CostGrade

All published prices at Los Robles Hospital & Medical Center

172 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.

F
Procedure Patients Charged Actually paid vs national
Revision of Hip or Knee Replacement without Complications/mcc

MS-DRG 468 · Inpatient stay

22 $292,249 $27,912 +169%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

22 $63,644 $3,980 +212%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

21 $110,232 $11,798 +197%
Laparoscopic Cholecystectomy without C.d.e. with Complications

MS-DRG 418 · Inpatient stay

21 $296,624 $17,376 +260%
Hip Replacement with Principal Diagnosis of Hip Fracture with Major Complications

MS-DRG 521 · Inpatient stay

21 $390,195 $29,285 +247%
Digestive Malignancy with Major Complications

MS-DRG 374 · Inpatient stay

21 $205,995 $32,632 +139%
Trauma to the Skin, Subcutaneous Tissue and Breast without Major Complications

MS-DRG 605 · Inpatient stay

21 $132,095 $11,003 +223%
Other Cerebrovascular Disorders with Complications

MS-DRG 071 · Inpatient stay

20 $158,845 $11,125 +258%
Revision of Hip or Knee Replacement with Complications

MS-DRG 467 · Inpatient stay

20 $405,377 $32,814 +212%
Endocrine Disorders with Complications

MS-DRG 644 · Inpatient stay

20 $119,997 $12,138 +212%
Level 3 Upper GI Procedures

APC 5303 · Hospital outpatient visit

20 $75,509 $4,708 +245%
Level 7 Radiation Therapy

APC 5627 · Hospital outpatient visit

20 $234,669 $9,568 +297%
Traumatic Stupor and Coma <1 Hour with Complications

MS-DRG 086 · Inpatient stay

19 $197,525 $13,765 +249%
Other Vascular Procedures with Major Complications

MS-DRG 252 · Inpatient stay

19 $317,328 $39,192 +118%
Sepsis

MS-DRG 870 · Inpatient stay

19 $1,171,903 $94,015 +336%
Other Kidney and Urinary Tract Procedures with Major Complications

MS-DRG 673 · Inpatient stay

18 $476,048 $63,840 +209%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

18 $219,040 $12,026 +267%
Carotid Artery Stent Procedures without Complications/mcc

MS-DRG 036 · Inpatient stay

17 $246,947 $18,645 +251%
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major

MS-DRG 897 · Inpatient stay

17 $117,013 $9,175 +260%
Malignancy of Hepatobiliary System or Pancreas with Major Complications

MS-DRG 435 · Inpatient stay

17 $238,540 $18,705 +192%
Major Gastrointestinal Disorders and Peritoneal Infections with Complications

MS-DRG 372 · Inpatient stay

17 $150,588 $10,658 +279%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

17 $60,981 $3,451 +268%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

16 $168,166 $23,231 +115%
Cranial and Peripheral Nerve Disorders without Major Complications

MS-DRG 074 · Inpatient stay

16 $123,418 $10,998 +159%
Other Cerebrovascular Disorders with Major Complications

MS-DRG 070 · Inpatient stay

15 $212,772 $17,299 +221%
Hip or Thigh Bone Surgery (uncomplicated)

MS-DRG 482 · Inpatient stay

15 $211,209 $17,677 +208%
Craniotomy and Endovascular Intracranial Procedures with Complications

MS-DRG 026 · Inpatient stay

15 $479,217 $38,903 +257%
Major Joint or Limb Reattachment Procedures of Upper Extremities

MS-DRG 483 · Inpatient stay

15 $370,882 $26,455 +261%
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with Major Complications

MS-DRG 896 · Inpatient stay

15 $164,356 $16,427 +151%
Traumatic Stupor and Coma >1 Hour with Complications

MS-DRG 083 · Inpatient stay

14 $240,539 $14,431 +302%
Endocrine Disorders with Major Complications

MS-DRG 643 · Inpatient stay

14 $255,528 $17,319 +288%
Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio

MS-DRG 809 · Inpatient stay

14 $119,929 $12,528 +118%
Complications of Treatment with Complications

MS-DRG 920 · Inpatient stay

14 $137,480 $10,832 +211%
Signs and Symptoms of Musculoskeletal System and Connective Tissue without Major

MS-DRG 556 · Inpatient stay

14 $109,526 $9,586 +189%
Disorders of Pancreas Except Malignancy with Major Complications

MS-DRG 438 · Inpatient stay

14 $185,609 $16,577 +167%
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal

MS-DRG 023 · Inpatient stay

13 $765,050 $59,367 +234%
Degenerative Nervous System Disorders with Major Complications

MS-DRG 056 · Inpatient stay

13 $158,684 $24,502 +84%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

13 $179,836 $14,658 +230%
COPD (severe)

MS-DRG 190 · Inpatient stay

13 $230,353 $12,341 +450%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

13 $162,449 $14,628 +188%
Other Circulatory System Diagnoses with Complications

MS-DRG 315 · Inpatient stay

13 $127,663 $9,690 +208%
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Complications

MS-DRG 442 · Inpatient stay

13 $108,764 $10,011 +158%
Traumatic Stupor and Coma >1 Hour with Major Complications

MS-DRG 082 · Inpatient stay

13 $384,382 $23,926 +297%
Disorders of Pancreas Except Malignancy with Complications

MS-DRG 439 · Inpatient stay

13 $107,347 $17,068 +199%
Disorders of the Biliary Tract with Complications

MS-DRG 445 · Inpatient stay

13 $150,537 $11,506 +193%
Skin Infection (severe)

MS-DRG 602 · Inpatient stay

13 $150,023 $13,963 +192%
Poisoning and Toxic Effects of Drugs with Major Complications

MS-DRG 917 · Inpatient stay

13 $321,326 $19,084 +373%
Complications of Treatment with Major Complications

MS-DRG 919 · Inpatient stay

13 $200,449 $17,453 +168%
Gastrointestinal Obstruction without Complications/mcc

MS-DRG 390 · Inpatient stay

13 $83,743 $5,924 +249%
Laparoscopic Cholecystectomy without C.d.e. with Major Complications

MS-DRG 417 · Inpatient stay

13 $322,375 $28,445 +207%
Level 5 Gynecologic Procedures

APC 5415 · Hospital outpatient visit

13 $100,738 $6,115 +236%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

12 $289,040 $20,620 +229%
Percutaneous and Other Intracardiac Procedures with Major Complications

MS-DRG 273 · Inpatient stay

12 $737,909 $40,031 +298%
Major Chest Trauma with Complications

MS-DRG 184 · Inpatient stay

12 $124,645 $15,456 +155%
Stomach, Esophageal and Duodenal Procedures with Major Complications

MS-DRG 326 · Inpatient stay

12 $814,754 $63,658 +265%
Fractures of Hip and Pelvis with Major Complications

MS-DRG 535 · Inpatient stay

12 $132,266 $12,645 +156%
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with

MS-DRG 543 · Inpatient stay

12 $117,091 $10,404 +183%
Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with

MS-DRG 427 · Inpatient stay

12 $1,240,707 $79,278 +302%
Respiratory Signs and Symptoms

MS-DRG 204 · Inpatient stay

12 $89,097 $8,500 +80%
Major Chest Procedures with Major Complications

MS-DRG 163 · Inpatient stay

11 $533,293 $48,258 +202%
Heart Attack (uncomplicated)

MS-DRG 282 · Inpatient stay

11 $121,245 $7,652 +215%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

11 $327,893 $20,375 +295%
Postoperative and Post-traumatic Infections with Major Complications

MS-DRG 862 · Inpatient stay

11 $241,408 $19,113 +226%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

11 $218,967 $33,840 +241%
Nervous System Neoplasms with Major Complications

MS-DRG 054 · Inpatient stay

11 $146,579 $17,380 +122%
Traumatic Stupor and Coma <1 Hour with Major Complications

MS-DRG 085 · Inpatient stay

11 $351,541 $22,260 +260%
Cirrhosis and Alcoholic Hepatitis with Complications

MS-DRG 433 · Inpatient stay

11 $121,987 $10,981 +167%
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major

MS-DRG 441 · Inpatient stay

11 $229,608 $18,918 +201%
Acute Adjustment Reaction and Psychosocial Dysfunction

MS-DRG 880 · Inpatient stay

11 $105,224 $10,085 +156%
Major Gastrointestinal Disorders and Peritoneal Infections with Major Complications

MS-DRG 371 · Inpatient stay

11 $248,347 $19,511 +262%
Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit

MS-DRG 061 · Inpatient stay

11 $360,648 $28,354 +146%
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

11 $128,723 $7,200 +275%

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.