CostGrade

All published prices at Jefferson Health- Northeast

158 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.

B
Procedure Patients Charged Actually paid vs national
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

1,258 $13,871 $2,630 -29%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

764 $64,908 $17,221 about average
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

323 $39,398 $11,001 -9%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

218 $14,938 $3,123 -41%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

166 $9,490 $1,565 -6%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

161 $47,325 $12,683 -24%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

126 $22,007 $5,016 -20%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

125 $8,387 $1,962 -35%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

114 $28,520 $5,511 -19%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

110 $16,832 $3,064 -12%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

108 $34,020 $9,404 -13%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

102 $13,949 $3,353 -32%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

101 $44,115 $11,562 -5%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

94 $145,970 $41,345 -18%
Respiratory Failure

MS-DRG 189 · Inpatient stay

88 $38,304 $11,085 -21%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

86 $32,149 $6,864 -19%
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

85 $28,876 $6,520 -25%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

84 $32,155 $7,372 about average
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

76 $13,060 $1,845 +11%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

75 $7,646 $1,505 -32%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

72 $48,376 $13,880 -12%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

70 $60,592 $10,658 -10%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

68 $25,932 $8,048 -21%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

68 $46,272 $14,295 -19%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

67 $15,060 $3,324 -35%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

66 $76,424 $19,539 -13%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

66 $16,697 $3,050 -18%
Bilateral or Multiple Major Joint Procedures of Lower Extremity without Major

MS-DRG 462 · Inpatient stay

62 $65,635 $24,746 -40%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

61 $30,796 $8,980 -21%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

61 $39,597 $11,711 -18%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

61 $144,863 $23,013 +9%
COPD (severe)

MS-DRG 190 · Inpatient stay

57 $37,950 $10,118 -9%
Other Disorders of Nervous System with Complications

MS-DRG 092 · Inpatient stay

57 $29,113 $9,031 -35%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

56 $29,055 $6,933 -5%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

56 $24,575 $7,241 -17%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

55 $35,947 $9,016 -21%
Stroke (severe)

MS-DRG 064 · Inpatient stay

53 $59,697 $16,416 -22%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

53 $69,477 $16,586 about average
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

51 $37,583 $9,206 -9%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

50 $51,698 $14,310 -16%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

50 $57,289 $10,365 +11%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

50 $11,692 $1,834 +3%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

49 $29,060 $7,947 -21%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

49 $40,623 $8,253 +7%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

46 $74,757 $17,668 -10%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

45 $24,622 $6,872 -20%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

45 $39,218 $10,242 -4%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

44 $29,795 $11,668 -38%
Fainting

MS-DRG 312 · Inpatient stay

44 $31,629 $7,899 -14%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

44 $44,232 $12,864 -16%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

41 $71,138 $18,252 -9%
Sepsis

MS-DRG 870 · Inpatient stay

39 $219,644 $53,585 -18%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

38 $91,400 $16,280 -10%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

38 $208,187 $31,865 +40%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

37 $27,334 $7,850 -10%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

37 $7,606 $1,453 -11%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

36 $37,860 $12,931 -33%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

36 $16,140 $2,645 -9%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

31 $33,713 $8,911 -11%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

31 $40,939 $5,334 +13%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

30 $53,874 $9,986 -10%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

28 $32,594 $10,726 -31%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

28 $13,410 $2,944 -26%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

27 $102,561 $27,585 -18%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

27 $31,880 $7,408 about average
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

27 $18,081 $3,638 -20%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

26 $25,070 $8,080 -21%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

26 $32,269 $8,083 -26%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

26 $131,473 $25,791 -9%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

26 $39,540 $11,464 -23%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

26 $75,901 $17,917 -11%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

26 $37,583 $8,246 about average
Cirrhosis and Alcoholic Hepatitis with Major Complications

MS-DRG 432 · Inpatient stay

26 $69,324 $16,191 -13%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

25 $105,957 $25,281 -10%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

24 $44,973 $11,928 -18%
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major

MS-DRG 897 · Inpatient stay

24 $24,288 $7,438 -25%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

23 $95,031 $22,482 -16%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

23 $26,007 $7,383 -25%
Major Chest Trauma with Complications

MS-DRG 184 · Inpatient stay

23 $37,704 $9,730 -23%
Coagulation Disorders

MS-DRG 813 · Inpatient stay

23 $34,891 $13,348 -48%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

22 $32,549 $8,048 -20%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

22 $37,930 $8,465 about average
Organic Disturbances and Intellectual Disability

MS-DRG 884 · Inpatient stay

22 $27,178 $13,097 -46%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

21 $101,775 $19,756 +9%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

21 $43,795 $10,170 -20%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

21 $47,280 $12,508 -16%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

21 $48,126 $17,480 -42%
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major

MS-DRG 441 · Inpatient stay

21 $50,063 $15,729 -34%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

20 $18,845 $3,701 -21%
Stroke (uncomplicated)

MS-DRG 066 · Inpatient stay

19 $27,889 $6,146 -22%
Seizures with Major Complications

MS-DRG 100 · Inpatient stay

19 $51,859 $22,267 -36%
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with Major Complications

MS-DRG 896 · Inpatient stay

19 $42,837 $15,249 -35%
Level 2 Urology and Related Services

APC 5372 · Hospital outpatient visit

19 $4,258 $662 +36%
Other Disorders of Nervous System with Major Complications

MS-DRG 091 · Inpatient stay

18 $43,333 $15,803 -39%
Major Chest Procedures with Major Complications

MS-DRG 163 · Inpatient stay

18 $162,389 $45,628 -8%
Permanent Cardiac Pacemaker Implant with Major Complications

MS-DRG 242 · Inpatient stay

18 $138,597 $29,656 about average
Signs and Symptoms without Major Complications

MS-DRG 948 · Inpatient stay

18 $33,385 $7,074 about average
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

18 $200,537 $53,937 -17%
Back Problems (severe)

MS-DRG 551 · Inpatient stay

18 $47,307 $14,393 -32%
Poisoning and Toxic Effects of Drugs with Major Complications

MS-DRG 917 · Inpatient stay

18 $48,068 $13,398 -29%

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.