CostGrade

All published prices at Hamilton Medical Center

84 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.

C
Procedure Patients Charged Actually paid vs national
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

407 $23,556 $2,452 +21%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

213 $16,098 $1,721 +37%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

198 $54,370 $12,131 +25%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

151 $23,704 $2,933 -6%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

124 $53,912 $12,212 +16%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

121 $90,070 $17,754 +38%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

120 $9,119 $1,446 -10%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

110 $71,885 $11,607 +15%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

82 $19,579 $2,850 about average
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

65 $23,263 $3,139 +13%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

59 $53,195 $14,123 -3%
Respiratory Failure

MS-DRG 189 · Inpatient stay

57 $64,071 $12,708 +32%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

57 $11,384 $2,591 -36%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

55 $41,673 $9,792 about average
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

51 $35,155 $8,952 +7%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

50 $27,088 $4,492 about average
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

49 $44,642 $11,208 +10%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

47 $31,699 $8,450 +6%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

45 $115,268 $14,218 +21%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

44 $34,608 $6,286 -13%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

44 $12,223 $1,384 +43%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

43 $35,743 $8,614 +11%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

41 $35,490 $7,675 +16%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

40 $74,016 $9,609 +9%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

36 $59,068 $12,279 +22%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

35 $53,715 $11,579 +13%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

34 $153,666 $26,520 +23%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

34 $41,625 $5,261 +19%
Fainting

MS-DRG 312 · Inpatient stay

33 $31,050 $8,409 -15%
COPD (severe)

MS-DRG 190 · Inpatient stay

32 $55,350 $10,881 +32%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

32 $24,116 $2,951 +18%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

31 $81,339 $19,365 -8%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

31 $123,595 $21,599 -7%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

30 $45,910 $8,486 +50%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

28 $37,079 $9,606 -19%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

28 $82,716 $16,955 about average
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

27 $90,360 $18,252 +8%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

27 $31,106 $8,887 about average
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

27 $69,305 $15,120 +31%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

26 $70,331 $9,380 +18%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

25 $94,503 $18,432 +10%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

25 $68,192 $9,405 +32%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

24 $49,244 $10,255 -10%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

24 $109,428 $18,824 +8%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

24 $99,200 $19,998 about average
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

23 $33,200 $5,031 -4%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

21 $32,671 $7,984 about average
Level 6 Urology and Related Services

APC 5376 · Hospital outpatient visit

21 $50,041 $8,075 +13%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

20 $42,295 $9,136 +22%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

19 $43,340 $10,333 +10%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

18 $49,796 $12,760 -19%
Kidney and Ureter Procedures for Non-neoplasm with Complications

MS-DRG 660 · Inpatient stay

18 $52,317 $12,163 -6%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

17 $21,642 $5,010 -40%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

17 $12,609 $1,465 +12%
Skin Infection (severe)

MS-DRG 602 · Inpatient stay

16 $61,464 $13,310 +20%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

15 $47,609 $12,113 -7%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

15 $54,991 $12,300 about average
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

15 $37,321 $5,945 -6%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

15 $169,534 $29,906 +14%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

14 $255,055 $51,265 +43%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

14 $28,631 $3,220 +26%
Seizures with Major Complications

MS-DRG 100 · Inpatient stay

13 $59,305 $18,063 -27%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

13 $26,842 $8,901 -34%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

13 $145,906 $19,674 +56%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

13 $146,849 $22,516 about average
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

13 $88,417 $20,517 +24%
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with

MS-DRG 617 · Inpatient stay

13 $68,389 $15,536 -7%
Level 4 Pacemaker and Similar Procedures

APC 5224 · Hospital outpatient visit

13 $105,098 $17,726 +10%
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

13 $35,063 $5,339 about average
Level 4 Neurostimulator and Related Procedures

APC 5464 · Hospital outpatient visit

13 $71,722 $19,896 -11%
Stroke (severe)

MS-DRG 064 · Inpatient stay

12 $141,665 $24,164 +86%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

12 $39,242 $8,090 -5%
Other Cerebrovascular Disorders with Major Complications

MS-DRG 070 · Inpatient stay

12 $52,004 $15,638 -21%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

12 $28,485 $8,275 -9%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

12 $61,056 $14,910 +7%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

12 $38,502 $9,741 +4%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

11 $155,587 $28,624 +37%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

11 $220,690 $38,291 +16%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

11 $40,181 $8,992 -8%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

11 $180,468 $33,817 about average
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

11 $44,090 $9,413 +14%
Hip or Thigh Bone Surgery (uncomplicated)

MS-DRG 482 · Inpatient stay

11 $73,279 $18,622 +7%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

11 $31,000 $2,926 +33%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

11 $22,598 $2,560 +36%

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.