CostGrade

All published prices at Alta Bates Summit Medical Center

122 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.

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

MS-DRG 871 · Inpatient stay

605 $96,808 $23,021 +48%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

282 $9,124 $2,239 -9%
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

254 $32,967 $3,801 +70%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

179 $76,669 $15,026 +77%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

128 $48,394 $8,013 +38%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

117 $23,363 $4,426 +22%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

117 $40,170 $7,087 +46%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

114 $40,462 $4,504 +60%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

111 $215,473 $32,879 +62%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

103 $54,653 $13,212 +39%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

92 $90,248 $18,615 +47%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

73 $64,709 $14,729 +33%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

73 $26,949 $5,235 +13%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

68 $128,716 $25,441 +61%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

68 $40,652 $6,958 +12%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

68 $56,417 $14,569 +10%
Respiratory Failure

MS-DRG 189 · Inpatient stay

63 $76,078 $14,505 +57%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

63 $212,494 $52,915 +19%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

63 $52,361 $9,051 +33%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

62 $68,994 $11,959 +51%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

62 $67,793 $18,516 +19%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

61 $81,266 $18,259 +48%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

59 $29,043 $4,841 +41%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

56 $56,989 $10,533 +73%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

52 $217,329 $57,433 +15%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

52 $182,842 $37,924 +47%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

48 $99,095 $15,247 +46%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

48 $19,129 $2,828 +48%
Stroke (severe)

MS-DRG 064 · Inpatient stay

46 $106,853 $22,170 +40%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

46 $79,198 $16,360 +70%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

46 $69,464 $16,992 +31%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

43 $58,887 $10,815 +34%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

43 $57,523 $10,596 +55%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

42 $66,977 $14,657 +41%
Fainting

MS-DRG 312 · Inpatient stay

42 $49,118 $10,258 +34%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

41 $150,394 $22,750 +48%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

40 $43,535 $9,474 +42%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

40 $87,800 $13,953 +47%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

38 $340,381 $75,772 +42%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

34 $50,091 $11,661 +21%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

34 $10,076 $2,224 +18%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

33 $75,500 $19,315 +6%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

33 $53,536 $9,069 +75%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

32 $232,267 $33,521 +62%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

32 $36,835 $4,804 +58%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

31 $42,012 $11,782 +11%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

30 $80,907 $22,382 +3%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

30 $66,161 $17,560 +18%
Level 6 Urology and Related Services

APC 5376 · Hospital outpatient visit

30 $54,537 $12,773 +23%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

28 $13,003 $2,642 +11%
Sepsis

MS-DRG 870 · Inpatient stay

27 $391,524 $90,192 +46%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

27 $195,249 $45,076 +31%
Level 5 Gynecologic Procedures

APC 5415 · Hospital outpatient visit

26 $35,732 $6,907 +19%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

25 $117,292 $28,400 +25%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

25 $49,340 $12,841 +21%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

24 $54,117 $10,688 +39%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

23 $145,763 $24,284 +53%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

23 $25,625 $4,341 +41%
Coronary Bypass with Cardiac Catheterization or Open Ablation with Major Complications

MS-DRG 233 · Inpatient stay

22 $354,867 $77,012 +15%
Other Cardiothoracic Procedures without Major Complications

MS-DRG 229 · Inpatient stay

22 $217,495 $39,434 +44%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

22 $21,959 $3,946 +24%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

21 $40,345 $7,199 +60%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

21 $147,127 $26,022 +46%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

20 $75,694 $14,834 +39%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

20 $101,262 $26,107 +22%
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major

MS-DRG 981 · Inpatient stay

20 $253,012 $57,671 +38%
Level 6 Gynecologic Procedures

APC 5416 · Hospital outpatient visit

20 $45,718 $10,041 +12%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

19 $60,407 $9,394 +46%
Other Vascular Procedures with Major Complications

MS-DRG 252 · Inpatient stay

19 $170,983 $40,937 +18%
Other Major Cardiovascular Procedures with Major Complications

MS-DRG 270 · Inpatient stay

19 $286,130 $65,029 +27%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

19 $57,616 $7,937 +66%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

19 $9,835 $2,232 -12%
Other Disorders of Nervous System with Major Complications

MS-DRG 091 · Inpatient stay

18 $56,322 $19,184 -21%
COPD (severe)

MS-DRG 190 · Inpatient stay

18 $56,990 $12,225 +36%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

18 $112,709 $23,300 +36%
Permanent Cardiac Pacemaker Implant without Complications/mcc

MS-DRG 244 · Inpatient stay

17 $97,861 $24,312 +28%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

17 $45,166 $11,601 +20%
Coronary Bypass without Cardiac Catheterization with Major Complications

MS-DRG 235 · Inpatient stay

17 $328,903 $73,797 +37%
Coagulation Disorders

MS-DRG 813 · Inpatient stay

17 $60,534 $17,917 -10%
Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit

MS-DRG 062 · Inpatient stay

17 $111,568 $21,140 +19%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

16 $56,209 $14,455 +17%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

16 $84,631 $15,934 +55%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

16 $189,417 $28,355 +115%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

16 $124,767 $23,583 +46%
Respiratory Neoplasms with Major Complications

MS-DRG 180 · Inpatient stay

16 $81,605 $20,004 +10%
O.r. Procedures for Obesity without Complications/mcc

MS-DRG 621 · Inpatient stay

16 $111,064 $17,662 +69%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

16 $37,696 $5,200 +66%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

15 $58,913 $10,699 +45%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

15 $54,103 $11,324 +46%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

15 $44,830 $9,355 +43%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

15 $57,256 $9,214 +78%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

15 $46,101 $10,950 +19%
Other Disorders of Nervous System with Complications

MS-DRG 092 · Inpatient stay

15 $55,395 $11,746 +23%
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major

MS-DRG 441 · Inpatient stay

15 $75,028 $18,824 about average
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

15 $92,612 $18,234 +48%
Level 4 Pacemaker and Similar Procedures

APC 5224 · Hospital outpatient visit

15 $147,175 $26,981 +54%
Seizures with Major Complications

MS-DRG 100 · Inpatient stay

14 $74,430 $21,717 -8%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

14 $287,103 $58,894 +60%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

14 $65,539 $18,728 about average
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

14 $22,066 $3,899 +33%

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.