CostGrade

All published prices at Avera Mckennan Hospital & University Health Center

206 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
Major Gastrointestinal Disorders and Peritoneal Infections with Complications

MS-DRG 372 · Inpatient stay

26 $36,126 $8,429 -9%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

25 $51,546 $11,142 -5%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

25 $37,002 $9,315 -22%
Disorders of the Biliary Tract with Major Complications

MS-DRG 444 · Inpatient stay

25 $57,254 $12,855 -20%
Organic Disturbances and Intellectual Disability

MS-DRG 884 · Inpatient stay

24 $54,219 $12,281 +9%
Laparoscopic Cholecystectomy without C.d.e. with Complications

MS-DRG 418 · Inpatient stay

24 $60,929 $13,230 -26%
Other Cerebrovascular Disorders with Complications

MS-DRG 071 · Inpatient stay

24 $63,059 $8,885 +42%
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major

MS-DRG 441 · Inpatient stay

24 $59,764 $14,123 -22%
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications

MS-DRG 493 · Inpatient stay

24 $104,898 $17,872 +3%
Gastrointestinal Obstruction with Major Complications

MS-DRG 388 · Inpatient stay

23 $74,684 $12,408 +30%
Postoperative and Post-traumatic Infections with Major Complications

MS-DRG 862 · Inpatient stay

23 $76,297 $14,375 about average
Traumatic Stupor and Coma >1 Hour with Major Complications

MS-DRG 082 · Inpatient stay

23 $112,809 $17,811 +16%
Revision of Hip or Knee Replacement without Complications/mcc

MS-DRG 468 · Inpatient stay

23 $115,415 $20,103 +6%
Laparoscopic Cholecystectomy without C.d.e. with Major Complications

MS-DRG 417 · Inpatient stay

23 $70,895 $17,962 -33%
Other Cerebrovascular Disorders with Major Complications

MS-DRG 070 · Inpatient stay

22 $77,238 $14,555 +17%
Chemotherapy without Acute Leukemia as Secondary Diagnosis with Complications

MS-DRG 847 · Inpatient stay

22 $61,178 $11,625 +14%
Complications of Treatment with Complications

MS-DRG 920 · Inpatient stay

22 $45,581 $8,421 +3%
Cochlear Implant Procedure

APC 5166 · Hospital outpatient visit

22 $133,275 $31,345 +9%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

21 $43,807 $7,590 +18%
Kidney and Ureter Procedures for Neoplasm with Complications

MS-DRG 657 · Inpatient stay

21 $63,363 $14,342 -29%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

21 $34,082 $7,451 -7%
Major Gastrointestinal Disorders and Peritoneal Infections with Major Complications

MS-DRG 371 · Inpatient stay

21 $58,864 $13,347 -14%
Seizures with Major Complications

MS-DRG 100 · Inpatient stay

20 $70,807 $14,896 -12%
Sepsis

MS-DRG 870 · Inpatient stay

20 $306,742 $56,885 +14%
Major Joint or Limb Reattachment Procedures of Upper Extremities

MS-DRG 483 · Inpatient stay

20 $90,299 $19,068 -12%
Endocrine Disorders with Complications

MS-DRG 644 · Inpatient stay

20 $38,957 $8,710 about average
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Complications

MS-DRG 982 · Inpatient stay

20 $107,063 $19,114 about average
Dysequilibrium

MS-DRG 149 · Inpatient stay

20 $33,076 $6,348 -16%
Depressive Neuroses

MS-DRG 881 · Inpatient stay

20 $22,209 $7,929 about average
Degenerative Nervous System Disorders with Major Complications

MS-DRG 056 · Inpatient stay

19 $100,611 $20,702 +17%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

19 $47,433 $8,285 +28%
COPD (severe)

MS-DRG 190 · Inpatient stay

19 $32,022 $8,572 -23%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

19 $29,683 $7,540 -14%
Signs and Symptoms without Major Complications

MS-DRG 948 · Inpatient stay

19 $38,743 $6,720 +19%
Hip Replacement with Principal Diagnosis of Hip Fracture with Major Complications

MS-DRG 521 · Inpatient stay

19 $113,603 $23,099 about average
Craniotomy and Endovascular Intracranial Procedures without Complications/mcc

MS-DRG 027 · Inpatient stay

19 $140,128 $18,493 +15%
Cirrhosis and Alcoholic Hepatitis with Major Complications

MS-DRG 432 · Inpatient stay

19 $67,351 $15,540 -16%
Other Musculoskeletal System and Connective Tissue Operating Room Procedures with

MS-DRG 516 · Inpatient stay

19 $70,563 $15,513 -20%
Other Operating Room Procedures for Injuries with Major Complications

MS-DRG 907 · Inpatient stay

19 $178,477 $34,047 +3%
Disorders of Pancreas Except Malignancy with Major Complications

MS-DRG 438 · Inpatient stay

19 $57,442 $13,292 -17%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

18 $57,623 $11,649 about average
Disorders of Pancreas Except Malignancy with Complications

MS-DRG 439 · Inpatient stay

18 $30,033 $7,131 -16%
Complications of Treatment with Major Complications

MS-DRG 919 · Inpatient stay

18 $54,151 $14,457 -28%
Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma

MS-DRG 956 · Inpatient stay

18 $145,252 $28,132 -19%
Level 3 Breast/lymphatic Surgery and Related Procedures

APC 5093 · Hospital outpatient visit

18 $63,207 $8,835 -6%
Carotid Artery Stent Procedures without Complications/mcc

MS-DRG 036 · Inpatient stay

17 $97,131 $15,686 +38%
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major

MS-DRG 897 · Inpatient stay

17 $18,035 $7,127 -45%
Respiratory Neoplasms with Major Complications

MS-DRG 180 · Inpatient stay

17 $79,738 $14,272 +7%
Stomach, Esophageal and Duodenal Procedures with Major Complications

MS-DRG 326 · Inpatient stay

17 $199,967 $40,972 -10%
Malignancy of Hepatobiliary System or Pancreas with Major Complications

MS-DRG 435 · Inpatient stay

17 $64,512 $13,895 -21%
Cervical Spinal Fusion with Complications

MS-DRG 472 · Inpatient stay

17 $122,360 $22,328 about average
Endocrine Disorders with Major Complications

MS-DRG 643 · Inpatient stay

17 $88,140 $15,560 +34%
Kidney and Ureter Procedures for Non-neoplasm without Complications/mcc

MS-DRG 661 · Inpatient stay

17 $45,913 $8,932 about average
Other Kidney and Urinary Tract Procedures with Complications

MS-DRG 674 · Inpatient stay

17 $92,486 $19,424 -5%
Poisoning and Toxic Effects of Drugs with Major Complications

MS-DRG 917 · Inpatient stay

17 $51,435 $11,974 -24%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

16 $28,359 $6,121 -7%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

16 $54,805 $11,485 about average
Other Operating Room Procedures for Injuries with Complications

MS-DRG 908 · Inpatient stay

16 $67,856 $15,672 -25%
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with

MS-DRG 543 · Inpatient stay

16 $46,184 $9,061 +11%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

15 $68,794 $15,396 -17%
Other Major Cardiovascular Procedures with Major Complications

MS-DRG 270 · Inpatient stay

15 $183,304 $41,801 -18%
Autologous Bone Marrow Transplant with Complications/mcc

MS-DRG 016 · Inpatient stay

15 $134,270 $47,299 -44%
Traumatic Stupor and Coma >1 Hour with Complications

MS-DRG 083 · Inpatient stay

15 $73,263 $11,241 +22%
Digestive Malignancy with Major Complications

MS-DRG 374 · Inpatient stay

15 $93,321 $18,545 +8%
Acute Adjustment Reaction and Psychosocial Dysfunction

MS-DRG 880 · Inpatient stay

15 $38,439 $8,143 -6%
Major Male Pelvic Procedures without Complications/mcc

MS-DRG 708 · Inpatient stay

15 $70,178 $11,733 -19%
Level 1 Neurostimulator and Related Procedures

APC 5461 · Hospital outpatient visit

15 $14,379 $3,190 -37%
Major Chest Procedures with Major Complications

MS-DRG 163 · Inpatient stay

14 $126,787 $34,265 -28%
Craniotomy and Endovascular Intracranial Procedures with Complications

MS-DRG 026 · Inpatient stay

14 $153,911 $22,778 +15%
Nervous System Neoplasms with Major Complications

MS-DRG 054 · Inpatient stay

14 $56,045 $11,959 -15%
Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D

MS-DRG 464 · Inpatient stay

14 $87,578 $21,980 -36%
Kidney Transplant

MS-DRG 652 · Inpatient stay

14 $338,888 $22,932 +15%
Postoperative and Post-traumatic Infections without Major Complications

MS-DRG 863 · Inpatient stay

14 $33,891 $7,854 -11%
Other Circulatory System Operating Room Procedures

MS-DRG 264 · Inpatient stay

14 $104,300 $25,159 -23%
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Major

MS-DRG 542 · Inpatient stay

14 $67,391 $14,799 about average
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

14 $83,289 $16,406 -13%
Level 4 Breast/lymphatic Surgery and Related Procedures

APC 5094 · Hospital outpatient visit

14 $94,861 $16,487 about average
Stroke (uncomplicated)

MS-DRG 066 · Inpatient stay

13 $39,025 $5,968 +9%
Other Respiratory System Diagnoses with Major Complications

MS-DRG 205 · Inpatient stay

13 $61,660 $14,243 -19%
Interstitial Lung Disease with Major Complications

MS-DRG 196 · Inpatient stay

13 $62,545 $15,180 -22%
Other Major Cardiovascular Procedures with Complications

MS-DRG 271 · Inpatient stay

13 $150,721 $26,416 about average
Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D

MS-DRG 463 · Inpatient stay

13 $150,345 $38,543 -47%
Kidney and Ureter Procedures for Neoplasm without Complications/mcc

MS-DRG 658 · Inpatient stay

13 $63,780 $11,685 -17%
Chemotherapy without Acute Leukemia as Secondary Diagnosis with Major Complications

MS-DRG 846 · Inpatient stay

13 $100,545 $21,566 -7%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

12 $46,262 $7,559 +6%
Peripheral Vascular Disorders with Major Complications

MS-DRG 299 · Inpatient stay

12 $70,129 $14,756 +4%
Postoperative or Post-traumatic Infections with Operating Room Procedures with Major

MS-DRG 856 · Inpatient stay

12 $159,237 $32,346 -16%
Gastrointestinal Obstruction without Complications/mcc

MS-DRG 390 · Inpatient stay

12 $26,242 $4,950 +9%
Signs and Symptoms of Musculoskeletal System and Connective Tissue without Major

MS-DRG 556 · Inpatient stay

12 $40,106 $7,258 +6%
Hip or Knee Replacement (severe)

MS-DRG 469 · Inpatient stay

12 $139,122 $25,493 about average
Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Major

MS-DRG 020 · Inpatient stay

12 $422,630 $78,079 +21%
Major Male Pelvic Procedures with Complications/mcc

MS-DRG 707 · Inpatient stay

12 $79,071 $16,137 -18%
Carotid Artery Stent Procedures with Major Complications

MS-DRG 034 · Inpatient stay

12 $211,754 $32,850 +7%
Level 6 Urology and Related Services

APC 5376 · Hospital outpatient visit

12 $34,605 $8,635 -22%
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

11 $32,495 $6,533 about average
Fractures of Hip and Pelvis without Major Complications

MS-DRG 536 · Inpatient stay

11 $21,519 $6,698 -34%
Hip or Thigh Bone Surgery (uncomplicated)

MS-DRG 482 · Inpatient stay

11 $60,292 $13,579 -12%
Multiple Level Spinal Fusion Except Cervical without Major Complications

MS-DRG 448 · Inpatient stay

11 $217,152 $31,239 +54%
Combined Anterior and Posterior Spinal Fusion with Complications

MS-DRG 454 · Inpatient stay

11 $281,382 $49,503 +27%
Skin Infection (severe)

MS-DRG 602 · Inpatient stay

11 $72,046 $12,417 +40%

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.