CostGrade

All published prices at Flagstaff Medical Center

111 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
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

475 $16,848 $2,830 -13%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

172 $89,289 $26,631 +37%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

135 $38,247 $13,453 -39%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

113 $51,479 $19,173 -38%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

105 $30,921 $3,316 +23%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

104 $20,386 $5,935 -42%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

95 $25,560 $7,471 -36%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

86 $59,070 $16,641 +36%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

79 $52,005 $17,394 +12%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

76 $95,440 $24,432 -28%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

69 $72,379 $22,483 +32%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

69 $22,375 $5,404 -19%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

68 $16,125 $3,143 -16%
Respiratory Failure

MS-DRG 189 · Inpatient stay

59 $50,394 $16,282 +4%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

58 $9,706 $1,664 -4%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

56 $16,397 $3,641 -21%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

51 $53,349 $25,567 -33%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

50 $8,623 $1,956 -27%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

45 $221,378 $69,571 +24%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

45 $12,603 $2,968 -29%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

40 $35,574 $10,582 -31%
Stroke (severe)

MS-DRG 064 · Inpatient stay

39 $92,606 $26,469 +21%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

37 $13,516 $3,535 -42%
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

36 $18,717 $6,116 -46%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

35 $59,095 $19,245 +22%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

35 $41,432 $10,409 +39%
Combined Anterior and Posterior Spinal Fusion with Complications

MS-DRG 454 · Inpatient stay

35 $108,603 $78,469 -51%
Combined Anterior and Posterior Spinal Fusion without Complications/mcc

MS-DRG 455 · Inpatient stay

35 $87,745 $59,482 -50%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

35 $24,089 $6,810 -39%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

33 $64,100 $20,834 +4%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

33 $41,443 $10,739 -31%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

32 $35,768 $9,635 +17%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

32 $75,141 $23,363 +6%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

32 $66,523 $26,791 -20%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

30 $31,734 $10,614 about average
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

29 $39,873 $13,226 -3%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

29 $36,298 $8,869 -4%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

28 $45,162 $12,478 +16%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

28 $68,031 $21,975 +20%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

26 $49,966 $13,157 +10%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

26 $50,947 $15,593 +8%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

26 $6,827 $1,678 -39%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

25 $148,102 $38,068 +3%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

24 $52,001 $15,427 +28%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

24 $17,168 $3,099 -16%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

24 $22,209 $5,739 -39%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

23 $200,290 $62,843 +6%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

23 $11,006 $2,127 -15%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

22 $28,710 $11,423 -6%
Laparoscopic Cholecystectomy without C.d.e. with Major Complications

MS-DRG 417 · Inpatient stay

22 $67,183 $30,945 -36%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

21 $59,402 $19,115 +9%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

21 $113,213 $32,807 +11%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

21 $57,614 $20,370 +9%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

21 $13,035 $3,911 -43%
Cervical Spinal Fusion with Complications

MS-DRG 472 · Inpatient stay

20 $64,066 $37,981 -46%
Major Joint or Limb Reattachment Procedures of Upper Extremities

MS-DRG 483 · Inpatient stay

20 $83,351 $32,353 -19%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

20 $62,316 $11,475 -8%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

20 $12,575 $3,265 -31%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

19 $42,419 $10,071 +39%
Laparoscopic Cholecystectomy without C.d.e. with Complications

MS-DRG 418 · Inpatient stay

19 $58,778 $21,168 -29%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

19 $100,740 $34,251 -32%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

18 $117,581 $36,571 +4%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

18 $45,255 $11,620 +37%
Spinal Fusion Except Cervical without Major Complications

MS-DRG 460 · Inpatient stay

18 $89,264 $49,709 -38%
Cervical Spinal Fusion without Complications/mcc

MS-DRG 473 · Inpatient stay

18 $64,356 $31,462 -29%
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications

MS-DRG 493 · Inpatient stay

18 $78,827 $31,016 -23%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

18 $14,641 $3,981 -39%
Craniotomy and Endovascular Intracranial Procedures with Major Complications

MS-DRG 025 · Inpatient stay

17 $125,788 $57,393 -35%
Other Cerebrovascular Disorders with Major Complications

MS-DRG 070 · Inpatient stay

17 $96,655 $23,408 +46%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

17 $92,263 $37,903 -21%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

17 $72,243 $31,817 -16%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

16 $50,758 $12,956 +16%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

16 $69,673 $27,124 -11%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

15 $88,332 $32,668 -6%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

15 $29,491 $7,170 +17%
Hip or Thigh Bone Surgery (uncomplicated)

MS-DRG 482 · Inpatient stay

15 $51,448 $20,483 -25%
Traumatic Stupor and Coma >1 Hour with Major Complications

MS-DRG 082 · Inpatient stay

15 $75,874 $29,812 -22%
Traumatic Stupor and Coma >1 Hour with Complications

MS-DRG 083 · Inpatient stay

15 $38,177 $17,876 -36%
Coronary Bypass with Cardiac Catheterization or Open Ablation without Major Complications

MS-DRG 234 · Inpatient stay

14 $259,426 $74,271 +18%
Other Vascular Procedures with Major Complications

MS-DRG 252 · Inpatient stay

14 $103,816 $45,006 -29%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

14 $41,295 $10,312 +32%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

14 $48,860 $12,294 +41%
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major

MS-DRG 981 · Inpatient stay

14 $203,450 $67,791 +11%
Level 3 Upper GI Procedures

APC 5303 · Hospital outpatient visit

14 $14,807 $4,000 -32%
Other Disorders of Nervous System with Major Complications

MS-DRG 091 · Inpatient stay

13 $64,215 $23,342 -10%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

13 $107,798 $30,479 +23%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

13 $58,675 $14,005 +8%
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

13 $31,376 $9,773 -6%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

13 $55,626 $14,353 +47%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

13 $53,123 $13,306 +35%
Major Gastrointestinal Disorders and Peritoneal Infections with Complications

MS-DRG 372 · Inpatient stay

13 $50,924 $13,409 +28%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

13 $5,916 $1,673 -31%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

13 $68,793 $16,866 -28%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

12 $91,021 $41,364 -27%
Hypertension with Major Complications

MS-DRG 304 · Inpatient stay

12 $46,499 $15,107 -7%
Gastrointestinal Obstruction with Major Complications

MS-DRG 388 · Inpatient stay

12 $43,787 $18,706 -24%
Traumatic Stupor and Coma <1 Hour with Major Complications

MS-DRG 085 · Inpatient stay

12 $103,682 $30,389 +6%
Cirrhosis and Alcoholic Hepatitis with Major Complications

MS-DRG 432 · Inpatient stay

12 $69,548 $24,593 -13%
Poisoning and Toxic Effects of Drugs with Major Complications

MS-DRG 917 · Inpatient stay

12 $43,421 $20,413 -36%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

12 $51,370 $5,969 +48%

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.