All published prices at Adventist Health Sonora
77 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.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
556 | $1,923 | $898 | -39% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
464 | $36,321 | $3,586 | +87% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
395 | $114,170 | $22,244 | +75% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
313 | $8,115 | $2,117 | -19% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
256 | $147,471 | $16,873 | +136% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
210 | $12,906 | $2,542 | +14% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
205 | $6,654 | $2,653 | -49% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
145 | $84,059 | $9,369 | +111% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
125 | $13,965 | $3,598 | -21% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
120 | $8,799 | $2,081 | -22% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
84 | $88,638 | $7,598 | +152% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
82 | $19,142 | $2,505 | +63% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
80 | $44,279 | $4,499 | +114% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
79 | $56,046 | $6,813 | +104% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
77 | $43,922 | $4,174 | +116% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
77 | $7,465 | $2,235 | -35% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
76 | $75,426 | $11,244 | +92% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
76 | $21,980 | $4,109 | +15% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
68 | $93,924 | $14,015 | +116% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
66 | $91,753 | $17,316 | +50% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
63 | $40,744 | $4,555 | +75% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
50 | $34,099 | $4,236 | +35% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
50 | $17,991 | $3,695 | +9% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
47 | $63,012 | $7,580 | +83% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
45 | $90,273 | $14,697 | +94% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
39 | $77,522 | $11,976 | +85% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
38 | $144,006 | $25,480 | +73% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
36 | $309,003 | $58,114 | +74% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
35 | $82,940 | $12,775 | +104% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
35 | $13,123 | $2,109 | +53% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
34 | $91,291 | $17,989 | +61% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
34 | $59,721 | $8,390 | +51% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
33 | $169,364 | $24,472 | +104% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
32 | $83,936 | $10,720 | +103% |
|
Level 4 ENT Procedures
APC 5164 · Hospital outpatient visit |
31 | $21,323 | $4,239 | +13% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
30 | $81,219 | $18,233 | +48% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
30 | $92,707 | $10,175 | +112% |
|
Level 3 ENT Procedures
APC 5163 · Hospital outpatient visit |
29 | $3,324 | $1,939 | -48% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
26 | $21,027 | $5,019 | -12% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
26 | $64,747 | $14,036 | +26% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
25 | $53,815 | $9,752 | +63% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
24 | $74,418 | $13,485 | +54% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
23 | $108,196 | $16,363 | +104% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
23 | $17,771 | $3,795 | about average |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
20 | $99,269 | $13,170 | +110% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
20 | $69,405 | $8,599 | +115% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
20 | $82,971 | $14,356 | +71% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
19 | $152,217 | $22,913 | +78% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
18 | $97,068 | $21,538 | +27% |
|
Hip or Thigh Bone Surgery (severe)
MS-DRG 480 · Inpatient stay |
18 | $186,624 | $31,810 | +59% |
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
18 | $382,092 | $51,826 | +116% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
17 | $61,665 | $8,125 | +101% |
|
Infection Needing Surgery (with complications)
MS-DRG 854 · Inpatient stay |
17 | $131,366 | $22,110 | +58% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
16 | $162,013 | $25,710 | +61% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
16 | $66,925 | $13,595 | +119% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
15 | $80,284 | $11,073 | +76% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
15 | $111,852 | $15,404 | +105% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
15 | $192,156 | $19,991 | +89% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
15 | $120,310 | $19,628 | +69% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
15 | $45,455 | $8,658 | +45% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
15 | $63,410 | $8,787 | +113% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
14 | $81,904 | $12,124 | +137% |
|
Combined Anterior and Posterior Spinal Fusion with Complications
MS-DRG 454 · Inpatient stay |
14 | $465,996 | $68,788 | +110% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
14 | $27,014 | $4,931 | +19% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
14 | $33,968 | $11,174 | -10% |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
13 | $349,104 | $54,572 | +94% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
13 | $176,207 | $12,617 | +195% |
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major
MS-DRG 897 · Inpatient stay |
12 | $67,092 | $9,278 | +106% |
|
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with
MS-DRG 617 · Inpatient stay |
12 | $112,617 | $21,372 | +53% |
|
Heart Attack (uncomplicated)
MS-DRG 282 · Inpatient stay |
11 | $82,183 | $8,010 | +114% |
|
Fainting
MS-DRG 312 · Inpatient stay |
11 | $104,876 | $9,569 | +186% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
11 | $77,513 | $9,640 | +154% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
11 | $71,535 | $11,228 | +90% |
|
Other Circulatory System Diagnoses with Complications
MS-DRG 315 · Inpatient stay |
11 | $83,896 | $10,457 | +102% |
|
Hip or Thigh Bone Surgery (uncomplicated)
MS-DRG 482 · Inpatient stay |
11 | $111,513 | $17,172 | +63% |
|
Spinal Fusion Except Cervical without Major Complications
MS-DRG 460 · Inpatient stay |
11 | $308,739 | $42,756 | +113% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
11 | $245,652 | $43,176 | +65% |
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.