All published prices at Elkhart General Hospital
95 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.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
333 | $13,218 | $2,504 | -32% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
205 | $8,750 | $1,490 | -13% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
174 | $18,705 | $3,001 | -26% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
131 | $65,959 | $15,516 | about average |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
95 | $36,714 | $9,945 | -15% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
93 | $52,202 | $9,703 | +8% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
79 | $74,355 | $12,137 | +19% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
69 | $24,781 | $5,083 | -29% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
65 | $25,160 | $6,493 | -16% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
63 | $67,612 | $10,150 | about average |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
49 | $30,014 | $7,761 | -34% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
48 | $28,174 | $6,386 | -11% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
48 | $158,834 | $21,875 | +20% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
45 | $50,555 | $11,948 | -8% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
44 | $15,213 | $2,890 | -20% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
43 | $22,990 | $6,440 | -29% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
42 | $25,936 | $7,529 | -15% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
41 | $48,296 | $10,104 | +4% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
41 | $27,872 | $6,323 | -9% |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
41 | $38,973 | $6,320 | about average |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
39 | $11,378 | $2,570 | -36% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
39 | $45,342 | $6,606 | +14% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
36 | $157,262 | $25,938 | +26% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major
MS-DRG 287 · Inpatient stay |
36 | $41,343 | $9,082 | -24% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
34 | $166,201 | $34,873 | -12% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
34 | $47,225 | $11,987 | -23% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
34 | $120,036 | $16,159 | +26% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
34 | $7,802 | $1,881 | -40% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
32 | $34,379 | $8,718 | -16% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
31 | $33,103 | $8,279 | -16% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
30 | $47,378 | $7,975 | +15% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
30 | $20,430 | $3,458 | -10% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
29 | $22,042 | $4,778 | -20% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
28 | $21,625 | $6,089 | -29% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
28 | $42,343 | $11,035 | -20% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
28 | $14,542 | $2,989 | -29% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
27 | $55,071 | $15,728 | -28% |
|
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization
MS-DRG 220 · Inpatient stay |
27 | $192,098 | $44,773 | -18% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
27 | $10,169 | $1,757 | -13% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
26 | $31,541 | $9,678 | -35% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
26 | $25,167 | $1,479 | +193% |
|
Fainting
MS-DRG 312 · Inpatient stay |
24 | $29,265 | $6,813 | -20% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
24 | $92,235 | $13,559 | -9% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
23 | $76,163 | $14,521 | -9% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
23 | $30,513 | $6,990 | -7% |
|
Transient Ischemia without Thrombolytic
MS-DRG 069 · Inpatient stay |
22 | $24,287 | $6,291 | -41% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
22 | $36,651 | $8,398 | -12% |
|
Coronary Bypass without Cardiac Catheterization without Major Complications
MS-DRG 236 · Inpatient stay |
22 | $143,461 | $29,404 | -22% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
22 | $43,745 | $9,168 | -8% |
|
COPD (with complications)
MS-DRG 191 · Inpatient stay |
22 | $29,310 | $6,707 | -12% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
21 | $38,473 | $6,973 | -12% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
21 | $82,017 | $15,633 | -4% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
20 | $46,820 | $13,028 | -34% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
20 | $15,496 | $3,219 | -25% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
19 | $103,023 | $15,536 | +24% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
19 | $45,765 | $7,846 | +21% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
19 | $46,459 | $9,853 | -10% |
|
Pulmonary Embolism without Major Complications
MS-DRG 176 · Inpatient stay |
18 | $26,091 | $7,319 | -26% |
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
17 | $31,265 | $7,062 | -23% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
17 | $33,497 | $7,429 | -10% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
17 | $26,045 | $7,220 | -33% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
17 | $23,546 | $6,984 | -37% |
|
Bronchitis and Asthma with Complications/mcc
MS-DRG 202 · Inpatient stay |
17 | $25,634 | $7,651 | -35% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
17 | $29,256 | $5,408 | -15% |
|
Irregular Heartbeat (uncomplicated)
MS-DRG 310 · Inpatient stay |
16 | $20,608 | $4,997 | -18% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
16 | $141,613 | $42,271 | -20% |
|
Signs and Symptoms without Major Complications
MS-DRG 948 · Inpatient stay |
16 | $25,873 | $6,262 | -20% |
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
16 | $176,355 | $28,591 | +56% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
15 | $44,344 | $11,018 | -14% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
15 | $7,182 | $2,591 | -57% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
14 | $58,175 | $16,123 | -34% |
|
Hypertension without Major Complications
MS-DRG 305 · Inpatient stay |
14 | $21,915 | $5,946 | -35% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
14 | $134,818 | $20,925 | -6% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
14 | $12,981 | $1,567 | +14% |
|
Extracranial Procedures with Complications
MS-DRG 038 · Inpatient stay |
13 | $39,639 | $11,991 | -41% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
13 | $47,529 | $10,195 | -13% |
|
Other Cerebrovascular Disorders with Complications
MS-DRG 071 · Inpatient stay |
13 | $36,196 | $8,056 | -18% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
13 | $35,571 | $5,278 | about average |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
13 | $6,572 | $1,783 | -42% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
12 | $58,653 | $14,701 | -27% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
12 | $39,121 | $11,608 | -31% |
|
Other Major Cardiovascular Procedures with Major Complications
MS-DRG 270 · Inpatient stay |
12 | $126,576 | $36,080 | -44% |
|
Disorders of Pancreas Except Malignancy with Complications
MS-DRG 439 · Inpatient stay |
12 | $27,209 | $6,498 | -24% |
|
Revision of Hip or Knee Replacement without Complications/mcc
MS-DRG 468 · Inpatient stay |
12 | $115,886 | $20,333 | +7% |
|
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without
MS-DRG 563 · Inpatient stay |
12 | $24,820 | $6,965 | -32% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
12 | $28,528 | $6,022 | -28% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
12 | $15,036 | $2,983 | -35% |
|
Stroke (uncomplicated)
MS-DRG 066 · Inpatient stay |
11 | $21,615 | $5,982 | -40% |
|
Chest Pain
MS-DRG 313 · Inpatient stay |
11 | $23,651 | $5,771 | -30% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
11 | $74,605 | $17,776 | -26% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture with Major Complications
MS-DRG 521 · Inpatient stay |
11 | $97,342 | $20,107 | -13% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications
MS-DRG 266 · Inpatient stay |
11 | $228,771 | $44,917 | -5% |
|
Traumatic Stupor and Coma >1 Hour with Complications
MS-DRG 083 · Inpatient stay |
11 | $28,875 | $10,262 | -52% |
|
Skin Infection (severe)
MS-DRG 602 · Inpatient stay |
11 | $36,694 | $11,040 | -29% |
|
Level 4 ENT Procedures
APC 5164 · Hospital outpatient visit |
11 | $15,516 | $2,758 | -18% |
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.