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Introductory Notes to Cost Weights

These notes provide assistance in interpreting the cost weight tables that follow.
For further information, see Glossary of the National Hospital Cost Data Collection Cost Report Round 12 (2007-08) for detailed
definitions of NHCDC terms or the National Hospital Cost Data Collection Hospital Reference Manual Round 12 (2007-08) for a
detailed explanation of each of the cost buckets described below.
Additional notes
The sample separations submitted to the NHCDC have been population adjusted in all tables and cost weights except where noted.
Hospitals with less than 200 acute separations or classed as same day facilities were excluded from both sample and population hospitals.
Care should be taken when comparing average costs between the public and private sectors as cost components differ between sectors.
Slight differences may occur between figures in the tables displayed in the Round 12 Cost Report and figures displayed in the attached
Cost Weight reports due to rounding.
Cost Weight Table Columns
The following is a brief explanation of each of the cost bucket columns displayed in the Cost Weight Report.
AR-DRG
AR-DRGs or Australian Refined Diagnosis Related Groups is a patient classification scheme that provides a clinically meaningful way of
relating the number and types of patients treated in a hospital to the resources required by the hospital.
AR-DRG Description
Descriptive text for the AR-DRG code.
Cost Weight
A measure of the average cost of an DRG, compared with the average cost of all DRGs. The average cost of all DRGs is given a cost weight of 1.0.
Standard Error
Standard errors indicate the reliability of cost weights in terms of variation in costs and variation from the sample design.
Number of Seps
This column displays the number of separations. A separation is termed to be one complete episode of care for a given patient.
Number of Days
Number of Days is the sum of lengths of stay of the separations for a given DRG.

Date Printed: 5/1/2012

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Page 1

Date Printed: 5/1/2012

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Page 2

ALOS
The ALOS is calculated by dividing the number of days by the number of separations for each DRG.
There may be minor variations at decimal place level for some DRGs with low volumes.

Average Cost per DRG ($)


The following gives a break down of the average cost for each DRG.
Total
The Total column displays the total average cost for each DRG.
Direct
The Direct column displays the total direct average cost for each DRG.
Ohead
The Ohead column displays the total overhead average cost for each DRG.
Average Component Cost per DRG ($)
The following are the average component (or bucket) costs for each DRG.
Ward Medical
Also known as Medical Clinical Services, this bucket includes the salaries and wages
of all medical officers including sessional payments.
Ward Nursing
Also known as Nursing Clinical Services, this bucket includes all costs associated with nursing
care in general ward areas.

Date Printed: 5/1/2012

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Page 3

Average Component Cost per DRG ($) Cont.


Non Clinical Salaries
This bucket was renamed Other from Non-clinical Salaries in Round 4. This bucket contains all
other costs of service provision for each inpatient separation during the Round.
These costs are primarily other salaries and wages such as patient care assistants.
Pathology
This column reports costs recorded from diagnostic clinical laboratory tests for the diagnosis
and treatment of patients.
Imaging
This bucket contains costs for diagnostic and therapeutic images produced under the direction
of a qualified radiographer or suitably qualified technician and reported by a medical practitioner (radiologist).
Allied
Allied is an abbreviation for the Allied Health cost bucket. The Allied Health cost bucket reports costs delivered to
clinical services by qualified health professionals (exclusive of medical and nurse trained personnel) who have direct patient
contact and provide services in Audiology, Dietetics/Nutrition, Occupational Therapy, Optometry, Orthotics, Physiotherapy,
Podiatry, Social Work, Psychology, Speech Pathology and other Allied Health.
Pharmacy
This column reports costs associated with the provision of pharmaceuticals including purchasing, production, distribution,
supply and storage of drug products and clinical pharmacy services.
Critical Care
The Critical Care cost bucket is the combination of intensive care and coronary care costs.
Oper Rooms
Oper Rooms is an abbreviation for the Operating Rooms cost bucket and reports costs for a health care facility under
sterile conditions, where significant surgical procedures are carried out under the direction of suitably qualified
medical practitioners.
Emerg Depts
This column displays costs reported for health care facilities designed and equipped specifically to provide an environment
where patients presenting in an unscheduled manner can be triaged, assessed and treated.

Date Printed: 5/1/2012

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Page 4

Date Printed: 5/1/2012

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Page 5

Supplies
Supplies is an abbreviation for the Supplies and Ward Overheads cost bucket. It includes costs for goods and services,
medical and surgical supplies, ward overheads and clinical department overheads.
Spec Proc Suites (or SPS)
Spec Proc Suites is an abbreviation for the Specialist Procedure Suites cost bucket. This includes costs equipped
specifically to provide an environment where diagnostic and therapeutic procedures can be performed under the direction of
suitably qualified medical practitioners. Does not include Operating Room costs.
Prostheses
This column displays costs of prostheses and includes prostheses appearing on hospital accounts as well as a best estimate of the prostheses whose costs
where missed because of acquisition by the patient or doctor.
On-Costs
The On-Costs cost bucket includes indirect salary costs like superannuation, termination payments, lump sum payments, fringe benefits tax, long service
leave, workers compensation and recruitment costs.
Hotel
The Hotel cost bucket reports costs of hotel services and is a grouping of the following overhead costs: cleaning, linen and laundry, food services, general
hotel, porters and orderlies.
Deprec
The Deprec bucket reports depreciation costs. Note that depreciation is not reported consistently between jurisdictions.
No. of Hosps
This column displays the number of sample hospitals which reported data for a particular AR-DRG.
Additional information
Any additional information can be accessed at the Casemix website:
www.health.gov.au/casemix

Date Printed: 5/1/2012

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Page 6

Public Sector - Estimated


Round 12 (2007-08)
AR-DRG 5.1
Cost Report

Date Printed: 5/1/2012

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Page 7

NATIONAL HOSPITAL COST DATA COLLECTION

V5.1 Public Sector

COST WEIGHTS FOR AR-DRG VERSION 5.1, Round 12 (2007-08)


Public Sector - Estimated
DRG Description

DRG
A01Z
A03Z
A05Z
A06Z
A07Z
A08A
A08B
A09A
A09B
A40Z
A41A
A41B
B01Z
B02A
B02B
B02C
B03A
B03B
B04A
B04B
B05Z
B06A
B06B
B07A
B07B
B40Z
B41Z
B60A
B60B
B61A
B61B
B62Z

Liver Transplant
Lung Or Heart/Lung Transplant
Heart Transplant
Tracheostomy Or Ventilation>95
Allog Bone Marrow Transplant
Auto Bone Marrow Transplnt+CCC
Auto Bone Marrow Transplnt-CCC
Renal Transplant+Pancreas/+CCC
Renal Transplant -Pancreas-CCC
Ecmo - Cardiac Surgery
Intubation Age<16+CC
Intubation Age<16-CC
Ventricular Shunt Revision
Craniotomy + CCC
Craniotomy + SMCC
Craniotomy - CC
Spinal Procedures + CSCC
Spinal Procedures - CSCC
Extracranial Vascular Pr +CSCC
Extracranial Vascular Pr -CSCC
Carpal Tunnel Release
Cbl Psy,Mus Dysy,Npthy Pr+CSCC
Cbl Psy,Mus Dysy,Npthy Pr-CSCC
Prphl & Cranl Nerv & Oth Pr+CC
Prphl & Cranl Nerv & Oth Pr-CC
Plasmapheresis + Neurolgcl Dis
Telemetric Eeg Monitoring
Estab Para/Quad+/-OR Pr+CCC
Estab Para/Quad+/-OR Pr-CCC
Spinal Cord Cond+/-OR Pr +CSCC
Spinal Cord Cond+/-OR Pr -CSCC
Admit For Apheresis

Date Printed: 5/1/2012

Cost

Standard

Number

Number

ALOS

Average Cost per DRG ($)

Weight

Error

of Seps

of Days

(Days)

Total

35.12
25.13
27.83
23.62
19.69
10.31
3.44
13.70
8.01
37.06
6.66
2.29
3.13
8.87
5.30
4.06
7.65
3.21
3.94
2.31
0.48
5.51
1.12
3.34
1.21
1.30
1.57
7.15
1.99
6.82
2.08
0.32

0.79
0.23
1.01
0.08
0.44
0.20
0.15
0.40
0.12
0.34
0.12
0.03
0.03
0.04
0.04
0.03
0.08
0.03
0.04
0.02
0.01
0.33
0.01
0.03
0.01
0.04
0.01
0.10
0.04
0.07
0.14
0.01

148
92
70
8,468
391
469
357
239
425
80
807
490
403
1,979
2,279
3,183
237
725
655
1,164
12,447
236
2,260
522
3,128
361
850
1,110
4,357
389
850
3,931

5,014
2,738
2,180
248,674
13,282
11,133
3,250
3,636
3,688
2,616
8,382
1,779
2,718
36,341
23,110
21,700
4,386
3,268
5,354
4,020
13,175
4,060
3,809
4,493
5,263
1,554
3,971
25,076
26,899
6,387
3,900
3,983

33.8
29.82
31.12
29.37
33.99
23.76
9.1
15.19
8.68
32.87
10.38
3.63
6.74
18.37
10.14
6.82
18.5
4.51
8.18
3.45
1.06
17.24
1.69
8.61
1.68
4.31
4.67
22.58
6.17
16.44
4.59
1.01

Direct

137,225 115,194
98,173 85,809
108,741 91,050
92,274 75,342
76,947 63,940
40,271 32,695
13,444 10,852
53,532 45,947
31,283 27,499
144,785 118,728
26,013 21,299
8,958
7,277
12,215
9,920
34,654 28,456
20,703 16,965
15,880 13,072
29,874 24,224
12,525 10,480
15,384 12,295
9,009
7,279
1,858
1,409
21,521 17,083
4,387
3,470
13,069 10,419
4,712
3,731
5,071
4,045
6,125
4,803
27,934 22,119
7,786
6,007
26,649 21,638
8,126
6,562
1,255
970

Ohead

22,032
12,364
17,691
16,932
13,007
7,576
2,592
7,585
3,784
26,057
4,714
1,681
2,295
6,198
3,738
2,808
5,650
2,045
3,089
1,730
450
4,438
917
2,650
981
1,025
1,322
5,815
1,779
5,011
1,564
286

Average Component Cost per DRG ($)


Ward Medical

Ward Nursing

Direct

Direct

25,644
6,699
8,595
5,001
3,989
2,647
855
4,140
3,237
11,611
2,334
902
1,290
3,168
1,747
1,374
3,035
1,183
1,530
947
248
2,477
447
1,366
432
662
1,207
2,726
895
1,836
634
69

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Ohead

2,662
1,480
3,868
790
1,403
796
207
865
488
2,478
336
88
178
480
228
174
415
148
301
150
22
333
56
235
61
117
220
479
124
404
90
26

16,854
11,290
4,951
5,625
16,700
9,758
3,540
8,037
4,915
6,302
4,070
1,178
2,345
6,103
3,084
2,076
6,073
1,588
2,544
884
113
5,666
505
2,650
420
1,473
1,937
8,825
2,084
6,515
1,767
279

Ohead

2,670
1,527
545
1,247
3,149
2,285
487
1,113
718
1,743
629
174
526
1,282
645
454
1,220
301
552
194
34
1,194
104
563
116
310
455
1,858
458
1,340
331
88

Non
Clinical
Salaries

Pathology
Direct

Ohead

7,010 4,298 1,653


2,319 6,218
872
7,897 5,775
976
2,300 3,614
447
3,155 6,435 1,163
1,637 2,694
522
899 1,067
170
1,687 2,986
321
1,121 1,209
138
1,184 11,031 2,751
747 1,178
181
256
369
49
394
264
29
1,008 1,184
172
626
556
70
450
364
43
1,294
828
116
426
146
17
532
324
53
214
150
17
64
7
1
1,276
878
57
160
105
11
515
362
45
128
41
5
297
172
25
342
70
13
1,791
781
121
486
193
21
1,729
599
96
366
138
17
35
184
68

Page 8

ublic Sector

Average Component Cost per DRG ($)

DRG
A01Z
A03Z
A05Z
A06Z
A07Z
A08A
A08B
A09A
A09B
A40Z
A41A
A41B
B01Z
B02A
B02B
B02C
B03A
B03B
B04A
B04B
B05Z
B06A
B06B
B07A
B07B
B40Z
B41Z
B60A
B60B
B61A
B61B
B62Z

Date Printed: 5/1/2012

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Page 9

NATIONAL HOSPITAL COST DATA COLLECTION

V5.1 Public Sector

COST WEIGHTS FOR AR-DRG VERSION 5.1, Round 12 (2007-08)


Public Sector - Estimated
Average Component Cost per DRG ($)
Imaging
Direct

DRG
A01Z
A03Z
A05Z
A06Z
A07Z
A08A
A08B
A09A
A09B
A40Z
A41A
A41B
B01Z
B02A
B02B
B02C
B03A
B03B
B04A
B04B
B05Z
B06A
B06B
B07A
B07B
B40Z
B41Z
B60A
B60B
B61A
B61B
B62Z

2,327
2,392
1,936
2,122
1,081
841
228
1,427
620
2,397
615
335
471
1,970
1,275
1,033
1,064
191
835
382
13
558
50
467
64
99
264
636
168
912
393
17

Allied

Ohead

309
664
563
358
254
336
48
259
94
574
125
62
85
283
184
153
146
26
157
84
3
87
10
75
13
18
47
123
37
168
66
11

Direct

2,371
2,373
2,100
2,196
1,652
850
224
724
438
2,344
829
237
206
1,060
488
279
734
220
311
51
4
1,031
119
321
41
230
111
965
207
1,397
450
10

Date Printed: 5/1/2012

Pharmacy

Ohead

478
374
369
417
243
162
39
118
57
546
158
43
39
195
90
52
155
42
62
8
2
168
26
62
8
39
31
187
44
255
95
2

Direct

16,525
13,069
10,195
3,806
20,501
8,895
2,953
12,861
8,629
5,789
699
165
218
1,029
441
288
877
198
426
178
30
994
65
452
67
304
122
1,332
249
781
148
234

Ohead

658
255
247
193
922
287
132
546
323
430
68
26
32
68
36
26
87
19
29
16
5
83
11
32
7
14
26
78
22
44
17
7

Critical Care

Oper Rooms

Direct

Ohead

Direct

12,868
20,394
25,251
39,606
4,267
2,119
30
4,228
160
50,890
6,938
2,160
369
4,613
2,171
1,138
1,991
114
1,258
626
1
337
33
621
30
315
41
1,282
187
1,528
266
1

1,904
2,484
5,388
7,714
699
470
4
1,096
27
11,067
1,518
484
77
970
492
252
456
23
300
157
0
74
8
115
9
87
11
287
41
347
68
0

18,050
12,872
14,750
3,967
412
226
86
6,022
4,611
18,406
1,347
561
2,424
4,383
3,877
3,770
4,189
3,357
2,852
2,748
787
1,924
1,510
2,226
1,879
30
43
1,094
529
2,369
1,000
4

Ohead

2,610
2,118
2,817
752
87
54
19
1,200
894
4,079
232
103
443
765
677
665
782
594
606
615
228
376
345
485
455
5
10
258
146
447
214
1

Emerg Depts
Direct

91
75
109
356
9
13
7
22
6
208
392
345
280
371
231
154
198
60
137
46
3
234
7
415
238
27
48
420
246
368
289
1

Ohead

20
17
26
76
2
3
2
6
1
57
77
70
63
99
51
33
45
10
35
11
1
48
2
93
56
6
13
92
54
79
63
0

Supplies
Direct

4,308
4,485
2,993
1,019
1,787
1,175
530
1,385
838
1,157
332
139
219
684
414
287
882
289
264
125
29
693
61
238
54
174
127
950
287
763
179
43

Ohead

2,492
366
210
537
812
598
381
504
184
311
473
141
197
339
213
155
463
141
178
66
33
464
63
278
39
103
97
594
224
329
137
13

Spec Proc Suites


Direct

7
160
549
358
2,296
793
121
55
2
1,056
15
9
3
186
82
73
91
1
190
78
4
15
8
25
6
12
303
67
21
87
5
69

Ohead

2
32
233
82
1,156
415
66
8
0
31
3
2
1
64
29
29
29
0
56
23
1
3
2
5
1
3
51
28
5
22
1
46

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Prostheses
1,701
451
3,327
1,057
41
42
94
481
460
5,179
230
173
946
1,109
876
959
2,013
2,371
468
410
37
462
250
161
83
4
6
366
153
1,895
604
1

OnCosts
5,118
3,304
2,868
4,704
2,631
1,408
641
1,780
1,145
1,662
1,443
493
538
1,545
1,024
747
1,270
490
643
395
83
996
200
640
219
253
247
1,334
434
1,206
394
24

Hotel

2,670
1,030
1,145
1,840
1,095
783
360
941
544
625
545
177
332
825
591
446
770
304
423
221
54
606
109
369
128
206
143
791
288
672
214
9

Deprec No. of
Hosps
1,926
853
1,055
2,092
1,008
463
254
720
425
876
499
216
246
699
506
406
651
267
318
213
54
487
119
254
112
86
141
468
181
462
180
13

8
4
5
109
19
38
35
20
20
20
86
94
33
39
40
56
42
53
54
65
209
72
165
99
140
37
27
133
197
71
144
41

DRG
A01Z
A03Z
A05Z
A06Z
A07Z
A08A
A08B
A09A
A09B
A40Z
A41A
A41B
B01Z
B02A
B02B
B02C
B03A
B03B
B04A
B04B
B05Z
B06A
B06B
B07A
B07B
B40Z
B41Z
B60A
B60B
B61A
B61B
B62Z

Page 10

NATIONAL HOSPITAL COST DATA COLLECTION

V5.1 Public Sector

COST WEIGHTS FOR AR-DRG VERSION 5.1, Round 12 (2007-08)


Public Sector - Estimated
DRG Description

DRG
B63Z
B64A
B64B
B65Z
B66A
B66B
B67A
B67B
B67C
B68A
B68B
B69A
B69B
B70A
B70B
B70C
B70D
B71A
B71B
B72A
B72B
B73Z
B74Z
B75Z
B76A
B76B
B77Z
B78A
B78B
B79Z
B80Z
B81A

Dmntia&Chrnic Disturb Crbrl Fn


Delirium+CCC
Delirium-CCC
Cerebral Palsy
Nervous System Neoplasm+CSCC
Nervous System Neoplasm-CSCC
Degnrtv Nerv Sys Dis+CSCC
Degnrtv Nerv Sys Dis A>59-CSCC
Degnrtv Nerv Sys Dis A<60-CSCC
Mlt Sclrosis&Cerebel Ataxia+CC
Mlt Sclrosis&Cerebel Ataxia-CC
Tia & Precerebral Occlusn+CSCC
Tia & Precerebral Occlusn-CSCC
Stroke +CCC
Stroke +SCC
Stroke -CSCC
Stroke Died/Transferred<5 Days
Cranial & Periphl Nerv Dsrd+CC
Cranial & Periphl Nerv Dsrd-CC
Nrvs Sys Inf Ex Vrl Mngts+CSCC
Nrvs Sys Inf Ex Vrl Mngts-CSCC
Viral Meningitis
Nontraumatic Stupor & Coma
Febrile Convulsions
Seizure + CSCC
Seizure - CSCC
Headache
Intracranial Injury+CSCC
Intracranial Injury-CSCC
Skull Fractures
Other Head Injury
Other Dsrd Of Nervous Sys+CSCC

Date Printed: 5/1/2012

Cost

Standard

Number

Number

ALOS

Average Cost per DRG ($)

Weight

Error

of Seps

of Days

(Days)

Total

2.70
3.07
1.40
0.67
2.62
1.27
3.27
1.06
0.58
2.68
0.44
1.45
0.68
4.38
2.33
1.77
0.59
1.59
0.38
4.51
1.45
0.93
0.84
0.45
1.83
0.61
0.42
3.07
1.22
0.90
0.38
2.42

0.10
0.05
0.02
0.05
0.04
0.05
0.04
0.02
0.02
0.05
0.01
0.02
0.01
0.03
0.02
0.24
0.01
0.02
0.01
0.11
0.04
0.01
0.02
0.01
0.03
0.01
0.01
0.03
0.01
0.01
0.01
0.04

6,948
1,492
5,171
1,269
2,084
2,759
2,076
3,332
4,643
533
4,966
2,870
9,059
6,183
7,038
7,525
5,811
2,455
12,755
607
2,048
1,916
1,309
2,966
4,172
22,988
19,704
1,370
3,622
2,310
15,025
3,298

89,069
20,055
31,158
2,184
19,628
11,245
27,173
16,413
11,018
5,397
9,038
17,251
24,327
102,348
61,562
45,412
8,950
14,611
20,712
8,676
9,707
5,745
3,885
3,974
25,442
44,678
32,505
13,856
13,226
6,141
20,968
34,248

12.82
13.44
6.03
1.72
9.42
4.08
13.09
4.93
2.37
10.13
1.82
6.01
2.69
16.55
8.75
6.04
1.54
5.95
1.62
14.29
4.74
3
2.97
1.34
6.1
1.94
1.65
10.12
3.65
2.66
1.4
10.38

10,562
11,982
5,452
2,636
10,253
4,971
12,767
4,148
2,261
10,461
1,700
5,670
2,643
17,119
9,108
6,902
2,312
6,230
1,470
17,626
5,676
3,619
3,300
1,763
7,155
2,385
1,652
11,995
4,749
3,501
1,494
9,455

Direct

8,085
9,329
4,181
1,942
7,934
3,894
9,966
3,156
1,750
8,257
1,330
4,332
2,033
13,252
7,063
5,552
1,860
4,843
1,144
13,946
4,483
2,821
2,629
1,343
5,615
1,881
1,297
9,609
3,794
2,735
1,164
7,289

Ohead

2,477
2,653
1,271
694
2,319
1,077
2,801
992
511
2,204
370
1,339
610
3,868
2,045
1,350
452
1,387
326
3,680
1,192
799
671
420
1,540
504
355
2,386
955
765
330
2,166

Average Component Cost per DRG ($)


Ward Medical

Ward Nursing

Direct

Direct

1,225
1,289
616
347
1,121
552
1,695
537
318
1,528
282
632
286
1,805
1,008
802
172
806
212
1,978
759
464
345
217
792
291
166
1,227
435
356
135
1,072

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Ohead

124
194
74
86
197
96
214
72
62
194
40
64
29
233
123
80
19
126
35
276
90
49
42
21
123
33
21
171
53
47
16
152

3,629
3,960
1,557
375
3,154
1,184
3,870
1,174
582
3,276
426
1,601
529
5,294
2,593
1,805
309
1,643
324
4,666
1,466
815
757
356
1,805
470
270
3,399
1,062
678
185
2,930

Ohead

802
853
339
90
620
232
860
270
130
668
98
273
107
1,004
477
324
62
368
84
839
263
155
144
69
341
91
66
634
221
144
52
626

Non
Clinical
Salaries
820
752
355
374
725
384
892
309
153
613
84
386
161
1,205
607
529
65
391
88
973
390
218
167
119
391
148
77
621
299
176
68
648

Pathology
Direct

211
472
185
20
219
111
354
86
60
329
58
188
89
486
262
168
95
232
30
849
244
232
122
68
270
82
70
389
119
81
33
285

Ohead

23
55
21
2
24
13
35
10
7
33
9
19
11
53
27
20
12
31
4
86
28
22
16
8
33
9
9
46
13
10
5
31

Page 11

ublic Sector

Average Component Cost per DRG ($)

DRG
B63Z
B64A
B64B
B65Z
B66A
B66B
B67A
B67B
B67C
B68A
B68B
B69A
B69B
B70A
B70B
B70C
B70D
B71A
B71B
B72A
B72B
B73Z
B74Z
B75Z
B76A
B76B
B77Z
B78A
B78B
B79Z
B80Z
B81A

Date Printed: 5/1/2012

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Page 12

NATIONAL HOSPITAL COST DATA COLLECTION

V5.1 Public Sector

COST WEIGHTS FOR AR-DRG VERSION 5.1, Round 12 (2007-08)


Public Sector - Estimated
Average Component Cost per DRG ($)
Imaging
Direct

DRG
B63Z
B64A
B64B
B65Z
B66A
B66B
B67A
B67B
B67C
B68A
B68B
B69A
B69B
B70A
B70B
B70C
B70D
B71A
B71B
B72A
B72B
B73Z
B74Z
B75Z
B76A
B76B
B77Z
B78A
B78B
B79Z
B80Z
B81A

181
400
197
72
351
268
290
124
95
329
68
281
228
572
453
445
196
226
55
701
214
131
158
47
258
114
131
566
358
325
187
315

Allied

Ohead

31
60
31
11
61
42
50
21
15
52
12
39
32
87
64
63
28
38
9
109
34
18
23
7
43
18
20
90
57
55
33
51

Direct

395
556
198
193
394
134
646
173
78
514
50
239
78
1,269
601
281
56
252
34
524
93
33
101
11
225
42
24
571
166
111
27
457

Date Printed: 5/1/2012

Pharmacy

Ohead

79
108
39
13
73
23
142
36
17
107
12
53
17
266
126
57
11
51
7
116
18
8
24
3
47
9
5
112
30
21
6
94

Direct

277
388
148
69
625
292
435
148
97
388
139
157
66
666
291
218
46
303
75
1,073
269
130
96
23
254
66
42
332
90
62
21
301

Critical Care

Ohead

35
36
19
21
40
22
47
16
11
32
11
20
9
52
30
18
6
26
7
82
26
15
10
6
26
9
6
28
10
11
3
33

Direct

18
249
62
2
94
39
397
32
46
72
3
64
30
435
168
114
234
130
20
1,322
260
29
205
18
624
75
7
978
315
193
32
105

Ohead

4
51
15
0
21
11
90
10
10
19
1
15
9
99
39
29
51
29
5
264
50
6
47
6
141
17
2
200
69
48
7
24

Oper Rooms
Direct

32
39
25
344
55
164
55
50
46
82
22
44
38
71
38
39
123
108
83
161
97
46
19
37
40
41
44
47
63
64
17
48

Ohead

7
8
6
69
11
37
12
13
10
16
5
9
9
15
8
8
25
23
25
33
18
9
4
8
8
9
10
10
12
14
3
11

Emerg Depts
Direct

391
529
448
13
323
227
379
189
102
396
71
416
360
515
462
399
409
301
86
433
346
525
436
349
513
359
348
569
514
444
353
433

Ohead

90
123
104
3
71
50
84
43
22
83
17
92
79
117
100
89
91
66
19
93
71
114
97
80
115
81
79
116
105
99
79
100

Supplies
Direct

476
322
180
76
419
307
435
160
77
331
61
179
76
495
281
379
39
199
58
492
165
89
73
40
178
76
42
348
130
83
36
318

Spec Proc Suites

Ohead

407
247
170
128
391
144
324
141
66
270
52
205
75
477
250
160
32
165
35
508
157
110
68
51
171
63
35
246
94
79
34
285

Direct

4
22
5
1
102
12
24
12
6
11
3
7
10
41
26
26
5
21
18
13
11
2
15
0
10
2
3
9
6
1
1
12

Ohead

1
7
2
0
33
7
5
3
2
3
1
2
3
10
6
7
1
6
4
2
3
1
4
0
3
0
1
2
2
0
0
3

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Prostheses
14
19
8
26
16
17
21
8
6
20
4
14
8
31
22
15
19
21
6
30
16
11
5
7
11
8
6
15
11
9
5
12

OnCosts
637
600
322
162
542
272
733
243
121
533
87
322
143
902
504
369
104
330
73
993
301
196
162
109
376
135
84
677
271
194
76
534

Hotel

415
419
211
77
356
203
441
171
69
374
55
219
93
603
336
235
52
213
41
627
162
108
90
56
213
71
47
365
143
104
39
386

Deprec No. of
Hosps
235
222
117
61
214
127
240
97
51
190
32
131
66
316
205
223
52
127
31
385
126
81
70
45
143
64
39
224
103
89
39
191

222
141
218
56
173
184
179
192
182
125
170
185
219
190
199
211
211
188
216
131
189
163
162
175
184
226
232
136
176
172
222
202

DRG
B63Z
B64A
B64B
B65Z
B66A
B66B
B67A
B67B
B67C
B68A
B68B
B69A
B69B
B70A
B70B
B70C
B70D
B71A
B71B
B72A
B72B
B73Z
B74Z
B75Z
B76A
B76B
B77Z
B78A
B78B
B79Z
B80Z
B81A

Page 13

NATIONAL HOSPITAL COST DATA COLLECTION

V5.1 Public Sector

COST WEIGHTS FOR AR-DRG VERSION 5.1, Round 12 (2007-08)


Public Sector - Estimated
DRG Description

DRG
B81B
C01Z
C02Z
C03Z
C04Z
C05Z
C10Z
C11Z
C12Z
C13Z
C14Z
C15A
C15B
C16A
C16B
C60A
C60B
C61Z
C62Z
C63A
C63B
D01Z
D02A
D02B
D02C
D03Z
D04A
D04B
D05Z
D06Z
D09Z
D10Z

Other Dsrd Of Nervous Sys-CSCC


Proc For Penetratng Eye Injury
Enucleations & Orbital Procs
Retinal Procedures
Major Corn, Scleral&Conjnct Pr
Dacryocystorhinostomy
Strabismus Procedures
Eyelid Procedures
Other Corn, Scleral&Conjnct Pr
Lacrimal Procedures
Other Eye Procedures
Glaucoma/Cx Cataract Procs
Glaucoma/Cx Cataract Procs,SD
Lens Procedures
Lens Procedures,SD
Ac & Mjr Eye Infectn A>54/CSCC
Ac & Mjr Eye Infectn A<55-CSCC
Neurological & Vasclr Eye Dsrd
Hyphema &Med Managd Eye Trauma
Other Disorders Of The Eye +CC
Other Disorders Of The Eye -CC
Cochlear Implant
Head & Neck Pr +CSCC
Head & Neck Pr+Malignancy/+Mcc
Head & Neck Pr -Malignancy -CC
Surgcl Rpr Cleft Lip/Palate Dx
Maxillo Surgery + CC
Maxillo Surgery - CC
Parotid Gland Procedures
Sinus, Mastd&Cmplx Mddl Ear Pr
Misc Ear,Nose,Mouth&Throat Pr
Nasal Procedures

Date Printed: 5/1/2012

Cost

Standard

Number

Number

ALOS

Average Cost per DRG ($)

Weight

Error

of Seps

of Days

(Days)

Total

0.83
2.07
2.08
0.93
1.45
0.98
0.73
0.75
0.72
0.41
0.55
1.30
0.60
1.04
0.59
1.70
1.19
0.63
0.44
1.09
0.44
7.04
5.78
3.20
1.78
1.60
2.45
1.64
2.10
1.42
0.98
0.89

0.01
0.04
0.05
0.03
0.02
0.02
0.03
0.01
0.02
0.01
0.01
0.03
0.04
0.04
0.01
0.04
0.02
0.02
0.01
0.02
0.01
0.21
0.04
0.03
0.02
0.00
0.01
0.01
0.02
0.02
0.01
0.02

9,206
642
664
6,642
857
937
2,036
4,870
2,992
729
3,329
916
3,223
3,043
59,580
535
470
1,451
4,629
902
3,837
389
340
340
493
626
981
3,280
679
5,523
7,239
7,301

29,393
2,450
2,384
9,800
2,415
1,115
2,130
5,684
3,808
840
4,778
2,414
3,223
4,168
59,580
3,410
1,932
3,448
8,256
3,470
6,330
505
3,591
1,827
1,215
1,472
3,206
6,362
1,637
7,769
9,000
7,867

3.19
3.81
3.59
1.48
2.82
1.19
1.05
1.17
1.27
1.15
1.44
2.64
1
1.37
1
6.37
4.11
2.38
1.78
3.85
1.65
1.3
10.57
5.37
2.47
2.35
3.27
1.94
2.41
1.41
1.24
1.08

3,248
8,075
8,126
3,627
5,673
3,814
2,846
2,936
2,831
1,617
2,146
5,062
2,352
4,045
2,306
6,655
4,663
2,460
1,738
4,249
1,706
27,505
22,572
12,500
6,939
6,249
9,580
6,402
8,200
5,546
3,839
3,467

Direct

2,526
6,323
6,360
2,732
4,351
2,943
2,162
2,211
2,093
1,226
1,591
3,859
1,822
3,056
1,755
5,133
3,556
1,894
1,338
3,197
1,287
24,748
18,024
10,088
5,523
5,079
7,812
5,232
6,630
4,350
3,005
2,651

Ohead

722
1,752
1,765
895
1,322
871
684
725
738
391
555
1,203
530
989
551
1,522
1,107
567
400
1,052
419
2,758
4,548
2,412
1,415
1,170
1,768
1,170
1,570
1,196
834
816

Average Component Cost per DRG ($)


Ward Medical

Ward Nursing

Direct

Direct

365
1,431
1,266
440
705
504
433
419
482
288
317
793
419
803
419
1,197
831
321
235
707
287
434
2,797
1,631
771
721
1,009
696
1,202
704
442
447

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Ohead

45
210
150
77
121
80
43
44
47
41
56
138
27
76
21
152
109
43
25
81
44
46
425
202
117
81
134
91
148
73
51
46

719
1,192
1,138
363
832
278
157
191
240
172
264
841
118
506
100
1,835
1,369
508
314
992
258
507
3,501
1,712
803
1,130
933
598
810
480
322
366

Ohead

172
316
266
121
166
102
60
69
88
61
91
217
39
134
48
316
198
134
73
198
62
141
759
376
181
175
230
154
205
121
88
102

Non
Clinical
Salaries
203
380
381
120
224
89
82
91
116
70
92
218
88
168
67
501
341
143
103
277
98
175
720
440
232
267
266
167
215
142
110
110

Pathology
Direct

106
61
228
14
56
14
6
39
30
20
51
33
3
12
3
142
101
113
32
130
41
13
647
331
109
16
90
26
190
67
39
16

Ohead

12
7
21
1
4
2
1
5
4
2
6
3
0
1
0
10
8
13
4
12
4
2
74
29
13
2
10
3
22
7
5
2

Page 14

ublic Sector

Average Component Cost per DRG ($)

DRG
B81B
C01Z
C02Z
C03Z
C04Z
C05Z
C10Z
C11Z
C12Z
C13Z
C14Z
C15A
C15B
C16A
C16B
C60A
C60B
C61Z
C62Z
C63A
C63B
D01Z
D02A
D02B
D02C
D03Z
D04A
D04B
D05Z
D06Z
D09Z
D10Z

Date Printed: 5/1/2012

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Page 15

NATIONAL HOSPITAL COST DATA COLLECTION

V5.1 Public Sector

COST WEIGHTS FOR AR-DRG VERSION 5.1, Round 12 (2007-08)


Public Sector - Estimated
Average Component Cost per DRG ($)
Imaging
Direct

DRG
B81B
C01Z
C02Z
C03Z
C04Z
C05Z
C10Z
C11Z
C12Z
C13Z
C14Z
C15A
C15B
C16A
C16B
C60A
C60B
C61Z
C62Z
C63A
C63B
D01Z
D02A
D02B
D02C
D03Z
D04A
D04B
D05Z
D06Z
D09Z
D10Z

311
108
88
7
8
13
4
23
15
12
11
19
3
14
10
91
52
208
99
91
55
67
276
110
88
5
308
111
23
35
25
13

Allied

Ohead

Direct

51
21
15
1
1
3
1
4
3
2
2
5
1
3
2
14
9
28
16
17
8
12
49
16
16
1
52
27
4
6
4
3

Date Printed: 5/1/2012

95
71
323
10
11
10
16
9
12
8
10
27
4
16
5
110
22
42
27
71
17
12
639
287
49
38
97
31
26
12
16
5

Pharmacy

Ohead

19
19
85
3
2
2
7
2
3
2
2
8
6
4
1
20
5
9
5
17
6
3
121
57
11
9
16
5
5
3
4
1

Direct

73
185
193
83
131
56
28
41
50
17
47
157
47
70
44
381
192
76
34
178
48
88
475
205
103
72
126
68
113
123
57
50

Critical Care

Ohead

11
22
23
13
16
10
7
6
8
4
7
20
9
12
9
33
20
10
6
23
7
35
32
14
13
14
9
5
9
16
9
8

Direct

18
21
56
2
1
1
1
3
0
0
1
10
0
14
0
1
3
4
8
46
7
6
1,189
395
276
156
311
81
32
17
39
15

Ohead

5
6
13
0
1
0
0
1
0
0
0
1
0
5
0
0
1
1
2
11
2
3
267
77
67
33
66
21
7
4
9
3

Oper Rooms
Direct

89
1,936
1,856
1,362
1,620
1,600
1,147
1,148
920
500
608
1,273
808
970
761
41
47
97
53
163
207
3,187
6,126
3,835
2,312
2,131
2,785
2,254
3,455
2,371
1,639
1,405

Ohead

20
456
447
352
397
405
269
319
272
131
169
321
181
293
225
9
9
22
11
46
52
708
1,354
878
560
364
642
517
775
616
418
397

Emerg Depts
Direct

291
259
78
56
32
18
1
41
12
15
25
56
2
7
0
340
325
218
299
278
134
0
21
13
30
0
300
162
2
10
13
4

Ohead

65
66
20
16
8
5
0
9
4
4
7
15
0
2
0
78
79
50
69
70
32
0
6
3
7
0
67
39
0
2
3
1

Supplies
Direct

94
204
176
52
93
41
22
40
59
26
47
111
41
75
34
278
170
64
59
122
47
67
377
218
91
77
139
81
95
62
44
47

Spec Proc Suites

Ohead

83
155
192
53
102
52
41
49
61
31
46
102
34
123
40
272
203
57
49
151
54
73
268
138
83
169
115
63
67
62
49
48

Direct

19
19
21
45
113
82
103
23
41
18
27
59
87
48
35
8
1
13
1
7
8
13
11
10
18
0
4
1
9
15
3
8

Ohead

5
13
8
24
64
27
76
16
31
12
17
44
59
38
27
2
1
6
0
4
6
2
3
1
9
0
1
0
2
3
1
4

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Prostheses
14
100
186
80
404
92
20
33
32
12
18
114
146
252
249
8
10
6
8
62
13
21,321
450
350
309
36
983
672
117
86
75
48

OnCosts
175
409
430
145
257
138
131
123
126
80
100
234
90
179
79
408
288
129
106
252
100
266
938
571
331
374
454
270
322
227
176
142

Hotel

110
200
236
85
133
93
95
100
85
46
66
111
63
119
60
238
150
81
53
125
55
134
589
330
175
221
231
136
182
147
104
93

Deprec No. of
Hosps
79
206
231
102
170
97
94
91
90
46
60
129
78
99
66
170
118
64
47
117
51
191
456
273
166
157
202
123
163
135
97
83

222
71
71
83
44
63
78
173
126
90
169
63
95
119
138
130
110
137
203
152
188
18
58
60
93
26
61
82
108
136
170
145

DRG
B81B
C01Z
C02Z
C03Z
C04Z
C05Z
C10Z
C11Z
C12Z
C13Z
C14Z
C15A
C15B
C16A
C16B
C60A
C60B
C61Z
C62Z
C63A
C63B
D01Z
D02A
D02B
D02C
D03Z
D04A
D04B
D05Z
D06Z
D09Z
D10Z

Page 16

NATIONAL HOSPITAL COST DATA COLLECTION

V5.1 Public Sector

COST WEIGHTS FOR AR-DRG VERSION 5.1, Round 12 (2007-08)


Public Sector - Estimated
DRG Description

DRG
D11Z
D12Z
D13Z
D14Z
D40Z
D60A
D60B
D61Z
D62Z
D63A
D63B
D64Z
D65Z
D66A
D66B
D67A
D67B
E01A
E01B
E02A
E02B
E02C
E40Z
E41Z
E60A
E60B
E61A
E61B
E62A
E62B
E62C
E63Z

Tonsillectomy, Adenoidectomy
Oth Ear,Nose,Mouth & Throat Pr
Myringotomy +Tube Insertion
Mouth & Salivary Gland Procs
Dental Extract & Restorations
Ear Nose Mouth&Throat Mal+CSCC
Ear Nose Mouth&Throat Mal-CSCC
Dysequilibrium
Epistaxis
Otitis Media & Uri + CC
Otitis Media & Uri - CC
Laryngotracheitis&Epiglottitis
Nasal Trauma & Deformity
Oth Ear,Nose,Mouth&Thrt Dx +CC
Oth Ear,Nose,Mouth&Thrt Dx -CC
Oral&Dntal Dis-Extrct&Restn
Oral&Dntal Dis-Extrct&Restn,SD
Major Chest Procedure + CCC
Major Chest Procedure - CCC
Other Respiratry Sys OR Pr+CCC
Other Respiratry Sys OR Pr+SCC
Other Respiraty Sys OR Pr-CSCC
Resp Sys Dx + Ventilator Suppt
Resp Sys Dx +Non-Invas Ventiln
Cystic Fibrosis +CSCC
Cystic Fibrosis -CSCC
Pulmonary Embolism + CSCC
Pulmonary Embolism - CSCC
Respiratry Infectn/Inflamm+CCC
Respiratry Infectn/Inflam+SMCC
Respiratory Infectn/Inflamm-CC
Sleep Apnoea

Date Printed: 5/1/2012

Cost

Standard

Number

Number

ALOS

Average Cost per DRG ($)

Weight

Error

of Seps

of Days

(Days)

Total

0.70
1.05
0.40
0.89
0.56
2.66
0.85
0.51
0.46
0.90
0.47
0.40
0.39
0.97
0.39
0.85
0.22
6.36
3.55
5.40
3.17
0.99
5.70
4.74
4.73
3.05
2.29
1.07
2.56
1.49
0.86
0.36

0.00
0.01
0.01
0.01
0.01
0.03
0.00
0.01
0.01
0.02
0.01
0.01
0.00
0.01
0.00
0.02
0.00
0.03
0.01
0.05
0.03
0.01
0.04
0.03
0.03
0.03
0.02
0.03
0.01
0.02
0.02
0.02

17,527
2,500
8,257
4,207
23,417
928
2,646
13,119
4,369
6,567
26,386
6,824
4,217
1,797
11,582
5,911
7,991
1,543
2,504
648
503
4,517
1,089
2,629
1,283
2,072
2,384
4,948
13,741
21,551
24,966
7,598

19,534
4,523
8,988
6,721
25,189
7,456
6,281
29,135
7,663
18,405
42,730
8,403
5,445
5,634
16,246
14,543
7,991
23,244
19,116
9,886
3,032
7,679
11,198
30,146
17,991
18,900
21,216
22,777
136,413
124,947
80,553
11,751

1.11
1.81
1.09
1.6
1.08
8.03
2.37
2.22
1.75
2.8
1.62
1.23
1.29
3.13
1.4
2.46
1
15.06
7.63
15.25
6.03
1.7
10.28
11.47
14.02
9.12
8.9
4.6
9.93
5.8
3.23
1.55

2,717
4,094
1,573
3,465
2,198
10,377
3,330
2,005
1,787
3,523
1,819
1,566
1,524
3,793
1,524
3,302
854
24,856
13,851
21,106
12,388
3,866
22,268
18,505
18,496
11,915
8,942
4,166
10,015
5,837
3,348
1,394

Direct

2,093
3,228
1,191
2,715
1,720
7,918
2,571
1,528
1,371
2,760
1,387
1,212
1,177
2,955
1,186
2,542
670
20,218
11,272
16,633
10,378
3,078
18,026
14,912
15,665
9,652
7,005
3,263
7,849
4,475
2,553
1,162

Ohead

623
867
381
750
478
2,459
759
477
416
763
432
354
347
837
338
760
184
4,638
2,579
4,474
2,010
788
4,242
3,593
2,831
2,262
1,937
903
2,166
1,362
796
231

Average Component Cost per DRG ($)


Ward Medical

Ward Nursing

Direct

Direct

344
476
226
449
258
1,215
366
216
227
451
245
190
159
520
221
421
76
3,270
1,707
2,480
1,269
452
1,345
1,996
2,523
1,532
1,053
536
1,118
704
422
322

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Ohead

38
63
25
65
38
399
89
21
30
53
23
20
22
60
28
52
9
553
265
422
227
62
199
313
425
223
157
66
163
86
42
49

484
484
166
354
157
2,697
672
400
328
832
376
257
163
728
223
671
49
4,931
2,551
4,475
4,365
677
1,705
2,968
4,592
2,960
2,237
866
2,852
1,539
828
341

Ohead

104
114
54
94
35
749
186
92
79
159
77
59
44
159
57
140
20
962
465
1,039
376
136
347
571
766
530
440
197
585
311
163
53

Non
Clinical
Salaries
104
147
56
120
102
657
186
107
86
245
115
88
59
238
76
187
32
1,274
685
1,091
498
164
570
807
898
801
512
239
552
385
239
52

Pathology
Direct

30
73
11
104
15
223
95
66
82
148
69
21
21
111
33
87
12
945
444
1,054
445
102
1,255
744
527
343
426
206
456
260
147
14

Ohead

3
10
1
13
1
35
13
8
9
16
8
2
3
13
4
11
1
134
46
146
62
14
146
89
61
39
55
21
57
27
16
2

Page 17

ublic Sector

Average Component Cost per DRG ($)

DRG
D11Z
D12Z
D13Z
D14Z
D40Z
D60A
D60B
D61Z
D62Z
D63A
D63B
D64Z
D65Z
D66A
D66B
D67A
D67B
E01A
E01B
E02A
E02B
E02C
E40Z
E41Z
E60A
E60B
E61A
E61B
E62A
E62B
E62C
E63Z

Date Printed: 5/1/2012

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Page 18

NATIONAL HOSPITAL COST DATA COLLECTION

V5.1 Public Sector

COST WEIGHTS FOR AR-DRG VERSION 5.1, Round 12 (2007-08)


Public Sector - Estimated
Average Component Cost per DRG ($)
Imaging
Direct

DRG
D11Z
D12Z
D13Z
D14Z
D40Z
D60A
D60B
D61Z
D62Z
D63A
D63B
D64Z
D65Z
D66A
D66B
D67A
D67B
E01A
E01B
E02A
E02B
E02C
E40Z
E41Z
E60A
E60B
E61A
E61B
E62A
E62B
E62C
E63Z

16
91
9
49
15
207
82
117
25
77
42
30
93
133
44
126
35
875
404
951
337
57
630
375
346
165
480
303
292
171
103
16

Allied

Ohead

3
17
2
9
3
77
28
18
5
13
7
4
15
19
7
24
6
152
74
150
63
10
101
62
68
31
70
43
50
31
18
3

Direct

7
31
5
23
11
521
115
49
17
52
12
7
19
67
11
56
6
539
224
554
195
26
552
596
1,135
785
196
70
367
166
53
16

Date Printed: 5/1/2012

Pharmacy

Ohead

2
7
1
5
2
89
18
11
4
11
3
2
4
14
3
11
1
95
36
100
33
5
103
108
166
140
38
11
73
35
12
2

Direct

38
74
17
57
43
801
236
45
53
192
41
27
20
172
33
136
14
1,067
294
1,139
312
62
828
762
3,378
1,675
450
191
522
265
105
36

Ohead

7
8
4
6
5
38
13
7
7
17
7
5
4
16
5
13
2
58
23
67
29
11
59
48
136
113
39
17
44
28
13
3

Critical Care
Direct

13
96
5
113
12
76
4
14
14
59
7
70
13
215
11
72
1
1,943
457
1,391
447
129
9,175
4,667
21
7
558
153
512
135
39
19

Ohead

3
21
1
29
3
19
1
4
4
14
2
15
3
50
3
16
0
381
92
272
103
32
1,929
1,023
5
1
129
40
120
34
10
5

Oper Rooms
Direct

828
1,287
528
1,125
902
170
479
20
79
61
58
37
369
273
285
192
162
3,068
2,819
1,448
1,482
1,068
147
95
270
261
42
29
62
41
33
10

Ohead

221
307
158
296
213
47
127
4
20
13
13
8
90
60
68
42
38
551
479
263
308
235
24
14
42
50
8
6
14
9
7
1

Emerg Depts
Direct

28
155
6
68
18
125
32
361
345
373
309
375
169
225
120
353
120
207
131
346
136
17
374
468
99
61
462
390
512
426
356
13

Ohead

7
37
1
16
5
28
7
83
77
86
71
90
39
51
28
82
28
47
30
74
29
4
82
100
16
13
102
85
114
96
81
3

Supplies
Direct

49
60
20
59
45
413
103
55
48
123
53
40
24
99
33
104
12
738
428
635
268
67
231
442
856
519
254
119
264
196
120
15

Spec Proc Suites

Ohead

58
65
32
46
46
211
65
66
51
108
62
40
28
105
35
104
10
366
208
421
173
60
198
240
376
348
210
98
239
198
121
20

Direct

12
17
6
6
8
361
44
5
2
8
1
0
2
21
26
11
94
76
30
161
40
9
40
39
140
31
52
18
28
10
6
248

Ohead

2
15
2
2
2
191
18
1
1
3
0
0
1
7
6
6
30
16
5
60
13
2
6
8
23
4
15
5
8
3
2
49

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Prostheses
37
61
84
38
23
15
17
5
8
11
9
6
10
14
10
18
7
591
587
316
221
76
40
24
15
24
27
11
19
16
12
1

OnCosts
133
178
68
159
115
494
164
106
89
197
106
88
75
201
77
182
40
979
640
920
461
186
1,197
1,016
871
631
457
223
507
326
197
58

Hotel

80
105
48
82
64
297
93
72
57
112
57
46
41
124
42
99
20
599
420
761
279
116
465
505
513
386
279
127
303
203
115
21

Deprec No. of
Hosps
64
97
38
77
57
222
78
48
39
87
48
39
36
93
37
85
29
437
308
368
216
88
519
427
231
242
192
96
184
134
88
20

162
153
144
186
159
110
140
229
210
217
232
205
191
163
212
215
197
86
90
101
84
134
97
129
55
88
170
192
209
229
230
119

DRG
D11Z
D12Z
D13Z
D14Z
D40Z
D60A
D60B
D61Z
D62Z
D63A
D63B
D64Z
D65Z
D66A
D66B
D67A
D67B
E01A
E01B
E02A
E02B
E02C
E40Z
E41Z
E60A
E60B
E61A
E61B
E62A
E62B
E62C
E63Z

Page 19

NATIONAL HOSPITAL COST DATA COLLECTION

V5.1 Public Sector

COST WEIGHTS FOR AR-DRG VERSION 5.1, Round 12 (2007-08)


Public Sector - Estimated
DRG Description

DRG
E64Z
E65A
E65B
E66A
E66B
E66C
E67A
E67B
E68Z
E69A
E69B
E69C
E70A
E70B
E71A
E71B
E71C
E72Z
E73A
E73B
E73C
E74A
E74B
E74C
E75A
E75B
E75C
F01A
F01B
F02Z
F03Z
F04A

Pulmonry Oedema & Resp Failure


Chrnic Obstrct Airway Dis+CSCC
Chrnic Obstrct Airway Dis-CSCC
Major Chest Trauma A >69 + CC
Mjr Chest Trma A>69/+CC
Major Chest Trauma A<70 - CC
Respiratry Signs & Symptm+CSCC
Respirtry Signs & Symptm -CSCC
Pneumothorax
Bronchitis & Asthma A>49 + CC
Brnchts&Asthma A>49/+CC
Bronchitis & Asthma A<50 -CC
Whoopng Cgh &Acte Brnchio+CC
Whoopng Cgh &Acte Brnchio-CC
Respiratory Neoplasms +CCC
Respiratory Neoplasms +SMCC
Respiratory Neoplasms -CC
Resp Probs From Neonatl Period
Pleural Effusion + CCC
Pleural Effusn + SCC
Pleural Effusion - CSCC
Interstital Lung Dis +CCC
Interstitial Lung Dis +SCC
Interstitial Lung Dis -CSCC
Other Resp Sys Dx A>64+CC
Ot Resp Sys Dx A>64/+CC
Other Resp Sys Dx A<65 - CC
Implntn/Replcmnt Aicd Ttl+CSCC
Implntn/Replcmnt Aicd Ttl-CSCC
Aicd Cmpnt Implntn/Replcmnt
Crdc Valv Pr+Pmp+Inv Inves
Crd Vlv Pr+Pmp-Inv Inves+CCC

Date Printed: 5/1/2012

Cost

Standard

Number

Number

ALOS

Average Cost per DRG ($)

Weight

Error

of Seps

of Days

(Days)

Total

1.56
1.77
1.07
2.30
1.25
0.64
1.14
0.46
1.17
1.16
0.80
0.51
1.61
0.81
2.64
1.35
0.83
1.41
2.96
1.54
0.89
2.61
1.72
0.95
1.42
1.01
0.61
7.69
4.83
4.70
13.49
10.63

0.02
0.01
0.02
0.03
0.01
0.01
0.01
0.00
0.02
0.01
0.01
0.00
0.03
0.01
0.03
0.02
0.08
0.03
0.07
0.03
0.02
0.03
0.04
0.04
0.02
0.01
0.03
0.05
0.04
0.02
0.07
0.03

2,239
22,996
24,279
945
1,616
1,245
2,001
10,570
3,516
3,186
7,459
27,069
1,791
13,391
3,338
6,595
3,081
278
842
1,120
2,030
494
567
1,367
7,221
8,190
8,234
1,102
904
178
380
1,704

12,233
170,402
110,621
8,650
7,235
2,575
7,928
16,355
14,034
15,383
21,300
42,681
7,610
30,091
34,379
33,640
8,264
1,536
9,271
6,638
7,236
5,026
3,843
4,868
44,199
29,760
16,057
8,638
2,410
953
8,347
23,004

5.46
7.41
4.56
9.15
4.48
2.07
3.96
1.55
3.99
4.83
2.86
1.58
4.25
2.25
10.3
5.1
2.68
5.53
11.02
5.93
3.56
10.17
6.78
3.56
6.12
3.63
1.95
7.84
2.67
5.35
21.98
13.5

6,098
6,929
4,171
9,002
4,903
2,519
4,440
1,788
4,564
4,541
3,122
1,988
6,277
3,157
10,314
5,289
3,235
5,495
11,576
6,014
3,475
10,189
6,732
3,711
5,557
3,939
2,382
30,026
18,881
18,361
52,690
41,542

Direct

4,678
5,362
3,192
6,809
3,742
1,931
3,474
1,411
3,575
3,451
2,403
1,530
4,748
2,437
8,003
4,085
2,614
4,293
9,114
4,706
2,678
8,057
5,235
2,776
4,257
3,041
1,841
26,516
17,101
15,927
44,114
35,366

Ohead

1,420
1,567
979
2,193
1,161
587
966
377
989
1,090
720
458
1,529
720
2,311
1,204
621
1,201
2,462
1,309
798
2,132
1,497
935
1,299
897
541
3,510
1,780
2,434
8,576
6,176

Average Component Cost per DRG ($)


Ward Medical

Ward Nursing

Direct

Direct

735
897
545
1,164
545
255
515
195
578
586
387
244
793
434
1,189
602
359
943
1,519
725
467
1,408
867
451
665
456
279
1,143
481
722
5,000
4,338

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Ohead

79
101
56
114
71
30
75
26
93
64
40
26
100
43
193
92
47
144
182
86
48
183
120
75
78
56
27
182
78
71
952
741

1,207
1,847
1,023
2,292
948
374
991
234
1,038
1,080
689
424
1,823
954
2,971
1,376
649
1,188
3,084
1,470
722
2,741
1,666
749
1,476
919
481
1,640
528
890
5,433
3,958

Ohead

200
368
204
406
197
93
204
57
218
220
129
80
333
157
632
295
126
249
582
278
145
581
328
168
331
178
108
305
93
107
1,062
835

Non
Clinical
Salaries
367
434
304
622
270
124
241
76
233
268
190
107
483
225
596
353
216
397
727
395
248
491
433
207
416
254
168
692
262
647
2,342
1,351

Pathology
Direct

247
273
144
277
132
56
229
124
111
196
111
42
202
99
429
220
202
109
544
329
228
533
319
258
220
173
96
485
93
523
1,814
1,402

Ohead

29
28
14
30
15
7
30
16
12
21
12
4
20
9
48
23
23
8
64
36
23
60
36
37
23
19
11
49
7
27
258
198

Page 20

ublic Sector

Average Component Cost per DRG ($)

DRG
E64Z
E65A
E65B
E66A
E66B
E66C
E67A
E67B
E68Z
E69A
E69B
E69C
E70A
E70B
E71A
E71B
E71C
E72Z
E73A
E73B
E73C
E74A
E74B
E74C
E75A
E75B
E75C
F01A
F01B
F02Z
F03Z
F04A

Date Printed: 5/1/2012

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Page 21

NATIONAL HOSPITAL COST DATA COLLECTION

V5.1 Public Sector

COST WEIGHTS FOR AR-DRG VERSION 5.1, Round 12 (2007-08)


Public Sector - Estimated
Average Component Cost per DRG ($)
Imaging
Direct

DRG
E64Z
E65A
E65B
E66A
E66B
E66C
E67A
E67B
E68Z
E69A
E69B
E69C
E70A
E70B
E71A
E71B
E71C
E72Z
E73A
E73B
E73C
E74A
E74B
E74C
E75A
E75B
E75C
F01A
F01B
F02Z
F03Z
F04A

168
165
97
444
404
330
226
95
357
116
80
39
82
46
454
257
220
136
491
414
245
366
241
145
168
140
103
326
149
230
853
563

Allied

Ohead

Direct

28
28
18
69
63
54
37
15
64
22
14
7
15
7
83
44
34
18
75
58
36
66
42
26
30
26
17
53
24
34
169
109

Date Printed: 5/1/2012

146
208
101
355
133
46
101
20
86
111
51
16
87
22
335
123
49
105
309
117
55
342
182
91
155
89
29
175
39
133
712
588

Pharmacy

Ohead

34
43
20
73
32
9
21
4
17
26
11
3
17
5
65
21
9
20
60
22
10
67
36
18
32
18
6
27
6
20
118
86

Direct

259
326
180
271
116
45
178
40
134
190
119
53
144
58
616
344
188
94
518
237
121
595
300
138
221
211
66
455
157
262
1,354
850

Critical Care

Ohead

24
32
20
27
15
8
15
5
13
23
14
9
20
11
39
25
14
18
36
28
14
37
30
14
23
17
8
35
15
25
59
32

Direct

622
264
64
450
361
70
154
23
232
132
128
45
303
28
93
36
6
862
616
166
18
395
214
35
110
81
28
2,295
348
1,846
7,759
6,585

Ohead

149
66
17
114
89
19
41
6
60
34
31
11
70
7
23
12
2
197
142
48
6
110
54
10
30
19
7
535
110
426
1,615
1,186

Oper Rooms
Direct

46
37
35
50
38
36
119
157
51
75
51
27
23
32
91
113
217
40
144
58
68
99
123
219
53
83
75
1,666
1,059
1,249
7,974
7,968

Ohead

10
8
7
10
7
8
23
31
10
17
12
6
4
5
19
23
46
8
21
11
16
20
31
60
10
16
16
235
221
274
1,278
1,139

Emerg Depts
Direct

440
445
358
507
517
445
337
230
443
428
385
413
381
344
327
194
81
105
412
319
238
434
313
179
376
323
311
122
53
93
171
41

Ohead

94
93
80
117
110
100
75
51
95
94
86
96
91
78
69
42
17
26
90
67
52
93
69
39
85
73
69
28
13
19
39
9

Supplies
Direct

176
225
180
233
123
55
140
42
126
131
97
48
175
97
395
215
187
90
394
227
138
267
273
114
200
142
89
482
224
272
2,163
1,076

Spec Proc Suites

Ohead

199
223
155
318
129
59
120
38
112
167
109
57
306
112
353
184
86
166
303
161
99
236
210
134
176
157
86
173
76
149
404
290

Direct

48
26
11
13
3
3
68
86
3
12
7
1
1
0
93
47
57
14
35
30
26
66
49
65
15
18
9
2,972
1,570
1,004
799
269

Ohead

12
7
3
4
1
0
16
23
0
3
2
0
0
0
33
18
17
2
10
8
7
13
16
18
5
5
2
459
250
154
117
35

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Prostheses
21
14
15
21
16
11
9
13
15
16
10
6
13
10
16
23
16
28
16
21
11
27
23
21
19
14
8
13,953
12,254
7,879
5,805
4,980

OnCosts
363
380
248
490
271
135
234
84
229
242
174
117
406
193
547
288
158
280
593
342
195
467
382
201
318
227
135
714
333
584
2,147
1,439

Hotel

234
241
160
307
163
76
143
47
131
162
106
61
252
101
395
191
99
140
370
203
136
305
220
143
196
134
80
348
169
334
1,147
725

Deprec No. of
Hosps
161
150
110
222
134
69
98
47
105
105
76
47
129
80
209
126
112
109
239
159
103
191
156
95
125
92
66
477
270
386
1,148
749

193
228
227
150
174
173
177
216
189
202
222
221
138
197
172
215
185
75
143
158
177
119
129
162
213
228
226
42
45
38
24
29

DRG
E64Z
E65A
E65B
E66A
E66B
E66C
E67A
E67B
E68Z
E69A
E69B
E69C
E70A
E70B
E71A
E71B
E71C
E72Z
E73A
E73B
E73C
E74A
E74B
E74C
E75A
E75B
E75C
F01A
F01B
F02Z
F03Z
F04A

Page 22

NATIONAL HOSPITAL COST DATA COLLECTION

V5.1 Public Sector

COST WEIGHTS FOR AR-DRG VERSION 5.1, Round 12 (2007-08)


Public Sector - Estimated
DRG Description

DRG
F04B
F05A
F05B
F06A
F06B
F07A
F07B
F08A
F08B
F09A
F09B
F10Z
F11A
F11B
F12Z
F13Z
F14A
F14B
F14C
F15Z
F16Z
F17Z
F18Z
F19Z
F20Z
F21A
F21B
F40Z
F41A
F41B
F42A
F42B

Crd Vlv Pr+Pmp-Inv Inves-CCC


Coronary Bypass+Inv Inves+CCC
Coronary Bypass+Inv Inves-CCC
Coronary Bypass-Inv Inves+CSCC
Coronary Bypass-Inv Inves-CSCC
Other Cardthor/Vasc Pr+Pmp+CCC
Other Cardthor/Vasc Pr+Pmp-CCC
Mjr Reconstrc Vasc Pr-Pump+CCC
Mjr Reconstrc Vasc Pr-Pump-CCC
Oth Cardiothor Pr-Pmp+CCC
Oth Cardiothor Pr-Pmp -CCC
Perc Corony Intervent+Ami
Amputn Circ Sys-Up Lmb&Toe+CCC
Amputn Circ Sys-Up Lmb&Toe-CCC
Cardiac Pacemaker Implantation
Up Limb&Toe Amp Circ Dis
Vasc Pr-Mjr Reconstrc-Pump+CCC
Vasc Pr-Mjr Reconstrc-Pump+SCC
Vasc Pr-Mjr Reconstr-Pump-CSCC
Perc Crny Intervent-Ami+Stent
Perc Crny Intervent-Ami-Stent
Cardiac Pacemaker Replacement
Crdc Pcmkr Revsn -Dvc Rplcmnt
Oth Trns-Vsclr Perc Crdc Intrv
Vein Ligation & Stripping
Oth Circ Sys OR Pr+CCC
Oth Circ Sys OR Pr -CCC
Circ Sys Dx+Ventilator Support
Crc Dsrd+Ami+Inva Inve Pr+CSCC
Crc Dsrd+Ami+Inva Inve Pr-CSCC
Crc Dsrd-Ami+Ic In Pr+Cmpdx/Pr
Crc Dsrd-Ami+Ic In Pr-Cmpdx/Pr

Date Printed: 5/1/2012

Cost

Standard

Number

Number

ALOS

Average Cost per DRG ($)

Weight

Error

of Seps

of Days

(Days)

Total

7.16
10.67
7.63
7.18
5.33
12.57
6.55
8.77
4.32
6.52
3.58
2.56
8.84
4.93
2.82
3.49
4.65
2.04
1.38
1.74
1.42
1.85
2.05
2.45
0.96
5.01
2.01
6.52
2.53
1.46
1.70
0.92

0.03
0.05
0.04
0.02
0.02
0.10
0.02
0.07
0.04
0.05
0.05
0.04
0.06
0.03
0.02
0.05
0.02
0.03
0.02
0.03
0.02
0.03
0.03
0.02
0.02
0.08
0.02
0.04
0.01
0.01
0.01
0.01

827
989
858
3,106
1,282
508
568
1,644
2,745
503
383
9,552
333
228
5,139
499
1,337
1,776
4,105
7,294
430
1,883
370
486
5,461
447
933
765
2,949
4,186
8,007
19,689

6,859
18,140
11,096
31,891
9,258
7,095
4,088
27,905
19,959
4,694
1,819
39,241
9,488
3,503
23,770
5,897
14,805
7,124
9,040
17,025
1,025
3,632
1,594
1,139
6,997
6,549
4,661
6,830
20,184
15,220
33,438
36,985

8.3
18.34
12.94
10.27
7.22
13.96
7.2
16.98
7.27
9.33
4.75
4.11
28.49
15.34
4.63
11.81
11.07
4.01
2.2
2.33
2.38
1.93
4.3
2.34
1.28
14.66
5
8.92
6.84
3.64
4.18
1.88

27,965
41,685
29,804
28,045
20,819
49,112
25,596
34,257
16,881
25,474
13,998
9,983
34,535
19,271
11,004
13,653
18,168
7,988
5,388
6,785
5,547
7,212
8,006
9,554
3,752
19,570
7,850
25,484
9,884
5,691
6,636
3,598

Direct

23,565
34,551
24,258
23,150
17,185
41,129
21,053
27,984
14,036
20,874
11,624
8,289
27,622
15,233
9,319
10,794
14,737
6,552
4,472
5,728
4,577
6,322
6,465
8,457
2,916
15,441
6,161
20,314
7,937
4,605
5,402
2,941

Ohead

4,400
7,134
5,546
4,895
3,634
7,983
4,543
6,273
2,845
4,600
2,375
1,694
6,913
4,039
1,685
2,858
3,431
1,436
916
1,057
970
890
1,541
1,097
835
4,129
1,689
5,170
1,947
1,086
1,234
656

Average Component Cost per DRG ($)


Ward Medical

Ward Nursing

Direct

Direct

2,411
4,339
2,591
3,175
1,844
5,701
2,807
3,364
1,560
1,890
1,118
603
4,040
2,525
730
1,697
1,865
708
465
339
312
284
777
1,033
485
1,967
955
1,317
1,001
511
668
257

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Ohead

374
801
470
521
222
1,091
447
625
213
397
173
145
599
295
143
263
341
103
61
75
62
53
174
124
52
432
143
196
186
94
140
68

2,343
4,036
2,703
2,815
1,766
5,238
2,677
4,943
1,991
1,892
1,325
564
8,826
4,681
1,013
3,521
3,347
1,357
594
454
442
398
1,014
788
305
4,206
1,430
1,396
1,186
508
812
356

Ohead

476
844
481
601
304
1,026
429
956
356
365
278
101
1,603
773
190
652
654
226
124
83
74
95
205
128
69
901
279
286
213
91
160
67

Non
Clinical
Salaries
940
2,078
1,295
1,071
713
1,420
1,190
1,100
517
866
649
390
2,121
1,195
347
778
730
291
151
178
190
147
455
309
93
954
413
596
523
278
335
139

Pathology
Direct

872
1,462
1,000
937
682
2,067
991
1,018
313
933
416
269
1,371
518
215
441
633
192
83
129
146
65
220
118
25
833
196
1,169
358
185
202
67

Ohead

104
182
124
140
61
362
139
120
34
142
61
30
119
50
24
42
84
22
9
13
12
6
22
13
2
106
17
156
41
17
24
7

Page 23

ublic Sector

Average Component Cost per DRG ($)

DRG
F04B
F05A
F05B
F06A
F06B
F07A
F07B
F08A
F08B
F09A
F09B
F10Z
F11A
F11B
F12Z
F13Z
F14A
F14B
F14C
F15Z
F16Z
F17Z
F18Z
F19Z
F20Z
F21A
F21B
F40Z
F41A
F41B
F42A
F42B

Date Printed: 5/1/2012

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Page 24

NATIONAL HOSPITAL COST DATA COLLECTION

V5.1 Public Sector

COST WEIGHTS FOR AR-DRG VERSION 5.1, Round 12 (2007-08)


Public Sector - Estimated
Average Component Cost per DRG ($)
Imaging
Direct

DRG
F04B
F05A
F05B
F06A
F06B
F07A
F07B
F08A
F08B
F09A
F09B
F10Z
F11A
F11B
F12Z
F13Z
F14A
F14B
F14C
F15Z
F16Z
F17Z
F18Z
F19Z
F20Z
F21A
F21B
F40Z
F41A
F41B
F42A
F42B

328
658
426
448
325
695
327
987
546
538
253
161
992
441
195
493
1,223
858
978
104
91
52
165
168
58
504
114
666
254
146
159
77

Allied

Ohead

Direct

69
121
85
79
58
155
77
158
82
93
49
28
137
74
35
73
178
117
125
17
14
11
37
25
12
104
18
100
40
23
27
13

Date Printed: 5/1/2012

368
589
387
413
296
684
402
502
156
382
166
83
901
469
97
288
306
83
46
50
37
28
73
51
9
402
77
455
129
59
74
33

Pharmacy

Ohead

59
95
63
70
44
134
62
91
29
64
22
13
169
92
17
57
55
12
6
5
4
6
12
7
2
75
17
83
21
9
12
3

Direct

415
1,095
665
663
407
913
258
1,452
413
820
311
476
2,175
798
181
758
899
399
174
181
189
79
174
97
50
1,481
372
609
358
192
167
60

Ohead

19
46
31
26
17
80
49
80
29
48
24
32
133
50
17
55
47
22
14
15
13
6
15
12
9
91
27
42
31
16
15
6

Critical Care
Direct

3,167
7,257
4,591
4,343
2,781
9,081
3,307
4,446
975
7,055
1,967
1,707
1,079
184
981
196
1,388
175
87
723
770
189
745
422
5
1,121
72
11,727
2,094
1,170
739
184

Ohead

596
1,478
1,026
829
495
1,861
661
947
213
1,671
416
464
222
37
261
43
290
41
20
198
190
55
192
89
1
241
21
2,666
531
305
202
54

Oper Rooms
Direct

6,080
7,126
5,956
6,604
5,882
8,662
5,829
5,199
3,823
1,846
1,927
413
3,051
2,368
639
1,319
2,062
1,302
884
494
350
469
925
1,320
1,636
1,968
1,609
235
234
191
429
288

Ohead

1,039
1,191
1,030
1,077
901
1,430
970
1,069
827
298
311
53
661
564
113
304
459
302
212
62
48
86
165
162
428
416
378
37
36
30
54
37

Emerg Depts
Direct

8
204
197
35
24
75
18
168
77
266
128
238
272
196
184
169
235
100
35
109
90
41
151
13
7
341
91
460
342
265
233
102

Ohead

1
44
45
8
5
19
5
39
15
56
28
54
59
47
42
38
52
22
7
25
20
10
49
2
2
69
21
95
83
62
54
23

Supplies
Direct

743
1,360
1,187
646
573
1,185
715
778
318
568
511
196
1,425
672
236
498
518
201
90
149
138
97
228
270
51
772
278
208
228
146
196
119

Spec Proc Suites

Ohead

289
323
335
245
236
366
400
409
180
135
184
56
690
558
86
342
248
93
49
45
49
42
122
98
56
399
156
136
121
63
81
34

Direct

210
2,066
1,223
455
321
163
130
100
25
1,687
1,253
1,579
68
151
1,013
21
262
204
234
1,245
1,254
1,153
678
1,420
13
88
110
175
719
585
966
888

Ohead

30
241
131
46
38
28
17
20
6
295
201
298
14
32
192
4
63
43
52
239
226
202
104
151
5
33
18
32
132
110
149
200

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Prostheses
4,509
803
504
566
397
3,207
1,335
2,619
2,714
883
984
1,185
283
190
3,260
153
569
366
399
1,279
286
3,283
546
2,083
48
194
204
60
75
67
112
137

OnCosts
1,197
1,552
1,547
1,052
1,138
1,680
1,123
1,462
710
1,152
618
386
1,812
1,158
375
688
819
347
218
250
240
156
353
309
155
883
380
1,351
449
259
291
145

Hotel

650
814
805
608
649
681
430
947
412
523
258
206
963
708
197
469
467
207
123
129
124
72
185
132
87
594
253
608
236
134
148
74

Deprec No. of
Hosps
665
881
904
572
637
1,105
801
661
352
607
370
256
749
445
223
292
377
198
145
197
176
124
220
211
84
394
199
621
262
175
190
160

29
24
27
25
25
29
30
58
70
47
45
61
67
61
64
92
77
77
113
53
45
63
50
29
187
85
114
90
66
67
75
72

DRG
F04B
F05A
F05B
F06A
F06B
F07A
F07B
F08A
F08B
F09A
F09B
F10Z
F11A
F11B
F12Z
F13Z
F14A
F14B
F14C
F15Z
F16Z
F17Z
F18Z
F19Z
F20Z
F21A
F21B
F40Z
F41A
F41B
F42A
F42B

Page 25

NATIONAL HOSPITAL COST DATA COLLECTION

V5.1 Public Sector

COST WEIGHTS FOR AR-DRG VERSION 5.1, Round 12 (2007-08)


Public Sector - Estimated
DRG Description

DRG
F60A
F60B
F60C
F61Z
F62A
F62B
F63A
F63B
F64Z
F65A
F65B
F66A
F66B
F67A
F67B
F68Z
F69A
F69B
F70A
F70B
F71A
F71B
F72A
F72B
F73A
F73B
F74Z
F75A
F75B
F75C
G01A
G01B

Crc Dsrd+Ami-Inva Inve Pr+CSCC


Crc Dsrd+Ami-Inva Inve Pr-CSCC
Crc Dsrd+Ami-Inva Inve Pr Died
Infective Endocarditis
Heart Failure & Shock + CCC
Heart Failure & Shock - CCC
Venous Thrombosis + CSCC
Venous Thrombosis - CSCC
Skin Ulcers Circulatory Disord
Peripheral Vascular Dsrd +CSCC
Peripheral Vascular Dsrd -CSCC
Coronary Atherosclerosis + CC
Coronary Atherosclerosis - CC
Hypertension + CC
Hypertension - CC
Congenital Heart Disease
Valvular Disorders + CSCC
Valvular Disorders - CSCC
Mjr Arrhythmia&Crdc Arrst+CSCC
Mjr Arrhythmia&Crdc Arrst-CSCC
N-Mjr Arythm&Condctn Dsrd+CSCC
N-Mjr Arythm&Condctn Dsrd-CSCC
Unstable Angina + CSCC
Unstable Angina - CSCC
Syncope & Collapse + CSCC
Syncope & Collapse - CSCC
Chest Pain
Other Circulatry System Dx+CCC
Other Circulatry System Dx+SCC
Other Circulaty System Dx-CSCC
Rectal Resection +CCC
Rectal Resection -CCC

Date Printed: 5/1/2012

Cost

Standard

Number

Number

ALOS

Average Cost per DRG ($)

Weight

Error

of Seps

of Days

(Days)

Total

2.05
0.91
1.08
3.98
2.61
1.15
2.15
0.82
1.93
2.24
0.68
0.79
0.39
1.12
0.51
0.96
1.66
0.42
1.63
0.61
1.50
0.55
1.20
0.59
1.28
0.48
0.39
3.20
1.46
0.82
7.56
4.50

0.02
0.01
0.02
0.07
0.02
0.01
0.19
0.02
0.12
0.02
0.01
0.01
0.01
0.03
0.01
0.01
0.03
0.00
0.02
0.01
0.01
0.01
0.02
0.01
0.01
0.01
0.00
0.03
0.01
0.01
0.05
0.02

7,998
15,341
1,981
803
9,336
24,025
1,323
5,651
762
2,272
7,361
6,108
9,444
1,299
2,953
1,015
1,115
6,190
1,208
4,049
7,345
30,619
3,696
18,617
6,173
21,393
88,037
1,837
3,336
9,183
1,973
2,473

57,818
43,678
7,659
13,113
97,551
116,365
11,725
27,510
7,353
20,505
18,570
18,482
14,859
5,723
6,592
2,280
7,074
10,343
5,740
8,335
43,007
66,658
15,820
38,591
33,156
41,535
127,363
18,745
16,750
23,853
35,416
23,427

7.23
2.85
3.87
16.33
10.45
4.84
8.86
4.87
9.65
9.03
2.52
3.03
1.57
4.4
2.23
2.25
6.34
1.67
4.75
2.06
5.86
2.18
4.28
2.07
5.37
1.94
1.45
10.21
5.02
2.6
17.95
9.47

8,023
3,536
4,219
15,552
10,189
4,504
8,408
3,184
7,549
8,748
2,644
3,089
1,527
4,376
1,978
3,734
6,480
1,629
6,378
2,379
5,843
2,160
4,697
2,321
4,991
1,877
1,516
12,495
5,716
3,217
29,524
17,566

Direct

6,287
2,760
3,322
12,366
7,923
3,421
6,702
2,467
5,859
6,886
2,083
2,368
1,175
3,393
1,494
2,924
5,077
1,269
4,993
1,842
4,527
1,665
3,720
1,837
3,880
1,459
1,192
10,012
4,491
2,528
23,706
14,022

Ohead

1,736
776
896
3,186
2,266
1,083
1,706
718
1,690
1,862
561
721
351
983
484
810
1,403
360
1,385
536
1,316
495
977
484
1,111
419
324
2,483
1,226
689
5,819
3,544

Average Component Cost per DRG ($)


Ward Medical

Ward Nursing

Direct

Direct

865
342
406
1,986
1,216
541
1,099
481
984
1,105
301
337
159
536
224
627
783
181
664
217
685
243
533
243
573
185
129
1,428
668
346
3,619
2,346

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Ohead

118
33
48
269
159
60
129
61
131
145
43
39
17
58
23
121
105
21
98
26
91
29
75
29
66
19
13
255
104
54
549
274

1,572
422
807
4,335
2,648
1,018
2,422
817
2,455
2,353
487
573
183
949
361
753
1,439
206
876
229
1,213
299
892
298
1,265
294
166
2,892
1,279
555
5,031
2,589

Ohead

336
88
166
785
542
214
480
173
542
505
117
114
47
181
72
181
266
55
171
49
250
70
210
76
257
68
44
600
260
114
1,036
517

Non
Clinical
Salaries
420
161
204
873
627
303
586
169
650
609
152
189
80
311
125
136
401
83
369
112
363
117
251
124
309
101
68
663
333
168
1,160
701

Pathology
Direct

327
127
221
718
444
179
350
131
200
360
78
129
65
216
124
86
293
75
251
94
260
90
202
98
199
80
76
596
252
137
1,075
497

Ohead

35
12
24
80
50
19
41
15
22
37
8
13
7
19
14
16
33
8
31
11
28
10
18
8
22
9
8
79
31
16
107
43

Page 26

ublic Sector

Average Component Cost per DRG ($)

DRG
F60A
F60B
F60C
F61Z
F62A
F62B
F63A
F63B
F64Z
F65A
F65B
F66A
F66B
F67A
F67B
F68Z
F69A
F69B
F70A
F70B
F71A
F71B
F72A
F72B
F73A
F73B
F74Z
F75A
F75B
F75C
G01A
G01B

Date Printed: 5/1/2012

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Page 27

NATIONAL HOSPITAL COST DATA COLLECTION

V5.1 Public Sector

COST WEIGHTS FOR AR-DRG VERSION 5.1, Round 12 (2007-08)


Public Sector - Estimated
Average Component Cost per DRG ($)
Imaging
Direct

DRG
F60A
F60B
F60C
F61Z
F62A
F62B
F63A
F63B
F64Z
F65A
F65B
F66A
F66B
F67A
F67B
F68Z
F69A
F69B
F70A
F70B
F71A
F71B
F72A
F72B
F73A
F73B
F74Z
F75A
F75B
F75C
G01A
G01B

202
85
152
555
265
122
330
149
159
399
388
105
68
188
109
142
188
61
167
74
159
61
139
78
187
109
107
423
225
148
564
168

Allied

Ohead

Direct

31
13
25
96
40
22
52
21
20
59
57
19
13
32
17
29
29
10
29
12
25
10
22
12
31
17
18
74
42
26
86
29

Date Printed: 5/1/2012

201
40
102
240
310
93
185
36
132
197
37
54
15
76
20
75
143
20
125
29
133
24
111
31
172
37
16
280
88
45
587
205

Pharmacy

Ohead

43
8
19
53
64
21
37
7
31
41
7
11
3
16
4
14
29
4
23
6
28
5
23
7
36
8
3
56
16
9
114
43

Direct

310
130
132
767
379
147
499
156
349
419
96
103
36
159
46
52
226
35
172
50
199
57
180
74
151
41
34
1,136
396
186
1,164
412

Critical Care

Ohead

33
15
13
60
37
18
40
15
36
33
9
12
5
18
8
8
20
5
21
7
22
8
20
9
17
6
5
65
30
15
86
39

Direct

1,296
800
512
1,109
825
281
53
21
18
280
35
237
87
227
47
366
610
90
1,494
440
649
209
520
283
142
58
57
1,105
357
241
2,596
620

Ohead

338
226
128
239
205
77
14
6
4
59
10
72
28
55
15
74
148
27
362
122
173
60
132
77
39
17
18
223
85
67
596
151

Oper Rooms
Direct

41
30
35
162
41
25
55
22
32
110
125
36
23
38
25
196
73
42
42
35
44
44
35
21
31
19
21
187
109
110
5,208
4,602

Ohead

8
5
7
35
8
6
11
5
8
23
31
6
5
8
5
55
15
9
7
7
10
10
6
4
6
3
5
37
19
21
1,110
999

Emerg Depts
Direct

492
367
417
311
504
385
423
310
241
322
131
365
335
347
262
55
391
300
413
363
439
327
454
396
490
375
396
390
314
279
150
72

Ohead

103
75
93
68
109
86
99
67
57
69
29
79
73
75
58
12
78
67
88
78
96
71
98
84
108
84
87
84
67
61
31
15

Supplies
Direct

205
80
108
541
300
154
391
95
310
337
77
102
47
153
68
156
223
48
139
53
151
61
127
61
146
54
39
403
200
94
702
372

Spec Proc Suites

Ohead

157
65
93
390
273
154
210
108
234
233
68
87
42
134
82
112
157
39
101
45
138
52
95
42
140
48
28
234
151
73
422
268

Direct

46
25
17
210
55
26
13
4
20
44
35
23
14
36
14
89
71
47
62
32
45
38
36
17
17
18
10
77
40
75
28
7

Ohead

12
4
4
36
11
5
5
1
4
14
9
5
3
7
3
21
15
13
14
7
10
10
7
4
4
6
2
19
10
18
12
4

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Prostheses
20
15
21
51
20
13
19
8
12
24
23
9
5
26
7
16
16
7
39
19
19
15
15
9
8
11
5
33
22
19
817
862

OnCosts
412
183
229
829
526
258
401
153
472
501
137
177
79
248
114
171
368
86
309
129
305
117
251
121
284
102
78
573
303
166
1,303
838

Hotel

228
95
138
441
323
165
240
91
299
283
83
108
47
153
78
96
205
47
163
69
172
65
145
63
181
59
40
343
183
92
785
505

Deprec No. of
Hosps
172
90
97
313
205
112
226
64
128
186
71
83
40
112
54
76
154
44
148
64
134
57
100
54
109
48
39
239
131
81
588
389

201
213
180
132
207
226
171
214
131
183
212
205
216
180
219
94
147
211
161
204
205
225
178
209
207
226
232
156
193
223
125
132

DRG
F60A
F60B
F60C
F61Z
F62A
F62B
F63A
F63B
F64Z
F65A
F65B
F66A
F66B
F67A
F67B
F68Z
F69A
F69B
F70A
F70B
F71A
F71B
F72A
F72B
F73A
F73B
F74Z
F75A
F75B
F75C
G01A
G01B

Page 28

NATIONAL HOSPITAL COST DATA COLLECTION

V5.1 Public Sector

COST WEIGHTS FOR AR-DRG VERSION 5.1, Round 12 (2007-08)


Public Sector - Estimated
DRG Description

DRG
G02A
G02B
G03A
G03B
G03C
G04A
G04B
G04C
G05A
G05B
G06Z
G07A
G07B
G08A
G08B
G09Z
G10Z
G11A
G11B
G12A
G12B
G42A
G42B
G43Z
G44A
G44B
G44C
G45A
G45B
G46A
G46B
G46C

Mjr Small & Large Bowel Pr+CCC


Mjr Small & Large Bowel Pr-CCC
Stomch,Oeshpgl & Duodnl Pr+Mal
Stmch,Oeshpgl&Ddnl Pr-Mal+CSCC
Stmch,Oeshpgl&Ddnl Pr-Mal-CSCC
Peritoneal Adhesolysis A>49+CC
Prtnl Adhly A>49/+CC
Peritoneal Adhesolysis A<50-CC
Mnr Small & Large Bowel Pr +CC
Mnr Small & Large Bowel Pr -CC
Pyloromyotomy Procedure
Appendicectomy + CSCC
Appendicectomy - CSCC
Abdom & Oth Hern Pr A>59/+CSCC
Abdom & Oth Hrn Pr 0<A<60-CSCC
Inguinal&Femoral Hernia Pr A>0
Hernia Procedures A<1
Anal & Stomal Procedures +CSCC
Anal & Stomal Procedures -CSCC
Oth Digest Sys OR Pr+CSCC
Oth Digest Sys OR Pr-CSCC
Oth Gastroscopy+Mjr Digest Dis
Oth Gastroscopy+Mjr Dig Dis,SD
Complex Colonoscopy
Other Colonoscopy+CSCC
Other Colonoscopy-CSCC
Other Colonoscopy, Sameday
Other Gastrpy+N-Mjr Digest Dis
Other Gastrpy+N-Mjr Dig Dis,SD
Complex Gastroscopy+CSCC
Complex Gastroscopy-CSCC
Complex Gastroscopy,SD

Date Printed: 5/1/2012

Cost

Standard

Number

Number

ALOS

Average Cost per DRG ($)

Weight

Error

of Seps

of Days

(Days)

Total

7.14
3.43
7.82
6.01
2.32
4.75
2.77
1.77
3.30
1.68
1.71
2.75
1.42
1.68
0.95
0.95
0.81
1.74
0.65
4.02
1.48
1.55
0.29
0.66
2.42
1.06
0.33
1.35
0.28
2.77
1.37
0.37

0.03
0.01
0.05
0.04
0.02
0.02
0.02
0.01
0.03
0.01
0.01
0.03
0.01
0.01
0.01
0.01
0.00
0.03
0.01
0.05
0.01
0.01
0.01
0.02
0.02
0.01
0.01
0.01
0.01
0.01
0.01
0.01

4,754
5,841
692
964
1,403
1,494
1,757
1,624
569
857
240
1,823
18,616
5,077
7,556
17,187
1,224
1,266
21,534
1,496
2,012
6,509
6,380
491
2,035
7,604
61,170
7,506
37,969
3,226
5,299
26,339

80,944
45,775
11,475
12,926
5,730
17,962
11,430
5,643
5,123
3,489
893
11,593
49,148
17,624
11,423
23,238
1,593
6,375
31,743
16,574
7,318
33,392
6,380
968
17,579
24,846
61,182
30,657
37,969
29,288
21,664
26,339

17.03
7.84
16.59
13.41
4.08
12.02
6.51
3.48
9
4.07
3.72
6.36
2.64
3.47
1.51
1.35
1.3
5.04
1.47
11.08
3.64
5.13
1
1.97
8.64
3.27
1
4.08
1
9.08
4.09
1

27,893
13,401
30,538
23,499
9,079
18,577
10,805
6,908
12,892
6,582
6,691
10,761
5,565
6,551
3,703
3,697
3,166
6,798
2,542
15,721
5,782
6,062
1,149
2,588
9,454
4,127
1,276
5,269
1,098
10,842
5,362
1,453

Direct

22,266
10,593
24,525
18,775
7,271
14,818
8,540
5,497
10,235
5,163
5,348
8,302
4,391
5,157
2,909
2,884
2,538
5,284
1,942
12,674
4,564
4,746
897
2,030
7,420
3,225
989
4,099
857
8,566
4,194
1,134

Ohead

5,627
2,808
6,013
4,724
1,808
3,759
2,265
1,411
2,658
1,419
1,343
2,460
1,174
1,394
794
813
628
1,514
600
3,047
1,219
1,316
251
558
2,034
902
287
1,170
241
2,276
1,168
318

Average Component Cost per DRG ($)


Ward Medical

Ward Nursing

Direct

Direct

3,259
1,713
3,217
2,783
1,118
2,369
1,401
920
1,849
927
876
1,353
703
885
510
499
340
857
338
1,785
769
776
141
335
1,245
624
186
666
140
1,320
722
197

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Ohead

470
197
471
435
127
321
174
103
220
86
82
276
82
99
53
46
37
191
43
281
98
115
29
57
201
87
24
117
23
222
103
23

4,826
2,191
4,692
3,912
1,326
3,381
1,908
1,012
2,701
1,093
1,489
1,981
780
944
375
348
421
1,324
297
3,499
969
1,343
74
406
2,468
919
75
1,114
80
2,656
1,135
70

Ohead

1,050
422
991
751
263
705
389
225
550
225
241
439
168
200
93
90
84
278
74
701
219
282
25
90
521
195
28
220
26
511
227
24

Non
Clinical
Salaries
1,045
560
1,098
947
326
745
442
273
603
309
273
458
209
243
127
126
88
298
99
690
260
313
40
97
541
214
50
271
43
541
283
50

Pathology
Direct

1,092
450
1,155
867
152
617
305
162
373
182
188
399
158
132
28
24
17
265
42
702
178
324
60
102
486
187
38
224
51
579
267
68

Ohead

115
38
147
97
15
61
32
15
34
16
24
52
17
13
3
2
3
28
4
86
20
38
10
13
52
23
4
28
8
68
30
9

Page 29

ublic Sector

Average Component Cost per DRG ($)

DRG
G02A
G02B
G03A
G03B
G03C
G04A
G04B
G04C
G05A
G05B
G06Z
G07A
G07B
G08A
G08B
G09Z
G10Z
G11A
G11B
G12A
G12B
G42A
G42B
G43Z
G44A
G44B
G44C
G45A
G45B
G46A
G46B
G46C

Date Printed: 5/1/2012

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Page 30

NATIONAL HOSPITAL COST DATA COLLECTION

V5.1 Public Sector

COST WEIGHTS FOR AR-DRG VERSION 5.1, Round 12 (2007-08)


Public Sector - Estimated
Average Component Cost per DRG ($)
Imaging
Direct

DRG
G02A
G02B
G03A
G03B
G03C
G04A
G04B
G04C
G05A
G05B
G06Z
G07A
G07B
G08A
G08B
G09Z
G10Z
G11A
G11B
G12A
G12B
G42A
G42B
G43Z
G44A
G44B
G44C
G45A
G45B
G46A
G46B
G46C

725
222
618
571
116
516
237
109
209
50
94
322
85
101
25
19
8
130
23
735
245
183
19
47
357
126
15
182
13
310
140
19

Allied

Ohead

Direct

118
36
134
91
21
85
43
18
37
11
16
65
13
16
5
4
2
28
5
112
35
30
4
7
57
20
3
30
3
53
23
4

Date Printed: 5/1/2012

581
167
726
549
117
328
119
44
168
50
34
107
20
61
12
11
14
81
7
309
47
110
2
14
185
35
2
85
2
237
66
2

Pharmacy

Ohead

125
38
146
110
25
65
26
10
37
12
9
26
5
14
3
4
4
17
3
61
11
24
1
4
41
8
1
18
1
48
14
1

Direct

1,272
360
1,387
930
164
860
337
113
363
131
72
262
88
138
46
47
29
231
54
967
136
267
24
64
498
135
20
202
18
553
218
22

Critical Care

Ohead

88
37
72
83
20
61
33
14
44
19
22
31
13
17
7
8
8
23
9
56
14
24
3
5
35
14
3
19
3
42
20
4

Direct

3,119
522
3,301
2,889
325
1,520
272
42
485
41
179
450
10
238
25
14
226
222
12
930
70
241
1
14
186
20
0
238
0
492
125
0

Ohead

676
120
714
648
69
338
60
10
116
11
38
107
2
59
6
3
44
54
4
206
18
58
0
4
46
5
0
44
0
111
31
0

Oper Rooms
Direct

3,931
3,051
5,512
3,246
2,675
2,894
2,443
2,028
2,280
1,809
1,228
1,926
1,599
1,733
1,353
1,421
1,053
1,154
801
1,544
1,235
340
307
537
410
462
413
425
321
637
564
483

Ohead

861
675
1,182
718
591
650
542
448
498
401
222
470
356
429
349
371
214
277
215
342
283
77
79
118
90
107
111
98
83
136
128
127

Emerg Depts
Direct

281
159
65
288
108
272
237
279
50
17
379
421
373
96
47
13
50
170
64
278
199
381
10
47
334
158
1
303
6
342
200
2

Ohead

61
35
15
60
21
58
52
55
13
4
87
91
80
21
10
3
12
37
14
60
41
86
2
11
75
35
0
69
1
76
45
0

Supplies
Direct

639
308
654
564
183
460
236
121
415
143
139
218
92
128
60
54
34
173
58
440
138
176
41
64
314
124
38
133
39
325
162
36

Spec Proc Suites

Ohead

420
245
376
313
122
284
212
104
256
137
176
233
94
109
58
54
53
130
47
247
88
135
13
39
213
101
16
123
15
238
121
15

Direct

45
17
65
67
17
11
5
2
3
2
0
17
0
5
6
6
1
52
26
86
47
69
111
194
85
69
81
61
79
136
85
95

Ohead

12
4
10
15
4
2
1
1
0
0
0
9
0
1
1
1
0
17
7
21
10
18
33
57
23
16
25
18
24
38
21
29

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Prostheses
532
409
1,062
328
252
265
238
129
239
173
51
79
58
240
146
168
85
58
37
124
62
23
20
17
40
21
14
21
14
115
64
35

OnCosts
1,250
688
1,391
1,095
449
847
519
340
647
348
379
495
277
295
168
162
164
346
119
733
286
310
43
110
471
206
54
282
46
518
275
62

Hotel

747
416
737
639
258
489
300
184
421
219
231
266
150
178
97
99
98
210
73
424
167
186
24
75
293
127
33
156
26
317
161
33

Deprec No. of
Hosps
551
324
597
501
215
370
240
147
281
167
161
212
131
155
92
98
77
147
69
303
138
133
33
62
188
92
41
120
32
220
130
45

144
160
85
118
124
134
152
156
111
128
26
142
174
194
198
201
46
151
208
136
172
170
168
87
151
193
191
182
183
148
181
176

DRG
G02A
G02B
G03A
G03B
G03C
G04A
G04B
G04C
G05A
G05B
G06Z
G07A
G07B
G08A
G08B
G09Z
G10Z
G11A
G11B
G12A
G12B
G42A
G42B
G43Z
G44A
G44B
G44C
G45A
G45B
G46A
G46B
G46C

Page 31

NATIONAL HOSPITAL COST DATA COLLECTION

V5.1 Public Sector

COST WEIGHTS FOR AR-DRG VERSION 5.1, Round 12 (2007-08)


Public Sector - Estimated
DRG Description

DRG
G60A
G60B
G61A
G61B
G62Z
G63Z
G64Z
G65A
G65B
G66A
G66B
G67A
G67B
G68A
G68B
G69Z
G70A
G70B
H01A
H01B
H02A
H02B
H02C
H05A
H05B
H06Z
H07A
H07B
H08A
H08B
H40Z
H41A

Digestive Malignancy + CSCC


Digestive Malignancy - CSCC
Gi Haemorrhage A>64/+CSCC
Gi Haemorrhage A<65 - CSCC
Complicated Peptic Ulcer
Uncomplicated Peptic Ulcer
Inflammatory Bowel Disease
Gi Obstruction + CC
Gi Obstruction - CC
Abdmnl Pain/Mesentrc Adents+CC
Abdmnl Pain/Mesentrc Adents-CC
Oesphs, Gastr&Mis Dig A>9+CSCC
Oesphs, Gastr&Mis Dig A>9-CSCC
Gastroenteritis A<10 + CC
Gastroenteritis A<10 - CC
Oesphs & Misc Dig Sys Dis A<10
Other Digestive System Diag+CC
Other Digestive System Diag-CC
Pancreas, Liver & Shunt Pr+CCC
Pancreas, Liver &Shunt Pr-CCC
Mjr Biliary Tract Pr+(Mal/Ccc)
Mjr Biliary Tract Pr-Mal+SMCC
Mjr Biliary Tract Pr-Mal-CC
Hepatobiliary Diagntic Pr+CSCC
Hepatobiliary Diagntic Pr-CSCC
Oth Heptobilry & Pancrs OR Pr
Open Cholecystectomy+Cde/+CCC
Open Cholecystectomy-Cde-CCC
Lap Cholecystectmy+Cde/+CSCC
Lap Cholecystectmy-Cde-CSCC
Endospic Pr Bleed Oes Varices
Ercp Cx Theraputic Pr + CSCC

Date Printed: 5/1/2012

Cost

Standard

Number

Number

ALOS

Average Cost per DRG ($)

Weight

Error

of Seps

of Days

(Days)

Total

1.44
0.72
0.81
0.42
1.28
0.41
0.82
1.41
0.72
0.75
0.37
1.34
0.45
1.20
0.53
0.68
1.31
0.39
8.51
3.95
5.77
2.75
1.64
3.61
1.41
2.87
5.19
2.62
2.73
1.39
2.84
3.02

0.01
0.01
0.02
0.01
0.06
0.04
0.01
0.02
0.01
0.01
0.01
0.02
0.01
0.02
0.01
0.01
0.02
0.01
0.05
0.02
0.05
0.02
0.02
0.09
0.04
0.10
0.05
0.03
0.02
0.01
0.03
0.01

4,404
4,030
7,217
3,637
295
694
7,006
4,818
7,572
7,557
39,200
14,966
67,428
1,922
14,221
4,981
5,213
14,374
870
1,020
441
438
553
418
390
572
481
1,377
3,457
19,729
522
1,019

25,545
12,480
23,596
6,051
1,374
1,138
14,753
25,671
20,865
21,500
56,176
79,076
127,191
6,291
22,250
9,993
24,691
22,752
16,651
8,570
6,822
2,972
1,997
3,584
1,192
3,888
6,101
7,771
20,620
36,461
3,581
9,683

5.8
3.1
3.27
1.66
4.66
1.64
2.11
5.33
2.76
2.85
1.43
5.28
1.89
3.27
1.56
2.01
4.74
1.58
19.15
8.4
15.46
6.78
3.61
8.57
3.06
6.8
12.68
5.64
5.96
1.85
6.86
9.5

5,620
2,817
3,165
1,659
5,004
1,584
3,210
5,519
2,821
2,912
1,442
5,229
1,739
4,677
2,067
2,645
5,103
1,529
33,258
15,420
22,530
10,758
6,395
14,121
5,528
11,205
20,271
10,227
10,659
5,443
11,114
11,798

Direct

4,318
2,135
2,421
1,292
3,866
1,247
2,643
4,266
2,172
2,261
1,129
4,064
1,335
3,364
1,574
2,008
3,993
1,191
26,788
12,417
18,173
8,588
5,092
11,347
4,389
9,183
16,131
7,968
8,478
4,313
9,017
9,381

Ohead

1,301
682
744
367
1,138
336
567
1,253
649
651
313
1,164
404
1,313
493
636
1,109
337
6,469
3,003
4,357
2,170
1,304
2,773
1,139
2,022
4,140
2,259
2,180
1,131
2,097
2,417

Average Component Cost per DRG ($)


Ward Medical

Ward Nursing

Direct

Direct

643
323
413
203
611
175
305
735
417
363
160
608
201
642
281
382
640
200
3,311
1,523
2,690
1,545
855
1,611
776
1,216
2,404
1,421
1,381
720
1,251
1,494

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Ohead

113
64
43
22
77
15
62
93
43
42
15
81
20
69
27
39
102
23
486
192
434
182
115
236
85
180
380
159
195
70
222
276

1,662
720
736
280
1,227
251
473
1,513
625
641
205
1,435
313
1,163
503
671
1,258
253
5,355
2,306
4,541
1,827
984
2,549
872
2,174
3,329
1,621
1,693
552
1,931
2,690

Ohead

342
163
147
63
278
60
105
308
138
132
50
293
72
224
81
130
270
63
1,151
467
1,003
376
225
600
149
448
749
333
392
132
356
556

Non
Clinical
Salaries
318
174
180
89
253
101
125
313
161
170
67
318
103
350
137
187
295
82
1,166
572
832
444
274
490
254
381
712
424
369
166
394
592

Pathology
Direct

180
72
166
92
224
69
92
203
92
121
62
235
76
239
80
82
215
43
1,341
568
940
313
178
601
226
450
895
288
380
115
639
579

Ohead

21
8
19
10
22
7
11
24
10
15
7
28
9
28
9
10
25
5
191
65
130
31
19
84
29
76
98
27
46
11
94
67

Page 32

ublic Sector

Average Component Cost per DRG ($)

DRG
G60A
G60B
G61A
G61B
G62Z
G63Z
G64Z
G65A
G65B
G66A
G66B
G67A
G67B
G68A
G68B
G69Z
G70A
G70B
H01A
H01B
H02A
H02B
H02C
H05A
H05B
H06Z
H07A
H07B
H08A
H08B
H40Z
H41A

Date Printed: 5/1/2012

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Page 33

NATIONAL HOSPITAL COST DATA COLLECTION

V5.1 Public Sector

COST WEIGHTS FOR AR-DRG VERSION 5.1, Round 12 (2007-08)


Public Sector - Estimated
Average Component Cost per DRG ($)
Imaging
Direct

DRG
G60A
G60B
G61A
G61B
G62Z
G63Z
G64Z
G65A
G65B
G66A
G66B
G67A
G67B
G68A
G68B
G69Z
G70A
G70B
H01A
H01B
H02A
H02B
H02C
H05A
H05B
H06Z
H07A
H07B
H08A
H08B
H40Z
H41A

201
98
104
61
279
97
79
290
197
192
124
172
88
43
29
66
216
76
1,260
504
919
341
250
499
188
1,487
613
197
319
101
280
565

Allied

Ohead

Direct

43
25
17
10
47
15
14
50
30
30
18
30
14
7
5
11
33
12
207
80
133
44
45
84
27
210
106
34
60
18
47
98

Date Printed: 5/1/2012

154
50
48
12
76
14
29
105
28
44
10
139
21
55
11
46
91
13
577
209
452
118
50
193
56
244
328
106
84
19
163
226

Pharmacy

Ohead

31
10
11
3
18
3
7
23
7
10
2
28
4
12
3
10
18
3
108
40
85
25
11
39
13
35
63
29
18
6
32
41

Direct

438
229
112
45
180
45
1,110
231
66
94
26
250
46
114
32
67
261
35
1,887
450
1,098
389
203
489
112
933
775
241
238
70
757
734

Critical Care

Ohead

35
20
13
6
27
5
82
23
10
11
4
23
6
16
7
13
21
5
94
28
75
33
18
33
12
48
52
29
20
10
44
43

Direct

34
22
79
15
271
6
11
117
7
20
2
93
7
40
2
13
165
4
3,315
1,081
1,463
187
69
955
47
480
2,108
241
399
40
1,597
414

Ohead

8
4
21
4
63
2
3
26
2
5
1
22
2
9
1
4
39
1
721
241
324
36
11
192
10
87
485
57
91
10
331
95

Oper Rooms
Direct

68
115
34
38
81
22
40
44
27
33
22
29
23
22
21
49
128
134
5,504
3,469
3,208
2,411
1,492
2,566
1,389
844
3,322
2,552
2,570
2,013
763
611

Ohead

16
26
8
9
20
5
11
10
6
7
5
6
5
4
4
12
28
31
1,143
721
672
519
323
591
314
179
771
623
582
484
148
131

Emerg Depts
Direct

197
80
354
335
323
323
142
406
372
390
349
436
329
384
355
296
315
217
139
91
231
163
82
158
73
122
301
172
265
83
369
287

Ohead

43
18
79
76
70
72
32
88
80
86
76
96
74
100
84
73
69
48
30
19
52
38
19
33
14
27
66
35
58
17
78
64

Supplies
Direct

177
105
99
53
165
73
79
164
92
92
39
164
58
135
61
71
177
45
874
365
632
291
189
377
111
328
405
218
207
76
268
417

Spec Proc Suites

Ohead

198
101
97
43
128
39
52
158
85
92
36
157
56
362
78
98
127
36
398
168
274
165
88
156
80
166
305
223
142
70
143
207

Direct

61
36
4
4
30
2
79
4
1
4
1
10
4
1
0
0
25
19
94
50
86
61
111
53
65
72
35
1
20
6
155
144

Ohead

21
10
1
1
6
1
21
1
0
1
0
4
1
0
0
0
6
4
18
9
13
11
27
16
12
16
6
1
4
1
40
35

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Prostheses
32
26
18
6
30
5
6
15
11
9
10
10
8
6
7
9
25
14
886
606
375
217
117
228
97
127
177
138
191
141
45
270

OnCosts
272
145
171
86
255
79
118
280
151
148
71
279
93
287
126
152
273
77
1,469
783
920
489
311
652
250
410
878
497
461
242
491
561

Hotel

193
105
115
49
130
49
67
174
92
89
40
176
59
251
68
90
166
46
810
441
522
261
165
349
128
258
521
312
259
137
260
362

Deprec No. of
Hosps
118
65
75
42
113
49
57
119
70
70
37
107
45
114
55
63
114
39
720
373
424
237
165
288
138
207
387
247
216
134
215
242

201
206
222
203
119
148
191
214
228
220
232
230
235
131
196
176
212
230
77
85
86
94
91
91
86
66
108
152
158
183
75
68

DRG
G60A
G60B
G61A
G61B
G62Z
G63Z
G64Z
G65A
G65B
G66A
G66B
G67A
G67B
G68A
G68B
G69Z
G70A
G70B
H01A
H01B
H02A
H02B
H02C
H05A
H05B
H06Z
H07A
H07B
H08A
H08B
H40Z
H41A

Page 34

NATIONAL HOSPITAL COST DATA COLLECTION

V5.1 Public Sector

COST WEIGHTS FOR AR-DRG VERSION 5.1, Round 12 (2007-08)


Public Sector - Estimated
DRG Description

DRG
H41B
H42A
H42B
H42C
H60A
H60B
H60C
H61A
H61B
H62A
H62B
H63A
H63B
H64A
H64B
I01Z
I02A
I02B
I03A
I03B
I03C
I04Z
I05Z
I06Z
I07Z
I08A
I08B
I09A
I09B
I10A
I10B
I11Z

Ercp Cx Theraputic Pr - CSCC


Ercp Oth Theraputic Pr +CSCC
Ercp Oth Theraputic Pr +Mcc
Ercp Oth Theraputic Pr -CC
Cirrhosis & Alc Hepatitis +CCC
Cirrhosis & Alc Hepatitis+SCC
Cirrhosis & Alc Hepatitis-CSCC
Mal Hept Sys (A>69+CSCC)/+CCC
Mal Hept Sys (A>69-CSCC)/-CCC
Disorders Pancreas-Malig+CSCC
Disorders Pancreas-Malig-CSCC
Dsrd Lvr-Mal,Cirr,Alc Hep+CSCC
Dsrd Lvr-Mal,Cirr,Alc Hep-CSCC
Disorders Of Biliary Tract +CC
Disorders Of Biliary Tract -CC
Bil/Mlti Mjr Jt Pr Lwr Extrmty
Mcrvas Tt/Skin Graft+CSCC-Hand
Skin Graft -CSCC -Hand
Hip Revision + CSCC
Hip Replac+CSCC/Hip Revsn-CSCC
Hip Replacement - CSCC
Knee Replacemt & Reattach
Oth Mjr Jnt Replace&Limb Reatt
Spinal Fusion + Deformity
Amputation
Other Hip & Femur Proc + CSCC
Other Hip & Femur Pr -CSCC
Spinal Fusion + CSCC
Spinal Fusion - CSCC
Other Back & Neck Procs + CSCC
Other Back & Neck Procs - CSCC
Limb Lengthening Procedures

Date Printed: 5/1/2012

Cost

Standard

Number

Number

ALOS

Average Cost per DRG ($)

Weight

Error

of Seps

of Days

(Days)

Total

1.22
2.88
1.37
0.84
3.22
1.39
0.64
2.11
0.95
2.14
0.94
2.25
0.68
1.36
0.55
7.96
11.46
4.11
8.58
5.41
4.21
4.47
3.96
11.39
7.25
4.96
3.08
9.28
5.03
4.33
2.20
3.30

0.01
0.02
0.01
0.01
0.04
0.08
0.02
0.04
0.01
0.02
0.04
0.02
0.01
0.02
0.01
0.05
0.11
0.04
0.06
0.02
0.02
0.02
0.04
0.11
0.12
0.02
0.01
0.07
0.03
0.04
0.01
0.17

2,053
935
936
3,330
1,876
2,132
2,265
2,052
3,304
2,393
9,408
2,343
4,838
4,593
12,237
595
569
603
507
5,718
7,585
11,699
1,216
318
295
6,585
6,168
833
1,561
665
3,426
133

6,800
8,901
4,233
8,189
20,636
9,944
5,516
17,125
11,589
17,761
30,864
17,601
11,655
23,763
27,408
7,822
16,161
5,537
9,184
68,916
51,734
83,991
6,819
3,108
6,019
96,808
46,264
11,816
9,639
7,446
14,535
617

3.31
9.52
4.52
2.46
11
4.66
2.43
8.35
3.51
7.42
3.28
7.51
2.41
5.17
2.24
13.14
28.38
9.18
18.12
12.05
6.82
7.18
5.61
9.78
20.37
14.7
7.5
14.18
6.17
11.2
4.24
4.65

4,773
11,242
5,334
3,270
12,567
5,421
2,491
8,234
3,713
8,369
3,690
8,802
2,649
5,312
2,150
31,091
44,786
16,043
33,524
21,148
16,456
17,460
15,485
44,483
28,326
19,386
12,045
36,262
19,665
16,914
8,608
12,905

Direct

3,799
8,785
4,191
2,554
9,980
4,283
1,939
6,366
2,876
6,536
2,908
7,013
2,071
4,138
1,645
25,653
36,007
12,779
27,786
17,346
13,807
14,695
12,959
38,526
22,332
15,417
9,594
30,943
16,897
13,679
6,940
11,077

Ohead

974
2,457
1,143
715
2,587
1,138
552
1,869
837
1,834
782
1,789
578
1,174
505
5,439
8,779
3,264
5,738
3,802
2,649
2,765
2,526
5,957
5,994
3,969
2,451
5,319
2,768
3,235
1,668
1,827

Average Component Cost per DRG ($)


Ward Medical

Ward Nursing

Direct

Direct

720
1,486
773
453
1,715
895
304
938
419
1,068
526
1,310
339
718
305
2,439
4,664
1,528
3,186
1,958
1,340
1,447
1,242
3,058
3,279
2,055
1,231
2,513
1,215
1,868
854
1,252

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Ohead

121
268
109
75
232
89
50
167
63
131
55
179
51
83
27
332
888
280
538
304
173
171
169
632
628
335
181
403
166
263
97
188

819
2,645
1,139
533
3,042
1,218
506
2,480
874
1,928
827
2,116
543
1,312
408
3,809
9,135
2,748
5,124
3,594
1,976
2,137
1,676
3,993
7,404
4,395
2,187
4,654
1,941
3,743
1,350
1,887

Ohead

171
545
234
114
631
244
111
511
193
395
163
451
125
277
93
686
2,236
611
1,180
772
436
469
408
806
1,549
915
455
942
425
718
270
428

Non
Clinical
Salaries
209
541
280
145
784
341
142
492
229
464
238
477
150
321
136
1,188
1,732
655
1,202
788
485
514
377
589
1,362
932
542
937
414
677
301
308

Pathology
Direct

180
551
242
104
743
307
144
340
156
422
150
531
249
268
91
595
1,002
204
875
475
170
182
150
525
842
542
225
628
148
358
81
61

Ohead

20
72
25
12
99
36
20
44
18
44
15
86
34
30
10
42
127
22
87
52
15
14
16
101
104
59
23
90
17
53
9
10

Page 35

ublic Sector

Average Component Cost per DRG ($)

DRG
H41B
H42A
H42B
H42C
H60A
H60B
H60C
H61A
H61B
H62A
H62B
H63A
H63B
H64A
H64B
I01Z
I02A
I02B
I03A
I03B
I03C
I04Z
I05Z
I06Z
I07Z
I08A
I08B
I09A
I09B
I10A
I10B
I11Z

Date Printed: 5/1/2012

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Page 36

NATIONAL HOSPITAL COST DATA COLLECTION

V5.1 Public Sector

COST WEIGHTS FOR AR-DRG VERSION 5.1, Round 12 (2007-08)


Public Sector - Estimated
Average Component Cost per DRG ($)
Imaging
Direct

DRG
H41B
H42A
H42B
H42C
H60A
H60B
H60C
H61A
H61B
H62A
H62B
H63A
H63B
H64A
H64B
I01Z
I02A
I02B
I03A
I03B
I03C
I04Z
I05Z
I06Z
I07Z
I08A
I08B
I09A
I09B
I10A
I10B
I11Z

278
583
312
218
367
170
92
402
320
457
204
331
176
252
117
444
887
343
640
430
217
160
220
514
643
595
417
939
352
473
175
183

Allied

Ohead

Direct

58
107
56
47
61
29
15
84
74
69
31
51
30
39
18
60
183
65
109
66
34
25
39
130
135
94
69
134
54
61
26
34

Date Printed: 5/1/2012

37
207
47
14
345
104
37
218
57
167
35
211
26
86
17
609
931
266
623
486
293
288
236
843
668
568
288
827
315
453
169
359

Pharmacy

Ohead

7
39
10
3
71
28
8
45
11
36
8
41
6
19
5
122
184
53
118
98
63
65
50
176
150
111
59
179
68
93
32
74

Direct

128
546
184
103
696
221
70
496
310
401
116
563
81
207
50
641
1,641
308
717
424
204
232
209
455
1,402
521
230
695
202
426
129
163

Critical Care

Ohead

12
36
15
9
45
26
7
37
24
36
12
44
9
22
8
51
82
24
51
39
21
22
18
86
96
44
25
40
16
27
13
32

Direct

18
645
94
27
710
80
7
98
14
612
64
407
31
162
6
561
1,470
90
998
501
96
161
136
2,216
847
475
61
1,474
308
477
33
33

Ohead

4
155
24
9
156
17
2
22
3
144
17
82
8
38
2
138
334
27
210
115
23
38
33
648
165
105
15
319
72
109
7
5

Oper Rooms
Direct

461
515
411
386
134
148
185
62
78
69
39
93
89
69
38
5,044
8,535
3,948
5,222
3,143
2,905
3,095
3,303
7,765
3,312
2,502
2,261
6,268
4,504
3,426
2,885
2,802

Ohead

99
104
88
83
27
30
42
13
20
15
9
20
21
15
8
1,179
2,060
901
1,088
674
654
696
750
1,608
774
529
495
1,149
916
679
576
384

Emerg Depts
Direct

125
353
205
120
423
247
141
294
145
454
377
355
172
389
332
41
319
217
185
235
87
5
110
1
183
420
338
258
85
124
65
25

Ohead

27
85
48
27
93
55
32
67
31
100
83
77
38
81
72
8
73
50
43
53
20
1
26
0
45
94
76
50
18
27
15
8

Supplies
Direct

163
311
185
108
481
250
94
262
122
241
170
293
91
167
76
638
1,169
409
708
429
244
267
194
325
943
459
244
612
205
371
142
164

Spec Proc Suites

Ohead

70
226
101
54
306
150
61
254
113
232
107
175
67
151
69
386
705
242
427
297
203
220
127
322
691
355
203
357
128
239
110
131

Direct

236
106
137
205
33
65
117
44
22
10
16
23
25
17
6
3
151
20
36
19
3
2
4
371
31
19
5
29
6
19
2
19

Ohead

59
21
33
48
9
18
32
18
7
2
4
6
8
5
2
1
32
6
10
5
1
1
1
155
4
4
2
8
2
3
0
4

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Prostheses
250
24
22
19
15
40
16
19
16
21
11
19
7
14
9
9,618
2,529
1,318
7,862
4,541
5,611
6,012
4,910
16,989
375
1,496
1,222
10,256
6,744
741
412
3,585

OnCosts
235
511
266
163
666
284
119
407
182
425
196
426
133
279
117
1,102
1,914
831
1,069
784
538
567
493
1,171
1,324
845
562
1,216
641
723
392
383

Hotel

135
327
157
93
418
179
73
259
119
241
112
256
76
170
71
663
1,100
512
701
495
334
343
302
557
878
557
359
713
371
432
252
216

Deprec No. of
Hosps
132
232
139
97
267
147
65
162
90
185
107
176
63
121
59
690
701
365
518
371
307
326
284
446
490
361
270
573
329
330
208
166

74
91
86
102
143
162
168
178
196
176
206
167
198
208
227
88
71
110
92
119
120
121
110
21
80
108
122
54
63
53
74
38

DRG
H41B
H42A
H42B
H42C
H60A
H60B
H60C
H61A
H61B
H62A
H62B
H63A
H63B
H64A
H64B
I01Z
I02A
I02B
I03A
I03B
I03C
I04Z
I05Z
I06Z
I07Z
I08A
I08B
I09A
I09B
I10A
I10B
I11Z

Page 37

NATIONAL HOSPITAL COST DATA COLLECTION

V5.1 Public Sector

COST WEIGHTS FOR AR-DRG VERSION 5.1, Round 12 (2007-08)


Public Sector - Estimated
DRG Description

DRG
I12A
I12B
I12C
I13A
I13B
I13C
I14Z
I15Z
I16Z
I17Z
I18Z
I19Z
I20Z
I21Z
I23Z
I24Z
I25Z
I27A
I27B
I28A
I28B
I29Z
I30Z
I60Z
I61Z
I63Z
I64A
I64B
I65A
I65B
I66A
I66B

Infc/Infm Bone/Jnt+Misc Pr+CCC


Infc/Infm Bone/Jnt+Misc Pr+SCC
Infc/Infm Bne/Jnt+Misc Pr-CSCC
Humer,Tibia,Fibul,Ankl Pr+CSCC
Humer,Tib,Fib,Ank Pr A>59-CSCC
Humer,Tib,Fib,Ank Pr A<60-CSCC
Stump Revision
Cranio-Facial Surgery
Other Shoulder Procedures
Maxillo-Facial Surgery
Other Knee Procedures
Other Elbow, Forearm Procs
Other Foot Procedures
Loc Ex, Rem Int Fix Dev Hp&Fmr
Loc Ex,Rem Int Fix-Hp&Fmr
Arthroscopy
Bone,Joint Dxtic Pr Inc Biopsy
Soft Tissue Procedures +CSCC
Soft Tissue Procedures -CSCC
Other Connect Tissue Procs +CC
Other Connect Tissue Procs -CC
Knee Reconstruction/Revision
Hand Procedures
Femoral Shaft Fractures
Distal Femoral Fractures
Spr,Str&Dsloc Hip,Pelvis&Thigh
Osteomyelitis +CC
Osteomyelitis -CC
Con Tis Mal,Inc Path Fx +CSCC
Con Tis Mal,Inc Path Fx -CSCC
Inflm Muscl Dsr +CSCC
Inflm Musculsktl Dsr -CSCC

Date Printed: 5/1/2012

Cost

Standard

Number

Number

ALOS

Average Cost per DRG ($)

Weight

Error

of Seps

of Days

(Days)

Total

6.89
4.05
2.22
5.08
2.72
2.06
2.31
2.89
1.44
2.23
0.79
1.74
1.35
1.23
0.66
0.71
2.48
3.65
1.08
3.74
1.25
1.66
0.91
2.31
1.46
0.84
2.72
0.96
2.50
1.25
2.80
0.58

0.10
0.03
0.01
0.03
0.01
0.01
0.04
0.01
0.02
0.01
0.01
0.01
0.01
0.01
0.00
0.01
0.06
0.02
0.01
0.03
0.01
0.01
0.01
0.05
0.08
0.01
0.04
0.02
0.03
0.01
0.04
0.01

900
767
3,060
1,637
2,337
12,583
93
343
5,931
948
18,941
11,462
7,338
838
12,071
2,375
558
839
7,038
902
3,707
2,970
26,358
786
708
1,826
1,507
1,828
3,004
3,227
1,020
11,298

21,844
10,872
19,910
21,435
14,839
45,943
617
1,431
9,398
3,007
25,478
29,488
17,700
1,951
14,968
3,198
4,274
8,967
14,394
9,241
7,912
4,714
36,013
5,260
4,134
5,597
19,961
9,444
27,728
13,300
9,329
20,507

24.27
14.17
6.51
13.09
6.35
3.65
6.6
4.17
1.58
3.17
1.35
2.57
2.41
2.33
1.24
1.35
7.66
10.69
2.05
10.24
2.13
1.59
1.37
6.69
5.84
3.07
13.25
5.17
9.23
4.12
9.15
1.82

26,928
15,828
8,662
19,833
10,627
8,044
9,030
11,291
5,623
8,700
3,081
6,805
5,284
4,788
2,564
2,772
9,681
14,279
4,237
14,630
4,897
6,497
3,574
9,008
5,720
3,263
10,623
3,756
9,763
4,874
10,936
2,259

Direct

21,148
12,272
6,725
15,811
8,418
6,460
7,080
9,342
4,467
7,065
2,374
5,530
4,152
3,785
2,024
2,140
7,721
11,258
3,339
11,636
3,918
5,266
2,821
6,823
4,403
2,504
8,308
2,874
7,522
3,848
8,705
1,809

Ohead

5,780
3,556
1,937
4,021
2,209
1,584
1,950
1,950
1,156
1,636
708
1,274
1,132
1,003
540
632
1,961
3,021
898
2,994
979
1,231
752
2,186
1,317
760
2,315
881
2,240
1,025
2,232
450

Average Component Cost per DRG ($)


Ward Medical

Ward Nursing

Direct

Direct

3,537
1,986
1,011
2,108
1,103
778
1,206
1,010
648
826
408
594
587
506
254
328
1,117
1,572
460
1,400
441
759
358
1,034
742
354
1,655
735
1,105
476
1,332
250

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Ohead

659
352
152
372
170
118
243
127
66
113
42
88
79
84
35
33
218
259
62
215
58
87
46
150
69
44
200
70
192
79
177
47

6,838
3,702
1,785
3,797
1,787
1,082
2,279
1,477
538
997
259
732
719
750
229
229
2,499
3,197
558
3,271
572
563
279
2,776
1,662
744
3,001
913
2,973
1,344
2,607
358

Ohead

1,576
899
383
904
393
267
589
270
125
202
66
169
167
188
63
53
507
665
124
611
125
133
73
336
356
152
660
191
633
249
482
96

Non
Clinical
Salaries
1,509
873
447
924
435
283
334
387
162
284
101
190
187
168
87
88
526
696
160
730
175
172
98
820
438
175
685
260
624
302
718
108

Pathology
Direct

959
451
196
358
137
57
212
259
27
94
18
50
42
47
22
21
487
524
90
404
51
19
22
146
120
57
315
76
271
134
744
93

Ohead

112
41
18
37
14
6
28
36
2
14
2
5
4
5
2
2
63
50
9
47
5
1
2
16
11
8
33
8
34
18
95
11

Page 38

ublic Sector

Average Component Cost per DRG ($)

DRG
I12A
I12B
I12C
I13A
I13B
I13C
I14Z
I15Z
I16Z
I17Z
I18Z
I19Z
I20Z
I21Z
I23Z
I24Z
I25Z
I27A
I27B
I28A
I28B
I29Z
I30Z
I60Z
I61Z
I63Z
I64A
I64B
I65A
I65B
I66A
I66B

Date Printed: 5/1/2012

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Page 39

NATIONAL HOSPITAL COST DATA COLLECTION

V5.1 Public Sector

COST WEIGHTS FOR AR-DRG VERSION 5.1, Round 12 (2007-08)


Public Sector - Estimated
Average Component Cost per DRG ($)
Imaging
Direct

DRG
I12A
I12B
I12C
I13A
I13B
I13C
I14Z
I15Z
I16Z
I17Z
I18Z
I19Z
I20Z
I21Z
I23Z
I24Z
I25Z
I27A
I27B
I28A
I28B
I29Z
I30Z
I60Z
I61Z
I63Z
I64A
I64B
I65A
I65B
I66A
I66B

778
367
169
637
323
251
103
106
32
181
35
221
107
86
36
30
647
399
81
626
153
61
62
327
266
230
424
147
360
197
402
53

Allied

Ohead

Direct

168
92
37
112
51
45
14
16
5
32
7
38
18
18
7
5
136
77
15
97
29
10
12
73
40
38
74
26
76
36
67
10

Date Printed: 5/1/2012

584
312
114
507
237
131
150
98
57
82
29
69
85
96
22
23
306
400
58
385
64
89
20
220
181
103
213
36
317
115
306
25

Pharmacy

Ohead

116
65
23
98
49
27
40
18
14
15
9
14
19
19
5
6
45
86
13
72
13
21
5
46
36
23
45
10
64
23
53
5

Direct

1,701
852
288
492
182
112
304
146
63
104
40
89
76
74
37
32
377
593
70
818
71
65
52
161
119
73
828
168
817
645
780
634

Ohead

109
55
26
43
20
12
23
24
9
11
5
10
10
9
5
4
30
46
9
50
10
8
6
35
13
9
48
19
46
41
47
56

Critical Care
Direct

555
114
18
594
24
10
119
815
55
327
9
19
34
11
7
1
43
490
17
424
8
6
7
14
92
26
112
7
45
10
556
9

Ohead

125
23
5
101
6
3
18
183
16
73
3
5
10
2
1
0
8
100
4
88
2
1
2
5
26
6
28
2
11
2
114
2

Oper Rooms
Direct

2,290
2,042
1,714
3,267
2,419
2,221
1,616
3,495
2,126
2,795
1,181
2,009
1,618
1,564
1,068
1,125
673
1,931
1,329
1,788
1,473
2,461
1,437
395
136
158
88
83
52
109
151
80

Ohead

528
505
417
727
543
498
371
592
537
587
321
445
400
375
262
302
149
436
318
390
333
580
355
76
28
33
20
19
12
24
29
18

Emerg Depts
Direct

310
249
136
404
272
270
52
18
5
147
23
230
82
18
6
19
124
261
142
335
131
13
114
411
332
371
215
117
227
160
273
59

Ohead

73
57
33
88
63
60
15
4
1
32
5
53
18
5
2
5
28
58
33
79
29
3
26
85
71
83
48
29
52
34
57
14

Supplies
Direct

930
506
218
446
200
126
219
138
73
105
48
84
84
78
34
38
283
382
71
375
71
74
42
315
208
91
346
113
354
163
382
60

Spec Proc Suites

Ohead

644
377
221
307
149
101
122
177
68
138
55
75
81
68
26
50
165
336
65
295
65
68
39
419
154
90
349
148
298
141
272
53

Direct

46
12
16
21
11
15
1
0
2
4
3
4
3
2
1
3
83
25
6
47
6
0
3
3
1
1
67
90
111
28
62
14

Ohead

11
3
2
7
2
2
0
0
1
1
1
1
1
1
0
1
35
6
1
13
1
0
1
0
0
0
18
34
62
16
14
5

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Prostheses
314
295
311
1,706
1,025
817
87
779
464
682
103
1,021
339
162
104
77
175
225
127
613
543
742
177
54
24
25
22
17
24
30
27
8

OnCosts
1,221
787
444
878
466
365
461
556
239
433
141
282
238
218
117
133
446
711
202
715
221
266
157
538
302
174
547
209
462
242
582
95

Hotel

781
496
279
526
309
216
252
323
147
230
90
163
149
131
67
92
279
433
115
434
127
151
92
314
176
115
371
126
327
143
379
57

Deprec No. of
Hosps
454
316
199
371
235
173
172
239
141
193
77
146
127
103
63
72
232
322
102
308
119
143
87
238
118
79
212
103
212
111
231
43

110
109
148
112
123
148
48
40
154
77
177
142
182
116
178
157
88
119
200
113
160
137
202
149
153
183
165
159
175
187
125
210

DRG
I12A
I12B
I12C
I13A
I13B
I13C
I14Z
I15Z
I16Z
I17Z
I18Z
I19Z
I20Z
I21Z
I23Z
I24Z
I25Z
I27A
I27B
I28A
I28B
I29Z
I30Z
I60Z
I61Z
I63Z
I64A
I64B
I65A
I65B
I66A
I66B

Page 40

NATIONAL HOSPITAL COST DATA COLLECTION

V5.1 Public Sector

COST WEIGHTS FOR AR-DRG VERSION 5.1, Round 12 (2007-08)


Public Sector - Estimated
DRG Description

DRG
I67A
I67B
I68A
I68B
I68C
I69A
I69B
I69C
I70Z
I71A
I71B
I71C
I72A
I72B
I73A
I73B
I73C
I74A
I74B
I74C
I75A
I75B
I75C
I76A
I76B
I76C
I77A
I77B
I78A
I78B
J01Z
J06A

Septic Arthritis + CSCC


Septic Arthritis - CSCC
Non-Surg Spinal Disorders +CC
Non-Surg Spinal Disorders -CC
Non-Surg Spinal Disorders, SD
Bne Dis&Spcfc Arthro A>74+CSCC
Bne Dis&Sp Arth A>74/+CSCC
Bne Dis&Spcfc Arthro A<75-CSCC
Non-Specific Arthropathies
Oth Musctendin Disrd A>69 +CC
Oth Musctendin Disrd A>69/+CC
Oth Musctendin Disrd A<70 -CC
Spec Musctend Disrd A>79/+CSCC
Spec Musctend Disrd A<80-CSCC
Aftcare Muscsk Impl A>59+CSCC
Aftcare Muscsk Impl A>59/+CSCC
Aftcare Muscsk Impl A<60-CSCC
Inj Frarm,Wr,Hnd,Foot A>74+CC
Inj Frarm,Wr,Hnd,Foot A>74/+CC
Inj Frarm,Wr,Hand,Foot A<75-CC
Inj Sh,Arm,Elb,Kn,Leg A>64+CC
Inj Sh,Arm,Elb,Kn,Leg A>64/+CC
Inj Sh,Arm,Elb,Kn,Leg A<65-CC
Oth Musculoskeletl Dsr A>69+CC
Oth Musctl Dsr A>69/+CC
Oth Musculoskeletl Dsr A<70-CC
Fracture Of Pelvis+CSCC
Fracture Of Pelvis -CSCC
Fracture Neck Femur+CSCC
Fracture Of Neck Femur-CSCC
Microvasc Tiss Transf Skn/Brst
Major Pr Malig Breast Condtns

Date Printed: 5/1/2012

Cost

Standard

Number

Number

ALOS

Average Cost per DRG ($)

Weight

Error

of Seps

of Days

(Days)

Total

4.18
1.24
2.09
0.95
0.24
2.38
1.02
0.59
0.88
1.33
0.62
0.42
1.68
0.59
2.62
1.09
0.47
1.64
0.68
0.42
2.06
0.88
0.43
1.72
0.83
0.42
3.09
1.38
1.91
0.58
7.71
1.73

0.48
0.03
0.02
0.01
0.01
0.03
0.03
0.05
0.01
0.04
0.01
0.00
0.04
0.01
0.14
0.03
0.01
0.04
0.05
0.01
0.02
0.02
0.01
0.04
0.01
0.00
0.06
0.05
0.03
0.03
0.09
0.01

237
956
8,044
15,588
16,656
1,516
5,551
6,427
1,015
1,381
4,236
5,241
1,108
4,393
1,127
2,424
3,090
1,105
2,990
23,863
3,454
6,904
16,362
736
2,079
5,016
1,955
2,614
1,069
3,762
281
6,539

4,227
5,960
69,755
60,906
16,670
16,826
27,917
16,814
3,468
8,521
10,065
8,422
8,028
10,940
16,282
15,260
8,121
8,394
8,431
27,612
32,837
25,109
25,043
5,343
6,546
6,913
26,818
17,299
8,422
9,331
3,262
20,824

17.83
6.23
8.67
3.91
1
11.1
5.03
2.62
3.42
6.17
2.38
1.61
7.24
2.49
14.45
6.3
2.63
7.6
2.82
1.16
9.51
3.64
1.53
7.26
3.15
1.38
13.72
6.62
7.88
2.48
11.62
3.18

16,329
4,861
8,153
3,706
951
9,317
4,005
2,314
3,456
5,196
2,409
1,638
6,572
2,298
10,244
4,245
1,848
6,392
2,676
1,632
8,060
3,432
1,690
6,730
3,224
1,630
12,065
5,409
7,449
2,273
30,143
6,765

Direct

12,881
3,604
6,189
2,786
748
7,014
2,993
1,825
2,643
3,926
1,878
1,270
5,024
1,763
7,138
3,074
1,385
4,863
2,045
1,266
6,081
2,609
1,294
5,200
2,448
1,273
9,210
4,050
5,760
1,743
24,015
5,426

Ohead

3,448
1,257
1,965
919
203
2,303
1,011
489
812
1,270
531
368
1,549
535
3,106
1,171
463
1,529
631
365
1,979
823
396
1,530
776
358
2,855
1,359
1,689
530
6,128
1,338

Average Component Cost per DRG ($)


Ward Medical

Ward Nursing

Direct

Direct

1,977
633
941
431
93
1,066
513
307
458
612
333
177
869
301
1,118
506
236
782
280
154
962
393
167
778
379
194
1,409
654
890
260
3,042
982

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Ohead

248
89
123
42
9
133
65
41
64
69
37
22
124
40
68
48
39
93
36
20
116
50
21
89
56
27
157
63
108
24
375
126

5,186
1,212
2,390
927
61
2,787
1,026
521
793
1,487
475
256
1,848
491
3,093
1,085
392
1,826
535
182
2,354
799
276
1,863
724
214
3,876
1,447
2,146
501
3,516
825

Ohead

850
294
475
197
26
584
261
128
171
331
104
62
437
117
456
224
98
464
133
48
558
184
71
377
166
48
704
318
469
116
947
185

Non
Clinical
Salaries
1,148
328
593
259
34
629
311
183
234
333
138
88
444
130
1,179
401
121
402
164
59
563
224
79
413
178
82
891
449
530
166
793
220

Pathology
Direct

512
155
217
60
13
361
120
63
172
150
68
49
227
70
383
87
31
174
50
10
213
66
16
240
91
42
346
114
271
64
524
358

Ohead

49
18
25
7
2
41
14
8
22
14
7
6
24
8
29
7
3
21
6
1
25
8
2
24
12
6
37
11
26
8
63
33

Page 41

ublic Sector

Average Component Cost per DRG ($)

DRG
I67A
I67B
I68A
I68B
I68C
I69A
I69B
I69C
I70Z
I71A
I71B
I71C
I72A
I72B
I73A
I73B
I73C
I74A
I74B
I74C
I75A
I75B
I75C
I76A
I76B
I76C
I77A
I77B
I78A
I78B
J01Z
J06A

Date Printed: 5/1/2012

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Page 42

NATIONAL HOSPITAL COST DATA COLLECTION

V5.1 Public Sector

COST WEIGHTS FOR AR-DRG VERSION 5.1, Round 12 (2007-08)


Public Sector - Estimated
Average Component Cost per DRG ($)
Imaging
Direct

DRG
I67A
I67B
I68A
I68B
I68C
I69A
I69B
I69C
I70Z
I71A
I71B
I71C
I72A
I72B
I73A
I73B
I73C
I74A
I74B
I74C
I75A
I75B
I75C
I76A
I76B
I76C
I77A
I77B
I78A
I78B
J01Z
J06A

469
211
388
220
98
326
138
71
171
231
124
119
230
109
270
146
55
259
175
125
327
210
151
278
171
124
469
271
320
182
203
164

Allied

Ohead

Direct

104
42
68
40
18
56
25
13
31
38
20
20
38
18
54
26
10
42
31
23
51
37
28
42
35
20
73
42
50
32
35
31

Date Printed: 5/1/2012

272
65
296
114
25
412
122
44
70
171
67
34
226
35
282
107
50
259
80
12
355
127
38
310
82
36
489
194
225
44
373
65

Pharmacy

Ohead

58
14
71
29
4
96
26
10
15
34
14
7
43
10
81
24
11
56
18
3
72
27
8
62
17
7
116
48
48
10
75
15

Direct

835
208
249
80
28
335
176
211
121
155
106
38
228
66
421
138
67
135
56
20
208
72
24
196
143
51
323
126
191
42
743
108

Critical Care

Ohead

99
18
29
12
3
38
16
14
13
20
10
5
25
8
51
16
7
20
9
4
26
9
4
20
12
8
40
17
25
7
43
12

Direct

187
3
93
15
1
42
19
11
6
9
22
6
96
11
50
11
3
49
13
0
86
30
3
128
56
9
122
16
157
4
1,099
33

Ohead

39
1
22
4
0
11
4
2
2
3
5
2
21
3
14
3
2
10
3
0
18
8
1
34
18
3
32
4
32
1
268
8

Oper Rooms
Direct

201
193
80
61
160
41
49
67
86
55
110
99
62
135
155
211
231
133
171
335
73
70
143
67
113
215
54
31
108
36
10,852
2,179

Ohead

47
40
15
11
42
9
15
16
20
12
24
22
14
33
38
46
53
29
39
76
16
16
32
14
27
51
12
6
22
9
2,313
481

Emerg Depts
Direct

336
245
415
352
166
406
244
128
280
367
256
280
356
256
83
154
65
405
343
245
439
365
273
403
278
185
533
385
374
278
2
2

Ohead

70
58
94
80
38
98
56
30
65
83
58
66
85
57
18
34
16
99
81
55
103
83
62
93
63
42
108
88
88
61
1
1

Supplies
Direct

992
167
275
138
17
313
141
113
120
179
66
38
220
65
400
154
52
204
70
26
259
120
41
220
87
37
413
194
274
79
394
97

Spec Proc Suites

Ohead

638
222
283
148
17
355
159
63
120
195
70
45
201
64
489
193
62
153
65
30
259
109
45
202
111
37
384
208
193
77
414
84

Direct

16
8
12
3
3
16
6
6
2
4
6
9
9
5
2
12
7
3
1
1
5
3
1
25
13
4
10
4
7
0
0
2

Ohead

3
3
3
1
1
5
2
2
1
1
1
2
3
2
0
4
1
0
0
0
1
1
0
5
3
1
3
1
2
0
0
1

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Prostheses
29
36
21
14
5
25
16
11
14
9
9
10
16
15
59
43
24
37
29
26
44
19
18
18
18
12
41
19
85
15
1,267
144

OnCosts
1,024
287
473
217
40
526
236
123
194
297
125
86
362
121
657
261
106
356
141
85
446
190
89
389
175
83
704
337
407
127
1,397
298

Hotel

622
197
321
146
20
392
154
69
121
210
88
50
228
74
486
173
60
248
84
47
304
124
52
286
118
44
455
230
238
74
766
158

Deprec No. of
Hosps
319
115
183
97
25
215
91
63
93
127
63
40
135
55
309
128
47
135
61
45
175
89
45
154
77
47
265
133
163
57
639
152

99
176
227
233
217
171
218
212
159
175
208
214
173
211
146
189
173
156
201
210
200
226
224
144
187
201
182
202
167
214
38
139

DRG
I67A
I67B
I68A
I68B
I68C
I69A
I69B
I69C
I70Z
I71A
I71B
I71C
I72A
I72B
I73A
I73B
I73C
I74A
I74B
I74C
I75A
I75B
I75C
I76A
I76B
I76C
I77A
I77B
I78A
I78B
J01Z
J06A

Page 43

NATIONAL HOSPITAL COST DATA COLLECTION

V5.1 Public Sector

COST WEIGHTS FOR AR-DRG VERSION 5.1, Round 12 (2007-08)


Public Sector - Estimated
DRG Description

DRG
J06B
J07A
J07B
J08A
J08B
J09Z
J10Z
J11Z
J12A
J12B
J12C
J13A
J13B
J14Z
J60A
J60B
J62A
J62B
J63Z
J64A
J64B
J65A
J65B
J67A
J67B
J68A
J68B
K01Z
K02Z
K03Z
K04Z
K05Z

Major Pr Non-Malig Breast Cnds


Minor Pr Malig Breast Condns
Minor Pr Non-Malig Breast Cnds
Oth Skn Grf&/Dbrdmnt Pr+CSCC
Oth Skn Grf&/Dbrdmnt Pr-CSCC
Perianal & Pilonidal Pr
Skn,Subc Tis & Brst Plastic Pr
Other Skin, Subc Tis & Brst Pr
L Lmb Pr +Ulcr/Cels+CCC
L Lmb Pr+Ulcr/Cels-CCC+Graft
L Lmb Pr+Ulcr/Cels-CCC-Graft
L Lmb Pr-Ulcr/Cels+Graft+CSCC
L Lmb Pr-Ulcr/Cels-(Grft&CSCC)
Major Breast Reconstructions
Skin Ulcers
Skin Ulcers, Sameday
Mal Breast Dis (A>69+CC)/+CSCC
Mal Breast Dis (A>69-CC)/-CSCC
Non-Malignant Breast Disorders
Cellulitis A>59 + CSCC
Cellulitis A>59 -CSCC / A<60
Trauma To Skn,Sub Tis&Bst A>69
Trauma To Skn,Sub Tis&Bst A<70
Minor Skin Disorders
Minor Skin Disorders, Sameday
Major Skin Disorders
Major Skin Disorders, Sameday
Diabetic Foot Procedures
Pituitary Procedures
Adrenal Procedures
Major Procedures For Obesity
Parathyroid Procedures

Date Printed: 5/1/2012

Cost

Standard

Number

Number

ALOS

Average Cost per DRG ($)

Weight

Error

of Seps

of Days

(Days)

Total

1.56
0.85
0.63
3.38
0.98
0.88
0.74
0.50
7.39
4.32
2.37
3.51
1.37
4.59
2.21
0.19
1.42
0.58
0.56
2.19
0.92
0.91
0.44
0.94
0.25
1.60
0.21
6.01
4.38
3.79
2.15
1.92

0.02
0.01
0.01
0.05
0.01
0.01
0.01
0.01
0.13
0.11
0.02
0.05
0.02
0.08
0.06
0.00
0.02
0.02
0.04
0.01
0.03
0.01
0.01
0.02
0.00
0.02
0.01
0.05
0.11
0.04
0.03
0.02

2,028
2,289
4,515
1,474
10,822
2,522
7,893
38,021
412
420
743
399
2,587
243
2,506
1,045
1,157
1,179
2,555
4,684
39,948
4,970
10,475
4,454
10,183
4,365
4,221
2,982
346
244
877
753

4,242
2,883
4,977
13,990
21,603
5,803
10,057
47,293
11,462
6,666
6,662
4,683
9,833
1,813
26,727
1,045
6,746
1,783
5,184
45,608
150,127
20,400
15,475
14,883
10,200
24,184
4,231
58,695
2,756
1,487
1,816
2,408

2.09
1.26
1.1
9.49
2
2.3
1.27
1.24
27.81
15.87
8.97
11.73
3.8
7.45
10.67
1
5.83
1.51
2.03
9.74
3.76
4.1
1.48
3.34
1
5.54
1
19.68
7.96
6.1
2.07
3.2

6,084
3,318
2,452
13,188
3,846
3,422
2,900
1,963
28,879
16,881
9,248
13,710
5,365
17,945
8,640
733
5,538
2,270
2,191
8,562
3,600
3,552
1,715
3,688
962
6,234
833
23,482
17,098
14,820
8,392
7,483

Direct

4,949
2,642
1,897
10,090
2,983
2,661
2,258
1,508
22,447
12,973
7,175
10,614
4,134
14,512
6,521
600
4,172
1,913
1,732
6,568
2,761
2,656
1,325
2,827
739
4,712
661
18,107
14,112
11,929
7,110
6,008

Ohead

1,135
676
555
3,097
863
761
642
455
6,432
3,909
2,072
3,096
1,231
3,433
2,118
133
1,365
357
459
1,994
838
896
390
861
223
1,522
172
5,375
2,986
2,891
1,282
1,476

Average Component Cost per DRG ($)


Ward Medical

Ward Nursing

Direct

Direct

762
358
277
1,748
491
575
356
267
3,500
2,430
1,302
2,012
851
2,436
1,198
94
561
220
349
1,079
502
370
157
517
130
950
132
3,093
1,610
1,684
876
913

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Ohead

65
47
36
335
55
73
36
34
437
248
166
270
88
365
124
5
132
35
39
120
56
33
16
72
14
147
26
666
201
204
95
125

680
272
154
2,826
474
493
219
161
8,227
5,083
2,433
3,688
1,049
2,470
2,549
76
1,503
262
362
2,546
881
867
224
894
67
1,673
69
5,936
2,536
1,794
754
1,106

Ohead

146
71
45
679
103
131
51
44
1,569
902
542
697
218
670
502
24
301
85
93
506
183
179
61
180
22
336
29
1,254
575
349
194
258

Non
Clinical
Salaries
206
92
70
694
151
131
100
71
2,008
1,074
517
821
298
502
716
97
397
123
165
625
251
240
79
244
44
433
37
1,293
512
491
114
227

Pathology
Direct

80
266
119
383
93
60
66
70
1,017
322
297
380
131
310
256
19
166
49
79
327
104
104
38
135
35
203
20
692
793
718
62
391

Ohead

10
27
13
47
13
6
10
11
107
29
22
34
15
51
25
3
18
7
9
36
10
12
5
16
7
25
3
76
115
61
15
42

Page 44

ublic Sector

Average Component Cost per DRG ($)

DRG
J06B
J07A
J07B
J08A
J08B
J09Z
J10Z
J11Z
J12A
J12B
J12C
J13A
J13B
J14Z
J60A
J60B
J62A
J62B
J63Z
J64A
J64B
J65A
J65B
J67A
J67B
J68A
J68B
K01Z
K02Z
K03Z
K04Z
K05Z

Date Printed: 5/1/2012

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Page 45

NATIONAL HOSPITAL COST DATA COLLECTION

V5.1 Public Sector

COST WEIGHTS FOR AR-DRG VERSION 5.1, Round 12 (2007-08)


Public Sector - Estimated
Average Component Cost per DRG ($)
Imaging
Direct

DRG
J06B
J07A
J07B
J08A
J08B
J09Z
J10Z
J11Z
J12A
J12B
J12C
J13A
J13B
J14Z
J60A
J60B
J62A
J62B
J63Z
J64A
J64B
J65A
J65B
J67A
J67B
J68A
J68B
K01Z
K02Z
K03Z
K04Z
K05Z

15
103
67
146
29
14
18
22
502
145
162
117
41
76
216
21
216
67
67
225
75
209
196
81
19
124
7
607
518
168
74
83

Allied

Ohead

Direct

3
25
15
38
6
3
4
4
92
26
27
24
8
22
34
4
42
21
19
39
14
32
33
14
4
20
1
129
64
26
11
12

Date Printed: 5/1/2012

19
12
4
202
26
8
9
8
897
266
173
245
62
125
223
14
150
14
11
251
40
116
26
49
4
83
2
494
248
106
132
60

Pharmacy

Ohead

5
3
1
44
6
3
3
2
207
57
37
55
15
32
45
3
28
3
3
52
9
26
5
13
1
21
1
103
45
20
30
11

Direct

60
37
24
487
76
51
40
36
1,693
788
437
493
117
292
357
23
484
922
89
393
131
76
26
161
19
376
273
1,261
568
422
145
180

Ohead

12
5
4
38
9
9
5
5
104
59
41
41
16
35
36
2
29
62
8
38
14
12
4
16
3
33
20
90
34
25
15
15

Critical Care
Direct

7
10
3
250
12
1
17
6
567
66
77
61
7
76
49
0
17
1
10
135
19
52
15
27
0
45
0
550
1,420
1,389
245
201

Ohead

2
3
1
59
4
0
6
1
124
42
17
15
2
25
11
0
4
0
5
29
4
20
4
6
0
12
0
121
294
293
56
43

Oper Rooms
Direct

2,439
1,269
1,021
2,254
1,319
1,050
1,227
719
1,947
1,666
928
1,842
1,208
6,212
52
29
41
102
258
74
178
50
88
127
284
64
30
2,128
4,069
3,671
2,470
2,227

Ohead

514
294
270
569
338
285
306
203
405
430
220
463
308
1,429
11
6
9
22
62
16
41
12
21
28
78
15
7
520
679
714
463
498

Emerg Depts
Direct

1
2
3
170
38
62
2
12
313
113
233
47
20
0
301
67
169
22
141
401
309
368
343
291
60
282
51
255
33
16
37
13

Ohead

0
0
1
44
10
13
1
3
75
27
57
11
4
0
68
16
39
5
30
91
72
90
79
67
14
65
12
63
7
2
4
3

Supplies
Direct

98
38
27
364
72
65
45
32
1,085
722
272
456
139
370
385
25
200
43
85
288
146
109
45
146
19
280
15
834
350
300
63
143

Spec Proc Suites

Ohead

67
38
31
362
73
51
46
36
877
634
251
356
123
103
366
15
227
39
56
274
130
118
44
129
21
259
31
721
175
266
46
90

Direct

12
12
14
29
3
2
4
4
103
3
17
4
2
0
16
83
62
5
2
13
3
3
1
16
9
16
7
55
11
0
0
4

Ohead

1
2
2
12
1
1
1
1
49
1
3
1
1
0
7
27
21
1
0
5
1
1
0
7
3
5
2
15
6
0
0
1

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Prostheses
297
31
23
125
50
32
34
26
121
58
77
90
56
738
20
2
11
9
10
15
12
15
7
14
10
12
1
178
632
606
2,055
147

OnCosts
259
150
107
637
184
145
133
84
1,426
863
482
716
270
721
538
42
335
82
118
492
201
211
98
204
44
348
25
1,174
784
697
206
345

Hotel

150
75
57
387
114
79
82
50
891
513
259
479
175
350
343
14
235
39
62
305
117
133
49
140
25
256
18
721
448
474
115
197

Deprec No. of
Hosps
175
79
62
258
95
77
78
48
536
316
198
291
140
535
190
23
140
31
60
187
92
94
50
93
25
150
16
452
370
324
114
146

140
139
175
150
203
183
206
217
97
115
140
98
182
47
212
112
155
109
187
199
237
209
227
216
215
212
155
138
30
59
31
83

DRG
J06B
J07A
J07B
J08A
J08B
J09Z
J10Z
J11Z
J12A
J12B
J12C
J13A
J13B
J14Z
J60A
J60B
J62A
J62B
J63Z
J64A
J64B
J65A
J65B
J67A
J67B
J68A
J68B
K01Z
K02Z
K03Z
K04Z
K05Z

Page 46

NATIONAL HOSPITAL COST DATA COLLECTION

V5.1 Public Sector

COST WEIGHTS FOR AR-DRG VERSION 5.1, Round 12 (2007-08)


Public Sector - Estimated
DRG Description

DRG
K06Z
K07Z
K08Z
K09Z
K40Z
K60A
K60B
K61Z
K62A
K62B
K62C
K63Z
K64A
K64B
L02A
L02B
L03A
L03B
L04A
L04B
L04C
L05A
L05B
L06A
L06B
L07A
L07B
L08A
L08B
L09A
L09B
L09C

Thyroid Procedures
Obesity Procedures
Thyroglossal Procedures
Other Endcrn, Nutr& Meta OR Pr
Endosc/Invest Pr Metab Dsdr-CC
Diabetes + CSCC
Diabetes - CSCC
Severe Nutritional Disturbance
Misc Metabolic Disrd + CCC
Misc Metabolic Disrd A>74/+SCC
Misc Metabolic Disrd A<75-CSCC
Inborn Errors Of Metabolism
Endocrine Disorders + CSCC
Endocrine Disorders - CSCC
Op Ins Peri Cath Dialysis+CSCC
Op Ins Peri Cath Dialysis-CSCC
Kdny,Urt&Mjr Bldr Pr Npsm+CSCC
Kdny,Urt&Mjr Bldr Pr Npsm-CSCC
Kdy,Urt&Mjr Bldr Pr N-Npm+CCC
Kdy,Urt&Mjr Bldr Pr N-Npm+SMCC
Kdy,Urt&Mjr Bldr Pr N-Npm-CC
Tranureth Prostatectomy +CSCC
Tranureth Prostatectomy -CSCC
Minor Bladder Procedures+CSCC
Minor Bladder Procedures -CSCC
Transurethral Procs + CSCC
Transurethral Procs - CSCC
Urethral Procedures + CC
Urethral Procedures - CC
Oth Kidny & Urnry Tract Pr+CCC
Oth Kidny & Urnry Tract Pr+SCC
Oth Kidny & Urnry Trct Pr-CSCC

Date Printed: 5/1/2012

Cost

Standard

Number

Number

ALOS

Average Cost per DRG ($)

Weight

Error

of Seps

of Days

(Days)

Total

1.84
2.00
1.08
3.79
0.45
2.20
0.95
4.29
2.42
1.06
0.56
0.66
2.22
0.85
5.38
1.48
6.36
3.47
5.66
2.62
1.87
3.34
1.34
2.82
0.94
2.00
0.76
1.25
0.78
6.92
3.02
1.42

0.01
0.07
0.01
0.04
0.03
0.02
0.01
0.17
0.03
0.02
0.01
0.01
0.02
0.02
0.06
0.00
0.06
0.02
0.06
0.03
0.01
0.06
0.01
0.03
0.01
0.02
0.01
0.03
0.01
0.09
0.07
0.03

4,162
446
262
865
2,383
5,698
19,439
531
2,288
6,820
11,469
1,798
1,250
4,976
200
376
913
1,006
741
1,402
3,093
219
797
640
1,882
973
9,425
411
1,372
473
247
789

9,558
1,903
371
8,606
3,215
48,621
67,098
8,159
21,246
28,974
22,722
3,582
9,484
10,986
3,154
1,006
11,910
5,622
10,930
7,719
9,163
2,156
2,328
5,262
3,965
5,475
13,977
1,226
2,002
8,725
1,811
1,761

2.3
4.27
1.42
9.95
1.35
8.53
3.45
15.37
9.29
4.25
1.98
1.99
7.59
2.21
15.74
2.68
13.05
5.59
14.76
5.5
2.96
9.84
2.92
8.22
2.11
5.63
1.48
2.98
1.46
18.46
7.34
2.23

7,171
7,819
4,210
14,801
1,761
8,603
3,714
16,745
9,448
4,133
2,206
2,595
8,662
3,302
21,010
5,782
24,846
13,565
22,112
10,240
7,307
13,052
5,241
11,005
3,691
7,825
2,955
4,875
3,066
27,018
11,786
5,542

Direct

5,783
5,965
3,355
11,905
1,375
6,653
2,841
12,024
7,349
3,157
1,662
2,114
6,742
2,503
16,176
4,659
20,049
11,039
17,653
8,216
5,866
10,163
4,112
8,726
2,911
6,248
2,309
3,744
2,417
21,723
9,310
4,416

Ohead

1,388
1,854
856
2,896
385
1,951
873
4,720
2,098
976
544
482
1,920
799
4,834
1,123
4,797
2,526
4,459
2,025
1,442
2,889
1,129
2,279
779
1,577
646
1,131
650
5,296
2,477
1,126

Average Component Cost per DRG ($)


Ward Medical

Ward Nursing

Direct

Direct

915
1,078
579
1,678
285
1,185
572
2,028
1,098
488
296
350
1,083
361
1,721
547
3,174
1,660
2,394
1,150
833
1,767
819
1,474
518
1,069
378
650
427
2,589
1,189
571

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Ohead

106
106
62
294
35
174
68
266
146
51
41
39
159
59
396
84
539
225
514
175
109
257
87
289
76
139
45
149
62
522
289
87

730
1,411
481
3,057
206
2,167
798
5,023
2,581
1,072
528
560
2,188
552
4,987
967
4,092
1,754
4,558
1,715
954
2,899
917
2,487
579
1,624
324
815
354
6,333
2,427
822

Ohead

169
345
111
629
60
490
168
863
510
217
117
96
467
128
916
161
781
304
963
324
177
548
176
533
135
309
74
227
95
1,243
556
124

Non
Clinical
Salaries
187
194
165
647
70
522
264
1,409
607
283
137
111
469
177
1,569
260
868
489
860
439
266
658
196
567
174
390
108
155
94
1,274
549
206

Pathology
Direct

260
49
123
547
91
355
147
497
404
174
102
162
389
165
1,070
151
948
477
1,020
269
129
528
162
425
68
314
97
103
22
1,289
490
162

Ohead

25
4
14
60
13
40
16
49
49
20
14
25
50
19
98
13
122
46
168
29
15
52
15
49
7
36
10
16
3
143
53
20

Page 47

ublic Sector

Average Component Cost per DRG ($)

DRG
K06Z
K07Z
K08Z
K09Z
K40Z
K60A
K60B
K61Z
K62A
K62B
K62C
K63Z
K64A
K64B
L02A
L02B
L03A
L03B
L04A
L04B
L04C
L05A
L05B
L06A
L06B
L07A
L07B
L08A
L08B
L09A
L09B
L09C

Date Printed: 5/1/2012

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Page 48

NATIONAL HOSPITAL COST DATA COLLECTION

V5.1 Public Sector

COST WEIGHTS FOR AR-DRG VERSION 5.1, Round 12 (2007-08)


Public Sector - Estimated
Average Component Cost per DRG ($)
Imaging
Direct

DRG
K06Z
K07Z
K08Z
K09Z
K40Z
K60A
K60B
K61Z
K62A
K62B
K62C
K63Z
K64A
K64B
L02A
L02B
L03A
L03B
L04A
L04B
L04C
L05A
L05B
L06A
L06B
L07A
L07B
L08A
L08B
L09A
L09B
L09C

37
17
11
918
25
224
72
360
253
116
60
68
643
577
409
67
568
147
1,203
416
215
208
45
252
41
230
62
64
20
824
300
124

Allied

Ohead

Direct

7
2
3
142
4
38
12
70
42
20
12
11
183
188
61
11
122
22
261
74
37
29
7
41
7
37
10
18
4
127
66
21

Date Printed: 5/1/2012

28
81
18
265
21
228
86
597
359
110
52
71
207
28
462
70
333
106
357
74
27
201
23
172
26
88
8
41
7
637
166
40

Pharmacy

Ohead

6
23
5
56
5
51
20
138
81
24
11
15
42
6
85
12
65
22
66
14
6
40
6
34
6
19
2
11
2
118
30
7

Direct

117
93
61
843
46
384
140
560
444
168
79
266
484
194
2,038
320
879
274
1,483
322
129
447
110
461
95
261
55
180
50
2,468
714
169

Ohead

11
11
8
55
7
34
16
47
44
18
11
28
39
12
137
21
54
24
81
26
20
44
14
36
12
23
7
18
7
105
34
16

Critical Care
Direct

209
121
17
395
5
549
159
58
487
101
36
190
385
32
345
7
1,666
423
1,491
149
45
281
25
346
7
192
4
74
0
1,500
229
86

Ohead

44
19
4
93
2
128
40
12
111
25
10
25
84
9
70
1
362
93
315
33
11
74
7
73
2
35
1
24
0
321
57
18

Oper Rooms
Direct

2,723
2,529
1,627
1,758
384
52
24
99
54
43
48
85
67
45
1,733
1,582
5,393
4,296
2,272
2,259
2,404
1,847
1,507
1,413
996
1,327
1,023
1,243
1,190
2,031
1,901
1,690

Ohead

618
662
340
422
97
11
5
23
12
10
12
17
14
10
439
326
1,103
871
500
476
510
430
352
307
242
304
262
324
285
437
444
406

Emerg Depts
Direct

5
3
6
141
12
400
299
287
438
313
162
87
310
127
161
43
62
6
237
92
38
645
16
245
69
127
25
70
17
291
90
28

Ohead

1
0
2
30
3
89
69
70
98
69
36
21
70
26
41
14
12
1
53
22
9
284
3
54
17
28
5
18
4
72
23
5

Supplies
Direct

79
113
53
521
50
271
124
537
281
139
72
59
233
97
1,094
214
541
296
605
548
214
330
96
314
88
213
58
93
44
1,260
442
119

Ohead

60
224
64
348
31
266
150
1,339
265
148
96
57
196
80
615
103
342
183
382
206
113
258
110
195
66
174
50
104
50
587
213
74

Spec Proc Suites


Direct

2
2
1
112
97
13
14
57
34
22
20
5
25
8
44
6
27
2
60
14
6
4
1
42
2
7
3
1
3
114
59
9

Ohead

1
1
0
18
31
4
5
14
12
6
6
2
10
5
18
2
7
0
20
3
2
1
1
15
1
2
1
0
2
18
22
3

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Prostheses
210
45
47
339
16
13
11
33
17
12
8
8
13
11
237
210
545
453
246
354
272
83
68
80
77
70
44
44
33
292
267
169

OnCosts
306
292
202
710
77
463
215
1,061
508
234
120
128
418
173
1,093
291
1,101
686
976
494
363
538
222
548
178
393
136
203
138
1,197
570
271

Hotel

164
261
103
422
43
278
126
828
317
155
71
57
253
122
736
163
662
398
613
323
219
357
143
342
116
251
86
136
86
760
356
157

Deprec No. of
Hosps
152
130
104
301
44
174
93
422
193
94
49
52
181
94
436
140
475
306
414
240
184
244
115
211
85
164
78
94
66
466
250
136

131
70
91
103
158
214
231
133
175
222
230
119
156
180
46
55
80
83
81
105
128
78
116
113
159
121
168
101
146
72
57
121

DRG
K06Z
K07Z
K08Z
K09Z
K40Z
K60A
K60B
K61Z
K62A
K62B
K62C
K63Z
K64A
K64B
L02A
L02B
L03A
L03B
L04A
L04B
L04C
L05A
L05B
L06A
L06B
L07A
L07B
L08A
L08B
L09A
L09B
L09C

Page 49

NATIONAL HOSPITAL COST DATA COLLECTION

V5.1 Public Sector

COST WEIGHTS FOR AR-DRG VERSION 5.1, Round 12 (2007-08)


Public Sector - Estimated
DRG Description

DRG
L40Z
L41Z
L42Z
L60A
L60B
L60C
L61Z
L62A
L62B
L63A
L63B
L63C
L64Z
L65A
L65B
L66Z
L67A
L67B
L67C
M01Z
M02A
M02B
M03A
M03B
M04A
M04B
M05Z
M06A
M06B
M40Z
M60A
M60B

Ureteroscopy
Cystourethroscopy, Sameday
Esw Lithotripsy+Urinary Stones
Renal Failure +CCC
Renal Failure +SCC
Renal Failure -CSCC
Admit For Renal Dialysis
Kdny&Unry Trct Neoplasms +CSCC
Kdny&Unry Trct Neoplasms -CSCC
Kdny & Unry Trct Inf +CCC
Kdny & Unry Trct Inf A>69/+SCC
Kdny & Unry Trct Inf A<70-CSCC
Urinary Stones & Obstruction
Kdny & Unry Tr Sgns&Symps+CSCC
Kdny & Unry Tr Sgns&Symps-CSCC
Urethral Stricture
Oth Kidny & Urnry Tract Dx+CCC
Oth Kidny & Urnry Tract Dx+SCC
Oth Kidny & Urnry Trct Dx-CSCC
Major Male Pelvic Procedures
Transurethral Prostectomy+CSCC
Transurethral Prostectomy-CSCC
Penis Procedures + CC
Penis Procedures - CC
Testes Procedures + CC
Testes Procedures - CC
Circumcision
Oth Male Reprod Sys OR Pr +Mal
Oth Male Reprod Sys OR Pr -Mal
Cystourethroscopy - CC
Malignancy, Male Repr Sys+CSCC
Malignancy, Male Repr Sys-CSCC

Date Printed: 5/1/2012

Cost

Standard

Number

Number

ALOS

Average Cost per DRG ($)

Weight

Error

of Seps

of Days

(Days)

Total

0.84
0.29
0.71
3.52
1.83
0.95
0.15
1.83
0.71
2.63
1.14
0.67
0.55
1.40
0.50
0.66
3.29
1.37
0.50
3.56
2.39
1.42
1.79
0.81
1.90
0.72
0.50
2.27
0.98
0.28
1.67
0.51

0.01
0.01
0.02
0.03
0.02
0.03
0.00
0.07
0.02
0.02
0.01
0.02
0.01
0.02
0.01
0.02
0.03
0.02
0.01
0.02
0.02
0.01
0.04
0.01
0.05
0.00
0.01
0.15
0.01
0.01
0.06
0.01

422
21,896
1,801
1,782
2,151
4,369
788,714
1,093
1,550
3,549
16,939
18,612
22,792
2,136
8,283
669
1,733
3,576
22,865
1,633
1,316
6,739
151
1,945
442
6,485
5,021
666
368
2,074
1,357
3,379

673
21,925
2,142
21,484
14,922
15,348
788,974
7,679
3,858
38,778
83,764
43,913
36,548
11,751
17,025
1,414
19,297
17,945
41,063
9,603
8,752
19,195
694
2,499
1,776
7,397
5,277
1,667
678
2,184
9,608
5,961

1.6
1
1.19
12.05
6.94
3.51
1
7.02
2.49
10.93
4.94
2.36
1.6
5.5
2.06
2.11
11.14
5.02
1.8
5.88
6.65
2.85
4.59
1.28
4.02
1.14
1.05
2.5
1.84
1.05
7.08
1.76

3,296
1,143
2,771
13,743
7,164
3,696
573
7,148
2,778
10,295
4,471
2,623
2,132
5,481
1,963
2,579
12,867
5,337
1,941
13,891
9,344
5,559
6,992
3,149
7,413
2,829
1,971
8,882
3,840
1,103
6,523
2,011

Direct

2,591
874
2,312
10,907
5,595
2,880
436
5,617
2,162
8,019
3,415
2,037
1,676
4,175
1,514
1,990
10,171
4,159
1,526
11,181
7,347
4,394
5,553
2,524
5,771
2,231
1,515
6,758
2,945
852
4,922
1,570

Ohead

706
268
460
2,836
1,569
816
137
1,531
616
2,276
1,055
586
456
1,305
449
589
2,696
1,178
415
2,710
1,997
1,164
1,438
626
1,642
598
456
2,125
895
251
1,601
441

Average Component Cost per DRG ($)


Ward Medical

Ward Nursing

Direct

Direct

303
142
222
1,372
774
413
35
874
330
1,179
516
327
213
670
234
357
1,405
608
209
1,918
1,403
871
1,017
436
867
368
269
768
452
161
730
229

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Ohead

32
20
21
211
112
66
6
120
48
164
61
36
26
123
30
61
247
100
35
275
211
96
115
52
163
49
32
110
62
17
97
39

300
83
76
3,487
1,897
916
160
2,159
654
3,038
1,219
611
248
1,554
395
519
3,287
1,389
453
1,805
1,901
867
1,491
361
1,230
234
153
899
443
89
1,821
313

Ohead

66
29
24
670
352
181
45
433
140
630
244
125
69
317
87
137
679
300
113
348
413
180
243
83
263
57
47
224
93
28
325
80

Non
Clinical
Salaries
98
46
28
701
446
221
39
453
162
614
304
167
83
351
115
117
692
312
102
452
390
213
345
90
325
84
61
202
155
60
475
116

Pathology
Direct

52
9
8
806
409
252
11
263
107
441
184
118
58
229
107
51
705
280
103
456
345
150
138
25
220
63
19
79
81
20
210
115

Ohead

6
1
1
87
44
28
1
31
14
50
20
13
7
26
12
7
83
29
12
52
40
16
15
4
21
7
3
9
9
2
22
17

Page 50

ublic Sector

Average Component Cost per DRG ($)

DRG
L40Z
L41Z
L42Z
L60A
L60B
L60C
L61Z
L62A
L62B
L63A
L63B
L63C
L64Z
L65A
L65B
L66Z
L67A
L67B
L67C
M01Z
M02A
M02B
M03A
M03B
M04A
M04B
M05Z
M06A
M06B
M40Z
M60A
M60B

Date Printed: 5/1/2012

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Page 51

NATIONAL HOSPITAL COST DATA COLLECTION

V5.1 Public Sector

COST WEIGHTS FOR AR-DRG VERSION 5.1, Round 12 (2007-08)


Public Sector - Estimated
Average Component Cost per DRG ($)
Imaging
Direct

DRG
L40Z
L41Z
L42Z
L60A
L60B
L60C
L61Z
L62A
L62B
L63A
L63B
L63C
L64Z
L65A
L65B
L66Z
L67A
L67B
L67C
M01Z
M02A
M02B
M03A
M03B
M04A
M04B
M05Z
M06A
M06B
M40Z
M60A
M60B

142
30
88
405
212
133
13
254
144
293
148
108
196
141
77
62
356
157
66
129
154
34
72
10
115
20
7
138
301
29
175
54

Allied

Ohead

Direct

22
6
17
69
37
25
3
46
26
47
24
18
29
28
13
16
61
28
12
19
29
5
13
2
20
4
1
36
108
5
31
13

Date Printed: 5/1/2012

9
2
92
480
207
72
4
177
41
376
119
23
11
115
18
41
354
122
23
92
88
19
73
10
269
6
5
38
10
2
154
17

Pharmacy

Ohead

2
1
2
101
42
13
1
35
8
77
23
5
2
25
4
6
72
25
5
19
19
6
14
3
57
2
2
7
4
1
31
4

Direct

59
20
38
783
368
201
66
416
186
494
158
82
38
245
59
60
755
310
156
272
318
106
199
33
331
28
30
255
67
26
584
173

Critical Care

Ohead

7
4
1
48
28
19
6
29
15
42
18
10
5
22
7
7
46
23
8
24
27
16
26
6
20
5
5
16
13
4
49
13

Direct

0
0
0
1,363
319
83
0
40
12
377
40
9
15
62
5
27
1,125
186
22
356
248
18
40
0
116
1
0
6
26
0
77
3

Ohead

0
0
0
289
70
20
0
6
2
90
11
2
4
14
2
3
249
40
5
76
58
5
9
0
27
0
0
1
5
0
16
1

Oper Rooms
Direct

1,248
436
871
104
88
61
23
140
233
68
43
46
295
72
81
484
140
87
83
4,435
1,792
1,716
1,446
1,256
1,571
1,139
828
1,885
920
360
85
361

Ohead

300
112
206
20
18
12
4
24
48
16
10
10
68
16
20
124
32
19
20
952
411
389
313
266
398
267
223
448
235
100
20
94

Emerg Depts
Direct

70
3
11
452
355
240
1
233
75
505
401
366
339
360
271
74
409
291
102
6
59
8
90
30
102
78
7
20
26
4
178
27

Ohead

17
1
3
99
79
53
0
51
17
111
90
84
77
89
64
17
92
66
23
1
14
2
21
6
23
18
2
5
6
1
39
6

Supplies
Direct

46
28
14
419
252
153
72
295
93
286
147
88
48
198
66
72
445
210
125
321
260
136
185
40
157
33
27
182
78
39
233
61

Spec Proc Suites

Ohead

42
21
11
304
207
100
19
222
84
259
147
76
40
210
67
64
281
146
51
181
211
111
187
52
167
40
34
40
83
21
315
46

Direct

8
8
744
45
23
9
0
47
11
18
6
2
4
9
4
3
19
18
11
4
5
1
7
1
54
3
3
847
21
6
38
10

Ohead

2
4
108
10
9
3
0
21
6
5
2
1
1
2
1
1
5
5
4
1
1
0
2
0
25
1
1
942
5
2
21
10

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Prostheses
102
23
17
33
22
18
4
17
13
23
11
11
38
9
7
13
29
15
8
372
79
61
217
85
76
36
18
1,199
236
13
23
17

OnCosts
169
51
59
708
390
192
27
364
148
547
259
144
104
298
106
121
657
272
93
655
402
241
352
143
404
133
89
238
173
51
374
89

Hotel

101
30
38
402
249
120
16
237
96
351
164
79
61
186
65
76
412
188
57
377
273
165
221
87
229
83
56
158
100
31
239
57

Deprec No. of
Hosps
92
31
72
272
153
91
14
158
65
195
102
64
52
110
46
57
231
109
42
295
190
125
140
70
164
71
49
130
124
30
164
44

84
182
48
158
181
206
120
158
161
177
232
230
229
181
229
131
152
195
231
75
118
139
73
160
121
192
196
67
101
140
174
173

DRG
L40Z
L41Z
L42Z
L60A
L60B
L60C
L61Z
L62A
L62B
L63A
L63B
L63C
L64Z
L65A
L65B
L66Z
L67A
L67B
L67C
M01Z
M02A
M02B
M03A
M03B
M04A
M04B
M05Z
M06A
M06B
M40Z
M60A
M60B

Page 52

NATIONAL HOSPITAL COST DATA COLLECTION

V5.1 Public Sector

COST WEIGHTS FOR AR-DRG VERSION 5.1, Round 12 (2007-08)


Public Sector - Estimated
DRG Description

DRG
M61A
M61B
M62A
M62B
M63Z
M64Z
N01Z
N02A
N02B
N03A
N03B
N04Z
N05A
N05B
N06Z
N07Z
N08Z
N09Z
N10Z
N11A
N11B
N60A
N60B
N61Z
N62A
N62B
O01A
O01B
O01C
O02A
O02B
O03Z

Benign Prostatic Hypertry+CSCC


Benign Prostatic Hypertry-CSCC
Inflammation Male Reprd Sys+CC
Inflammation Male Reprd Sys-CC
Sterilisation, Male
Other Male Reproductive Sys Dx
Pelvic Evscrtn & Radcl Vlvctmy
Utrn,Adnx Pr+Ovrn/Adnxl Mal+CC
Utrn,Adnx Pr+Ovrn/Adnxl Mal-CC
Utrn,Adnx Pr-Ovrn/Adnxl Mal+CC
Utrn,Adnx Pr-Ovrn/Adnxl Mal-CC
Hysterectomy For Non-Malignanc
Ooph&Com Fal Tube Pr Nmal+CSCC
Ooph&Com Fal Tube Pr Nmal-CSCC
Fem Repr Sys Reconstructive Pr
Oth Utern & Adnexa Pr For Nmal
Endos & Lapar Pr, Fem Repr Sys
Conistn,Vagina,Cervix&Vulva Pr
Dxc Curettge, Dxc Hysteroscopy
Oth Fem Rep S Pr A>64/+Mal/+CC
Oth Fem Rep Sys Pr A<65-Mal-CC
Malignancy Fem Reprod Sys+CSCC
Malignancy Fem Reprod Sys-CSCC
Infections, Female Reprod Syst
Mnstrl&Oth Fem Repr Sys Dis+CC
Mnstrl&Oth Fem Repr Sys Dis-CC
Caesarean Delivery +CCC
Caesarean Delivery +SCC
Caesarean Delivery -CSCC
Vaginal Delivery +OR Pr +CSCC
Vaginal Delivery +OR Pr -CSCC
Ectopic Pregnancy

Date Printed: 5/1/2012

Cost

Standard

Number

Number

ALOS

Average Cost per DRG ($)

Weight

Error

of Seps

of Days

(Days)

Total

1.47
0.40
1.13
0.59
0.40
0.43
3.98
4.06
2.26
3.49
2.18
2.04
2.87
1.66
1.51
0.80
0.81
0.53
0.48
4.10
0.44
1.72
0.83
0.67
0.71
0.31
3.49
2.44
1.98
2.00
1.47
1.33

0.03
0.01
0.02
0.02
0.01
0.01
0.09
0.05
0.03
0.03
0.02
0.01
0.03
0.01
0.01
0.01
0.01
0.01
0.01
0.07
0.02
0.03
0.09
0.03
0.06
0.00
0.04
0.01
0.01
0.02
0.02
0.01

308
1,964
1,047
2,843
5,461
2,428
155
499
335
576
765
12,008
404
2,920
6,513
18,420
12,933
19,196
17,674
185
1,160
1,071
1,180
2,383
1,642
12,182
3,818
10,069
41,699
2,270
3,141
2,651

1,858
3,230
4,554
6,554
5,551
3,765
1,542
4,287
1,461
3,787
2,987
44,525
2,257
7,052
16,916
24,024
15,313
22,486
18,855
1,726
1,547
6,673
3,613
5,298
3,761
15,238
35,156
58,657
175,018
10,217
10,566
5,188

6.03
1.64
4.35
2.31
1.02
1.55
9.95
8.58
4.36
6.57
3.9
3.71
5.59
2.41
2.6
1.3
1.18
1.17
1.07
9.31
1.33
6.23
3.06
2.22
2.29
1.25
9.21
5.83
4.2
4.5
3.36
1.96

5,745
1,553
4,405
2,323
1,544
1,662
15,533
15,852
8,841
13,637
8,534
7,968
11,198
6,499
5,888
3,142
3,161
2,054
1,870
16,037
1,725
6,712
3,260
2,603
2,773
1,219
13,649
9,537
7,746
7,833
5,728
5,201

Direct

4,402
1,191
3,415
1,801
1,135
1,274
12,535
12,853
7,107
11,131
6,860
6,248
8,990
5,177
4,598
2,449
2,469
1,586
1,451
12,509
1,382
5,125
2,560
2,042
2,207
948
10,888
7,426
5,991
6,085
4,392
4,206

Ohead

1,343
362
990
522
409
388
2,997
3,000
1,735
2,506
1,674
1,720
2,208
1,321
1,290
693
692
468
419
3,528
344
1,587
700
561
566
271
2,761
2,111
1,755
1,748
1,336
996

Average Component Cost per DRG ($)


Ward Medical

Ward Nursing

Direct

Direct

749
193
639
333
293
203
1,770
1,760
1,166
1,746
1,082
1,320
1,554
1,016
936
436
459
270
250
2,068
269
797
401
343
375
164
1,786
1,313
1,125
1,001
764
733

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Ohead

79
27
94
43
21
25
172
158
99
156
96
125
168
134
93
51
53
30
28
315
28
104
46
31
31
20
243
171
140
148
96
70

1,384
234
1,043
449
118
234
3,197
3,388
1,545
2,618
1,356
1,279
1,945
875
895
270
237
175
122
3,154
169
1,980
856
603
613
170
4,275
2,833
2,214
2,589
2,046
607

Ohead

245
61
224
99
35
57
526
592
261
436
266
285
377
173
198
61
56
49
34
646
41
409
220
102
103
42
788
549
441
461
360
121

Non
Clinical
Salaries
390
86
267
149
59
93
761
661
364
565
337
303
457
209
222
93
97
74
62
874
57
395
285
184
195
58
734
519
424
466
387
194

Pathology
Direct

250
80
195
92
20
47
512
855
475
775
425
164
443
214
40
100
62
83
66
647
19
242
75
116
117
47
575
238
111
206
100
197

Ohead

21
11
24
10
4
6
27
52
28
47
26
12
30
13
3
10
5
7
5
57
2
22
7
12
11
5
35
18
8
14
7
16

Page 53

ublic Sector

Average Component Cost per DRG ($)

DRG
M61A
M61B
M62A
M62B
M63Z
M64Z
N01Z
N02A
N02B
N03A
N03B
N04Z
N05A
N05B
N06Z
N07Z
N08Z
N09Z
N10Z
N11A
N11B
N60A
N60B
N61Z
N62A
N62B
O01A
O01B
O01C
O02A
O02B
O03Z

Date Printed: 5/1/2012

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Page 54

NATIONAL HOSPITAL COST DATA COLLECTION

V5.1 Public Sector

COST WEIGHTS FOR AR-DRG VERSION 5.1, Round 12 (2007-08)


Public Sector - Estimated
Average Component Cost per DRG ($)
Imaging
Direct

DRG
M61A
M61B
M62A
M62B
M63Z
M64Z
N01Z
N02A
N02B
N03A
N03B
N04Z
N05A
N05B
N06Z
N07Z
N08Z
N09Z
N10Z
N11A
N11B
N60A
N60B
N61Z
N62A
N62B
O01A
O01B
O01C
O02A
O02B
O03Z

142
45
171
79
2
67
331
152
65
150
65
37
216
40
28
25
21
18
14
366
52
212
98
89
89
63
140
60
39
51
38
60

Allied

Ohead

Direct

25
7
25
14
1
12
35
25
10
26
10
6
30
6
5
5
4
4
3
98
14
40
21
14
16
10
22
11
7
9
7
10

Date Printed: 5/1/2012

97
11
66
12
2
12
344
331
112
263
119
53
114
31
31
7
6
9
4
368
6
175
46
24
31
7
133
79
54
80
63
16

Pharmacy

Ohead

20
3
17
3
1
2
64
73
24
59
26
13
26
8
8
2
2
2
1
75
2
37
9
7
8
2
31
19
14
22
17
4

Direct

179
36
208
68
21
39
430
508
145
399
126
118
257
95
85
52
39
32
29
511
188
438
241
75
84
25
298
178
118
143
95
64

Critical Care

Ohead

19
6
22
8
4
6
29
35
19
23
18
16
26
13
12
8
6
5
5
38
35
37
22
8
9
4
32
25
22
23
21
10

Direct

191
0
55
2
0
4
377
476
11
212
26
40
263
18
12
16
3
4
2
648
2
118
36
13
39
1
206
82
36
120
52
21

Ohead

51
0
13
1
0
1
92
103
4
50
7
10
59
4
3
5
1
1
0
159
1
28
9
3
7
0
38
15
7
17
7
5

Oper Rooms
Direct

264
299
111
128
502
232
3,486
3,524
2,535
3,224
2,648
2,358
2,755
2,164
1,763
1,218
1,279
742
756
2,552
459
100
168
43
128
119
1,693
1,465
1,360
848
479
1,598

Ohead

63
72
27
30
162
54
764
717
548
686
604
604
620
521
465
328
335
208
212
657
90
19
38
10
29
30
385
341
323
207
113
353

Emerg Depts
Direct

297
82
386
309
3
210
0
36
51
17
5
7
74
47
2
24
32
25
7
138
13
138
76
336
275
214
26
15
11
21
17
309

Ohead

79
19
90
71
1
48
0
9
8
3
2
2
14
10
1
5
6
5
2
35
3
31
17
76
62
46
7
4
3
7
6
59

Supplies
Direct

194
46
135
87
40
46
358
329
166
284
149
152
253
107
101
37
38
30
24
419
22
203
114
113
122
30
401
259
206
253
200
89

Spec Proc Suites

Ohead

203
41
122
68
55
49
281
217
148
204
112
155
209
90
115
39
40
29
26
362
25
270
85
93
89
31
312
255
192
219
170
67

Direct

6
5
7
3
3
13
0
10
0
116
2
1
5
2
1
8
7
20
5
0
1
69
12
1
2
1
6
2
3
0
1
1

Ohead

2
2
3
1
2
4
0
2
0
19
1
0
2
1
0
3
4
15
2
0
0
42
7
0
1
0
1
0
0
0
0
0

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Prostheses
20
14
9
8
21
15
308
263
109
164
164
123
135
107
271
49
72
21
40
182
60
19
14
6
13
7
58
52
58
42
37
67

OnCosts
368
82
227
123
66
89
758
726
446
640
398
372
520
280
274
130
136
93
80
840
72
367
186
151
155
60
713
519
424
455
340
257

Hotel

262
52
135
73
55
50
524
488
284
452
263
237
375
180
181
84
85
53
47
501
48
272
107
79
92
34
441
308
223
254
168
160

Deprec No. of
Hosps
145
40
89
60
51
44
386
364
217
302
201
176
273
142
141
71
76
49
44
329
47
148
64
73
79
29
269
206
182
177
137
113

100
159
161
193
180
187
24
60
77
62
94
166
98
165
173
192
194
198
185
72
100
151
151
191
178
224
125
152
155
129
141
131

DRG
M61A
M61B
M62A
M62B
M63Z
M64Z
N01Z
N02A
N02B
N03A
N03B
N04Z
N05A
N05B
N06Z
N07Z
N08Z
N09Z
N10Z
N11A
N11B
N60A
N60B
N61Z
N62A
N62B
O01A
O01B
O01C
O02A
O02B
O03Z

Page 55

NATIONAL HOSPITAL COST DATA COLLECTION

V5.1 Public Sector

COST WEIGHTS FOR AR-DRG VERSION 5.1, Round 12 (2007-08)


Public Sector - Estimated
DRG Description

DRG
O04Z
O05Z
O60A
O60B
O60C
O61Z
O63Z
O64A
O64B
O66A
O66B
P01Z
P02Z
P03Z
P04Z
P05Z
P06A
P06B
P60A
P60B
P61Z
P62Z
P63Z
P64Z
P65A
P65B
P65C
P65D
P66A
P66B
P66C
P66D

Postpartum & Post Abortn+OR Pr


Abortion+ OR Proc
Vaginal Delivery +CSCC
Vaginal Delivery -CSCC
Vaginal Del Single Uncompl
Postpartum & Post Abortn-OR Pr
Abortion-OR Proc
False Labour <37 Wk/+CCC
False Labour >=37 Wk -CCC
Antenatal&Oth Obstetric Adm
Antenatal&Oth Obstetric Adm,SD
Neonate,D/T<5Day Adm+Sig OR Pr
Neo,Cardiothoracic/Vascular Pr
Neo,Admwt 1000-1499G+Sig OR Pr
Neo,Admwt 1500-1999G+Sig OR Pr
Neo,Admwt 2000-2499G+Sig OR Pr
Neo,Admwt >2499G+Sig OR Pr+Mmp
Neo,Admwt >2499G+Sig OR Pr-Mmp
Neo,D/Tr<5D Adm-Sig Pr+Newborn
Neo,D/Tr<5D Adm-Sig Pr-Newborn
Neonate, Admission Wt <750 G
Neonate, Admission Wt 750-999G
Neo,Admwt 1000-1249G-Sig OR Pr
Neo,Admwt 1250-1499G-Sig OR Pr
Neo,Admwt 1500-1999G-Sg Op+Mmp
Neo,Admwt 1500-1999G-Sg Op+Mjp
Neo,Admwt 1500-1999G-Sg Op+Otp
Neo,Admwt 1500-1999G-Sg Op-Prb
Neo,Admwt 2000-2499G-Sg Op+Mmp
Neo,Admwt 2000-2499G-Sg Op+Mjp
Neo,Admwt 2000-2499G-Sg Op+Otp
Neo,Admwt 2000-2499G-Sg Op-Prb

Date Printed: 5/1/2012

Cost

Standard

Number

Number

ALOS

Average Cost per DRG ($)

Weight

Error

of Seps

of Days

(Days)

Total

0.98
0.45
1.58
1.10
0.91
0.57
0.35
0.48
0.18
0.62
0.13
1.33
27.19
29.67
17.19
13.67
15.70
4.92
0.51
0.72
46.05
28.61
11.94
7.77
7.57
5.77
4.14
3.57
5.01
3.68
2.51
1.02

0.01
0.01
0.01
0.01
0.02
0.01
0.00
0.00
0.01
0.01
0.00
0.00
0.02
0.11
0.15
0.07
0.11
0.05
0.02
0.01
0.44
0.23
0.08
0.06
0.09
0.06
0.05
0.04
0.06
0.03
0.02
0.03

1,639
26,670
14,629
106,453
25,808
16,006
5,634
8,157
4,737
32,694
43,494
222
183
165
132
148
425
393
2,403
1,653
238
514
656
1,099
359
1,223
1,254
1,281
310
1,334
3,845
2,138

3,672
28,480
63,459
295,845
52,227
39,815
6,661
16,478
5,079
75,251
43,559
341
4,807
9,956
4,918
4,110
11,071
4,293
4,231
2,928
19,791
31,354
23,733
31,306
9,549
26,212
23,203
19,452
5,242
18,463
41,826
11,782

2.24
1.07
4.34
2.78
2.02
2.49
1.18
2.02
1.07
2.3
1
1.53
26.27
60.25
37.14
27.8
26.04
10.94
1.76
1.77
83.29
61.04
36.2
28.5
26.6
21.44
18.5
15.19
16.93
13.84
10.88
5.51

Direct

3,838
3,037
1,753
1,367
6,171
4,768
4,314
3,280
3,566
2,694
2,244
1,665
1,363
1,078
1,881
1,471
704
527
2,440
1,878
504
403
5,180
4,448
106,231 85,787
115,906 93,345
67,165 53,376
53,414 41,762
61,345 49,900
19,224 15,430
2,003
1,647
2,802
2,256
179,906 145,124
111,770 88,770
46,634 37,038
30,341 24,182
29,590 24,046
22,535 17,894
16,185 12,796
13,967 10,855
19,578 15,670
14,391 11,329
9,821
7,699
3,995
3,045

Ohead

801
386
1,403
1,034
872
579
285
410
177
563
101
732
20,445
22,561
13,789
11,651
11,445
3,795
356
546
34,782
22,999
9,596
6,159
5,544
4,641
3,389
3,111
3,908
3,062
2,121
950

Average Component Cost per DRG ($)


Ward Medical

Ward Nursing

Direct

Direct

500
200
809
592
500
256
134
251
105
323
77
381
11,226
4,873
3,298
3,127
4,381
1,798
231
204
5,562
4,041
2,846
2,936
2,499
2,084
2,082
2,314
1,650
1,675
1,427
730

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Ohead

56
25
104
72
44
28
14
26
12
38
7
30
1,984
459
426
284
563
186
26
24
622
411
291
301
303
233
217
274
178
191
154
81

650
166
2,399
1,774
1,393
750
263
699
229
767
123
77
8,322
6,537
4,310
4,220
5,633
2,143
447
453
11,724
7,414
4,906
5,508
4,633
4,186
3,933
4,938
2,806
3,195
2,916
1,217

Ohead

127
40
438
329
237
152
51
110
49
136
27
10
1,565
664
572
440
704
281
72
56
1,260
808
628
917
607
679
748
939
480
583
536
277

Non
Clinical
Salaries
156
59
429
319
296
202
70
145
47
179
27
55
1,598
2,207
1,410
1,264
1,097
586
47
95
3,388
2,204
1,204
1,081
1,049
808
593
584
629
517
395
237

Pathology
Direct

Ohead

164
14
89
9
198
15
68
5
55
3
47
5
123
10
76
6
14
1
92
8
25
2
304
33
5,719 1,150
3,190
443
2,859
372
2,650
382
2,913
455
913
103
142
12
186
18
4,137
332
2,571
197
827
65
567
37
1,018
47
486
32
292
18
145
9
668
53
337
24
163
12
62
6

Page 56

ublic Sector

Average Component Cost per DRG ($)

DRG
O04Z
O05Z
O60A
O60B
O60C
O61Z
O63Z
O64A
O64B
O66A
O66B
P01Z
P02Z
P03Z
P04Z
P05Z
P06A
P06B
P60A
P60B
P61Z
P62Z
P63Z
P64Z
P65A
P65B
P65C
P65D
P66A
P66B
P66C
P66D

Date Printed: 5/1/2012

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Page 57

NATIONAL HOSPITAL COST DATA COLLECTION

V5.1 Public Sector

COST WEIGHTS FOR AR-DRG VERSION 5.1, Round 12 (2007-08)


Public Sector - Estimated
Average Component Cost per DRG ($)
Imaging
Direct

DRG
O04Z
O05Z
O60A
O60B
O60C
O61Z
O63Z
O64A
O64B
O66A
O66B
P01Z
P02Z
P03Z
P04Z
P05Z
P06A
P06B
P60A
P60B
P61Z
P62Z
P63Z
P64Z
P65A
P65B
P65C
P65D
P66A
P66B
P66C
P66D

85
19
46
34
38
35
49
40
10
56
20
99
1,295
1,287
1,217
954
1,045
403
82
88
1,987
1,121
448
281
406
216
91
87
289
171
55
27

Allied

Ohead

14
4
8
7
7
6
8
6
2
9
4
22
332
274
262
185
226
70
15
17
365
211
81
46
72
37
11
8
55
24
7
4

Direct

22
9
69
40
30
21
21
21
8
24
9
64
1,554
780
671
954
767
285
13
60
624
482
254
208
235
152
88
73
193
134
58
37

Date Printed: 5/1/2012

Pharmacy

Ohead

6
3
16
10
8
5
4
5
2
6
2
11
271
151
146
159
153
46
4
13
145
108
64
43
54
32
21
20
40
29
14
8

Direct

61
28
123
70
53
41
31
33
14
49
14
37
1,323
1,647
1,518
1,020
1,275
352
23
63
2,745
2,003
772
525
609
390
198
151
350
250
108
42

Ohead

Critical Care
Direct

8
110
5
2
19
59
16
39
16
31
8
53
5
1
7
8
5
1
8
20
7
0
8
701
197 32,442
145 63,054
148 32,533
154 21,846
127 25,134
55
5,637
4
525
6
756
196 100,095
132 59,946
52 21,853
42 10,736
34 10,922
35
7,727
24
4,343
28
1,924
28
7,890
27
4,040
18
1,973
10
470

Oper Rooms

Ohead

Direct

24
0
9
6
6
12
0
1
0
4
0
181
8,064
14,820
8,431
5,704
5,993
1,394
125
193
24,237
14,953
5,512
2,754
2,852
1,932
1,051
431
1,878
974
443
96

864
583
192
77
50
33
45
17
29
82
25
2,160
15,354
932
1,352
1,753
3,086
1,638
14
67
323
211
39
25
46
16
16
23
43
26
15
18

Ohead

215
152
44
17
11
7
10
3
6
17
5
294
3,255
173
297
337
620
308
3
10
61
41
7
5
6
3
3
5
8
5
3
4

Emerg Depts
Direct

139
91
20
14
10
82
245
21
10
92
37
6
20
5
5
14
28
85
6
116
6
9
25
1
4
1
2
16
10
15
6
16

Ohead

28
18
6
5
4
18
54
6
4
21
8
2
5
1
0
5
6
21
1
23
2
1
7
0
1
0
0
3
2
4
1
4

Supplies
Direct

84
23
230
160
153
76
37
81
32
97
17
32
1,013
1,155
416
534
545
203
31
29
2,968
1,742
858
656
727
473
344
297
257
280
211
102

Ohead

80
27
205
148
134
110
34
71
28
89
12
31
797
1,286
953
1,172
820
370
20
69
764
717
466
367
353
341
338
360
298
291
272
126

Spec Proc Suites


Direct

2
12
1
0
0
0
0
0
0
1
0
1
19
39
17
17
45
4
10
2
32
30
28
20
32
19
9
1
18
8
4
2

Ohead

1
1
0
0
0
0
0
0
0
0
0
0
1
6
2
2
7
1
2
0
5
4
4
3
5
3
1
0
3
1
1
0

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Prostheses
32
15
17
18
23
7
7
5
5
11
3
134
1,308
88
112
179
204
117
4
9
20
19
10
7
6
18
13
25
4
16
14
11

OnCosts
193
82
364
259
245
144
77
128
45
152
26
286
3,872
6,689
3,342
3,320
3,219
1,245
76
141
10,453
6,900
3,058
1,861
1,721
1,490
993
701
997
857
563
216

Hotel

119
50
219
133
119
89
40
69
25
92
12
69
877
2,330
1,122
1,214
1,036
454
31
48
3,550
2,580
1,157
721
686
602
400
328
385
382
252
108

Deprec No. of
Hosps
86
41
133
99
98
58
30
48
20
66
13
152
2,669
2,670
1,374
1,525
1,266
526
34
56
4,303
2,914
1,169
692
663
541
355
282
367
335
200
82

158
178
158
178
176
209
197
163
160
213
210
19
6
26
27
28
27
27
125
145
24
30
70
84
50
81
91
124
59
103
124
133

DRG
O04Z
O05Z
O60A
O60B
O60C
O61Z
O63Z
O64A
O64B
O66A
O66B
P01Z
P02Z
P03Z
P04Z
P05Z
P06A
P06B
P60A
P60B
P61Z
P62Z
P63Z
P64Z
P65A
P65B
P65C
P65D
P66A
P66B
P66C
P66D

Page 58

NATIONAL HOSPITAL COST DATA COLLECTION

V5.1 Public Sector

COST WEIGHTS FOR AR-DRG VERSION 5.1, Round 12 (2007-08)


Public Sector - Estimated
DRG Description

DRG
P67A
P67B
P67C
P67D
Q01Z
Q02A
Q02B
Q60A
Q60B
Q60C
Q61A
Q61B
Q61C
Q62Z
R01A
R01B
R02A
R02B
R03A
R03B
R04A
R04B
R60A
R60B
R60C
R61A
R61B
R61C
R62A
R62B
R63Z
R64Z

Neo,Admwt >2499G-Sig OR Pr+Mmp


Neo,Admwt >2499G-Sig OR Pr+Mjp
Neo,Admwt >2499G-Sig OR Pr+Otp
Neo,Admwt >2499G-Sig OR Pr-Prb
Splenectomy
Oth OR Pr Bld&Bld Frm Org+CSCC
Oth OR Pr Bld&Bld Frm Org-CSCC
Reticlendo&Imnty Dis+CSCC
Reticlendo&Imnty Dis-CSCC+Mal
Reticlendo&Imnty Dis-CSCC-Mal
Red Blood Cell Disders + CCC
Red Blood Cell Disders + SCC
Red Blood Cell Disders - CSCC
Coagulation Disorders
Lymphma&Leukma+Mjr OR Pr +CSCC
Lymphma&Leukma+Mjr OR Pr -CSCC
Oth Nplstc Dsrd+Mjr OR Pr+CSCC
Oth Nplstc Dsrd+Mjr OR Pr-CSCC
Lymphma Leukma+Oth OR Pr +CSCC
Lymphma Leukma+Oth OR Pr -CSCC
Oth Nplstc Dsrd+Oth OR Pr+CSCC
Oth Nplstc Dsrd+Oth OR Pr-CSCC
Acute Leukaemia + CCC
Acute Leukaemia + SCC
Acute Leukaemia - CSCC
Lymphma &N-Acute Leukaemia+CCC
Lymphma &N-Acute Leukaemia-CCC
Lymphoma/N-A Leukaemia,Sameday
Other Neoplastic Disorders +CC
Other Neoplastic Disorders -CC
Chemotherapy
Radiotherapy

Date Printed: 5/1/2012

Cost

Standard

Number

Number

ALOS

Average Cost per DRG ($)

Weight

Error

of Seps

of Days

(Days)

Total

3.81
1.96
1.08
0.51
4.06
5.02
0.99
2.50
1.00
0.34
2.10
1.00
0.37
0.66
9.78
2.78
5.01
2.45
8.05
1.50
2.48
1.57
6.63
1.52
0.88
5.18
1.80
0.23
1.72
0.76
0.33
0.51

0.03
0.01
0.01
0.01
0.05
0.05
0.01
0.02
0.02
0.01
0.03
0.01
0.01
0.01
0.15
0.06
0.03
0.01
0.06
0.01
0.03
0.05
0.11
0.03
0.01
0.06
0.01
0.00
0.03
0.01
0.01
0.10

1,097
5,345
12,487
17,049
300
442
1,824
4,131
1,787
15,851
1,938
3,818
38,076
8,097
347
353
400
992
601
1,348
446
1,112
1,747
2,050
6,012
2,153
7,631
21,403
1,656
990
121,583
868

13,043
37,941
62,724
45,574
2,553
5,596
3,448
28,713
5,805
22,118
15,664
14,236
52,391
21,610
8,531
1,980
4,470
4,897
12,459
4,145
2,910
2,290
27,825
8,314
14,137
31,568
37,887
21,426
9,579
2,124
121,666
879

11.89
7.1
5.02
2.67
8.51
12.65
1.89
6.95
3.25
1.4
8.08
3.73
1.38
2.67
24.6
5.61
11.18
4.94
20.74
3.08
6.52
2.06
15.93
4.06
2.35
14.67
4.97
1
5.78
2.14
1
1.01

14,880
7,649
4,239
1,997
15,870
19,610
3,880
9,757
3,916
1,327
8,199
3,898
1,450
2,569
38,225
10,849
19,593
9,568
31,433
5,862
9,673
6,130
25,886
5,926
3,445
20,228
7,031
900
6,702
2,953
1,275
2,002

Direct

11,824
6,032
3,336
1,514
12,919
15,848
3,060
7,891
3,080
991
6,428
2,978
1,136
2,011
30,840
8,596
15,834
7,660
25,343
4,723
7,645
4,127
21,133
4,794
2,755
16,273
5,644
726
5,369
2,314
1,086
1,019

Ohead

3,056
1,617
903
483
2,951
3,762
820
1,866
836
336
1,771
920
313
558
7,385
2,253
3,759
1,908
6,091
1,139
2,028
2,003
4,754
1,132
691
3,955
1,388
174
1,332
638
190
983

Average Component Cost per DRG ($)


Ward Medical

Ward Nursing

Direct

Direct

1,460
897
625
340
1,611
2,094
472
921
412
171
965
466
176
295
3,402
999
2,474
1,294
2,565
519
1,119
805
1,872
409
267
1,644
559
73
720
302
93
114

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Ohead

189
106
68
35
212
430
69
190
63
85
131
65
28
48
628
139
396
179
607
76
165
135
542
92
49
430
110
17
149
51
36
17

2,658
1,687
1,235
595
2,258
4,259
477
2,620
1,005
257
2,134
904
222
585
8,287
1,945
3,419
1,333
7,174
873
2,028
464
6,133
1,498
792
5,344
1,651
117
2,215
513
146
51

Ohead

426
309
222
127
440
910
113
551
196
67
450
187
63
132
1,635
353
703
326
1,600
177
382
128
1,376
272
155
1,162
343
49
376
115
70
25

Non
Clinical
Salaries
504
332
209
139
553
921
140
479
222
76
479
230
64
140
1,864
485
748
330
1,737
234
510
113
1,041
312
184
908
350
32
329
137
23
30

Pathology
Direct

625
244
142
39
816
1,031
293
683
266
99
518
256
86
192
2,552
934
677
323
2,282
746
511
143
2,341
585
413
1,422
438
144
211
118
17
9

Ohead

64
21
12
3
66
122
40
98
40
13
64
32
11
24
338
101
81
38
305
87
65
22
401
93
69
221
74
22
28
14
3
2

Page 59

ublic Sector

Average Component Cost per DRG ($)

DRG
P67A
P67B
P67C
P67D
Q01Z
Q02A
Q02B
Q60A
Q60B
Q60C
Q61A
Q61B
Q61C
Q62Z
R01A
R01B
R02A
R02B
R03A
R03B
R04A
R04B
R60A
R60B
R60C
R61A
R61B
R61C
R62A
R62B
R63Z
R64Z

Date Printed: 5/1/2012

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Page 60

NATIONAL HOSPITAL COST DATA COLLECTION

V5.1 Public Sector

COST WEIGHTS FOR AR-DRG VERSION 5.1, Round 12 (2007-08)


Public Sector - Estimated
Average Component Cost per DRG ($)
Imaging
Direct

DRG
P67A
P67B
P67C
P67D
Q01Z
Q02A
Q02B
Q60A
Q60B
Q60C
Q61A
Q61B
Q61C
Q62Z
R01A
R01B
R02A
R02B
R03A
R03B
R04A
R04B
R60A
R60B
R60C
R61A
R61B
R61C
R62A
R62B
R63Z
R64Z

315
106
41
17
388
640
113
216
82
35
208
91
25
66
1,235
355
332
75
1,331
219
341
127
589
108
55
570
193
19
217
126
13
720

Allied

Ohead

Direct

60
18
6
3
63
95
23
42
17
6
36
16
5
12
237
62
59
14
242
41
53
46
164
24
15
132
44
6
45
27
4
906

Date Printed: 5/1/2012

232
107
35
20
203
405
26
170
49
11
230
66
11
39
945
134
341
97
793
56
201
34
491
87
46
455
109
7
179
36
8
6

Pharmacy

Ohead

49
23
8
5
34
75
6
34
11
2
46
14
3
8
182
26
65
21
138
12
42
8
90
18
10
85
21
2
34
8
1
1

Direct

262
120
45
21
622
2,726
83
1,656
527
134
569
255
229
215
3,272
421
614
201
4,379
430
432
146
5,607
1,218
628
3,497
1,671
199
565
432
733
47

Ohead

30
16
9
5
34
133
9
79
30
11
45
24
19
15
137
33
37
20
190
26
31
8
218
52
35
155
96
10
35
28
50
5

Critical Care
Direct

4,633
1,937
702
181
1,763
908
46
168
14
16
227
52
5
61
2,465
357
1,277
147
840
30
281
34
640
29
7
507
43
0
82
16
0
0

Ohead

1,149
450
147
36
379
176
11
35
4
4
60
13
2
15
486
85
269
34
179
5
50
7
128
6
1
104
10
0
19
4
0
0

Oper Rooms
Direct

66
20
22
12
2,948
1,369
1,065
63
40
37
129
137
130
47
2,957
2,033
4,236
3,006
1,405
1,126
1,379
1,377
274
93
132
99
77
52
162
360
6
15

Ohead

10
4
5
3
569
286
264
13
8
8
28
30
32
11
638
440
903
692
278
266
310
438
60
20
31
21
16
15
39
92
2
3

Emerg Depts
Direct

50
86
29
44
283
229
48
311
230
65
375
262
64
196
231
63
50
6
268
40
101
14
163
75
29
257
124
7
138
56
1
1

Ohead

11
20
7
10
52
49
11
69
52
15
81
59
15
45
51
15
11
1
55
9
22
3
35
17
7
59
28
1
30
13
0
0

Supplies
Direct

283
149
85
57
291
480
62
241
110
37
258
123
41
75
1,205
241
439
169
977
113
260
68
721
161
78
646
208
27
226
65
20
12

Spec Proc Suites

Ohead

325
185
120
71
232
329
60
217
116
35
225
123
35
66
588
223
206
96
561
83
198
51
381
134
79
425
179
16
157
65
10
4

Direct

32
5
4
2
5
131
36
62
11
8
46
38
39
9
259
14
30
7
222
16
52
436
416
49
35
208
22
16
107
42
5
9

Ohead

5
1
1
0
2
47
7
31
6
2
15
11
12
3
113
2
6
2
88
4
22
976
227
27
22
105
11
7
39
12
2
3

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Prostheses
16
9
9
6
396
212
57
11
12
7
11
13
11
11
785
287
467
317
438
115
133
240
37
10
11
22
16
3
19
24
1
0

OnCosts
798
443
249
119
847
765
166
409
198
63
428
195
58
131
1,852
511
867
407
1,380
273
485
140
1,005
276
147
880
305
29
281
133
17
11

Hotel

339
190
121
62
428
430
97
231
114
33
277
153
36
77
1,176
346
507
235
827
154
288
89
605
160
83
563
204
14
177
88
7
7

Deprec No. of
Hosps
287
162
82
44
372
359
84
159
82
29
164
82
30
52
707
246
381
197
572
133
214
75
330
102
64
307
130
12
120
76
5
6

89
128
140
171
81
101
168
171
159
200
179
211
234
206
79
95
80
110
89
147
107
122
85
120
132
152
211
197
167
161
120
16

DRG
P67A
P67B
P67C
P67D
Q01Z
Q02A
Q02B
Q60A
Q60B
Q60C
Q61A
Q61B
Q61C
Q62Z
R01A
R01B
R02A
R02B
R03A
R03B
R04A
R04B
R60A
R60B
R60C
R61A
R61B
R61C
R62A
R62B
R63Z
R64Z

Page 61

NATIONAL HOSPITAL COST DATA COLLECTION

V5.1 Public Sector

COST WEIGHTS FOR AR-DRG VERSION 5.1, Round 12 (2007-08)


Public Sector - Estimated
DRG Description

DRG
S60Z
S65A
S65B
S65C
T01A
T01B
T01C
T60A
T60B
T61A
T61B
T62A
T62B
T63A
T63B
T64A
T64B
U40Z
U60Z
U61A
U61B
U62A
U62B
U63A
U63B
U64Z
U65Z
U66Z
U67Z
U68Z
V60A
V60B

Hiv, Sameday
Hiv-Related Diseases +CCC
Hiv-Related Diseases +SCC
Hiv-Related Diseases -CSCC
OR Proc Infect& Paras Dis+CCC
OR Proc Infect& Paras Dis+SMCC
OR Proc Infect & Paras Dis-CC
Septicaemia + CSCC
Septicaemia - CSCC
Pstop&Psttr Inf A>54/+CSCC
Postop&Posttr Infect A<55-CSCC
Fever Of Unknown Origin + CC
Fever Of Unknown Origin - CC
Viral Illness A>59/+CC
Viral Illness A<60 -CC
Oth Infectous&Parstic Dis+CSCC
Oth Infectous&Parstic Dis-CSCC
Mental Health Treat,Samedy+Ect
Mental Health Treat,Samedy-Ect
Schizophrenia Disorders+Mhls
Schizophrenia Disorders-Mhls
Par&Acute Psych Dsrd+CSCC/Mhls
Par&Acute Psych Dsrd-CSCC-Mhls
Mjr Affect Dsrd A>69/+CSCC
Major Affective Dsrd A<70-CSCC
Oth Affect & Somatoform Dsrd
Anxiety Disorders
Eating & Obsessv-Compulsv Dsrd
Personlty Dsrd&Acute Reactions
Childhood Mental Disorders
Alcohol Intoxicatn&Withdrwl+CC
Alcohol Intoxicatn&Withdrwl-CC

Date Printed: 5/1/2012

Cost

Standard

Number

Number

ALOS

Average Cost per DRG ($)

Weight

Error

of Seps

of Days

(Days)

Total

0.31
10.51
3.60
2.58
9.24
3.51
2.31
2.77
1.28
1.53
0.89
1.26
0.62
0.86
0.50
3.16
0.91
0.23
0.18
5.57
2.64
3.71
1.57
4.86
3.08
1.57
1.11
5.22
1.44
3.57
1.01
0.43

0.00
0.13
0.04
0.04
0.11
0.03
0.02
0.03
0.03
0.02
0.01
0.01
0.02
0.01
0.01
0.06
0.02
0.01
0.00
0.21
0.07
0.15
0.06
0.14
0.07
0.03
0.02
0.10
0.03
0.20
0.01
0.01

644
269
237
422
1,376
1,124
1,321
8,996
3,408
4,867
3,930
3,244
5,205
4,201
14,755
1,206
2,268
9,112
15,508
8,079
6,762
1,222
1,851
1,615
9,666
6,917
4,498
1,419
11,975
536
3,195
12,292

644
6,062
2,137
2,765
33,590
12,885
9,719
81,268
17,093
32,172
14,844
13,644
10,902
12,094
23,666
11,242
7,666
9,193
15,591
188,828
73,837
17,170
10,938
32,965
115,479
42,315
17,757
26,882
61,841
5,562
10,887
21,192

1
22.53
9.02
6.55
24.41
11.46
7.36
9.03
5.02
6.61
3.78
4.21
2.09
2.88
1.6
9.32
3.38
1.01
1.01
23.37
10.92
14.05
5.91
20.41
11.95
6.12
3.95
18.95
5.16
10.37
3.41
1.72

1,194
41,045
14,056
10,097
36,090
13,699
9,026
10,816
5,018
5,994
3,483
4,917
2,405
3,348
1,941
12,356
3,564
891
700
21,744
10,300
14,491
6,150
18,991
12,036
6,149
4,327
20,408
5,615
13,939
3,948
1,676

Direct

1,043
32,289
10,824
8,133
29,327
10,849
7,064
8,575
3,872
4,611
2,679
3,892
1,868
2,611
1,493
10,058
2,782
706
538
17,286
8,020
11,293
4,789
14,838
9,480
4,643
3,280
15,346
4,319
10,290
3,033
1,292

Ohead

151
8,756
3,232
1,963
6,763
2,850
1,962
2,241
1,146
1,383
804
1,025
537
738
448
2,298
782
185
162
4,458
2,280
3,198
1,361
4,153
2,556
1,506
1,047
5,062
1,296
3,648
915
385

Average Component Cost per DRG ($)


Ward Medical

Ward Nursing

Direct

Direct

172
4,768
2,229
1,742
3,946
1,870
1,202
1,106
608
892
542
551
284
416
243
1,420
521
59
47
2,839
1,386
1,838
728
2,486
1,655
798
517
3,197
679
1,421
400
129

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Ohead

34
2,931
972
419
650
239
187
157
64
121
69
75
27
55
25
222
104
13
6
233
125
148
69
221
148
83
64
412
64
262
38
11

123
7,315
3,335
2,580
7,871
3,213
2,048
2,581
1,325
1,623
903
1,269
518
782
395
2,899
835
253
65
9,152
3,802
5,910
2,113
6,569
4,460
2,046
1,264
7,380
1,924
4,810
918
339

Ohead

28
1,442
657
396
1,565
631
431
495
258
318
187
261
112
163
81
628
184
84
32
3,060
1,196
1,929
566
1,976
1,289
505
258
1,824
675
1,371
201
91

Non
Clinical
Salaries
46
1,694
814
686
1,570
790
488
564
350
416
225
292
171
195
124
532
253
65
22
1,286
737
830
429
1,596
931
517
340
1,686
444
2,851
371
117

Pathology
Direct

74
2,114
686
561
1,448
379
241
572
233
197
97
332
154
216
102
672
192
1
18
179
104
180
92
286
114
83
81
338
66
115
121
48

Ohead

10
266
86
76
173
35
22
74
27
20
9
41
19
27
11
80
21
0
3
10
7
9
10
22
8
8
10
38
5
8
12
6

Page 62

ublic Sector

Average Component Cost per DRG ($)

DRG
S60Z
S65A
S65B
S65C
T01A
T01B
T01C
T60A
T60B
T61A
T61B
T62A
T62B
T63A
T63B
T64A
T64B
U40Z
U60Z
U61A
U61B
U62A
U62B
U63A
U63B
U64Z
U65Z
U66Z
U67Z
U68Z
V60A
V60B

Date Printed: 5/1/2012

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Page 63

NATIONAL HOSPITAL COST DATA COLLECTION

V5.1 Public Sector

COST WEIGHTS FOR AR-DRG VERSION 5.1, Round 12 (2007-08)


Public Sector - Estimated
Average Component Cost per DRG ($)
Imaging
Direct

DRG
S60Z
S65A
S65B
S65C
T01A
T01B
T01C
T60A
T60B
T61A
T61B
T62A
T62B
T63A
T63B
T64A
T64B
U40Z
U60Z
U61A
U61B
U62A
U62B
U63A
U63B
U64Z
U65Z
U66Z
U67Z
U68Z
V60A
V60B

11
967
269
223
1,105
349
182
359
196
160
91
181
86
101
54
344
90
3
42
44
36
89
72
158
42
56
97
93
29
59
113
41

Allied

Ohead

Direct

2
179
54
37
185
57
25
60
31
26
15
30
14
18
9
65
22
1
11
7
7
16
12
28
7
11
16
14
6
8
19
8

Date Printed: 5/1/2012

24
959
280
197
714
171
89
245
60
86
32
89
19
44
11
202
31
7
8
690
220
377
115
469
284
116
116
838
126
229
90
25

Pharmacy

Ohead

1
170
45
31
131
34
18
50
14
19
7
17
4
9
3
39
7
1
1
21
19
19
12
54
22
19
21
132
15
21
16
6

Direct

414
5,532
1,799
1,283
3,831
836
411
787
231
293
134
394
72
223
41
2,098
229
12
16
599
317
390
157
551
270
136
95
397
125
200
95
28

Ohead

11
235
72
55
188
53
35
59
24
27
15
28
9
19
7
99
16
1
3
46
31
26
16
51
26
16
14
39
11
25
12
5

Critical Care
Direct

0
5,731
194
28
2,588
221
68
1,152
144
139
14
43
8
37
6
619
39
0
1
8
8
45
13
77
8
17
66
126
18
11
132
12

Ohead

0
1,007
42
7
532
48
15
244
33
32
5
10
3
9
2
123
8
0
0
2
2
8
3
17
2
4
13
27
5
2
31
3

Oper Rooms
Direct

97
484
89
166
2,864
1,703
1,469
91
50
124
113
39
29
39
19
137
68
223
26
85
38
19
25
361
134
56
33
27
25
79
22
12

Ohead

18
86
19
30
648
371
327
19
11
27
26
9
6
8
4
33
15
47
5
16
7
4
6
152
52
14
6
4
6
14
5
2

Emerg Depts
Direct

17
363
322
264
369
231
203
452
354
247
275
384
354
367
386
365
269
1
236
296
316
341
465
301
377
285
334
221
322
239
455
390

Ohead

4
84
75
60
82
52
46
101
76
54
61
84
81
84
91
81
60
0
56
60
76
74
108
61
80
62
73
55
72
53
109
92

Supplies
Direct

15
794
317
180
1,149
512
270
278
175
249
122
153
85
81
49
294
115
31
14
745
407
498
242
726
472
245
152
622
196
428
147
54

Spec Proc Suites

Ohead

11
499
389
222
651
310
195
233
169
198
127
130
72
94
54
310
94
11
10
311
312
292
192
564
322
284
190
761
140
351
138
45

Direct

25
485
133
73
143
16
4
37
11
9
1
14
5
9
1
64
19
3
1
4
4
4
6
6
3
4
35
2
10
0
3
1

Ohead

6
281
76
20
39
3
1
11
3
3
0
5
1
4
0
24
8
1
0
1
1
0
0
2
0
1
7
0
1
0
1
0

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Prostheses
2
52
10
4
466
153
101
23
12
25
18
7
8
10
8
14
7
0
3
3
3
7
6
16
6
8
11
24
21
12
18
5

OnCosts
31
1,416
585
421
1,591
698
470
541
278
337
199
242
131
174
113
522
191
40
38
1,340
654
909
375
1,343
805
416
275
1,241
359
866
245
111

Hotel

8
744
313
197
983
440
278
305
163
215
115
140
69
97
54
286
94
20
18
538
322
370
197
609
361
242
149
603
181
376
138
61

Deprec No. of
Hosps
8
448
193
136
606
282
199
218
119
138
80
96
66
68
51
184
72
13
18
170
161
157
121
288
156
117
92
307
91
125
98
36

46
50
47
61
130
137
147
208
215
221
217
197
218
205
218
144
186
57
221
87
191
109
179
158
199
221
222
124
212
94
191
220

DRG
S60Z
S65A
S65B
S65C
T01A
T01B
T01C
T60A
T60B
T61A
T61B
T62A
T62B
T63A
T63B
T64A
T64B
U40Z
U60Z
U61A
U61B
U62A
U62B
U63A
U63B
U64Z
U65Z
U66Z
U67Z
U68Z
V60A
V60B

Page 64

NATIONAL HOSPITAL COST DATA COLLECTION

V5.1 Public Sector

COST WEIGHTS FOR AR-DRG VERSION 5.1, Round 12 (2007-08)


Public Sector - Estimated
DRG Description

DRG
V61Z
V62A
V62B
V63A
V63B
V64Z
W01Z
W02Z
W03Z
W04Z
W60Z
W61Z
X02Z
X04A
X04B
X05Z
X06A
X06B
X07A
X07B
X60A
X60B
X60C
X61Z
X62A
X62B
X63A
X63B
X64A
X64B
Y01Z
Y02A

Drug Intoxictn & Withdrawal


Alcohol Use Dsrd & Dependence
Alcohol Use Dsrd & Dependnc+SD
Opioid Use Dsrd & Dependence
Opioid Use Dsrd&Depend-Advice
Other Drug Use Disord & Depend
Ventiln/Cranio Mult Sig Trauma
Hip,Femr&Limb Pr Mult Sig Trma
Abdominal Pr Mult Sig Trauma
Othr OR Pr For Mult Sig Trauma
Multiple Trauma, Died/Transf<5
Multiple Trauma - Signif Procs
Mic Tt/Skin Grafts Inj To Hand
Other Pr Inj Lwr Lmb A>59/+CC
Other Pr Inj Lowr Limb A<60-CC
Other Pr For Injuries To Hand
Other Pr Other Injuries + CSCC
Other Pr Other Injuries - CSCC
Sk Graft Inj-Hand+Mic Tt/+CSCC
Sk Graft Inj-Hand-Mic Tt-CSCC
Injuries A>64 + CC
Injuries A>64 - CC
Injuries A<65
Allergic Reactions
Poisng/Toxc Eff Drugs A>59/+CC
Poisng/Toxc Eff Drugs A<60 -CC
Sequelae Of Treatmnt+CSCC
Sequelae Of Treatmnt-CSCC
Ot Inj,Pois&Tox Ef Dx A>59/+CC
Ot Inj,Pois&Tox Eff Dx A<60-CC
Severe Full Thick Burns
Oth Burn+Skn G A>64/+CSCC/Comp

Date Printed: 5/1/2012

Cost

Standard

Number

Number

ALOS

Average Cost per DRG ($)

Weight

Error

of Seps

of Days

(Days)

Total

1.53
1.26
0.39
1.00
0.66
0.71
20.91
9.14
6.50
8.63
1.58
3.43
1.51
2.84
1.14
0.95
3.53
1.09
5.33
2.43
1.24
0.43
0.38
0.36
1.07
0.40
1.72
0.63
1.20
0.32
37.37
6.85

0.04
0.02
0.00
0.01
0.01
0.01
0.18
0.08
0.08
0.08
0.04
0.06
0.03
0.04
0.01
0.01
0.03
0.01
0.05
0.02
0.01
0.01
0.02
0.01
0.02
0.01
0.04
0.01
0.03
0.01
0.49
0.06

3,078
3,951
747
765
224
2,236
1,063
643
261
551
768
1,105
2,261
581
1,661
6,050
1,914
7,607
592
807
6,520
8,086
34,562
5,020
12,156
23,597
2,715
10,096
1,409
3,353
129
473

16,098
20,701
747
3,417
670
6,793
31,026
12,417
3,655
9,524
1,097
11,657
5,349
4,742
3,807
10,490
17,988
17,436
9,651
5,999
37,260
17,220
48,203
6,486
38,216
31,502
17,728
23,681
5,503
3,777
5,762
7,617

5.23
5.24
1
4.47
2.99
3.04
29.19
19.32
13.99
17.29
1.43
10.55
2.37
8.16
2.29
1.73
9.4
2.29
16.31
7.43
5.72
2.13
1.39
1.29
3.14
1.33
6.53
2.35
3.91
1.13
44.69
16.11

Direct

5,973
4,672
4,925
3,692
1,508
1,372
3,921
2,889
2,562
1,851
2,779
2,071
81,707 67,239
35,714 28,919
25,407 20,526
33,722 27,027
6,189
5,089
13,412 10,566
5,891
4,617
11,113
8,588
4,464
3,504
3,703
2,891
13,789 10,945
4,275
3,336
20,817 16,433
9,492
7,360
4,843
3,650
1,698
1,279
1,471
1,151
1,408
1,094
4,186
3,309
1,560
1,219
6,726
5,254
2,449
1,883
4,688
3,625
1,234
958
145,998 119,745
26,765 20,892

Ohead

1,301
1,233
136
1,032
711
708
14,469
6,795
4,882
6,695
1,100
2,846
1,274
2,525
960
812
2,844
938
4,385
2,131
1,194
419
320
314
878
341
1,472
566
1,064
276
26,253
5,873

Average Component Cost per DRG ($)


Ward Medical

Ward Nursing

Direct

Direct

725
505
319
436
350
334
3,893
3,045
2,495
2,435
292
1,324
607
1,259
472
364
1,637
482
2,666
1,287
525
158
142
129
392
138
906
360
392
114
8,606
2,314

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Ohead

61
36
54
29
16
26
715
500
436
491
42
209
92
222
66
56
283
73
446
196
53
14
15
18
46
15
148
50
52
10
1,672
342

2,126
1,757
436
1,276
723
771
6,332
5,559
4,009
5,584
232
2,971
685
2,193
609
376
2,673
563
5,033
2,176
1,291
261
201
170
705
209
1,762
541
1,045
175
15,526
6,237

Ohead

617
425
27
291
273
221
1,581
1,403
996
1,322
52
691
199
555
154
99
563
143
1,166
470
274
71
53
56
202
76
385
113
204
42
2,305
843

Non
Clinical
Salaries
391
553
157
529
415
331
1,802
1,414
916
1,281
81
722
134
527
165
109
593
171
866
467
339
89
70
58
225
72
386
140
236
64
4,124
1,340

Pathology
Direct

92
136
19
110
131
68
3,024
777
1,042
718
255
445
44
267
43
39
446
70
424
123
161
43
28
44
173
64
270
77
159
31
5,138
562

Ohead

7
9
2
8
5
6
371
89
103
95
39
45
6
32
4
4
54
7
56
12
20
6
3
5
19
7
33
8
20
3
726
62

Page 65

ublic Sector

Average Component Cost per DRG ($)

DRG
V61Z
V62A
V62B
V63A
V63B
V64Z
W01Z
W02Z
W03Z
W04Z
W60Z
W61Z
X02Z
X04A
X04B
X05Z
X06A
X06B
X07A
X07B
X60A
X60B
X60C
X61Z
X62A
X62B
X63A
X63B
X64A
X64B
Y01Z
Y02A

Date Printed: 5/1/2012

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Page 66

NATIONAL HOSPITAL COST DATA COLLECTION

V5.1 Public Sector

COST WEIGHTS FOR AR-DRG VERSION 5.1, Round 12 (2007-08)


Public Sector - Estimated
Average Component Cost per DRG ($)
Imaging
Direct

DRG
V61Z
V62A
V62B
V63A
V63B
V64Z
W01Z
W02Z
W03Z
W04Z
W60Z
W61Z
X02Z
X04A
X04B
X05Z
X06A
X06B
X07A
X07B
X60A
X60B
X60C
X61Z
X62A
X62B
X63A
X63B
X64A
X64B
Y01Z
Y02A

44
41
12
33
15
22
3,527
1,499
1,134
1,509
732
875
62
262
107
57
438
85
267
93
234
150
124
30
96
25
216
76
188
65
1,940
200

Allied

Ohead

9
7
2
6
3
5
697
273
210
325
157
161
13
47
18
11
74
15
44
16
35
23
21
6
17
5
37
12
33
12
403
41

Direct

107
80
47
60
8
33
2,657
982
620
992
81
508
48
281
52
25
207
32
382
161
184
53
19
11
88
17
137
25
139
16
6,705
889

Date Printed: 5/1/2012

Pharmacy

Ohead

11
13
1
6
2
4
481
183
118
192
15
101
11
63
11
5
40
7
73
35
39
11
4
2
17
3
30
6
27
3
1,228
172

Direct

162
151
14
119
35
51
1,964
709
662
638
200
320
99
337
75
67
641
78
724
258
129
31
26
43
108
29
312
73
103
19
4,577
629

Ohead

12
16
1
11
5
6
85
47
36
33
11
29
8
27
9
8
49
9
51
22
19
6
4
5
11
4
26
9
12
4
196
35

Critical Care
Direct

29
15
0
16
14
25
27,987
2,401
3,009
2,706
929
1,738
13
362
24
15
1,044
61
532
36
56
4
9
103
684
116
282
24
597
61
37,813
1,981

Ohead

6
4
0
5
2
7
5,718
498
661
672
200
389
5
88
6
6
220
17
121
13
18
1
2
23
147
27
60
7
135
15
8,058
881

Oper Rooms
Direct

21
15
8
16
3
8
6,811
6,312
3,719
5,357
1,106
108
2,268
1,755
1,259
1,288
1,814
1,163
3,860
1,836
43
41
110
25
36
18
191
137
61
16
18,233
3,519

Ohead

5
3
2
3
1
2
1,455
1,476
818
1,356
232
23
565
412
285
314
405
274
883
434
10
9
24
5
7
3
40
31
13
3
4,970
830

Emerg Depts
Direct

427
172
125
165
58
254
742
645
556
711
504
591
272
390
352
275
309
266
285
221
424
347
297
374
494
410
295
245
358
213
337
222

Ohead

93
37
29
36
15
57
141
126
111
138
101
114
64
89
87
63
71
61
67
52
100
82
68
86
107
91
67
55
86
51
74
57

Supplies
Direct

198
157
112
111
62
100
1,036
775
530
643
28
337
59
252
74
47
342
79
490
250
143
47
46
30
99
37
222
71
119
39
4,969
1,505

Ohead

145
193
3
161
82
96
537
388
292
497
25
258
59
233
71
47
271
72
356
235
152
51
34
28
74
28
179
67
151
36
1,181
925

Spec Proc Suites


Direct

2
1
0
2
0
0
232
139
39
70
22
10
1
8
1
1
28
7
9
1
6
2
1
2
5
2
38
31
10
67
265
8

Ohead

0
1
0
2
0
0
48
28
11
15
7
2
0
3
0
0
8
3
6
0
1
0
0
1
1
0
9
10
2
17
70
2

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Prostheses
5
5
1
2
2
12
2,911
3,208
531
2,938
347
34
89
364
78
61
264
94
240
101
14
12
9
6
10
4
31
18
10
2
7,874
182

OnCosts
402
327
116
249
181
180
3,857
1,640
1,176
1,508
247
722
224
514
219
177
661
216
874
479
282
87
80
73
227
85
337
126
268
76
4,999
1,459

Hotel

190
177
14
165
102
101
1,585
912
655
856
101
389
145
343
124
100
371
123
544
313
174
56
39
41
112
41
199
77
157
38
1,871
910

Deprec No. of
Hosps
84
89
8
76
59
61
1,518
688
520
640
151
297
119
229
100
89
285
105
351
205
117
45
40
32
83
32
129
58
108
39
2,137
618

192
187
101
108
30
174
61
82
60
60
131
129
113
113
142
149
149
189
86
112
207
216
231
218
223
222
181
227
183
199
11
52

DRG
V61Z
V62A
V62B
V63A
V63B
V64Z
W01Z
W02Z
W03Z
W04Z
W60Z
W61Z
X02Z
X04A
X04B
X05Z
X06A
X06B
X07A
X07B
X60A
X60B
X60C
X61Z
X62A
X62B
X63A
X63B
X64A
X64B
Y01Z
Y02A

Page 67

NATIONAL HOSPITAL COST DATA COLLECTION

V5.1 Public Sector

COST WEIGHTS FOR AR-DRG VERSION 5.1, Round 12 (2007-08)


Public Sector - Estimated
DRG Description

DRG
Y02B
Y03Z
Y60Z
Y61Z
Y62A
Y62B
Z01A
Z01B
Z40Z
Z60A
Z60B
Z60C
Z61Z
Z62Z
Z63A
Z63B
Z64A
Z64B
Z65Z
901Z
902Z
903Z
960Z
961Z
963Z
Total

Oth Burn+Skn Gr A<65-CSCC-Comp


Other OR Procs For Other Burns
Burns,Trans Oth Acut Care <5 D
Severe Burns
Other Burns A>64/+CSCC/Comp
Other Burns A<65 -CSCC -Comp
OR Pr+Dx Oth Cnt Hlth Srv+CSCC
OR Pr+Dx Oth Cnt Hlth Srv-CSCC
Follow Up +Endoscopy
Rehabilitation + CSCC
Rehabilitation - CSCC
Rehabilitation, Sameday
Signs & Symptoms
Follow Up -Endoscopy
Other Aftercare + CSCC
Other Aftercare - CSCC
Oth Fctr Infl Health Status
Oth Fctr Infl Health Status,SD
Mult,Oth&Unspcfd Congntl Anmls
Ext OR Pr Unrel To PDX
Non-Ext OR Pr Unrel To PDX
Prostatic OR Pr Unrel To PDX
Ungroupable
Unacceptable Principal Dx
Neonatal Dx Not Consnt Age/Wgt
Total

Date Printed: 5/1/2012

Cost

Standard

Number

Number

ALOS

Average Cost per DRG ($)

Weight

Error

of Seps

of Days

(Days)

Total

2.97
2.02
0.28
1.45
1.80
0.57
1.72
0.78
0.29
2.20
2.18
0.46
0.67
0.33
1.95
0.71
1.26
0.20
0.76
4.05
2.45
7.22
1.98
0.33
2.13
1.00

0.04
0.03
0.01
0.29
0.04
0.01
0.04
0.01
0.01
0.09
0.21
0.02
0.01
0.03
0.04
0.05
0.04
0.00
0.01
0.03
0.08
0.85
0.10
0.02
0.10
0.00

1,166
431
934
506
348
3,273
1,827
4,433
29,746
476
204
20
9,417
12,920
3,796
5,793
9,187
46,291
180
3,990
1,136
33
466
243
140
4,508,800

7,953
2,439
1,032
2,068
2,202
6,717
7,403
5,601
30,682
6,794
2,145
71
25,628
18,998
37,145
22,777
58,556
46,326
434
42,802
7,718
803
3,853
379
1,000
13,296,630

6.82
5.65
1.1
4.09
6.33
2.05
4.05
1.26
1.03
14.26
10.53
3.53
2.72
1.47
9.79
3.93
6.37
1
2.42
10.73
6.79
24.27
8.27
1.56
7.14
2.95

11,620
7,888
1,113
5,667
7,016
2,217
6,731
3,046
1,119
8,606
8,528
1,812
2,617
1,275
7,632
2,768
4,936
781
2,958
15,807
9,558
28,196
7,745
1,307
8,323
3,907

Direct

8,892
5,730
850
4,539
5,363
1,704
5,292
2,430
859
5,887
6,449
1,381
2,011
1,019
5,384
1,837
3,441
614
2,208
12,661
7,448
21,605
5,174
916
6,339
3,078

Ohead

2,728
2,157
263
1,128
1,653
513
1,439
616
260
2,718
2,079
432
606
256
2,247
932
1,495
167
750
3,146
2,110
6,591
2,571
391
1,984
829

Average Component Cost per DRG ($)


Ward Medical

Ward Nursing

Direct

Direct

970
824
81
686
797
267
786
315
159
1,354
648
576
361
181
961
353
636
120
371
1,729
1,173
2,752
515
88
1,492
438

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Ohead

139
114
5
62
104
37
105
43
23
226
73
10
50
49
71
33
57
17
46
305
157
534
29
5
93
59

2,387
1,646
152
1,313
2,098
532
1,066
280
88
2,142
3,429
30
596
202
2,116
684
1,388
86
571
3,307
2,311
8,963
754
124
2,446
773

Ohead

324
288
22
186
380
96
230
68
28
644
592
14
167
59
523
345
206
35
84
647
357
1,143
154
37
345
170

Non
Clinical
Salaries
638
405
37
469
405
133
330
101
47
322
522
196
136
83
707
214
450
32
219
728
623
2,785
657
117
635
194

Pathology
Direct

129
109
28
159
203
30
183
51
25
126
64
13
129
49
172
41
65
19
145
532
280
851
457
19
164
120

Ohead

13
9
3
12
20
3
20
5
3
18
8
1
21
7
15
4
8
3
21
66
33
57
40
3
10
14

Page 68

ublic Sector

Average Component Cost per DRG ($)

DRG
Y02B
Y03Z
Y60Z
Y61Z
Y62A
Y62B
Z01A
Z01B
Z40Z
Z60A
Z60B
Z60C
Z61Z
Z62Z
Z63A
Z63B
Z64A
Z64B
Z65Z
901Z
902Z
903Z
960Z
961Z
963Z
Total

Date Printed: 5/1/2012

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Page 69

NATIONAL HOSPITAL COST DATA COLLECTION

V5.1 Public Sector

COST WEIGHTS FOR AR-DRG VERSION 5.1, Round 12 (2007-08)


Public Sector - Estimated
Average Component Cost per DRG ($)
Imaging
Direct

DRG
Y02B
Y03Z
Y60Z
Y61Z
Y62A
Y62B
Z01A
Z01B
Z40Z
Z60A
Z60B
Z60C
Z61Z
Z62Z
Z63A
Z63B
Z64A
Z64B
Z65Z
901Z
902Z
903Z
960Z
961Z
963Z
Total

45
44
39
79
95
18
137
66
15
93
41
71
109
108
109
42
76
27
187
620
247
653
304
48
139
103

Allied

Ohead

10
8
7
16
18
4
23
13
3
29
12
12
18
20
18
7
16
8
29
111
43
113
52
10
16
18

Direct

387
111
9
153
258
68
101
13
2
1,087
912
82
81
14
214
67
114
6
81
350
166
465
165
32
226
67

Date Printed: 5/1/2012

Pharmacy

Ohead

75
25
2
39
46
17
19
3
1
567
175
26
17
3
60
18
27
1
17
67
37
180
38
4
57
14

Direct

178
134
26
157
187
47
281
52
21
288
179
55
93
131
258
69
140
87
93
835
299
769
167
22
190
168

Critical Care

Ohead

14
10
5
21
24
6
24
6
3
72
39
10
13
7
28
9
19
6
20
54
30
94
23
5
38
15

Direct

677
471
54
363
450
91
115
14
0
53
46
0
27
2
283
89
36
1
58
1,068
236
99
1,174
26
144
242

Ohead

424
191
12
187
122
50
25
3
0
17
12
0
7
1
85
30
9
0
14
222
50
32
384
10
46
54

Oper Rooms
Direct

2,045
1,107
76
61
39
31
1,638
1,137
337
42
50
238
73
104
82
61
111
135
225
1,496
1,036
1,587
434
37
123
415

Ohead

571
245
16
16
7
7
369
260
91
17
14
55
19
27
18
14
23
35
49
347
269
440
80
7
29
97

Emerg Depts
Direct

124
191
266
270
269
290
15
4
1
19
56
64
237
10
34
13
99
10
77
266
138
329
142
362
134
159

Ohead

32
56
61
58
69
61
4
1
0
4
11
16
54
2
7
3
23
2
14
59
33
67
39
101
29
36

Supplies
Direct

522
262
27
448
329
89
184
55
36
252
263
34
72
39
329
114
207
22
74
447
327
609
184
34
347
113

Ohead

389
486
40
162
272
82
160
35
20
523
424
44
67
23
475
169
430
13
119
314
376
1,273
467
48
478
86

Spec Proc Suites


Direct

0
3
0
3
4
0
22
59
66
0
0
0
10
27
7
17
18
31
9
158
27
329
1
5
0
34

Ohead

0
1
0
0
1
0
5
14
21
0
0
0
3
9
1
6
1
11
2
46
6
87
0
1
0
9

* NB: These data should be reviewed in conjunction with the 'Introductory Notes to Cost Weights'

Prostheses
192
51
14
37
23
3
213
169
21
19
28
17
14
9
28
20
20
14
10
507
77
82
121
8
46
117

OnCosts
612
515
64
295
400
131
319
131
47
409
583
123
115
54
478
153
322
29
200
747
587
2,049
540
72
545
194

Hotel

403
364
35
176
214
70
200
71
29
182
204
54
77
30
355
115
295
15
89
454
404
1,267
523
41
262
110

Deprec No. of
Hosps
321
218
34
239
186
55
156
75
30
99
139
73
51
28
201
80
137
17
132
323
237
585
297
42
292
88

60
75
164
101
115
189
143
181
207
52
42
15
217
194
214
219
230
212
42
176
157
25
51
61
51
241

DRG
Y02B
Y03Z
Y60Z
Y61Z
Y62A
Y62B
Z01A
Z01B
Z40Z
Z60A
Z60B
Z60C
Z61Z
Z62Z
Z63A
Z63B
Z64A
Z64B
Z65Z
901Z
902Z
903Z
960Z
961Z
963Z
Total

Page 70

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