CostGrade

All published prices at Carson Tahoe Regional Medical Center

105 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

638 $20,688 $2,915 +6%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

299 $61,379 $18,536 -6%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

250 $8,985 $1,728 -11%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

193 $19,204 $3,504 -24%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

177 $40,938 $12,107 -6%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

160 $28,179 $6,135 -20%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

139 $22,798 $5,524 -17%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

137 $40,110 $12,447 -14%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

115 $45,720 $13,781 -27%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

105 $32,429 $7,623 -19%
Respiratory Failure

MS-DRG 189 · Inpatient stay

99 $44,994 $11,745 -7%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

98 $72,109 $11,797 +7%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

94 $16,800 $3,386 -12%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

90 $160,241 $25,176 +21%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

89 $18,375 $3,367 -10%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

88 $10,876 $2,054 -4%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

87 $52,215 $15,704 -5%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

85 $10,160 $1,705 -10%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

76 $69,468 $19,962 -16%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

68 $51,146 $14,929 -17%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

64 $25,565 $3,715 +10%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

61 $17,700 $3,694 -14%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

58 $26,002 $7,338 -15%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

58 $22,904 $2,998 +30%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

56 $47,725 $12,635 about average
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

49 $13,209 $2,043 +12%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

48 $59,256 $19,440 -29%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

48 $52,415 $14,936 about average
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

48 $31,741 $9,872 -19%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

47 $29,596 $7,555 about average
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

46 $31,012 $7,627 -4%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

45 $41,044 $10,342 -10%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

44 $19,836 $4,093 -17%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

43 $30,206 $6,969 about average
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

42 $91,674 $30,113 -26%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

41 $42,102 $11,449 -11%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

41 $55,396 $9,195 +34%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

41 $31,113 $7,002 -21%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

40 $149,942 $48,648 -16%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

40 $55,477 $11,368 +8%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

37 $103,059 $17,085 about average
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

37 $26,985 $6,137 -22%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

37 $12,128 $2,187 -6%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

35 $31,456 $8,292 +3%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

35 $32,595 $10,953 -20%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

34 $33,678 $8,563 about average
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

32 $15,799 $3,357 -13%
Stroke (severe)

MS-DRG 064 · Inpatient stay

31 $82,009 $18,711 +8%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

29 $45,527 $13,494 -17%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

29 $32,189 $8,608 -26%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

29 $53,454 $9,118 +41%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

28 $121,984 $29,169 -15%
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major

MS-DRG 981 · Inpatient stay

27 $143,757 $43,944 -22%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

26 $37,669 $9,070 -4%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

25 $78,287 $27,573 -33%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

25 $13,863 $4,021 -39%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

25 $11,492 $1,665 +34%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

25 $31,931 $11,040 -47%
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

24 $11,258 $1,823 about average
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

24 $14,449 $3,015 -13%
Fainting

MS-DRG 312 · Inpatient stay

23 $50,907 $9,729 +39%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

22 $34,345 $7,702 +8%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

22 $33,350 $10,160 -39%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

22 $92,751 $18,784 about average
Extracranial Procedures without Complications/mcc

MS-DRG 039 · Inpatient stay

21 $38,048 $10,694 -29%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

21 $118,021 $42,217 -34%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

21 $77,644 $17,403 +9%
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major

MS-DRG 897 · Inpatient stay

21 $32,663 $8,093 about average
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

20 $42,027 $13,596 -25%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

19 $22,964 $5,232 -9%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

19 $63,696 $19,802 -26%
Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy

MS-DRG 895 · Inpatient stay

19 $35,049 $14,829 about average
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

19 $29,156 $6,288 -15%
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major

MS-DRG 441 · Inpatient stay

18 $71,166 $17,280 -7%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

17 $84,270 $22,235 -16%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

17 $179,740 $33,506 +21%
Spinal Fusion Except Cervical without Major Complications

MS-DRG 460 · Inpatient stay

16 $84,199 $34,902 -42%
Stroke (uncomplicated)

MS-DRG 066 · Inpatient stay

15 $24,777 $6,500 -31%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

15 $102,833 $25,359 -9%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

15 $46,674 $12,049 -9%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

15 $39,998 $15,347 -30%
Other Factors Influencing Health Status

MS-DRG 951 · Inpatient stay

15 $19,669 $5,487 -10%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

15 $34,070 $5,194 -6%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

14 $48,203 $20,201 -45%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

14 $75,251 $19,727 -4%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

14 $54,105 $8,793 +39%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

14 $34,548 $8,501 about average
Hip Replacement with Principal Diagnosis of Hip Fracture with Major Complications

MS-DRG 521 · Inpatient stay

14 $70,339 $27,837 -37%
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization

MS-DRG 219 · Inpatient stay

14 $178,797 $71,699 -47%
COPD (severe)

MS-DRG 190 · Inpatient stay

13 $58,770 $10,509 +40%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

13 $48,048 $18,922 -42%
Level 4 Pacemaker and Similar Procedures

APC 5224 · Hospital outpatient visit

13 $105,897 $19,390 +11%
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

13 $22,551 $6,953 -41%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

12 $81,701 $21,136 -13%
Other Kidney and Urinary Tract Procedures with Major Complications

MS-DRG 673 · Inpatient stay

12 $142,242 $36,630 -8%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

12 $56,954 $8,487 +53%
Major Small and Large Bowel Procedures without Complications/mcc

MS-DRG 331 · Inpatient stay

12 $44,410 $15,666 -40%
Hip or Thigh Bone Surgery (uncomplicated)

MS-DRG 482 · Inpatient stay

12 $45,893 $14,888 -33%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

11 $36,517 $9,286 about average
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

11 $20,715 $7,506 -34%

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.