CostGrade

All published prices at Loma Linda University Medical Center

145 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 5 Neurostimulator and Related Procedures

APC 5465 · Hospital outpatient visit

20 $94,372 $38,054 -16%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

19 $211,684 $34,042 +147%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

19 $132,720 $27,396 +107%
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization

MS-DRG 219 · Inpatient stay

19 $632,865 $112,937 +89%
Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Complications

MS-DRG 012 · Inpatient stay

18 $471,091 $64,083 +127%
Level 4 Neurostimulator and Related Procedures

APC 5464 · Hospital outpatient visit

18 $90,935 $26,818 +13%
Level 4 ENT Procedures

APC 5164 · Hospital outpatient visit

18 $58,168 $3,959 +207%
Coronary Bypass without Cardiac Catheterization without Major Complications

MS-DRG 236 · Inpatient stay

17 $380,257 $59,482 +107%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

17 $93,824 $15,229 +140%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

17 $105,655 $21,503 +11%
Level 4 Pacemaker and Similar Procedures

APC 5224 · Hospital outpatient visit

17 $103,965 $23,891 +9%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

16 $318,378 $90,132 +32%
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization

MS-DRG 220 · Inpatient stay

16 $460,504 $74,730 +97%
Complications of Treatment with Major Complications

MS-DRG 919 · Inpatient stay

16 $94,364 $28,922 +26%
Level 2 Electrophysiologic Procedures

APC 5212 · Hospital outpatient visit

16 $85,866 $9,177 +93%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

15 $99,544 $21,108 +83%
Peripheral Vascular Disorders with Complications

MS-DRG 300 · Inpatient stay

15 $100,062 $18,748 +133%
Major Chest Procedures with Complications

MS-DRG 164 · Inpatient stay

15 $244,985 $38,540 +125%
Other Cardiothoracic Procedures with Major Complications

MS-DRG 228 · Inpatient stay

15 $306,249 $75,727 +36%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

15 $37,828 $9,971 about average
Stroke (uncomplicated)

MS-DRG 066 · Inpatient stay

14 $88,780 $12,569 +148%
Hypertension with Major Complications

MS-DRG 304 · Inpatient stay

14 $68,236 $18,016 +37%
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

14 $46,320 $12,580 +38%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

14 $214,355 $35,476 +158%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

13 $494,507 $87,509 +175%
Laparoscopic Cholecystectomy without C.d.e. with Complications

MS-DRG 418 · Inpatient stay

13 $226,856 $25,648 +175%
Peripheral Vascular Disorders with Major Complications

MS-DRG 299 · Inpatient stay

13 $106,876 $25,532 +59%
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major

MS-DRG 441 · Inpatient stay

13 $96,541 $27,790 +27%
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications

MS-DRG 493 · Inpatient stay

13 $227,823 $34,719 +124%
Skin Infection (severe)

MS-DRG 602 · Inpatient stay

13 $129,088 $26,414 +151%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

12 $163,157 $25,741 +189%
Kidney and Ureter Procedures for Non-neoplasm with Complications

MS-DRG 660 · Inpatient stay

12 $144,228 $22,256 +159%
Other Circulatory System Diagnoses with Complications

MS-DRG 315 · Inpatient stay

12 $90,864 $16,961 +119%
Other Operating Room Procedures for Injuries with Complications

MS-DRG 908 · Inpatient stay

12 $225,157 $30,683 +150%
Level 4 Extraocular, Repair, and Plastic Eye Procedures

APC 5504 · Hospital outpatient visit

12 $63,738 $4,754 +172%
Seizures with Major Complications

MS-DRG 100 · Inpatient stay

11 $386,130 $53,297 +379%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

11 $90,203 $19,979 +143%
Signs and Symptoms without Major Complications

MS-DRG 948 · Inpatient stay

11 $70,332 $14,861 +117%
Other Major Cardiovascular Procedures with Major Complications

MS-DRG 270 · Inpatient stay

11 $427,795 $77,528 +91%
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Complications

MS-DRG 442 · Inpatient stay

11 $87,117 $15,144 +107%
Major Chest Procedures without Complications/mcc

MS-DRG 165 · Inpatient stay

11 $237,621 $28,182 +186%
Other Major Cardiovascular Procedures with Complications

MS-DRG 271 · Inpatient stay

11 $233,866 $48,980 +55%
Other Musculoskeletal System and Connective Tissue Operating Room Procedures with

MS-DRG 516 · Inpatient stay

11 $202,592 $31,960 +129%
Acute Adjustment Reaction and Psychosocial Dysfunction

MS-DRG 880 · Inpatient stay

11 $108,643 $19,483 +164%
Major Gastrointestinal Disorders and Peritoneal Infections with Complications

MS-DRG 372 · Inpatient stay

11 $72,576 $18,245 +83%

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.