Top 50 DRGs
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
Top 25 CPT
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