CostGrade

All published prices at Kaleida Health

177 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.

A
Procedure Patients Charged Actually paid vs national
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

1,053 $14,441 $2,861 -26%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

485 $6,352 $3,425 -75%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

449 $54,285 $21,970 -17%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

355 $41,463 $13,688 -34%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

271 $6,637 $2,111 -49%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

243 $16,600 $5,396 -40%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

240 $10,042 $3,641 -51%
Level 2 Urology and Related Services

APC 5372 · Hospital outpatient visit

232 $2,861 $710 -9%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

210 $34,221 $14,448 -21%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

182 $71,328 $32,943 -43%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

164 $124,433 $51,907 -34%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

162 $38,591 $24,595 -71%
Respiratory Failure

MS-DRG 189 · Inpatient stay

153 $40,286 $14,509 -17%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

142 $4,523 $2,006 -62%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

140 $10,787 $3,248 -44%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

126 $15,585 $5,753 -57%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

123 $17,354 $11,649 -74%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

119 $6,698 $1,678 -34%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

115 $24,099 $6,075 -31%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

102 $41,145 $17,936 -25%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

100 $47,686 $10,453 -20%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

95 $30,886 $14,666 -34%
Stroke (severe)

MS-DRG 064 · Inpatient stay

94 $73,867 $24,503 -3%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

94 $39,220 $12,345 -14%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

92 $19,970 $11,308 -61%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

78 $49,167 $17,909 -13%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

76 $156,694 $57,887 -12%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

75 $23,519 $10,392 -29%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

73 $21,362 $8,981 -30%
Level 6 Urology and Related Services

APC 5376 · Hospital outpatient visit

73 $18,721 $9,760 -58%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

72 $49,497 $18,178 -7%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

70 $42,972 $16,829 -30%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

65 $62,586 $33,242 -58%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

64 $24,715 $9,092 -23%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

64 $26,029 $11,661 -34%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

63 $46,790 $19,382 -34%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

58 $30,643 $11,240 -26%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

58 $3,963 $1,660 -54%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

58 $30,197 $18,548 -68%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

57 $41,874 $14,570 -14%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

54 $14,943 $8,730 -61%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

52 $11,273 $3,264 -38%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

51 $12,092 $6,060 -65%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

50 $18,546 $3,668 -20%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

47 $10,902 $2,915 -38%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

46 $53,632 $19,318 -35%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

45 $21,905 $9,872 -28%
Other Factors Influencing Health Status

MS-DRG 951 · Inpatient stay

44 $14,743 $6,673 -33%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

44 $28,024 $7,585 -30%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

43 $91,713 $28,611 -9%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

43 $58,203 $21,940 -30%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

42 $43,497 $15,431 -8%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

42 $31,405 $20,498 -69%
COPD (severe)

MS-DRG 190 · Inpatient stay

40 $34,125 $12,547 -18%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

39 $38,429 $14,418 -20%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

39 $21,315 $9,426 -28%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

39 $187,453 $67,687 -22%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

37 $97,301 $33,642 -14%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

36 $18,915 $8,980 -38%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

35 $14,768 $7,522 -41%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

34 $66,545 $24,393 -22%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

33 $21,429 $10,531 -47%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

33 $44,477 $21,710 -49%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

33 $61,932 $30,014 -57%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

32 $24,522 $10,890 -44%
Craniotomy and Endovascular Intracranial Procedures with Complications

MS-DRG 026 · Inpatient stay

32 $110,059 $31,010 -18%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

31 $79,037 $25,056 about average
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

31 $49,152 $17,957 -13%
Sepsis

MS-DRG 870 · Inpatient stay

31 $191,991 $70,324 -29%
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal

MS-DRG 023 · Inpatient stay

30 $181,255 $61,635 -21%
Fainting

MS-DRG 312 · Inpatient stay

30 $32,983 $10,007 -10%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

30 $31,608 $10,713 -9%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

30 $20,065 $4,041 -16%
Seizures with Major Complications

MS-DRG 100 · Inpatient stay

29 $61,252 $22,533 -24%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

29 $28,053 $10,340 -25%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

29 $195,947 $63,724 +9%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

29 $42,598 $14,428 -17%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

29 $29,696 $10,950 -24%
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major

MS-DRG 981 · Inpatient stay

29 $163,157 $53,228 -11%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

28 $21,644 $9,470 -32%
Coronary Bypass without Cardiac Catheterization without Major Complications

MS-DRG 236 · Inpatient stay

28 $149,586 $40,939 -18%
Craniotomy and Endovascular Intracranial Procedures without Complications/mcc

MS-DRG 027 · Inpatient stay

28 $66,954 $27,003 -45%
Other Vascular Procedures with Major Complications

MS-DRG 252 · Inpatient stay

27 $109,785 $37,769 -24%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

27 $45,094 $14,965 +11%
Craniotomy and Endovascular Intracranial Procedures with Major Complications

MS-DRG 025 · Inpatient stay

26 $190,532 $48,457 about average
Stroke (uncomplicated)

MS-DRG 066 · Inpatient stay

26 $27,219 $10,016 -24%
Other Cerebrovascular Disorders with Complications

MS-DRG 071 · Inpatient stay

26 $32,234 $11,783 -27%
Coronary Bypass with Cardiac Catheterization or Open Ablation without Major Complications

MS-DRG 234 · Inpatient stay

25 $176,596 $49,625 -20%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

25 $32,144 $9,774 about average
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

25 $26,043 $10,467 -30%
Disorders of the Biliary Tract with Major Complications

MS-DRG 444 · Inpatient stay

25 $51,351 $18,797 -28%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

25 $11,484 $2,822 -31%
Level 4 Neurostimulator and Related Procedures

APC 5464 · Hospital outpatient visit

24 $70,840 $23,132 -12%
Carotid Artery Stent Procedures without Complications/mcc

MS-DRG 036 · Inpatient stay

23 $49,750 $20,141 -29%
Malignancy of Hepatobiliary System or Pancreas with Major Complications

MS-DRG 435 · Inpatient stay

23 $57,923 $19,718 -29%
Level 2 Electrophysiologic Procedures

APC 5212 · Hospital outpatient visit

23 $12,937 $7,918 -71%
Other Cerebrovascular Disorders with Major Complications

MS-DRG 070 · Inpatient stay

22 $58,354 $20,971 -12%
Gastrointestinal Obstruction without Complications/mcc

MS-DRG 390 · Inpatient stay

22 $21,004 $7,299 -12%
Coagulation Disorders

MS-DRG 813 · Inpatient stay

22 $49,261 $18,855 -26%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

22 $32,934 $6,914 -17%

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.