CostGrade

All published prices at Riverside Community Hospital

126 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.

F
Procedure Patients Charged Actually paid vs national
Sepsis (severe)

MS-DRG 871 · Inpatient stay

614 $276,017 $25,680 +323%
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

281 $65,523 $3,365 +237%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

134 $72,482 $3,991 +187%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

119 $181,630 $20,974 +196%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

114 $153,920 $16,918 +255%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

98 $136,963 $13,526 +249%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

97 $164,141 $20,052 +189%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

92 $815,153 $62,810 +358%
Stroke (severe)

MS-DRG 064 · Inpatient stay

81 $347,106 $24,941 +355%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

79 $199,678 $16,148 +220%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

65 $190,283 $18,062 +308%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

64 $149,529 $17,015 +208%
Fainting

MS-DRG 312 · Inpatient stay

54 $123,724 $11,555 +238%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

53 $105,473 $11,930 +220%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

52 $244,828 $20,781 +345%
Sepsis

MS-DRG 870 · Inpatient stay

52 $1,129,427 $88,449 +321%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

51 $175,504 $17,624 +232%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

50 $93,514 $10,741 +214%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

47 $123,778 $14,617 +183%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

47 $71,687 $3,919 +275%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

47 $113,820 $7,094 +224%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

43 $122,404 $13,264 +213%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

43 $88,550 $10,598 +190%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

43 $20,993 $2,339 +79%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

41 $205,599 $12,542 +351%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

41 $221,900 $13,503 +228%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

40 $105,565 $14,778 +159%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

40 $116,503 $13,677 +209%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

37 $107,535 $10,978 +233%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

36 $156,453 $10,430 +279%
Seizures with Major Complications

MS-DRG 100 · Inpatient stay

36 $242,474 $23,820 +201%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

36 $136,279 $11,844 +234%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

34 $134,613 $18,393 +181%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

33 $363,125 $51,871 +257%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

32 $248,669 $23,701 +198%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

32 $38,764 $1,993 +285%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

31 $110,173 $13,358 +219%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

30 $141,706 $6,843 +309%
Respiratory Failure

MS-DRG 189 · Inpatient stay

29 $151,255 $15,651 +212%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

29 $458,991 $36,860 +219%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

29 $156,688 $8,566 +293%
Organic Disturbances and Intellectual Disability

MS-DRG 884 · Inpatient stay

28 $90,342 $19,443 +81%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

28 $357,945 $21,504 +275%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

27 $385,072 $30,629 +239%
Other Vascular Procedures with Major Complications

MS-DRG 252 · Inpatient stay

27 $394,309 $41,313 +171%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

27 $111,913 $6,756 +210%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

27 $85,324 $13,108 +66%
Peripheral Vascular Disorders with Complications

MS-DRG 300 · Inpatient stay

26 $106,242 $13,690 +148%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

25 $93,990 $11,084 +200%
Other Disorders of Nervous System with Complications

MS-DRG 092 · Inpatient stay

25 $137,335 $13,378 +205%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

25 $88,864 $12,012 +142%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

25 $38,943 $3,494 +120%
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal

MS-DRG 023 · Inpatient stay

24 $758,930 $63,029 +231%
Heart Attack (uncomplicated)

MS-DRG 282 · Inpatient stay

24 $87,872 $9,670 +129%
Cranial and Peripheral Nerve Disorders without Major Complications

MS-DRG 074 · Inpatient stay

24 $115,127 $13,684 +142%
Craniotomy and Endovascular Intracranial Procedures with Major Complications

MS-DRG 025 · Inpatient stay

23 $759,494 $58,913 +295%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

23 $382,135 $31,998 +280%
Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except Face

MS-DRG 004 · Inpatient stay

23 $1,916,302 $145,392 +256%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

23 $325,377 $29,114 +145%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

22 $235,449 $25,345 +201%
Other Kidney and Urinary Tract Procedures with Major Complications

MS-DRG 673 · Inpatient stay

22 $436,996 $49,850 +184%
Peripheral Vascular Disorders with Major Complications

MS-DRG 299 · Inpatient stay

22 $202,046 $20,089 +200%
Other Disorders of Nervous System with Major Complications

MS-DRG 091 · Inpatient stay

21 $232,977 $21,532 +228%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

21 $110,245 $10,324 +260%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

21 $162,091 $18,490 +188%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

20 $194,598 $21,346 +174%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

20 $228,991 $23,816 +186%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

19 $166,775 $15,107 +206%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

19 $141,758 $15,931 +176%
Back Problems (severe)

MS-DRG 551 · Inpatient stay

19 $160,737 $18,844 +131%
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

19 $113,843 $7,200 +231%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

18 $150,324 $17,287 +167%
Cirrhosis and Alcoholic Hepatitis with Major Complications

MS-DRG 432 · Inpatient stay

18 $213,515 $24,788 +167%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

18 $47,889 $1,976 +326%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

17 $210,643 $15,779 +345%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

17 $261,636 $23,134 +205%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

17 $98,177 $11,735 +222%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

17 $91,007 $4,254 +291%
ECMO or Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except

MS-DRG 003 · Inpatient stay

16 $2,314,094 $236,549 +163%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

16 $351,491 $32,537 +199%
Traumatic Stupor and Coma >1 Hour with Major Complications

MS-DRG 082 · Inpatient stay

16 $336,704 $28,914 +248%
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

16 $85,693 $8,036 +123%
Degenerative Nervous System Disorders with Major Complications

MS-DRG 056 · Inpatient stay

15 $223,293 $27,469 +159%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

15 $747,186 $57,576 +294%
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

15 $127,788 $10,142 +281%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

15 $126,224 $12,671 +225%
Hip or Thigh Bone Surgery (uncomplicated)

MS-DRG 482 · Inpatient stay

15 $223,658 $25,966 +226%
Spinal Fusion Except Cervical without Major Complications

MS-DRG 460 · Inpatient stay

15 $367,506 $43,200 +154%
Other Major Cardiovascular Procedures with Major Complications

MS-DRG 270 · Inpatient stay

15 $791,642 $60,430 +253%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

14 $153,642 $17,363 +182%
Postoperative and Post-traumatic Infections with Major Complications

MS-DRG 862 · Inpatient stay

14 $212,897 $27,558 +187%
Signs and Symptoms without Major Complications

MS-DRG 948 · Inpatient stay

14 $71,797 $10,424 +121%
Other Cerebrovascular Disorders with Complications

MS-DRG 071 · Inpatient stay

14 $137,315 $14,026 +209%
Coagulation Disorders

MS-DRG 813 · Inpatient stay

14 $172,201 $55,711 +157%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

14 $58,802 $4,604 +159%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

14 $36,847 $1,969 +330%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

14 $177,518 $12,637 +197%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

14 $51,717 $2,505 +300%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

13 $249,968 $27,513 +184%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

13 $82,782 $11,975 +123%

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.