All published prices at Adventist Health St Helena
60 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 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
626 | $191,731 | $16,667 | +207% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
217 | $49,598 | $4,161 | +97% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
202 | $209,822 | $29,995 | +58% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
97 | $151,262 | $20,656 | +132% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
82 | $202,217 | $34,003 | +62% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
82 | $21,325 | $2,442 | +81% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
79 | $103,074 | $13,681 | +100% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
79 | $13,665 | $877 | +336% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
73 | $81,253 | $15,597 | +125% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
60 | $163,503 | $21,323 | +71% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
59 | $83,840 | $6,641 | +205% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
57 | $49,043 | $3,513 | +152% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
52 | $129,508 | $13,796 | +198% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
52 | $37,528 | $3,647 | +112% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
51 | $54,110 | $4,091 | +183% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
48 | $160,969 | $7,310 | +358% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
47 | $124,634 | $13,829 | +84% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
47 | $40,433 | $2,063 | +260% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
45 | $21,552 | $2,081 | +114% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
39 | $241,724 | $51,285 | +28% |
|
Other Cardiothoracic Procedures without Major Complications
MS-DRG 229 · Inpatient stay |
39 | $284,105 | $33,755 | +88% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
37 | $34,972 | $7,053 | -3% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
35 | $49,281 | $4,474 | +139% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
34 | $26,055 | $2,614 | +102% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
33 | $121,429 | $17,191 | +98% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
33 | $170,726 | $19,473 | +68% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
30 | $82,625 | $4,154 | +306% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
25 | $87,785 | $14,727 | +81% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
25 | $24,702 | $2,478 | +118% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
22 | $84,516 | $10,684 | +105% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
22 | $156,149 | $4,806 | +588% |
|
Coronary Bypass with Cardiac Catheterization or Open Ablation without Major Complications
MS-DRG 234 · Inpatient stay |
20 | $608,039 | $55,146 | +177% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
19 | $85,521 | $9,949 | +95% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
19 | $253,675 | $30,413 | +77% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
19 | $312,797 | $42,083 | +111% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
18 | $117,456 | $17,045 | +113% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications
MS-DRG 266 · Inpatient stay |
17 | $509,564 | $73,082 | +112% |
|
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization
MS-DRG 219 · Inpatient stay |
17 | $848,636 | $90,695 | +153% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
17 | $116,713 | $9,177 | +193% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
16 | $126,537 | $13,787 | +172% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
16 | $76,098 | $10,868 | +94% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
16 | $234,889 | $20,123 | +194% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
16 | $67,698 | $4,892 | +184% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
15 | $100,815 | $4,440 | +334% |
|
Major Chest Procedures with Major Complications
MS-DRG 163 · Inpatient stay |
14 | $252,720 | $49,752 | +43% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
14 | $125,089 | $15,391 | +136% |
|
Other Major Cardiovascular Procedures with Major Complications
MS-DRG 270 · Inpatient stay |
14 | $554,447 | $62,950 | +147% |
|
Concomitant Left Atrial Appendage Closure and Cardiac Ablation
MS-DRG 317 · Inpatient stay |
14 | $386,262 | $65,599 | +11% |
|
Level 2 Electrophysiologic Procedures
APC 5212 · Hospital outpatient visit |
14 | $70,056 | $9,578 | +57% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
13 | $631,715 | $68,728 | +255% |
|
Other Major Cardiovascular Procedures with Complications
MS-DRG 271 · Inpatient stay |
13 | $318,685 | $39,312 | +112% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
13 | $133,985 | $8,368 | +239% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
12 | $144,667 | $22,954 | +64% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major
MS-DRG 287 · Inpatient stay |
12 | $109,661 | $11,719 | +101% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
12 | $73,325 | $12,981 | +55% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
12 | $59,567 | $8,049 | +95% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
12 | $130,794 | $22,227 | +67% |
|
Major Chest Procedures with Complications
MS-DRG 164 · Inpatient stay |
12 | $334,804 | $27,018 | +208% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
11 | $133,684 | $16,298 | +135% |
|
Other Vascular Procedures with Complications
MS-DRG 253 · Inpatient stay |
11 | $293,320 | $27,177 | +161% |
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.