All published prices at Chi St Joseph Health Regional Hospital
100 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.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
418 | $28,390 | $2,366 | +46% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
320 | $73,714 | $14,675 | +13% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
163 | $51,402 | $10,214 | +18% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
110 | $54,295 | $4,916 | +55% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
101 | $101,853 | $11,351 | +63% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
94 | $23,031 | $1,400 | +128% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
88 | $40,133 | $2,750 | +59% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
87 | $72,304 | $12,469 | +18% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
84 | $36,206 | $3,508 | +75% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
83 | $70,700 | $6,114 | +77% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
79 | $41,811 | $8,645 | +7% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
74 | $64,358 | $12,945 | +17% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
73 | $50,838 | $10,394 | +9% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
65 | $34,147 | $2,691 | +79% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
62 | $43,240 | $4,333 | +57% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
61 | $53,448 | $10,157 | +10% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
55 | $212,344 | $23,801 | +70% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
52 | $21,665 | $1,703 | +68% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
51 | $48,790 | $2,873 | +110% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
50 | $44,322 | $9,663 | +9% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
50 | $60,343 | $13,103 | +6% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
49 | $75,886 | $14,773 | about average |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
47 | $37,941 | $7,571 | +15% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
46 | $50,164 | $2,773 | +146% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
46 | $200,404 | $20,634 | +51% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
45 | $103,911 | $15,887 | +25% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
43 | $55,579 | $8,591 | +22% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
42 | $60,210 | $8,459 | +46% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
42 | $185,202 | $35,529 | +4% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
39 | $99,797 | $15,751 | +16% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
37 | $33,459 | $6,741 | +9% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
37 | $43,609 | $7,051 | +35% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
36 | $64,722 | $10,670 | +33% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
36 | $36,873 | $7,047 | +24% |
|
Fainting
MS-DRG 312 · Inpatient stay |
35 | $47,690 | $7,525 | +30% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
35 | $37,971 | $2,366 | +115% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
35 | $33,124 | $1,682 | +192% |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
35 | $51,810 | $5,825 | +35% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
33 | $56,805 | $11,905 | +7% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
32 | $112,760 | $16,198 | +36% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
32 | $37,555 | $3,036 | +82% |
|
Chest Pain
MS-DRG 313 · Inpatient stay |
29 | $41,106 | $6,300 | +22% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
29 | $50,125 | $7,906 | +45% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
28 | $25,837 | $1,657 | +120% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
28 | $28,712 | $1,400 | +156% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
27 | $52,147 | $3,320 | +119% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
26 | $71,324 | $12,253 | +26% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
26 | $41,525 | $3,262 | +83% |
|
Hypertension without Major Complications
MS-DRG 305 · Inpatient stay |
25 | $40,254 | $6,788 | +20% |
|
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major
MS-DRG 441 · Inpatient stay |
25 | $59,744 | $13,595 | -22% |
|
Transient Ischemia without Thrombolytic
MS-DRG 069 · Inpatient stay |
24 | $44,721 | $7,242 | +8% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
23 | $56,447 | $10,231 | +19% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
23 | $65,559 | $5,100 | +91% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
22 | $50,450 | $7,534 | +15% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
22 | $35,920 | $7,594 | +18% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
22 | $47,672 | $7,611 | +28% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
22 | $114,577 | $15,724 | +43% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
22 | $90,152 | $9,575 | +33% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
22 | $69,512 | $8,947 | +35% |
|
Other Cerebrovascular Disorders with Major Complications
MS-DRG 070 · Inpatient stay |
21 | $61,083 | $12,588 | -8% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
21 | $48,748 | $7,325 | +56% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
21 | $39,079 | $8,125 | about average |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
21 | $30,604 | $6,834 | about average |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
20 | $88,359 | $13,955 | +24% |
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay |
19 | $135,252 | $19,423 | +19% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major
MS-DRG 287 · Inpatient stay |
19 | $67,189 | $9,351 | +23% |
|
Endocrine Disorders with Major Complications
MS-DRG 643 · Inpatient stay |
19 | $66,821 | $12,680 | about average |
|
Permanent Cardiac Pacemaker Implant with Major Complications
MS-DRG 242 · Inpatient stay |
17 | $147,773 | $25,652 | +7% |
|
Coronary Bypass with Cardiac Catheterization or Open Ablation with Major Complications
MS-DRG 233 · Inpatient stay |
16 | $342,044 | $55,724 | +11% |
|
Coronary Bypass without Cardiac Catheterization without Major Complications
MS-DRG 236 · Inpatient stay |
16 | $205,219 | $31,702 | +12% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
16 | $103,559 | $14,304 | about average |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
16 | $125,331 | $18,235 | +25% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
16 | $60,339 | $10,475 | +18% |
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
16 | $45,473 | $7,945 | +17% |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
16 | $71,543 | $13,139 | +11% |
|
Respiratory Neoplasms with Major Complications
MS-DRG 180 · Inpatient stay |
16 | $72,451 | $13,837 | about average |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
15 | $49,945 | $10,850 | -8% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
15 | $47,106 | $8,150 | +27% |
|
Irregular Heartbeat (uncomplicated)
MS-DRG 310 · Inpatient stay |
15 | $30,006 | $5,422 | +19% |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
15 | $200,313 | $29,566 | +12% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
15 | $34,440 | $8,710 | -9% |
|
Cirrhosis and Alcoholic Hepatitis with Major Complications
MS-DRG 432 · Inpatient stay |
15 | $87,970 | $14,613 | +10% |
|
Endocrine Disorders with Complications
MS-DRG 644 · Inpatient stay |
15 | $44,734 | $8,684 | +16% |
|
Permanent Cardiac Pacemaker Implant with Complications
MS-DRG 243 · Inpatient stay |
14 | $110,131 | $17,537 | +18% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
14 | $69,497 | $11,391 | +23% |
|
Infection Needing Surgery (with complications)
MS-DRG 854 · Inpatient stay |
14 | $84,625 | $14,803 | about average |
|
Sepsis
MS-DRG 870 · Inpatient stay |
14 | $233,762 | $49,086 | -13% |
|
Hip or Thigh Bone Surgery (severe)
MS-DRG 480 · Inpatient stay |
13 | $151,853 | $21,846 | +29% |
|
Laparoscopic Cholecystectomy without C.d.e. with Complications
MS-DRG 418 · Inpatient stay |
13 | $106,745 | $13,314 | +30% |
|
Major Small and Large Bowel Procedures without Complications/mcc
MS-DRG 331 · Inpatient stay |
13 | $85,996 | $13,462 | +16% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
13 | $74,662 | $5,680 | +89% |
|
Coronary Bypass with Cardiac Catheterization or Open Ablation without Major Complications
MS-DRG 234 · Inpatient stay |
12 | $250,407 | $40,753 | +14% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
12 | $116,201 | $21,854 | -19% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
11 | $61,216 | $15,075 | -24% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
11 | $85,999 | $17,030 | about average |
|
Gastrointestinal Obstruction without Complications/mcc
MS-DRG 390 · Inpatient stay |
11 | $28,625 | $5,312 | +19% |
|
Laparoscopic Cholecystectomy without C.d.e. with Major Complications
MS-DRG 417 · Inpatient stay |
11 | $119,864 | $19,025 | +14% |
|
Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit
MS-DRG 061 · Inpatient stay |
11 | $100,918 | $21,188 | -31% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
11 | $187,269 | $28,570 | +26% |
|
Level 4 ENT Procedures
APC 5164 · Hospital outpatient visit |
11 | $40,410 | $2,804 | +113% |
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.