CostGrade

All published prices at Mercy Health - West Hospital

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.

C
Procedure Patients Charged Actually paid vs national
Level 1 Intraocular Procedures

APC 5491 · Hospital outpatient visit

574 $13,261 $2,007 +13%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

259 $65,327 $13,874 about average
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

180 $15,826 $2,331 -19%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

113 $17,199 $1,631 +46%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

106 $41,228 $9,060 -5%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

98 $67,409 $11,132 +8%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

80 $12,890 $1,398 +28%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

67 $55,942 $10,997 about average
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

66 $20,645 $2,772 +8%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

65 $37,273 $7,546 -5%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

62 $42,746 $6,222 +7%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

55 $27,455 $5,905 -15%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

51 $22,474 $2,798 -11%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

49 $29,495 $5,686 -3%
Level 2 Intraocular Procedures

APC 5492 · Hospital outpatient visit

46 $16,617 $3,536 -20%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

44 $29,654 $5,854 about average
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

44 $38,582 $5,018 +10%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

41 $35,340 $9,146 -24%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

40 $33,561 $6,414 about average
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

40 $62,843 $9,561 -7%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

39 $46,492 $7,095 +13%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

38 $29,744 $5,489 about average
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

37 $42,353 $10,727 -25%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

37 $21,159 $2,966 about average
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

36 $35,419 $8,139 -13%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

36 $14,382 $1,771 +11%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

35 $42,161 $9,962 -20%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

32 $34,349 $6,931 -25%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

32 $26,917 $6,747 -12%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

32 $43,377 $8,634 -11%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

32 $193,262 $32,074 +9%
COPD (severe)

MS-DRG 190 · Inpatient stay

30 $36,092 $8,165 -14%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

30 $26,089 $2,815 +28%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

29 $15,006 $1,633 +32%
Fainting

MS-DRG 312 · Inpatient stay

28 $30,350 $6,315 -17%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

28 $22,377 $2,471 +27%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

27 $82,554 $14,853 about average
Organic Disturbances and Intellectual Disability

MS-DRG 884 · Inpatient stay

27 $29,541 $9,426 -41%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

26 $105,162 $16,352 +20%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

26 $31,953 $4,500 +16%
Respiratory Failure

MS-DRG 189 · Inpatient stay

24 $50,781 $9,071 +5%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

24 $132,653 $20,603 about average
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

23 $27,390 $6,992 -26%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

22 $36,113 $6,381 +14%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

22 $53,142 $10,474 -13%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

22 $8,958 $1,393 +4%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

21 $82,388 $14,205 -19%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

21 $32,425 $6,680 -17%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

21 $37,514 $7,677 +8%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

18 $27,834 $9,726 -42%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

18 $39,525 $6,330 -10%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

18 $31,731 $6,666 -15%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

18 $24,543 $3,315 about average
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

18 $13,375 $1,398 +19%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

17 $97,877 $18,353 -17%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

17 $29,551 $3,009 +27%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

16 $79,304 $12,113 +12%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

16 $37,292 $4,971 +8%
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

15 $32,550 $5,537 about average
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

15 $40,546 $8,572 -14%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

15 $25,444 $7,160 -33%
Bronchitis and Asthma with Complications/mcc

MS-DRG 202 · Inpatient stay

15 $33,879 $7,459 -14%
Level 5 Gynecologic Procedures

APC 5415 · Hospital outpatient visit

15 $33,792 $4,326 +13%
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

15 $51,846 $5,952 +35%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

14 $72,436 $14,228 -15%
COPD (with complications)

MS-DRG 191 · Inpatient stay

14 $27,581 $6,135 -17%
Stroke (severe)

MS-DRG 064 · Inpatient stay

13 $45,267 $12,471 -41%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

13 $27,452 $5,974 -33%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

13 $109,167 $19,426 -24%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

13 $52,464 $9,767 -7%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

13 $53,074 $9,762 -6%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

13 $65,898 $12,949 about average
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with

MS-DRG 543 · Inpatient stay

13 $27,261 $6,767 -34%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

13 $24,022 $2,719 +32%
Degenerative Nervous System Disorders with Major Complications

MS-DRG 056 · Inpatient stay

12 $48,499 $16,085 -44%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

12 $32,767 $6,705 -20%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

12 $102,271 $18,200 -10%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

12 $44,397 $7,582 -19%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

12 $30,113 $6,820 -22%
Kidney and Ureter Procedures for Non-neoplasm with Complications

MS-DRG 660 · Inpatient stay

12 $29,964 $9,453 -46%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

12 $24,366 $6,043 -34%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

12 $74,585 $16,174 -10%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

12 $33,165 $3,257 +46%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

12 $63,189 $8,948 +6%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

11 $121,382 $30,559 -32%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

11 $42,371 $9,792 -17%
Poisoning and Toxic Effects of Drugs with Major Complications

MS-DRG 917 · Inpatient stay

11 $51,958 $10,606 -24%
Dysequilibrium

MS-DRG 149 · Inpatient stay

11 $28,630 $5,502 -27%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

11 $44,742 $4,779 +24%
Level 3 Extraocular, Repair, and Plastic Eye Procedures

APC 5503 · Hospital outpatient visit

11 $8,476 $2,032 -41%

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.