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National Health Statistics - National Bill 

Statistics for U.S. hospital stays, The national bill for conditions treated in the hospital (top 100 CCS diagnoses), Healthcare Cost and Utilization Project (HCUP) Nationwide Inpatient Sample (NIS), 1997
Rank Diagnoses (CCS category number and name) Number of Discharges % of Discharges National Bill*
1 101 Coronary atherosclerosis 1,431,536 4.0% 26,617,429,008
2 100 Acute myocardial infarction 745,732 2.1% 16,713,695,270
3 122 Pneumonia (except that caused by tuberculosis and sexually transmitted diseases) 1,258,188 3.6% 15,637,721,038
4 218 Liveborn 3,844,925 10.9% 13,824,883,126
5 108 Congestive heart failure, nonhypertensive 1,011,268 2.9% 11,953,793,848
6 237 Complication of device, implant or graft 500,058 1.4% 9,976,316,240
7 109 Acute cerebrovascular disease 638,432 1.8% 9,939,550,314
8 203 Osteoarthritis 437,210 1.2% 8,539,631,490
9 2 Septicemia (except in labor) 421,300 1.2% 7,503,008,208
10 254 Rehabilitation care, fitting of prostheses, and adjustment of devices 406,599 1.1% 6,844,393,133
11 205 Spondylosis, intervertebral disc disorders, other back problems 548,332 1.5% 6,398,337,354
12 131 Respiratory failure, insufficiency, arrest (adult) 203,416 0.6% 6,278,334,086
13 106 Cardiac dysrhythmias 582,951 1.6% 6,117,028,740
14 127 Chronic obstructive pulmonary disease and bronchiectasis 565,299 1.6% 6,055,364,723
15 149 Biliary tract disease 464,232 1.3% 5,967,713,619
16 226 Fracture of neck of femur (hip) 343,728 1.0% 5,884,781,629
17 69 Affective disorders 596,097 1.7% 5,120,293,434
18 238 Complications of surgical procedures or medical care 358,004 1.0% 5,112,394,419
19 50 Diabetes mellitus with complications 416,420 1.2% 4,838,389,530
20 42 Secondary malignancies 270,581 0.8% 4,780,508,399
21 96 Heart valve disorders 95,721 0.3% 4,520,016,159
22 145 Intestinal obstruction without hernia 280,261 0.8% 3,913,587,127
23 129 Aspiration pneumonitis, food/vomitus 186,938 0.5% 3,776,939,893
24 233 Intracranial injury 161,083 0.5% 3,717,889,748
25 99 Hypertension with complications and secondary hypertension 256,641 0.7% 3,550,638,587
26 230 Fracture of lower limb 255,343 0.7% 3,538,756,541
27 153 Gastrointestinal hemorrhage 319,133 0.9% 3,513,278,670
28 55 Fluid and electrolyte disorders 477,583 1.3% 3,302,188,206
29 159 Urinary tract infections 414,522 1.2% 3,244,249,259
30 19 Cancer of bronchus, lung 157,702 0.4% 3,231,066,620
31 115 Aortic, peripheral, and visceral artery aneurysms 83,583 0.2% 3,152,669,171
32 152 Pancreatic disorders (not diabetes) 205,341 0.6% 3,123,994,240
33 146 Diverticulosis and diverticulitis 236,031 0.7% 3,122,918,987
34 114 Peripheral and visceral atherosclerosis 148,271 0.4% 3,085,937,053
35 102 Nonspecific chest pain 547,095 1.5% 3,040,659,015
36 70 Schizophrenia and related disorders 266,982 0.8% 2,991,318,557
37 14 Cancer of colon 118,470 0.3% 2,835,994,881
38 128 Asthma 433,159 1.2% 2,752,309,075
39 197 Skin and subcutaneous tissue infections 336,138 0.9% 2,738,285,816
40 193 Trauma to perineum and vulva 725,701 2.0% 2,658,683,224
41 45 Maintenance chemotherapy, radiotherapy 221,568 0.6% 2,636,607,228
42 234 Crushing injury or internal injury 93,982 0.3% 2,485,449,138
43 190 Fetal distress and abnormal forces of labor 427,176 1.2% 2,329,619,241
44 142 Appendicitis and other appendiceal conditions 224,430 0.6% 2,327,262,709
45 155 Other gastrointestinal disorders 167,576 0.5% 2,303,966,355
46 47 Other benign neoplasm 157,768 0.4% 2,239,881,721
47 5 HIV infection 101,143 0.3% 2,149,278,815
48 231 Other fractures 161,071 0.5% 2,111,247,930
49 110 Occlusion or stenosis of precerebral arteries 168,490 0.5% 2,090,579,087
50 46 Benign neoplasm of uterus 233,850 0.7% 2,082,121,603
51 196 Normal pregnancy and/or delivery 554,692 1.6% 1,996,574,430
52 143 Abdominal hernia 161,894 0.5% 1,932,789,354
53 195 Other complications of birth, puerperium affecting management of the mother 403,254 1.1% 1,927,337,646
54 83 Epilepsy, convulsions 221,545 0.6% 1,832,361,708
55 39 Leukemias 39,858 0.1% 1,742,465,861
56 157 Acute and unspecified renal failure 99,607 0.3% 1,733,647,603
57 213 Cardiac and circulatory congenital anomalies 42,005 0.1% 1,719,706,911
58 181 Other complications of pregnancy 373,489 1.1% 1,670,793,565
59 118 Phlebitis, thrombophlebitis and thromboembolism 181,604 0.5% 1,667,481,492
60 97 Peri-, endo-, and myocarditis, cardiomyopathy (except that caused by tuberculosis and sexually transmitted diseases) 80,767 0.2% 1,645,301,483
61 189 Previous C-section 276,439 0.8% 1,599,531,186
62 151 Other liver diseases 84,337 0.2% 1,599,213,740
63 130 Pleurisy, pneumothorax, pulmonary collapse 103,491 0.3% 1,567,449,665
64 133 Other lower respiratory disease 156,266 0.4% 1,549,181,546
65 184 Early or threatened labor 265,333 0.7% 1,497,105,310
66 138 Esophageal disorders 166,542 0.5% 1,478,080,862
67 95 Other nervous system disorders 109,090 0.3% 1,455,073,206
68 229 Fracture of upper limb 135,633 0.4% 1,398,236,815
69 112 Transient cerebral ischemia 193,803 0.5% 1,357,878,459
70 248 Gangrene 55,731 0.2% 1,356,329,031
71 170 Prolapse of female genital organs 159,176 0.4% 1,337,977,941
72 24 Cancer of breast 128,325 0.4% 1,328,419,365
73 68 Senility and organic mental disorders 136,517 0.4% 1,326,715,879
74 103 Pulmonary heart disease 81,678 0.2% 1,320,111,205
75 212 Other bone disease and musculoskeletal deformities 87,503 0.2% 1,304,415,218
76 38 Non-Hodgkin's lymphoma 50,076 0.1% 1,303,766,689
77 201 Infective arthritis and osteomyelitis (except that caused by tuberculosis and sexually transmitted disease) 70,313 0.2% 1,293,420,798
78 125 Acute bronchitis 223,852 0.6% 1,278,105,272
79 245 Syncope 193,830 0.5% 1,277,178,916
80 66 Alcohol-related mental disorders 243,081 0.7% 1,264,001,859
81 29 Cancer of prostate 105,096 0.3% 1,262,278,201
82 183 Hypertension complicating pregnancy, childbirth and the puerperium 188,472 0.5% 1,237,239,064
83 116 Aortic and peripheral arterial embolism or thrombosis 50,878 0.1% 1,211,107,339
84 160 Calculus of urinary tract 184,791 0.5% 1,201,835,801
85 240 Burns 35,107 0.1% 1,198,576,189
86 199 Chronic ulcer of skin 76,175 0.2% 1,197,658,585
87 150 Liver disease, alcohol-related 64,229 0.2% 1,171,354,364
88 191 Polyhydramnios and other problems of amniotic cavity 205,545 0.6% 1,168,924,721
89 105 Conduction disorders 66,468 0.2% 1,135,935,289
90 219 Short gestation, low birth weight, and fetal growth retardation 22,553 0.1% 1,102,760,712
91 140 Gastritis and duodenitis 143,870 0.4% 1,094,102,907
92 15 Cancer of rectum and anus 46,887 0.1% 1,086,002,965
93 187 Malposition, malpresentation 164,864 0.5% 1,064,234,781
94 211 Other connective tissue disease 106,895 0.3% 1,055,057,666
95 117 Other circulatory disease 92,943 0.3% 1,046,962,041
96 192 Umbilical cord complication 264,063 0.7% 1,003,723,080
97 144 Regional enteritis and ulcerative colitis 69,792 0.2% 977,617,126
98 59 Anemia 101,947 0.3% 962,102,305
99 224 Other perinatal conditions 56,909 0.2% 948,742,771
100 175 Other female genital disorders 108,979 0.3% 936,268,780
* Aggregate charges for hospital stays where this was the principal diagnosis, in U.S. dollars (1997)

Internet Citation: HCUPnet, Healthcare Cost and Utilization Project. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/data/hcup/hcupnet.htm


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