CostGrade

All published prices at Falmouth Hospital

86 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
Sepsis (severe)

MS-DRG 871 · Inpatient stay

509 $31,143 $15,230 -52%
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

471 $18,977 $2,894 about average
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

172 $6,875 $1,725 -32%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

169 $23,637 $10,425 -46%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

152 $29,860 $14,028 -52%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

124 $21,588 $7,683 -46%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

119 $27,243 $12,744 -50%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

106 $20,589 $8,444 -48%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

103 $20,092 $9,082 -51%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

100 $22,478 $10,294 -52%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

99 $9,920 $3,476 -51%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

97 $10,914 $2,074 -4%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

76 $19,696 $6,611 -39%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

66 $9,258 $2,043 -21%
Stroke (severe)

MS-DRG 064 · Inpatient stay

63 $33,580 $14,665 -56%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

60 $22,538 $6,115 -36%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

59 $27,845 $12,912 -51%
Respiratory Failure

MS-DRG 189 · Inpatient stay

57 $25,764 $9,987 -47%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

57 $12,802 $5,557 -53%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

55 $32,807 $12,583 -47%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

53 $19,225 $6,502 -35%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

51 $26,333 $7,947 -42%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

51 $14,875 $3,423 -22%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

51 $11,692 $3,744 -43%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

50 $27,101 $8,137 -34%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

46 $6,527 $1,726 -42%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

45 $16,663 $3,716 -28%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

44 $9,965 $3,298 -45%
COPD (severe)

MS-DRG 190 · Inpatient stay

42 $17,448 $9,421 -58%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

40 $17,062 $7,187 -44%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

40 $28,526 $11,722 -46%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

40 $78,724 $37,169 -56%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

37 $18,762 $7,025 -41%
Fainting

MS-DRG 312 · Inpatient stay

35 $27,854 $7,367 -24%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

35 $42,242 $15,138 -47%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

34 $20,850 $7,717 -47%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

32 $20,618 $7,853 -45%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

32 $17,921 $7,274 -46%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

31 $18,972 $4,094 -20%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

28 $26,442 $10,504 -52%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

28 $19,829 $6,985 -55%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

25 $28,844 $10,378 -44%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

24 $23,705 $6,544 -43%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

24 $17,449 $6,314 -43%
Skin Infection (severe)

MS-DRG 602 · Inpatient stay

23 $26,066 $11,070 -49%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

23 $10,616 $3,052 -40%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

22 $44,504 $19,132 -46%
Heart Attack (uncomplicated)

MS-DRG 282 · Inpatient stay

20 $17,803 $5,878 -54%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

20 $25,668 $9,737 -46%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

20 $39,169 $13,664 -45%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

20 $9,078 $2,188 -30%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

18 $41,270 $11,454 -20%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

17 $44,345 $16,506 -47%
Fractures of Hip and Pelvis without Major Complications

MS-DRG 536 · Inpatient stay

17 $18,173 $6,392 -45%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

17 $42,488 $16,100 -49%
Back Problems (severe)

MS-DRG 551 · Inpatient stay

17 $28,009 $14,652 -60%
Gastrointestinal Obstruction without Complications/mcc

MS-DRG 390 · Inpatient stay

17 $16,821 $4,539 -30%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

17 $7,214 $1,720 -16%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

16 $23,704 $6,079 -23%
Gastrointestinal Obstruction with Major Complications

MS-DRG 388 · Inpatient stay

16 $26,436 $11,801 -54%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

16 $37,428 $7,003 -5%
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

15 $23,133 $6,127 -31%
Hip Replacement with Principal Diagnosis of Hip Fracture with Major Complications

MS-DRG 521 · Inpatient stay

15 $54,721 $21,894 -51%
Major Joint or Limb Reattachment Procedures of Upper Extremities

MS-DRG 483 · Inpatient stay

15 $65,418 $20,212 -36%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

15 $19,040 $7,296 -48%
Coagulation Disorders

MS-DRG 813 · Inpatient stay

15 $23,261 $12,611 -65%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

14 $17,927 $4,576 -29%
Sepsis

MS-DRG 870 · Inpatient stay

14 $125,464 $56,531 -53%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

13 $89,912 $35,267 -50%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

13 $53,242 $16,654 -38%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

13 $26,343 $10,686 -46%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

13 $25,907 $7,391 -30%
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with Major Complications

MS-DRG 896 · Inpatient stay

13 $28,842 $14,367 -56%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

12 $16,991 $6,497 -46%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

12 $17,560 $7,216 -49%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

12 $31,990 $12,595 -50%
Bronchitis and Asthma with Complications/mcc

MS-DRG 202 · Inpatient stay

12 $19,671 $7,811 -50%
Level 2 Urology and Related Services

APC 5372 · Hospital outpatient visit

12 $41,092 $734 +1,210%
Stroke (uncomplicated)

MS-DRG 066 · Inpatient stay

11 $25,266 $7,142 -29%
Seizures with Major Complications

MS-DRG 100 · Inpatient stay

11 $37,832 $14,853 -53%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

11 $69,249 $18,770 -31%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

11 $56,883 $22,472 -52%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

11 $31,973 $11,065 -43%
Major Chest Trauma with Complications

MS-DRG 184 · Inpatient stay

11 $25,279 $8,928 -48%
Pneumonia (uncomplicated)

MS-DRG 195 · Inpatient stay

11 $14,346 $5,129 -46%
Disorders of Pancreas Except Malignancy without Complications/mcc

MS-DRG 440 · Inpatient stay

11 $17,277 $5,950 -54%

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.