Skip to Content
HCA HealthONE

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 $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
Top 25 CPT
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

CPT® copyright 2024 American Medical Association