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Appendix A. Hospital Composite Factors and Cost to Charge Rations
Composite Capital Operating Total Hospital
Factor
(2001 Cost-to- Cost-to- Cost-t- Specific
Payment o-
Provider Impact Charge Charge Charge Outlier
Number Hospital Name File Data) Ratio Ratio Ratio Factor

50002 ST. ROSE HOSPITAL 7626.1 0.018 0.372 0.390 $ 19,640
50006 ST. JOSEPH HOSPITAL, 4303.8 0.036 0.359 0.395 $ 14,357
EUREKA
50007 MILLS PENINSULA 5732.9 0.035 0.364 0.399 $ 18,837
MEDICAL CENTER
50008 DAVIES MEDICAL CENTER 6366.3 0.039 0.317 0.356 $ 18,840
50009 QUEEN OF THE VALLEY 5214.8 0.041 0.357 0.398 $ 16,820
50013 ST. HELENA HOSPITAL 5286.9 0.024 0.430 0.454 $ 16,828
50014 SUTTER AMADOR 4303.8 0.020 0.353 0.373 $ 14,357
HOSPITAL
50015 NORTHERN INYO 4346.0 0.028 0.701 0.729 $ 14,357
HOSPITAL
50016 ARROYO GRANDE 4553.8 0.108 0.394 0.502 $ 15,187
COMMUNITY HOSPITAL
50017 MERCY GENERAL 5765.8 0.022 0.241 0.263 $ 16,548
HOSPITAL
50018 PACIFIC ALLIANCE 8999.4 0.043 0.393 0.436 $ 16,631
MEDICAL CNTR.
50022 RIVERSIDE COMMUNITY 5171.4 0.044 0.337 0.381 $ 15,697
50024 PARADISE VALLEY 7440.0 0.024 0.360 0.384 $ 16,363
HOSPITAL
50025 UCSD MEDICAL CENTER 8430.0 0.057 0.321 0.378 $ 16,395
50026 GROSSMONT HOSPITAL 5834.5 0.043 0.318 0.361 $ 16,384
50028 MAD RIVER COMMUNITY 4303.8 0.026 0.418 0.444 $ 14,357
HOSPITAL
50029 ST.LUKE MEDICAL 6514.7 0.031 0.238 0.269 $ 16,637
CENTER
50030 OROVILLE HOSPITAL 5185.6 0.048 0.495 0.543 $ 14,416
50032 WARRACK HOSPITAL 5159.2 0.033 0.500 0.533 $ 17,216
50033 MOUNT ZION MEDICAL 8623.8 0.042 0.407 0.449 $ 18,838
CENTER OF UCSF
50036 MEMORIAL HOSPITAL 4314.7 0.055 0.358 0.413 $ 14,357
50038 SANTA CLARA VALLEY 9378.9 0.045 0.538 0.583 $ 18,192
MEDICAL CENTER
50039 ENLOE MEDICAL CENTER 4630.0 0.026 0.434 0.460 $ 14,416
50040 LAC OLIVE VIEW/UCLA 10003.1 0.033 0.329 0.362 $ 16,628
MEDICAL CENTER
50042 ST. ELIZABETH 4346.0 0.030 0.413 0.443 $ 14,357
COMMUNITY HOSPITAL
50043 SUMMIT MEDICAL CENTER 7556.7 0.016 0.340 0.356 $ 19,640
50045 EL CENTRO REGIONAL 5940.4 0.021 0.357 0.378 $ 14,381
MED. CTR.
50046 OJAI VALLEY COMMUNITY 4494.1 0.059 0.675 0.734 $ 14,992
HOSPITAL
50047 CALIFORNIA PACIFIC 7124.8 0.029 0.373 0.402 $ 18,834
MEDICAL CENTER
50051 ALTA DISTRICT 4303.8 0.036 0.586 0.622 $ 14,357
HOSPITAL
50054 SAN GORGONIO MEMORIAL 4981.7 0.024 0.330 0.354 $ 15,677
HOSPITAL
50055 ST. LUKES HOSPITAL 8503.5 0.026 0.360 0.386 $ 18,834
50056 ANTELOPE VALLEY 6281.4 0.043 0.313 0.356 $ 16,639
HOSPITAL
50057 KAWEAH DELTA HEALTH 5269.1 0.031 0.430 0.461 $ 14,357
CARE DISTRICT
50058 GLENDALE MEMORIAL 7144.1 0.031 0.278 0.309 $ 16,632
HOSPITAL & HLTH CT
50060 FRESNO COMMUNITY HOSP 5731.0 0.029 0.337 0.366 $ 14,607
& MED CENTER
50061 ST. FRANCIS MEDICAL 4530.4 0.057 0.356 0.413 $ 15,112
CENTER
50063 QUEEN OF ANGELS - 8430.2 0.033 0.296 0.329 $ 16,632
HLLYWD PRES MC
50065 WMC SANTA ANA 7039.7 0.057 0.314 0.371 $ 16,015
50066 BAY HARBOR HOSPITAL 5818.7 0.016 0.302 0.318 $ 16,614
50067 OAK VALLEY DISTRICT 4468.6 0.029 0.359 0.388 $ 14,907
HOSPITAL
50068 LINDSAY DISTRICT 4494.2 0.014 0.487 0.501 $ 14,357
HOSPITAL
50069 ST. JOSEPH HOSPITAL 5069.0 0.029 0.284 0.313 $ 16,629
50070 KFH - SSF 5729.5 0.039 0.361 0.400 $ 18,838
50071 KFH - SANTA CLARA 7040.9 0.039 0.361 0.400 $ 19,643
50072 KFH - WALNUT CREEK 6149.7 0.039 0.361 0.400 $ 19,643
50073 KFH - VALLEJO 5946.2 0.039 0.361 0.400 $ 19,587
50075 KFH - OAKLAND 7131.2 0.039 0.361 0.400 $ 19,643
50076 KFH - SAN FRANCISCO 7132.4 0.039 0.361 0.400 $ 19,643
50077 MERCY HOSPITAL 6346.8 0.034 0.300 0.334 $ 16,377
50078 SAN PEDRO PENINSULA 5498.4 0.028 0.268 0.296 $ 16,630
50079 DOCTORS MEDICAL 7288.6 0.021 0.289 0.310 $ 19,641
CENTER-SAN PABLO
50082 ST. JOHN'S REGIONAL 5247.3 0.074 0.343 0.417 $ 14,990
MEDICAL CENTER
50084 ST. JOSEPH'S MEDICAL 5020.2 0.022 0.260 0.282 $ 15,146
CENTER
50088 SAN LUIS OBISPO 4755.3 0.025 0.735 0.760 $ 15,193
GENERAL HOSPITAL
50089 COMMUNITY HOSPITAL OF 7291.2 0.046 0.315 0.361 $ 15,701
SAN BERNARDINO
50090 SONOMA VALLEY HEALTH 5159.2 0.055 0.437 0.492 $ 17,206
CARE DIST.
50091 COMMUNITY HOSPITALS 9079.1 0.032 0.277 0.309 $ 16,633
OF HUNTINGTON PK
50092 GLENN MEDICAL CENTER 4730.9 0.050 0.747 0.797 $ 14,357
50093 SAINT AGNES MEDICAL 4603.7 0.043 0.353 0.396 $ 14,607
CENTER
50096 DR'S HOSPITAL OF WEST 5406.7 0.039 0.304 0.343 $ 16,636
COVINA
50097 GENERAL HOSPITAL 4303.8 0.033 0.367 0.400 $ 14,357
50099 SAN ANTONIO COMMUNITY 5661.2 0.031 0.293 0.324 $ 15,688
HOSPITAL
50100 SHARP MEMORIAL 5783.9 0.041 0.359 0.400 $ 16,377
HOSPITAL
50101 SUTTER SOLANO MEDICAL 6430.3 0.025 0.290 0.315 $ 16,823
CENTER
50102 PARKVIEW COMMUNITY 5928.8 0.024 0.340 0.364 $ 15,676
HOSPITAL
50103 WHITE MEMORIAL 8308.7 0.044 0.335 0.379 $ 16,637
MEDICAL CENTER
50104 ST. FRANCIS MEDICAL 7922.8 0.022 0.271 0.293 $ 16,623
CENTER
50107 MARIAN MEDICAL CENTER 5215.2 0.058 0.378 0.436 $ 15,112
50108 SUTTER COMMUNITY 5789.3 0.036 0.278 0.314 $ 16,559
HOSPITAL
50110 LOMPOC DISTRICT 4530.4 0.042 0.436 0.478 $ 15,113
HOSPITAL
50111 TEMPLE COMMUNITY 7509.1 0.016 0.285 0.301 $ 16,615
HOSPITAL
50112 SANTA MONICA HOSPITAL 5570.3 0.039 0.355 0.394 $ 16,631
50113 SAN MATEO COUNTY 6178.8 0.028 0.886 0.914 $ 18,828
GENERAL HOSPITAL
50114 SHERMAN OAKS HOSP AND 5268.7 0.047 0.430 0.477 $ 16,631
HLTH CENTER
50115 PALOMAR MEDICAL 5573.1 0.044 0.342 0.386 $ 16,382
CENTER
50116 NORTHRIDGE HOSPITAL 5974.7 0.029 0.275 0.304 $ 16,630
MEDICAL CENTER
50117 MERCY HOSPITAL & 4954.2 0.021 0.308 0.329 $ 14,357
HEALTH SYSTEM
50118 DOCTORS HOSPITAL OF 4540.3 0.029 0.225 0.254 $ 15,145
MANTECA
50121 HANFORD COMMUNITY 4303.8 0.021 0.391 0.412 $ 14,357
MEDICAL CENTER
50122 DAMERON HOSPITAL 5554.0 0.015 0.280 0.295 $ 15,147
50124 VERDUGO HILLS 5057.3 0.053 0.310 0.363 $ 16,648
HOSPITAL
50125 ALEXIAN BROS. 7865.2 0.032 0.280 0.312 $ 18,198
HOSPITAL
50126 VALLEY PRESBYTERIAN 6606.0 0.047 0.312 0.359 $ 16,643
HOSPITAL
50127 WOODLAND MEMORIAL 4896.1 0.046 0.476 0.522 $ 14,704
HOSPITAL
50128 TRI-CITY MEDICAL 5188.6 0.043 0.309 0.352 $ 16,385
CENTER
50129 ST. BERNARDINE 6071.7 0.072 0.392 0.464 $ 15,713
MEDICAL CENTER
50131 NOVATO COMMUNITY 5729.5 0.026 0.464 0.490 $ 18,831
HOSPITAL
50132 SAN GABRIEL VALLEY 5928.3 0.038 0.251 0.289 $ 16,643
MEDICAL CENTER
50133 RIDEOUT MEMORIAL 5334.9 0.044 0.443 0.487 $ 15,225
HOSPITAL
50135 HOLLYWOOD COMM. HOSP 6497.7 0.027 0.377 0.404 $ 16,620
OF HOLLYWOOD
50136 PETALUMA VALLEY 5159.2 0.036 0.489 0.525 $ 17,214
HOSPITAL
50137 KAISER FOUNDATION 5088.3 0.039 0.361 0.400 $ 16,631
HOSPITALS-PANORAMA
50138 KAISER FOUNDATION 5938.5 0.039 0.361 0.400 $ 16,631
HOSPITALS - SUNSET
50139 KAISER FOUND. 5118.5 0.039 0.361 0.400 $ 16,631
HOSPITALS -
BELLFLOWER
50140 KAISER FOUND. 5082.3 0.039 0.361 0.400 $ 15,689
HOSPITALS - FONTANA
50144 BROTMAN MEDICAL 6207.8 0.050 0.318 0.368 $ 16,644
CENTER
50145 COMMUNITY HOSP. 5869.7 0.032 0.463 0.495 $ 19,113
MONTEREY PENINSULA
50148 PLUMAS DISTRICT 4346.0 0.034 0.466 0.500 $ 14,357
HOSPITAL MCARE RPT
50149 CALIFORNIA HOSPITAL 8562.6 0.035 0.353 0.388 $ 16,628
MEDICAL CENTER
50150 SIERRA NEVADA 4948.0 0.073 0.459 0.532 $ 16,500
MEMORIAL HOSPITAL
50152 SAINT FRANCIS 7135.7 0.032 0.292 0.324 $ 18,839
MEMORIAL HOSPITAL
50153 O'CONNOR HOSPITAL 5991.8 0.036 0.363 0.399 $ 18,195
50155 MONROVIA COMMUNITY 5408.9 0.039 0.314 0.353 $ 16,635
HOSPITAL
50158 ENCINO-TARZANA REG 5071.9 0.038 0.361 0.399 $ 16,630
MED CENTER
50159 VENTURA COUNTY 7638.6 0.024 0.504 0.528 $ 14,993
MEDICAL CENTER
50167 SAN JOAQUIN GENERAL 7581.0 0.048 0.451 0.499 $ 15,146
HOSPITAL
50168 ST. JUDE MEDICAL 4875.0 0.022 0.282 0.304 $ 15,983
CENTER
50169 PRESBYTERIAN 5662.7 0.041 0.290 0.331 $ 16,640
INTERCOMMUNITY
50170 LONG BEACH COMMUNITY 5651.6 0.032 0.333 0.365 $ 16,627
MEDICAL CENTER
50172 REDWOOD MEMORIAL 4303.8 0.036 0.428 0.464 $ 14,357
HOSPITAL
50173 ANAHEIM GENERAL 6486.4 0.013 0.275 0.288 $ 15,972
HOSPITAL
50174 SANTA ROSA MEMORIAL 5179.2 0.039 0.462 0.501 $ 17,212
HOSPITAL
50175 WHITTIER HOSPITAL 6697.3 0.039 0.291 0.330 $ 16,638
MEDICAL CENTER
50177 SANTA PAULA MEMORIAL 4693.0 0.028 0.546 0.574 $ 14,993
HOSPITAL
50179 EMANUEL MEDICAL 5133.3 0.038 0.353 0.391 $ 14,907
CENTER
50180 JOHN MUIR MEDICAL 5985.2 0.036 0.305 0.341 $ 19,644
CENTER
50186 SCRIPPS HOSPITAL - 5747.0 0.051 0.370 0.421 $ 16,384
EAST COUNTY
50188 COMM HOSP.& REHAB- 5534.0 0.045 0.253 0.298 $ 18,209
LOS GATOS
50189 GEORGE L. MEE 6039.3 0.036 0.493 0.529 $ 19,112
MEMORIAL HOSPITAL
50191 ST MARY MEDICAL 7071.6 0.039 0.255 0.294 $ 16,643
CENTER
50192 SIERRA KINGS DISTRICT 4572.4 0.038 0.520 0.558 $ 14,607
HOSPITAL
50193 SOUTH COAST MEDICAL 4867.8 0.027 0.268 0.295 $ 15,991
CENTER
50194 WATSONVILLE COMMUNITY 6816.0 0.030 0.387 0.417 $ 18,694
HOSPITAL
50195 WASHINGTON HOSPITAL 6805.6 0.024 0.336 0.360 $ 19,641
DISTRICT
50196 CENTRAL VALLEY 4456.1 0.021 0.382 0.403 $ 14,357
GENERAL HOSP
50197 SEQUOIA HEALTH 5739.1 0.030 0.449 0.479 $ 18,833
SERVICES
50204 LANCASTER HOSPITAL 5201.4 0.022 0.251 0.273 $ 16,625
50205 HUNTINGTON EAST 7228.2 0.044 0.419 0.463 $ 16,630
VALLEY HOSPITAL
50207 FREMONT MEDICAL 5423.3 0.030 0.494 0.524 $ 15,226
CENTER
50211 ALAMEDA HOSPITAL 6385.2 0.014 0.250 0.264 $ 19,641
50213 UNIVERSITY MEDICAL 7604.5 0.021 0.439 0.460 $ 14,607
CENTER
50214 GRANADA HILLS 6473.8 0.022 0.303 0.325 $ 16,620
COMMUNITY HOSPITAL
50215 SAN JOSE MEDICAL 7139.9 0.130 0.425 0.555 $ 18,227
CENTER
50217 FAIRCHILD MEDICAL 4346.0 0.045 0.616 0.661 $ 14,357
CENTER
50219 COAST PLAZA DOCTORS 6698.9 0.023 0.288 0.311 $ 16,622
HOSPITAL
50222 SHARP CHULA VISTA 6376.7 0.044 0.326 0.370 $ 16,384
MEDICAL CTR
50224 HOAG MEMORIAL 4869.0 0.036 0.380 0.416 $ 15,989
HOSPITAL
PRESBYTERIAN
50225 FEATHER RIVER 4510.5 0.047 0.450 0.497 $ 14,416
HOSPITAL
50226 ANAHEIM MEMORIAL 5034.2 0.052 0.299 0.351 $ 16,013
MEDICAL CENTER
50228 SAN FRANCISCO GENERAL 10776.1 0.016 0.535 0.551 $ 18,827
HOSPITAL
50230 GARDEN GROVE MEDICAL 6972.4 0.029 0.262 0.291 $ 15,994
CENTER
50231 POMONA VALLEY 6615.4 0.024 0.264 0.288 $ 16,626
HOSPITAL MED CTR
50232 FRENCH HOSPITAL 4562.2 0.033 0.262 0.295 $ 15,190
MEDICAL CENTER
50234 SHARP CORONADO 4979.7 0.035 0.464 0.499 $ 16,365
HOSPITAL
50235 PROVIDENCE SAINT 5361.5 0.046 0.403 0.449 $ 16,632
JOSEPH MED CTR
50236 SIMI VALLEY HOSPITAL 5177.0 0.036 0.326 0.362 $ 16,582
50238 METHODIST HOSPITAL OF 5065.0 0.042 0.353 0.395 $ 16,634
SOUTHERN CA
50239 GLENDALE ADVENTIST 7355.8 0.052 0.607 0.659 $ 16,624
MEDICAL CENTER
50240 CENTINELA HOSPITAL 6795.9 0.049 0.298 0.347 $ 16,646
MEDICAL CENTER
50242 DOMINICAN SANTA CRUZ 6176.1 0.034 0.331 0.365 $ 18,686
HOSPITAL
50243 DESERT HOSPITAL 5437.4 0.044 0.260 0.304 $ 15,708
50245 ARROWHEAD REGIONAL 8153.0 0.015 0.476 0.491 $ 15,662
MEDICAL CENTER
50248 NATIVIDAD MEDICAL 8830.3 0.016 0.393 0.409 $ 19,124
CENTER
50251 LASSEN COMMUNITY 4730.9 0.039 0.476 0.515 $ 14,357
HOSPITAL
50253 LINCOLN LLC 6066.4 0.028 0.301 0.329 $ 15,988
50254 MARSHALL HOSPITAL 5033.6 0.085 0.431 0.516 $ 16,577
50256 ORTHOPAEDIC HOSPITAL 6853.0 0.046 0.447 0.493 $ 16,629
50257 GOOD SAMARITAN 4494.2 0.080 0.320 0.400 $ 14,358
HOSPITAL
50260 MOUNTAINS COMMUNITY 4770.8 0.042 0.460 0.502 $ 15,684
HOSPITAL
50261 SIERRA VIEW DISTRICT 5092.2 0.064 0.390 0.454 $ 14,357
HOSPITAL
50262 UCLA MEDICAL CENTER 7975.2 0.039 0.387 0.426 $ 16,629
50264 SAN LEANDRO HOSPITAL 5974.6 0.039 0.337 0.376 $ 19,644
50267 DANIEL FREEMAN 6571.3 0.023 0.248 0.271 $ 16,626
MEMORIAL HOSP
50270 SMH - CHULA VISTA 6795.5 0.036 0.305 0.341 $ 16,379
50272 REDLANDS COMMUNITY 4783.7 0.035 0.292 0.327 $ 15,693
HOSPITAL
50276 CONTRA COSTA REGIONAL 9454.0 0.017 0.666 0.683 $ 19,639
MEDICAL CNTR
50277 PACIFIC HOSPITAL OF 7263.8 0.024 0.387 0.411 $ 16,617
LONG BEACH
50278 PROVIDENCE HOLY CROSS 5769.4 0.039 0.282 0.321 $ 16,639
MEDICAL CENTER
50279 HI - DESERT MEDICAL 4817.5 0.054 0.491 0.545 $ 15,690
CENTER
50280 MERCY MEDICAL CENTER 5635.0 0.029 0.296 0.325 $ 16,206
50281 ALHAMBRA HOSPITAL 7401.6 0.039 0.320 0.359 $ 16,635
50282 MARTIN LUTHER 5945.2 0.038 0.321 0.359 $ 15,996
HOSPITAL
50283 VALLEY MEMORIAL 5974.6 0.035 0.269 0.304 $ 19,644
HOSPITAL
50289 SETON MEDICAL CENTER 6749.3 0.036 0.357 0.393 $ 18,837
50290 SAINT JOHN'S HOSPITAL 5063.8 0.027 0.307 0.334 $ 16,625
50291 SUTTER COMMUNITY 8312.9 0.039 0.499 0.538 $ 17,213
HOSPITAL SANTA ROSA
50292 RIVERSIDE COUNTY 7310.5 0.018 0.480 0.498 $ 15,664
REGIONAL MED CENTER
50293 PACIFIC COAST 7084.4 0.112 0.835 0.947 $ 18,842
HOSPITAL
50295 MERCY HOSPITAL 4464.2 0.055 0.314 0.369 $ 14,358
50296 HAZEL HAWKINS MEM. 5541.7 0.036 0.442 0.478 $ 18,491
HOSPITAL
50298 BARSTOW COMMUNITY 4770.8 0.036 0.282 0.318 $ 15,696
HOSPITAL
50299 NHMC-SHERMAN WAY 7150.0 0.042 0.351 0.393 $ 16,634
CAMPUS
50300 ST. MARY REGIONAL 5606.9 0.040 0.325 0.365 $ 15,694
50301 UKIAH VALLEY MEDICAL 5263.3 0.034 0.486 0.520 $ 16,961
CENTER
50305 ALTA BATES MEDICAL 7233.9 0.028 0.278 0.306 $ 19,643
CENTER
50308 EL CAMINO HOSPITAL 5542.8 0.031 0.335 0.366 $ 18,194
50309 SUTTER ROSEVILLE 5237.1 0.035 0.287 0.322 $ 16,557
MEDICAL CENTER
50312 REDDING MEDICAL 5071.6 0.015 0.361 0.376 $ 16,211
CENTER
50313 SUTTER TRACY 4540.3 0.058 0.301 0.359 $ 15,144
COMMUNITY HOSPITAL
50315 KERN MEDICAL CENTER 7908.4 0.030 0.574 0.604 $ 14,357
50320 ALAMEDA COUNTY 10196.1 0.017 0.608 0.625 $ 19,639
MEDICAL CENTER
50324 SCRIPPS MEMORIAL 4990.5 0.034 0.280 0.314 $ 16,380
HOSPITAL - LA JOLLA
50325 TUOLUMNE GENERAL 4303.8 0.022 0.419 0.441 $ 14,357
HOSPITAL
50327 LOMA LINDA UNIVERSITY 7076.6 0.036 0.289 0.325 $ 15,695
MEDICAL CTR.
50329 CORONA REGIONAL 5574.6 0.028 0.274 0.302 $ 15,687
MEDICAL CENTER
50331 HEALDSBURG GENERAL 5159.2 0.024 0.459 0.483 $ 17,218
HOSPITAL
50333 SENECA DISTRICT 4346.0 0.021 0.532 0.553 $ 14,357
HOSPITAL
50334 SALINAS VALLEY 6197.3 0.023 0.442 0.465 $ 19,120
MEMORIAL HOSPITAL
50335 SONORA COMMUNITY 4303.8 0.039 0.460 0.499 $ 14,357
HOSPITAL
50336 LODI MEMORIAL 4748.4 0.030 0.312 0.342 $ 15,146
HOSPITAL
50337 DESERT PALMS 5057.3 0.042 0.394 0.436 $ 16,630
COMMUNITY HOSPITAL
50342 PIONEERS MEM. 4456.1 0.033 0.426 0.459 $ 14,357
HOSPITAL
50345 HOSPITAL NAME NOT 4781.9 0.051 0.497 0.548 $ 15,687
AVAILABLE
50348 UCI MEDICAL CENTER 8187.6 0.027 0.322 0.349 $ 15,985
50349 CORCORAN DISTRICT 4456.1 0.030 0.429 0.459 $ 14,357
HOSPITAL
50350 BEVERLY COMMUNITY 6431.8 0.023 0.305 0.328 $ 16,621
HOSPITAL
50351 TORRANCE MEMORIAL 5063.4 0.031 0.323 0.354 $ 16,627
MEDICAL CENTER
50352 BARTON MEMORIAL 5083.0 0.070 0.516 0.586 $ 16,561
HOSPITAL
50353 LITTLE COMPANY OF 5067.1 0.033 0.295 0.328 $ 16,632
MARY HOSPITAL
50355 SIERRA VALLEY 4346.0 0.111 0.640 0.751 $ 14,358
DISTRICT HOSPITAL
50357 GOLETA VALLEY COTTAGE 4540.5 0.036 0.351 0.387 $ 15,113
HOSPITAL
50359 TULARE DISTRICT 5249.7 0.041 0.430 0.471 $ 14,357
HOSPITAL
50360 MARIN GENERAL 5875.4 0.050 0.425 0.475 $ 18,840
HOSPITAL
50366 MARK TWAIN ST. 4346.0 0.022 0.346 0.368 $ 14,357
JOSEPH'S HOSPITAL
50367 NORTHBAY MEDICAL 6561.2 0.034 0.233 0.267 $ 16,816
CENTER
50369 QUEEN OF THE VALLEY 6821.2 0.023 0.356 0.379 $ 16,618
HOSPITAL
50373 LAC+USC MEDICAL 9863.6 0.016 0.347 0.363 $ 16,612
CENTER
50376 HARBOR-UCLA MEDICAL 10439.6 0.039 0.296 0.335 $ 16,637
CENTER
50377 CHOWCHILLA DISTRICT 4378.7 0.032 0.642 0.674 $ 14,607
MEMORIAL HOSP
50378 PACIFICA OF THE 8053.4 0.059 0.476 0.535 $ 16,635
VALLEY
50379 WEST SIDE DISTRICT 4346.0 0.127 0.832 0.959 $ 14,357
HOSPITAL
50380 GOOD SAMARITAN 5539.0 0.106 0.556 0.662 $ 18,211
HOSPITAL
50382 INTER-COMMUNITY 6123.9 0.026 0.340 0.366 $ 16,621
MEDICAL CENTER
50385 PALM DRIVE HOSPITAL 5159.2 0.030 0.494 0.524 $ 17,216
50388 SOUTHERN INYO 4346.0 0.055 0.753 0.808 $ 14,357
HOSPITAL
50390 HEMET VALLEY MEDICAL 5342.1 0.029 0.308 0.337 $ 15,685
CENTER
50391 SANTA TERESITA 5281.0 0.026 0.410 0.436 $ 16,617
HOSPITAL
50392 TRINITY HOSPITAL 4730.9 0.015 0.610 0.625 $ 14,357
50393 DOWNEY COMMUNITY 5960.7 0.087 0.716 0.803 $ 16,635
HOSPITAL
50394 COMM MEM HOSP OF SAN 4498.9 0.026 0.406 0.432 $ 14,993
BUENAVENTURA
50396 SANTA BARBARA COTTAGE 5094.9 0.022 0.245 0.267 $ 15,113
HOSPITAL
50397 COALINGA REGIONAL 4421.6 0.085 0.483 0.568 $ 14,607
MEDICAL CENTER
50401 WASHINGTON MEDICAL 5057.3 0.042 0.290 0.332 $ 16,641
CENTER
50404 BIGGS-GRIDLEY 4321.4 0.015 0.424 0.439 $ 14,416
MEMORIAL HOSP.-CARE
50406 MAYERS MEMORIAL 4905.9 0.040 0.524 0.564 $ 16,208
HOSPITAL MCARE RPT
50407 CHINESE HOSPITAL 5983.1 0.034 0.513 0.547 $ 18,833
50410 SANGER GENERAL 4572.4 0.032 0.443 0.475 $ 14,607
HOSPITAL
50411 KAISER FOUNDATION 5104.8 0.039 0.361 0.400 $ 16,631
HOSPITALS -HARBOR
50414 MERCY HOSPITAL OF 5033.6 0.072 0.326 0.398 $ 16,583
FOLSOM
50417 SUTTER COAST HOSPITAL 4346.0 0.068 0.439 0.507 $ 14,357
50419 MERCY MEDICAL CENTER 4905.9 0.053 0.517 0.570 $ 16,206
MT. SHASTA
50420 ROBERT F. KENNEDY 7318.8 0.036 0.392 0.428 $ 16,626
MEDICAL CENTER
50423 PALO VERDE HOSPITAL 5030.7 0.053 0.390 0.443 $ 15,698
50424 GREEN HOSPITAL OF 5539.0 0.042 0.408 0.450 $ 16,374
SCRIPPS CLINIC
50425 KFH - SACRAMENTO 5398.6 0.039 0.361 0.400 $ 16,553
50426 WEST ANAHEIM MEDICAL 5079.2 0.024 0.242 0.266 $ 15,990
CENTER
50427 AVALON MUNICIPAL 5106.9 0.039 0.610 0.649 $ 16,617
HOSPITAL
50430 MODOC MEDICAL CENTER 4730.9 0.019 0.557 0.576 $ 14,357
50432 GARFIELD MEDICAL CTR. 8463.2 0.016 0.361 0.377 $ 16,611
50433 INDIAN VALLEY 4346.0 0.020 0.563 0.583 $ 14,357
HOSPITAL
50434 COLUSA COMMUNITY 4730.9 0.039 0.596 0.635 $ 14,357
HOSPITAL
50435 FALLBROOK DISTRICT 5028.5 0.024 0.374 0.398 $ 16,362
HOSPITAL
50438 HUNTINGTON MEMORIAL 6155.8 0.028 0.332 0.360 $ 16,624
HOSPITAL
50440 HOWARD MEMORIAL 4303.8 0.049 0.433 0.482 $ 14,357
HOSPITAL
50441 STANFORD UNIVERSITY 8212.0 0.032 0.327 0.359 $ 18,195
HOSPITAL
50443 JOHN C. FREMONT 4346.0 0.027 0.518 0.545 $ 14,357
HOSPITAL
50444 SUTTER MERCED MEDICAL 6086.4 0.033 0.340 0.373 $ 14,357
CENTER
50446 TEHACHAPI VALLEY 4346.0 0.051 0.974 1.025 $ 14,357
HOSP. DIST.
50447 VILLA VIEW COMMUNITY 7531.8 0.068 0.374 0.442 $ 16,397
HOSPITAL
50448 RIDGECREST REGIONAL 4346.0 0.045 0.442 0.487 $ 14,357
HOSPITAL
50449 VALLEY COMMUNITY 4530.4 0.059 0.240 0.299 $ 15,110
HOSPITAL
50454 UC SAN FRANCISCO 9962.8 0.033 0.324 0.357 $ 18,838
MEDICAL CENTER
50455 SAN JOAQUIN COMMUNITY 5021.5 0.022 0.352 0.374 $ 14,357
HOSPITAL
50456 GARDENA PHYSICIANS 5057.3 0.048 0.694 0.742 $ 16,619
HOSP. INC.
50457 ST. MARY MEDICAL 6681.9 0.033 0.272 0.305 $ 18,840
CENTER
50464 DOCTORS MEDICAL 5775.5 0.018 0.361 0.379 $ 14,907
CENTER OF MODESTO
50468 MEMORIAL HOSPITAL OF 6576.1 0.022 0.310 0.332 $ 16,620
GARDENA
50469 COLORADO RIVER 4817.5 0.022 0.777 0.799 $ 15,661
MEDICAL CENTER
50470 SELMA DISTRICT 4618.3 0.022 0.615 0.637 $ 14,607
HOSPITAL
50471 GOOD SAMARITAN 6314.2 0.016 0.293 0.309 $ 16,614
HOSPITAL
50476 SUTTER LAKESIDE 4346.0 0.040 0.418 0.458 $ 14,357
HOSPITAL
50477 MIDWAY HOSPITAL 5687.7 0.052 0.234 0.286 $ 16,661
MEDICAL CENTER
50478 SANTA YNEZ VALLEY 4574.9 0.053 0.424 0.477 $ 15,112
COTTAGE HOSPITAL
50481 WEST HILLS REG 5065.2 0.025 0.249 0.274 $ 16,628
MEDICAL CENTER
50482 JEROLD PHELPS 4730.9 0.029 0.661 0.690 $ 14,357
COMMUNITY HOSPITAL
50485 LONG BEACH MEMORIAL 6475.2 0.038 0.401 0.439 $ 16,627
MEDICAL CENTER
50488 EDEN MEDICAL CENTER 6177.8 0.026 0.327 0.353 $ 19,642
50491 SANTA ANA HOSPITAL 5078.2 0.129 0.371 0.500 $ 16,056
MEDICAL CENTER
50492 CLOVIS COMMUNITY 4663.9 0.087 0.400 0.487 $ 14,606
HOSPITAL
50494 TAHOE FOREST HOSPITAL 4996.6 0.050 0.539 0.589 $ 16,507
50496 MT. DIABLO MEDICAL 6186.0 0.032 0.265 0.297 $ 19,644
CENTER
50497 DOS PALOS MEMORIAL 4303.8 0.039 0.365 0.404 $ 14,357
HOSPITAL
50498 SUTTER AUBURN FAITH 5033.6 0.026 0.320 0.346 $ 16,545
HOSPITAL
50502 ST. VINCENT MEDICAL 6665.5 0.031 0.297 0.328 $ 16,630
CENTER
50503 SCRIPPS MEMORIAL 4979.7 0.031 0.302 0.333 $ 16,374
HOSPITAL-ENCINITAS
50506 SIERRA VISTA REGIONAL 4935.5 0.027 0.253 0.280 $ 15,191
MED CTR
50510 KFH - SAN RAFAEL 5977.4 0.039 0.361 0.400 $ 19,643
50512 KFH - HAYWARD 6050.0 0.039 0.361 0.400 $ 19,643
50515 KAISER FOUND. 5093.3 0.039 0.361 0.400 $ 16,376
HOSPITALS -SAN
DIEGO
50516 MERCY SAN JUAN 5633.1 0.025 0.243 0.268 $ 16,551
HOSPITAL
50517 VICTOR VALLEY 5987.7 0.030 0.281 0.311 $ 15,689
COMMUNITY HOSPITAL
50522 DOCTORS HOSPITAL OF 5974.6 0.023 0.261 0.284 $ 19,642
PINOLE
50523 SUTTER DELTA MEDICAL 7027.7 0.029 0.303 0.332 $ 19,643
CENTER
50526 HUNTINGTON BEACH 5932.9 0.033 0.248 0.281 $ 16,001
MEDICAL CENTER
50528 MEMORIAL HOSPITAL-LOS 4538.5 0.031 0.292 0.323 $ 14,357
BANOS
50531 BELLFLOWER MEDICAL 7475.7 0.015 0.258 0.273 $ 16,616
CENTER
50534 JOHN F. KENNEDY 6752.0 0.025 0.212 0.237 $ 15,692
MEMORIAL HOSP.
50535 COASTAL COMMUNITIES 7877.0 0.038 0.320 0.358 $ 15,996
HOSPITAL
50537 SUTTER DAVIS HOSPITAL 4407.9 0.080 0.284 0.364 $ 14,703
50539 REDBUD COMMUNITY 4346.0 0.036 0.359 0.395 $ 14,357
HOSPITAL
50541 KFH - REDWOOD CITY 5976.1 0.039 0.361 0.400 $ 19,643
50542 KERN VALLEY HOSPITAL 4346.0 0.083 0.447 0.530 $ 14,358
DISTRICT
50543 COLLEGE HOSPITAL 7210.1 0.026 0.260 0.286 $ 15,990
COSTA MESA
50545 LANTERMAN 5281.0 0.039 0.687 0.726 $ 16,615
DEVELOPMENTAL
CENTER
50546 PORTERVILLE 4303.8 0.014 0.365 0.379 $ 14,357
DEVELOPMENTAL
CENTER
50547 SONOMA DEVELOPMENTAL 5387.6 0.039 0.782 0.821 $ 17,218
CENTER
50549 LOS ROBLES MEDICAL 4977.9 0.029 0.389 0.418 $ 16,586
CENTER
50550 CHAPMAN MEDICAL 5626.9 0.040 0.315 0.355 $ 15,999
CENTER
50551 LOS ALAMITOS MEDICAL 4875.4 0.027 0.255 0.282 $ 15,992
CTR.
50552 MOTION PICTURE AND 5057.3 0.082 0.946 1.028 $ 16,624
TELEVISION FUND
50557 MEMORIAL HOSPITAL 5018.9 0.017 0.211 0.228 $ 14,907
MODESTO
50559 DANIEL FREEMAN MARINA 5069.8 0.035 0.291 0.326 $ 16,634
HOSPITAL
50561 KAISER FOUND. 5088.7 0.039 0.361 0.400 $ 16,631
HOSPITAL - WEST LA
50564 PACIFICA HOSPITAL 4863.3 0.064 0.446 0.510 $ 16,004
50566 EASTERN PLUMAS 4346.0 0.032 0.387 0.419 $ 14,357
DISTRICT HOSP
50567 MISSION HOSP REGIONAL 4873.4 0.035 0.274 0.309 $ 15,999
MEDICAL CTR
50568 MADERA COMMUNITY 5863.2 0.020 0.470 0.490 $ 14,607
HOSPITAL
50569 MENDOCINO COAST 5133.1 0.053 0.598 0.651 $ 16,958
DISTRICT HOSPITAL
50570 FOUNTAIN VALLEY REG 6380.7 0.013 0.273 0.286 $ 15,973
MEDICAL CENTER
50571 SUBURBAN MEDICAL 8142.0 0.038 0.230 0.268 $ 16,647
CENTER
50573 EISENHOWER MEMORIAL 4779.7 0.064 0.328 0.392 $ 15,716
HOSPITAL
50575 TRI-CITY REGIONAL 6475.1 0.039 0.365 0.404 $ 16,630
MEDICAL CENTER
50577 SANTA MARTA HOSPITAL 7722.8 0.023 0.458 0.481 $ 16,613
50578 MARTIN LUTHER KING, 10471.7 0.019 0.338 0.357 $ 16,615
JR./DREW MEDICAL
50579 CENTURY CITY HOSP 5317.2 0.055 0.235 0.290 $ 16,664
50580 LAPALMA 5889.6 0.033 0.257 0.290 $ 15,999
INTERCOMMUNITY
HOSPITAL
50581 LAKEWOOD REGIONAL 5585.0 0.031 0.250 0.281 $ 16,635
MED. CTR.
50583 ALVARADO COMMUNITY 5628.4 0.035 0.245 0.280 $ 16,386
HOSPITAL
50584 US FAMILYCARE MEDICAL 5954.8 0.043 0.239 0.282 $ 15,712
CENTER
50585 SAN CLEMENTE HOSPITAL 4863.3 0.094 0.510 0.604 $ 16,016
50586 CHINO VALLEY MEDICAL 5966.5 0.035 0.329 0.364 $ 15,689
CENTER
50588 SAN DIMAS COMMUNITY 5057.3 0.028 0.235 0.263 $ 16,634
HOSPITAL
50589 PLACENTIA LINDA 4872.5 0.041 0.311 0.352 $ 16,000
COMMUNITY HOSPITAL
50590 METHODIST HOSPITAL OF 6464.5 0.028 0.356 0.384 $ 16,544
SACRAMENTO
50591 MONTEREY PARK 7802.9 0.036 0.222 0.258 $ 16,646
HOSPITAL
50592 BREA COMMUNITY 4876.0 0.029 0.285 0.314 $ 15,991
HOSPITAL
50594 WESTERN MEDICAL 6282.6 0.062 0.302 0.364 $ 16,022
CENTER ANAHEIM
50597 FOOTHILL PRESBYTERIAN 5389.1 0.031 0.398 0.429 $ 16,622
HOSPITAL
50598 MISSION BAY MEMORIAL 4979.7 0.027 0.352 0.379 $ 16,366
HOSPITAL
50599 UC DAVIS MEDICAL 9301.9 0.039 0.361 0.400 $ 16,553
CENTER
50601 TARZANA ENCINO 5670.2 0.028 0.361 0.389 $ 16,622
REGIONAL MED CTR
50603 SADDLEBACK MEMORIAL 4871.2 0.026 0.387 0.413 $ 15,979
MEDICAL CENTER
50604 KFH - SANTA TERESA 5536.5 0.039 0.361 0.400 $ 18,196
50608 DELANO REGIONAL 6006.5 0.029 0.266 0.295 $ 14,357
MEDICAL CNT.
50609 KAISER FOUNDATION 5468.5 0.039 0.361 0.400 $ 16,631
HOSPITALS -ANAHEIM
50613 SETON COASTSIDE 5729.5 0.039 0.365 0.404 $ 18,838
HOSPITAL
50615 GREATER EL MONTE 8024.6 0.048 0.244 0.292 $ 16,655
COMMUNITY HOSPITAL
50616 ST. JOHN'S PLEASANT 4494.1 0.027 0.347 0.374 $ 14,992
VALLEY HOSPITAL
50618 BEAR VALLEY COMMUNITY 4817.5 0.042 0.645 0.687 $ 15,674
HOSPITAL
50623 HIGH DESERT HOSPITAL 5281.0 0.027 0.486 0.513 $ 16,615
50624 HENRY MAYO NEWHALL 5067.0 0.051 0.302 0.353 $ 16,647
MEMORIAL HOSPITAL
50625 CEDARS-SINAI MEDICAL 6622.9 0.025 0.275 0.300 $ 16,626
CENTER
50630 INLAND VALLEY 4770.8 0.047 0.358 0.405 $ 15,697
REGIONAL MEDICAL
CENTER
50633 TWIN CITIES COMMUNITY 4553.8 0.024 0.235 0.259 $ 15,191
HOSPITAL
50636 POMERADO HOSPITAL 4979.7 0.043 0.347 0.390 $ 16,380
50638 SOUTHERN MONO HEALTH 4346.0 0.098 0.863 0.961 $ 14,357
CARE DISTRICT
50641 EAST LA DOCTOR'S 7814.3 0.041 0.389 0.430 $ 16,630
HOSPITAL
50643 HOSPITAL NAME NOT 5710.0 0.036 0.606 0.642 $ 3,953
AVAILABLE
50644 LOS ANGELES 8106.8 0.039 0.234 0.273 $ 16,647
METROPOLITAN MED
CNTR
50662 AGNEWS DEVELOPMENTAL 5778.9 0.039 0.906 0.945 $ 18,184
CENTER
50663 LOS ANGELES COMMUNITY 8162.8 0.018 0.327 0.345 $ 16,615
HOSPITAL
50667 NELSON M. HOLDERMAN 5042.8 0.024 1.182 1.206 $ 16,833
50668 LAGUNA HONDA HOSPITAL 5729.5 0.022 0.998 1.020 $ 18,826
50670 NORTH COAST HEALTH 5159.2 0.058 0.371 0.429 $ 17,201
CARE CENTERS
50674 KFH - SOUTH 5474.7 0.039 0.361 0.400 $ 16,553
SACRAMENTO
50676 SURPRISE VALLEY COMM 4346.0 0.062 0.804 0.866 $ 14,357
HOSPITAL
50677 KAISER FOUND. HOSP. - 5392.0 0.039 0.361 0.400 $ 16,631
WOODLAND HILLS
50678 ORANGE COAST MEMORIAL 4867.4 0.033 0.452 0.485 $ 15,981
MEDICAL CENTER
50680 VACAVALLEY HOSPITAL 5042.8 0.034 0.218 0.252 $ 16,815
50682 KINGSBURG MEDICAL 4572.4 0.086 0.361 0.447 $ 14,606
CENTER
50684 MENIFEE VALLEY 4770.8 0.048 0.265 0.313 $ 15,712
MEDICAL CENTER
50685 SOUTH VALLEY HOSPITAL 5534.0 0.027 0.427 0.454 $ 18,188
50686 KAISER FOUND. 5140.1 0.039 0.361 0.400 $ 15,993
HOSPITALS -
RIVERSIDE
50688 SAINT LOUISE HOSPITAL 5534.0 0.089 0.417 0.506 $ 18,214
50689 SAN RAMON REG. 5981.9 0.087 0.308 0.395 $ 19,651
MEDICAL CENTER
50690 KFH - SANTA ROSA 5161.2 0.039 0.361 0.400 $ 17,208
50693 IRVINE MEDICAL CENTER 5021.5 0.129 0.300 0.429 $ 16,073
50694 MORENO VALLEY 4981.7 0.063 0.278 0.341 $ 15,725
COMMUNITY HOSPITAL
50695 ST. DOMINIC'S 4540.3 0.072 0.380 0.452 $ 15,144
HOSPITAL
50696 USC UNIVERSITY 6232.7 0.071 0.278 0.349 $ 16,669
HOSPITAL
50697 PATIENT'S HOSPITAL OF 4858.2 0.076 0.486 0.562 $ 16,202
REDDING
50699 REDDING SPECIALTY 4858.2 0.060 0.533 0.593 $ 16,205
HOSPITAL
50701 SHARP HEALTHCARE 4979.7 0.045 0.370 0.415 $ 16,380
MURRIETA
50704 MISSION COMMUNITY 7949.1 0.030 0.369 0.399 $ 16,623
HOSPITAL
50707 RECOVERY INN OF MENLO 5729.5 0.113 0.749 0.862 $ 18,844
PARK
50708 FRESNO SURGERY CENTER 4378.7 0.100 0.498 0.598 $ 14,607
50709 DESERT VALLEY 4770.8 0.057 0.312 0.369 $ 15,712
HOSPITAL
50710 KFH - FRESNO 4379.7 0.036 0.361 0.397 $ 14,607
50713 LINCOLN HOSPITAL 5281.0 0.036 0.491 0.527 $ 16,621
MEDICAL CENTER
50714 SUTTER MATERNITY & 5726.4 0.039 0.776 0.815 $ 19,120
SURGERY CENTER
50717 RANCHO LOS AMIGOS 7608.2 0.040 0.405 0.445 $ 16,628
NATL. REHAB. CTR.
50718 VALLEY PLAZA DOCTORS 4981.7 0.036 0.361 0.397 $ 15,687
HOSPITAL
50719 THE HEART HOSPITAL 4770.8 0.039 0.365 0.404 $ 15,689
50720 TUSTIN HOSPITAL & 5078.2 0.039 0.361 0.400 $ 15,993
MEDICAL CENTER
50721 HOSPITAL NAME NOT 5057.3 0.036 0.382 0.418 $ 16,627
AVAILABLE
50722 HOSPITAL NAME NOT 4979.7 0.036 0.365 0.401 $ 16,373
AVAILABLE
50723 HOSPITAL NAME NOT 5057.3 0.036 0.365 0.401 $ 16,628
AVAILABLE





Appendix B. DRG Weights and Revised Drg Weights 2001 Rates (California revisions shown in italics incorporate the DWC Revised Ratios)
HCFA DWC DWC Geometric
2001 Revised Revised Mean
DRG
DRG Description Weigh- Ratio Weight LOS
Number ts
1 CRANIOTOMY AGE >17 EXCEPT
FOR
TRAUMA 3.097 1.000 3.097 6.3
2 CRANIOTOMY FOR TRAUMA AGE 3.1142 1.000 3.1142 7.3
>17
3 CRANIOTOMY AGE 0-17 1.9629 1.000 1.9629 12.7
4 SPINAL PROCEDURES 2.2918 0.628 1.4399 4.8
5 EXTRACRANIAL VASCULAR
PROCEDURES 1.4321 1.000 1.4321 2.3
6 CARPAL TUNNEL RELEASE 0.8246 1.000 0.8246 2.2
7 PERIPH & CRANIAL NERVE &
OTHER
NERV SYST PROC W CC 2.5919 1.000 2.5919 6.9
8 PERIPH & CRANIAL NERVE &
OTHER NERV
SYST PROC W/O CC 1.3948 0.808 1.1273 2.1
9 SPINAL DISORDERS & 1.3134 1.000 1.3134 4.7
INJURIES
10 NERVOUS SYSTEM NEOPLASMS W 1.2273 1.000 1.2273 4.9
CC
11 NERVOUS SYSTEM NEOPLASMS 0.8345 1.000 0.8345 3.1
W/O CC
12 DEGENERATIVE NERVOUS
SYSTEM
DISORDERS 0.8925 1.000 0.8925 4.5
13 MULTIPLE SCLEROSIS &
CEREBELLAR
ATAXIA 0.7644 1.000 0.7644 4.1
14 SPECIFIC CEREBROVASCULAR
DISORDERS
EXCEPT TIA 1.207 1.000 1.2070 4.7
15 TRANSIENT ISCHEMIC ATTACK
&
PRECEREBRAL OCCLUSIONS 0.748 1.000 0.7480 2.9
16 NONSPECIFIC
CEREBROVASCULAR
DISORDERS W CC 1.1652 1.000 1.1652 4.7
17 NONSPECIFIC
CEREBROVASCULAR
DISORDERS W/O CC 0.6539 1.000 0.6539 2.6
18 CRANIAL & PERIPHERAL NERVE
DISORDERS W CC 0.96 1.000 0.9600 4.3
19 CRANIAL & PERIPHERAL NERVE
DISORDERS W/O CC 0.6963 1.000 0.6963 2.9
20 NERVOUS SYSTEM INFECTION
EXCEPT
VIRAL MENINGITIS 2.7744 1.000 2.7744 7.9
21 VIRAL MENINGITIS 1.4966 1.000 1.4966 5.2
22 HYPERTENSIVE 1.0082 1.000 1.0082 3.8
ENCEPHALOPATHY
23 NONTRAUMATIC STUPOR & COMA 0.8027 1.000 0.8027 3.2
24 SEIZURE & HEADACHE AGE >17 0.9914 1.000 0.9914 3.7
W CC
25 SEIZURE & HEADACHE AGE >17 0.6043 0.749 0.4523 2.6
W/O CC
26 SEIZURE & HEADACHE AGE 0.6441 1.000 0.6441 2.4
0-17
27 TRAUMATIC STUPOR & COMA,
COMA >1 HR 1.2912 1.000 1.2912 3.2
28 TRAUMATIC STUPOR & COMA,
COMA
< 1 HR AGE >17 W CC 1.3102 1.000 1.3102 4.5
29 TRAUMATIC STUPOR & COMA,
COMA
< 1 HR AGE >17 W/O CC 0.7015 1.003 0.7033 2.8
30 TRAUMATIC STUPOR & COMA,
COMA
< 1HR AGE 0-17 0.332 1.000 0.3320 2
31 CONCUSSION AGE >17 W CC 0.8715 1.000 0.8715 3.1
32 CONCUSSION AGE >17 W/O CC 0.5422 0.875 0.4744 2.1
33 CONCUSSION AGE 0-17 0.2086 1.000 0.2086 1.6
34 OTHER DISORDERS OF NERVOUS
SYSTEM
W CC 1.0099 1.000 1.0099 3.8
35 OTHER DISORDERS OF NERVOUS
SYSTEM
W/O CC 0.6027 1.000 0.6027 2.7
36 RETINAL PROCEDURES 0.6639 1.000 0.6639 1.2
37 ORBITAL PROCEDURES 1.0016 1.000 1.0016 2.6
38 PRIMARY IRIS PROCEDURES 0.4833 1.000 0.4833 1.8
39 LENS PROCEDURES WITH OR
WITHOUT
VITRECTOMY 0.5778 1.000 0.5778 1.5
40 EXTRAOCULAR PROCEDURES
EXCEPT ORBIT
AGE >17 0.8635 1.000 0.8635 2.3
41 EXTRAOCULAR PROCEDURES
EXCEPT ORBIT
AGE 0-17 0.338 1.000 0.3380 1.6
42 INTRAOCULAR PROCEDURES
EXCEPT RETINA,
IRIS & LENS 0.6478 1.066 0.6906 1.6
43 HYPHEMA 0.4977 1.000 0.4977 2.6
44 ACUTE MAJOR EYE INFECTIONS 0.6337 1.000 0.6337 4.1
45 NEUROLOGICAL EYE DISORDERS 0.7022 1.000 0.7022 2.7
46 OTHER DISORDERS OF THE EYE 0.7749 1.000 0.7749 3.5
AGE >17 W CC
47 OTHER DISORDERS OF THE EYE 0.5085 1.000 0.5085 2.5
AGE >17 W/O CC
48 OTHER DISORDERS OF THE EYE 0.2977 1.000 0.2977 2.9
AGE 0-17
49 MAJOR HEAD & NECK 1.8301 1.000 1.8301 3.5
PROCEDURES
50 SIALOADENECTOMY 0.8537 1.000 0.8537 1.6
51 SALIVARY GLAND PROCEDURES
EXCEPT
SIALOADENECTOMY 0.7934 1.000 0.7934 1.8
52 CLEFT LIP & PALATE REPAIR 0.841 1.000 0.8410 1.6
53 SINUS & MASTOID PROCEDURES 1.2118 1.000 1.2118 2.3
AGE >17
54 SINUS & MASTOID PROCEDURES 0.4826 1.000 0.4826 3.2
AGE 0-17
55 MISCELLANEOUS EAR, NOSE,
MOUTH &
THROAT PROCEDURES 0.9039 1.000 0.9039 1.9
56 RHINOPLASTY 0.9451 1.000 0.9451 2.1
57 T&A PROC, EXCEPT
TONSILLECTOMY &/OR
ADENOIDECTOMY ONLY, AGE 1.0704 1.000 1.0704 2.5
>17
58 T&A PROC, EXCEPT
TONSILLECTOMY &/OR
ADENOIDECTOMY ONLY, AGE 0.274 1.000 0.2740 1.5
0-17
59 TONSILLECTOMY &/OR
ADENOIDECTOMY
ONLY, AGE >17 0.6943 1.000 0.6943 1.8
60 TONSILLECTOMY &/OR
ADENOIDECTOMY ONLY,
AGE 0-17 0.2087 1.000 0.2087 1.5
61 MYRINGOTOMY W TUBE 1.266 1.000 1.2660 2.8
INSERTION AGE >17
62 MYRINGOTOMY W TUBE 0.2955 1.000 0.2955 1.3
INSERTION AGE 0-17
63 OTHER EAR, NOSE, MOUTH &
THROAT O.R.
PROCEDURES 1.3402 0.875 1.1731 3
64 EAR, NOSE, MOUTH & THROAT 1.2288 1.000 1.2288 4.3
MALIGNANCY
65 DYSEQUILIBRIUM 0.5385 1.000 0.5385 2.3
66 EPISTAXIS 0.559 1.000 0.5590 2.5
67 EPIGLOTTITIS 0.8105 1.000 0.8105 2.8
68 OTITIS MEDIA & URI AGE >17 0.675 1.000 0.6750 3.4
W CC
69 OTITIS MEDIA & URI AGE >17 0.5152 1.000 0.5152 2.7
W/O CC
70 OTITIS MEDIA & URI AGE 0.4628 1.000 0.4628 2.4
0-17
71 LARYNGOTRACHEITIS 0.7712 1.000 0.7712 3
72 NASAL TRAUMA & DEFORMITY 0.6428 1.000 0.6428 2.6
73 OTHER EAR, NOSE, MOUTH &
THROAT
DIAGNOSES AGE >17 0.7777 1.000 0.7777 3.3
74 OTHER EAR, NOSE, MOUTH &
THROAT
DIAGNOSES AGE 0-17 0.3358 1.000 0.3358 2.1
75 MAJOR CHEST PROCEDURES 3.1331 1.000 3.1331 7.8
76 OTHER RESP SYSTEM O.R. 2.7908 1.000 2.7908 8.4
PROCEDURES W CC
77 OTHER RESP SYSTEM O.R.
PROCEDURES
W/O CC 1.1887 1.000 1.1887 3.5
78 PULMONARY EMBOLISM 1.3698 1.000 1.3698 6
79 RESPIRATORY INFECTIONS &
INFLAMMATIONS
AGE >17 W CC 1.6501 1.000 1.6501 6.6
80 RESPIRATORY INFECTIONS &
INFLAMMATIONS
AGE >17 W/O CC 0.9373 1.000 0.9373 4.7
81 RESPIRATORY INFECTIONS &
INFLAMMATIONS
AGE 0-17 1.5204 1.000 1.5204 6.1
82 RESPIRATORY NEOPLASMS 1.3799 1.000 1.3799 5.2
83 MAJOR CHEST TRAUMA W CC 0.9808 1.000 0.9808 4.4
84 MAJOR CHEST TRAUMA W/O CC 0.5539 1.000 0.5539 2.8
85 PLEURAL EFFUSION W CC 1.2198 1.000 1.2198 4.9
86 PLEURAL EFFUSION W/O CC 0.6984 1.000 0.6984 2.9
87 PULMONARY EDEMA &
RESPIRATORY
FAILURE 1.3781 1.000 1.3781 4.8
88 CHRONIC OBSTRUCTIVE
PULMONARY
DISEASE 0.9317 1.000 0.9317 4.2
89 SIMPLE PNEUMONIA &
PLEURISY AGE >17
W CC 1.0647 1.000 1.0647 5
90 SIMPLE PNEUMONIA &
PLEURISY AGE >17
W/O CC 0.659 1.000 0.6590 3.6
91 SIMPLE PNEUMONIA & 0.689 1.000 0.6890 2.8
PLEURISY AGE 0-17
92 INTERSTITIAL LUNG DISEASE 1.1863 1.000 1.1863 5
WCC (continued)