CostGrade

All published prices at Prov Sacred Hrt Med Ctr & Childs Hosp.

175 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
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

449 $10,360 $3,235 -59%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

439 $88,050 $20,326 +35%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

367 $8,614 $1,894 -27%
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

355 $13,398 $2,729 -31%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

307 $54,828 $13,150 -12%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

162 $19,195 $10,629 -63%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

152 $57,632 $12,934 +33%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

148 $53,793 $10,974 -21%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

147 $13,437 $3,143 -30%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

143 $141,139 $54,170 -41%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

135 $51,974 $10,322 -13%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

119 $60,525 $14,774 about average
Stroke (severe)

MS-DRG 064 · Inpatient stay

116 $76,991 $19,302 about average
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

113 $35,777 $3,915 about average
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

113 $26,025 $5,696 -25%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

108 $89,268 $23,363 -33%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

107 $39,708 $7,180 about average
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

103 $32,539 $5,791 -7%
Psychoses

MS-DRG 885 · Inpatient stay

100 $64,145 $19,760 +78%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

92 $15,931 $3,758 -30%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

91 $41,823 $10,080 -8%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

84 $19,305 $2,839 +9%
Complex GI Procedures

APC 5331 · Hospital outpatient visit

83 $20,638 $5,582 -31%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

82 $116,909 $42,441 -38%
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

82 $28,633 $6,869 -26%
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal

MS-DRG 023 · Inpatient stay

81 $153,807 $51,259 -33%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

81 $40,453 $6,545 about average
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

80 $20,774 $3,798 -13%
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

75 $29,776 $5,878 -13%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

73 $174,093 $48,122 about average
Level 3 Upper GI Procedures

APC 5303 · Hospital outpatient visit

72 $13,440 $3,844 -39%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

71 $83,137 $28,664 -33%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

69 $11,117 $1,608 +10%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

69 $8,043 $1,578 -28%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

68 $96,937 $23,471 -4%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

68 $39,311 $10,522 about average
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

67 $85,625 $18,714 about average
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization

MS-DRG 219 · Inpatient stay

63 $242,910 $70,311 -28%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

63 $5,295 $1,589 -38%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

62 $60,428 $15,417 +10%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

62 $78,337 $17,560 -18%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

61 $78,402 $32,917 -47%
Craniotomy and Endovascular Intracranial Procedures without Complications/mcc

MS-DRG 027 · Inpatient stay

60 $86,764 $25,170 -29%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

59 $50,186 $15,120 -12%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

58 $82,201 $17,461 -19%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

53 $164,731 $45,520 -8%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

51 $68,920 $13,273 +48%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

50 $117,945 $29,235 -18%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

49 $8,922 $2,786 -46%
Craniotomy and Endovascular Intracranial Procedures with Major Complications

MS-DRG 025 · Inpatient stay

47 $140,456 $39,653 -27%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

45 $33,169 $8,899 -24%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

43 $69,327 $16,927 about average
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

43 $97,435 $25,585 -17%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

43 $17,268 $3,249 -15%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

43 $29,557 $8,525 -22%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

42 $71,499 $16,186 +47%
Level 5 Gynecologic Procedures

APC 5415 · Hospital outpatient visit

42 $24,415 $4,992 -19%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

41 $13,416 $3,138 -26%
Combined Anterior and Posterior Spinal Fusion without Complications/mcc

MS-DRG 455 · Inpatient stay

38 $159,074 $46,744 -10%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

37 $70,268 $20,431 -20%
Respiratory Failure

MS-DRG 189 · Inpatient stay

36 $46,079 $11,812 -5%
Permanent Cardiac Pacemaker Implant with Major Complications

MS-DRG 242 · Inpatient stay

35 $97,778 $30,142 -29%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

35 $26,215 $7,769 -14%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

35 $77,854 $20,575 -9%
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications

MS-DRG 493 · Inpatient stay

35 $81,719 $21,177 -20%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

35 $12,532 $3,472 -46%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

35 $12,167 $3,425 -41%
Coronary Bypass without Cardiac Catheterization without Major Complications

MS-DRG 236 · Inpatient stay

34 $173,651 $42,284 -5%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

34 $43,244 $9,212 +5%
Level 5 Neurostimulator and Related Procedures

APC 5465 · Hospital outpatient visit

34 $72,125 $31,071 -36%
Other Vascular Procedures with Complications

MS-DRG 253 · Inpatient stay

33 $87,670 $22,537 -22%
Level 4 Pacemaker and Similar Procedures

APC 5224 · Hospital outpatient visit

33 $40,626 $19,509 -57%
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal

MS-DRG 024 · Inpatient stay

32 $110,511 $33,799 -28%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

32 $9,616 $2,044 -26%
Level 4 Neurostimulator and Related Procedures

APC 5464 · Hospital outpatient visit

32 $54,775 $21,265 -32%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

31 $55,590 $12,148 +17%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

31 $29,092 $8,124 -12%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

30 $142,200 $29,823 +25%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

29 $65,304 $20,034 -30%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

29 $31,475 $7,782 +3%
Major Small and Large Bowel Procedures without Complications/mcc

MS-DRG 331 · Inpatient stay

29 $72,651 $19,125 about average
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

28 $95,730 $21,091 +22%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

28 $36,223 $7,959 +12%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

28 $64,904 $15,094 +23%
Revision of Hip or Knee Replacement with Complications

MS-DRG 467 · Inpatient stay

28 $110,144 $31,844 -15%
Sepsis

MS-DRG 870 · Inpatient stay

27 $412,575 $90,587 +54%
Other Factors Influencing Health Status

MS-DRG 951 · Inpatient stay

27 $44,058 $8,742 +101%
Major Chest Procedures with Complications

MS-DRG 164 · Inpatient stay

27 $95,060 $22,872 -13%
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization

MS-DRG 220 · Inpatient stay

27 $211,874 $47,891 -9%
Coronary Bypass without Cardiac Catheterization with Major Complications

MS-DRG 235 · Inpatient stay

26 $209,060 $56,342 -13%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

25 $52,325 $12,549 about average
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

25 $67,944 $17,956 -18%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

24 $34,917 $9,757 -14%
Major Chest Procedures with Major Complications

MS-DRG 163 · Inpatient stay

24 $188,920 $52,146 +7%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

24 $12,646 $1,873 +11%
Fainting

MS-DRG 312 · Inpatient stay

23 $40,002 $8,256 +9%
Traumatic Stupor and Coma >1 Hour with Major Complications

MS-DRG 082 · Inpatient stay

23 $79,596 $21,287 -18%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

22 $54,778 $13,078 about average
Coronary Bypass with Cardiac Catheterization or Open Ablation with Major Complications

MS-DRG 233 · Inpatient stay

22 $259,308 $69,952 -16%
Other Vascular Procedures with Major Complications

MS-DRG 252 · Inpatient stay

22 $157,766 $38,105 +9%

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.