CostGrade

All published prices at Robert Wood Johnson University Hospital - Somerset

118 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
Sepsis (severe)

MS-DRG 871 · Inpatient stay

493 $137,851 $17,599 +111%
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

338 $32,478 $2,798 +67%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

214 $108,894 $11,269 +151%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

192 $9,091 $1,667 -10%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

168 $51,946 $13,250 -17%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

144 $33,986 $3,384 +35%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

110 $26,810 $5,339 about average
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

102 $16,217 $2,082 +26%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

102 $21,090 $3,593 about average
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

91 $123,546 $13,930 +101%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

83 $38,296 $5,867 +9%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

81 $114,037 $14,946 +107%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

80 $113,925 $11,884 +145%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

78 $75,583 $7,827 +134%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

76 $82,930 $10,114 +111%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

72 $93,687 $10,032 +130%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

70 $15,644 $3,299 -18%
Psychoses

MS-DRG 885 · Inpatient stay

68 $121,530 $13,531 +237%
Fainting

MS-DRG 312 · Inpatient stay

66 $74,732 $8,498 +104%
Respiratory Failure

MS-DRG 189 · Inpatient stay

63 $123,720 $10,449 +156%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

63 $72,292 $9,280 +85%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

56 $81,828 $8,195 +148%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

56 $255,907 $43,733 +44%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

56 $16,883 $2,851 -5%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

55 $65,799 $6,543 +115%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

51 $60,223 $11,309 -11%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

51 $11,439 $1,992 about average
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

49 $131,713 $12,543 +172%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

47 $38,099 $10,761 -26%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

46 $95,591 $9,647 +131%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

46 $72,679 $8,294 +138%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

46 $107,117 $18,688 +29%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

43 $146,161 $13,654 +157%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

40 $123,616 $14,018 +133%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

40 $42,420 $7,490 +6%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

39 $115,398 $16,483 +38%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

38 $70,614 $6,937 +137%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

37 $72,749 $7,377 +76%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

37 $101,492 $10,686 +86%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

37 $27,350 $3,905 +15%
Stroke (severe)

MS-DRG 064 · Inpatient stay

35 $118,173 $18,489 +55%
Chest Pain

MS-DRG 313 · Inpatient stay

35 $57,413 $7,750 +70%
Organic Disturbances and Intellectual Disability

MS-DRG 884 · Inpatient stay

35 $94,761 $14,843 +90%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

34 $68,585 $8,168 +116%
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

33 $68,265 $7,911 +104%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

32 $95,926 $8,671 +119%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

32 $136,506 $13,767 +34%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

32 $95,196 $12,089 +86%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

32 $50,749 $6,827 +28%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

31 $80,175 $8,649 +116%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

31 $22,901 $3,389 +12%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

30 $72,534 $8,062 +87%
COPD (severe)

MS-DRG 190 · Inpatient stay

29 $118,161 $9,229 +182%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

29 $79,519 $7,063 +154%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

29 $113,076 $18,965 +32%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

29 $70,619 $7,975 +92%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

28 $155,179 $19,890 +76%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

28 $103,360 $11,899 +118%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

28 $73,439 $7,690 +141%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

28 $114,557 $11,762 +104%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

28 $25,400 $3,622 +9%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

27 $81,237 $8,671 +78%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

26 $71,876 $8,666 +108%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

25 $84,599 $7,822 +108%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

25 $82,858 $15,618 +4%
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major

MS-DRG 897 · Inpatient stay

24 $56,224 $8,304 +73%
Bone Diseases and Arthropathies without Major Complications

MS-DRG 554 · Inpatient stay

24 $70,807 $7,256 +120%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

24 $68,920 $10,766 +15%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

23 $67,279 $8,722 +78%
Signs and Symptoms of Musculoskeletal System and Connective Tissue without Major

MS-DRG 556 · Inpatient stay

23 $61,728 $7,198 +63%
Coagulation Disorders

MS-DRG 813 · Inpatient stay

23 $115,138 $13,346 +72%
Other Disorders of Nervous System with Complications

MS-DRG 092 · Inpatient stay

22 $81,003 $8,735 +80%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

21 $98,621 $11,858 +106%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

21 $144,886 $16,302 +104%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

21 $94,129 $8,600 +153%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

21 $11,793 $1,683 +5%
Peripheral Vascular Disorders with Complications

MS-DRG 300 · Inpatient stay

20 $75,468 $11,317 +76%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

20 $62,070 $6,957 +147%
Signs and Symptoms without Major Complications

MS-DRG 948 · Inpatient stay

20 $69,193 $6,622 +113%
Degenerative Nervous System Disorders with Major Complications

MS-DRG 056 · Inpatient stay

19 $92,024 $17,649 +7%
Bronchitis and Asthma with Complications/mcc

MS-DRG 202 · Inpatient stay

19 $96,752 $7,911 +146%
Disorders of the Biliary Tract with Complications

MS-DRG 445 · Inpatient stay

18 $91,220 $9,169 +78%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

18 $9,241 $1,603 +8%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

17 $129,794 $19,024 +39%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

17 $139,088 $21,257 +68%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

16 $179,663 $27,377 +58%
Gastrointestinal Obstruction with Major Complications

MS-DRG 388 · Inpatient stay

16 $145,247 $12,494 +152%
Seizures with Major Complications

MS-DRG 100 · Inpatient stay

15 $138,342 $15,477 +71%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

15 $117,518 $16,807 +50%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

15 $128,230 $21,009 +9%
COPD (with complications)

MS-DRG 191 · Inpatient stay

15 $102,065 $8,281 +207%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

15 $119,586 $15,293 +86%
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with

MS-DRG 543 · Inpatient stay

15 $100,023 $9,134 +141%
Dysequilibrium

MS-DRG 149 · Inpatient stay

15 $68,865 $6,887 +75%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

15 $43,363 $5,984 +25%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

14 $205,901 $19,742 +105%
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major

MS-DRG 981 · Inpatient stay

14 $258,537 $43,849 +41%
Stroke (uncomplicated)

MS-DRG 066 · Inpatient stay

13 $66,720 $6,090 +86%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

13 $161,760 $27,034 +13%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

13 $108,398 $12,278 +92%

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.