CostGrade

All published prices at Raritan Bay Medical Center

89 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.

D
Procedure Patients Charged Actually paid vs national
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

510 $32,178 $2,856 +66%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

353 $123,277 $18,619 +89%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

196 $93,769 $12,856 +116%
Psychoses

MS-DRG 885 · Inpatient stay

183 $111,851 $14,688 +210%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

151 $20,288 $5,447 -26%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

139 $16,211 $3,677 -21%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

120 $11,608 $2,138 -10%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

116 $88,741 $13,322 +90%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

92 $100,317 $16,507 +82%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

66 $93,372 $14,310 +76%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

63 $46,231 $13,548 -26%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

62 $51,236 $8,430 +72%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

59 $57,036 $9,227 +73%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

57 $72,074 $11,288 +77%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

53 $66,412 $10,255 +69%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

52 $55,360 $8,146 +72%
Level 6 Urology and Related Services

APC 5376 · Hospital outpatient visit

51 $34,610 $9,766 -22%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

44 $31,301 $6,121 -11%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

42 $39,113 $7,038 about average
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

41 $15,344 $1,720 +52%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

40 $91,616 $15,324 +49%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

40 $93,729 $17,168 +65%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

40 $244,126 $47,048 +37%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

37 $51,925 $8,991 +70%
Fainting

MS-DRG 312 · Inpatient stay

35 $64,218 $8,491 +75%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

31 $82,749 $12,757 +75%
COPD (severe)

MS-DRG 190 · Inpatient stay

29 $76,625 $11,317 +83%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

29 $83,614 $16,032 +18%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

29 $10,233 $1,978 -10%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

28 $8,686 $1,705 -23%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

27 $53,963 $8,241 +77%
Skin Infection (severe)

MS-DRG 602 · Inpatient stay

27 $108,997 $14,230 +112%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

27 $22,048 $3,463 -13%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

26 $72,698 $9,655 +60%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

26 $15,115 $3,434 -26%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

26 $12,074 $2,019 about average
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

26 $15,484 $3,670 -33%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

25 $51,485 $9,595 +62%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

25 $95,804 $19,927 -6%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

24 $66,427 $10,223 +61%
Respiratory Failure

MS-DRG 189 · Inpatient stay

23 $94,603 $12,133 +95%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

23 $57,892 $7,798 +89%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

23 $88,243 $12,679 +82%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

23 $9,960 $1,625 +16%
Stroke (severe)

MS-DRG 064 · Inpatient stay

21 $106,243 $18,066 +39%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

20 $100,506 $14,060 +110%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

20 $63,692 $10,850 +71%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

20 $97,432 $20,751 +14%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

20 $67,737 $8,945 +82%
Sepsis

MS-DRG 870 · Inpatient stay

20 $317,120 $53,797 +18%
Bronchitis and Asthma with Complications/mcc

MS-DRG 202 · Inpatient stay

20 $100,910 $11,648 +156%
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

19 $46,635 $8,109 +39%
Fractures of Hip and Pelvis without Major Complications

MS-DRG 536 · Inpatient stay

19 $45,247 $7,732 +38%
Permanent Cardiac Pacemaker Implant with Major Complications

MS-DRG 242 · Inpatient stay

18 $168,239 $32,648 +21%
Chest Pain

MS-DRG 313 · Inpatient stay

18 $52,220 $7,230 +55%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

18 $97,433 $18,715 +17%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

18 $56,720 $8,320 +64%
Organic Disturbances and Intellectual Disability

MS-DRG 884 · Inpatient stay

18 $104,179 $17,380 +109%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

17 $140,725 $25,739 +24%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

17 $45,962 $5,505 +83%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

17 $59,664 $9,985 +53%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

17 $82,189 $14,671 +46%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

17 $92,675 $13,422 +65%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

16 $49,514 $8,907 +21%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

16 $54,564 $10,595 +25%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

16 $101,263 $16,119 +58%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

15 $196,218 $44,532 +9%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

15 $55,242 $7,970 +76%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

15 $91,580 $12,333 +78%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

15 $167,910 $27,597 +43%
COPD (with complications)

MS-DRG 191 · Inpatient stay

15 $55,680 $8,366 +67%
Level 2 Urology and Related Services

APC 5372 · Hospital outpatient visit

15 $7,339 $725 +134%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

14 $51,865 $9,946 +26%
Depressive Neuroses

MS-DRG 881 · Inpatient stay

14 $95,785 $10,737 +335%
Disorders of Pancreas Except Malignancy with Complications

MS-DRG 439 · Inpatient stay

13 $45,725 $10,425 +27%
Peripheral Vascular Disorders with Complications

MS-DRG 300 · Inpatient stay

12 $67,321 $12,279 +57%
Kidney and Ureter Procedures for Non-neoplasm with Complications

MS-DRG 660 · Inpatient stay

12 $90,593 $12,886 +63%
Dysequilibrium

MS-DRG 149 · Inpatient stay

12 $57,705 $7,462 +47%
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with Major Complications

MS-DRG 896 · Inpatient stay

12 $111,698 $16,725 +70%
Level 5 Gynecologic Procedures

APC 5415 · Hospital outpatient visit

12 $23,295 $5,277 -22%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

11 $94,524 $20,694 about average
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

11 $78,204 $12,686 +43%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

11 $105,345 $22,717 +35%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

11 $98,449 $24,973 about average
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

11 $46,308 $11,263 +23%
Respiratory Neoplasms with Major Complications

MS-DRG 180 · Inpatient stay

11 $135,634 $16,612 +83%
Interstitial Lung Disease with Major Complications

MS-DRG 196 · Inpatient stay

11 $69,418 $17,412 -13%
Poisoning and Toxic Effects of Drugs with Major Complications

MS-DRG 917 · Inpatient stay

11 $127,300 $15,969 +87%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

11 $12,985 $3,015 -27%

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.