All published prices at Ssm Health St Mary's Hospital - Madison
182 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 |
616 | $20,966 | $2,522 | +8% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
558 | $24,914 | $3,035 | about average |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
384 | $67,914 | $15,465 | +4% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
305 | $41,890 | $12,129 | -33% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
292 | $20,663 | $4,817 | -25% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
265 | $42,076 | $9,864 | -3% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
208 | $42,629 | $10,220 | -37% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
203 | $10,137 | $1,513 | about average |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
157 | $15,515 | $3,238 | -25% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
153 | $27,566 | $6,600 | -31% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
145 | $9,497 | $1,757 | -19% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
124 | $72,113 | $16,030 | -5% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
124 | $26,389 | $5,361 | -25% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
116 | $55,032 | $12,585 | about average |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
114 | $46,607 | $7,679 | about average |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
114 | $11,077 | $2,934 | -42% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
106 | $16,979 | $2,653 | -4% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
102 | $93,689 | $21,754 | -29% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
100 | $51,538 | $12,857 | -16% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
100 | $34,347 | $7,630 | -17% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
97 | $41,073 | $7,988 | +5% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
95 | $141,767 | $36,401 | -25% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
93 | $66,931 | $15,710 | -20% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
87 | $22,450 | $5,330 | -35% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
84 | $8,230 | $1,867 | -36% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
83 | $100,273 | $24,007 | -20% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
81 | $6,383 | $1,481 | -26% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
81 | $35,838 | $9,960 | -30% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
80 | $44,209 | $10,557 | -5% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
79 | $66,139 | $14,537 | -35% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
76 | $156,757 | $41,515 | -12% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
73 | $32,282 | $6,202 | about average |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
67 | $38,906 | $9,603 | -35% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
64 | $63,901 | $17,359 | -23% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
63 | $67,821 | $15,859 | -21% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
62 | $11,674 | $3,230 | -50% |
|
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with
MS-DRG 543 · Inpatient stay |
61 | $38,596 | $8,224 | -7% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
58 | $50,817 | $13,740 | -29% |
|
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization
MS-DRG 220 · Inpatient stay |
57 | $192,288 | $40,075 | -18% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
56 | $89,779 | $22,257 | -38% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
55 | $30,245 | $6,748 | about average |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
52 | $68,170 | $17,866 | -32% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
50 | $26,781 | $6,309 | -12% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
49 | $30,888 | $6,393 | +4% |
|
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications
MS-DRG 493 · Inpatient stay |
49 | $77,932 | $17,974 | -23% |
|
Coronary Bypass without Cardiac Catheterization without Major Complications
MS-DRG 236 · Inpatient stay |
48 | $145,655 | $30,050 | -21% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
48 | $37,667 | $7,099 | -14% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
48 | $68,630 | $16,029 | -28% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
47 | $30,461 | $6,976 | -8% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
46 | $41,082 | $7,351 | +5% |
|
Laparoscopic Cholecystectomy without C.d.e. with Complications
MS-DRG 418 · Inpatient stay |
45 | $63,279 | $12,527 | -23% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major
MS-DRG 287 · Inpatient stay |
44 | $47,410 | $8,651 | -13% |
|
Craniotomy and Endovascular Intracranial Procedures with Major Complications
MS-DRG 025 · Inpatient stay |
43 | $119,310 | $33,201 | -38% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
43 | $42,985 | $10,599 | -21% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
43 | $45,522 | $12,082 | -14% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
43 | $55,638 | $14,368 | about average |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
43 | $29,933 | $6,087 | -24% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
42 | $76,343 | $17,026 | -5% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
42 | $38,434 | $9,854 | -21% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
41 | $37,831 | $8,709 | -7% |
|
Revision of Hip or Knee Replacement with Complications
MS-DRG 467 · Inpatient stay |
41 | $89,553 | $26,244 | -31% |
|
Fainting
MS-DRG 312 · Inpatient stay |
40 | $30,822 | $6,774 | -16% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
40 | $43,231 | $9,921 | -11% |
|
Level 3 Upper GI Procedures
APC 5303 · Hospital outpatient visit |
40 | $17,999 | $3,575 | -18% |
|
Hip or Thigh Bone Surgery (severe)
MS-DRG 480 · Inpatient stay |
39 | $105,372 | $23,014 | -10% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
39 | $30,451 | $7,931 | -20% |
|
Permanent Cardiac Pacemaker Implant with Complications
MS-DRG 243 · Inpatient stay |
38 | $71,917 | $17,207 | -23% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
38 | $63,062 | $17,187 | -28% |
|
Coagulation Disorders
MS-DRG 813 · Inpatient stay |
38 | $40,374 | $12,348 | -40% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
36 | $43,407 | $10,411 | -9% |
|
Coronary Bypass with Cardiac Catheterization or Open Ablation without Major Complications
MS-DRG 234 · Inpatient stay |
36 | $192,113 | $38,285 | -13% |
|
Kidney and Ureter Procedures for Non-neoplasm with Complications
MS-DRG 660 · Inpatient stay |
36 | $38,578 | $10,329 | -31% |
|
Infection Needing Surgery (with complications)
MS-DRG 854 · Inpatient stay |
35 | $56,382 | $15,352 | -32% |
|
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization
MS-DRG 219 · Inpatient stay |
35 | $257,392 | $61,720 | -23% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
34 | $26,985 | $5,010 | -25% |
|
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal
MS-DRG 023 · Inpatient stay |
32 | $186,124 | $41,637 | -19% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
32 | $34,861 | $7,451 | -6% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
32 | $43,302 | $12,714 | -13% |
|
Disorders of the Biliary Tract with Complications
MS-DRG 445 · Inpatient stay |
32 | $39,825 | $8,703 | -23% |
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
31 | $40,259 | $7,060 | about average |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
31 | $27,585 | $5,332 | -20% |
|
Level 6 Gynecologic Procedures
APC 5416 · Hospital outpatient visit |
31 | $29,234 | $7,054 | -28% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
30 | $46,315 | $10,014 | -10% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
30 | $30,175 | $6,958 | about average |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
29 | $59,690 | $14,316 | -25% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
28 | $43,045 | $9,366 | -9% |
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
28 | $30,930 | $7,331 | -20% |
|
Coronary Bypass with Cardiac Catheterization or Open Ablation with Major Complications
MS-DRG 233 · Inpatient stay |
26 | $246,881 | $54,349 | -20% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
26 | $26,662 | $7,712 | -29% |
|
Other Disorders of Nervous System with Complications
MS-DRG 092 · Inpatient stay |
26 | $38,859 | $8,089 | -14% |
|
Other Factors Influencing Health Status
MS-DRG 951 · Inpatient stay |
26 | $26,336 | $4,692 | +20% |
|
Traumatic Stupor and Coma <1 Hour with Complications
MS-DRG 086 · Inpatient stay |
25 | $50,299 | $9,994 | -11% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
24 | $25,828 | $6,225 | -17% |
|
Transient Ischemia without Thrombolytic
MS-DRG 069 · Inpatient stay |
23 | $38,381 | $6,204 | -7% |
|
Permanent Cardiac Pacemaker Implant with Major Complications
MS-DRG 242 · Inpatient stay |
23 | $87,495 | $26,501 | -37% |
|
Spinal Fusion Except Cervical without Major Complications
MS-DRG 460 · Inpatient stay |
23 | $87,941 | $28,853 | -39% |
|
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Major
MS-DRG 542 · Inpatient stay |
23 | $43,931 | $12,619 | -36% |
|
Complex GI Procedures
APC 5331 · Hospital outpatient visit |
23 | $26,837 | $5,089 | -11% |
|
Extracranial Procedures without Complications/mcc
MS-DRG 039 · Inpatient stay |
22 | $46,376 | $9,267 | -13% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
22 | $72,816 | $16,607 | -7% |
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.