All published prices at Stanford Health Care Tri-Valley
94 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.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
530 | $41,991 | $3,262 | +257% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
488 | $54,565 | $3,848 | +181% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
420 | $95,440 | $18,437 | +53% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
282 | $191,834 | $24,163 | +194% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
225 | $53,855 | $4,567 | +113% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
216 | $15,840 | $2,283 | +57% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
147 | $77,296 | $10,066 | +94% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
146 | $139,992 | $14,563 | +223% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
142 | $29,580 | $2,664 | +152% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
139 | $77,589 | $7,910 | +121% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
117 | $34,899 | $4,458 | +83% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
116 | $114,228 | $15,223 | +69% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
109 | $18,045 | $2,719 | +59% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
104 | $54,332 | $7,286 | +98% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
82 | $47,718 | $4,447 | +134% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
72 | $167,573 | $18,517 | +205% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
71 | $57,165 | $8,048 | +65% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
71 | $128,482 | $24,278 | +35% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
58 | $57,068 | $7,635 | +58% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
56 | $23,123 | $2,142 | +106% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
53 | $67,686 | $15,008 | +31% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
46 | $45,457 | $4,909 | +120% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
42 | $126,487 | $14,132 | +172% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
40 | $102,900 | $9,178 | +160% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
39 | $102,462 | $15,065 | +161% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
38 | $30,976 | $2,255 | +261% |
|
Complex GI Procedures
APC 5331 · Hospital outpatient visit |
38 | $38,152 | $7,181 | +27% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
36 | $32,487 | $2,868 | +151% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
35 | $56,520 | $5,368 | +137% |
|
Level 2 Neurostimulator and Related Procedures
APC 5462 · Hospital outpatient visit |
35 | $40,036 | $5,821 | +53% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
34 | $170,956 | $15,787 | +253% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
33 | $176,645 | $24,010 | +132% |
|
Combined Anterior and Posterior Spinal Fusion with Complications
MS-DRG 454 · Inpatient stay |
33 | $260,155 | $67,249 | +17% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
32 | $155,080 | $20,125 | +153% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
32 | $113,810 | $12,819 | +179% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
30 | $166,834 | $27,952 | +215% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
30 | $37,518 | $3,868 | +112% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
29 | $119,333 | $11,529 | +162% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
29 | $124,455 | $15,190 | +157% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
29 | $164,060 | $18,174 | +189% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
28 | $95,231 | $10,246 | +189% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
28 | $43,064 | $4,402 | +137% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
27 | $188,544 | $22,117 | +165% |
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
27 | $216,880 | $51,012 | +23% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
27 | $118,198 | $14,469 | +98% |
|
Other Vascular Procedures with Major Complications
MS-DRG 252 · Inpatient stay |
26 | $327,264 | $45,561 | +125% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
26 | $412,543 | $60,874 | +132% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
25 | $55,123 | $4,872 | +137% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
24 | $143,012 | $21,114 | +79% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
24 | $74,078 | $8,074 | +116% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
23 | $240,555 | $52,984 | +27% |
|
Level 3 Extraocular, Repair, and Plastic Eye Procedures
APC 5503 · Hospital outpatient visit |
22 | $34,231 | $3,291 | +137% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
21 | $107,618 | $11,157 | +161% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
20 | $187,745 | $18,129 | +349% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
20 | $183,438 | $21,276 | +80% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
20 | $100,561 | $9,155 | +212% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
20 | $80,323 | $9,110 | +170% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
20 | $156,494 | $26,168 | +88% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
19 | $320,906 | $40,903 | +265% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
19 | $114,250 | $13,704 | +141% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
18 | $160,263 | $22,582 | +92% |
|
Other Vascular Procedures with Complications
MS-DRG 253 · Inpatient stay |
18 | $253,863 | $28,910 | +126% |
|
Degenerative Nervous System Disorders with Major Complications
MS-DRG 056 · Inpatient stay |
17 | $197,467 | $22,967 | +129% |
|
Other Major Cardiovascular Procedures with Major Complications
MS-DRG 270 · Inpatient stay |
17 | $639,554 | $93,872 | +185% |
|
Other Major Cardiovascular Procedures with Complications
MS-DRG 271 · Inpatient stay |
17 | $291,622 | $51,201 | +94% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
17 | $60,130 | $5,725 | +191% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
16 | $95,311 | $14,777 | +99% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
16 | $78,396 | $9,302 | +150% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
16 | $79,855 | $10,250 | +162% |
|
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major
MS-DRG 981 · Inpatient stay |
16 | $452,340 | $53,295 | +146% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
16 | $54,759 | $5,273 | +141% |
|
Level 3 Intraocular Procedures
APC 5493 · Hospital outpatient visit |
16 | $54,474 | $7,360 | +125% |
|
Respiratory Neoplasms with Major Complications
MS-DRG 180 · Inpatient stay |
15 | $137,985 | $20,451 | +86% |
|
Major Chest Procedures with Complications
MS-DRG 164 · Inpatient stay |
15 | $228,447 | $28,049 | +110% |
|
Aortic and Heart Assist Procedures Except Pulsation Balloon without Major Complications
MS-DRG 269 · Inpatient stay |
14 | $290,718 | $45,891 | +76% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
14 | $187,618 | $25,004 | +119% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
14 | $51,560 | $11,947 | +36% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
14 | $26,681 | $3,954 | +61% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
13 | $136,499 | $14,528 | +166% |
|
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with
MS-DRG 543 · Inpatient stay |
13 | $78,883 | $12,474 | +90% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
12 | $106,930 | $20,094 | +33% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
12 | $154,258 | $14,639 | +183% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
12 | $96,822 | $8,706 | +216% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
12 | $187,860 | $23,036 | +140% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
12 | $250,408 | $32,032 | +74% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
12 | $189,283 | $28,303 | +88% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
12 | $160,682 | $18,393 | +185% |
|
Other Kidney and Urinary Tract Procedures with Major Complications
MS-DRG 673 · Inpatient stay |
12 | $227,454 | $41,080 | +48% |
|
Permanent Cardiac Pacemaker Implant with Complications
MS-DRG 243 · Inpatient stay |
11 | $195,200 | $42,367 | +108% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture with Major Complications
MS-DRG 521 · Inpatient stay |
11 | $258,895 | $31,723 | +130% |
|
Malignancy of Hepatobiliary System or Pancreas with Major Complications
MS-DRG 435 · Inpatient stay |
11 | $170,244 | $19,979 | +108% |
|
Back and Neck Procedures Except Spinal Fusion with Complications
MS-DRG 519 · Inpatient stay |
11 | $235,134 | $23,951 | +175% |
|
Complications of Treatment with Major Complications
MS-DRG 919 · Inpatient stay |
11 | $165,465 | $25,089 | +121% |
|
Hip or Knee Replacement (severe)
MS-DRG 469 · Inpatient stay |
11 | $187,664 | $32,547 | +33% |
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.