All published prices at Providence Saint Joseph Medical Ctr
133 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 |
951 | $34,339 | $3,357 | +77% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
777 | $128,488 | $20,297 | +97% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
226 | $96,035 | $13,686 | +121% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
164 | $64,301 | $10,673 | +64% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
154 | $75,197 | $16,055 | +20% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
133 | $10,354 | $1,993 | about average |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
131 | $40,426 | $6,983 | +15% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
130 | $50,273 | $6,362 | +83% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
121 | $10,945 | $2,339 | -7% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
114 | $96,395 | $13,088 | +107% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
110 | $126,754 | $17,591 | +130% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
96 | $266,233 | $52,074 | +50% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
89 | $84,097 | $12,145 | +106% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
85 | $106,133 | $15,973 | +73% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
82 | $89,806 | $16,181 | +58% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
77 | $181,079 | $22,454 | +137% |
|
Sepsis
MS-DRG 870 · Inpatient stay |
75 | $510,984 | $77,027 | +90% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
75 | $59,224 | $8,602 | +49% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
70 | $28,162 | $4,013 | +12% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
69 | $110,883 | $20,251 | +33% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
69 | $90,313 | $12,637 | +51% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
67 | $34,150 | $4,286 | +65% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
66 | $92,088 | $15,926 | +74% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
66 | $51,414 | $8,117 | +73% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
63 | $65,604 | $10,962 | +59% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
61 | $102,194 | $13,460 | +111% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
61 | $56,990 | $8,640 | +77% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
61 | $67,107 | $10,803 | +72% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
61 | $4,311 | $840 | +37% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
54 | $88,598 | $17,880 | +25% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
52 | $17,941 | $2,504 | +39% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
51 | $40,846 | $5,299 | +13% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
50 | $59,278 | $9,062 | +94% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
50 | $81,301 | $14,356 | +68% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
50 | $28,327 | $3,919 | +48% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
47 | $64,435 | $13,250 | -5% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
45 | $19,774 | $3,416 | +12% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
43 | $52,686 | $7,830 | +72% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
42 | $72,703 | $10,179 | +60% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
42 | $102,542 | $19,161 | +28% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
39 | $24,704 | $3,844 | +36% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
38 | $102,564 | $17,963 | about average |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
38 | $54,303 | $8,014 | +78% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
36 | $88,674 | $11,824 | +112% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
36 | $111,412 | $20,859 | +30% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
35 | $67,986 | $9,447 | +106% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
34 | $31,071 | $4,686 | +30% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
33 | $70,554 | $8,546 | +122% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
33 | $129,353 | $22,851 | +56% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
33 | $35,371 | $13,108 | -31% |
|
Level 5 Gynecologic Procedures
APC 5415 · Hospital outpatient visit |
33 | $34,449 | $5,976 | +15% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
32 | $79,479 | $12,463 | +68% |
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay |
31 | $276,940 | $33,766 | +144% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
31 | $33,219 | $4,253 | +43% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
30 | $52,090 | $8,282 | +66% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
30 | $72,682 | $13,608 | +42% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
28 | $72,587 | $11,794 | +52% |
|
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without
MS-DRG 563 · Inpatient stay |
28 | $55,206 | $10,627 | +50% |
|
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal
MS-DRG 023 · Inpatient stay |
26 | $326,359 | $57,576 | +42% |
|
Craniotomy and Endovascular Intracranial Procedures with Major Complications
MS-DRG 025 · Inpatient stay |
26 | $342,944 | $54,243 | +78% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
26 | $169,680 | $23,043 | +69% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
26 | $110,105 | $29,114 | -17% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
25 | $147,386 | $22,597 | +88% |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
25 | $257,927 | $46,094 | +44% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
24 | $183,200 | $28,944 | +27% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
24 | $55,011 | $9,444 | +48% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
24 | $54,521 | $7,783 | +38% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
24 | $15,692 | $1,976 | +40% |
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
23 | $64,265 | $10,456 | +65% |
|
Hip or Thigh Bone Surgery (severe)
MS-DRG 480 · Inpatient stay |
23 | $170,689 | $28,908 | +45% |
|
Kidney and Ureter Procedures for Non-neoplasm with Complications
MS-DRG 660 · Inpatient stay |
23 | $98,498 | $13,569 | +77% |
|
Other Disorders of Nervous System with Complications
MS-DRG 092 · Inpatient stay |
23 | $75,934 | $10,425 | +69% |
|
Bronchitis and Asthma with Complications/mcc
MS-DRG 202 · Inpatient stay |
23 | $82,910 | $10,087 | +111% |
|
Gastrointestinal Obstruction without Complications/mcc
MS-DRG 390 · Inpatient stay |
23 | $39,498 | $6,205 | +65% |
|
Fainting
MS-DRG 312 · Inpatient stay |
22 | $61,497 | $9,026 | +68% |
|
Hip or Thigh Bone Surgery (uncomplicated)
MS-DRG 482 · Inpatient stay |
22 | $93,004 | $16,970 | +36% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
22 | $26,707 | $4,604 | +18% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
21 | $114,773 | $17,649 | +42% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
21 | $227,659 | $49,864 | +20% |
|
Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except Face
MS-DRG 004 · Inpatient stay |
21 | $1,405,600 | $211,496 | +161% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
21 | $27,453 | $3,980 | +35% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
21 | $43,509 | $7,027 | +26% |
|
Transient Ischemia without Thrombolytic
MS-DRG 069 · Inpatient stay |
20 | $72,210 | $8,380 | +75% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
20 | $53,625 | $9,709 | +42% |
|
Laparoscopic Cholecystectomy without C.d.e. with Complications
MS-DRG 418 · Inpatient stay |
20 | $106,092 | $17,233 | +29% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
20 | $19,665 | $2,087 | +72% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
19 | $71,321 | $12,358 | +106% |
|
Infection Needing Surgery (with complications)
MS-DRG 854 · Inpatient stay |
19 | $136,807 | $21,117 | +65% |
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
18 | $75,521 | $9,112 | +85% |
|
Fractures of Hip and Pelvis without Major Complications
MS-DRG 536 · Inpatient stay |
18 | $46,519 | $8,110 | +42% |
|
Laparoscopic Cholecystectomy without C.d.e. without Complications/mcc
MS-DRG 419 · Inpatient stay |
18 | $98,193 | $13,532 | +40% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
18 | $20,212 | $2,865 | +72% |
|
Degenerative Nervous System Disorders with Major Complications
MS-DRG 056 · Inpatient stay |
17 | $80,807 | $21,192 | -6% |
|
Other Vascular Procedures with Major Complications
MS-DRG 252 · Inpatient stay |
17 | $277,985 | $42,102 | +91% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
17 | $70,209 | $9,584 | +60% |
|
Permanent Cardiac Pacemaker Implant with Complications
MS-DRG 243 · Inpatient stay |
16 | $98,245 | $22,525 | +5% |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
16 | $85,442 | $16,630 | +33% |
|
Laparoscopic Cholecystectomy without C.d.e. with Major Complications
MS-DRG 417 · Inpatient stay |
16 | $147,092 | $25,194 | +40% |
|
Other Cerebrovascular Disorders with Major Complications
MS-DRG 070 · Inpatient stay |
15 | $62,664 | $17,100 | -5% |
|
Other Kidney and Urinary Tract Procedures with Major Complications
MS-DRG 673 · Inpatient stay |
15 | $150,491 | $39,880 | about average |
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.