All published prices at Rex Hospital
222 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 |
1,219 | $10,156 | $2,069 | -14% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
1,077 | $55,586 | $11,741 | -11% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
724 | $14,986 | $2,421 | -23% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
683 | $15,165 | $2,902 | -40% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
344 | $121,388 | $20,928 | -8% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
316 | $52,272 | $13,650 | -20% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
314 | $20,371 | $5,116 | -42% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
303 | $45,172 | $9,682 | -33% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
302 | $14,733 | $3,603 | -29% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
295 | $29,801 | $9,499 | -31% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
273 | $5,701 | $1,420 | -43% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
227 | $15,710 | $3,095 | -24% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
210 | $22,896 | $6,295 | -43% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
206 | $12,169 | $2,848 | -36% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
193 | $7,317 | $1,685 | -38% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
183 | $40,413 | $9,482 | -22% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
181 | $20,947 | $5,671 | -32% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
175 | $16,753 | $4,637 | -39% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
152 | $27,897 | $8,983 | -53% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
149 | $11,836 | $3,413 | -50% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
144 | $42,333 | $11,778 | -23% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
136 | $24,939 | $5,087 | -28% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
131 | $21,139 | $5,818 | -29% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
130 | $9,090 | $1,812 | -30% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
125 | $20,457 | $5,796 | -48% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
116 | $81,962 | $22,466 | -34% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
115 | $67,062 | $12,918 | -34% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
111 | $87,393 | $16,606 | +5% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
102 | $24,345 | $8,022 | -40% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
96 | $24,807 | $7,218 | -40% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major
MS-DRG 287 · Inpatient stay |
95 | $35,546 | $7,951 | -35% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
95 | $34,602 | $8,755 | -27% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
95 | $91,210 | $21,141 | -37% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
93 | $66,783 | $14,997 | -30% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
91 | $28,781 | $9,314 | -38% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
91 | $46,388 | $17,028 | -54% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
91 | $21,003 | $5,650 | -31% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
91 | $27,632 | $7,485 | -27% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
86 | $28,250 | $9,706 | -42% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
85 | $21,525 | $3,308 | -5% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
84 | $22,396 | $5,937 | -31% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
84 | $16,826 | $4,903 | -53% |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
84 | $22,796 | $6,045 | -41% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
83 | $26,289 | $7,051 | -29% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
79 | $103,662 | $29,178 | -30% |
|
Level 3 Extraocular, Repair, and Plastic Eye Procedures
APC 5503 · Hospital outpatient visit |
79 | $11,718 | $2,104 | -19% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
78 | $54,079 | $11,569 | -12% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
74 | $139,110 | $33,964 | -27% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
73 | $17,339 | $2,979 | -25% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
72 | $20,512 | $6,043 | -35% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
70 | $33,968 | $7,836 | -25% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
69 | $48,324 | $16,122 | -45% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
69 | $22,791 | $6,411 | -31% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
67 | $11,744 | $1,676 | +3% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
66 | $47,223 | $13,394 | -38% |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
64 | $109,766 | $36,110 | -39% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
63 | $130,384 | $40,191 | -27% |
|
Heart Failure (with complications)
MS-DRG 292 · Inpatient stay |
63 | $28,505 | $6,554 | -14% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
62 | $17,746 | $6,306 | -42% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
60 | $22,667 | $6,673 | -42% |
|
Level 4 Pacemaker and Similar Procedures
APC 5224 · Hospital outpatient visit |
59 | $65,763 | $17,246 | -31% |
|
Permanent Cardiac Pacemaker Implant with Complications
MS-DRG 243 · Inpatient stay |
58 | $65,907 | $15,644 | -30% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
58 | $38,783 | $11,473 | -32% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
57 | $12,300 | $2,815 | -32% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
56 | $30,660 | $7,922 | -22% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications
MS-DRG 266 · Inpatient stay |
56 | $168,564 | $44,241 | -30% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
53 | $18,905 | $5,114 | -45% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
52 | $54,205 | $15,190 | -35% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
51 | $44,972 | $12,377 | -37% |
|
Level 5 Gynecologic Procedures
APC 5415 · Hospital outpatient visit |
51 | $21,238 | $4,478 | -29% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
49 | $17,997 | $7,415 | -52% |
|
Fainting
MS-DRG 312 · Inpatient stay |
48 | $29,964 | $6,309 | -18% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
48 | $66,906 | $14,918 | -22% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
48 | $28,086 | $10,336 | -47% |
|
Major Small and Large Bowel Procedures without Complications/mcc
MS-DRG 331 · Inpatient stay |
47 | $33,281 | $12,853 | -55% |
|
Spinal Fusion Except Cervical without Major Complications
MS-DRG 460 · Inpatient stay |
47 | $94,049 | $27,556 | -35% |
|
Major Chest Procedures with Complications
MS-DRG 164 · Inpatient stay |
47 | $51,122 | $18,928 | -53% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
46 | $39,554 | $8,995 | -18% |
|
Other Vascular Procedures with Major Complications
MS-DRG 252 · Inpatient stay |
45 | $85,617 | $24,601 | -41% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
45 | $13,295 | $2,528 | -20% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
44 | $21,800 | $6,225 | -30% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
43 | $31,307 | $9,653 | -35% |
|
Permanent Cardiac Pacemaker Implant with Major Complications
MS-DRG 242 · Inpatient stay |
43 | $90,534 | $24,148 | -35% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
43 | $32,978 | $9,911 | -41% |
|
Coronary Bypass without Cardiac Catheterization without Major Complications
MS-DRG 236 · Inpatient stay |
42 | $98,088 | $31,233 | -46% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
42 | $44,958 | $14,101 | -43% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
42 | $24,171 | $6,749 | -35% |
|
Other Vascular Procedures with Complications
MS-DRG 253 · Inpatient stay |
41 | $67,055 | $20,112 | -40% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
41 | $73,623 | $13,126 | -8% |
|
Bronchitis and Asthma with Complications/mcc
MS-DRG 202 · Inpatient stay |
41 | $22,981 | $7,376 | -42% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
41 | $8,052 | $1,358 | -6% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
40 | $28,372 | $11,341 | -43% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
39 | $35,544 | $9,619 | -31% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
38 | $34,443 | $6,631 | -21% |
|
Level 3 Intraocular Procedures
APC 5493 · Hospital outpatient visit |
38 | $18,692 | $4,612 | -23% |
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
37 | $19,600 | $6,727 | -50% |
|
Laparoscopic Cholecystectomy without C.d.e. with Complications
MS-DRG 418 · Inpatient stay |
37 | $48,889 | $11,844 | -41% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
36 | $15,184 | $2,850 | -25% |
|
Extracranial Procedures without Complications/mcc
MS-DRG 039 · Inpatient stay |
35 | $29,222 | $9,607 | -45% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
35 | $35,552 | $9,398 | -35% |
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.