CostGrade

All published prices at Gulf Coast Medical Center Lee Health

250 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
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

765 $25,641 $2,456 +32%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

621 $93,214 $14,530 +43%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

462 $56,358 $9,530 +30%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

227 $70,574 $11,834 +28%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

219 $13,298 $1,435 +32%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

210 $59,702 $5,227 +70%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

186 $26,450 $2,887 +38%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

176 $30,494 $2,944 +21%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

155 $105,182 $14,779 +26%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

152 $36,548 $5,944 +13%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

150 $61,240 $7,592 +34%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

147 $56,307 $9,850 +21%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

142 $35,082 $6,051 +18%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

136 $16,366 $1,724 +39%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

128 $61,896 $9,224 +4%
Stroke (severe)

MS-DRG 064 · Inpatient stay

126 $94,343 $13,829 +24%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

121 $39,404 $6,514 +20%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

119 $54,103 $3,639 +50%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

109 $47,848 $7,240 +22%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

109 $35,183 $6,311 +15%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

106 $45,533 $7,483 +10%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

105 $18,892 $1,845 +46%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

103 $44,606 $8,179 +9%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

103 $33,896 $3,158 +64%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

102 $85,955 $9,957 +27%
Fainting

MS-DRG 312 · Inpatient stay

101 $39,545 $6,648 +8%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

101 $255,480 $40,201 +44%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

99 $61,545 $4,687 +124%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

94 $34,895 $5,786 +14%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

93 $54,128 $10,319 about average
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

89 $56,097 $6,084 +36%
Respiratory Failure

MS-DRG 189 · Inpatient stay

87 $64,742 $9,151 +34%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

81 $45,789 $8,035 +17%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

80 $141,849 $16,326 +41%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

79 $58,265 $6,480 +46%
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications

MS-DRG 493 · Inpatient stay

78 $110,427 $17,493 +9%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

77 $61,092 $10,238 +29%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

77 $106,841 $14,308 +5%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

76 $126,450 $14,795 +48%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

75 $74,461 $11,326 +31%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

74 $68,287 $11,006 +11%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

74 $35,536 $3,392 +57%
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

73 $58,753 $6,200 +53%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

72 $128,466 $19,724 +9%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

72 $26,047 $2,574 +47%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

71 $57,102 $8,562 +5%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

69 $163,535 $21,174 +14%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

69 $47,688 $9,505 about average
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

69 $38,129 $7,235 about average
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

66 $30,233 $6,288 about average
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

65 $23,060 $2,797 +27%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

63 $49,220 $9,313 about average
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

61 $64,519 $13,294 -9%
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with

MS-DRG 543 · Inpatient stay

60 $51,634 $7,817 +25%
Craniotomy and Endovascular Intracranial Procedures with Major Complications

MS-DRG 025 · Inpatient stay

59 $249,663 $35,513 +30%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

58 $77,581 $16,949 -12%
Sepsis

MS-DRG 870 · Inpatient stay

57 $263,616 $58,974 about average
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal

MS-DRG 023 · Inpatient stay

55 $272,100 $37,817 +19%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

53 $47,794 $9,438 -7%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

53 $9,260 $1,389 +8%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

52 $28,098 $4,263 +12%
Fractures of Hip and Pelvis without Major Complications

MS-DRG 536 · Inpatient stay

49 $35,498 $6,154 +8%
Major Gastrointestinal Disorders and Peritoneal Infections with Complications

MS-DRG 372 · Inpatient stay

48 $36,565 $7,778 -8%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

48 $43,386 $3,134 +87%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

48 $26,961 $2,420 +63%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

47 $45,954 $6,975 +24%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

47 $36,210 $6,243 +14%
Peripheral Vascular Disorders with Complications

MS-DRG 300 · Inpatient stay

47 $41,559 $7,780 -3%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

45 $247,566 $34,351 +38%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

44 $70,391 $10,031 +29%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

44 $41,335 $6,054 +32%
Other Disorders of Nervous System with Complications

MS-DRG 092 · Inpatient stay

44 $50,274 $7,654 +12%
COPD (severe)

MS-DRG 190 · Inpatient stay

43 $42,857 $8,246 about average
Traumatic Stupor and Coma >1 Hour with Complications

MS-DRG 083 · Inpatient stay

43 $64,811 $9,804 +8%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

42 $51,620 $6,654 +18%
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

42 $36,273 $5,704 +8%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

41 $61,868 $13,991 -21%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

41 $89,048 $11,906 +43%
Other Vascular Procedures with Major Complications

MS-DRG 252 · Inpatient stay

40 $174,996 $24,166 +20%
Back Problems (severe)

MS-DRG 551 · Inpatient stay

40 $81,331 $11,495 +17%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

39 $119,993 $19,148 +6%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

39 $39,791 $6,858 about average
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

39 $38,703 $6,676 +4%
Traumatic Stupor and Coma >1 Hour with Major Complications

MS-DRG 082 · Inpatient stay

39 $124,920 $17,425 +29%
Seizures with Major Complications

MS-DRG 100 · Inpatient stay

38 $80,724 $23,563 about average
Pulmonary Embolism without Major Complications

MS-DRG 176 · Inpatient stay

38 $44,408 $6,331 +27%
Organic Disturbances and Intellectual Disability

MS-DRG 884 · Inpatient stay

37 $46,563 $11,740 -7%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

37 $34,746 $7,472 -6%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

37 $123,233 $15,852 +29%
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

37 $67,323 $5,196 +96%
Stroke (uncomplicated)

MS-DRG 066 · Inpatient stay

35 $48,234 $5,973 +35%
Traumatic Stupor and Coma <1 Hour with Complications

MS-DRG 086 · Inpatient stay

34 $64,146 $9,587 +13%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

34 $51,705 $7,616 +27%
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major

MS-DRG 981 · Inpatient stay

34 $215,418 $31,557 +17%
Laparoscopic Cholecystectomy without C.d.e. with Complications

MS-DRG 418 · Inpatient stay

34 $106,560 $12,224 +29%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

34 $40,662 $3,453 +71%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

33 $36,473 $6,619 +5%
Respiratory Neoplasms with Major Complications

MS-DRG 180 · Inpatient stay

33 $82,297 $13,928 +11%
Cervical Spinal Fusion with Complications

MS-DRG 472 · Inpatient stay

33 $189,942 $22,433 +59%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

32 $68,275 $11,572 +6%

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.