CostGrade

All published prices at Centura Health-St Anthony Hospital

102 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

450 $34,185 $2,569 +76%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

302 $102,948 $16,055 +58%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

129 $13,580 $1,535 +35%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

98 $32,803 $3,084 +30%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

91 $11,828 $1,838 +4%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

78 $131,162 $22,550 about average
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

75 $78,399 $10,203 +81%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

74 $48,205 $6,810 +21%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

74 $43,093 $5,493 +23%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

69 $75,629 $10,463 +12%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

68 $20,731 $3,034 +8%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

66 $63,109 $8,436 +61%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

64 $274,679 $44,382 +54%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

58 $90,245 $12,871 +59%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

53 $74,849 $12,723 +36%
Stroke (severe)

MS-DRG 064 · Inpatient stay

52 $99,929 $14,338 +31%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

51 $23,984 $2,705 +36%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

48 $13,839 $1,781 +18%
Craniotomy and Endovascular Intracranial Procedures with Major Complications

MS-DRG 025 · Inpatient stay

47 $215,485 $32,678 +12%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

46 $39,271 $5,231 +9%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

46 $29,927 $4,926 +9%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

45 $71,705 $8,501 +57%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

43 $121,997 $17,298 +46%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

42 $113,421 $15,425 +11%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

41 $28,750 $3,565 +27%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

40 $69,562 $10,638 +49%
Respiratory Failure

MS-DRG 189 · Inpatient stay

36 $66,069 $10,038 +36%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

36 $208,445 $25,356 +67%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

36 $47,500 $5,441 +37%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

35 $82,646 $11,262 +35%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

35 $157,918 $21,819 +10%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

35 $76,514 $11,260 +58%
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

33 $41,824 $6,386 +9%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

32 $64,851 $9,540 +59%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

31 $14,708 $1,491 +72%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

30 $253,984 $37,934 +41%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

30 $19,609 $3,293 -16%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

29 $96,352 $16,658 about average
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

28 $24,294 $3,081 +19%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

28 $20,393 $3,224 about average
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

27 $66,838 $12,342 +23%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

27 $76,644 $9,579 +62%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

27 $115,760 $16,326 +35%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

26 $45,441 $6,259 +48%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

26 $113,057 $21,549 +12%
Coagulation Disorders

MS-DRG 813 · Inpatient stay

25 $74,703 $12,269 +12%
Major Chest Procedures with Complications

MS-DRG 164 · Inpatient stay

24 $164,784 $19,460 +52%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

23 $66,366 $7,599 +52%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

23 $81,544 $14,349 +15%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

23 $65,202 $8,738 +58%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

22 $160,018 $18,937 +82%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

22 $55,632 $6,270 +72%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

22 $45,881 $8,332 +39%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

21 $175,262 $21,544 +49%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

21 $70,844 $7,711 +81%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

21 $66,919 $11,256 +26%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

20 $22,922 $3,629 -4%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

20 $12,823 $1,939 about average
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

20 $17,585 $1,469 +57%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

19 $39,963 $6,208 about average
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

19 $82,826 $9,362 +39%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

18 $41,583 $6,684 +33%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

18 $362,638 $48,740 +51%
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization

MS-DRG 219 · Inpatient stay

18 $551,630 $72,060 +65%
Complications of Treatment with Major Complications

MS-DRG 919 · Inpatient stay

18 $87,965 $14,795 +18%
Other Cerebrovascular Disorders with Major Complications

MS-DRG 070 · Inpatient stay

17 $97,455 $13,109 +47%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

17 $150,448 $25,475 +33%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

17 $87,440 $18,070 +5%
Postoperative and Post-traumatic Infections with Major Complications

MS-DRG 862 · Inpatient stay

17 $81,867 $16,069 +10%
Cervical Spinal Fusion with Complications

MS-DRG 472 · Inpatient stay

17 $175,254 $34,480 +47%
Back and Neck Procedures Except Spinal Fusion with Complications

MS-DRG 519 · Inpatient stay

17 $103,448 $15,256 +21%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

16 $102,355 $15,307 +31%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

16 $50,768 $7,305 +66%
Other Musculoskeletal System and Connective Tissue Operating Room Procedures with

MS-DRG 516 · Inpatient stay

16 $124,828 $18,826 +41%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

16 $86,486 $12,510 +38%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

16 $55,584 $10,157 +8%
Major Chest Procedures with Major Complications

MS-DRG 163 · Inpatient stay

15 $217,395 $36,669 +23%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

15 $50,054 $7,700 +29%
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications

MS-DRG 493 · Inpatient stay

15 $129,205 $19,650 +27%
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

15 $28,756 $1,616 +152%
Seizures with Major Complications

MS-DRG 100 · Inpatient stay

14 $98,266 $14,750 +22%
Major Small and Large Bowel Procedures without Complications/mcc

MS-DRG 331 · Inpatient stay

14 $113,823 $14,871 +53%
Other Major Cardiovascular Procedures with Complications

MS-DRG 271 · Inpatient stay

14 $164,046 $31,302 +9%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

13 $55,943 $6,302 +76%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

12 $341,356 $47,590 +80%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

12 $50,911 $7,207 +67%
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major

MS-DRG 981 · Inpatient stay

12 $198,843 $33,641 +8%
Traumatic Stupor and Coma >1 Hour with Major Complications

MS-DRG 082 · Inpatient stay

12 $120,511 $21,367 +24%
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major

MS-DRG 441 · Inpatient stay

12 $93,850 $14,345 +23%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

12 $108,519 $16,362 +31%
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

12 $46,939 $5,575 +37%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

11 $80,837 $11,489 +43%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

11 $59,106 $8,308 +57%
Spinal Fusion Except Cervical without Major Complications

MS-DRG 460 · Inpatient stay

11 $224,454 $28,748 +55%
Revision of Hip or Knee Replacement with Complications

MS-DRG 467 · Inpatient stay

11 $216,877 $26,287 +67%
Biopsies of Musculoskeletal System and Connective Tissue with Complications

MS-DRG 478 · Inpatient stay

11 $120,117 $22,150 +5%
Postoperative or Post-traumatic Infections with Operating Room Procedures with Major

MS-DRG 856 · Inpatient stay

11 $220,885 $33,219 +16%
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Major

MS-DRG 542 · Inpatient stay

11 $118,744 $14,577 +73%
Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive

MS-DRG 457 · Inpatient stay

11 $316,464 $45,798 +10%
Other Injury, Poisoning and Toxic Effect Diagnoses with Major Complications

MS-DRG 922 · Inpatient stay

11 $70,179 $12,987 +31%

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.