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HCA HealthONE Mountain Ridge top charges

In compliance with federal law, please view pricing information for certain procedures and services at HCA HealthONE Mountain Ridge.

Top 50 DRGs

DRG Plain Language Description Average Charge
871 Septicemia or severe sepsis without MV >96 hours with complication $20,494
872 Septicemia or severe sepsis without MV >96 hours without complication $15,725
280 Acute myocardial infarction, discharged alive with complication $17,095
193 Simple pneumonia and pleurisy with complication $16,593
795 Normal newborn $3,071
189 Pulmonary edema and respiratory failure $11,120
794 Neonate with other significant problems $4,647
392 Esophagitis, gastroenteritis and miscellaneous digestive disorders without complication $11,066
640 Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with complication $2,401
807 Vaginal delivery without sterilization or D&C without comorbidity/complication $9,416
313 Chest pain $10,769
682 Renal failure with complication $14,215
321 Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ Arteries/Intraluminal Devices $29,288
638 Diabetes with comorbidity $22,003
853 Infectious and parasitic diseases with O.R. procedures with complication $48,672
322 Percutaneous cardiovascular procedures with intraluminal device without MCC $47,185
291 Heart failure and shock with complication $11,550
552 Medical back problems without complication $10,344
637 Diabetes with complication $19,533
064 Intracranial hemorrhage or cerebral infarction with complication $18,132
683 Renal failure with comorbidity $10,679
897 Alcohol, drug abuse or dependence without rehabilitation therapy without complication $11,531
175 Pulmonary embolism with complication or acute cor pulmonale $14,206
917 Poisoning and toxic effects of drugs with complication $37,839
896 Alcohol, drug abuse or dependence without rehabilitation therapy with complication $23,179
281 Acute myocardial infarction, discharged alive with comorbidity $17,689
806 Vaginal delivery without sterilization or D&C with comorbidity $8,701
419 Laparoscopic cholecystectomy without C.D.E. without comorbidity/complication $34,938
603 Cellulitis without complication $7,615
308 Cardiac arrhythmia and conduction disorders with complication $12,732
177 Respiratory infections and inflammations with complication $12,772
698 Other kidney and urinary tract diagnoses with complication $13,840
194 Simple pneumonia and pleurisy with comorbidity $7,118
100 Seizures with complication $24,775
641 Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without complication $8,757
394 Other digestive system diagnoses with comorbidity $11,929
065 Intracranial hemorrhage or cerebral infarction with comorbidity or tPA in 24 hours $9,709
481 Hip and femur procedures except major joint with comorbidity $31,288
208 Respiratory system diagnosis with ventilator support <=96 hours $51,307
951 Other factors influencing health status $5,771
282 Acute myocardial infarction, discharged alive without comorbidity/complication $10,745
563 Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without complication $7,388
787 Cesarean section without sterilization with comorbidity $18,083
812 Cesarean section without sterilization without comorbidity/complication $8,952
494 Lower extremity and humerus procedures except hip, foot and femur without comorbidity/complication $39,450
493 Lower extremity and humerus procedures except hip, foot and femur with comorbidity $58,880
092 Other disorders of nervous system with comorbidity $9,467
312 Syncope and collapse $8,400
560 Aftercare, musculoskeletal system and connective tissue with comorbidity $3,280
690 Kidney and urinary tract infections without complication $10,011

Top 25 CPT

CPT Plain Language Description Charge
85027 Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) $823
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 $14,162
80053 Comprehensive metabolic panel $2,137
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 $8,452
96374 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug $744
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report $2,532
71045 Radiologic examination, chest; single view $1,154
84484 Troponin, quantitative $1,320
96375 Therapeutic, prophylactic, or diagnostic injection; each additional sequential intravenous push of a new substance/drug $692
83690 Lipase $832
81001 Urinalysis, by dip stick or tablet reagent with microscopy $597
81003 Urinalysis, by dip stick or tablet reagent, without microscopy $502
84703 Gonadotropin, chorionic (hCG); qualitative $963
80048 Basic metabolic panel (Calcium, total) $1,326
83605 Lactate (lactic acid) $911
74177 Computed tomography, abdomen and pelvis; with contrast material(s) $25,497
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 $16,933
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 $150
70450 Computed tomography, head or brain; without contrast material $14,476
77067 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed $1,516
77063 Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure) $169
85610 Prothrombin time; $506
96361 Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure) $338
82077 Alcohol (ethanol); any specimen except urine and breath $73
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 $3,721

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