CostGrade

All published prices at Riverside Regional Medical Center

191 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
Level 1 Intraocular Procedures

APC 5491 · Hospital outpatient visit

2,609 $10,456 $1,988 -11%
Level 2 Urology and Related Services

APC 5372 · Hospital outpatient visit

1,132 $1,888 $586 -40%
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

779 $17,209 $2,323 -11%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

474 $45,864 $16,055 -30%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

348 $5,357 $1,363 -47%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

294 $28,232 $10,527 -35%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

265 $9,443 $1,624 -20%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

260 $5,557 $1,754 -57%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

243 $12,886 $2,760 -49%
Psychoses

MS-DRG 885 · Inpatient stay

232 $18,615 $11,614 -48%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

205 $10,682 $2,691 -44%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

178 $9,304 $1,648 -18%
Level 2 Intraocular Procedures

APC 5492 · Hospital outpatient visit

154 $14,731 $3,464 -29%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

142 $35,354 $4,678 about average
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

128 $29,749 $4,906 -15%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

124 $52,175 $16,424 -37%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

123 $20,961 $4,340 -24%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

112 $12,639 $2,429 -29%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

107 $35,769 $12,700 -35%
Level 3 Intraocular Procedures

APC 5493 · Hospital outpatient visit

107 $14,497 $4,466 -40%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

104 $36,169 $8,699 -21%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

103 $23,767 $6,160 -40%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

101 $13,561 $2,978 -34%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

100 $13,193 $2,398 -20%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

92 $19,824 $3,224 -13%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

86 $26,558 $8,626 -32%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

86 $42,298 $9,116 -37%
Stroke (severe)

MS-DRG 064 · Inpatient stay

81 $53,748 $15,347 -30%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

80 $119,121 $47,135 -50%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

80 $8,580 $1,342 -24%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

79 $29,123 $8,897 -29%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

79 $4,580 $1,351 -47%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

77 $40,253 $9,189 -22%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

74 $21,489 $4,868 -38%
Respiratory Failure

MS-DRG 189 · Inpatient stay

72 $29,617 $10,667 -39%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

71 $101,301 $37,282 -43%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

71 $66,017 $19,870 -50%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

68 $19,589 $6,659 -36%
Fainting

MS-DRG 312 · Inpatient stay

64 $26,267 $7,293 -28%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

64 $69,398 $15,197 -32%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

64 $35,549 $11,015 -43%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

64 $57,410 $8,299 -4%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

61 $26,421 $10,098 -43%
Combined Anterior and Posterior Spinal Fusion with Complications

MS-DRG 454 · Inpatient stay

61 $119,153 $49,970 -46%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

60 $27,304 $10,557 -42%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

58 $38,681 $12,947 -37%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

55 $43,845 $13,839 -38%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

55 $35,287 $12,021 -33%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

54 $25,414 $9,006 -38%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

54 $13,640 $2,692 -25%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

53 $23,401 $7,075 -21%
Level 3 Extraocular, Repair, and Plastic Eye Procedures

APC 5503 · Hospital outpatient visit

53 $9,397 $1,982 -35%
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

52 $11,014 $1,417 -3%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

51 $24,758 $7,085 -23%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

50 $117,995 $35,792 -38%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

50 $54,670 $16,760 -36%
Craniotomy and Endovascular Intracranial Procedures with Major Complications

MS-DRG 025 · Inpatient stay

48 $93,977 $30,804 -51%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

47 $74,417 $24,164 -40%
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications

MS-DRG 493 · Inpatient stay

47 $60,607 $18,691 -40%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

46 $46,490 $19,127 -54%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

45 $23,218 $6,939 -24%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

45 $23,014 $5,217 -42%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

43 $69,041 $22,482 -41%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

42 $26,811 $8,098 -39%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

42 $29,433 $10,654 -39%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

42 $26,391 $7,787 -20%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

42 $40,609 $15,478 -29%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

41 $15,263 $3,234 -36%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

40 $148,257 $28,243 about average
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

40 $18,677 $2,919 -20%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

39 $15,252 $5,516 -39%
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major

MS-DRG 897 · Inpatient stay

39 $14,902 $7,762 -54%
Cervical Spinal Fusion with Complications

MS-DRG 472 · Inpatient stay

39 $58,528 $24,364 -51%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

37 $26,958 $7,536 -34%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

37 $19,799 $7,316 -35%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

36 $37,353 $10,919 -22%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

36 $63,636 $18,067 -32%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

35 $30,943 $7,315 -18%
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal

MS-DRG 023 · Inpatient stay

34 $154,817 $44,220 -33%
Seizures with Major Complications

MS-DRG 100 · Inpatient stay

33 $47,280 $15,817 -41%
COPD (severe)

MS-DRG 190 · Inpatient stay

33 $22,084 $9,399 -47%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

32 $84,474 $24,074 -41%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

31 $57,171 $15,069 -40%
Other Vascular Procedures with Major Complications

MS-DRG 252 · Inpatient stay

30 $63,319 $26,255 -56%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

29 $38,317 $11,822 -30%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

29 $31,489 $8,848 -42%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

29 $27,260 $7,879 -27%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

28 $29,299 $8,412 -25%
Permanent Cardiac Pacemaker Implant with Major Complications

MS-DRG 242 · Inpatient stay

27 $78,999 $28,418 -43%
Combined Anterior and Posterior Spinal Fusion without Complications/mcc

MS-DRG 455 · Inpatient stay

27 $78,281 $38,757 -56%
Level 2 Electrophysiologic Procedures

APC 5212 · Hospital outpatient visit

27 $20,336 $6,430 -54%
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

26 $24,131 $5,712 -37%
Level 7 Radiation Therapy

APC 5627 · Hospital outpatient visit

26 $44,674 $6,705 -24%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

25 $30,902 $6,854 -25%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

25 $60,660 $19,986 -47%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

25 $26,371 $8,551 -32%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

25 $33,486 $12,112 -41%
Sepsis

MS-DRG 870 · Inpatient stay

25 $137,908 $51,665 -49%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

24 $25,794 $7,949 -31%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

24 $47,546 $16,714 -39%

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.