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Rose Medical Center top charges

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

Top 50 DRGs
DRG Plain Language Description Average Charge
795 Normal newborn $2,424.61
621 O.R. procedures for obesity without comorbidity/complication $54,120.39
807 Vaginal delivery without sterilization or D&C without comorbidity/complication $9,127.89
871 Septicemia or severe sepsis without MV >96 hours with complication $19,990.91
794 Neonate with other significant problems $4,554.77
806 Vaginal delivery without sterilization or D&C with comorbidity $10,511.36
787 Cesarean section without sterilization with comorbidity $18,313.60
470 Major hip and knee joint replacement or reattachment of lower extremity without complication $17,403.02
792 Prematurity without major problems $26,642.53
788 Cesarean section without sterilization without comorbidity/complication $16,879.63
872 Septicemia or severe sepsis without MV >96 hours without complication $9,164.97
793 Full term neonate with major problems $11,034.07
620 O.R. procedures for obesity with comorbidity $48,381.33
177 Respiratory infections and inflammations with complication $14,855.39
768 Vaginal delivery with O.R. procedures except sterilization and/or D&C $12,650.74
805 Vaginal delivery without sterilization or D&C with complication $11,705.41
331 Major small and large bowel procedures without comorbidity/complication $16,591.12
640 Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with complication $1,450.88
853 Infectious and parasitic diseases with O.R. procedures with complication $55,849.37
280 Acute myocardial infarction, discharged alive with complication $8,931.43
189 Pulmonary edema and respiratory failure $8,386.58
786 Vaginal delivery without sterilization/dace with comorbidity $25,541.96
193 Simple pneumonia and pleurisy with complication $10,350.11
791 Prematurity with major problems $66,321.71
483 Major joint or limb reattachment procedures of upper extremities $21,828.26
291 Heart failure and shock with complication $8,957.50
784 Cesarean section with sterilization with complication or comorbidity $14,915.29
392 Esophagitis, gastroenteritis and miscellaneous digestive disorders without complication $10,713.23
455 Combined anterior and posterior spinal fusion without comorbidity/complication $53,596.68
790 Extreme immaturity or respiratory distress syndrome, neonate $131,784.49
247 Percutaneous cardiovascular procedures with drug-eluting stent without complication $27,168.48
683 Renal failure with comorbidity $8,595.20
330 Major small and large bowel procedures with comorbidity $26,266.99
682 Renal failure with complication $11,416.23
785 Vaginal delivery without sterilization with complication $17,632.91
776 Postpartum and post abortion diagnoses without O.R. procedures $8,627.68
812 Red blood cell disorders without complication $7,342.98
246 Percutaneous cardiovascular procedures with drug-eluting stent with complication or 4+ arteries or stents $31,580.94
743 Uterine and adnexa procedures for non-malignancy without comorbidity/complication $10,873.70
175 Pulmonary embolism with complication or acute cor pulmonale $10,838.74
329 Major small and large bowel procedures with complication $40,453.72
560 Aftercare, musculoskeletal system and connective tissue with comorbidity $3,130.26
432 Cirrhosis and alcoholic hepatitis with complication $24,023.30
469 Major hip and knee joint replacement or reattachment of lower extremity with complication or total ankle replacement $8,167.51
698 Other kidney and urinary tract diagnoses with complication $10,888.19
282 Acute myocardial infarction, discharged alive without comorbidity/complication $9,950.59
389 Gastrointestinal obstruction with comorbidity $7,646.58
454 Combined anterior and posterior spinal fusion with comorbidity $66,841.26
194 Simple pneumonia and pleurisy with comorbidity $6,602.54
Top 25 CPT
CPT Plain Language Description Charge
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test $759
99284 Emergency department visit with moderate level of medical decision making $9,985
80053 Blood test, comprehensive group of blood chemicals $1,939
93005 Routine electrocardiogram (ECG) using at least 12 leads with tracing $960
96374 Injection of drug or substance into vein $658
36415 Insertion of needle into vein for collection of blood sample $158
80048 Blood test, basic group of blood chemicals (Calcium, total) $1,396
77067 Screening mammography $1,513
77063 Screening 3D breast mammography $70
84484 Troponin (protein) analysis, quantitative $1,429
99283 Emergency department visit with low level of medical decision making $2,593
71045 X-ray of chest, 1 view $673
96375 Injection of additional new drug or substance into vein $656
83690 Lipase (fat enzyme) level $131
97140 Therapy procedure using manual technique, each 15 minutes $152
59025 Fetal test $781
84703 Gonadotropin (reproductive hormone) analysis $358
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes $201
74177 CT scan of abdomen and pelvis with contrast $18,374
81001 Manual urinalysis test with examination using microscope, automated $498
93798 Outpatient heart rehabilitation with electrocardiogram (ECG) monitoring, quality health care professional services $692
81003 Automated urinalysis test $389
96361 Infusion into a vein for hydration, each additional hour $724
88305 Pathology examination of tissue using a microscope, intermediate complexity $608
82077 Measurement of alcohol level in specimen other than breath or urine $304

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