All published prices at Providence St Mary Medical Center
64 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 |
|---|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
295 | $12,659 | $2,499 | +8% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
189 | $47,398 | $15,850 | -27% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
182 | $50,432 | $14,053 | -19% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
176 | $8,978 | $2,066 | -21% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
135 | $6,945 | $1,743 | -31% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
127 | $15,593 | $2,919 | -20% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
84 | $40,681 | $10,523 | -6% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
82 | $16,916 | $3,416 | -33% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
74 | $36,985 | $6,069 | +5% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
74 | $30,403 | $5,562 | +11% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
71 | $54,363 | $7,604 | +36% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
64 | $21,534 | $3,701 | +4% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
59 | $40,841 | $13,269 | -26% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
57 | $42,044 | $12,908 | -31% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
54 | $32,670 | $8,620 | -17% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
51 | $9,314 | $1,728 | -17% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
49 | $22,704 | $3,426 | +19% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
42 | $40,327 | $12,105 | -13% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
42 | $20,755 | $11,464 | -60% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
42 | $10,410 | $2,006 | -11% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
38 | $74,569 | $17,818 | -27% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
36 | $15,691 | $3,054 | -11% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
35 | $25,549 | $3,479 | +25% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
33 | $26,953 | $9,128 | -29% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
29 | $45,428 | $9,773 | -6% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
29 | $107,981 | $24,423 | -25% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
29 | $37,208 | $13,079 | -30% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
27 | $46,942 | $15,740 | -38% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
27 | $29,756 | $7,396 | -32% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
27 | $76,103 | $7,010 | +93% |
|
Coronary Intravascular Lithotripsy with Intraluminal Device without Major Complications
MS-DRG 324 · Inpatient stay |
26 | $113,527 | $27,520 | -29% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
26 | $17,761 | $6,144 | -49% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
25 | $23,334 | $6,424 | -24% |
|
Hip or Thigh Bone Surgery (severe)
MS-DRG 480 · Inpatient stay |
25 | $75,712 | $23,172 | -36% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
25 | $79,041 | $19,983 | -5% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
24 | $33,826 | $8,117 | -26% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
24 | $35,863 | $13,037 | -37% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
24 | $25,089 | $3,719 | +8% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
23 | $23,745 | $7,918 | -28% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
22 | $150,350 | $42,724 | -16% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
22 | $11,756 | $2,189 | -9% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
21 | $35,204 | $7,891 | -15% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
21 | $73,275 | $18,073 | -12% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
21 | $68,151 | $14,925 | -15% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
20 | $53,506 | $14,167 | -25% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
19 | $69,484 | $17,911 | -19% |
|
Other Factors Influencing Health Status
MS-DRG 951 · Inpatient stay |
16 | $16,701 | $4,854 | -24% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
15 | $42,756 | $11,987 | -12% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
15 | $30,840 | $9,315 | -24% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
15 | $33,312 | $4,097 | +40% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
14 | $41,312 | $13,868 | -24% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
14 | $25,791 | $6,468 | -18% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
14 | $7,215 | $1,722 | -16% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
14 | $31,788 | $6,295 | -7% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
12 | $21,357 | $7,154 | -30% |
|
Transient Ischemia without Thrombolytic
MS-DRG 069 · Inpatient stay |
11 | $28,075 | $6,510 | -32% |
|
Permanent Cardiac Pacemaker Implant with Major Complications
MS-DRG 242 · Inpatient stay |
11 | $74,768 | $27,192 | -46% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
11 | $30,709 | $6,553 | +3% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
11 | $31,719 | $8,376 | -16% |
|
Disorders of Pancreas Except Malignancy with Complications
MS-DRG 439 · Inpatient stay |
11 | $37,686 | $7,815 | +5% |
|
Coronary Intravascular Lithotripsy with Intraluminal Device with Major Complications
MS-DRG 323 · Inpatient stay |
11 | $166,665 | $33,990 | -22% |
|
Level 3 Intraocular Procedures
APC 5493 · Hospital outpatient visit |
11 | $22,780 | $5,618 | -6% |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
11 | $30,655 | $7,357 | -20% |
|
Level 4 ENT Procedures
APC 5164 · Hospital outpatient visit |
11 | $25,387 | $3,461 | +34% |
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.