CostGrade

All published prices at Saint Joseph Medical Center

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
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

359 $30,917 $2,587 +59%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

226 $93,686 $14,216 +44%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

209 $64,119 $10,015 +48%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

179 $33,350 $3,049 +32%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

171 $77,121 $12,777 +40%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

108 $80,958 $10,435 +20%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

103 $21,712 $3,284 +5%
Psychoses

MS-DRG 885 · Inpatient stay

75 $36,470 $10,399 about average
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

75 $34,111 $4,913 +24%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

74 $14,489 $1,813 +28%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

71 $60,881 $9,819 +31%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

66 $178,940 $22,490 +35%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

64 $94,171 $11,777 +53%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

63 $42,343 $5,478 +21%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

61 $69,936 $11,500 +32%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

61 $42,107 $6,272 +41%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

61 $10,214 $1,783 -13%
Respiratory Failure

MS-DRG 189 · Inpatient stay

59 $59,473 $9,340 +23%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

58 $56,526 $8,824 +39%
Level 2 Intraocular Procedures

APC 5492 · Hospital outpatient visit

58 $36,003 $3,807 +74%
Stroke (severe)

MS-DRG 064 · Inpatient stay

57 $87,045 $14,659 +14%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

54 $42,483 $6,037 +32%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

53 $18,651 $3,026 about average
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

49 $45,497 $6,955 +38%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

47 $114,442 $16,613 +20%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

45 $48,871 $6,792 +23%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

44 $75,419 $9,556 +66%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

44 $89,750 $13,477 +26%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

42 $155,252 $23,453 +25%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

42 $74,394 $11,381 +31%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

42 $56,625 $9,947 +10%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

41 $41,110 $5,854 +34%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

41 $51,759 $8,445 +32%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

40 $42,274 $7,518 about average
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

40 $54,457 $9,878 +12%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

39 $43,731 $7,910 +43%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

38 $70,256 $15,802 +25%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

37 $84,947 $12,477 +36%
Fainting

MS-DRG 312 · Inpatient stay

36 $45,323 $6,777 +24%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

36 $13,473 $1,521 +57%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

34 $59,677 $5,064 +65%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

32 $243,779 $34,819 +29%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

32 $123,711 $15,074 +48%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

32 $48,519 $6,886 +30%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

32 $21,122 $1,934 +63%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

31 $163,359 $22,691 +14%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

31 $113,048 $16,235 +11%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

31 $43,924 $6,101 +44%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

30 $13,548 $1,539 +34%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

30 $25,841 $3,285 +11%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

29 $63,302 $15,794 +34%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

28 $48,537 $7,475 +24%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

28 $46,243 $7,819 +34%
Organic Disturbances and Intellectual Disability

MS-DRG 884 · Inpatient stay

28 $49,378 $13,171 about average
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

27 $52,148 $11,886 +9%
COPD (severe)

MS-DRG 190 · Inpatient stay

27 $45,103 $8,409 +8%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

27 $61,146 $5,274 +77%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

25 $52,653 $8,914 +28%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

25 $52,470 $7,590 +41%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

25 $54,544 $9,586 +6%
Peripheral Vascular Disorders with Complications

MS-DRG 300 · Inpatient stay

24 $49,526 $8,060 +15%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

24 $240,447 $38,037 +35%
Skin Infection (severe)

MS-DRG 602 · Inpatient stay

23 $70,770 $10,541 +38%
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

23 $23,156 $1,611 +103%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

22 $39,769 $9,325 +25%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

22 $27,296 $2,698 +54%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

22 $22,560 $3,619 -5%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

22 $31,573 $3,555 +39%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

21 $44,722 $6,266 +43%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

21 $44,201 $6,954 +14%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

20 $61,761 $7,259 +41%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

20 $113,030 $16,080 +28%
Peripheral Vascular Disorders with Major Complications

MS-DRG 299 · Inpatient stay

20 $63,432 $11,779 -6%
Seizures with Major Complications

MS-DRG 100 · Inpatient stay

19 $71,741 $17,994 -11%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

19 $39,262 $8,340 +7%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

18 $46,456 $6,919 +14%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

18 $220,591 $31,141 +48%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

17 $121,706 $20,159 +7%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

17 $36,775 $4,590 +46%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

17 $106,526 $15,518 +24%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

17 $50,916 $7,812 +35%
Carotid Artery Stent Procedures without Complications/mcc

MS-DRG 036 · Inpatient stay

17 $71,918 $13,590 about average
Spinal Fusion Except Cervical without Major Complications

MS-DRG 460 · Inpatient stay

17 $155,265 $32,867 +7%
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal

MS-DRG 023 · Inpatient stay

16 $237,237 $37,692 +3%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

16 $62,533 $14,808 -20%
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

16 $49,240 $6,175 +28%
Degenerative Nervous System Disorders with Major Complications

MS-DRG 056 · Inpatient stay

15 $81,795 $17,520 -5%
Fractures of Hip and Pelvis without Major Complications

MS-DRG 536 · Inpatient stay

15 $41,834 $6,099 +28%
Other Disorders of Nervous System with Complications

MS-DRG 092 · Inpatient stay

15 $49,693 $7,963 +10%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

15 $56,196 $12,119 -12%
Respiratory System Diagnosis with Ventilator Support >96 Hours

MS-DRG 207 · Inpatient stay

15 $264,825 $45,431 +3%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

14 $75,580 $12,801 +39%
Chest Pain

MS-DRG 313 · Inpatient stay

14 $41,219 $5,690 +22%
Signs and Symptoms without Major Complications

MS-DRG 948 · Inpatient stay

14 $43,825 $5,993 +35%
Other Major Cardiovascular Procedures with Major Complications

MS-DRG 270 · Inpatient stay

14 $194,314 $34,041 -13%
Other Musculoskeletal System and Connective Tissue Operating Room Procedures with

MS-DRG 516 · Inpatient stay

14 $102,527 $15,029 +16%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

14 $22,776 $3,073 +12%
Other Disorders of Nervous System with Major Complications

MS-DRG 091 · Inpatient stay

13 $70,185 $13,523 about average
Permanent Cardiac Pacemaker Implant with Major Complications

MS-DRG 242 · Inpatient stay

13 $151,803 $22,210 +9%
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

13 $52,711 $5,940 +57%

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.