CostGrade

Inpatient stay prices at Good Samaritan Hospital Medical Center

160 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.

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

MS-DRG 871 · Inpatient stay

556 $105,793 $18,963 +62%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

234 $70,154 $12,457 +62%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

164 $186,489 $30,215 +50%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

146 $92,448 $16,069 +68%
Respiratory Failure

MS-DRG 189 · Inpatient stay

127 $75,687 $12,206 +56%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

124 $44,807 $8,637 +39%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

116 $43,149 $7,894 +45%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

115 $73,598 $12,699 +58%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

106 $112,072 $16,893 +58%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

96 $54,812 $11,505 +35%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

92 $61,873 $9,536 +50%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

92 $63,625 $10,154 +62%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

90 $72,817 $13,780 +29%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

88 $55,080 $8,578 +67%
Stroke (severe)

MS-DRG 064 · Inpatient stay

86 $130,523 $19,366 +71%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

86 $44,956 $9,420 +47%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

82 $281,612 $49,565 +58%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

78 $88,604 $14,953 +56%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

73 $41,112 $7,840 +35%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

70 $81,095 $10,150 +78%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

69 $48,998 $10,291 +25%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

68 $87,285 $14,374 +65%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

67 $125,811 $19,561 +51%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

63 $295,608 $43,479 +56%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

62 $93,152 $15,330 +52%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

57 $61,546 $8,507 +49%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

56 $47,101 $8,592 +48%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

56 $136,940 $20,302 +35%
COPD (severe)

MS-DRG 190 · Inpatient stay

50 $68,213 $10,942 +63%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

49 $47,253 $8,312 +54%
Sepsis

MS-DRG 870 · Inpatient stay

49 $298,557 $69,517 +11%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

48 $51,299 $9,595 +26%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

47 $75,720 $13,288 +56%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

45 $53,820 $9,081 +45%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

42 $116,964 $21,517 +33%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

42 $42,950 $9,601 +14%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

41 $53,491 $9,024 +38%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

40 $72,925 $11,010 +34%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

37 $204,519 $32,526 +42%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

37 $86,088 $12,602 +68%
Fainting

MS-DRG 312 · Inpatient stay

36 $56,916 $8,737 +55%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

35 $129,742 $19,311 +51%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

34 $80,065 $9,789 +115%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

34 $144,439 $26,515 +27%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

34 $48,526 $7,957 +55%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

33 $71,072 $11,276 +50%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

33 $48,618 $9,130 +41%
Seizures with Major Complications

MS-DRG 100 · Inpatient stay

32 $105,569 $19,314 +31%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

32 $96,830 $13,284 +78%
Peripheral, Cranial Nerve and Other Nervous System Procedures with Complications or

MS-DRG 041 · Inpatient stay

31 $153,939 $24,187 +49%
Coronary Bypass without Cardiac Catheterization without Major Complications

MS-DRG 236 · Inpatient stay

31 $255,911 $44,731 +40%
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal

MS-DRG 023 · Inpatient stay

28 $321,067 $58,570 +40%
Extracranial Procedures without Complications/mcc

MS-DRG 039 · Inpatient stay

28 $72,001 $10,682 +35%
Major Chest Trauma with Complications

MS-DRG 184 · Inpatient stay

28 $60,404 $11,358 +24%
Other Vascular Procedures with Complications

MS-DRG 253 · Inpatient stay

28 $139,852 $27,281 +25%
Precerebral Occlusion without Infarction without Major Complications

MS-DRG 068 · Inpatient stay

27 $67,887 $10,874 +23%
Organic Disturbances and Intellectual Disability

MS-DRG 884 · Inpatient stay

27 $57,916 $15,094 +16%
Other Disorders of Nervous System with Complications

MS-DRG 092 · Inpatient stay

26 $65,638 $9,726 +46%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

26 $107,542 $19,034 +35%
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major

MS-DRG 897 · Inpatient stay

26 $48,492 $9,580 +49%
Signs and Symptoms without Major Complications

MS-DRG 948 · Inpatient stay

26 $60,947 $10,365 +88%
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major

MS-DRG 981 · Inpatient stay

26 $206,753 $40,812 +13%
Traumatic Stupor and Coma >1 Hour with Complications

MS-DRG 083 · Inpatient stay

25 $85,145 $12,851 +42%
Pulmonary Embolism without Major Complications

MS-DRG 176 · Inpatient stay

25 $56,165 $9,251 +60%
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization

MS-DRG 219 · Inpatient stay

25 $456,487 $70,447 +36%
Other Major Cardiovascular Procedures with Major Complications

MS-DRG 270 · Inpatient stay

25 $277,103 $46,513 +23%
Respiratory System Diagnosis with Ventilator Support >96 Hours

MS-DRG 207 · Inpatient stay

24 $327,406 $60,873 +28%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

24 $53,323 $8,675 +22%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

24 $33,838 $5,500 +34%
Bronchitis and Asthma with Complications/mcc

MS-DRG 202 · Inpatient stay

23 $53,754 $9,457 +37%
Coronary Bypass with Cardiac Catheterization or Open Ablation without Major Complications

MS-DRG 234 · Inpatient stay

23 $280,641 $52,596 +28%
Other Circulatory System Operating Room Procedures

MS-DRG 264 · Inpatient stay

23 $231,622 $29,698 +71%
Peripheral Vascular Disorders with Major Complications

MS-DRG 299 · Inpatient stay

23 $83,830 $16,849 +24%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

23 $103,968 $17,512 +62%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

23 $201,521 $26,785 +71%
Dysequilibrium

MS-DRG 149 · Inpatient stay

22 $55,420 $7,445 +41%
Peripheral Vascular Disorders with Complications

MS-DRG 300 · Inpatient stay

22 $50,455 $9,941 +18%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

22 $256,497 $44,592 +43%
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with

MS-DRG 543 · Inpatient stay

22 $55,809 $10,321 +35%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

22 $62,654 $8,539 +70%
Craniotomy and Endovascular Intracranial Procedures with Major Complications

MS-DRG 025 · Inpatient stay

21 $247,067 $44,606 +28%
Major Chest Procedures with Major Complications

MS-DRG 163 · Inpatient stay

21 $307,037 $44,198 +74%
Skin Infection (severe)

MS-DRG 602 · Inpatient stay

21 $82,528 $13,815 +61%
Carotid Artery Stent Procedures with Complications

MS-DRG 035 · Inpatient stay

20 $130,836 $20,988 +38%
Laparoscopic Cholecystectomy without C.d.e. with Complications

MS-DRG 418 · Inpatient stay

20 $72,689 $18,411 -12%
Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except Face

MS-DRG 004 · Inpatient stay

19 $452,002 $105,457 -16%
Carotid Artery Stent Procedures without Complications/mcc

MS-DRG 036 · Inpatient stay

19 $98,902 $18,187 +40%
Respiratory Neoplasms with Major Complications

MS-DRG 180 · Inpatient stay

19 $111,693 $16,291 +50%
Other Vascular Procedures with Major Complications

MS-DRG 252 · Inpatient stay

19 $157,904 $33,164 +9%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

19 $316,325 $52,894 +32%
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

19 $48,003 $9,646 +43%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

19 $129,279 $17,488 +65%
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur without

MS-DRG 494 · Inpatient stay

19 $67,905 $20,087 -23%
Tendonitis, Myositis and Bursitis without Major Complications

MS-DRG 558 · Inpatient stay

19 $47,757 $8,425 +39%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

18 $74,679 $12,202 +56%
Stroke (uncomplicated)

MS-DRG 066 · Inpatient stay

18 $63,386 $8,119 +77%
Cranial and Peripheral Nerve Disorders without Major Complications

MS-DRG 074 · Inpatient stay

18 $58,554 $10,694 +23%
COPD (with complications)

MS-DRG 191 · Inpatient stay

18 $45,625 $8,706 +37%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

18 $143,862 $24,341 +43%
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications

MS-DRG 493 · Inpatient stay

18 $108,365 $21,848 +7%

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.