All published prices at Saint Alphonsus Regional Medical Center
140 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 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
326 | $38,646 | $12,516 | -38% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
230 | $26,185 | $6,925 | -34% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
222 | $72,828 | $17,201 | +12% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
171 | $18,414 | $3,146 | -27% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
127 | $5,965 | $1,519 | -41% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
123 | $7,656 | $1,830 | -35% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
120 | $24,854 | $5,548 | -29% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
114 | $87,816 | $22,928 | -34% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
112 | $17,631 | $2,632 | -9% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
98 | $60,126 | $10,671 | +39% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
90 | $39,128 | $9,771 | -34% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
83 | $73,202 | $25,642 | -41% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
78 | $49,106 | $16,949 | -41% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
78 | $25,522 | $10,326 | -50% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
74 | $13,705 | $3,066 | -33% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
74 | $12,596 | $3,052 | -34% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
69 | $4,495 | $1,550 | -48% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
64 | $64,107 | $13,843 | +4% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
57 | $10,631 | $2,645 | -40% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
56 | $6,909 | $1,556 | -38% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
55 | $76,355 | $15,793 | +112% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
53 | $33,510 | $7,168 | +9% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
52 | $42,507 | $8,420 | -7% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
52 | $49,870 | $10,638 | -26% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
51 | $8,107 | $1,840 | -29% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
50 | $15,035 | $8,223 | -60% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
48 | $82,619 | $17,043 | about average |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
46 | $77,815 | $16,079 | about average |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
46 | $46,033 | $11,010 | -5% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
43 | $31,930 | $8,935 | -23% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
42 | $42,204 | $11,244 | +8% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
40 | $60,297 | $14,348 | +10% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
40 | $34,795 | $7,525 | +14% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
40 | $23,691 | $6,312 | -40% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
39 | $76,271 | $21,664 | -24% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
39 | $192,609 | $45,984 | +8% |
|
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization
MS-DRG 220 · Inpatient stay |
39 | $178,898 | $45,493 | -23% |
|
Level 4 Pacemaker and Similar Procedures
APC 5224 · Hospital outpatient visit |
39 | $45,872 | $18,816 | -52% |
|
Craniotomy and Endovascular Intracranial Procedures with Major Complications
MS-DRG 025 · Inpatient stay |
38 | $120,504 | $37,058 | -37% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
38 | $60,864 | $31,747 | -59% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
37 | $107,662 | $37,697 | -43% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
37 | $3,437 | $1,607 | -70% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
35 | $41,659 | $11,532 | -11% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
34 | $39,389 | $9,026 | about average |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
33 | $13,723 | $3,625 | -40% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
33 | $59,464 | $16,936 | -38% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
32 | $135,363 | $25,221 | -6% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications
MS-DRG 266 · Inpatient stay |
32 | $126,492 | $51,680 | -47% |
|
Revision of Hip or Knee Replacement with Complications
MS-DRG 467 · Inpatient stay |
32 | $99,484 | $28,673 | -23% |
|
Complex GI Procedures
APC 5331 · Hospital outpatient visit |
32 | $17,982 | $5,516 | -40% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
31 | $15,888 | $3,374 | -23% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
31 | $14,491 | $2,490 | -13% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
30 | $57,843 | $14,186 | -19% |
|
Level 3 Upper GI Procedures
APC 5303 · Hospital outpatient visit |
30 | $11,784 | $3,485 | -46% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
30 | $26,472 | $5,008 | -4% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
29 | $40,405 | $8,486 | -8% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
29 | $80,057 | $17,621 | -21% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
29 | $72,921 | $16,459 | -15% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
29 | $15,330 | $3,689 | -36% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
28 | $31,913 | $7,490 | -3% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
28 | $57,699 | $16,226 | -28% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
28 | $8,317 | $1,859 | -36% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
27 | $72,775 | $13,896 | +54% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major
MS-DRG 287 · Inpatient stay |
26 | $48,966 | $9,836 | -10% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
26 | $21,934 | $3,935 | +6% |
|
Permanent Cardiac Pacemaker Implant with Complications
MS-DRG 243 · Inpatient stay |
25 | $62,401 | $19,954 | -33% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
25 | $10,549 | $3,026 | -42% |
|
Traumatic Stupor and Coma >1 Hour with Complications
MS-DRG 083 · Inpatient stay |
24 | $43,009 | $11,525 | -28% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
23 | $41,305 | $9,456 | about average |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
23 | $29,214 | $7,168 | -9% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
23 | $71,018 | $14,186 | +34% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
23 | $70,272 | $17,385 | +24% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
23 | $41,251 | $4,857 | +14% |
|
Major Small and Large Bowel Procedures without Complications/mcc
MS-DRG 331 · Inpatient stay |
22 | $53,325 | $14,629 | -28% |
|
Revision of Hip or Knee Replacement without Complications/mcc
MS-DRG 468 · Inpatient stay |
22 | $81,409 | $22,584 | -25% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
22 | $20,584 | $3,349 | -11% |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
22 | $20,405 | $6,385 | -47% |
|
Irregular Heartbeat (uncomplicated)
MS-DRG 310 · Inpatient stay |
21 | $27,467 | $5,485 | +9% |
|
Fainting
MS-DRG 312 · Inpatient stay |
21 | $38,504 | $8,134 | +5% |
|
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications
MS-DRG 493 · Inpatient stay |
21 | $67,390 | $20,298 | -34% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
20 | $49,432 | $11,912 | about average |
|
Back Problems (severe)
MS-DRG 551 · Inpatient stay |
20 | $63,238 | $14,244 | -9% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
20 | $30,595 | $5,532 | -12% |
|
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal
MS-DRG 023 · Inpatient stay |
19 | $177,293 | $56,971 | -23% |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
19 | $107,705 | $36,159 | -40% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
19 | $26,176 | $7,254 | -16% |
|
Traumatic Stupor and Coma >1 Hour with Major Complications
MS-DRG 082 · Inpatient stay |
19 | $64,050 | $18,683 | -34% |
|
Major Chest Trauma with Complications
MS-DRG 184 · Inpatient stay |
19 | $32,639 | $8,822 | -33% |
|
Malignancy of Hepatobiliary System or Pancreas with Major Complications
MS-DRG 435 · Inpatient stay |
19 | $57,021 | $15,805 | -30% |
|
Laparoscopic Cholecystectomy without C.d.e. with Complications
MS-DRG 418 · Inpatient stay |
18 | $55,951 | $13,622 | -32% |
|
Major Chest Trauma with Major Complications
MS-DRG 183 · Inpatient stay |
18 | $63,356 | $13,325 | -9% |
|
Level 5 Gynecologic Procedures
APC 5415 · Hospital outpatient visit |
18 | $17,046 | $4,601 | -43% |
|
Hip or Thigh Bone Surgery (severe)
MS-DRG 480 · Inpatient stay |
17 | $94,016 | $24,134 | -20% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
17 | $43,250 | $10,229 | +6% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
16 | $50,305 | $11,733 | -8% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
16 | $28,447 | $7,316 | -4% |
|
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major
MS-DRG 981 · Inpatient stay |
16 | $190,280 | $43,566 | +4% |
|
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur without
MS-DRG 494 · Inpatient stay |
16 | $62,073 | $15,385 | -30% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
15 | $49,255 | $11,733 | about average |
|
Fractures of Hip and Pelvis without Major Complications
MS-DRG 536 · Inpatient stay |
15 | $31,228 | $7,156 | -5% |
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.