CostGrade

All published prices at Overlake Hospital Medical Center & Clinics

106 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
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

644 $20,728 $2,765 +7%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

459 $89,240 $13,290 +43%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

324 $126,750 $24,120 -4%
Level 1 Intraocular Procedures

APC 5491 · Hospital outpatient visit

184 $10,923 $2,370 -7%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

158 $71,368 $17,151 +9%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

147 $10,910 $1,634 +8%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

140 $22,600 $3,299 -10%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

139 $54,923 $10,604 +27%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

118 $52,694 $5,853 +50%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

80 $63,463 $7,233 +59%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

76 $54,376 $13,156 about average
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

75 $20,129 $3,221 +5%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

68 $40,927 $5,284 +49%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

67 $140,637 $25,754 +13%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

67 $110,218 $18,728 +33%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

60 $11,477 $1,921 about average
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

59 $51,484 $10,659 +11%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

56 $70,486 $11,222 +4%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

54 $47,427 $9,469 +59%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

54 $30,413 $3,560 +47%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

53 $111,345 $10,003 +86%
Respiratory Failure

MS-DRG 189 · Inpatient stay

52 $51,902 $10,232 +7%
Level 3 Extraocular, Repair, and Plastic Eye Procedures

APC 5503 · Hospital outpatient visit

52 $22,765 $2,277 +57%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

50 $36,357 $10,708 -29%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

47 $65,830 $8,574 +45%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

47 $183,195 $39,288 -3%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

45 $104,932 $16,678 +26%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

44 $93,972 $17,462 about average
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

43 $19,974 $2,848 +13%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

40 $33,469 $8,615 -15%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

39 $45,996 $8,359 +11%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

37 $56,016 $12,108 +6%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

37 $13,214 $1,606 +18%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

35 $137,950 $18,127 +61%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

35 $30,958 $3,804 +30%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

35 $31,867 $3,737 +40%
Stroke (severe)

MS-DRG 064 · Inpatient stay

34 $88,653 $19,608 +16%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

34 $38,194 $6,533 +25%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

34 $42,617 $7,725 +29%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

34 $56,871 $6,660 +44%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

34 $56,075 $5,486 +55%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

34 $38,045 $5,837 +10%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

33 $40,979 $3,306 +101%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

28 $38,735 $7,922 about average
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

28 $25,445 $8,674 -33%
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

28 $52,186 $5,981 +52%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

27 $60,120 $11,222 +48%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

27 $66,710 $14,067 +17%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

26 $84,360 $14,894 +19%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

25 $33,693 $7,046 +4%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

25 $185,156 $39,449 +4%
Revision of Hip or Knee Replacement without Complications/mcc

MS-DRG 468 · Inpatient stay

25 $154,834 $21,076 +43%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

25 $8,787 $1,636 about average
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

24 $22,463 $3,087 +24%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

23 $129,908 $15,766 +62%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

22 $131,884 $22,676 +12%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

22 $61,248 $11,405 +26%
Level 5 Gynecologic Procedures

APC 5415 · Hospital outpatient visit

21 $39,862 $5,080 +33%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

20 $63,275 $12,848 +3%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

20 $33,082 $7,204 +8%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

19 $72,533 $17,767 -23%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

19 $36,894 $6,275 +21%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

19 $274,169 $46,120 +53%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

19 $240,338 $50,896 about average
Combined Anterior and Posterior Spinal Fusion without Complications/mcc

MS-DRG 455 · Inpatient stay

19 $231,196 $37,501 +31%
Level 6 Urology and Related Services

APC 5376 · Hospital outpatient visit

19 $63,182 $9,402 +42%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

18 $36,798 $6,882 +16%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

18 $182,996 $20,852 +82%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

18 $42,311 $3,533 +82%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

17 $123,875 $22,090 +159%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

17 $44,484 $9,776 -6%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

17 $32,244 $4,819 +28%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

17 $40,021 $10,912 -22%
Revision of Hip or Knee Replacement with Complications

MS-DRG 467 · Inpatient stay

16 $161,141 $28,260 +24%
Level 2 Intraocular Procedures

APC 5492 · Hospital outpatient visit

16 $30,899 $4,152 +50%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

15 $37,416 $8,547 about average
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

15 $8,826 $1,733 -23%
Level 4 Neurostimulator and Related Procedures

APC 5464 · Hospital outpatient visit

15 $100,135 $22,282 +24%
Level 2 Electrophysiologic Procedures

APC 5212 · Hospital outpatient visit

15 $40,680 $7,627 -9%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

14 $97,416 $18,301 +11%
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization

MS-DRG 220 · Inpatient stay

14 $249,333 $41,590 +7%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

14 $40,761 $7,449 +11%
Craniotomy and Endovascular Intracranial Procedures with Major Complications

MS-DRG 025 · Inpatient stay

13 $219,611 $40,547 +14%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

13 $116,853 $21,276 about average
Coronary Bypass without Cardiac Catheterization without Major Complications

MS-DRG 236 · Inpatient stay

13 $232,403 $36,645 +27%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

13 $38,942 $7,444 +24%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

13 $34,651 $8,096 -8%
Other Vascular Procedures with Complications

MS-DRG 253 · Inpatient stay

13 $165,078 $24,632 +47%
Hip or Thigh Bone Surgery (uncomplicated)

MS-DRG 482 · Inpatient stay

13 $103,153 $12,868 +51%
Other Vascular Procedures without Complications/mcc

MS-DRG 254 · Inpatient stay

13 $113,194 $13,983 +48%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

13 $13,757 $2,080 +6%
Level 4 Pacemaker and Similar Procedures

APC 5224 · Hospital outpatient visit

13 $78,348 $19,851 -18%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

12 $87,161 $16,598 -14%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

12 $34,832 $8,337 -10%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

12 $53,072 $13,102 -17%
Hip Replacement with Principal Diagnosis of Hip Fracture with Major Complications

MS-DRG 521 · Inpatient stay

12 $155,512 $24,243 +38%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

11 $35,985 $10,840 -34%
Fainting

MS-DRG 312 · Inpatient stay

11 $49,847 $7,190 +36%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

11 $34,125 $8,541 about average
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

11 $66,106 $11,350 +17%

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.