North Suburban Medical Center top charges
In compliance with federal law, please view pricing information for certain procedures and services at North Suburban Medical Center.
| DRG | Plain Language Description | Average Charge |
|---|---|---|
| 871 | Septicemia or severe sepsis without MV >96 hours with complication | $18,437 |
| 872 | Septicemia or severe sepsis without MV >96 hours without complication | $15,254 |
| 795 | Normal newborn | $1,873 |
| 794 | Neonate with other significant problems | $3,529 |
| 280 | Acute myocardial infarction, discharged alive with complication | $11,572 |
| 807 | Vaginal delivery without sterilization or D&C without comorbidity/complication | $8,181 |
| 193 | Simple pneumonia and pleurisy with complication | $14,098 |
| 291 | Heart failure and shock with complication | $13,905 |
| 189 | Pulmonary edema and respiratory failure | $11,897 |
| 640 | Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with complication | $1,618 |
| 853 | Infectious and parasitic diseases with O.R. procedures with complication | $57,014 |
| 392 | Esophagitis, gastroenteritis and miscellaneous digestive disorders without complication | $7,233 |
| 683 | Renal failure with comorbidity | $8,787 |
| 806 | Vaginal delivery without sterilization or D&C with comorbidity | $10,616 |
| 177 | Respiratory infections and inflammations with complication | $14,444 |
| 787 | Cesarean section without sterilization with comorbidity | $18,805 |
| 552 | Medical back problems without complication | $15,091 |
| 313 | Chest pain | $9,318 |
| 603 | Cellulitis without complication | $13,504 |
| 281 | Acute myocardial infarction, discharged alive with comorbidity | $18,977 |
| 682 | Renal failure with complication | $13,623 |
| 065 | Intracranial hemorrhage or cerebral infarction with comorbidity or tPA in 24 hours | $10,151 |
| 917 | Poisoning and toxic effects of drugs with complication | $24,143 |
| 064 | Intracranial hemorrhage or cerebral infarction with complication | $30,389 |
| 637 | Diabetes with complication | $16,106 |
| 175 | Pulmonary embolism with complication or acute cor pulmonale | $16,671 |
| 897 | Alcohol, drug abuse or dependence without rehabilitation therapy without complication | $11,265 |
| 638 | Diabetes with comorbidity | $10,074 |
| 563 | Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without complication | $11,347 |
| 690 | Kidney and urinary tract infections without complication | $10,695 |
| 194 | Simple pneumonia and pleurisy with comorbidity | $7,603 |
| 100 | Seizures with complication | $13,579 |
| 481 | Hip and femur procedures except major joint with comorbidity | $19,164 |
| 951 | Other factors influencing health status | $4,660 |
| 698 | Other kidney and urinary tract diagnoses with complication | $12,613 |
| 247 | Percutaneous cardiovascular procedures with drug-eluting stent without complication | $13,274 |
| 287 | Circulatory disorders except AMI, with cardiac catheterization without complication | $18,508 |
| 086 | Traumatic stupor and coma <1 hour with comorbidity | $25,679 |
| 788 | Cesarean section without sterilization without comorbidity/complication | $17,244 |
| 439 | Disorders of pancreas except malignancy with comorbidity | $23,996 |
| 101 | Seizures without complication | $19,171 |
| 896 | Alcohol, drug abuse or dependence without rehabilitation therapy with complication | $18,777 |
| 208 | Respiratory system diagnosis with ventilator support <=96 hours | $33,594 |
| 641 | Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without complication | $9,114 |
| 308 | Cardiac arrhythmia and conduction disorders with complication | $11,878 |
| 190 | Chronic obstructive pulmonary disease with complication | $9,762 |
| 560 | Aftercare, musculoskeletal system and connective tissue with comorbidity | $3,001 |
| 743 | Uterine and adnexa procedures for non-malignancy without comorbidity/complication | $14,391 |
| 305 | Traumatic stupor and coma <1 hour with comorbidity | $22,568 |
| 812 | Cesarean section without sterilization without comorbidity/complication | $9,575 |
| CPT | Plain Language Description | Charge |
|---|---|---|
| 85027 | Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) | $748 |
| 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 | $12,898 |
| 80053 | Comprehensive metabolic panel | $1,943 |
| 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 | $7,697 |
| 96374 | Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug | $695 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | $2,302 |
| 71045 | Radiologic examination, chest; single view | $1,049 |
| 84484 | Troponin, quantitative | $1,200 |
| 96361 | Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure) | $307 |
| 96375 | Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug | $676 |
| 80048 | Basic metabolic panel (Calcium, total) | $1,205 |
| 83690 | Lipase | $757 |
| 81001 | Urinalysis, by dip stick or tablet reagent with microscopy | $543 |
| 81003 | Urinalysis,; automated, without microscopy | $456 |
| 84703 | Gonadotropin, chorionic (hCG); qualitative | $876 |
| 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 | $15,421 |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material(s) | $22,918 |
| 83605 | Lactate (lactic acid) | $828 |
| 70450 | Computed tomography, head or brain; without contrast material | $13,041 |
| 82077 | Alcohol (ethanol); any specimen except urine and breath | $66 |
| 77067 | Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed | $1,378 |
| 77063 | Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure) | $141 |
| 85610 | Prothrombin time; | $460 |
| 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 | $137 |
| 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 | $3,389 |
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