CostGrade

All published prices at Piedmont Athens Regional Medical Center

160 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.

D
Procedure Patients Charged Actually paid vs national
Sepsis (severe)

MS-DRG 871 · Inpatient stay

690 $72,256 $16,877 +11%
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

582 $21,993 $2,376 +13%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

378 $48,261 $11,529 +11%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

285 $14,806 $1,406 +47%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

266 $27,765 $2,889 +10%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

162 $15,242 $1,644 +30%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

152 $41,398 $9,505 +6%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

151 $22,302 $2,789 +17%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

145 $48,313 $4,904 +38%
Level 1 Intraocular Procedures

APC 5491 · Hospital outpatient visit

136 $30,919 $2,022 +163%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

135 $60,183 $6,225 +51%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

135 $74,186 $8,921 +24%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

128 $109,058 $11,857 +75%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

128 $43,227 $4,513 +57%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

126 $33,826 $2,999 +64%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

115 $27,185 $1,751 +110%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

95 $127,294 $20,763 -4%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

92 $34,045 $2,809 +67%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

92 $89,695 $9,848 +33%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

88 $29,427 $7,672 -4%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

88 $41,706 $9,600 about average
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

86 $179,638 $38,408 about average
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

84 $49,470 $11,479 +6%
Level 2 Intraocular Procedures

APC 5492 · Hospital outpatient visit

84 $43,810 $3,575 +112%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

83 $111,353 $18,133 +34%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

82 $29,908 $2,474 +69%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

81 $32,113 $7,880 about average
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

80 $52,082 $14,102 -5%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

77 $9,499 $1,369 +11%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

72 $41,224 $11,291 -13%
Fainting

MS-DRG 312 · Inpatient stay

63 $41,522 $8,254 +13%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

62 $43,945 $10,742 +8%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

61 $60,683 $14,046 +7%
Respiratory Failure

MS-DRG 189 · Inpatient stay

60 $51,300 $11,978 +6%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

60 $37,413 $3,253 +65%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

59 $51,738 $12,133 +7%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

58 $44,561 $9,717 about average
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

57 $28,855 $7,581 -3%
Stroke (severe)

MS-DRG 064 · Inpatient stay

55 $66,859 $15,565 -12%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

55 $164,697 $28,833 +32%
COPD (severe)

MS-DRG 190 · Inpatient stay

54 $42,222 $10,044 about average
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

53 $33,460 $7,559 +10%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

52 $296,127 $49,670 +23%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

52 $67,853 $5,552 +72%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

51 $111,579 $16,772 +34%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

48 $19,991 $1,394 +78%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

46 $62,041 $14,134 about average
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

46 $46,704 $11,951 -9%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

46 $38,334 $9,198 about average
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

46 $26,937 $1,701 +137%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

45 $63,492 $15,263 -11%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

45 $40,039 $9,302 +21%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

41 $21,583 $6,282 -14%
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

41 $58,619 $6,080 +52%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

40 $114,609 $19,110 +34%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

40 $49,233 $13,084 -7%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

40 $31,854 $3,068 +37%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

39 $23,267 $2,376 +40%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

37 $100,190 $22,967 about average
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

36 $115,666 $16,019 +14%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

36 $30,898 $7,899 about average
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

36 $31,700 $8,484 -15%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

36 $67,787 $17,533 -18%
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

35 $28,720 $7,644 -14%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

35 $27,987 $8,373 -8%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

34 $150,812 $22,680 +5%
Level 4 Pacemaker and Similar Procedures

APC 5224 · Hospital outpatient visit

34 $77,866 $17,298 -18%
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

33 $22,875 $1,468 +101%
Major Small and Large Bowel Procedures without Complications/mcc

MS-DRG 331 · Inpatient stay

31 $81,372 $15,735 +9%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

31 $143,714 $29,376 -3%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

29 $45,935 $8,563 +5%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

29 $38,864 $4,414 +8%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

29 $32,703 $2,733 +80%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

28 $37,393 $8,751 about average
Coronary Bypass without Cardiac Catheterization without Major Complications

MS-DRG 236 · Inpatient stay

27 $231,900 $39,352 +27%
Chest Pain

MS-DRG 313 · Inpatient stay

27 $32,969 $6,661 about average
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

27 $40,469 $3,417 +70%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

27 $63,745 $9,585 +24%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

26 $137,743 $23,786 +17%
Other Disorders of Nervous System with Complications

MS-DRG 092 · Inpatient stay

25 $33,470 $10,014 -26%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

24 $38,802 $9,798 about average
Traumatic Stupor and Coma >1 Hour with Complications

MS-DRG 083 · Inpatient stay

24 $49,710 $12,007 -17%
Craniotomy and Endovascular Intracranial Procedures with Major Complications

MS-DRG 025 · Inpatient stay

23 $175,490 $38,593 -9%
Signs and Symptoms without Major Complications

MS-DRG 948 · Inpatient stay

23 $30,745 $7,170 -5%
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications

MS-DRG 493 · Inpatient stay

23 $130,889 $19,473 +29%
Other Cerebrovascular Disorders with Major Complications

MS-DRG 070 · Inpatient stay

22 $68,550 $13,811 +4%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

22 $32,331 $7,822 about average
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

22 $180,752 $39,349 about average
Fractures of Hip and Pelvis without Major Complications

MS-DRG 536 · Inpatient stay

22 $34,783 $7,710 +6%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

22 $36,096 $7,535 -5%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

21 $33,520 $8,770 -14%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

21 $59,089 $11,885 +5%
Sepsis

MS-DRG 870 · Inpatient stay

21 $269,011 $45,369 about average
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization

MS-DRG 220 · Inpatient stay

21 $358,697 $42,393 +54%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

21 $127,320 $15,803 +33%
Level 3 Intraocular Procedures

APC 5493 · Hospital outpatient visit

21 $49,891 $4,161 +106%
Traumatic Stupor and Coma <1 Hour with Complications

MS-DRG 086 · Inpatient stay

20 $46,468 $11,121 -18%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

20 $60,772 $11,383 +11%
Complex GI Procedures

APC 5331 · Hospital outpatient visit

20 $34,456 $5,118 +15%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

19 $102,473 $24,043 -10%

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.