All published prices at Berkshire Medical Center
136 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 |
|---|---|---|---|---|
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
1,034 | $923 | $771 | -71% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
758 | $15,418 | $3,068 | -21% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
471 | $35,838 | $21,682 | -45% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
367 | $22,230 | $14,422 | -49% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
355 | $6,232 | $2,178 | -45% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
341 | $7,943 | $1,829 | -21% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
329 | $5,849 | $2,297 | -55% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
314 | $12,021 | $2,130 | about average |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
249 | $4,683 | $1,808 | -58% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
199 | $9,669 | $3,566 | -49% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
185 | $22,304 | $5,836 | -19% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
177 | $32,682 | $6,449 | -7% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
172 | $42,894 | $14,740 | -31% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
170 | $28,544 | $18,087 | -48% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
135 | $14,301 | $3,909 | -31% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
123 | $24,775 | $14,374 | -47% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
121 | $29,481 | $8,069 | -26% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
105 | $14,541 | $3,604 | -29% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
99 | $23,554 | $16,367 | -56% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
84 | $15,099 | $3,681 | -40% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
78 | $20,572 | $3,205 | +16% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
77 | $33,035 | $19,402 | -54% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
75 | $31,217 | $18,179 | -45% |
|
Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy
MS-DRG 895 · Inpatient stay |
75 | $8,686 | $17,032 | -75% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
73 | $25,915 | $11,120 | -43% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
73 | $22,010 | $10,798 | -47% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
73 | $59,207 | $22,691 | -29% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
67 | $21,263 | $11,344 | -46% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
66 | $98,881 | $53,916 | -44% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
65 | $5,090 | $1,806 | -41% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
63 | $15,693 | $8,565 | -49% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
63 | $20,268 | $4,299 | -15% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
59 | $24,274 | $14,249 | -50% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
57 | $11,578 | $3,446 | -36% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
56 | $22,373 | $13,213 | -54% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
56 | $50,823 | $19,912 | -36% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
53 | $20,459 | $9,101 | -31% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
52 | $20,609 | $4,224 | -9% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
51 | $25,113 | $3,902 | +8% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
50 | $17,395 | $9,576 | -54% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
50 | $48,069 | $11,396 | -20% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
48 | $51,319 | $22,673 | -40% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
47 | $38,796 | $21,951 | -49% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
47 | $25,174 | $17,193 | -59% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
47 | $16,769 | $8,241 | -45% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
47 | $14,166 | $9,907 | -57% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
43 | $22,311 | $10,802 | -40% |
|
Alcohol, Drug Abuse or Dependence, Left Ama
MS-DRG 894 · Inpatient stay |
42 | $7,128 | $6,444 | -49% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
41 | $19,010 | $12,247 | -55% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
40 | $18,104 | $8,717 | -44% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
38 | $16,917 | $8,814 | -46% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
37 | $19,510 | $13,219 | -59% |
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major
MS-DRG 897 · Inpatient stay |
36 | $25,544 | $13,518 | -22% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
35 | $32,540 | $12,028 | -37% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
34 | $22,340 | $12,950 | -45% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
33 | $19,411 | $9,098 | -39% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
33 | $24,401 | $10,636 | -38% |
|
Major Chest Procedures with Complications
MS-DRG 164 · Inpatient stay |
33 | $87,547 | $27,587 | -19% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
28 | $22,840 | $15,174 | -58% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
28 | $17,150 | $9,912 | -44% |
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with Major Complications
MS-DRG 896 · Inpatient stay |
28 | $25,863 | $19,461 | -61% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
28 | $39,415 | $7,355 | about average |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
27 | $98,501 | $51,629 | -45% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
27 | $21,772 | $13,839 | -58% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
27 | $19,672 | $10,068 | -43% |
|
Major Chest Procedures with Major Complications
MS-DRG 163 · Inpatient stay |
26 | $114,013 | $50,483 | -35% |
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay |
26 | $67,295 | $29,583 | -41% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
25 | $53,650 | $18,941 | -44% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
24 | $60,132 | $25,486 | -40% |
|
Sepsis
MS-DRG 870 · Inpatient stay |
24 | $122,003 | $73,995 | -55% |
|
Poisoning and Toxic Effects of Drugs with Major Complications
MS-DRG 917 · Inpatient stay |
24 | $39,671 | $17,506 | -42% |
|
Hip or Thigh Bone Surgery (severe)
MS-DRG 480 · Inpatient stay |
23 | $57,339 | $31,621 | -51% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
23 | $19,002 | $10,923 | -50% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
23 | $9,896 | $1,914 | -13% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
23 | $15,341 | $3,057 | -7% |
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
22 | $19,586 | $10,105 | -52% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
22 | $41,439 | $22,353 | -47% |
|
Gastrointestinal Obstruction with Major Complications
MS-DRG 388 · Inpatient stay |
21 | $27,730 | $15,916 | -52% |
|
Kidney and Ureter Procedures for Non-neoplasm with Complications
MS-DRG 660 · Inpatient stay |
21 | $24,296 | $14,279 | -56% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
21 | $17,819 | $9,873 | -52% |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
21 | $27,236 | $17,526 | -58% |
|
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with
MS-DRG 543 · Inpatient stay |
21 | $24,374 | $12,212 | -41% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
20 | $27,244 | $15,198 | -43% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
20 | $23,247 | $17,251 | -59% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
20 | $26,870 | $15,262 | -52% |
|
Level 3 Upper GI Procedures
APC 5303 · Hospital outpatient visit |
20 | $23,019 | $4,320 | +5% |
|
Irregular Heartbeat (uncomplicated)
MS-DRG 310 · Inpatient stay |
18 | $10,431 | $6,405 | -59% |
|
Other Factors Influencing Health Status
MS-DRG 951 · Inpatient stay |
18 | $11,525 | $6,548 | -47% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
18 | $49,428 | $26,712 | -63% |
|
Level 5 Gynecologic Procedures
APC 5415 · Hospital outpatient visit |
18 | $24,044 | $5,610 | -20% |
|
Endocrine Disorders with Major Complications
MS-DRG 643 · Inpatient stay |
17 | $31,245 | $17,996 | -53% |
|
Extracranial Procedures with Complications
MS-DRG 038 · Inpatient stay |
16 | $37,427 | $16,821 | -44% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
16 | $43,300 | $21,926 | -46% |
|
Permanent Cardiac Pacemaker Implant with Complications
MS-DRG 243 · Inpatient stay |
16 | $52,273 | $24,313 | -44% |
|
COPD (with complications)
MS-DRG 191 · Inpatient stay |
16 | $16,372 | $9,444 | -51% |
|
Complications of Treatment with Major Complications
MS-DRG 919 · Inpatient stay |
16 | $34,519 | $19,522 | -54% |
|
Stroke (uncomplicated)
MS-DRG 066 · Inpatient stay |
15 | $13,977 | $8,136 | -61% |
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
15 | $20,173 | $10,120 | -48% |
|
Fractures of Hip and Pelvis without Major Complications
MS-DRG 536 · Inpatient stay |
15 | $15,938 | $9,007 | -51% |
|
Postoperative and Post-traumatic Infections with Major Complications
MS-DRG 862 · Inpatient stay |
15 | $37,688 | $20,232 | -49% |
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.