CostGrade

All published prices at Multicare Good Samaritan Hospital

130 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

567 $67,294 $17,237 +3%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

339 $43,069 $11,244 about average
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

216 $19,490 $2,717 about average
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

197 $18,541 $1,900 +63%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

139 $49,138 $11,658 +5%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

126 $77,691 $13,443 +24%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

125 $56,533 $15,362 about average
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

121 $52,538 $13,270 -14%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

110 $19,634 $3,214 about average
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

109 $53,898 $13,614 about average
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

94 $31,552 $3,311 +25%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

92 $35,136 $4,917 +28%
Respiratory Failure

MS-DRG 189 · Inpatient stay

91 $45,952 $10,706 -5%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

88 $46,907 $7,104 +18%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

87 $41,874 $9,797 about average
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

78 $54,779 $13,555 +3%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

75 $11,290 $1,630 +12%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

75 $52,621 $5,945 +50%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

74 $44,159 $9,095 +13%
Fainting

MS-DRG 312 · Inpatient stay

73 $32,481 $7,476 -11%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

71 $32,382 $8,180 +9%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

70 $34,203 $8,228 +4%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

66 $60,172 $14,762 -15%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

63 $42,596 $9,816 +3%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

62 $45,845 $11,129 -5%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

61 $24,995 $3,545 +21%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

60 $21,575 $2,889 +22%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

58 $9,303 $1,960 -21%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

56 $31,744 $6,958 +4%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

56 $205,694 $43,237 +16%
Stroke (severe)

MS-DRG 064 · Inpatient stay

55 $62,940 $16,893 -17%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

55 $16,319 $1,656 +45%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

52 $31,723 $7,412 about average
Stroke (with complications)

MS-DRG 065 · Inpatient stay

51 $46,699 $9,128 about average
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

49 $29,630 $9,449 about average
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

43 $47,769 $11,201 about average
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

43 $27,448 $3,211 +35%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

42 $97,255 $18,039 +17%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

40 $33,086 $8,597 -12%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

39 $59,904 $12,477 +6%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

39 $36,907 $5,889 +7%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

39 $10,511 $2,013 -19%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

38 $40,094 $7,138 about average
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

36 $73,688 $11,052 +9%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

35 $27,600 $7,508 -10%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

35 $74,825 $10,595 +25%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

34 $43,569 $8,800 about average
Coagulation Disorders

MS-DRG 813 · Inpatient stay

34 $45,685 $13,576 -32%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

33 $112,919 $17,194 +11%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

33 $87,334 $19,156 +5%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

32 $49,165 $13,646 -13%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

31 $118,723 $23,103 about average
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

30 $32,532 $6,985 about average
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

30 $32,393 $8,183 +3%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

30 $36,742 $8,104 -6%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

30 $7,547 $1,650 -12%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

29 $71,518 $21,843 -9%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

29 $47,802 $11,730 -7%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

28 $31,781 $8,719 -18%
Other Cerebrovascular Disorders with Major Complications

MS-DRG 070 · Inpatient stay

26 $71,177 $14,475 +7%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

26 $92,520 $18,655 +8%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

26 $26,389 $7,817 -24%
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with

MS-DRG 543 · Inpatient stay

26 $38,305 $10,408 -8%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

25 $236,821 $45,482 +32%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

24 $26,802 $8,078 -16%
Sepsis

MS-DRG 870 · Inpatient stay

24 $223,915 $58,626 -17%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

24 $44,308 $5,662 +23%
Level 2 Neurostimulator and Related Procedures

APC 5462 · Hospital outpatient visit

24 $53,753 $5,578 +105%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

23 $35,458 $7,757 -13%
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with

MS-DRG 617 · Inpatient stay

23 $60,889 $17,621 -17%
Dysequilibrium

MS-DRG 149 · Inpatient stay

23 $35,908 $6,960 -9%
Other Disorders of Nervous System with Major Complications

MS-DRG 091 · Inpatient stay

22 $52,957 $14,025 -26%
Chest Pain

MS-DRG 313 · Inpatient stay

22 $30,521 $6,847 -10%
Seizures with Major Complications

MS-DRG 100 · Inpatient stay

21 $60,762 $15,676 -25%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

21 $48,138 $11,622 -12%
COPD (severe)

MS-DRG 190 · Inpatient stay

21 $30,691 $10,167 -27%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

21 $35,970 $8,565 -3%
Major Gastrointestinal Disorders and Peritoneal Infections with Complications

MS-DRG 372 · Inpatient stay

21 $34,628 $8,776 -13%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

20 $26,871 $8,469 -28%
Signs and Symptoms without Major Complications

MS-DRG 948 · Inpatient stay

20 $28,013 $7,943 -14%
Poisoning and Toxic Effects of Drugs with Major Complications

MS-DRG 917 · Inpatient stay

20 $49,661 $12,915 -27%
Other Vascular Procedures with Major Complications

MS-DRG 252 · Inpatient stay

19 $123,924 $27,739 -15%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

19 $23,565 $2,653 +42%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

18 $83,876 $17,673 -5%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

18 $118,750 $24,970 +18%
Psychoses

MS-DRG 885 · Inpatient stay

18 $49,525 $12,422 +37%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

18 $32,757 $3,407 +41%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

17 $123,117 $22,310 +9%
Organic Disturbances and Intellectual Disability

MS-DRG 884 · Inpatient stay

17 $88,844 $17,442 +78%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

17 $64,105 $13,762 about average
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

17 $30,964 $7,609 -16%
Signs and Symptoms with Major Complications

MS-DRG 947 · Inpatient stay

17 $49,633 $10,413 -9%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

16 $137,496 $28,762 -4%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

16 $85,441 $18,814 about average
Other Disorders of Nervous System with Complications

MS-DRG 092 · Inpatient stay

16 $39,905 $9,532 -11%
Other Cerebrovascular Disorders with Complications

MS-DRG 071 · Inpatient stay

16 $47,884 $9,767 +8%
Cirrhosis and Alcoholic Hepatitis with Major Complications

MS-DRG 432 · Inpatient stay

16 $73,188 $18,899 -8%
Major Gastrointestinal Disorders and Peritoneal Infections with Major Complications

MS-DRG 371 · Inpatient stay

16 $89,788 $16,304 +31%
Peripheral Vascular Disorders with Major Complications

MS-DRG 299 · Inpatient stay

15 $38,920 $13,939 -42%
Disorders of the Biliary Tract with Complications

MS-DRG 445 · Inpatient stay

15 $33,522 $9,867 -35%

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.