CostGrade

All published prices at Community Medical Center

184 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

1,857 $21,709 $2,837 +12%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

887 $116,195 $17,298 +78%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

462 $86,877 $11,617 +100%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

272 $22,641 $3,399 -10%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

254 $88,535 $11,889 +90%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

251 $7,265 $1,674 -28%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

174 $82,453 $10,326 +102%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

174 $80,245 $9,859 +105%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

160 $101,233 $14,118 +78%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

155 $111,981 $15,089 +104%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

152 $10,071 $2,100 -22%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

149 $56,802 $7,117 +91%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

138 $37,908 $13,667 -39%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

135 $230,415 $44,187 +29%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

135 $48,726 $11,357 -28%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

124 $62,264 $7,239 +93%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

124 $14,309 $3,259 -25%
COPD (severe)

MS-DRG 190 · Inpatient stay

112 $90,227 $10,569 +116%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

110 $61,145 $8,098 +100%
Fainting

MS-DRG 312 · Inpatient stay

107 $66,809 $7,694 +82%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

105 $77,929 $8,795 +89%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

102 $12,761 $2,906 -28%
Stroke (severe)

MS-DRG 064 · Inpatient stay

100 $111,262 $17,965 +46%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

99 $107,310 $13,876 +75%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

99 $20,021 $5,943 -43%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

98 $89,866 $13,214 +70%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

96 $91,947 $17,930 +10%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

94 $16,108 $5,371 -41%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

91 $60,244 $6,760 +97%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

90 $77,826 $9,564 +71%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

89 $13,097 $3,584 -37%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

87 $59,280 $6,603 +94%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

86 $11,702 $3,212 -36%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

85 $15,371 $3,588 -34%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

81 $67,136 $7,596 +111%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

81 $61,309 $8,094 +86%
Respiratory Failure

MS-DRG 189 · Inpatient stay

77 $78,814 $11,321 +63%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

77 $124,841 $16,504 +76%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

75 $60,755 $8,453 +55%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

73 $24,793 $5,919 -28%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

69 $56,343 $9,148 +49%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

69 $56,891 $17,119 -29%
Coagulation Disorders

MS-DRG 813 · Inpatient stay

65 $92,508 $13,818 +38%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

64 $76,549 $8,200 +85%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

62 $39,050 $11,166 -24%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

61 $99,401 $12,338 +105%
Level 2 Intraocular Procedures

APC 5492 · Hospital outpatient visit

61 $16,066 $4,201 -22%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

60 $66,726 $11,252 +39%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

57 $12,541 $3,341 -38%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

56 $95,751 $10,917 +102%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

56 $67,804 $8,798 +96%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

55 $114,842 $16,745 +13%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

55 $104,501 $14,624 +85%
Organic Disturbances and Intellectual Disability

MS-DRG 884 · Inpatient stay

54 $81,735 $15,180 +64%
COPD (with complications)

MS-DRG 191 · Inpatient stay

54 $61,442 $7,632 +85%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

53 $25,364 $7,265 -36%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

52 $49,571 $7,866 +35%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

51 $139,046 $23,673 +23%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

51 $139,092 $19,612 +58%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

51 $48,155 $5,011 +91%
Signs and Symptoms without Major Complications

MS-DRG 948 · Inpatient stay

49 $57,355 $6,918 +77%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

46 $179,090 $24,064 +25%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

46 $120,248 $21,801 +20%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

46 $129,248 $17,513 +56%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

43 $120,687 $17,616 +54%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

42 $88,991 $18,374 +4%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

40 $53,300 $8,133 +31%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

40 $68,229 $9,890 +25%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

40 $79,723 $8,050 +114%
Degenerative Nervous System Disorders with Major Complications

MS-DRG 056 · Inpatient stay

39 $98,345 $18,035 +14%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

39 $68,288 $7,403 +118%
Bronchitis and Asthma with Complications/mcc

MS-DRG 202 · Inpatient stay

38 $72,288 $9,053 +84%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

38 $14,950 $3,991 -37%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

38 $6,927 $1,642 -19%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

38 $9,780 $1,542 -13%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

37 $63,528 $9,075 +64%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

36 $77,868 $8,003 +78%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

36 $89,852 $11,673 +75%
Other Disorders of Nervous System with Complications

MS-DRG 092 · Inpatient stay

35 $61,978 $9,075 +38%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

35 $22,844 $5,589 -37%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

34 $100,584 $12,845 +79%
Sepsis

MS-DRG 870 · Inpatient stay

33 $282,273 $63,189 +5%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

32 $53,946 $19,463 -35%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

32 $34,738 $10,480 -42%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

31 $78,798 $8,546 +112%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

31 $120,305 $19,489 +28%
Chest Pain

MS-DRG 313 · Inpatient stay

31 $48,622 $6,779 +44%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

31 $115,625 $23,305 about average
Hip or Thigh Bone Surgery (uncomplicated)

MS-DRG 482 · Inpatient stay

31 $72,222 $13,877 +5%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

31 $25,355 $8,430 -33%
Laparoscopic Cholecystectomy without C.d.e. with Complications

MS-DRG 418 · Inpatient stay

30 $85,086 $13,814 +3%
Stomach, Esophageal and Duodenal Procedures with Complications

MS-DRG 327 · Inpatient stay

30 $104,924 $21,169 -9%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

30 $23,552 $6,646 -40%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

30 $11,151 $1,992 -5%
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

29 $53,029 $6,642 +58%
Stroke (uncomplicated)

MS-DRG 066 · Inpatient stay

28 $70,098 $6,221 +96%
Peripheral Vascular Disorders with Complications

MS-DRG 300 · Inpatient stay

28 $63,751 $10,236 +49%
Dysequilibrium

MS-DRG 149 · Inpatient stay

28 $62,812 $6,583 +60%
Heart Attack (uncomplicated)

MS-DRG 282 · Inpatient stay

27 $57,965 $6,298 +51%
Other Cerebrovascular Disorders with Complications

MS-DRG 071 · Inpatient stay

27 $89,231 $10,478 +101%

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.