CostGrade

All published prices at Mclaren Macomb

90 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
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

730 $8,492 $2,380 -56%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

194 $42,432 $16,246 -35%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

107 $62,205 $11,391 about average
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

106 $20,516 $2,836 -19%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

105 $28,257 $10,772 -35%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

79 $39,279 $13,639 -36%
Level 1 Intraocular Procedures

APC 5491 · Hospital outpatient visit

78 $9,444 $2,011 -20%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

72 $34,115 $13,956 -38%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

69 $10,189 $1,428 about average
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

67 $27,712 $11,224 -41%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

60 $11,424 $1,678 about average
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

59 $20,604 $2,769 +8%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

53 $15,339 $1,767 +19%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

51 $59,128 $9,682 -13%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

50 $36,237 $6,200 -9%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

49 $14,991 $3,071 -27%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

45 $95,494 $37,916 -46%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

44 $22,430 $9,847 -45%
Respiratory Failure

MS-DRG 189 · Inpatient stay

42 $27,309 $10,424 -44%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

39 $9,332 $1,416 -17%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

37 $19,465 $7,041 -40%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

36 $108,245 $25,674 -13%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

34 $42,636 $4,727 +18%
Stroke (severe)

MS-DRG 064 · Inpatient stay

32 $63,917 $16,712 -16%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

32 $35,782 $8,893 -21%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

31 $77,984 $16,480 -6%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

31 $18,920 $8,234 -43%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

31 $31,683 $5,082 -10%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

30 $31,628 $12,695 -40%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

30 $16,236 $2,439 -8%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

29 $25,969 $11,118 -46%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

29 $20,874 $4,557 -24%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

28 $41,554 $13,787 -27%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

28 $22,887 $2,770 +12%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

27 $20,107 $7,043 -34%
Seizures with Major Complications

MS-DRG 100 · Inpatient stay

26 $55,820 $15,369 -31%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

26 $5,299 $1,625 -55%
COPD (severe)

MS-DRG 190 · Inpatient stay

25 $24,180 $9,684 -42%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

25 $86,829 $15,414 -9%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

25 $19,770 $3,047 -15%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

24 $26,459 $8,301 -35%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

24 $87,382 $17,009 -14%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

23 $19,677 $6,706 -36%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

23 $44,079 $14,774 -38%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

23 $21,121 $9,184 -46%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

23 $29,612 $5,034 -14%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

22 $21,101 $7,868 -52%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

22 $11,820 $5,310 -53%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

22 $24,260 $8,495 -38%
Organic Disturbances and Intellectual Disability

MS-DRG 884 · Inpatient stay

22 $23,340 $12,885 -53%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

21 $22,961 $8,207 -44%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

21 $77,744 $18,932 -9%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

21 $31,413 $11,747 -44%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

20 $94,927 $20,866 -28%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

19 $55,441 $22,604 -51%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

19 $28,544 $10,914 -40%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

19 $19,837 $8,653 -49%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

18 $34,908 $10,054 -36%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

18 $20,284 $7,957 -41%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

17 $20,249 $7,330 -36%
Fainting

MS-DRG 312 · Inpatient stay

17 $22,238 $7,976 -39%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

17 $109,950 $24,071 -23%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

17 $15,177 $2,754 -16%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

16 $23,679 $7,136 -43%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

16 $37,052 $16,862 -53%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

16 $109,610 $15,458 +32%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

16 $39,945 $9,399 -22%
Level 6 Urology and Related Services

APC 5376 · Hospital outpatient visit

16 $38,097 $8,113 -14%
Traumatic Stupor and Coma <1 Hour with Complications

MS-DRG 086 · Inpatient stay

15 $33,101 $10,418 -41%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

15 $32,437 $11,248 -37%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

15 $21,060 $8,038 -43%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

15 $15,384 $3,298 -32%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

14 $20,631 $7,202 -31%
Craniotomy and Endovascular Intracranial Procedures with Major Complications

MS-DRG 025 · Inpatient stay

13 $138,961 $36,379 -28%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

13 $191,716 $38,991 about average
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

13 $19,003 $7,655 -39%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

13 $96,260 $23,698 -18%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

13 $15,719 $7,830 -48%
Psychoses

MS-DRG 885 · Inpatient stay

13 $32,009 $11,092 -11%
Respiratory Neoplasms with Major Complications

MS-DRG 180 · Inpatient stay

13 $31,439 $14,698 -58%
Disorders of the Biliary Tract with Complications

MS-DRG 445 · Inpatient stay

13 $27,192 $9,665 -47%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

13 $48,591 $7,482 +28%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

12 $28,088 $11,936 -49%
Other Vascular Procedures with Major Complications

MS-DRG 252 · Inpatient stay

12 $98,058 $27,408 -33%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

12 $29,647 $11,991 -47%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

12 $28,096 $8,279 -24%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

12 $5,219 $1,411 -39%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

11 $31,359 $10,407 -34%
Traumatic Stupor and Coma >1 Hour with Major Complications

MS-DRG 082 · Inpatient stay

11 $79,569 $21,373 -18%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

11 $50,942 $9,062 -15%

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.