 0072 66 med epistaxis 3 . 3 24 24 0 . 4496 0 . 4526 0 . 0032 67 med epiglotitis 4 . 3 32 33 0 . 8589 0 . 8478 - 0 . 0111 68 med otitis media & amp ; uri age & gt ; 17 w / c . c . 4 . 9 33 33 0 . 7232 0 . 7209 - 0 . 0023 69 med otitis media & amp ; uri age & gt ; 17 w / o c . c . 3 . 8 25 24 0 . 5281 0 . 5086 - 0 . 0195 70 med otitis media & amp ; uri age 0 - 17 2 . 3 22 13 0 . 4589 0 . 2830 - 0 . 1759 71 med larynogotracheitis 4 . 3 32 27 0 . 7307 0 . 7030 - 0 . 0277 72 med nasal trauma & amp ; deformity 3 . 2 31 32 0 . 5528 0 . 5547 0 . 0019 73 med other ear , nose , mouth & amp ; throat age & gt ; 17 4 . 1 32 33 0 . 7525 0 . 7291 - 0 . 0234 diagnosis 74 med other ear , nose , mouth & amp ; throat age 0 - 17 2 . 1 20 20 0 . 3386 0 . 3386 0 . 0000 diagnosismdc 04 - diseases & amp ; disorders of the respiratory system 75 surg major chest procedures 11 . 7 40 41 2 . 9603 2 . 9860 0 . 0257 76 surg other resp . system o . r . procedures w / c . c . 10 . 5 38 39 2 . 3038 2 . 3074 0 . 0036 77 surg other resp . system o . r . procedures w / 0 c . c . 4 . 6 33 34 1 . 0895 1 . 0413 - 0 . 0482 78 med pulimonary embolism 8 . 8 37 38 1 . 4320 1 . 4372 0 . 0052 79 med respiratory infections & amp ; inflammations age & gt ; 17 w / c . c . 9 . 3 37 38 1 . 8530 1 . 8144 - 0 . 0386 80 med respiratory infections & amp ; inflammations age & gt ; 18 w / o c . c . 6 . 8 35 36 1 . 1382 1 . 0404 - 0 . 0978 81 med respiratory infections & amp ; inflammations age 0 - 17 6 . 1 34 35 1 . 0899 1 . 0899 0 . 0000 82 med respiratory neoplasms 6 . 7 35 36 1 . 2016 1 . 2178 0 . 0162 83 med major chest trauma w / c . c . 6 . 3 35 35 1 . 0064 0 . 9628 - 0 . 0436 84 med major chest trauma w / o c . c . 3 . 7 32 28 0 . 5009 0 . 4846 - 0 . 0163 85 med pleural effusion w / c . c . 6 . 8 35 36 1 . 1437 1 . 1509 0 . 0072 86 med pleural effusion w / o c . c . 4 . 4 33 33 0 . 7223 0 . 6961 - 0 . 0262 87 med pulmonary edema & amp ; respiratory failure 6 . 0 34 35 1 . 4597 1 . 3895 - 0 . 0702 88 med chronic obstructive pulmonary disease 5 . 9 34 35 1 . 0153 0 . 9973 - 0 . 0180 89 med simple pneumonia & amp ; pleurisy age & gt ; 17 w / c . c . 7 . 2 35 36 1 . 2059 1 . 1878 - 0 . 0181 90 med simple pneumonia & amp ; pleurisy age & gt ; 17 w / o c . c . 5 . 6 32 31 0 . 7790 0 . 7538 - 0 . 0252 91 med simple pneumonia & amp ; pleurisy age 0 - 17 5 . 2 30 34 0 . 7465 0 . 8141 0 . 0676 92 med interstitial lung disease w / c . c . 6 . 9 36 36 1 . 2182 1 . 2131 - 0 . 0051 93 med interstitial lung disease w / o c . c . 4 . 9 33 34 0 . 7936 0 . 7598 - 0 . 0338 94 med pneumothorax w / c . c . 7 . 2 35 36 1 . 3378 1 . 2763 - 0 . 0615 95 med pneumothorax w / o c . c . 4 . 6 33 34 0 . 6685 0 . 6533 - 0 . 0132 96 med bronchitis & amp ; asthma age & gt ; 17 w / c . c . 6 . 0 34 35 0 . 9734 0 . 9568 - 0 . 0166 97 med bronchitis & amp ; asthma age & gt ; 17 w / o c . c . 4 . 6 27 26 0 . 6810 0 . 6561 - 0 . 0249 98 med bronchitis & amp ; asthma age 0 - 17 4 . 6 34 22 0 . 8942 0 . 6135 - 0 . 2807 99 med respiratory signs & amp ; symptoms w / c . c . 4 . 4 32 33 0 . 8493 0 . 8361 - 0 . 0132100 med respiratory signs & amp ; symptoms w / o c . c . 2 . 7 20 19 0 . 5125 0 . 5090 - 0 . 0035101 med other respiratory diagnoses w / c . c . 5 . 1 33 34 0 . 9966 0 . 9181 - 0 . 0785102 med other respiratory diagnoses w / o c . c . 3 . 4 31 32 0 . 5593 0 . 5400 - 0 . 0193mdc 05 - diseases & amp ; disorders of the circulatory system103 surg heart transplant 25 . 0 54 54 13 . 2352 12 . 9086 - 0 . 3266104 surg cardiac valve procedure with cardiac cath 18 . 3 45 47 7 . 8432 8 . 0641 0 . 2209105 surg cardiac valve procedure w / o cardiac cath 13 . 0 41 42 5 . 9965 6 . 0750 0 . 0785106 surg coronary bypass with cardiac cath 13 . 9 42 43 5 . 6558 5 . 4227 - 0 . 2331107 surg coronary bypass w / o cardiac cath 11 . 2 39 40 4 . 2260 4 . 7899 0 . 5639108 surg other cardiothoracic procedures 12 . 9 39 42 5 . 7332 5 . 9649 0 . 2317109 surg other cardiothoracic procedures no longer valid 0 . 0 36 0 3 . 7746 0 . 0000 - 3 . 7746110 surg major cardiovascular procedures w / c . c . 10 . 5 40 39 3 . 5967 4 . 2644 0 . 6677111 surg major cardiovascular procedures w / o c . c . 8 . 1 36 37 2 . 0351 2 . 4493 0 . 4142112 surg percutaneous cardiovascular procedures 4 . 9 33 34 1 . 9106 1 . 9910 0 . 0804113 surg amputation for circ . system disorders ex . upper limb & amp ; 14 . 5 42 44 2 . 4616 2 . 6279 0 . 1663 toe114 surg upper limb & amp ; toe amputation for circ disorders 9 . 3 38 38 1 . 6119 1 . 5827 - 0 . 0292115 surg permanent cardiac pacemaker implant with ami or chf 12 . 1 41 41 3 . 8541 3 . 7705 - 0 . 0836 or shock116 surg permanent cardiac pacemaker implant w / o ami or chf or 5 . 8 34 35 2 . 5793 2 . 5190 - 0 . 0603 shock117 surg cardiac pacemaker revision exc . device 3 . 8 33 33 1 . 8867 1 . 3520 - 0 . 5347 rapl . 118 surg cardiac pacemaker device replacement 3 . 0 32 32 2 . 0267 1 . 7375 - 0 . 2892119 surg vein ligation & amp ; stripping 3 . 4 32 32 0 . 8269 0 . 8169 - 0 . 0100120 surg other o . r proc . - circulatory system 10 . 2 39 39 2 . 7059 2 . 5143 - 0 . 1916121 med circulatory disorders with ami & amp ; c . v . comp . disch . alive 8 . 2 37 37 1 . 6228 1 . 5772 - 0 . 0456122 med circulatory disorders with ami w / o c . v comp . disch . alive 5 . 9 34 35 1 . 1233 1 . 1152 - 0 . 0081123 med circulatory disorders with ami expired 3 . 0 31 32 1 . 3934 1 . 3704 - 0 . 0230124 med circulatory disorders exc . ami with cath . & amp ; complex 4 . 3 32 33 1 . 1876 1 . 1816 - 0 . 0060 diag . 125 med circulatory disorders exc . ami with cath . w / o compl 2 . 2 20 21 0 . 6874 0 . 7015 0 . 0141 diag . 126 med acute and subacute endocarditis 17 . 0 45 46 2 . 9894 2 . 9543 - 0 . 0351127 med heart failure & amp ; shock 6 . 1 34 35 1 . 0169 1 . 0040 - 0 . 0129128 med deep vein thrombophlebitis 7 . 7 35 34 0 . 8129 0 . 8061 - 0 . 0068129 med cardiac arrest , unexplained 2 . 6 31 32 1 . 3986 1 . 3242 - 0 . 0744130 med peripheral vascular disorders w / c . c . 6 . 0 34 35 0 . 8921 0 . 8969 0 . 0048131 med peripheral vascular disorders w / o c . c . 4 . 4 32 33 0 . 5814 0 . 5841 0 . 0027132 med atherosclerosis w / c . c . 4 . 1 32 33 0 . 7565 0 . 7252 - 0 . 0313133 med atherosclerosis w / o c . c . 3 . 1 27 26 0 . 5420 0 . 5205 - 0 . 0215134 med hypertension 4 . 2 32 33 0 . 5964 0 . 5992 0 . 0028135 med cardiac congenital & amp ; valvular disorders age & gt ; 17 w / c . c . 4 . 9 33 34 0 . 9018 0 . 8623 - 0 . 0395136 med cardiac congenital & amp ; valvular disorders age & gt ; 17 w / o c . c . 3 . 3 29 26 0 . 5488 0 . 5507 0 . 0019137 med cardiac congenital & amp ; valvular disorders age 0 - 17 3 . 3 31 32 0 . 6239 0 . 6239 0 . 0000138 med cardiac arrythmia & amp ; conduction dis - w / c . c . 4 . 6 33 34 0 . 8707 0 . 8331 - 0 . 0376 orders139 med cardiac arrythmia & amp ; conduction dis - w / o c . c . 3 . 2 26 24 0 . 5715 0 . 5325 - 0 . 0390 orders140 med angina pectoris 3 . 8 25 25 0 . 6387 0 . 6296 - 0 . 0091141 med syncope & amp ; collapse w / c . c . 4 . 4 32 33 0 . 6920 0 . 6899 - 0 . 0021142 med syncope & amp ; collapse w / o c . c . 3 . 2 23 22 0 . 5149 0 . 5012 - 0 . 0137143 med chest pain 2 . 8 19 18 0 . 5226 0 . 5140 - 0 . 0086144 med other circulatory diagnoses with c . c . 5 . 5 34 34 1 . 1035 1 . 0849 - 0 . 0186145 med other circulatory diagnoses w / o c . c . 3 . 2 31 29 0 . 6236 0 . 5933 - 0 . 0303mdc 06 - diseases of the digestive system146 surg rectal resection w / c . c . 13 . 0 42 42 2 . 7386 2 . 5864 - 0 . 1522147 surg rectal resection w / o c . c . 9 . 5 37 36 1 . 7349 1 . 6406 - 0 . 0943148 surg major small & amp ; large bowel procedures w / c . c . 13 . 9 42 43 3 . 2705 3 . 1996 - 0 . 0709149 surg major small & amp ; large bowel procedures w / o c . c . 9 . 4 32 31 1 . 6636 1 . 6044 - 0 . 0592150 surg peritoneal adhesiolysis w / c . c . 11 . 8 40 41 2 . 6617 2 . 5312 - 0 . 1306151 surg peritoneal adhesiolysis w / o c . c . 7 . 4 36 36 1 . 3478 1 . 2777 - 0 . 0701152 surg minor small & amp ; large bowel procedures w / c . c . 7 . 6 36 37 1 . 4678 1 . 4769 0 . 0091153 surg minor small & amp ; large bowel procedures w / o c . c . 6 . 4 33 33 1 . 0149 1 . 0170 0 . 0021154 surg stomach , esophageal & amp ; duodenal pro - age & gt ; 17 w / c . c . 12 . 4 41 41 3 . 8172 3 . 6320 - 0 . 1852 cedures155 surg stomach , esophageal & amp ; duodenal pro - age & gt ; 17 w / o c . c . 7 . 4 36 36 1 . 6050 1 . 4768 - 0 . 1262 cedures156 surg stomach , esophageal & amp ; duodenal pro - age 0 - 17 6 . 0 34 35 0 . 8281 0 . 8281 0 . 0000 cedures157 surg anal & amp ; stomal procedures w / c . c . 4 . 8 33 34 0 . 9571 0 . 9248 - 0 . 0323158 surg anal & amp ; stomal procedures w / o c . c . 2 . 6 23 19 0 . 5136 0 . 4877 - 0 . 0259159 surg hernia procedures ex . inguinal & amp ; femoral age & gt ; 17 w / c . c . 5 . 1 33 34 1 . 1057 1 . 0797 - 0 . 0260160 surg hernia procedures ex . inguinal & amp ; femoral age & gt ; 17 w / o c . c . 3 . 1 23 22 0 . 6314 0 . 6166 - 0 . 0148161 surg inguinal & amp ; femoral hernia procedures age & gt ; 17 w / c . c . 3 . 3 32 32 0 . 7337 0 . 7238 - 0 . 0099162 surg inguinal & amp ; femoral hernia procedures age & gt ; 17 w / o c . c . 2 . 0 14 12 0 . 4485 0 . 4428 - 0 . 0057163 surg hernia procedures age 0 - 17 3 . 2 26 32 0 . 7729 0 . 6397 - 0 . 1332164 surg appendectomy - complicated princ . diag . w / c . c . 10 . 3 39 39 2 . 3737 2 . 2699 - 0 . 1038165 surg appendectomy - complicated princ . diag . w / o c . c . 7 . 2 26 25 1 . 3377 1 . 2944 - 0 . 0433166 surg appendectomy w / o complicated princ . w / c . c . 6 . 6 35 36 1 . 3991 1 . 3818 - 0 . 0173 diag . 167 surg appendectomy w / o complicated princ . w / o c . c . 4 . 2 17 16 0 . 7922 0 . 7745 - 0 . 0177 diag . 168 surg mouth procedures w / c . c . 3 . 7 32 33 1 . 0050 0 . 9806 - 0 . 0244169 surg mouth procedures w / o c . c . 2 . 1 19 18 0 . 5463 0 . 5558 0 . 0095170 surg other digestive system o . r . procedures w / c . c . 11 . 1 39 40 2 . 8091 2 . 7171 - 0 . 0920171 surg other digestive system o . r . procedures w / o c . c . 5 . 7 34 35 1 . 2563 1 . 1583 - 0 . 0980172 med digestive malignancy w / c . c . 7 . 2 35 36 1 . 2216 1 . 2445 0 . 0229173 med digestive malignancy w / o c . c . 3 . 8 32 33 0 . 6657 0 . 6358 - 0 . 0299174 med g . i . hemorrhage w / c . c . 5 . 5 34 34 0 . 9620 0 . 9537 - 0 . 0083175 med g . i . hemorrhage w / o c . c . 3 . 9 25 24 0 . 5983 0 . 5756 - 0 . 0227176 med complicated peptic ulcer 5 . 9 34 35 0 . 9831 0 . 9830 - 0 . 0001177 med uncomplicated peptic ulcer w / c . c . 5 . 2 32 33 0 . 7637 0 . 7803 0 . 0166178 med uncomplicated peptic ulcer w / o c . c . 3 . 9 23 22 0 . 5650 0 . 5564 - 0 . 0086179 med inflammatory bowel disease 7 . 1 35 36 1 . 0648 1 . 0895 0 . 0247180 med g . i . obstruction w / c . c . 5 . 8 34 35 0 . 9134 0 . 9165 0 . 0031181 med g . i . obstruction w / o c . c . 4 . 0 28 27 0 . 5229 0 . 5130 - 0 . 0099182 med esophagitix , gastroent & amp ; misc . digest . age & gt ; 17 w / c . c . 4 . 9 33 34 0 . 7414 0 . 7497 0 . 0083 dis . 183 med esophagitix , gastroent & amp ; misc . digest . age & gt ; 17 w / o c . c . 3 . 5 26 25 0 . 5215 0 . 5200 - 0 . 0015 dis . 184 med esophagitix , gastroent & amp ; misc . digest . age 0 - 17 3 . 2 31 32 0 . 5408 0 . 6801 0 . 1393 dis . 185 med dental & amp ; oral dis . ex extract & amp ; restor . age & gt ; 17 4 . 3 32 33 0 . 7627 0 . 7548 - 0 . 0079186 med dental & amp ; oral dis . ex extract & amp ; restor . age 0 - 17 2 . 9 23 23 0 . 4062 0 . 4062 0 . 0000187 med dental extractions & amp ; restorations 2 . 2 20 22 0 . 3856 0 . 4814 - 0 . 0042188 med other digestive system diagnoses age & gt ; 17 w / c . c . 5 . 1 33 34 0 . 9730 0 . 9632 - 0 . 0098189 med other digestive system diagnoses age & gt ; 17 w / o c . c . 2 . 9 31 32 0 . 4767 0 . 4802 0 . 0035190 med other digestive system diagnoses age 0 - 17 4 . 0 32 28 0 . 7671 0 . 6312 - 0 . 1359mdc 07 - diseases & amp ; disorders othe hepatobiliary system & amp ; pancreas191 surg pancreas , liver & amp ; shunt procedures w / c . c . 15 . 9 45 45 5 . 0674 4 . 6941 - 0 . 3733192 surg pancreas , liver & amp ; shunt procedures w / o c . c . 9 . 2 38 38 2 . 1816 1 . 9662 - 0 . 2154193 surg biliary tract proc . ex tot . chole - w / c . c . 14 . 3 43 43 3 . 0026 3 . 0102 0 . 0076 cystectomy194 surg biliary tract proc . ex tot . chole - w / o c . c . 9 . 8 38 39 1 . 7802 1 . 7387 - 0 . 0415 cystectomy195 surg total cholecystectomy with c . d . e . w / c . c . 11 . 0 40 40 2 . 2810 2 . 2175 - 0 . 0635196 surg total cholecystectomy with c . d . e . w / o c . c . 8 . 2 30 30 1 . 5106 1 . 4183 - 0 . 0923197 surg total cholecystectomy w / o c . d . e . w / c . c . 8 . 6 37 38 1 . 7378 1 . 7336 - 0 . 0042198 surg total cholecystectomy w / o c . d . e . w / o c . c . 5 . 5 21 20 0 . 9865 0 . 9445 - 0 . 0420199 surg hepatobiliary diag . proc . for malignancy 11 . 9 40 41 2 . 2585 2 . 3168 0 . 0583200 surg hepatobiliary diag . proc . for non - malig 10 . 1 38 39 2 . 7160 2 . 8940 0 . 1780201 surg other hepatobiliary or pancreas o . r . 8 . 9 37 38 2 . 4093 2 . 4210 0 . 0117 proc . 202 med cirrhosis & amp ; alcoholic hepatitis 7 . 2 35 36 1 . 1953 1 . 2019 0 . 0066203 med malig of hepatobiliary syst or pancreas 6 . 8 35 36 1 . 1174 1 . 1301 0 . 0127204 med disorders of pancreas except malignancy 6 . 1 34 35 1 . 0387 1 . 0617 0 . 0230205 med disorders of liver ex . malig . cirr . alc . w / c . c . 6 . 7 35 36 1 . 2068 1 . 1985 - 0 . 0083 hepa . 206 med disorders of liver ex . malig . cirr . alc . w / o c . c . 3 . 8 32 33 0 . 6124 0 . 6210 0 . 0086 hepa . 207 med disorders of the biliary tract w / c . c . 5 . 5 34 35 0 . 9566 0 . 9569 0 . 0003208 med disorders of the biliary tract w / o c . c . 3 . 4 29 27 0 . 5658 0 . 5599 - 0 . 0059mdc 06 - diseases & amp ; disorders of the musculoskeletal system & amp ; connectivetissue209 surg major joint & amp ; limb reattachment pro - 10 . 6 39 38 2 . 3437 2 . 3689 0 . 0252 cedures210 surg hip & amp ; femur procedures exc . major joint age & gt ; 17 w / c . c . 12 . 0 41 41 2 . 0536 1 . 9939 - 0 . 0597211 surg hip & amp ; femur procedures exc . major joint age & gt ; 17 w / o c . c . 9 . 6 38 38 1 . 4716 1 . 4302 - 0 . 0414212 surg hip & amp ; femur procedures exc . major joint age 0 - 17 4 . 5 31 16 1 . 4023 0 . 9981 - 0 . 4042213 surg amputations for musculoskeletal sys - 9 . 7 38 39 1 . 7701 1 . 7562 - 0 . 0139 tem & amp ; conn . tissue disorders214 surg back & amp ; neck procedures w / c . c . 10 . 0 39 39 1 . 9997 1 . 9298 - 0 . 0699215 surg back & amp ; neck procedures w / o c . c . 6 . 6 35 35 1 . 2155 1 . 1550 - 0 . 0605216 surg biopsies of musculoskeletal system 9 . 5 37 38 1 . 7852 1 . 8502 0 . 0650 & amp ; connective tissue217 surg wnd debrid & amp ; skin grft exc . hand for 14 . 1 42 43 3 . 0640 3 . 1173 0 . 0533 muscskelt . & amp ; conn tissue dis218 surg lwr extrem & amp ; humer proc . exc . hip , ft , age & gt ; 17 w / c . c . 7 . 7 36 37 1 . 5359 1 . 4748 - 0 . 0611 femur219 surg lwr extrem & amp ; humer proc . exc . hip , ft , age & gt ; 17 w / o c . c . 4 . 9 33 31 0 . 9363 0 . 9194 - 0 . 0169 femur220 surg lwr extrem & amp ; humer proc . exc . hip , ft , age 0 - 17 5 . 3 33 34 0 . 9130 0 . 9130 0 . 0000 femur221 surg knee procedures w / c . c . 6 . 9 35 36 1 . 5408 1 . 5919 0 . 0511222 surg knee procedures w / o c . c . 3 . 8 32 33 0 . 8855 0 . 9134 0 . 0279223 surg major shoulder / elbos proc , or oth upper w / c . c . 3 . 5 32 28 0 . 8405 0 . 8260 - 0 . 0145 ext . proc224 surg shoulder , elbow or forearm proc , exc w / o c . c . 2 . 6 19 17 0 . 6248 0 . 6224 - 0 . 0024 major joint proc225 surg foot procedures 3 . 2 31 32 0 . 7063 0 . 7421 0 . 0358226 surg soft tissue procedures w / c . c . 6 . 3 35 35 1 . 4308 1 . 3371 - 0 . 0937227 surg soft tissue procedures w / o c . c . 2 . 9 30 26 0 . 6618 0 . 6604 - 0 . 0014228 surg major thumb or joint proc , or oth hand or w / c . c . 2 . 7 28 30 0 . 7911 0 . 8148 0 . 0237 wrist229 surg hand or wrist proc , except major joint w / o c . c . 1 . 9 15 16 0 . 5117 0 . 5358 0 . 0241 proc230 surg local excision & amp ; removal of int . fix 4 . 0 32 33 0 . 8763 0 . 8508 - 0 . 0255 devices of hip & amp ; femur231 surg local excision & amp ; removal of int . fix 3 . 6 32 33 0 . 9107 0 . 9306 0 . 0199 devices exc hip & amp ; femur232 surg arthroscopy 3 . 6 32 33 1 . 1229 0 . 9981 - 0 . 1248233 surg other muscul sys . & amp ; conn . tiss . o . r . w / c . c . 8 . 9 37 38 1 . 7280 1 . 8416 0 . 1136 proc . 234 surg other muscul sys . & amp ; conn . tiss . o . r . w / o c . c . 4 . 1 33 33 0 . 8477 0 . 8322 - 0 . 0155 proc . 235 med fractures of femur 7 . 8 36 37 1 . 1575 1 . 1383 - 0 . 0192236 med fractures of hip & amp ; pelvis 6 . 7 35 36 0 . 8565 0 . 8516 - 0 . 0049237 med sprains , strains & amp ; dislocations of hip , 4 . 3 33 33 0 . 5662 0 . 5424 - 0 . 0238 pelvis & amp ; thigh238 med osteonyelitis 10 . 4 38 39 1 . 5778 1 . 5682 - 0 . 0096239 med pathological fractures & amp ; musculoskeletal 7 . 5 36 37 0 . 9843 1 . 0035 0 . 0192 & amp ; conn . tiss . malignan240 med connective tissue disorders w / c . c . 7 . 1 35 36 1 . 0769 1 . 1197 0 . 0428241 med connective tissue disorders w / o c . c . 4 . 8 33 34 0 . 6218 0 . 5852 - 0 . 0366242 med septic arthritis 8 . 2 37 37 1 . 3229 1 . 2566 - 0 . 0663243 med medical back problems 5 . 0 33 34 0 . 6501 0 . 6580 0 . 0079244 med bone diseases & amp ; specific arthropathies w / c . c . 5 . 4 33 34 0 . 7134 0 . 7228 0 . 0094245 med bone diseases & amp ; specific arthropathies w / o c . c . 4 . 0 32 33 0 . 5106 0 . 5008 - 0 . 0100246 med non - specific arthropathies 4 . 5 33 33 0 . 5910 0 . 5736 - 0 . 0174247 med signs & amp ; symptoms of musculeskeletal 3 . 7 32 33 0 . 5285 0 . 5332 0 . 0047 system & amp ; conn . tissue248 med tendonitis , myositis & amp ; bursitis 4 . 4 32 33 0 . 6120 0 . 6342 0 . 0222249 med aftercare , musculoskeletal system & amp ; 3 . 9 32 33 0 . 6287 0 . 6320 0 . 0033 connective tissue250 med fx , sprns , strns & amp ; disl . of forearm , age & gt ; 17 w / c . c . 4 . 4 33 33 0 . 6806 0 . 6757 - 0 . 0049 hand , ft251 med fx , sprns , strns & amp ; disl . of forearm , age & gt ; 17 w / o c . c . 2 . 5 24 24 0 . 4230 0 . 4315 0 . 0085 hand , ft252 med fx , sprns , strns & amp ; disl . of forearm , age o - 17 1 . 8 15 15 0 . 3454 0 . 3454 0 . 0000 hand , ft253 med fx , sprns , strns & amp ; disl . of uparm , age & gt ; 17 w / c . c . 5 . 9 34 35 0 . 7983 0 . 7871 - 0 . 0112 lowleg , exfoot254 med fx , sprns , strns & amp ; disl . of uparm , age & gt ; 17 w / o c . c . 3 . 6 32 33 0 . 4346 0 . 4303 - 0 . 0043 lowleg , exfoot255 med fx , sprns , strns & amp ; disl . of uparm , age 0 - 17 2 . 9 31 32 0 . 4582 0 . 4582 0 . 0000 lowleg , exfoot256 med other musculoskeletal system & amp ; connec - 3 . 9 32 33 0 . 6251 0 . 6267 0 . 0016 tive tissue diagnosismdc 09 - diseases & amp ; disorders of the skin , subcutaneous tissue & amp ; breast257 surg total mastectomy for malignancy w / c . c . 5 . 0 27 26 0 . 9402 0 . 9219 - 0 . 0183258 surg total mastectomy for malignancy w / o c . c . 4 . 0 18 16 0 . 7467 0 . 7178 - 0 . 0289259 surg subtotal mastectomy for malignancy w / c . c . 4 . 4 33 33 0 . 9987 0 . 9581 - 0 . 0406260 surg subtotal mastectomy for malignancy w / o c . c . 2 . 5 18 16 0 . 5654 0 . 5764 0 . 0110261 surg breast proc . for non - malig except biopsy 2 . 3 16 15 0 . 6285 0 . 6509 0 . 0224 & amp ; loc . exc . 262 surg breast biopsy & amp ; local excision for non - 1 . 9 13 15 0 . 4464 0 . 4537 0 . 0073 malignancy263 surg skn graft & amp ;/ or debrid for skn ulc or w / c . c . 16 . 0 44 45 2 . 6691 2 . 7750 0 . 1059 cellulitis264 surg skn graft & amp ;/ or debrid for skn ulc or w / o c . c . 9 . 2 38 38 1 . 4197 1 . 3569 - 0 . 0628 cellulitis265 surg skin grafts exc for skin ulcer or with c . c . 6 . 1 36 35 1 . 3903 1 . 3538 - 0 . 0365 cellulitis266 surg skin grafts exc for skin ulcer or w / o c . c . 3 . 0 31 32 0 . 6867 0 . 6682 - 0 . 0185 cellulitis267 surg perianal & amp ; pilonidal procedures 2 . 8 31 32 0 . 5738 0 . 6003 0 . 0265268 surg skin , subcutaneous tissue & amp ; breast 2 . 7 30 32 0 . 6431 0 . 7210 0 . 0779 plastic procedures269 other skin , subcut , tiss . & amp ; breast o . r . w / c . c . 8 . 3 36 37 1 . 7287 1 . 7063 - 0 . 0224 proc270 other skin , subcut , tiss . & amp ; breast o . r . w / o c . c . 3 . 2 31 32 0 . 6744 0 . 6709 - 0 . 0035 proc271 med skin ulcers 9 . 0 37 38 1 . 1808 1 . 2568 0 . 0760272 med major skin disorders w / c . c . 7 . 2 35 36 1 . 0183 1 . 0177 - 0 . 0006273 med major skin disorders w / o c . c . 5 . 5 34 35 0 . 6811 0 . 6664 - 0 . 0147274 med malignant breast disorders w / c . c . 6 . 6 34 36 1 . 0610 1 . 1101 0 . 0491275 med malignant breast disorders w / o c . c . 3 . 2 31 32 0 . 5793 0 . 5443 - 0 . 0350276 med non - malignant breast disorders 3 . 6 31 33 0 . 5602 0 . 5710 0 . 0108277 med cellulitis age & gt ; 17 w / c . c . 7 . 1 35 36 0 . 9392 0 . 9269 - 0 . 0123278 med cellulitis age & gt ; 17 w / o c . c . 5 . 4 32 31 0 . 6492 0 . 6278 - 0 . 0214279 med cellulitis age 0 - 17 4 . 2 24 24 0 . 7278 0 . 7278 0 . 0000280 med trauma to the skin , subcut , tiss . & amp ; age & gt ; 17 w / c . c . 4 . 6 33 34 0 . 6597 0 . 6538 - 0 . 0059 breast281 med trauma to the skin , subcut , tiss . & amp ; age & gt ; 17 w / o c . c . 3 . 2 31 31 0 . 4233 0 . 4169 - 0 . 0064 breast282 med trauma to the skin , subcut , tiss . & amp ; age 0 - 17 2 . 2 19 19 0 . 3383 0 . 3383 0 . 0000 breast283 med minor skin disorders w / c . c . 5 . 4 34 34 0 . 7624 0 . 7401 - 0 . 0223284 med minor skin disorders w / o c . c . 3 . 6 32 33 0 . 4659 0 . 4544 - 0 . 0115mdc 10 - endocrine , nutritional & amp ; metabolic diseases & amp ; disorders285 surg amput . of lower limb for endocrine , 15 . 5 44 45 2 . 8191 2 . 7822 - 0 . 0369 nutritional & amp ; metabolic disorders286 surg adrenal & amp ; pituitary procedures 10 . 1 39 39 2 . 5261 2 . 4946 - 0 . 0315287 surg skin grafts & amp ; wound debride for endoc ., 13 . 6 42 43 2 . 2372 2 . 2311 - 0 . 0061 nutrit . & amp ; metab disorders288 surg o . r . procedures for obesity 7 . 4 35 36 1 . 8656 1 . 9691 0 . 1035289 surg parathyroid procedures 4 . 3 33 33 1 . 0587 0 . 9954 - 0 . 0633290 surg thyroid procedures 3 . 0 21 18 0 . 7805 0 . 7394 - 0 . 0411291 surg thyroglossal procedures 1 . 8 10 10 0 . 4589 0 . 4882 0 . 0293292 surg other endocrine , nutrit & amp ; metab . o . r . w / c . c . 12 . 1 40 41 2 . 7779 2 . 8203 0 . 0424 proc . 293 surg other endocrine , nutrit & amp ; metab . o . r . w / o c . c . 5 . 6 34 35 1 . 1289 1 . 0686 - 0 . 0603 proc . 294 med diabetes age & gt ; 35 5 . 9 34 35 0 . 7509 0 . 7533 0 . 0024295 med diabetes age 0 - 35 4 . 4 32 33 0 . 7252 0 . 7433 0 . 0181296 med nutritional & amp ; misc . metabolic disorders age & gt ; 17 w / c . c . 6 . 1 34 35 0 . 9404 0 . 9387 - 0 . 0017297 med nutritional & amp ; misc . metabolic disorders age & gt ; 17 w / o c . c . 4 . 1 32 32 0 . 5480 0 . 5361 - 0 . 0119298 med nutritional & amp ; misc . metabolic disorders age 0 - 17 3 . 2 32 32 0 . 6768 0 . 5694 - 0 . 1074299 med inborn errors of metabolism 4 . 6 33 34 0 . 8623 0 . 8009 - 0 . 0614300 med endocrine disorders w / c . c . 7 . 1 35 36 1 . 1086 1 . 1216 0 . 0130301 med endocrine disorders w / o c . c . 4 . 3 32 33 0 . 6250 0 . 6187 - 0 . 0063mdc 11 - diseases & amp ; disorders of the kidney & amp ; urinary tract302 surg kidney transplant 14 . 6 43 44 3 . 7905 3 . 9581 0 . 1676303 surg kidney , ureter & amp ; major bladder pro - 11 . 9 40 41 2 . 6773 2 . 6416 - 0 . 0357 cedure for neoplasm304 surg kidney , ureter & amp ; maj . bldr . proc . non - w / c . c . 10 . 3 39 39 2 . 4944 2 . 4192 - 0 . 0752 neopl . 305 surg kidney , ureter & amp ; maj . bldr . proc . non - w / o c . c . 5 . 5 34 34 1 . 2807 1 . 2168 - 0 . 0639 neopl . 306 surg prostatectomy w / c . c . 7 . 2 36 36 1 . 4060 1 . 3240 - 0 . 0820307 surg prostatectomy w / o c . c . 4 . 2 28 24 0 . 7931 0 . 7334 - 0 . 0597308 surg minor bladder procedures w / c . c . 6 . 5 35 36 1 . 5067 1 . 4736 - 0 . 0331309 surg minor bladder procedures w / o c . c . 3 . 3 32 32 0 . 7882 0 . 7815 - 0 . 0067310 surg transurethral procedures w / c . c . 4 . 1 32 33 0 . 9014 0 . 8741 - 0 . 0273311 surg transurethral procedures w / o c . c . 2 . 4 18 17 0 . 5211 0 . 5178 - 0 . 0033312 surg urethral procedures age & gt ; 17 w / c . c . 3 . 8 32 33 0 . 8071 0 . 7898 - 0 . 0173313 surg urethral procedures age & gt ; 17 w / o c . c . 2 . 3 21 20 0 . 4757 0 . 4769 0 . 0012314 surg urethral procedures age 0 - 17 2 . 3 26 26 0 . 4271 0 . 4271 0 . 0000315 surg other kidney & amp ; urinary tract o . r . pro - 7 . 5 36 36 2 . 3366 2 . 1922 - 0 . 1444 cedures316 med renal failure 6 . 4 34 35 1 . 2688 1 . 2684 - 0 . 0004317 med admit for renal dialysis 2 . 2 22 21 0 . 3814 0 . 3499 - 0 . 0315318 med kidney & amp ; urinary tract neoplasms w / c . c . 6 . 1 34 35 1 . 0637 1 . 0885 0 . 0248319 med kidney & amp ; urinary tract neoplasms w / o c . c . 2 . 7 31 32 0 . 5453 0 . 5586 0 . 0133320 med kidney & amp ; urinary tract infections age & gt ; 17 w / c . c . 6 . 7 35 36 1 . 0261 1 . 0055 - 0 . 0206321 med kidney & amp ; urinary tract infections age & gt ; 17 w / o c . c . 5 . 0 31 29 0 . 6830 0 . 6507 - 0 . 0323322 med kidney & amp ; urinary tract infections age 0 - 17 4 . 4 33 29 0 . 7006 0 . 6387 - 0 . 0619323 med urinary stones & amp ;/ or esw lithotripsy w / c . c . 2 . 9 31 32 0 . 7726 0 . 7510 - 0 . 0216324 med urinary stones w / o c . c . 2 . 2 16 15 0 . 3964 0 . 3932 - 0 . 0032325 med kidney & amp ; urinary tract signs & amp ; age & gt ; 17 w / c . c . 4 . 4 32 33 0 . 6673 0 . 6666 - 0 . 0007 symptoms326 med kidney & amp ; urinary tract signs & amp ; age & gt ; 17 w / o c . c . 3 . 0 25 25 0 . 4276 0 . 4286 0 . 0010 symptoms327 med kidney & amp ; urinary tract signs & amp ; age 0 - 17 3 . 1 31 32 0 . 5444 0 . 5444 0 . 0000 symptoms328 med urethral stricture age & gt ; 17 w / c . c . 3 . 8 32 33 0 . 6445 0 . 6346 - 0 . 0099329 med urethral stricture age & gt ; 17 w / o c . c . 2 . 3 19 18 0 . 4020 0 . 4168 0 . 0148330 med urethral stricture age 0 - 17 1 . 6 9 9 0 . 2754 0 . 2754 0 . 0000331 med other kidney & amp ; urinary tract diagnoses age & gt ; 17 w / c . c . 5 . 3 33 34 0 . 9501 0 . 9493 - 0 . 0008332 med other kidney & amp ; urinary tract diagnoses age & gt ; 17 w / o c . c . 3 . 2 31 32 0 . 5557 0 . 5447 - 0 . 0110333 med other kidney & amp ; urinary tract diagnoses age 0 - 17 5 . 1 33 34 0 . 8884 1 . 0415 0 . 1531mdc 12 - diseases & amp ; disorders of the male reproductive system334 surg major male pelvic procedures with c . c . 9 . 4 38 36 1 . 8224 1 . 7911 - 0 . 0313335 surg major male pelvic procedures w / o c . c . 7 . 9 24 23 1 . 3462 1 . 3375 - 0 . 0087336 surg transurethral prostatectomy w / c . c . 5 . 3 30 28 0 . 9827 0 . 9326 - 0 . 0501337 surg transurethral prostatectomy w / o c . c . 3 . 9 15 13 0 . 6603 0 . 6329 - 0 . 0274338 surg testes procedures , for malignancy 3 . 0 31 32 0 . 7604 0 . 7662 0 . 0058339 surg testes procedures , non - malignant age & gt ; 17 2 . 4 30 29 0 . 5847 0 . 5880 0 . 0033340 surg testes procedures , non - malignant age 0 - 17 2 . 4 13 13 0 . 4283 0 . 4283 0 . 0000341 surg penis procedures 3 . 5 29 28 0 . 9851 0 . 9850 - 0 . 0001342 surg circumcision age & gt ; 17 2 . 3 23 24 0 . 4806 0 . 4971 0 . 0165343 surg circumcision age 0 - 17 1 . 7 6 6 0 . 3742 0 . 3742 0 . 0000344 surg other male reprod system o . r . proce - 4 . 8 33 34 1 . 0569 1 . 0811 0 . 0242 dures for malignancy345 surg other male reprod system o . r . proce - 3 . 8 32 33 0 . 7877 0 . 7450 - 0 . 0427 dures except for malig . 346 med malignancy , male reproductive system , w / c . c . 5 . 8 34 35 0 . 9214 0 . 9561 0 . 0347347 med malignancy , male reproductive system , w / o c . c . 2 . 5 29 32 0 . 4664 0 . 4852 0 . 0188348 med benign prostatic hypertrophy w / c . c . 3 . 9 32 33 0 . 6635 0 . 6835 0 . 0200349 med benign prostatic hypertrophy w / o c . c . 2 . 2 19 20 0 . 3828 0 . 3847 0 . 0019350 med inflammation of the male reprod . system 4 . 9 29 29 0 . 6716 0 . 6657 - 0 . 0059351 med sterilization , male 1 . 3 5 5 0 . 3293 0 . 3293 0 . 0000352 med other male reproductive system 3 . 0 31 30 0 . 5500 0 . 5158 - 0 . 0342 diagnosesmdc 13 - diseases & amp ; disorders of the female reproductive system353 surg pelvic evisceration , radical hysterec - 10 . 9 39 40 2 . 0645 2 . 1148 0 . 0503 tomy & amp ; vulvectomy354 surg uterine , adnexa proc for non - ovar / adoexal w / c . c . 7 . 6 36 35 1 . 4248 1 . 3937 - 0 . 0311 maligh355 surg uterine , adnexa proc for non - ovar / adoexal w / o c . c . 5 . 4 15 15 0 . 8943 0 . 8676 - 0 . 0267 malign356 surg female reprod . system reconstructive 4 . 4 19 18 0 . 7291 0 . 7139 - 0 . 0152 proc . 357 surg uterine & amp ; adnexa proc . for ovar or adoexal 10 . 6 39 40 2 . 1705 2 . 2286 0 . 0581 malign358 surg uterine & amp ; adnexa proc for non - w / c . c . 6 . 5 29 26 1 . 2032 1 . 1515 - 0 . 0517 malignancy359 surg uterine & amp ; adnexa proc for non - w / o c . c . 4 . 9 14 13 0 . 8132 0 . 7887 - 0 . 0245 malignancy360 surg vagina , cervix & amp ; vulva procedures 4 . 2 32 33 0 . 7760 0 . 7643 - 0 . 0117361 surg laparoscopy & amp ; incisional tubel interrup - 3 . 2 31 32 0 . 6859 0 . 8125 0 . 1266 tion362 surg endoscopic tubel interruption 2 . 1 6 23 0 . 3490 0 . 4921 0 . 1431363 surg d & amp ; c , conization & amp ; radio - implant , for 3 . 3 32 30 0 . 6987 0 . 6421 - 0 . 0566 malignancy364 surg d & amp ; c , conization except for malignancy 2 . 4 21 24 0 . 4669 0 . 4876 0 . 0207365 surg other female reproductive system o . r . 7 . 9 37 37 1 . 8928 1 . 7521 - 0 . 1407 procedures366 med malignancy , female reproductive system w / c . c . 6 . 6 35 36 1 . 1726 1 . 1937 0 . 0211367 med malignancy , female reproductive system w / o c . c . 2 . 8 31 32 0 . 4896 0 . 4791 - 0 . 0105368 med infections , female reproductive system 6 . 0 34 35 0 . 8927 0 . 8639 - 0 . 0288369 med menstrual & amp ; other female reproductive 3 . 3 31 32 0 . 5109 0 . 5198 0 . 0089 system disordersmdc 14 - pregnancy , childbirth & amp ; the puerperium370 surg ceserean section with c . c . 6 . 0 34 33 0 . 9848 0 . 9284 - 0 . 0564371 surg ceserean section w / o c . c . 4 . 3 13 11 0 . 6544 0 . 6277 - 0 . 0267372 med vaginal delivery with complicating 3 . 0 20 19 0 . 4540 0 . 4541 0 . 0001 diagnoses373 med vaginal delivery w / o complicating 2 . 1 8 8 0 . 2987 0 . 2963 - 0 . 0024 diagnoses374 surg vaginal delivery with sterilization and / or 2 . 8 8 12 0 . 4981 0 . 5204 0 . 0223 d & amp ; c375 surg vaginal delivery with o . r . proc . except 4 . 4 29 29 0 . 6735 0 . 6735 0 . 0000 and / or d & amp ; c376 med postpartum & amp ; post abortion diagnoses 2 . 6 25 22 0 . 3502 0 . 3646 0 . 0144 w / o o . r . procedure377 surg postpartum & amp ; post abortion diagnoses 3 . 0 32 32 1 . 5119 0 . 6757 - 0 . 8362 w / o . r . procedure378 med ectopic pregnancy 3 . 6 15 16 0 . 7232 0 . 6686 - 0 . 0546379 med threatened abortion 2 . 1 14 18 0 . 2493 0 . 2651 0 . 0158380 med abortion w / o d & amp ; c 1 . 9 14 12 0 . 2644 0 . 2943 0 . 0299381 med abortion with d & amp ; c aspiration curettage 1 . 5 13 10 0 . 3769 0 . 3727 - 0 . 0042 or hysterotomy382 med false labor 1 . 1 4 3 0 . 1186 0 . 1101 - 0 . 0085383 med other anterpartum diagnoses with 3 . 4 31 32 0 . 3759 0 . 3854 0 . 0095 medical complications384 med other anterpartum diagnoses w / o 2 . 3 29 27 0 . 3279 0 . 2833 - 0 . 0446 medical complicationsmdc 15 - newborns & amp ; other neonates with condition orig . in perinatalperiod385 neonates , died or transferred 1 . 8 30 31 1 . 2084 1 . 2084 0 . 0000386 extreme immaturity or respiratory 17 . 9 46 47 3 . 6039 3 . 6039 0 . 0000 distress syndrome , neonate387 prematurity with major problems 13 . 3 41 42 1 . 8046 1 . 8046 0 . 0000388 prematurity w / o major problems 8 . 6 37 38 1 . 1431 1 . 1431 0 . 0000389 full term neonate with major problems 5 . 3 35 34 2 . 4098 1 . 4266 - 0 . 9832390 neonate with other significant problems 4 . 5 32 34 0 . 8111 1 . 0001 0 . 1890391 normal newborns 3 . 1 11 11 0 . 2191 0 . 2191 0 . 0000mdc 16 - diseases & amp ; disorders of the blood & amp ; blood forming organs392 surg splenectomy age & gt ; 17 12 . 1 40 41 3 . 5891 3 . 2611 - 0 . 3280393 surg splenectomy age 0 - 17 9 . 1 37 38 1 . 5022 1 . 5022 0 . 0000394 surg other o . r . procedures of the blood & amp ; 5 . 7 34 35 1 . 5355 1 . 5388 0 . 0033 blood forming organs395 med red blood cell disorders age & gt ; 17 4 . 6 33 34 0 . 7466 0 . 7471 0 . 0005396 med red blood cell disorders age 0 - 17 2 . 1 15 23 0 . 3575 0 . 3615 0 . 0040397 med coagulation disorders 5 . 5 34 35 1 . 0955 1 . 1571 0 . 0616398 med reticuloendothelial & amp ; immunity dis - w / c . c . 6 . 5 36 35 1 . 2279 1 . 1795 - 0 . 0484 orders399 med reticuloendothelial & amp ; immunity dis - w / o c . c . 3 . 9 32 33 0 . 6906 0 . 6576 - 0 . 0330 ordersmdc 17 - myeloproliferative disorders400 surg lymphoma or leukemia with major o . r . 10 . 1 38 39 2 . 6981 2 . 7073 0 . 0092 procedures401 surg lymphoma & amp ; non - acute leukemia with w / c . c . 10 . 2 38 39 2 . 2572 2 . 2071 - 0 . 0501 oth or proc402 surg lymphoma & amp ; non - acute leukemia with w / o c . c . 3 . 9 32 33 0 . 8945 0 . 8877 - 0 . 0068 oth or proc403 med lymphoma & amp ; non - acute leukemia w / c . c . 8 . 2 36 37 1 . 6044 1 . 6019 - 0 . 0025404 med lymphoma & amp ; non - acute leukemia w / o c . c . 4 . 3 33 33 0 . 7753 0 . 7474 - 0 . 0279405 med acute leukemia w / o major or proc age 0 - 17 4 . 9 33 34 1 . 0281 1 . 0281 0 . 0000406 surg myeloprolif disord or poorly dif neoplsm 11 . 4 40 40 2 . 7445 2 . 6994 - 0 . 0451 & amp ; maj o . r . proc & amp ; c . c . 407 surg myeloprolif disord or poorly dif neoplsm 6 . 0 34 35 1 . 3042 1 . 2438 - 0 . 0604 w / maj o . r . & amp ; w / o c . c . 408 surg myeloprolif disord or poorly dif neoplsm 4 . 2 32 33 0 . 9592 1 . 0511 0 . 0919 with other o . r . proc409 med radiotherapy 6 . 7 35 36 1 . 0357 1 . 0213 - 0 . 0144410 med chemotherapy 2 . 7 20 19 0 . 4890 0 . 5123 0 . 0233411 med history of malignancy w / o endoscopy 2 . 5 27 28 0 . 4543 0 . 4320 - 0 . 0223412 med history of malignancy with endoscopy 2 . 2 20 21 0 . 4046 0 . 4072 0 . 0026413 med other myelop disord or poorly dif w / c . c . 7 . 4 35 36 1 . 2853 1 . 3073 0 . 0220 neopl dx414 med other myelop disord or poorly dif w / o c . c . 4 . 4 33 33 0 . 7557 0 . 7062 - 0 . 0495 neopl dxmdc 18 - infectious & amp ; parasitic diseases415 surg o . r . procedure for infectious & amp ; parasitic 15 . 0 43 44 3 . 6424 3 . 5957 - 0 . 0467 diseases416 med septecemia age & gt ; 17 7 . 5 35 37 1 . 5346 1 . 5320 - 0 . 0026417 med septecemia age 0 - 17 5 . 3 33 34 0 . 8929 1 . 0768 0 . 1839418 med postoperative & amp ; post - traumatic 6 . 7 35 36 0 . 9641 0 . 9816 0 . 0175 infections419 med fever of unknown origin age & gt ; 17 w / c . c . 5 . 9 34 35 0 . 9552 0 . 9515 - 0 . 0037420 med fever of unknown origin age & gt ; 17 w / o c . c . 4 . 5 33 31 0 . 6805 0 . 6612 - 0 . 0193421 med viral illness age & gt ; 17 4 . 3 31 32 0 . 6337 0 . 6517 0 . 0180422 med viral illness & amp ; fever of unknown origin age 0 - 17 3 . 7 27 33 0 . 5874 0 . 7604 0 . 1730423 med other infections & amp ; parasitic diseases 8 . 0 36 37 1 . 5845 1 . 5928 0 . 0083 diagnosesmdc 19 - mental diseases & amp ; disorders424 surg o . r . procedures with principal diagnosis 13 . 3 42 42 2 . 3418 2 . 3652 0 . 0234 of mental illness425 med acute adjut . react . & amp ; disturbances of 4 . 6 32 34 0 . 6470 0 . 6890 0 . 0420 psychosocial dysfunction426 med depressive neuroses 5 . 7 34 35 0 . 6255 0 . 6290 0 . 0035427 med neuroses except depressive 5 . 6 33 35 0 . 6133 0 . 6428 0 . 0295428 med disorders of personality & amp ; impulse 6 . 4 34 35 0 . 7325 0 . 7065 - 0 . 0260 control429 med organic disturbances & amp ; mental retar - 7 . 6 35 37 0 . 9016 0 . 9216 0 . 0200 dation430 med psychoses 8 . 9 37 38 0 . 8957 0 . 9026 0 . 0069431 med childhood mental disorders 5 . 4 34 34 0 . 6347 0 . 6422 0 . 0075432 med other mental disorders diagnoses 4 . 3 32 33 0 . 7329 0 . 7405 0 . 0076mdc 20 - alcohol and substance abuse433 alc / drug abuse or dependence , left 3 . 1 31 32 0 . 3829 0 . 3829 0 . 0000 ama434 alc / drug abuse or dependence , detox or 7 . 0 34 36 0 . 8830 0 . 8830 0 . 0000 other sympi trt w / c . c . 435 alc / drug abuse or dependence , detox or 7 . 0 33 36 0 . 7177 0 . 7177 0 . 0000 other sympi trt w / o c . c . 436 alc / drug dependence w / rehabilitation 8 . 1 40 37 0 . 9873 0 . 9873 0 . 0000 therapy437 alc / drug dependence combined rehab & amp ; 3 . 5 42 33 1 . 2005 1 . 2005 0 . 0000 detox therapy438 no longer valid 0 . 0 0 0 0 . 0000 0 . 0000 0 . 0000mdc 21 injuries , poisonings & amp ; tox effects of drugs439 surg skin grafts for injuries 7 . 2 35 36 1 . 6731 1 . 6689 - 0 . 0042440 surg wound debridements for injuries 10 . 6 29 40 2 . 4992 2 . 5374 0 . 0382441 surg hand procedures for injuries 2 . 6 31 32 0 . 7381 0 . 7189 - 0 . 0192442 surg other o . r . procedures for injuries w / c . c . 5 . 6 34 35 1 . 8642 1 . 8473 - 0 . 0169443 surg other o . r . procedures for injuries w / o c . c . 4 . 0 32 33 1 . 1906 1 . 1467 - 0 . 0439444 med multiple trauma age & gt ; 17 w / c . c . 5 . 1 33 34 0 . 7694 0 . 7621 - 0 . 0073445 med multiple trauma age & gt ; 17 w / o c . c . 3 . 6 32 32 0 . 4950 0 . 4906 - 0 . 0044446 med multiple trauma age 0 - 17 2 . 4 22 22 0 . 4738 0 . 4738 0 . 0000447 med allergic reactions age & gt ; 17 2 . 6 24 24 0 . 4702 0 . 4822 0 . 0120448 med allergic reactions age 0 - 17 2 . 9 17 17 0 . 3428 0 . 3428 0 . 0000449 med poisoning and toxic effects of drugs age & gt ; 17 w / c . c . 4 . 3 32 33 0 . 7983 0 . 7904 - 0 . 0079450 med poisoning and toxic effects of drugs age & gt ; 17 w / o c . c . 2 . 6 28 25 0 . 4648 0 . 4485 - 0 . 0163451 med poisoning and toxic effects of drugs age 0 - 17 3 . 8 16 33 0 . 3947 0 . 5126 0 . 1179452 med complications of treatment w / c . c . 4 . 7 33 34 0 . 8932 0 . 9317 0 . 0385453 med complications of treatment w / o c . c . 3 . 1 31 32 0 . 4752 0 . 4775 0 . 0023454 med other injuries , poisonings & amp ; toxic eff . w / c . c . 4 . 5 33 34 0 . 9104 0 . 9488 0 . 0384 diag . 455 med other injuries , poisonings & amp ; toxic eff . w / o c . c . 2 . 5 27 25 0 . 4226 0 . 4282 0 . 0056 diag . mdc 22 - burns456 burns , transferred to another acute care 4 . 1 34 33 3 . 1114 1 . 5138 - 1 . 5976 facility457 med extensive burns w / o or procedure 2 . 9 31 32 1 . 8725 2 . 1317 0 . 2592458 surg non - extensive burns with skin grafts 15 . 8 44 45 3 . 8130 3 . 7539 - 0 . 0591459 surg non - extensive burns with wound de - 10 . 9 38 40 1 . 9164 2 . 0711 0 . 1547 bridement & amp ; other o . r . proc . 460 med non - extensive burns w / o o . r . procedure 6 . 4 34 35 1 . 0165 1 . 0607 0 . 0442mdc 23 - factors influencing health status & amp ; other contacts with healthservices461 surg o . r . proc . with diagnoses of other 2 . 4 31 31 0 . 7762 0 . 7771 0 . 0009 contact with health services462 med rehabilitation 14 . 1 42 43 1 . 9047 1 . 8435 - 0 . 0612463 med signs & amp ; symptoms with c . c . 5 . 1 33 34 0 . 7540 0 . 7462 - 0 . 0078464 med signs & amp ; symptoms w / o c . c . 3 . 2 31 31 0 . 4719 0 . 4700 - 0 . 0019465 med aftercare with history of malignancy as 1 . 9 12 21 0 . 3282 0 . 3995 0 . 0713 secondary dx466 med aftercare with history of malignancy as 2 . 6 31 32 0 . 5463 0 . 5749 0 . 0286 secondary dx467 med other factors infuencing health status 2 . 5 30 31 0 . 4339 0 . 4226 - 0 . 0113other468 unrelated operating procedure to a given 13 . 4 41 42 3 . 3150 3 . 4146 0 . 0996 mdc469 primary diagnosis invalid as discharge 0 . 0 0 0 0 . 0000 0 . 0000 0 . 0000 diagnosis470 ungroupable 0 . 0 0 0 0 . 0000 0 . 0000 0 . 0000471 surg bilateral or multiple major joint proc . of 14 . 2 43 43 3 . 9672 3 . 9492 - 0 . 0180 lower extremity472 surg extensive burns w / o . r . procedures 21 . 0 47 50 12 . 7129 11 . 7637 - 0 . 9492473 acute leukemia w / o major o . r . pro - age & lt ; 17 9 . 9 37 39 3 . 0963 3 . 2953 0 . 1990 cedure474 respiratory system diagnosis with no longer valid 0 . 0 66 0 13 . 4688 0 . 000 - 13 . 4688 tracheostomy475 med respiratory system diagnosis with 9 . 7 38 39 3 . 6290 3 . 5492 - 0 . 0798 ventilator476 prostatic o . r . procedure unrelated to 14 . 4 43 43 2 . 2425 2 . 1816 - 0 . 0609 principal diagnosis477 non - extensive o . r . procedure unrelated 6 . 2 35 35 1 . 4318 1 . 4395 0 . 0077 to principal diagnosisadditions for fiscal 1991 - effective october 1 , 1990478 surg other vascular procedures w / c . c . 9 . 10 n / a 38 n / a 2 . 4189 n / a479 surg other vascular procedures w / o c . c . 4 . 60 n / a 34 n / a 1 . 3208 n / a480 surg liver transplant 22 . 80 n / a 52 n / a 15 . 2645 n / a481 surg bone marrow transplant 36 . 60 n / a 66 n / a 12 . 4485 n / a482 surg tracheostomy w mouth , larynx , 14 . 20 n / a 43 n / a 3 . 2660 n / a pharynx disorder483 surg tracheostomy ex for mouth , larynx , 40 . 00 n / a 69 n / a 14 . 0597 n / a pharynx dis . 484 surg craniotomy for multiple significant 13 . 50 n / a 43 n / a 6 . 9972 n / a trauma485 surg hip , femur & amp ; limb reattach . procs for 14 . 60 n / a 44 n / a 3 . 2621 n / a multi sign trauma486 surg other o . r . procedures for multiple 12 . 50 n / a 41 n / a 4 . 9603 n / a significant trauma487 med other multiple significant trauma 7 . 60 n / a 37 n / a 1 . 8324 n / a488 surg hiv w extensive o . r . procedure 18 . 80 n / a 48 n / a 4 . 1296 n / a489 med hiv w major related condition 10 . 20 n / a 39 n / a 2 . 0674 n / a490 med hiv w or w / o other related condition 5 . 90 n / a 35 n / a 1 . 1808 n / a__________________________________________________________________________ table iv______________________________________ tot rout icu cases age days days days charges______________________________________st . luke &# 39 ; s hospitalof new bedford112 0 0 0 0 0 0115 11 830 154 50 104 206 , 285116 64 4 , 866 498 189 309 1 , 074 , 529117 1 77 4 3 1 915118 11 858 29 15 14 130 , 380121 226 16 , 344 2 , 267 892 1 , 375 910 , 059122 187 11 , 964 1 , 329 294 1 , 035 498 , 771123 55 4 , 187 339 125 214 230 , 409124 42 2 , 735 145 67 78 122 , 408125 39 2 , 263 61 38 23 99 , 566126 10 486 238 221 17 74 , 215127 610 45 , 426 5 , 348 4 , 254 1 , 094 1 , 581 , 368128 33 2 , 219 316 316 0 66 , 353129 6 339 33 7 26 22 , 574130 69 4 , 943 475 463 12 213 , 997131 29 1 , 680 148 147 1 46 , 397132 6 362 72 62 10 14 , 126133 4 201 11 2 9 6 , 551134 23 1 , 446 75 52 23 26 , 556135 10 666 55 36 19 14 , 827136 2 105 3 2 1 1 , 911137 0 0 0 0 0 0138 174 12 , 568 1 , 122 608 514 492 , 325139 80 5 , 236 286 134 152 142 , 327140 472 31 , 792 2 , 204 959 1 , 245 753 , 349141 85 5 , 775 505 397 108 185 , 644142 69 4 , 485 298 206 92 122 , 417143 227 12 , 918 893 505 388 375 , 660144 55 3 , 416 489 405 84 166 , 902145 17 994 81 53 28 33 , 648south shore hospital112 0 0 0 0 0 0115 4 325 104 72 32 113 , 587116 34 2 , 546 299 193 106 585 , 150117 1 71 1 0 1 3 , 654118 7 557 19 13 6 79 , 024121 167 11 , 501 1 , 498 813 685 1 , 481 , 089122 163 10 , 340 1 , 065 583 482 1 , 107 , 913123 41 3 , 155 198 86 112 261 , 971124 0 0 0 0 0 0125 0 0 0 0 0 0126 1 62 10 10 0 9 , 753127 444 33 , 679 3 , 631 3 , 152 479 2 , 626 , 762128 20 1 , 249 143 141 2 87 , 541129 3 185 7 1 6 15 , 201130 49 3 , 489 318 310 8 224 , 574131 34 1 , 955 194 194 0 120 , 697132 6 447 26 15 11 33 , 082133 1 56 3 0 3 3 , 104134 30 1 , 878 121 115 6 86 , 050135 10 741 65 61 4 49 , 935136 1 29 1 0 1 1 , 991137 0 0 0 0 0 0138 189 13 , 599 1 , 261 1 , 029 232 1 , 008 , 712139 92 5 , 874 268 225 43 229 , 958140 518 34 , 826 2 , 171 1 , 562 609 1 , 827 , 545141 88 6 , 358 416 395 21 316 , 771142 54 3 , 575 154 146 8 132 , 853143 465 26 , 820 1 , 350 1 , 007 343 1 , 251 , 787144 50 3 , 170 349 245 104 389 , 601145 18 995 60 41 19 58 , 608charlton memorialhospital112 3 229 39 16 23 71 , 634115 50 3 , 756 521 186 335 906 , 332116 8 656 76 49 27 94 , 810117 1 78 4 0 4 13 , 119118 237 17 , 149 2 , 581 1 , 091 1 , 490 2 , 600 , 355121 226 14 , 328 1 , 791 636 1 , 155 1 , 862 , 755122 51 3 , 933 357 157 200 525 , 887123 1 67 13 0 13 15 , 100124 3 161 10 5 5 20 , 372125 9 644 359 343 16 110 , 276126 462 34 , 317 4 , 191 3 , 009 1 , 182 3 , 831 , 544127 30 2 , 001 298 296 2 183 , 098128 2 134 3 0 3 11 , 131129 51 3 , 603 431 415 16 311 , 377130 26 1 , 633 159 154 5 124 , 870131 15 1 , 012 276 212 64 167 , 024132 7 473 42 29 13 36 , 751133 36 2 , 395 217 192 25 181 , 351134 4 325 39 18 21 29 , 266135 1 53 2 0 2 2 , 313136 147 10 , 395 859 347 512 868 , 374137 130 8 , 340 512 124 388 540 , 868138 427 28 , 867 2 , 129 994 1 , 135 2 , 058 , 967139 82 5 , 831 502 342 160 461 , 240140 57 3 , 901 244 156 88 237 , 176141 422 24 , 945 1 , 501 793 708 1 , 618 , 566142 46 2 , 810 294 184 110 337 , 094143 16 799 42 14 28 56 , 659144 0 0 0 0 0 0145 0 0 0 0 0 0cape cod hospital112 0 0 0 0 0 0115 2 168 26 16 10 45 , 873116 74 5 , 732 478 367 111 1 , 051 , 377117 14 1 , 133 63 40 23 114 , 391118 3 219 6 3 3 18 , 589121 169 12 , 250 1 , 322 774 548 1 , 577 , 342122 188 12 , 787 1 , 089 573 516 1 , 355 , 656123 43 3 , 429 189 83 106 276 , 924124 0 0 0 0 0 0125 0 0 0 0 0 0126 9 557 166 159 7 137 , 384127 420 32 , 699 2 , 870 2 , 493 377 2 , 704 , 085128 24 1 , 726 192 189 3 156 , 397129 5 356 12 2 10 27 , 398130 59 4 , 279 330 320 10 285 , 914131 44 3 , 139 159 154 5 136 , 871132 7 508 34 13 21 52 , 789133 6 420 27 16 11 29 , 667134 11 684 37 31 6 38 , 527135 9 643 59 50 9 59 , 649136 1 27 1 0 1 1 , 764137 1 0 1 1 0 719138 154 11 , 390 941 714 227 1 , 115 , 043139 130 9 , 396 440 314 126 538 , 211140 454 32 , 556 1 , 708 968 740 1 , 969 , 111141 57 4 , 487 337 312 25 328 , 169142 40 2 , 839 134 112 22 159 , 662143 314 19 , 490 907 477 430 1 , 159 , 274144 43 2 , 834 282 249 33 311 , 912145 16 1 , 068 39 25 14 57 , 596brockton hospital112 0 0 0 0 0 0115 3 238 53 30 23 96 , 246116 19 1 , 438 157 117 40 386 , 684117 0 0 0 0 0 0118 3 214 31 23 8 63 , 573121 133 9 , 064 1 , 225 916 309 1 , 253 , 767122 79 4 , 909 518 378 140 512 , 349123 22 1 , 674 138 85 53 214 , 770124 0 0 0 0 0 0125 0 0 0 0 0 0126 9 503 214 214 0 134 , 183127 294 22 , 198 2 , 270 2 , 133 137 1 , 890 , 188128 14 917 137 137 0 83 , 332129 3 201 3 0 3 8 , 099130 61 4 , 164 414 396 18 438 , 256131 32 2 , 083 164 162 2 127 , 703132 5 364 43 36 7 71 , 424133 1 61 1 1 0 1 , 276134 14 857 89 89 0 65 , 208135 1 87 21 21 0 10 , 976136 1 23 2 2 0 2 , 053137 0 0 0 0 0 0138 111 7 , 813 724 640 84 658 , 787139 60 3 , 545 199 196 3 175 , 362140 308 20 , 437 1 , 229 1 , 021 208 1 , 171 , 258141 76 5 , 255 520 517 3 380 , 252142 27 1 , 790 110 110 0 103 , 124143 186 10 , 305 506 469 37 539 , 606144 55 3 , 487 342 316 26 423 , 431145 10 627 30 27 3 37 , 514norwood hospital112 1 72 4 4 0 4 , 959115 8 613 89 66 23 180 , 463116 33 2 , 602 280 263 17 533 , 329117 3 241 33 32 1 31 , 699118 9 669 47 46 1 133 , 451121 120 8 , 718 957 694 263 1 , 382 , 219122 102 6 , 412 533 358 175 875 , 377123 20 1 , 555 80 35 45 192 , 400124 0 0 0 0 0 0125 0 0 0 0 0 0126 5 375 41 41 0 49 , 052127 370 28 , 305 2 , 522 2 , 399 123 2 , 500 , 769128 11 690 76 76 0 58 , 318129 8 425 23 8 15 68 , 279130 28 2 , 069 178 174 4 150 , 373131 15 769 79 79 0 74 , 214132 4 320 41 36 5 53 , 438133 0 0 0 0 0 0134 10 593 39 39 0 42 , 423135 7 459 32 32 0 35 , 245136 3 182 10 9 1 10 , 921137 0 0 0 0 0 0138 107 7 , 580 480 450 30 555 , 751139 67 4 , 032 177 169 8 230 , 005140 350 23 , 954 1 , 308 1 , 183 125 1 , 397 , 540141 53 3 , 793 343 343 0 241 , 855142 51 3 , 046 151 150 1 187 , 181143 225 12 , 751 528 496 32 700 , 393144 39 2 , 414 242 232 10 276 , 347145 12 560 24 22 2 42 , 447goddard memorialhospital112 0 0 0 0 0 0115 10 804 202 124 78 342 , 709116 51 3 , 846 503 410 93 1 , 214 , 734117 4 317 23 19 4 43 , 941118 5 359 21 19 2 89 , 641121 71 4 , 939 492 291 201 549 , 870122 77 4 , 980 430 228 202 481 , 084123 24 1 , 884 196 72 124 256 , 091124 0 0 0 0 0 0125 0 0 0 0 0 0126 6 303 1 , 003 988 15 448 , 675127 209 15 , 544 1 , 684 1 , 393 291 1 , 430 , 383128 22 1 , 529 227 226 1 137 , 178129 2 105 9 1 8 17 , 279130 12 750 35 35 0 29 , 543131 21 1 , 273 38 37 1 43 , 678132 1 82 13 8 5 13 , 926133 0 0 0 0 0 0134 18 982 65 44 21 63 , 412135 1 51 2 2 0 1 , 613136 1 32 1 1 0 1 , 776137 0 0 0 0 0 0138 107 7 , 537 714 603 111 565 , 967139 75 4 , 883 236 198 38 215 , 105140 320 21 , 186 1 , 357 998 359 1 , 233 , 676141 82 5 , 599 483 451 32 401 , 870142 49 2 , 887 190 182 8 164 , 344143 238 13 , 515 730 632 98 711 , 766144 34 2 , 064 169 155 14 163 , 338145 8 419 27 23 4 21 , 265cardinal cushinggeneral hospital112 6 475 117 84 33 132 , 069115 45 3 , 368 616 506 110 768 , 035116 3 183 18 12 6 19 , 006117 5 344 11 4 7 35 , 625118 116 7 , 890 945 615 330 864 , 042121 88 5 , 720 561 400 161 494 , 780122 28 2 , 241 181 115 66 188 , 010123 0 0 0 0 0 0124 0 0 0 0 0 0125 7 453 126 124 2 80 , 232126 374 28 , 321 2 , 762 2 , 459 303 1 , 948 , 897127 31 1 , 876 237 237 0 162 , 749128 4 276 10 8 2 9 , 888129 54 3 , 799 470 461 9 273 , 483130 28 1 , 665 201 201 0 111 , 132131 1 77 3 3 0 3 , 215132 1 78 14 10 4 8 , 501133 34 2 , 117 159 130 29 114 , 773134 5 306 32 26 6 23 , 325135 3 203 9 9 0 4 , 990136 123 8 , 666 753 663 90 528 , 142137 54 3 , 324 179 166 13 135 , 474138 441 29 , 502 2 , 245 1 , 880 365 1 , 640 , 181139 60 4 , 330 412 397 15 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670 0 0 0 0116 0 258 0 0 0 0 0117 0 233 0 0 0 0 0118 0 26 , 537 1 , 560 0 0 0 0121 0 17 , 668 2 , 070 0 0 0 0122 0 4 , 345 220 0 0 0 0123 0 0 0 0 0 0 0124 0 0 0 0 0 0 0125 0 1 , 819 335 0 0 0 0126 0 46 , 390 7 , 065 0 0 0 0127 0 363 367 0 0 0 0128 0 175 152 0 0 0 0129 0 3 , 113 335 0 0 0 0130 0 319 0 0 0 0 0131 0 162 0 0 0 0 0132 0 192 0 0 0 0 0133 0 2 , 932 335 0 0 0 0134 0 930 335 0 0 0 0135 0 379 0 0 0 0 0136 0 15 , 998 2 , 480 0 0 0 0137 0 6 , 344 1 , 439 0 0 0 0138 0 62 , 089 6 , 553 0 0 0 0139 0 7 , 989 10 , 059 0 0 0 0140 0 3 , 368 4 , 960 0 0 0 0141 0 21 , 568 3 , 369 0 0 0 0142 0 5 , 584 670 0 0 0 0143 0 516 335 0 0 0 0144 0 0 0 0 0 0 0145 0 0 0 0 0 0 0__________________________________________________________________________ table vi______________________________________ rout icu cases age tot days days days charges______________________________________st . luke &# 39 ; s hospital of new bedford112 0 0 0 0 0 0115 3 226 42 14 28 56 , 260116 19 1 , 445 148 56 92 319 , 001117 0 0 0 0 0 0118 3 234 8 4 4 35 , 558121 133 9 , 618 1 , 334 525 809 535 , 566122 79 5 , 054 561 124 437 210 , 711123 22 1 , 675 136 50 86 92 , 164124 0 0 0 0 0 0125 0 0 0 0 0 0126 9 437 214 199 15 66 , 794127 294 21 , 894 2 , 578 2 , 050 527 762 , 168128 14 941 134 134 0 28 , 150129 3 170 17 4 13 11 , 287130 61 4 , 370 420 409 11 189 , 186131 32 1 , 854 163 162 1 51 , 197132 5 302 60 52 8 11 , 772133 1 50 3 1 2 1 , 638134 14 880 46 32 14 16 , 165135 1 67 6 4 2 1 , 483136 1 53 2 1 1 956137 0 0 0 0 0 0138 111 8 , 018 716 388 328 314 , 069139 60 3 , 927 215 101 114 106 , 745140 308 20 , 746 1 , 438 626 812 491 , 592141 76 5 , 164 452 355 97 165 , 988142 27 1 , 755 117 81 36 47 , 902143 186 10 , 585 732 414 318 307 , 810144 55 3 , 416 489 405 84 166 , 902145 10 585 48 31 16 19 , 793______________________________________south shore hospital112 0 0 0 0 0 0115 3 244 78 54 24 85 , 190116 19 1 , 423 167 108 59 326 , 996117 0 0 0 0 0 0118 3 239 8 6 3 33 , 867121 133 9 , 159 1 , 193 647 546 1 , 179 , 550122 79 5 , 011 516 283 234 536 , 964123 22 1 , 693 106 46 60 140 , 570124 0 0 0 0 0 0125 0 0 0 0 0 0126 9 558 90 90 0 87 , 777127 294 22 , 301 2 , 404 2 , 087 317 1 , 739 , 342128 14 874 100 99 1 61 , 279129 3 185 7 1 6 15 , 201130 61 4 , 343 396 386 10 279 , 572131 32 1 , 840 183 183 0 113 , 597132 5 373 22 13 9 27 , 568133 1 56 3 0 3 3 , 104134 14 876 56 54 3 40 , 157135 1 74 7 6 0 4 , 994136 1 29 1 0 1 1 , 991137 0 0 0 0 0 0138 111 7 , 987 741 604 136 592 , 418139 60 3 , 831 175 147 28 149 , 973140 308 20 , 707 1 , 291 929 362 1 , 086 , 648141 76 5 , 491 359 341 18 273 , 575142 27 1 , 788 77 73 4 66 , 427143 186 10 , 728 540 403 137 500 , 175144 55 3 , 487 384 270 114 428 , 561145 10 553 33 23 11 32 , 560______________________________________charlton memoria hospital112 0 0 0 0 0 0115 3 225 31 11 20 54 , 380116 19 1 , 558 181 116 64 225 , 174117 0 0 0 0 0 0118 3 217 33 14 19 32 , 916121 133 8 , 432 1 , 054 374 680 1 , 096 , 223122 79 6 , 092 553 243 310 814 , 609123 22 1 , 474 286 0 286 332 , 200124 0 0 0 0 0 0125 0 0 0 0 0 0126 9 669 82 59 23 74 , 640127 294 19 , 610 2 , 920 2 , 901 20 1 , 794 , 360128 14 938 21 0 21 77 , 917129 3 212 25 24 1 18 , 316130 61 3 , 831 373 361 12 292 , 964131 32 2 , 159 589 452 137 356 , 318132 5 338 30 21 9 26 , 251133 1 67 6 5 1 5 , 038134 14 1 , 138 137 63 74 102 , 431135 1 53 2 0 2 2 , 313136 1 71 6 2 3 5 , 907137 0 0 0 0 0 0138 111 7 , 504 553 258 295 535 , 235139 60 4 , 267 367 250 117 337 , 493140 308 21 , 079 1 , 318 843 476 1 , 281 , 583141 76 4 , 492 270 143 128 291 , 495142 27 1 , 649 173 108 65 197 , 860143 186 9 , 288 488 163 326 658 , 661144 55 3 , 487 342 316 26 423 , 431145 10 627 30 27 3 37 , 514______________________________________cape cod hospital112 0 0 0 0 0 0115 3 252 39 24 15 68 , 810116 19 1 , 472 123 94 29 269 , 948117 0 0 0 0 0 0118 3 219 6 3 3 18 , 589121 133 9 , 641 1 , 040 609 431 1 , 241 , 340122 79 5 , 373 458 241 217 569 , 664123 22 1 , 754 97 42 54 141 , 682124 0 0 0 0 0 0125 0 0 0 0 0 0126 9 557 166 159 7 137 , 384127 294 22 , 889 2 , 009 1 , 745 264 1 , 892 , 860128 14 1 , 007 112 110 2 91 , 232129 3 214 7 1 6 16 , 439130 61 4 , 424 341 331 10 295 , 606131 32 2 , 283 116 112 4 99 , 543132 5 363 24 9 15 37 , 706133 1 70 5 3 2 4 , 945134 14 871 47 39 8 49 , 034135 1 71 7 6 1 6 , 628136 1 27 1 0 1 1 , 764137 0 0 0 0 0 0138 111 8 , 210 678 515 164 803 , 700139 60 4 , 337 203 145 58 248 , 405140 308 22 , 086 1 , 159 657 502 1 , 335 , 873141 76 5 , 983 449 416 33 437 , 559142 27 1 , 916 90 76 15 107 , 772143 186 11 , 545 537 283 255 686 , 704144 55 3 , 625 361 318 42 398 , 957145 10 668 24 16 9 35 , 998______________________________________brockton hospital112 0 0 0 0 0 0115 3 238 53 30 23 96 , 246116 19 1 , 438 157 117 40 386 , 684117 0 0 0 0 0 0118 3 214 31 23 8 63 , 573121 133 9 , 064 1 , 225 916 309 1 , 253 , 767122 79 4 , 909 518 378 140 512 , 349123 22 1 , 674 138 85 53 214 , 770124 0 0 0 0 0 0125 0 0 0 0 0 0126 9 503 214 214 0 134 , 183127 294 22 , 198 2 , 270 2 , 133 137 1 , 890 , 188128 14 917 137 137 0 83 , 332129 3 201 3 0 3 8 , 099130 61 4 , 164 414 396 18 438 , 256131 32 2 , 083 164 162 2 127 , 703132 5 364 43 36 7 71 , 424133 1 61 1 1 0 1 , 276134 14 857 89 89 0 65 , 802135 1 87 21 21 0 10 , 976136 1 23 2 2 0 2 , 053137 0 0 0 0 0 0138 111 7 , 813 724 640 84 658 , 787139 60 3 , 545 199 196 3 175 , 362140 308 20 , 437 1 , 229 1 , 021 208 1 , 171 , 258141 76 5 , 255 520 517 3 380 , 252142 27 1 , 790 110 110 0 103 , 124143 186 10 , 305 506 469 37 539 , 606144 55 3 , 487 342 316 26 423 , 431145 10 627 30 27 3 37 , 514______________________________________norwood hospital112 0 0 0 0 0 0115 3 230 33 25 9 67 , 674116 19 1 , 498 161 151 10 307 , 068117 0 0 0 0 0 0118 3 223 16 15 0 44 , 484121 133 9 , 662 1 , 061 769 291 1 , 531 , 959122 79 4 , 966 413 277 136 677 , 988123 22 1 , 711 88 39 50 211 , 640124 0 0 0 0 0 0125 0 0 0 0 0 0126 9 675 74 74 0 88 , 294127 294 22 , 491 2 , 004 1 , 906 98 1 , 987 , 098128 14 878 97 97 0 74 , 223129 3 159 9 3 6 25 , 605130 61 4 , 507 388 379 9 327 , 598131 32 1 , 641 169 169 0 158 , 323132 5 400 51 45 6 66 , 798133 1 61 1 1 0 1 , 276134 14 830 55 55 0 59 , 392135 1 66 5 5 0 5 , 035136 1 61 3 3 0 3 , 640137 0 0 0 0 0 0138 111 7 , 863 498 467 31 576 , 527139 60 3 , 611 159 151 7 205 , 975140 308 21 , 080 1 , 151 1 , 041 110 1 , 229 , 835141 76 5 , 439 492 492 0 346 , 811142 27 1 , 613 80 79 1 99 , 096143 186 10 , 541 436 410 26 578 , 992144 55 3 , 404 341 327 14 389 , 720145 10 467 20 18 2 35 , 373______________________________________goddard memoria hospital112 0 0 0 0 0 0115 3 241 61 37 23 102 , 813116 19 1 , 433 187 153 35 452 , 548117 0 0 0 0 0 0118 3 215 13 11 1 53 , 785121 133 9 , 252 922 545 377 1 , 030 , 038122 79 5 , 109 441 234 207 493 , 580123 22 1 , 727 180 66 114 234 , 750124 0 0 0 0 0 0125 0 0 0 0 0 0126 9 455 1 , 505 1 , 482 23 673 , 013127 294 21 , 866 2 , 369 1 , 960 409 2 , 012 , 118128 14 973 144 144 1 87 , 295129 3 158 14 2 12 25 , 919130 61 3 , 813 178 178 0 150 , 177131 32 1 , 940 58 56 2 66 , 557132 5 410 65 40 25 69 , 630133 1 61 1 1 0 1 , 276134 14 764 51 34 16 49 , 320135 1 51 2 2 0 1 , 613136 1 32 1 1 0 1 , 776137 0 0 0 0 0 0138 111 7 , 819 741 626 115 587 , 125139 60 3 , 906 189 158 30 172 , 084140 308 20 , 392 1 , 306 961 346 1 , 187 , 413141 76 5 , 189 448 418 30 372 , 465142 27 1 , 591 105 100 4 90 , 557143 186 10 , 562 571 494 77 556 , 254144 55 3 , 339 273 251 23 264 , 223145 10 524 34 29 5 26 , 581______________________________________cardinal cushing general hospital112 0 0 0 0 0 0115 3 225 41 34 7 51 , 202116 19 1 , 159 114 76 38 120 , 371117 0 0 0 0 0 0118 3 204 24 16 9 22 , 346121 133 8 , 645 848 605 243 747 , 793122 79 6 , 323 511 324 186 530 , 457123 22 1 , 674 138 85 53 214 , 770124 0 0 0 0 0 0125 0 0 0 0 0 0126 9 682 66 59 7 46 , 899127 294 17 , 792 2 , 248 2 , 248 0 1 , 543 , 491128 14 966 35 28 7 34 , 608129 3 211 26 26 1 15 , 194130 61 3 , 627 438 438 0 242 , 109131 32 2 , 464 96 96 0 102 , 880132 5 390 70 50 20 42 , 505133 1 62 5 4 1 3 , 376134 14 857 90 73 17 65 , 310135 1 68 3 3 0 1 , 663136 1 70 6 5 1 4 , 294137 0 0 0 0 0 0138 111 7 , 426 565 473 92 412 , 835139 60 4 , 330 412 397 15 255 , 705140 308 20 , 126 1 , 001 943 58 811 , 869141 76 4 , 321 239 215 25 203 , 137142 27 1 , 728 165 132 33 160 , 510143 186 11 , 197 856 707 149 1 , 103 , 947144 55 3 , 487 342 316 26 423 , 431145 10 627 30 27 3 37 , 514______________________________________ table vii__________________________________________________________________________adjustedcharge and cost data ( department by hospital ) st . luke / nb south shore charlton cape cod brockton norwood goddard cardinal__________________________________________________________________________total cost ( department by hospital ) medical / surgical routine 1 , 724 , 003 2 , 556 , 484 1 , 513 , 960 2 , 266 , 813 2 , 977 , 331 2 , 358 , 867 2 , 444 , 327 2 , 272 , 834obstetrics routine 0 0 0 0 3 , 629 0 0 0pediatric routine 4 , 610 0 0 744 1 , 836 0 1 , 076 38 , 216psychiatric routine 196 0 0 0 0 0 0 0other routine 0 0 0 0 0 0 0 0newborn routine 0 0 0 0 0 0 0 0neonatal icu 0 0 0 0 0 0 0 0medical / surgical icu 696 , 996 1 , 689 , 214 2 , 979 , 096 135 , 231 100 , 594 895 , 774 168 , 592 93 , 281pediatric icu 0 0 0 0 0 0 0 0psychiatric icu 0 0 0 0 0 0 0 0burn unit 0 0 0 0 0 0 0 0other icu 1 , 274 , 420 0 0 0 0 0 0 0coronary care unit 0 0 20 , 007 1 , 581 , 252 1 , 094 , 614 0 1 , 288 , 127 553 , 616pharmacy 222 , 704 282 , 159 303 , 215 179 , 823 363 , 162 426 , 955 277 , 583 533 , 773iv therapy 18 , 190 29 , 056 85 , 448 100 , 690 47 , 383 1 15 , 357 28 , 057medical / surgical supplies 272 , 665 86 , 903 65 , 407 434 , 480 144 , 988 250 , 026 248 , 911 147 , 553laboratory 378 , 766 422 , 699 493 , 895 581 , 627 656 , 316 898 , 846 642 , 510 581 , 905diagnostic radiology 166 , 553 139 , 054 258 , 210 116 , 822 196 , 285 195 , 642 242 , 979 120 , 543therapeutic radiology 0 0 2 , 895 4 , 566 2 , 187 9 750 0nuclear medicine 263 , 286 59 , 225 36 , 696 149 , 434 171 , 184 75 , 750 65 , 605 126 , 408cat scanner 11 , 045 47 , 910 89 , 792 39 , 035 24 , 785 53 , 376 36 , 410 40 , 222operating room 21 , 540 48 , 112 36 , 125 9 , 598 29 , 585 21 , 496 22 , 026 26 , 879anesthesiology 10 , 193 6 , 108 4 , 248 1 , 167 43 , 326 124 86 9 , 574blood 5 , 853 0 0 0 0 0 0 5 , 776blood storage proc . & amp ; admin 9 , 997 12 , 019 9 , 945 29 , 192 46 , 812 24 , 735 26 , 806 11 , 699respiratory therapy 209 , 025 107 , 906 101 , 322 138 , 442 157 , 075 212 , 206 156 , 553 75 , 418physical therapy 17 , 576 47 , 857 159 9 , 132 21 , 953 19 , 472 37 , 460 11 , 855occupational therapy 2 , 928 5 , 143 159 2 , 727 1 , 596 1 , 283 3 , 199 511speech therapy 1 , 897 128 4 , 947 606 3 , 597 684 899 1 , 328emergency room 440 , 682 428 , 001 277 , 581 417 , 442 223 , 310 337 , 577 169 , 491 436 , 137pulmonary function 0 0 607 4 , 933 31 , 340 7 , 859 16 , 063 26 , 883audiology 2 0 16 0 0 0 0 0cardiac catheterization 11 , 691 53 , 805 10 , 691 0 0 243 , 574 180 , 662 0ambulance 4 , 053 1 , 408 0 0 2 , 941 0 0 0recovery room 4 , 622 7 , 803 976 4 , 947 7 , 125 15 , 587 3 , 975 7 , 098labor & amp ; delivery 0 0 0 0 0 0 378 0ekg 731 , 857 243 , 688 132 , 365 333 , 119 147 , 860 109 , 855 85 , 163 198 , 374eeg 10 , 278 13 , 080 36 , 904 5 , 002 15 , 627 6 , 746 9 , 994 9 , 845renal dialysis 0 36 , 423 11 , 258 0 32 , 562 20 , 043 53 , 836 11 , 258kidney acquisition 0 0 0 0 0 0 0 0psychology / psychiatry 836 0 100 5 , 992 11 , 034 5 , 163 0 381other ancillary 8 , 636 68 , 526 179 , 890 20 , 794 136 , 879 73 , 061 59 , 401 3 , 024__________________________________________________________________________total charges ( department by hospital ) medical / surgical routine 190 , 473 2 , 931 , 156 2 , 328 , 527 2 , 931 , 615 2 , 140 , 484 2 , 459 , 541 2 , 813 , 103 2 , 873 , 618obstetrics routine 0 0 0 0 2 , 609 0 0 0pediatric routine 509 0 0 963 1 , 320 0 1 , 238 48 , 318psychiatric routine 22 0 0 0 0 0 0 0other routine 0 0 0 0 0 0 0 0newborn routine 0 0 0 0 0 0 0 0neonatal icu 0 0 0 0 0 0 0 0medical / surgical icu 64 , 187 1 , 521 , 650 1 , 683 , 806 136 , 351 52 , 648 903 , 260 146 , 656 113 , 368pediatric icu 0 0 0 0 0 0 0 0psychiatric icu 0 0 0 0 0 0 0 0burn unit 0 0 0 0 0 0 0 0other icu 117 , 362 0 0 0 0 0 0 0coronary care unit 0 0 11 , 308 1 , 594 , 355 572 , 892 0 1 , 120 , 524 672 , 835pharmacy 258 , 590 479 , 785 445 , 837 400 , 265 810 , 312 684 , 313 454 , 845 797 , 919iv therapy 242 , 672 59 , 860 94 , 942 587 , 021 25 , 812 3 65 , 953 25 , 386medical / surgical supplies 350 , 933 209 , 206 151 , 586 680 , 389 413 , 808 345 , 981 433 , 198 109 , 165laboratory 684 , 494 574 , 054 1 , 038 , 286 501 , 429 1 , 942 , 899 1 , 905 , 181 1 , 233 , 805 734 , 834diagnostic radiology 703 , 971 222 , 673 894 , 081 261 , 449 870 , 394 416 , 388 539 , 814 348 , 755therapeutic radiology 0 0 3 , 216 2 , 718 3 , 601 10 447 0nuclear medicine 213 , 066 101 , 998 157 , 826 166 , 038 190 , 204 136 , 164 170 , 531 481 , 850cat scanner 46 , 683 76 , 721 310 , 914 87 , 361 109 , 904 113 , 601 80 , 891 116 , 369operating room 172 , 537 93 , 106 58 , 669 19 , 921 49 , 832 29 , 855 47 , 025 39 , 319anesthesiology 86 , 615 9 , 416 27 , 157 2 , 786 62 , 137 2864 110 14 , 136blood 2 , 555 0 0 0 0 0 0 6 , 418blood storage proc . & amp ; admin 8 , 209 26 , 051 11 , 050 28 , 220 52 , 013 27 , 483 43 , 236 5 , 391respiratory therapy 81 , 024 160 , 131 657 , 828 217 , 407 373 , 587 367 , 666 300 , 658 61 , 247physical therapy 21 , 557 63 , 915 427 8 , 907 36 , 582 24 , 900 50 , 829 32 , 533occupational therapy 5 , 074 7 , 635 212 2 , 164 1 , 773 1 , 172 3 , 666 1 , 928speech therapy 3 , 222 143 7 , 790 375 3 , 997 1 , 184 1 , 135 1 , 515emergency room 549 , 487 339 , 706 437 , 480 539 , 489 303 , 580 374 , 497 223 , 644 404 , 335pulmonary function 0 0 3 , 943 7 , 747 74 , 540 13 , 617 30 , 848 21 , 831audiology 4 0 25 0 0 0 0 0cardiac catheterization 21 , 127 73 , 071 22 , 475 0 0 516 , 276 346 , 923 0ambulance 5 , 496 1 , 564 0 0 1 , 940 0 0 0recovery room 5 , 136 14 , 289 2 , 466 15 , 848 7 , 917 12 , 177 9 , 969 16 , 347labor & amp ; delivery 0 0 0 0 0 0 421 0ekg 129 , 243 717 , 429 471 , 876 768 , 741 611 , 575 617 , 651 490 , 245 171 , 285eeg 33 , 761 16 , 997 41 , 005 6 , 816 10 , 147 18 , 667 17 , 871 83 , 222renal dialysis 0 34 , 121 12 , 509 0 25 , 337 22 , 270 59 , 818 12 , 509kidney acquisition 0 0 0 0 0 0 0 0psychology / psychiatry 1 , 134 0 111 6 , 657 7 , 279 6 , 977 0 423ohter ancillary 11 , 711 73 , 918 199 , 878 23 , 104 90 , 298 98 , 725 75 , 457 3 , 360__________________________________________________________________________direct cost ( department by hospital ) medical / surgical routine 739 , 381 1 , 028 , 675 569 , 387 1 , 028 , 754 1 , 244 , 000 798 , 267 949 , 520 887 , 354obstetrics routine 0 0 0 0 1 , 516 0 0 0pediatric routine 1 , 977 0 0 338 767 0 418 14 , 920psychiatric routine 84 0 0 0 0 0 0 0other routine 0 0 0 0 0 0 0 0newborn routine 0 0 0 0 0 0 0 0neonatal icu 0 0 0 0 0 0 0 0medical / surgical icu 374 , 299 871 , 135 1 , 465 , 645 70 , 240 53 , 278 372 , 014 79 , 468 50 , 770pediatric icu 0 0 0 0 0 0 0 0psychiatric icu 0 0 0 0 0 0 0 0burn unit 0 0 0 0 0 0 0 0other icu 684 , 386 0 0 0 0 0 0 0coronary care unit 0 0 9 , 843 821 , 309 579 , 743 0 607 , 172 301 , 316pharmacy 139 , 639 259 , 084 160 , 594 216 , 143 437 , 568 369 , 529 245 , 617 257 , 753iv therapy 15 , 005 21 , 584 51 , 269 66 , 828 30 , 262 1 9 , 883 22 , 677medical / surgical supplies 189 , 504 112 , 971 81 , 856 138 , 246 223 , 456 186 , 830 115 , 822 95 , 459laboratory 251 , 403 263 , 642 329 , 697 376 , 510 470 , 077 422 , 598 432 , 381 384 , 563diagnostic radiology 103 , 018 68 , 551 176 , 165 72 , 176 114 , 554 100 , 679 129 , 697 77 , 941therapeutic radiology 0 0 1 , 737 2 , 202 997 6 647 0nuclear medicine 156 , 532 33 , 937 18 , 278 89 , 661 102 , 710 18 , 163 42 , 340 74 , 400cat scanner 6 , 831 23 , 619 61 , 261 24 , 117 14 , 465 27 , 468 19 , 435 26 , 007operating room 11 , 206 26 , 551 19 , 397 2 , 602 14 , 754 7 , 908 8 , 672 15 , 578anesthesiology 4 , 749 1 , 817 2 , 400 354 29 , 965 1 , 546 29 6 , 801blood 3 , 623 0 0 0 0 0 0 3 , 466blood storage proc . & amp ; admin 7 , 431 8 , 526 5 , 967 20 , 849 28 , 087 14 , 841 19 , 021 8 , 210respiratory therapy 135 , 619 59 , 866 61 , 136 84 , 689 99 , 243 103 , 782 86 , 882 48 , 061physical therapy 10 , 198 26 , 161 99 4 , 633 10 , 403 11 , 286 13 , 591 6 , 004occupational therapy 1 , 845 3 , 395 99 1 , 501 957 497 1 , 314 302speech therapy 1 , 220 77 3 , 003 312 2 , 158 410 775 1 , 098emergency room 229 , 509 180 , 088 125 , 376 121 , 758 100 , 079 168 , 187 81 , 252 215 , 789pulmonary function 0 0 366 3 , 018 19 , 802 3 , 844 8 , 912 17 , 131audiology 1 0 10 0 0 0 0 0cardiac catheterization 7 , 760 33 , 559 7 , 137 0 0 114 , 518 121 , 577 0ambulance 1 , 033 845 0 0 1 , 962 0 0 0recovery room 2 , 773 4 , 841 638 2 , 972 4 , 275 7 , 921 1 , 946 3 , 943labor & amp ; delivery 0 0 0 0 0 0 181 0ekg 452 , 267 142 , 598 49 , 283 199 , 613 96 , 217 59 , 150 46 , 056 125 , 015eeg 5 , 294 4 , 173 22 , 143 2 , 776 1 , 795 3 , 752 4 , 988 5 , 050renal dialysis 0 23 , 688 6 , 755 0 20 , 760 12 , 026 32 , 302 6 , 755kidney acquisition 0 0 0 0 0 0 0 0psychology / psychiatry 213 0 60 3 , 595 7 , 362 458 0 228other ancillary 2 , 201 39 , 916 107 , 934 12 , 476 91 , 325 6 , 479 10 , 872 1 , 814__________________________________________________________________________ table viii______________________________________ caribbean total______________________________________medicare 66 . 7 % 57 . 4 % blue cross 13 . 0 % 14 . 0 % hmo 7 . 2 % 13 . 0 % commercial 5 . 4 % 9 . 3 % medicaid 5 . 2 % 3 . 0 % self pay 2 . 1 % 2 . 0 % other govt 0 . 3 % 0 . 4 % all other 0 . 2 % 1 . 0 % ______________________________________ table ix______________________________________ average percent percent patient age male minority______________________________________caribbean 69 . 5 47 % 3 . 8 % st . thomas 70 . 0 47 % 1 . 2 % aruba 67 . 6 49 % 10 . 8 % martinique 69 . 6 52 % 1 . 2 % st . john 69 . 1 54 % 2 . 5 % st . bart &# 39 ; s 66 . 9 60 % 1 . 9 % st . croix 68 . 6 50 % 3 . 5 % average ex . caribbean 68 . 6 52 % 3 . 5 % ______________________________________ table x______________________________________ no . of pct . ofdrg groups cases cases______________________________________angina pectoris 299 23 % heart failure & amp ; shock 271 20 % ami 236 18 . sup . cardiac arrythmia 163 12 % chest pain 97 7 % all other 262 20 % total cardiology 1 , 328 100 % ______________________________________ table xi______________________________________ total routine icu los los los______________________________________caribbean 6 . 8 5 . 5 1 . 3st . thomas 6 . 0 5 . 0 0 . 9aruba 7 . 2 6 . 1 1 . 2martinique 7 . 8 6 . 6 1 . 6st . john 6 . 4 5 . 5 0 . 9st . bart &# 39 ; s 5 . 6 4 . 8 0 . 8st . croix 8 . 3 6 . 3 2 . 0average ex . caribbean 6 . 9 5 . 7 1 . 2______________________________________ table xii______________________________________total cost % diff than direct cost % diff thanper case caribbean &# 39 ; s per case caribbean &# 39 ; s______________________________________caribbean 5 , 240 2 , 566st . thomas 4 , 099 - 22 % 2 , 155 - 16 % aruba 4 , 401 - 16 % 2 , 458 - 4 % martinique 4 , 954 - 5 % 2 , 766 8 % st . john 4 , 359 - 17 % 2 , 381 - 7 % st . bart &# 39 ; s 5 , 159 - 2 % 2 , 791 9 % st . croix 4 , 824 - 8 % 2 , 670 4 % average ex . 4 , 633 - 12 % 2 , 537 - 1 % caribbean______________________________________ table xiii______________________________________ $ & gt ; than pct & gt ; than percent of caribbean caribbean total diff______________________________________routine care -$ 644 - 31 . 4 % 56 . 4 % icu care -$ 3 - 0 . 2 % 0 . 2 % laboratory / cath -$ 154 - 32 . 2 % 13 . 5 % radiology -$ 239 - 63 . 2 % 21 . 0 % operating room -$ 17 - 27 . 7 % 1 . 5 % pharmacy / supplies -$ 18 - 4 . 5 % 1 . 6 % ekg / eeg $ 92 108 . 1 % - 8 . 1 % other -$ 158 - 31 . 6 % 13 . 8 % total -$ 1 , 141 - 21 . 8 % 100 . 0 % ______________________________________