All published prices at San Juan Regional Medical Center Inc
73 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 |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
509 | $23,573 | $2,606 | +21% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
297 | $60,478 | $18,514 | -7% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
179 | $38,524 | $12,597 | -38% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
152 | $14,834 | $3,062 | -22% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
126 | $42,785 | $12,643 | -8% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
126 | $8,965 | $1,544 | -11% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
123 | $51,067 | $12,277 | +18% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
104 | $29,413 | $5,559 | -16% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
95 | $58,020 | $10,478 | -14% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
87 | $7,545 | $1,512 | -12% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
86 | $27,948 | $3,142 | +11% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
79 | $40,383 | $12,492 | -17% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
73 | $73,411 | $16,752 | -23% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
66 | $12,218 | $1,847 | +4% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
62 | $21,037 | $5,023 | -23% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
55 | $19,071 | $3,384 | -8% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
54 | $31,326 | $6,739 | -21% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
52 | $15,476 | $2,758 | -12% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
52 | $48,811 | $18,049 | -41% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
51 | $55,052 | $15,633 | about average |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
51 | $35,778 | $5,548 | +3% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
50 | $44,528 | $10,351 | +6% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
42 | $60,727 | $19,860 | -27% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
42 | $125,761 | $47,884 | -29% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
39 | $37,286 | $12,297 | -23% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
37 | $98,003 | $23,804 | -4% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
36 | $13,142 | $1,977 | about average |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
34 | $40,723 | $9,866 | +4% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
30 | $61,700 | $16,682 | -13% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
29 | $27,888 | $7,226 | -9% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
27 | $51,017 | $15,561 | -17% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
27 | $57,997 | $19,646 | -32% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
27 | $38,520 | $8,407 | +17% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
27 | $14,084 | $3,049 | -31% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
26 | $16,215 | $12,874 | -55% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
23 | $40,215 | $9,579 | -12% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
23 | $33,736 | $9,444 | -18% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
23 | $35,722 | $9,258 | -40% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
22 | $45,717 | $10,356 | -11% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
21 | $68,790 | $15,504 | +21% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
20 | $118,398 | $26,786 | -18% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
20 | $29,163 | $7,707 | -7% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
20 | $30,564 | $6,078 | -23% |
|
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major
MS-DRG 441 · Inpatient stay |
19 | $38,925 | $17,009 | -49% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
18 | $67,841 | $22,993 | -49% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
17 | $75,336 | $20,234 | -14% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
17 | $46,440 | $11,263 | about average |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
17 | $53,340 | $13,565 | -5% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
17 | $42,890 | $13,965 | -19% |
|
Hip or Thigh Bone Surgery (uncomplicated)
MS-DRG 482 · Inpatient stay |
17 | $48,721 | $14,849 | -29% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
16 | $66,766 | $25,041 | -34% |
|
Hip or Thigh Bone Surgery (severe)
MS-DRG 480 · Inpatient stay |
16 | $73,110 | $27,368 | -38% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
16 | $38,426 | $10,958 | -6% |
|
Other Major Cardiovascular Procedures with Major Complications
MS-DRG 270 · Inpatient stay |
16 | $142,162 | $47,558 | -37% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
16 | $23,295 | $8,246 | -38% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
16 | $19,726 | $2,884 | +9% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
15 | $56,735 | $18,738 | -26% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
15 | $36,211 | $13,032 | -34% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
15 | $42,141 | $8,484 | +22% |
|
Other Kidney and Urinary Tract Procedures with Major Complications
MS-DRG 673 · Inpatient stay |
15 | $62,331 | $34,270 | -60% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
14 | $33,139 | $6,925 | +8% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
14 | $71,851 | $20,065 | -8% |
|
Laparoscopic Cholecystectomy without C.d.e. with Major Complications
MS-DRG 417 · Inpatient stay |
14 | $91,281 | $23,971 | -13% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
14 | $19,298 | $3,358 | -17% |
|
Stroke (uncomplicated)
MS-DRG 066 · Inpatient stay |
12 | $26,574 | $6,851 | -26% |
|
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with
MS-DRG 617 · Inpatient stay |
12 | $51,776 | $18,374 | -30% |
|
Poisoning and Toxic Effects of Drugs with Major Complications
MS-DRG 917 · Inpatient stay |
12 | $62,172 | $15,201 | -8% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
12 | $10,638 | $1,560 | -5% |
|
Other Cerebrovascular Disorders with Major Complications
MS-DRG 070 · Inpatient stay |
11 | $56,891 | $16,519 | -14% |
|
Fainting
MS-DRG 312 · Inpatient stay |
11 | $45,204 | $8,118 | +23% |
|
Fractures of Hip and Pelvis without Major Complications
MS-DRG 536 · Inpatient stay |
11 | $28,365 | $7,492 | -14% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
11 | $38,667 | $8,266 | +27% |
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
11 | $69,363 | $30,052 | -38% |
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.