CostGrade

All published prices at Lmh

78 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
Sepsis (severe)

MS-DRG 871 · Inpatient stay

396 $49,934 $15,417 -23%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

229 $54,686 $12,246 -12%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

164 $7,857 $1,080 -22%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

158 $13,432 $1,771 +14%
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

155 $20,680 $2,532 +6%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

150 $30,765 $4,814 +12%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

128 $13,273 $1,881 about average
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

118 $17,060 $3,261 -17%
Level 1 Intraocular Procedures

APC 5491 · Hospital outpatient visit

107 $14,489 $2,180 +23%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

105 $29,411 $5,362 -16%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

102 $34,286 $9,847 -21%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

96 $14,694 $2,981 -23%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

70 $25,397 $3,053 about average
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

64 $32,012 $8,015 -18%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

52 $7,771 $1,806 -32%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

49 $56,179 $17,076 -32%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

48 $14,344 $2,387 -19%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

43 $40,010 $12,665 -27%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

42 $28,667 $6,691 -28%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

39 $15,991 $5,140 -56%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

39 $42,290 $7,946 +12%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

38 $30,582 $9,849 -37%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

38 $63,017 $14,846 -21%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

35 $40,445 $10,752 -13%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

35 $37,543 $7,425 -9%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

34 $33,700 $11,246 -36%
Respiratory Failure

MS-DRG 189 · Inpatient stay

33 $34,370 $9,256 -29%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

33 $52,042 $13,577 -27%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

33 $49,810 $9,980 -3%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

32 $14,006 $3,503 -38%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

31 $30,773 $8,820 -24%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

30 $100,980 $13,772 about average
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

30 $73,355 $15,852 -14%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

29 $96,546 $36,848 -46%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

28 $22,898 $5,812 -25%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

28 $45,033 $12,540 -21%
Cervical Spinal Fusion with Complications

MS-DRG 472 · Inpatient stay

27 $83,418 $22,430 -30%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

26 $23,119 $5,878 -24%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

26 $29,892 $6,819 -9%
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with

MS-DRG 543 · Inpatient stay

26 $27,219 $8,147 -34%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

25 $13,705 $2,571 -17%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

24 $33,233 $7,682 -27%
Combined Anterior and Posterior Spinal Fusion with Complications

MS-DRG 454 · Inpatient stay

23 $141,241 $45,329 -36%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

22 $29,735 $6,066 -5%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

21 $67,698 $21,946 -42%
Coagulation Disorders

MS-DRG 813 · Inpatient stay

21 $36,404 $11,664 -46%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

21 $76,901 $10,280 +14%
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

21 $18,751 $5,477 -45%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

20 $27,912 $5,914 -13%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

20 $33,612 $5,133 about average
Level 2 Neurostimulator and Related Procedures

APC 5462 · Hospital outpatient visit

20 $34,146 $6,397 +30%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

19 $71,015 $15,534 -15%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

19 $24,141 $7,495 -38%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

19 $15,139 $3,027 -26%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

19 $19,272 $3,236 -17%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

18 $33,747 $6,099 -15%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

18 $47,358 $9,177 -21%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

16 $9,541 $1,503 -15%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

15 $37,174 $10,564 -32%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

15 $46,923 $11,864 -24%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

15 $31,036 $9,073 -34%
Hip Replacement with Principal Diagnosis of Hip Fracture with Major Complications

MS-DRG 521 · Inpatient stay

15 $90,119 $22,667 -20%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

14 $32,001 $6,072 -22%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

14 $66,625 $17,793 -34%
Spinal Fusion Except Cervical without Major Complications

MS-DRG 460 · Inpatient stay

14 $128,684 $27,141 -11%
Level 4 Neurostimulator and Related Procedures

APC 5464 · Hospital outpatient visit

14 $101,401 $20,410 +26%
Level 5 Neurostimulator and Related Procedures

APC 5465 · Hospital outpatient visit

14 $157,470 $27,061 +40%
Gastrointestinal Obstruction with Major Complications

MS-DRG 388 · Inpatient stay

13 $35,304 $10,922 -39%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

13 $26,037 $6,484 -13%
Level 5 Gynecologic Procedures

APC 5415 · Hospital outpatient visit

13 $26,391 $4,367 -12%
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

13 $19,101 $6,402 -50%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

12 $33,869 $9,619 -34%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

12 $28,568 $6,675 -6%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

12 $11,340 $2,924 -38%
Stroke (severe)

MS-DRG 064 · Inpatient stay

11 $45,050 $14,770 -41%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

11 $54,450 $15,218 -34%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

11 $29,072 $12,204 -55%
Gastrointestinal Obstruction without Complications/mcc

MS-DRG 390 · Inpatient stay

11 $21,146 $4,299 -12%

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.