CostGrade

All published prices at Carle Health Proctor Hospital

36 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
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

662 $66,182 $12,022 +6%
Level 1 Intraocular Procedures

APC 5491 · Hospital outpatient visit

566 $21,354 $2,148 +82%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

173 $18,775 $1,760 +65%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

127 $32,061 $2,954 +57%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

126 $51,594 $6,528 +29%
Level 2 Intraocular Procedures

APC 5492 · Hospital outpatient visit

105 $33,908 $3,729 +64%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

104 $98,343 $17,185 +18%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

101 $54,117 $12,827 -17%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

69 $82,871 $13,867 about average
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

63 $22,826 $2,530 +17%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

60 $44,493 $8,728 about average
Level 3 Extraocular, Repair, and Plastic Eye Procedures

APC 5503 · Hospital outpatient visit

42 $25,034 $2,119 +73%
Level 3 Intraocular Procedures

APC 5493 · Hospital outpatient visit

36 $33,541 $4,723 +38%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

36 $20,229 $1,453 +80%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

30 $118,047 $23,810 about average
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

30 $95,430 $13,162 +19%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

28 $17,843 $1,456 +77%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

24 $55,036 $11,036 about average
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

24 $83,720 $14,407 about average
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

24 $37,210 $6,879 -5%
Level 5 Gynecologic Procedures

APC 5415 · Hospital outpatient visit

24 $43,150 $4,139 +44%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

22 $17,884 $2,946 -6%
Respiratory Failure

MS-DRG 189 · Inpatient stay

20 $66,347 $10,789 +37%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

19 $62,399 $9,174 +34%
Major Joint or Limb Reattachment Procedures of Upper Extremities

MS-DRG 483 · Inpatient stay

19 $136,855 $17,308 +33%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

18 $29,996 $5,894 -9%
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications

MS-DRG 493 · Inpatient stay

18 $95,185 $16,522 -6%
Revision of Hip or Knee Replacement with Complications

MS-DRG 467 · Inpatient stay

17 $134,331 $24,027 +3%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

16 $28,993 $2,462 +64%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

16 $15,988 $1,789 +24%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

15 $54,663 $10,183 +3%
Hip Replacement with Principal Diagnosis of Hip Fracture with Major Complications

MS-DRG 521 · Inpatient stay

15 $102,722 $18,580 -9%
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major

MS-DRG 897 · Inpatient stay

13 $24,845 $5,586 -24%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

13 $36,051 $4,782 +31%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

11 $50,748 $8,918 +5%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

11 $37,035 $5,907 about average

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.