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
Stroke (uncomplicated)

MS-DRG 066 · Inpatient stay

16 $212,930 $7,825 +494%
Sepsis

MS-DRG 870 · Inpatient stay

16 $1,270,647 $93,748 +373%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

16 $513,187 $24,635 +518%
Chest Pain

MS-DRG 313 · Inpatient stay

15 $139,113 $9,063 +312%
Other Kidney and Urinary Tract Procedures with Major Complications

MS-DRG 673 · Inpatient stay

15 $504,642 $43,502 +228%
Peripheral Vascular Disorders with Major Complications

MS-DRG 299 · Inpatient stay

15 $304,062 $17,188 +352%
Digestive Malignancy with Major Complications

MS-DRG 374 · Inpatient stay

15 $340,724 $22,466 +295%
Malignancy of Hepatobiliary System or Pancreas with Major Complications

MS-DRG 435 · Inpatient stay

15 $373,999 $20,390 +358%
Laparoscopic Cholecystectomy without C.d.e. with Major Complications

MS-DRG 417 · Inpatient stay

15 $425,133 $25,749 +304%
Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit

MS-DRG 062 · Inpatient stay

15 $392,017 $22,923 +317%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

15 $100,283 $3,743 +505%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

14 $312,472 $18,058 +387%
Interstitial Lung Disease with Major Complications

MS-DRG 196 · Inpatient stay

14 $373,753 $25,235 +366%
Coronary Bypass without Cardiac Catheterization with Major Complications

MS-DRG 235 · Inpatient stay

14 $899,972 $68,483 +274%
Disorders of the Biliary Tract with Complications

MS-DRG 445 · Inpatient stay

14 $198,076 $12,106 +285%
Skin Infection (severe)

MS-DRG 602 · Inpatient stay

14 $173,732 $16,387 +238%
Endocrine Disorders with Complications

MS-DRG 644 · Inpatient stay

14 $187,397 $11,419 +387%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

14 $113,179 $4,558 +455%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

14 $464,853 $46,171 +213%
Major Chest Procedures with Major Complications

MS-DRG 163 · Inpatient stay

13 $721,860 $50,796 +309%
Gastrointestinal Obstruction with Major Complications

MS-DRG 388 · Inpatient stay

13 $182,105 $15,853 +217%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

13 $166,842 $14,206 +225%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

13 $491,480 $34,395 +318%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

13 $410,560 $25,642 +395%
Percutaneous and Other Intracardiac Procedures with Major Complications

MS-DRG 273 · Inpatient stay

13 $974,356 $44,859 +426%
Respiratory Neoplasms with Major Complications

MS-DRG 180 · Inpatient stay

13 $292,415 $25,572 +294%
Traumatic Stupor and Coma <1 Hour without Complications/mcc

MS-DRG 087 · Inpatient stay

13 $173,176 $9,981 +213%
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization

MS-DRG 219 · Inpatient stay

13 $1,523,959 $121,564 +355%
Disorders of the Biliary Tract with Major Complications

MS-DRG 444 · Inpatient stay

13 $360,452 $18,874 +404%
Gastrointestinal Obstruction without Complications/mcc

MS-DRG 390 · Inpatient stay

13 $99,237 $7,039 +314%
Signs and Symptoms of Musculoskeletal System and Connective Tissue without Major

MS-DRG 556 · Inpatient stay

13 $121,591 $9,267 +221%
Level 3 Upper GI Procedures

APC 5303 · Hospital outpatient visit

13 $154,831 $5,393 +608%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

12 $222,144 $16,019 +294%
Other Disorders of Nervous System with Complications

MS-DRG 092 · Inpatient stay

12 $164,110 $11,216 +265%
Other Vascular Procedures with Complications

MS-DRG 253 · Inpatient stay

12 $347,071 $28,149 +209%
Other Cerebrovascular Disorders with Complications

MS-DRG 071 · Inpatient stay

12 $144,367 $13,154 +225%
Pulmonary Embolism without Major Complications

MS-DRG 176 · Inpatient stay

12 $121,320 $9,206 +246%
Other Musculoskeletal System and Connective Tissue Operating Room Procedures with

MS-DRG 516 · Inpatient stay

12 $372,974 $22,000 +322%
Level 4 Pacemaker and Similar Procedures

APC 5224 · Hospital outpatient visit

12 $420,815 $27,359 +341%
Traumatic Stupor and Coma <1 Hour with Complications

MS-DRG 086 · Inpatient stay

11 $284,714 $14,627 +403%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

11 $289,543 $15,577 +431%
Craniotomy and Endovascular Intracranial Procedures without Complications/mcc

MS-DRG 027 · Inpatient stay

11 $560,054 $26,910 +360%
Stomach, Esophageal and Duodenal Procedures with Major Complications

MS-DRG 326 · Inpatient stay

11 $1,027,541 $87,772 +360%
Back Problems (severe)

MS-DRG 551 · Inpatient stay

11 $390,338 $26,312 +462%
Other Disorders of Nervous System without Complications/mcc

MS-DRG 093 · Inpatient stay

11 $170,007 $20,454 +252%
Level 5 Gynecologic Procedures

APC 5415 · Hospital outpatient visit

11 $127,320 $6,497 +324%

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.