CostGrade

All published prices at Memorialcare Saddleback Medical Center

77 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
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

438 $41,531 $3,353 +114%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

238 $142,850 $18,063 +119%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

221 $12,841 $1,905 +27%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

142 $30,513 $3,972 +21%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

137 $95,834 $12,130 +121%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

105 $65,392 $13,503 -3%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

82 $25,850 $3,881 +35%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

79 $109,777 $28,767 -17%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

74 $44,851 $13,108 -13%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

68 $79,591 $10,585 +103%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

67 $119,831 $14,896 +118%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

64 $34,715 $4,286 +68%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

62 $32,198 $7,027 -7%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

55 $77,810 $16,148 +25%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

44 $37,339 $6,246 +36%
Respiratory Failure

MS-DRG 189 · Inpatient stay

43 $98,340 $12,291 +103%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

42 $52,283 $7,094 +49%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

41 $60,544 $8,080 +103%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

39 $73,505 $9,788 +78%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

39 $81,850 $15,074 +44%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

38 $49,508 $8,017 +25%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

37 $118,674 $13,723 +155%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

37 $127,834 $17,816 +80%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

37 $70,566 $7,587 +119%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

36 $24,953 $3,494 +41%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

33 $111,901 $19,466 +34%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

30 $67,497 $8,332 +105%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

29 $85,660 $10,348 +88%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

29 $117,726 $30,038 -6%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

29 $109,805 $13,529 +107%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

28 $61,721 $10,804 +51%
COPD (severe)

MS-DRG 190 · Inpatient stay

27 $121,916 $10,177 +191%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

27 $164,127 $16,771 +167%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

27 $52,499 $8,315 +72%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

27 $296,341 $48,844 +67%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

26 $14,326 $1,969 +67%
Stroke (severe)

MS-DRG 064 · Inpatient stay

24 $145,626 $17,468 +91%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

24 $127,347 $20,490 +25%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

23 $58,608 $8,792 +47%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

23 $48,629 $6,756 +35%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

22 $110,235 $22,851 +33%
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

22 $35,794 $2,087 +214%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

22 $75,411 $21,503 -21%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

21 $199,255 $45,392 +5%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

21 $75,724 $7,662 +147%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

21 $77,782 $12,113 +30%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

20 $82,153 $11,437 +73%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

19 $75,160 $9,820 +92%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

18 $80,358 $9,047 +116%
Major Chest Procedures with Major Complications

MS-DRG 163 · Inpatient stay

17 $302,103 $43,328 +71%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

17 $38,621 $4,686 +62%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

17 $25,797 $2,504 +100%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

17 $13,769 $1,976 +23%
Fainting

MS-DRG 312 · Inpatient stay

16 $74,748 $8,324 +104%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

16 $43,071 $4,114 +85%
Seizures with Major Complications

MS-DRG 100 · Inpatient stay

15 $216,917 $20,156 +169%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

15 $121,087 $19,443 +41%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

14 $75,052 $7,944 +136%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

14 $227,562 $28,071 +58%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

14 $200,656 $22,225 +100%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

14 $83,851 $7,694 +168%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

14 $92,017 $12,508 +90%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

14 $59,862 $9,944 +59%
Major Gastrointestinal Disorders and Peritoneal Infections with Complications

MS-DRG 372 · Inpatient stay

14 $59,789 $11,887 +51%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

13 $85,731 $12,119 +67%
Sepsis

MS-DRG 870 · Inpatient stay

13 $542,517 $78,848 +102%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

13 $83,803 $15,366 +31%
Hip or Thigh Bone Surgery (uncomplicated)

MS-DRG 482 · Inpatient stay

13 $86,585 $14,967 +26%
Spinal Fusion Except Cervical without Major Complications

MS-DRG 460 · Inpatient stay

13 $178,645 $37,409 +23%
Major Chest Procedures with Complications

MS-DRG 164 · Inpatient stay

13 $152,339 $24,956 +40%
Bronchitis and Asthma with Complications/mcc

MS-DRG 202 · Inpatient stay

13 $94,497 $9,202 +140%
Other Vascular Procedures with Major Complications

MS-DRG 252 · Inpatient stay

12 $141,719 $31,482 about average
Fractures of Hip and Pelvis without Major Complications

MS-DRG 536 · Inpatient stay

12 $55,902 $7,673 +70%
Stroke (uncomplicated)

MS-DRG 066 · Inpatient stay

11 $68,125 $6,887 +90%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

11 $71,348 $8,650 +63%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

11 $48,938 $8,464 +60%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

11 $40,002 $3,980 +96%

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.