CostGrade

All published prices at Jefferson Einstein Montgomery Hospital

106 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

574 $16,254 $2,561 -16%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

205 $43,448 $12,441 about average
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

198 $21,499 $3,047 -15%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

186 $59,890 $17,712 -8%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

121 $59,365 $12,064 -5%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

101 $48,846 $15,692 -11%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

84 $7,095 $1,521 -30%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

76 $22,060 $2,990 +15%
Respiratory Failure

MS-DRG 189 · Inpatient stay

74 $41,116 $12,045 -15%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

72 $45,060 $12,392 -3%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

59 $8,198 $1,911 -37%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

54 $14,123 $3,246 -39%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

53 $86,867 $22,223 -35%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

52 $39,721 $13,136 -18%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

51 $9,347 $1,811 -18%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

49 $42,786 $10,149 -37%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

48 $48,517 $10,162 +7%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

47 $27,880 $7,524 -9%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

47 $32,263 $7,993 about average
Fainting

MS-DRG 312 · Inpatient stay

46 $38,078 $8,471 +4%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

46 $13,002 $3,576 -45%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

43 $21,719 $3,513 -4%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

41 $38,614 $5,413 +10%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

38 $29,471 $7,957 about average
Sepsis

MS-DRG 870 · Inpatient stay

38 $157,678 $57,188 -41%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

37 $18,548 $3,270 -10%
Level 6 Urology and Related Services

APC 5376 · Hospital outpatient visit

36 $33,904 $8,640 -24%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

34 $50,182 $13,848 -5%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

34 $32,737 $9,259 about average
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

34 $52,795 $10,009 about average
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

34 $13,210 $2,933 -27%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

33 $58,794 $16,569 -4%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

33 $40,411 $9,651 about average
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

33 $29,028 $8,910 -21%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

33 $8,314 $1,480 -3%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

31 $187,112 $46,983 +5%
COPD (severe)

MS-DRG 190 · Inpatient stay

30 $36,889 $10,676 -12%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

30 $74,765 $23,401 -34%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

30 $28,883 $7,545 -5%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

30 $42,499 $10,669 +8%
Stroke (severe)

MS-DRG 064 · Inpatient stay

29 $76,905 $18,999 about average
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

29 $164,090 $42,385 -13%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

29 $10,348 $1,785 -12%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

28 $40,130 $9,150 +32%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

28 $65,389 $17,497 +15%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

28 $29,601 $6,711 -26%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

27 $32,458 $9,886 -13%
Organic Disturbances and Intellectual Disability

MS-DRG 884 · Inpatient stay

27 $32,780 $15,640 -34%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

27 $22,891 $4,854 -17%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

26 $26,481 $7,847 -17%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

24 $62,412 $18,148 -39%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

24 $28,944 $5,362 -16%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

24 $4,982 $1,508 -56%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

23 $30,612 $8,765 -25%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

23 $43,508 $10,901 -8%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

23 $65,142 $17,390 -8%
Respiratory System Diagnosis with Ventilator Support >96 Hours

MS-DRG 207 · Inpatient stay

23 $183,843 $60,904 -28%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

21 $29,729 $11,781 -38%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

21 $36,570 $9,129 -6%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

20 $94,232 $21,491 about average
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

20 $81,484 $22,098 -7%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

20 $82,196 $20,018 +5%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

20 $36,828 $9,457 -5%
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization

MS-DRG 219 · Inpatient stay

20 $240,161 $61,331 -28%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

20 $13,074 $2,666 -26%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

20 $45,393 $15,019 -52%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

19 $68,312 $13,533 +25%
Other Disorders of Nervous System with Complications

MS-DRG 092 · Inpatient stay

19 $36,960 $10,417 -18%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

19 $61,295 $9,650 about average
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

18 $52,634 $10,703 -3%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

17 $38,404 $8,464 +23%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

17 $42,176 $11,514 +4%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

17 $45,075 $12,880 -20%
COPD (with complications)

MS-DRG 191 · Inpatient stay

17 $31,524 $8,684 -5%
Respiratory Neoplasms with Major Complications

MS-DRG 180 · Inpatient stay

17 $53,368 $16,748 -28%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

17 $88,069 $30,770 -41%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

16 $45,113 $9,239 +3%
Peripheral Vascular Disorders with Complications

MS-DRG 300 · Inpatient stay

16 $33,048 $9,393 -23%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

16 $64,887 $19,826 -22%
Fractures of Hip and Pelvis without Major Complications

MS-DRG 536 · Inpatient stay

16 $27,958 $7,552 -15%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

16 $24,325 $9,442 -36%
Signs and Symptoms without Major Complications

MS-DRG 948 · Inpatient stay

15 $28,833 $7,681 -11%
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major

MS-DRG 981 · Inpatient stay

15 $158,380 $40,522 -14%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

15 $174,485 $53,958 -27%
Bronchitis and Asthma with Complications/mcc

MS-DRG 202 · Inpatient stay

15 $48,071 $9,466 +22%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

14 $67,552 $13,567 +32%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

14 $75,681 $17,453 -5%
Other Cerebrovascular Disorders with Complications

MS-DRG 071 · Inpatient stay

14 $35,609 $9,979 -20%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

14 $13,188 $3,037 -35%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

13 $22,423 $5,517 -11%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

13 $49,705 $14,083 -23%
Digestive Malignancy with Major Complications

MS-DRG 374 · Inpatient stay

13 $86,306 $18,836 about average
Trauma to the Skin, Subcutaneous Tissue and Breast without Major Complications

MS-DRG 605 · Inpatient stay

13 $26,845 $9,137 -34%
Level 3 ENT Procedures

APC 5163 · Hospital outpatient visit

13 $7,696 $1,431 +20%
Seizures with Major Complications

MS-DRG 100 · Inpatient stay

12 $48,497 $17,644 -40%
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

12 $36,797 $7,906 +10%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

12 $28,958 $8,941 -16%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

12 $32,952 $8,775 -11%
Disorders of the Biliary Tract with Complications

MS-DRG 445 · Inpatient stay

12 $36,007 $10,272 -30%
Degenerative Nervous System Disorders with Major Complications

MS-DRG 056 · Inpatient stay

11 $57,060 $22,591 -34%

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.