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HCA HealthONE

HCA HealthONE Presbyterian St. Luke's top charges

In compliance with federal law, please view pricing information for certain procedures and services at HCA HealthONE Presbyterian St. Luke's.

Top 50 DRGs

DRG Plain Language Description Average Charge
189 Pulmonary edema and respiratory failure $18,183
871 Septicemia or severe sepsis without MV >96 hours with complication $25,465
795 Normal newborn $3,562
794 Neonate with other significant problems $8,915
807 Vaginal delivery without sterilization or D&C without comorbidity/complication $12,788
193 Simple pneumonia and pleurisy with complication $20,741
392 Esophagitis, gastroenteritis and miscellaneous digestive disorders without complication $12,423
467 Revision of hip or knee replacement with comorbidity $52,096
787 Cesarean section without sterilization with comorbidity $30,185
793 Full term neonate with major problems $73,177
790 Extreme immaturity or respiratory distress syndrome, neonate $573,924
203 Bronchitis and asthma without comorbidity/complication $12,564
806 Vaginal delivery without sterilization or D&C with comorbidity $14,090
834 Acute leukemia without major O.R. procedures with complication $137,765
847 Chemotherapy without acute leukemia as secondary diagnosis with comorbidity $26,583
840 Lymphoma and non-acute leukemia with complication $57,251
788 Cesarean section without sterilization without comorbidity/complication $30,323
194 Simple pneumonia and pleurisy with comorbidity $12,405
432 Cirrhosis and alcoholic hepatitis with complication $52,290
016 Autologous bone marrow transplant with comorbidity/complication $115,827
640 Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with complication $2,900
330 Major small and large bowel procedures with comorbidity $36,996
872 Septicemia or severe sepsis without MV >96 hours without complication $11,236
331 Major small and large bowel procedures without comorbidity/complication $24,458
792 Prematurity without major problems $39,411
809 Major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders with comorbidity $37,564
837 Chemotherapy with acute leukemia as secondary diagnosis or with high dose chemotherapy agent with complication $109,506
853 Infectious and parasitic diseases with O.R. procedures with complication $140,925
791 Prematurity with major problems $153,342
812 Cesarean section without sterilization without comorbidity/complication $11,883
833 Other antepartum diagnoses without O.R. procedures without comorbidity/complication $14,873
786 Vaginal delivery without sterilization/dace with comorbidity $68,131
014 Allogeneic bone marrow transplant $291,300
683 Renal failure with comorbidity $9,724
470 Major hip and knee joint replacement or reattachment of lower extremity without complication $28,075
841 Lymphoma and non-acute leukemia with comorbidity $23,187
399 Appendix procedures without CC/MCC $22,727
641 Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without complication $11,080
682 Renal failure with complication $15,614
202 Bronchitis and asthma with comorbidity/complication $13,969
690 Kidney and urinary tract infections without complication $24,885
195 Simple pneumonia and pleurisy without comorbidity/complication $14,097
846 Chemotherapy without acute leukemia as secondary diagnosis with complication $57,261
454 Combined anterior and posterior spinal fusion with comorbidity $115,786
457 Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive fusions with comorbidity $126,075
145 Other ear, nose, mouth and throat O.R. procedures without CC/MCC $18,125
427 Multiple level combined anterior and posterior spinal fusion except cervical with CC $104,320
652 Kidney transplant $71,936
101 Seizures without complication $18,310
519 Back and neck procedures except spinal fusion with CC $185,732

Top 25 CPT

CPT Plain Language Description Charge
85027 Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) $607
80053 Comprehensive metabolic panel $1,942
83735 Magnesium level $50
84100 Phosphate level $665
83615 Lactate dehydrogenase (enzyme) level $921
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 $7,400
84550 Uric acid level, blood $254
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 $12,399
82977 Glutamyltransferase (liver enzyme) level $254
81001 Urinalysis, by dip stick or tablet reagent with microscopy $1,027
96374 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug $675
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report $836
85610 Prothrombin time; $607
80048 Basic metabolic panel (Calcium, total) $1,663
87798 Detection test by nucleic acid for organism, amplified probe technique $499
86900 Blood group typing (ABO) $167
80197 Tacrolimus level $1,324
84484 Troponin, quantitative $1,787
86901 Blood typing for Rh (D) antigen $315
83690 Lipase $803
71045 Radiologic examination, chest; single view $927
36430 Transfusion, blood or blood components $7,550
96375 Therapeutic, prophylactic, or diagnostic injection; each additional sequential intravenous push of a new substance/drug $818
87496 Detection test by nucleic acid for Cytomegalovirus (CMV), amplified probe technique $2,576
87086 Culture, bacterial; quantitative colony count, urine $254

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