CostGrade

All published prices at Kaweah Health Medical Center

151 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.

B
Procedure Patients Charged Actually paid vs national
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

826 $21,020 $3,358 +8%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

605 $17,117 $3,966 -32%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

264 $51,180 $14,806 +18%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

258 $46,809 $15,870 -25%
Level 2 Urology and Related Services

APC 5372 · Hospital outpatient visit

226 $2,453 $833 -22%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

214 $62,319 $13,448 -8%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

175 $90,587 $23,266 +39%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

173 $17,438 $3,901 -9%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

161 $8,060 $1,984 -20%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

160 $52,572 $14,888 +13%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

154 $26,970 $8,415 -32%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

120 $32,373 $9,380 +9%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

112 $31,620 $6,956 -10%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

107 $57,123 $15,368 +18%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

102 $10,297 $2,321 -12%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

99 $42,665 $13,452 +5%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

95 $64,830 $18,661 +18%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

87 $32,307 $10,372 about average
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

84 $29,322 $9,111 -4%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

83 $21,084 $4,249 about average
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

82 $61,196 $13,108 +19%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

82 $22,463 $6,260 -18%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

81 $8,738 $2,480 -32%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

80 $87,534 $21,235 -8%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

77 $36,445 $11,301 -12%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

76 $34,730 $9,589 +9%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

74 $43,422 $11,518 -5%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

73 $29,104 $10,219 -5%
Level 2 Intraocular Procedures

APC 5492 · Hospital outpatient visit

71 $15,334 $4,943 -26%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

69 $49,321 $22,851 -41%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

68 $26,856 $4,204 +16%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

67 $31,005 $8,793 about average
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

65 $51,524 $12,637 -14%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

64 $59,902 $18,085 +5%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

62 $31,584 $9,229 about average
Stroke (severe)

MS-DRG 064 · Inpatient stay

61 $72,368 $22,048 -5%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

57 $15,011 $3,924 -26%
Fainting

MS-DRG 312 · Inpatient stay

53 $33,946 $10,050 -7%
Respiratory Failure

MS-DRG 189 · Inpatient stay

52 $70,162 $15,714 +45%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

52 $78,403 $23,432 -6%
COPD (severe)

MS-DRG 190 · Inpatient stay

51 $46,148 $12,513 +10%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

51 $69,406 $23,324 -19%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

49 $51,804 $16,943 about average
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

48 $88,784 $20,515 -13%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

47 $54,175 $17,749 -12%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

46 $64,529 $23,386 -18%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

45 $56,130 $19,704 -21%
Other Vascular Procedures with Major Complications

MS-DRG 252 · Inpatient stay

44 $104,314 $38,455 -28%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

40 $180,416 $53,283 -5%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

39 $37,045 $9,211 -10%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

38 $42,326 $10,521 +22%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

37 $47,209 $11,847 +27%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

37 $126,670 $30,196 +12%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

37 $207,110 $53,212 +16%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

37 $38,796 $7,027 +12%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

36 $24,334 $6,608 -33%
Combined Anterior and Posterior Spinal Fusion without Complications/mcc

MS-DRG 455 · Inpatient stay

35 $156,807 $51,216 -11%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

33 $40,058 $10,578 -9%
Combined Anterior and Posterior Spinal Fusion with Complications

MS-DRG 454 · Inpatient stay

32 $144,315 $67,984 -35%
COPD (with complications)

MS-DRG 191 · Inpatient stay

30 $28,736 $10,247 -14%
Other Factors Influencing Health Status

MS-DRG 951 · Inpatient stay

30 $25,408 $6,812 +16%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

30 $35,841 $8,017 -9%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

29 $60,766 $24,086 -31%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

29 $27,612 $11,260 -27%
Carotid Artery Stent Procedures without Complications/mcc

MS-DRG 036 · Inpatient stay

29 $52,798 $20,575 -25%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

28 $36,134 $13,839 -24%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

28 $11,666 $1,920 +4%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

27 $24,649 $6,622 about average
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

26 $43,612 $10,885 +7%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

26 $203,821 $55,565 +14%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

26 $33,150 $10,897 -15%
Skin Infection (severe)

MS-DRG 602 · Inpatient stay

26 $41,937 $16,386 -18%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

26 $9,827 $1,931 +15%
Sepsis

MS-DRG 870 · Inpatient stay

24 $299,059 $86,084 +11%
Seizures with Major Complications

MS-DRG 100 · Inpatient stay

23 $66,699 $21,950 -17%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

23 $121,306 $32,126 -16%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

23 $88,816 $30,959 -24%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

23 $55,080 $16,392 about average
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Complications

MS-DRG 442 · Inpatient stay

23 $25,818 $10,760 -39%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

22 $43,522 $12,727 -20%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

22 $33,966 $8,611 +9%
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major

MS-DRG 981 · Inpatient stay

22 $141,516 $49,395 -23%
Cirrhosis and Alcoholic Hepatitis with Major Complications

MS-DRG 432 · Inpatient stay

22 $60,672 $22,069 -24%
Stroke (uncomplicated)

MS-DRG 066 · Inpatient stay

21 $32,665 $8,093 -9%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

21 $58,049 $18,825 -10%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

20 $46,421 $15,739 -3%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

20 $90,230 $26,350 -10%
Other Vascular Procedures with Complications

MS-DRG 253 · Inpatient stay

20 $109,292 $29,020 about average
Other Circulatory System Diagnoses with Complications

MS-DRG 315 · Inpatient stay

20 $31,087 $11,071 -25%
Hip or Thigh Bone Surgery (uncomplicated)

MS-DRG 482 · Inpatient stay

20 $57,586 $17,878 -16%
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major

MS-DRG 441 · Inpatient stay

20 $60,529 $20,720 -21%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

20 $10,489 $3,144 -41%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

20 $150,643 $40,316 about average
Other Cerebrovascular Disorders with Major Complications

MS-DRG 070 · Inpatient stay

19 $86,294 $21,050 +30%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

19 $51,410 $14,933 about average
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

19 $49,006 $11,305 +25%
Other Disorders of Nervous System with Complications

MS-DRG 092 · Inpatient stay

19 $45,602 $12,012 about average
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major

MS-DRG 897 · Inpatient stay

19 $31,618 $9,523 about average
Pulmonary Embolism without Major Complications

MS-DRG 176 · Inpatient stay

19 $31,528 $9,534 -10%
Heart Failure (with complications)

MS-DRG 292 · Inpatient stay

19 $32,687 $10,051 about average

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.