CostGrade

All published prices at Sentara Rmh Medical Center

111 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.

A
Procedure Patients Charged Actually paid vs national
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

1,118 $12,855 $2,661 -34%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

438 $34,342 $17,471 -47%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

257 $8,269 $1,575 -18%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

256 $24,017 $11,412 -45%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

184 $22,971 $3,184 -9%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

173 $12,838 $1,890 +13%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

165 $36,196 $12,581 -42%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

163 $73,168 $23,028 -45%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

157 $9,043 $1,565 -19%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

146 $30,930 $6,998 -22%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

125 $17,856 $3,102 -7%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

112 $16,260 $3,115 -20%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

111 $7,409 $1,831 -37%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

105 $26,835 $14,652 -51%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

104 $19,587 $2,794 +11%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

104 $19,464 $4,894 -29%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

103 $31,088 $5,674 -11%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

94 $21,304 $9,036 -46%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

90 $14,903 $3,398 -28%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

85 $25,117 $5,621 -27%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

82 $24,831 $11,458 -47%
Level 6 Urology and Related Services

APC 5376 · Hospital outpatient visit

76 $28,181 $9,055 -37%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

66 $17,943 $3,280 -23%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

64 $51,412 $19,334 -42%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

62 $15,989 $7,721 -51%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

62 $39,258 $10,327 -24%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

57 $19,515 $10,058 -52%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

57 $13,925 $2,003 +8%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

56 $48,967 $10,643 -28%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

54 $81,273 $42,533 -54%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

53 $26,356 $14,257 -54%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

52 $27,095 $13,561 -49%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

51 $36,056 $14,360 -41%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

49 $58,407 $27,792 -53%
Psychoses

MS-DRG 885 · Inpatient stay

49 $33,906 $12,975 -6%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

48 $25,283 $8,395 -39%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

45 $45,562 $17,529 -45%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

42 $9,336 $1,515 +9%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

41 $15,477 $6,923 -48%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

39 $16,640 $6,366 -46%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

39 $46,779 $16,367 -34%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

38 $20,795 $7,576 -36%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

34 $52,729 $18,285 -36%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

33 $26,193 $10,677 -45%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

33 $17,380 $7,657 -43%
Stroke (severe)

MS-DRG 064 · Inpatient stay

32 $36,555 $16,913 -52%
COPD (severe)

MS-DRG 190 · Inpatient stay

32 $24,418 $9,927 -42%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

32 $105,057 $40,297 -45%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

32 $66,836 $15,845 -34%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

32 $26,333 $6,413 -33%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

30 $25,241 $9,000 -45%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

30 $18,739 $6,923 -40%
Respiratory Failure

MS-DRG 189 · Inpatient stay

29 $26,230 $10,568 -46%
Fainting

MS-DRG 312 · Inpatient stay

28 $20,632 $7,692 -44%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

28 $47,684 $17,888 -44%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

27 $35,762 $13,121 -34%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

27 $29,116 $12,325 -40%
Skin Infection (severe)

MS-DRG 602 · Inpatient stay

26 $24,840 $12,676 -52%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

26 $16,274 $3,748 -32%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

24 $64,823 $19,113 -31%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

24 $15,575 $3,683 -31%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

22 $18,731 $7,047 -39%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

21 $88,506 $25,755 -38%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

21 $108,719 $54,185 -55%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

21 $87,121 $32,254 -41%
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

21 $23,221 $6,475 -40%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

20 $72,601 $22,510 -28%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

20 $55,359 $27,738 -53%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

20 $45,221 $15,874 -43%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

20 $60,233 $15,486 -37%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

19 $39,951 $13,002 -27%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

19 $27,723 $12,461 -51%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

19 $26,895 $11,923 -52%
Level 1 Intraocular Procedures

APC 5491 · Hospital outpatient visit

19 $11,172 $2,292 -5%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

18 $44,569 $17,190 -46%
Bronchitis and Asthma with Complications/mcc

MS-DRG 202 · Inpatient stay

18 $18,118 $8,250 -54%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

18 $24,121 $5,404 -33%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

17 $83,419 $41,276 -54%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

17 $20,519 $9,728 -47%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

17 $30,250 $13,362 -53%
Cirrhosis and Alcoholic Hepatitis with Major Complications

MS-DRG 432 · Inpatient stay

17 $40,675 $16,660 -49%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

16 $33,986 $18,971 -57%
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major

MS-DRG 981 · Inpatient stay

16 $77,996 $39,647 -58%
Level 2 Electrophysiologic Procedures

APC 5212 · Hospital outpatient visit

16 $37,986 $6,978 -15%
Other Disorders of Nervous System with Major Complications

MS-DRG 091 · Inpatient stay

15 $43,239 $15,894 -39%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

15 $25,311 $7,781 -42%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

15 $16,670 $9,458 -56%
Other Major Cardiovascular Procedures with Major Complications

MS-DRG 270 · Inpatient stay

15 $148,404 $47,872 -34%
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

15 $9,949 $1,669 -13%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

15 $23,165 $8,353 -39%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

14 $16,810 $7,106 -47%
Permanent Cardiac Pacemaker Implant with Major Complications

MS-DRG 242 · Inpatient stay

14 $75,698 $28,877 -45%
Laparoscopic Cholecystectomy without C.d.e. with Complications

MS-DRG 418 · Inpatient stay

14 $60,082 $15,527 -27%
Major Gastrointestinal Disorders and Peritoneal Infections with Major Complications

MS-DRG 371 · Inpatient stay

14 $31,133 $16,335 -55%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

14 $11,604 $2,760 -30%
Level 4 ENT Procedures

APC 5164 · Hospital outpatient visit

14 $17,198 $2,992 -9%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

13 $19,076 $8,477 -49%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

13 $64,024 $22,954 -44%
Peripheral Vascular Disorders with Complications

MS-DRG 300 · Inpatient stay

13 $26,805 $8,659 -38%
Major Gastrointestinal Disorders and Peritoneal Infections with Complications

MS-DRG 372 · Inpatient stay

13 $20,333 $9,635 -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.