CostGrade

All published prices at John Muir Medical Center - Concord Campus

148 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.

F
Procedure Patients Charged Actually paid vs national
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

399 $67,008 $3,796 +245%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

335 $215,164 $24,470 +230%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

258 $147,693 $15,919 +240%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

238 $62,304 $4,531 +147%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

228 $268,817 $32,830 +103%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

186 $20,990 $2,199 +108%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

167 $72,536 $4,831 +251%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

127 $148,205 $15,180 +119%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

121 $242,757 $39,775 +95%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

117 $43,920 $4,438 +130%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

115 $116,720 $14,840 +127%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

112 $84,894 $7,153 +209%
Level 2 Urology and Related Services

APC 5372 · Hospital outpatient visit

112 $11,833 $386 +277%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

107 $21,093 $2,448 +19%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

105 $118,170 $12,694 +201%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

104 $165,833 $24,799 +107%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

91 $124,948 $8,034 +256%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

87 $522,121 $61,969 +176%
Respiratory Failure

MS-DRG 189 · Inpatient stay

79 $149,631 $14,608 +209%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

77 $29,052 $1,974 +125%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

76 $182,585 $19,651 +232%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

75 $102,877 $11,025 +212%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

71 $36,747 $2,649 +213%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

66 $141,650 $14,753 +192%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

64 $149,970 $18,350 +164%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

63 $85,116 $10,562 +186%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

63 $55,137 $11,814 +46%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

63 $255,552 $44,955 +72%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

61 $264,864 $30,939 +164%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

59 $96,038 $10,424 +198%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

59 $186,396 $14,092 +212%
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

57 $132,680 $9,524 +245%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

53 $149,637 $15,357 +221%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

51 $599,606 $67,238 +237%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

49 $53,857 $4,507 +164%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

47 $227,821 $21,139 +124%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

47 $91,346 $11,179 +199%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

46 $94,008 $9,405 +208%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

46 $188,084 $18,158 +255%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

45 $103,054 $12,280 +150%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

44 $78,509 $7,652 +117%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

41 $201,083 $24,193 +228%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

41 $123,653 $14,055 +203%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

41 $196,497 $24,348 +106%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

40 $89,632 $7,958 +159%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

37 $111,749 $11,593 +145%
COPD (severe)

MS-DRG 190 · Inpatient stay

35 $152,358 $13,099 +264%
Other Vascular Procedures with Major Complications

MS-DRG 252 · Inpatient stay

35 $366,908 $45,953 +153%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

35 $95,738 $8,930 +213%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

33 $189,754 $23,136 +167%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

33 $71,686 $10,970 +129%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

33 $89,465 $10,783 +129%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

32 $195,878 $24,412 +150%
Level 6 Urology and Related Services

APC 5376 · Hospital outpatient visit

32 $133,007 $12,807 +199%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

31 $163,369 $14,361 +245%
Level 5 Gynecologic Procedures

APC 5415 · Hospital outpatient visit

31 $76,625 $6,926 +155%
Stroke (severe)

MS-DRG 064 · Inpatient stay

30 $221,188 $24,481 +190%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

30 $89,866 $5,214 +296%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

28 $113,699 $12,419 +206%
Fainting

MS-DRG 312 · Inpatient stay

28 $101,407 $10,327 +177%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

28 $96,301 $11,839 +178%
Other Major Cardiovascular Procedures with Major Complications

MS-DRG 270 · Inpatient stay

28 $688,555 $75,967 +207%
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization

MS-DRG 219 · Inpatient stay

28 $947,804 $106,741 +183%
Other Vascular Procedures with Complications

MS-DRG 253 · Inpatient stay

27 $290,056 $36,776 +158%
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization

MS-DRG 220 · Inpatient stay

27 $690,334 $83,005 +196%
Other Endocrine, Nutritional and Metabolic Operating Room Procedures with Complications

MS-DRG 629 · Inpatient stay

26 $213,312 $31,101 +84%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

25 $15,906 $2,177 +85%
Coronary Bypass without Cardiac Catheterization without Major Complications

MS-DRG 236 · Inpatient stay

24 $568,649 $58,788 +210%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

24 $215,430 $26,439 +130%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

24 $114,227 $10,899 +161%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

24 $669,720 $70,303 +178%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

24 $70,441 $4,817 +203%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

23 $173,936 $16,194 +239%
Heart Failure (with complications)

MS-DRG 292 · Inpatient stay

23 $105,904 $12,844 +220%
Stomach, Esophageal and Duodenal Procedures without Complications/mcc

MS-DRG 328 · Inpatient stay

23 $201,346 $19,197 +165%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

22 $83,923 $9,566 +164%
Major Small and Large Bowel Procedures without Complications/mcc

MS-DRG 331 · Inpatient stay

22 $217,577 $19,454 +192%
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

22 $38,638 $2,363 +239%
Level 4 Pacemaker and Similar Procedures

APC 5224 · Hospital outpatient visit

22 $229,823 $27,053 +141%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

21 $110,323 $14,464 +102%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

21 $337,944 $33,783 +135%
Implantation Wireless Pa Pressure Monitor

APC 5200 · Hospital outpatient visit

21 $225,886 $40,336 +66%
Extracranial Procedures without Complications/mcc

MS-DRG 039 · Inpatient stay

20 $121,409 $13,353 +128%
Coronary Bypass with Cardiac Catheterization or Open Ablation with Major Complications

MS-DRG 233 · Inpatient stay

20 $1,033,691 $95,930 +236%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

20 $548,682 $59,280 +206%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

20 $107,946 $11,231 +178%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

20 $223,587 $25,211 +161%
Bronchitis and Asthma with Complications/mcc

MS-DRG 202 · Inpatient stay

20 $121,519 $10,907 +209%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

19 $206,473 $27,939 +148%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

19 $84,840 $11,022 +125%
Poisoning and Toxic Effects of Drugs with Major Complications

MS-DRG 917 · Inpatient stay

19 $253,001 $25,768 +272%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

18 $55,070 $7,695 +119%
Other Circulatory System Operating Room Procedures

MS-DRG 264 · Inpatient stay

18 $273,978 $40,393 +102%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

18 $83,384 $9,953 +109%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

17 $152,879 $16,613 +219%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

17 $108,076 $10,733 +191%
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major

MS-DRG 981 · Inpatient stay

17 $472,120 $50,831 +157%
Level 3 Upper GI Procedures

APC 5303 · Hospital outpatient visit

17 $53,137 $5,332 +143%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

17 $60,708 $3,771 +266%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

16 $105,214 $9,545 +155%

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.