Medicare_Provider_Charge_Inpatient_DRG100_FY2011
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DRG DefinitionProvider IdProvider NameProvider Street AddressProvider CityStateZIPHospital Referral RegionTotal Discharges Average Covered Charges Average Total Payments
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039 - EXTRACRANIAL PROCEDURES W/O CC/MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers70$31,951.06$6,382.40
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057 - DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers55$19,154.13$5,479.16
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064 - INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers46$31,982.35$11,009.85
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065 - INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers106$25,562.85$6,762.32
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066 - INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers80$20,904.54$4,933.39
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069 - TRANSIENT ISCHEMIA100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers152$17,073.05$4,329.11
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074 - CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers48$23,592.96$5,136.54
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101 - SEIZURES W/O MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers65$16,649.69$4,548.83
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149 - DYSEQUILIBRIUM100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers50$15,207.32$3,819.82
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176 - PULMONARY EMBOLISM W/O MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers47$24,912.68$6,309.40
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177 - RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers60$55,034.80$12,227.90
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178 - RESPIRATORY INFECTIONS & INFLAMMATIONS W CC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers68$31,744.59$8,500.93
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189 - PULMONARY EDEMA & RESPIRATORY FAILURE100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers61$35,635.82$7,675.21
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190 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers202$28,754.55$7,039.52
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191 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers201$24,819.00$5,808.25
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192 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers213$17,272.32$4,273.01
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193 - SIMPLE PNEUMONIA & PLEURISY W MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers100$36,154.89$8,581.23
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194 - SIMPLE PNEUMONIA & PLEURISY W CC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers191$24,316.16$6,091.98
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195 - SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers86$18,808.78$4,221.87
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202 - BRONCHITIS & ASTHMA W CC/MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers61$22,089.20$5,039.05
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203 - BRONCHITIS & ASTHMA W/O CC/MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers45$13,123.29$3,600.00
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207 - RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers20$104,761.70$30,756.55
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208 - RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <96 HOURS100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers113$65,329.36$13,983.47
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238 - MAJOR CARDIOVASC PROCEDURES W/O MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers45$104,522.96$19,172.11
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243 - PERMANENT CARDIAC PACEMAKER IMPLANT W CC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers49$70,718.12$15,604.22
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244 - PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers68$57,826.15$12,209.41
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246 - PERC CARDIOVASC PROC W DRUG-ELUTING STENT W MCC OR 4+ VESSELS/STENTS100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers28$79,971.04$20,104.93
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247 - PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers186$57,049.46$12,378.36
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249 - PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers46$46,160.80$11,007.76
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251 - PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W/O MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers29$48,927.83$11,077.41
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252 - OTHER VASCULAR PROCEDURES W MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers30$94,448.47$24,850.57
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253 - OTHER VASCULAR PROCEDURES W CC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers34$49,802.29$14,214.35
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254 - OTHER VASCULAR PROCEDURES W/O CC/MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers24$43,385.71$9,557.33
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280 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers68$42,243.44$10,607.18
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281 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers65$21,957.63$7,359.69
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282 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers33$16,423.55$4,963.03
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286 - CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers23$45,841.83$11,908.74
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287 - CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers144$26,186.87$6,575.24
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291 - HEART FAILURE & SHOCK W MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers197$34,791.64$8,944.41
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292 - HEART FAILURE & SHOCK W CC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers260$21,122.28$6,005.41
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293 - HEART FAILURE & SHOCK W/O CC/MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers149$13,655.64$4,168.04
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300 - PERIPHERAL VASCULAR DISORDERS W CC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers61$17,492.72$5,836.41
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301 - PERIPHERAL VASCULAR DISORDERS W/O CC/MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers53$12,371.21$4,006.87
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303 - ATHEROSCLEROSIS W/O MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers30$13,179.50$3,452.13
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305 - HYPERTENSION W/O MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers77$14,005.00$3,717.03
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308 - CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers77$25,093.32$7,562.17
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309 - CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers141$17,092.28$5,055.67
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310 - CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers248$12,027.33$3,406.10
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312 - SYNCOPE & COLLAPSE100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers252$17,240.48$4,286.48
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313 - CHEST PAIN100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers367$14,247.61$3,324.38
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314 - OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers48$38,758.40$10,586.23
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315 - OTHER CIRCULATORY SYSTEM DIAGNOSES W CC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers28$21,640.89$5,694.79
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329 - MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers63$136,170.89$34,345.37
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330 - MAJOR SMALL & LARGE BOWEL PROCEDURES W CC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers64$62,782.31$15,141.44
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372 - MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers71$24,446.15$7,588.72
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377 - G.I. HEMORRHAGE W MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers50$36,567.26$10,294.18
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378 - G.I. HEMORRHAGE W CC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers161$19,482.14$6,122.98
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379 - G.I. HEMORRHAGE W/O CC/MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers78$13,085.65$4,282.45
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389 - G.I. OBSTRUCTION W CC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers81$20,497.62$5,533.37
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390 - G.I. OBSTRUCTION W/O CC/MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers58$16,530.41$4,435.88
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391 - ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers44$29,254.70$7,316.55
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392 - ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers358$18,029.48$4,266.19
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394 - OTHER DIGESTIVE SYSTEM DIAGNOSES W CC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers57$20,538.33$5,963.61
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418 - LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers45$46,724.22$10,065.73
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419 - LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers40$36,536.75$7,781.88
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439 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers25$24,818.08$5,975.56
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460 - SPINAL FUSION EXCEPT CERVICAL W/O MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers76$93,412.79$23,339.04
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469 - MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers22$88,174.00$21,964.00
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470 - MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers898$47,991.53$12,251.94
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473 - CERVICAL SPINAL FUSION W/O CC/MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers36$61,186.33$12,331.22
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480 - HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers23$78,165.78$17,780.26
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481 - HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers75$50,695.31$10,993.28
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482 - HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers55$38,405.47$8,866.96
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491 - BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers51$29,569.18$6,085.71
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536 - FRACTURES OF HIP & PELVIS W/O MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers30$15,542.23$4,030.10
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552 - MEDICAL BACK PROBLEMS W/O MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers83$20,712.84$4,889.46
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563 - FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers27$18,307.48$4,297.15
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602 - CELLULITIS W MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers25$27,903.00$9,636.40
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603 - CELLULITIS W/O MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers135$18,700.35$4,977.24
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638 - DIABETES W CC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers38$14,357.45$4,855.79
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640 - MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers46$23,402.48$6,775.91
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641 - MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W/O MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers145$14,893.50$4,083.78
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682 - RENAL FAILURE W MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers55$36,143.91$9,611.84
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683 - RENAL FAILURE W CC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers134$20,722.84$6,148.97
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684 - RENAL FAILURE W/O CC/MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers25$14,631.80$3,811.24
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689 - KIDNEY & URINARY TRACT INFECTIONS W MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers90$27,639.67$7,318.96
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690 - KIDNEY & URINARY TRACT INFECTIONS W/O MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers273$16,869.59$4,625.56
89
698 - OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers40$38,266.40$9,532.13
90
699 - OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers38$24,258.68$5,956.61
91
811 - RED BLOOD CELL DISORDERS W MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers20$33,010.15$7,429.95
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812 - RED BLOOD CELL DISORDERS W/O MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers96$15,635.03$4,711.61
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853 - INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers45$154,384.22$41,405.16
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870 - SEPTICEMIA OR SEVERE SEPSIS W MV 96+ HOURS100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers16$133,509.63$33,530.63
95
871 - SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers238$49,340.37$11,642.08
96
872 - SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W/O MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers83$25,885.83$6,665.43
97
885 - PSYCHOSES100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers59$13,564.58$5,698.69
98
897 - ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers31$12,405.10$3,688.87
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917 - POISONING & TOXIC EFFECTS OF DRUGS W MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers28$37,180.50$8,965.25
100
918 - POISONING & TOXIC EFFECTS OF DRUGS W/O MCC100012LEE MEMORIAL HOSPITAL2776 CLEVELAND AVEFORT MYERSFL33901FL - Fort Myers45$13,326.58$3,736.49
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Medicare_Provider_Charge_Inpati