CostGrade

All published prices at Ssm St Clare Health Center

66 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
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

283 $14,661 $2,368 -25%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

268 $41,356 $13,431 -37%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

177 $46,175 $11,066 -26%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

139 $31,247 $8,998 -28%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

99 $7,812 $1,366 -22%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

89 $12,168 $1,688 +7%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

63 $51,839 $16,256 -38%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

62 $33,494 $11,798 -39%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

61 $11,579 $1,734 -10%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

55 $27,697 $6,163 -31%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

53 $14,422 $2,829 -29%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

51 $5,489 $1,663 -53%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

48 $26,712 $7,857 -32%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

45 $26,863 $5,670 -12%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

44 $32,878 $9,361 -29%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

44 $12,960 $3,047 -37%
Respiratory Failure

MS-DRG 189 · Inpatient stay

43 $30,488 $8,849 -37%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

42 $22,545 $9,156 -54%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

41 $18,980 $4,523 -31%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

39 $23,011 $6,437 -30%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

38 $13,091 $2,728 -31%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

38 $21,750 $4,832 -38%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

37 $25,230 $7,309 -39%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

36 $16,641 $2,756 -34%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

31 $31,743 $9,911 -40%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

31 $22,186 $8,293 -46%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

30 $21,729 $6,654 -33%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

30 $9,623 $2,484 -46%
Stroke (severe)

MS-DRG 064 · Inpatient stay

27 $53,065 $13,179 -30%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

27 $29,432 $7,739 -35%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

27 $17,106 $6,521 -44%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

27 $94,172 $30,037 -47%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

26 $18,916 $5,771 -38%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

25 $14,637 $3,131 -39%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

25 $9,113 $1,360 -19%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

24 $21,438 $6,788 -45%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

24 $17,576 $5,796 -41%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

23 $40,786 $10,332 -34%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

23 $37,410 $9,610 -45%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

23 $15,826 $3,024 -32%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

22 $27,449 $10,870 -52%
Major Joint or Limb Reattachment Procedures of Upper Extremities

MS-DRG 483 · Inpatient stay

22 $64,353 $17,675 -37%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

20 $8,266 $1,400 -4%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

18 $56,946 $12,696 -44%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

17 $52,784 $12,902 -34%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

16 $79,251 $19,932 -45%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

15 $30,077 $5,397 -24%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

14 $26,327 $6,747 -40%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

14 $49,238 $14,435 -37%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

14 $44,999 $11,939 -37%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

14 $22,386 $5,731 -28%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

14 $43,502 $14,018 -48%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

14 $20,482 $7,390 -46%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

14 $49,917 $14,472 -40%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

13 $26,208 $8,364 -45%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

13 $107,830 $28,640 -40%
Fainting

MS-DRG 312 · Inpatient stay

12 $23,492 $6,573 -36%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

12 $43,976 $13,750 -49%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

12 $25,369 $6,804 -32%
Cranial and Peripheral Nerve Disorders without Major Complications

MS-DRG 074 · Inpatient stay

12 $19,115 $7,555 -60%
Level 5 Gynecologic Procedures

APC 5415 · Hospital outpatient visit

12 $21,270 $4,348 -29%
Other Cerebrovascular Disorders with Major Complications

MS-DRG 070 · Inpatient stay

11 $35,395 $11,145 -47%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

11 $18,594 $5,622 -41%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

11 $17,992 $4,583 -29%
Pulmonary Embolism without Major Complications

MS-DRG 176 · Inpatient stay

11 $27,292 $6,062 -22%
Skin Infection (severe)

MS-DRG 602 · Inpatient stay

11 $23,900 $10,128 -53%

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.