CostGrade

All published prices at St Mary Medical Center

136 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

772 $15,270 $2,702 -21%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

432 $47,299 $15,656 -28%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

254 $35,079 $10,557 -19%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

231 $24,085 $5,143 -12%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

203 $18,794 $3,232 -26%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

202 $17,083 $3,452 -17%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

187 $15,428 $2,024 +19%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

175 $6,908 $1,586 -31%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

138 $25,422 $6,644 -15%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

135 $65,286 $12,979 +5%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

129 $31,717 $10,697 -32%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

114 $47,728 $13,079 -13%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

114 $12,899 $3,029 -32%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

107 $20,781 $7,258 -32%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

104 $45,263 $5,695 +29%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

100 $22,074 $6,263 -28%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

98 $24,645 $6,938 -24%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

95 $29,109 $8,570 -26%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

82 $30,104 $9,366 -26%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

79 $26,397 $6,576 -14%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

74 $113,360 $40,725 -36%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

71 $41,888 $6,930 +5%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

69 $10,604 $1,597 -6%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

67 $34,230 $8,555 -25%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

64 $22,767 $6,928 -28%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

63 $29,743 $8,066 -28%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

63 $28,526 $7,617 -13%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

63 $54,493 $10,922 -19%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

62 $40,234 $12,716 -29%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

60 $33,075 $9,801 -30%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

60 $16,735 $4,965 -34%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

59 $21,890 $3,217 +7%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

58 $132,072 $24,907 +6%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

58 $72,797 $16,309 -13%
COPD (severe)

MS-DRG 190 · Inpatient stay

57 $37,163 $9,084 -11%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

57 $53,199 $10,602 +3%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

55 $70,235 $14,915 -31%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

55 $30,925 $8,012 -21%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

55 $97,696 $23,541 -26%
Fainting

MS-DRG 312 · Inpatient stay

53 $31,596 $7,458 -14%
Stroke (severe)

MS-DRG 064 · Inpatient stay

52 $45,253 $15,961 -41%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

50 $29,803 $8,604 -20%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

50 $35,378 $8,738 -35%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

50 $6,182 $1,496 -28%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

50 $67,900 $10,222 +14%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

47 $15,676 $1,919 +38%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

46 $252,282 $42,693 +33%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

44 $32,954 $8,291 -11%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

42 $17,270 $2,750 about average
Respiratory Failure

MS-DRG 189 · Inpatient stay

41 $34,773 $10,204 -28%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

41 $33,772 $10,752 -30%
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

36 $25,785 $6,257 -23%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

35 $29,530 $6,563 -28%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

35 $84,085 $16,152 about average
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

34 $50,115 $13,810 -30%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

34 $24,146 $3,337 +4%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

33 $30,631 $7,635 -21%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

33 $24,698 $8,387 -35%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

32 $25,821 $6,706 -18%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

31 $44,735 $12,495 -27%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

31 $59,412 $18,015 -32%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

30 $29,868 $7,471 -19%
Level 6 Urology and Related Services

APC 5376 · Hospital outpatient visit

30 $47,381 $8,933 +7%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

29 $40,233 $11,272 -24%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

28 $102,755 $24,127 -28%
Kidney and Ureter Procedures for Non-neoplasm without Complications/mcc

MS-DRG 661 · Inpatient stay

28 $35,337 $8,405 -25%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

27 $51,341 $18,445 -34%
Kidney and Ureter Procedures for Non-neoplasm with Complications

MS-DRG 660 · Inpatient stay

26 $44,977 $10,811 -19%
Pulmonary Embolism without Major Complications

MS-DRG 176 · Inpatient stay

25 $28,223 $7,247 -19%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

25 $46,048 $6,481 +17%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

25 $29,906 $5,681 -14%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

24 $49,939 $11,677 -8%
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications

MS-DRG 493 · Inpatient stay

24 $77,751 $18,869 -24%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

23 $33,347 $8,160 -24%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

23 $165,219 $32,597 +11%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

22 $21,974 $7,729 -36%
Organic Disturbances and Intellectual Disability

MS-DRG 884 · Inpatient stay

22 $33,447 $12,577 -33%
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major

MS-DRG 897 · Inpatient stay

22 $33,247 $7,147 about average
Craniotomy and Endovascular Intracranial Procedures with Major Complications

MS-DRG 025 · Inpatient stay

21 $133,582 $41,403 -31%
Peripheral Vascular Disorders with Complications

MS-DRG 300 · Inpatient stay

21 $26,691 $8,673 -38%
Fractures of Hip and Pelvis without Major Complications

MS-DRG 536 · Inpatient stay

21 $24,576 $6,464 -25%
Traumatic Stupor and Coma >1 Hour with Complications

MS-DRG 083 · Inpatient stay

21 $44,396 $11,296 -26%
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

21 $8,817 $1,631 -23%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

21 $20,037 $3,107 +10%
Chest Pain

MS-DRG 313 · Inpatient stay

20 $30,143 $6,030 -11%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

20 $93,971 $21,431 -20%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

20 $48,396 $11,525 -14%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

20 $61,106 $15,705 -26%
COPD (with complications)

MS-DRG 191 · Inpatient stay

20 $23,409 $6,792 -30%
Major Chest Trauma with Complications

MS-DRG 184 · Inpatient stay

20 $33,412 $8,227 -32%
Major Gastrointestinal Disorders and Peritoneal Infections with Complications

MS-DRG 372 · Inpatient stay

20 $24,585 $9,474 -38%
Dysequilibrium

MS-DRG 149 · Inpatient stay

20 $27,631 $5,708 -30%
Stroke (uncomplicated)

MS-DRG 066 · Inpatient stay

19 $30,975 $6,096 -14%
Skin Infection (severe)

MS-DRG 602 · Inpatient stay

19 $32,142 $12,483 -37%
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major

MS-DRG 981 · Inpatient stay

18 $132,373 $36,949 -28%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

18 $27,668 $3,788 +16%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

17 $35,721 $10,386 -30%
Sepsis

MS-DRG 870 · Inpatient stay

17 $123,093 $51,727 -54%
Back Problems (severe)

MS-DRG 551 · Inpatient stay

17 $42,719 $12,892 -38%
Bronchitis and Asthma with Complications/mcc

MS-DRG 202 · Inpatient stay

17 $33,058 $7,881 -16%

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.