CostGrade

All published prices at Decatur Memorial Hospital

101 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
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

414 $10,746 $1,493 +7%
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

245 $16,023 $2,522 -18%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

236 $74,214 $12,057 +19%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

234 $8,620 $1,882 -33%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

192 $59,569 $15,080 -9%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

188 $33,789 $10,500 -22%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

158 $14,886 $1,776 +31%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

138 $15,643 $3,222 -24%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

109 $9,709 $1,465 -14%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

108 $19,403 $2,991 -5%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

104 $27,787 $4,782 about average
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

103 $40,605 $6,562 about average
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

98 $17,156 $2,922 -10%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

93 $42,542 $12,384 -23%
Respiratory Failure

MS-DRG 189 · Inpatient stay

86 $55,165 $12,352 +14%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

86 $17,126 $3,179 -26%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

83 $26,563 $5,281 -24%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

77 $14,543 $2,626 -18%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

72 $40,673 $10,454 -13%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

72 $10,197 $1,739 -13%
Level 1 Intraocular Procedures

APC 5491 · Hospital outpatient visit

71 $12,842 $2,154 +9%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

69 $76,713 $10,158 +13%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

67 $23,484 $6,499 -21%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

65 $30,517 $8,783 -25%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

65 $20,928 $2,983 -17%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

61 $6,722 $1,480 -22%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

59 $36,007 $7,748 -21%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

58 $25,086 $6,578 -21%
Level 2 Urology and Related Services

APC 5372 · Hospital outpatient visit

55 $3,662 $631 +17%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

53 $119,918 $17,185 +44%
COPD (severe)

MS-DRG 190 · Inpatient stay

51 $39,127 $8,474 -7%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

48 $28,569 $6,683 -7%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

47 $27,455 $6,437 -15%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

44 $26,361 $7,718 -29%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

44 $37,947 $6,027 -4%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

41 $22,193 $6,339 -28%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

41 $80,719 $15,104 -6%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

41 $47,810 $14,290 -10%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

41 $28,191 $7,010 -14%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

41 $19,857 $3,523 -17%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

39 $30,103 $12,289 -36%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

39 $32,204 $7,744 -22%
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

39 $7,031 $1,548 -38%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

38 $28,039 $7,086 -8%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

37 $79,820 $15,617 -4%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

37 $34,709 $9,989 -28%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

31 $34,975 $7,935 -11%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

30 $33,994 $5,282 about average
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

28 $13,362 $3,399 -41%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

27 $43,778 $9,265 -27%
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

26 $27,770 $6,200 -17%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

26 $140,344 $36,550 -21%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

25 $27,343 $6,243 -13%
Pulmonary Embolism without Major Complications

MS-DRG 176 · Inpatient stay

24 $28,713 $7,421 -18%
Major Joint or Limb Reattachment Procedures of Upper Extremities

MS-DRG 483 · Inpatient stay

24 $164,293 $22,730 +60%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

24 $167,799 $21,893 +27%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

23 $105,058 $14,895 +3%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

23 $40,869 $11,356 -20%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

23 $45,115 $11,680 -21%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

22 $9,206 $2,824 -49%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

22 $16,235 $2,595 about average
Chest Pain

MS-DRG 313 · Inpatient stay

20 $26,437 $5,818 -22%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

20 $32,212 $7,361 -7%
Revision of Hip or Knee Replacement without Complications/mcc

MS-DRG 468 · Inpatient stay

20 $127,695 $26,739 +18%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

19 $30,213 $7,926 -19%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

19 $64,848 $13,701 +6%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

19 $36,194 $13,612 -36%
Stroke (severe)

MS-DRG 064 · Inpatient stay

18 $51,937 $13,080 -32%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

18 $133,260 $24,432 -7%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

18 $32,399 $13,117 -54%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

18 $24,009 $7,315 -38%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

18 $39,932 $11,048 -29%
Stroke (uncomplicated)

MS-DRG 066 · Inpatient stay

17 $33,439 $7,424 -7%
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

17 $30,347 $5,412 -12%
Fainting

MS-DRG 312 · Inpatient stay

16 $28,547 $9,443 -22%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

16 $141,143 $42,052 -21%
Signs and Symptoms without Major Complications

MS-DRG 948 · Inpatient stay

16 $22,847 $6,407 -30%
Revision of Hip or Knee Replacement with Complications

MS-DRG 467 · Inpatient stay

16 $149,726 $23,944 +15%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

15 $82,167 $20,497 -28%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

15 $75,420 $17,475 -25%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

15 $25,327 $8,260 -33%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

15 $37,387 $12,417 -42%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

15 $94,217 $15,539 +18%
Major Small and Large Bowel Procedures without Complications/mcc

MS-DRG 331 · Inpatient stay

15 $55,637 $12,645 -25%
Level 5 Gynecologic Procedures

APC 5415 · Hospital outpatient visit

15 $21,871 $4,597 -27%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

14 $53,490 $11,118 about average
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

14 $53,397 $17,118 -39%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

14 $46,593 $9,994 -15%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

14 $90,593 $16,172 -5%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

13 $26,473 $4,694 +5%
Laparoscopic Cholecystectomy without C.d.e. with Complications

MS-DRG 418 · Inpatient stay

13 $54,270 $12,448 -34%
Kidney and Ureter Procedures for Non-neoplasm with Complications

MS-DRG 660 · Inpatient stay

12 $31,544 $10,622 -43%
Spinal Fusion Except Cervical without Major Complications

MS-DRG 460 · Inpatient stay

12 $115,164 $30,947 -21%
Skin Infection (severe)

MS-DRG 602 · Inpatient stay

12 $40,881 $11,335 -20%
Level 5 Neurostimulator and Related Procedures

APC 5465 · Hospital outpatient visit

12 $121,254 $26,365 +8%
Hypertension with Major Complications

MS-DRG 304 · Inpatient stay

11 $30,339 $8,903 -39%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

11 $32,574 $7,990 -17%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

11 $22,260 $7,184 -39%
Major Gastrointestinal Disorders and Peritoneal Infections with Complications

MS-DRG 372 · Inpatient stay

11 $31,078 $8,230 -22%
Gastrointestinal Obstruction without Complications/mcc

MS-DRG 390 · Inpatient stay

11 $16,393 $4,653 -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.