CostGrade

All published prices at Northwest Community Hospital 1

209 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.

B
Procedure Patients Charged Actually paid vs national
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

1,115 $13,193 $2,575 -32%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

632 $44,755 $14,590 -31%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

359 $8,337 $1,796 -29%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

352 $9,876 $1,530 about average
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

305 $27,993 $9,298 -36%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

304 $52,261 $12,370 -16%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

195 $62,337 $14,774 -22%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

181 $22,563 $6,638 -30%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

167 $35,679 $11,774 -35%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

164 $26,415 $5,333 -25%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

162 $31,623 $10,154 -32%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

151 $15,407 $2,978 -19%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

145 $27,576 $7,914 -30%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

145 $16,743 $3,292 -19%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

145 $24,924 $4,869 -9%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

144 $18,608 $6,051 -38%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

137 $11,744 $1,934 -9%
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

135 $4,970 $1,603 -56%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

127 $19,245 $5,732 -37%
Level 2 Urology and Related Services

APC 5372 · Hospital outpatient visit

125 $3,063 $640 about average
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

119 $29,213 $5,390 -16%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

117 $8,581 $2,664 -48%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

116 $61,580 $10,435 -9%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

114 $24,085 $8,606 -41%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

112 $37,551 $12,063 -34%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

109 $91,822 $22,490 -31%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

104 $34,464 $7,524 -24%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

103 $23,171 $6,834 -30%
Respiratory Failure

MS-DRG 189 · Inpatient stay

98 $34,382 $9,068 -29%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

97 $23,948 $7,418 -39%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

96 $25,785 $3,099 about average
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

95 $18,926 $7,007 -38%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

90 $27,808 $9,461 -43%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

87 $102,705 $32,553 -42%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

85 $5,862 $1,506 -32%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

80 $33,330 $10,714 -37%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

79 $36,952 $6,724 -7%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

76 $24,399 $7,020 -37%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

74 $26,985 $7,497 -35%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

74 $27,362 $3,555 +21%
Stroke (severe)

MS-DRG 064 · Inpatient stay

73 $53,452 $13,426 -30%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

72 $21,693 $7,506 -43%
Complex GI Procedures

APC 5331 · Hospital outpatient visit

72 $14,847 $5,314 -50%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

71 $58,021 $15,489 -30%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

70 $17,595 $3,248 -24%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

67 $32,950 $5,158 -9%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

65 $45,489 $10,130 -12%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

64 $23,095 $6,295 -27%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

59 $23,062 $6,779 -33%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

58 $92,367 $23,092 -26%
Level 3 Upper GI Procedures

APC 5303 · Hospital outpatient visit

58 $11,107 $3,636 -49%
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

57 $43,914 $6,498 +14%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

56 $22,991 $9,163 -52%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

56 $14,907 $2,698 -16%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

54 $22,838 $7,115 -39%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

54 $21,254 $6,256 -32%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

51 $62,750 $17,654 -24%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

50 $169,212 $34,594 -11%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

50 $53,109 $9,766 -11%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

49 $25,053 $6,832 -33%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

49 $38,126 $12,458 -41%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

47 $28,693 $9,659 -44%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

46 $21,242 $5,620 -31%
Fainting

MS-DRG 312 · Inpatient stay

46 $23,943 $6,499 -35%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

46 $70,545 $16,997 -18%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

46 $31,000 $10,377 -45%
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with

MS-DRG 543 · Inpatient stay

44 $26,400 $7,931 -36%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

44 $16,749 $3,619 -30%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

44 $30,071 $6,191 -24%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

44 $90,650 $14,348 -5%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

43 $43,227 $10,861 -21%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

42 $48,193 $13,085 -32%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

41 $58,550 $19,487 -42%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

40 $102,302 $21,916 about average
Pancreas, Liver and Shunt Procedures with Complications

MS-DRG 406 · Inpatient stay

40 $77,751 $21,568 -45%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

40 $17,855 $6,542 -51%
Bone Diseases and Arthropathies without Major Complications

MS-DRG 554 · Inpatient stay

40 $18,281 $6,191 -43%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

37 $154,082 $32,551 +7%
Bronchitis and Asthma with Complications/mcc

MS-DRG 202 · Inpatient stay

37 $26,209 $7,155 -33%
Kidney and Ureter Procedures for Non-neoplasm with Complications

MS-DRG 660 · Inpatient stay

35 $37,204 $9,931 -33%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

34 $83,568 $20,719 -29%
Endocrine Disorders with Complications

MS-DRG 644 · Inpatient stay

34 $26,376 $7,572 -31%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

33 $35,472 $8,807 -25%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

33 $84,321 $30,815 -53%
Spinal Fusion Except Cervical without Major Complications

MS-DRG 460 · Inpatient stay

33 $118,613 $29,918 -18%
Stroke (uncomplicated)

MS-DRG 066 · Inpatient stay

32 $36,565 $7,082 about average
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

32 $54,437 $14,222 -34%
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal

MS-DRG 023 · Inpatient stay

31 $178,731 $38,691 -22%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

31 $61,933 $17,622 -30%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

31 $47,603 $8,926 -13%
COPD (with complications)

MS-DRG 191 · Inpatient stay

31 $26,564 $7,351 -20%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

30 $53,920 $11,322 -12%
Organic Disturbances and Intellectual Disability

MS-DRG 884 · Inpatient stay

30 $27,860 $10,738 -44%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

30 $183,413 $44,386 -24%
Disorders of the Biliary Tract with Complications

MS-DRG 445 · Inpatient stay

30 $28,263 $8,128 -45%
Gastrointestinal Obstruction without Complications/mcc

MS-DRG 390 · Inpatient stay

30 $18,188 $4,739 -24%
Dysequilibrium

MS-DRG 149 · Inpatient stay

30 $22,341 $5,610 -43%
Extracranial Procedures without Complications/mcc

MS-DRG 039 · Inpatient stay

29 $41,102 $10,160 -23%
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

29 $19,595 $5,686 -42%
Cranial and Peripheral Nerve Disorders without Major Complications

MS-DRG 074 · Inpatient stay

29 $24,781 $8,202 -48%

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.