All published prices at Mercy San Juan Medical Center
129 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.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
568 | $36,639 | $3,477 | +89% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
400 | $121,886 | $20,997 | +87% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
242 | $86,958 | $13,990 | +100% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
130 | $25,802 | $4,071 | +35% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
121 | $53,700 | $4,168 | +113% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
116 | $119,777 | $16,773 | +92% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
108 | $161,122 | $21,920 | +111% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
106 | $102,850 | $13,902 | +121% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
78 | $110,788 | $11,216 | +143% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
78 | $107,052 | $17,569 | +95% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
76 | $72,153 | $11,337 | +84% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
75 | $58,198 | $8,929 | +95% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
73 | $98,645 | $12,191 | +136% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
71 | $91,290 | $14,026 | +35% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
70 | $81,022 | $17,161 | +43% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
68 | $89,827 | $13,214 | +120% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
65 | $57,644 | $6,608 | +110% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
62 | $107,220 | $16,431 | +75% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
60 | $62,155 | $8,755 | +93% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
60 | $117,281 | $16,711 | +122% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
57 | $17,240 | $2,430 | +47% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
56 | $74,309 | $13,404 | +53% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
52 | $111,658 | $13,525 | +130% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
52 | $358,218 | $53,209 | +101% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
52 | $17,670 | $2,071 | +75% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
50 | $52,022 | $9,787 | +71% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
48 | $75,007 | $10,821 | +82% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
47 | $137,515 | $21,013 | +93% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
47 | $68,765 | $9,879 | +109% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
47 | $17,935 | $2,601 | +39% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
46 | $78,480 | $8,812 | +97% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
46 | $57,368 | $7,300 | +66% |
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay |
38 | $229,817 | $28,896 | +103% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
38 | $50,615 | $6,649 | +40% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
38 | $37,676 | $4,362 | +83% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
37 | $103,180 | $12,872 | +118% |
|
Fainting
MS-DRG 312 · Inpatient stay |
37 | $73,726 | $9,580 | +101% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
37 | $39,341 | $4,325 | +69% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
36 | $57,347 | $8,650 | +87% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
35 | $153,815 | $21,877 | +85% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
35 | $60,771 | $8,688 | +99% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
35 | $17,693 | $2,045 | +106% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
33 | $95,745 | $18,835 | +70% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
33 | $58,658 | $4,783 | +158% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
31 | $202,906 | $21,953 | +151% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
31 | $24,810 | $3,629 | +40% |
|
Craniotomy and Endovascular Intracranial Procedures with Major Complications
MS-DRG 025 · Inpatient stay |
30 | $248,007 | $45,082 | +29% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
30 | $84,163 | $10,333 | +115% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
30 | $71,915 | $10,932 | +91% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
30 | $118,759 | $22,336 | +24% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
29 | $60,138 | $7,369 | +71% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
28 | $85,945 | $12,715 | +44% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
27 | $61,534 | $8,795 | +97% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
26 | $238,973 | $42,894 | +66% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
26 | $91,265 | $13,864 | +78% |
|
Disorders of the Biliary Tract with Complications
MS-DRG 445 · Inpatient stay |
26 | $86,902 | $11,854 | +69% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
25 | $139,276 | $22,975 | +58% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
25 | $90,898 | $8,327 | +130% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
24 | $149,884 | $22,896 | +75% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
23 | $62,408 | $9,999 | +80% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
23 | $147,072 | $20,087 | +84% |
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major
MS-DRG 897 · Inpatient stay |
23 | $72,331 | $9,480 | +122% |
|
Stroke (uncomplicated)
MS-DRG 066 · Inpatient stay |
22 | $66,331 | $7,785 | +85% |
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
22 | $81,125 | $10,095 | +99% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
22 | $65,533 | $10,882 | +106% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
22 | $159,511 | $27,579 | +57% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
22 | $89,657 | $15,151 | +59% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
22 | $39,862 | $4,692 | +67% |
|
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal
MS-DRG 023 · Inpatient stay |
21 | $283,361 | $53,616 | +24% |
|
Hypertension without Major Complications
MS-DRG 305 · Inpatient stay |
21 | $62,821 | $8,421 | +88% |
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
21 | $92,081 | $13,609 | +137% |
|
Major Chest Trauma with Complications
MS-DRG 184 · Inpatient stay |
21 | $137,252 | $11,557 | +181% |
|
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with
MS-DRG 617 · Inpatient stay |
21 | $112,441 | $20,671 | +52% |
|
Transient Ischemia without Thrombolytic
MS-DRG 069 · Inpatient stay |
20 | $70,149 | $8,925 | +70% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
20 | $137,403 | $20,004 | +76% |
|
Cervical Spinal Fusion with Complications
MS-DRG 472 · Inpatient stay |
20 | $158,305 | $36,813 | +32% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
20 | $35,889 | $13,615 | -30% |
|
Other Vascular Procedures with Major Complications
MS-DRG 252 · Inpatient stay |
19 | $170,865 | $34,265 | +18% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major
MS-DRG 287 · Inpatient stay |
19 | $97,346 | $11,861 | +79% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
19 | $16,016 | $1,973 | +43% |
|
Other Cerebrovascular Disorders with Major Complications
MS-DRG 070 · Inpatient stay |
18 | $127,823 | $18,943 | +93% |
|
Hip or Thigh Bone Surgery (severe)
MS-DRG 480 · Inpatient stay |
18 | $218,985 | $31,021 | +86% |
|
Disorders of the Biliary Tract with Major Complications
MS-DRG 444 · Inpatient stay |
18 | $92,370 | $17,240 | +29% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
18 | $131,913 | $23,737 | +59% |
|
Traumatic Stupor and Coma <1 Hour with Complications
MS-DRG 086 · Inpatient stay |
17 | $75,671 | $17,209 | +34% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
17 | $95,157 | $14,311 | +74% |
|
Irregular Heartbeat (uncomplicated)
MS-DRG 310 · Inpatient stay |
17 | $48,882 | $6,404 | +94% |
|
Hip or Thigh Bone Surgery (uncomplicated)
MS-DRG 482 · Inpatient stay |
17 | $130,792 | $17,708 | +91% |
|
Skin Infection (severe)
MS-DRG 602 · Inpatient stay |
17 | $129,108 | $19,701 | +151% |
|
Poisoning and Toxic Effects of Drugs with Major Complications
MS-DRG 917 · Inpatient stay |
17 | $109,134 | $16,783 | +61% |
|
Coronary Bypass with Cardiac Catheterization or Open Ablation with Major Complications
MS-DRG 233 · Inpatient stay |
16 | $879,304 | $108,387 | +186% |
|
Sepsis
MS-DRG 870 · Inpatient stay |
16 | $425,008 | $74,468 | +58% |
|
Spinal Fusion Except Cervical without Major Complications
MS-DRG 460 · Inpatient stay |
16 | $219,901 | $37,873 | +52% |
|
Respiratory System Diagnosis with Ventilator Support >96 Hours
MS-DRG 207 · Inpatient stay |
16 | $420,867 | $70,554 | +64% |
|
Other Musculoskeletal System and Connective Tissue Operating Room Procedures with
MS-DRG 516 · Inpatient stay |
16 | $172,396 | $21,736 | +95% |
|
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without
MS-DRG 563 · Inpatient stay |
16 | $67,565 | $10,481 | +84% |
|
Chest Pain
MS-DRG 313 · Inpatient stay |
15 | $68,130 | $8,137 | +102% |
|
Other Vascular Procedures with Complications
MS-DRG 253 · Inpatient stay |
15 | $207,960 | $27,162 | +85% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
15 | $39,114 | $10,839 | +3% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
14 | $105,665 | $12,669 | +121% |
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.