CostGrade

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.

C
Procedure Patients Charged Actually paid vs national
Spinal Fusion Except Cervical without Major Complications

MS-DRG 460 · Inpatient stay

36 $178,040 $33,934 +23%
Traumatic Stupor and Coma >1 Hour with Major Complications

MS-DRG 082 · Inpatient stay

36 $89,430 $18,749 -8%
Traumatic Stupor and Coma >1 Hour with Complications

MS-DRG 083 · Inpatient stay

36 $43,483 $11,482 -27%
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications

MS-DRG 493 · Inpatient stay

35 $85,682 $19,242 -16%
Other Disorders of Nervous System with Complications

MS-DRG 092 · Inpatient stay

34 $34,631 $9,141 -23%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

33 $73,658 $16,053 -11%
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Major

MS-DRG 542 · Inpatient stay

33 $50,714 $14,872 -26%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

32 $28,806 $8,439 -9%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

32 $71,209 $18,582 -9%
Other Vascular Procedures with Major Complications

MS-DRG 252 · Inpatient stay

31 $124,082 $26,811 -15%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

31 $55,267 $13,040 about average
Degenerative Nervous System Disorders with Major Complications

MS-DRG 056 · Inpatient stay

30 $84,795 $20,388 about average
Heart Attack (uncomplicated)

MS-DRG 282 · Inpatient stay

30 $38,509 $6,821 about average
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

30 $34,975 $10,967 -32%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

29 $32,825 $8,716 -12%
Peripheral Vascular Disorders with Complications

MS-DRG 300 · Inpatient stay

29 $37,354 $10,474 -13%
COPD (severe)

MS-DRG 190 · Inpatient stay

28 $39,208 $10,661 -6%
Laparoscopic Cholecystectomy without C.d.e. with Complications

MS-DRG 418 · Inpatient stay

28 $91,954 $13,452 +12%
Hip Replacement with Principal Diagnosis of Hip Fracture with Major Complications

MS-DRG 521 · Inpatient stay

28 $113,620 $23,378 about average
Craniotomy and Endovascular Intracranial Procedures without Complications/mcc

MS-DRG 027 · Inpatient stay

28 $122,604 $23,924 about average
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization

MS-DRG 219 · Inpatient stay

28 $380,060 $82,165 +13%
Cirrhosis and Alcoholic Hepatitis with Major Complications

MS-DRG 432 · Inpatient stay

28 $78,855 $17,881 about average
Combined Anterior and Posterior Spinal Fusion without Complications/mcc

MS-DRG 455 · Inpatient stay

28 $167,961 $34,474 -5%
Organic Disturbances and Intellectual Disability

MS-DRG 884 · Inpatient stay

27 $36,538 $15,739 -27%
Craniotomy and Endovascular Intracranial Procedures with Complications

MS-DRG 026 · Inpatient stay

27 $142,043 $28,903 +6%
Revision of Hip or Knee Replacement with Complications

MS-DRG 467 · Inpatient stay

27 $164,426 $25,945 +27%
Coagulation Disorders

MS-DRG 813 · Inpatient stay

27 $69,264 $12,976 +3%
Stroke (uncomplicated)

MS-DRG 066 · Inpatient stay

26 $31,571 $7,039 -12%
Acute Myocardial Infarction, Expired with Major Complications

MS-DRG 283 · Inpatient stay

26 $56,361 $15,551 -34%
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major

MS-DRG 441 · Inpatient stay

26 $50,302 $15,112 -34%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

26 $24,066 $7,840 -35%
Laparoscopic Cholecystectomy without C.d.e. with Major Complications

MS-DRG 417 · Inpatient stay

26 $93,959 $19,243 -11%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

25 $74,852 $19,130 -15%
Other Major Cardiovascular Procedures with Major Complications

MS-DRG 270 · Inpatient stay

25 $195,058 $44,718 -13%
Digestive Malignancy with Major Complications

MS-DRG 374 · Inpatient stay

25 $76,442 $20,120 -11%
Endocrine Disorders with Complications

MS-DRG 644 · Inpatient stay

25 $39,749 $10,197 +3%
Major Chest Procedures with Major Complications

MS-DRG 163 · Inpatient stay

24 $162,766 $37,340 -8%
Carotid Artery Stent Procedures without Complications/mcc

MS-DRG 036 · Inpatient stay

24 $85,718 $14,157 +22%
Hip or Thigh Bone Surgery (uncomplicated)

MS-DRG 482 · Inpatient stay

24 $68,536 $14,343 about average
Biopsies of Musculoskeletal System and Connective Tissue with Complications

MS-DRG 478 · Inpatient stay

24 $84,597 $21,150 -26%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

23 $35,726 $7,589 -13%
Other Disorders of Nervous System with Major Complications

MS-DRG 091 · Inpatient stay

23 $49,743 $15,150 -30%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

23 $31,102 $8,102 -10%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

23 $96,718 $14,985 +21%
Nervous System Neoplasms with Major Complications

MS-DRG 054 · Inpatient stay

23 $58,830 $13,185 -11%
Level 2 Neurostimulator and Related Procedures

APC 5462 · Hospital outpatient visit

23 $26,687 $5,888 about average
Traumatic Stupor and Coma <1 Hour with Complications

MS-DRG 086 · Inpatient stay

22 $38,760 $10,929 -31%
Coronary Bypass without Cardiac Catheterization without Major Complications

MS-DRG 236 · Inpatient stay

22 $197,106 $43,731 +8%
Permanent Cardiac Pacemaker Implant without Complications/mcc

MS-DRG 244 · Inpatient stay

22 $82,799 $14,556 +9%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

22 $29,075 $7,224 -7%
Traumatic Stupor and Coma <1 Hour with Major Complications

MS-DRG 085 · Inpatient stay

22 $84,941 $19,213 -13%
Other Major Cardiovascular Procedures with Complications

MS-DRG 271 · Inpatient stay

22 $173,400 $27,606 +15%
Malignancy of Hepatobiliary System or Pancreas with Major Complications

MS-DRG 435 · Inpatient stay

22 $62,012 $17,220 -24%
Extracranial Procedures with Complications

MS-DRG 038 · Inpatient stay

21 $67,596 $12,849 about average
Seizures with Major Complications

MS-DRG 100 · Inpatient stay

21 $59,887 $17,779 -26%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

21 $46,267 $13,624 -18%
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major

MS-DRG 981 · Inpatient stay

21 $165,576 $33,120 -10%
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization

MS-DRG 220 · Inpatient stay

21 $224,731 $42,919 -4%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

20 $54,843 $13,285 about average
Major Small and Large Bowel Procedures without Complications/mcc

MS-DRG 331 · Inpatient stay

20 $91,898 $15,562 +23%
Respiratory Neoplasms with Major Complications

MS-DRG 180 · Inpatient stay

20 $62,753 $16,386 -15%
Pulmonary Embolism without Major Complications

MS-DRG 176 · Inpatient stay

20 $31,016 $9,131 -12%
Endocrine Disorders with Major Complications

MS-DRG 643 · Inpatient stay

20 $56,532 $13,944 -14%
Level 3 ENT Procedures

APC 5163 · Hospital outpatient visit

20 $2,352 $670 -63%
Postoperative and Post-traumatic Infections with Major Complications

MS-DRG 862 · Inpatient stay

19 $70,539 $20,050 -5%
Respiratory System Diagnosis with Ventilator Support >96 Hours

MS-DRG 207 · Inpatient stay

19 $181,920 $44,271 -29%
Coronary Bypass without Cardiac Catheterization with Major Complications

MS-DRG 235 · Inpatient stay

19 $272,732 $48,551 +13%
Other Vascular Procedures without Complications/mcc

MS-DRG 254 · Inpatient stay

19 $91,409 $14,055 +20%
Postoperative or Post-traumatic Infections with Operating Room Procedures with Major

MS-DRG 856 · Inpatient stay

19 $215,791 $46,251 +14%
Poisoning and Toxic Effects of Drugs with Major Complications

MS-DRG 917 · Inpatient stay

19 $64,495 $13,550 -5%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

18 $28,921 $9,063 -26%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

18 $56,716 $14,984 -12%
Cirrhosis and Alcoholic Hepatitis with Complications

MS-DRG 433 · Inpatient stay

18 $40,464 $9,158 -12%
Disorders of the Biliary Tract with Complications

MS-DRG 445 · Inpatient stay

18 $44,081 $10,142 -14%
Skin Infection (severe)

MS-DRG 602 · Inpatient stay

18 $37,905 $14,882 -26%
Postoperative and Post-traumatic Infections without Major Complications

MS-DRG 863 · Inpatient stay

18 $24,063 $10,947 -37%
ECMO or Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except

MS-DRG 003 · Inpatient stay

17 $923,793 $197,722 +5%
Coronary Bypass with Cardiac Catheterization or Open Ablation with Major Complications

MS-DRG 233 · Inpatient stay

17 $430,396 $99,082 +40%
Gastrointestinal Obstruction with Major Complications

MS-DRG 388 · Inpatient stay

17 $51,537 $13,945 -10%
Fractures of Hip and Pelvis without Major Complications

MS-DRG 536 · Inpatient stay

17 $31,316 $7,062 -5%
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with

MS-DRG 617 · Inpatient stay

17 $64,270 $16,285 -13%
Complications of Treatment with Major Complications

MS-DRG 919 · Inpatient stay

17 $51,185 $19,214 -32%
Pneumothorax with Complications

MS-DRG 200 · Inpatient stay

17 $39,296 $9,619 -18%
Disorders of Pancreas Except Malignancy with Complications

MS-DRG 439 · Inpatient stay

16 $33,955 $9,688 -5%
Revision of Hip or Knee Replacement without Complications/mcc

MS-DRG 468 · Inpatient stay

16 $125,662 $28,057 +16%
Major Joint or Limb Reattachment Procedures of Upper Extremities

MS-DRG 483 · Inpatient stay

16 $130,110 $22,403 +27%
Other Musculoskeletal System and Connective Tissue Operating Room Procedures with

MS-DRG 516 · Inpatient stay

16 $81,050 $16,040 -8%
Lymphoma and Non-acute Leukemia with Major Complications

MS-DRG 840 · Inpatient stay

16 $86,720 $25,166 -39%
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Complications

MS-DRG 982 · Inpatient stay

16 $92,234 $18,535 -12%
Non-extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major

MS-DRG 987 · Inpatient stay

16 $122,554 $28,209 -15%
Combined Anterior and Posterior Spinal Fusion with Major Complications

MS-DRG 453 · Inpatient stay

16 $290,432 $94,269 -35%
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

15 $24,637 $6,743 -26%
COPD (with complications)

MS-DRG 191 · Inpatient stay

15 $29,080 $8,299 -13%
Peripheral Vascular Disorders with Major Complications

MS-DRG 299 · Inpatient stay

15 $45,467 $12,156 -32%
Peritoneal Adhesiolysis with Complications

MS-DRG 336 · Inpatient stay

15 $102,305 $19,244 +3%
Other Operating Room Procedures for Multiple Significant Trauma with Major Complications

MS-DRG 957 · Inpatient stay

15 $302,543 $61,011 -17%
Trauma to the Skin, Subcutaneous Tissue and Breast without Major Complications

MS-DRG 605 · Inpatient stay

15 $34,934 $8,243 -15%
Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit

MS-DRG 062 · Inpatient stay

15 $75,401 $15,079 -20%
Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive

MS-DRG 457 · Inpatient stay

15 $213,328 $54,715 -26%
Major Chest Trauma with Major Complications

MS-DRG 183 · Inpatient stay

15 $49,646 $13,413 -29%

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.