CostGrade

All published prices at Prisma Health Oconee Memorial Hospital

67 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
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

368 $17,932 $2,503 -8%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

289 $60,552 $17,149 -7%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

225 $77,804 $11,979 +25%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

144 $37,339 $11,593 -14%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

89 $40,566 $5,227 +16%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

62 $12,480 $1,754 +6%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

55 $106,708 $17,146 +29%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

53 $10,085 $1,450 about average
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

52 $25,332 $7,029 -15%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

52 $30,297 $4,771 +10%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

51 $33,006 $9,386 -16%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

51 $48,111 $6,390 +21%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

50 $18,316 $2,892 -4%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

46 $44,608 $13,645 -19%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

39 $24,229 $3,149 +17%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

37 $11,793 $1,482 +5%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

36 $37,324 $11,491 -20%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

36 $25,132 $7,691 -24%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

35 $86,691 $19,530 about average
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

35 $29,675 $10,190 -27%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

32 $18,579 $3,111 -20%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

31 $35,737 $12,754 -33%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

30 $32,145 $8,901 -29%
Respiratory Failure

MS-DRG 189 · Inpatient stay

30 $38,641 $10,392 -20%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

30 $31,243 $11,305 -36%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

29 $24,205 $6,525 -25%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

29 $24,059 $6,942 -21%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

29 $93,687 $40,295 -47%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

28 $77,347 $18,708 -7%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

27 $33,588 $10,485 -29%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

26 $29,779 $13,058 -51%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

26 $27,296 $8,318 -34%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

25 $20,942 $7,675 -31%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

25 $27,322 $2,889 +34%
Fainting

MS-DRG 312 · Inpatient stay

24 $26,160 $7,351 -29%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

23 $11,313 $1,780 about average
Stroke (severe)

MS-DRG 064 · Inpatient stay

21 $48,992 $16,791 -36%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

21 $20,678 $7,863 -40%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

21 $91,630 $15,660 +15%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

20 $22,070 $6,973 -30%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

19 $32,453 $9,190 -13%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

19 $25,992 $7,106 -18%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

19 $21,859 $7,637 -50%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

19 $42,326 $14,102 -26%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

18 $25,443 $6,599 -17%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

18 $26,274 $3,009 +4%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

17 $41,309 $17,944 -42%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

15 $26,044 $8,250 -33%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

15 $23,405 $2,620 +32%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

14 $20,698 $5,037 -18%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

14 $52,030 $18,120 -34%
Revision of Hip or Knee Replacement with Complications

MS-DRG 467 · Inpatient stay

14 $176,746 $38,446 +36%
COPD (severe)

MS-DRG 190 · Inpatient stay

13 $38,349 $8,971 -8%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

13 $27,353 $7,729 -26%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

13 $19,372 $1,878 +50%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

13 $16,018 $2,588 -3%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

12 $32,915 $5,067 -9%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

12 $71,623 $9,485 +20%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

12 $21,022 $2,883 +16%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

11 $26,924 $11,232 -44%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

11 $30,165 $6,898 -27%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

11 $23,989 $7,865 -41%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

11 $147,840 $45,654 -18%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

11 $26,611 $10,760 -48%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

11 $102,822 $24,759 -13%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

11 $25,066 $12,217 -56%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

11 $18,966 $8,726 -50%

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.