All published prices at Midstate Medical Center
73 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 |
|---|---|---|---|---|
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
622 | $31,232 | $14,417 | -50% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
376 | $11,379 | $3,006 | -41% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
217 | $65,321 | $16,966 | about average |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
167 | $50,076 | $11,973 | +15% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
113 | $9,360 | $1,796 | -7% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
96 | $51,356 | $12,097 | +10% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
87 | $56,729 | $15,309 | +3% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
85 | $53,925 | $20,512 | -35% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
83 | $12,429 | $2,062 | +6% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
74 | $47,795 | $11,610 | about average |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
69 | $26,866 | $6,288 | -23% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
66 | $40,623 | $16,516 | -49% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
54 | $27,070 | $7,863 | -32% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
51 | $50,416 | $12,776 | -5% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
49 | $34,224 | $7,709 | +6% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
49 | $13,121 | $3,556 | -31% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
45 | $14,799 | $5,670 | -46% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
43 | $10,897 | $3,170 | -38% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
41 | $39,890 | $10,108 | about average |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
41 | $13,120 | $2,112 | +16% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
40 | $9,573 | $2,272 | -26% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
39 | $30,659 | $7,314 | about average |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
39 | $39,594 | $8,007 | +20% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
37 | $15,348 | $3,611 | -25% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
37 | $10,929 | $3,889 | -47% |
|
Spinal Fusion Except Cervical without Major Complications
MS-DRG 460 · Inpatient stay |
36 | $97,439 | $37,337 | -33% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
35 | $41,976 | $9,519 | about average |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
33 | $33,328 | $8,825 | +9% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
32 | $29,009 | $8,284 | about average |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
30 | $44,576 | $14,756 | -22% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
30 | $38,724 | $9,309 | about average |
|
Major Joint or Limb Reattachment Procedures of Upper Extremities
MS-DRG 483 · Inpatient stay |
30 | $61,217 | $22,354 | -40% |
|
Combined Anterior and Posterior Spinal Fusion with Complications
MS-DRG 454 · Inpatient stay |
29 | $146,081 | $63,075 | -34% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
29 | $9,773 | $1,793 | -13% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
28 | $58,044 | $17,599 | -30% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
28 | $45,254 | $11,202 | -7% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
27 | $45,108 | $10,330 | +8% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
25 | $116,232 | $43,513 | -35% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
24 | $30,382 | $7,192 | about average |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
24 | $140,942 | $43,300 | -22% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
23 | $66,172 | $15,218 | -7% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
23 | $62,135 | $11,703 | +21% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
23 | $33,559 | $11,896 | -35% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
22 | $16,529 | $4,252 | -31% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
21 | $47,661 | $13,230 | -22% |
|
Revision of Hip or Knee Replacement with Complications
MS-DRG 467 · Inpatient stay |
21 | $69,141 | $25,480 | -47% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
20 | $55,811 | $18,028 | -35% |
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay |
19 | $70,111 | $22,818 | -38% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
18 | $29,098 | $7,539 | -8% |
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
18 | $34,818 | $8,545 | -10% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
18 | $29,737 | $9,734 | -14% |
|
Fainting
MS-DRG 312 · Inpatient stay |
17 | $42,361 | $7,923 | +16% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
17 | $83,011 | $23,091 | -17% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
17 | $16,125 | $3,746 | -31% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
17 | $32,403 | $10,890 | -46% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
16 | $44,854 | $12,456 | -20% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
15 | $34,889 | $10,042 | -23% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
14 | $53,257 | $10,820 | +12% |
|
Irregular Heartbeat (uncomplicated)
MS-DRG 310 · Inpatient stay |
14 | $25,044 | $5,766 | about average |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
14 | $37,677 | $13,530 | -33% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
14 | $34,664 | $8,293 | -7% |
|
Other Cerebrovascular Disorders with Complications
MS-DRG 071 · Inpatient stay |
14 | $45,012 | $9,444 | about average |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
13 | $58,638 | $15,627 | +8% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
13 | $34,605 | $8,865 | +11% |
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
13 | $107,687 | $43,953 | -39% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
12 | $36,777 | $8,806 | about average |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
12 | $4,245 | $1,787 | -51% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
12 | $37,116 | $12,255 | -45% |
|
Other Cerebrovascular Disorders with Major Complications
MS-DRG 070 · Inpatient stay |
11 | $50,419 | $14,918 | -24% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
11 | $53,590 | $17,604 | -32% |
|
Revision of Hip or Knee Replacement without Complications/mcc
MS-DRG 468 · Inpatient stay |
11 | $53,479 | $23,232 | -51% |
|
Cervical Spinal Fusion with Complications
MS-DRG 472 · Inpatient stay |
11 | $87,770 | $25,652 | -27% |
|
Level 2 Neurostimulator and Related Procedures
APC 5462 · Hospital outpatient visit |
11 | $22,552 | $7,629 | -14% |
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.