CostGrade

All published prices at El Camino Health

171 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
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

671 $57,738 $3,823 +197%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

588 $153,342 $18,376 +145%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

549 $197,829 $22,517 +203%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

421 $66,435 $7,245 +142%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

345 $25,084 $2,259 +149%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

295 $131,100 $14,480 +202%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

274 $86,702 $8,031 +147%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

247 $131,735 $14,417 +121%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

233 $21,023 $2,670 +79%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

195 $38,751 $2,857 +200%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

181 $42,991 $4,489 +125%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

173 $50,397 $4,909 +144%
Level 1 Intraocular Procedures

APC 5491 · Hospital outpatient visit

170 $32,689 $3,282 +178%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

164 $185,246 $20,736 +237%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

147 $332,246 $33,132 +150%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

140 $132,783 $15,048 +185%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

138 $110,823 $12,300 +183%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

137 $27,637 $4,001 +56%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

137 $61,800 $4,596 +145%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

124 $97,864 $9,998 +145%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

123 $88,391 $9,286 +197%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

119 $116,428 $15,345 +72%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

113 $100,293 $15,008 +95%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

105 $147,819 $19,161 +160%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

102 $108,267 $12,653 +162%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

97 $51,050 $8,048 +47%
Respiratory Failure

MS-DRG 189 · Inpatient stay

93 $136,351 $15,007 +182%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

93 $93,989 $9,047 +191%
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

86 $76,274 $9,631 +98%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

85 $342,851 $52,932 +81%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

82 $205,902 $20,567 +236%
Level 6 Urology and Related Services

APC 5376 · Hospital outpatient visit

79 $88,512 $12,952 +99%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

77 $515,856 $68,816 +190%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

74 $108,008 $10,913 +191%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

73 $155,076 $12,991 +241%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

72 $140,811 $16,803 +190%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

71 $203,240 $25,823 +145%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

71 $53,294 $4,872 +129%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

69 $71,719 $8,943 +135%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

68 $106,709 $11,165 +224%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

67 $199,407 $22,612 +139%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

65 $72,990 $7,527 +102%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

65 $156,804 $24,624 +64%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

62 $218,635 $35,187 +75%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

62 $105,183 $12,906 +158%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

60 $89,050 $9,446 +180%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

58 $88,887 $10,477 +191%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

53 $83,269 $10,764 +113%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

52 $99,845 $8,634 +226%
Stroke (severe)

MS-DRG 064 · Inpatient stay

51 $216,272 $21,990 +184%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

49 $210,855 $21,274 +164%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

47 $175,975 $19,799 +148%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

46 $84,041 $9,235 +168%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

46 $54,285 $4,558 +166%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

46 $45,530 $5,273 +101%
Level 5 Gynecologic Procedures

APC 5415 · Hospital outpatient visit

46 $64,418 $7,004 +115%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

44 $132,460 $16,189 +150%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

43 $56,827 $5,368 +138%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

43 $22,499 $2,214 +162%
Fainting

MS-DRG 312 · Inpatient stay

41 $103,886 $9,911 +184%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

40 $98,921 $9,178 +150%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

39 $236,159 $27,225 +135%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

38 $208,013 $23,301 +143%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

38 $96,715 $13,255 +156%
Combined Anterior and Posterior Spinal Fusion without Complications/mcc

MS-DRG 455 · Inpatient stay

38 $512,392 $63,764 +190%
Level 8 Urology and Related Services

APC 5378 · Hospital outpatient visit

38 $158,645 $28,322 +83%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

36 $86,677 $14,568 +81%
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

36 $98,052 $8,246 +185%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

35 $127,931 $11,613 +229%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

35 $23,669 $2,263 +111%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

33 $124,019 $10,511 +183%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

33 $475,656 $68,074 +98%
Gastrointestinal Obstruction without Complications/mcc

MS-DRG 390 · Inpatient stay

33 $71,574 $6,736 +198%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

33 $50,885 $4,402 +180%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

32 $133,260 $13,587 +181%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

32 $92,145 $10,065 +151%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

31 $209,516 $23,457 +106%
Level 3 Upper GI Procedures

APC 5303 · Hospital outpatient visit

31 $27,266 $5,393 +25%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

30 $422,866 $59,227 +136%
COPD (severe)

MS-DRG 190 · Inpatient stay

29 $116,877 $12,351 +179%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

29 $168,022 $19,195 +162%
Fractures of Hip and Pelvis without Major Complications

MS-DRG 536 · Inpatient stay

28 $79,935 $8,960 +144%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

28 $208,364 $46,171 +40%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

28 $30,092 $3,954 +82%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

27 $127,376 $14,379 +148%
Level 6 Gynecologic Procedures

APC 5416 · Hospital outpatient visit

27 $81,706 $10,630 +100%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

26 $73,822 $6,550 +193%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

26 $71,351 $11,560 +89%
Complex GI Procedures

APC 5331 · Hospital outpatient visit

26 $45,269 $8,025 +51%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

25 $305,637 $33,174 +113%
Kidney and Ureter Procedures for Non-neoplasm with Complications

MS-DRG 660 · Inpatient stay

25 $136,895 $15,068 +146%
Endocrine Disorders with Complications

MS-DRG 644 · Inpatient stay

25 $121,547 $12,248 +216%
Stroke (uncomplicated)

MS-DRG 066 · Inpatient stay

24 $110,836 $10,072 +209%
Level 2 Neurostimulator and Related Procedures

APC 5462 · Hospital outpatient visit

24 $96,136 $9,624 +267%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

23 $405,004 $43,438 +245%
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major

MS-DRG 897 · Inpatient stay

23 $91,157 $9,846 +180%
Pulmonary Embolism without Major Complications

MS-DRG 176 · Inpatient stay

22 $119,893 $9,371 +242%
Combined Anterior and Posterior Spinal Fusion with Complications

MS-DRG 454 · Inpatient stay

22 $680,333 $82,465 +206%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

21 $190,760 $22,529 +130%
Malignancy of Hepatobiliary System or Pancreas with Major Complications

MS-DRG 435 · Inpatient stay

21 $179,968 $21,704 +120%

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.