Sioux Falls: Sioux Valley Hospital USD Medical Center        
CY2005          
  Case Severity      
DRG DRG Description Rating Discharges Rank Median Charge
391 Normal Newborn 0.1544 2302 1 $1,883.69
373 Uncomplicated Vaginal Delivery 0.3556 1847 2 $5,225.30
371 Uncomplicated Cesarean Section 0.6066 728 3 $9,713.96
209 Major Hip, Knee, Ankle, Foot Surgery including Replacement 2.0332 581 4 $29,094.57
462 Rehabilitation 0.87 478 5 $15,294.28
359 Hysterectomy and Ovarian Procedures 0.7948 433 6 $12,812.74
89 Pneumonia, Adult, Complicated 1.032 347 7 $12,990.24
527 Implant of Drug Coated Stent without Heart Attack 2.3282 341 8 $20,838.92
288 O.R. Procedures for Obesity including Gastric Bypass/Banding 2.0384 325 9 $16,931.01
390 Newborn with Significant Problems 1.1406 300 10 $3,049.45
182 Digestive Disorders, Adult, Complicated 0.8413 283 11 $9,714.43
14 Stroke 1.2456 270 12 $13,799.41
298 Disorders related to Metabolism, Adolescent 0.5486 253 13 $3,490.93
148 Major Small and Large Bowel Procedures, Complicated 3.4479 250 14 $38,536.17
91 Pneumonia, Adolescent 0.8124 247 15 $8,158.55
498 Spinal Fusion, Uncomplicated 2.7791 232 16 $55,580.22
88 Chronic Obstructive Pulmonary Disease 0.8778 227 17 $12,360.70
174 Stomach and Intestinal Bleeding, Complicated 1.006 206 18 $11,440.10
388 Premature Infant without Major Problems 1.8929 205 19 $19,400.12
98 Bronchitis and Asthma, Adolescent 0.556 204 20 $6,691.92
243 Medical Back Problems 0.7658 202 21 $7,981.53
544 Major Joint Replacement or Reattachment of Lower Extremity 1.9643 201 22 $28,801.64
127 Heart Failure and Shock 1.0345 200 23 $11,616.30
389 Full Term Newborn with Major Problems 3.2226 184 24 $19,233.64
372 Vaginal Delivery, Complicated 0.5027 180 25 $6,467.52
         
         
Source:  SDAHO Dimensions Program January-December 2005; Iowa Hospital Association and 3M Medicare Grouper   
Version 22 & 23 (Federal Fiscal Year October 1 thru September 30).        
         
Note: Case Severity Rating equals CMS Version 23 numeric weights. The following DRG codes expired on October 1, 2005 DRG 107, 
109, 116, 209, 478, 516, 517, 526, and 527 for these DRGs the case severity rating equals CMS Version 22 numeric weights.