CostGrade

All published prices at St Michael Medical Center

150 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.

D
Procedure Patients Charged Actually paid vs national
Sepsis (severe)

MS-DRG 871 · Inpatient stay

591 $113,667 $19,149 +74%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

428 $37,783 $3,514 +50%
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

365 $35,161 $2,940 +81%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

326 $96,684 $13,969 +55%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

302 $9,742 $1,729 -3%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

300 $32,051 $3,730 +55%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

273 $41,368 $5,564 +51%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

250 $68,528 $12,162 +58%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

184 $25,723 $3,438 +35%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

175 $60,585 $6,139 +73%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

170 $71,218 $7,632 +79%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

165 $79,350 $11,787 +17%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

151 $159,644 $25,227 +20%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

140 $21,146 $3,030 +20%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

121 $99,401 $14,953 +62%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

120 $188,658 $28,479 +51%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

120 $112,533 $19,736 +36%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

111 $90,171 $15,916 +64%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

104 $52,254 $11,503 about average
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

100 $346,151 $45,942 +83%
Respiratory Failure

MS-DRG 189 · Inpatient stay

95 $86,587 $11,498 +79%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

93 $64,689 $9,656 +65%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

92 $270,344 $50,860 +52%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

88 $45,250 $3,365 +122%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

85 $45,400 $6,107 +31%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

84 $131,856 $17,415 +30%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

84 $130,626 $18,868 +37%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

79 $75,404 $12,821 +62%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

76 $134,308 $21,667 +53%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

74 $17,844 $2,052 +52%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

72 $94,701 $11,090 +59%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

71 $95,221 $16,075 +68%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

67 $61,406 $9,768 +49%
Stroke (severe)

MS-DRG 064 · Inpatient stay

66 $113,774 $18,383 +49%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

64 $139,155 $15,805 +96%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

64 $113,562 $16,824 +134%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

64 $21,129 $1,712 +88%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

62 $69,762 $9,593 +53%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

57 $191,028 $27,640 +33%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

56 $116,050 $18,563 +45%
Other Factors Influencing Health Status

MS-DRG 951 · Inpatient stay

55 $42,967 $5,658 +96%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

54 $58,893 $8,390 +79%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

52 $31,923 $4,039 +41%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

51 $43,758 $4,047 +83%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

48 $44,313 $7,846 +45%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

47 $78,851 $12,630 +67%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

46 $44,501 $3,731 +91%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

46 $21,279 $2,197 +65%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

44 $46,077 $9,158 +22%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

42 $83,556 $11,097 +53%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

42 $120,367 $17,077 +127%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

39 $55,412 $8,491 +27%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

39 $53,129 $7,363 +74%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

38 $129,769 $18,937 +56%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

38 $59,935 $5,179 +66%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

36 $56,503 $7,385 +75%
Major Chest Procedures with Complications

MS-DRG 164 · Inpatient stay

36 $152,865 $23,591 +41%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

35 $74,430 $6,873 +88%
Level 4 Pacemaker and Similar Procedures

APC 5224 · Hospital outpatient visit

34 $93,100 $20,962 about average
Other Cerebrovascular Disorders with Major Complications

MS-DRG 070 · Inpatient stay

33 $113,277 $16,816 +71%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

33 $54,577 $7,633 +83%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

33 $30,538 $2,082 +169%
Other Vascular Procedures with Major Complications

MS-DRG 252 · Inpatient stay

32 $257,658 $37,850 +77%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

32 $91,824 $12,277 +125%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

32 $161,153 $35,371 +8%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

31 $106,483 $20,413 +14%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

31 $162,328 $26,934 +38%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

31 $55,562 $8,924 +82%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

31 $390,012 $56,866 +62%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

30 $78,510 $11,762 +53%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

29 $84,310 $13,845 +55%
Fainting

MS-DRG 312 · Inpatient stay

29 $56,507 $7,819 +54%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

29 $152,165 $21,341 +51%
Other Major Cardiovascular Procedures with Major Complications

MS-DRG 270 · Inpatient stay

29 $322,786 $56,880 +44%
Coronary Bypass with Cardiac Catheterization or Open Ablation without Major Complications

MS-DRG 234 · Inpatient stay

28 $435,959 $50,440 +98%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

28 $121,662 $19,064 +42%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

28 $10,633 $1,727 +24%
Coronary Bypass without Cardiac Catheterization without Major Complications

MS-DRG 236 · Inpatient stay

27 $353,842 $37,894 +93%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

26 $237,619 $41,148 +32%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

26 $52,263 $8,386 +67%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

25 $102,412 $18,893 +31%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

25 $84,758 $14,401 +51%
Psychoses

MS-DRG 885 · Inpatient stay

25 $44,233 $12,635 +23%
Coronary Intravascular Lithotripsy with Intraluminal Device with Major Complications

MS-DRG 323 · Inpatient stay

25 $256,353 $45,812 +20%
Level 3 Upper GI Procedures

APC 5303 · Hospital outpatient visit

25 $28,079 $4,130 +28%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

24 $128,766 $26,526 +55%
Permanent Cardiac Pacemaker Implant with Major Complications

MS-DRG 242 · Inpatient stay

23 $172,614 $32,559 +24%
Other Vascular Procedures with Complications

MS-DRG 253 · Inpatient stay

23 $241,736 $25,703 +115%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

23 $96,639 $18,715 +51%
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization

MS-DRG 220 · Inpatient stay

23 $429,985 $59,361 +84%
Extracranial Procedures without Complications/mcc

MS-DRG 039 · Inpatient stay

21 $120,451 $12,441 +126%
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

21 $47,214 $7,600 +41%
Carotid Artery Stent Procedures without Complications/mcc

MS-DRG 036 · Inpatient stay

21 $172,916 $16,315 +145%
Aortic and Heart Assist Procedures Except Pulsation Balloon without Major Complications

MS-DRG 269 · Inpatient stay

20 $278,972 $36,820 +69%
Laparoscopic Cholecystectomy without C.d.e. with Complications

MS-DRG 418 · Inpatient stay

20 $107,416 $14,858 +30%
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major

MS-DRG 981 · Inpatient stay

19 $320,999 $59,966 +75%
Major Chest Procedures without Complications/mcc

MS-DRG 165 · Inpatient stay

19 $141,908 $16,836 +71%
Coagulation Disorders

MS-DRG 813 · Inpatient stay

19 $89,689 $14,267 +34%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

18 $179,738 $26,330 +58%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

18 $35,689 $5,665 +42%

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.