All published prices at Pelham Medical Center
39 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 |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
421 | $19,513 | $2,352 | about average |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
142 | $57,092 | $11,292 | -9% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
123 | $37,439 | $6,060 | -6% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
78 | $12,121 | $1,638 | +3% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
72 | $31,106 | $4,684 | -11% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
52 | $7,546 | $1,410 | -25% |
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
45 | $98,965 | $26,924 | -12% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
40 | $59,715 | $13,878 | -8% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
39 | $37,802 | $7,167 | -13% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
37 | $24,933 | $5,056 | -16% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
36 | $16,024 | $1,605 | +41% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
35 | $25,919 | $2,772 | +36% |
|
Spinal Fusion Except Cervical without Major Complications
MS-DRG 460 · Inpatient stay |
34 | $131,183 | $27,589 | -9% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
33 | $41,862 | $4,499 | +52% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
29 | $31,623 | $4,973 | about average |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
28 | $43,005 | $7,949 | -8% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
22 | $30,658 | $5,277 | -7% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
22 | $23,663 | $4,793 | -32% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
20 | $32,664 | $5,016 | about average |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
20 | $40,845 | $5,670 | +3% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
19 | $28,859 | $4,909 | -6% |
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
19 | $179,851 | $32,248 | about average |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
17 | $41,219 | $8,643 | -25% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
17 | $108,260 | $15,316 | +30% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
16 | $45,625 | $7,925 | -6% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
16 | $25,069 | $5,905 | -18% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
16 | $25,713 | $3,314 | +8% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
16 | $19,172 | $1,393 | +124% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
16 | $13,544 | $1,328 | +21% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
15 | $36,628 | $8,192 | -24% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
14 | $41,626 | $6,076 | +12% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
14 | $67,881 | $12,662 | -19% |
|
Combined Anterior and Posterior Spinal Fusion with Complications
MS-DRG 454 · Inpatient stay |
14 | $214,572 | $54,045 | -3% |
|
Level 3 Upper GI Procedures
APC 5303 · Hospital outpatient visit |
14 | $20,641 | $3,142 | -6% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
13 | $34,781 | $5,977 | -16% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
13 | $25,612 | $2,815 | +26% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
12 | $28,121 | $5,875 | -28% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
12 | $48,440 | $4,778 | +34% |
|
Cervical Spinal Fusion with Complications
MS-DRG 472 · Inpatient stay |
11 | $101,186 | $18,762 | -15% |
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.