Presbyterian St. Luke's Medical Center top 50 DRGs and 25 CPTs/HCPCs

DRG DRG Description Count of Accts Average Total Charges Average Expected Payment
795 NORMAL NEWBORN 68 11,511 2,692
454 ANT/POS SPINAL FUSN W CC 67 605,920 84,361
871 SEP/SEPS WOMV>96HR MCC >17 65 178,564 32,678
834 AC LEUK WO MJ PX W MCC >17 61 653,287 152,906
807 VAG DEL WO STER/D&C WOCCMC 58 27,169 10,378
794 NEON DX, AGE >28 DAYS 55 60,858 13,218
392 ESO/GE/DIG DIS WO MCC >17 55 52,561 11,166
793 NEONATE AFT CARE WGT GAIN 53 216,247 55,946
806 VAG DEL WO STER/D&C W CC 53 32,666 11,859
177 RESP INF/INFLAM W MCC >17 50 157,933 28,295
847 CHEMO WO AC LEUK SDX W CC 49 98,262 19,659
470 MAJ JOIN REP/REAT LE WOMCC 47 186,340 27,672
787 NEO,BW >2499,W PX WO MMJ 47 73,763 30,097
330 MAJ SM/LG BOWEL PX W CC 44 263,329 29,717
837 CHMO W LRUK OR HI DSE WMCC 44 493,241 126,661
790 NEO,BW>2499G WOPX W MJ 44 1,719,761 589,807
788 NEO,BW >2499,W MN ABD PX 42 57,830 25,445
016 AU BN MW TRNS W CC/MCC 42 449,335 123,094
872 SEP/SEPS WOMV>96 WOMCC>17 41 79,495 12,571
805 VAG DEL WO STER/D&C W MCC 39 50,913 21,442
792 NEO,BW>2499G WO PX W OTH 39 231,247 59,626
791 NEO,BW>2499G WOPX, W MN 39 633,113 210,175
840 LYMPH & NON AC LEUK W MCC 37 389,555 73,212
189 PUL EDEMA/ RESP FAILURE 37 99,196 22,330
460 SPNAL FUSN X CERVICAL WOMC 37 298,711 45,938
640 NUTR/MSC META DIS WMCC>17 36 32,151 2,255
467 REV HIP/KNEE REPL W CC 35 333,015 33,972
786 CESAREAN SEC WO STER WMCC 35 96,571 42,895
690 KIDNEY/UTI WO MCC >17 34 207,308 16,583
853 INF & PAR DIS OR PX W MCC 33 467,125 71,388
331 MAJ SM/LG BOWEL PX WO CC 33 211,829 22,434
516 OT MUS CON TISS OR PX W CC 31 217,359 30,529
014 ALLOGEN BONE MARROW TRANSP 31 1,131,756 300,944
469 MJ JNT R/R LE W MCC T ANK 31 168,947 13,886
833 OTH ANTP DX WO PX WO CCMCC 31 30,358 15,385
641 NUTR/MSC META DIS WOMCC>17 30 55,792 11,292
455 ANT/POS SPNAL FUSN WO CC 30 412,454 75,266
846 CHEMO WO AC LEUK SDX W MCC 30 172,937 35,301
453 ANT/POS SPNAL FUSN W MCC 30 1,023,148 142,703
841 LYMPH & NON AC LEUK W CC 30 173,278 22,075
517 OT MUSC CONN TISS OR PX WO 29 165,076 25,106
698 OTH KID/UT DX W MCC >17 28 148,022 16,907
809 MAJ HEMO/IMMO DX W CC 28 109,429 11,060
776 PP & POST AB DX WO OR PX 27 37,647 14,115
280 ACUTE MI, DIS ALIV W MCC 27 170,205 12,108
193 SIMP PNEU/PLEU W MCC >17 27 97,837 19,074
832 OTH ANTP DX WO PX W CC 27 35,133 12,217
483 MAJ JNT/LMB REATT UPR EXTR 27 295,169 36,359
682 RENAL FAILURE W MCC 27 154,841 36,132
519 BK/NK X SP FUS W CC 26 332,976 54,068

CPT Description Count of Accts Average Total Charges Average Expected Payment
036430 BLOOD TRANSFUSION SERVICE 1,614 55,563 $6,117
011042 DEB SUBQ TISSUE 20 SQ CM/< 1,423 4,769 $932
036415 ROUTINE VENIPUNCTURE 1,174 16,699 $1,588
011045 DEB SUBQ TISSUE ADD-ON 1,041 26,783 $3,900
099281 EMERGENCY DEPT VISIT 914 870 $240
085027 COMPLETE CBC AUTOMATED 867 459 $33
099212 OFFICE O/P EST SF 10-19 MIN 697 378 $145
093306 TTE W/DOPPLER COMPLETE 660 4,068 $858
099283 EMERGENCY DEPT VISIT 610 5,386 $543
076770 US EXAM ABDO BACK WALL COMP 576 2,023 $406
038222 DX BONE MARROW BX & ASPIR 530 68,260 $5,534
029581 APPLY MULTLAY COMPRS LWR LEG 470 3,300 $729
071046 X-RAY EXAM CHEST 2 VIEWS 364 884 $154
043239 EGD BIOPSY SINGLE/MULTIPLE 305 39,215 $4,370
036522 PHOTOPHERESIS 301 99,425 $25,936
012011 RPR F/E/E/N/L/M 2.5 CM/< 262 9,696 $1,448
099211 OFF/OP EST MAY X REQ PHY/QHP 260 297 $127
049083 ABD PARACENTESIS W/IMAGING 255 22,804 $2,510
036589 REMOVAL TUNNELED CV CATH 247 4,947 $873
094642 AEROSOL INHALATION TREATMENT 245 3,586 $650
020561 NDL INSJ W/O NJX 3+ MUSC 221 1,972 $611
029125 APPLY FOREARM SPLINT 221 9,148 $1,219
097110 THERAPEUTIC EXERCISES 217 460 $182
080048 METABOLIC PANEL TOTAL CA 215 1,261 $75
036558 INSERT TUNNELED CV CATH 213 36,661 $2,731