Swedish Medical Center top 50 DRGs and 25 CPTs/HCPCs

DRG DRG Description Count of Accts Average Total Charges Average Expected Payment
871 SEP/SEPS WOMV>96HR MCC >17 96 166,253 19,522
177 RESP INF/INFLAM W MCC >17 78 114,586 21,885
872 SEP/SEPS WOMV>96 WOMCC>17 77 89,136 11,164
064 IC HEM OR CEREB INF W MCC 76 198,059 27,923
023 CRANIOTOMY W DEVICE W MCC 73 540,320 68,938
027 CRAN&ENDO IC PX WO CC >17 72 430,695 51,948
065 IC HEM OR CEREB INF W CC 71 127,068 18,708
552 MED BACK PROB W/O MCC 70 79,461 11,921
101 SEIZURES WO MCC <17 66 82,107 14,026
807 VAG DEL WO STER/D&C WOCCMC 64 29,248 9,508
560 AFTRCARE MUS CON TIS W CC 63 50,652 6,443
057 DEG NRV SYS DIS WO MCC 62 147,711 24,610
795 NORMAL NEWBORN 61 12,233 2,445
945 REHAB W CC/MCC 60 129,859 20,573
392 ESO/GE/DIG DIS WO MCC >17 60 72,477 7,103
247 PERC CV PX W DE STNT WOMCC 58 196,743 18,338
291 HEART FAIL/SHOCK W MCC 57 111,853 12,434
330 MAJ SM/LG BOWEL PX W CC 56 154,260 22,286
025 CRAN&ENDO IC PX W MCC >17 56 493,429 60,332
853 INF & PAR DIS OR PX W MCC 55 480,863 71,473
331 MAJ SM/LG BOWEL PX WO CC 55 126,657 15,845
189 PUL EDEMA/ RESP FAILURE 55 106,436 13,106
794 NEON DX, AGE >28 DAYS 53 15,859 4,954
640 NUTR/MSC META DIS WMCC>17 53 27,806 2,233
100 SEIZURES W MCC >17 51 232,881 40,005
003 ECMO/TRACH MV >96 W OR 49 1,876,366 573,051
092 OTH DIS NERV SYS W CC 48 116,071 7,990
935 NON-EXTENSIVE BURNS 47 118,914 30,107
175 PULM EMB W MCC OR AC COR P 47 123,499 12,336
103 HEADACHES WO MCC >17 45 73,698 13,414
897 ALC/DRU ABU WO REHAB WOMCC 45 71,953 12,535
854 INF & PAR DIS OR PX W CC 44 162,512 25,345
004 TRACH/MV>96 W/O MAJ OR 44 1,528,121 273,556
024 CRANIOTOMY WDEVICE WO MCC 44 394,689 69,233
638 DIABETES W CC 43 70,818 8,485
896 ALC/DRU ABU WO REHAB WMCC 43 164,457 30,124
056 DEG NRV SYS DIS W MCC 43 201,446 31,664
683 RENAL FAILURE W CC 42 76,859 7,551
200 PNEUMOTHORAX W CC 42 93,348 18,177
287 CIRC DIS NO MI WCATH WOMCC 42 103,660 15,720
806 VAG DEL WO STER/D&C W CC 41 33,506 10,762
682 RENAL FAILURE W MCC 41 122,737 11,601
481 HIP/FEM PX X MJ W CC >17 41 155,415 20,010
246 PERC CV PX W DE STNT W MCC 41 299,372 33,711
087 TRAU STUP/COMA <1HR WO>17 41 64,873 11,689
193 SIMP PNEU/PLEU W MCC >17 40 103,574 9,712
455 ANT/POS SPNAL FUSN WO CC 40 310,541 50,245
312 SYNCOPE & COLLAPSE 40 94,698 8,841
698 OTH KID/UT DX W MCC >17 40 116,503 11,418
460 SPNAL FUSN X CERVICAL WOMC 40 282,873 47,684

CPT Description Count of Accts Average Total Charges Average Expected Payment
036415 ROUTINE VENIPUNCTURE 2,233 14,583 $1,784
099281 EMERGENCY DEPT VISIT 2,188 858 $209
099283 EMERGENCY DEPT VISIT 2,118 4,750 $597
097140 MANUAL THERAPY 1/> REGIONS 1,906 812 $238
099183 HYPERBARIC OXYGEN THERAPY 1,506 9,826 $1,872
099211 OFF/OP EST MAY X REQ PHY/QHP 1,189 550 $180
036430 BLOOD TRANSFUSION SERVICE 1,144 26,623 $4,941
012001 RPR S/N/AX/GEN/TRNK 2.5CM/< 938 10,302 $1,164
012002 RPR S/N/AX/GEN/TRNK2.6-7.5CM 650 13,679 $1,568
012011 RPR F/E/E/N/L/M 2.5 CM/< 561 16,990 $1,842
074221 X-RAY XM ESOPHAGUS 2CNTRST 493 631 $372
011042 DEB SUBQ TISSUE 20 SQ CM/< 483 7,581 $1,017
099282 EMERGENCY DEPT VISIT 471 2,091 $318
029580 APPLICATION OF PASTE BOOT 467 1,945 $510
029125 APPLY FOREARM SPLINT 457 10,201 $1,208
059025 FETAL NON-STRESS TEST 447 9,676 $1,370
037241 VASC EMBOLIZE/OCCLUDE VENOUS 423 278,144 $24,915
093306 TTE W/DOPPLER COMPLETE 421 6,583 $1,108
051702 INSERT TEMP BLADDER CATH 397 12,988 $1,043
010060 DRAINAGE OF SKIN ABSCESS 383 10,000 $945
099213 OFFICE O/P EST LOW 20-29 MIN 351 1,291 $245
036226 PLACE CATH VERTEBRAL ART 330 142,081 $10,093
099284 EMERGENCY DEPT VISIT 317 7,873 $1,161
076770 US EXAM ABDO BACK WALL COMP 312 2,838 $342
099212 OFFICE O/P EST SF 10-19 MIN 304 696 $165