Centennial Hospital top 50 DRGs and 25 CPTs/HCPCs

DRG Description Count of Accts Average Total Charges Average Expected Payment
RESP INF/INFLAM W MCC >17 45 70,479 16,752
SEP/SEPS WOMV>96HR MCC >17 42 77,963 15,559
SEP/SEPS WOMV>96 WOMCC>17 17 61,607 13,528
SEPTICEM & DISSEMIN INF 14 134,682 9,052
ESO/GE/DIG DIS WO MCC >17 13 46,612 6,703
PUL EDEMA/ RESP FAILURE 12 72,238 8,442
MJ JNT R/R LE W MCC T ANK 11 111,981 12,156
SPNAL FUSN X CERVICAL WOMC 10 270,894 46,895
DIS PANCR X MALIG W CC 9 54,583 13,974
RENAL FAILURE W CC 7 49,109 5,541
CERVICAL SPN FUSN W CC 7 213,008 32,186
ACUTE MI,DIS ALIV WOCC/MCC 7 65,924 6,002
GI OBST W CC 7 52,174 7,035
DIABETES W CC 7 65,611 22,540
MOUTH PX W CC/MCC 7 59,431 6,701
ANT/POS SPINAL FUSN W CC 7 311,320 57,270
ANT/POS SPNAL FUSN WO CC 7 339,604 80,983
PULM EMB W MCC OR AC COR P 6 60,341 7,584
RENAL FAILURE W MCC 6 68,927 8,173
SIMP PNEU/PLEU W MCC >17 6 84,529 12,069
HEART FAIL/SHOCK W MCC 6 78,593 9,889
APNDEC WO COMP PDX WO CC 5 91,399 28,478
MAJ SM/LG BOWEL PX WO CC 5 161,072 17,665
ANT/POS SPNAL FUSN W MCC 5 418,962 64,525
MAJ SM/LG BOWEL PX W CC 5 169,823 17,164
NUTR/MSC META DIS WOMCC>17 5 74,520 13,669
KIDNEY/UTI WO MCC >17 5 52,478 5,914
CARD COND DIS WO CC/MCC 5 98,612 6,506
NO LONGER VALID 5 61,048 4,809
CELLULITIS W/O MCC >17 5 48,594 6,899
MAJ JOIN REP/REAT LE WOMCC 5 149,743 17,755
PULMONARY EMB WO MCC 5 55,531 6,595
GI OBST WO CC/MCC 5 38,157 6,389
LAP CHOLE WO CDE W CC 5 117,887 13,247
RBC DIS W/O MCC >17 4 85,390 6,755
UNCMP PEPTIC ULCER MCC 4 93,217 3,385
HYPERTENSION W MCC 4 260,603 13,079
ACUTE MI, DIS ALIV W MCC 4 183,828 9,993
RBC DIS W MCC >17 4 82,212 12,711
KIDNEY/UTI W MCC >17 4 74,692 8,528
REV HIP/KNEE REPL W MCC 4 254,201 29,091
ESO/GE/DIG DIS W MCC >17 4 56,162 3,663
SP FUS/OTH B/N PX X DISC 4 230,221 8,636
LAP CHOLE WO CDE WO CC 4 138,734 9,883
INF & PAR DIS OR PX W MCC 3 165,062 37,062
WND DEB & SG EX HAND WMCC 3 78,444 4,380
ALC/DRU ABU WO REHAB WOMCC 3 61,241 8,273
MED BACK PROB W/O MCC 3 56,133 6,662
HEADACHES WO MCC >17 3 61,543 19,453
OT FEMALE REP OR PX WO CC 3 39,298 3,600

CPT Description Count of Accts Average Total Charges Average Expected Payment
093306 TTE W/DOPPLER COMPLETE 536 4,462 $908
099281 EMERGENCY DEPT VISIT 416 963 $252
099283 EMERGENCY DEPT VISIT 376 5,335 $744
071046 X-RAY EXAM CHEST 2 VIEWS 261 1,656 $113
077080 DXA BONE DENSITY AXIAL 229 1,327 $189
077067 SCR MAMMO BI INCL CAD 209 1,073 $250
012001 RPR S/N/AX/GEN/TRNK 2.5CM/< 198 8,901 $1,086
027447 TOTAL KNEE ARTHROPLASTY 141 138,246 $22,314
099282 EMERGENCY DEPT VISIT 136 2,351 $477
075571 CT HRT W/O DYE W/CA TEST 135 205 $174
093971 EXTREMITY STUDY 128 3,319 $647
012011 RPR F/E/E/N/L/M 2.5 CM/< 121 12,001 $1,305
012002 RPR S/N/AX/GEN/TRNK2.6-7.5CM 106 10,987 $1,052
029125 APPLY FOREARM SPLINT 102 9,730 $1,285
027130 TOTAL HIP ARTHROPLASTY 101 129,361 $19,056
076642 ULTRASOUND BREAST LIMITED 100 3,455 $298
097140 MANUAL THERAPY 1/> REGIONS 91 756 $219
070553 MRI BRAIN STEM W/O & W/DYE 91 9,690 $810
076536 US EXAM OF HEAD AND NECK 89 2,718 $300
010060 DRAINAGE OF SKIN ABSCESS 67 12,429 $1,764
070486 CT MAXILLOFACIAL W/O DYE 62 6,297 $593
073030 X-RAY EXAM OF SHOULDER 58 1,984 $143
029515 APPLICATION LOWER LEG SPLINT 57 11,754 $1,078
073502 X-RAY EXAM HIP UNI 2-3 VIEWS 52 2,866 $140
071250 CT THORAX DX C- 50 4,278 $209