CostGrade

All published prices at Providence Santa Rosa Memorial Hospital

149 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.

F
Procedure Patients Charged Actually paid vs national
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

661 $49,475 $3,829 +155%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

359 $141,328 $22,781 +117%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

334 $26,841 $2,665 +128%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

278 $41,288 $4,559 +64%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

256 $17,055 $2,230 +69%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

174 $166,699 $33,160 +26%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

164 $90,067 $15,065 +107%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

161 $28,897 $4,464 +51%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

139 $32,041 $3,937 +81%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

127 $75,421 $7,164 +175%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

118 $171,714 $18,390 +175%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

97 $102,990 $18,229 +87%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

94 $115,400 $10,011 +189%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

92 $60,605 $14,927 +18%
Level 2 Urology and Related Services

APC 5372 · Hospital outpatient visit

91 $4,246 $957 +35%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

89 $93,732 $15,088 +39%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

86 $110,424 $18,359 +80%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

81 $135,612 $8,001 +286%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

78 $131,451 $20,520 +85%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

75 $53,405 $4,845 +159%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

73 $289,376 $55,017 +53%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

70 $81,201 $15,349 +74%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

68 $155,602 $37,926 +25%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

68 $88,142 $11,825 +113%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

68 $27,680 $3,930 +67%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

66 $426,469 $67,163 +140%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

66 $86,867 $12,229 +121%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

65 $20,501 $2,818 +59%
Level 1 Intraocular Procedures

APC 5491 · Hospital outpatient visit

65 $36,406 $3,224 +210%
Stroke (severe)

MS-DRG 064 · Inpatient stay

64 $164,268 $22,453 +115%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

62 $216,642 $23,171 +160%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

61 $117,366 $18,866 +107%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

56 $12,850 $2,243 +50%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

56 $54,871 $4,845 +136%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

53 $128,720 $11,387 +229%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

51 $100,173 $12,445 +120%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

51 $50,417 $4,389 +147%
Level 3 Extraocular, Repair, and Plastic Eye Procedures

APC 5503 · Hospital outpatient visit

51 $45,645 $3,273 +216%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

45 $314,232 $69,338 +31%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

45 $102,426 $9,128 +159%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

44 $107,133 $15,145 +121%
Respiratory Failure

MS-DRG 189 · Inpatient stay

43 $80,391 $14,544 +66%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

42 $102,132 $17,066 +93%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

42 $54,269 $5,338 +128%
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

42 $131,773 $8,201 +284%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

39 $209,684 $21,710 +162%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

38 $84,542 $13,679 +107%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

38 $20,224 $2,704 +78%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

37 $31,263 $2,251 +178%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

36 $87,054 $14,152 +84%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

36 $73,382 $9,083 +140%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

36 $63,006 $11,160 +107%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

36 $86,785 $7,696 +140%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

35 $70,840 $11,063 +115%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

35 $223,986 $14,390 +275%
Level 4 Pacemaker and Similar Procedures

APC 5224 · Hospital outpatient visit

34 $135,773 $27,211 +42%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

32 $214,593 $30,683 +89%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

31 $161,873 $23,536 +59%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

31 $116,269 $24,491 +22%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

30 $207,563 $34,436 +44%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

30 $77,387 $9,513 +140%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

30 $67,394 $9,629 +126%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

29 $87,995 $9,654 +188%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

28 $233,218 $26,136 +172%
Complex GI Procedures

APC 5331 · Hospital outpatient visit

28 $63,056 $7,982 +110%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

27 $237,209 $45,750 +60%
Fainting

MS-DRG 312 · Inpatient stay

26 $92,470 $10,370 +152%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

26 $118,367 $15,170 +131%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

25 $74,134 $11,479 +97%
Spinal Fusion Except Cervical without Major Complications

MS-DRG 460 · Inpatient stay

25 $297,523 $42,892 +105%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

23 $89,566 $10,846 +105%
Kidney and Ureter Procedures for Non-neoplasm with Complications

MS-DRG 660 · Inpatient stay

23 $140,619 $15,721 +153%
Cirrhosis and Alcoholic Hepatitis with Major Complications

MS-DRG 432 · Inpatient stay

23 $89,171 $23,841 +12%
Cervical Spinal Fusion with Complications

MS-DRG 472 · Inpatient stay

23 $233,295 $35,972 +95%
Poisoning and Toxic Effects of Drugs with Major Complications

MS-DRG 917 · Inpatient stay

23 $114,352 $19,199 +68%
Craniotomy and Endovascular Intracranial Procedures with Major Complications

MS-DRG 025 · Inpatient stay

22 $445,946 $82,307 +132%
COPD (severe)

MS-DRG 190 · Inpatient stay

21 $74,028 $12,932 +77%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

21 $64,653 $10,340 +107%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

21 $118,130 $16,332 +110%
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications

MS-DRG 493 · Inpatient stay

21 $229,852 $26,727 +126%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

21 $47,388 $8,005 +37%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

19 $132,268 $27,425 +50%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

19 $89,997 $11,238 +132%
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Major

MS-DRG 542 · Inpatient stay

19 $148,409 $20,713 +116%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

19 $218,909 $26,026 +164%
Stroke (uncomplicated)

MS-DRG 066 · Inpatient stay

18 $90,128 $9,241 +152%
Traumatic Stupor and Coma <1 Hour with Complications

MS-DRG 086 · Inpatient stay

18 $135,327 $15,371 +139%
Seizures with Major Complications

MS-DRG 100 · Inpatient stay

18 $129,684 $22,186 +61%
Other Vascular Procedures with Major Complications

MS-DRG 252 · Inpatient stay

18 $227,332 $38,324 +56%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

18 $145,035 $21,652 +85%
Other Vascular Procedures with Complications

MS-DRG 253 · Inpatient stay

18 $284,651 $32,430 +154%
Malignancy of Hepatobiliary System or Pancreas with Major Complications

MS-DRG 435 · Inpatient stay

18 $129,765 $19,577 +59%
Back Problems (severe)

MS-DRG 551 · Inpatient stay

18 $165,263 $23,934 +138%
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with Major Complications

MS-DRG 896 · Inpatient stay

18 $133,751 $20,619 +104%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

18 $43,934 $5,245 +94%
Permanent Cardiac Pacemaker Implant with Major Complications

MS-DRG 242 · Inpatient stay

17 $192,705 $37,999 +39%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

17 $123,887 $16,537 +120%
Major Chest Trauma with Complications

MS-DRG 184 · Inpatient stay

17 $143,515 $12,574 +194%
Other Cardiothoracic Procedures with Major Complications

MS-DRG 228 · Inpatient stay

17 $278,647 $59,768 +23%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

16 $227,825 $31,649 +94%

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.