All published prices at Peconic Bay Medical Center
123 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 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
886 | $14,300 | $2,363 | +22% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
598 | $35,187 | $2,841 | +81% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
448 | $108,715 | $19,348 | +67% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
348 | $52,092 | $13,252 | -17% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
229 | $72,227 | $18,856 | -10% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
209 | $21,955 | $3,407 | -13% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
207 | $73,323 | $12,575 | +69% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
129 | $64,681 | $10,251 | +65% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
126 | $50,765 | $7,958 | +70% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
114 | $27,370 | $5,949 | -22% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
87 | $12,470 | $1,694 | +11% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
85 | $92,276 | $12,890 | +98% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
78 | $64,126 | $11,549 | +57% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
76 | $42,434 | $8,233 | +32% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
74 | $41,305 | $8,584 | +35% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
74 | $16,774 | $1,631 | +66% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
73 | $109,349 | $16,206 | +99% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
71 | $59,808 | $9,689 | +45% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
68 | $53,216 | $8,755 | +41% |
|
Fainting
MS-DRG 312 · Inpatient stay |
66 | $47,862 | $8,854 | +31% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
62 | $60,593 | $8,764 | +84% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
59 | $79,323 | $10,956 | +90% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
59 | $10,281 | $1,953 | -9% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
51 | $76,202 | $14,223 | +44% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
49 | $56,381 | $9,467 | +44% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
49 | $80,975 | $15,144 | +43% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
49 | $60,185 | $11,276 | -11% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
49 | $17,245 | $3,676 | -26% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
49 | $21,458 | $3,640 | +4% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
47 | $74,254 | $13,251 | +53% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
44 | $14,425 | $3,160 | -25% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
43 | $89,065 | $16,851 | +25% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
42 | $35,092 | $7,440 | -12% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
41 | $46,232 | $7,193 | +51% |
|
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without
MS-DRG 563 · Inpatient stay |
40 | $51,894 | $8,436 | +41% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
40 | $29,718 | $5,779 | +8% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
39 | $100,299 | $18,571 | +20% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
39 | $48,117 | $9,041 | +57% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
38 | $75,635 | $19,634 | -26% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major
MS-DRG 287 · Inpatient stay |
37 | $59,735 | $11,379 | +10% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
33 | $77,322 | $10,467 | +70% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
33 | $79,756 | $12,859 | +65% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
33 | $57,750 | $8,375 | +82% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
33 | $49,639 | $9,918 | +32% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
30 | $179,323 | $45,367 | about average |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
29 | $62,534 | $9,827 | +81% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
29 | $61,869 | $8,721 | +20% |
|
Signs and Symptoms without Major Complications
MS-DRG 948 · Inpatient stay |
28 | $38,712 | $7,805 | +19% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
28 | $10,791 | $2,249 | -16% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
27 | $10,425 | $2,086 | -11% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
26 | $100,004 | $16,590 | +31% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
26 | $105,553 | $18,750 | +20% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
26 | $105,301 | $17,879 | +23% |
|
Transient Ischemia without Thrombolytic
MS-DRG 069 · Inpatient stay |
25 | $54,900 | $7,894 | +33% |
|
Irregular Heartbeat (uncomplicated)
MS-DRG 310 · Inpatient stay |
25 | $32,363 | $5,363 | +29% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
25 | $16,938 | $3,615 | -17% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
25 | $18,204 | $3,380 | about average |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
24 | $63,767 | $8,944 | +72% |
|
COPD (with complications)
MS-DRG 191 · Inpatient stay |
24 | $57,772 | $8,413 | +74% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
24 | $93,145 | $19,965 | +12% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
23 | $69,106 | $10,819 | +46% |
|
Fractures of Hip and Pelvis without Major Complications
MS-DRG 536 · Inpatient stay |
23 | $51,572 | $7,247 | +57% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
23 | $48,854 | $8,251 | +31% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
23 | $15,706 | $2,710 | -5% |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
22 | $231,157 | $38,653 | +29% |
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
22 | $66,862 | $10,019 | +72% |
|
Pulmonary Embolism without Major Complications
MS-DRG 176 · Inpatient stay |
21 | $47,806 | $7,398 | +36% |
|
Dysequilibrium
MS-DRG 149 · Inpatient stay |
21 | $43,358 | $7,257 | +10% |
|
Hypertension without Major Complications
MS-DRG 305 · Inpatient stay |
20 | $44,795 | $7,186 | +34% |
|
Chest Pain
MS-DRG 313 · Inpatient stay |
20 | $31,838 | $7,496 | -6% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
20 | $56,053 | $8,408 | +79% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
20 | $72,874 | $13,350 | +29% |
|
Revision of Hip or Knee Replacement with Complications
MS-DRG 467 · Inpatient stay |
20 | $107,927 | $33,183 | -17% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
20 | $88,862 | $17,747 | -7% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
19 | $85,986 | $13,100 | +80% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
19 | $93,456 | $18,189 | +16% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
19 | $8,926 | $1,714 | +4% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
18 | $67,780 | $13,587 | +32% |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
18 | $77,930 | $16,964 | +21% |
|
Trauma to the Skin, Subcutaneous Tissue and Breast without Major Complications
MS-DRG 605 · Inpatient stay |
18 | $48,078 | $8,704 | +17% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
18 | $35,633 | $6,101 | about average |
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
17 | $59,228 | $9,498 | +45% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
17 | $82,672 | $12,218 | +52% |
|
Other Disorders of Nervous System with Complications
MS-DRG 092 · Inpatient stay |
17 | $52,941 | $11,757 | +18% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
17 | $19,999 | $2,876 | +13% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
16 | $60,023 | $15,431 | +20% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
15 | $83,667 | $14,985 | +36% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
15 | $118,706 | $24,339 | +18% |
|
Other Circulatory System Diagnoses with Complications
MS-DRG 315 · Inpatient stay |
15 | $57,931 | $9,867 | +40% |
|
Major Small and Large Bowel Procedures without Complications/mcc
MS-DRG 331 · Inpatient stay |
15 | $77,677 | $16,043 | +4% |
|
Respiratory Neoplasms with Major Complications
MS-DRG 180 · Inpatient stay |
15 | $110,942 | $15,941 | +49% |
|
Major Chest Trauma with Complications
MS-DRG 184 · Inpatient stay |
15 | $64,891 | $8,620 | +33% |
|
Back Problems (severe)
MS-DRG 551 · Inpatient stay |
14 | $100,349 | $14,199 | +45% |
|
Pneumonia (uncomplicated)
MS-DRG 195 · Inpatient stay |
14 | $47,629 | $6,425 | +80% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
14 | $27,986 | $3,378 | +17% |
|
Implantation Wireless Pa Pressure Monitor
APC 5200 · Hospital outpatient visit |
14 | $153,660 | $30,167 | +13% |
|
Stroke (uncomplicated)
MS-DRG 066 · Inpatient stay |
13 | $59,960 | $6,147 | +67% |
|
Peripheral Vascular Disorders with Complications
MS-DRG 300 · Inpatient stay |
13 | $61,161 | $10,102 | +43% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
13 | $75,698 | $12,367 | +34% |
|
Hip or Thigh Bone Surgery (uncomplicated)
MS-DRG 482 · Inpatient stay |
13 | $90,766 | $15,425 | +32% |
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.