All published prices at Sgmc Health
104 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 |
306 | $14,041 | $2,242 | -28% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
236 | $8,075 | $1,357 | -20% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
234 | $54,131 | $15,532 | -17% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
181 | $26,498 | $9,808 | -39% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
175 | $11,679 | $2,737 | -54% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
142 | $6,514 | $561 | +108% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
118 | $38,729 | $11,966 | -30% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
103 | $66,299 | $11,020 | +6% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
96 | $14,336 | $2,694 | -25% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
94 | $18,501 | $6,869 | -38% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
90 | $14,186 | $1,706 | +10% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
87 | $31,375 | $9,989 | -33% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
87 | $58,690 | $9,205 | -13% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
84 | $22,590 | $8,561 | -45% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
82 | $9,184 | $1,616 | -19% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
79 | $34,010 | $4,731 | -3% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
74 | $25,466 | $2,883 | +23% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
68 | $42,269 | $5,834 | +6% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
65 | $98,300 | $15,504 | +18% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
55 | $31,157 | $9,634 | -36% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
53 | $20,386 | $7,603 | -38% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
53 | $15,987 | $1,608 | +36% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
53 | $26,446 | $4,374 | -4% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
48 | $22,195 | $6,490 | -27% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
47 | $13,825 | $4,831 | -60% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
46 | $35,546 | $13,038 | -42% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
46 | $31,845 | $10,835 | -40% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
46 | $36,525 | $12,483 | -36% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
45 | $25,196 | $6,808 | -22% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
44 | $33,735 | $7,557 | -26% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
44 | $34,845 | $8,954 | -16% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
43 | $42,628 | $13,834 | -44% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
42 | $22,399 | $8,047 | -40% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
42 | $19,672 | $2,402 | +11% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
41 | $6,688 | $1,354 | -22% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
40 | $21,733 | $9,692 | -55% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
39 | $25,381 | $2,924 | +9% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
38 | $28,234 | $8,597 | -28% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
37 | $79,066 | $17,072 | -22% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
37 | $136,503 | $41,102 | -23% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
37 | $39,954 | $5,280 | about average |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
37 | $12,025 | $1,358 | +7% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
34 | $44,339 | $8,587 | -14% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
33 | $41,327 | $12,517 | -42% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
33 | $62,684 | $15,201 | -25% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
33 | $25,260 | $2,670 | +24% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
32 | $20,579 | $6,324 | -33% |
|
Fainting
MS-DRG 312 · Inpatient stay |
30 | $19,388 | $7,289 | -47% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
29 | $69,403 | $11,223 | -27% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
29 | $120,565 | $19,391 | -9% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
28 | $62,712 | $23,274 | -50% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
28 | $26,181 | $10,120 | -49% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
27 | $33,178 | $7,753 | -24% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
27 | $69,437 | $14,981 | -19% |
|
Other Cerebrovascular Disorders with Complications
MS-DRG 071 · Inpatient stay |
27 | $24,742 | $7,963 | -44% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
26 | $27,155 | $4,645 | -25% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
25 | $25,486 | $6,826 | -20% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
25 | $25,505 | $3,222 | +7% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
23 | $24,619 | $8,371 | -35% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
22 | $150,352 | $33,064 | -21% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
22 | $33,421 | $10,577 | -29% |
|
Other Cerebrovascular Disorders with Major Complications
MS-DRG 070 · Inpatient stay |
20 | $42,251 | $12,137 | -36% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
20 | $33,067 | $10,409 | -41% |
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
19 | $23,347 | $9,127 | -43% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
19 | $52,710 | $8,698 | -12% |
|
Irregular Heartbeat (uncomplicated)
MS-DRG 310 · Inpatient stay |
18 | $14,715 | $5,396 | -42% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
18 | $21,264 | $2,643 | +17% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
17 | $71,891 | $19,351 | -28% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
17 | $19,933 | $6,874 | -36% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
17 | $35,521 | $9,537 | -37% |
|
Transient Ischemia without Thrombolytic
MS-DRG 069 · Inpatient stay |
16 | $25,115 | $6,944 | -39% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
16 | $31,652 | $12,207 | -42% |
|
Coronary Bypass without Cardiac Catheterization without Major Complications
MS-DRG 236 · Inpatient stay |
16 | $132,689 | $28,579 | -28% |
|
Heart Attack (uncomplicated)
MS-DRG 282 · Inpatient stay |
16 | $45,664 | $9,788 | +19% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
16 | $105,011 | $20,447 | -27% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
16 | $19,284 | $7,142 | -44% |
|
Other Disorders of Nervous System with Complications
MS-DRG 092 · Inpatient stay |
16 | $19,773 | $7,958 | -56% |
|
Hip or Thigh Bone Surgery (uncomplicated)
MS-DRG 482 · Inpatient stay |
16 | $60,872 | $11,986 | -11% |
|
Other Disorders of Nervous System with Major Complications
MS-DRG 091 · Inpatient stay |
15 | $54,451 | $13,559 | -23% |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
15 | $93,186 | $29,642 | -48% |
|
Major Gastrointestinal Disorders and Peritoneal Infections with Complications
MS-DRG 372 · Inpatient stay |
15 | $28,378 | $8,640 | -29% |
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay |
14 | $93,740 | $22,844 | -17% |
|
Other Vascular Procedures with Major Complications
MS-DRG 252 · Inpatient stay |
14 | $101,004 | $28,954 | -30% |
|
Gastrointestinal Obstruction with Major Complications
MS-DRG 388 · Inpatient stay |
14 | $57,517 | $13,728 | about average |
|
Hip or Thigh Bone Surgery (severe)
MS-DRG 480 · Inpatient stay |
14 | $77,241 | $20,829 | -34% |
|
Fractures of Hip and Pelvis without Major Complications
MS-DRG 536 · Inpatient stay |
14 | $15,499 | $6,708 | -53% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
14 | $17,590 | $7,446 | -42% |
|
Sepsis
MS-DRG 870 · Inpatient stay |
14 | $192,245 | $52,511 | -28% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
13 | $19,635 | $7,460 | -50% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
13 | $25,863 | $7,181 | -32% |
|
Stroke (uncomplicated)
MS-DRG 066 · Inpatient stay |
12 | $24,786 | $5,631 | -31% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major
MS-DRG 287 · Inpatient stay |
12 | $68,897 | $10,234 | +26% |
|
Hypertension without Major Complications
MS-DRG 305 · Inpatient stay |
12 | $19,638 | $6,675 | -41% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
12 | $43,125 | $13,267 | -45% |
|
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major
MS-DRG 981 · Inpatient stay |
12 | $119,725 | $26,581 | -35% |
|
COPD (with complications)
MS-DRG 191 · Inpatient stay |
12 | $23,246 | $6,630 | -30% |
|
Peripheral Vascular Disorders with Major Complications
MS-DRG 299 · Inpatient stay |
12 | $43,646 | $11,393 | -35% |
|
Cirrhosis and Alcoholic Hepatitis with Major Complications
MS-DRG 432 · Inpatient stay |
12 | $56,085 | $14,600 | -30% |
|
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without
MS-DRG 563 · Inpatient stay |
12 | $21,408 | $7,556 | -42% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
11 | $27,081 | $7,601 | -27% |
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.