CostGrade

All published prices at Sibley Memorial Hospital

113 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.

C
Procedure Patients Charged Actually paid vs national
Level 2 Urology and Related Services

APC 5372 · Hospital outpatient visit

577 $3,190 $697 about average
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

413 $19,003 $2,779 about average
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

402 $43,170 $13,356 -31%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

384 $67,471 $15,885 +3%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

373 $10,925 $1,647 +8%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

347 $22,035 $5,863 -37%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

309 $8,390 $1,942 -29%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

227 $15,162 $2,069 +17%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

220 $24,336 $5,256 -11%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

153 $38,699 $10,349 -35%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

149 $47,798 $10,231 +10%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

145 $17,047 $3,547 -17%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

120 $18,402 $2,888 +4%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

109 $19,643 $3,832 -13%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

104 $45,781 $12,550 -17%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

99 $22,818 $3,900 -4%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

99 $35,139 $7,261 -12%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

96 $15,483 $3,172 -15%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

93 $19,664 $3,509 -15%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

89 $37,847 $6,612 -4%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

88 $19,630 $3,202 about average
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

86 $35,872 $8,398 -9%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

72 $47,749 $10,926 about average
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

71 $28,433 $6,278 -5%
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

69 $27,261 $6,922 -29%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

66 $4,468 $1,639 -48%
Level 3 Upper GI Procedures

APC 5303 · Hospital outpatient visit

66 $13,354 $3,871 -39%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

61 $46,543 $11,503 -12%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

59 $43,802 $12,853 -23%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

58 $37,421 $9,015 -8%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

55 $13,907 $2,827 -16%
Complex GI Procedures

APC 5331 · Hospital outpatient visit

53 $21,521 $5,524 -28%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

52 $73,002 $19,016 -27%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

51 $66,616 $14,929 -17%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

51 $65,239 $19,023 -21%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

50 $26,291 $7,197 -14%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

48 $31,432 $6,466 about average
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

48 $34,786 $7,109 +6%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

46 $34,056 $7,884 -18%
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

46 $10,339 $1,737 -9%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

45 $49,195 $10,110 about average
Revision of Hip or Knee Replacement without Complications/mcc

MS-DRG 468 · Inpatient stay

44 $73,264 $21,143 -32%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

41 $172,866 $47,326 about average
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

39 $39,048 $7,758 about average
Stroke (severe)

MS-DRG 064 · Inpatient stay

36 $83,596 $17,404 +10%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

36 $30,900 $6,323 about average
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

33 $115,742 $38,391 -36%
Spinal Fusion Except Cervical without Major Complications

MS-DRG 460 · Inpatient stay

33 $100,020 $28,030 -31%
Revision of Hip or Knee Replacement with Complications

MS-DRG 467 · Inpatient stay

32 $103,052 $25,623 -21%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

31 $51,826 $7,976 +14%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

31 $18,420 $10,914 -64%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

30 $34,902 $6,095 +14%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

30 $40,453 $10,660 -21%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

29 $35,449 $6,559 +13%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

29 $9,198 $1,644 -18%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

28 $35,371 $7,143 +11%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

28 $65,512 $14,395 -8%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

27 $70,361 $17,127 -18%
Respiratory Failure

MS-DRG 189 · Inpatient stay

26 $62,074 $10,440 +28%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

25 $37,669 $8,082 about average
Major Small and Large Bowel Procedures without Complications/mcc

MS-DRG 331 · Inpatient stay

25 $50,647 $13,986 -32%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

23 $68,824 $15,785 -17%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

23 $31,999 $8,615 -15%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

23 $51,039 $11,404 -9%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

23 $22,581 $3,312 +11%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

22 $29,585 $7,193 -20%
Stroke (uncomplicated)

MS-DRG 066 · Inpatient stay

21 $41,704 $5,768 +16%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

21 $54,419 $10,721 -11%
Major Chest Procedures without Complications/mcc

MS-DRG 165 · Inpatient stay

21 $58,255 $15,512 -30%
Digestive Malignancy with Major Complications

MS-DRG 374 · Inpatient stay

21 $66,333 $16,431 -23%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

21 $47,860 $11,243 -29%
Gastrointestinal Obstruction with Major Complications

MS-DRG 388 · Inpatient stay

20 $58,480 $12,136 about average
Disorders of the Biliary Tract with Complications

MS-DRG 445 · Inpatient stay

20 $45,225 $8,927 -12%
Level 3 Extraocular, Repair, and Plastic Eye Procedures

APC 5503 · Hospital outpatient visit

20 $19,037 $2,296 +32%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

18 $59,792 $10,785 +10%
Chemotherapy without Acute Leukemia as Secondary Diagnosis with Complications

MS-DRG 847 · Inpatient stay

18 $30,232 $10,681 -44%
COPD (severe)

MS-DRG 190 · Inpatient stay

17 $30,073 $9,102 -28%
Other Cerebrovascular Disorders with Complications

MS-DRG 071 · Inpatient stay

17 $42,527 $8,235 -4%
Gastrointestinal Obstruction without Complications/mcc

MS-DRG 390 · Inpatient stay

17 $22,487 $4,539 -6%
Signs and Symptoms without Major Complications

MS-DRG 948 · Inpatient stay

16 $39,479 $6,279 +22%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

16 $55,399 $13,212 -14%
Level 5 Gynecologic Procedures

APC 5415 · Hospital outpatient visit

16 $22,155 $5,089 -26%
Other Cerebrovascular Disorders with Major Complications

MS-DRG 070 · Inpatient stay

15 $66,361 $13,509 about average
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

15 $23,263 $5,179 -8%
Fainting

MS-DRG 312 · Inpatient stay

15 $40,706 $6,732 +11%
Bronchitis and Asthma with Complications/mcc

MS-DRG 202 · Inpatient stay

15 $27,005 $8,189 -31%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

14 $56,824 $17,463 -27%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

14 $50,146 $7,454 +29%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

14 $27,887 $6,702 -19%
Kidney and Ureter Procedures for Non-neoplasm with Complications

MS-DRG 660 · Inpatient stay

14 $50,536 $11,295 -9%
Respiratory Neoplasms with Major Complications

MS-DRG 180 · Inpatient stay

14 $51,911 $13,397 -30%
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Complications

MS-DRG 442 · Inpatient stay

14 $31,395 $7,354 -25%
Malignancy of Hepatobiliary System or Pancreas with Major Complications

MS-DRG 435 · Inpatient stay

14 $64,805 $13,830 -21%
Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio

MS-DRG 809 · Inpatient stay

14 $37,529 $9,423 -32%
Level 5 Neurostimulator and Related Procedures

APC 5465 · Hospital outpatient visit

14 $82,525 $29,529 -27%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

13 $46,838 $9,532 about average
Sepsis

MS-DRG 870 · Inpatient stay

13 $236,032 $56,797 -12%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

13 $33,451 $7,035 -9%
Level 3 Breast/lymphatic Surgery and Related Procedures

APC 5093 · Hospital outpatient visit

13 $48,178 $9,638 -28%
Other Disorders of Nervous System with Major Complications

MS-DRG 091 · Inpatient stay

12 $54,132 $13,386 -24%

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.