CostGrade

All published prices at Jersey Shore University Medical Center

258 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.

D
Procedure Patients Charged Actually paid vs national
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

1,568 $28,207 $2,869 +45%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

900 $21,793 $3,424 -14%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

435 $143,165 $19,171 +119%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

400 $52,819 $11,572 -22%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

395 $95,696 $24,988 -28%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

371 $101,200 $12,844 +133%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

239 $44,973 $13,825 -28%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

234 $10,753 $1,707 +7%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

234 $13,001 $2,013 +11%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

220 $48,756 $11,177 -5%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

215 $196,087 $53,827 -18%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

207 $30,330 $5,990 -12%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

202 $30,053 $6,045 -14%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

191 $104,070 $15,706 +89%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

184 $67,686 $18,379 -29%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

181 $113,843 $15,496 +86%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

171 $15,200 $3,379 -20%
Stroke (severe)

MS-DRG 064 · Inpatient stay

152 $155,192 $19,216 +103%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

147 $92,020 $12,444 +98%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

143 $56,515 $7,663 +75%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

127 $83,636 $10,766 +105%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

122 $64,416 $8,728 +95%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

120 $57,219 $7,879 +87%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

118 $122,475 $34,100 -18%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

111 $169,923 $42,058 -10%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

111 $115,097 $14,139 +117%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

102 $63,797 $7,763 +114%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

100 $51,504 $10,807 -14%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

98 $83,139 $9,308 +101%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

97 $102,855 $29,831 -17%
Coronary Bypass without Cardiac Catheterization without Major Complications

MS-DRG 236 · Inpatient stay

95 $172,659 $43,272 -6%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

95 $166,690 $24,587 +89%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

94 $108,912 $17,903 +7%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

90 $79,646 $11,998 +64%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

89 $172,722 $29,120 +20%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

88 $118,480 $16,099 +109%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

86 $127,760 $17,662 +80%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

85 $19,198 $3,633 -17%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

82 $361,246 $57,478 +103%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

81 $11,485 $2,159 -11%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

80 $111,306 $19,964 +34%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

80 $56,610 $8,980 +86%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

79 $81,476 $11,393 +108%
Craniotomy and Endovascular Intracranial Procedures with Major Complications

MS-DRG 025 · Inpatient stay

78 $203,328 $39,140 +6%
Level 5 Gynecologic Procedures

APC 5415 · Hospital outpatient visit

78 $24,755 $5,232 -18%
Complex GI Procedures

APC 5331 · Hospital outpatient visit

77 $30,504 $5,037 about average
Seizures with Major Complications

MS-DRG 100 · Inpatient stay

76 $138,457 $22,600 +72%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

76 $71,438 $9,673 +83%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

76 $41,188 $7,583 +3%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

75 $76,028 $9,945 +67%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

74 $12,738 $3,243 -30%
Fainting

MS-DRG 312 · Inpatient stay

73 $68,987 $9,827 +88%
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

73 $23,747 $6,208 -31%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

72 $64,085 $10,004 +57%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

71 $84,999 $18,967 about average
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

67 $73,354 $16,775 -8%
Level 3 Upper GI Procedures

APC 5303 · Hospital outpatient visit

67 $22,967 $4,012 +5%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

66 $16,989 $2,976 about average
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

63 $46,047 $5,941 +83%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

63 $109,743 $13,604 +114%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

63 $75,104 $8,919 +102%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

63 $30,893 $5,733 -15%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

62 $107,070 $14,337 +126%
Level 4 Pacemaker and Similar Procedures

APC 5224 · Hospital outpatient visit

62 $71,089 $20,312 -26%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

59 $66,650 $10,165 +52%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

59 $297,010 $44,197 +65%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

58 $80,103 $10,903 +47%
Respiratory Failure

MS-DRG 189 · Inpatient stay

56 $81,278 $11,972 +68%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

52 $181,033 $25,318 +60%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

52 $147,519 $22,783 +88%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

52 $110,840 $18,682 +29%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

52 $62,541 $7,763 +105%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

51 $68,344 $8,582 +115%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

51 $137,017 $19,909 +46%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

51 $162,407 $25,494 +62%
Permanent Cardiac Pacemaker Implant with Major Complications

MS-DRG 242 · Inpatient stay

50 $178,742 $33,414 +29%
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal

MS-DRG 023 · Inpatient stay

49 $255,587 $54,676 +11%
Extracranial Procedures without Complications/mcc

MS-DRG 039 · Inpatient stay

48 $42,809 $10,777 -20%
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization

MS-DRG 220 · Inpatient stay

46 $199,778 $52,221 -14%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

46 $19,188 $3,970 -15%
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

45 $54,091 $7,106 +61%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

44 $134,119 $16,123 +138%
Coronary Bypass without Cardiac Catheterization with Major Complications

MS-DRG 235 · Inpatient stay

44 $273,370 $55,823 +14%
Degenerative Nervous System Disorders with Major Complications

MS-DRG 056 · Inpatient stay

43 $141,855 $21,461 +65%
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization

MS-DRG 219 · Inpatient stay

43 $364,309 $81,193 +9%
Level 5 Neurostimulator and Related Procedures

APC 5465 · Hospital outpatient visit

42 $132,037 $32,158 +17%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

41 $76,474 $9,583 +103%
Spinal Fusion Except Cervical without Major Complications

MS-DRG 460 · Inpatient stay

41 $135,258 $37,948 -7%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

41 $10,069 $1,623 +17%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

41 $14,833 $3,695 -28%
COPD (severe)

MS-DRG 190 · Inpatient stay

40 $91,930 $11,502 +120%
Back Problems (severe)

MS-DRG 551 · Inpatient stay

40 $97,155 $15,544 +40%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

40 $35,939 $8,817 -5%
Coronary Bypass with Cardiac Catheterization or Open Ablation without Major Complications

MS-DRG 234 · Inpatient stay

38 $248,346 $53,265 +13%
Organic Disturbances and Intellectual Disability

MS-DRG 884 · Inpatient stay

38 $108,162 $17,651 +117%
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major

MS-DRG 981 · Inpatient stay

38 $239,596 $38,005 +31%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

37 $18,943 $3,172 -7%
Traumatic Stupor and Coma >1 Hour with Major Complications

MS-DRG 082 · Inpatient stay

36 $172,176 $20,014 +78%
Peripheral Vascular Disorders with Complications

MS-DRG 300 · Inpatient stay

35 $58,337 $10,322 +36%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

35 $167,813 $19,163 +162%

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.