All published prices at Carilion Medical Center
240 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 |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
1,164 | $14,957 | $2,341 | -23% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
711 | $68,644 | $17,258 | +5% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
662 | $73,197 | $11,171 | +17% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
602 | $7,727 | $1,376 | -23% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
334 | $40,585 | $11,612 | -7% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
332 | $6,576 | $1,662 | -42% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
264 | $28,274 | $2,764 | +12% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
264 | $3,543 | $1,373 | -68% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
237 | $7,812 | $1,754 | -40% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
227 | $51,376 | $6,072 | +29% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
222 | $8,183 | $1,615 | -30% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
202 | $48,994 | $4,909 | +40% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
200 | $53,039 | $13,395 | -14% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
192 | $1,129 | $587 | -64% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
162 | $189,701 | $42,406 | +7% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
151 | $114,512 | $25,137 | -8% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
148 | $80,070 | $16,730 | -4% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
142 | $79,575 | $18,284 | +4% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
142 | $103,246 | $15,606 | +24% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
132 | $18,179 | $2,711 | -5% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
132 | $54,668 | $9,188 | +6% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
125 | $46,624 | $14,329 | -15% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
124 | $42,625 | $9,526 | -6% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
120 | $21,790 | $2,741 | +7% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
108 | $168,105 | $36,774 | -11% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
107 | $41,851 | $9,694 | +7% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
106 | $22,473 | $2,965 | +9% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
99 | $83,133 | $16,484 | about average |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
99 | $119,999 | $20,396 | -10% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
96 | $89,159 | $8,737 | +49% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
92 | $18,859 | $2,446 | +7% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
90 | $8,579 | $1,345 | about average |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
89 | $41,619 | $4,973 | +21% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
88 | $58,831 | $5,563 | +49% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
86 | $37,605 | $4,511 | +4% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
86 | $81,005 | $9,465 | +20% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
83 | $27,582 | $4,455 | about average |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
82 | $18,324 | $3,200 | -19% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
81 | $38,896 | $8,718 | -6% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
81 | $43,957 | $12,341 | -17% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
79 | $42,836 | $11,402 | -8% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
78 | $48,452 | $11,817 | about average |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
77 | $148,628 | $17,928 | +46% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
76 | $55,361 | $15,283 | -22% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
75 | $39,642 | $8,867 | -9% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
75 | $26,481 | $7,401 | -13% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
75 | $44,556 | $11,728 | -8% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
75 | $22,905 | $2,947 | about average |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications
MS-DRG 266 · Inpatient stay |
70 | $199,865 | $50,170 | -17% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
69 | $39,036 | $10,562 | -4% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
69 | $53,823 | $13,776 | -5% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
63 | $12,045 | $2,336 | -27% |
|
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with
MS-DRG 543 · Inpatient stay |
62 | $27,205 | $9,187 | -34% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
62 | $7,173 | $988 | -37% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
60 | $30,222 | $7,171 | about average |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
60 | $28,808 | $7,998 | -13% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
60 | $29,317 | $7,511 | about average |
|
Combined Anterior and Posterior Spinal Fusion with Complications
MS-DRG 454 · Inpatient stay |
60 | $209,799 | $49,079 | -6% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
59 | $36,818 | $10,110 | -22% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
58 | $33,325 | $3,206 | +40% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
56 | $173,447 | $27,895 | +21% |
|
Level 4 ENT Procedures
APC 5164 · Hospital outpatient visit |
56 | $33,135 | $2,683 | +75% |
|
Level 4 Neurostimulator and Related Procedures
APC 5464 · Hospital outpatient visit |
55 | $84,442 | $18,476 | +5% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
54 | $25,626 | $8,260 | -16% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
54 | $133,590 | $27,747 | -10% |
|
Extracranial Procedures without Complications/mcc
MS-DRG 039 · Inpatient stay |
53 | $67,523 | $10,122 | +27% |
|
Irregular Heartbeat (uncomplicated)
MS-DRG 310 · Inpatient stay |
53 | $20,316 | $5,458 | -19% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
52 | $30,801 | $7,627 | -5% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
52 | $31,544 | $7,314 | -17% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
51 | $40,456 | $4,844 | +17% |
|
Permanent Cardiac Pacemaker Implant with Complications
MS-DRG 243 · Inpatient stay |
48 | $102,818 | $19,643 | +10% |
|
Craniotomy and Endovascular Intracranial Procedures with Major Complications
MS-DRG 025 · Inpatient stay |
47 | $173,817 | $34,958 | -10% |
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay |
47 | $98,417 | $24,798 | -13% |
|
Level 3 Upper GI Procedures
APC 5303 · Hospital outpatient visit |
46 | $13,993 | $3,240 | -36% |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
45 | $187,032 | $40,592 | +4% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
45 | $33,430 | $9,217 | -14% |
|
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal
MS-DRG 023 · Inpatient stay |
44 | $178,453 | $44,233 | -22% |
|
Major Chest Procedures with Complications
MS-DRG 164 · Inpatient stay |
44 | $110,811 | $21,084 | about average |
|
Level 5 Gynecologic Procedures
APC 5415 · Hospital outpatient visit |
44 | $29,477 | $4,127 | about average |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
43 | $44,426 | $13,012 | -7% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
43 | $109,924 | $20,574 | +9% |
|
Cervical Spinal Fusion with Complications
MS-DRG 472 · Inpatient stay |
43 | $128,238 | $26,647 | +7% |
|
Complex GI Procedures
APC 5331 · Hospital outpatient visit |
43 | $22,629 | $4,815 | -25% |
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
43 | $101,985 | $25,492 | -10% |
|
Permanent Cardiac Pacemaker Implant with Major Complications
MS-DRG 242 · Inpatient stay |
42 | $107,091 | $26,875 | -23% |
|
Hip or Thigh Bone Surgery (severe)
MS-DRG 480 · Inpatient stay |
42 | $124,092 | $23,134 | +6% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
42 | $34,266 | $8,918 | -8% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
42 | $114,362 | $15,067 | +20% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
41 | $24,644 | $8,668 | -35% |
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
40 | $42,545 | $8,539 | +4% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
40 | $20,660 | $2,570 | +14% |
|
Level 4 Pacemaker and Similar Procedures
APC 5224 · Hospital outpatient visit |
40 | $84,062 | $15,983 | -12% |
|
Fainting
MS-DRG 312 · Inpatient stay |
39 | $32,331 | $7,860 | -12% |
|
Other Cerebrovascular Disorders with Major Complications
MS-DRG 070 · Inpatient stay |
38 | $43,990 | $14,071 | -34% |
|
Other Vascular Procedures with Complications
MS-DRG 253 · Inpatient stay |
38 | $104,433 | $22,541 | -7% |
|
Other Cerebrovascular Disorders with Complications
MS-DRG 071 · Inpatient stay |
38 | $44,290 | $9,848 | about average |
|
Level 6 Gynecologic Procedures
APC 5416 · Hospital outpatient visit |
38 | $35,732 | $6,505 | -13% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
37 | $44,961 | $11,762 | -18% |
|
Aortic and Heart Assist Procedures Except Pulsation Balloon without Major Complications
MS-DRG 269 · Inpatient stay |
37 | $187,262 | $33,901 | +13% |
|
Sepsis
MS-DRG 870 · Inpatient stay |
37 | $237,147 | $51,051 | -12% |
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.