CostGrade

All published prices at Scripps Mercy Hospital

136 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.

F
Procedure Patients Charged Actually paid vs national
Sepsis (severe)

MS-DRG 871 · Inpatient stay

516 $124,784 $22,741 +91%
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

266 $38,858 $3,355 +100%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

197 $79,073 $15,218 +82%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

122 $34,159 $1,980 +239%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

117 $48,107 $4,013 +91%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

106 $69,090 $12,328 +76%
Respiratory Failure

MS-DRG 189 · Inpatient stay

86 $90,705 $14,192 +87%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

86 $159,638 $15,979 +156%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

85 $165,226 $21,958 +107%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

83 $328,226 $57,001 +84%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

83 $47,275 $3,919 +147%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

82 $108,895 $7,025 +210%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

72 $87,602 $19,373 +59%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

65 $87,872 $18,477 +43%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

61 $15,859 $2,320 +35%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

59 $286,345 $29,114 +116%
Level 1 Intraocular Procedures

APC 5491 · Hospital outpatient visit

55 $45,347 $2,865 +286%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

54 $75,555 $6,694 +109%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

52 $44,345 $4,220 +115%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

51 $54,333 $10,555 +68%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

51 $64,064 $6,262 +133%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

50 $83,042 $12,765 +82%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

50 $88,697 $13,108 +72%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

49 $67,178 $12,050 +63%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

48 $179,645 $12,637 +201%
Stroke (severe)

MS-DRG 064 · Inpatient stay

47 $154,458 $22,623 +102%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

47 $356,458 $57,384 +88%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

47 $82,452 $18,557 +45%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

46 $78,554 $15,210 +62%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

46 $96,705 $13,503 +43%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

46 $40,995 $2,504 +217%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

44 $43,864 $10,935 +44%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

44 $62,584 $10,551 +90%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

42 $106,966 $8,793 +168%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

41 $94,253 $17,995 +33%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

41 $194,664 $23,301 +134%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

41 $74,453 $16,196 +41%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

39 $68,582 $15,002 +43%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

38 $234,270 $38,229 +88%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

38 $45,803 $3,420 +159%
Fainting

MS-DRG 312 · Inpatient stay

37 $56,808 $10,406 +55%
Other Cerebrovascular Disorders with Major Complications

MS-DRG 070 · Inpatient stay

36 $94,733 $18,814 +43%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

35 $72,648 $14,636 +56%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

35 $51,686 $9,633 +74%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

34 $54,631 $9,907 +78%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

34 $57,186 $8,017 +45%
Level 6 Urology and Related Services

APC 5376 · Hospital outpatient visit

34 $110,549 $11,313 +149%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

33 $67,926 $11,492 +74%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

32 $54,334 $9,688 +74%
Organic Disturbances and Intellectual Disability

MS-DRG 884 · Inpatient stay

31 $109,647 $17,726 +119%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

30 $49,801 $10,150 +63%
Degenerative Nervous System Disorders with Major Complications

MS-DRG 056 · Inpatient stay

29 $122,049 $24,637 +42%
Peripheral Vascular Disorders with Complications

MS-DRG 300 · Inpatient stay

29 $72,508 $12,281 +69%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

29 $228,078 $32,318 +94%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

29 $57,114 $11,967 +51%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

29 $60,305 $3,980 +196%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

26 $177,571 $30,526 +57%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

26 $41,442 $4,253 +78%
Endocrine Disorders with Major Complications

MS-DRG 643 · Inpatient stay

25 $106,928 $17,960 +62%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

24 $123,822 $19,106 +93%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

24 $32,153 $1,976 +186%
Other Vascular Procedures with Major Complications

MS-DRG 252 · Inpatient stay

23 $203,737 $34,892 +40%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

23 $52,449 $15,011 about average
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

22 $111,992 $15,407 +105%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

22 $52,786 $9,341 +66%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

22 $64,604 $11,533 +48%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

22 $191,427 $27,194 +123%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

22 $66,693 $10,827 +93%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

21 $54,655 $11,177 +41%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

21 $60,530 $13,215 +49%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

20 $71,596 $15,425 +51%
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization

MS-DRG 220 · Inpatient stay

20 $584,458 $59,986 +151%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

20 $26,178 $1,969 +205%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

20 $211,216 $40,316 +42%
Craniotomy and Endovascular Intracranial Procedures with Major Complications

MS-DRG 025 · Inpatient stay

19 $490,953 $61,051 +155%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

19 $125,247 $23,847 +23%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

19 $336,294 $47,907 +87%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

19 $60,004 $10,621 +63%
COPD (severe)

MS-DRG 190 · Inpatient stay

18 $85,349 $12,109 +104%
Other Disorders of Nervous System with Complications

MS-DRG 092 · Inpatient stay

18 $70,927 $12,356 +58%
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization

MS-DRG 219 · Inpatient stay

18 $663,215 $93,336 +98%
Endocrine Disorders with Complications

MS-DRG 644 · Inpatient stay

18 $62,247 $12,255 +62%
Gastrointestinal Obstruction with Major Complications

MS-DRG 388 · Inpatient stay

17 $84,594 $16,805 +47%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

17 $178,952 $24,870 +116%
Sepsis

MS-DRG 870 · Inpatient stay

17 $540,943 $92,504 +101%
COPD (with complications)

MS-DRG 191 · Inpatient stay

17 $49,373 $10,198 +48%
Other Cerebrovascular Disorders with Complications

MS-DRG 071 · Inpatient stay

17 $74,029 $12,531 +67%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

16 $70,551 $17,102 +25%
Traumatic Stupor and Coma >1 Hour with Major Complications

MS-DRG 082 · Inpatient stay

16 $204,718 $27,357 +111%
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with Major Complications

MS-DRG 896 · Inpatient stay

16 $88,394 $20,028 +35%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

15 $70,905 $10,916 +74%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

15 $68,735 $11,938 +85%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

15 $215,887 $24,356 +130%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

15 $590,779 $75,796 +146%
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major

MS-DRG 897 · Inpatient stay

15 $71,870 $10,365 +121%
Cranial and Peripheral Nerve Disorders without Major Complications

MS-DRG 074 · Inpatient stay

15 $60,963 $12,125 +28%
Other Disorders of Nervous System with Major Complications

MS-DRG 091 · Inpatient stay

14 $121,453 $19,107 +71%
Seizures with Major Complications

MS-DRG 100 · Inpatient stay

14 $151,958 $21,718 +88%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

14 $127,778 $23,258 +63%
Laparoscopic Cholecystectomy without C.d.e. with Complications

MS-DRG 418 · Inpatient stay

14 $174,475 $18,928 +112%

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.