CostGrade

All published prices at Newton Medical Center

84 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.

F
Procedure Patients Charged Actually paid vs national
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

361 $42,530 $2,834 +119%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

287 $198,099 $15,585 +204%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

189 $141,821 $10,227 +227%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

92 $86,940 $7,337 +185%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

89 $169,002 $10,878 +263%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

83 $35,981 $5,313 +31%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

82 $22,542 $1,684 +124%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

81 $152,560 $9,550 +274%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

78 $179,568 $12,941 +226%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

76 $200,594 $12,538 +227%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

74 $104,200 $6,687 +250%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

72 $174,179 $14,373 +207%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

69 $34,970 $2,078 +171%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

65 $124,460 $8,480 +217%
COPD (severe)

MS-DRG 190 · Inpatient stay

56 $160,202 $9,418 +283%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

56 $34,137 $3,598 +65%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

55 $86,374 $6,216 +168%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

54 $127,834 $7,681 +210%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

49 $40,337 $3,367 +60%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

49 $65,494 $6,041 +87%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

47 $101,728 $6,703 +220%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

45 $440,617 $43,933 +148%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

43 $128,726 $8,121 +183%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

43 $89,832 $6,438 +194%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

43 $29,970 $3,337 +57%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

42 $84,384 $5,767 +176%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

39 $35,380 $3,319 +74%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

38 $108,503 $7,973 +148%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

37 $45,611 $3,622 +96%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

35 $114,955 $10,262 +137%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

34 $28,811 $2,975 +63%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

32 $163,549 $11,386 +209%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

32 $16,731 $1,971 +47%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

30 $169,745 $9,502 +258%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

29 $130,670 $8,294 +251%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

29 $190,873 $13,669 +168%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

29 $11,564 $1,992 about average
Fainting

MS-DRG 312 · Inpatient stay

28 $105,724 $7,280 +189%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

28 $106,606 $7,075 +223%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

26 $105,572 $7,424 +170%
Skin Infection (severe)

MS-DRG 602 · Inpatient stay

25 $167,941 $13,408 +227%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

25 $25,430 $1,683 +126%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

23 $121,333 $7,168 +226%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

22 $74,346 $7,490 +86%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

22 $111,435 $13,755 +78%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

22 $13,258 $1,677 +55%
Stroke (severe)

MS-DRG 064 · Inpatient stay

21 $158,007 $14,201 +107%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

21 $124,016 $10,923 +127%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

21 $118,334 $9,250 +117%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

20 $191,235 $16,379 +117%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

20 $132,487 $10,849 +158%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

20 $271,606 $17,027 +620%
Major Gastrointestinal Disorders and Peritoneal Infections with Complications

MS-DRG 372 · Inpatient stay

20 $102,898 $8,212 +159%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

19 $108,097 $6,332 +162%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

19 $130,300 $7,681 +277%
COPD (with complications)

MS-DRG 191 · Inpatient stay

19 $95,151 $7,378 +186%
Bronchitis and Asthma with Complications/mcc

MS-DRG 202 · Inpatient stay

19 $109,008 $8,358 +177%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

18 $157,408 $15,834 +89%
Organic Disturbances and Intellectual Disability

MS-DRG 884 · Inpatient stay

18 $129,574 $12,860 +159%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

17 $71,551 $4,517 +184%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

17 $72,566 $6,804 +132%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

17 $82,322 $7,038 +124%
Heart Attack (uncomplicated)

MS-DRG 282 · Inpatient stay

16 $90,031 $6,592 +134%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

16 $114,035 $7,417 +194%
Fractures of Hip and Pelvis without Major Complications

MS-DRG 536 · Inpatient stay

16 $85,239 $6,144 +160%
Cirrhosis and Alcoholic Hepatitis with Major Complications

MS-DRG 432 · Inpatient stay

16 $207,832 $14,792 +160%
Coagulation Disorders

MS-DRG 813 · Inpatient stay

16 $148,287 $11,910 +121%
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

15 $85,343 $6,991 +155%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

15 $123,699 $11,002 +119%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

15 $31,921 $3,273 +76%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

14 $155,425 $19,368 +87%
Pulmonary Embolism without Major Complications

MS-DRG 176 · Inpatient stay

14 $88,007 $6,364 +151%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

13 $186,065 $18,915 +117%
Other Disorders of Nervous System with Complications

MS-DRG 092 · Inpatient stay

13 $105,693 $7,966 +135%
Signs and Symptoms of Musculoskeletal System and Connective Tissue without Major

MS-DRG 556 · Inpatient stay

13 $85,833 $6,505 +126%
Dysequilibrium

MS-DRG 149 · Inpatient stay

13 $110,918 $5,915 +183%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

12 $165,933 $10,618 +195%
Poisoning and Toxic Effects of Drugs with Major Complications

MS-DRG 917 · Inpatient stay

12 $130,863 $15,463 +93%
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with

MS-DRG 543 · Inpatient stay

12 $117,190 $8,391 +183%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

11 $110,202 $9,988 +130%
Other Circulatory System Diagnoses with Complications

MS-DRG 315 · Inpatient stay

11 $88,233 $7,429 +113%
Disorders of the Biliary Tract with Complications

MS-DRG 445 · Inpatient stay

11 $132,081 $8,279 +157%
Major Gastrointestinal Disorders and Peritoneal Infections with Major Complications

MS-DRG 371 · Inpatient stay

11 $146,429 $15,055 +113%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

11 $46,841 $3,991 +96%

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.