All published prices at Physicians Regional Medical Center - Pine Ridge
174 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 |
1,179 | $37,304 | $2,470 | +92% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
611 | $149,446 | $11,839 | +139% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
320 | $40,113 | $2,937 | +59% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
287 | $90,639 | $8,596 | +109% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
281 | $181,329 | $16,791 | +118% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
265 | $43,290 | $3,152 | +110% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
262 | $37,688 | $1,835 | +192% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
256 | $138,262 | $13,044 | +112% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
252 | $59,756 | $4,687 | +118% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
238 | $127,758 | $9,892 | +89% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
222 | $108,257 | $6,457 | +172% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
182 | $25,107 | $1,451 | +124% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
181 | $87,837 | $5,182 | +150% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
174 | $20,734 | $1,716 | +76% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
163 | $61,538 | $5,780 | +107% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
141 | $60,933 | $5,465 | +89% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
129 | $64,777 | $5,067 | +112% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
124 | $102,264 | $8,756 | +120% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
118 | $106,961 | $10,756 | +94% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
109 | $87,741 | $6,813 | +112% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
108 | $60,487 | $5,447 | +98% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
103 | $232,259 | $21,753 | +86% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
102 | $149,280 | $21,459 | +13% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
96 | $65,315 | $2,932 | +221% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
94 | $29,517 | $1,469 | +193% |
|
Fainting
MS-DRG 312 · Inpatient stay |
92 | $65,356 | $5,916 | +78% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
90 | $63,206 | $5,577 | +99% |
|
Irregular Heartbeat (uncomplicated)
MS-DRG 310 · Inpatient stay |
89 | $46,820 | $3,799 | +86% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
89 | $18,462 | $1,524 | +62% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
88 | $52,911 | $6,040 | +73% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
88 | $40,146 | $2,887 | +110% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
86 | $80,199 | $8,008 | +97% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
84 | $79,731 | $7,498 | +103% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
83 | $209,110 | $9,666 | +306% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
81 | $73,723 | $6,771 | +89% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
81 | $28,894 | $2,749 | +59% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications
MS-DRG 266 · Inpatient stay |
77 | $378,677 | $43,218 | +57% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
72 | $103,745 | $6,719 | +128% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
72 | $210,149 | $13,983 | +152% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
70 | $71,335 | $6,235 | +116% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
69 | $259,795 | $15,659 | +158% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
68 | $204,514 | $15,086 | +139% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
67 | $67,792 | $3,412 | +184% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
63 | $189,326 | $14,665 | +86% |
|
Hypertension without Major Complications
MS-DRG 305 · Inpatient stay |
62 | $56,387 | $5,552 | +68% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
62 | $37,674 | $2,461 | +127% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
61 | $62,136 | $5,177 | +79% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
60 | $85,440 | $7,561 | +104% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
59 | $133,361 | $5,907 | +238% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
58 | $76,874 | $7,172 | +107% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
57 | $110,543 | $8,727 | +133% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
57 | $54,439 | $2,538 | +208% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
55 | $274,618 | $32,473 | +45% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
54 | $103,763 | $10,219 | +96% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
54 | $100,047 | $10,340 | +76% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
54 | $191,194 | $15,852 | +100% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
49 | $139,887 | $11,642 | +97% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
49 | $100,567 | $8,941 | +107% |
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
49 | $228,258 | $26,972 | +102% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
48 | $151,592 | $8,999 | +154% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
46 | $208,233 | $12,809 | +160% |
|
Major Joint or Limb Reattachment Procedures of Upper Extremities
MS-DRG 483 · Inpatient stay |
46 | $233,422 | $16,840 | +127% |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
45 | $442,322 | $33,513 | +146% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
45 | $77,805 | $6,770 | +106% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
44 | $153,493 | $12,850 | +101% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
44 | $139,675 | $10,532 | +128% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
44 | $58,518 | $3,134 | +152% |
|
Level 4 Neurostimulator and Related Procedures
APC 5464 · Hospital outpatient visit |
43 | $158,360 | $19,538 | +96% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
42 | $57,320 | $5,831 | +83% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
40 | $277,071 | $20,425 | +93% |
|
Transient Ischemia without Thrombolytic
MS-DRG 069 · Inpatient stay |
39 | $74,744 | $5,561 | +81% |
|
Laparoscopic Cholecystectomy without C.d.e. with Complications
MS-DRG 418 · Inpatient stay |
39 | $160,014 | $11,114 | +94% |
|
Chest Pain
MS-DRG 313 · Inpatient stay |
37 | $54,474 | $4,882 | +61% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major
MS-DRG 287 · Inpatient stay |
36 | $91,615 | $7,916 | +68% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
36 | $332,797 | $29,712 | +124% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
35 | $88,144 | $6,469 | +101% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
34 | $87,214 | $8,310 | +80% |
|
Coronary Bypass with Cardiac Catheterization or Open Ablation without Major Complications
MS-DRG 234 · Inpatient stay |
33 | $499,267 | $33,779 | +127% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
33 | $85,863 | $8,736 | +67% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
32 | $307,537 | $31,593 | +73% |
|
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without
MS-DRG 563 · Inpatient stay |
32 | $65,253 | $6,116 | +77% |
|
Spinal Fusion Except Cervical without Major Complications
MS-DRG 460 · Inpatient stay |
31 | $383,887 | $24,786 | +165% |
|
Major Gastrointestinal Disorders and Peritoneal Infections with Complications
MS-DRG 372 · Inpatient stay |
31 | $92,681 | $7,411 | +133% |
|
Kidney and Ureter Procedures for Non-neoplasm with Complications
MS-DRG 660 · Inpatient stay |
29 | $108,847 | $11,459 | +96% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
29 | $39,235 | $3,392 | +73% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
28 | $144,789 | $14,592 | +65% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
28 | $74,722 | $6,192 | +101% |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
28 | $82,208 | $6,030 | +114% |
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay |
27 | $199,888 | $18,071 | +76% |
|
Pneumonia (uncomplicated)
MS-DRG 195 · Inpatient stay |
27 | $48,220 | $4,299 | +82% |
|
Fractures of Hip and Pelvis without Major Complications
MS-DRG 536 · Inpatient stay |
26 | $68,166 | $5,378 | +108% |
|
Gastrointestinal Obstruction without Complications/mcc
MS-DRG 390 · Inpatient stay |
26 | $49,354 | $4,010 | +106% |
|
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with
MS-DRG 543 · Inpatient stay |
26 | $89,782 | $7,312 | +117% |
|
Coronary Bypass without Cardiac Catheterization without Major Complications
MS-DRG 236 · Inpatient stay |
25 | $422,433 | $28,987 | +130% |
|
Kidney and Ureter Procedures for Non-neoplasm without Complications/mcc
MS-DRG 661 · Inpatient stay |
25 | $96,900 | $7,897 | +106% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
25 | $91,519 | $4,978 | +153% |
|
Dysequilibrium
MS-DRG 149 · Inpatient stay |
24 | $57,408 | $5,070 | +46% |
|
Hip or Thigh Bone Surgery (severe)
MS-DRG 480 · Inpatient stay |
23 | $310,462 | $18,964 | +164% |
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major
MS-DRG 897 · Inpatient stay |
23 | $89,876 | $5,633 | +176% |
|
Revision of Hip or Knee Replacement with Complications
MS-DRG 467 · Inpatient stay |
23 | $299,001 | $23,191 | +130% |
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.