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81. Exhibit 4.1 Cost by Diagnosis
    hcup-us.ahrq.gov/reports/factsandfigures/2008/figures/2008_4_1b.jsp
    January 01, 2008 - COST Mood disorders 824 $4.2 $5,100 Acute renal failure 425 $4.3 $10,000 Fracture

82. Microsoft Word - 1997_KID_Comparative_Analysis_Errata.DOC (pdf file)
    hcup-us.ahrq.gov/db/nation/kid/reports/1997_KID_Comparative_Analysis_Errata.pdf
    January 01, 1997 - 45: Maint chemotherapy, radiotherapy 16,550 16,162 233: Intracranial injury 16,194 17,033 230: Fracture

83. Appendix C (pdf file)
    hcup-us.ahrq.gov/reports/natstats/his95/appendc.pdf
    February 11, 2011 - of neck of femur (hip) 226 - 16.2.2 Skull and face fractures 228 - 16.2.3 Fracture of upper limb 229 … - 16.2.3.1 Fracture of humerus - 81200 81201 81202 81203 81209 81210 81211 81212 81213 81219 81220 … of lower limb 230 - 16.2.4.1 Fracture of tibia and fibula - 82300 82301 82302 82310 82311 82312 82320 … 82321 82322 82330 82331 82332 82380 82381 82382 82390 82391 82392 16.2.4.2 Fracture of ankle - 8240 … of ribs, closed - 80700 80701 80702 80703 80704 80705 80706 80707 80708 80709 16.2.5.3 Fracture of

84. Statistical Brief #86: Hospital-Based Ambulatory Surgery, 2007 (pdf file)
    hcup-us.ahrq.gov/reports/statbriefs/sb86.pdf
    February 01, 2010 - significant numbers include PTCA, appendectomy, open prostatectomy, oophorectomy, hysterectomy, hip fracture … or dislocation 57.5 20.9 29.7 10.8 73.4 $7,872 $37,249 145 Treatment, fracture or dislocation of … radius and ulna 114.5 51.0 59.1 26.3 69.2 $7,807 $27,774 146 Treatment, fracture or dislocation of … hip and femur 15.7 189.8 8.1 98.0 7.6 $7,435 $39,431 147 Treatment, fracture or dislocation of lower … extremity (other than hip or femur) 104.0 143.8 53.7 74.2 42.0 $8,916 $30,789 148 Other fracture

85. HCUP_methods_series_cover.ai (pdf file)
    hcup-us.ahrq.gov/reports/methods/2004_6_appendix_D.pdf
    January 01, 2004 - Fracture Dislocation Sprains & Strains Internal Open Wound Amputations Blood Contusion/ Superficial … Fracture Dislocation Sprains & Strains Internal Open Wound Amputations Blood Contusion/ Superficial … Fracture Dislocation Sprains & Strains Internal Open Wound Amputations Blood Contusion/ Superficial … Fracture Dislocation Sprains & Strains Internal Open Wound Amputations Blood Contusion/ Superficial … Fracture Dislocation Sprains & Strains Internal Open Wound Amputations Blood Contusion/ Superficial

86. Section3 2 (pdf file)
    hcup-us.ahrq.gov/reports/factsandfigures/2007/pdfs/section3_2.pdf
    January 01, 2007 - Respiratory intubation and mechanical ventilation 65 108 2.8 3.7 66 Treatment, fracture … For adults 85 years and older:  For patients 85 years and older, treatment of a fracture or dislocation …  Discharges for treatment of a hip fracture or dislocation changed very little (-3 percent) from 1997

87. Facts and Figures Exhibit 3.2
    hcup-us.ahrq.gov/reports/factsandfigures/2009/exhibit3_2.jsp
    January 01, 2009 - ventilation 65 121 168 215 28% Echocardiogram 65 86 165 154 -7%‡ Treatment, fracture … Treatment of a fracture or dislocation of the hip and femur was a frequent procedure performed during … The rate of stays for treatment of a hip fracture or dislocation declined (31 percent) from 1997 to 2009

88. Facts and Figures Exhibit 3.2
    hcup-us.ahrq.gov/reports/factsandfigures/2008/exhibit3_2.jsp
    January 01, 2008 - ventilation 65 123 2.8 3.8 89 Echocardiogram 65 96 2.7 3.0 49 Treatment, fracture … For adults 85 years and older: For patients 85 years and older, treatment of a fracture or dislocation … Discharges for treatment of a hip fracture or dislocation changed very little (2 percent) from 1997 to

89. Statistics From the HCUP-3 Nationwide Inpatient Sample for 1993: Principal Procedures
    hcup-us.ahrq.gov/reports/natstats/93pcchp.htm
    November 01, 1998 - of toe deformities 144 Treatment, facial 33,098 0.10 4.53 13,158 fracture … or dislocation 145 Treatment, fracture or 60,660 0.17 3.47 8,384 dislocation … of radius and ulna 146 Treatment, fracture or 266,214 0.77 9.55 16,873 … dislocation of hip and femur 147 Treatment, fracture or 189,006 0.54 5.02 … 10,790 dislocation of lower extremity (other than hip or femur) 148 Other fracture and

90. HCUP-3 Nationwide Inpatient Sample for 1994: Principal Procedures
    hcup-us.ahrq.gov/reports/natstats/94pcchpr.htm
    November 01, 1998 - of toe deformities 144 Treatment, facial 30,762 0.09 4.26 14,329 fracture … or dislocation 145 Treatment, fracture or 61,228 0.18 3.49 9,373 dislocation … of radius and ulna 146 Treatment, fracture or 271,910 0.79 8.65 17,227 … dislocation of hip and femur 147 Treatment, fracture or 191,461 0.55 4.72 … 11,237 dislocation of lower extremity (other than hip or femur) 148 Other fracture and

91. Neds 2006V2 Maskedstats Ed (pdf file)
    hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2006v2_MaskedStats_ED.PDF
    April 08, 2010 - excision bone 2547 0.01 143: Bunionectomy or repair of toe deformities 28 0.00 144: Treatment; facial fracture … or dislocation 1472 0.01 145: Treatment; fracture or dislocation of radius and ulna 31699 0.15 146 … : Treatment; fracture or dislocation of hip and femur 3846 0.02 147: Treatment; fracture or dislocation … of lower extremity (other than hip or femur) 9998 0.05 148: Other fracture and dislocation procedure

92. Neds 2017 Ed Maskedstats (pdf file)
    hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2017_ED_MaskedStats.PDF
    January 01, 2017 - excision bone 286 0.00 143: Bunionectomy or repair of toe deformities 23 0.00 144: Treatment, facial fracture … or dislocation 2,001 0.01 145: Treatment, fracture or dislocation of radius and ulna 27,514 0.10 146 … : Treatment, fracture or dislocation of hip and femur 3,925 0.01 147: Treatment, fracture or dislocation … of lower extremity (other than hip or femur) 12,132 0.04 148: Other fracture and dislocation procedure

93. Neds 2015Q4 Ed Maskedstats (pdf file)
    hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2015Q4_ED_MaskedStats.PDF
    December 14, 2017 - .** 144: Treatment, facial fracture or dislocation 388 0.01 145: Treatment, fracture or dislocation … of radius and ulna 5,650 0.09 146: Treatment, fracture or dislocation of hip and femur 836 0.01 147 … : Treatment, fracture or dislocation of lower extremity (other than hip or femur) 2,170 0.03 148: Other … fracture and dislocation procedure 5,724 0.09 149: Arthroscopy <= 10 *.** 150: Division of joint capsule

94. Exhibit 4.2 Cost Factors Accounting for Growth by Diagnosis
    hcup-us.ahrq.gov/reports/factsandfigures/2008/figures/2008_4_2.jsp
    January 01, 2008 - 1.0% Complication of surgical procedures or medical care 6.7% 3.1% 2.5% 1.1% Fracture

95. National Inpatient Hospital Costs: The Most Expensive Conditions by Payer, 2011 (pdf file)
    hcup-us.ahrq.gov/reports/statbriefs/sb160.pdf
    July 01, 2013 - Diabetes mellitus with complications 5,380 1.4 561 17 Biliary tract disease 5,137 1.3 469 18 Fracture … In terms of injury-related hospital stays:  Hip fracture was a top-ranked condition for Medicare …  Fracture of the lower limb was top ranked for private insurance and the uninsured. … 12 Chronic obstructive pulmonary disease and bronchiectasis 4,074 2.2 517 13 Fracture … 2.4 27 8 Mood disorders 398 2.3 103 9 Pancreatic disorders (not diabetes) 359 2.1 45 10 Fracture

96. Characteristics of Operating Room Procedures in U.S. Hospitals, 2011 - Statistical Brief #170
    hcup-us.ahrq.gov/reports/statbriefs/sb170-Operating-Room-Procedures-United-States-2011.jsp
    February 01, 2014 - arthroplasty, laminectomy, spinal fusion, hip replacement, and treatment of hip or lower extremity fracture … 1.7 8.6 15 Coronary artery bypass graft (CABG) 214 1.4 6.9 16 Treatment, fracture … 9 Cholecystectomy and common duct exploration 5,048 2.8 12,600 400 10 Treatment, fracture … 17 Laminectomy, excision intervertebral disc 2,347 1.3 11,500 203 18 Treatment, fracture … (2.4 percent), laminectomy (1.3 percent), and treatment of other lower extremity fracture (1.2 percent

97. Exhibit 4.2 Cost Factors Accounting for Growth by Diagnosis
    hcup-us.ahrq.gov/reports/factsandfigures/2009/figures/2009_4_2.jsp
    January 01, 2009 - devices 1.8 1.4 -0.6 1.0 Acute cerebrovascular disease 2.3 3.1 -1.9 1.0 Fracture

98. Section2 2 (pdf file)
    hcup-us.ahrq.gov/reports/factsandfigures/2007/pdfs/section2_2.pdf
    January 01, 2007 - Septicemia (blood infection) 76 126 3.2 4.3 64 Urinary tract infections 75 118 3.2 4.0 58 Fracture … of neck of femur (hip fracture) 125 117‡ 5.3 4.0 -6 * Includes a small number of discharges

99. Overview of Operating Room Procedures During Inpatient Stays in U.S. Hospitals, 2014 (pdf file)
    hcup-us.ahrq.gov/reports/statbriefs/sb233-Operating-Room-Procedures-United-States-2014.pdf
    January 01, 2014 - common duct exploration 372,600 2.6 116.9 9 Colorectal resection 302,400 2.5 94.8 10 Treatment, fracture … or dislocation, treatment of fracture or dislocation of other lower extremity, and amputation of lower … Appendectomy 54,400 14.2 2 Cesarean section 13,000 3.4 3 Spinal fusion 12,500 3.2 4 Treatment, fracture … valve procedures 5.8 3.5 52.0 111,100 8 Colorectal resection 5.6 3.4 23.7 234,700 9 Treatment, fracture … or dislocation (2.6 percent), amputation of lower extremity (1.5 percent), and treatment of fracture

100. The National Hospital Bill: The Most Expensive Conditions by Payer, 2006 (pdf file)
     hcup-us.ahrq.gov/reports/statbriefs/sb59.pdf
     September 01, 2008 - Hip fracture ranked 11th for Medicare ($9.4 billion), but was not in the top 20 ranking for other payers … Hospitalizations for intracranial injury, crushing injury or external injury, and fracture of the lower … disease $12,800 1.4% 461 18 Chronic obstructive pulmonary disease (COPD) $11,572 1.2% 598 19 Hip fracture … ) $4,176 1.5% 63 16 Nonspecific chest pain $3,926 1.4% 305 17 Appendicitis $3,813 1.3% 181 18 Fracture … 75 7 Intracranial injury $1,089 2.5% 23 8 Crushing injury or internal injury $1,047 2.4% 22 9 Fracture