CostGrade

All published prices at Riverside Methodist Hospital

261 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.

C
Procedure Patients Charged Actually paid vs national
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

1,156 $13,829 $2,398 -29%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

485 $18,177 $2,893 -28%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

481 $73,035 $17,547 +12%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

404 $122,073 $21,040 -8%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

391 $15,021 $1,698 +28%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

389 $12,071 $1,443 +20%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

379 $70,757 $11,754 +13%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

351 $46,263 $10,895 +7%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

279 $50,221 $9,742 -26%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

216 $42,994 $5,103 +22%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

150 $167,680 $38,234 -12%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

147 $42,878 $9,238 -6%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

146 $20,101 $2,738 +5%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

146 $72,600 $9,200 +22%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

145 $130,635 $25,646 +5%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

142 $24,022 $3,468 -34%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

139 $45,661 $9,275 +11%
Stroke (severe)

MS-DRG 064 · Inpatient stay

134 $69,021 $16,523 -10%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

125 $27,889 $8,466 -29%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

123 $80,020 $15,234 +13%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

117 $51,937 $13,205 -6%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

104 $70,264 $15,364 -26%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

102 $24,696 $6,830 -19%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

99 $33,556 $4,515 +22%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

96 $26,105 $7,319 -19%
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with

MS-DRG 543 · Inpatient stay

95 $33,569 $9,276 -19%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

93 $19,710 $1,638 +74%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

92 $23,758 $3,090 +15%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

90 $53,243 $12,432 about average
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

89 $20,204 $2,518 +14%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

86 $38,174 $9,543 -26%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

85 $181,663 $41,052 about average
Combined Anterior and Posterior Spinal Fusion with Complications

MS-DRG 454 · Inpatient stay

85 $155,005 $59,420 -30%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

84 $20,634 $1,806 +60%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

82 $93,218 $15,687 +17%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

82 $47,707 $6,335 +20%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

78 $91,482 $17,388 +10%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

77 $39,240 $11,384 -16%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

77 $123,914 $24,574 +23%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

75 $68,502 $16,081 -33%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

74 $43,591 $8,933 +7%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

72 $39,402 $10,097 -3%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

72 $27,061 $2,734 +49%
Craniotomy and Endovascular Intracranial Procedures with Major Complications

MS-DRG 025 · Inpatient stay

71 $205,120 $43,678 +7%
Spinal Fusion Except Cervical without Major Complications

MS-DRG 460 · Inpatient stay

71 $127,096 $34,145 -12%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

68 $55,271 $13,694 -10%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

68 $199,699 $47,175 -17%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

66 $38,903 $11,498 -19%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

66 $29,314 $7,889 -11%
Seizures with Major Complications

MS-DRG 100 · Inpatient stay

64 $95,307 $17,821 +18%
Other Musculoskeletal System and Connective Tissue Operating Room Procedures with

MS-DRG 516 · Inpatient stay

64 $82,611 $16,317 -7%
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Major

MS-DRG 542 · Inpatient stay

63 $51,450 $14,567 -25%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

62 $90,266 $24,844 -37%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

61 $74,178 $17,794 -16%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

61 $51,510 $10,682 +9%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

61 $37,810 $9,401 -4%
Cirrhosis and Alcoholic Hepatitis with Major Complications

MS-DRG 432 · Inpatient stay

61 $79,822 $16,468 about average
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

60 $84,107 $16,676 about average
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

59 $171,840 $38,709 -4%
Respiratory Failure

MS-DRG 189 · Inpatient stay

57 $39,119 $10,451 -19%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

56 $27,552 $7,423 -7%
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization

MS-DRG 219 · Inpatient stay

56 $309,564 $107,422 -8%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

56 $23,046 $3,349 about average
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

56 $33,555 $3,050 +44%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

54 $57,506 $11,192 +12%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

54 $43,740 $16,347 -10%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

53 $26,816 $7,454 -14%
Malignancy of Hepatobiliary System or Pancreas with Major Complications

MS-DRG 435 · Inpatient stay

53 $68,605 $15,609 -16%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

52 $23,316 $7,821 -24%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

51 $40,688 $5,111 +18%
Fainting

MS-DRG 312 · Inpatient stay

50 $28,329 $7,559 -23%
Coronary Bypass without Cardiac Catheterization without Major Complications

MS-DRG 236 · Inpatient stay

48 $216,330 $45,505 +18%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

48 $101,361 $28,755 -32%
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal

MS-DRG 023 · Inpatient stay

47 $171,705 $44,435 -25%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

47 $108,126 $25,666 -8%
Other Disorders of Nervous System with Complications

MS-DRG 092 · Inpatient stay

45 $37,981 $9,060 -16%
Coronary Bypass without Cardiac Catheterization with Major Complications

MS-DRG 235 · Inpatient stay

45 $260,081 $58,163 +8%
Cervical Spinal Fusion with Complications

MS-DRG 472 · Inpatient stay

45 $115,041 $25,803 -4%
Level 4 Neurostimulator and Related Procedures

APC 5464 · Hospital outpatient visit

45 $86,971 $19,119 +8%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

44 $79,111 $16,898 about average
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

44 $53,500 $13,654 -17%
Other Major Cardiovascular Procedures with Major Complications

MS-DRG 270 · Inpatient stay

44 $189,999 $48,228 -15%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

44 $38,481 $3,347 +61%
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

44 $48,877 $5,237 +42%
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization

MS-DRG 220 · Inpatient stay

43 $253,496 $59,046 +9%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

43 $35,446 $7,456 -6%
Level 5 Gynecologic Procedures

APC 5415 · Hospital outpatient visit

43 $48,889 $4,384 +63%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

42 $43,832 $9,170 -20%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

42 $23,590 $5,513 -6%
Disorders of the Biliary Tract with Complications

MS-DRG 445 · Inpatient stay

42 $51,331 $10,337 about average
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

41 $34,966 $8,561 -10%
Nervous System Neoplasms with Major Complications

MS-DRG 054 · Inpatient stay

41 $50,780 $13,228 -23%
Other Cerebrovascular Disorders with Complications

MS-DRG 071 · Inpatient stay

41 $41,922 $9,122 -6%
Laparoscopic Cholecystectomy without C.d.e. with Complications

MS-DRG 418 · Inpatient stay

40 $88,042 $14,235 +7%
Disorders of the Biliary Tract with Major Complications

MS-DRG 444 · Inpatient stay

40 $61,222 $14,066 -14%
Other Musculoskeletal System and Connective Tissue Operating Room Procedures with Major

MS-DRG 515 · Inpatient stay

40 $120,299 $24,992 about average
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

39 $34,388 $7,870 -8%
Organic Disturbances and Intellectual Disability

MS-DRG 884 · Inpatient stay

39 $46,700 $15,447 -7%
Major Small and Large Bowel Procedures without Complications/mcc

MS-DRG 331 · Inpatient stay

39 $88,565 $14,261 +19%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

39 $60,865 $5,831 +54%

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.