HOSPITAL_EIN CMS_PROVIDER_NUMBER HOSPITAL_NAME PATIENT_TYPE SERVICE_TYPE PROC_CODE MS_DRG EST_TOTAL_CHARGE MINIMUM_PAYMENT AVERAGE_PAYMENT MAXIMUM_PAYMENT PRIMARY_SERVICE_CHARGE PRICE_TRANS_REQ_SERVICE SERVICE_DESCRIPTION PDF_REPORT_SORT 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 01NB0ZZ 517 18668 9345 10693 14248 "Release Lumbar Nerve, Open Approach " 1 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 027034Z 247 46572 10965 18888 34377 "Dilation of Coronary Artery, One Artery with Drug-eluting Intraluminal Device, Percutaneous Approach " 2 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 027034Z 246 57120 20163 26018 28439 "Dilation of Coronary Artery, One Artery with Drug-eluting Intraluminal Device, Percutaneous Approach " 3 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 027035Z 247 52418 14427 17298 19830 "Dilation of Coronary Artery, One Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Approach " 4 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0BH17EZ 208 28798 13399 20025 24754 "Insertion of Endotracheal Airway into Trachea, Via Natural or Artificial Opening " 5 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0D164ZA 621 19269 4000 10736 16250 "Bypass Stomach to Jejunum, Percutaneous Endoscopic Approach " 6 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0D164ZL 621 18803 9156 9711 12274 "Bypass Stomach to Transverse Colon, Percutaneous Endoscopic Approach " 7 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0DB64Z3 621 18065 4640 10699 14906 "Excision of Stomach, Percutaneous Endoscopic Approach, Vertical " 8 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0DB68ZX 392 18651 6496 8151 11553 "Excision of Stomach, Via Natural or Artificial Opening Endoscopic, Diagnostic " 9 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0DB68ZX 378 20982 9393 9601 11384 "Excision of Stomach, Via Natural or Artificial Opening Endoscopic, Diagnostic " 10 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0DJ08ZZ 378 18219 7769 9303 15740 "Inspection of Upper Intestinal Tract, Via Natural or Artificial Opening Endoscopic " 11 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0DJ08ZZ 377 29900 15044 15534 15758 "Inspection of Upper Intestinal Tract, Via Natural or Artificial Opening Endoscopic " 12 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0DJD8ZZ 392 18540 6589 7273 10997 "Inspection of Lower Intestinal Tract, Via Natural or Artificial Opening Endoscopic " 13 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0DJD8ZZ 378 17990 6862 8545 9104 "Inspection of Lower Intestinal Tract, Via Natural or Artificial Opening Endoscopic " 14 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0DTJ4ZZ 343 17364 3308 8568 16067 "Resection of Appendix, Percutaneous Endoscopic Approach " 15 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0DTJ4ZZ 342 22847 9460 12585 13244 "Resection of Appendix, Percutaneous Endoscopic Approach " 16 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0DTJ4ZZ 340 19357 9041 11579 16732 "Resection of Appendix, Percutaneous Endoscopic Approach " 17 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0FT44ZZ 419 20999 6924 11340 15942 "Resection of Gallbladder, Percutaneous Endoscopic Approach " 18 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0FT44ZZ 418 28103 6115 13030 18870 "Resection of Gallbladder, Percutaneous Endoscopic Approach " 19 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0FT44ZZ 417 38917 6756 17400 26317 "Resection of Gallbladder, Percutaneous Endoscopic Approach " 20 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0JH606Z 243 56583 20319 24332 41814 "Insertion of Pacemaker, Dual Chamber into Chest Subcutaneous Tissue and Fascia, Open Approach " 21 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0JH606Z 242 67746 29882 30408 31364 "Insertion of Pacemaker, Dual Chamber into Chest Subcutaneous Tissue and Fascia, Open Approach " 22 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0PS43ZZ 478 40355 18777 24070 31527 "Reposition Thoracic Vertebra, Percutaneous Approach " 23 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0QS604Z 481 30925 15618 16890 18076 "Reposition Right Upper Femur with Internal Fixation Device, Open Approach " 24 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0QS606Z 481 34964 13688 17461 18649 "Reposition Right Upper Femur with Intramedullary Internal Fixation Device, Open Approach " 25 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0QS704Z 481 28502 16249 18081 19313 "Reposition Left Upper Femur with Internal Fixation Device, Open Approach " 26 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0QS734Z 481 25622 16273 "Reposition Left Upper Femur with Internal Fixation Device, Percutaneous Approach " 27 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0QSG04Z 494 25016 12233 14458 18507 "Reposition Right Tibia with Internal Fixation Device, Open Approach " 28 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0QSH04Z 494 20503 3272 12921 15173 "Reposition Left Tibia with Internal Fixation Device, Open Approach " 29 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0QSH04Z 493 25802 10203 14709 19184 "Reposition Left Tibia with Internal Fixation Device, Open Approach " 30 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0RG10A0 473 39798 11586 16461 20681 Y "Fusion of Cervical Vertebral Joint with Interbody Fusion Device, Anterior Approach, Anterior Column, Open Approach " 31 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0RG20A0 473 49549 9122 15006 25023 Y "Fusion of 2 or more Cervical Vertebral Joints with Interbody Fusion Device, Anterior Approach, Anterior Column, Open Approach " 32 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0RRJ00Z 483 34941 19312 19911 23692 "Replacement of Right Shoulder Joint with Reverse Ball and Socket Synthetic Substitute, Open Approach " 33 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0RRK00Z 483 39892 11596 17716 20140 "Replacement of Left Shoulder Joint with Reverse Ball and Socket Synthetic Substitute, Open Approach " 34 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0RRK0JZ 483 28623 14728 17092 20290 "Replacement of Left Shoulder Joint with Synthetic Substitute, Open Approach " 35 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0SG0071 460 67515 26869 33532 50229 Y "Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach " 36 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0SG00A0 460 66772 26865 35919 46172 Y "Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Anterior Approach, Anterior Column, Open Approach " 37 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0SG00AJ 460 87462 23956 35576 73208 Y "Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach " 38 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0SG1071 460 87302 29345 31935 32871 Y "Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach " 39 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0SG30AJ 460 72393 26418 35805 46553 Y "Fusion of Lumbosacral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach " 40 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0SR904A 460 27570 6733 14997 26272 Y "Replacement of Right Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Uncemented, Open Approach " 41 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0SRB04A 470 26394 8339 14867 25550 Y "Replacement of Left Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Uncemented, Open Approach " 42 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0SRC0J9 470 26343 8379 15728 24759 Y "Replacement of Right Knee Joint with Synthetic Substitute, Cemented, Open Approach " 43 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0SRC0JA 470 27633 7310 15622 25643 Y "Replacement of Right Knee Joint with Synthetic Substitute, Uncemented, Open Approach " 44 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0SRD0J9 470 27838 14253 16290 23426 Y "Replacement of Left Knee Joint with Synthetic Substitute, Cemented, Open Approach " 45 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0SRD0JA 470 27441 7361 16885 26000 Y "Replacement of Left Knee Joint with Synthetic Substitute, Uncemented, Open Approach " 46 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0T768DZ 661 15711 4760 6044 9470 "Dilation of Right Ureter with Intraluminal Device, Via Natural or Artificial Opening Endoscopic " 47 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0T768DZ 660 19534 7614 9922 11890 "Dilation of Right Ureter with Intraluminal Device, Via Natural or Artificial Opening Endoscopic " 48 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0T778DZ 661 16793 4974 6908 9714 "Dilation of Left Ureter with Intraluminal Device, Via Natural or Artificial Opening Endoscopic " 49 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0T778DZ 660 18523 4431 8981 12751 "Dilation of Left Ureter with Intraluminal Device, Via Natural or Artificial Opening Endoscopic " 50 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0W3P8ZZ 378 19537 9053 9387 9949 "Control Bleeding in Gastrointestinal Tract, Via Natural or Artificial Opening Endoscopic " 51 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0W9G3ZZ 433 14041 7775 8578 9628 "Drainage of Peritoneal Cavity, Percutaneous Approach " 52 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 0W9G3ZZ 432 27551 6661 17775 23093 "Drainage of Peritoneal Cavity, Percutaneous Approach " 53 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 30233N1 378 15876 8616 8859 10256 "Transfusion of Nonautologous Red Blood Cells into Peripheral Vein, Percutaneous Approach " 54 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 3E0R33Z 552 18097 8199 8246 8665 "Introduction of Anti-inflammatory into Spinal Canal, Percutaneous Approach " 55 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 4A023N7 287 23424 3760 9342 14177 "Measurement of Cardiac Sampling and Pressure, Left Heart, Percutaneous Approach " 56 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 4A023N7 286 29941 17505 17665 19400 "Measurement of Cardiac Sampling and Pressure, Left Heart, Percutaneous Approach " 57 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 4A023N7 282 21287 1949 5797 7862 "Measurement of Cardiac Sampling and Pressure, Left Heart, Percutaneous Approach " 58 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 4A023N7 281 25822 5389 9524 14040 "Measurement of Cardiac Sampling and Pressure, Left Heart, Percutaneous Approach " 59 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 4A023N7 280 30720 3385 11669 14413 "Measurement of Cardiac Sampling and Pressure, Left Heart, Percutaneous Approach " 60 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 4A023N7 247 55402 14136 17131 31667 "Measurement of Cardiac Sampling and Pressure, Left Heart, Percutaneous Approach " 61 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 4A023N7 246 57106 17735 23746 26702 "Measurement of Cardiac Sampling and Pressure, Left Heart, Percutaneous Approach " 62 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 4A023N8 286 28512 10018 14669 19780 "Measurement of Cardiac Sampling and Pressure, Bilateral, Percutaneous Approach " 63 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 5A09357 291 16938 8419 11509 13077 "Assistance with Respiratory Ventilation, Less than 24 Consecutive Hours, Continuous Positive Airway Pressure " 64 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 5A09357 190 17420 7586 9908 10759 "Assistance with Respiratory Ventilation, Less than 24 Consecutive Hours, Continuous Positive Airway Pressure " 65 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 5A1935Z 917 28712 8751 16907 17498 "Respiratory Ventilation, Less than 24 Consecutive Hours " 66 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 5A1935Z 208 16780 16778 "Respiratory Ventilation, Less than 24 Consecutive Hours " 67 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 5A1945Z 208 33243 20246 22505 30147 "Respiratory Ventilation, 24-96 Consecutive Hours " 68 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 5A1955Z 207 77445 33190 55560 67991 "Respiratory Ventilation, Greater than 96 Consecutive Hours " 69 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 5A1D70Z 640 17637 4894 9612 12053 "Performance of Urinary Filtration, Intermittent, Less than 6 Hours Per Day " 70 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 5A1D70Z 291 17902 8824 12134 13165 "Performance of Urinary Filtration, Intermittent, Less than 6 Hours Per Day " 71 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 5A1D70Z 280 18467 7717 10367 13829 "Performance of Urinary Filtration, Intermittent, Less than 6 Hours Per Day " 72 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 5A1D70Z 193 18163 9345 11423 11763 "Performance of Urinary Filtration, Intermittent, Less than 6 Hours Per Day " 73 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 5A1D70Z 177 16568 17238 "Performance of Urinary Filtration, Intermittent, Less than 6 Hours Per Day " 74 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT PROCEDURE 5A2204Z 309 14643 7066 7993 12703 "Restoration of Cardiac Rhythm, Single " 75 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 19120 6731 1431 2170 5305 Y "Removal of 1 or more breast growth, open procedure" 1 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 19125 9268 2398 3499 4109 Excision (removal) of breast lesion 2 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 19301 11018 3343 4420 6972 "Partial mastectomy, removal of breast" 3 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 42820 6028 2164 2500 2783 Y Removal of tonsils and adenoid glands patient younger than age 12 4 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 42826 6397 1676 2572 4933 Removal Of tonsils 5 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 42830 5689 2665 4360 5229 Removal Of adenoids 6 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 43235 2527 919 1156 1304 Y "Endoscopic exam of esophagus, stomach, upper small bowel" 7 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 43239 3689 987 1208 1778 Y "Endoscopic biopsy of the esophagus, stomach, upper small bowel" 8 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 45378 2907 1079 1413 2140 Y Endoscopic exam of large bowel 9 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 45380 3581 1088 1335 1888 Y Endoscopic biopsy of large bowel 10 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 45384 3543 983 1430 3155 Colonoscopy with lesion removal 11 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 45385 4549 1174 1606 1872 Y Endoscopic removal of polyps or growths of large bowel 12 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 47562 8921 3696 4707 5565 Y Endoscopic removal of gallbladder 13 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 47563 9999 2517 4537 5665 Laparoscopy cholecystectomy with cholangiography 14 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 49324 9636 1331 4541 6200 Laparoscopy insert tunnel Intraperitoneal (IP) catheter 15 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 49505 8033 2555 3570 6636 Y Repair of groin hernia patient age 5 years or older 16 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 49585 6828 2609 3274 4935 Repair umbilical hernia reducible patient age 5 years or older 17 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 49587 9037 2606 3771 6507 Repair umbilical hernia block patient age 5 years or older 18 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 49650 11863 3578 6089 8323 Laparoscopy inguinal hernia repair inititial 19 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 20680 5310 1817 2309 4301 Removal of support implant 20 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 21931 5835 1629 1851 2451 Excision back lesion subcutaneous 3+ centimeters 21 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 22551 32070 4483 11585 21932 Neck spine fusion & removal below C2 22 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 25111 4928 1553 1932 2675 Remove wrist tendon lesion 23 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 25609 10984 3988 6492 10657 Treat fracture radial 3+ fragments 24 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 26055 4045 1501 1997 3993 Incise finger tendon sheath 25 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 26615 7485 1745 3765 7223 Treat metacarpal fracture 26 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 28296 9880 2863 4283 5966 Correction of hallux valgus (foot deformity) 27 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 29827 15251 5908 7626 8351 Arthroscopic rotator cuff repair 28 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 29848 4858 1561 2389 2889 Wrist endoscopy/surgery 29 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 29881 6146 809 2747 5231 Y Removal of one knee cartilage using an endoscope 30 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 29888 14342 5597 6288 7831 Knee arthroscopy/surgery 31 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 63047 13487 4074 5707 10425 Remove spine lamina 1 lumbar 32 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 64718 6276 553 2008 3708 Revise ulnar nerve at elbow 33 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 64721 4516 1138 1767 2065 Carpal tunnel surgery 34 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 36561 7325 1131 2638 4716 Insert tunneled Central Venous (CV) catheter 35 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 36821 6559 2863 2978 3480 Arteriovenous (AV) fusion direct any site 36 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 36832 7424 1399 4676 6845 Arteriovenous (AV) fistula revision open 37 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 30520 10086 3366 4427 7638 Repair Of nasal septum 38 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 66984 5421 1405 1761 2106 Y Removal of cataract with insertion of lens 39 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 52204 7518 986 2369 4238 Cystoscopy with biopsy(s) 40 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 52332 7269 1237 3324 3677 Cystoscopy and treatment 41 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 52356 8980 1998 4714 5896 Cystoscopy with ureteroscopy and lithotripsy 42 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 57288 9806 3088 3707 4490 Repair bladder defect 43 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 57522 5767 1562 1993 2764 Conization of cervix 44 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 58558 6944 1134 2803 4153 Hysteroscopy biopsy 45 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 58563 7958 2492 4008 7898 Hysteroscopy ablation 46 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 58661 8829 3807 4264 5187 Laparoscopy remove adnexa (connective tissue) 47 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 58670 7015 3184 4167 4915 Laparoscopy tubal cautery 48 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT PROCEDURE 59820 5377 1433 1972 4376 Care of miscarriage 49 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP LAB 80048 70 9 23 64 56 Y Blood Test: Basic Metabolic Panel 1 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP LAB 80053 136 12 35 84 86 Y Blood Test: Comp Metabolic Panel 2 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP LAB 80061 129 8 36 103 80 Y Blood Test: Lipid Panel 3 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP LAB 80069 64 9 19 27 51 Y Blood Test: Renal Function Panel 4 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP LAB 80076 81 8 30 65 64 Y Blood Test: Hepatic Function Panel 5 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP LAB 81001 30 3 4 8 28 Y Urology Test: Urinalysis Automated with Micro 6 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP LAB 82105 70 7 26 48 65 Blood Test: Alpha Fetoprotein Serum 7 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP LAB 82247 41 5 6 32 33 Blood Test: Bilirubin Total 8 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP LAB 82947 36 2 7 25 27 Blood Test: Glucose Quant Blood 9 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP LAB 83036 81 9 32 42 64 Blood Test: Glycosylated A1C 10 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP LAB 84144 186 19 60 103 131 Blood Test: Progesterone 11 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP LAB 84153 131 7 28 111 98 Y Blood Test: Prostate-Specific Antigen (PSA) 12 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP LAB 84443 163 18 46 116 109 Y Blood Test: Thyroid-Stimulating Hormone (TSH) 13 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP LAB 84702 148 6 34 84 125 Blood Test: Human Chorionic Gonadotropin (HCG) Quant 14 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP LAB 85018 50 2 12 39 35 Blood Test: Hemoglobin 15 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP LAB 85025 78 8 19 66 56 Y Blood Test: Complete Blood Count (CBC) automated diff 16 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP LAB 85027 40 4 26 32 32 Y Blood Test: Complete Blood Count (CBC) automated 17 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP LAB 85610 48 4 6 43 40 Y Blood Test: Blood Clotting Time 18 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP LAB 85730 78 7 19 31 50 Y Blood Test: Partial Thromboplastin Time 19 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP LAB 86480 223 64 79 187 185 Immunology Test: Tuberculosis Test 20 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP LAB 86592 53 3 24 52 40 Immunology Test: Syphilis Test Qual 21 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP LAB 87536 295 50 93 238 216 Bacteria & Microbiology: HIV-1 Quant 22 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP LAB U0003 200 70 139 200 168 Bacteria & Microbiology: SARS COV (High Throughput) 23 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP RAD 70030 218 30 87 163 217 X-Ray: Orbits (Eye) for Foreign Body 24 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP RAD 70450 1448 89 180 922 1387 Y CT Scan/Head: Head w/o Contrast 25 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP RAD 70491 1798 136 298 789 1640 CT Scan: Neck w/Contrast 26 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP RAD 71046 404 32 95 372 368 X-Ray/Chest: Chest Posteroanterior/Lateral 27 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP RAD 71250 1652 94 164 582 1592 CT Scan/Body: Chest w/o Contrast 28 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP RAD 71260 2176 136 267 901 1963 CT Scan/Body: Chest with Contrast 29 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP RAD 72110 754 68 141 322 629 Y X-Ray: Lumbar Spine 4+ Views 30 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP RAD 72131 1466 87 194 1146 1315 CT Scan/Body: CT L Spine w/o Contrast 31 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP RAD 72193 2104 156 269 500 1959 Y CT Scan: Pelvis with Contrast 32 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP RAD 73030 323 25 101 291 288 X-Ray: Shoulder Left (Right) 2+ Views 33 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP RAD 73140 146 28 95 134 142 X-Ray: Hand Left (Right) Thumb 34 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP RAD 73501 274 26 92 164 241 X-Ray: Hip Left (Right) Unilateral; 1 View; Pelvis 35 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP RAD 73562 276 44 98 273 251 X-Ray: Knee Left (Right) 3 Views 36 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP RAD 73700 902 44 142 411 879 CT Scan/Body: Ext Lower Left (Right) w/o Contrast 37 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP RAD 74018 239 30 84 235 225 X-Ray: Abdomen Anteroposterior 38 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP RAD 74176 3429 162 344 2564 3293 CT Scan: Abdomen & Pelvis w/o Contrast 39 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP RAD 74177 4073 178 455 2883 3635 Y CT Scan: Abdomen & Pelvis with Contrast 40 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP RAD 74178 3970 194 535 3266 3748 CT Scan: Abdomen & Pelvis w/ & w/o Contrast 41 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP RAD 74220 448 71 175 430 439 X-Ray: Esoph/Barium Swallow 42 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP RAD 74240 639 120 240 613 580 X-Ray: Upper GI Single Contrast 43 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP RAD 76536 661 111 181 436 644 Ultrasound: Thyroid 44 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP RAD 76642 368 66 162 259 367 Ultrasound: Breast Unilateral Limited 45 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP RAD 76700 1351 102 228 1233 1229 Y Ultrasound: Abdomen Complete 46 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP RAD 76705 651 76 177 423 634 Ultrasound: Abdomen Limited 47 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP RAD 76770 768 111 204 725 725 Ultrasound: Retroperitoneal Complete 48 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP RAD 76775 963 47 176 613 911 Ultrasound: Renal 49 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP RAD 76801 437 89 170 372 426 Ultrasound: Pregnant Uterus < 14Wks 50 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP RAD 76805 798 109 168 414 788 Y Ultrasound: Pregnant Complete >/= 14 Wks 51 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP RAD 76811 979 121 223 509 898 Ultrasound: Detailed Single Fetus 52 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP RAD 76815 641 65 164 324 615 Ultrasound: Preg Lim 1/More Fetuses 53 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP RAD 76816 249 99 156 238 246 Ultrasound: Pregnant Uterus Follow Up 54 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP RAD 76818 1667 133 188 523 1486 Ultrasound: Biophysical Profile with NST 55 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP RAD 76830 711 109 204 597 621 Y Ultrasound: Transvaginal 56 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP RAD 76857 208 30 151 205 203 Ultrasound: Limited Pelvis 57 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP RAD 76870 735 81 190 658 706 Ultrasound: Testicular 58 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP RAD 76882 253 100 158 227 248 Ultrasound: Ext Non-Vasc Limited Rt 59 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP RAD 77065 718 101 235 623 419 Y Mammography: Diagnostic Mammo Digital Unilateral 60 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP RAD 77066 1076 132 257 703 631 Y Mammography: Diagnostic Mammo Digital Bilateral 61 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP RAD 77067 762 131 190 472 623 Y Mammography: Screening Mammo Digital Bilateral 62 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP RAD 77080 456 36 140 243 452 X-Ray: Bone Density; Axial 63 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP RAD G0297 303 47 105 286 300 CT Scan/Body: Low Dose Ct Lung Scan 64 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP OTHER 36902 13839 5252 5938 10792 10675 Dialysis: Fistulagram with Peripheral Segment Angioplasty 65 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP OTHER 49083 1252 233 815 1233 1080 Procedure: Abdominal Fluid Sampling Diagnostic/Theraputic 66 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP OTHER 64483 1704 5 965 1403 1525 Y Procedure: Transforaminal Epidural Injection 67 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP OTHER 93005 228 18 58 194 170 EKG/ECG: Electrocardiogram 68 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP OTHER 93017 940 65 285 801 860 Stress Test: Exercise Tolerance Test 69 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP OTHER 93225 689 113 183 498 498 Holter Monitor: External Electrocardiogram 70 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP OTHER 93306 2381 235 538 1865 2299 Cardiology: Transthoracic Echo Complete with Doppler 71 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP OTHER 93880 1022 161 256 733 966 Peripheral Vascular Lab: Duplex Carotid 72 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP OTHER 93970 1029 231 281 796 972 Peripheral Vascular Lab: Duplex Venous Leg Bilat 73 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP OTHER 93971 645 90 187 494 616 Peripheral Vascular Lab: Duplex Venous Leg Left (Right) 74 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP OTHER 95806 560 104 340 517 560 Sleep Study: Unattended Sleep Study 75 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP OTHER 95810 2931 233 1122 2707 2930 Y Sleep Study: Attended Sleep Study 76 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP OTHER 95811 2930 233 1125 2139 2930 Sleep Study: Attended Cont. Pos. Airway Pressure (CPAP) 77 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP OTHER 95816 997 283 387 880 984 Electroencephalogram: EEG Awake & Drowsy 78 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP OTHER 96365 637 209 314 419 471 Intravenous (IV) Therapy: Infusion Therapy First-Hour 79 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP OTHER 97803 166 40 77 157 163 Education/Training: Individual Reassess 15-Minutes 80 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP OTHER 0296T 200 50 74 192 198 Holter Monitor: External ECG Recording 81 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP OTHER J1561 12389 2537 3429 7248 11038 Drug/Detail Code: Immune Globulin 20Gm 82 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP OTHER J1569 15927 1408 3304 6892 14770 Drug/Detail Code: Gammagard 20G Vial 83 042103586 220010 LAWRENCE GENERAL HOSPITAL OUTPATIENT OP OTHER J1745 17343 233 3965 8547 16027 Drug/Detail Code: Remicade 100Mg Vial 84 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 282 11981 6166 "Acute Myocardial Infarction (AMI), heart attack - Low Acuity" 1 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 281 13406 1883 8365 12395 "Acute Myocardial Infarction (AMI), heart attack - Mid Acuity" 2 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 280 17476 13478 "Acute Myocardial Infarction (AMI), heart attack - High Acuity" 3 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 310 9970 1056 5089 9823 Cardiac arrhythmia (irregular heartbeat) & conduction disorders - Low Acuity 4 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 309 11865 6431 Cardiac arrhythmia (irregular heartbeat) & conduction disorders - Mid Acuity 5 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 308 15137 10224 Cardiac arrhythmia (irregular heartbeat) & conduction disorders - High Acuity 6 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 313 11240 2739 5801 12083 "Chest pain, sharp pain to dull ache crushing or burning feeling - Low Acuity" 7 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 293 10652 5848 6370 9886 "Heart Failure (HF) & shock, heart is not pumping blood well - Low Acuity" 8 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 292 14142 6875 8467 12303 "Heart Failure (HF) & shock, heart is not pumping blood well - Mid Acuity" 9 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 291 15473 8169 10956 15351 "Heart Failure (HF) & shock, heart is not pumping blood well - High Acuity" 10 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 305 15250 4995 6274 9270 "Hypertension, high blood pressure - Low Acuity" 11 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 304 16776 8328 "Hypertension, high blood pressure - High Acuity" 12 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 301 6321 1476 3840 5305 "Peripheral Vascular Disorders, circulation outside heart and brain - Low Acuity" 13 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 300 11334 6725 8445 9607 "Peripheral Vascular Disorders, circulation outside heart and brain - Mid Acuity" 14 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 299 11679 11746 "Peripheral Vascular Disorders, circulation outside heart and brain - High Acuity" 15 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 312 16528 2973 6965 12347 Syncope (fainting) & collapse - Low Acuity 16 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 316 8930 6606 Other circulatory system diagnoses - Low Acuity 17 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 315 12283 5047 7959 8697 Other circulatory system diagnoses - Mid Acuity 18 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 314 13334 12432 Other circulatory system diagnoses - High Acuity 19 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 392 12128 4492 6464 11060 "Esophagitis, gastrointestinal & other digestive disorders - Low Acuity" 20 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 391 16930 9970 "Esophagitis, gastrointestinal & other digestive disorders - High Acuity" 21 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 379 8779 5176 Gastrointestinal (GI) hemorrhage - Low Acuity 22 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 378 12526 7251 8735 9538 Gastrointestinal (GI) hemorrhage - Mid Acuity 23 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 377 13931 11560 Gastrointestinal (GI) hemorrhage - High Acuity 24 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 390 11864 4098 5392 7783 Gastrointestinal (GI) obstruction - Low Acuity 25 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 389 12368 7623 Gastrointestinal (GI) obstruction - Mid Acuity 26 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 388 15521 11718 Gastrointestinal (GI) obstruction - High Acuity 27 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 373 10856 8312 Major gastrointestinal disorders & peritoneal infections - Low Acuity 28 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 372 12951 9608 20395 Major gastrointestinal disorders & peritoneal infections - Mid Acuity 29 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 371 17375 15987 Major gastrointestinal disorders & peritoneal infections - High Acuity 30 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 395 10236 3478 5917 7042 Other digestive system diagnoses - Low Acuity 31 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 394 10759 7363 Other digestive system diagnoses - Mid Acuity 32 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 393 13102 12773 Other digestive system diagnoses - High Acuity 33 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 639 9628 5811 Diabetes (diseases that affect how your body uses blood sugar) - Low Acuity 34 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 638 12635 4226 7420 11957 Diabetes (diseases that affect how your body uses blood sugar) - Mid Acuity 35 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 637 17564 12452 Diabetes (diseases that affect how your body uses blood sugar) - High Acuity 36 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 641 11192 6163 "Disorders of nutrition, metabolism, fluids, electrolytes - Low Acuity" 37 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 640 13307 3858 10065 13042 "Disorders of nutrition, metabolism, fluids, electrolytes - High Acuity" 38 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 690 12711 6760 Kidney & Urinary Tract Infections (UTI) - Low Acuity 39 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 689 14563 7080 9628 12061 Kidney & Urinary Tract Infections (UTI) - High Acuity 40 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 684 11641 5874 Kidney (Renal) Failure - Low Acuity 41 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 683 12838 4408 7793 11988 Kidney (Renal) Failure - Mid Acuity 42 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 682 16708 12920 Kidney (Renal) Failure - High Acuity 43 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 699 11368 9942 Other kidney & urinary tract diagnoses - Mid Acuity 44 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 698 15783 7263 13189 13776 Other kidney & urinary tract diagnoses - High Acuity 45 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 434 7127 6423 Cirrhosis & alcoholic hepatitis - Low Acuity 46 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 433 10491 6572 8503 9694 Cirrhosis & alcoholic hepatitis - Mid Acuity 47 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 432 12605 17868 Cirrhosis & alcoholic hepatitis - High Acuity 48 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 443 9809 7281 "Disorders of liver except malignancy, cirrhosis, alcoholic hepatitis - Low Acuity" 49 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 442 13669 3037 8347 11123 "Disorders of liver except malignancy, cirrhosis, alcoholic hepatitis - Mid Acuity" 50 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 441 14666 12346 "Disorders of liver except malignancy, cirrhosis, alcoholic hepatitis - High Acuity" 51 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 440 10775 5494 Disorders of pancreas except malignancy - Low Acuity 52 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 439 14551 6026 7379 10904 Disorders of pancreas except malignancy - Mid Acuity 53 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 438 16532 12137 Disorders of pancreas except malignancy - High Acuity 54 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 536 10409 6981 Fractures of hip & pelvis - Low Acuity 55 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 535 15512 10096 10274 10629 Fractures of hip & pelvis - High Acuity 56 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 552 15762 3045 7890 12163 Medical back problems - Low Acuity 57 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 551 20226 6976 13085 13594 Medical back problems - High Acuity 58 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 563 10377 4362 7448 9200 "Fracture, sprain, dislolcation except femur, hip, pelvis, thigh - Low Acuity" 59 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 562 11394 12649 "Fracture, sprain, dislolcation except femur, hip, pelvis, thigh - High Acuity" 60 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 066 17563 7498 Intracranial hemorrhage or cerebral infarction - Low Acuity 61 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 065 20748 4178 9307 12109 Intracranial hemorrhage or cerebral infarction - Mid Acuity 62 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 064 24356 8797 13627 19023 Intracranial hemorrhage or cerebral infarction - High Acuity 63 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 069 17978 3898 6040 7275 Transient ischemia w/o thrombolytic - Low Acuity 64 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 074 13091 1302 7834 10727 Cranial & peripheral nerve disorders - Low Acuity 65 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 073 15381 11795 Cranial & peripheral nerve disorders - High Acuity 66 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 084 18225 7786 "Traumatic stupor & coma, coma >1 hour - Low Acuity" 67 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 083 18783 7547 10924 11883 "Traumatic stupor & coma, coma >1 hour - Mid Acuity" 68 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 082 19975 14955 "Traumatic stupor & coma, coma >1 hour - High Acuity" 69 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 093 14619 5170 7085 8943 Other disorders of nervous system - Low Acuity 70 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 092 17221 6269 8536 9320 Other disorders of nervous system - Mid Acuity 71 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 091 19009 8868 12721 13855 Other disorders of nervous system - High Acuity 72 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 101 13024 2421 6688 10470 Seizures - Low Acuity 73 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 100 17266 13234 Seizures - High Acuity 74 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 103 15732 3437 6539 9773 Headaches - Low Acuity 75 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 102 23087 10946 14052 17157 Headaches - High Acuity 76 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 203 5021 2060 4490 9831 Bronchitis & asthma - Low Acuity 77 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 202 10080 6372 Bronchitis & asthma - High Acuity 78 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 192 10446 6092 Chronic obstructive pulmonary disease (COPD) - Low Acuity 79 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 191 15251 7205 7971 9934 Chronic obstructive pulmonary disease (COPD) - Mid Acuity 80 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 190 18268 10503 Chronic obstructive pulmonary disease (COPD) - High Acuity 81 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 185 16393 6685 Major chest trauma - Low Acuity 82 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 184 19012 6662 9408 15060 Major chest trauma - Mid Acuity 83 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 183 20252 11583 Major chest trauma - High Acuity 84 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 176 14943 4283 8172 12638 "Pulmonary Embolism (PE), blood clot in artery of lung - Low Acuity" 85 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 175 19706 7185 11789 18899 "Pulmonary Embolism (PE), blood clot in artery of lung - High Acuity" 86 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 179 10676 8455 Respiratory infections & inflammations - Low Acuity 87 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 178 13150 5281 10796 12608 Respiratory infections & inflammations - Mid Acuity 88 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 177 17216 16000 Respiratory infections & inflammations - High Acuity 89 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 195 7856 5322 Simple pneumonia (PN) & pleurisy - Low Acuity 90 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 194 11971 7514 Simple pneumonia (PN) & pleurisy - Mid Acuity 91 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 193 18502 7469 11629 17992 Simple pneumonia (PN) & pleurisy - High Acuity 92 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 153 5001 4235 Otitis media & upper respiratory tract infection (URI) - Low Acuity 93 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 812 11372 7149 Red blood cell disorders - Low Acuity 94 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 811 16647 11223 12299 14339 Red blood cell disorders - High Acuity 95 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 776 6332 5061 Postpartum & post abortion diagnoses w/o surgical procedure - Low Acuity 96 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 833 3858 3687 Other antepartum diagnoses w/o surgical procedure - Low Acuity 97 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 832 5839 4974 Other antepartum diagnoses w/o surgical procedure - Mid Acuity 98 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 864 11511 7600 Fever and inflammatory conditions - Low Acuity 99 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 866 7976 5746 Viral illness - Low Acuity 100 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 872 14524 3213 8868 12985 Sepsis w/o mechanical vent for more than 96 hours - Low Acuity 101 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 871 19327 11064 14986 18206 Sepsis w/o mechanical vent for more than 96 hours - High Acuity 102 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 897 12987 7077 Alcohol/drug abuse or dependence w/o rehabilitation therapy - Low Acuity 103 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 896 21670 11550 Alcohol/drug abuse or dependence w/o rehabilitation therapy - High Acuity 104 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 918 12472 4969 6548 7213 Poisoning & toxic effects of drugs - Low Acuity 105 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 917 15220 5567 11031 12003 Poisoning & toxic effects of drugs - High Acuity 106 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 948 12595 4574 7001 10399 Other signs & symptoms not specified elsewhere - Low Acuity 107 042103586 220010 LAWRENCE GENERAL HOSPITAL INPATIENT MEDICAL 947 14459 9789 Other signs & symptoms not specified elsewhere - High Acuity 108