CostGrade

All published prices at Johnson City Medical Center

137 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
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

301 $20,548 $2,775 -19%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

253 $70,183 $15,307 +8%
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

219 $16,847 $2,317 -13%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

129 $11,831 $1,394 +17%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

122 $76,210 $9,486 +13%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

107 $20,512 $2,732 +7%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

104 $53,043 $11,310 +22%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

102 $31,955 $2,451 +81%
Psychoses

MS-DRG 885 · Inpatient stay

95 $11,748 $11,164 -67%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

88 $113,519 $12,958 +19%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

86 $52,171 $11,136 +12%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

84 $62,261 $9,113 +21%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

79 $9,436 $1,770 -27%
Stroke (severe)

MS-DRG 064 · Inpatient stay

72 $73,908 $15,508 -3%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

67 $99,204 $14,632 about average
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

65 $25,830 $6,918 -16%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

64 $79,186 $13,785 +44%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

61 $34,572 $8,823 -16%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

59 $106,759 $15,977 +28%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

56 $54,324 $5,951 +36%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

55 $52,683 $8,973 +16%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

55 $51,153 $13,282 -10%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

55 $84,286 $11,248 +35%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

52 $45,286 $10,426 -4%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

50 $46,366 $4,966 +34%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

47 $57,310 $13,073 -7%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

46 $36,878 $8,292 -6%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

46 $28,893 $7,742 -12%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

45 $31,130 $7,000 -3%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

43 $42,185 $8,778 +8%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

42 $35,603 $8,412 -19%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

42 $46,845 $12,910 -12%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

42 $44,998 $9,692 +10%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

41 $96,399 $16,069 +13%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

41 $27,564 $7,255 -7%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

41 $42,346 $4,541 +17%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

40 $29,427 $6,941 -4%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

40 $211,740 $45,746 +19%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

39 $39,623 $6,871 -4%
Respiratory Failure

MS-DRG 189 · Inpatient stay

39 $39,670 $10,083 -18%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

39 $17,805 $1,632 +52%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

38 $18,972 $5,612 -25%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

37 $210,007 $23,733 +69%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

36 $53,945 $14,328 -24%
Extracranial Procedures without Complications/mcc

MS-DRG 039 · Inpatient stay

35 $49,347 $9,256 -7%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

35 $140,534 $23,576 about average
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

35 $9,037 $1,362 +5%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

35 $131,288 $20,582 about average
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

34 $42,976 $9,686 -21%
Fainting

MS-DRG 312 · Inpatient stay

34 $35,243 $8,003 -4%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

34 $258,460 $28,498 +74%
Level 4 Pacemaker and Similar Procedures

APC 5224 · Hospital outpatient visit

34 $130,307 $16,443 +36%
Coronary Bypass without Cardiac Catheterization without Major Complications

MS-DRG 236 · Inpatient stay

33 $199,481 $35,790 +9%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

33 $28,346 $3,253 +25%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

32 $43,955 $11,749 -9%
COPD (severe)

MS-DRG 190 · Inpatient stay

31 $42,644 $9,878 about average
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

30 $72,773 $16,192 -7%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

27 $69,701 $19,204 -39%
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications

MS-DRG 493 · Inpatient stay

27 $114,895 $17,792 +13%
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

27 $14,785 $1,474 +30%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

26 $378,857 $45,919 +58%
Traumatic Stupor and Coma <1 Hour with Complications

MS-DRG 086 · Inpatient stay

25 $50,158 $10,303 -11%
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

25 $29,384 $7,158 -12%
Major Chest Trauma with Complications

MS-DRG 184 · Inpatient stay

25 $55,150 $9,236 +13%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

24 $30,740 $7,929 -17%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

23 $34,090 $8,101 about average
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

23 $68,095 $7,125 +80%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

22 $106,082 $17,390 +13%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

22 $141,776 $22,927 +21%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

22 $109,846 $14,839 +37%
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal

MS-DRG 023 · Inpatient stay

21 $228,137 $42,785 about average
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

21 $34,056 $7,682 +12%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

21 $45,081 $5,013 +28%
Fractures of Hip and Pelvis without Major Complications

MS-DRG 536 · Inpatient stay

20 $35,566 $7,155 +8%
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major

MS-DRG 981 · Inpatient stay

20 $207,751 $37,852 +13%
Disorders of the Biliary Tract with Complications

MS-DRG 445 · Inpatient stay

20 $66,827 $9,657 +30%
Level 5 Gynecologic Procedures

APC 5415 · Hospital outpatient visit

20 $43,189 $4,321 +44%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

19 $66,241 $17,248 -25%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

19 $39,950 $8,415 about average
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

19 $40,582 $8,889 +8%
Traumatic Stupor and Coma >1 Hour with Complications

MS-DRG 083 · Inpatient stay

19 $67,125 $11,299 +12%
Major Chest Procedures with Complications

MS-DRG 164 · Inpatient stay

19 $153,651 $19,500 +41%
Heart Attack (uncomplicated)

MS-DRG 282 · Inpatient stay

18 $26,513 $7,285 -31%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

18 $48,256 $10,943 -6%
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major

MS-DRG 897 · Inpatient stay

18 $23,168 $8,156 -29%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

17 $38,947 $8,118 -4%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

17 $84,523 $12,003 +55%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

17 $34,410 $7,065 +8%
Back Problems (severe)

MS-DRG 551 · Inpatient stay

17 $93,426 $16,350 +35%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

16 $54,171 $11,639 -4%
Sepsis

MS-DRG 870 · Inpatient stay

16 $175,987 $46,394 -34%
Signs and Symptoms without Major Complications

MS-DRG 948 · Inpatient stay

16 $22,417 $7,023 -31%
Spinal Fusion Except Cervical without Major Complications

MS-DRG 460 · Inpatient stay

16 $259,647 $47,838 +79%
Traumatic Stupor and Coma <1 Hour without Complications/mcc

MS-DRG 087 · Inpatient stay

16 $43,064 $8,037 -22%
Cirrhosis and Alcoholic Hepatitis with Major Complications

MS-DRG 432 · Inpatient stay

16 $57,562 $15,535 -28%
Back and Neck Procedures Except Spinal Fusion with Complications

MS-DRG 519 · Inpatient stay

16 $87,211 $16,940 about average
Craniotomy and Endovascular Intracranial Procedures with Major Complications

MS-DRG 025 · Inpatient stay

15 $220,125 $39,515 +14%
Stroke (uncomplicated)

MS-DRG 066 · Inpatient stay

15 $35,875 $6,856 about average
Seizures with Major Complications

MS-DRG 100 · Inpatient stay

15 $66,807 $14,522 -17%
Coronary Bypass with Cardiac Catheterization or Open Ablation without Major Complications

MS-DRG 234 · Inpatient stay

15 $259,202 $40,708 +18%

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.