CostGrade

All published prices at Carle Health Methodist Hospital

94 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.

D
Procedure Patients Charged Actually paid vs national
Sepsis (severe)

MS-DRG 871 · Inpatient stay

258 $91,632 $18,007 +40%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

240 $20,417 $2,989 -19%
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

143 $24,492 $2,530 +26%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

133 $66,363 $10,158 about average
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

132 $12,866 $1,498 +28%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

128 $54,688 $11,545 +26%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

102 $49,278 $5,332 +40%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

93 $20,428 $1,784 +80%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

83 $32,315 $3,222 +57%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

77 $48,517 $4,782 +77%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

71 $24,556 $1,840 +90%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

65 $53,365 $6,611 +34%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

58 $177,449 $40,228 about average
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

56 $27,660 $1,759 +135%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

48 $96,317 $16,172 about average
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

47 $133,151 $21,893 about average
Respiratory Failure

MS-DRG 189 · Inpatient stay

46 $54,507 $10,623 +13%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

46 $54,447 $10,760 +39%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

44 $37,184 $3,523 +56%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

43 $57,741 $9,255 +27%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

43 $20,812 $2,932 +9%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

41 $51,725 $10,293 +25%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

40 $38,192 $8,168 +16%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

37 $55,915 $13,280 +6%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

37 $66,758 $9,861 +30%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

37 $39,705 $3,197 +71%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

36 $169,880 $30,313 +14%
Stroke (severe)

MS-DRG 064 · Inpatient stay

33 $63,218 $16,539 -17%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

33 $38,443 $7,360 +19%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

33 $55,694 $14,536 about average
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

31 $105,372 $25,159 +5%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

31 $64,328 $6,027 +63%
Level 6 Urology and Related Services

APC 5376 · Hospital outpatient visit

31 $57,897 $8,512 +30%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

30 $39,311 $7,851 +4%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

29 $88,366 $21,102 -13%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

28 $80,156 $15,915 +13%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

27 $102,444 $23,672 -29%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

27 $33,704 $7,508 +13%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

27 $36,572 $3,461 +61%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

25 $57,986 $13,854 +5%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

25 $90,700 $17,828 +3%
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

25 $52,944 $6,325 +38%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

24 $101,734 $23,975 -10%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

24 $263,793 $42,122 +39%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

24 $39,615 $5,282 +14%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

23 $63,489 $11,720 +36%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

23 $35,431 $6,874 +16%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

23 $50,728 $11,622 +5%
Spinal Fusion Except Cervical without Major Complications

MS-DRG 460 · Inpatient stay

23 $178,199 $28,832 +23%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

23 $24,099 $2,595 +45%
Laparoscopic Cholecystectomy without C.d.e. with Complications

MS-DRG 418 · Inpatient stay

21 $94,504 $20,115 +15%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

20 $40,107 $8,989 about average
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

20 $8,857 $1,421 +3%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

19 $48,752 $9,809 -11%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

19 $251,423 $63,729 +40%
Complex GI Procedures

APC 5331 · Hospital outpatient visit

19 $46,241 $4,769 +54%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

18 $27,078 $2,626 +53%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

17 $55,402 $8,491 +36%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

17 $90,627 $17,048 +9%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

16 $72,646 $14,411 +18%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

16 $32,524 $8,173 +7%
Major Small and Large Bowel Procedures without Complications/mcc

MS-DRG 331 · Inpatient stay

16 $78,830 $17,292 +6%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

15 $47,999 $8,869 +16%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

15 $144,459 $25,562 +16%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

14 $109,466 $18,934 +17%
Kidney and Ureter Procedures for Non-neoplasm with Complications

MS-DRG 660 · Inpatient stay

14 $81,009 $11,480 +46%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

14 $59,552 $14,379 -7%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

14 $72,387 $11,395 +16%
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

14 $57,537 $5,412 +67%
Traumatic Stupor and Coma <1 Hour with Complications

MS-DRG 086 · Inpatient stay

13 $71,865 $11,881 +27%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

13 $37,111 $7,392 +21%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

13 $68,874 $9,507 +15%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

13 $28,204 $2,756 +55%
Fainting

MS-DRG 312 · Inpatient stay

12 $44,094 $7,819 +20%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

12 $51,118 $11,400 about average
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

12 $35,513 $8,374 -9%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

12 $54,126 $13,340 +33%
Peritoneal Adhesiolysis with Complications

MS-DRG 336 · Inpatient stay

12 $95,082 $21,478 -4%
Laparoscopic Cholecystectomy without C.d.e. without Complications/mcc

MS-DRG 419 · Inpatient stay

12 $67,638 $11,098 -3%
Level 4 ENT Procedures

APC 5164 · Hospital outpatient visit

12 $26,988 $2,232 +42%
Seizures with Major Complications

MS-DRG 100 · Inpatient stay

11 $111,842 $19,378 +39%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

11 $57,886 $21,897 +6%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

11 $43,465 $8,353 +17%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

11 $50,084 $10,680 +6%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

11 $38,767 $7,486 +24%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

11 $46,258 $8,410 +24%
Sepsis

MS-DRG 870 · Inpatient stay

11 $251,517 $52,025 -6%
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major

MS-DRG 981 · Inpatient stay

11 $207,267 $95,169 +13%
COPD (with complications)

MS-DRG 191 · Inpatient stay

11 $49,201 $7,903 +48%
Digestive Malignancy with Complications

MS-DRG 375 · Inpatient stay

11 $66,706 $10,856 +25%
Combined Anterior and Posterior Spinal Fusion with Complications

MS-DRG 454 · Inpatient stay

11 $213,285 $47,661 -4%
Combined Anterior and Posterior Spinal Fusion without Complications/mcc

MS-DRG 455 · Inpatient stay

11 $211,236 $36,114 +19%
Kidney and Ureter Procedures for Non-neoplasm with Major Complications

MS-DRG 659 · Inpatient stay

11 $108,354 $22,103 +10%
Level 5 Gynecologic Procedures

APC 5415 · Hospital outpatient visit

11 $54,589 $4,597 +82%

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.