HCA HealthONE Rose Top Charges

Top 50 DRGs
DRG	Plain Language Description	Average Charge
795	Normal newborn	$2,424.61
621	O.R. procedures for obesity without comorbidity/complication	$54,120.39
807	Vaginal delivery without sterilization or D&C without comorbidity/complication	$9,127.89
871	Septicemia or severe sepsis without MV >96 hours with complication	$19,990.91
794	Neonate with other significant problems	$4,554.77
806	Vaginal delivery without sterilization or D&C with comorbidity	$10,511.36
787	Cesarean section without sterilization with comorbidity	$18,313.60
470	Major hip and knee joint replacement or reattachment of lower extremity without complication	$17,403.02
792	Prematurity without major problems	$26,642.53
788	Cesarean section without sterilization without comorbidity/complication	$16,879.63
872	Septicemia or severe sepsis without MV >96 hours without complication	$9,164.97
793	Full term neonate with major problems	$11,034.07
620	O.R. procedures for obesity with comorbidity	$48,381.33
177	Respiratory infections and inflammations with complication	$14,855.39
768	Vaginal delivery with O.R. procedures except sterilization and/or D&C	$12,650.74
805	Vaginal delivery without sterilization or D&C with complication	$11,705.41
331	Major small and large bowel procedures without comorbidity/complication	$16,591.12
640	Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with complication	$1,450.88
853	Infectious and parasitic diseases with O.R. procedures with complication	$55,849.37
280	Acute myocardial infarction, discharged alive with complication	$8,931.43
189	Pulmonary edema and respiratory failure	$8,386.58
786	Vaginal delivery without sterilization/dace with comorbidity	$25,541.96
193	Simple pneumonia and pleurisy with complication	$10,350.11
791	Prematurity with major problems	$66,321.71
483	Major joint or limb reattachment procedures of upper extremities	$21,828.26
291	Heart failure and shock with complication	$8,957.50
784	Cesarean section with sterilization with complication or comorbidity	$14,915.29
392	Esophagitis, gastroenteritis and miscellaneous digestive disorders without complication	$10,713.23
455	Combined anterior and posterior spinal fusion without comorbidity/complication	$53,596.68
790	Extreme immaturity or respiratory distress syndrome, neonate	$131,784.49
247	Percutaneous cardiovascular procedures with drug-eluting stent without complication	$27,168.48
683	Renal failure with comorbidity	$8,595.20
330	Major small and large bowel procedures with comorbidity	$26,266.99
682	Renal failure with complication	$11,416.23
785	Vaginal delivery without sterilization with complication	$17,632.91
776	Postpartum and post abortion diagnoses without O.R. procedures	$8,627.68
812	Red blood cell disorders without complication	$7,342.98
246	Percutaneous cardiovascular procedures with drug-eluting stent with complication or 4+ arteries or stents	$31,580.94
743	Uterine and adnexa procedures for non-malignancy without comorbidity/complication	$10,873.70
175	Pulmonary embolism with complication or acute cor pulmonale	$10,838.74
329	Major small and large bowel procedures with complication	$40,453.72
560	Aftercare, musculoskeletal system and connective tissue with comorbidity	$3,130.26
432	Cirrhosis and alcoholic hepatitis with complication	$24,023.30
469	Major hip and knee joint replacement or reattachment of lower extremity with complication or total ankle replacement	$8,167.51
698	Other kidney and urinary tract diagnoses with complication	$10,888.19
282	Acute myocardial infarction, discharged alive without comorbidity/complication	$9,950.59
389	Gastrointestinal obstruction with comorbidity	$7,646.58
454	Combined anterior and posterior spinal fusion with comorbidity	$66,841.26
194	Simple pneumonia and pleurisy with comorbidity	$6,602.54

Top 25 CPT
CPT	Plain Language Description	Charge
85027	Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)	$828
99284	Level 4 Emergency Room Visit	$6,468
80053	Comprehensive metabolic panel	$2,113
96374	Therapeutic, prophylactic, or diagnostic injection	$747
93005	Electrocardiogram, routine ECG with at least 12 leads	$1,056
80048	Basic metabolic panel (Calcium, total)	$1,521
36415	Collection of venous blood by venipuncture	$160
77067	Screening mammography, bilateral (2-view study of each breast)	$1,665
77063	Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)	$77
99283	Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making	$2,852
97140	Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes	$247
84484	Troponin, quantitative	$1,558
71045	Radiologic examination, chest; single view	$740
96375	Therapeutic, prophylactic, or diagnostic injection	$722
96361	Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)	$806
97110	Therapeutic procedure, 1 or more areas, each 15 minutes;	$247
83690	Lipase level	$144
84703	Gonadotropin, chorionic (hCG); qualitative	$391
74177	Computed tomography, abdomen and pelvis; with contrast material(s)	$18,251
81001	Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy	$543
59025	Fetal non-stress test	$859
81003	Urinalysis, without microscopy	$424
88305	Tissue Exam by Pathologist	$663
93798	Physician or other qualified health care professional services for outpatient cardiac rehabilitation; with continuous ECG monitoring (per session)	$761
99285	Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making	$15,530

HCA HealthONE Rose top charges