CostGrade

All published prices at Mercy Health - Fairfield Hospital

93 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

218 $16,939 $2,363 -13%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

188 $65,034 $13,328 about average
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

129 $20,366 $2,720 -19%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

124 $41,274 $9,029 -5%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

124 $15,134 $1,603 +29%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

118 $13,352 $1,401 +32%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

114 $143,994 $20,256 +9%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

97 $71,482 $11,029 +14%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

69 $41,801 $4,844 +19%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

62 $152,152 $23,480 +22%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

62 $22,992 $2,659 +20%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

52 $50,094 $6,222 +26%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

48 $46,255 $11,013 -16%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

48 $62,130 $9,233 -8%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

47 $35,644 $7,636 -9%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

45 $29,254 $5,851 about average
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

45 $9,583 $1,679 -16%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

44 $68,419 $12,107 -28%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

43 $33,941 $7,413 about average
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

43 $29,132 $4,416 -16%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

42 $87,419 $14,235 -14%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

40 $25,595 $2,759 +26%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

39 $47,552 $8,415 -13%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

35 $38,746 $6,097 +20%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

35 $13,671 $1,771 +6%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

34 $27,650 $5,513 -10%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

34 $48,276 $9,281 -6%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

32 $33,803 $7,997 -17%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

31 $55,307 $7,071 +34%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

31 $21,428 $2,471 +21%
Fainting

MS-DRG 312 · Inpatient stay

29 $32,948 $6,199 -10%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

28 $80,092 $15,070 -9%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

28 $24,860 $5,649 -19%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

28 $68,591 $8,788 +15%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

27 $36,638 $10,250 -31%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

27 $65,862 $11,846 +16%
COPD (severe)

MS-DRG 190 · Inpatient stay

26 $49,627 $7,704 +19%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

26 $14,398 $1,398 +28%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

25 $38,033 $6,633 about average
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

24 $40,986 $9,479 -12%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

24 $30,625 $7,848 -11%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

24 $47,061 $9,372 about average
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

24 $27,667 $3,257 +22%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

24 $41,270 $4,779 +14%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

24 $37,844 $4,500 +38%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

23 $36,266 $7,495 -20%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

22 $105,746 $18,997 -26%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

22 $220,574 $34,288 +24%
Respiratory Failure

MS-DRG 189 · Inpatient stay

21 $43,038 $9,030 -11%
Chest Pain

MS-DRG 313 · Inpatient stay

21 $25,991 $5,244 -23%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

21 $34,188 $6,530 -13%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

19 $50,818 $9,605 about average
Organic Disturbances and Intellectual Disability

MS-DRG 884 · Inpatient stay

19 $34,668 $10,502 -31%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

19 $235,543 $50,235 about average
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

19 $148,646 $28,527 about average
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

18 $214,913 $36,806 +13%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

18 $51,633 $10,538 -16%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

18 $60,746 $10,815 -5%
Level 5 Neurostimulator and Related Procedures

APC 5465 · Hospital outpatient visit

18 $130,548 $21,314 +16%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

17 $32,281 $5,934 about average
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

17 $34,902 $5,461 +4%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

17 $34,523 $8,345 -27%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

17 $35,291 $6,965 +16%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

17 $34,038 $7,202 -10%
COPD (with complications)

MS-DRG 191 · Inpatient stay

17 $35,548 $6,077 +7%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

17 $32,987 $7,388 -13%
Kidney and Ureter Procedures for Non-neoplasm with Complications

MS-DRG 660 · Inpatient stay

16 $60,686 $9,326 +9%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

15 $28,723 $8,806 -40%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

15 $83,049 $13,738 about average
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

15 $56,476 $10,877 about average
Laparoscopic Cholecystectomy without C.d.e. with Complications

MS-DRG 418 · Inpatient stay

15 $94,396 $12,109 +15%
Heart Failure (with complications)

MS-DRG 292 · Inpatient stay

15 $35,828 $6,625 +8%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

15 $33,799 $3,315 +42%
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

15 $14,720 $1,398 +29%
Level 2 Urology and Related Services

APC 5372 · Hospital outpatient visit

15 $13,022 $594 +315%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

14 $31,354 $6,878 -24%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

14 $25,583 $6,969 -31%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

14 $33,376 $6,439 -24%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

14 $74,927 $12,024 +5%
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with

MS-DRG 543 · Inpatient stay

14 $28,853 $6,882 -30%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

14 $65,959 $5,671 +67%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

13 $31,179 $6,494 -24%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

13 $114,967 $17,169 +14%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

13 $84,389 $16,174 about average
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

13 $29,164 $3,009 +25%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

13 $24,712 $3,032 +20%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

12 $75,297 $13,689 -12%
Pulmonary Embolism without Major Complications

MS-DRG 176 · Inpatient stay

12 $35,949 $5,906 about average
Stroke (severe)

MS-DRG 064 · Inpatient stay

11 $54,302 $11,409 -29%
Peripheral Vascular Disorders with Complications

MS-DRG 300 · Inpatient stay

11 $32,673 $6,833 -24%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

11 $38,535 $6,718 about average
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

11 $65,689 $18,039 -21%
Percutaneous and Other Intracardiac Procedures with Major Complications

MS-DRG 273 · Inpatient stay

11 $157,325 $33,326 -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.