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Inpatient Utilization Rates and Costs (cont.). Per Capita Cost. MS- DRGs 3 Ecmo or trach w MV 96+ hrs or PDX exc face, mouth & neck w maj O.R. 4 Trach w MV 96+ hrs or PDX exc face, mouth & neck w/o maj O.R. 9 Bone marrow transplant 140 Simple pneumonia & pleurisy age 0–17

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inpatient utilization rates and costs cont
Inpatient Utilization Rates and Costs(cont.)

Per Capita Cost

MS-DRGs

3Ecmo or trachw MV 96+ hrs or PDX exc face, mouth & neck wmaj O.R.

4Trachw MV 96+ hrs or PDX exc face, mouth & neck w/o maj O.R.

9Bone marrow transplant

140Simple pneumonia & pleurisy age 0–17

141Bronchitis & asthma age 0–17

247Perccardiovasc proc w drug-eluting stent w/o mcc

287Circulatory disorders except ami, w card cath w/o MCC

310Cardiac arrhythmia & conduction disorders w/o CC/MCC

312Syncope & collapse

313Chest pain

329Major small & large bowel procedures w MCC

343Appendectomy w/o complicated principal diag w/o CC/MCC

392Esophagitis, gastroent & misc digest disorders age >17 w/o MCC

419Laparoscopic cholecystectomy w/o c.d.e. w/o CC/MCC

460Spinal fusion except cervical w/o MCC

470Major joint replacement or reattachment of lower extremity w/o MCC

473Cervical spinal fusion w/o CC/MCC

603Cellulitis age >17 w/o MCC

612Neonate, birthwt <750g, discharged alive

621O.R. procedures for obesity w/o CC/MCC

631Neonate, birthwt 750–999g, discharged alive

634Neonate, birthwt 1000–1499g, w/o signifo.r. proc, discharged alive

681Neonate, birthwt >2499g, wsignifo.r. proc, wmult major prob

743Uterine & adnexa proc for non-malignancy w/o CC/MCC

765Cesarean section w CC/MCC

766Cesarean section w/o CC/MCC774Vaginal delivery w/complicating diagnoses

775Vaginal delivery w/o complicating diagnoses

781Other antepartum diagnoses w medical complications

789Neonate, birthwt >2499g, w/o signifo.r. proc, wmult major prob

790Neonate, birthwt >2499g, w/o signifo.r. proc, w major prob

792Neonate, birthwt >2499g, w/o signifo.r. proc, w other prob

795Normal newborn

885Psychoses

94