CostGrade

All published prices at St Elizabeth Edgewood

166 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
Level 1 Intraocular Procedures

APC 5491 · Hospital outpatient visit

845 $8,411 $1,965 -28%
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

690 $9,607 $2,327 -51%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

389 $58,498 $14,853 -10%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

314 $12,620 $2,782 -50%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

308 $10,023 $1,359 about average
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

189 $32,387 $9,444 -25%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

164 $60,689 $9,362 -10%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

136 $17,799 $2,732 -7%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

130 $14,758 $2,657 -28%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

125 $92,669 $19,931 -30%
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

122 $44,836 $5,716 +17%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

110 $22,788 $4,386 -17%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

105 $19,379 $6,576 -35%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

105 $11,022 $1,624 -6%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

102 $30,881 $9,861 -34%
Level 2 Intraocular Procedures

APC 5492 · Hospital outpatient visit

101 $14,027 $3,444 -32%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

100 $41,092 $12,067 -25%
Level 3 Extraocular, Repair, and Plastic Eye Procedures

APC 5503 · Hospital outpatient visit

97 $13,081 $2,011 -10%
Respiratory Failure

MS-DRG 189 · Inpatient stay

96 $34,611 $9,815 -29%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

95 $13,615 $2,974 -34%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

94 $17,704 $2,379 about average
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

93 $27,183 $4,783 -23%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

90 $27,680 $8,467 -39%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

89 $134,851 $36,721 -24%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

89 $23,104 $4,872 -33%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

85 $31,336 $6,041 -21%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

80 $39,412 $11,295 -36%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

75 $9,352 $1,753 -28%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

74 $24,824 $7,599 -40%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

71 $72,322 $14,792 -29%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

71 $17,944 $6,549 -44%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

70 $27,515 $8,316 -32%
COPD (severe)

MS-DRG 190 · Inpatient stay

67 $26,488 $8,894 -37%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

66 $93,376 $27,381 -25%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

64 $17,778 $3,078 -25%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

63 $46,230 $4,473 +28%
Fainting

MS-DRG 312 · Inpatient stay

62 $21,255 $6,704 -42%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

62 $26,498 $7,900 -32%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

62 $43,623 $10,557 -30%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

62 $53,026 $9,181 about average
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

62 $43,921 $8,618 -26%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

59 $19,851 $5,544 -35%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

57 $58,027 $17,876 -34%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

56 $190,770 $28,219 +28%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

55 $31,240 $8,889 -43%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

55 $7,426 $1,358 -34%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

54 $86,420 $14,220 -10%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

53 $21,532 $6,831 -32%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

53 $151,173 $35,406 -20%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

52 $34,207 $8,693 -28%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

52 $20,855 $6,175 -32%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

50 $104,995 $22,425 -27%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

50 $28,052 $3,067 +24%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

50 $15,017 $2,338 -9%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

49 $20,065 $7,705 -36%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

48 $25,510 $6,581 -23%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

47 $18,323 $6,674 -40%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

46 $39,938 $9,999 -18%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

45 $46,785 $10,885 -12%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

43 $69,644 $21,826 -31%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

42 $38,117 $11,929 -33%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

40 $49,839 $12,180 -30%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

40 $10,959 $1,628 -3%
Level 4 Pacemaker and Similar Procedures

APC 5224 · Hospital outpatient visit

40 $107,369 $16,346 +12%
Stroke (severe)

MS-DRG 064 · Inpatient stay

38 $48,800 $13,189 -36%
Extracranial Procedures without Complications/mcc

MS-DRG 039 · Inpatient stay

37 $39,652 $9,390 -26%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

37 $26,933 $7,207 -31%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

37 $9,201 $1,348 +7%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

35 $28,677 $9,787 -44%
Major Chest Procedures with Complications

MS-DRG 164 · Inpatient stay

35 $79,628 $24,101 -27%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

35 $12,364 $2,592 -32%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

34 $44,767 $7,143 +18%
Level 2 Urology and Related Services

APC 5372 · Hospital outpatient visit

34 $7,132 $588 +127%
Permanent Cardiac Pacemaker Implant with Major Complications

MS-DRG 242 · Inpatient stay

32 $115,157 $23,121 -17%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

32 $22,195 $9,796 -41%
Other Vascular Procedures with Complications

MS-DRG 253 · Inpatient stay

32 $100,844 $21,792 -10%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

31 $121,382 $36,790 -32%
Laparoscopic Cholecystectomy without C.d.e. with Complications

MS-DRG 418 · Inpatient stay

31 $56,886 $12,075 -31%
Chest Pain

MS-DRG 313 · Inpatient stay

30 $17,993 $5,817 -47%
Signs and Symptoms without Major Complications

MS-DRG 948 · Inpatient stay

30 $20,381 $6,692 -37%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

28 $87,157 $16,097 -7%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

28 $27,751 $5,609 -30%
Other Musculoskeletal System and Connective Tissue Operating Room Procedures with

MS-DRG 516 · Inpatient stay

26 $43,598 $14,412 -51%
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

26 $9,794 $1,460 -14%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

25 $20,070 $6,439 -51%
Kidney and Ureter Procedures for Non-neoplasm with Complications

MS-DRG 660 · Inpatient stay

25 $29,739 $9,185 -47%
COPD (with complications)

MS-DRG 191 · Inpatient stay

25 $21,223 $6,169 -36%
Extracranial Procedures with Complications

MS-DRG 038 · Inpatient stay

24 $44,616 $16,044 -34%
Major Chest Procedures with Major Complications

MS-DRG 163 · Inpatient stay

24 $130,106 $43,423 -26%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

24 $21,216 $7,069 -43%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

24 $31,656 $6,735 -28%
Other Major Cardiovascular Procedures with Complications

MS-DRG 271 · Inpatient stay

24 $131,610 $29,964 -13%
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

24 $24,983 $4,870 -27%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

23 $26,566 $6,972 -23%
Other Cerebrovascular Disorders with Complications

MS-DRG 071 · Inpatient stay

23 $52,001 $12,448 +17%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

22 $42,165 $14,128 -34%
Heart Failure (with complications)

MS-DRG 292 · Inpatient stay

22 $25,416 $6,454 -23%
Level 5 Neurostimulator and Related Procedures

APC 5465 · Hospital outpatient visit

22 $101,813 $26,632 -10%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

21 $182,213 $42,470 -24%
Other Major Cardiovascular Procedures with Major Complications

MS-DRG 270 · Inpatient stay

21 $165,856 $45,151 -26%

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.