CostGrade

All published prices at Mercy Health St Ritas Medical Center

136 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

337 $22,176 $2,313 +14%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

289 $81,685 $15,834 +25%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

265 $23,291 $2,761 -8%
Level 2 Urology and Related Services

APC 5372 · Hospital outpatient visit

219 $3,132 $585 about average
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

218 $53,782 $10,743 +24%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

218 $15,379 $1,366 +53%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

177 $37,421 $4,365 +36%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

153 $13,916 $1,630 +23%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

132 $17,551 $1,742 +36%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

129 $24,130 $2,709 +26%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

127 $75,922 $9,219 +12%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

117 $24,816 $2,981 +20%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

104 $68,898 $4,935 +96%
Level 1 Intraocular Procedures

APC 5491 · Hospital outpatient visit

96 $30,005 $1,976 +155%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

86 $47,947 $10,645 about average
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

83 $58,518 $13,261 +6%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

83 $37,336 $6,243 +22%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

76 $27,935 $2,430 +58%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

69 $35,830 $7,483 +9%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

67 $38,382 $7,265 +19%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

63 $62,653 $12,741 +10%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

62 $149,411 $24,143 +20%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

61 $55,095 $8,893 about average
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

60 $48,097 $4,847 +39%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

58 $205,469 $42,953 +15%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

58 $11,251 $1,627 -4%
Psychoses

MS-DRG 885 · Inpatient stay

57 $25,345 $10,938 -30%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

57 $151,839 $19,608 +14%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

57 $117,090 $8,597 +96%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

55 $74,797 $5,941 +88%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

54 $54,552 $9,713 +15%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

54 $70,998 $12,766 +34%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

53 $38,057 $7,808 -8%
Level 2 Neurostimulator and Related Procedures

APC 5462 · Hospital outpatient visit

52 $47,779 $5,849 +82%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

51 $102,401 $13,715 about average
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

50 $33,765 $2,912 +45%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

49 $44,151 $8,713 +8%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

47 $209,265 $37,384 +10%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

47 $36,217 $6,412 +19%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

47 $46,506 $8,134 +19%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

47 $32,139 $3,205 +35%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

46 $54,338 $9,128 +6%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

44 $52,589 $10,280 +8%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

43 $157,816 $22,857 +10%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

43 $35,019 $7,966 -7%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

42 $34,891 $6,565 +17%
COPD (severe)

MS-DRG 190 · Inpatient stay

39 $43,723 $8,664 +4%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

38 $45,363 $9,061 about average
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

38 $32,264 $6,612 +3%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

37 $88,784 $18,100 about average
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

35 $43,289 $10,383 -10%
Respiratory Failure

MS-DRG 189 · Inpatient stay

35 $48,640 $9,723 about average
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

35 $45,206 $9,237 +16%
Kidney and Ureter Procedures for Non-neoplasm with Complications

MS-DRG 660 · Inpatient stay

34 $68,836 $13,329 +24%
Fainting

MS-DRG 312 · Inpatient stay

33 $37,695 $6,815 about average
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

33 $116,323 $15,922 +40%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

31 $63,045 $13,133 -11%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

31 $39,262 $2,768 +93%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

31 $10,263 $1,370 +20%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

30 $118,361 $13,026 +24%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

29 $42,850 $8,908 +10%
Organic Disturbances and Intellectual Disability

MS-DRG 884 · Inpatient stay

29 $44,417 $11,393 -11%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

29 $45,141 $5,577 +14%
Stroke (severe)

MS-DRG 064 · Inpatient stay

27 $87,531 $15,371 +15%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

27 $160,826 $25,602 +37%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

27 $48,908 $7,716 +32%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

27 $34,330 $3,203 +51%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

26 $102,653 $21,265 -10%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

26 $71,385 $12,496 +16%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

26 $105,739 $11,242 +69%
Level 4 ENT Procedures

APC 5164 · Hospital outpatient visit

26 $57,509 $2,754 +203%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

25 $30,923 $7,970 about average
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

25 $170,787 $26,996 +15%
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

24 $35,023 $6,462 +5%
Chest Pain

MS-DRG 313 · Inpatient stay

24 $30,870 $5,765 -9%
Sepsis

MS-DRG 870 · Inpatient stay

23 $299,938 $45,690 +12%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

22 $41,583 $7,792 +12%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

21 $202,418 $36,654 +13%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

21 $74,225 $16,858 -11%
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

20 $18,791 $1,451 +65%
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

20 $71,013 $4,809 +107%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

19 $132,748 $15,905 +60%
Level 4 Neurostimulator and Related Procedures

APC 5464 · Hospital outpatient visit

19 $87,537 $18,664 +8%
Level 5 Neurostimulator and Related Procedures

APC 5465 · Hospital outpatient visit

19 $154,635 $26,481 +37%
Major Chest Procedures with Major Complications

MS-DRG 163 · Inpatient stay

18 $156,802 $36,234 -11%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

18 $151,897 $20,547 +51%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

18 $52,442 $8,468 +72%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

18 $49,900 $11,621 -11%
Spinal Fusion Except Cervical without Major Complications

MS-DRG 460 · Inpatient stay

18 $232,422 $28,409 +60%
Complications of Treatment with Major Complications

MS-DRG 919 · Inpatient stay

18 $97,629 $15,800 +31%
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with

MS-DRG 543 · Inpatient stay

18 $54,870 $8,771 +32%
Kidney and Ureter Procedures for Non-neoplasm with Major Complications

MS-DRG 659 · Inpatient stay

18 $105,108 $19,633 +7%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

17 $115,130 $18,954 +23%
Hypertension with Major Complications

MS-DRG 304 · Inpatient stay

17 $47,388 $9,209 -5%
Other Disorders of Nervous System with Complications

MS-DRG 092 · Inpatient stay

17 $42,651 $7,868 -5%
Pulmonary Embolism without Major Complications

MS-DRG 176 · Inpatient stay

16 $35,357 $6,515 about average
Level 6 Urology and Related Services

APC 5376 · Hospital outpatient visit

16 $70,528 $7,878 +59%
Craniotomy and Endovascular Intracranial Procedures with Major Complications

MS-DRG 025 · Inpatient stay

15 $306,576 $31,340 +59%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

15 $43,544 $9,677 about average
Peripheral Vascular Disorders with Complications

MS-DRG 300 · Inpatient stay

15 $44,769 $9,081 +4%

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.