All published prices at Prisma Health Tuomey Hospital
69 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.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
231 | $14,779 | $2,304 | -24% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
198 | $9,715 | $1,363 | -4% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
171 | $56,964 | $13,667 | -13% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
153 | $37,977 | $9,560 | -13% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
108 | $79,986 | $11,081 | +28% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
96 | $31,450 | $4,358 | +15% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
81 | $20,650 | $2,730 | +8% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
79 | $40,611 | $4,892 | +16% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
79 | $23,699 | $2,986 | +15% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
74 | $18,558 | $2,434 | +5% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
74 | $11,138 | $1,595 | -5% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
58 | $35,801 | $10,004 | -26% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
58 | $17,030 | $1,721 | +32% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
54 | $25,096 | $2,795 | about average |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
53 | $53,059 | $11,821 | -4% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
51 | $24,203 | $2,738 | +19% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
44 | $13,263 | $1,624 | +17% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
36 | $41,214 | $6,127 | +3% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
34 | $42,455 | $11,750 | -20% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
34 | $23,947 | $7,333 | -27% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
33 | $33,981 | $7,758 | -25% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
33 | $40,081 | $5,585 | about average |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
31 | $25,978 | $6,267 | -15% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
30 | $31,909 | $9,065 | -34% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
30 | $49,973 | $10,283 | +7% |
|
Fainting
MS-DRG 312 · Inpatient stay |
29 | $24,516 | $7,020 | -33% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
28 | $22,866 | $6,673 | -25% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
28 | $36,531 | $9,148 | -7% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
27 | $17,067 | $1,336 | +52% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
26 | $53,871 | $13,054 | -5% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
25 | $135,667 | $31,723 | -24% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
23 | $30,006 | $6,721 | about average |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
23 | $35,520 | $7,684 | -5% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
22 | $78,710 | $17,593 | -6% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
22 | $20,292 | $2,678 | +12% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
21 | $46,693 | $11,402 | -39% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
21 | $102,333 | $16,538 | +19% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
20 | $34,704 | $10,175 | -17% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
20 | $26,117 | $3,265 | +10% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
19 | $29,190 | $5,830 | -10% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
18 | $34,554 | $9,105 | -44% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
17 | $41,338 | $7,678 | +11% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
16 | $54,266 | $14,394 | -31% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
16 | $20,570 | $7,297 | -41% |
|
Transient Ischemia without Thrombolytic
MS-DRG 069 · Inpatient stay |
15 | $30,512 | $6,509 | -26% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
15 | $38,274 | $9,136 | -19% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
15 | $17,316 | $7,125 | -43% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
15 | $71,031 | $8,447 | +19% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
14 | $47,952 | $11,127 | about average |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
14 | $28,258 | $7,430 | -32% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
14 | $23,276 | $8,790 | -40% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
14 | $34,389 | $2,963 | +48% |
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
13 | $29,007 | $6,872 | -29% |
|
Peripheral Vascular Disorders with Complications
MS-DRG 300 · Inpatient stay |
13 | $39,200 | $7,881 | -9% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
13 | $26,485 | $5,939 | -15% |
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
13 | $33,863 | $7,897 | -13% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
13 | $36,957 | $9,453 | -34% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
13 | $34,177 | $8,469 | -16% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
13 | $80,144 | $9,141 | +56% |
|
Other Cerebrovascular Disorders with Major Complications
MS-DRG 070 · Inpatient stay |
12 | $50,466 | $12,759 | -24% |
|
Irregular Heartbeat (uncomplicated)
MS-DRG 310 · Inpatient stay |
12 | $20,873 | $5,404 | -17% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
12 | $20,570 | $1,372 | +140% |
|
Other Disorders of Nervous System with Major Complications
MS-DRG 091 · Inpatient stay |
11 | $39,891 | $12,269 | -44% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
11 | $36,155 | $6,864 | +14% |
|
Hypertension without Major Complications
MS-DRG 305 · Inpatient stay |
11 | $26,529 | $6,241 | -21% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
11 | $112,200 | $17,747 | +12% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
11 | $44,162 | $10,750 | -22% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
11 | $31,005 | $12,830 | -38% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
11 | $58,523 | $9,417 | -14% |
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.