CostGrade

All published prices at Hshs St Elizabeth's Hospital

100 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

435 $23,522 $2,479 +21%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

297 $63,231 $15,528 -3%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

234 $16,507 $2,979 -35%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

231 $48,049 $9,866 +11%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

155 $11,204 $1,458 +11%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

151 $127,096 $21,893 -4%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

133 $21,901 $3,148 +6%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

125 $53,522 $12,062 -14%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

115 $11,501 $1,760 about average
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

108 $25,863 $4,711 -6%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

101 $15,078 $1,762 +17%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

94 $36,097 $8,716 -8%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

90 $112,718 $23,939 -10%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

88 $33,454 $6,100 -16%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

88 $12,695 $1,418 +13%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

85 $17,861 $2,891 -7%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

75 $19,898 $2,897 about average
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

72 $12,139 $1,749 +3%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

62 $76,370 $9,746 +13%
Respiratory Failure

MS-DRG 189 · Inpatient stay

59 $51,690 $10,096 +7%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

58 $53,480 $9,811 +4%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

55 $155,458 $35,543 -18%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

53 $39,684 $7,734 +5%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

52 $59,130 $11,853 -4%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

51 $51,352 $5,166 +46%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

48 $49,116 $12,430 -14%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

46 $129,527 $35,189 -27%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

43 $34,420 $7,689 +13%
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

43 $48,618 $6,208 +26%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

42 $75,751 $16,815 -9%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

41 $44,866 $9,891 about average
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

41 $45,318 $10,146 about average
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

41 $32,194 $7,299 about average
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

40 $52,388 $12,150 about average
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

40 $12,591 $1,436 +47%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

36 $59,995 $11,824 +9%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

36 $32,366 $5,165 -7%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

35 $32,028 $6,250 about average
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

34 $35,771 $11,621 -4%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

33 $36,835 $7,772 -11%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

33 $153,529 $30,313 +3%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

32 $26,047 $6,048 -15%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

32 $31,025 $8,114 +4%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

32 $21,449 $2,626 +21%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

32 $34,726 $3,461 +53%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

30 $34,813 $8,655 -21%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

29 $75,492 $16,346 -14%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

28 $66,851 $9,125 +41%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

28 $56,288 $15,305 -32%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

28 $37,445 $9,694 -8%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

25 $85,699 $16,982 -9%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

25 $27,669 $4,538 +10%
Fainting

MS-DRG 312 · Inpatient stay

25 $52,599 $8,935 +44%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

25 $40,210 $5,960 +32%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

24 $47,688 $8,395 -13%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

24 $45,457 $9,878 -6%
Stroke (severe)

MS-DRG 064 · Inpatient stay

23 $50,451 $13,666 -34%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

22 $65,904 $15,807 -23%
Spinal Fusion Except Cervical without Major Complications

MS-DRG 460 · Inpatient stay

22 $105,468 $31,404 -27%
Level 4 Pacemaker and Similar Procedures

APC 5224 · Hospital outpatient visit

22 $84,207 $17,967 -12%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

21 $104,623 $19,565 about average
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

21 $80,460 $23,879 -20%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

21 $31,733 $7,630 -16%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

21 $33,010 $3,197 +42%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

20 $127,162 $29,686 -12%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

19 $31,063 $6,202 about average
Extracranial Procedures without Complications/mcc

MS-DRG 039 · Inpatient stay

18 $43,450 $8,979 -18%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

18 $55,216 $14,473 -22%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

18 $24,477 $6,494 -22%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

18 $77,692 $15,042 -6%
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major

MS-DRG 981 · Inpatient stay

18 $134,926 $31,864 -27%
Cervical Spinal Fusion with Complications

MS-DRG 472 · Inpatient stay

18 $97,416 $28,877 -19%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

18 $68,740 $9,507 +15%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

17 $54,487 $10,526 about average
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

16 $76,036 $19,739 -33%
Kidney and Ureter Procedures for Non-neoplasm with Complications

MS-DRG 660 · Inpatient stay

16 $31,781 $9,977 -43%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

16 $54,353 $10,805 -3%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

16 $28,108 $3,370 +18%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

15 $38,289 $7,818 +11%
Skin Infection (severe)

MS-DRG 602 · Inpatient stay

15 $38,625 $11,203 -25%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

15 $42,202 $6,027 +7%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

14 $213,968 $41,450 -11%
COPD (severe)

MS-DRG 190 · Inpatient stay

13 $44,509 $8,696 +6%
Permanent Cardiac Pacemaker Implant with Major Complications

MS-DRG 242 · Inpatient stay

13 $148,950 $25,989 +7%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

13 $44,072 $7,478 +13%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

13 $31,988 $7,360 -18%
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with

MS-DRG 617 · Inpatient stay

13 $56,535 $14,894 -23%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

13 $103,865 $16,172 +9%
Level 6 Urology and Related Services

APC 5376 · Hospital outpatient visit

13 $29,904 $8,512 -33%
Level 2 Electrophysiologic Procedures

APC 5212 · Hospital outpatient visit

13 $36,373 $6,902 -18%
Permanent Cardiac Pacemaker Implant without Complications/mcc

MS-DRG 244 · Inpatient stay

12 $73,602 $19,928 -3%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

12 $66,088 $10,172 +29%
Other Cerebrovascular Disorders with Complications

MS-DRG 071 · Inpatient stay

12 $52,030 $8,218 +17%
Disorders of the Biliary Tract with Complications

MS-DRG 445 · Inpatient stay

12 $42,647 $8,324 -17%
Stroke (uncomplicated)

MS-DRG 066 · Inpatient stay

11 $45,524 $5,575 +27%
Coronary Bypass without Cardiac Catheterization without Major Complications

MS-DRG 236 · Inpatient stay

11 $180,958 $29,489 about average
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

11 $59,636 $15,622 -24%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

11 $80,465 $11,530 +43%
Laparoscopic Cholecystectomy without C.d.e. without Complications/mcc

MS-DRG 419 · Inpatient stay

11 $65,619 $10,162 -6%
Level 2 Neurostimulator and Related Procedures

APC 5462 · Hospital outpatient visit

11 $19,781 $4,022 -25%

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.