CostGrade

All published prices at Holmes Regional Medical Center

218 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

410 $17,013 $2,469 -12%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

345 $82,520 $14,098 +26%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

230 $17,670 $2,938 -30%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

199 $140,620 $22,842 +13%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

196 $104,592 $11,906 +67%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

187 $60,265 $9,587 +39%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

186 $77,042 $12,447 +40%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

167 $119,513 $21,459 -10%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

149 $18,050 $2,557 about average
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

130 $12,589 $1,469 +25%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

127 $383,726 $40,556 +103%
Stroke (severe)

MS-DRG 064 · Inpatient stay

123 $82,610 $14,024 +8%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

123 $59,050 $10,421 +27%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

120 $64,046 $9,319 +7%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

106 $34,129 $6,536 +6%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

106 $71,303 $6,480 +79%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

104 $42,270 $8,856 +4%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

104 $48,887 $9,877 -28%
Fainting

MS-DRG 312 · Inpatient stay

103 $34,778 $6,797 -5%
COPD (severe)

MS-DRG 190 · Inpatient stay

100 $69,153 $8,356 +65%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

100 $73,423 $12,000 +20%
Chest Pain

MS-DRG 313 · Inpatient stay

100 $36,557 $6,369 +8%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

91 $23,518 $2,887 +23%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

90 $53,386 $7,935 +17%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

90 $28,913 $6,079 -6%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

87 $36,110 $6,306 +21%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

86 $30,869 $3,158 +50%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

80 $40,956 $7,360 +5%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

79 $54,385 $10,583 about average
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

78 $25,066 $4,673 about average
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

78 $59,007 $5,907 +49%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

70 $44,388 $7,534 +7%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

69 $65,884 $12,044 +16%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

66 $86,350 $15,852 -10%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

66 $48,785 $4,687 +78%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

63 $65,027 $9,165 +37%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

63 $33,605 $7,163 +10%
Spinal Fusion Except Cervical without Major Complications

MS-DRG 460 · Inpatient stay

62 $228,047 $27,429 +57%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

61 $427,572 $51,490 +78%
Other Major Cardiovascular Procedures with Major Complications

MS-DRG 270 · Inpatient stay

60 $235,063 $37,792 +5%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

58 $78,218 $13,861 -23%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

58 $45,957 $5,227 +31%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

56 $39,155 $6,338 -5%
Respiratory Failure

MS-DRG 189 · Inpatient stay

56 $70,670 $9,493 +46%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

55 $68,254 $12,539 -4%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

52 $41,141 $2,741 +102%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

51 $121,803 $16,241 +46%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

50 $27,297 $6,097 -11%
Other Major Cardiovascular Procedures with Complications

MS-DRG 271 · Inpatient stay

50 $187,946 $26,368 +25%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

50 $43,478 $9,666 -16%
Craniotomy and Endovascular Intracranial Procedures with Major Complications

MS-DRG 025 · Inpatient stay

49 $178,811 $34,102 -7%
Other Disorders of Nervous System with Complications

MS-DRG 092 · Inpatient stay

48 $40,997 $7,669 -9%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

47 $34,791 $6,992 +6%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

46 $48,559 $7,834 +24%
Traumatic Stupor and Coma <1 Hour with Complications

MS-DRG 086 · Inpatient stay

45 $54,628 $9,843 -3%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

45 $46,520 $8,299 -15%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

45 $60,461 $9,848 +25%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

45 $232,378 $37,553 +31%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

44 $34,055 $7,696 -10%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

43 $39,283 $3,453 +65%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

42 $40,018 $7,137 -9%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

42 $113,673 $21,049 -21%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

42 $139,549 $16,845 +68%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

42 $5,664 $1,451 -34%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

42 $32,410 $5,177 -6%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

42 $121,908 $29,712 -18%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

41 $41,765 $7,584 +11%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

39 $59,356 $10,239 +9%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

39 $112,880 $13,743 +41%
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization

MS-DRG 220 · Inpatient stay

39 $360,823 $40,594 +55%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

39 $30,314 $3,392 +34%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

39 $31,762 $2,832 +75%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

38 $32,073 $6,978 -14%
Cervical Spinal Fusion with Complications

MS-DRG 472 · Inpatient stay

37 $165,866 $21,201 +39%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

37 $37,117 $3,134 +60%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

36 $33,406 $7,069 -18%
Combined Anterior and Posterior Spinal Fusion with Complications

MS-DRG 454 · Inpatient stay

36 $418,905 $57,269 +89%
Other Musculoskeletal System and Connective Tissue Operating Room Procedures with

MS-DRG 516 · Inpatient stay

36 $134,367 $16,236 +52%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

36 $17,497 $1,845 +35%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

35 $64,605 $9,641 +26%
Other Cardiothoracic Procedures without Major Complications

MS-DRG 229 · Inpatient stay

35 $174,190 $29,299 +15%
Dysequilibrium

MS-DRG 149 · Inpatient stay

35 $30,691 $5,960 -22%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

34 $46,390 $4,978 +28%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

33 $107,938 $17,152 +15%
Peripheral Vascular Disorders with Complications

MS-DRG 300 · Inpatient stay

33 $41,672 $8,054 about average
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

33 $25,840 $6,009 -23%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

33 $93,716 $16,343 +20%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

33 $57,192 $10,534 about average
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

33 $14,915 $1,537 +31%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

32 $41,823 $6,510 +32%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

32 $133,877 $20,168 +18%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

32 $82,575 $16,683 -6%
Cervical Spinal Fusion without Complications/mcc

MS-DRG 473 · Inpatient stay

32 $152,206 $18,491 +68%
Level 4 Pacemaker and Similar Procedures

APC 5224 · Hospital outpatient visit

32 $124,613 $17,611 +30%
Other Cerebrovascular Disorders with Major Complications

MS-DRG 070 · Inpatient stay

31 $73,806 $13,124 +11%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

31 $41,567 $7,592 +12%
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal

MS-DRG 023 · Inpatient stay

30 $238,550 $41,577 +4%
Coronary Bypass without Cardiac Catheterization without Major Complications

MS-DRG 236 · Inpatient stay

30 $238,299 $31,720 +30%
Aortic and Heart Assist Procedures Except Pulsation Balloon without Major Complications

MS-DRG 269 · Inpatient stay

30 $216,286 $29,509 +31%
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major

MS-DRG 981 · Inpatient stay

30 $224,357 $33,525 +22%

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.