CostGrade

All published prices at Presbyterian Hospital

178 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.

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

MS-DRG 871 · Inpatient stay

870 $47,549 $14,943 -27%
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

644 $17,025 $2,399 -12%
Level 2 Urology and Related Services

APC 5372 · Hospital outpatient visit

583 $976 $582 -69%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

430 $46,631 $11,327 -25%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

274 $35,968 $10,436 -17%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

217 $5,450 $1,737 -58%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

209 $7,051 $1,654 -40%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

197 $36,937 $12,383 -33%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

176 $27,248 $10,241 -42%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

155 $24,996 $5,003 -29%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

154 $22,345 $4,486 -19%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

146 $116,343 $37,324 -35%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

146 $6,483 $1,410 -36%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

146 $9,451 $2,750 -63%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

145 $17,519 $3,036 -15%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

142 $27,434 $8,299 -30%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

130 $12,871 $2,804 -33%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

120 $58,047 $20,214 -56%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

115 $39,853 $13,611 -30%
Respiratory Failure

MS-DRG 189 · Inpatient stay

105 $30,137 $9,340 -38%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

90 $48,548 $15,224 -42%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

89 $10,800 $2,470 -39%
Stroke (severe)

MS-DRG 064 · Inpatient stay

86 $38,322 $14,787 -50%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

81 $31,845 $10,292 -34%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

81 $28,700 $6,028 -28%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

80 $8,986 $2,435 -46%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

77 $35,479 $8,729 -41%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

73 $10,855 $3,029 -53%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

71 $28,397 $7,817 -38%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

69 $21,544 $6,247 -33%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

68 $51,311 $13,831 -28%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

66 $23,806 $7,397 -28%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

66 $55,653 $16,247 -33%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

64 $28,794 $7,665 -30%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

64 $35,349 $11,244 -33%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

64 $5,318 $1,393 -38%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

58 $26,281 $8,954 -36%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

57 $36,561 $12,747 -40%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

57 $18,426 $7,034 -40%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

57 $5,201 $1,394 -54%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

53 $20,041 $6,414 -34%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

51 $23,469 $6,456 -21%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

51 $148,670 $45,740 -38%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

48 $48,210 $16,162 -38%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

48 $58,943 $13,819 -42%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

46 $51,691 $16,942 -41%
Cirrhosis and Alcoholic Hepatitis with Major Complications

MS-DRG 432 · Inpatient stay

46 $49,954 $17,477 -38%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

46 $35,846 $9,378 -47%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

45 $19,925 $6,431 -35%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

45 $69,713 $15,489 -27%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

43 $20,672 $4,965 -40%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

42 $73,146 $23,235 -38%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

42 $18,887 $3,374 -21%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

41 $34,255 $10,162 -28%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

40 $32,216 $9,810 -37%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

39 $113,656 $37,689 -37%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

39 $61,449 $15,762 -28%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

39 $32,542 $9,445 -37%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

38 $50,822 $15,555 -39%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

36 $29,323 $10,661 -46%
Peripheral Vascular Disorders with Major Complications

MS-DRG 299 · Inpatient stay

36 $36,833 $11,733 -45%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

35 $66,367 $22,282 -54%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

35 $19,589 $6,602 -37%
Other Cerebrovascular Disorders with Major Complications

MS-DRG 070 · Inpatient stay

34 $42,233 $13,463 -36%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

34 $70,486 $24,002 -43%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

34 $25,951 $8,048 -31%
Seizures with Major Complications

MS-DRG 100 · Inpatient stay

33 $36,614 $14,435 -55%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

33 $13,424 $2,717 -26%
Fainting

MS-DRG 312 · Inpatient stay

32 $25,061 $7,266 -32%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

32 $40,397 $11,817 -37%
Level 4 Pacemaker and Similar Procedures

APC 5224 · Hospital outpatient visit

32 $97,130 $16,721 about average
Other Disorders of Nervous System with Major Complications

MS-DRG 091 · Inpatient stay

31 $58,502 $14,257 -18%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

31 $40,723 $11,992 -28%
Other Cardiothoracic Procedures without Major Complications

MS-DRG 229 · Inpatient stay

31 $120,078 $31,556 -21%
Craniotomy and Endovascular Intracranial Procedures with Major Complications

MS-DRG 025 · Inpatient stay

30 $87,779 $39,794 -54%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

30 $18,485 $6,517 -42%
Coronary Bypass without Cardiac Catheterization with Major Complications

MS-DRG 235 · Inpatient stay

30 $164,011 $45,052 -32%
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with Major Complications

MS-DRG 896 · Inpatient stay

30 $40,786 $14,869 -38%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

30 $26,396 $5,618 -33%
Spinal Fusion Except Cervical without Major Complications

MS-DRG 460 · Inpatient stay

29 $87,867 $31,225 -39%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

28 $26,033 $7,149 -41%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

28 $53,922 $18,087 -46%
Malignancy of Hepatobiliary System or Pancreas with Major Complications

MS-DRG 435 · Inpatient stay

28 $47,810 $13,275 -41%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

27 $22,171 $7,197 -46%
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major

MS-DRG 897 · Inpatient stay

27 $24,753 $7,506 -24%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

26 $26,702 $6,420 -35%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

26 $26,363 $7,950 -29%
Laparoscopic Cholecystectomy without C.d.e. with Complications

MS-DRG 418 · Inpatient stay

26 $56,106 $12,428 -32%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

26 $22,935 $4,722 -37%
Respiratory Neoplasms with Major Complications

MS-DRG 180 · Inpatient stay

25 $44,286 $12,906 -40%
Skin Infection (severe)

MS-DRG 602 · Inpatient stay

25 $27,160 $11,281 -47%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

25 $97,274 $25,744 -35%
Level 3 Upper GI Procedures

APC 5303 · Hospital outpatient visit

25 $11,063 $3,390 -49%
Peripheral Vascular Disorders with Complications

MS-DRG 300 · Inpatient stay

24 $27,766 $8,700 -35%
Kidney and Ureter Procedures for Non-neoplasm with Complications

MS-DRG 660 · Inpatient stay

24 $39,770 $10,205 -28%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

24 $35,483 $10,582 -37%
Other Major Cardiovascular Procedures with Major Complications

MS-DRG 270 · Inpatient stay

24 $198,882 $50,783 -11%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

24 $19,664 $2,770 -4%
Other Vascular Procedures with Major Complications

MS-DRG 252 · Inpatient stay

23 $95,743 $27,938 -34%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

23 $21,660 $7,486 -45%

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.