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HCA HealthONE Sky Ridge top charges

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

Top 50 DRGs

DRG Plain Language Description Average Charge
871 Septicemia or severe sepsis without MV >96 hours with complication $23,453
795 Normal newborn $2,918
392 Esophagitis, gastroenteritis and miscellaneous digestive disorders without complication $9,365
872 Septicemia or severe sepsis without MV >96 hours without complication $12,649
807 Vaginal delivery without sterilization or D&C without comorbidity/complication $10,617
552 Medical back problems without complication $14,196
560 Aftercare, musculoskeletal system and connective tissue with comorbidity $13,627
481 Hip and femur procedures except major joint with comorbidity $28,925
330 Major small and large bowel procedures with comorbidity $26,870
794 Neonate with other significant problems $5,319
189 Pulmonary edema and respiratory failure $10,208
193 Simple pneumonia and pleurisy with complication $11,653
788 Cesarean section without sterilization without comorbidity/complication $19,658
640 Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with complication $5,975
470 Major hip and knee joint replacement or reattachment of lower extremity without complication $17,860
806 Vaginal delivery without sterilization or D&C with comorbidity $11,679
467 Revision of hip or knee replacement with comorbidity $40,852
321 Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ Arteries/Intraluminal Devices $26,690
291 Heart failure and shock with complication $11,664
683 Renal failure with comorbidity $7,951
280 Acute myocardial infarction, discharged alive with complication $14,528
787 Cesarean section without sterilization with comorbidity $22,095
454 Combined anterior and posterior spinal fusion with comorbidity $69,352
853 Infectious and parasitic diseases with O.R. procedures with complication $51,759
641 Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without complication $13,118
394 Other digestive system diagnoses with comorbidity $10,637
621 O.R. procedures for obesity without comorbidity/complication $40,063
793 Full term neonate with major problems $12,139
399 Appendix procedures without CC/MCC $20,976
945 Rehabilitation with comorbidity/complication $42,381
854 Retrieving data. Wait a few seconds and try to cut or copy again. $28,551
331 Major small and large bowel procedures without comorbidity/complication $19,119
792 Prematurity without major problems $10,115
897 Alcohol, drug abuse or dependence without rehabilitation therapy without complication $14,274
322 Percutaneous cardiovascular procedures with intraluminal device without MCC $24,039
419 Laparoscopic cholecystectomy without C.D.E. without comorbidity/complication $16,510
287 Circulatory disorders except AMI, with cardiac catheterization without complication $10,615
057 Degenerative nervous system disorders without complication $26,879
603 Cellulitis without complication $11,636
177 Respiratory infections and inflammations with complication $13,083
175 Bone diseases and arthropathies with complication $15,180
690 Kidney and urinary tract infections without complication $8,142
482 Hip and femur procedures except major joint without comorbidity/complication $26,837
439 Disorders of pancreas except malignancy with comorbidity $13,758
661 Kidney and ureter procedures for non-neoplasm without comorbidity/complication $12,453
312 Syncope and collapse $6,483
309 Cardiac arrhythmia and conduction disorders with comorbidity $7,236
472 Cervical spinal fusion with comorbidity $31,667
768 Vaginal delivery with O.R. procedures except sterilization and/or D&C $13,868
329 Major small and large bowel procedures with complication $64,485

Top 25 CPT

CPT Plain Language Description Charge
85027 Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) $647
80053 Comprehensive metabolic panel $1,508
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 $13,200
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report $1,636
96374 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug $549
80048 Basic metabolic panel (Calcium, total) $1,241
84484 Troponin, quantitative $1,287
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 $7,876
96375 Therapeutic, prophylactic, or diagnostic injection; each additional sequential intravenous push of a new substance/drug $549
71045 Radiologic examination, chest; single view $1,536
83690 Lipase $984
84703 Gonadotropin, chorionic (hCG); qualitative $553
36591 Collection of blood specimen from a completely implantable venous access device $192
81003 Urinalysis, by dip stick or tablet reagent, without microscopy $282
74177 Computed tomography, abdomen and pelvis; with contrast material(s) $18,569
81001 Urinalysis, by dip stick or tablet reagent with microscopy $844
86901 Blood typing for Rh (D) antigen $366
86900 Blood group typing (ABO) $366
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 $21,453
97140 Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes $385
77386 Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex $15,845
86850 Antibody screen, RBC, each serum technique $636
88305 Tissue Exam by Pathologist $3,075
85610 Prothrombin time; $287
83735 Magnesium level $984

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