CostGrade

All published prices at Good Samaritan Hospital

146 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

530 $281,463 $21,925 +331%
Level 2 Intraocular Procedures

APC 5492 · Hospital outpatient visit

266 $130,313 $5,708 +530%
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

257 $96,714 $3,819 +398%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

198 $198,880 $15,165 +358%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

196 $293,615 $18,234 +370%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

192 $134,646 $8,091 +284%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

149 $736,670 $32,935 +455%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

148 $33,693 $2,283 +234%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

148 $118,763 $4,574 +371%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

108 $242,303 $18,253 +340%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

105 $253,335 $15,994 +444%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

99 $175,543 $14,409 +348%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

78 $315,953 $15,461 +367%
Stroke (severe)

MS-DRG 064 · Inpatient stay

75 $492,795 $25,958 +546%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

73 $272,641 $14,394 +499%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

73 $159,709 $7,501 +342%
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

73 $213,210 $9,631 +454%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

72 $267,879 $15,008 +420%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

66 $156,327 $10,355 +385%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

64 $177,405 $10,066 +345%
Fainting

MS-DRG 312 · Inpatient stay

57 $138,612 $11,787 +278%
Respiratory Failure

MS-DRG 189 · Inpatient stay

53 $209,378 $13,719 +332%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

53 $439,959 $22,845 +332%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

53 $238,895 $19,521 +236%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

53 $769,553 $62,093 +332%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

52 $264,074 $17,863 +330%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

52 $119,249 $8,671 +290%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

52 $327,882 $20,833 +310%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

51 $188,727 $9,414 +357%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

51 $142,065 $11,745 +275%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

50 $540,695 $38,293 +334%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

50 $165,015 $14,878 +240%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

50 $208,831 $17,126 +294%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

50 $54,052 $2,679 +360%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

49 $75,827 $4,872 +226%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

48 $229,276 $14,469 +284%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

46 $394,207 $24,624 +313%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

45 $129,320 $9,005 +322%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

45 $138,288 $10,040 +364%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

44 $70,727 $4,407 +270%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

43 $139,539 $9,205 +346%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

40 $187,390 $15,990 +233%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

39 $183,669 $12,404 +370%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

39 $172,033 $10,063 +422%
Organic Disturbances and Intellectual Disability

MS-DRG 884 · Inpatient stay

38 $178,754 $18,435 +258%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

37 $324,522 $22,634 +289%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

37 $233,936 $19,611 +312%
Level 3 Intraocular Procedures

APC 5493 · Hospital outpatient visit

36 $155,924 $7,197 +543%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

34 $425,087 $31,729 +323%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

33 $144,964 $15,334 +203%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

33 $852,230 $61,569 +375%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

33 $154,876 $10,506 +299%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

32 $98,630 $7,123 +292%
Level 1 Intraocular Procedures

APC 5491 · Hospital outpatient visit

32 $97,947 $3,282 +733%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

31 $152,200 $9,849 +379%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

31 $194,691 $8,049 +462%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

30 $164,734 $11,010 +299%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

30 $205,763 $13,540 +405%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

30 $58,602 $4,001 +231%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

28 $179,859 $13,376 +280%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

28 $195,381 $11,898 +418%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

27 $443,875 $24,985 +374%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

27 $180,142 $14,015 +311%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

27 $155,994 $10,147 +351%
Coagulation Disorders

MS-DRG 813 · Inpatient stay

27 $154,053 $17,591 +130%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

26 $387,437 $23,156 +352%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

25 $134,499 $10,180 +262%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

25 $84,195 $5,368 +253%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

24 $211,765 $10,238 +420%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

24 $139,660 $5,273 +515%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

24 $41,141 $2,263 +266%
Rehabilitation with Complications/mcc

MS-DRG 945 · Inpatient stay

23 $152,346 $15,849 +97%
Complex GI Procedures

APC 5331 · Hospital outpatient visit

23 $177,195 $8,025 +491%
Degenerative Nervous System Disorders with Major Complications

MS-DRG 056 · Inpatient stay

22 $330,240 $27,122 +283%
Seizures with Major Complications

MS-DRG 100 · Inpatient stay

22 $258,482 $21,940 +220%
Permanent Cardiac Pacemaker Implant with Major Complications

MS-DRG 242 · Inpatient stay

22 $527,755 $41,482 +281%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

22 $675,079 $53,421 +256%
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

22 $121,254 $8,623 +262%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

22 $173,845 $9,909 +470%
Other Disorders of Nervous System with Major Complications

MS-DRG 091 · Inpatient stay

21 $241,285 $18,852 +239%
Permanent Cardiac Pacemaker Implant without Complications/mcc

MS-DRG 244 · Inpatient stay

21 $369,513 $20,177 +385%
Endocrine Disorders with Major Complications

MS-DRG 643 · Inpatient stay

21 $271,402 $18,471 +312%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

21 $127,431 $11,468 +247%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

21 $169,896 $9,178 +330%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

21 $27,235 $2,255 +218%
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal

MS-DRG 023 · Inpatient stay

20 $1,368,799 $96,468 +497%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

20 $442,125 $29,433 +290%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

20 $228,801 $22,289 +192%
Combined Anterior and Posterior Spinal Fusion with Complications

MS-DRG 454 · Inpatient stay

20 $1,185,207 $96,675 +434%
Dysequilibrium

MS-DRG 149 · Inpatient stay

20 $172,052 $9,086 +338%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

19 $211,347 $14,072 +288%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

19 $711,668 $32,830 +395%
Hip or Thigh Bone Surgery (uncomplicated)

MS-DRG 482 · Inpatient stay

19 $270,205 $18,148 +294%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

18 $143,272 $11,108 +285%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

18 $392,114 $25,755 +346%
Fractures of Hip and Pelvis without Major Complications

MS-DRG 536 · Inpatient stay

18 $104,586 $8,813 +219%
Laparoscopic Cholecystectomy without C.d.e. with Complications

MS-DRG 418 · Inpatient stay

18 $315,174 $19,462 +282%
Cranial and Peripheral Nerve Disorders without Major Complications

MS-DRG 074 · Inpatient stay

18 $170,966 $15,111 +259%
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

18 $38,960 $2,390 +242%
Craniotomy and Endovascular Intracranial Procedures with Major Complications

MS-DRG 025 · Inpatient stay

16 $782,170 $50,569 +306%

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.