CostGrade

All published prices at Saint Mary's Regional Medical Center

69 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
Sepsis (severe)

MS-DRG 871 · Inpatient stay

280 $47,725 $16,148 -27%
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

182 $13,758 $2,897 -29%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

156 $17,209 $3,431 -32%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

103 $33,957 $13,530 -38%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

96 $10,956 $1,699 +9%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

91 $18,448 $2,024 +57%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

72 $31,375 $12,904 -49%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

64 $26,008 $10,817 -40%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

54 $9,078 $1,716 +6%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

53 $94,182 $11,041 +39%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

46 $27,402 $10,972 -44%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

46 $57,630 $7,662 +45%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

46 $38,746 $6,180 +10%
Respiratory Failure

MS-DRG 189 · Inpatient stay

45 $25,229 $10,517 -48%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

41 $83,460 $10,326 +40%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

39 $145,149 $39,684 -18%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

39 $22,444 $3,345 +17%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

39 $161,026 $25,365 +21%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

38 $55,985 $14,976 -21%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

37 $30,139 $5,542 +10%
Level 6 Urology and Related Services

APC 5376 · Hospital outpatient visit

33 $56,634 $9,609 +27%
Stroke (severe)

MS-DRG 064 · Inpatient stay

32 $43,728 $16,115 -43%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

32 $26,364 $11,217 -49%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

28 $148,113 $23,815 +3%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

28 $36,486 $13,193 -36%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

27 $25,103 $9,854 -38%
Other Vascular Procedures with Major Complications

MS-DRG 252 · Inpatient stay

26 $96,404 $28,007 -34%
Level 3 Upper GI Procedures

APC 5303 · Hospital outpatient visit

26 $37,425 $3,976 +71%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

24 $25,828 $10,253 -45%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

24 $20,656 $12,007 -61%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

23 $157,629 $26,923 +27%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

23 $216,377 $53,452 -10%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

22 $21,171 $11,996 -62%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

20 $64,373 $11,422 +25%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

18 $133,407 $33,800 -26%
Disorders of Pancreas Except Malignancy with Major Complications

MS-DRG 438 · Inpatient stay

18 $27,086 $13,617 -61%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

18 $29,833 $2,909 +69%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

18 $23,570 $3,313 +16%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

18 $15,294 $2,182 +18%
Gastrointestinal Obstruction with Major Complications

MS-DRG 388 · Inpatient stay

17 $25,125 $12,532 -56%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

17 $129,369 $16,532 +35%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

16 $23,119 $7,813 -47%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

16 $90,301 $22,673 -23%
Back Problems (severe)

MS-DRG 551 · Inpatient stay

16 $28,207 $13,411 -59%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

16 $44,761 $5,832 +29%
COPD (severe)

MS-DRG 190 · Inpatient stay

15 $27,464 $9,468 -34%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

15 $31,087 $11,236 -33%
Skin Infection (severe)

MS-DRG 602 · Inpatient stay

15 $33,981 $12,149 -34%
Level 7 Radiation Therapy

APC 5627 · Hospital outpatient visit

15 $125,801 $8,339 +113%
Permanent Cardiac Pacemaker Implant with Major Complications

MS-DRG 242 · Inpatient stay

14 $109,234 $28,558 -21%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

14 $21,812 $6,807 -29%
Kidney and Ureter Procedures for Non-neoplasm with Major Complications

MS-DRG 659 · Inpatient stay

14 $80,587 $21,600 -18%
Complex GI Procedures

APC 5331 · Hospital outpatient visit

14 $52,906 $6,104 +76%
Other Disorders of Nervous System with Major Complications

MS-DRG 091 · Inpatient stay

13 $30,327 $14,491 -57%
Heart Attack (uncomplicated)

MS-DRG 282 · Inpatient stay

13 $19,842 $6,296 -48%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

13 $24,769 $8,129 -37%
Cirrhosis and Alcoholic Hepatitis with Major Complications

MS-DRG 432 · Inpatient stay

13 $40,105 $16,144 -50%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

13 $139,942 $19,910 +69%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

13 $26,877 $3,734 +30%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

12 $23,450 $6,952 -43%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

12 $52,964 $17,370 -40%
Major Gastrointestinal Disorders and Peritoneal Infections with Major Complications

MS-DRG 371 · Inpatient stay

12 $26,247 $13,669 -62%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

12 $43,768 $5,885 +21%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

12 $83,571 $9,095 +121%
Fainting

MS-DRG 312 · Inpatient stay

11 $31,099 $7,480 -15%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

11 $108,129 $16,055 +6%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

11 $18,997 $6,671 -38%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

11 $15,493 $7,011 -48%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

11 $34,870 $3,437 +50%

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.