CostGrade

All published prices at Community Hospital

191 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

1,533 $19,566 $2,538 about average
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

607 $30,564 $3,048 +21%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

483 $16,999 $2,973 -11%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

448 $39,625 $9,314 -9%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

362 $11,736 $1,774 about average
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

319 $68,663 $10,310 about average
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

302 $9,578 $1,513 -5%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

283 $64,304 $14,919 about average
Level 1 Intraocular Procedures

APC 5491 · Hospital outpatient visit

281 $13,940 $2,185 +19%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

264 $25,452 $4,764 -7%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

244 $14,307 $1,885 +11%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

209 $49,984 $12,022 -20%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

200 $47,987 $12,615 -13%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

187 $18,877 $3,184 -9%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

166 $75,278 $16,095 -21%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

153 $159,500 $22,143 +20%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

133 $34,120 $6,486 -14%
Level 3 Extraocular, Repair, and Plastic Eye Procedures

APC 5503 · Hospital outpatient visit

132 $13,167 $2,198 -9%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

122 $16,694 $2,637 -6%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

117 $42,718 $9,943 -8%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

111 $31,130 $5,275 -11%
Stroke (severe)

MS-DRG 064 · Inpatient stay

104 $54,003 $14,610 -29%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

104 $32,116 $4,970 -11%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

103 $39,740 $5,334 +15%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

95 $26,667 $6,993 -19%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

94 $104,103 $23,497 -16%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

91 $12,763 $1,816 +12%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

87 $34,296 $8,516 -16%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

83 $25,620 $6,305 -14%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

83 $45,637 $9,577 -24%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

77 $30,348 $7,284 -22%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

76 $45,926 $7,709 about average
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

72 $32,111 $6,437 -17%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

71 $17,803 $3,217 -23%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

68 $21,380 $3,481 -6%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

68 $8,693 $1,492 about average
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

67 $111,110 $35,807 -38%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

67 $33,971 $10,034 -34%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

66 $43,117 $10,311 -19%
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

66 $30,343 $5,441 -12%
COPD (severe)

MS-DRG 190 · Inpatient stay

65 $34,980 $8,246 -16%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

64 $49,407 $12,375 -13%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

63 $28,644 $5,959 -11%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

63 $19,179 $3,044 -6%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

62 $169,002 $43,721 -30%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

61 $36,717 $7,348 -11%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

61 $12,330 $1,436 +10%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

60 $27,747 $5,710 -9%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

58 $27,903 $6,357 -9%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

56 $18,723 $2,940 +3%
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

55 $16,360 $1,573 +43%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

53 $40,018 $9,777 -17%
Fainting

MS-DRG 312 · Inpatient stay

51 $29,712 $6,353 -19%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

51 $61,895 $12,906 -13%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

50 $24,527 $6,507 -20%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

50 $21,347 $3,585 -10%
Level 4 ENT Procedures

APC 5164 · Hospital outpatient visit

49 $18,466 $2,979 about average
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

48 $68,700 $18,146 -32%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

48 $62,465 $15,036 -25%
Level 5 Neurostimulator and Related Procedures

APC 5465 · Hospital outpatient visit

48 $84,428 $29,118 -25%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

47 $27,581 $6,048 -13%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

45 $28,545 $7,100 -23%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

45 $14,046 $2,639 -15%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

43 $35,385 $9,090 -25%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

43 $67,823 $17,488 -18%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

42 $38,884 $8,296 about average
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

42 $37,249 $6,133 -6%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

41 $158,327 $35,088 -16%
Spinal Fusion Except Cervical without Major Complications

MS-DRG 460 · Inpatient stay

38 $116,761 $31,644 -19%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

37 $34,243 $9,499 -28%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

37 $72,418 $20,200 -18%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

37 $99,436 $30,045 -33%
Other Major Cardiovascular Procedures with Complications

MS-DRG 271 · Inpatient stay

36 $159,686 $25,695 +6%
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal

MS-DRG 023 · Inpatient stay

35 $166,593 $41,766 -27%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

35 $72,263 $13,220 +18%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

34 $26,958 $7,479 -22%
Traumatic Stupor and Coma <1 Hour with Complications

MS-DRG 086 · Inpatient stay

33 $24,038 $9,854 -58%
Respiratory Failure

MS-DRG 189 · Inpatient stay

33 $38,400 $10,826 -21%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

32 $56,668 $8,803 +4%
COPD (with complications)

MS-DRG 191 · Inpatient stay

31 $30,762 $6,086 -8%
Craniotomy and Endovascular Intracranial Procedures with Major Complications

MS-DRG 025 · Inpatient stay

30 $115,991 $30,605 -40%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

30 $79,688 $20,058 -30%
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

30 $29,765 $5,588 -11%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

30 $33,423 $7,292 -11%
Other Major Cardiovascular Procedures with Major Complications

MS-DRG 270 · Inpatient stay

29 $176,166 $37,654 -22%
Skin Infection (severe)

MS-DRG 602 · Inpatient stay

29 $34,931 $10,410 -32%
Carotid Artery Stent Procedures with Complications

MS-DRG 035 · Inpatient stay

29 $81,471 $16,548 -14%
Level 2 Intraocular Procedures

APC 5492 · Hospital outpatient visit

29 $22,810 $3,824 +10%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

28 $68,895 $19,431 -12%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

27 $109,905 $31,814 -39%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

27 $59,476 $15,030 -31%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

27 $43,031 $12,957 -33%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

27 $64,206 $16,000 -20%
Bronchitis and Asthma with Complications/mcc

MS-DRG 202 · Inpatient stay

27 $35,469 $7,408 -10%
Endocrine Disorders with Complications

MS-DRG 644 · Inpatient stay

26 $33,711 $7,583 -12%
Other Circulatory System Operating Room Procedures

MS-DRG 264 · Inpatient stay

26 $71,775 $24,777 -47%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

25 $25,521 $6,146 -18%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

25 $46,179 $9,262 -10%
Level 5 Gynecologic Procedures

APC 5415 · Hospital outpatient visit

25 $30,199 $4,529 about average
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

24 $28,756 $6,664 -23%

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.