CostGrade

All published prices at Geisinger-Community Medical Center

141 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.

F
Procedure Patients Charged Actually paid vs national
Sepsis (severe)

MS-DRG 871 · Inpatient stay

556 $131,956 $15,337 +102%
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

367 $28,900 $2,416 +49%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

277 $111,320 $11,630 +78%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

230 $17,954 $1,429 +78%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

187 $75,317 $9,991 +74%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

142 $72,725 $8,646 +85%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

138 $51,270 $2,900 +103%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

126 $127,721 $13,134 +132%
Respiratory Failure

MS-DRG 189 · Inpatient stay

113 $97,935 $9,757 +102%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

104 $295,336 $39,659 +66%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

100 $33,965 $2,833 +78%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

87 $23,150 $1,700 +97%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

86 $15,415 $1,819 +19%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

84 $46,700 $2,978 +101%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

81 $72,086 $5,052 +105%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

76 $62,957 $4,622 +129%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

74 $171,494 $15,970 +106%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

69 $71,878 $7,270 +118%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

66 $80,340 $8,110 +95%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

66 $111,007 $12,581 +95%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

64 $88,248 $10,286 +89%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

62 $108,031 $11,925 +104%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

62 $32,451 $2,513 +84%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

58 $74,199 $9,608 +82%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

57 $77,275 $8,828 +70%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

57 $71,992 $12,849 +48%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

57 $58,575 $6,305 +92%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

54 $54,677 $6,421 +84%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

52 $61,412 $6,314 +90%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

52 $41,810 $3,114 +103%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

50 $52,603 $2,891 +158%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

50 $92,026 $6,288 +131%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

48 $131,543 $15,262 +85%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

48 $77,163 $7,531 +97%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

47 $60,319 $6,175 +97%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

45 $148,808 $16,610 +79%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

43 $148,971 $17,491 +69%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

43 $14,633 $1,430 +71%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

43 $219,945 $20,705 +66%
Stroke (severe)

MS-DRG 064 · Inpatient stay

42 $157,062 $16,076 +106%
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with

MS-DRG 543 · Inpatient stay

42 $89,951 $9,436 +117%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

42 $111,550 $9,390 +65%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

38 $142,427 $16,053 +72%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

38 $29,495 $3,345 +30%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

37 $88,758 $9,426 +87%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

37 $59,433 $7,670 +95%
Coagulation Disorders

MS-DRG 813 · Inpatient stay

37 $483,043 $41,195 +621%
COPD (severe)

MS-DRG 190 · Inpatient stay

35 $79,766 $8,490 +91%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

35 $104,644 $8,639 +92%
Fainting

MS-DRG 312 · Inpatient stay

35 $65,589 $6,935 +79%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

33 $192,436 $17,554 +125%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

33 $92,470 $5,824 +134%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

29 $60,502 $6,787 +91%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

27 $81,877 $10,326 +71%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

27 $54,484 $3,304 +128%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

26 $96,753 $8,727 +160%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

26 $159,015 $14,733 +56%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

26 $189,096 $19,091 +88%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

26 $71,739 $7,952 +85%
Major Chest Trauma with Complications

MS-DRG 184 · Inpatient stay

26 $97,412 $16,835 +99%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

26 $45,243 $2,508 +173%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

25 $254,675 $25,339 +117%
Respiratory Neoplasms with Major Complications

MS-DRG 180 · Inpatient stay

25 $124,191 $13,575 +67%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

25 $57,578 $5,105 +66%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

25 $71,951 $9,531 +40%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

24 $69,791 $7,084 +71%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

24 $328,912 $35,389 +83%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

24 $50,462 $6,579 +61%
Kidney and Ureter Procedures for Non-neoplasm with Complications

MS-DRG 660 · Inpatient stay

24 $94,203 $10,453 +69%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

24 $115,172 $9,189 +93%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

23 $205,361 $21,966 +81%
Permanent Cardiac Pacemaker Implant with Major Complications

MS-DRG 242 · Inpatient stay

23 $220,727 $26,161 +59%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

23 $71,544 $7,034 +92%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

23 $348,591 $46,218 +45%
Major Gastrointestinal Disorders and Peritoneal Infections with Complications

MS-DRG 372 · Inpatient stay

23 $76,617 $8,304 +93%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

23 $52,654 $7,325 +39%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

23 $29,204 $1,725 +157%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

22 $139,388 $13,157 +148%
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications

MS-DRG 493 · Inpatient stay

22 $223,288 $19,326 +119%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

21 $64,467 $10,582 +26%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

21 $54,268 $6,855 +57%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

21 $57,653 $8,192 +53%
Sepsis

MS-DRG 870 · Inpatient stay

21 $519,317 $63,036 +93%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

21 $112,536 $12,881 +75%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

20 $106,572 $12,149 +95%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

20 $331,292 $41,803 +75%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

20 $49,854 $5,055 +98%
Organic Disturbances and Intellectual Disability

MS-DRG 884 · Inpatient stay

20 $103,499 $13,135 +107%
Major Small and Large Bowel Procedures without Complications/mcc

MS-DRG 331 · Inpatient stay

20 $124,964 $14,368 +68%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

19 $168,259 $13,693 +110%
Other Major Cardiovascular Procedures with Major Complications

MS-DRG 270 · Inpatient stay

19 $350,342 $58,149 +56%
Level 3 Upper GI Procedures

APC 5303 · Hospital outpatient visit

19 $41,758 $3,421 +91%
Major Chest Procedures with Major Complications

MS-DRG 163 · Inpatient stay

18 $344,656 $41,686 +95%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

18 $141,237 $17,322 +51%
Aortic and Heart Assist Procedures Except Pulsation Balloon without Major Complications

MS-DRG 269 · Inpatient stay

18 $301,960 $33,405 +83%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

18 $223,126 $24,084 +55%
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization

MS-DRG 220 · Inpatient stay

18 $322,376 $46,355 +38%
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

18 $76,411 $5,231 +122%
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

17 $52,121 $6,027 +56%
Gastrointestinal Obstruction without Complications/mcc

MS-DRG 390 · Inpatient stay

17 $39,423 $4,944 +64%

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.