CostGrade

All published prices at Massachusetts General Hospital

350 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.

C
Procedure Patients Charged Actually paid vs national
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with Major Complications

MS-DRG 896 · Inpatient stay

28 $106,897 $24,660 +63%
Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio

MS-DRG 808 · Inpatient stay

28 $95,696 $32,247 -10%
Extracranial Procedures without Complications/mcc

MS-DRG 039 · Inpatient stay

27 $86,732 $14,149 +63%
Kidney and Ureter Procedures for Non-neoplasm with Complications

MS-DRG 660 · Inpatient stay

27 $71,927 $16,360 +29%
COPD (with complications)

MS-DRG 191 · Inpatient stay

27 $45,157 $11,251 +36%
Poisoning and Toxic Effects of Drugs with Major Complications

MS-DRG 917 · Inpatient stay

27 $118,689 $25,001 +75%
Other Cardiothoracic Procedures with Major Complications

MS-DRG 228 · Inpatient stay

27 $233,453 $67,371 +3%
Major Chest Trauma with Complications

MS-DRG 184 · Inpatient stay

26 $53,538 $14,018 +10%
Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit

MS-DRG 216 · Inpatient stay

26 $525,945 $131,681 +18%
Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D

MS-DRG 464 · Inpatient stay

26 $154,852 $36,412 +13%
Endocrine Disorders with Complications

MS-DRG 644 · Inpatient stay

26 $53,198 $13,912 +38%
Major Gastrointestinal Disorders and Peritoneal Infections with Major Complications

MS-DRG 371 · Inpatient stay

26 $76,140 $22,303 +11%
Bronchitis and Asthma with Complications/mcc

MS-DRG 202 · Inpatient stay

25 $48,792 $12,474 +24%
Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive

MS-DRG 456 · Inpatient stay

25 $319,209 $106,364 -28%
Other Musculoskeletal System and Connective Tissue Operating Room Procedures with Major

MS-DRG 515 · Inpatient stay

25 $133,314 $38,319 +13%
Level 2 Urology and Related Services

APC 5372 · Hospital outpatient visit

25 $8,225 $664 +162%
Respiratory System Diagnosis with Ventilator Support >96 Hours

MS-DRG 207 · Inpatient stay

24 $323,213 $92,421 +26%
Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except Face

MS-DRG 004 · Inpatient stay

24 $680,249 $182,103 +26%
Kidney Transplant with Hemodialysis with Major Complications

MS-DRG 650 · Inpatient stay

24 $393,407 $64,535 +8%
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur without

MS-DRG 494 · Inpatient stay

24 $97,632 $22,116 +10%
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

23 $35,537 $9,972 +6%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

23 $109,893 $30,966 +32%
Hip Replacement with Principal Diagnosis of Hip Fracture with Major Complications

MS-DRG 521 · Inpatient stay

23 $183,316 $38,566 +63%
Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D

MS-DRG 463 · Inpatient stay

23 $334,279 $85,205 +18%
Bone Diseases and Arthropathies without Major Complications

MS-DRG 554 · Inpatient stay

23 $44,940 $12,550 +40%
Atherosclerosis without Major Complications

MS-DRG 303 · Inpatient stay

22 $55,210 $9,343 +83%
Traumatic Stupor and Coma >1 Hour with Complications

MS-DRG 083 · Inpatient stay

22 $61,263 $17,911 about average
Acute Adjustment Reaction and Psychosocial Dysfunction

MS-DRG 880 · Inpatient stay

22 $85,030 $19,159 +107%
Other Operating Room Procedures for Injuries with Major Complications

MS-DRG 907 · Inpatient stay

22 $212,905 $51,472 +23%
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Complications

MS-DRG 982 · Inpatient stay

22 $148,429 $36,680 +41%
Non-extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major

MS-DRG 987 · Inpatient stay

22 $256,103 $60,490 +78%
Disorders of Pancreas Except Malignancy with Major Complications

MS-DRG 438 · Inpatient stay

22 $130,079 $23,659 +87%
Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major Operating Room

MS-DRG 827 · Inpatient stay

22 $129,447 $29,273 about average
Level 4 ENT Procedures

APC 5164 · Hospital outpatient visit

22 $24,359 $3,458 +29%
Level 1 Neurostimulator and Related Procedures

APC 5461 · Hospital outpatient visit

22 $25,933 $3,654 +14%
Disorders of Pancreas Except Malignancy with Complications

MS-DRG 439 · Inpatient stay

21 $61,025 $13,074 +70%
Soft Tissue Procedures with Complications

MS-DRG 501 · Inpatient stay

21 $82,580 $21,195 -20%
Postoperative and Post-traumatic Infections without Major Complications

MS-DRG 863 · Inpatient stay

21 $39,546 $14,113 +3%
Gastrointestinal Obstruction without Complications/mcc

MS-DRG 390 · Inpatient stay

21 $26,914 $8,712 +12%
Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Major

MS-DRG 020 · Inpatient stay

21 $143,467 $96,855 -59%
Major Chest Trauma with Major Complications

MS-DRG 183 · Inpatient stay

21 $99,999 $20,596 +43%
Signs and Symptoms with Major Complications

MS-DRG 947 · Inpatient stay

21 $73,145 $17,528 +34%
Viral Illness without Major Complications

MS-DRG 866 · Inpatient stay

21 $54,732 $12,567 +22%
Viral Illness with Major Complications

MS-DRG 865 · Inpatient stay

21 $99,634 $26,765 +6%
Laparoscopic Cholecystectomy without C.d.e. with Complications

MS-DRG 418 · Inpatient stay

20 $94,876 $20,417 +15%
Hernia Procedures Except Inguinal and Femoral with Complications

MS-DRG 354 · Inpatient stay

20 $92,806 $21,798 +10%
Other Operating Room Procedures for Injuries with Complications

MS-DRG 908 · Inpatient stay

20 $119,474 $24,977 +33%
Respiratory Neoplasms with Complications

MS-DRG 181 · Inpatient stay

20 $72,773 $16,909 +40%
Major Bladder Procedures with Complications

MS-DRG 654 · Inpatient stay

20 $188,284 $35,788 +29%
Acute Myocardial Infarction, Expired with Major Complications

MS-DRG 283 · Inpatient stay

19 $166,303 $28,581 +95%
Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures Wi

MS-DRG 829 · Inpatient stay

19 $308,481 $69,682 +66%
Pneumothorax with Complications

MS-DRG 200 · Inpatient stay

19 $45,428 $14,243 -5%
Combined Anterior and Posterior Spinal Fusion without Complications/mcc

MS-DRG 455 · Inpatient stay

19 $124,514 $51,409 -30%
Full Thickness Burn with Skin Graft or Inhalation Injury with Complications/mcc

MS-DRG 928 · Inpatient stay

19 $224,834 $87,782 -18%
Back and Neck Procedures Except Spinal Fusion without Complications/mcc

MS-DRG 520 · Inpatient stay

19 $88,052 $22,311 +34%
Pneumothorax with Major Complications

MS-DRG 199 · Inpatient stay

19 $96,004 $24,848 +20%
Connective Tissue Disorders with Major Complications

MS-DRG 545 · Inpatient stay

19 $140,221 $32,981 +8%
Pancreas, Liver and Shunt Procedures without Complications/mcc

MS-DRG 407 · Inpatient stay

19 $111,058 $30,202 +19%
Malignancy of Hepatobiliary System or Pancreas with Complications

MS-DRG 436 · Inpatient stay

18 $49,529 $14,484 -8%
Revision of Hip or Knee Replacement without Complications/mcc

MS-DRG 468 · Inpatient stay

18 $80,173 $30,161 -26%
Other Respiratory System Operating Room Procedures with Major Complications

MS-DRG 166 · Inpatient stay

18 $180,358 $44,017 +24%
Amputation for Circulatory System Disorders Except Upper Limb and Toe with Major

MS-DRG 239 · Inpatient stay

18 $362,893 $82,868 +84%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

17 $25,381 $9,169 about average
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Complications

MS-DRG 442 · Inpatient stay

17 $58,475 $14,085 +39%
Other Digestive System Diagnoses without Complications/mcc

MS-DRG 395 · Inpatient stay

17 $30,019 $9,130 -17%
Level 6 Gynecologic Procedures

APC 5416 · Hospital outpatient visit

17 $55,569 $8,115 +36%
Other Respiratory System Operating Room Procedures with Complications

MS-DRG 167 · Inpatient stay

16 $79,967 $21,030 +3%
Peritoneal Adhesiolysis with Complications

MS-DRG 336 · Inpatient stay

16 $108,815 $26,062 +10%
Other Multiple Significant Trauma with Major Complications

MS-DRG 963 · Inpatient stay

16 $125,106 $33,774 about average
Other Respiratory System Diagnoses without Major Complications

MS-DRG 206 · Inpatient stay

16 $57,029 $11,929 +23%
Percutaneous Cardiovascular Procedures without Intraluminal Device with Major

MS-DRG 250 · Inpatient stay

16 $188,179 $31,273 +75%
Trauma to the Skin, Subcutaneous Tissue and Breast without Major Complications

MS-DRG 605 · Inpatient stay

16 $37,194 $11,550 -9%
Other Cardiothoracic Procedures without Major Complications

MS-DRG 229 · Inpatient stay

16 $134,221 $42,190 -11%
Peripheral, Cranial Nerve and Other Nervous System Procedures with Complications or

MS-DRG 041 · Inpatient stay

16 $91,802 $26,956 -11%
Lung Transplant

MS-DRG 007 · Inpatient stay

16 $962,281 $187,530 about average
Cardiac Defibrillator Implant with Cardiac Catheterization and MCC

MS-DRG 275 · Inpatient stay

16 $305,475 $84,972 about average
Connective Tissue Disorders with Complications

MS-DRG 546 · Inpatient stay

16 $72,809 $16,076 +29%
Cardiac Congenital and Valvular Disorders with Major Complications

MS-DRG 306 · Inpatient stay

16 $85,660 $21,758 about average
Lymphoma and Non-acute Leukemia with Other Procedures with Major Complications

MS-DRG 823 · Inpatient stay

16 $330,246 $84,669 about average
Traumatic Stupor and Coma <1 Hour with Complications

MS-DRG 086 · Inpatient stay

15 $33,268 $15,416 -41%
Heart Failure (with complications)

MS-DRG 292 · Inpatient stay

15 $41,425 $12,523 +25%
Hernia Procedures Except Inguinal and Femoral without Complications/mcc

MS-DRG 355 · Inpatient stay

15 $75,163 $16,088 +14%
Revision of Hip or Knee Replacement with Major Complications

MS-DRG 466 · Inpatient stay

15 $262,085 $73,939 +21%
Biopsies of Musculoskeletal System and Connective Tissue with Complications

MS-DRG 478 · Inpatient stay

15 $120,396 $32,162 +5%
Other Skin, Subcutaneous Tissue and Breast Procedures with Complications

MS-DRG 580 · Inpatient stay

15 $96,020 $22,004 +17%
Adrenal and Pituitary Procedures without Complications/mcc

MS-DRG 615 · Inpatient stay

15 $69,691 $16,835 about average
Laparoscopic Cholecystectomy without C.d.e. with Major Complications

MS-DRG 417 · Inpatient stay

15 $101,571 $28,135 -3%
Peripheral, Cranial Nerve and Other Nervous System Procedures with Major Complications

MS-DRG 040 · Inpatient stay

15 $294,596 $72,663 +57%
Biopsies of Musculoskeletal System and Connective Tissue with Major Complications

MS-DRG 477 · Inpatient stay

15 $213,289 $43,400 +9%
Aftercare, Musculoskeletal System and Connective Tissue with Complications

MS-DRG 560 · Inpatient stay

15 $49,048 $14,043 +20%
Cholecystectomy Except by Laparoscope without C.d.e. with Complications

MS-DRG 415 · Inpatient stay

15 $101,777 $24,975 +21%
Level 8 Urology and Related Services

APC 5378 · Hospital outpatient visit

15 $90,663 $21,608 +5%
Coronary Bypass without Cardiac Catheterization without Major Complications

MS-DRG 236 · Inpatient stay

14 $200,944 $50,468 +10%
Cirrhosis and Alcoholic Hepatitis with Complications

MS-DRG 433 · Inpatient stay

14 $77,252 $14,252 +69%
Amputation for Musculoskeletal System and Connective Tissue Disorders with Complications

MS-DRG 475 · Inpatient stay

14 $143,667 $26,731 +26%
Chemotherapy with Acute Leukemia as Secondary Diagnosis with Complications or High Dose

MS-DRG 838 · Inpatient stay

14 $83,727 $24,424 +17%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

14 $53,298 $11,485 +45%
Hip or Knee Replacement (severe)

MS-DRG 469 · Inpatient stay

14 $168,386 $39,529 +19%
Reticuloendothelial and Immunity Disorders with Major Complications

MS-DRG 814 · Inpatient stay

14 $201,859 $49,108 +63%
Lymphoma and Non-acute Leukemia with Other Procedures with Complications

MS-DRG 824 · Inpatient stay

14 $130,567 $28,286 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.