CostGrade

All published prices at Carle Foundation Hospital

169 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
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

315 $48,796 $11,538 +12%
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

303 $22,531 $2,449 +16%
Level 2 Urology and Related Services

APC 5372 · Hospital outpatient visit

295 $2,193 $621 -30%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

291 $10,147 $1,688 -14%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

284 $11,312 $1,381 +12%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

282 $97,235 $16,492 +49%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

279 $50,085 $11,979 -20%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

192 $21,703 $2,971 -14%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

183 $14,534 $2,867 -24%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

172 $7,531 $1,831 -42%
Level 1 Intraocular Procedures

APC 5491 · Hospital outpatient visit

170 $8,033 $853 -32%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

153 $77,444 $13,846 +41%
Level 4 ENT Procedures

APC 5164 · Hospital outpatient visit

113 $4,511 $658 -76%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

107 $32,168 $5,193 -8%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

95 $53,502 $10,083 +31%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

95 $21,963 $2,333 +24%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

94 $37,591 $7,892 +26%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

88 $54,223 $10,078 -20%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

87 $66,088 $11,406 +42%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

83 $51,171 $8,482 +31%
Stroke (severe)

MS-DRG 064 · Inpatient stay

77 $97,341 $18,573 +28%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

76 $39,350 $8,699 +19%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

74 $37,824 $7,301 +17%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

70 $42,678 $8,902 +3%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

70 $57,996 $12,518 +10%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

70 $189,624 $45,083 +7%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

69 $55,131 $8,763 +21%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

68 $70,249 $14,875 about average
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

68 $10,094 $1,515 -11%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

67 $58,857 $14,565 +4%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

67 $33,324 $6,099 -16%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

64 $32,533 $8,073 +7%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

61 $12,924 $3,222 -37%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

60 $107,417 $19,143 +22%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

60 $55,383 $11,335 +14%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

59 $65,574 $14,065 +7%
Respiratory Failure

MS-DRG 189 · Inpatient stay

58 $59,107 $11,260 +22%
Level 3 Upper GI Procedures

APC 5303 · Hospital outpatient visit

58 $13,000 $3,491 -41%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

57 $31,017 $5,135 -10%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

54 $18,445 $4,711 -33%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

52 $88,429 $21,531 -12%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

52 $17,224 $2,476 +4%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

50 $36,533 $7,035 +19%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

50 $44,957 $4,998 +24%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

50 $112,144 $21,893 -15%
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

50 $34,976 $5,326 about average
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

49 $193,703 $38,255 about average
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

48 $49,690 $9,615 +34%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

47 $87,933 $14,492 -14%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

46 $72,091 $12,452 +32%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

45 $119,720 $25,320 -4%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

45 $41,136 $9,000 +9%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

45 $85,633 $16,840 +3%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

45 $24,133 $3,055 +4%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

44 $47,407 $6,027 +20%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

44 $34,555 $7,637 -9%
Complex GI Procedures

APC 5331 · Hospital outpatient visit

44 $26,960 $4,908 -10%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

44 $13,158 $2,692 -28%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

43 $43,970 $9,670 -15%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

43 $55,969 $9,507 -6%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

42 $33,648 $6,767 +10%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

42 $4,631 $1,417 -46%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

41 $41,536 $9,053 +7%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

40 $86,041 $16,500 +3%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

40 $29,392 $3,461 +30%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

39 $37,768 $8,982 +9%
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

38 $9,489 $1,024 -17%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

37 $39,957 $8,229 about average
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

35 $122,025 $22,823 +8%
Fainting

MS-DRG 312 · Inpatient stay

35 $35,487 $7,404 -3%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

35 $138,348 $24,582 -4%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

34 $106,320 $17,704 +36%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

34 $218,610 $44,404 +22%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

34 $15,058 $2,594 -26%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

33 $47,229 $9,814 +20%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

30 $38,937 $8,043 -11%
COPD (with complications)

MS-DRG 191 · Inpatient stay

30 $40,293 $7,331 +21%
Back Problems (severe)

MS-DRG 551 · Inpatient stay

30 $72,535 $13,995 +4%
Seizures with Major Complications

MS-DRG 100 · Inpatient stay

28 $74,963 $17,443 -7%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

28 $73,674 $11,839 +44%
Major Gastrointestinal Disorders and Peritoneal Infections with Complications

MS-DRG 372 · Inpatient stay

28 $41,859 $9,045 +5%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

28 $24,050 $3,523 about average
Traumatic Stupor and Coma <1 Hour with Complications

MS-DRG 086 · Inpatient stay

27 $77,365 $10,770 +37%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

27 $38,832 $10,180 -18%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

26 $56,273 $11,792 about average
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

26 $78,048 $15,565 +22%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

26 $157,113 $29,210 +6%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

25 $50,692 $11,873 -7%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

25 $42,880 $7,960 +15%
Complications of Treatment with Major Complications

MS-DRG 919 · Inpatient stay

25 $92,904 $24,907 +24%
Bronchitis and Asthma with Complications/mcc

MS-DRG 202 · Inpatient stay

25 $34,093 $9,431 -13%
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with

MS-DRG 543 · Inpatient stay

25 $56,039 $9,523 +35%
Level 3 ENT Procedures

APC 5163 · Hospital outpatient visit

25 $6,548 $733 about average
Craniotomy and Endovascular Intracranial Procedures with Major Complications

MS-DRG 025 · Inpatient stay

24 $241,506 $39,380 +25%
COPD (severe)

MS-DRG 190 · Inpatient stay

24 $46,146 $9,104 +10%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

24 $84,136 $16,172 -12%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

23 $59,425 $14,210 +24%
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications

MS-DRG 493 · Inpatient stay

23 $102,680 $19,329 about average
Cirrhosis and Alcoholic Hepatitis with Major Complications

MS-DRG 432 · Inpatient stay

22 $73,734 $19,486 -8%
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with

MS-DRG 617 · Inpatient stay

22 $78,444 $16,520 +6%

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.