All published prices at Merit Health Madison
15 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 |
44 | $37,470 | $2,292 | +93% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
35 | $57,533 | $2,486 | +201% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
28 | $93,403 | $15,486 | +43% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
23 | $51,762 | $2,817 | +151% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
22 | $103,873 | $4,601 | +187% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
19 | $39,726 | $1,634 | +207% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
19 | $73,302 | $4,332 | +167% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
16 | $98,806 | $11,513 | +112% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
16 | $70,979 | $10,455 | +64% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
16 | $136,352 | $11,006 | +118% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
15 | $81,362 | $4,654 | +132% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
15 | $45,660 | $2,351 | +175% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
14 | $44,077 | $1,357 | +337% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
14 | $111,400 | $5,459 | +182% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
11 | $94,391 | $11,744 | +95% |
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.