CostGrade

All published prices at Overlook Medical Center

165 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

843 $31,224 $3,045 +61%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

386 $67,050 $14,716 +7%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

381 $15,969 $2,114 +36%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

360 $127,698 $20,090 +96%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

299 $13,693 $1,788 +36%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

275 $81,221 $13,446 +87%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

201 $95,522 $16,806 +74%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

174 $40,978 $7,755 about average
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

170 $83,373 $14,141 +79%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

163 $30,052 $6,430 -14%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

132 $26,352 $5,753 -4%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

126 $22,905 $3,900 +11%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

125 $21,410 $3,564 +12%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

120 $19,601 $3,868 -16%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

115 $18,612 $3,159 +12%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

105 $72,563 $12,180 +78%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

99 $64,807 $4,635 +79%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

97 $10,683 $2,155 -6%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

92 $104,754 $20,710 +26%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

92 $38,739 $3,673 +53%
Stroke (severe)

MS-DRG 064 · Inpatient stay

91 $129,592 $20,665 +70%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

90 $59,406 $8,637 +84%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

90 $57,154 $8,909 +92%
Complex GI Procedures

APC 5331 · Hospital outpatient visit

88 $26,655 $6,414 -11%
Respiratory Failure

MS-DRG 189 · Inpatient stay

86 $88,161 $12,956 +82%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

84 $82,147 $10,438 +80%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

84 $77,058 $10,077 +87%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

82 $48,057 $9,498 +58%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

81 $19,192 $3,166 +9%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

81 $20,868 $2,247 +62%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

77 $63,643 $9,687 +93%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

73 $254,833 $47,337 +43%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

69 $100,409 $15,863 +90%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

68 $73,649 $11,410 +88%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

67 $52,714 $8,669 +66%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

66 $90,220 $18,222 +13%
COPD (severe)

MS-DRG 190 · Inpatient stay

65 $75,199 $10,905 +80%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

64 $112,961 $17,698 +99%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

61 $98,135 $20,887 +18%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

61 $103,915 $12,192 +54%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

56 $129,576 $19,819 +82%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

56 $81,816 $13,858 +69%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

55 $38,464 $7,232 about average
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

53 $54,645 $10,306 +40%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

53 $25,672 $4,290 +8%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

51 $88,346 $9,995 +117%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

51 $11,833 $1,809 +5%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

50 $196,388 $43,896 +9%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

47 $21,868 $3,503 +7%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

47 $18,240 $3,403 about average
Fainting

MS-DRG 312 · Inpatient stay

46 $58,149 $8,945 +59%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

44 $119,436 $26,944 +19%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

43 $100,198 $14,388 +112%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

43 $53,084 $7,932 +73%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

43 $53,011 $8,289 +73%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

43 $23,770 $4,058 +5%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

43 $47,628 $12,001 -8%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

41 $143,615 $21,304 +41%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

41 $104,580 $20,573 +22%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

40 $102,135 $15,034 +66%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

39 $82,249 $15,697 +60%
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

39 $13,400 $1,910 +18%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

39 $52,534 $11,321 -12%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

38 $67,776 $9,895 +82%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

38 $68,001 $12,055 +80%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

38 $55,931 $9,706 +50%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

36 $88,161 $15,120 +84%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

36 $94,641 $15,067 +74%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

36 $8,002 $1,802 -7%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

35 $51,245 $6,286 +48%
Seizures with Major Complications

MS-DRG 100 · Inpatient stay

33 $160,208 $23,891 +99%
Craniotomy and Endovascular Intracranial Procedures with Major Complications

MS-DRG 025 · Inpatient stay

32 $218,920 $48,144 +14%
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major

MS-DRG 981 · Inpatient stay

32 $264,561 $50,069 +44%
Other Disorders of Nervous System with Complications

MS-DRG 092 · Inpatient stay

32 $70,177 $10,579 +56%
Major Small and Large Bowel Procedures without Complications/mcc

MS-DRG 331 · Inpatient stay

32 $79,700 $19,158 +7%
Level 5 Neurostimulator and Related Procedures

APC 5465 · Hospital outpatient visit

31 $140,991 $34,836 +25%
Level 2 Urology and Related Services

APC 5372 · Hospital outpatient visit

31 $4,298 $769 +37%
Stroke (uncomplicated)

MS-DRG 066 · Inpatient stay

30 $66,669 $8,473 +86%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

30 $65,717 $8,224 +59%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

30 $72,996 $15,729 +30%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

30 $101,466 $16,789 +58%
Disorders of the Biliary Tract with Major Complications

MS-DRG 444 · Inpatient stay

29 $106,391 $17,439 +49%
Major Gastrointestinal Disorders and Peritoneal Infections with Complications

MS-DRG 372 · Inpatient stay

29 $58,584 $11,099 +48%
Level 3 Upper GI Procedures

APC 5303 · Hospital outpatient visit

29 $25,888 $4,198 +18%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

28 $189,292 $28,079 +67%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

28 $78,393 $14,622 +44%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

28 $29,777 $9,272 -21%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

27 $40,929 $6,224 +63%
Sepsis

MS-DRG 870 · Inpatient stay

27 $466,847 $63,583 +74%
Respiratory Neoplasms with Major Complications

MS-DRG 180 · Inpatient stay

27 $104,239 $23,773 +40%
Other Cerebrovascular Disorders with Complications

MS-DRG 071 · Inpatient stay

27 $80,272 $11,412 +81%
Interstitial Lung Disease with Major Complications

MS-DRG 196 · Inpatient stay

27 $158,961 $19,567 +98%
Level 3 Extraocular, Repair, and Plastic Eye Procedures

APC 5503 · Hospital outpatient visit

27 $13,021 $2,630 -10%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

26 $164,606 $21,082 +87%
Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio

MS-DRG 809 · Inpatient stay

26 $72,307 $14,117 +31%
Gastrointestinal Obstruction without Complications/mcc

MS-DRG 390 · Inpatient stay

26 $35,366 $6,838 +47%
Organic Disturbances and Intellectual Disability

MS-DRG 884 · Inpatient stay

25 $67,801 $15,700 +36%
Disorders of the Biliary Tract with Complications

MS-DRG 445 · Inpatient stay

25 $80,643 $10,743 +57%
Gastrointestinal Obstruction with Major Complications

MS-DRG 388 · Inpatient stay

24 $79,943 $14,712 +39%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

24 $75,191 $9,507 +117%

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.