Centennial Hospital top charges
In compliance with federal law, please view pricing information for certain procedures and services at Centennial Hospital.
| DRG | Plain Language Description | Average Charge |
|---|---|---|
| 871 | Septicemia or severe sepsis without MV >96 hours with complication | $13,968 |
| 872 | Septicemia or severe sepsis without MV >96 hours without complication | $11,014 |
| 392 | Esophagitis, gastroenteritis and miscellaneous digestive disorders without complication | $9,981 |
| 177 | Respiratory infections and inflammations with complication | $19,330 |
| 193 | Simple pneumonia and pleurisy with complication | $10,806 |
| 455 | Combined anterior and posterior spinal fusion without comorbidity/complication | $54,749 |
| 470 | Major hip and knee joint replacement or reattachment of lower extremity without complication | $14,283 |
| 291 | Heart failure and shock with complication | $10,497 |
| 189 | Pulmonary edema and respiratory failure | $11,209 |
| 454 | Combined anterior and posterior spinal fusion with comorbidity | $53,960 |
| 682 | Renal failure with complication | $11,272 |
| 468 | Revision of hip or knee replacement without complication or comorbidity (comorbidity) / major complication or comorbidity (complication) | $24,308 |
| 389 | Gastrointestinal obstruction with comorbidity | $6,414 |
| 439 | Disorders of pancreas except malignancy with comorbidity | $30,432 |
| 460 | Spinal fusion except cervical without complication | $50,898 |
| 469 | Major hip and knee joint replacement or reattachment of lower extremity with complication or total ankle replacement | $12,575 |
| 483 | Major joint or limb reattachment procedures of upper extremities | $54,169 |
| 282 | Acute myocardial infarction, discharged alive without comorbidity/complication | $3,980 |
| 581 | Other skin, subcutaneous tissue and breast procedures without comorbidity/complication | $110,975 |
| 683 | Renal failure with comorbidity | $5,805 |
| 280 | Acute myocardial infarction, discharged alive with complication | $6,645 |
| 690 | Kidney and urinary tract infections without complication | $5,811 |
| 467 | Revision of hip or knee replacement with comorbidity | $34,868 |
| 897 | Alcohol, drug abuse or dependence without rehabilitation therapy without complication | $18,246 |
| 689 | Kidney and urinary tract infections with complication | $8,930 |
| 640 | Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with complication | $8,750 |
| 103 | Headaches without complication | $12,505 |
| 641 | Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without complication | $5,336 |
| 391 | Esophagitis, gastroenteritis and miscellaneous digestive disorders with complication | $8,085 |
| 466 | Revision of hip or knee replacement with complication | $32,706 |
| 383 | Uncomplicated peptic ulcer with complication | $3,614 |
| 418 | Laparoscopic cholecystectomy without C.D.E. with comorbidity | $14,605 |
| 552 | Medical back problems without complication | $4,913 |
| 603 | Cellulitis without complication | $5,436 |
| 453 | Combined anterior and posterior spinal fusion with complication | $65,900 |
| 194 | Simple pneumonia and pleurisy with comorbidity | $5,274 |
| 812 | Red blood cell disorders without complication | $6,043 |
| 420 | Hepatobiliary diagnostic procedures with complication | $3,843 |
| 563 | Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without complication | $4,723 |
| 473 | Cervical spinal fusion without comorbidity/complication | $38,106 |
| 331 | Major small and large bowel procedures without comorbidity/complication | $17,473 |
| 137 | Mouth procedures with comorbidity/complication | $7,067 |
| 558 | Tendonitis, myositis and bursitis without complication | $7,364 |
| 481 | Hip and femur procedures except major joint with comorbidity | $15,154 |
| 472 | Cervical spinal fusion with comorbidity | $41,188 |
| 896 | Alcohol, drug abuse or dependence without rehabilitation therapy with complication | $27,588 |
| 372 | Major gastrointestinal disorders and peritoneal infections with comorbidity | $8,020 |
| 522 | Hip replacement with principal diagnosis of hip fracture without complication | $19,584 |
| 440 | Disorders of pancreas except malignancy without comorbidity/complication | $2,852 |
| CPT | Plain Language Description | Charge |
|---|---|---|
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | $723 |
| 99284 | Emergency department visit with moderate level of medical decision making | $9,731 |
| 99283 | Emergency department visit with low level of medical decision making | $5,807 |
| 80053 | Blood test, comprehensive group of blood chemicals | $1,528 |
| 96374 | Injection of drug or substance into vein | $314 |
| 93005 | Routine electrocardiogram (ECG) using at least 12 leads with tracing | $952 |
| 77067 | Screening mammography | $1,170 |
| 77063 | Screening 3D breast mammography | $62 |
| 84484 | Troponin (protein) analysis, quantitative | $1,287 |
| 80048 | Blood test, basic group of blood chemicals (Calcium, total) | $1,246 |
| 71045 | X-ray of chest, 1 view | $1,164 |
| 83690 | Lipase (fat enzyme) level | $988 |
| 96375 | Injection of additional new drug or substance into vein | $460 |
| 84703 | Gonadotropin (reproductive hormone) analysis | $540 |
| 81001 | Manual urinalysis test with examination using microscope, automated | $847 |
| 81003 | Automated urinalysis test | $267 |
| 90853 | Group psychotherapy | $389 |
| 99282 | Emergency department visit with straightforward medical decision making | $2,557 |
| 74177 | CT scan of abdomen and pelvis with contrast | $15,976 |
| 87636 | Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (COVID-19) and influenza virus types A and B | $139 |
| 96372 | Injection of drug or substance under skin or into muscle | $216 |
| 70450 | CT scan head or brain without contrast | $4,670 |
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | $124 |
| 71046 | X-ray of chest, 2 views | $1,804 |
| 99281 | Emergency department visit for problem that may not require health care professional | $1,052 |
CPT® copyright 2023 American Medical Association