St. Luke's/Presbyterian Medical Center top charges
In compliance with federal law, please view pricing information for certain procedures and services at St. Luke's/Presbyterian Medical Center.
DRG | Plain Language Description | Average Charge |
---|---|---|
871 | Septicemia or severe sepsis without MV >96 hours with complication | $26,850.27 |
795 | Normal newborn | $3,172.16 |
454 | Combined anterior and posterior spinal fusion with comorbidity | $99,159.40 |
794 | Neonate with other significant problems | $10,503.81 |
806 | Vaginal delivery without sterilization or D&C with comorbidity | $12,348.46 |
189 | Pulmonary edema and respiratory failure | $20,348.18 |
834 | Acute leukemia without major O.R. procedures with complication | $141,393.66 |
807 | Vaginal delivery without sterilization or D&C without comorbidity/complication | $11,313.66 |
793 | Full term neonate with major problems | $72,273.37 |
392 | Esophagitis, gastroenteritis and miscellaneous digestive disorders without complication | $11,188.65 |
847 | Chemotherapy without acute leukemia as secondary diagnosis with comorbidity | $26,663.22 |
203 | Bronchitis and asthma without comorbidity/complication | $12,060.74 |
016 | Autologous bone marrow transplant with comorbidity/complication | $135,342.13 |
640 | Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with complication | $2,627.79 |
787 | Cesarean section without sterilization with comorbidity | $41,035.19 |
193 | Simple pneumonia and pleurisy with complication | $24,358.20 |
330 | Major small and large bowel procedures with comorbidity | $52,850.30 |
014 | Allogeneic bone marrow transplant | $332,719.40 |
790 | Extreme immaturity or respiratory distress syndrome, neonate | $619,333.37 |
840 | Lymphoma and non-acute leukemia with complication | $75,903.58 |
194 | Simple pneumonia and pleurisy with comorbidity | $8,592.43 |
872 | Septicemia or severe sepsis without MV >96 hours without complication | $12,435.99 |
792 | Prematurity without major problems | $76,767.28 |
467 | Revision of hip or knee replacement with comorbidity | $45,203.83 |
331 | Major small and large bowel procedures without comorbidity/complication | $30,856.93 |
786 | Vaginal delivery without sterilization/dace with comorbidity | $49,909.23 |
177 | Respiratory infections and inflammations with complication | $22,111.24 |
202 | Bronchitis and asthma with comorbidity/complication | $16,866.17 |
144 | Other ear, nose, mouth and throat O.R. procedures with comorbidity | $10,019.67 |
846 | Chemotherapy without acute leukemia as secondary diagnosis with complication | $62,889.23 |
470 | Major hip and knee joint replacement or reattachment of lower extremity without complication | $15,662.40 |
460 | Spinal fusion except cervical without complication | $39,426.51 |
833 | Other antepartum diagnoses without O.R. procedures without comorbidity/complication | $14,708.24 |
788 | Cesarean section without sterilization without comorbidity/complication | $33,109.43 |
683 | Renal failure with comorbidity | $8,062.44 |
791 | Prematurity with major problems | $194,746.52 |
776 | Postpartum and post abortion diagnoses without O.R. procedures | $9,540.75 |
698 | Other kidney and urinary tract diagnoses with complication | $15,650.39 |
690 | Kidney and urinary tract infections without complication | $24,593.90 |
457 | Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive fusions with comorbidity | $135,197.98 |
837 | Chemotherapy with acute leukemia as secondary diagnosis or with high dose chemotherapy agent with complication | $141,611.33 |
857 | Postoperative or post-traumatic infections with O.R. procedures with comorbidity | $39,694.70 |
560 | Aftercare, musculoskeletal system and connective tissue with comorbidity | $3,977.36 |
853 | Infectious and parasitic diseases with O.R. procedures with complication | $99,266.33 |
809 | Major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders with comorbidity | $27,894.95 |
101 | Seizures without complication | $10,780.40 |
805 | Vaginal delivery without sterilization or D&C with complication | $25,208.78 |
314 | Other circulatory system diagnoses with complication | $92,588.03 |
603 | Cellulitis without complication | $17,494.97 |
432 | Cirrhosis and Alcoholic Hepatitis with MCC | $68,917.61 |
CPT | Plain Language Description | Charge |
---|---|---|
85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | $530 |
80053 | Blood test, comprehensive group of blood chemicals | $1,696 |
83735 | Magnesium level | $222 |
84100 | Phosphate level | $222 |
82977 | Glutamyltransferase (liver enzyme) level | $222 |
83615 | Lactate dehydrogenase (enzyme) level | $222 |
84550 | Uric acid level, blood | $222 |
99283 | Emergency department visit with low level of medical decision making | $6,172 |
99284 | Emergency department visit with moderate level of medical decision making | $10,341 |
81001 | Manual urinalysis test with examination using microscope, automated | $897 |
96374 | Injection of drug or substance into vein | $777 |
80048 | Blood test, basic group of blood chemicals (Calcium, total) | $1,453 |
93005 | Routine electrocardiogram (ECG) using at least 12 leads with tracing | $751 |
85610 | Blood test, clotting time | $530 |
80197 | Tacrolimus level | $1,156 |
84484 | Troponin (protein) analysis, quantitative | $1,561 |
87496 | Detection test by nucleic acid for Cytomegalovirus (CMV), amplified probe technique | $2,250 |
97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $196 |
87798 | Detection test by nucleic acid for organism, amplified probe technique | $214 |
71045 | X-ray of chest, 1 view | $874 |
87086 | Bacterial colony count, urine | $222 |
83690 | Lipase (fat enzyme) level | $701 |
96375 | Injection of additional new drug or substance into vein | $747 |
86900 | Blood group typing (ABO) | $373 |
86901 | Blood typing for Rh (D) antigen | $275 |
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