CostGrade

All published prices at Cleveland Clinic Indian River Hospital

162 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

1,178 $12,630 $2,466 -35%
Level 2 Urology and Related Services

APC 5372 · Hospital outpatient visit

700 $2,881 $618 -8%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

592 $52,450 $13,459 -20%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

482 $6,019 $1,459 -40%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

377 $22,439 $2,940 -11%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

280 $57,857 $11,838 -7%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

271 $9,252 $1,840 -28%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

247 $9,694 $1,719 -18%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

202 $31,596 $9,152 -27%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

192 $41,575 $11,381 -32%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

167 $17,717 $2,887 -7%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

155 $27,395 $4,687 about average
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

145 $20,247 $3,158 about average
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

136 $21,168 $3,122 -9%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

119 $30,670 $5,227 -13%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

114 $41,817 $11,448 -24%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

111 $40,681 $9,410 -13%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

111 $66,994 $9,882 about average
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

102 $32,078 $7,550 -18%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

95 $57,276 $22,597 -54%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

91 $32,408 $7,230 -22%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

89 $8,631 $1,451 about average
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

88 $39,918 $6,149 +4%
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

87 $13,190 $1,520 +16%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

87 $44,338 $9,666 -14%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

85 $42,127 $11,021 -26%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

85 $16,544 $2,573 -6%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

83 $34,327 $5,177 about average
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

83 $129,981 $21,459 about average
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

80 $48,943 $6,419 +23%
Stroke (severe)

MS-DRG 064 · Inpatient stay

79 $51,948 $13,056 -32%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

77 $29,000 $8,266 -29%
COPD (severe)

MS-DRG 190 · Inpatient stay

75 $35,656 $7,955 -15%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

73 $23,249 $3,453 about average
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

72 $60,803 $13,762 -27%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

69 $56,722 $16,845 -32%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

66 $129,231 $36,127 -27%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

64 $37,356 $5,907 -5%
Level 6 Urology and Related Services

APC 5376 · Hospital outpatient visit

60 $42,559 $8,153 -4%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

58 $31,075 $7,292 -32%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

58 $24,593 $3,392 +8%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

57 $47,965 $12,561 -33%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

57 $21,721 $5,991 -33%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

56 $24,798 $5,625 -19%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

54 $22,170 $6,472 -27%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

54 $33,535 $10,197 -37%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

51 $27,382 $6,712 -37%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

50 $85,541 $13,008 -16%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

49 $23,414 $5,966 -21%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

45 $19,922 $6,070 -36%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

45 $30,147 $9,097 -38%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

43 $73,296 $17,184 -27%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

43 $26,655 $2,932 +31%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

40 $60,085 $14,366 -30%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

40 $50,165 $4,978 +39%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

40 $18,934 $2,492 +4%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

40 $11,617 $1,438 +3%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

39 $110,395 $29,674 -39%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

38 $28,452 $7,084 -27%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

36 $184,352 $33,715 about average
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

36 $28,986 $7,696 -23%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

35 $79,742 $16,508 -15%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

35 $32,591 $8,853 -31%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

34 $72,037 $19,278 -39%
Psychoses

MS-DRG 885 · Inpatient stay

34 $20,565 $9,896 -43%
Extracranial Procedures without Complications/mcc

MS-DRG 039 · Inpatient stay

33 $47,248 $8,299 -11%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

33 $27,398 $6,702 -17%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

32 $188,736 $43,164 -22%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

32 $18,425 $2,543 +11%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

31 $39,313 $6,212 -5%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

31 $36,004 $9,717 -34%
Respiratory Failure

MS-DRG 189 · Inpatient stay

30 $41,018 $8,959 -15%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

30 $24,184 $5,818 -21%
Extracranial Procedures with Complications

MS-DRG 038 · Inpatient stay

29 $46,250 $11,596 -31%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

29 $33,026 $9,332 -36%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

27 $24,988 $6,962 -33%
Kidney and Ureter Procedures for Non-neoplasm with Complications

MS-DRG 660 · Inpatient stay

26 $42,285 $9,561 -24%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

26 $30,552 $7,315 -19%
Craniotomy and Endovascular Intracranial Procedures with Major Complications

MS-DRG 025 · Inpatient stay

25 $134,666 $31,356 -30%
Permanent Cardiac Pacemaker Implant with Major Complications

MS-DRG 242 · Inpatient stay

25 $87,303 $22,530 -37%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

25 $45,521 $8,174 -16%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

25 $26,420 $6,974 -32%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

24 $25,461 $6,123 -20%
Gastrointestinal Obstruction with Major Complications

MS-DRG 388 · Inpatient stay

24 $27,137 $10,114 -53%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

24 $30,803 $10,160 -45%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

24 $88,335 $15,852 -8%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

23 $20,643 $4,393 -18%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

23 $101,242 $21,500 -30%
Laparoscopic Cholecystectomy without C.d.e. with Complications

MS-DRG 418 · Inpatient stay

23 $64,225 $12,173 -22%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

23 $108,635 $29,712 -27%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

22 $71,518 $14,506 -14%
Skin Infection (severe)

MS-DRG 602 · Inpatient stay

22 $38,540 $11,601 -25%
Major Chest Procedures with Major Complications

MS-DRG 163 · Inpatient stay

21 $104,500 $31,936 -41%
Fainting

MS-DRG 312 · Inpatient stay

21 $25,278 $6,440 -31%
Other Vascular Procedures with Complications

MS-DRG 253 · Inpatient stay

20 $79,181 $18,101 -29%
Revision of Hip or Knee Replacement with Complications

MS-DRG 467 · Inpatient stay

20 $97,062 $21,868 -25%
Degenerative Nervous System Disorders with Major Complications

MS-DRG 056 · Inpatient stay

19 $96,088 $24,136 +12%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

19 $46,230 $14,143 -41%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

19 $41,307 $10,258 -27%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

19 $23,387 $6,715 -32%

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.