All published prices at Hoag Memorial Hospital Presbyterian
222 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.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
1,082 | $82,100 | $17,894 | +26% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
905 | $24,574 | $3,347 | +26% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
890 | $11,486 | $1,985 | +14% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
660 | $9,801 | $2,332 | -17% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
414 | $24,025 | $4,006 | -5% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
348 | $51,581 | $7,046 | +47% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
341 | $55,678 | $12,198 | +28% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
321 | $83,420 | $12,637 | +40% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
305 | $102,088 | $29,114 | -23% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
297 | $18,603 | $3,919 | about average |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
269 | $80,340 | $15,388 | +46% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
258 | $15,426 | $3,488 | -13% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
251 | $68,109 | $13,503 | about average |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
235 | $45,733 | $10,240 | +17% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
219 | $34,874 | $6,362 | +27% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
192 | $14,603 | $2,504 | +13% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
182 | $22,840 | $4,267 | +11% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
178 | $48,040 | $13,013 | -7% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
166 | $8,946 | $1,963 | +4% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
162 | $43,762 | $9,646 | +6% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
157 | $35,136 | $8,009 | +18% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
156 | $39,767 | $8,628 | +23% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
155 | $20,079 | $4,604 | -12% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
153 | $39,992 | $9,138 | +21% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
153 | $12,747 | $2,087 | +12% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
139 | $29,092 | $4,686 | +22% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
136 | $61,407 | $14,752 | +8% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
135 | $70,271 | $13,219 | +51% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
134 | $51,907 | $8,017 | +31% |
|
Level 7 Radiation Therapy
APC 5627 · Hospital outpatient visit |
115 | $94,028 | $9,568 | +59% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
111 | $82,186 | $19,152 | about average |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
106 | $224,053 | $48,789 | +26% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
103 | $157,299 | $23,993 | +57% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
103 | $32,975 | $8,560 | +8% |
|
Complex GI Procedures
APC 5331 · Hospital outpatient visit |
102 | $28,372 | $6,952 | -5% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
101 | $64,739 | $16,607 | -32% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
99 | $33,435 | $8,134 | +9% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
99 | $66,591 | $14,197 | +26% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
97 | $42,084 | $5,851 | +16% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
94 | $45,357 | $8,370 | +43% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
88 | $44,884 | $10,574 | +10% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
87 | $49,548 | $10,292 | +9% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
87 | $44,347 | $9,662 | +19% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
87 | $53,672 | $12,331 | +11% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
84 | $82,246 | $17,938 | +8% |
|
Level 3 Upper GI Procedures
APC 5303 · Hospital outpatient visit |
84 | $19,125 | $4,680 | -13% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
83 | $33,262 | $9,294 | -12% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
83 | $17,351 | $2,865 | +48% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
82 | $81,167 | $16,922 | +14% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
79 | $56,095 | $11,893 | +16% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
79 | $46,413 | $8,702 | +16% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
79 | $29,543 | $4,253 | +27% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
77 | $36,742 | $8,013 | +17% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
76 | $12,025 | $1,976 | +7% |
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
73 | $44,480 | $9,652 | +15% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
73 | $44,758 | $7,027 | +29% |
|
Level 4 Pacemaker and Similar Procedures
APC 5224 · Hospital outpatient visit |
73 | $103,520 | $23,891 | +8% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
71 | $157,196 | $45,458 | -17% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
70 | $15,962 | $3,403 | -4% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
68 | $17,237 | $3,844 | -5% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
66 | $40,807 | $7,200 | +19% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
65 | $36,952 | $9,371 | -5% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
62 | $84,137 | $18,929 | -17% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
61 | $94,405 | $19,528 | +10% |
|
Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy
MS-DRG 895 · Inpatient stay |
61 | $26,809 | $15,014 | -24% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
59 | $82,236 | $18,950 | +5% |
|
Craniotomy and Endovascular Intracranial Procedures with Major Complications
MS-DRG 025 · Inpatient stay |
58 | $186,785 | $37,741 | about average |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
56 | $39,340 | $7,374 | +29% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
55 | $134,966 | $29,260 | -6% |
|
Endocrine Disorders with Complications
MS-DRG 644 · Inpatient stay |
54 | $40,885 | $9,894 | +6% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
52 | $67,394 | $14,842 | +10% |
|
Fainting
MS-DRG 312 · Inpatient stay |
52 | $39,233 | $8,486 | +7% |
|
Laparoscopic Cholecystectomy without C.d.e. with Complications
MS-DRG 418 · Inpatient stay |
52 | $101,848 | $16,379 | +24% |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
51 | $262,718 | $46,871 | +46% |
|
Major Gastrointestinal Disorders and Peritoneal Infections with Complications
MS-DRG 372 · Inpatient stay |
51 | $51,605 | $10,344 | +30% |
|
Major Chest Procedures with Complications
MS-DRG 164 · Inpatient stay |
50 | $132,544 | $23,195 | +22% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
49 | $57,984 | $12,340 | +13% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
49 | $141,181 | $39,985 | -5% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
48 | $102,596 | $30,501 | -18% |
|
Craniotomy and Endovascular Intracranial Procedures without Complications/mcc
MS-DRG 027 · Inpatient stay |
45 | $117,637 | $23,542 | -3% |
|
Peripheral Vascular Disorders with Complications
MS-DRG 300 · Inpatient stay |
43 | $49,847 | $11,234 | +16% |
|
Endocrine Disorders with Major Complications
MS-DRG 643 · Inpatient stay |
42 | $46,639 | $15,255 | -29% |
|
Fractures of Hip and Pelvis without Major Complications
MS-DRG 536 · Inpatient stay |
41 | $33,640 | $7,631 | about average |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
41 | $27,494 | $8,311 | -29% |
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay |
40 | $142,851 | $27,759 | +26% |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
40 | $69,630 | $15,753 | +9% |
|
Hip or Thigh Bone Surgery (uncomplicated)
MS-DRG 482 · Inpatient stay |
38 | $70,516 | $15,132 | about average |
|
Major Small and Large Bowel Procedures without Complications/mcc
MS-DRG 331 · Inpatient stay |
37 | $139,215 | $16,126 | +87% |
|
Disorders of the Biliary Tract with Complications
MS-DRG 445 · Inpatient stay |
37 | $57,310 | $10,580 | +12% |
|
Gastrointestinal Obstruction without Complications/mcc
MS-DRG 390 · Inpatient stay |
37 | $27,928 | $6,555 | +16% |
|
Coronary Bypass without Cardiac Catheterization without Major Complications
MS-DRG 236 · Inpatient stay |
36 | $229,541 | $36,873 | +25% |
|
Stroke (uncomplicated)
MS-DRG 066 · Inpatient stay |
34 | $44,337 | $8,055 | +24% |
|
Transient Ischemia without Thrombolytic
MS-DRG 069 · Inpatient stay |
34 | $44,388 | $7,897 | +8% |
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
34 | $32,885 | $9,216 | -19% |
|
Kidney and Ureter Procedures for Non-neoplasm with Complications
MS-DRG 660 · Inpatient stay |
34 | $65,178 | $13,013 | +17% |
|
Infection Needing Surgery (with complications)
MS-DRG 854 · Inpatient stay |
34 | $70,267 | $21,186 | -15% |
|
Craniotomy and Endovascular Intracranial Procedures with Complications
MS-DRG 026 · Inpatient stay |
33 | $115,695 | $25,787 | -14% |
|
Disorders of the Biliary Tract with Major Complications
MS-DRG 444 · Inpatient stay |
33 | $82,327 | $15,826 | +15% |
|
Complications of Treatment with Major Complications
MS-DRG 919 · Inpatient stay |
33 | $63,640 | $17,073 | -15% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
32 | $54,504 | $10,270 | +30% |
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.