All published prices at Saint John's Health Center
144 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 |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
598 | $100,141 | $19,774 | +53% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
505 | $77,201 | $18,077 | -3% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
504 | $24,241 | $3,360 | +25% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
336 | $11,509 | $2,498 | -11% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
306 | $3,273 | $838 | +4% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
265 | $68,176 | $16,006 | +9% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
258 | $8,802 | $1,967 | -13% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
200 | $87,169 | $28,984 | -34% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
152 | $59,471 | $12,342 | +37% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
150 | $18,373 | $3,993 | -27% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
138 | $35,151 | $7,094 | about average |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
136 | $18,329 | $4,236 | -11% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
129 | $26,849 | $6,362 | about average |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
127 | $11,450 | $2,295 | about average |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
121 | $109,469 | $30,766 | -12% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
107 | $88,689 | $16,835 | +61% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
107 | $21,705 | $4,686 | -9% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
101 | $34,768 | $8,017 | -12% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
97 | $14,073 | $3,493 | -20% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
88 | $52,573 | $10,112 | +34% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
87 | $68,053 | $12,833 | +46% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
84 | $17,718 | $3,686 | -7% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
81 | $68,296 | $15,491 | +20% |
|
Level 6 Urology and Related Services
APC 5376 · Hospital outpatient visit |
73 | $50,677 | $11,180 | +14% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
69 | $41,319 | $8,792 | +4% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
68 | $226,643 | $50,188 | +27% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
66 | $30,651 | $13,107 | -40% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
64 | $57,314 | $13,336 | -15% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
61 | $94,978 | $12,637 | +59% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
57 | $54,837 | $11,432 | +20% |
|
Level 7 Radiation Therapy
APC 5627 · Hospital outpatient visit |
57 | $93,460 | $9,568 | +58% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
54 | $29,002 | $7,094 | -16% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
52 | $76,613 | $15,630 | +25% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
51 | $63,663 | $11,421 | +56% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
50 | $40,041 | $7,831 | +34% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
49 | $106,886 | $18,756 | +40% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
49 | $54,940 | $9,875 | +33% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
49 | $41,515 | $7,742 | +29% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
48 | $20,971 | $10,435 | -45% |
|
Spinal Fusion Except Cervical without Major Complications
MS-DRG 460 · Inpatient stay |
47 | $122,452 | $35,052 | -16% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
47 | $6,791 | $1,969 | -21% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
43 | $94,868 | $19,800 | +14% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
42 | $82,951 | $21,887 | about average |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
41 | $57,206 | $11,997 | +18% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
39 | $14,757 | $4,253 | -37% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
39 | $11,630 | $3,765 | -36% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
38 | $72,185 | $14,743 | +36% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
38 | $47,927 | $8,689 | +45% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
38 | $28,863 | $4,999 | +40% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
37 | $111,067 | $21,968 | +11% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
37 | $108,839 | $19,706 | +27% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
37 | $41,670 | $9,236 | +37% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
35 | $198,192 | $45,861 | +5% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
35 | $38,280 | $7,354 | +25% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
34 | $70,497 | $13,694 | +45% |
|
Back and Neck Procedures Except Spinal Fusion with Complications
MS-DRG 519 · Inpatient stay |
34 | $74,641 | $18,058 | -13% |
|
Major Joint or Limb Reattachment Procedures of Upper Extremities
MS-DRG 483 · Inpatient stay |
33 | $89,748 | $23,791 | -13% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
33 | $11,282 | $1,976 | about average |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
33 | $25,288 | $8,413 | -34% |
|
Fainting
MS-DRG 312 · Inpatient stay |
32 | $47,108 | $8,493 | +29% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
32 | $46,332 | $9,141 | +19% |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
31 | $268,502 | $60,671 | +50% |
|
Sepsis
MS-DRG 870 · Inpatient stay |
30 | $324,590 | $70,406 | +21% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
29 | $48,899 | $8,935 | +12% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
29 | $43,572 | $8,609 | +43% |
|
Revision of Hip or Knee Replacement with Complications
MS-DRG 467 · Inpatient stay |
29 | $124,214 | $31,775 | -4% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
28 | $74,411 | $20,814 | -22% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
27 | $57,478 | $13,141 | +21% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
27 | $42,611 | $8,068 | +36% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
26 | $17,487 | $4,604 | -23% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
25 | $79,678 | $16,650 | +12% |
|
Craniotomy and Endovascular Intracranial Procedures with Major Complications
MS-DRG 025 · Inpatient stay |
24 | $207,090 | $41,156 | +8% |
|
Fractures of Hip and Pelvis without Major Complications
MS-DRG 536 · Inpatient stay |
23 | $43,324 | $7,303 | +32% |
|
Other Musculoskeletal System and Connective Tissue Operating Room Procedures without
MS-DRG 517 · Inpatient stay |
23 | $58,913 | $14,169 | -20% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
21 | $76,190 | $13,872 | +82% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
21 | $85,220 | $18,098 | -16% |
|
Back and Neck Procedures Except Spinal Fusion with Major Complications or Disc Device or
MS-DRG 518 · Inpatient stay |
21 | $108,070 | $31,224 | -47% |
|
Combined Anterior and Posterior Spinal Fusion with Complications
MS-DRG 454 · Inpatient stay |
20 | $247,934 | $58,205 | +12% |
|
Cervical Spinal Fusion with Complications
MS-DRG 472 · Inpatient stay |
20 | $114,372 | $28,336 | -4% |
|
Other Musculoskeletal System and Connective Tissue Operating Room Procedures with
MS-DRG 516 · Inpatient stay |
20 | $69,715 | $17,679 | -21% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
20 | $12,010 | $3,451 | -28% |
|
Level 5 Gynecologic Procedures
APC 5415 · Hospital outpatient visit |
20 | $15,527 | $6,115 | -48% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
19 | $45,611 | $8,214 | +44% |
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
19 | $149,838 | $43,754 | -15% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
18 | $95,485 | $23,236 | +22% |
|
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without
MS-DRG 563 · Inpatient stay |
18 | $41,217 | $8,722 | +12% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
17 | $53,843 | $9,753 | +45% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
16 | $63,587 | $9,773 | +71% |
|
Revision of Hip or Knee Replacement without Complications/mcc
MS-DRG 468 · Inpatient stay |
16 | $98,189 | $25,334 | -9% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major
MS-DRG 287 · Inpatient stay |
15 | $49,393 | $10,556 | -9% |
|
Irregular Heartbeat (uncomplicated)
MS-DRG 310 · Inpatient stay |
15 | $30,779 | $5,962 | +22% |
|
Other Disorders of Nervous System with Complications
MS-DRG 092 · Inpatient stay |
15 | $40,313 | $10,459 | -10% |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
15 | $79,862 | $15,962 | +24% |
|
Cervical Spinal Fusion without Complications/mcc
MS-DRG 473 · Inpatient stay |
15 | $107,874 | $26,308 | +19% |
|
Back and Neck Procedures Except Spinal Fusion without Complications/mcc
MS-DRG 520 · Inpatient stay |
15 | $59,712 | $13,739 | -9% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
15 | $33,536 | $7,027 | -3% |
|
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal
MS-DRG 023 · Inpatient stay |
14 | $256,415 | $57,834 | +12% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
14 | $99,903 | $20,445 | +24% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
14 | $66,943 | $13,405 | +30% |
|
Hip or Thigh Bone Surgery (severe)
MS-DRG 480 · Inpatient stay |
14 | $123,378 | $26,010 | +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.