CostGrade

All published prices at Adventhealth Sebring

96 procedures, each showing what the hospital billed, what that care was actually paid for, and how the charge compares with the national middle for the same coded work.

D
Procedure Patients Charged Actually paid vs national
Sepsis (severe)

MS-DRG 871 · Inpatient stay

455 $90,709 $14,747 +39%
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

384 $24,972 $2,461 +29%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

272 $62,490 $12,361 about average
Level 2 Urology and Related Services

APC 5372 · Hospital outpatient visit

153 $3,958 $617 +26%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

152 $16,865 $1,452 +67%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

149 $30,562 $2,956 +21%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

128 $97,013 $9,957 +43%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

117 $16,887 $1,836 +31%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

115 $44,087 $7,168 about average
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

105 $41,656 $5,177 +20%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

99 $69,703 $12,989 +27%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

90 $24,336 $2,864 +27%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

81 $39,578 $4,641 +44%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

80 $52,689 $8,009 +34%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

75 $179,005 $33,855 about average
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

74 $53,723 $5,227 +53%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

66 $132,534 $15,775 +30%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

65 $48,425 $9,308 +19%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

65 $85,185 $13,898 +50%
COPD (severe)

MS-DRG 190 · Inpatient stay

63 $49,368 $8,634 +18%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

61 $153,005 $14,059 +60%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

56 $57,774 $10,200 +19%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

55 $65,440 $7,584 +73%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

53 $180,636 $22,852 +26%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

51 $28,800 $3,127 +40%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

50 $48,896 $10,234 +5%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

49 $16,441 $1,724 +40%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

48 $54,944 $8,346 about average
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

48 $60,056 $10,015 +38%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

48 $89,500 $13,474 +26%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

47 $56,882 $7,683 +38%
Level 1 Intraocular Procedures

APC 5491 · Hospital outpatient visit

44 $23,397 $2,111 +99%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

43 $53,381 $6,990 +65%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

43 $40,650 $7,187 +37%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

41 $89,093 $9,274 +73%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

40 $113,427 $17,824 +36%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

39 $17,391 $1,456 +55%
Stroke (severe)

MS-DRG 064 · Inpatient stay

35 $71,607 $13,541 -6%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

35 $36,144 $6,996 +15%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

34 $55,504 $7,889 +22%
Heart Attack (uncomplicated)

MS-DRG 282 · Inpatient stay

33 $38,594 $6,510 about average
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

32 $57,723 $6,526 +40%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

30 $48,285 $9,945 -9%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

30 $39,512 $7,583 +5%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

30 $30,478 $2,932 +50%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

30 $12,485 $1,451 +46%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

28 $36,377 $6,515 +19%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

28 $31,498 $2,574 +78%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

28 $51,383 $6,480 +29%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

27 $18,170 $1,749 +60%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

26 $43,981 $8,236 +44%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

25 $116,394 $16,729 +36%
Respiratory Failure

MS-DRG 189 · Inpatient stay

24 $57,646 $10,683 +19%
Sepsis

MS-DRG 870 · Inpatient stay

24 $315,161 $48,971 +17%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

23 $44,567 $7,375 +35%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

22 $62,826 $10,644 +11%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

21 $25,537 $6,222 -17%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

21 $34,964 $3,134 +50%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

20 $56,013 $10,219 +9%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

20 $107,433 $19,462 +29%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

20 $78,722 $11,906 +26%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

19 $21,817 $4,896 -13%
Fainting

MS-DRG 312 · Inpatient stay

19 $36,013 $6,261 about average
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

19 $159,786 $21,459 +20%
Permanent Cardiac Pacemaker Implant with Major Complications

MS-DRG 242 · Inpatient stay

18 $156,887 $26,374 +13%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

18 $40,793 $7,948 +4%
Gastrointestinal Obstruction without Complications/mcc

MS-DRG 390 · Inpatient stay

18 $31,314 $4,456 +31%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

16 $147,893 $20,574 +26%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

16 $38,005 $7,256 +10%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

16 $240,970 $29,712 +62%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

14 $39,843 $7,605 +7%
Chest Pain

MS-DRG 313 · Inpatient stay

14 $26,906 $5,379 -20%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

14 $285,896 $36,867 +59%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

14 $139,152 $17,703 +38%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

14 $85,461 $12,971 +52%
Level 2 Electrophysiologic Procedures

APC 5212 · Hospital outpatient visit

14 $84,672 $6,765 +90%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

13 $32,436 $7,168 -20%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

13 $57,314 $10,868 +5%
Other Vascular Procedures with Major Complications

MS-DRG 252 · Inpatient stay

13 $194,124 $21,666 +34%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

13 $110,969 $17,181 +42%
Gastrointestinal Obstruction with Major Complications

MS-DRG 388 · Inpatient stay

13 $55,622 $12,088 -3%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

13 $40,807 $8,486 +10%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

13 $91,738 $17,609 +15%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

13 $79,766 $9,319 +34%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

12 $46,161 $9,413 about average
Fractures of Hip and Pelvis without Major Complications

MS-DRG 536 · Inpatient stay

12 $32,387 $6,386 about average
Other Vascular Procedures with Complications

MS-DRG 253 · Inpatient stay

12 $152,085 $18,697 +35%
Laparoscopic Cholecystectomy without C.d.e. with Complications

MS-DRG 418 · Inpatient stay

12 $117,792 $12,644 +43%
Hip Replacement with Principal Diagnosis of Hip Fracture with Major Complications

MS-DRG 521 · Inpatient stay

12 $110,603 $19,685 about average
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

12 $43,986 $2,832 +142%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

11 $114,385 $15,898 +22%
Acute Myocardial Infarction, Expired with Major Complications

MS-DRG 283 · Inpatient stay

11 $66,127 $14,960 -22%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

11 $47,639 $7,549 +23%
Disorders of the Biliary Tract with Major Complications

MS-DRG 444 · Inpatient stay

11 $57,903 $12,677 -19%
Dysequilibrium

MS-DRG 149 · Inpatient stay

11 $46,076 $6,118 +17%
Level 4 Pacemaker and Similar Procedures

APC 5224 · Hospital outpatient visit

11 $159,438 $17,611 +67%

These figures are averages across this hospital's Medicare patients in the most recent federal data year. They are not a quote and not your bill. For your own case, ask the hospital for a written good-faith estimate and check its published machine-readable price file.