CostGrade

All published prices at Providence St Mary Medical Center

73 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

454 $32,740 $3,352 +68%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

327 $98,632 $21,560 +51%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

188 $22,093 $4,013 -12%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

175 $8,415 $1,993 -17%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

164 $68,097 $13,299 +57%
Level 1 Intraocular Procedures

APC 5491 · Hospital outpatient visit

95 $10,732 $2,847 -9%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

87 $60,392 $13,836 +30%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

66 $23,845 $3,919 +25%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

51 $50,766 $11,063 +29%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

49 $79,270 $16,782 +40%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

40 $21,670 $3,826 +6%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

38 $235,589 $51,306 +32%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

38 $51,077 $13,503 -25%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

37 $63,756 $15,008 +20%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

36 $51,884 $10,382 +14%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

36 $106,655 $17,498 +94%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

35 $24,576 $7,027 -29%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

35 $43,156 $7,094 +23%
Stroke (severe)

MS-DRG 064 · Inpatient stay

34 $90,530 $19,236 +19%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

30 $35,237 $8,792 -12%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

30 $80,956 $16,148 +30%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

28 $72,646 $18,052 about average
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

28 $57,223 $12,053 +40%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

27 $112,955 $18,981 +84%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

27 $9,391 $1,969 +10%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

25 $56,391 $13,823 +16%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

25 $42,774 $13,108 -17%
Cirrhosis and Alcoholic Hepatitis with Major Complications

MS-DRG 432 · Inpatient stay

24 $52,303 $20,318 -35%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

23 $105,202 $21,236 +34%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

23 $51,888 $10,949 +74%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

22 $63,441 $13,024 +34%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

22 $36,215 $8,015 +18%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

22 $44,490 $9,354 +38%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

22 $38,612 $9,479 +17%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

21 $59,005 $14,208 +5%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

21 $19,872 $4,286 -4%
Respiratory Failure

MS-DRG 189 · Inpatient stay

20 $66,538 $13,077 +37%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

20 $43,525 $9,430 +43%
Sepsis

MS-DRG 870 · Inpatient stay

20 $329,447 $65,807 +23%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

20 $20,058 $2,504 +55%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

19 $40,516 $8,462 +29%
Peripheral Vascular Disorders with Major Complications

MS-DRG 299 · Inpatient stay

19 $71,578 $16,269 +6%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

18 $88,020 $22,278 about average
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

18 $52,311 $11,574 -4%
Skin Infection (severe)

MS-DRG 602 · Inpatient stay

18 $55,237 $14,332 +8%
Fainting

MS-DRG 312 · Inpatient stay

17 $57,370 $9,813 +57%
Gastrointestinal Obstruction with Major Complications

MS-DRG 388 · Inpatient stay

16 $76,684 $14,682 +33%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

16 $61,784 $10,586 +64%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

15 $44,474 $9,456 about average
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

15 $123,281 $29,245 -14%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

15 $79,221 $18,888 -22%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

15 $56,042 $13,342 +9%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

15 $126,805 $21,378 +48%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

15 $30,149 $4,253 +30%
COPD (severe)

MS-DRG 190 · Inpatient stay

14 $53,987 $11,598 +29%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

14 $128,107 $21,234 +54%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

13 $63,248 $14,189 +16%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

13 $157,086 $36,202 +38%
Chest Pain

MS-DRG 313 · Inpatient stay

13 $28,089 $7,898 -17%
Other Cerebrovascular Disorders with Major Complications

MS-DRG 070 · Inpatient stay

12 $63,405 $18,068 -4%
Seizures with Major Complications

MS-DRG 100 · Inpatient stay

12 $67,594 $19,056 -16%
Other Vascular Procedures with Major Complications

MS-DRG 252 · Inpatient stay

12 $157,975 $34,117 +9%
Peripheral Vascular Disorders with Complications

MS-DRG 300 · Inpatient stay

12 $45,871 $13,603 +7%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

12 $50,174 $9,702 +45%
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major

MS-DRG 441 · Inpatient stay

12 $75,123 $16,970 about average
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

12 $70,749 $21,503 -26%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

12 $14,220 $2,374 +25%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

11 $53,312 $10,505 +29%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

11 $123,991 $28,799 +6%
Other Kidney and Urinary Tract Procedures with Major Complications

MS-DRG 673 · Inpatient stay

11 $244,820 $44,183 +59%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

11 $38,002 $6,756 +5%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

11 $87,088 $26,615 -34%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

11 $7,970 $2,339 -32%

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.