CostGrade

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.

B
Procedure Patients Charged Actually paid vs national
Disorders of the Biliary Tract with Major Complications

MS-DRG 444 · Inpatient stay

30 $44,440 $15,046 -38%
Other Musculoskeletal System and Connective Tissue Operating Room Procedures with

MS-DRG 516 · Inpatient stay

30 $46,143 $19,682 -48%
Other Respiratory System Diagnoses with Major Complications

MS-DRG 205 · Inpatient stay

29 $35,377 $17,062 -54%
Cervical Spinal Fusion with Complications

MS-DRG 472 · Inpatient stay

29 $89,908 $26,274 -25%
Level 1 Intraocular Procedures

APC 5491 · Hospital outpatient visit

29 $11,118 $2,052 -5%
Coronary Bypass with Cardiac Catheterization or Open Ablation with Major Complications

MS-DRG 233 · Inpatient stay

28 $222,535 $68,412 -28%
Coronary Bypass with Cardiac Catheterization or Open Ablation without Major Complications

MS-DRG 234 · Inpatient stay

28 $158,067 $51,553 -28%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

27 $66,352 $24,713 -44%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

27 $31,158 $12,840 -45%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

27 $29,507 $7,480 -22%
Level 5 Gynecologic Procedures

APC 5415 · Hospital outpatient visit

27 $21,175 $4,278 -29%
Level 4 Neurostimulator and Related Procedures

APC 5464 · Hospital outpatient visit

27 $89,796 $17,260 +11%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

26 $60,947 $20,631 -35%
Hypertension with Major Complications

MS-DRG 304 · Inpatient stay

26 $40,071 $11,157 -20%
Other Disorders of Nervous System with Complications

MS-DRG 092 · Inpatient stay

26 $29,441 $9,666 -35%
Other Major Cardiovascular Procedures with Complications

MS-DRG 271 · Inpatient stay

26 $102,973 $37,983 -32%
ECMO or Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except

MS-DRG 003 · Inpatient stay

25 $608,285 $214,847 -31%
Laparoscopic Cholecystectomy without C.d.e. with Complications

MS-DRG 418 · Inpatient stay

25 $44,645 $16,020 -46%
Other Cerebrovascular Disorders with Complications

MS-DRG 071 · Inpatient stay

25 $28,264 $10,057 -36%
Disorders of Pancreas Except Malignancy with Complications

MS-DRG 439 · Inpatient stay

25 $28,598 $12,481 -20%
Other Vascular Procedures with Complications

MS-DRG 253 · Inpatient stay

24 $80,169 $29,451 -29%
Major Small and Large Bowel Procedures without Complications/mcc

MS-DRG 331 · Inpatient stay

24 $54,863 $18,070 -26%
Disorders of the Biliary Tract with Complications

MS-DRG 445 · Inpatient stay

24 $32,387 $10,976 -37%
Disorders of Pancreas Except Malignancy with Major Complications

MS-DRG 438 · Inpatient stay

24 $47,580 $16,396 -32%
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal

MS-DRG 023 · Inpatient stay

23 $183,125 $60,883 -20%
Coronary Bypass without Cardiac Catheterization without Major Complications

MS-DRG 236 · Inpatient stay

23 $127,208 $51,410 -31%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

23 $24,071 $10,242 -36%
Major Chest Procedures without Complications/mcc

MS-DRG 165 · Inpatient stay

23 $64,535 $18,705 -22%
Complications of Treatment with Major Complications

MS-DRG 919 · Inpatient stay

23 $41,135 $17,949 -45%
Complications of Treatment with Complications

MS-DRG 920 · Inpatient stay

23 $28,700 $9,795 -35%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

22 $28,276 $11,930 -41%
Permanent Cardiac Pacemaker Implant with Major Complications

MS-DRG 242 · Inpatient stay

22 $91,717 $28,731 -34%
Peripheral Vascular Disorders with Complications

MS-DRG 300 · Inpatient stay

22 $22,736 $10,538 -47%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

22 $220,849 $56,417 -8%
Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit

MS-DRG 216 · Inpatient stay

22 $295,690 $97,664 -34%
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with

MS-DRG 617 · Inpatient stay

22 $45,359 $20,841 -39%
Stroke (uncomplicated)

MS-DRG 066 · Inpatient stay

21 $19,992 $7,439 -44%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

21 $30,788 $14,641 -44%
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

21 $21,816 $7,228 -35%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

21 $32,764 $13,024 -42%
Other Circulatory System Diagnoses with Complications

MS-DRG 315 · Inpatient stay

21 $21,015 $10,218 -49%
Craniotomy and Endovascular Intracranial Procedures without Complications/mcc

MS-DRG 027 · Inpatient stay

21 $86,195 $24,085 -29%
Stomach, Esophageal and Duodenal Procedures with Complications

MS-DRG 327 · Inpatient stay

21 $73,382 $28,169 -36%
Revision of Hip or Knee Replacement without Complications/mcc

MS-DRG 468 · Inpatient stay

21 $56,780 $27,473 -48%
Other Disorders of Nervous System with Major Complications

MS-DRG 091 · Inpatient stay

20 $56,138 $21,565 -21%
Postoperative and Post-traumatic Infections with Major Complications

MS-DRG 862 · Inpatient stay

20 $42,918 $19,335 -42%
Traumatic Stupor and Coma >1 Hour with Complications

MS-DRG 083 · Inpatient stay

20 $35,987 $11,811 -40%
Major Chest Trauma with Major Complications

MS-DRG 183 · Inpatient stay

20 $40,470 $15,126 -42%
Cardiac Defibrillator Implant with Cardiac Catheterization and MCC

MS-DRG 275 · Inpatient stay

20 $189,072 $65,686 -38%
Level 6 Urology and Related Services

APC 5376 · Hospital outpatient visit

20 $31,709 $7,790 -29%
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal

MS-DRG 024 · Inpatient stay

19 $148,714 $33,170 -3%
Other Cerebrovascular Disorders with Major Complications

MS-DRG 070 · Inpatient stay

19 $42,391 $16,671 -36%
Hip or Thigh Bone Surgery (uncomplicated)

MS-DRG 482 · Inpatient stay

19 $46,861 $14,224 -32%
Respiratory System Diagnosis with Ventilator Support >96 Hours

MS-DRG 207 · Inpatient stay

19 $124,259 $62,429 -51%
Revision of Hip or Knee Replacement with Complications

MS-DRG 467 · Inpatient stay

19 $92,354 $27,338 -29%
Level 3 Extraocular, Repair, and Plastic Eye Procedures

APC 5503 · Hospital outpatient visit

19 $12,095 $1,971 -16%
Level 2 Urology and Related Services

APC 5372 · Hospital outpatient visit

19 $4,609 $490 +47%
Major Chest Procedures with Major Complications

MS-DRG 163 · Inpatient stay

18 $141,468 $57,954 -20%
Pulmonary Embolism without Major Complications

MS-DRG 176 · Inpatient stay

18 $17,039 $8,446 -51%
Malignancy of Hepatobiliary System or Pancreas with Major Complications

MS-DRG 435 · Inpatient stay

18 $52,363 $17,664 -36%
Major Gastrointestinal Disorders and Peritoneal Infections with Complications

MS-DRG 372 · Inpatient stay

18 $22,292 $10,962 -44%
Gastrointestinal Obstruction without Complications/mcc

MS-DRG 390 · Inpatient stay

18 $15,756 $6,335 -34%
Level 6 Gynecologic Procedures

APC 5416 · Hospital outpatient visit

18 $33,163 $6,653 -19%
Level 7 Radiation Therapy

APC 5627 · Hospital outpatient visit

18 $37,931 $6,856 -36%
Traumatic Stupor and Coma <1 Hour with Complications

MS-DRG 086 · Inpatient stay

17 $38,987 $11,727 -31%
Signs and Symptoms without Major Complications

MS-DRG 948 · Inpatient stay

17 $20,215 $7,737 -38%
Heart Transplant or Implant of Heart Assist System with Major Complications

MS-DRG 001 · Inpatient stay

17 $919,453 $254,968 -32%
Traumatic Stupor and Coma <1 Hour with Major Complications

MS-DRG 085 · Inpatient stay

17 $40,396 $18,135 -59%
Pancreas, Liver and Shunt Procedures with Complications

MS-DRG 406 · Inpatient stay

17 $91,567 $29,870 -35%
Other Respiratory System Operating Room Procedures with Major Complications

MS-DRG 166 · Inpatient stay

17 $105,542 $42,553 -28%
Headaches without Major Complications

MS-DRG 103 · Inpatient stay

17 $20,871 $10,247 -55%
Level 4 Pacemaker and Similar Procedures

APC 5224 · Hospital outpatient visit

17 $58,826 $17,118 -38%
Other Vascular Procedures with Major Complications

MS-DRG 252 · Inpatient stay

16 $88,737 $39,996 -39%
Aortic and Heart Assist Procedures Except Pulsation Balloon without Major Complications

MS-DRG 269 · Inpatient stay

16 $146,830 $49,431 -11%
Nervous System Neoplasms with Major Complications

MS-DRG 054 · Inpatient stay

16 $31,957 $14,446 -52%
Cirrhosis and Alcoholic Hepatitis with Major Complications

MS-DRG 432 · Inpatient stay

16 $39,614 $20,090 -50%
Other Musculoskeletal System and Connective Tissue Operating Room Procedures without

MS-DRG 517 · Inpatient stay

16 $37,492 $13,169 -49%
Back Problems (severe)

MS-DRG 551 · Inpatient stay

16 $32,842 $14,367 -53%
Skin Infection (severe)

MS-DRG 602 · Inpatient stay

16 $24,286 $13,370 -53%
Endocrine Disorders with Complications

MS-DRG 644 · Inpatient stay

16 $24,914 $9,358 -35%
Other Operating Room Procedures for Injuries with Complications

MS-DRG 908 · Inpatient stay

16 $48,854 $19,257 -46%
Inflammatory Bowel Disease with Complications

MS-DRG 386 · Inpatient stay

16 $30,503 $11,376 -23%
Combined Anterior and Posterior Spinal Fusion without Complications/mcc

MS-DRG 455 · Inpatient stay

16 $145,488 $49,285 -18%
Implantation Wireless Pa Pressure Monitor

APC 5200 · Hospital outpatient visit

15 $118,236 $23,925 -13%
Degenerative Nervous System Disorders with Major Complications

MS-DRG 056 · Inpatient stay

14 $59,476 $20,127 -31%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

14 $11,983 $6,536 -52%
Gastrointestinal Obstruction with Major Complications

MS-DRG 388 · Inpatient stay

14 $24,103 $13,328 -58%
Fractures of Hip and Pelvis without Major Complications

MS-DRG 536 · Inpatient stay

14 $17,004 $7,568 -48%
Back and Neck Procedures Except Spinal Fusion with Complications

MS-DRG 519 · Inpatient stay

14 $66,467 $16,877 -22%
Coagulation Disorders

MS-DRG 813 · Inpatient stay

14 $37,354 $13,856 -44%
Kidney and Ureter Procedures for Non-neoplasm with Major Complications

MS-DRG 659 · Inpatient stay

14 $64,697 $24,645 -34%
Coronary Intravascular Lithotripsy with Intraluminal Device without Major Complications

MS-DRG 324 · Inpatient stay

14 $100,580 $28,854 -37%
Cardiac Defibrillator Implant with Major Complications or Carotid Sinus Neurostimulator

MS-DRG 276 · Inpatient stay

14 $157,525 $63,759 -36%
COPD (with complications)

MS-DRG 191 · Inpatient stay

13 $18,194 $8,305 -45%
Other Factors Influencing Health Status

MS-DRG 951 · Inpatient stay

13 $13,420 $5,708 -39%
Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except Face

MS-DRG 004 · Inpatient stay

13 $269,238 $113,383 -50%
Peripheral Vascular Disorders with Major Complications

MS-DRG 299 · Inpatient stay

13 $36,411 $13,311 -46%
Stomach, Esophageal and Duodenal Procedures with Major Complications

MS-DRG 326 · Inpatient stay

13 $143,943 $55,562 -36%
Peritoneal Adhesiolysis with Complications

MS-DRG 336 · Inpatient stay

13 $56,330 $18,718 -43%
Digestive Malignancy with Major Complications

MS-DRG 374 · Inpatient stay

13 $57,248 $18,784 -34%

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.