CostGrade

All published prices at Dominican Hospital

118 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.

F
Procedure Patients Charged Actually paid vs national
Sepsis (severe)

MS-DRG 871 · Inpatient stay

577 $211,840 $22,271 +225%
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

304 $46,900 $3,577 +141%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

227 $41,972 $4,263 +66%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

168 $154,520 $14,778 +256%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

132 $120,542 $11,209 +207%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

119 $108,417 $17,206 +74%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

102 $23,826 $4,176 +25%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

94 $155,738 $16,832 +183%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

94 $17,592 $2,493 +50%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

92 $63,677 $9,368 +60%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

85 $40,089 $4,567 +94%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

81 $475,742 $60,973 +167%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

79 $14,218 $2,124 +41%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

78 $144,720 $14,938 +211%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

76 $161,794 $18,379 +185%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

76 $80,069 $14,388 +18%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

75 $84,511 $8,697 +184%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

73 $49,648 $6,779 +81%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

68 $14,439 $3,723 -18%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

59 $116,786 $11,151 +183%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

59 $88,105 $9,599 +189%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

58 $101,747 $9,648 +209%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

55 $65,901 $7,560 +88%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

53 $103,296 $8,522 +220%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

53 $16,848 $2,669 +30%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

51 $118,026 $11,369 +159%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

51 $109,094 $12,435 +168%
COPD (severe)

MS-DRG 190 · Inpatient stay

47 $134,170 $12,206 +221%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

44 $172,426 $16,861 +226%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

41 $45,127 $13,966 -12%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

40 $135,169 $13,808 +179%
Respiratory Failure

MS-DRG 189 · Inpatient stay

39 $150,686 $14,915 +211%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

39 $41,953 $7,489 +21%
Stroke (severe)

MS-DRG 064 · Inpatient stay

38 $186,777 $20,569 +145%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

37 $99,663 $10,475 +155%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

37 $18,785 $2,106 +67%
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major

MS-DRG 897 · Inpatient stay

34 $116,504 $9,262 +258%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

33 $317,708 $50,656 +68%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

33 $88,484 $8,152 +189%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

32 $290,562 $32,653 +102%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

32 $29,044 $4,533 +25%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

31 $172,605 $21,961 +143%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

30 $128,798 $12,081 +136%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

30 $179,826 $19,437 +77%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

30 $162,093 $22,348 +95%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

29 $213,063 $16,799 +247%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

29 $93,892 $8,802 +207%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

29 $131,766 $13,232 +121%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

28 $15,342 $2,001 +79%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

27 $220,026 $24,473 +150%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

27 $235,702 $29,305 +101%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

26 $220,479 $24,249 +166%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

25 $437,224 $55,571 +144%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

24 $82,389 $8,591 +163%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

23 $123,561 $10,167 +218%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

23 $499,581 $68,667 +108%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

22 $116,013 $10,898 +265%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

22 $114,513 $12,970 +142%
Fainting

MS-DRG 312 · Inpatient stay

22 $91,917 $9,413 +151%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

22 $179,045 $22,287 +109%
Sepsis

MS-DRG 870 · Inpatient stay

22 $681,460 $81,221 +154%
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with Major Complications

MS-DRG 896 · Inpatient stay

21 $116,705 $18,327 +78%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

20 $96,625 $10,543 +160%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

20 $183,385 $22,169 +134%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

20 $106,103 $9,822 +207%
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with

MS-DRG 543 · Inpatient stay

20 $108,868 $10,963 +163%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

19 $127,708 $13,760 +149%
Fractures of Hip and Pelvis without Major Complications

MS-DRG 536 · Inpatient stay

19 $74,034 $8,643 +126%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

19 $107,901 $10,832 +186%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

19 $137,504 $24,350 +66%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

19 $50,714 $7,200 +40%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

19 $110,076 $22,913 +15%
Other Disorders of Nervous System with Complications

MS-DRG 092 · Inpatient stay

18 $94,785 $10,744 +111%
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization

MS-DRG 220 · Inpatient stay

18 $532,220 $60,615 +128%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

18 $44,277 $11,118 +17%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

18 $31,582 $4,096 +74%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

17 $107,551 $9,906 +164%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

17 $68,218 $6,159 +171%
Hip or Thigh Bone Surgery (uncomplicated)

MS-DRG 482 · Inpatient stay

17 $125,107 $16,773 +83%
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization

MS-DRG 219 · Inpatient stay

17 $644,686 $83,013 +92%
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with

MS-DRG 617 · Inpatient stay

17 $162,477 $19,930 +120%
Poisoning and Toxic Effects of Drugs with Major Complications

MS-DRG 917 · Inpatient stay

17 $192,164 $21,005 +183%
Traumatic Stupor and Coma <1 Hour with Complications

MS-DRG 086 · Inpatient stay

16 $131,525 $15,813 +132%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

15 $102,183 $8,726 +148%
Other Disorders of Nervous System with Major Complications

MS-DRG 091 · Inpatient stay

15 $121,060 $18,646 +70%
Other Vascular Procedures with Major Complications

MS-DRG 252 · Inpatient stay

15 $252,956 $35,712 +74%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

15 $227,917 $25,293 +127%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

15 $144,106 $15,054 +156%
Signs and Symptoms without Major Complications

MS-DRG 948 · Inpatient stay

15 $74,509 $8,736 +130%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

15 $99,826 $9,532 +172%
Level 4 Pacemaker and Similar Procedures

APC 5224 · Hospital outpatient visit

15 $100,740 $25,458 +5%
Craniotomy and Endovascular Intracranial Procedures with Major Complications

MS-DRG 025 · Inpatient stay

14 $300,388 $37,915 +56%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

14 $126,110 $13,992 +164%
Stroke (uncomplicated)

MS-DRG 066 · Inpatient stay

14 $111,379 $7,541 +211%
Other Circulatory System Diagnoses with Complications

MS-DRG 315 · Inpatient stay

14 $97,344 $10,420 +135%
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major

MS-DRG 441 · Inpatient stay

14 $239,116 $26,513 +214%
Major Gastrointestinal Disorders and Peritoneal Infections with Major Complications

MS-DRG 371 · Inpatient stay

14 $175,579 $17,342 +156%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

14 $65,811 $8,048 +67%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

14 $102,997 $42,961 -31%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

13 $122,896 $9,934 +181%

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.