CostGrade

All published prices at Bayhealth Hospital, Sussex Campus

82 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
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

457 $19,249 $2,722 about average
Sepsis (severe)

MS-DRG 871 · Inpatient stay

275 $55,323 $16,239 -15%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

197 $38,077 $10,999 -12%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

127 $11,395 $1,770 -12%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

121 $52,394 $13,184 -16%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

94 $11,775 $1,613 +17%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

84 $18,842 $3,498 -9%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

77 $38,061 $10,974 -18%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

67 $56,728 $13,092 +3%
COPD (severe)

MS-DRG 190 · Inpatient stay

65 $35,913 $11,589 -14%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

60 $5,713 $1,937 -50%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

56 $5,471 $1,613 -51%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

55 $25,464 $7,177 -21%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

55 $39,376 $9,380 about average
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

54 $27,453 $5,191 about average
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

50 $24,462 $6,766 -18%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

48 $68,805 $10,318 +15%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

45 $40,175 $5,789 +14%
Level 2 Urology and Related Services

APC 5372 · Hospital outpatient visit

45 $2,343 $685 -25%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

43 $32,174 $11,393 -34%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

42 $27,203 $6,544 -11%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

41 $31,666 $9,653 -22%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

38 $28,248 $7,464 -11%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

38 $20,738 $3,198 +9%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

37 $24,665 $2,851 +39%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

36 $25,429 $6,472 -17%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

35 $39,196 $10,212 -14%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

35 $28,116 $7,776 -8%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

35 $101,132 $38,736 -43%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

32 $27,431 $6,992 -12%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

32 $50,754 $14,114 -4%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

32 $30,708 $7,767 -7%
Fainting

MS-DRG 312 · Inpatient stay

26 $33,847 $7,531 -8%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

25 $45,960 $10,120 about average
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

25 $64,215 $16,656 -23%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

24 $32,107 $9,091 -22%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

23 $20,847 $5,000 -17%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

22 $26,881 $7,610 -28%
Respiratory Failure

MS-DRG 189 · Inpatient stay

21 $45,505 $9,954 -6%
Coagulation Disorders

MS-DRG 813 · Inpatient stay

21 $42,626 $14,281 -36%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

21 $30,289 $7,178 -24%
Seizures with Major Complications

MS-DRG 100 · Inpatient stay

20 $63,024 $18,058 -22%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

20 $34,605 $12,060 -44%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

20 $43,839 $11,724 -15%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

20 $10,121 $1,909 -14%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

20 $23,263 $2,817 +40%
Stroke (severe)

MS-DRG 064 · Inpatient stay

19 $71,070 $14,698 -7%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

19 $18,194 $3,248 -11%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

18 $44,523 $12,520 -22%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

18 $63,149 $18,654 -24%
Level 5 Gynecologic Procedures

APC 5415 · Hospital outpatient visit

18 $23,474 $4,990 -22%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

16 $48,405 $11,359 -11%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

16 $68,882 $16,788 +22%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

16 $9,933 $1,557 +16%
Stroke (uncomplicated)

MS-DRG 066 · Inpatient stay

15 $33,063 $6,043 -8%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

15 $42,849 $7,912 +5%
Gastrointestinal Obstruction with Major Complications

MS-DRG 388 · Inpatient stay

15 $33,984 $11,540 -41%
Kidney and Ureter Procedures for Non-neoplasm without Complications/mcc

MS-DRG 661 · Inpatient stay

15 $30,506 $8,859 -35%
Gastrointestinal Obstruction without Complications/mcc

MS-DRG 390 · Inpatient stay

15 $20,795 $6,580 -13%
Level 4 Neurostimulator and Related Procedures

APC 5464 · Hospital outpatient visit

15 $48,907 $21,891 -39%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

14 $48,419 $17,051 -38%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

14 $41,297 $13,831 -42%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

14 $32,303 $10,889 -14%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

14 $35,831 $3,471 +54%
Hypertension with Major Complications

MS-DRG 304 · Inpatient stay

13 $33,777 $12,222 -32%
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

13 $21,137 $6,563 -37%
Kidney and Ureter Procedures for Non-neoplasm with Complications

MS-DRG 660 · Inpatient stay

13 $41,143 $11,032 -26%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

13 $45,954 $13,541 -28%
Bronchitis and Asthma with Complications/mcc

MS-DRG 202 · Inpatient stay

13 $34,794 $8,237 -12%
Peripheral Vascular Disorders with Complications

MS-DRG 300 · Inpatient stay

12 $28,178 $8,540 -34%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

12 $99,734 $22,719 about average
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

12 $37,309 $12,141 -5%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

12 $34,274 $12,165 -39%
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major

MS-DRG 897 · Inpatient stay

12 $24,495 $11,036 -25%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

12 $14,625 $3,137 -19%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

11 $27,394 $8,141 -26%
Other Respiratory System Diagnoses with Major Complications

MS-DRG 205 · Inpatient stay

11 $43,624 $13,952 -43%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

11 $70,299 $16,679 -18%
COPD (with complications)

MS-DRG 191 · Inpatient stay

11 $30,776 $7,181 -8%
Skin Infection (severe)

MS-DRG 602 · Inpatient stay

11 $42,430 $12,462 -17%
Major Gastrointestinal Disorders and Peritoneal Infections with Complications

MS-DRG 372 · Inpatient stay

11 $30,542 $8,895 -23%
Dysequilibrium

MS-DRG 149 · Inpatient stay

11 $34,156 $6,528 -13%

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.