CostGrade

All published prices at Centura Health-Penrose St Francis Health Services

160 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
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

736 $37,034 $2,574 +91%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

568 $96,970 $15,490 +49%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

544 $66,345 $12,450 +6%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

229 $72,839 $10,311 +68%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

214 $12,938 $1,811 +10%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

193 $92,924 $17,285 +12%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

165 $43,232 $6,646 +8%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

161 $24,102 $3,079 -5%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

160 $17,757 $3,007 -7%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

147 $38,639 $5,463 +10%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

131 $14,088 $1,543 +40%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

130 $35,836 $4,896 +30%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

122 $134,652 $22,378 about average
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

117 $18,949 $3,293 -19%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

103 $20,458 $3,081 about average
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

97 $20,510 $2,705 +16%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

97 $23,689 $3,291 +15%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

95 $75,237 $12,657 +37%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

92 $60,476 $8,444 +54%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

85 $211,586 $24,523 +70%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

85 $12,641 $1,838 +11%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

81 $210,836 $37,234 +18%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

81 $79,482 $9,717 +33%
Respiratory Failure

MS-DRG 189 · Inpatient stay

80 $67,435 $9,840 +39%
Combined Anterior and Posterior Spinal Fusion without Complications/mcc

MS-DRG 455 · Inpatient stay

80 $214,894 $36,616 +21%
Stroke (severe)

MS-DRG 064 · Inpatient stay

79 $111,112 $17,514 +46%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

78 $87,967 $14,892 +10%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

76 $12,808 $1,898 about average
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

66 $51,528 $10,157 about average
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

64 $14,904 $1,525 +74%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

61 $86,466 $12,540 +52%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

59 $58,557 $10,218 +26%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

58 $77,733 $11,677 +47%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

56 $13,706 $1,530 +22%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

55 $65,077 $10,683 +19%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

55 $50,041 $7,840 +52%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

54 $53,403 $6,208 +35%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

50 $68,340 $8,131 +50%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

50 $118,952 $16,329 +43%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

49 $81,986 $12,169 +34%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

49 $77,585 $10,282 +15%
Level 3 Upper GI Procedures

APC 5303 · Hospital outpatient visit

49 $19,897 $3,587 -9%
Complex GI Procedures

APC 5331 · Hospital outpatient visit

49 $35,968 $5,425 +20%
Level 5 Neurostimulator and Related Procedures

APC 5465 · Hospital outpatient visit

48 $198,055 $29,473 +76%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

47 $305,717 $46,456 +27%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

46 $77,457 $10,963 +60%
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

45 $47,462 $5,379 +38%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

43 $52,794 $7,769 +28%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

42 $124,658 $18,585 +24%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

42 $52,401 $6,470 +62%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

42 $23,766 $3,565 +5%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

41 $64,041 $9,554 +35%
Combined Anterior and Posterior Spinal Fusion with Complications

MS-DRG 454 · Inpatient stay

41 $260,774 $49,920 +17%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

38 $179,961 $34,351 about average
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

38 $96,840 $14,006 +36%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

38 $72,349 $7,997 +85%
Revision of Hip or Knee Replacement without Complications/mcc

MS-DRG 468 · Inpatient stay

38 $132,237 $22,776 +22%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

38 $36,321 $3,565 +52%
Level 8 Urology and Related Services

APC 5378 · Hospital outpatient visit

38 $132,314 $19,157 +53%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

36 $115,548 $13,888 +14%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

35 $73,785 $9,927 +44%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

32 $115,512 $15,597 +35%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

31 $49,380 $6,249 +62%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

31 $67,068 $9,242 +65%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

30 $90,601 $16,652 +16%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

29 $68,220 $8,720 +56%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

29 $58,500 $7,200 +96%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

29 $124,964 $16,295 +95%
Major Joint or Limb Reattachment Procedures of Upper Extremities

MS-DRG 483 · Inpatient stay

29 $112,928 $20,466 +10%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

29 $197,302 $31,224 +33%
Craniotomy and Endovascular Intracranial Procedures with Major Complications

MS-DRG 025 · Inpatient stay

27 $193,819 $31,668 about average
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

27 $77,501 $11,201 +37%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

25 $143,641 $24,729 about average
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

25 $63,753 $6,423 +104%
Level 4 Neurostimulator and Related Procedures

APC 5464 · Hospital outpatient visit

25 $146,797 $20,772 +82%
Gastrointestinal Obstruction with Major Complications

MS-DRG 388 · Inpatient stay

24 $57,801 $11,831 about average
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

24 $143,638 $20,793 +22%
Major Small and Large Bowel Procedures without Complications/mcc

MS-DRG 331 · Inpatient stay

24 $93,653 $17,206 +26%
Coagulation Disorders

MS-DRG 813 · Inpatient stay

24 $91,796 $13,223 +37%
Hip Replacement with Principal Diagnosis of Hip Fracture with Major Complications

MS-DRG 521 · Inpatient stay

23 $157,747 $21,608 +40%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

22 $34,176 $5,940 +12%
Disorders of the Biliary Tract with Major Complications

MS-DRG 444 · Inpatient stay

22 $83,543 $11,796 +17%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

22 $43,687 $8,087 +15%
Seizures with Major Complications

MS-DRG 100 · Inpatient stay

21 $105,381 $15,480 +31%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

21 $177,254 $24,848 +56%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

21 $86,511 $15,660 +4%
Postoperative and Post-traumatic Infections with Major Complications

MS-DRG 862 · Inpatient stay

21 $75,663 $14,033 about average
Back Problems (severe)

MS-DRG 551 · Inpatient stay

21 $96,356 $12,344 +39%
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

21 $38,409 $6,268 about average
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

20 $60,242 $6,404 +46%
Fainting

MS-DRG 312 · Inpatient stay

20 $65,249 $6,912 +78%
Spinal Fusion Except Cervical without Major Complications

MS-DRG 460 · Inpatient stay

20 $127,763 $27,297 -12%
Cirrhosis and Alcoholic Hepatitis with Major Complications

MS-DRG 432 · Inpatient stay

20 $97,259 $14,976 +22%
Poisoning and Toxic Effects of Drugs with Major Complications

MS-DRG 917 · Inpatient stay

20 $92,886 $12,111 +37%
Major Chest Procedures with Major Complications

MS-DRG 163 · Inpatient stay

19 $130,021 $38,648 -26%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

19 $49,026 $9,920 +30%
Revision of Hip or Knee Replacement with Complications

MS-DRG 467 · Inpatient stay

19 $143,382 $24,613 +10%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

19 $16,981 $2,590 about average
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

18 $51,492 $7,395 +69%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

18 $54,473 $7,172 +58%

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.