CostGrade

All published prices at Lenox Hill Hospital

178 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
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

21 $63,276 $13,318 +102%
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major

MS-DRG 981 · Inpatient stay

21 $253,938 $54,249 +38%
Peripheral Vascular Disorders with Major Complications

MS-DRG 299 · Inpatient stay

21 $154,573 $21,152 +130%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

20 $128,623 $13,499 +182%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

20 $215,314 $36,743 +83%
Back Problems (severe)

MS-DRG 551 · Inpatient stay

20 $97,887 $19,295 +41%
Dysequilibrium

MS-DRG 149 · Inpatient stay

20 $78,739 $11,463 +101%
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

20 $16,329 $1,912 +43%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

20 $61,520 $19,704 -36%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

19 $119,928 $17,540 +153%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

19 $70,613 $7,614 +180%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

18 $74,305 $12,833 +100%
Cervical Spinal Fusion with Complications

MS-DRG 472 · Inpatient stay

18 $136,430 $34,362 +14%
Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive

MS-DRG 457 · Inpatient stay

18 $356,353 $66,804 +24%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

17 $301,386 $44,826 +166%
Complications of Treatment with Complications

MS-DRG 920 · Inpatient stay

17 $79,680 $14,800 +80%
Coronary Intravascular Lithotripsy with Intraluminal Device without Major Complications

MS-DRG 324 · Inpatient stay

17 $153,647 $42,106 -3%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

16 $74,768 $12,251 +92%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

16 $174,347 $29,994 +110%
Skin Infection (severe)

MS-DRG 602 · Inpatient stay

16 $98,079 $17,906 +91%
Level 4 ENT Procedures

APC 5164 · Hospital outpatient visit

16 $24,595 $3,627 +30%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

15 $239,086 $38,506 +172%
Gastrointestinal Obstruction with Major Complications

MS-DRG 388 · Inpatient stay

15 $177,858 $27,431 +209%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

15 $76,185 $12,289 +120%
Signs and Symptoms without Major Complications

MS-DRG 948 · Inpatient stay

15 $55,687 $10,939 +72%
Disorders of the Biliary Tract with Major Complications

MS-DRG 444 · Inpatient stay

15 $119,156 $23,029 +66%
Endocrine Disorders with Major Complications

MS-DRG 643 · Inpatient stay

15 $85,368 $21,359 +29%
Signs and Symptoms of Musculoskeletal System and Connective Tissue without Major

MS-DRG 556 · Inpatient stay

15 $57,244 $11,219 +51%
Other Cardiothoracic Procedures with Major Complications

MS-DRG 228 · Inpatient stay

15 $351,572 $67,113 +56%
Degenerative Nervous System Disorders with Major Complications

MS-DRG 056 · Inpatient stay

14 $117,504 $31,257 +36%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

14 $181,045 $25,888 +93%
Chest Pain

MS-DRG 313 · Inpatient stay

14 $74,081 $10,499 +120%
Other Circulatory System Diagnoses with Complications

MS-DRG 315 · Inpatient stay

14 $97,632 $11,582 +136%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

14 $193,973 $28,292 +202%
Hip Replacement with Principal Diagnosis of Hip Fracture with Major Complications

MS-DRG 521 · Inpatient stay

14 $178,294 $35,713 +59%
Stomach, Esophageal and Duodenal Procedures with Major Complications

MS-DRG 326 · Inpatient stay

14 $504,433 $84,615 +126%
Stomach, Esophageal and Duodenal Procedures without Complications/mcc

MS-DRG 328 · Inpatient stay

14 $78,490 $23,939 +3%
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with

MS-DRG 543 · Inpatient stay

14 $74,976 $14,108 +81%
Peripheral, Cranial Nerve and Other Nervous System Procedures with Complications or

MS-DRG 041 · Inpatient stay

14 $169,729 $34,965 +64%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

14 $89,095 $19,560 +7%
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal

MS-DRG 023 · Inpatient stay

13 $461,204 $80,856 +101%
Laparoscopic Cholecystectomy without C.d.e. with Complications

MS-DRG 418 · Inpatient stay

13 $105,775 $20,278 +28%
Percutaneous and Other Intracardiac Procedures with Major Complications

MS-DRG 273 · Inpatient stay

13 $233,272 $45,926 +26%
Major Chest Procedures without Complications/mcc

MS-DRG 165 · Inpatient stay

13 $97,363 $21,876 +17%
Peritoneal Adhesiolysis with Complications

MS-DRG 336 · Inpatient stay

13 $130,105 $23,795 +31%
Malignancy of Hepatobiliary System or Pancreas with Major Complications

MS-DRG 435 · Inpatient stay

13 $104,352 $25,514 +28%
Revision of Hip or Knee Replacement with Complications

MS-DRG 467 · Inpatient stay

13 $173,060 $45,920 +33%
Other Musculoskeletal System and Connective Tissue Operating Room Procedures with

MS-DRG 516 · Inpatient stay

13 $119,864 $24,408 +36%
Poisoning and Toxic Effects of Drugs with Major Complications

MS-DRG 917 · Inpatient stay

13 $109,934 $20,225 +62%
Bronchitis and Asthma with Complications/mcc

MS-DRG 202 · Inpatient stay

13 $53,851 $12,171 +37%
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Major

MS-DRG 542 · Inpatient stay

13 $196,799 $33,211 +187%
Peripheral, Cranial Nerve and Other Nervous System Procedures with Major Complications

MS-DRG 040 · Inpatient stay

13 $200,267 $60,479 +7%
Inguinal and Femoral Hernia Procedures with Complications

MS-DRG 351 · Inpatient stay

13 $111,377 $18,225 about average
Major Male Pelvic Procedures without Complications/mcc

MS-DRG 708 · Inpatient stay

13 $70,095 $21,461 -19%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

12 $142,227 $14,568 +249%
Aortic and Heart Assist Procedures Except Pulsation Balloon without Major Complications

MS-DRG 269 · Inpatient stay

12 $238,718 $61,907 +44%
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

12 $62,931 $10,175 +88%
Other Kidney and Urinary Tract Procedures with Major Complications

MS-DRG 673 · Inpatient stay

12 $303,606 $57,675 +97%
Other Vascular Procedures with Complications

MS-DRG 253 · Inpatient stay

12 $133,964 $30,278 +19%
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization

MS-DRG 220 · Inpatient stay

12 $293,786 $52,326 +26%
Stomach, Esophageal and Duodenal Procedures with Complications

MS-DRG 327 · Inpatient stay

12 $117,051 $27,699 about average
Postoperative or Post-traumatic Infections with Operating Room Procedures with Major

MS-DRG 856 · Inpatient stay

12 $275,948 $53,503 +45%
Complications of Treatment with Major Complications

MS-DRG 919 · Inpatient stay

12 $186,055 $28,102 +149%
Other Cardiothoracic Procedures without Major Complications

MS-DRG 229 · Inpatient stay

12 $182,005 $33,758 +20%
HIV-Related Infection (severe)

MS-DRG 974 · Inpatient stay

12 $85,656 $34,274 -52%
Cardiac Congenital and Valvular Disorders with Major Complications

MS-DRG 306 · Inpatient stay

12 $180,403 $23,771 +109%
Level 2 Nerve Procedures

APC 5432 · Hospital outpatient visit

12 $29,279 $7,404 -25%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

11 $71,205 $11,923 +63%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

11 $130,681 $25,798 +53%
Fractures of Hip and Pelvis without Major Complications

MS-DRG 536 · Inpatient stay

11 $55,216 $10,736 +68%
Respiratory Neoplasms with Major Complications

MS-DRG 180 · Inpatient stay

11 $136,848 $22,700 +84%
Craniotomy and Endovascular Intracranial Procedures with Complications

MS-DRG 026 · Inpatient stay

11 $234,614 $37,973 +75%
Other Major Cardiovascular Procedures with Complications

MS-DRG 271 · Inpatient stay

11 $135,488 $46,634 -10%
Digestive Malignancy with Major Complications

MS-DRG 374 · Inpatient stay

11 $232,649 $22,485 +170%
Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D

MS-DRG 464 · Inpatient stay

11 $154,534 $29,891 +13%
Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with

MS-DRG 427 · Inpatient stay

11 $234,398 $95,845 -24%
Other Endovascular Cardiac Valve Procedures with Major Complications

MS-DRG 319 · Inpatient stay

11 $424,139 $84,351 +119%
Cardiac Congenital and Valvular Disorders without Major Complications

MS-DRG 307 · Inpatient stay

11 $103,678 $12,677 +27%

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.