CostGrade

All published prices at Providence St. Joseph Hospital

118 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
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

616 $22,664 $3,357 +17%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

471 $83,791 $22,117 +28%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

225 $17,727 $4,013 -30%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

184 $10,929 $1,988 +8%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

144 $62,702 $15,022 +44%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

143 $135,077 $28,922 about average
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

134 $19,429 $3,872 about average
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

130 $75,475 $17,677 +33%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

129 $71,794 $16,148 +15%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

123 $39,495 $11,819 about average
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

120 $54,195 $13,503 -20%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

107 $38,430 $7,094 +9%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

80 $6,769 $1,305 -21%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

76 $76,949 $18,139 +40%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

74 $12,371 $2,504 -4%
Combined Anterior and Posterior Spinal Fusion with Complications

MS-DRG 454 · Inpatient stay

68 $200,486 $69,094 -10%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

67 $29,331 $6,474 -19%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

64 $58,409 $14,763 +25%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

64 $150,946 $62,826 -37%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

63 $94,960 $32,970 -24%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

61 $53,899 $11,892 +43%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

61 $199,331 $51,521 +12%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

60 $12,567 $2,339 +7%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

54 $27,706 $7,027 -20%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

53 $52,431 $15,679 about average
Respiratory Failure

MS-DRG 189 · Inpatient stay

52 $58,005 $15,027 +20%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

49 $92,927 $21,504 about average
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

48 $37,042 $10,580 +24%
Stroke (severe)

MS-DRG 064 · Inpatient stay

47 $79,575 $20,824 +4%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

47 $50,826 $14,411 +5%
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

43 $11,709 $2,087 about average
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

41 $41,260 $8,792 +3%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

40 $80,008 $21,646 -4%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

40 $65,754 $12,637 +10%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

39 $47,878 $12,952 +17%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

39 $24,870 $4,529 +10%
Kidney Transplant with Hemodialysis with Major Complications

MS-DRG 650 · Inpatient stay

38 $258,582 $49,305 -29%
Kidney Transplant

MS-DRG 652 · Inpatient stay

37 $184,382 $32,982 -38%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

36 $139,336 $49,992 -26%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

35 $43,941 $10,427 +33%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

35 $39,573 $13,108 -23%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

35 $28,268 $6,362 about average
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

33 $23,884 $4,253 about average
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

30 $78,200 $21,956 -6%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

29 $150,024 $31,560 +32%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

29 $71,896 $18,456 about average
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

29 $90,457 $22,412 +6%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

28 $29,653 $11,238 about average
Cervical Spinal Fusion with Complications

MS-DRG 472 · Inpatient stay

28 $95,276 $32,386 -20%
Level 4 Pacemaker and Similar Procedures

APC 5224 · Hospital outpatient visit

27 $96,647 $23,891 about average
Stroke (with complications)

MS-DRG 065 · Inpatient stay

25 $51,196 $11,218 +12%
Sepsis

MS-DRG 870 · Inpatient stay

25 $332,540 $71,295 +24%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

25 $85,475 $23,965 +7%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

24 $44,833 $9,642 +43%
Other Disorders of Nervous System with Major Complications

MS-DRG 091 · Inpatient stay

21 $90,642 $19,181 +27%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

21 $31,894 $8,934 about average
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

21 $36,568 $9,032 +13%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

21 $36,727 $10,573 -6%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

20 $66,018 $17,006 +8%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

19 $120,954 $34,418 -16%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

19 $94,908 $25,515 -6%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

19 $50,392 $10,932 +22%
Other Disorders of Nervous System with Complications

MS-DRG 092 · Inpatient stay

19 $49,612 $11,638 +10%
Combined Anterior and Posterior Spinal Fusion without Complications/mcc

MS-DRG 455 · Inpatient stay

19 $182,384 $51,081 +3%
Spinal Fusion Except Cervical without Major Complications

MS-DRG 460 · Inpatient stay

18 $143,733 $37,290 about average
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

18 $16,978 $3,494 -4%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

18 $21,747 $4,286 +5%
Level 6 Urology and Related Services

APC 5376 · Hospital outpatient visit

17 $61,665 $11,313 +39%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

16 $46,301 $13,045 about average
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

16 $88,829 $22,948 +13%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

16 $94,811 $20,977 -7%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

16 $40,616 $10,337 +17%
Major Gastrointestinal Disorders and Peritoneal Infections with Major Complications

MS-DRG 371 · Inpatient stay

16 $75,927 $20,130 +11%
Level 2 Urology and Related Services

APC 5372 · Hospital outpatient visit

16 $2,873 $840 -8%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

15 $36,064 $9,227 +18%
Other Kidney and Urinary Tract Procedures with Major Complications

MS-DRG 673 · Inpatient stay

15 $171,742 $42,616 +12%
Other Cardiothoracic Procedures with Major Complications

MS-DRG 228 · Inpatient stay

15 $246,102 $62,655 +9%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

15 $18,544 $1,871 +65%
Craniotomy and Endovascular Intracranial Procedures with Major Complications

MS-DRG 025 · Inpatient stay

14 $185,532 $44,555 -4%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

14 $186,090 $46,141 +4%
Respiratory System Diagnosis with Ventilator Support >96 Hours

MS-DRG 207 · Inpatient stay

14 $224,300 $69,400 -12%
Other Major Cardiovascular Procedures with Major Complications

MS-DRG 270 · Inpatient stay

14 $163,385 $52,253 -27%
Interstitial Lung Disease with Major Complications

MS-DRG 196 · Inpatient stay

14 $92,704 $35,531 +16%
Coagulation Disorders

MS-DRG 813 · Inpatient stay

14 $81,087 $19,573 +21%
Other Cerebrovascular Disorders with Major Complications

MS-DRG 070 · Inpatient stay

13 $48,323 $14,395 -27%
Fainting

MS-DRG 312 · Inpatient stay

13 $42,264 $10,668 +15%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

13 $96,111 $37,040 -18%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

13 $38,322 $9,509 +25%
Cirrhosis and Alcoholic Hepatitis with Major Complications

MS-DRG 432 · Inpatient stay

13 $137,479 $25,462 +72%
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major

MS-DRG 441 · Inpatient stay

13 $69,411 $20,884 -9%
Other Kidney and Urinary Tract Procedures with Complications

MS-DRG 674 · Inpatient stay

13 $85,327 $27,578 -12%
Complications of Treatment with Major Complications

MS-DRG 919 · Inpatient stay

13 $68,715 $19,910 -8%
Major Gastrointestinal Disorders and Peritoneal Infections with Complications

MS-DRG 372 · Inpatient stay

13 $34,412 $10,482 -13%
Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with

MS-DRG 427 · Inpatient stay

13 $243,987 $82,767 -21%
Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive

MS-DRG 457 · Inpatient stay

13 $207,891 $80,997 -28%
Level 5 Gynecologic Procedures

APC 5415 · Hospital outpatient visit

13 $31,953 $6,115 +6%
Extracranial Procedures without Complications/mcc

MS-DRG 039 · Inpatient stay

12 $55,123 $12,181 +4%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

12 $50,060 $9,797 +23%
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major

MS-DRG 981 · Inpatient stay

12 $206,239 $50,215 +12%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

12 $46,481 $17,966 -28%

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.