CostGrade

All published prices at Palomar Medical Center Poway

50 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.

F
Procedure Patients Charged Actually paid vs national
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

249 $45,957 $2,892 +136%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

189 $160,548 $16,425 +146%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

133 $68,451 $11,347 +10%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

76 $90,702 $8,848 +109%
Level 1 Intraocular Procedures

APC 5491 · Hospital outpatient visit

73 $22,660 $2,396 +93%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

60 $134,013 $12,529 +144%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

57 $119,269 $10,483 +156%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

57 $51,605 $5,408 +47%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

42 $87,516 $15,780 +5%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

40 $13,744 $1,239 +36%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

40 $38,854 $4,208 +41%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

34 $142,897 $13,123 +152%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

34 $34,089 $3,257 +47%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

32 $72,902 $6,535 +145%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

31 $31,798 $2,750 +54%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

28 $14,565 $1,934 +13%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

27 $102,816 $8,169 +162%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

25 $74,237 $7,123 +130%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

25 $92,580 $10,290 +127%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

24 $101,727 $8,267 +146%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

22 $73,376 $7,708 +123%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

20 $52,493 $7,002 +32%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

19 $30,499 $3,312 +50%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

18 $122,778 $8,467 +170%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

18 $88,895 $6,330 +180%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

18 $81,180 $5,978 +166%
Stroke (severe)

MS-DRG 064 · Inpatient stay

17 $133,375 $16,719 +75%
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

17 $5,375 $2,087 -53%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

16 $82,296 $6,799 +163%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

16 $84,014 $8,642 +115%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

16 $117,809 $9,802 +143%
Sepsis

MS-DRG 870 · Inpatient stay

16 $368,028 $48,156 +37%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

16 $104,859 $11,129 +31%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

15 $68,530 $6,397 +90%
Respiratory Failure

MS-DRG 189 · Inpatient stay

14 $137,029 $10,882 +183%
Psychoses

MS-DRG 885 · Inpatient stay

14 $91,167 $14,830 +153%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

14 $38,265 $3,114 +100%
COPD (severe)

MS-DRG 190 · Inpatient stay

13 $128,554 $6,810 +207%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

13 $160,585 $15,173 +203%
Other Factors Influencing Health Status

MS-DRG 951 · Inpatient stay

13 $44,375 $6,118 +102%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

13 $90,815 $10,944 +52%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

12 $87,926 $6,285 +137%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

12 $142,166 $15,280 +100%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

12 $102,068 $10,822 +99%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

12 $85,838 $5,888 +117%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

11 $64,265 $5,857 +110%
Respiratory System Diagnosis with Ventilator Support >96 Hours

MS-DRG 207 · Inpatient stay

11 $381,630 $55,085 +49%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

11 $58,050 $9,137 +13%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

11 $14,142 $2,000 +20%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

11 $29,141 $1,708 +160%

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.