Sky Ridge Medical Center top 50 DRGs and 25 CPTs/HCPCs

DRG DRG Description Count of Accts Average Total Charges Average Expected Payment
177 RESP INF/INFLAM W MCC >17 93 91,492 19,563
871 SEP/SEPS WOMV>96HR MCC >17 87 152,754 21,570
872 SEP/SEPS WOMV>96 WOMCC>17 83 82,344 10,752
795 NORMAL NEWBORN 76 12,636 2,378
454 ANT/POS SPINAL FUSN W CC 76 441,851 69,327
807 VAG DEL WO STER/D&C WOCCMC 69 23,405 9,246
621 OR PX FOR OBESITY WO CC 68 171,282 38,002
455 ANT/POS SPNAL FUSN WO CC 66 394,143 60,358
392 ESO/GE/DIG DIS WO MCC >17 65 69,359 9,591
247 PERC CV PX W DE STNT WOMCC 65 230,394 17,943
794 NEON DX, AGE >28 DAYS 61 16,199 4,626
330 MAJ SM/LG BOWEL PX W CC 59 295,891 27,753
853 INF & PAR DIS OR PX W MCC 55 478,727 60,442
189 PUL EDEMA/ RESP FAILURE 54 69,228 9,817
806 VAG DEL WO STER/D&C W CC 52 28,604 10,622
640 NUTR/MSC META DIS WMCC>17 52 29,377 2,518
788 NEO,BW >2499,W MN ABD PX 50 40,606 16,687
329 MAJ SM/LG BOWEL PX W MCC 49 460,051 77,758
552 MED BACK PROB W/O MCC 49 86,699 7,983
460 SPNAL FUSN X CERVICAL WOMC 48 329,550 47,887
787 NEO,BW >2499,W PX WO MMJ 48 47,623 19,466
792 NEO,BW>2499G WO PX W OTH 46 55,386 15,187
896 ALC/DRU ABU WO REHAB WMCC 46 116,055 20,141
291 HEART FAIL/SHOCK W MCC 45 95,275 10,955
470 MAJ JOIN REP/REAT LE WOMCC 45 183,263 16,295
331 MAJ SM/LG BOWEL PX WO CC 44 250,776 18,017
193 SIMP PNEU/PLEU W MCC >17 44 79,438 9,120
175 PULM EMB W MCC OR AC COR P 42 91,379 11,196
683 RENAL FAILURE W CC 42 69,762 8,591
682 RENAL FAILURE W MCC 41 113,229 10,545
394 OTH DIGEST DX W CC >17 41 90,552 10,419
897 ALC/DRU ABU WO REHAB WOMCC 40 72,185 10,514
432 CIRR/ALC HEPATITIS MCC 39 208,013 35,060
641 NUTR/MSC META DIS WOMCC>17 39 55,164 7,537
793 NEONATE AFT CARE WGT GAIN 39 41,932 11,247
065 IC HEM OR CEREB INF W CC 39 91,504 7,022
481 HIP/FEM PX X MJ W CC >17 39 217,418 20,735
768 VAG DEL W STER & D&C 38 37,989 12,160
389 GI OBST W CC 38 67,730 8,658
854 INF & PAR DIS OR PX W CC 38 164,093 17,879
472 CERVICAL SPN FUSN W CC 38 271,042 30,208
439 DIS PANCR X MALIG W CC 38 72,206 10,581
638 DIABETES W CC 36 61,900 8,323
708 MJ MALE PELV PX WO CC/MCC 36 177,520 11,493
690 KIDNEY/UTI WO MCC >17 36 82,336 7,850
390 GI OBST WO CC/MCC 36 43,771 7,233
660 KIDNY URETER PX NO-CA W CC 35 135,860 13,872
467 REV HIP/KNEE REPL W CC 35 354,012 36,645
698 OTH KID/UT DX W MCC >17 34 118,970 12,205
280 ACUTE MI, DIS ALIV W MCC 33 174,314 17,447

CPT Description Count of Accts Average Total Charges Average Expected Payment
036591 DRAW BLOOD OFF VENOUS DEVICE 1,208 84,371 $10,357
093306 TTE W/DOPPLER COMPLETE 1,152 5,964 $913
036415 ROUTINE VENIPUNCTURE 855 30,769 $4,753
099281 EMERGENCY DEPT VISIT 853 874 $292
011042 DEB SUBQ TISSUE 20 SQ CM/< 844 14,411 $1,847
027447 TOTAL KNEE ARTHROPLASTY 824 181,736 $19,045
051798 US URINE CAPACITY MEASURE 674 156,940 $15,370
027130 TOTAL HIP ARTHROPLASTY 578 181,067 $20,040
099283 EMERGENCY DEPT VISIT 549 5,436 $1,085
099211 OFF/OP EST MAY X REQ PHY/QHP 531 348 $141
029581 APPLY MULTLAY COMPRS LWR LEG 522 9,051 $950
095800 SLP STDY UNATTENDED 521 1,087 $663
043239 EGD BIOPSY SINGLE/MULTIPLE 486 39,351 $4,403
036430 BLOOD TRANSFUSION SERVICE 485 44,296 $6,795
099183 HYPERBARIC OXYGEN THERAPY 474 8,180 $1,070
080053 COMPREHEN METABOLIC PANEL 459 1,071 $74
012001 RPR S/N/AX/GEN/TRNK 2.5CM/< 455 15,144 $1,997
058571 TLH W/T/O 250 G OR LESS 441 140,467 $11,926
011045 DEB SUBQ TISSUE ADD-ON 352 47,578 $11,805
020985 CPTR-ASST DIR MS PX 337 190,404 $19,676
012011 RPR F/E/E/N/L/M 2.5 CM/< 326 22,485 $2,626
049083 ABD PARACENTESIS W/IMAGING 323 10,114 $2,900
097140 MANUAL THERAPY 1/> REGIONS 313 795 $202
022853 INSJ BIOMECHANICAL DEVICE 303 243,379 $18,373
095811 POLYSOM 6/>YRS CPAP 4/> PARM 293 18,340 $1,905