All published prices at Northbay Medical Center
101 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 |
661 | $67,950 | $3,929 | +250% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
419 | $232,743 | $23,658 | +257% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
165 | $161,065 | $15,080 | +271% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
115 | $256,656 | $18,892 | +311% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
96 | $167,010 | $15,481 | +258% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
95 | $63,106 | $4,548 | +230% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
76 | $25,891 | $2,333 | +157% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
74 | $139,375 | $12,778 | +255% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
73 | $201,962 | $8,213 | +475% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
70 | $212,725 | $19,666 | +287% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
64 | $113,937 | $13,924 | +180% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
63 | $192,633 | $19,152 | +214% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
59 | $97,166 | $8,223 | +181% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
58 | $174,557 | $15,797 | +158% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
57 | $88,847 | $2,931 | +588% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
55 | $103,986 | $4,696 | +312% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
54 | $179,389 | $7,335 | +553% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
53 | $287,419 | $33,455 | +117% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
49 | $159,767 | $14,472 | +282% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
48 | $188,237 | $31,191 | +147% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
47 | $675,275 | $59,256 | +279% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
46 | $154,986 | $15,106 | +220% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
46 | $136,595 | $5,016 | +562% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
45 | $139,010 | $11,933 | +237% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
45 | $321,814 | $24,654 | +286% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
44 | $123,446 | $12,334 | +171% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
43 | $208,179 | $10,092 | +422% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
41 | $133,241 | $4,978 | +473% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
40 | $222,473 | $21,119 | +213% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
39 | $103,896 | $9,775 | +222% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
39 | $160,962 | $16,710 | +232% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
39 | $101,164 | $9,792 | +240% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
38 | $90,747 | $10,798 | +197% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
37 | $111,671 | $9,941 | +257% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
35 | $192,442 | $19,361 | +239% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
34 | $221,547 | $23,159 | +175% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
34 | $98,309 | $9,271 | +221% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
34 | $93,897 | $15,334 | +82% |
|
Fainting
MS-DRG 312 · Inpatient stay |
33 | $108,279 | $10,706 | +196% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
32 | $466,555 | $22,067 | +359% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
31 | $175,912 | $17,989 | +232% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
29 | $48,169 | $2,662 | +310% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
28 | $135,401 | $11,104 | +311% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
27 | $91,956 | $4,088 | +420% |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
24 | $840,441 | $74,615 | +368% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
24 | $40,160 | $2,312 | +258% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
23 | $160,008 | $11,189 | +330% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
23 | $166,137 | $7,907 | +360% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
22 | $140,450 | $11,054 | +221% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
22 | $170,733 | $4,657 | +738% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
22 | $96,928 | $5,388 | +327% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
21 | $118,166 | $11,866 | +202% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
19 | $123,119 | $10,065 | +288% |
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay |
19 | $366,513 | $32,534 | +223% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
19 | $155,507 | $15,633 | +203% |
|
Sepsis
MS-DRG 870 · Inpatient stay |
19 | $1,098,893 | $147,031 | +309% |
|
Craniotomy and Endovascular Intracranial Procedures with Major Complications
MS-DRG 025 · Inpatient stay |
18 | $587,290 | $56,895 | +205% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
18 | $187,004 | $17,065 | +295% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
18 | $119,401 | $10,973 | +245% |
|
Transient Ischemia without Thrombolytic
MS-DRG 069 · Inpatient stay |
17 | $131,429 | $9,910 | +218% |
|
Other Cerebrovascular Disorders with Major Complications
MS-DRG 070 · Inpatient stay |
17 | $184,937 | $20,920 | +179% |
|
Gastrointestinal Obstruction with Major Complications
MS-DRG 388 · Inpatient stay |
17 | $151,171 | $16,672 | +163% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
17 | $117,815 | $9,439 | +286% |
|
Laparoscopic Cholecystectomy without C.d.e. with Complications
MS-DRG 418 · Inpatient stay |
17 | $379,555 | $22,911 | +361% |
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
16 | $129,204 | $11,080 | +217% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
16 | $280,211 | $26,145 | +219% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
16 | $186,892 | $24,819 | +139% |
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
15 | $118,964 | $11,575 | +206% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
15 | $344,895 | $25,504 | +303% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
15 | $160,641 | $12,226 | +326% |
|
Cranial and Peripheral Nerve Disorders without Major Complications
MS-DRG 074 · Inpatient stay |
15 | $122,223 | $12,675 | +157% |
|
Cirrhosis and Alcoholic Hepatitis with Major Complications
MS-DRG 432 · Inpatient stay |
15 | $169,114 | $22,020 | +111% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
15 | $247,337 | $9,377 | +526% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
15 | $39,452 | $2,305 | +360% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
15 | $143,554 | $4,259 | +691% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
14 | $336,829 | $57,657 | +78% |
|
Infection Needing Surgery (with complications)
MS-DRG 854 · Inpatient stay |
14 | $310,290 | $24,143 | +274% |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
14 | $272,845 | $19,785 | +325% |
|
Combined Anterior and Posterior Spinal Fusion with Complications
MS-DRG 454 · Inpatient stay |
14 | $694,696 | $76,652 | +213% |
|
Permanent Cardiac Pacemaker Implant with Major Complications
MS-DRG 242 · Inpatient stay |
13 | $300,038 | $38,571 | +116% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
13 | $141,465 | $16,569 | +151% |
|
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major
MS-DRG 981 · Inpatient stay |
13 | $479,648 | $56,355 | +161% |
|
Other Cerebrovascular Disorders with Complications
MS-DRG 071 · Inpatient stay |
13 | $146,486 | $12,725 | +230% |
|
Endocrine Disorders with Major Complications
MS-DRG 643 · Inpatient stay |
13 | $198,042 | $19,321 | +200% |
|
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with
MS-DRG 543 · Inpatient stay |
13 | $130,650 | $12,942 | +215% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
13 | $251,486 | $25,160 | +163% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
12 | $512,962 | $36,222 | +257% |
|
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major
MS-DRG 441 · Inpatient stay |
12 | $173,725 | $20,935 | +128% |
|
Cervical Spinal Fusion with Complications
MS-DRG 472 · Inpatient stay |
12 | $576,956 | $36,781 | +383% |
|
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without
MS-DRG 563 · Inpatient stay |
12 | $115,672 | $10,985 | +215% |
|
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Major
MS-DRG 542 · Inpatient stay |
12 | $180,810 | $20,499 | +164% |
|
Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit
MS-DRG 062 · Inpatient stay |
12 | $241,373 | $20,441 | +157% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
12 | $43,718 | $2,442 | +283% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
11 | $120,831 | $15,935 | +122% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
11 | $320,577 | $27,473 | +219% |
|
Hip or Thigh Bone Surgery (severe)
MS-DRG 480 · Inpatient stay |
11 | $470,813 | $34,267 | +301% |
|
Traumatic Stupor and Coma <1 Hour with Major Complications
MS-DRG 085 · Inpatient stay |
11 | $323,627 | $29,898 | +232% |
|
Digestive Malignancy with Complications
MS-DRG 375 · Inpatient stay |
11 | $164,221 | $14,734 | +208% |
|
Disorders of Pancreas Except Malignancy with Complications
MS-DRG 439 · Inpatient stay |
11 | $154,117 | $10,596 | +329% |
|
Other Musculoskeletal System and Connective Tissue Operating Room Procedures with
MS-DRG 516 · Inpatient stay |
11 | $202,135 | $24,449 | +129% |
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.