All published prices at Novato Community Hospital
29 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 |
|---|---|---|---|---|
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
284 | $88,984 | $18,221 | +42% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
163 | $70,734 | $20,598 | +8% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
106 | $33,742 | $3,794 | +74% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
54 | $105,822 | $25,953 | +27% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
50 | $42,764 | $11,946 | +9% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
44 | $57,182 | $13,832 | +32% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
42 | $48,381 | $9,983 | +21% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
39 | $14,326 | $2,218 | +42% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
35 | $40,670 | $8,058 | +16% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
30 | $100,873 | $22,350 | +26% |
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
25 | $244,352 | $51,532 | +38% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
25 | $13,676 | $2,657 | +16% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
23 | $16,684 | $3,255 | +42% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
20 | $29,304 | $4,832 | +26% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
19 | $39,220 | $9,158 | +32% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
18 | $9,975 | $2,245 | -11% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
17 | $24,550 | $3,968 | +39% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
16 | $44,780 | $14,115 | -4% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
15 | $108,727 | $23,262 | +27% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
14 | $43,707 | $11,808 | +40% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
14 | $33,283 | $4,520 | +63% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
13 | $37,443 | $9,103 | -5% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
12 | $57,684 | $11,122 | +40% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
12 | $38,587 | $8,929 | +20% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
12 | $94,468 | $22,650 | +13% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
12 | $52,564 | $12,741 | +29% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
11 | $50,355 | $17,532 | -8% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
11 | $35,807 | $9,524 | +17% |
|
Level 5 Gynecologic Procedures
APC 5415 · Hospital outpatient visit |
11 | $42,412 | $6,946 | +41% |
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.