CostGrade

All published prices at Hunterdon Medical Center

93 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

512 $21,993 $2,861 +13%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

347 $81,106 $17,165 +24%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

153 $56,151 $11,514 +29%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

121 $54,973 $15,945 -31%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

108 $24,742 $5,929 -30%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

102 $25,834 $3,393 about average
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

99 $7,059 $1,697 -30%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

84 $43,333 $12,494 -31%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

77 $29,339 $7,490 -26%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

72 $18,304 $3,561 -11%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

71 $35,833 $7,189 +17%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

70 $22,754 $5,417 -17%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

68 $38,559 $7,097 +20%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

68 $41,180 $8,317 +35%
Psychoses

MS-DRG 885 · Inpatient stay

68 $62,134 $12,520 +72%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

65 $14,111 $3,337 -26%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

64 $68,334 $11,778 +41%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

62 $89,369 $16,143 +62%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

61 $39,024 $7,322 +31%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

60 $57,998 $10,719 +42%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

58 $48,905 $11,251 +5%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

57 $46,176 $9,272 +18%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

55 $69,527 $14,710 +22%
COPD (severe)

MS-DRG 190 · Inpatient stay

52 $50,495 $9,847 +21%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

42 $159,505 $41,204 -10%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

41 $53,264 $8,833 +29%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

41 $16,161 $3,265 -21%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

41 $59,615 $19,086 -28%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

41 $9,296 $1,992 -21%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

40 $48,587 $10,928 -6%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

37 $49,247 $8,411 +42%
Respiratory Failure

MS-DRG 189 · Inpatient stay

36 $69,446 $10,960 +43%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

36 $76,206 $11,503 +13%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

36 $12,017 $1,976 +6%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

35 $42,938 $6,733 +40%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

34 $13,145 $2,132 about average
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

32 $37,294 $8,825 -5%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

32 $6,120 $1,624 -29%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

30 $34,422 $7,432 +8%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

30 $40,132 $8,090 +22%
Stroke (severe)

MS-DRG 064 · Inpatient stay

28 $84,366 $16,557 +11%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

28 $51,407 $9,045 +13%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

28 $90,961 $13,733 +48%
Bronchitis and Asthma with Complications/mcc

MS-DRG 202 · Inpatient stay

26 $49,259 $8,660 +25%
Coagulation Disorders

MS-DRG 813 · Inpatient stay

24 $88,214 $14,965 +32%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

23 $71,041 $11,005 +50%
Fainting

MS-DRG 312 · Inpatient stay

23 $47,339 $7,834 +29%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

23 $80,805 $16,056 +14%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

23 $52,173 $9,098 +67%
Signs and Symptoms without Major Complications

MS-DRG 948 · Inpatient stay

23 $41,928 $7,330 +29%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

23 $38,419 $6,827 about average
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

23 $36,188 $8,891 -4%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

23 $13,892 $3,543 -40%
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

22 $11,413 $1,777 about average
Stroke (uncomplicated)

MS-DRG 066 · Inpatient stay

21 $49,819 $6,292 +39%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

21 $76,245 $17,234 -9%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

21 $19,730 $3,991 -17%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

21 $18,814 $3,273 +4%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

20 $42,833 $8,190 +5%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

20 $123,858 $15,543 +22%
Sepsis

MS-DRG 870 · Inpatient stay

20 $216,460 $57,565 -19%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

20 $87,466 $18,316 -8%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

19 $77,897 $17,839 -9%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

19 $18,029 $3,920 -21%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

19 $9,654 $1,638 -14%
Skin Infection (severe)

MS-DRG 602 · Inpatient stay

17 $68,473 $13,081 +33%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

17 $38,523 $7,943 +5%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

17 $40,229 $5,984 +16%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

16 $30,594 $8,326 -21%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

15 $51,958 $7,257 +26%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

15 $130,128 $43,069 -28%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

15 $50,119 $11,263 about average
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major

MS-DRG 897 · Inpatient stay

15 $36,430 $7,853 +12%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

15 $13,582 $2,975 -23%
Level 6 Gynecologic Procedures

APC 5416 · Hospital outpatient visit

15 $33,023 $7,647 -19%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

14 $38,532 $5,227 +53%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

14 $73,184 $13,580 +30%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

14 $74,045 $13,934 +15%
Major Gastrointestinal Disorders and Peritoneal Infections with Complications

MS-DRG 372 · Inpatient stay

14 $44,953 $9,175 +13%
Dysequilibrium

MS-DRG 149 · Inpatient stay

14 $45,085 $6,805 +15%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

13 $75,151 $12,383 +38%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

13 $132,128 $24,718 +50%
Fractures of Hip and Pelvis without Major Complications

MS-DRG 536 · Inpatient stay

13 $45,403 $7,309 +38%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

13 $31,927 $8,357 -15%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

13 $20,161 $2,939 +22%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

12 $60,698 $9,482 +11%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

12 $174,017 $24,719 +21%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

12 $134,729 $21,567 +34%
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with

MS-DRG 617 · Inpatient stay

12 $76,842 $17,102 +4%
Endocrine Disorders with Major Complications

MS-DRG 643 · Inpatient stay

12 $47,258 $14,007 -28%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

11 $156,055 $27,478 +38%
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

11 $52,270 $6,883 +56%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

11 $72,101 $17,393 -13%

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.