All published prices at North Shore Medical Center -
166 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.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
1,104 | $12,444 | $2,923 | -36% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
519 | $49,749 | $18,028 | -24% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
422 | $30,803 | $11,855 | -29% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
311 | $5,347 | $1,727 | -47% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
275 | $40,393 | $15,053 | -27% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
269 | $38,034 | $13,975 | -39% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
201 | $9,883 | $3,423 | -48% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
191 | $9,075 | $2,187 | -30% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
162 | $11,518 | $3,744 | -44% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
159 | $15,735 | $5,557 | -43% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
157 | $34,200 | $12,274 | -27% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
152 | $18,951 | $7,557 | -41% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
141 | $6,913 | $2,032 | -41% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
139 | $23,874 | $7,596 | -40% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
133 | $22,103 | $7,772 | -26% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
133 | $21,198 | $6,124 | -40% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
125 | $27,399 | $3,465 | +9% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
123 | $45,573 | $14,659 | -26% |
|
Coagulation Disorders
MS-DRG 813 · Inpatient stay |
117 | $31,185 | $14,761 | -53% |
|
Fainting
MS-DRG 312 · Inpatient stay |
103 | $22,549 | $8,213 | -38% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
103 | $34,194 | $9,694 | -13% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
100 | $27,824 | $10,709 | -32% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
95 | $20,294 | $8,278 | -38% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
94 | $16,289 | $6,138 | -53% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
93 | $24,540 | $8,524 | -20% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
92 | $32,261 | $14,777 | -43% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
91 | $26,330 | $10,565 | -37% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
84 | $29,645 | $11,836 | -39% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
81 | $33,147 | $13,385 | -37% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
80 | $4,119 | $1,720 | -52% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
78 | $28,663 | $9,173 | -23% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
73 | $9,493 | $3,347 | -48% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
69 | $18,642 | $7,541 | -39% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
68 | $23,480 | $8,826 | -40% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
67 | $22,218 | $7,343 | -27% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
67 | $48,737 | $18,242 | -39% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
64 | $31,808 | $11,856 | -34% |
|
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with
MS-DRG 543 · Inpatient stay |
63 | $25,420 | $9,740 | -39% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
60 | $43,365 | $16,034 | -15% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
59 | $50,309 | $16,261 | -29% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
59 | $21,758 | $9,487 | -42% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major
MS-DRG 287 · Inpatient stay |
58 | $43,838 | $9,918 | -20% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
58 | $108,277 | $40,192 | -39% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
53 | $32,673 | $9,665 | -28% |
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
52 | $23,249 | $9,246 | -40% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
51 | $25,432 | $8,772 | -26% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
51 | $7,095 | $2,074 | -37% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
50 | $55,697 | $16,480 | -27% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
50 | $34,621 | $11,273 | -27% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
50 | $20,578 | $11,454 | -60% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
46 | $27,444 | $11,918 | -43% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
44 | $20,277 | $8,279 | -36% |
|
Other Disorders of Nervous System with Complications
MS-DRG 092 · Inpatient stay |
44 | $26,697 | $9,509 | -41% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
44 | $53,861 | $19,966 | -35% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
44 | $15,731 | $3,648 | -32% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
42 | $57,747 | $18,721 | -31% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
42 | $40,233 | $10,819 | -33% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
41 | $62,589 | $18,898 | -29% |
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major
MS-DRG 897 · Inpatient stay |
41 | $18,947 | $8,166 | -42% |
|
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without
MS-DRG 563 · Inpatient stay |
41 | $23,247 | $8,365 | -37% |
|
Level 6 Urology and Related Services
APC 5376 · Hospital outpatient visit |
41 | $23,825 | $9,685 | -46% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
40 | $36,655 | $8,662 | -16% |
|
Hypertension without Major Complications
MS-DRG 305 · Inpatient stay |
40 | $23,073 | $7,301 | -31% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
38 | $38,230 | $13,231 | -32% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
38 | $12,209 | $3,476 | -40% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
37 | $36,379 | $13,374 | -35% |
|
Bronchitis and Asthma with Complications/mcc
MS-DRG 202 · Inpatient stay |
37 | $23,897 | $9,127 | -39% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
37 | $21,359 | $8,918 | -44% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
36 | $30,551 | $9,563 | -26% |
|
COPD (with complications)
MS-DRG 191 · Inpatient stay |
36 | $23,068 | $8,846 | -31% |
|
Skin Infection (severe)
MS-DRG 602 · Inpatient stay |
36 | $33,016 | $12,727 | -36% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
35 | $34,775 | $12,490 | -36% |
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with Major Complications
MS-DRG 896 · Inpatient stay |
34 | $44,293 | $16,436 | -32% |
|
Degenerative Nervous System Disorders with Major Complications
MS-DRG 056 · Inpatient stay |
33 | $34,957 | $18,458 | -59% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
33 | $20,750 | $7,412 | -34% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
33 | $39,314 | $16,415 | -21% |
|
Level 4 Neurostimulator and Related Procedures
APC 5464 · Hospital outpatient visit |
33 | $48,204 | $23,431 | -40% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
32 | $9,434 | $1,726 | -16% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
31 | $54,253 | $18,337 | -31% |
|
Hip or Thigh Bone Surgery (severe)
MS-DRG 480 · Inpatient stay |
31 | $79,742 | $26,420 | -32% |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
31 | $35,391 | $15,631 | -45% |
|
Major Chest Trauma with Complications
MS-DRG 184 · Inpatient stay |
31 | $29,996 | $9,844 | -39% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
30 | $6,904 | $2,971 | -61% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
30 | $12,983 | $3,014 | -22% |
|
Level 5 Gynecologic Procedures
APC 5415 · Hospital outpatient visit |
30 | $27,351 | $5,342 | -9% |
|
Kidney and Ureter Procedures for Non-neoplasm with Complications
MS-DRG 660 · Inpatient stay |
29 | $34,033 | $12,893 | -39% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture with Major Complications
MS-DRG 521 · Inpatient stay |
29 | $82,809 | $26,781 | -26% |
|
Peripheral Vascular Disorders with Complications
MS-DRG 300 · Inpatient stay |
28 | $23,174 | $9,570 | -46% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
28 | $75,242 | $22,963 | -25% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
27 | $58,410 | $19,647 | -32% |
|
Major Joint or Limb Reattachment Procedures of Upper Extremities
MS-DRG 483 · Inpatient stay |
27 | $68,824 | $22,890 | -33% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
27 | $41,841 | $11,799 | -38% |
|
Other Disorders of Nervous System with Major Complications
MS-DRG 091 · Inpatient stay |
26 | $47,681 | $15,705 | -33% |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
26 | $127,123 | $42,416 | -29% |
|
Spinal Fusion Except Cervical without Major Complications
MS-DRG 460 · Inpatient stay |
26 | $74,936 | $32,902 | -48% |
|
Endocrine Disorders with Complications
MS-DRG 644 · Inpatient stay |
26 | $25,271 | $9,590 | -34% |
|
Poisoning and Toxic Effects of Drugs with Major Complications
MS-DRG 917 · Inpatient stay |
26 | $67,601 | $20,811 | about average |
|
Dysequilibrium
MS-DRG 149 · Inpatient stay |
25 | $25,501 | $7,183 | -35% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
24 | $24,363 | $8,980 | -34% |
|
Laparoscopic Cholecystectomy without C.d.e. with Complications
MS-DRG 418 · Inpatient stay |
24 | $61,287 | $15,470 | -26% |
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.