CostGrade

All published prices at Fmol Health St Francis

117 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.

C
Procedure Patients Charged Actually paid vs national
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

554 $25,608 $2,683 about average
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

481 $19,166 $2,242 about average
Sepsis (severe)

MS-DRG 871 · Inpatient stay

346 $64,055 $13,210 about average
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

236 $8,493 $1,323 -16%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

219 $69,382 $9,142 about average
Level 1 Intraocular Procedures

APC 5491 · Hospital outpatient visit

184 $6,212 $1,883 -47%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

165 $47,835 $9,112 +10%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

142 $19,060 $4,744 -46%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

130 $22,496 $5,875 -44%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

127 $17,885 $2,606 -6%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

111 $48,118 $8,875 -7%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

100 $74,684 $22,118 -40%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

84 $39,463 $4,670 +14%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

81 $44,205 $10,851 -20%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

81 $34,601 $6,183 +5%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

81 $36,750 $10,816 -41%
Level 2 Intraocular Procedures

APC 5492 · Hospital outpatient visit

81 $15,570 $3,380 -25%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

75 $8,874 $1,565 -24%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

72 $40,325 $7,233 about average
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

71 $102,759 $14,370 +8%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

70 $48,182 $9,020 +3%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

70 $40,174 $6,993 about average
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

68 $31,894 $5,665 +7%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

67 $68,843 $12,350 +21%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

65 $60,287 $14,185 -30%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

65 $41,904 $8,074 about average
Stroke (with complications)

MS-DRG 065 · Inpatient stay

59 $40,288 $7,170 -12%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

57 $143,672 $32,925 -19%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

57 $18,418 $4,242 -33%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

53 $55,169 $11,318 +4%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

52 $31,081 $5,810 about average
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

52 $37,571 $5,949 +16%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

52 $15,758 $2,811 -24%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

50 $15,069 $1,332 +76%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

49 $154,262 $20,657 +7%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

48 $121,956 $13,122 +20%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

48 $66,390 $14,190 -20%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

48 $34,306 $6,946 -9%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

43 $61,853 $12,293 -13%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

41 $33,517 $5,655 +10%
Respiratory Failure

MS-DRG 189 · Inpatient stay

40 $45,210 $9,134 -7%
COPD (severe)

MS-DRG 190 · Inpatient stay

39 $33,301 $7,805 -20%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

39 $10,502 $2,363 -41%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

38 $27,652 $4,569 -23%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

37 $64,901 $15,464 -22%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

35 $50,490 $8,353 -7%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

35 $144,355 $27,274 about average
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

34 $38,850 $8,236 -18%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

33 $50,612 $8,737 +4%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

32 $130,493 $32,058 -31%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

32 $21,755 $2,805 -6%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

32 $9,629 $1,693 -25%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

31 $76,167 $14,696 -13%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

30 $32,017 $6,143 about average
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

30 $63,065 $15,144 -19%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

29 $25,176 $4,415 about average
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

29 $93,265 $15,990 -7%
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

29 $15,236 $5,690 -60%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

28 $70,575 $11,838 +15%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

28 $30,144 $6,935 about average
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

25 $39,252 $7,144 -10%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

25 $14,114 $3,068 -41%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

24 $13,741 $3,010 -39%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

24 $31,094 $8,268 -48%
Stroke (severe)

MS-DRG 064 · Inpatient stay

23 $70,351 $15,119 -8%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

23 $27,964 $5,764 -11%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

23 $23,910 $5,422 -39%
Fainting

MS-DRG 312 · Inpatient stay

22 $36,284 $6,531 about average
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

22 $13,408 $2,691 -34%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

21 $182,242 $44,046 -24%
Extracranial Procedures without Complications/mcc

MS-DRG 039 · Inpatient stay

19 $44,087 $7,781 -17%
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with

MS-DRG 617 · Inpatient stay

19 $91,627 $16,365 +24%
Gastrointestinal Obstruction without Complications/mcc

MS-DRG 390 · Inpatient stay

19 $19,529 $4,551 -19%
Peripheral, Cranial Nerve and Other Nervous System Procedures with Complications or

MS-DRG 041 · Inpatient stay

19 $72,961 $16,046 -29%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

18 $37,339 $6,329 about average
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

18 $16,614 $4,869 -52%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

17 $125,354 $17,366 +10%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

17 $65,491 $8,346 +28%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

17 $47,859 $7,530 +27%
Major Small and Large Bowel Procedures without Complications/mcc

MS-DRG 331 · Inpatient stay

17 $57,839 $12,160 -22%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

16 $83,778 $14,903 -11%
Other Vascular Procedures with Major Complications

MS-DRG 252 · Inpatient stay

16 $128,307 $23,656 -12%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

16 $87,213 $12,892 +5%
Hip Replacement with Principal Diagnosis of Hip Fracture with Major Complications

MS-DRG 521 · Inpatient stay

16 $87,525 $19,442 -22%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

16 $7,649 $1,336 -32%
Level 5 Gynecologic Procedures

APC 5415 · Hospital outpatient visit

16 $12,702 $4,135 -58%
Chest Pain

MS-DRG 313 · Inpatient stay

15 $33,014 $5,061 about average
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

15 $259,841 $35,592 +45%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

15 $45,332 $6,534 +17%
Kidney and Ureter Procedures for Non-neoplasm with Complications

MS-DRG 660 · Inpatient stay

15 $44,573 $9,219 -20%
Gastrointestinal Obstruction with Major Complications

MS-DRG 388 · Inpatient stay

14 $41,675 $9,296 -28%
Fractures of Hip and Pelvis without Major Complications

MS-DRG 536 · Inpatient stay

14 $33,144 $5,689 about average
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

14 $68,355 $12,104 +21%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

14 $34,392 $7,174 about average
Sepsis

MS-DRG 870 · Inpatient stay

14 $165,012 $44,322 -39%
Laparoscopic Cholecystectomy without C.d.e. with Complications

MS-DRG 418 · Inpatient stay

14 $65,117 $10,802 -21%
Hip or Thigh Bone Surgery (uncomplicated)

MS-DRG 482 · Inpatient stay

14 $50,511 $11,144 -26%
Major Gastrointestinal Disorders and Peritoneal Infections with Complications

MS-DRG 372 · Inpatient stay

14 $36,328 $8,127 -9%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

13 $63,736 $10,215 about average
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications

MS-DRG 493 · Inpatient stay

13 $67,872 $16,301 -33%

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.