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 |
|---|---|---|---|---|
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
23 | $75,479 | $5,305 | +120% |
|
Level 2 Electrophysiologic Procedures
APC 5212 · Hospital outpatient visit |
23 | $49,152 | $6,765 | +10% |
|
Stroke (uncomplicated)
MS-DRG 066 · Inpatient stay |
22 | $81,261 | $7,094 | +127% |
|
Hypertension with Major Complications
MS-DRG 304 · Inpatient stay |
22 | $93,031 | $7,783 | +87% |
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
22 | $74,749 | $6,367 | +92% |
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
22 | $458,773 | $34,702 | +159% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
21 | $101,541 | $9,572 | +86% |
|
Heart Failure (with complications)
MS-DRG 292 · Inpatient stay |
21 | $46,157 | $6,501 | +40% |
|
Level 2 Neurostimulator and Related Procedures
APC 5462 · Hospital outpatient visit |
21 | $78,504 | $6,195 | +200% |
|
Combined Anterior and Posterior Spinal Fusion with Complications
MS-DRG 454 · Inpatient stay |
20 | $572,569 | $43,330 | +158% |
|
Bronchitis and Asthma with Complications/mcc
MS-DRG 202 · Inpatient stay |
20 | $69,533 | $6,541 | +77% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
20 | $16,351 | $1,393 | +91% |
|
Level 5 Gynecologic Procedures
APC 5415 · Hospital outpatient visit |
20 | $87,788 | $4,505 | +192% |
|
Permanent Cardiac Pacemaker Implant with Complications
MS-DRG 243 · Inpatient stay |
19 | $358,296 | $16,256 | +282% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
19 | $65,490 | $6,680 | +89% |
|
Pulmonary Embolism without Major Complications
MS-DRG 176 · Inpatient stay |
19 | $53,279 | $5,602 | +52% |
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
18 | $86,013 | $5,979 | +111% |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
18 | $115,087 | $11,140 | +79% |
|
Trauma to the Skin, Subcutaneous Tissue and Breast without Major Complications
MS-DRG 605 · Inpatient stay |
18 | $75,420 | $6,491 | +84% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
18 | $49,519 | $1,652 | +336% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
17 | $70,677 | $8,784 | +48% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
17 | $130,395 | $16,004 | +67% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
17 | $79,766 | $10,762 | +60% |
|
Signs and Symptoms without Major Complications
MS-DRG 948 · Inpatient stay |
17 | $58,114 | $5,764 | +79% |
|
COPD (with complications)
MS-DRG 191 · Inpatient stay |
17 | $53,250 | $5,763 | +60% |
|
Revision of Hip or Knee Replacement without Complications/mcc
MS-DRG 468 · Inpatient stay |
17 | $256,984 | $19,761 | +137% |
|
Coronary Bypass with Cardiac Catheterization or Open Ablation with Major Complications
MS-DRG 233 · Inpatient stay |
16 | $648,863 | $64,412 | +111% |
|
Peripheral Vascular Disorders with Complications
MS-DRG 300 · Inpatient stay |
16 | $62,850 | $6,916 | +47% |
|
Major Chest Procedures with Complications
MS-DRG 164 · Inpatient stay |
16 | $268,475 | $18,376 | +147% |
|
Disorders of Pancreas Except Malignancy with Complications
MS-DRG 439 · Inpatient stay |
16 | $76,805 | $5,696 | +114% |
|
Disorders of the Biliary Tract with Complications
MS-DRG 445 · Inpatient stay |
16 | $72,223 | $7,433 | +41% |
|
Respiratory Infection (uncomplicated)
MS-DRG 179 · Inpatient stay |
16 | $64,000 | $5,077 | +89% |
|
Permanent Cardiac Pacemaker Implant with Major Complications
MS-DRG 242 · Inpatient stay |
15 | $406,527 | $23,490 | +193% |
|
Other Disorders of Nervous System with Complications
MS-DRG 092 · Inpatient stay |
15 | $96,324 | $6,944 | +114% |
|
Cirrhosis and Alcoholic Hepatitis with Major Complications
MS-DRG 432 · Inpatient stay |
15 | $130,968 | $12,961 | +64% |
|
Back Problems (severe)
MS-DRG 551 · Inpatient stay |
15 | $156,819 | $11,331 | +126% |
|
Level 4 Pacemaker and Similar Procedures
APC 5224 · Hospital outpatient visit |
15 | $264,330 | $16,816 | +177% |
|
Major Chest Procedures with Major Complications
MS-DRG 163 · Inpatient stay |
14 | $269,388 | $28,788 | +53% |
|
Nervous System Neoplasms with Major Complications
MS-DRG 054 · Inpatient stay |
14 | $94,043 | $10,202 | +42% |
|
Other Cerebrovascular Disorders with Complications
MS-DRG 071 · Inpatient stay |
14 | $80,073 | $6,984 | +80% |
|
Interstitial Lung Disease with Major Complications
MS-DRG 196 · Inpatient stay |
14 | $140,509 | $12,628 | +75% |
|
Peripheral Vascular Disorders with Major Complications
MS-DRG 299 · Inpatient stay |
14 | $82,407 | $9,627 | +22% |
|
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications
MS-DRG 493 · Inpatient stay |
14 | $246,471 | $15,745 | +142% |
|
Laparoscopic Cholecystectomy without C.d.e. without Complications/mcc
MS-DRG 419 · Inpatient stay |
14 | $147,736 | $8,927 | +111% |
|
Traumatic Stupor and Coma >1 Hour with Complications
MS-DRG 083 · Inpatient stay |
13 | $121,405 | $9,471 | +103% |
|
Other Major Cardiovascular Procedures with Complications
MS-DRG 271 · Inpatient stay |
13 | $352,716 | $24,428 | +134% |
|
Other Musculoskeletal System and Connective Tissue Operating Room Procedures with
MS-DRG 516 · Inpatient stay |
13 | $214,003 | $13,171 | +142% |
|
Endocrine Disorders with Complications
MS-DRG 644 · Inpatient stay |
13 | $122,003 | $7,124 | +217% |
|
Poisoning and Toxic Effects of Drugs with Major Complications
MS-DRG 917 · Inpatient stay |
13 | $83,396 | $10,550 | +23% |
|
Transurethral Procedures with Complications
MS-DRG 669 · Inpatient stay |
13 | $193,377 | $10,221 | +171% |
|
Level 4 ENT Procedures
APC 5164 · Hospital outpatient visit |
13 | $52,178 | $2,916 | +175% |
|
Craniotomy and Endovascular Intracranial Procedures with Major Complications
MS-DRG 025 · Inpatient stay |
12 | $423,246 | $27,164 | +120% |
|
Gastrointestinal Obstruction with Major Complications
MS-DRG 388 · Inpatient stay |
12 | $123,672 | $9,816 | +115% |
|
Other Circulatory System Diagnoses with Complications
MS-DRG 315 · Inpatient stay |
12 | $62,711 | $6,432 | +51% |
|
Hernia Procedures Except Inguinal and Femoral without Complications/mcc
MS-DRG 355 · Inpatient stay |
12 | $112,361 | $9,687 | +70% |
|
Other Respiratory System Diagnoses without Major Complications
MS-DRG 206 · Inpatient stay |
12 | $61,250 | $5,916 | +33% |
|
Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive
MS-DRG 457 · Inpatient stay |
12 | $521,002 | $40,660 | +82% |
|
Transurethral Prostatectomy with Complications/mcc
MS-DRG 713 · Inpatient stay |
12 | $118,923 | $9,927 | +78% |
|
Urinary Stones without Major Complications
MS-DRG 694 · Inpatient stay |
12 | $48,962 | $5,257 | +28% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
12 | $105,414 | $7,695 | +179% |
|
Other Vascular Procedures with Major Complications
MS-DRG 252 · Inpatient stay |
11 | $282,586 | $22,705 | +95% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
11 | $96,311 | $8,987 | +71% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
11 | $98,609 | $9,612 | +75% |
|
Infection Needing Surgery (with complications)
MS-DRG 854 · Inpatient stay |
11 | $190,728 | $13,721 | +130% |
|
Atherosclerosis without Major Complications
MS-DRG 303 · Inpatient stay |
11 | $53,533 | $5,410 | +77% |
|
Other Major Cardiovascular Procedures with Major Complications
MS-DRG 270 · Inpatient stay |
11 | $374,519 | $34,187 | +67% |
|
Digestive Malignancy with Major Complications
MS-DRG 374 · Inpatient stay |
11 | $113,754 | $14,508 | +32% |
|
Cirrhosis and Alcoholic Hepatitis with Complications
MS-DRG 433 · Inpatient stay |
11 | $80,161 | $6,984 | +75% |
|
Complications of Treatment with Complications
MS-DRG 920 · Inpatient stay |
11 | $74,364 | $6,881 | +68% |
|
Laparoscopic Cholecystectomy without C.d.e. with Major Complications
MS-DRG 417 · Inpatient stay |
11 | $256,471 | $15,370 | +144% |
|
Signs and Symptoms of Musculoskeletal System and Connective Tissue without Major
MS-DRG 556 · Inpatient stay |
11 | $62,527 | $6,667 | +65% |
|
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Major
MS-DRG 542 · Inpatient stay |
11 | $112,261 | $14,155 | +64% |
|
Aftercare, Musculoskeletal System and Connective Tissue with Complications
MS-DRG 560 · Inpatient stay |
11 | $59,029 | $8,746 | +44% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
11 | $23,218 | $619 | +640% |
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.