CostGrade

All published prices at Monmouth Medical Center

103 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

404 $25,386 $2,684 +31%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

302 $47,064 $13,479 -25%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

236 $7,082 $1,558 -30%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

190 $113,599 $21,274 +74%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

146 $9,749 $2,013 -25%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

122 $34,102 $7,145 -14%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

113 $92,225 $14,223 +112%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

110 $12,662 $3,461 -39%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

95 $23,572 $3,381 -7%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

90 $23,483 $3,724 +3%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

88 $9,215 $1,782 -22%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

88 $24,294 $5,673 -31%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

78 $61,896 $19,243 -25%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

73 $22,217 $4,886 -19%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

67 $55,683 $9,721 +73%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

64 $14,381 $3,168 -25%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

60 $67,374 $20,447 -16%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

58 $73,476 $11,931 +87%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

56 $15,829 $2,926 -10%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

56 $13,354 $3,125 -26%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

54 $57,212 $9,524 +92%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

52 $55,169 $11,262 -18%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

49 $48,044 $10,522 -20%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

47 $19,502 $3,543 -16%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

46 $55,079 $11,457 +81%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

45 $85,931 $17,778 +56%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

44 $101,313 $16,727 +78%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

43 $89,863 $15,095 +93%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

39 $85,047 $13,729 +109%
Fainting

MS-DRG 312 · Inpatient stay

38 $59,104 $10,097 +61%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

38 $11,415 $2,812 -31%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

36 $79,003 $12,009 +91%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

35 $17,036 $3,581 -29%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

33 $47,879 $11,199 +23%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

33 $19,571 $3,348 -4%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

32 $102,535 $14,589 +111%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

32 $32,260 $6,740 -18%
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

30 $9,128 $1,799 -20%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

28 $95,726 $17,026 +81%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

28 $274,089 $55,300 +54%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

27 $129,389 $26,755 +29%
Spinal Fusion Except Cervical without Major Complications

MS-DRG 460 · Inpatient stay

27 $144,356 $41,417 about average
Level 2 Urology and Related Services

APC 5372 · Hospital outpatient visit

27 $7,028 $703 +124%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

25 $100,708 $22,664 +18%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

25 $73,761 $11,341 +96%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

24 $47,484 $6,702 +89%
Major Chest Procedures with Complications

MS-DRG 164 · Inpatient stay

24 $128,263 $27,631 +18%
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

24 $25,134 $7,255 -35%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

23 $97,738 $20,126 +37%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

23 $69,995 $11,222 +112%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

23 $7,589 $1,976 -33%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

22 $63,600 $10,285 +100%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

22 $69,127 $9,971 +121%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

22 $65,941 $10,630 +70%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

22 $57,121 $8,989 +87%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

22 $57,928 $10,733 +56%
Combined Anterior and Posterior Spinal Fusion without Complications/mcc

MS-DRG 455 · Inpatient stay

22 $161,575 $47,519 -9%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

21 $56,501 $12,025 +52%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

21 $66,776 $9,592 +118%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

21 $6,791 $1,698 -21%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

20 $74,561 $13,881 +37%
Major Small and Large Bowel Procedures without Complications/mcc

MS-DRG 331 · Inpatient stay

20 $74,740 $17,993 about average
Stomach, Esophageal and Duodenal Procedures without Complications/mcc

MS-DRG 328 · Inpatient stay

20 $71,756 $18,044 -6%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

20 $10,399 $1,574 -7%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

19 $104,192 $19,634 +25%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

19 $67,323 $9,883 +95%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

19 $27,957 $6,059 -19%
Stroke (severe)

MS-DRG 064 · Inpatient stay

18 $206,221 $31,974 +170%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

18 $103,530 $19,792 about average
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

18 $240,414 $41,849 +34%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

18 $78,405 $14,830 +53%
COPD (with complications)

MS-DRG 191 · Inpatient stay

18 $73,328 $9,946 +120%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

17 $86,309 $12,036 +90%
Combined Anterior and Posterior Spinal Fusion with Complications

MS-DRG 454 · Inpatient stay

17 $194,916 $62,109 -12%
Major Chest Procedures without Complications/mcc

MS-DRG 165 · Inpatient stay

16 $99,587 $21,997 +20%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

15 $103,587 $13,417 +69%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

15 $89,802 $12,226 +90%
Chest Pain

MS-DRG 313 · Inpatient stay

15 $57,166 $8,687 +69%
Coagulation Disorders

MS-DRG 813 · Inpatient stay

15 $85,740 $16,066 +28%
Dysequilibrium

MS-DRG 149 · Inpatient stay

15 $55,586 $9,208 +42%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

14 $153,738 $32,700 +7%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

14 $109,820 $16,487 +95%
Signs and Symptoms without Major Complications

MS-DRG 948 · Inpatient stay

14 $56,349 $9,599 +74%
Cervical Spinal Fusion with Complications

MS-DRG 472 · Inpatient stay

14 $91,989 $36,746 -23%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

13 $58,322 $14,332 +22%
COPD (severe)

MS-DRG 190 · Inpatient stay

13 $103,377 $13,530 +147%
Organic Disturbances and Intellectual Disability

MS-DRG 884 · Inpatient stay

13 $66,311 $15,516 +33%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

13 $50,790 $9,434 +38%
Major Gastrointestinal Disorders and Peritoneal Infections with Complications

MS-DRG 372 · Inpatient stay

13 $67,756 $11,682 +71%
Complex GI Procedures

APC 5331 · Hospital outpatient visit

13 $17,253 $4,466 -42%
Level 6 Gynecologic Procedures

APC 5416 · Hospital outpatient visit

13 $22,418 $8,010 -45%
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

12 $49,968 $8,754 +49%
Other Disorders of Nervous System with Complications

MS-DRG 092 · Inpatient stay

12 $76,782 $12,194 +71%
Cirrhosis and Alcoholic Hepatitis with Major Complications

MS-DRG 432 · Inpatient stay

12 $108,084 $21,418 +35%
O.r. Procedures for Obesity without Complications/mcc

MS-DRG 621 · Inpatient stay

12 $59,894 $17,980 -9%
Respiratory Failure

MS-DRG 189 · Inpatient stay

11 $90,680 $14,531 +87%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

11 $90,348 $21,246 +15%
Other Vascular Procedures with Complications

MS-DRG 253 · Inpatient stay

11 $135,589 $23,883 +21%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

11 $139,494 $19,227 +117%
Laparoscopic Cholecystectomy without C.d.e. with Complications

MS-DRG 418 · Inpatient stay

11 $89,332 $18,211 +8%

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.