All published prices at Peninsula Medical Center
115 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 |
918 | $17,586 | $3,289 | +50% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
620 | $84,513 | $23,231 | +30% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
267 | $9,526 | $2,304 | -5% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
244 | $29,515 | $3,875 | +52% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
199 | $74,617 | $16,072 | +72% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
150 | $36,955 | $7,396 | +35% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
149 | $85,650 | $18,769 | +37% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
140 | $48,030 | $9,788 | +20% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
129 | $55,949 | $12,378 | +43% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
128 | $212,115 | $33,655 | +60% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
116 | $43,497 | $7,962 | +24% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
92 | $11,778 | $2,720 | about average |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
87 | $41,708 | $4,627 | +65% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
85 | $152,406 | $35,788 | +22% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
83 | $42,241 | $8,170 | +22% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
78 | $13,095 | $2,251 | +17% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
77 | $23,935 | $4,509 | +25% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
76 | $99,841 | $15,513 | +48% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
75 | $79,391 | $20,005 | +44% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
74 | $47,850 | $15,475 | +16% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
71 | $74,167 | $11,566 | +63% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
71 | $31,689 | $5,812 | +53% |
|
Level 3 Intraocular Procedures
APC 5493 · Hospital outpatient visit |
69 | $35,904 | $7,386 | +48% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
68 | $28,650 | $4,983 | +39% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
67 | $24,226 | $4,572 | +19% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
63 | $226,482 | $65,274 | +20% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
62 | $102,774 | $22,908 | +35% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
62 | $47,962 | $9,135 | +49% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
60 | $22,161 | $5,449 | -7% |
|
Level 3 Extraocular, Repair, and Plastic Eye Procedures
APC 5503 · Hospital outpatient visit |
60 | $17,071 | $3,340 | +18% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
58 | $35,408 | $9,316 | -10% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
56 | $201,891 | $56,315 | +13% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
55 | $4,973 | $977 | +59% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
53 | $60,846 | $17,687 | +7% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
51 | $13,037 | $2,912 | about average |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
50 | $71,271 | $14,687 | +19% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
49 | $108,909 | $24,669 | +36% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
47 | $24,425 | $4,945 | +5% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
45 | $132,935 | $27,499 | +32% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
44 | $66,451 | $14,058 | +37% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
44 | $66,659 | $14,735 | +43% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
44 | $40,246 | $8,487 | +31% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
44 | $60,268 | $14,796 | +24% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
44 | $44,345 | $9,077 | +45% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
41 | $16,653 | $2,558 | +47% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
39 | $38,407 | $7,654 | +6% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
36 | $113,791 | $26,563 | +37% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
35 | $106,938 | $19,979 | +74% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
35 | $66,622 | $13,823 | +41% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
34 | $21,244 | $4,062 | +20% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
34 | $152,379 | $24,996 | +60% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
33 | $19,553 | $4,013 | +18% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
32 | $165,210 | $28,959 | +62% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
32 | $49,277 | $11,692 | +26% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
30 | $260,967 | $48,175 | +82% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
30 | $100,389 | $23,830 | +41% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
30 | $91,495 | $23,526 | +10% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
30 | $42,526 | $11,993 | +29% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
27 | $67,443 | $11,568 | +54% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
27 | $73,270 | $21,270 | +30% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications
MS-DRG 266 · Inpatient stay |
27 | $332,429 | $77,221 | +38% |
|
Irregular Heartbeat (uncomplicated)
MS-DRG 310 · Inpatient stay |
26 | $31,239 | $7,001 | +24% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
26 | $109,063 | $23,549 | +27% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
26 | $34,894 | $10,645 | +14% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
26 | $66,247 | $15,234 | +29% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
25 | $62,441 | $16,116 | +18% |
|
Fainting
MS-DRG 312 · Inpatient stay |
24 | $51,120 | $10,414 | +40% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
24 | $43,429 | $9,132 | +39% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
24 | $58,548 | $10,224 | +97% |
|
Infection Needing Surgery (with complications)
MS-DRG 854 · Inpatient stay |
24 | $89,152 | $23,329 | +7% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
24 | $20,641 | $4,469 | +14% |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
24 | $37,504 | $9,776 | about average |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
23 | $51,788 | $12,539 | +27% |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
23 | $78,861 | $19,965 | +23% |
|
Other Cardiothoracic Procedures without Major Complications
MS-DRG 229 · Inpatient stay |
22 | $200,969 | $50,126 | +33% |
|
Other Disorders of Nervous System with Complications
MS-DRG 092 · Inpatient stay |
21 | $74,204 | $11,654 | +65% |
|
Stroke (uncomplicated)
MS-DRG 066 · Inpatient stay |
19 | $57,326 | $8,062 | +60% |
|
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without
MS-DRG 563 · Inpatient stay |
19 | $38,187 | $10,146 | +4% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
19 | $8,104 | $2,426 | -29% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
18 | $52,082 | $12,609 | +24% |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
18 | $185,032 | $51,548 | +3% |
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
18 | $48,995 | $10,783 | +26% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
17 | $70,437 | $20,934 | -10% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
17 | $48,525 | $10,458 | +30% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
17 | $39,436 | $7,581 | +15% |
|
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal
MS-DRG 023 · Inpatient stay |
16 | $320,644 | $79,854 | +40% |
|
Other Disorders of Nervous System with Major Complications
MS-DRG 091 · Inpatient stay |
16 | $90,327 | $20,725 | +27% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
16 | $59,949 | $16,087 | +10% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major
MS-DRG 287 · Inpatient stay |
16 | $91,672 | $14,764 | +68% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
16 | $73,997 | $14,620 | +44% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
16 | $19,070 | $5,353 | -16% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
15 | $53,888 | $15,026 | +13% |
|
Transient Ischemia without Thrombolytic
MS-DRG 069 · Inpatient stay |
15 | $55,434 | $10,036 | +34% |
|
Fractures of Hip and Pelvis without Major Complications
MS-DRG 536 · Inpatient stay |
15 | $53,501 | $9,065 | +63% |
|
Percutaneous and Other Intracardiac Procedures with Major Complications
MS-DRG 273 · Inpatient stay |
15 | $214,794 | $44,385 | +16% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
15 | $52,491 | $12,127 | +39% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
15 | $168,817 | $43,852 | +14% |
|
Level 3 Upper GI Procedures
APC 5303 · Hospital outpatient visit |
15 | $26,354 | $5,474 | +20% |
|
Craniotomy and Endovascular Intracranial Procedures with Major Complications
MS-DRG 025 · Inpatient stay |
14 | $244,371 | $53,964 | +27% |
|
Hip or Thigh Bone Surgery (severe)
MS-DRG 480 · Inpatient stay |
14 | $110,677 | $30,916 | -6% |
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.