All published prices at Confluence Health Hospital
125 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 |
|---|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
1,565 | $9,982 | $2,484 | -15% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
958 | $1,524 | $736 | -51% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
427 | $53,136 | $13,931 | -15% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
406 | $7,480 | $2,180 | -42% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
251 | $7,029 | $1,728 | -30% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
226 | $22,592 | $5,544 | -18% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
222 | $5,273 | $2,038 | -55% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
221 | $59,040 | $17,801 | -10% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
221 | $16,492 | $3,761 | -20% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
220 | $14,373 | $2,953 | -26% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
186 | $14,502 | $3,348 | -24% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
179 | $5,263 | $1,725 | -53% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
171 | $10,254 | $2,052 | -10% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
170 | $33,968 | $7,674 | -15% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
167 | $17,137 | $3,394 | -16% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
156 | $41,039 | $11,018 | -5% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
147 | $18,431 | $4,379 | -11% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
146 | $3,630 | $1,822 | -68% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
141 | $12,186 | $3,480 | -52% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
123 | $27,394 | $6,047 | -22% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
97 | $12,685 | $3,052 | -28% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
89 | $94,277 | $25,377 | -29% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
84 | $80,555 | $19,690 | about average |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
82 | $34,961 | $7,061 | -12% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
75 | $43,569 | $11,142 | -10% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
74 | $68,591 | $11,134 | +15% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
73 | $25,155 | $6,189 | -27% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
72 | $16,247 | $3,746 | -30% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
66 | $33,669 | $9,701 | -14% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
65 | $9,477 | $4,005 | -58% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
65 | $28,505 | $11,549 | -45% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
60 | $49,996 | $14,099 | -9% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
57 | $50,170 | $11,897 | -26% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
57 | $7,763 | $2,997 | -53% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
52 | $35,524 | $8,872 | -22% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
52 | $49,052 | $13,031 | -20% |
|
Level 3 Extraocular, Repair, and Plastic Eye Procedures
APC 5503 · Hospital outpatient visit |
51 | $11,684 | $2,491 | -19% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
50 | $26,651 | $8,586 | -35% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
49 | $49,350 | $11,357 | about average |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
49 | $144,454 | $43,254 | -19% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
49 | $5,378 | $1,706 | -37% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
48 | $34,019 | $11,437 | -27% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
46 | $67,921 | $16,166 | -33% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
40 | $23,615 | $8,240 | -27% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
37 | $76,229 | $17,057 | -5% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
36 | $90,555 | $19,818 | -10% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
35 | $46,747 | $13,493 | -18% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
34 | $20,057 | $6,232 | -34% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
34 | $86,283 | $17,683 | about average |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
34 | $29,996 | $7,699 | -9% |
|
Hip or Thigh Bone Surgery (severe)
MS-DRG 480 · Inpatient stay |
33 | $90,440 | $23,359 | -23% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
32 | $65,131 | $16,896 | -15% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
32 | $27,993 | $7,842 | -8% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
31 | $68,335 | $15,590 | +43% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
31 | $34,502 | $7,611 | -21% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
31 | $45,804 | $12,228 | -13% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
31 | $22,492 | $4,021 | -6% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major
MS-DRG 287 · Inpatient stay |
29 | $34,525 | $9,004 | -37% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
28 | $41,722 | $9,974 | -12% |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
27 | $31,365 | $7,411 | -19% |
|
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with
MS-DRG 543 · Inpatient stay |
26 | $39,310 | $9,101 | -5% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
25 | $80,905 | $17,407 | about average |
|
Signs and Symptoms without Major Complications
MS-DRG 948 · Inpatient stay |
25 | $27,495 | $6,660 | -15% |
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
25 | $142,429 | $37,216 | -20% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
25 | $29,022 | $5,761 | -20% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
25 | $27,237 | $6,139 | -21% |
|
Level 3 ENT Procedures
APC 5163 · Hospital outpatient visit |
25 | $3,472 | $1,651 | -46% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
23 | $85,572 | $22,848 | -40% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
23 | $71,646 | $15,426 | about average |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
23 | $25,190 | $6,583 | -20% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
23 | $31,402 | $10,455 | -39% |
|
Level 3 Upper GI Procedures
APC 5303 · Hospital outpatient visit |
23 | $12,492 | $4,003 | -43% |
|
Level 4 Pacemaker and Similar Procedures
APC 5224 · Hospital outpatient visit |
23 | $68,554 | $21,047 | -28% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
22 | $50,865 | $11,807 | +25% |
|
Other Disorders of Nervous System with Complications
MS-DRG 092 · Inpatient stay |
22 | $28,893 | $8,819 | -36% |
|
Level 5 Gynecologic Procedures
APC 5415 · Hospital outpatient visit |
22 | $27,832 | $5,386 | -7% |
|
Extracranial Procedures without Complications/mcc
MS-DRG 039 · Inpatient stay |
21 | $58,863 | $9,391 | +11% |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
21 | $114,211 | $41,790 | -36% |
|
Major Small and Large Bowel Procedures without Complications/mcc
MS-DRG 331 · Inpatient stay |
21 | $65,665 | $17,080 | -12% |
|
Level 2 Neurostimulator and Related Procedures
APC 5462 · Hospital outpatient visit |
21 | $14,611 | $6,844 | -44% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
20 | $32,623 | $6,684 | +10% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
20 | $30,669 | $8,450 | -18% |
|
Other Major Cardiovascular Procedures with Major Complications
MS-DRG 270 · Inpatient stay |
20 | $167,930 | $53,508 | -25% |
|
Stroke (uncomplicated)
MS-DRG 066 · Inpatient stay |
19 | $25,321 | $5,811 | -29% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
19 | $63,947 | $18,063 | -27% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
19 | $20,820 | $7,269 | -32% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
19 | $46,256 | $12,274 | -18% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
19 | $13,865 | $3,385 | -24% |
|
Irregular Heartbeat (uncomplicated)
MS-DRG 310 · Inpatient stay |
18 | $22,793 | $5,842 | -9% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
18 | $66,379 | $18,459 | -15% |
|
Level 3 Intraocular Procedures
APC 5493 · Hospital outpatient visit |
18 | $20,929 | $5,409 | -14% |
|
Major Chest Procedures with Major Complications
MS-DRG 163 · Inpatient stay |
17 | $105,802 | $37,215 | -40% |
|
Coronary Bypass with Cardiac Catheterization or Open Ablation without Major Complications
MS-DRG 234 · Inpatient stay |
17 | $229,542 | $48,555 | +5% |
|
Chest Pain
MS-DRG 313 · Inpatient stay |
17 | $22,007 | $7,008 | -35% |
|
Other Vascular Procedures without Complications/mcc
MS-DRG 254 · Inpatient stay |
17 | $59,941 | $14,164 | -21% |
|
Gastrointestinal Obstruction without Complications/mcc
MS-DRG 390 · Inpatient stay |
17 | $14,260 | $5,342 | -41% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
17 | $96,993 | $35,513 | -35% |
|
Permanent Cardiac Pacemaker Implant with Major Complications
MS-DRG 242 · Inpatient stay |
16 | $94,630 | $27,705 | -32% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
16 | $26,014 | $8,080 | -33% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
16 | $111,946 | $18,943 | +17% |
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.