CostGrade

All published prices at Saint Joseph Regional Medical Center

86 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.

C
Procedure Patients Charged Actually paid vs national
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

342 $16,381 $2,498 -16%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

267 $62,894 $11,901 about average
Sepsis (severe)

MS-DRG 871 · Inpatient stay

218 $57,633 $15,891 -12%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

191 $8,034 $1,467 -20%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

110 $18,168 $2,895 -5%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

107 $39,084 $10,510 -10%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

69 $44,985 $13,248 -27%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

67 $11,287 $1,831 -13%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

65 $8,682 $1,682 -26%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

59 $32,488 $10,905 -30%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

58 $11,211 $2,552 -37%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

58 $41,153 $5,182 +17%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

56 $41,286 $6,324 +4%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

54 $32,931 $9,359 -16%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

53 $132,729 $37,056 -25%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

52 $47,018 $14,523 -15%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

49 $56,065 $13,883 about average
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

47 $28,470 $8,103 -14%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

47 $22,837 $3,014 -10%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

44 $26,991 $7,132 -16%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

43 $31,374 $8,827 -24%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

43 $18,136 $3,520 -24%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

42 $34,935 $9,983 -14%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

41 $26,342 $7,087 -12%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

41 $24,084 $2,931 +18%
Respiratory Failure

MS-DRG 189 · Inpatient stay

38 $33,836 $9,978 -30%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

38 $42,711 $11,591 -12%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

38 $36,364 $4,807 about average
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

34 $47,182 $10,150 -30%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

34 $23,737 $3,219 +15%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

33 $24,419 $7,329 -20%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

32 $44,348 $12,290 -16%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

31 $36,556 $4,778 +33%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

30 $24,549 $7,825 -20%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

30 $6,093 $1,479 -29%
COPD (severe)

MS-DRG 190 · Inpatient stay

28 $33,851 $9,331 -19%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

27 $24,152 $6,807 -21%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

27 $126,806 $21,875 -4%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

26 $43,749 $13,686 -38%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

26 $77,826 $16,574 -6%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

25 $67,551 $17,538 -34%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

25 $63,567 $16,572 -24%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

25 $79,223 $17,667 -8%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

25 $37,931 $9,853 -26%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

25 $12,553 $3,195 -46%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

24 $114,275 $24,946 -8%
Revision of Hip or Knee Replacement with Complications

MS-DRG 467 · Inpatient stay

24 $112,218 $25,426 -14%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

24 $28,701 $5,278 -17%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

23 $73,697 $19,820 -27%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

22 $35,806 $10,225 -24%
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

21 $10,380 $1,567 -9%
Stroke (severe)

MS-DRG 064 · Inpatient stay

20 $53,081 $17,476 -30%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

20 $37,225 $8,355 -18%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

20 $31,241 $6,022 -21%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

19 $28,116 $7,853 -24%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

18 $33,544 $7,824 -23%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

18 $26,947 $8,247 -31%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

18 $78,448 $14,970 about average
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with

MS-DRG 617 · Inpatient stay

18 $65,174 $17,488 -12%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

18 $13,613 $1,418 +21%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

17 $30,133 $7,789 -5%
Other Vascular Procedures with Major Complications

MS-DRG 252 · Inpatient stay

17 $76,946 $29,165 -47%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

17 $84,920 $23,936 -28%
Fainting

MS-DRG 312 · Inpatient stay

16 $24,302 $7,042 -34%
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

16 $37,177 $5,408 +8%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

15 $25,878 $7,128 -17%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

15 $31,321 $9,346 -17%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

15 $15,602 $3,274 -31%
Kidney and Ureter Procedures for Non-neoplasm with Complications

MS-DRG 660 · Inpatient stay

14 $53,032 $11,232 -5%
COPD (with complications)

MS-DRG 191 · Inpatient stay

14 $22,899 $7,414 -31%
Disorders of the Biliary Tract with Complications

MS-DRG 445 · Inpatient stay

14 $38,010 $9,920 -26%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

13 $29,054 $8,156 -26%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

13 $31,124 $7,816 -10%
Other Vascular Procedures with Complications

MS-DRG 253 · Inpatient stay

13 $86,913 $32,917 -23%
Respiratory Neoplasms with Major Complications

MS-DRG 180 · Inpatient stay

13 $57,932 $14,364 -22%
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications

MS-DRG 493 · Inpatient stay

13 $80,237 $20,885 -21%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

12 $113,282 $39,752 -37%
Sepsis

MS-DRG 870 · Inpatient stay

12 $208,613 $62,754 -22%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

12 $66,925 $9,500 +12%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

11 $40,350 $10,078 -16%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

11 $38,494 $11,201 -29%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

11 $58,289 $9,922 +14%
Other Major Cardiovascular Procedures with Major Complications

MS-DRG 270 · Inpatient stay

11 $179,017 $46,360 -20%
Kidney and Ureter Procedures for Non-neoplasm with Major Complications

MS-DRG 659 · Inpatient stay

11 $89,383 $20,755 -9%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

11 $61,403 $13,370 -36%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

11 $27,101 $2,887 +49%

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.