CostGrade

All published prices at Southwest General Health Center

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.

B
Procedure Patients Charged Actually paid vs national
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

638 $15,613 $2,287 -20%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

411 $46,733 $12,023 -28%
Level 1 Intraocular Procedures

APC 5491 · Hospital outpatient visit

355 $11,991 $1,963 about average
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

278 $43,929 $11,032 -30%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

275 $7,869 $1,615 -33%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

184 $11,045 $1,711 -15%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

152 $6,250 $1,540 -77%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

139 $8,375 $1,278 -26%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

138 $8,243 $1,320 -18%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

133 $30,639 $8,491 -29%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

104 $33,893 $8,478 -27%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

102 $13,553 $1,419 -33%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

91 $19,860 $2,742 -21%
Respiratory Failure

MS-DRG 189 · Inpatient stay

83 $34,047 $8,626 -30%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

82 $13,454 $2,976 -35%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

80 $22,469 $4,236 -44%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

77 $33,649 $10,294 -39%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

76 $29,777 $4,822 -15%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

72 $31,458 $9,090 -41%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

70 $54,849 $15,877 -34%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

67 $49,796 $11,654 -38%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

63 $37,644 $9,746 -34%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

61 $14,969 $2,246 -15%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

60 $12,671 $2,661 -34%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

59 $24,094 $5,344 -25%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

59 $20,376 $6,148 -33%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

56 $27,153 $7,174 -33%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

54 $8,012 $945 -29%
Fainting

MS-DRG 312 · Inpatient stay

52 $24,594 $5,441 -33%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

52 $33,102 $6,183 -20%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

52 $101,572 $29,658 -43%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

50 $28,707 $6,622 -27%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

49 $27,594 $6,223 -29%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

44 $24,434 $5,564 -26%
COPD (severe)

MS-DRG 190 · Inpatient stay

43 $25,923 $7,165 -38%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

43 $54,717 $10,973 -23%
Stroke (severe)

MS-DRG 064 · Inpatient stay

40 $38,135 $12,447 -50%
Psychoses

MS-DRG 885 · Inpatient stay

35 $22,172 $8,470 -39%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

34 $36,324 $10,025 -41%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

34 $51,749 $9,158 -24%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

33 $22,841 $5,226 -23%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

33 $80,982 $14,941 -15%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

30 $54,585 $13,702 -34%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

29 $23,484 $2,892 about average
Stroke (with complications)

MS-DRG 065 · Inpatient stay

28 $26,343 $6,360 -42%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

28 $79,666 $11,802 -22%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

27 $59,978 $12,984 -30%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

27 $9,272 $1,327 +8%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

27 $29,257 $9,112 -43%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

26 $25,669 $5,365 -18%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

26 $26,530 $8,050 -45%
Skin Infection (severe)

MS-DRG 602 · Inpatient stay

26 $29,330 $8,770 -43%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

24 $25,338 $5,037 -39%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

24 $159,255 $32,043 -16%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

24 $21,553 $5,514 -41%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

23 $36,647 $7,555 -23%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

23 $27,404 $6,564 -29%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

22 $19,882 $4,611 -35%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

22 $33,110 $8,373 -35%
Fractures of Hip and Pelvis without Major Complications

MS-DRG 536 · Inpatient stay

22 $20,782 $4,869 -37%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

21 $18,939 $5,751 -38%
Kidney and Ureter Procedures for Non-neoplasm with Complications

MS-DRG 660 · Inpatient stay

20 $39,030 $8,303 -30%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

20 $21,495 $6,211 -43%
Spinal Fusion Except Cervical without Major Complications

MS-DRG 460 · Inpatient stay

20 $100,854 $22,854 -30%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

19 $39,673 $12,549 -49%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

18 $34,017 $10,079 -38%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

18 $22,024 $5,089 -31%
Major Gastrointestinal Disorders and Peritoneal Infections with Complications

MS-DRG 372 · Inpatient stay

18 $24,383 $7,375 -39%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

17 $26,591 $5,498 -28%
Laparoscopic Cholecystectomy without C.d.e. with Complications

MS-DRG 418 · Inpatient stay

17 $59,309 $12,464 -28%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

17 $17,838 $3,084 -21%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

17 $13,777 $2,544 -24%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

17 $14,343 $2,312 -13%
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

17 $34,161 $4,059 about average
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

17 $25,495 $4,400 -34%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

16 $42,565 $10,211 -34%
Disorders of Pancreas Except Malignancy with Complications

MS-DRG 439 · Inpatient stay

16 $22,488 $6,926 -37%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

15 $30,129 $6,203 -31%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

15 $19,106 $5,681 -45%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

15 $24,624 $5,710 -34%
Back Problems (severe)

MS-DRG 551 · Inpatient stay

15 $49,252 $10,058 -29%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

14 $86,105 $20,693 -40%
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major

MS-DRG 897 · Inpatient stay

14 $18,562 $5,447 -43%
Peripheral Vascular Disorders with Major Complications

MS-DRG 299 · Inpatient stay

14 $48,168 $10,263 -28%
Level 3 Upper GI Procedures

APC 5303 · Hospital outpatient visit

14 $12,999 $3,153 -41%
Level 2 Urology and Related Services

APC 5372 · Hospital outpatient visit

14 $6,766 $562 +116%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

13 $53,121 $18,135 -53%
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

13 $20,978 $4,735 -37%
Gastrointestinal Obstruction with Major Complications

MS-DRG 388 · Inpatient stay

13 $30,190 $9,171 -48%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

13 $68,811 $17,216 -41%
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major

MS-DRG 981 · Inpatient stay

13 $75,583 $25,571 -59%
Major Gastrointestinal Disorders and Peritoneal Infections with Major Complications

MS-DRG 371 · Inpatient stay

13 $45,699 $10,729 -33%
Coagulation Disorders

MS-DRG 813 · Inpatient stay

13 $34,643 $9,753 -48%
Complex GI Procedures

APC 5331 · Hospital outpatient visit

13 $20,618 $4,865 -31%
Level 5 Gynecologic Procedures

APC 5415 · Hospital outpatient visit

13 $16,417 $3,986 -45%
Level 4 ENT Procedures

APC 5164 · Hospital outpatient visit

13 $13,801 $1,861 -27%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

12 $138,540 $24,564 -23%
Hip Replacement with Principal Diagnosis of Hip Fracture with Major Complications

MS-DRG 521 · Inpatient stay

12 $74,431 $17,402 -34%
Other Major Cardiovascular Procedures with Complications

MS-DRG 271 · Inpatient stay

12 $122,537 $21,556 -19%
Revision of Hip or Knee Replacement with Complications

MS-DRG 467 · Inpatient stay

12 $75,106 $21,112 -42%

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.