CostGrade

All published prices at North Shore University Hospital

294 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
Level 2 Urology and Related Services

APC 5372 · Hospital outpatient visit

1,623 $4,078 $750 +30%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

1,177 $179,219 $25,215 +175%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

1,154 $10,266 $1,769 about average
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

669 $17,737 $3,571 -30%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

651 $8,981 $2,252 -31%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

455 $144,582 $17,928 +233%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

388 $58,780 $11,810 -13%
Level 2 Intraocular Procedures

APC 5492 · Hospital outpatient visit

374 $19,615 $4,379 -5%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

320 $57,623 $14,004 -8%
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

304 $30,671 $3,008 +58%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

286 $154,010 $20,740 +180%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

273 $14,082 $2,091 +20%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

242 $94,640 $26,043 +18%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

237 $92,271 $13,496 +135%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

222 $22,223 $3,884 +8%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

212 $81,954 $10,705 +175%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

202 $69,362 $9,726 +115%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

194 $113,073 $14,476 +177%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

192 $21,334 $3,715 -8%
Fainting

MS-DRG 312 · Inpatient stay

190 $87,147 $11,193 +138%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

174 $152,840 $20,891 +169%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

174 $16,579 $2,097 +46%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

173 $31,754 $5,753 +16%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

172 $36,660 $7,700 -8%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

171 $19,324 $3,530 about average
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

170 $200,246 $25,798 +51%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

162 $131,967 $23,170 +58%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

160 $16,851 $1,762 +50%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

158 $21,429 $3,342 +18%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

153 $249,893 $53,304 +32%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

153 $404,800 $67,872 +127%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

149 $84,974 $12,222 +117%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

145 $87,413 $12,219 +112%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

141 $132,579 $26,797 +30%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

137 $112,788 $16,655 +142%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

136 $75,725 $11,550 +148%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

126 $23,807 $3,587 +17%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

124 $32,069 $6,235 -9%
Stroke (severe)

MS-DRG 064 · Inpatient stay

122 $198,683 $26,133 +160%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

121 $167,706 $20,481 +217%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

113 $90,858 $14,844 +67%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

113 $136,988 $17,437 +182%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

112 $191,879 $26,528 +145%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

111 $41,099 $5,661 +14%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

110 $19,019 $3,142 +8%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

109 $230,794 $31,186 +162%
Respiratory Failure

MS-DRG 189 · Inpatient stay

108 $158,699 $17,357 +228%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

105 $68,483 $9,766 +124%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

103 $104,585 $13,052 +177%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

101 $76,149 $9,970 +149%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

101 $123,371 $16,139 +140%
Level 1 Intraocular Procedures

APC 5491 · Hospital outpatient visit

100 $17,499 $2,593 +49%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

95 $206,335 $35,297 +66%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

94 $131,763 $27,345 +31%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

89 $148,246 $21,537 +109%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

87 $114,887 $16,144 +140%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

85 $171,935 $19,752 +215%
Chest Pain

MS-DRG 313 · Inpatient stay

85 $64,492 $9,373 +91%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

85 $19,333 $3,124 +17%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

83 $227,039 $37,349 +58%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

82 $113,346 $15,166 +139%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

82 $72,066 $10,808 +96%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

81 $102,963 $12,242 +212%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

80 $145,203 $13,312 +256%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

80 $316,010 $59,751 +76%
Organic Disturbances and Intellectual Disability

MS-DRG 884 · Inpatient stay

80 $114,559 $20,351 +129%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

75 $63,134 $11,724 +23%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

74 $80,488 $10,101 +153%
Craniotomy and Endovascular Intracranial Procedures with Major Complications

MS-DRG 025 · Inpatient stay

71 $387,966 $58,436 +102%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

70 $55,630 $9,147 +47%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

69 $83,027 $12,307 +114%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

69 $138,280 $26,809 +61%
Degenerative Nervous System Disorders with Major Complications

MS-DRG 056 · Inpatient stay

66 $169,764 $29,894 +97%
COPD (severe)

MS-DRG 190 · Inpatient stay

66 $145,131 $14,898 +247%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

64 $92,820 $12,755 +150%
Other Disorders of Nervous System with Complications

MS-DRG 092 · Inpatient stay

61 $95,128 $12,349 +111%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

60 $108,477 $13,325 +138%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

60 $475,214 $81,251 +98%
Level 3 Upper GI Procedures

APC 5303 · Hospital outpatient visit

60 $20,490 $4,287 -6%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

59 $143,644 $20,449 +124%
Bronchitis and Asthma with Complications/mcc

MS-DRG 202 · Inpatient stay

59 $99,882 $11,364 +154%
Level 3 Extraocular, Repair, and Plastic Eye Procedures

APC 5503 · Hospital outpatient visit

58 $19,300 $2,623 +34%
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major

MS-DRG 981 · Inpatient stay

57 $356,689 $57,260 +94%
Back Problems (severe)

MS-DRG 551 · Inpatient stay

54 $133,212 $20,868 +92%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

53 $137,570 $19,320 +144%
Other Factors Influencing Health Status

MS-DRG 951 · Inpatient stay

52 $91,894 $8,066 +319%
Dysequilibrium

MS-DRG 149 · Inpatient stay

52 $67,180 $9,983 +71%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

51 $167,556 $21,297 +173%
Peripheral Vascular Disorders with Complications

MS-DRG 300 · Inpatient stay

51 $77,051 $13,635 +80%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

51 $117,814 $13,168 +241%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

51 $81,324 $11,348 +119%
Fractures of Hip and Pelvis without Major Complications

MS-DRG 536 · Inpatient stay

50 $76,193 $10,901 +132%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

50 $38,063 $6,168 +10%
Sepsis

MS-DRG 870 · Inpatient stay

48 $673,222 $90,973 +151%
Peripheral Vascular Disorders with Major Complications

MS-DRG 299 · Inpatient stay

47 $164,712 $20,988 +145%
Other Major Cardiovascular Procedures with Major Complications

MS-DRG 270 · Inpatient stay

46 $408,759 $59,262 +82%
Skin Infection (severe)

MS-DRG 602 · Inpatient stay

45 $121,029 $18,733 +136%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

45 $7,869 $1,726 -8%
Level 5 Neurostimulator and Related Procedures

APC 5465 · Hospital outpatient visit

44 $121,930 $33,176 +8%
Complex GI Procedures

APC 5331 · Hospital outpatient visit

43 $28,541 $6,295 -5%

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.