CostGrade

All published prices at Reston Hospital Center

107 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
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

467 $100,110 $12,201 +60%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

259 $95,353 $15,424 +46%
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

172 $28,246 $2,557 +45%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

103 $63,608 $6,690 +60%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

93 $62,145 $5,372 +77%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

89 $59,655 $10,961 +37%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

88 $14,632 $1,803 +25%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

74 $165,966 $17,432 +100%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

71 $13,473 $1,536 +34%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

67 $26,506 $1,907 +105%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

66 $69,977 $10,196 +50%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

66 $43,158 $3,092 +71%
Combined Anterior and Posterior Spinal Fusion with Complications

MS-DRG 454 · Inpatient stay

65 $367,844 $53,823 +66%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

64 $70,434 $12,113 +28%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

64 $27,012 $2,982 +41%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

61 $55,538 $7,472 +42%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

61 $40,220 $4,838 +46%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

55 $107,573 $9,450 +80%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

51 $30,114 $3,022 +48%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

47 $118,059 $15,125 +48%
Combined Anterior and Posterior Spinal Fusion without Complications/mcc

MS-DRG 455 · Inpatient stay

47 $294,277 $39,707 +66%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

47 $29,781 $3,303 +44%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

46 $67,430 $8,114 +72%
Stroke (severe)

MS-DRG 064 · Inpatient stay

45 $82,967 $14,505 +9%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

42 $55,768 $8,999 +37%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

42 $18,711 $2,652 +6%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

40 $126,008 $15,096 +51%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

38 $16,622 $1,523 +48%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

35 $74,443 $11,088 +41%
Spinal Fusion Except Cervical without Major Complications

MS-DRG 460 · Inpatient stay

35 $203,824 $30,086 +41%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

34 $42,222 $6,354 +31%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

34 $30,690 $3,277 +32%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

33 $67,438 $8,621 +48%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

33 $58,331 $10,110 +20%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

32 $212,406 $32,643 +19%
Cervical Spinal Fusion with Complications

MS-DRG 472 · Inpatient stay

32 $115,254 $23,863 -4%
Fainting

MS-DRG 312 · Inpatient stay

31 $49,142 $7,273 +34%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

31 $20,117 $1,670 +77%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

30 $87,656 $11,638 +43%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

29 $40,892 $6,270 +34%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

27 $79,230 $5,995 +101%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

26 $45,605 $7,669 +10%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

26 $121,271 $15,823 +42%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

26 $48,236 $6,029 +58%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

26 $41,533 $6,309 +39%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

26 $24,632 $3,439 +9%
Level 6 Urology and Related Services

APC 5376 · Hospital outpatient visit

25 $85,350 $8,724 +92%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

24 $86,627 $10,098 +28%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

23 $44,178 $6,887 +45%
Revision of Hip or Knee Replacement with Complications

MS-DRG 467 · Inpatient stay

23 $173,101 $24,855 +33%
Respiratory Failure

MS-DRG 189 · Inpatient stay

22 $65,648 $9,682 +36%
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

22 $50,758 $6,012 +52%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

22 $50,514 $6,889 +53%
Revision of Hip or Knee Replacement without Complications/mcc

MS-DRG 468 · Inpatient stay

22 $144,158 $19,837 +33%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

21 $64,539 $10,706 +15%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

21 $7,478 $1,517 -13%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

21 $50,413 $5,008 +39%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

20 $69,850 $7,136 +71%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

20 $133,521 $16,315 +31%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

20 $48,625 $7,480 +31%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

19 $26,556 $4,835 +5%
Fractures of Hip and Pelvis without Major Complications

MS-DRG 536 · Inpatient stay

19 $48,183 $6,010 +47%
Organic Disturbances and Intellectual Disability

MS-DRG 884 · Inpatient stay

19 $82,697 $13,114 +66%
Dysequilibrium

MS-DRG 149 · Inpatient stay

19 $64,690 $6,384 +65%
Major Chest Procedures with Complications

MS-DRG 164 · Inpatient stay

18 $173,519 $19,792 +60%
Trauma to the Skin, Subcutaneous Tissue and Breast without Major Complications

MS-DRG 605 · Inpatient stay

18 $55,898 $7,125 +36%
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

18 $18,819 $1,608 +65%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

17 $62,728 $9,540 +31%
Traumatic Stupor and Coma <1 Hour with Complications

MS-DRG 086 · Inpatient stay

17 $61,932 $10,784 +9%
Seizures with Major Complications

MS-DRG 100 · Inpatient stay

17 $128,300 $14,234 +59%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

17 $53,325 $6,277 +68%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

17 $58,733 $7,064 +34%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

17 $41,435 $6,330 +32%
Back Problems (severe)

MS-DRG 551 · Inpatient stay

17 $69,291 $11,617 about average
Hip or Thigh Bone Surgery (uncomplicated)

MS-DRG 482 · Inpatient stay

16 $85,288 $11,811 +24%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

16 $86,025 $10,107 +67%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

16 $29,027 $2,962 +60%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

15 $57,238 $6,503 +39%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

15 $137,127 $21,651 +21%
Combined Anterior and Posterior Spinal Fusion with Major Complications

MS-DRG 453 · Inpatient stay

15 $422,269 $65,365 -5%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

14 $68,947 $10,913 +46%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

14 $144,713 $18,599 +44%
Laparoscopic Cholecystectomy without C.d.e. with Complications

MS-DRG 418 · Inpatient stay

14 $143,231 $14,054 +74%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

14 $49,470 $6,467 +35%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

13 $61,712 $11,461 +9%
Major Chest Procedures without Complications/mcc

MS-DRG 165 · Inpatient stay

13 $163,414 $14,011 +96%
Disorders of the Biliary Tract with Complications

MS-DRG 445 · Inpatient stay

13 $95,939 $10,192 +87%
Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical

MS-DRG 402 · Inpatient stay

13 $267,362 $45,418 +87%
Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with

MS-DRG 427 · Inpatient stay

13 $413,070 $57,032 +34%
Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive

MS-DRG 457 · Inpatient stay

13 $286,788 $51,694 about average
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

13 $59,075 $5,415 +71%
Traumatic Stupor and Coma <1 Hour with Major Complications

MS-DRG 085 · Inpatient stay

12 $97,666 $14,791 about average
Traumatic Stupor and Coma <1 Hour without Complications/mcc

MS-DRG 087 · Inpatient stay

12 $48,493 $6,902 -12%
Peripheral Vascular Disorders with Major Complications

MS-DRG 299 · Inpatient stay

12 $74,087 $12,226 +10%
Other Musculoskeletal System and Connective Tissue Operating Room Procedures with

MS-DRG 516 · Inpatient stay

12 $102,557 $15,078 +16%
Pneumothorax with Complications

MS-DRG 200 · Inpatient stay

12 $60,217 $8,416 +26%
Gastrointestinal Obstruction without Complications/mcc

MS-DRG 390 · Inpatient stay

12 $34,156 $4,536 +42%
Chest Pain

MS-DRG 313 · Inpatient stay

11 $36,878 $6,104 +9%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

11 $108,778 $13,093 +53%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

11 $68,124 $10,932 +21%

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.