CostGrade

All published prices at Cox Medical Centers

198 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
Sepsis (severe)

MS-DRG 871 · Inpatient stay

435 $65,405 $15,113 about average
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

428 $18,768 $2,276 -3%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

418 $9,710 $1,603 -14%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

391 $48,954 $10,956 -22%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

360 $8,465 $1,344 -16%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

271 $10,154 $1,586 -14%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

266 $24,695 $2,875 +20%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

250 $20,627 $2,729 -18%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

247 $27,442 $4,309 about average
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

232 $33,935 $5,928 -15%
Level 1 Intraocular Procedures

APC 5491 · Hospital outpatient visit

205 $12,900 $1,952 +10%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

199 $36,645 $4,797 +4%
Psychoses

MS-DRG 885 · Inpatient stay

190 $22,296 $10,971 -38%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

189 $17,510 $2,505 -8%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

151 $16,864 $2,689 -17%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

145 $123,339 $19,485 -7%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

132 $70,039 $9,175 +4%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

128 $47,139 $10,833 about average
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

122 $51,598 $8,435 -14%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

121 $13,705 $2,338 -23%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

111 $42,850 $8,787 -6%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

106 $44,209 $10,305 about average
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

100 $14,409 $1,545 +12%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

99 $21,832 $6,702 -29%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

92 $28,903 $7,809 -12%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

91 $47,005 $11,027 -3%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

90 $34,834 $8,874 -11%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

86 $86,488 $14,033 -9%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

85 $62,395 $15,474 -25%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

84 $50,814 $12,775 -8%
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

83 $30,684 $4,877 -11%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

82 $10,886 $1,325 -3%
Level 5 Neurostimulator and Related Procedures

APC 5465 · Hospital outpatient visit

77 $110,512 $25,731 about average
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

76 $37,935 $5,426 -4%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

74 $44,264 $11,939 -16%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

73 $27,688 $7,294 -13%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

72 $33,124 $7,210 +11%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

72 $29,839 $4,753 -14%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

72 $42,478 $8,873 -18%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

71 $22,581 $3,205 -5%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

70 $25,673 $7,046 -16%
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

68 $12,544 $1,397 +10%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

67 $29,072 $7,601 -10%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

62 $93,296 $17,246 +12%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

61 $149,364 $34,272 -16%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

60 $15,541 $2,360 -6%
COPD (severe)

MS-DRG 190 · Inpatient stay

59 $41,491 $9,252 about average
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

59 $8,683 $1,324 about average
Stroke (severe)

MS-DRG 064 · Inpatient stay

58 $64,908 $16,095 -15%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

56 $32,786 $8,418 -21%
Level 2 Neurostimulator and Related Procedures

APC 5462 · Hospital outpatient visit

55 $18,574 $3,450 -29%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

54 $46,704 $9,892 about average
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

53 $180,699 $42,609 -25%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

52 $77,899 $18,280 -23%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

52 $77,821 $17,315 -9%
Combined Anterior and Posterior Spinal Fusion without Complications/mcc

MS-DRG 455 · Inpatient stay

52 $116,434 $35,704 -34%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

51 $19,185 $2,807 -17%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

50 $156,427 $34,249 -13%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

50 $28,774 $7,871 -6%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

49 $112,504 $24,485 -10%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

49 $39,488 $4,621 +9%
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

47 $25,752 $5,755 -33%
Level 3 Upper GI Procedures

APC 5303 · Hospital outpatient visit

45 $21,923 $3,220 about average
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

44 $19,571 $3,149 -14%
Craniotomy and Endovascular Intracranial Procedures with Major Complications

MS-DRG 025 · Inpatient stay

43 $136,508 $30,293 -29%
Coronary Bypass without Cardiac Catheterization without Major Complications

MS-DRG 236 · Inpatient stay

42 $138,876 $29,730 -24%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

42 $102,204 $13,961 about average
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

41 $34,355 $9,370 -16%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

41 $20,802 $2,629 +15%
Respiratory Failure

MS-DRG 189 · Inpatient stay

40 $57,018 $10,961 +18%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

40 $18,652 $5,710 -26%
Level 4 Neurostimulator and Related Procedures

APC 5464 · Hospital outpatient visit

39 $79,046 $18,352 about average
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

37 $31,620 $8,361 -15%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

36 $168,785 $33,518 -11%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

36 $37,039 $8,237 -5%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

36 $34,431 $8,573 about average
Complex GI Procedures

APC 5331 · Hospital outpatient visit

35 $26,885 $4,518 -10%
Stroke (uncomplicated)

MS-DRG 066 · Inpatient stay

34 $34,777 $6,399 about average
Kidney and Ureter Procedures for Non-neoplasm with Complications

MS-DRG 660 · Inpatient stay

34 $50,175 $11,422 -10%
COPD (with complications)

MS-DRG 191 · Inpatient stay

34 $27,801 $7,796 -16%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

33 $40,621 $12,044 -34%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

33 $68,866 $13,864 -3%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

32 $133,989 $22,263 +18%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

31 $37,072 $7,953 -15%
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

31 $32,563 $6,814 about average
Other Vascular Procedures with Complications

MS-DRG 253 · Inpatient stay

30 $85,174 $19,234 -24%
Level 2 Electrophysiologic Procedures

APC 5212 · Hospital outpatient visit

30 $29,252 $6,280 -34%
Level 4 ENT Procedures

APC 5164 · Hospital outpatient visit

29 $14,062 $2,707 -26%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

28 $46,026 $10,806 -16%
Fainting

MS-DRG 312 · Inpatient stay

28 $34,575 $7,838 -6%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

28 $49,369 $12,423 -13%
Carotid Artery Stent Procedures without Complications/mcc

MS-DRG 036 · Inpatient stay

28 $64,752 $13,686 -8%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

28 $35,740 $7,144 -6%
Major Chest Procedures with Major Complications

MS-DRG 163 · Inpatient stay

27 $151,804 $34,214 -14%
Spinal Fusion Except Cervical without Major Complications

MS-DRG 460 · Inpatient stay

27 $117,327 $24,304 -19%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

26 $37,809 $9,025 -31%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

26 $33,321 $8,107 -14%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

26 $42,789 $11,154 -24%
Major Chest Procedures with Complications

MS-DRG 164 · Inpatient stay

25 $99,604 $19,292 -8%
Combined Anterior and Posterior Spinal Fusion with Complications

MS-DRG 454 · Inpatient stay

25 $132,093 $48,186 -41%

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.