CostGrade

All published prices at Holy Name Medical Center

109 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

403 $20,126 $3,109 +4%
Level 1 Intraocular Procedures

APC 5491 · Hospital outpatient visit

360 $11,183 $2,652 -5%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

216 $87,248 $18,376 +34%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

188 $11,598 $1,845 +15%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

159 $47,704 $14,948 -24%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

123 $56,880 $11,804 +31%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

120 $17,202 $3,967 -17%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

111 $22,197 $5,888 -19%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

105 $28,734 $8,078 -28%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

105 $24,780 $3,714 about average
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

103 $24,169 $6,515 -31%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

100 $34,826 $7,466 +17%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

99 $57,455 $14,900 +4%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

99 $16,115 $3,683 -21%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

95 $15,144 $2,318 +17%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

80 $37,454 $7,606 +16%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

77 $15,151 $3,627 -21%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

76 $28,801 $6,504 -17%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

74 $62,215 $12,500 -8%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

72 $66,435 $12,533 +43%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

67 $47,857 $10,582 +17%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

63 $15,236 $3,233 -14%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

62 $92,669 $19,905 about average
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

61 $28,780 $8,204 -6%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

55 $65,349 $14,671 +6%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

55 $28,620 $7,225 -6%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

55 $17,982 $3,937 -23%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

54 $39,315 $7,878 +24%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

48 $30,861 $8,852 -21%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

47 $45,157 $9,128 +21%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

46 $46,155 $12,093 -5%
Fainting

MS-DRG 312 · Inpatient stay

45 $39,308 $8,095 +7%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

40 $43,576 $9,138 +6%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

40 $33,120 $8,431 -4%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

39 $173,566 $42,727 about average
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

37 $41,914 $9,580 +7%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

36 $39,702 $8,691 +7%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

36 $7,997 $1,823 -7%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

35 $33,662 $7,012 +10%
Bronchitis and Asthma with Complications/mcc

MS-DRG 202 · Inpatient stay

34 $48,086 $9,069 +22%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

33 $16,200 $3,558 -11%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

29 $9,108 $1,829 -19%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

28 $37,768 $8,869 about average
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

28 $10,136 $2,165 -14%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

27 $53,173 $9,741 +17%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

27 $9,988 $2,197 -12%
COPD (severe)

MS-DRG 190 · Inpatient stay

26 $58,597 $10,626 +40%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

26 $70,423 $14,955 +24%
Level 2 Urology and Related Services

APC 5372 · Hospital outpatient visit

26 $5,187 $777 +65%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

25 $37,131 $8,404 +13%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

25 $78,755 $20,372 -5%
Stroke (severe)

MS-DRG 064 · Inpatient stay

24 $102,521 $18,658 +34%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

24 $71,176 $18,707 -17%
COPD (with complications)

MS-DRG 191 · Inpatient stay

24 $30,983 $7,861 -7%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

24 $20,443 $4,337 -14%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

23 $37,493 $7,777 +20%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

23 $67,769 $17,768 -19%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

23 $61,819 $13,678 +17%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

22 $27,180 $5,317 +8%
Organic Disturbances and Intellectual Disability

MS-DRG 884 · Inpatient stay

22 $37,906 $13,361 -24%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

21 $83,818 $22,027 -17%
Other Vascular Procedures with Major Complications

MS-DRG 252 · Inpatient stay

20 $118,180 $29,878 -19%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

20 $68,766 $18,635 -22%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

20 $57,773 $12,902 about average
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

20 $46,822 $9,661 +24%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

19 $52,176 $12,134 about average
Level 3 Intraocular Procedures

APC 5493 · Hospital outpatient visit

19 $18,719 $5,948 -23%
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

18 $37,236 $7,092 +11%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

18 $42,100 $9,455 +12%
Other Major Cardiovascular Procedures with Complications

MS-DRG 271 · Inpatient stay

18 $174,035 $34,130 +16%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

17 $28,668 $8,414 -30%
Chest Pain

MS-DRG 313 · Inpatient stay

17 $32,077 $6,733 -5%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

17 $104,322 $18,796 +47%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

17 $52,507 $12,265 about average
Gastrointestinal Obstruction without Complications/mcc

MS-DRG 390 · Inpatient stay

17 $25,954 $5,678 +8%
Respiratory Neoplasms with Major Complications

MS-DRG 180 · Inpatient stay

16 $60,821 $15,793 -18%
Revision of Hip or Knee Replacement with Complications

MS-DRG 467 · Inpatient stay

16 $109,316 $28,982 -16%
Revision of Hip or Knee Replacement without Complications/mcc

MS-DRG 468 · Inpatient stay

16 $79,223 $23,316 -27%
Respiratory Failure

MS-DRG 189 · Inpatient stay

15 $54,097 $11,454 +12%
Peripheral Vascular Disorders with Complications

MS-DRG 300 · Inpatient stay

15 $33,907 $9,909 -21%
Sepsis

MS-DRG 870 · Inpatient stay

15 $195,036 $59,302 -27%
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major

MS-DRG 981 · Inpatient stay

15 $139,346 $41,327 -24%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

15 $21,809 $6,253 -40%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

14 $53,952 $13,721 +14%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

14 $131,116 $38,688 -27%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

14 $84,111 $16,820 +49%
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major

MS-DRG 897 · Inpatient stay

14 $40,479 $11,429 +24%
Major Gastrointestinal Disorders and Peritoneal Infections with Complications

MS-DRG 372 · Inpatient stay

14 $42,158 $10,165 +6%
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with

MS-DRG 543 · Inpatient stay

14 $41,602 $9,986 about average
Other Musculoskeletal System and Connective Tissue Diagnoses with Complications

MS-DRG 565 · Inpatient stay

14 $42,155 $9,414 about average
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

13 $52,212 $12,118 +9%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

13 $75,357 $18,474 -4%
Signs and Symptoms without Major Complications

MS-DRG 948 · Inpatient stay

13 $39,520 $7,548 +22%
Other Major Cardiovascular Procedures with Major Complications

MS-DRG 270 · Inpatient stay

13 $206,626 $45,585 -8%
Pulmonary Embolism without Major Complications

MS-DRG 176 · Inpatient stay

13 $41,610 $7,678 +19%
Bone Diseases and Arthropathies without Major Complications

MS-DRG 554 · Inpatient stay

13 $34,073 $7,665 +6%
Other Musculoskeletal System and Connective Tissue Diagnoses with Major Complications

MS-DRG 564 · Inpatient stay

13 $59,519 $14,427 -7%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

13 $37,992 $11,698 -36%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

12 $109,134 $25,935 -7%
Kidney and Ureter Procedures for Non-neoplasm with Complications

MS-DRG 660 · Inpatient stay

12 $49,875 $12,241 -10%

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.