CostGrade

All published prices at Plainview Hospital

94 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.

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

MS-DRG 871 · Inpatient stay

532 $103,356 $20,748 +58%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

214 $80,230 $13,643 +85%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

168 $95,479 $17,500 +74%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

126 $28,756 $6,164 -18%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

98 $19,864 $3,467 -21%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

83 $59,111 $10,997 +51%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

79 $47,073 $8,267 +58%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

77 $79,476 $13,599 +71%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

76 $44,254 $9,159 +45%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

73 $59,717 $12,552 +47%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

67 $12,054 $1,736 +20%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

59 $80,760 $15,909 +53%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

59 $70,677 $17,030 +24%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

58 $52,348 $9,522 +59%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

57 $22,962 $5,635 -16%
Fainting

MS-DRG 312 · Inpatient stay

53 $52,909 $9,759 +44%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

53 $12,196 $3,461 -40%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

52 $66,077 $10,385 +60%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

52 $17,312 $3,746 -16%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

50 $42,699 $8,831 +32%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

50 $45,354 $10,422 +16%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

50 $51,235 $14,223 -18%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

49 $52,007 $8,603 +26%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

48 $60,499 $10,520 +63%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

45 $164,412 $45,739 -8%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

44 $10,330 $2,136 -12%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

43 $19,957 $3,768 -14%
Respiratory Failure

MS-DRG 189 · Inpatient stay

41 $78,143 $14,619 +61%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

40 $50,719 $8,174 +66%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

40 $108,247 $18,732 +52%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

38 $61,991 $10,732 +36%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

36 $69,322 $14,909 +43%
Fractures of Hip and Pelvis without Major Complications

MS-DRG 536 · Inpatient stay

33 $34,041 $6,929 +4%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

33 $30,933 $7,983 -22%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

31 $44,331 $9,129 +21%
Organic Disturbances and Intellectual Disability

MS-DRG 884 · Inpatient stay

30 $58,845 $15,537 +18%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

30 $15,937 $3,485 -12%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

30 $12,256 $1,782 +9%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

29 $69,765 $13,048 +36%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

29 $53,865 $9,194 +45%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

29 $15,425 $2,144 +19%
COPD (severe)

MS-DRG 190 · Inpatient stay

27 $65,983 $11,062 +58%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

27 $46,918 $11,681 +24%
Dysequilibrium

MS-DRG 149 · Inpatient stay

27 $51,621 $8,555 +31%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

26 $72,576 $14,835 +18%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

26 $69,109 $11,763 +46%
Stroke (severe)

MS-DRG 064 · Inpatient stay

25 $84,882 $19,804 +11%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

25 $89,988 $20,745 +8%
Other Factors Influencing Health Status

MS-DRG 951 · Inpatient stay

25 $28,894 $6,142 +32%
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

25 $27,148 $6,304 -21%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

24 $54,949 $14,100 +15%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

24 $55,958 $10,075 +37%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

24 $19,321 $3,053 +9%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

23 $81,862 $18,833 about average
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

22 $55,105 $8,778 +74%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

22 $56,852 $10,023 +30%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

22 $48,308 $10,685 +24%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

22 $34,997 $8,909 +15%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

21 $72,355 $14,407 +29%
Pulmonary Embolism without Major Complications

MS-DRG 176 · Inpatient stay

21 $47,259 $9,129 +35%
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

20 $39,214 $7,886 +17%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

20 $109,241 $21,093 +7%
Peripheral Vascular Disorders with Major Complications

MS-DRG 299 · Inpatient stay

20 $88,103 $16,511 +31%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

19 $48,338 $8,568 +40%
Signs and Symptoms without Major Complications

MS-DRG 948 · Inpatient stay

19 $38,083 $8,152 +17%
Skin Infection (severe)

MS-DRG 602 · Inpatient stay

19 $72,338 $14,895 +41%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

19 $5,362 $1,729 -37%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

18 $111,643 $21,796 +43%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

17 $99,413 $17,926 +82%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

17 $63,727 $13,549 +17%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

17 $48,787 $7,931 +56%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

17 $12,165 $3,435 -36%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

16 $113,471 $27,890 +13%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

16 $102,700 $27,307 -13%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

16 $61,266 $14,712 +9%
Sepsis

MS-DRG 870 · Inpatient stay

16 $327,741 $74,617 +22%
Bronchitis and Asthma with Complications/mcc

MS-DRG 202 · Inpatient stay

16 $48,635 $9,512 +24%
Disorders of the Biliary Tract with Complications

MS-DRG 445 · Inpatient stay

15 $71,049 $11,306 +38%
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with

MS-DRG 617 · Inpatient stay

15 $95,551 $22,832 +30%
Trauma to the Skin, Subcutaneous Tissue and Breast without Major Complications

MS-DRG 605 · Inpatient stay

15 $47,255 $9,124 +15%
Level 6 Urology and Related Services

APC 5376 · Hospital outpatient visit

15 $24,024 $9,298 -46%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

14 $76,831 $16,746 +20%
Signs and Symptoms of Musculoskeletal System and Connective Tissue without Major

MS-DRG 556 · Inpatient stay

14 $32,060 $8,501 -15%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

13 $127,393 $21,896 +45%
Peripheral Vascular Disorders with Complications

MS-DRG 300 · Inpatient stay

13 $53,103 $11,162 +24%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

13 $34,617 $5,834 +38%
Kidney and Ureter Procedures for Non-neoplasm with Complications

MS-DRG 660 · Inpatient stay

13 $76,454 $14,076 +38%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

13 $89,069 $19,221 +7%
Laparoscopic Cholecystectomy without C.d.e. with Complications

MS-DRG 418 · Inpatient stay

13 $93,547 $15,558 +14%
Back Problems (severe)

MS-DRG 551 · Inpatient stay

12 $93,442 $17,509 +35%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

12 $35,465 $6,860 -10%
Hip or Thigh Bone Surgery (uncomplicated)

MS-DRG 482 · Inpatient stay

11 $65,616 $15,715 -4%
Lymphoma and Non-acute Leukemia with Major Complications

MS-DRG 840 · Inpatient stay

11 $121,683 $32,464 -15%
Major Gastrointestinal Disorders and Peritoneal Infections with Complications

MS-DRG 372 · Inpatient stay

11 $60,816 $10,923 +53%

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.