All published prices at Santa Monica - Ucla Med Ctr & Orthopaedic Hospital
143 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 |
702 | $27,676 | $3,346 | +42% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
473 | $145,259 | $29,008 | +123% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
346 | $72,584 | $15,737 | +16% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
296 | $8,203 | $2,367 | -28% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
266 | $10,915 | $1,978 | +8% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
238 | $35,995 | $6,308 | +31% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
185 | $34,567 | $6,972 | about average |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
183 | $36,905 | $8,676 | -7% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
168 | $108,691 | $18,633 | +150% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
162 | $24,154 | $3,919 | +26% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
159 | $24,496 | $4,197 | +5% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
154 | $36,737 | $7,200 | +7% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
153 | $9,923 | $2,315 | -16% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
151 | $58,992 | $13,270 | -13% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
141 | $25,198 | $4,511 | +11% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
133 | $23,269 | $3,889 | -8% |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
132 | $34,164 | $8,310 | -11% |
|
Level 4 ENT Procedures
APC 5164 · Hospital outpatient visit |
129 | $13,576 | $3,958 | -28% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
106 | $102,145 | $21,012 | +86% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
105 | $22,100 | $4,286 | +7% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
100 | $48,372 | $12,535 | -19% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
96 | $18,885 | $3,494 | +7% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
82 | $116,741 | $22,698 | +46% |
|
Revision of Hip or Knee Replacement with Complications
MS-DRG 467 · Inpatient stay |
82 | $201,117 | $42,336 | +55% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
82 | $83,926 | $22,334 | about average |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
75 | $115,628 | $21,271 | +104% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
75 | $19,865 | $2,504 | +54% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
73 | $10,200 | $1,954 | -9% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
69 | $10,519 | $3,411 | -37% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
66 | $59,097 | $12,512 | +51% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
61 | $62,373 | $16,154 | +30% |
|
Sepsis
MS-DRG 870 · Inpatient stay |
61 | $360,608 | $89,927 | +34% |
|
Chemotherapy without Acute Leukemia as Secondary Diagnosis with Complications
MS-DRG 847 · Inpatient stay |
60 | $69,760 | $15,938 | +30% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
57 | $162,422 | $31,089 | +108% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
54 | $20,082 | $4,686 | -16% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
54 | $21,796 | $3,980 | +7% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
53 | $90,362 | $20,385 | +86% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
52 | $10,657 | $2,035 | -7% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
50 | $71,480 | $6,486 | +98% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
49 | $70,038 | $12,014 | +113% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
49 | $40,536 | $8,017 | about average |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
48 | $408,079 | $94,440 | +129% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
44 | $89,532 | $18,475 | +75% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
44 | $64,701 | $21,503 | -32% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
43 | $108,486 | $17,102 | +124% |
|
Level 2 Neurostimulator and Related Procedures
APC 5462 · Hospital outpatient visit |
43 | $30,873 | $8,407 | +18% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
42 | $77,828 | $15,706 | +67% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
42 | $118,186 | $23,232 | +66% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
42 | $61,111 | $13,093 | +50% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
40 | $55,858 | $12,661 | +83% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
40 | $35,085 | $7,027 | about average |
|
Level 6 Urology and Related Services
APC 5376 · Hospital outpatient visit |
40 | $57,567 | $11,313 | +29% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
39 | $112,079 | $18,659 | +112% |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
38 | $106,166 | $26,015 | +65% |
|
Level 8 Urology and Related Services
APC 5378 · Hospital outpatient visit |
38 | $75,304 | $24,406 | -13% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
37 | $49,673 | $11,402 | +54% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
35 | $100,158 | $24,141 | +20% |
|
Chemotherapy without Acute Leukemia as Secondary Diagnosis with Major Complications
MS-DRG 846 · Inpatient stay |
35 | $148,497 | $37,936 | +38% |
|
Lymphoma and Non-acute Leukemia with Major Complications
MS-DRG 840 · Inpatient stay |
34 | $250,291 | $56,349 | +75% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
34 | $17,106 | $3,844 | -6% |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
33 | $296,297 | $70,693 | +65% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
33 | $127,357 | $24,875 | +49% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
33 | $17,692 | $1,880 | +106% |
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
33 | $117,185 | $38,054 | +4% |
|
Level 3 Upper GI Procedures
APC 5303 · Hospital outpatient visit |
32 | $18,941 | $4,708 | -13% |
|
Complex GI Procedures
APC 5331 · Hospital outpatient visit |
32 | $28,796 | $7,007 | -4% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
31 | $47,098 | $10,053 | +58% |
|
Respiratory Neoplasms with Major Complications
MS-DRG 180 · Inpatient stay |
31 | $140,737 | $27,498 | +90% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
30 | $56,517 | $11,061 | +81% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
30 | $50,510 | $11,667 | +66% |
|
Malignancy of Hepatobiliary System or Pancreas with Major Complications
MS-DRG 435 · Inpatient stay |
29 | $122,352 | $23,635 | +50% |
|
Hip or Thigh Bone Surgery (severe)
MS-DRG 480 · Inpatient stay |
27 | $167,159 | $39,835 | +42% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
26 | $162,781 | $27,660 | +113% |
|
Other Disorders of Nervous System with Major Complications
MS-DRG 091 · Inpatient stay |
26 | $116,297 | $21,996 | +64% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
26 | $62,319 | $11,872 | +51% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
26 | $80,120 | $13,010 | +112% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
25 | $146,920 | $24,462 | +139% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture with Major Complications
MS-DRG 521 · Inpatient stay |
25 | $149,590 | $35,220 | +33% |
|
Chimeric Antigen Receptor (car) T-cell and Other Immunotherapies
MS-DRG 018 · Inpatient stay |
25 | $2,137,236 | $554,836 | +8% |
|
Digestive Malignancy with Major Complications
MS-DRG 374 · Inpatient stay |
24 | $138,051 | $29,067 | +60% |
|
Level 7 Radiation Therapy
APC 5627 · Hospital outpatient visit |
24 | $42,698 | $9,568 | -28% |
|
Fainting
MS-DRG 312 · Inpatient stay |
23 | $57,886 | $10,657 | +58% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
23 | $67,518 | $11,780 | +73% |
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
22 | $100,635 | $18,066 | +159% |
|
Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D
MS-DRG 464 · Inpatient stay |
22 | $200,379 | $39,375 | +46% |
|
Endocrine Disorders with Major Complications
MS-DRG 643 · Inpatient stay |
22 | $90,895 | $19,661 | +38% |
|
Level 6 Gynecologic Procedures
APC 5416 · Hospital outpatient visit |
22 | $37,928 | $9,285 | -7% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
21 | $127,882 | $27,468 | +27% |
|
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Major
MS-DRG 542 · Inpatient stay |
21 | $166,491 | $26,730 | +143% |
|
Level 5 Gynecologic Procedures
APC 5415 · Hospital outpatient visit |
21 | $25,570 | $6,115 | -15% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
20 | $110,819 | $17,718 | +103% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
20 | $96,157 | $18,275 | +71% |
|
Skin Infection (severe)
MS-DRG 602 · Inpatient stay |
20 | $75,505 | $17,266 | +47% |
|
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with
MS-DRG 543 · Inpatient stay |
20 | $79,448 | $14,640 | +92% |
|
Degenerative Nervous System Disorders with Major Complications
MS-DRG 056 · Inpatient stay |
19 | $231,401 | $49,695 | +169% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
19 | $57,905 | $11,198 | +56% |
|
Peripheral Vascular Disorders with Major Complications
MS-DRG 299 · Inpatient stay |
19 | $96,514 | $18,684 | +43% |
|
Revision of Hip or Knee Replacement with Major Complications
MS-DRG 466 · Inpatient stay |
19 | $320,893 | $74,865 | +48% |
|
Cervical Spinal Fusion with Complications
MS-DRG 472 · Inpatient stay |
19 | $173,859 | $34,281 | +45% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
17 | $79,177 | $16,043 | +67% |
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.