All published prices at Bay Area Hospital
87 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 |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
225 | $57,229 | $21,806 | -12% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
219 | $15,221 | $2,980 | -22% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
196 | $5,131 | $1,757 | -49% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
165 | $39,375 | $14,647 | -9% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
101 | $46,472 | $18,028 | -24% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
87 | $19,749 | $3,536 | -22% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
79 | $40,922 | $14,590 | -12% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
74 | $24,823 | $5,592 | -10% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
72 | $26,515 | $6,234 | -24% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
72 | $19,305 | $3,796 | -6% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
59 | $40,860 | $18,285 | -26% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
58 | $36,449 | $7,712 | -9% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
58 | $15,955 | $3,483 | -17% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
56 | $35,779 | $11,933 | -21% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
52 | $29,766 | $10,019 | -10% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
47 | $33,168 | $10,409 | -24% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
44 | $51,020 | $20,959 | -36% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
43 | $48,251 | $13,854 | about average |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
43 | $23,918 | $8,192 | -22% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
42 | $38,613 | $11,375 | about average |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
42 | $47,833 | $14,353 | -23% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
41 | $33,752 | $14,841 | -30% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
41 | $67,201 | $11,750 | about average |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
40 | $12,286 | $3,047 | -31% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
37 | $17,739 | $2,225 | +37% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
36 | $36,696 | $12,380 | -12% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
36 | $28,963 | $9,102 | -10% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
36 | $54,922 | $17,343 | +52% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
35 | $84,982 | $20,374 | -16% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
35 | $38,964 | $16,499 | -26% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
34 | $32,643 | $11,086 | -21% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
33 | $33,566 | $9,277 | -11% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
31 | $107,497 | $55,303 | -40% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
31 | $4,449 | $1,750 | -48% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
29 | $28,183 | $6,245 | -19% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
28 | $37,478 | $13,243 | -21% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
28 | $31,161 | $6,922 | -21% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
27 | $97,095 | $31,386 | -32% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
27 | $39,993 | $18,867 | -30% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
27 | $17,386 | $2,546 | +48% |
|
Fainting
MS-DRG 312 · Inpatient stay |
26 | $34,802 | $9,193 | -5% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
26 | $80,504 | $22,835 | -3% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
26 | $37,839 | $13,492 | -7% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
26 | $41,188 | $11,233 | -31% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
26 | $31,815 | $6,398 | -7% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
25 | $27,212 | $8,890 | -11% |
|
Other Factors Influencing Health Status
MS-DRG 951 · Inpatient stay |
25 | $18,223 | $6,566 | -17% |
|
Transient Ischemia without Thrombolytic
MS-DRG 069 · Inpatient stay |
24 | $29,169 | $8,794 | -29% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
24 | $21,105 | $3,536 | +4% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
23 | $21,690 | $4,165 | -9% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
22 | $30,399 | $9,333 | about average |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
22 | $53,009 | $15,965 | -6% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
21 | $26,714 | $8,897 | -10% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
20 | $17,449 | $3,416 | -4% |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
20 | $36,604 | $6,593 | -5% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
19 | $70,618 | $23,208 | -18% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
19 | $66,193 | $20,311 | -20% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
19 | $16,719 | $3,780 | -28% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
18 | $33,031 | $15,397 | -41% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
18 | $42,165 | $11,095 | -18% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
18 | $11,402 | $1,756 | about average |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
17 | $50,510 | $22,003 | -34% |
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay |
17 | $78,318 | $29,517 | -31% |
|
Acute Myocardial Infarction, Expired with Major Complications
MS-DRG 283 · Inpatient stay |
17 | $60,173 | $21,577 | -29% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major
MS-DRG 287 · Inpatient stay |
17 | $34,824 | $12,504 | -36% |
|
Hip or Thigh Bone Surgery (severe)
MS-DRG 480 · Inpatient stay |
16 | $120,742 | $32,977 | about average |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
16 | $9,831 | $2,079 | -16% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
15 | $32,363 | $9,084 | about average |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
15 | $142,953 | $57,455 | -20% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
15 | $56,586 | $20,363 | -20% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
15 | $25,028 | $14,029 | -51% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
15 | $29,950 | $9,961 | -19% |
|
Other Cerebrovascular Disorders with Major Complications
MS-DRG 070 · Inpatient stay |
14 | $32,783 | $19,446 | -50% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
14 | $58,892 | $26,377 | -41% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
14 | $22,632 | $9,954 | -35% |
|
Hypertension without Major Complications
MS-DRG 305 · Inpatient stay |
13 | $25,955 | $8,288 | -23% |
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major
MS-DRG 897 · Inpatient stay |
13 | $28,053 | $9,501 | -14% |
|
Chest Pain
MS-DRG 313 · Inpatient stay |
12 | $21,283 | $7,955 | -37% |
|
Kidney and Ureter Procedures for Non-neoplasm with Complications
MS-DRG 660 · Inpatient stay |
12 | $56,077 | $14,183 | about average |
|
Hip Replacement with Principal Diagnosis of Hip Fracture with Major Complications
MS-DRG 521 · Inpatient stay |
12 | $83,602 | $34,727 | -26% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
12 | $137,388 | $35,831 | -8% |
|
Level 4 ENT Procedures
APC 5164 · Hospital outpatient visit |
12 | $22,577 | $3,518 | +19% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
11 | $46,616 | $16,918 | -15% |
|
Disorders of Pancreas Except Malignancy with Complications
MS-DRG 439 · Inpatient stay |
11 | $23,648 | $9,418 | -34% |
|
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications
MS-DRG 493 · Inpatient stay |
11 | $76,854 | $26,397 | -24% |
|
Major Gastrointestinal Disorders and Peritoneal Infections with Major Complications
MS-DRG 371 · Inpatient stay |
11 | $42,427 | $19,198 | -38% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
11 | $15,700 | $4,091 | -31% |
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.