CostGrade

All published prices at Mount Carmel East & West

136 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.

C
Procedure Patients Charged Actually paid vs national
Sepsis (severe)

MS-DRG 871 · Inpatient stay

345 $80,376 $16,520 +23%
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

324 $21,094 $2,384 +9%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

243 $64,839 $11,261 +49%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

219 $7,234 $1,683 -38%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

215 $8,264 $1,408 -18%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

166 $70,481 $11,390 +13%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

164 $23,276 $2,893 -8%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

121 $79,293 $20,936 -40%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

102 $10,581 $1,807 -18%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

98 $59,258 $11,125 +27%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

87 $44,698 $9,738 +10%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

73 $38,787 $4,526 +41%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

72 $65,466 $13,464 +19%
Respiratory Failure

MS-DRG 189 · Inpatient stay

72 $48,046 $11,264 about average
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

72 $22,160 $2,992 +7%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

69 $19,098 $2,818 about average
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

69 $52,250 $5,063 +49%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

66 $102,094 $17,052 +23%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

66 $40,291 $9,320 -22%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

64 $43,400 $9,351 +5%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

57 $31,007 $7,570 +4%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

56 $57,080 $9,684 -16%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

55 $42,283 $8,640 +8%
Stroke (severe)

MS-DRG 064 · Inpatient stay

52 $77,902 $17,154 about average
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

52 $198,077 $45,556 +11%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

50 $48,234 $9,530 +6%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

48 $39,817 $8,023 +21%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

47 $67,368 $12,888 +19%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

47 $92,521 $29,333 -38%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

46 $181,306 $37,172 -4%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

44 $86,089 $16,630 +4%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

43 $95,893 $23,909 -23%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

43 $73,256 $13,864 +3%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

42 $55,239 $12,491 +4%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

41 $32,497 $4,537 -10%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

40 $36,687 $7,686 +14%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

40 $18,000 $3,094 -23%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

39 $81,871 $19,294 -7%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

39 $16,280 $3,349 -28%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

37 $43,107 $8,795 +10%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

37 $42,864 $6,260 +8%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

36 $35,687 $7,200 +17%
Fainting

MS-DRG 312 · Inpatient stay

35 $37,987 $8,165 +4%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

35 $53,185 $10,955 +10%
Sepsis

MS-DRG 870 · Inpatient stay

35 $216,717 $50,144 -19%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

35 $10,728 $1,412 +25%
Level 4 Pacemaker and Similar Procedures

APC 5224 · Hospital outpatient visit

34 $69,289 $17,386 -27%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

33 $24,265 $4,988 -30%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

32 $142,091 $24,032 about average
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

32 $20,931 $2,530 +18%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

31 $72,816 $16,931 -7%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

31 $106,353 $15,048 +5%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

31 $33,714 $7,843 +10%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

31 $82,476 $15,649 -14%
COPD (severe)

MS-DRG 190 · Inpatient stay

30 $50,164 $9,423 +20%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

30 $58,551 $10,758 +24%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

28 $95,574 $16,988 +56%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

28 $107,403 $15,550 +25%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

28 $13,610 $1,727 +20%
Seizures with Major Complications

MS-DRG 100 · Inpatient stay

26 $82,311 $16,965 about average
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

26 $35,706 $9,156 +17%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

25 $31,206 $8,083 about average
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

25 $50,756 $13,610 -10%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

25 $38,869 $9,993 +12%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

25 $247,693 $51,613 about average
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

25 $34,026 $7,597 -10%
Permanent Cardiac Pacemaker Implant with Major Complications

MS-DRG 242 · Inpatient stay

24 $138,765 $26,870 about average
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

23 $53,408 $7,902 +31%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

22 $38,244 $7,592 -7%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

21 $70,344 $14,348 +29%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

21 $49,863 $11,174 +34%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

21 $58,432 $10,516 +7%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

21 $41,693 $7,865 +12%
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major

MS-DRG 981 · Inpatient stay

21 $170,881 $36,417 -7%
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal

MS-DRG 023 · Inpatient stay

20 $215,245 $44,635 -6%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

20 $43,364 $6,859 +37%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

20 $106,976 $21,650 -6%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

20 $100,064 $18,336 about average
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

20 $9,061 $1,518 -21%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

20 $27,958 $2,796 +54%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

20 $11,483 $1,438 about average
Craniotomy and Endovascular Intracranial Procedures with Major Complications

MS-DRG 025 · Inpatient stay

19 $181,004 $40,712 -6%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

19 $72,632 $12,136 +29%
Level 3 Upper GI Procedures

APC 5303 · Hospital outpatient visit

19 $19,077 $3,425 -13%
Level 2 Urology and Related Services

APC 5372 · Hospital outpatient visit

19 $7,708 $611 +146%
Coronary Bypass without Cardiac Catheterization without Major Complications

MS-DRG 236 · Inpatient stay

18 $223,291 $35,527 +22%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

18 $44,406 $7,768 about average
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

18 $217,916 $39,092 +21%
Level 2 Neurostimulator and Related Procedures

APC 5462 · Hospital outpatient visit

18 $27,405 $5,776 +5%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

17 $32,796 $8,799 -16%
Kidney and Ureter Procedures for Non-neoplasm with Complications

MS-DRG 660 · Inpatient stay

17 $57,202 $11,865 about average
Organic Disturbances and Intellectual Disability

MS-DRG 884 · Inpatient stay

17 $64,589 $14,429 +29%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

17 $20,634 $3,249 -13%
Extracranial Procedures without Complications/mcc

MS-DRG 039 · Inpatient stay

16 $69,889 $10,416 +31%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

16 $40,845 $11,524 -15%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

16 $124,608 $21,453 +6%
Other Disorders of Nervous System with Complications

MS-DRG 092 · Inpatient stay

16 $47,991 $8,702 +7%
Pulmonary Embolism without Major Complications

MS-DRG 176 · Inpatient stay

16 $39,299 $7,074 +12%
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

16 $25,732 $6,120 -33%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

15 $75,014 $17,427 -20%

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.