CostGrade

All published prices at Sentara Martha Jefferson Hospital

101 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.

B
Procedure Patients Charged Actually paid vs national
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

680 $13,053 $2,332 -33%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

372 $32,971 $11,196 -47%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

343 $35,875 $12,936 -45%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

260 $7,710 $1,384 -24%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

184 $23,817 $2,804 -6%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

169 $9,932 $1,654 -15%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

153 $25,647 $8,761 -41%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

124 $17,938 $2,736 -6%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

123 $24,760 $4,471 -10%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

115 $30,911 $4,879 -12%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

112 $10,941 $2,988 -47%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

104 $18,262 $2,993 -21%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

97 $32,380 $10,309 -47%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

91 $73,176 $20,390 -45%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

83 $24,715 $7,031 -37%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

81 $52,204 $9,558 -23%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

80 $29,852 $6,220 -25%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

77 $28,410 $10,356 -48%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

76 $26,046 $4,917 -25%
Level 2 Intraocular Procedures

APC 5492 · Hospital outpatient visit

75 $16,056 $3,535 -22%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

69 $18,375 $2,442 +4%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

64 $42,800 $9,279 -17%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

61 $9,088 $1,392 +6%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

61 $9,692 $1,748 -25%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

58 $23,923 $8,440 -49%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

58 $17,192 $2,776 -16%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

56 $14,886 $3,173 -38%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

45 $27,077 $7,432 -41%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

45 $17,432 $3,198 -23%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

43 $13,679 $5,104 -55%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

42 $28,033 $5,950 -36%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

42 $25,166 $8,887 -47%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

42 $25,325 $7,134 -39%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

41 $18,590 $5,389 -42%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

39 $43,593 $13,603 -48%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

39 $13,286 $2,410 -20%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

38 $45,632 $15,787 -45%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

37 $49,259 $13,529 -43%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

36 $23,099 $8,125 -52%
COPD (severe)

MS-DRG 190 · Inpatient stay

34 $22,091 $7,352 -47%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

34 $27,670 $9,778 -48%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

34 $92,848 $31,545 -48%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

33 $22,618 $7,302 -45%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

33 $18,255 $9,861 -68%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

33 $8,351 $1,365 -26%
Stroke (severe)

MS-DRG 064 · Inpatient stay

31 $36,502 $12,776 -52%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

30 $38,651 $13,446 -46%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

29 $15,937 $5,333 -46%
Complex GI Procedures

APC 5331 · Hospital outpatient visit

29 $23,088 $4,819 -23%
Level 4 Pacemaker and Similar Procedures

APC 5224 · Hospital outpatient visit

29 $55,452 $16,019 -42%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

28 $32,277 $7,830 -41%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

28 $58,904 $13,061 -42%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

26 $30,784 $9,683 -44%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

26 $43,877 $14,580 -50%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

26 $72,499 $20,718 -50%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

26 $25,837 $5,670 -35%
Level 3 Upper GI Procedures

APC 5303 · Hospital outpatient visit

26 $13,535 $3,330 -38%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

25 $17,072 $5,556 -44%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

25 $14,713 $5,218 -52%
Respiratory Failure

MS-DRG 189 · Inpatient stay

24 $29,622 $8,140 -39%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

24 $11,632 $4,140 -54%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

24 $12,053 $2,718 -34%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

24 $11,284 $1,623 about average
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

23 $17,101 $5,844 -48%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

23 $47,792 $11,908 -50%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

23 $88,587 $28,520 -40%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

22 $41,178 $13,484 -48%
Craniotomy and Endovascular Intracranial Procedures with Major Complications

MS-DRG 025 · Inpatient stay

21 $98,374 $29,794 -49%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

21 $31,799 $8,829 -38%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

20 $24,384 $7,386 -36%
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

19 $10,587 $1,476 -7%
Fainting

MS-DRG 312 · Inpatient stay

17 $31,490 $6,591 -14%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

17 $75,279 $18,010 -25%
Fractures of Hip and Pelvis without Major Complications

MS-DRG 536 · Inpatient stay

17 $15,499 $5,025 -53%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

16 $20,678 $10,049 -63%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

16 $43,126 $13,965 -48%
Combined Anterior and Posterior Spinal Fusion without Complications/mcc

MS-DRG 455 · Inpatient stay

16 $66,681 $29,459 -62%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

15 $26,329 $5,835 -36%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

15 $19,807 $5,290 -37%
Major Small and Large Bowel Procedures without Complications/mcc

MS-DRG 331 · Inpatient stay

15 $62,688 $10,814 -16%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

15 $18,501 $5,661 -50%
Hip Replacement with Principal Diagnosis of Hip Fracture with Major Complications

MS-DRG 521 · Inpatient stay

14 $55,067 $20,597 -51%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

14 $45,616 $8,423 -24%
Level 6 Urology and Related Services

APC 5376 · Hospital outpatient visit

14 $28,235 $8,009 -37%
Other Disorders of Nervous System with Major Complications

MS-DRG 091 · Inpatient stay

13 $28,231 $10,467 -60%
Other Vascular Procedures with Complications

MS-DRG 253 · Inpatient stay

13 $57,953 $17,667 -48%
Other Circulatory System Diagnoses with Complications

MS-DRG 315 · Inpatient stay

13 $20,468 $6,224 -51%
Complications of Treatment with Major Complications

MS-DRG 919 · Inpatient stay

13 $24,345 $11,368 -67%
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

13 $23,101 $5,612 -40%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

12 $66,778 $18,725 -43%
Endocrine Disorders with Major Complications

MS-DRG 643 · Inpatient stay

12 $36,279 $10,599 -45%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

12 $20,822 $4,380 -42%
Extracranial Procedures without Complications/mcc

MS-DRG 039 · Inpatient stay

11 $30,033 $7,370 -44%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

11 $28,563 $5,381 -10%
Heart Attack (uncomplicated)

MS-DRG 282 · Inpatient stay

11 $24,393 $5,255 -37%
Chest Pain

MS-DRG 313 · Inpatient stay

11 $17,889 $4,724 -47%
Other Disorders of Nervous System with Complications

MS-DRG 092 · Inpatient stay

11 $23,739 $7,731 -47%
Combined Anterior and Posterior Spinal Fusion with Complications

MS-DRG 454 · Inpatient stay

11 $74,759 $39,111 -66%
Revision of Hip or Knee Replacement with Complications

MS-DRG 467 · Inpatient stay

11 $72,875 $19,761 -44%
Skin Infection (severe)

MS-DRG 602 · Inpatient stay

11 $26,095 $9,350 -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.