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Centennial Hospital top charges

In compliance with federal law, please view pricing information for certain procedures and services at Centennial Hospital.

Top 50 DRGs
DRG Plain Language Description Average Charge
871 Septicemia or severe sepsis without MV >96 hours with complication $13,968
872 Septicemia or severe sepsis without MV >96 hours without complication $11,014
392 Esophagitis, gastroenteritis and miscellaneous digestive disorders without complication $9,981
177 Respiratory infections and inflammations with complication $19,330
193 Simple pneumonia and pleurisy with complication $10,806
455 Combined anterior and posterior spinal fusion without comorbidity/complication $54,749
470 Major hip and knee joint replacement or reattachment of lower extremity without complication $14,283
291 Heart failure and shock with complication $10,497
189 Pulmonary edema and respiratory failure $11,209
454 Combined anterior and posterior spinal fusion with comorbidity $53,960
682 Renal failure with complication $11,272
468 Revision of hip or knee replacement without complication or comorbidity (comorbidity) / major complication or comorbidity (complication) $24,308
389 Gastrointestinal obstruction with comorbidity $6,414
439 Disorders of pancreas except malignancy with comorbidity $30,432
460 Spinal fusion except cervical without complication $50,898
469 Major hip and knee joint replacement or reattachment of lower extremity with complication or total ankle replacement $12,575
483 Major joint or limb reattachment procedures of upper extremities $54,169
282 Acute myocardial infarction, discharged alive without comorbidity/complication $3,980
581 Other skin, subcutaneous tissue and breast procedures without comorbidity/complication $110,975
683 Renal failure with comorbidity $5,805
280 Acute myocardial infarction, discharged alive with complication $6,645
690 Kidney and urinary tract infections without complication $5,811
467 Revision of hip or knee replacement with comorbidity $34,868
897 Alcohol, drug abuse or dependence without rehabilitation therapy without complication $18,246
689 Kidney and urinary tract infections with complication $8,930
640 Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with complication $8,750
103 Headaches without complication $12,505
641 Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without complication $5,336
391 Esophagitis, gastroenteritis and miscellaneous digestive disorders with complication $8,085
466 Revision of hip or knee replacement with complication $32,706
383 Uncomplicated peptic ulcer with complication $3,614
418 Laparoscopic cholecystectomy without C.D.E. with comorbidity $14,605
552 Medical back problems without complication $4,913
603 Cellulitis without complication $5,436
453 Combined anterior and posterior spinal fusion with complication $65,900
194 Simple pneumonia and pleurisy with comorbidity $5,274
812 Red blood cell disorders without complication $6,043
420 Hepatobiliary diagnostic procedures with complication $3,843
563 Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without complication $4,723
473 Cervical spinal fusion without comorbidity/complication $38,106
331 Major small and large bowel procedures without comorbidity/complication $17,473
137 Mouth procedures with comorbidity/complication $7,067
558 Tendonitis, myositis and bursitis without complication $7,364
481 Hip and femur procedures except major joint with comorbidity $15,154
472 Cervical spinal fusion with comorbidity $41,188
896 Alcohol, drug abuse or dependence without rehabilitation therapy with complication $27,588
372 Major gastrointestinal disorders and peritoneal infections with comorbidity $8,020
522 Hip replacement with principal diagnosis of hip fracture without complication $19,584
440 Disorders of pancreas except malignancy without comorbidity/complication $2,852
Top 25 CPT
CPT Plain Language Description Charge
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test $723
99284 Emergency department visit with moderate level of medical decision making $9,731
99283 Emergency department visit with low level of medical decision making $5,807
80053 Blood test, comprehensive group of blood chemicals $1,528
96374 Injection of drug or substance into vein $314
93005 Routine electrocardiogram (ECG) using at least 12 leads with tracing $952
77067 Screening mammography $1,170
77063 Screening 3D breast mammography $62
84484 Troponin (protein) analysis, quantitative $1,287
80048 Blood test, basic group of blood chemicals (Calcium, total) $1,246
71045 X-ray of chest, 1 view $1,164
83690 Lipase (fat enzyme) level $988
96375 Injection of additional new drug or substance into vein $460
84703 Gonadotropin (reproductive hormone) analysis $540
81001 Manual urinalysis test with examination using microscope, automated $847
81003 Automated urinalysis test $267
90853 Group psychotherapy $389
99282 Emergency department visit with straightforward medical decision making $2,557
74177 CT scan of abdomen and pelvis with contrast $15,976
87636 Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (COVID-19) and influenza virus types A and B $139
96372 Injection of drug or substance under skin or into muscle $216
70450 CT scan head or brain without contrast $4,670
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza $124
71046 X-ray of chest, 2 views $1,804
99281 Emergency department visit for problem that may not require health care professional $1,052

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