CostGrade

All published prices at Ephraim Mcdowell Regional Medical Center

68 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.

B
Procedure Patients Charged Actually paid vs national
Level 1 Intraocular Procedures

APC 5491 · Hospital outpatient visit

368 $10,929 $1,971 -7%
Level 2 Urology and Related Services

APC 5372 · Hospital outpatient visit

226 $978 $569 -69%
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

225 $13,169 $2,347 -32%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

131 $34,157 $12,990 -48%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

114 $47,367 $11,059 -24%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

103 $17,627 $4,928 -50%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

101 $6,854 $1,612 -42%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

97 $28,133 $8,667 -35%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

81 $4,163 $1,240 -59%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

78 $30,644 $8,921 -34%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

70 $3,578 $1,753 -72%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

53 $34,131 $10,773 -38%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

52 $10,815 $2,743 -43%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

48 $17,341 $4,453 -37%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

45 $27,251 $6,157 -32%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

45 $20,059 $2,809 -21%
Respiratory Failure

MS-DRG 189 · Inpatient stay

43 $30,997 $8,605 -36%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

36 $9,890 $2,364 -44%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

33 $21,119 $8,043 -48%
Level 3 Upper GI Procedures

APC 5303 · Hospital outpatient visit

32 $11,664 $3,296 -47%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

31 $52,892 $9,462 -22%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

29 $49,154 $13,923 -41%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

28 $19,580 $6,995 -53%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

28 $18,412 $6,382 -44%
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

28 $4,155 $1,398 -64%
Complex GI Procedures

APC 5331 · Hospital outpatient visit

28 $16,424 $4,730 -45%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

27 $72,010 $32,257 -60%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

26 $30,722 $8,856 -49%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

24 $14,184 $3,000 -31%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

22 $13,623 $5,302 -56%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

22 $9,417 $3,223 -59%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

21 $20,735 $8,847 -57%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

21 $3,597 $945 -58%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

21 $6,616 $1,331 -41%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

20 $28,431 $11,074 -50%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

20 $8,960 $1,662 -21%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

19 $46,432 $17,927 -59%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

19 $48,569 $14,314 -43%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

19 $17,361 $5,751 -42%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

19 $65,035 $12,685 -32%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

17 $24,640 $6,758 -46%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

17 $75,176 $12,363 -26%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

17 $9,387 $2,416 -43%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

16 $19,200 $5,865 -40%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

16 $20,693 $8,636 -56%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

16 $23,496 $10,311 -56%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

16 $47,942 $9,186 -7%
Level 5 Gynecologic Procedures

APC 5415 · Hospital outpatient visit

16 $11,806 $4,281 -61%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

15 $38,294 $9,100 -30%
Psychoses

MS-DRG 885 · Inpatient stay

15 $23,570 $9,858 -35%
Level 6 Urology and Related Services

APC 5376 · Hospital outpatient visit

15 $30,661 $7,929 -31%
COPD (severe)

MS-DRG 190 · Inpatient stay

14 $27,611 $8,125 -34%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

14 $14,857 $2,808 -36%
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

14 $14,650 $5,040 -57%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

13 $78,522 $28,467 -56%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

13 $40,740 $15,562 -59%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

13 $21,627 $7,402 -45%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

12 $16,353 $5,654 -48%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

12 $14,449 $5,514 -53%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

12 $10,255 $2,786 -50%
Level 2 Intraocular Procedures

APC 5492 · Hospital outpatient visit

12 $11,932 $3,499 -42%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

11 $47,773 $15,661 -46%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

11 $12,763 $3,281 -46%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

11 $32,988 $5,612 -17%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

11 $33,341 $4,919 -4%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

11 $11,420 $2,691 -37%
Level 5 Neurostimulator and Related Procedures

APC 5465 · Hospital outpatient visit

11 $66,783 $26,649 -41%
Level 3 ENT Procedures

APC 5163 · Hospital outpatient visit

11 $5,212 $1,026 -19%

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.