All published prices at Boca Raton Regional Hospital
212 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 |
|---|---|---|---|---|
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay |
27 | $139,381 | $21,319 | +23% |
|
Permanent Cardiac Pacemaker Implant with Complications
MS-DRG 243 · Inpatient stay |
27 | $112,688 | $16,828 | +20% |
|
Major Chest Procedures with Complications
MS-DRG 164 · Inpatient stay |
27 | $145,922 | $20,421 | +34% |
|
Kidney and Ureter Procedures for Non-neoplasm without Complications/mcc
MS-DRG 661 · Inpatient stay |
27 | $52,324 | $8,004 | +11% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
26 | $88,430 | $10,922 | +62% |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
26 | $65,228 | $12,686 | about average |
|
Spinal Fusion Except Cervical without Major Complications
MS-DRG 460 · Inpatient stay |
26 | $181,851 | $26,305 | +25% |
|
Disorders of the Biliary Tract with Major Complications
MS-DRG 444 · Inpatient stay |
26 | $92,145 | $12,601 | +29% |
|
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without
MS-DRG 563 · Inpatient stay |
26 | $34,077 | $6,412 | -7% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
25 | $54,678 | $7,082 | +25% |
|
Malignancy of Hepatobiliary System or Pancreas with Major Complications
MS-DRG 435 · Inpatient stay |
25 | $99,504 | $14,353 | +22% |
|
Level 5 Gynecologic Procedures
APC 5415 · Hospital outpatient visit |
25 | $33,298 | $4,506 | +11% |
|
Major Chest Procedures with Major Complications
MS-DRG 163 · Inpatient stay |
24 | $260,133 | $39,160 | +47% |
|
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major
MS-DRG 981 · Inpatient stay |
24 | $212,987 | $38,317 | +16% |
|
Laparoscopic Cholecystectomy without C.d.e. with Complications
MS-DRG 418 · Inpatient stay |
24 | $93,404 | $12,714 | +13% |
|
Major Gastrointestinal Disorders and Peritoneal Infections with Complications
MS-DRG 372 · Inpatient stay |
24 | $39,293 | $8,413 | about average |
|
Level 2 Neurostimulator and Related Procedures
APC 5462 · Hospital outpatient visit |
24 | $38,451 | $5,990 | +47% |
|
Level 3 Breast/lymphatic Surgery and Related Procedures
APC 5093 · Hospital outpatient visit |
24 | $86,180 | $8,537 | +28% |
|
Stroke (uncomplicated)
MS-DRG 066 · Inpatient stay |
23 | $57,699 | $5,446 | +61% |
|
Other Circulatory System Diagnoses with Complications
MS-DRG 315 · Inpatient stay |
23 | $31,913 | $7,232 | -23% |
|
Hip or Thigh Bone Surgery (uncomplicated)
MS-DRG 482 · Inpatient stay |
23 | $90,705 | $12,706 | +32% |
|
Heart Failure (with complications)
MS-DRG 292 · Inpatient stay |
23 | $40,054 | $6,276 | +21% |
|
Complications of Treatment with Complications
MS-DRG 920 · Inpatient stay |
23 | $50,255 | $7,983 | +14% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
23 | $29,287 | $2,832 | +61% |
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
22 | $52,090 | $6,682 | +28% |
|
Hypertension without Major Complications
MS-DRG 305 · Inpatient stay |
22 | $31,619 | $5,889 | -6% |
|
Signs and Symptoms without Major Complications
MS-DRG 948 · Inpatient stay |
22 | $40,227 | $5,920 | +24% |
|
Other Musculoskeletal System and Connective Tissue Operating Room Procedures with
MS-DRG 516 · Inpatient stay |
22 | $83,757 | $16,609 | -5% |
|
Level 6 Urology and Related Services
APC 5376 · Hospital outpatient visit |
22 | $48,951 | $8,343 | +10% |
|
Extracranial Procedures without Complications/mcc
MS-DRG 039 · Inpatient stay |
21 | $46,511 | $8,650 | -13% |
|
Permanent Cardiac Pacemaker Implant without Complications/mcc
MS-DRG 244 · Inpatient stay |
21 | $94,545 | $13,838 | +24% |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
21 | $59,100 | $6,200 | +54% |
|
Permanent Cardiac Pacemaker Implant with Major Complications
MS-DRG 242 · Inpatient stay |
20 | $168,643 | $24,704 | +22% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
20 | $196,272 | $22,037 | +37% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
20 | $61,866 | $11,007 | +10% |
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major
MS-DRG 897 · Inpatient stay |
20 | $36,836 | $6,338 | +13% |
|
Cervical Spinal Fusion with Complications
MS-DRG 472 · Inpatient stay |
20 | $133,527 | $22,039 | +12% |
|
Disorders of Pancreas Except Malignancy with Complications
MS-DRG 439 · Inpatient stay |
19 | $48,779 | $6,751 | +36% |
|
Kidney Failure (uncomplicated)
MS-DRG 684 · Inpatient stay |
19 | $25,809 | $4,732 | about average |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
19 | $20,437 | $1,538 | +79% |
|
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal
MS-DRG 023 · Inpatient stay |
18 | $271,246 | $44,436 | +18% |
|
Respiratory Neoplasms with Major Complications
MS-DRG 180 · Inpatient stay |
18 | $93,358 | $14,564 | +26% |
|
Combined Anterior and Posterior Spinal Fusion with Complications
MS-DRG 454 · Inpatient stay |
18 | $350,244 | $59,214 | +58% |
|
Endocrine Disorders with Major Complications
MS-DRG 643 · Inpatient stay |
18 | $57,422 | $11,983 | -13% |
|
Complications of Treatment with Major Complications
MS-DRG 919 · Inpatient stay |
18 | $67,336 | $13,605 | -10% |
|
Trauma to the Skin, Subcutaneous Tissue and Breast without Major Complications
MS-DRG 605 · Inpatient stay |
18 | $32,098 | $7,122 | -22% |
|
Degenerative Nervous System Disorders with Major Complications
MS-DRG 056 · Inpatient stay |
17 | $118,684 | $16,323 | +38% |
|
Gastrointestinal Obstruction with Major Complications
MS-DRG 388 · Inpatient stay |
17 | $49,116 | $9,902 | -15% |
|
Percutaneous and Other Intracardiac Procedures with Major Complications
MS-DRG 273 · Inpatient stay |
17 | $251,438 | $33,232 | +36% |
|
Gastrointestinal Bleeding (uncomplicated)
MS-DRG 379 · Inpatient stay |
17 | $29,685 | $5,009 | -5% |
|
Digestive Malignancy with Complications
MS-DRG 375 · Inpatient stay |
17 | $39,535 | $8,646 | -26% |
|
Postoperative and Post-traumatic Infections without Major Complications
MS-DRG 863 · Inpatient stay |
17 | $42,211 | $7,749 | +10% |
|
Complicated Peptic Ulcer with Complications
MS-DRG 381 · Inpatient stay |
17 | $61,933 | $8,398 | +18% |
|
Level 1 Electrophysiologic Procedures
APC 5211 · Hospital outpatient visit |
17 | $5,850 | $1,078 | about average |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
16 | $118,388 | $16,325 | +47% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
16 | $71,679 | $10,412 | +27% |
|
Infection Needing Surgery (with complications)
MS-DRG 854 · Inpatient stay |
16 | $126,208 | $18,845 | +52% |
|
COPD (with complications)
MS-DRG 191 · Inpatient stay |
16 | $35,861 | $6,711 | +8% |
|
Pleural Effusion with Major Complications
MS-DRG 186 · Inpatient stay |
16 | $71,426 | $11,523 | about average |
|
Other Vascular Procedures without Complications/mcc
MS-DRG 254 · Inpatient stay |
16 | $75,406 | $13,018 | about average |
|
Stomach, Esophageal and Duodenal Procedures with Major Complications
MS-DRG 326 · Inpatient stay |
16 | $264,445 | $43,598 | +18% |
|
Digestive Malignancy with Major Complications
MS-DRG 374 · Inpatient stay |
16 | $75,742 | $15,212 | -12% |
|
Endocrine Disorders with Complications
MS-DRG 644 · Inpatient stay |
16 | $50,178 | $7,519 | +30% |
|
Poisoning and Toxic Effects of Drugs with Major Complications
MS-DRG 917 · Inpatient stay |
16 | $61,528 | $11,272 | -9% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
16 | $5,344 | $619 | +70% |
|
Other Kidney and Urinary Tract Procedures with Major Complications
MS-DRG 673 · Inpatient stay |
15 | $180,113 | $29,264 | +17% |
|
Sepsis
MS-DRG 870 · Inpatient stay |
15 | $225,285 | $47,498 | -16% |
|
Laparoscopic Cholecystectomy without C.d.e. without Complications/mcc
MS-DRG 419 · Inpatient stay |
15 | $85,337 | $10,128 | +22% |
|
Other Disorders of Nervous System with Major Complications
MS-DRG 091 · Inpatient stay |
14 | $69,218 | $11,704 | about average |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
14 | $65,009 | $14,506 | +30% |
|
Ventricular Shunt Procedures without Complications/mcc
MS-DRG 033 · Inpatient stay |
14 | $122,029 | $12,276 | +55% |
|
Cranial and Peripheral Nerve Disorders without Major Complications
MS-DRG 074 · Inpatient stay |
14 | $86,333 | $8,005 | +81% |
|
Peritoneal Adhesiolysis with Complications
MS-DRG 336 · Inpatient stay |
14 | $126,519 | $17,906 | +28% |
|
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications
MS-DRG 493 · Inpatient stay |
14 | $103,044 | $17,959 | about average |
|
Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio
MS-DRG 809 · Inpatient stay |
14 | $30,908 | $9,069 | -44% |
|
Respiratory Infection (uncomplicated)
MS-DRG 179 · Inpatient stay |
14 | $27,679 | $5,911 | -18% |
|
Inflammatory Bowel Disease with Complications
MS-DRG 386 · Inpatient stay |
14 | $35,413 | $7,593 | -11% |
|
Level 2 Electrophysiologic Procedures
APC 5212 · Hospital outpatient visit |
14 | $49,060 | $6,765 | +10% |
|
Level 7 Radiation Therapy
APC 5627 · Hospital outpatient visit |
14 | $57,681 | $7,054 | about average |
|
Coronary Bypass with Cardiac Catheterization or Open Ablation with Major Complications
MS-DRG 233 · Inpatient stay |
13 | $412,792 | $62,373 | +34% |
|
Other Vascular Procedures with Major Complications
MS-DRG 252 · Inpatient stay |
13 | $250,160 | $37,057 | +72% |
|
Hypertension with Major Complications
MS-DRG 304 · Inpatient stay |
13 | $64,018 | $9,326 | +28% |
|
Peripheral Vascular Disorders with Major Complications
MS-DRG 299 · Inpatient stay |
13 | $52,528 | $10,835 | -22% |
|
Other Musculoskeletal System and Connective Tissue Operating Room Procedures without
MS-DRG 517 · Inpatient stay |
13 | $70,529 | $11,515 | -4% |
|
Other Kidney and Urinary Tract Procedures with Complications
MS-DRG 674 · Inpatient stay |
13 | $115,346 | $18,380 | +18% |
|
Major Gastrointestinal Disorders and Peritoneal Infections with Major Complications
MS-DRG 371 · Inpatient stay |
13 | $74,973 | $13,735 | +9% |
|
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with
MS-DRG 543 · Inpatient stay |
13 | $43,832 | $8,103 | +6% |
|
Dysequilibrium
MS-DRG 149 · Inpatient stay |
13 | $38,927 | $5,698 | about average |
|
Level 1 Neurostimulator and Related Procedures
APC 5461 · Hospital outpatient visit |
13 | $28,779 | $3,082 | +26% |
|
Other Vascular Procedures with Complications
MS-DRG 253 · Inpatient stay |
12 | $119,456 | $20,987 | +6% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture with Major Complications
MS-DRG 521 · Inpatient stay |
12 | $179,227 | $24,841 | +59% |
|
Malignancy of Hepatobiliary System or Pancreas with Complications
MS-DRG 436 · Inpatient stay |
12 | $56,504 | $8,667 | +4% |
|
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major
MS-DRG 441 · Inpatient stay |
12 | $99,611 | $14,662 | +31% |
|
Revision of Hip or Knee Replacement with Major Complications
MS-DRG 466 · Inpatient stay |
12 | $261,970 | $38,098 | +21% |
|
Major Joint or Limb Reattachment Procedures of Upper Extremities
MS-DRG 483 · Inpatient stay |
12 | $204,316 | $20,076 | +99% |
|
Postoperative or Post-traumatic Infections with Operating Room Procedures with
MS-DRG 857 · Inpatient stay |
12 | $97,570 | $14,817 | about average |
|
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Complications
MS-DRG 982 · Inpatient stay |
12 | $126,854 | $19,012 | +21% |
|
Other Respiratory System Diagnoses without Major Complications
MS-DRG 206 · Inpatient stay |
12 | $42,563 | $7,141 | -8% |
|
Fractures of Hip and Pelvis with Major Complications
MS-DRG 535 · Inpatient stay |
12 | $55,905 | $10,148 | +8% |
|
Disorders of Pancreas Except Malignancy with Major Complications
MS-DRG 438 · Inpatient stay |
12 | $63,435 | $13,461 | -9% |
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.