CostGrade

All published prices at Edward Hospital

185 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

992 $24,730 $2,558 +27%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

374 $78,479 $15,691 +20%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

364 $14,906 $1,784 +27%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

352 $48,430 $10,090 +12%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

340 $26,204 $3,068 +4%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

286 $12,437 $1,522 +23%
Level 2 Urology and Related Services

APC 5372 · Hospital outpatient visit

257 $5,545 $454 +77%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

249 $61,897 $12,188 about average
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

183 $40,835 $5,413 +16%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

171 $35,932 $4,844 +31%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

167 $77,083 $10,329 +14%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

166 $176,861 $22,239 +33%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

163 $21,776 $2,997 +14%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

155 $67,247 $11,956 +22%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

151 $54,894 $12,686 +18%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

132 $29,706 $6,358 about average
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

127 $25,212 $3,289 +22%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

114 $47,987 $7,366 +16%
Respiratory Failure

MS-DRG 189 · Inpatient stay

109 $63,208 $10,939 +31%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

104 $48,312 $6,740 +21%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

103 $29,235 $3,473 +29%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

102 $36,008 $7,806 +12%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

102 $10,664 $1,833 -6%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

96 $163,518 $26,724 +31%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

91 $43,847 $8,972 +8%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

86 $27,951 $6,761 -9%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

85 $50,513 $11,784 -11%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

85 $32,881 $9,387 -16%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

81 $29,020 $6,731 -5%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

78 $31,555 $6,931 about average
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

78 $24,397 $3,619 about average
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

77 $65,583 $10,130 +27%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

73 $16,688 $1,913 +29%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

72 $26,388 $7,453 -14%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

72 $68,832 $17,105 -14%
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

70 $46,250 $6,424 +20%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

69 $54,101 $7,955 +19%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

69 $26,391 $2,574 +49%
Fainting

MS-DRG 312 · Inpatient stay

68 $38,944 $8,059 +6%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

65 $41,007 $6,064 +4%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

64 $34,150 $6,800 +4%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

61 $175,730 $32,687 about average
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

61 $130,633 $17,129 +57%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

57 $17,432 $2,885 -4%
Stroke (severe)

MS-DRG 064 · Inpatient stay

55 $84,926 $26,142 +11%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

55 $53,939 $7,944 +43%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

54 $63,356 $13,829 +20%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

54 $111,884 $16,613 +17%
COPD (severe)

MS-DRG 190 · Inpatient stay

53 $46,360 $8,556 +11%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

53 $15,474 $1,503 +38%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

52 $46,512 $12,515 -4%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

51 $229,503 $37,325 +21%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

51 $47,221 $10,163 about average
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

51 $30,899 $6,453 about average
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

50 $32,044 $5,474 -7%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

49 $33,859 $7,677 -9%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

49 $83,363 $17,937 about average
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

49 $43,693 $6,959 +17%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

48 $106,346 $15,664 +5%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

48 $116,076 $26,906 +15%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

48 $7,221 $1,499 -16%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

47 $20,542 $3,073 about average
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

47 $55,093 $5,427 +59%
Stroke (uncomplicated)

MS-DRG 066 · Inpatient stay

46 $39,280 $4,925 +10%
Level 3 Upper GI Procedures

APC 5303 · Hospital outpatient visit

46 $24,652 $3,577 +13%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

45 $105,360 $23,103 +20%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

45 $25,369 $6,282 about average
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

45 $30,124 $7,133 -20%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

43 $26,436 $3,285 +14%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

41 $55,241 $11,841 -10%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

41 $184,126 $31,141 +24%
Spinal Fusion Except Cervical without Major Complications

MS-DRG 460 · Inpatient stay

40 $126,824 $32,930 -13%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

37 $146,174 $28,576 about average
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

37 $20,556 $2,666 +24%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

36 $33,817 $7,396 -13%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

35 $62,909 $10,672 +15%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

34 $72,240 $13,742 about average
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

34 $53,000 $5,217 +47%
Complex GI Procedures

APC 5331 · Hospital outpatient visit

34 $43,055 $5,411 +44%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

34 $67,513 $9,766 +13%
Other Vascular Procedures with Major Complications

MS-DRG 252 · Inpatient stay

33 $230,711 $31,877 +59%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

33 $155,417 $27,837 -13%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

32 $53,541 $15,832 about average
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

32 $61,984 $9,703 +21%
Other Vascular Procedures with Complications

MS-DRG 253 · Inpatient stay

32 $144,719 $24,621 +29%
Traumatic Stupor and Coma <1 Hour with Complications

MS-DRG 086 · Inpatient stay

30 $66,948 $11,063 +18%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

30 $115,423 $16,177 +23%
Skin Infection (severe)

MS-DRG 602 · Inpatient stay

30 $33,018 $11,015 -36%
Major Gastrointestinal Disorders and Peritoneal Infections with Complications

MS-DRG 372 · Inpatient stay

30 $36,440 $7,125 -8%
Combined Anterior and Posterior Spinal Fusion without Complications/mcc

MS-DRG 455 · Inpatient stay

30 $232,732 $35,081 +32%
Level 1 Intraocular Procedures

APC 5491 · Hospital outpatient visit

29 $18,169 $2,152 +55%
Combined Anterior and Posterior Spinal Fusion with Complications

MS-DRG 454 · Inpatient stay

28 $252,330 $65,042 +14%
Major Small and Large Bowel Procedures without Complications/mcc

MS-DRG 331 · Inpatient stay

27 $101,216 $20,115 +36%
Gastrointestinal Obstruction without Complications/mcc

MS-DRG 390 · Inpatient stay

27 $25,169 $5,737 +5%
Level 5 Gynecologic Procedures

APC 5415 · Hospital outpatient visit

27 $29,360 $4,452 about average
Malignancy of Hepatobiliary System or Pancreas with Major Complications

MS-DRG 435 · Inpatient stay

26 $74,322 $13,151 -9%
Cervical Spinal Fusion with Complications

MS-DRG 472 · Inpatient stay

26 $146,151 $29,395 +22%
Craniotomy and Endovascular Intracranial Procedures with Major Complications

MS-DRG 025 · Inpatient stay

25 $220,771 $54,967 +15%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

25 $37,346 $9,273 -4%
Pulmonary Embolism without Major Complications

MS-DRG 176 · Inpatient stay

25 $44,687 $5,994 +28%

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.