All published prices at Spectrum Health
227 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 |
849 | $10,143 | $2,294 | -48% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
657 | $7,003 | $1,614 | -40% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
559 | $48,484 | $18,247 | -26% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
464 | $5,244 | $1,300 | -48% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
376 | $13,828 | $2,786 | -45% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
355 | $39,526 | $11,189 | -37% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
275 | $29,132 | $12,166 | -33% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
238 | $9,352 | $2,412 | -51% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
195 | $13,632 | $2,926 | -34% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
187 | $38,774 | $12,995 | -20% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
174 | $7,276 | $1,445 | -44% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
170 | $21,731 | $4,877 | -38% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
163 | $19,459 | $4,466 | -29% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
160 | $24,265 | $5,925 | -39% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
158 | $10,439 | $2,353 | -41% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
155 | $11,920 | $3,263 | -47% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
147 | $101,507 | $20,203 | -23% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
129 | $10,836 | $2,525 | -47% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
124 | $42,454 | $8,463 | -29% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
119 | $51,756 | $21,179 | -41% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
119 | $24,220 | $10,265 | -38% |
|
Complex GI Procedures
APC 5331 · Hospital outpatient visit |
116 | $24,748 | $4,369 | -17% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
114 | $109,077 | $43,577 | -39% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
113 | $11,159 | $2,338 | -33% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
107 | $24,037 | $10,036 | -42% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
97 | $20,600 | $8,882 | -37% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
94 | $36,802 | $16,140 | -33% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
94 | $10,736 | $2,457 | -54% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
91 | $57,866 | $15,779 | -30% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
90 | $76,078 | $23,632 | -24% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
88 | $44,129 | $9,496 | -35% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
86 | $16,967 | $3,336 | -29% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
84 | $50,285 | $17,514 | -40% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
83 | $32,307 | $12,256 | -33% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
82 | $36,598 | $9,301 | -29% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
82 | $5,919 | $1,326 | -47% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
81 | $15,782 | $3,465 | -24% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
79 | $184,568 | $41,363 | about average |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
78 | $26,163 | $12,867 | -44% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
78 | $20,079 | $8,341 | -38% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
73 | $105,142 | $26,847 | -16% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
73 | $41,874 | $14,227 | -21% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
72 | $42,883 | $17,701 | -44% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
70 | $22,422 | $7,791 | -27% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
70 | $39,142 | $15,622 | -31% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
69 | $22,128 | $3,534 | -39% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
65 | $28,054 | $5,741 | -29% |
|
Level 3 Upper GI Procedures
APC 5303 · Hospital outpatient visit |
65 | $17,323 | $3,341 | -21% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
62 | $40,335 | $16,923 | -43% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
60 | $2,845 | $964 | -67% |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
59 | $24,150 | $5,924 | -37% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
57 | $28,574 | $10,171 | -37% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
57 | $26,558 | $12,027 | -44% |
|
Spinal Fusion Except Cervical without Major Complications
MS-DRG 460 · Inpatient stay |
57 | $103,331 | $35,141 | -29% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
55 | $30,431 | $11,105 | -27% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
55 | $43,949 | $16,017 | -28% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
55 | $16,421 | $8,234 | -46% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
55 | $19,209 | $8,071 | -36% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
55 | $27,495 | $4,886 | -21% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
54 | $59,643 | $21,098 | -41% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
54 | $17,123 | $9,155 | -44% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
54 | $13,049 | $2,390 | -28% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
53 | $23,834 | $5,020 | -31% |
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
52 | $26,203 | $9,293 | -36% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
51 | $7,022 | $1,471 | -38% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
50 | $19,493 | $7,834 | -38% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
50 | $29,821 | $12,422 | -42% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
50 | $58,301 | $14,273 | -39% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
48 | $25,164 | $11,096 | -38% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
47 | $20,826 | $9,398 | -47% |
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
47 | $97,192 | $24,534 | -14% |
|
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization
MS-DRG 220 · Inpatient stay |
46 | $180,812 | $53,496 | -22% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
45 | $49,905 | $18,415 | -42% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
45 | $9,859 | $1,386 | -13% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major
MS-DRG 287 · Inpatient stay |
44 | $35,668 | $12,010 | -35% |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
44 | $120,980 | $41,851 | -33% |
|
Craniotomy and Endovascular Intracranial Procedures with Major Complications
MS-DRG 025 · Inpatient stay |
43 | $122,769 | $38,118 | -36% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
43 | $65,101 | $21,694 | -19% |
|
Fainting
MS-DRG 312 · Inpatient stay |
43 | $21,882 | $8,268 | -40% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
42 | $26,800 | $8,441 | -23% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
41 | $76,089 | $26,012 | -47% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
40 | $45,898 | $19,465 | -41% |
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
40 | $22,917 | $9,818 | -41% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
38 | $97,485 | $28,162 | -34% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
37 | $21,002 | $8,714 | -52% |
|
Major Chest Procedures with Complications
MS-DRG 164 · Inpatient stay |
37 | $84,355 | $26,085 | -22% |
|
Major Chest Trauma with Complications
MS-DRG 184 · Inpatient stay |
37 | $33,108 | $10,797 | -32% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
36 | $22,697 | $9,103 | -39% |
|
Infection Needing Surgery (with complications)
MS-DRG 854 · Inpatient stay |
36 | $43,661 | $17,571 | -47% |
|
Other Major Cardiovascular Procedures with Major Complications
MS-DRG 270 · Inpatient stay |
35 | $118,851 | $47,380 | -47% |
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay |
34 | $65,525 | $24,910 | -42% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
33 | $22,395 | $9,063 | -40% |
|
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major
MS-DRG 981 · Inpatient stay |
33 | $118,302 | $43,309 | -36% |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
33 | $39,025 | $16,934 | -39% |
|
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization
MS-DRG 219 · Inpatient stay |
32 | $260,587 | $89,585 | -22% |
|
Combined Anterior and Posterior Spinal Fusion with Complications
MS-DRG 454 · Inpatient stay |
32 | $156,448 | $67,911 | -30% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
30 | $22,649 | $8,442 | -29% |
|
Kidney and Ureter Procedures for Non-neoplasm with Complications
MS-DRG 660 · Inpatient stay |
30 | $31,241 | $13,611 | -44% |
|
Sepsis
MS-DRG 870 · Inpatient stay |
30 | $165,033 | $63,568 | -39% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
30 | $51,263 | $16,099 | -36% |
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.