CostGrade

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.

C
Procedure Patients Charged Actually paid vs national
Signs and Symptoms without Major Complications

MS-DRG 948 · Inpatient stay

32 $38,728 $7,678 +19%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

32 $38,020 $8,785 +3%
Level 6 Urology and Related Services

APC 5376 · Hospital outpatient visit

32 $45,858 $11,313 +3%
Level 6 Gynecologic Procedures

APC 5416 · Hospital outpatient visit

32 $50,440 $9,285 +24%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

31 $85,974 $21,654 -8%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

31 $45,875 $12,164 -3%
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major

MS-DRG 897 · Inpatient stay

31 $32,286 $8,483 about average
Coagulation Disorders

MS-DRG 813 · Inpatient stay

31 $73,836 $16,273 +10%
Laparoscopic Cholecystectomy without C.d.e. without Complications/mcc

MS-DRG 419 · Inpatient stay

31 $82,423 $13,184 +18%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

31 $13,517 $2,374 +19%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

30 $59,119 $13,925 +8%
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal

MS-DRG 024 · Inpatient stay

29 $207,757 $34,354 +35%
Major Chest Procedures without Complications/mcc

MS-DRG 165 · Inpatient stay

29 $112,544 $17,779 +35%
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization

MS-DRG 219 · Inpatient stay

29 $448,671 $94,913 +34%
Malignancy of Hepatobiliary System or Pancreas with Major Complications

MS-DRG 435 · Inpatient stay

29 $75,842 $16,496 -7%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

28 $50,230 $12,208 +5%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

28 $40,434 $8,872 +17%
Peripheral Vascular Disorders with Major Complications

MS-DRG 299 · Inpatient stay

28 $75,075 $16,852 +11%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

27 $101,501 $25,225 -14%
Pulmonary Embolism without Major Complications

MS-DRG 176 · Inpatient stay

27 $43,280 $7,934 +23%
Cervical Spinal Fusion with Complications

MS-DRG 472 · Inpatient stay

27 $149,022 $27,900 +25%
Complications of Treatment with Complications

MS-DRG 920 · Inpatient stay

27 $45,433 $9,965 about average
Laparoscopic Cholecystectomy without C.d.e. with Major Complications

MS-DRG 417 · Inpatient stay

27 $133,605 $22,934 +27%
Major Chest Procedures with Major Complications

MS-DRG 163 · Inpatient stay

26 $169,656 $41,347 -4%
Gastrointestinal Obstruction with Major Complications

MS-DRG 388 · Inpatient stay

26 $78,076 $13,426 +36%
Heart Failure (with complications)

MS-DRG 292 · Inpatient stay

26 $41,912 $8,323 +27%
Digestive Malignancy with Complications

MS-DRG 375 · Inpatient stay

26 $61,350 $11,364 +15%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

26 $94,175 $16,148 +51%
Interstitial Lung Disease with Major Complications

MS-DRG 196 · Inpatient stay

25 $85,677 $18,421 +7%
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization

MS-DRG 220 · Inpatient stay

25 $318,107 $50,685 +36%
Other Disorders of Nervous System with Complications

MS-DRG 092 · Inpatient stay

24 $44,990 $10,911 about average
Respiratory Neoplasms with Major Complications

MS-DRG 180 · Inpatient stay

24 $91,556 $16,721 +23%
Other Major Cardiovascular Procedures with Complications

MS-DRG 271 · Inpatient stay

24 $152,242 $32,935 about average
Bronchitis and Asthma with Complications/mcc

MS-DRG 202 · Inpatient stay

24 $55,437 $9,424 +41%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

24 $41,304 $10,435 +9%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

23 $99,493 $21,210 +13%
Fever and Inflammatory Conditions

MS-DRG 864 · Inpatient stay

23 $45,382 $8,700 about average
Coronary Bypass with Cardiac Catheterization or Open Ablation without Major Complications

MS-DRG 234 · Inpatient stay

22 $265,637 $49,577 +21%
Other Vascular Procedures with Major Complications

MS-DRG 252 · Inpatient stay

22 $173,725 $34,129 +20%
Other Kidney and Urinary Tract Procedures with Major Complications

MS-DRG 673 · Inpatient stay

22 $131,721 $36,316 -14%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

22 $44,625 $8,883 +20%
Postoperative and Post-traumatic Infections with Major Complications

MS-DRG 862 · Inpatient stay

22 $106,178 $17,582 +43%
Other Major Cardiovascular Procedures with Major Complications

MS-DRG 270 · Inpatient stay

22 $197,571 $47,842 -12%
Stomach, Esophageal and Duodenal Procedures with Complications

MS-DRG 327 · Inpatient stay

22 $112,204 $24,923 about average
Pancreas, Liver and Shunt Procedures with Complications

MS-DRG 406 · Inpatient stay

22 $224,228 $37,205 +59%
Other Cardiothoracic Procedures without Major Complications

MS-DRG 229 · Inpatient stay

22 $135,936 $30,749 -10%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

21 $68,520 $13,574 +22%
COPD (with complications)

MS-DRG 191 · Inpatient stay

21 $40,348 $8,185 +21%
Permanent Cardiac Pacemaker Implant with Major Complications

MS-DRG 242 · Inpatient stay

20 $124,955 $33,535 -10%
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major

MS-DRG 981 · Inpatient stay

20 $221,535 $43,423 +21%
Other Circulatory System Diagnoses with Complications

MS-DRG 315 · Inpatient stay

20 $58,629 $9,314 +41%
Spinal Fusion Except Cervical without Major Complications

MS-DRG 460 · Inpatient stay

20 $129,261 $37,128 -11%
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Complications

MS-DRG 442 · Inpatient stay

20 $40,476 $9,016 -4%
Other Cerebrovascular Disorders with Complications

MS-DRG 071 · Inpatient stay

20 $39,230 $9,856 -12%
Cirrhosis and Alcoholic Hepatitis with Major Complications

MS-DRG 432 · Inpatient stay

20 $81,780 $18,097 about average
Combined Anterior and Posterior Spinal Fusion with Complications

MS-DRG 454 · Inpatient stay

20 $369,856 $68,060 +67%
Skin Infection (severe)

MS-DRG 602 · Inpatient stay

20 $55,637 $13,331 +8%
Level 5 Gynecologic Procedures

APC 5415 · Hospital outpatient visit

20 $32,098 $6,115 +7%
Traumatic Stupor and Coma <1 Hour with Complications

MS-DRG 086 · Inpatient stay

19 $53,824 $12,718 -5%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

19 $40,872 $8,958 -7%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

19 $36,056 $5,594 +43%
Digestive Malignancy with Major Complications

MS-DRG 374 · Inpatient stay

19 $100,151 $20,112 +16%
Disorders of Pancreas Except Malignancy with Complications

MS-DRG 439 · Inpatient stay

19 $46,002 $8,804 +28%
Other Musculoskeletal System and Connective Tissue Operating Room Procedures with

MS-DRG 516 · Inpatient stay

19 $93,875 $19,095 +6%
Lymphoma and Non-acute Leukemia with Major Complications

MS-DRG 840 · Inpatient stay

19 $143,980 $30,443 about average
Other Operating Room Procedures for Injuries with Major Complications

MS-DRG 907 · Inpatient stay

19 $189,403 $37,806 +10%
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with

MS-DRG 543 · Inpatient stay

19 $42,515 $9,993 about average
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

18 $59,471 $10,540 +9%
Sepsis

MS-DRG 870 · Inpatient stay

18 $228,247 $56,225 -15%
Organic Disturbances and Intellectual Disability

MS-DRG 884 · Inpatient stay

18 $42,887 $14,877 -14%
Traumatic Stupor and Coma >1 Hour with Major Complications

MS-DRG 082 · Inpatient stay

18 $63,560 $21,797 -34%
Stomach, Esophageal and Duodenal Procedures with Major Complications

MS-DRG 326 · Inpatient stay

18 $194,895 $47,569 -13%
Major Gastrointestinal Disorders and Peritoneal Infections with Major Complications

MS-DRG 371 · Inpatient stay

18 $110,536 $25,433 +61%
Complicated Peptic Ulcer with Complications

MS-DRG 381 · Inpatient stay

18 $49,980 $10,253 -4%
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal

MS-DRG 023 · Inpatient stay

17 $225,327 $56,177 about average
Other Cerebrovascular Disorders with Major Complications

MS-DRG 070 · Inpatient stay

17 $71,275 $15,174 +8%
Permanent Cardiac Pacemaker Implant without Complications/mcc

MS-DRG 244 · Inpatient stay

17 $65,799 $17,367 -14%
Biopsies of Musculoskeletal System and Connective Tissue with Complications

MS-DRG 478 · Inpatient stay

17 $102,406 $21,420 -11%
Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio

MS-DRG 809 · Inpatient stay

17 $61,112 $11,765 +11%
Postoperative and Post-traumatic Infections without Major Complications

MS-DRG 863 · Inpatient stay

17 $36,080 $11,186 -6%
Trauma to the Skin, Subcutaneous Tissue and Breast without Major Complications

MS-DRG 605 · Inpatient stay

17 $39,954 $10,325 about average
Transurethral Prostatectomy with Complications/mcc

MS-DRG 713 · Inpatient stay

17 $64,131 $13,894 -4%
Aftercare, Musculoskeletal System and Connective Tissue with Complications

MS-DRG 560 · Inpatient stay

17 $42,639 $10,013 +4%
Level 3 Breast/lymphatic Surgery and Related Procedures

APC 5093 · Hospital outpatient visit

17 $64,983 $11,575 -3%
Hip Replacement with Principal Diagnosis of Hip Fracture with Major Complications

MS-DRG 521 · Inpatient stay

16 $123,518 $26,833 +10%
Nervous System Neoplasms with Major Complications

MS-DRG 054 · Inpatient stay

16 $50,814 $13,608 -23%
Other Digestive System Operating Room Procedures with Complications

MS-DRG 357 · Inpatient stay

16 $90,576 $24,490 -14%
Endocrine Disorders without Complications/mcc

MS-DRG 645 · Inpatient stay

16 $24,870 $8,701 -43%
Kidney and Ureter Procedures for Neoplasm without Complications/mcc

MS-DRG 658 · Inpatient stay

16 $125,572 $15,414 +64%
Peritoneal Adhesiolysis with Major Complications

MS-DRG 335 · Inpatient stay

16 $183,263 $36,959 +8%
Seizures with Major Complications

MS-DRG 100 · Inpatient stay

15 $76,956 $18,765 -5%
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications

MS-DRG 493 · Inpatient stay

15 $80,843 $23,025 -21%
Level 4 Neurostimulator and Related Procedures

APC 5464 · Hospital outpatient visit

15 $65,965 $26,818 -18%
Extracranial Procedures without Complications/mcc

MS-DRG 039 · Inpatient stay

14 $58,923 $11,056 +11%
Other Respiratory System Diagnoses with Major Complications

MS-DRG 205 · Inpatient stay

14 $72,530 $16,026 -5%
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

14 $35,481 $7,416 +6%
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major

MS-DRG 441 · Inpatient stay

14 $67,584 $27,067 -11%
Other Kidney and Urinary Tract Procedures with Complications

MS-DRG 674 · Inpatient stay

14 $86,500 $22,807 -11%
Other Operating Room Procedures for Injuries with Complications

MS-DRG 908 · Inpatient stay

14 $147,995 $24,154 +64%
Respiratory Neoplasms with Complications

MS-DRG 181 · Inpatient stay

14 $60,839 $10,761 +17%

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.