CostGrade

All published prices at Moses H. Cone Memorial Hospital, The

171 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.

B
Procedure Patients Charged Actually paid vs national
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

666 $14,564 $2,396 -25%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

506 $45,838 $16,850 -30%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

389 $44,297 $11,739 -29%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

373 $29,637 $11,923 -32%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

219 $21,150 $2,875 -16%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

211 $14,967 $2,800 -22%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

206 $13,405 $3,079 -35%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

181 $80,595 $16,682 about average
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

168 $22,853 $4,576 -17%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

162 $31,651 $11,753 -32%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

144 $109,715 $20,482 -17%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

143 $7,936 $1,650 -32%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

138 $37,264 $14,313 -32%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

136 $26,523 $6,342 -33%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

128 $9,084 $1,427 -10%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

117 $28,927 $5,070 -18%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

110 $29,056 $9,817 -30%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

110 $14,744 $3,322 -38%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

92 $34,150 $13,078 -36%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

92 $20,655 $9,173 -37%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

91 $21,562 $8,373 -33%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

91 $47,906 $9,481 -29%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

84 $14,077 $2,501 -20%
Level 1 Intraocular Procedures

APC 5491 · Hospital outpatient visit

84 $11,076 $2,090 -6%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

82 $13,758 $3,104 -41%
Stroke (severe)

MS-DRG 064 · Inpatient stay

80 $43,430 $16,623 -43%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

80 $17,182 $2,875 -16%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

80 $8,942 $1,809 -31%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

77 $23,318 $8,164 -24%
COPD (severe)

MS-DRG 190 · Inpatient stay

76 $29,792 $10,446 -29%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

76 $54,651 $17,405 -34%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

74 $27,306 $10,907 -33%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

73 $6,356 $1,424 -26%
Respiratory Failure

MS-DRG 189 · Inpatient stay

71 $34,563 $11,929 -29%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

70 $30,089 $9,586 -34%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

70 $73,693 $25,578 -41%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

70 $52,370 $16,083 -34%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

70 $20,344 $3,747 -44%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

68 $17,526 $8,065 -43%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

67 $48,229 $15,032 -32%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

67 $21,203 $8,150 -29%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

67 $32,967 $14,040 -42%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

67 $105,064 $38,558 -41%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

67 $27,357 $10,623 -30%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

65 $21,102 $9,609 -43%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

63 $36,396 $9,573 -29%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

62 $28,698 $11,677 -41%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

60 $56,076 $9,229 -6%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

58 $25,208 $5,057 -27%
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

58 $21,846 $6,055 -43%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

54 $41,557 $14,686 -32%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

54 $25,591 $6,597 -32%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

53 $20,539 $8,631 -35%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

53 $33,509 $12,037 -29%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

53 $25,285 $5,586 -36%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

52 $62,399 $17,229 -27%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

51 $71,453 $18,923 -19%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

50 $37,863 $13,006 -31%
Fainting

MS-DRG 312 · Inpatient stay

47 $24,561 $8,828 -33%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

47 $8,864 $1,393 -21%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

44 $75,361 $22,610 -26%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

44 $18,134 $8,997 -41%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

43 $16,568 $3,297 -27%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

42 $11,793 $2,470 -29%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

41 $62,916 $15,698 -34%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

36 $15,166 $2,804 -16%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

35 $21,720 $8,199 -31%
Seizures with Major Complications

MS-DRG 100 · Inpatient stay

34 $56,138 $16,559 -30%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

34 $66,758 $19,951 -34%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

34 $26,152 $9,590 -33%
Other Factors Influencing Health Status

MS-DRG 951 · Inpatient stay

34 $14,342 $6,398 -35%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

33 $23,555 $9,364 -37%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

33 $121,956 $39,330 -32%
Sepsis

MS-DRG 870 · Inpatient stay

33 $123,213 $46,999 -54%
Level 6 Urology and Related Services

APC 5376 · Hospital outpatient visit

32 $46,470 $8,056 +4%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

31 $28,448 $9,432 -27%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

30 $21,072 $9,033 -39%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

30 $8,003 $1,605 -29%
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

30 $20,889 $4,974 -39%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

29 $29,935 $8,915 -27%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

29 $56,600 $16,669 -28%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

28 $177,994 $40,961 -6%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

28 $24,712 $10,845 -34%
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal

MS-DRG 023 · Inpatient stay

27 $124,910 $42,391 -46%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

27 $95,636 $27,379 -33%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

27 $32,593 $12,912 -36%
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

27 $9,495 $1,523 -17%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

25 $40,384 $11,063 -26%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

25 $63,964 $23,655 -46%
Disorders of the Biliary Tract with Complications

MS-DRG 445 · Inpatient stay

25 $34,927 $11,177 -32%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

24 $214,440 $59,171 -11%
Bronchitis and Asthma with Complications/mcc

MS-DRG 202 · Inpatient stay

24 $27,212 $10,088 -31%
Other Cerebrovascular Disorders with Major Complications

MS-DRG 070 · Inpatient stay

23 $43,959 $14,007 -34%
Revision of Hip or Knee Replacement without Complications/mcc

MS-DRG 468 · Inpatient stay

23 $80,843 $25,291 -25%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

22 $75,115 $19,449 -34%
Other Vascular Procedures with Major Complications

MS-DRG 252 · Inpatient stay

22 $96,640 $27,418 -33%
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major

MS-DRG 981 · Inpatient stay

22 $120,446 $35,570 -34%
Poisoning and Toxic Effects of Drugs with Major Complications

MS-DRG 917 · Inpatient stay

22 $47,425 $13,708 -30%
Hip Replacement with Principal Diagnosis of Hip Fracture with Major Complications

MS-DRG 521 · Inpatient stay

21 $71,755 $23,109 -36%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

21 $87,589 $27,914 -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.