CostGrade

All published prices at John T Mather Memorial Hospital Of Port Jefferson

130 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

733 $31,994 $2,593 +65%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

472 $120,309 $23,627 +84%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

375 $10,629 $1,562 +5%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

218 $52,181 $12,483 -16%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

193 $90,549 $15,066 +109%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

168 $33,473 $5,487 -5%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

163 $82,977 $19,137 +51%
Level 1 Intraocular Procedures

APC 5491 · Hospital outpatient visit

162 $13,830 $2,353 +18%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

145 $32,386 $6,779 -19%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

124 $76,010 $12,677 +94%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

93 $59,665 $10,166 +100%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

92 $93,863 $18,142 +13%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

91 $81,577 $14,666 +100%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

88 $76,523 $14,073 +64%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

87 $73,341 $11,765 +78%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

85 $24,756 $3,018 about average
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

80 $69,450 $12,629 +128%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

72 $91,358 $20,034 +61%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

70 $17,765 $3,131 -14%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

69 $297,933 $60,423 +67%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

68 $16,211 $3,043 -15%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

62 $62,888 $9,453 +95%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

61 $55,845 $10,525 +69%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

61 $18,946 $3,778 -17%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

52 $56,855 $9,734 +46%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

51 $68,777 $12,087 +85%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

51 $124,395 $18,850 +75%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

50 $17,983 $2,567 about average
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

50 $25,212 $3,618 +8%
Respiratory Failure

MS-DRG 189 · Inpatient stay

47 $65,373 $14,482 +35%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

47 $84,040 $16,879 +59%
Other Disorders of Nervous System with Complications

MS-DRG 092 · Inpatient stay

44 $60,699 $11,522 +35%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

43 $59,124 $10,544 -13%
COPD (severe)

MS-DRG 190 · Inpatient stay

42 $76,874 $13,181 +84%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

42 $22,986 $3,773 -4%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

42 $22,718 $4,510 -17%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

41 $79,797 $18,958 about average
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

40 $19,569 $1,626 +67%
Fainting

MS-DRG 312 · Inpatient stay

38 $60,486 $10,513 +65%
Stroke (severe)

MS-DRG 064 · Inpatient stay

36 $102,901 $21,414 +35%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

36 $88,532 $18,925 -13%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

36 $11,627 $1,771 -10%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

35 $49,979 $10,344 -8%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

35 $57,837 $9,177 +89%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

34 $78,349 $12,016 +72%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

34 $7,745 $1,529 -10%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

33 $105,240 $17,710 +105%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

33 $95,087 $18,481 +96%
Signs and Symptoms without Major Complications

MS-DRG 948 · Inpatient stay

33 $58,648 $10,277 +81%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

30 $103,773 $15,280 +69%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

30 $92,738 $20,366 +11%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

30 $46,281 $8,667 +51%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

30 $16,474 $3,327 -19%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

28 $213,997 $57,190 +19%
Spinal Fusion Except Cervical without Major Complications

MS-DRG 460 · Inpatient stay

28 $156,251 $41,587 +8%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

27 $17,647 $2,581 +6%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

26 $14,254 $1,892 +26%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

25 $80,805 $14,387 +71%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

25 $59,951 $15,898 +73%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

25 $45,186 $9,434 -24%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

24 $48,235 $11,613 +52%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

24 $66,666 $10,357 +113%
Laparoscopic Cholecystectomy without C.d.e. with Complications

MS-DRG 418 · Inpatient stay

24 $113,573 $18,461 +38%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

23 $69,446 $10,529 +70%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

23 $52,144 $9,492 +42%
Level 5 Gynecologic Procedures

APC 5415 · Hospital outpatient visit

23 $31,353 $5,132 +4%
Endocrine Disorders with Complications

MS-DRG 644 · Inpatient stay

22 $60,959 $11,280 +58%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

22 $34,039 $6,492 -14%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

21 $61,902 $11,677 +41%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

21 $86,442 $17,269 +53%
Other Disorders of Nervous System with Major Complications

MS-DRG 091 · Inpatient stay

20 $83,371 $17,988 +17%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

20 $157,509 $28,211 +39%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

20 $103,864 $21,369 +33%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

20 $136,541 $26,659 +36%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

20 $66,195 $10,696 +75%
Cervical Spinal Fusion with Complications

MS-DRG 472 · Inpatient stay

20 $150,929 $35,145 +26%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

19 $57,623 $14,550 +20%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

19 $163,789 $26,351 +86%
Gastrointestinal Obstruction with Major Complications

MS-DRG 388 · Inpatient stay

19 $75,496 $16,214 +31%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

19 $187,410 $30,270 +126%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

19 $89,893 $18,985 +40%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

18 $159,596 $35,039 +11%
Respiratory Neoplasms with Major Complications

MS-DRG 180 · Inpatient stay

18 $114,015 $19,175 +54%
Skin Infection (severe)

MS-DRG 602 · Inpatient stay

17 $96,749 $19,935 +88%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

17 $27,483 $5,562 -24%
Traumatic Stupor and Coma <1 Hour with Complications

MS-DRG 086 · Inpatient stay

16 $89,087 $14,439 +57%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

16 $59,539 $11,393 +60%
Peripheral Vascular Disorders with Major Complications

MS-DRG 299 · Inpatient stay

16 $100,373 $22,014 +49%
Endocrine Disorders with Major Complications

MS-DRG 643 · Inpatient stay

16 $117,492 $21,471 +78%
Major Gastrointestinal Disorders and Peritoneal Infections with Major Complications

MS-DRG 371 · Inpatient stay

16 $105,063 $18,530 +53%
Major Gastrointestinal Disorders and Peritoneal Infections with Complications

MS-DRG 372 · Inpatient stay

16 $85,340 $11,964 +115%
Signs and Symptoms with Major Complications

MS-DRG 947 · Inpatient stay

16 $101,610 $17,585 +86%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

16 $35,957 $6,066 +4%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

16 $73,505 $8,992 +94%
Level 7 Radiation Therapy

APC 5627 · Hospital outpatient visit

16 $81,527 $7,812 +38%
Seizures with Major Complications

MS-DRG 100 · Inpatient stay

15 $83,862 $21,561 +4%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

15 $72,266 $14,875 +28%
Peripheral Vascular Disorders with Complications

MS-DRG 300 · Inpatient stay

14 $63,292 $10,532 +48%
Fractures of Hip and Pelvis without Major Complications

MS-DRG 536 · Inpatient stay

14 $49,426 $8,456 +51%
Other Vascular Procedures with Complications

MS-DRG 253 · Inpatient stay

14 $172,000 $24,824 +53%

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.