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
Coronary Bypass without Cardiac Catheterization with Major Complications MS-DRG 235 · Inpatient stay	22	$197,793	$44,481	-18%
Aortic and Heart Assist Procedures Except Pulsation Balloon without Major Complications MS-DRG 269 · Inpatient stay	21	$135,277	$31,004	-18%
Major Small and Large Bowel Procedures with Major Complications MS-DRG 329 · Inpatient stay	21	$144,123	$40,066	-20%
Major Small and Large Bowel Procedures without Complications/mcc MS-DRG 331 · Inpatient stay	21	$54,576	$12,751	-27%
Other Cerebrovascular Disorders with Complications MS-DRG 071 · Inpatient stay	21	$50,298	$8,201	+13%
Dysequilibrium MS-DRG 149 · Inpatient stay	21	$34,511	$5,850	-12%
Level 2 Icd and Similar Procedures APC 5232 · Hospital outpatient visit	21	$115,985	$29,316	-22%
Level 2 Musculoskeletal Procedures APC 5112 · Hospital outpatient visit	21	$11,077	$1,443	about average
Other Cerebrovascular Disorders with Major Complications MS-DRG 070 · Inpatient stay	20	$65,256	$12,887	about average
Other Disorders of Nervous System with Major Complications MS-DRG 091 · Inpatient stay	20	$51,110	$13,420	-28%
Respiratory System Diagnosis with Ventilator Support <=96 Hours MS-DRG 208 · Inpatient stay	20	$95,956	$20,515	-15%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications MS-DRG 266 · Inpatient stay	20	$193,580	$46,263	-20%
Permanent Cardiac Pacemaker Implant without Complications/mcc MS-DRG 244 · Inpatient stay	19	$54,587	$13,811	-28%
Diabetes (with complications) MS-DRG 638 · Inpatient stay	19	$28,666	$7,103	-17%
Other Digestive System Diagnoses with Major Complications MS-DRG 393 · Inpatient stay	19	$52,222	$12,554	-19%
Traumatic Stupor and Coma <1 Hour with Major Complications MS-DRG 085 · Inpatient stay	19	$58,995	$15,984	-40%
Major Gastrointestinal Disorders and Peritoneal Infections with Complications MS-DRG 372 · Inpatient stay	19	$40,338	$8,072	about average
Pneumonia (with complications) MS-DRG 194 · Inpatient stay	18	$35,829	$7,245	+13%
Other Vascular Procedures with Major Complications MS-DRG 252 · Inpatient stay	18	$105,737	$25,500	-27%
Respiratory Neoplasms with Major Complications MS-DRG 180 · Inpatient stay	18	$43,229	$13,328	-42%
Disorders of Pancreas Except Malignancy with Complications MS-DRG 439 · Inpatient stay	18	$36,574	$6,812	about average
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major MS-DRG 441 · Inpatient stay	18	$64,579	$13,829	-15%
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Complications MS-DRG 982 · Inpatient stay	18	$83,187	$18,763	-21%
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy without MS-DRG 544 · Inpatient stay	18	$28,717	$5,934	-8%
Stroke (uncomplicated) MS-DRG 066 · Inpatient stay	17	$40,836	$5,429	+14%
Signs and Symptoms without Major Complications MS-DRG 948 · Inpatient stay	17	$26,861	$6,221	-17%
Other Vascular Procedures with Complications MS-DRG 253 · Inpatient stay	17	$85,023	$19,366	-24%
Hip Replacement with Principal Diagnosis of Hip Fracture with Major Complications MS-DRG 521 · Inpatient stay	17	$88,482	$21,959	-21%
Kidney and Ureter Procedures for Neoplasm without Complications/mcc MS-DRG 658 · Inpatient stay	17	$39,753	$11,423	-48%
Level 1 Breast/lymphatic Surgery and Related Procedures APC 5091 · Hospital outpatient visit	17	$17,351	$3,558	-27%
COPD (severe) MS-DRG 190 · Inpatient stay	16	$31,268	$8,557	-25%
Irregular Heartbeat (uncomplicated) MS-DRG 310 · Inpatient stay	16	$21,549	$4,410	-14%
Red Blood Cell Disorders without Major Complications MS-DRG 812 · Inpatient stay	16	$36,089	$7,101	about average
COPD (with complications) MS-DRG 191 · Inpatient stay	16	$31,482	$6,663	-5%
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major MS-DRG 897 · Inpatient stay	16	$33,521	$7,336	about average
Cirrhosis and Alcoholic Hepatitis with Major Complications MS-DRG 432 · Inpatient stay	16	$45,742	$14,714	-43%
Laparoscopic Cholecystectomy without C.d.e. with Major Complications MS-DRG 417 · Inpatient stay	16	$96,344	$20,228	-8%
Hypertension without Major Complications MS-DRG 305 · Inpatient stay	15	$25,412	$5,868	-24%
Diabetes with Major Complications MS-DRG 637 · Inpatient stay	15	$52,932	$11,743	-6%
Pulmonary Embolism without Major Complications MS-DRG 176 · Inpatient stay	15	$30,426	$6,378	-13%
Level 4 Pacemaker and Similar Procedures APC 5224 · Hospital outpatient visit	15	$65,506	$18,148	-31%
Gastrointestinal Obstruction with Major Complications MS-DRG 388 · Inpatient stay	14	$48,677	$11,415	-15%
Postoperative and Post-traumatic Infections with Major Complications MS-DRG 862 · Inpatient stay	14	$75,111	$14,474	about average
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major MS-DRG 981 · Inpatient stay	14	$129,159	$37,090	-30%
Back Problems (severe) MS-DRG 551 · Inpatient stay	14	$53,319	$12,613	-23%
Complications of Treatment with Complications MS-DRG 920 · Inpatient stay	14	$27,937	$8,008	-37%
Gastrointestinal Obstruction without Complications/mcc MS-DRG 390 · Inpatient stay	14	$24,345	$4,525	about average
Degenerative Nervous System Disorders with Major Complications MS-DRG 056 · Inpatient stay	13	$91,758	$19,477	+7%
Heart Attack (uncomplicated) MS-DRG 282 · Inpatient stay	13	$36,527	$6,385	-5%
Acute Myocardial Infarction, Expired with Major Complications MS-DRG 283 · Inpatient stay	13	$60,549	$14,911	-29%
Other Circulatory System Diagnoses with Complications MS-DRG 315 · Inpatient stay	13	$39,953	$7,631	-4%
Interstitial Lung Disease with Major Complications MS-DRG 196 · Inpatient stay	13	$85,349	$16,139	+6%
Malignancy of Hepatobiliary System or Pancreas with Major Complications MS-DRG 435 · Inpatient stay	13	$51,364	$13,614	-37%
Major Gastrointestinal Disorders and Peritoneal Infections with Major Complications MS-DRG 371 · Inpatient stay	13	$87,730	$13,708	+28%
Signs and Symptoms of Musculoskeletal System and Connective Tissue without Major MS-DRG 556 · Inpatient stay	13	$24,311	$6,425	-36%
Trauma to the Skin, Subcutaneous Tissue and Breast without Major Complications MS-DRG 605 · Inpatient stay	13	$42,743	$7,205	+4%
Level 5 Gynecologic Procedures APC 5415 · Hospital outpatient visit	13	$20,235	$4,643	-33%
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal MS-DRG 024 · Inpatient stay	12	$130,610	$28,487	-15%
Chest Pain MS-DRG 313 · Inpatient stay	12	$26,794	$6,355	-21%
Nervous System Neoplasms with Major Complications MS-DRG 054 · Inpatient stay	12	$47,527	$11,054	-28%
Digestive Malignancy with Major Complications MS-DRG 374 · Inpatient stay	12	$53,618	$15,639	-38%
Revision of Hip or Knee Replacement with Major Complications MS-DRG 466 · Inpatient stay	12	$144,434	$35,942	-33%
Major Joint or Limb Reattachment Procedures of Upper Extremities MS-DRG 483 · Inpatient stay	12	$105,581	$19,051	about average
Kidney and Ureter Procedures for Non-neoplasm without Complications/mcc MS-DRG 661 · Inpatient stay	12	$31,734	$8,736	-33%
Complications of Treatment with Major Complications MS-DRG 919 · Inpatient stay	12	$77,516	$16,204	+4%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without MS-DRG 563 · Inpatient stay	12	$29,154	$7,595	-21%
Pneumothorax with Complications MS-DRG 200 · Inpatient stay	12	$41,377	$8,424	-13%
Kidney and Ureter Procedures for Non-neoplasm with Major Complications MS-DRG 659 · Inpatient stay	12	$56,860	$18,634	-42%
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Major Complications MS-DRG 492 · Inpatient stay	12	$101,389	$24,693	-32%
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with Major Complications MS-DRG 896 · Inpatient stay	12	$45,904	$11,990	-30%
Extracranial Procedures with Complications MS-DRG 038 · Inpatient stay	11	$68,840	$12,220	about average
Other Major Cardiovascular Procedures with Major Complications MS-DRG 270 · Inpatient stay	11	$179,682	$39,807	-20%
Craniotomy and Endovascular Intracranial Procedures with Complications MS-DRG 026 · Inpatient stay	11	$92,675	$25,199	-31%
Major Chest Trauma with Complications MS-DRG 184 · Inpatient stay	11	$41,915	$9,294	-14%
Disorders of the Biliary Tract with Major Complications MS-DRG 444 · Inpatient stay	11	$46,920	$12,092	-34%
Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D MS-DRG 464 · Inpatient stay	11	$64,057	$21,524	-53%
Other Musculoskeletal System and Connective Tissue Operating Room Procedures with MS-DRG 516 · Inpatient stay	11	$87,836	$15,164	about average
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with MS-DRG 617 · Inpatient stay	11	$48,686	$15,150	-34%
Endocrine Disorders with Complications MS-DRG 644 · Inpatient stay	11	$34,036	$8,125	-12%
Other Cardiothoracic Procedures with Major Complications MS-DRG 228 · Inpatient stay	11	$138,279	$37,482	-39%
Transurethral Procedures with Complications MS-DRG 669 · Inpatient stay	11	$49,105	$11,800	-31%
Level 4 Airway Endoscopy APC 5154 · Hospital outpatient visit	11	$14,072	$3,496	-38%

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.