CostGrade

All published prices at St Lukes Hospital

133 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

607 $6,382 $2,188 -46%
Level 2 Urology and Related Services

APC 5372 · Hospital outpatient visit

598 $1,615 $648 -49%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

480 $6,801 $1,531 -33%
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

361 $13,425 $2,574 -31%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

307 $3,959 $1,922 -69%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

269 $44,019 $14,566 -33%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

234 $45,894 $12,375 -27%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

195 $22,157 $3,085 -12%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

189 $7,302 $1,800 -38%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

157 $23,655 $4,884 -14%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

152 $5,315 $1,832 -53%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

144 $21,047 $5,474 -40%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

139 $13,867 $3,269 -33%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

134 $32,944 $9,917 -24%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

105 $15,220 $2,650 -14%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

101 $39,287 $12,685 -29%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

101 $27,240 $6,780 -32%
Respiratory Failure

MS-DRG 189 · Inpatient stay

96 $32,524 $9,680 -33%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

92 $15,177 $2,893 -21%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

89 $88,328 $22,241 -33%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

85 $49,260 $14,357 -38%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

82 $53,070 $10,320 -22%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

79 $7,155 $2,662 -57%
Psychoses

MS-DRG 885 · Inpatient stay

75 $54,896 $11,965 +52%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

65 $22,436 $7,786 -46%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

60 $55,813 $17,107 -33%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

58 $17,700 $3,282 -24%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

57 $28,959 $10,457 -38%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

54 $33,920 $10,122 -34%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

53 $36,500 $11,159 -31%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

53 $26,995 $5,422 -22%
Stroke (severe)

MS-DRG 064 · Inpatient stay

52 $47,727 $16,351 -37%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

51 $112,587 $34,814 -37%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

49 $24,885 $7,828 -45%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

43 $22,941 $5,794 -25%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

43 $50,331 $15,458 -40%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

43 $42,689 $9,758 -29%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

42 $12,512 $3,014 -39%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

41 $72,928 $14,213 -28%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

41 $17,836 $3,616 -25%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

40 $9,855 $3,482 -57%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

40 $5,917 $1,525 -47%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

39 $110,163 $35,823 -42%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

39 $19,967 $7,247 -39%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

38 $22,002 $6,337 -32%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

37 $132,393 $46,213 -45%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

36 $40,410 $12,176 -34%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

36 $20,487 $7,866 -48%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

36 $31,680 $6,186 -20%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

34 $89,800 $23,861 -28%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

34 $23,760 $6,072 -22%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

34 $8,275 $2,966 -54%
Level 2 Intraocular Procedures

APC 5492 · Hospital outpatient visit

34 $7,184 $3,857 -65%
COPD (severe)

MS-DRG 190 · Inpatient stay

32 $23,300 $8,316 -44%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

32 $20,528 $9,187 -57%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

32 $17,736 $8,060 -53%
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

32 $19,438 $5,556 -43%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

30 $42,088 $13,480 -41%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

30 $27,469 $10,093 -43%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

28 $19,850 $6,276 -33%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

27 $25,037 $8,961 -39%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

26 $36,639 $12,190 -36%
Level 3 Extraocular, Repair, and Plastic Eye Procedures

APC 5503 · Hospital outpatient visit

26 $5,457 $2,166 -62%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

24 $28,590 $7,037 -35%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

24 $18,819 $6,139 -40%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

24 $26,142 $7,953 -33%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

24 $8,503 $1,520 about average
Level 2 Neurostimulator and Related Procedures

APC 5462 · Hospital outpatient visit

24 $10,442 $3,785 -60%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

23 $26,445 $10,704 -52%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

23 $62,593 $18,430 -38%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

22 $32,416 $9,824 -37%
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

22 $5,841 $1,561 -49%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

21 $22,390 $6,873 -27%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

21 $22,452 $5,213 -38%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

20 $10,753 $4,364 -57%
Fainting

MS-DRG 312 · Inpatient stay

20 $18,574 $6,681 -49%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

20 $61,816 $21,246 -47%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

20 $54,008 $15,690 -37%
Major Joint or Limb Reattachment Procedures of Upper Extremities

MS-DRG 483 · Inpatient stay

20 $64,755 $22,936 -37%
Level 3 Upper GI Procedures

APC 5303 · Hospital outpatient visit

20 $13,855 $3,633 -37%
Level 4 Pacemaker and Similar Procedures

APC 5224 · Hospital outpatient visit

20 $57,730 $18,443 -40%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

19 $21,313 $7,492 -43%
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major

MS-DRG 981 · Inpatient stay

19 $93,805 $33,919 -49%
Laparoscopic Cholecystectomy without C.d.e. with Complications

MS-DRG 418 · Inpatient stay

19 $48,826 $12,432 -41%
Revision of Hip or Knee Replacement with Complications

MS-DRG 467 · Inpatient stay

19 $62,033 $25,821 -52%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

19 $78,030 $16,600 -18%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

17 $46,265 $8,290 -15%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

16 $36,534 $10,781 -24%
Stroke (uncomplicated)

MS-DRG 066 · Inpatient stay

16 $19,123 $5,371 -47%
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

16 $21,584 $5,867 -36%
Kidney and Ureter Procedures for Non-neoplasm with Complications

MS-DRG 660 · Inpatient stay

16 $26,483 $10,223 -52%
Other Cerebrovascular Disorders with Complications

MS-DRG 071 · Inpatient stay

16 $32,300 $8,222 -27%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

16 $17,160 $6,943 -53%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

15 $57,150 $16,324 -35%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

15 $33,571 $10,729 -40%
Other Disorders of Nervous System with Complications

MS-DRG 092 · Inpatient stay

15 $28,292 $8,061 -37%
Disorders of Pancreas Except Malignancy with Major Complications

MS-DRG 438 · Inpatient stay

15 $45,845 $12,797 -34%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

14 $93,392 $36,546 -48%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

14 $24,874 $7,699 -36%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

14 $19,376 $7,050 -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.