CostGrade

All published prices at Mount Carmel St Ann's

87 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
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

359 $18,263 $2,409 -6%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

210 $82,463 $15,912 +26%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

195 $69,040 $11,754 +11%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

110 $70,520 $9,200 +18%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

108 $62,990 $10,516 +45%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

93 $7,892 $1,418 -22%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

93 $6,566 $1,693 -44%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

82 $24,432 $3,087 +18%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

75 $37,033 $4,579 +35%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

73 $16,487 $1,821 +28%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

72 $24,420 $2,919 -3%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

66 $63,778 $10,562 +37%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

59 $67,425 $12,740 +23%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

58 $56,067 $5,093 +60%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

54 $97,614 $21,185 -26%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

48 $26,219 $6,613 -12%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

45 $39,484 $8,681 -3%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

44 $23,207 $2,799 +21%
Level 6 Urology and Related Services

APC 5376 · Hospital outpatient visit

41 $53,242 $8,237 +20%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

38 $84,669 $13,420 +49%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

37 $44,889 $9,271 +14%
Respiratory Failure

MS-DRG 189 · Inpatient stay

36 $54,181 $9,538 +12%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

35 $36,847 $7,376 -11%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

34 $37,867 $7,491 +24%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

34 $158,508 $45,064 -11%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

33 $55,920 $9,582 -17%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

32 $49,562 $6,238 +24%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

31 $13,380 $1,727 +18%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

29 $26,903 $3,322 +13%
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

29 $40,722 $5,093 +19%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

27 $81,992 $14,793 about average
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

27 $66,173 $10,976 +25%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

27 $45,612 $5,488 +15%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

26 $43,547 $7,468 +32%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

26 $41,546 $9,543 -19%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

25 $70,634 $14,776 about average
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

25 $29,690 $7,126 -24%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

25 $80,576 $15,024 -16%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

23 $40,003 $9,971 -18%
Spinal Fusion Except Cervical without Major Complications

MS-DRG 460 · Inpatient stay

23 $151,718 $27,077 +5%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

22 $53,734 $9,971 +13%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

22 $27,958 $8,949 -11%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

22 $35,312 $7,236 +9%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

22 $16,763 $2,541 -5%
Fainting

MS-DRG 312 · Inpatient stay

21 $39,428 $6,898 +8%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

20 $53,477 $8,279 +17%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

20 $28,798 $4,908 -17%
Stroke (severe)

MS-DRG 064 · Inpatient stay

19 $76,552 $12,256 about average
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

19 $54,392 $8,423 about average
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

18 $84,768 $13,302 +38%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

18 $12,230 $1,369 +43%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

17 $34,979 $6,045 +14%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

17 $92,555 $15,075 +8%
Combined Anterior and Posterior Spinal Fusion with Complications

MS-DRG 454 · Inpatient stay

17 $189,996 $56,867 -14%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

17 $112,368 $16,630 +35%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

17 $10,295 $1,437 -8%
Level 4 Neurostimulator and Related Procedures

APC 5464 · Hospital outpatient visit

17 $76,210 $19,515 -6%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

16 $35,227 $7,168 -5%
Revision of Hip or Knee Replacement with Complications

MS-DRG 467 · Inpatient stay

16 $142,190 $32,006 +9%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

16 $27,820 $2,796 +53%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

15 $60,086 $13,097 +10%
Kidney and Ureter Procedures for Non-neoplasm with Complications

MS-DRG 660 · Inpatient stay

15 $61,800 $10,199 +11%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

15 $49,601 $10,667 -12%
Sepsis

MS-DRG 870 · Inpatient stay

15 $220,084 $53,458 -18%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

15 $27,991 $6,567 -24%
Kidney and Ureter Procedures for Non-neoplasm with Major Complications

MS-DRG 659 · Inpatient stay

15 $117,729 $17,947 +20%
Level 2 Urology and Related Services

APC 5372 · Hospital outpatient visit

15 $1,637 $611 -48%
Revision of Hip or Knee Replacement without Complications/mcc

MS-DRG 468 · Inpatient stay

14 $121,900 $19,278 +12%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

14 $41,676 $4,914 +15%
Level 5 Neurostimulator and Related Procedures

APC 5465 · Hospital outpatient visit

14 $121,786 $27,688 +8%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

13 $46,419 $6,670 +14%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

13 $81,085 $17,829 -8%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

13 $101,923 $15,098 about average
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

13 $57,210 $10,709 about average
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

13 $27,230 $6,408 -11%
Combined Anterior and Posterior Spinal Fusion without Complications/mcc

MS-DRG 455 · Inpatient stay

13 $211,055 $53,976 +19%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

13 $29,202 $2,894 +43%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

12 $33,991 $9,939 -29%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

12 $119,040 $21,441 about average
Other Disorders of Nervous System with Complications

MS-DRG 092 · Inpatient stay

12 $46,859 $7,727 +4%
Major Gastrointestinal Disorders and Peritoneal Infections with Major Complications

MS-DRG 371 · Inpatient stay

12 $48,778 $13,399 -29%
Level 3 Breast/lymphatic Surgery and Related Procedures

APC 5093 · Hospital outpatient visit

12 $57,325 $8,428 -15%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

11 $50,814 $6,456 +16%
Gastrointestinal Obstruction with Major Complications

MS-DRG 388 · Inpatient stay

11 $52,424 $10,932 -9%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

11 $30,631 $8,167 -19%
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with

MS-DRG 543 · Inpatient stay

11 $43,133 $8,451 +4%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

11 $105,251 $29,332 -29%

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.