CostGrade

All published prices at Reid Health

122 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.

B
Procedure Patients Charged Actually paid vs national
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

877 $11,608 $2,585 -40%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

467 $38,439 $16,138 -41%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

426 $30,190 $3,069 +20%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

275 $8,159 $1,519 -19%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

259 $5,569 $1,783 -53%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

226 $25,614 $10,658 -41%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

143 $48,569 $12,317 -22%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

140 $21,448 $3,271 +4%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

139 $14,909 $2,991 -22%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

130 $55,891 $10,492 -17%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

111 $104,747 $27,298 -16%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

102 $32,951 $13,414 -42%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

98 $26,720 $4,900 about average
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

97 $11,944 $1,934 -8%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

96 $26,497 $11,095 -43%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

96 $8,153 $1,797 -28%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

91 $6,837 $2,654 -59%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

88 $30,144 $14,571 -45%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

83 $23,227 $8,876 -41%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

81 $61,365 $16,955 -26%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

78 $38,543 $13,041 -37%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

78 $19,182 $7,375 -42%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

76 $26,314 $5,451 -25%
Organic Disturbances and Intellectual Disability

MS-DRG 884 · Inpatient stay

74 $21,162 $14,051 -58%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

68 $31,444 $6,670 -21%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

65 $17,679 $2,967 -13%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

59 $20,772 $9,699 -49%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

59 $33,882 $10,040 -34%
Respiratory Failure

MS-DRG 189 · Inpatient stay

58 $33,782 $10,051 -30%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

57 $17,273 $2,542 about average
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

54 $27,540 $8,586 -33%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

54 $32,514 $12,785 -39%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

53 $20,991 $6,578 -30%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

52 $29,336 $8,635 -36%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

49 $89,316 $40,719 -50%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

48 $21,023 $5,159 -42%
Level 2 Urology and Related Services

APC 5372 · Hospital outpatient visit

46 $5,014 $652 +60%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

45 $75,076 $16,180 -26%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

45 $22,581 $7,741 -30%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

43 $20,831 $3,180 -10%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

42 $41,532 $10,151 -24%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

41 $98,707 $28,206 -31%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

41 $26,589 $10,723 -45%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

41 $18,985 $6,580 -38%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

41 $72,003 $16,704 -25%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

41 $123,869 $22,614 -7%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

39 $51,425 $17,177 -38%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

38 $11,069 $1,502 about average
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

37 $37,883 $17,299 -47%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

37 $32,224 $5,221 -7%
Stroke (severe)

MS-DRG 064 · Inpatient stay

35 $40,624 $15,508 -47%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

33 $16,877 $6,191 -45%
COPD (severe)

MS-DRG 190 · Inpatient stay

32 $26,424 $9,655 -37%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

32 $30,700 $7,580 -30%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

32 $22,488 $8,031 -42%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

30 $59,421 $24,091 -49%
Psychoses

MS-DRG 885 · Inpatient stay

30 $19,537 $11,648 -46%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

28 $24,300 $11,262 -49%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

27 $52,746 $17,344 -38%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

27 $32,172 $5,995 -19%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

27 $22,476 $7,870 -41%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

26 $5,893 $1,482 -31%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

25 $20,946 $6,849 -34%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

25 $49,120 $18,966 -44%
Fainting

MS-DRG 312 · Inpatient stay

25 $21,370 $7,710 -42%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

24 $23,193 $9,049 -38%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

24 $65,997 $15,564 -17%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

24 $15,968 $2,985 -12%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

23 $31,721 $11,570 -33%
Level 6 Gynecologic Procedures

APC 5416 · Hospital outpatient visit

23 $28,023 $7,214 -31%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

22 $23,629 $9,393 -25%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

22 $21,716 $8,423 -42%
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

22 $29,870 $5,591 -13%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

21 $100,225 $31,312 -33%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

20 $20,996 $7,440 -31%
Coagulation Disorders

MS-DRG 813 · Inpatient stay

19 $28,636 $12,864 -57%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

18 $45,385 $22,150 -60%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

18 $28,428 $10,574 -45%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

18 $19,575 $7,497 -47%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

18 $53,134 $16,714 -36%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

17 $30,664 $11,576 -44%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

17 $53,173 $21,800 -47%
Kidney and Ureter Procedures for Non-neoplasm with Complications

MS-DRG 660 · Inpatient stay

17 $47,484 $11,208 -15%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

17 $29,747 $11,591 -47%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

16 $28,605 $7,833 -26%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

16 $19,286 $7,991 -44%
Sepsis

MS-DRG 870 · Inpatient stay

16 $118,802 $56,734 -56%
COPD (with complications)

MS-DRG 191 · Inpatient stay

16 $25,610 $6,619 -23%
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with

MS-DRG 543 · Inpatient stay

16 $19,617 $8,976 -53%
Level 5 Neurostimulator and Related Procedures

APC 5465 · Hospital outpatient visit

16 $65,915 $27,889 -42%
Implantation of Drug Infusion Device

APC 5471 · Hospital outpatient visit

16 $34,597 $15,069 -53%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

15 $55,095 $18,648 -41%
Other Vascular Procedures with Complications

MS-DRG 253 · Inpatient stay

15 $67,498 $28,570 -40%
Revision of Hip or Knee Replacement with Complications

MS-DRG 467 · Inpatient stay

15 $82,626 $28,154 -36%
Kidney and Ureter Procedures for Non-neoplasm with Major Complications

MS-DRG 659 · Inpatient stay

15 $72,738 $22,038 -26%
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

15 $11,311 $1,534 about average
Other Disorders of Nervous System with Major Complications

MS-DRG 091 · Inpatient stay

14 $31,180 $15,206 -56%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

14 $27,898 $11,172 -51%
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major

MS-DRG 897 · Inpatient stay

14 $20,875 $6,721 -36%
Combined Anterior and Posterior Spinal Fusion with Complications

MS-DRG 454 · Inpatient stay

14 $130,582 $50,776 -41%

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.