CostGrade

All published prices at Prisma Health Richland Hospital

159 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
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

598 $26,040 $2,761 +3%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

368 $75,637 $20,336 +16%
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

362 $18,472 $2,322 -5%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

270 $175,384 $19,885 +32%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

224 $46,680 $13,346 +8%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

195 $55,249 $7,122 +46%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

145 $81,158 $9,232 +20%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

130 $114,356 $28,958 -8%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

129 $15,273 $1,377 +52%
Stroke (severe)

MS-DRG 064 · Inpatient stay

116 $93,909 $19,887 +23%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

112 $78,917 $9,171 +53%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

111 $182,722 $51,179 -24%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

106 $19,448 $2,624 about average
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

86 $197,000 $49,321 +11%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

84 $57,243 $16,001 +4%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

73 $12,590 $1,635 +7%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

72 $40,939 $11,186 -10%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

67 $78,947 $21,143 -10%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

65 $57,542 $15,540 -6%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

63 $7,941 $1,376 -7%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

63 $35,908 $4,663 about average
Level 3 Extraocular, Repair, and Plastic Eye Procedures

APC 5503 · Hospital outpatient visit

63 $25,484 $2,008 +76%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

61 $136,633 $29,134 -5%
Craniotomy and Endovascular Intracranial Procedures with Major Complications

MS-DRG 025 · Inpatient stay

60 $216,201 $45,948 +12%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

56 $71,209 $21,353 -9%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

56 $95,918 $18,961 +15%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

54 $18,946 $2,442 +7%
Respiratory Failure

MS-DRG 189 · Inpatient stay

53 $49,202 $12,819 about average
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

53 $106,325 $20,394 +5%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

52 $216,030 $27,677 +45%
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal

MS-DRG 023 · Inpatient stay

50 $239,127 $57,612 +4%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

50 $41,595 $6,147 +4%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

47 $24,382 $9,032 -20%
Level 4 Pacemaker and Similar Procedures

APC 5224 · Hospital outpatient visit

47 $115,592 $16,708 +21%
Fainting

MS-DRG 312 · Inpatient stay

46 $28,044 $9,313 -23%
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

46 $60,798 $5,881 +58%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

45 $26,740 $3,161 +18%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

45 $117,353 $15,039 +23%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

42 $46,659 $12,217 -14%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

41 $44,089 $13,220 -7%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

41 $55,400 $14,278 +5%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

40 $44,202 $13,547 -9%
Seizures with Major Complications

MS-DRG 100 · Inpatient stay

39 $96,993 $22,209 +20%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

39 $54,738 $15,689 about average
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

38 $160,573 $40,505 -15%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

37 $40,372 $12,958 -16%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

37 $20,428 $2,732 -12%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

36 $45,021 $10,660 +15%
Traumatic Stupor and Coma >1 Hour with Major Complications

MS-DRG 082 · Inpatient stay

36 $105,578 $22,688 +9%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

36 $39,573 $5,604 about average
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

36 $21,601 $2,686 +19%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

35 $39,706 $10,184 about average
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

34 $55,764 $16,041 about average
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

33 $117,824 $28,588 about average
Cervical Spinal Fusion with Complications

MS-DRG 472 · Inpatient stay

33 $143,876 $29,295 +20%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

33 $53,048 $4,958 +51%
Cochlear Implant Procedure

APC 5166 · Hospital outpatient visit

33 $130,265 $27,911 +7%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

32 $59,700 $8,842 about average
Level 5 Neurostimulator and Related Procedures

APC 5465 · Hospital outpatient visit

32 $135,259 $25,220 +20%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

31 $45,758 $12,908 about average
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

31 $53,279 $17,014 -25%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

31 $34,246 $10,753 +4%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

30 $120,649 $21,248 +29%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

30 $28,222 $8,993 -8%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

30 $46,815 $4,781 +35%
Major Chest Procedures with Major Complications

MS-DRG 163 · Inpatient stay

29 $188,461 $43,226 +7%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

29 $37,368 $10,637 -10%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

28 $43,285 $10,753 about average
Level 3 Upper GI Procedures

APC 5303 · Hospital outpatient visit

27 $25,511 $3,291 +17%
Other Cerebrovascular Disorders with Major Complications

MS-DRG 070 · Inpatient stay

26 $50,109 $17,695 -24%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

25 $100,814 $25,943 -11%
Permanent Cardiac Pacemaker Implant with Major Complications

MS-DRG 242 · Inpatient stay

25 $180,326 $33,272 +30%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

25 $17,148 $7,885 -32%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

25 $27,553 $8,907 -7%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

25 $35,140 $11,429 -10%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

25 $81,200 $11,296 +30%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

24 $35,476 $9,865 -14%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

24 $40,463 $12,741 about average
Major Chest Procedures with Complications

MS-DRG 164 · Inpatient stay

24 $130,098 $25,257 +20%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

23 $44,417 $14,127 -21%
Other Circulatory System Diagnoses with Complications

MS-DRG 315 · Inpatient stay

23 $33,347 $10,847 -20%
ECMO or Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except

MS-DRG 003 · Inpatient stay

22 $717,123 $181,941 -18%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

22 $106,035 $21,273 +24%
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major

MS-DRG 981 · Inpatient stay

22 $166,366 $39,214 -9%
Traumatic Stupor and Coma >1 Hour with Complications

MS-DRG 083 · Inpatient stay

22 $58,396 $13,564 about average
Peripheral, Cranial Nerve and Other Nervous System Procedures with Complications or

MS-DRG 041 · Inpatient stay

22 $130,741 $26,809 +27%
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

22 $43,532 $5,032 +27%
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization

MS-DRG 219 · Inpatient stay

21 $439,421 $87,647 +31%
Back and Neck Procedures Except Spinal Fusion with Complications

MS-DRG 519 · Inpatient stay

21 $117,695 $22,193 +37%
Complex GI Procedures

APC 5331 · Hospital outpatient visit

21 $39,740 $4,897 +33%
Other Disorders of Nervous System with Major Complications

MS-DRG 091 · Inpatient stay

20 $65,457 $17,159 -8%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

20 $37,122 $10,227 about average
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

20 $26,608 $3,275 +12%
Implantation Wireless Pa Pressure Monitor

APC 5200 · Hospital outpatient visit

20 $91,454 $24,906 -33%
Degenerative Nervous System Disorders with Major Complications

MS-DRG 056 · Inpatient stay

19 $65,871 $18,307 -24%
Coronary Bypass without Cardiac Catheterization without Major Complications

MS-DRG 236 · Inpatient stay

19 $218,668 $34,889 +19%
Sepsis

MS-DRG 870 · Inpatient stay

19 $294,090 $66,078 +10%
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications

MS-DRG 493 · Inpatient stay

19 $102,014 $21,759 about average
Peripheral Vascular Disorders with Complications

MS-DRG 300 · Inpatient stay

18 $42,933 $11,100 about average
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

18 $23,946 $10,659 -31%

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.