CostGrade

All published prices at Caromont Regional Medical Center

142 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
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

396 $23,300 $2,368 +20%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

350 $81,545 $15,571 +25%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

303 $69,123 $11,508 +11%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

297 $46,756 $10,608 +8%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

191 $8,968 $1,414 -11%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

181 $36,167 $6,264 -9%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

131 $25,607 $2,838 about average
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

129 $19,997 $3,094 -3%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

126 $12,074 $1,810 -7%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

122 $16,641 $2,852 -18%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

122 $28,530 $4,983 -19%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

111 $26,038 $6,570 -15%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

102 $118,084 $20,516 -11%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

99 $18,732 $4,576 -32%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

98 $19,551 $2,864 about average
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

97 $29,114 $7,164 about average
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

85 $68,272 $12,967 +24%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

75 $11,227 $1,692 -4%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

70 $84,605 $9,644 +25%
Psychoses

MS-DRG 885 · Inpatient stay

68 $36,154 $11,444 about average
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

65 $30,746 $6,925 -5%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

65 $50,915 $10,247 +5%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

65 $12,956 $2,491 -27%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

63 $42,934 $8,293 +4%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

62 $42,837 $9,104 +5%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

61 $38,710 $6,917 +27%
COPD (severe)

MS-DRG 190 · Inpatient stay

59 $52,236 $9,103 +25%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

58 $53,292 $10,227 +13%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

57 $11,934 $1,690 +5%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

52 $50,574 $11,825 -4%
Stroke (severe)

MS-DRG 064 · Inpatient stay

51 $71,950 $15,629 -6%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

51 $36,137 $7,473 +10%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

51 $41,817 $8,558 +7%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

50 $81,108 $14,038 about average
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

48 $90,126 $16,396 +9%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

47 $53,635 $7,910 +18%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

47 $32,393 $6,862 about average
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

47 $75,938 $15,894 -9%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

47 $47,831 $12,614 -16%
Fainting

MS-DRG 312 · Inpatient stay

45 $33,685 $7,357 -8%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

44 $161,236 $34,927 -9%
Level 6 Urology and Related Services

APC 5376 · Hospital outpatient visit

43 $37,916 $8,277 -15%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

41 $41,390 $8,330 +11%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

41 $50,885 $10,103 +9%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

41 $112,555 $16,266 +11%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

41 $44,255 $7,734 +19%
COPD (with complications)

MS-DRG 191 · Inpatient stay

41 $43,799 $7,434 +32%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

40 $10,847 $1,444 -3%
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

36 $30,579 $6,896 -9%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

36 $64,802 $12,223 +15%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

36 $273,225 $27,928 +84%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

35 $37,598 $5,136 +9%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

35 $56,577 $7,634 +49%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

34 $177,155 $24,342 +42%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

34 $35,181 $7,698 about average
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

33 $92,381 $19,543 +5%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

33 $55,602 $8,643 about average
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

33 $34,395 $8,496 +13%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

33 $16,245 $2,461 about average
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

32 $47,831 $11,938 -15%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

32 $17,868 $3,116 -25%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

31 $43,975 $8,067 +13%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

31 $31,148 $8,717 -17%
Bronchitis and Asthma with Complications/mcc

MS-DRG 202 · Inpatient stay

31 $33,355 $7,865 -15%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

29 $183,209 $38,263 -3%
Major Gastrointestinal Disorders and Peritoneal Infections with Complications

MS-DRG 372 · Inpatient stay

29 $47,357 $9,021 +19%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

29 $13,157 $1,439 +53%
Respiratory Failure

MS-DRG 189 · Inpatient stay

26 $67,168 $9,789 +39%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

26 $75,238 $18,638 -25%
Chest Pain

MS-DRG 313 · Inpatient stay

25 $27,676 $6,480 -18%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

25 $97,065 $18,071 +13%
Kidney and Ureter Procedures for Non-neoplasm with Complications

MS-DRG 660 · Inpatient stay

25 $44,850 $12,911 -19%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

24 $168,606 $24,934 +17%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

24 $74,853 $9,257 +45%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

23 $47,323 $10,305 about average
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

23 $81,653 $13,632 +15%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

23 $31,190 $7,154 about average
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

23 $26,784 $3,365 +18%
Combined Anterior and Posterior Spinal Fusion without Complications/mcc

MS-DRG 455 · Inpatient stay

22 $134,504 $35,108 -24%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

21 $136,827 $31,984 -24%
Gastrointestinal Obstruction with Major Complications

MS-DRG 388 · Inpatient stay

20 $49,769 $10,964 -13%
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with

MS-DRG 543 · Inpatient stay

20 $51,921 $9,268 +25%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

20 $36,683 $8,483 -39%
Major Small and Large Bowel Procedures without Complications/mcc

MS-DRG 331 · Inpatient stay

19 $58,454 $13,476 -21%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

19 $32,351 $5,860 -18%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

19 $16,035 $2,809 -12%
Stroke (uncomplicated)

MS-DRG 066 · Inpatient stay

18 $34,342 $6,319 -4%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

18 $83,771 $11,073 +54%
Hypertension with Major Complications

MS-DRG 304 · Inpatient stay

18 $39,527 $9,245 -21%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

18 $72,862 $16,443 -12%
Organic Disturbances and Intellectual Disability

MS-DRG 884 · Inpatient stay

18 $46,752 $12,674 -6%
Other Vascular Procedures with Complications

MS-DRG 253 · Inpatient stay

18 $63,887 $19,363 -43%
Laparoscopic Cholecystectomy without C.d.e. with Complications

MS-DRG 418 · Inpatient stay

18 $67,908 $12,508 -18%
Pulmonary Embolism without Major Complications

MS-DRG 176 · Inpatient stay

18 $43,178 $7,416 +23%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

18 $22,452 $3,109 -3%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

17 $47,740 $9,006 +9%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

17 $21,104 $5,990 -16%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

17 $48,949 $10,007 -5%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

16 $48,963 $6,765 +19%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

16 $112,189 $21,783 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.