All published prices at Atrium Health Pineville
160 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 |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
739 | $23,485 | $2,426 | +21% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
337 | $93,352 | $11,513 | +49% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
296 | $75,650 | $14,271 | +16% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
246 | $45,540 | $9,775 | +5% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
170 | $24,184 | $1,698 | +113% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
136 | $38,609 | $2,887 | +53% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
131 | $41,037 | $4,623 | +49% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
126 | $53,033 | $9,867 | +14% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
121 | $70,810 | $12,748 | +29% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
121 | $34,472 | $6,101 | +16% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
109 | $17,709 | $2,801 | -7% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
109 | $92,301 | $9,651 | +36% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
109 | $52,700 | $5,072 | +50% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
107 | $37,573 | $6,745 | +16% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
106 | $22,830 | $3,109 | +11% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
96 | $29,299 | $2,490 | +66% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
92 | $14,949 | $1,406 | +48% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
89 | $13,563 | $1,694 | +15% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
85 | $46,888 | $7,985 | +14% |
|
Fainting
MS-DRG 312 · Inpatient stay |
84 | $44,071 | $7,284 | +20% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
83 | $55,053 | $9,614 | +16% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
81 | $43,071 | $7,306 | +31% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
75 | $61,055 | $6,293 | +53% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
74 | $46,198 | $8,515 | +13% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
73 | $34,672 | $6,733 | +9% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
69 | $250,268 | $21,002 | +89% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
67 | $32,954 | $6,647 | +8% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
67 | $45,330 | $9,351 | -12% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
64 | $105,110 | $16,710 | +27% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
63 | $34,279 | $6,680 | +12% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
63 | $34,132 | $3,382 | +43% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
62 | $103,251 | $14,429 | +29% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
60 | $49,421 | $7,397 | +9% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
54 | $117,885 | $13,426 | +23% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
53 | $40,095 | $7,017 | about average |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
53 | $207,833 | $43,584 | +17% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
52 | $97,393 | $14,281 | +17% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
52 | $48,450 | $9,801 | about average |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
51 | $50,786 | $8,962 | +5% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
50 | $131,795 | $12,850 | +30% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
49 | $103,152 | $14,396 | +20% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
49 | $18,945 | $1,830 | +47% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
48 | $83,042 | $14,239 | +9% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
48 | $43,034 | $7,664 | +16% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
45 | $53,065 | $8,068 | +27% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
45 | $51,710 | $10,865 | about average |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
45 | $47,214 | $11,907 | -17% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
43 | $35,181 | $5,725 | +15% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
41 | $30,297 | $3,109 | +30% |
|
Hypertension without Major Complications
MS-DRG 305 · Inpatient stay |
40 | $35,826 | $5,796 | +7% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
40 | $185,508 | $26,990 | +29% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
40 | $103,787 | $19,227 | +3% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
40 | $6,876 | $1,439 | -20% |
|
Level 2 Neurostimulator and Related Procedures
APC 5462 · Hospital outpatient visit |
40 | $43,381 | $5,408 | +66% |
|
Irregular Heartbeat (uncomplicated)
MS-DRG 310 · Inpatient stay |
39 | $27,868 | $5,092 | +11% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
39 | $57,474 | $5,860 | +45% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
38 | $88,353 | $12,301 | +24% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
38 | $40,469 | $8,046 | +3% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
38 | $29,763 | $7,634 | -21% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
38 | $82,266 | $9,245 | +38% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
35 | $39,257 | $6,787 | +6% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
34 | $52,724 | $9,508 | +10% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
34 | $52,127 | $5,016 | +51% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
31 | $72,022 | $11,523 | +17% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
31 | $50,438 | $10,588 | about average |
|
Level 5 Gynecologic Procedures
APC 5415 · Hospital outpatient visit |
31 | $40,544 | $4,240 | +35% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
29 | $67,879 | $11,003 | +24% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
29 | $76,985 | $14,736 | about average |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
29 | $53,028 | $10,085 | -6% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
29 | $29,696 | $2,732 | +64% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
28 | $37,387 | $7,454 | about average |
|
Disorders of the Biliary Tract with Complications
MS-DRG 445 · Inpatient stay |
28 | $42,934 | $7,986 | -16% |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
27 | $155,142 | $34,396 | -14% |
|
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization
MS-DRG 219 · Inpatient stay |
27 | $325,616 | $58,245 | about average |
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
27 | $147,787 | $27,125 | +31% |
|
Transient Ischemia without Thrombolytic
MS-DRG 069 · Inpatient stay |
26 | $49,099 | $6,108 | +19% |
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay |
26 | $107,032 | $25,607 | -6% |
|
Other Cerebrovascular Disorders with Complications
MS-DRG 071 · Inpatient stay |
26 | $49,927 | $8,503 | +13% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
26 | $10,491 | $1,444 | -7% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
25 | $103,314 | $18,327 | +17% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
25 | $31,760 | $6,413 | about average |
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
24 | $38,995 | $7,496 | about average |
|
COPD (with complications)
MS-DRG 191 · Inpatient stay |
24 | $32,216 | $6,440 | -3% |
|
Gastrointestinal Obstruction without Complications/mcc
MS-DRG 390 · Inpatient stay |
24 | $21,076 | $4,736 | -12% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
24 | $38,004 | $2,909 | +87% |
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
23 | $55,144 | $6,979 | +35% |
|
Coronary Bypass with Cardiac Catheterization or Open Ablation with Major Complications
MS-DRG 233 · Inpatient stay |
23 | $293,237 | $61,193 | -5% |
|
Pulmonary Embolism without Major Complications
MS-DRG 176 · Inpatient stay |
23 | $36,611 | $7,511 | +4% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
22 | $83,018 | $14,723 | about average |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
22 | $60,145 | $6,884 | +37% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
22 | $65,926 | $9,799 | +17% |
|
Signs and Symptoms without Major Complications
MS-DRG 948 · Inpatient stay |
22 | $38,071 | $6,342 | +17% |
|
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major
MS-DRG 981 · Inpatient stay |
22 | $187,375 | $36,287 | about average |
|
Permanent Cardiac Pacemaker Implant with Major Complications
MS-DRG 242 · Inpatient stay |
21 | $101,248 | $23,088 | -27% |
|
Chest Pain
MS-DRG 313 · Inpatient stay |
21 | $34,891 | $5,994 | +3% |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
21 | $64,228 | $11,743 | about average |
|
Laparoscopic Cholecystectomy without C.d.e. with Complications
MS-DRG 418 · Inpatient stay |
21 | $80,682 | $12,608 | about average |
|
Stroke (uncomplicated)
MS-DRG 066 · Inpatient stay |
20 | $41,641 | $5,838 | +16% |
|
Permanent Cardiac Pacemaker Implant with Complications
MS-DRG 243 · Inpatient stay |
20 | $81,693 | $15,822 | -13% |
|
Fractures of Hip and Pelvis without Major Complications
MS-DRG 536 · Inpatient stay |
20 | $26,889 | $6,174 | -18% |
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.