CostGrade

All published prices at Mount Sinai West

183 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
Digestive Malignancy with Major Complications

MS-DRG 374 · Inpatient stay

23 $167,795 $30,696 +95%
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications

MS-DRG 493 · Inpatient stay

22 $169,055 $32,174 +66%
Skin Infection (severe)

MS-DRG 602 · Inpatient stay

22 $172,402 $23,130 +236%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

21 $93,244 $14,799 +151%
Signs and Symptoms without Major Complications

MS-DRG 948 · Inpatient stay

21 $67,819 $11,745 +109%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

21 $9,495 $1,804 +11%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

21 $16,686 $2,092 +47%
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

21 $30,044 $7,709 -22%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

20 $54,175 $11,020 +31%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

20 $143,909 $30,846 +43%
Hip Replacement with Principal Diagnosis of Hip Fracture with Major Complications

MS-DRG 521 · Inpatient stay

20 $180,758 $37,221 +61%
Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except Face

MS-DRG 004 · Inpatient stay

20 $1,590,286 $280,867 +196%
Bronchitis and Asthma with Complications/mcc

MS-DRG 202 · Inpatient stay

20 $62,506 $13,909 +59%
Alcohol, Drug Abuse or Dependence, Left Ama

MS-DRG 894 · Inpatient stay

20 $30,606 $8,436 +119%
Level 8 Urology and Related Services

APC 5378 · Hospital outpatient visit

20 $64,701 $21,689 -25%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

19 $61,629 $11,100 +94%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

19 $203,276 $28,371 +131%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

19 $70,095 $14,736 +29%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

19 $41,488 $8,122 +65%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

19 $317,094 $61,999 +77%
Other Circulatory System Diagnoses with Complications

MS-DRG 315 · Inpatient stay

19 $60,028 $12,913 +45%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

18 $202,976 $37,013 +79%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

18 $97,818 $28,494 +4%
Fractures of Hip and Pelvis without Major Complications

MS-DRG 536 · Inpatient stay

18 $58,310 $11,615 +78%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

18 $97,412 $13,050 +182%
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major

MS-DRG 981 · Inpatient stay

18 $349,574 $73,412 +90%
Traumatic Stupor and Coma >1 Hour with Major Complications

MS-DRG 082 · Inpatient stay

18 $238,468 $35,361 +146%
Poisoning and Toxic Effects of Drugs with Major Complications

MS-DRG 917 · Inpatient stay

18 $175,915 $25,041 +159%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

18 $59,973 $19,812 -28%
Chest Pain

MS-DRG 313 · Inpatient stay

17 $50,605 $10,369 +50%
Coagulation Disorders

MS-DRG 813 · Inpatient stay

17 $116,454 $21,106 +74%
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with Major Complications

MS-DRG 896 · Inpatient stay

17 $142,103 $23,632 +117%
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

17 $16,532 $1,822 +45%
Level 4 Pacemaker and Similar Procedures

APC 5224 · Hospital outpatient visit

17 $86,961 $21,891 -9%
Peripheral Vascular Disorders with Complications

MS-DRG 300 · Inpatient stay

16 $80,711 $14,696 +88%
Combined Anterior and Posterior Spinal Fusion with Complications

MS-DRG 454 · Inpatient stay

16 $235,119 $81,991 +6%
Major Chest Trauma with Major Complications

MS-DRG 183 · Inpatient stay

16 $100,277 $21,304 +43%
Level 2 Neurostimulator and Related Procedures

APC 5462 · Hospital outpatient visit

16 $26,170 $7,704 about average
Stroke (uncomplicated)

MS-DRG 066 · Inpatient stay

15 $86,248 $10,734 +141%
Permanent Cardiac Pacemaker Implant with Major Complications

MS-DRG 242 · Inpatient stay

15 $341,466 $48,670 +146%
Traumatic Stupor and Coma <1 Hour with Major Complications

MS-DRG 085 · Inpatient stay

15 $182,948 $35,374 +87%
Major Chest Trauma with Complications

MS-DRG 184 · Inpatient stay

15 $85,217 $14,742 +74%
Endocrine Disorders with Complications

MS-DRG 644 · Inpatient stay

15 $75,566 $14,926 +96%
Kidney and Ureter Procedures for Non-neoplasm without Complications/mcc

MS-DRG 661 · Inpatient stay

15 $50,626 $14,888 +8%
Other Circulatory System Operating Room Procedures

MS-DRG 264 · Inpatient stay

15 $274,585 $46,230 +102%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with Major

MS-DRG 562 · Inpatient stay

15 $106,145 $19,944 +98%
Traumatic Stupor and Coma <1 Hour with Complications

MS-DRG 086 · Inpatient stay

14 $87,842 $17,284 +55%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

14 $227,764 $59,444 +20%
Heart Attack (uncomplicated)

MS-DRG 282 · Inpatient stay

14 $54,197 $11,680 +41%
Hip or Thigh Bone Surgery (uncomplicated)

MS-DRG 482 · Inpatient stay

14 $121,751 $21,557 +78%
Peripheral Vascular Disorders with Major Complications

MS-DRG 299 · Inpatient stay

14 $177,057 $22,554 +163%
Disorders of the Biliary Tract with Complications

MS-DRG 445 · Inpatient stay

14 $87,639 $15,408 +71%
Endocrine Disorders with Major Complications

MS-DRG 643 · Inpatient stay

14 $139,569 $24,050 +112%
Signs and Symptoms of Musculoskeletal System and Connective Tissue without Major

MS-DRG 556 · Inpatient stay

14 $61,320 $11,889 +62%
Kidney and Ureter Procedures for Non-neoplasm with Major Complications

MS-DRG 659 · Inpatient stay

14 $228,105 $36,592 +132%
Level 4 ENT Procedures

APC 5164 · Hospital outpatient visit

14 $24,230 $3,627 +28%
Other Cerebrovascular Disorders with Major Complications

MS-DRG 070 · Inpatient stay

13 $273,001 $29,690 +312%
Major Chest Procedures with Major Complications

MS-DRG 163 · Inpatient stay

13 $212,982 $55,719 +21%
Aortic and Heart Assist Procedures Except Pulsation Balloon without Major Complications

MS-DRG 269 · Inpatient stay

13 $149,701 $51,066 -9%
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

13 $62,824 $11,745 +88%
Pulmonary Embolism without Major Complications

MS-DRG 176 · Inpatient stay

13 $64,922 $11,591 +85%
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with

MS-DRG 617 · Inpatient stay

13 $151,323 $26,865 +105%
Bone Diseases and Arthropathies without Major Complications

MS-DRG 554 · Inpatient stay

13 $57,504 $11,760 +79%
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

13 $25,082 $3,083 +29%
Kidney and Ureter Procedures for Non-neoplasm with Complications

MS-DRG 660 · Inpatient stay

12 $83,343 $19,672 +50%
Other Kidney and Urinary Tract Procedures with Major Complications

MS-DRG 673 · Inpatient stay

12 $434,195 $50,853 +182%
Percutaneous and Other Intracardiac Procedures with Major Complications

MS-DRG 273 · Inpatient stay

12 $235,826 $54,935 +27%
Stomach, Esophageal and Duodenal Procedures with Major Complications

MS-DRG 326 · Inpatient stay

12 $136,380 $58,472 -39%
Cervical Spinal Fusion with Complications

MS-DRG 472 · Inpatient stay

12 $120,323 $39,543 about average
Other Disorders of Nervous System without Complications/mcc

MS-DRG 093 · Inpatient stay

12 $48,363 $11,751 about average
Other Musculoskeletal System and Connective Tissue Diagnoses with Major Complications

MS-DRG 564 · Inpatient stay

12 $177,762 $24,728 +177%
Implantation Wireless Pa Pressure Monitor

APC 5200 · Hospital outpatient visit

12 $100,299 $32,638 -26%
Permanent Cardiac Pacemaker Implant without Complications/mcc

MS-DRG 244 · Inpatient stay

11 $100,883 $23,892 +32%
Acute Myocardial Infarction, Expired with Major Complications

MS-DRG 283 · Inpatient stay

11 $250,599 $33,136 +194%
Respiratory Neoplasms with Major Complications

MS-DRG 180 · Inpatient stay

11 $140,249 $22,486 +89%
Amputation for Circulatory System Disorders Except Upper Limb and Toe with Complications

MS-DRG 240 · Inpatient stay

11 $160,775 $31,291 +33%
Cirrhosis and Alcoholic Hepatitis with Major Complications

MS-DRG 432 · Inpatient stay

11 $185,488 $23,241 +132%
Malignancy of Hepatobiliary System or Pancreas with Major Complications

MS-DRG 435 · Inpatient stay

11 $194,048 $29,841 +138%
Revision of Hip or Knee Replacement without Complications/mcc

MS-DRG 468 · Inpatient stay

11 $101,000 $33,257 -7%
Other Respiratory System Diagnoses without Major Complications

MS-DRG 206 · Inpatient stay

11 $81,818 $13,045 +77%
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur without

MS-DRG 494 · Inpatient stay

11 $144,676 $27,940 +63%
Fractures of Hip and Pelvis with Major Complications

MS-DRG 535 · Inpatient stay

11 $107,010 $18,651 +107%
Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy

MS-DRG 895 · Inpatient stay

11 $151,945 $24,333 +334%

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.