CostGrade

All published prices at Ssm Health St Mary's Hospital - Janesville

37 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 1 Intraocular Procedures

APC 5491 · Hospital outpatient visit

283 $9,877 $2,192 -16%
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

163 $21,011 $2,549 +8%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

100 $50,090 $13,584 -23%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

78 $40,942 $8,879 -6%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

65 $41,459 $12,360 -34%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

65 $6,584 $1,789 -44%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

56 $17,018 $3,232 -18%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

43 $22,169 $4,866 -19%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

38 $9,655 $1,525 -4%
Level 3 Extraocular, Repair, and Plastic Eye Procedures

APC 5503 · Hospital outpatient visit

35 $8,610 $2,198 -40%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

29 $52,526 $11,545 -5%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

28 $6,458 $1,861 -50%
Level 2 Intraocular Procedures

APC 5492 · Hospital outpatient visit

28 $11,122 $3,824 -46%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

26 $12,293 $2,952 -40%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

26 $21,918 $5,427 -38%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

25 $45,066 $8,109 +15%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

25 $8,961 $3,254 -61%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

25 $6,704 $1,758 -41%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

24 $11,529 $2,998 -40%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

21 $14,118 $2,672 -20%
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with

MS-DRG 543 · Inpatient stay

20 $37,673 $7,652 -9%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

20 $6,703 $1,451 -40%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

18 $42,374 $9,269 -9%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

18 $31,009 $6,594 about average
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

18 $30,196 $6,486 about average
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

16 $53,311 $10,804 -13%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

16 $35,583 $6,764 -14%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

16 $47,596 $11,720 -16%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

15 $39,018 $6,850 +5%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

14 $39,119 $5,792 +21%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

14 $26,520 $6,411 -20%
COPD (severe)

MS-DRG 190 · Inpatient stay

13 $37,914 $8,023 -9%
Fainting

MS-DRG 312 · Inpatient stay

13 $42,498 $8,279 +16%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

13 $29,779 $6,659 about average
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

13 $23,216 $6,728 -42%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

12 $39,661 $8,001 -18%
Level 3 Intraocular Procedures

APC 5493 · Hospital outpatient visit

12 $15,875 $4,915 -35%

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.