CostGrade

All published prices at Ssm St Joseph Hospital West

90 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

219 $14,192 $2,374 -27%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

151 $46,053 $13,150 -29%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

147 $34,689 $8,744 -20%
Level 2 Urology and Related Services

APC 5372 · Hospital outpatient visit

124 $1,177 $604 -62%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

100 $7,773 $1,421 -23%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

86 $18,095 $2,833 -28%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

81 $7,342 $1,693 -38%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

70 $24,430 $6,248 -39%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

69 $7,241 $1,792 -44%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

61 $19,365 $4,498 -29%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

60 $31,407 $10,898 -43%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

60 $18,362 $5,009 -48%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

57 $39,267 $9,253 -16%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

52 $10,567 $1,692 -7%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

51 $25,840 $6,427 -22%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

51 $14,479 $3,066 -30%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

48 $22,559 $5,542 -26%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

48 $8,475 $2,451 -52%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

44 $20,627 $5,879 -36%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

42 $33,707 $9,870 -36%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

41 $10,270 $2,837 -46%
Respiratory Failure

MS-DRG 189 · Inpatient stay

36 $32,615 $8,660 -33%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

34 $28,801 $7,055 -27%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

34 $36,688 $11,406 -41%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

33 $29,039 $7,014 -30%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

31 $18,090 $6,146 -41%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

31 $20,036 $5,606 -33%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

29 $28,249 $8,779 -42%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

28 $42,862 $11,100 -30%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

28 $61,632 $14,503 -30%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

28 $22,604 $6,843 -42%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

28 $97,084 $30,092 -45%
Fainting

MS-DRG 312 · Inpatient stay

26 $27,652 $6,234 -25%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

26 $7,066 $1,430 -37%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

25 $32,560 $6,956 -29%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

25 $25,556 $7,969 -37%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

25 $38,928 $10,781 -31%
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

24 $20,716 $5,567 -38%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

23 $52,480 $13,687 -37%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

23 $47,120 $14,237 -45%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

23 $14,728 $2,656 -28%
Level 1 Intraocular Procedures

APC 5491 · Hospital outpatient visit

22 $11,087 $2,074 -6%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

21 $59,522 $13,637 -42%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

21 $21,754 $6,485 -37%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

21 $56,254 $16,551 -32%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

21 $50,679 $14,955 -47%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

21 $12,598 $3,079 -46%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

20 $24,750 $5,907 -22%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

20 $23,752 $9,497 -54%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

19 $37,365 $7,933 -31%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

19 $33,479 $8,608 -29%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

19 $21,136 $5,640 -31%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

19 $22,291 $6,207 -39%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

19 $14,960 $3,392 -37%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

17 $26,670 $8,933 -48%
Other Disorders of Nervous System with Complications

MS-DRG 092 · Inpatient stay

17 $27,610 $7,359 -39%
Level 2 Neurostimulator and Related Procedures

APC 5462 · Hospital outpatient visit

17 $18,406 $5,370 -30%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

16 $47,995 $12,246 -32%
Hip Replacement with Principal Diagnosis of Hip Fracture with Major Complications

MS-DRG 521 · Inpatient stay

16 $56,710 $18,558 -50%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

16 $19,818 $4,833 -43%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

16 $26,355 $8,687 -56%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

15 $27,712 $9,399 -42%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

15 $35,127 $6,589 -20%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

15 $16,579 $5,835 -47%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

15 $65,544 $19,457 -44%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

15 $9,494 $1,386 +11%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

15 $19,618 $7,561 -48%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

14 $85,383 $20,149 -41%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

14 $58,466 $14,267 -30%
Organic Disturbances and Intellectual Disability

MS-DRG 884 · Inpatient stay

14 $23,815 $11,060 -52%
Other Factors Influencing Health Status

MS-DRG 951 · Inpatient stay

14 $18,697 $4,403 -15%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

14 $28,263 $5,473 -28%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

14 $11,738 $3,230 -48%
Level 3 Upper GI Procedures

APC 5303 · Hospital outpatient visit

14 $9,751 $3,409 -55%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

14 $10,236 $2,497 -38%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

13 $17,978 $7,876 -52%
Fractures of Hip and Pelvis without Major Complications

MS-DRG 536 · Inpatient stay

13 $16,613 $5,763 -49%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

13 $25,419 $7,701 -33%
Dysequilibrium

MS-DRG 149 · Inpatient stay

13 $21,485 $5,469 -45%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

13 $13,883 $2,747 -24%
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

13 $15,300 $6,091 -60%
Stroke (severe)

MS-DRG 064 · Inpatient stay

12 $36,360 $13,014 -52%
COPD (severe)

MS-DRG 190 · Inpatient stay

12 $23,597 $7,433 -44%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

12 $21,209 $6,932 -45%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

12 $41,752 $9,104 -38%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

11 $20,088 $6,405 -51%
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications

MS-DRG 493 · Inpatient stay

11 $62,151 $15,420 -39%
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with

MS-DRG 617 · Inpatient stay

11 $46,409 $13,914 -37%
Bone Diseases and Arthropathies without Major Complications

MS-DRG 554 · Inpatient stay

11 $16,298 $6,006 -49%
Level 4 Neurostimulator and Related Procedures

APC 5464 · Hospital outpatient visit

11 $30,894 $19,422 -62%

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.