CostGrade

All published prices at Gundersen Lutheran Medical Center

132 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.

B
Procedure Patients Charged Actually paid vs national
Level 1 Intraocular Procedures

APC 5491 · Hospital outpatient visit

1,584 $12,488 $2,029 +6%
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

641 $12,897 $2,524 -34%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

497 $7,295 $1,726 -36%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

490 $6,861 $1,521 -32%
Level 2 Urology and Related Services

APC 5372 · Hospital outpatient visit

476 $1,563 $636 -50%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

365 $6,252 $1,919 -52%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

277 $44,970 $11,875 -28%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

276 $31,365 $17,134 -52%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

224 $20,336 $2,982 +6%
Level 2 Intraocular Procedures

APC 5492 · Hospital outpatient visit

205 $16,759 $3,802 -19%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

195 $8,365 $1,718 -29%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

166 $12,894 $2,677 -27%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

165 $33,589 $6,307 -16%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

158 $33,401 $5,409 -5%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

147 $20,538 $4,848 -25%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

142 $15,688 $3,211 -24%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

135 $24,207 $11,219 -44%
Psychoses

MS-DRG 885 · Inpatient stay

125 $28,502 $13,007 -21%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

123 $18,229 $3,075 -28%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

119 $17,800 $2,798 -13%
Level 3 Extraocular, Repair, and Plastic Eye Procedures

APC 5503 · Hospital outpatient visit

113 $12,144 $2,171 -16%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

102 $43,899 $9,612 -27%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

101 $40,043 $10,355 -41%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

95 $9,127 $1,358 -19%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

80 $23,060 $5,385 -33%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

79 $90,141 $22,317 -32%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

76 $10,450 $2,018 -37%
Respiratory Failure

MS-DRG 189 · Inpatient stay

68 $22,113 $10,716 -54%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

68 $122,933 $40,242 -35%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

67 $53,434 $17,961 -36%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

67 $18,850 $3,559 -21%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

67 $77,990 $17,073 -6%
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

64 $7,370 $1,584 -35%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

63 $5,126 $1,509 -40%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

61 $17,332 $9,073 -56%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

55 $22,842 $3,129 about average
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

53 $18,471 $8,534 -44%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

50 $46,771 $15,455 -54%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

50 $15,514 $2,863 -15%
Level 3 Intraocular Procedures

APC 5493 · Hospital outpatient visit

46 $19,167 $4,539 -21%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

45 $23,200 $9,407 -49%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

45 $83,926 $24,386 -17%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

45 $23,133 $12,767 -56%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

44 $28,545 $13,604 -53%
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

44 $34,077 $5,517 about average
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

42 $18,798 $3,528 -17%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

41 $20,957 $8,678 -49%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

41 $36,315 $6,144 -8%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

39 $29,340 $15,527 -48%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

38 $21,755 $11,551 -53%
Stroke (severe)

MS-DRG 064 · Inpatient stay

36 $25,394 $15,709 -67%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

35 $26,233 $11,480 -46%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

34 $20,092 $10,557 -58%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

34 $57,011 $24,061 -60%
Level 3 Upper GI Procedures

APC 5303 · Hospital outpatient visit

33 $17,275 $3,608 -21%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

32 $55,184 $17,645 -36%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

32 $76,031 $39,065 -57%
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

32 $27,855 $6,448 -28%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

31 $18,845 $7,169 -38%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

31 $36,933 $10,052 -28%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

29 $37,994 $14,398 -31%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

28 $14,158 $7,191 -56%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

27 $24,491 $4,410 -32%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

26 $59,470 $16,485 -38%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

25 $74,905 $26,196 -40%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

25 $12,305 $6,961 -60%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

25 $89,873 $30,901 -40%
Level 5 Neurostimulator and Related Procedures

APC 5465 · Hospital outpatient visit

25 $82,992 $28,067 -26%
Level 3 ENT Procedures

APC 5163 · Hospital outpatient visit

24 $3,620 $1,377 -43%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

23 $34,610 $22,565 -70%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

23 $32,429 $15,280 -54%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

23 $14,754 $7,178 -53%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

22 $19,764 $8,163 -55%
Laparoscopic Cholecystectomy without C.d.e. with Complications

MS-DRG 418 · Inpatient stay

22 $52,881 $13,961 -36%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

21 $139,188 $50,775 -42%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

20 $103,293 $44,941 -42%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

20 $16,200 $8,647 -57%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

20 $29,455 $8,004 -22%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

19 $38,794 $17,918 -50%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

19 $72,651 $24,707 -38%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

19 $48,399 $18,309 -42%
Major Small and Large Bowel Procedures without Complications/mcc

MS-DRG 331 · Inpatient stay

19 $72,817 $16,495 about average
Poisoning and Toxic Effects of Drugs with Major Complications

MS-DRG 917 · Inpatient stay

19 $44,821 $15,972 -34%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

18 $18,365 $8,897 -53%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

18 $13,444 $7,813 -56%
Complex GI Procedures

APC 5331 · Hospital outpatient visit

18 $22,887 $5,369 -24%
Level 4 ENT Procedures

APC 5164 · Hospital outpatient visit

18 $19,403 $3,033 about average
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

17 $20,611 $11,762 -62%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

17 $48,433 $19,045 -48%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

17 $18,123 $7,769 -39%
Craniotomy and Endovascular Intracranial Procedures with Major Complications

MS-DRG 025 · Inpatient stay

16 $75,154 $36,378 -61%
Gastrointestinal Obstruction without Complications/mcc

MS-DRG 390 · Inpatient stay

16 $12,807 $5,956 -47%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

15 $18,080 $7,414 -43%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

15 $40,959 $18,523 -53%
Hip Replacement with Principal Diagnosis of Hip Fracture with Major Complications

MS-DRG 521 · Inpatient stay

15 $59,152 $22,851 -47%
Laparoscopic Cholecystectomy without C.d.e. with Major Complications

MS-DRG 417 · Inpatient stay

15 $54,212 $19,617 -48%
Depressive Neuroses

MS-DRG 881 · Inpatient stay

15 $20,634 $10,073 -6%
O.r. Procedures for Obesity without Complications/mcc

MS-DRG 621 · Inpatient stay

15 $36,046 $12,635 -45%
Level 2 Neurostimulator and Related Procedures

APC 5462 · Hospital outpatient visit

15 $22,291 $5,886 -15%
Permanent Cardiac Pacemaker Implant without Complications/mcc

MS-DRG 244 · Inpatient stay

14 $47,996 $15,266 -37%

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.