CostGrade

All published prices at St Lukes Hospital

110 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 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

319 $45,361 $11,245 -27%
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

304 $12,790 $2,339 -34%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

280 $37,910 $13,324 -42%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

270 $125,735 $20,221 -5%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

251 $19,881 $2,790 -21%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

235 $25,510 $8,862 -41%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

203 $7,073 $1,389 -30%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

183 $9,461 $1,641 -19%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

146 $22,522 $4,438 -18%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

135 $11,932 $2,716 -38%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

134 $26,449 $4,916 -25%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

100 $49,816 $9,402 -26%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

85 $83,427 $16,038 about average
Respiratory Failure

MS-DRG 189 · Inpatient stay

75 $30,855 $8,607 -36%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

74 $23,558 $9,277 -49%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

73 $16,254 $3,006 -21%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

71 $34,465 $11,204 -37%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

70 $7,303 $1,381 -15%
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

61 $24,759 $5,902 -36%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

59 $12,611 $1,643 +11%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

58 $113,631 $21,809 -9%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

56 $44,214 $9,203 -14%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

55 $28,671 $5,992 -28%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

53 $75,308 $32,748 -58%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

52 $28,754 $4,881 -17%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

51 $12,252 $1,729 -5%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

50 $38,800 $10,987 -37%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

49 $72,922 $14,938 -24%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

48 $18,208 $6,769 -56%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

47 $27,007 $5,623 -32%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

43 $30,355 $11,015 -47%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

43 $19,324 $7,704 -51%
Psychoses

MS-DRG 885 · Inpatient stay

38 $22,484 $10,340 -38%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

38 $17,895 $3,229 -21%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

37 $23,647 $6,919 -48%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

37 $27,705 $7,326 -27%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

36 $25,229 $9,921 -52%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

35 $15,839 $5,555 -51%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

34 $66,231 $13,418 -35%
Fainting

MS-DRG 312 · Inpatient stay

33 $19,593 $6,121 -47%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

33 $13,218 $6,244 -60%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

31 $15,801 $5,397 -48%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

31 $15,508 $5,593 -48%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

30 $31,296 $9,595 -35%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

29 $19,818 $8,281 -51%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

29 $95,761 $28,287 -36%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

29 $34,741 $8,873 -42%
Level 3 Extraocular, Repair, and Plastic Eye Procedures

APC 5503 · Hospital outpatient visit

29 $7,145 $2,015 -51%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

28 $16,051 $5,633 -47%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

28 $17,068 $2,983 -27%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

27 $185,234 $33,566 about average
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

27 $18,204 $6,300 -40%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

27 $194,371 $42,074 -19%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

26 $55,093 $14,636 -37%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

26 $55,813 $13,596 -33%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

26 $19,637 $6,781 -50%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

26 $14,259 $2,791 -30%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

26 $15,497 $2,696 -15%
Level 4 Pacemaker and Similar Procedures

APC 5224 · Hospital outpatient visit

26 $65,180 $16,767 -32%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

25 $20,423 $6,342 -45%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

25 $12,507 $2,451 -29%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

23 $37,286 $12,531 -48%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

23 $17,188 $5,651 -45%
Signs and Symptoms without Major Complications

MS-DRG 948 · Inpatient stay

23 $16,989 $5,560 -48%
Stroke (severe)

MS-DRG 064 · Inpatient stay

22 $43,550 $13,744 -43%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

22 $22,861 $9,758 -58%
Coronary Bypass without Cardiac Catheterization without Major Complications

MS-DRG 236 · Inpatient stay

22 $98,554 $27,213 -46%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

22 $74,682 $19,631 -48%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

21 $76,775 $16,137 -18%
Carotid Artery Stent Procedures without Complications/mcc

MS-DRG 036 · Inpatient stay

21 $56,968 $13,626 -19%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

20 $48,746 $14,634 -43%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

20 $43,657 $12,379 -23%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

19 $15,213 $5,713 -52%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

19 $51,961 $12,910 -35%
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

18 $21,915 $5,050 -36%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

17 $15,415 $6,605 -59%
Permanent Cardiac Pacemaker Implant with Major Complications

MS-DRG 242 · Inpatient stay

17 $73,377 $23,926 -47%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

17 $60,425 $16,013 -40%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

17 $58,454 $18,837 -50%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

17 $20,743 $9,681 -63%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

17 $18,033 $3,287 -24%
Level 4 ENT Procedures

APC 5164 · Hospital outpatient visit

17 $12,888 $2,777 -32%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

16 $35,257 $7,571 -35%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

16 $33,569 $13,684 -57%
Other Factors Influencing Health Status

MS-DRG 951 · Inpatient stay

16 $11,263 $4,198 -49%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

16 $16,818 $5,986 -54%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

15 $24,973 $6,408 -43%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

15 $72,357 $28,700 -60%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

15 $24,393 $7,101 -35%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

15 $39,262 $13,705 -53%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

15 $8,858 $1,294 -21%
Level 6 Urology and Related Services

APC 5376 · Hospital outpatient visit

15 $36,119 $7,944 -19%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

14 $26,654 $5,642 -35%
Coronary Bypass without Cardiac Catheterization with Major Complications

MS-DRG 235 · Inpatient stay

14 $123,414 $38,376 -49%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

14 $15,767 $4,739 -56%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

13 $70,813 $18,459 -38%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

13 $22,923 $8,362 -52%
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major

MS-DRG 441 · Inpatient stay

13 $22,642 $12,715 -70%
Disorders of the Biliary Tract with Complications

MS-DRG 445 · Inpatient stay

13 $20,400 $7,163 -60%
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with

MS-DRG 543 · Inpatient stay

13 $21,400 $7,066 -48%

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.