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HCA HealthONE Rose top charges

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

Top 50 DRGs

DRG Plain Language Description Average Charge
795 Normal newborn $2,486
621 O.R. procedures for obesity without comorbidity/complication $54,857
807 Vaginal delivery without sterilization or D&C without comorbidity/complication $10,011
871 Septicemia or severe sepsis without MV >96 hours with complication $16,169
794 Neonate with other significant problems $5,223
806 Vaginal delivery without sterilization or D&C with comorbidity $12,208
470 Major hip and knee joint replacement or reattachment of lower extremity without complication $18,487
788 Cesarean section without sterilization without comorbidity/complication $19,272
872 Septicemia or severe sepsis without MV >96 hours without complication $11,907
640 Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with complication $1,800
793 Full term neonate with major problems $14,729
787 Cesarean section without sterilization with comorbidity $19,647
805 Vaginal delivery without sterilization or D&C with complication $13,940
193 Simple pneumonia and pleurisy with complication $15,701
792 Prematurity without major problems $10,094
768 Vaginal delivery with O.R. procedures except sterilization and/or D&C $13,034
392 Esophagitis, gastroenteritis and miscellaneous digestive disorders without complication $8,110
791 Prematurity with major problems $46,678
291 Heart failure and shock with complication $11,056
790 Extreme immaturity or respiratory distress syndrome, neonate $157,470
786 Vaginal delivery without sterilization/dace with comorbidity $27,366
189 Pulmonary edema and respiratory failure $11,661
784 Cesarean section with sterilization with complication or comorbidity $21,847
483 Major joint or limb reattachment procedures of upper extremities $19,972
776 Postpartum and post abortion diagnoses without O.R. procedures $8,445
833 Other antepartum diagnoses without O.R. procedures without comorbidity/complication $10,944
331 Major small and large bowel procedures without comorbidity/complication $23,771
280 Acute myocardial infarction, discharged alive with complication $9,984
177 Respiratory infections and inflammations with complication $13,653
853 Infectious and parasitic diseases with O.R. procedures with complication $46,864
330 Major small and large bowel procedures with comorbidity $22,494
641 Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without complication $11,812
785 Vaginal delivery without sterilization with complication $16,444
682 Renal failure with complication $12,228
399 Appendix procedures without CC/MCC $13,073
309 Cardiac arrhythmia and conduction disorders with comorbidity $6,437
394 Other digestive system diagnoses with comorbidity $8,115
560 Aftercare, musculoskeletal system and connective tissue with comorbidity $3,209
389 Gastrointestinal obstruction with comorbidity $7,123
698 Other kidney and urinary tract diagnoses with complication $17,158
468 Revision of hip or knee replacement without complication or comorbidity (comorbidity) / major complication or comorbidity (complication) $26,234
552 Medical back problems without complication $12,127
683 Renal failure with comorbidity $6,498
322 Percutaneous cardiovascular procedures with intraluminal device without MCC $14,238
329 Major small and large bowel procedures with complication $32,860
194 Simple pneumonia and pleurisy with comorbidity $7,073
812 Cesarean section without sterilization without comorbidity/complication $8,274
432 Cirrhosis and alcoholic hepatitis with complication $30,427
282 Acute myocardial infarction, discharged alive without comorbidity/complication $5,580
789 Neonates, died or transferred to another acute care facility $45,531

Top 25 CPT

CPT Plain Language Description Charge
85027 Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) $902
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 $10,984
80053 Comprehensive metabolic panel $2,346
96374 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug $724
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report $1,109
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
77067 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed $1,665
77063 Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure) $162
84484 Troponin, quantitative $1,558
80048 Basic metabolic panel (Calcium, total) $1,689
97140 Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes $221
71045 Radiologic examination, chest; single view $777
96375 Therapeutic, prophylactic, or diagnostic injection; each additional sequential intravenous push of a new substance/drug $722
84703 Gonadotropin, chorionic (hCG); qualitative $391
83690 Lipase $143
59025 Fetal non-stress test $937
74177 Computed tomography, abdomen and pelvis; with contrast material(s) $19,164
97110 Therapeutic procedure, 1 or more areas, each 15 minutes; $235
81003 Urinalysis, by dip stick or tablet reagent, without microscopy $260
81001 Urinalysis, by dip stick or tablet reagent with microscopy $543
97530 Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility $181
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 $2,755
81015 Urinalysis; microscopic only $329
96361 Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure) $782
82077 Alcohol (ethanol); any specimen except urine and breath $365

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