Centennial Hospital top charges
In compliance with federal law, please view pricing information for certain procedures and services at Centennial Hospital.
| DRG | Plain Language Description | Average Charge |
|---|---|---|
| 871 | Septicemia or severe sepsis without MV >96 hours with complication | $13,525 |
| 193 | Simple pneumonia and pleurisy with complication | $13,039 |
| 872 | Septicemia or severe sepsis without MV >96 hours without complication | $14,437 |
| 177 | Respiratory infections and inflammations with complication | $11,448 |
| 189 | Pulmonary edema and respiratory failure | $13,640 |
| 392 | Esophagitis, gastroenteritis and miscellaneous digestive disorders without complication | $7,982 |
| 468 | Revision of hip or knee replacement without complication or comorbidity (comorbidity) / major complication or comorbidity (complication) | $32,686 |
| 470 | Major hip and knee joint replacement or reattachment of lower extremity without complication | $20,428 |
| 683 | Renal failure with comorbidity | $8,787 |
| 291 | Heart failure and shock with complication | $8,992 |
| 455 | Combined anterior and posterior spinal fusion without comorbidity/complication | $48,606 |
| 552 | Medical back problems without complication | $11,515 |
| 467 | Revision of hip or knee replacement with comorbidity | $48,421 |
| 483 | Major joint or limb reattachment procedures of upper extremities | $22,337 |
| 897 | Alcohol, drug abuse or dependence without rehabilitation therapy without complication | $7,865 |
| 469 | Major hip and knee joint replacement or reattachment of lower extremity with complication or total ankle replacement | $14,044 |
| 689 | Kidney and urinary tract infections with complication | $9,058 |
| 563 | Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without complication | $6,942 |
| 454 | Combined anterior and posterior spinal fusion with comorbidity | $49,840 |
| 603 | Cellulitis without complication | $7,754 |
| 638 | Diabetes with comorbidity | $7,866 |
| 682 | Renal failure with complication | $9,177 |
| 640 | Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with complication | $7,807 |
| 896 | Alcohol, drug abuse or dependence without rehabilitation therapy with complication | $21,323 |
| 439 | Disorders of pancreas except malignancy with comorbidity | $9,343 |
| 641 | Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without complication | $4,723 |
| 690 | Kidney and urinary tract infections without complication | $12,832 |
| 853 | Infectious and parasitic diseases with O.R. procedures with complication | $69,896 |
| 139 | Salivary gland procedures | $5,701 |
| 460 | Spinal fusion except cervical without complication | $39,736 |
| 249 | Percutaneous cardiovascular procedures with non-drug-eluting stent without complication | $3,700 |
| 178 | Respiratory infections and inflammations with comorbidity | $5,901 |
| 390 | Gastrointestinal obstruction without comorbidity/complication | $17,761 |
| 472 | Cervical spinal fusion with comorbidity | $23,537 |
| 202 | Bronchitis and asthma with comorbidity/complication | $8,838 |
| 330 | Major small and large bowel procedures with comorbidity | $55,047 |
| 383 | Uncomplicated peptic ulcer with complication | $5,140 |
| 282 | Acute myocardial infarction, discharged alive without comorbidity/complication | $4,837 |
| 386 | Inflammatory bowel disease with comorbidity | $9,560 |
| 812 | Red blood cell disorders without complication | $6,275 |
| 351 | Inguinal and femoral hernia procedures with comorbidity | $5,867 |
| 519 | Back and neck procedures except spinal fusion with comorbidity | $12,750 |
| 553 | Bone diseases and arthropathies with complication | $9,101 |
| 522 | Hip replacement with principal diagnosis of hip fracture without complication | $16,355 |
| 698 | Red blood cell disorders without complication | $12,283 |
| 280 | Inguinal and femoral hernia procedures with comorbidity | $6,878 |
| 481 | Back and neck procedures except spinal fusion with comorbidity | $16,250 |
| 175 | Bone diseases and arthropathies with complication | $8,700 |
| 951 | Hip replacement with principal diagnosis of hip fracture without complication | $3,640 |
| 438 | Red blood cell disorders without complication | $11,464 |
| CPT | Plain Language Description | Charge |
|---|---|---|
| 85027 | Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) | $795 |
| 99284 | Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making | $11,190 |
| 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 | $6,678 |
| 80053 | Comprehensive metabolic panel | $1,681 |
| 96374 | Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug | $329 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | $1,049 |
| 77067 | Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed | $1,228 |
| 77063 | Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure) | $65 |
| 84484 | Troponin, quantitative | $1,416 |
| 83690 | Lipase | $1,087 |
| 96375 | Therapeutic, prophylactic, or diagnostic injection; each additional sequential intravenous push of a new substance/drug | $329 |
| 71045 | Radiologic examination, chest; single view | $1,222 |
| 80048 | Basic metabolic panel (Calcium, total) | $1,371 |
| 84703 | Gonadotropin, chorionic (hCG); qualitative | $594 |
| 87636 | Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) and influenza virus types A and B, multiplex amplified probe technique | $139 |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material(s) | $26,257 |
| 81003 | Urinalysis, by dip stick or tablet reagent, without microscopy | $248 |
| 81001 | Urinalysis, by dip stick or tablet reagent with microscopy | $932 |
| 99282 | Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making | $2,940 |
| 70450 | Computed tomography, head or brain; without contrast material | $4,903 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular | $227 |
| 99281 | Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional | $264 |
| 82077 | Alcohol (ethanol); any specimen except urine and breath | $1,329 |
| 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 | $22,393 |
| 76642 | Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited | $3,748 |
CPT® copyright 2023 American Medical Association