CostGrade

All published prices at Stormont Vail Hospital

188 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.

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

MS-DRG 871 · Inpatient stay

645 $64,792 $13,735 about average
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

632 $48,350 $11,340 -23%
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

520 $24,840 $2,372 +28%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

262 $121,294 $20,545 -9%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

256 $79,659 $21,938 -36%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

237 $45,527 $9,114 +5%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

236 $27,625 $6,082 -31%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

236 $23,324 $2,824 -8%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

230 $17,295 $2,765 -9%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

229 $9,752 $1,406 -3%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

227 $7,270 $1,657 -36%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

208 $28,431 $4,484 +4%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

193 $23,406 $2,996 +13%
Psychoses

MS-DRG 885 · Inpatient stay

189 $16,330 $9,594 -55%
Respiratory Failure

MS-DRG 189 · Inpatient stay

184 $41,453 $9,212 -14%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

180 $15,867 $2,752 -22%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

175 $55,958 $15,824 -33%
Level 1 Intraocular Procedures

APC 5491 · Hospital outpatient visit

175 $11,671 $2,007 about average
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

153 $24,799 $4,987 -29%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

142 $14,110 $2,432 -20%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

136 $6,390 $1,656 -46%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

133 $81,523 $9,423 +20%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

125 $37,929 $7,627 -3%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

124 $55,370 $11,907 about average
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

121 $56,075 $9,320 +9%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

115 $13,627 $4,799 -62%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

110 $13,917 $3,247 -39%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

105 $10,848 $1,378 -3%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

99 $165,738 $35,934 -7%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

96 $30,878 $7,419 -18%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

88 $33,512 $7,050 -19%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

85 $34,843 $5,924 +17%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

83 $49,052 $10,322 +5%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

80 $46,767 $7,252 about average
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

77 $70,048 $12,723 +14%
Stroke (severe)

MS-DRG 064 · Inpatient stay

76 $69,148 $13,669 -9%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

74 $66,601 $14,449 -20%
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

72 $24,205 $5,977 -37%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

71 $44,044 $8,358 +8%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

71 $18,356 $2,954 -21%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

66 $35,969 $6,420 +18%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

64 $49,562 $9,558 about average
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

64 $14,289 $1,779 +11%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

62 $35,362 $6,867 -10%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

59 $35,624 $5,718 +10%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

59 $47,326 $4,924 +37%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

56 $5,600 $1,312 -35%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

55 $32,751 $5,721 +7%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

53 $118,708 $13,115 +17%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

53 $70,571 $14,574 -18%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

53 $98,648 $14,161 +3%
Level 3 Intraocular Procedures

APC 5493 · Hospital outpatient visit

52 $22,403 $4,564 -8%
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

52 $16,109 $4,958 -53%
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

51 $6,030 $1,459 -47%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

50 $39,382 $8,733 -17%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

49 $48,573 $8,041 -11%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

49 $61,789 $11,994 -13%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

49 $44,732 $10,965 -16%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

48 $13,324 $2,730 -27%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

47 $28,830 $6,402 -13%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

42 $30,304 $7,704 about average
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

42 $130,014 $28,007 -13%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

41 $48,519 $9,744 -11%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

41 $149,716 $31,258 -17%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

41 $60,386 $11,400 +6%
Other Musculoskeletal System and Connective Tissue Operating Room Procedures with

MS-DRG 516 · Inpatient stay

41 $63,996 $14,043 -28%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

40 $17,367 $3,329 -27%
Level 2 Electrophysiologic Procedures

APC 5212 · Hospital outpatient visit

40 $31,893 $6,522 -28%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

38 $155,829 $22,010 +8%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

38 $32,163 $6,347 about average
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

37 $111,893 $34,395 -41%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

37 $29,760 $7,103 -14%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

36 $67,304 $15,106 -16%
Revision of Hip or Knee Replacement with Complications

MS-DRG 467 · Inpatient stay

36 $121,811 $25,917 -6%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

35 $79,922 $18,388 -20%
Seizures with Major Complications

MS-DRG 100 · Inpatient stay

34 $67,791 $13,520 -16%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

34 $36,222 $5,804 +14%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

34 $83,671 $18,346 -26%
Level 5 Neurostimulator and Related Procedures

APC 5465 · Hospital outpatient visit

34 $117,830 $26,293 +5%
Traumatic Stupor and Coma <1 Hour with Complications

MS-DRG 086 · Inpatient stay

33 $47,631 $9,121 -16%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

33 $42,315 $7,490 +14%
Fainting

MS-DRG 312 · Inpatient stay

33 $38,489 $6,313 +5%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

33 $84,294 $19,204 -28%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

33 $71,921 $15,923 -13%
Organic Disturbances and Intellectual Disability

MS-DRG 884 · Inpatient stay

33 $44,847 $10,769 -10%
Respiratory Neoplasms with Major Complications

MS-DRG 180 · Inpatient stay

33 $73,146 $12,178 about average
Level 4 ENT Procedures

APC 5164 · Hospital outpatient visit

33 $12,189 $2,727 -36%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

31 $33,756 $6,579 -17%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

31 $28,337 $5,695 -28%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

30 $65,710 $16,243 -25%
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications

MS-DRG 493 · Inpatient stay

30 $76,358 $16,238 -25%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

30 $29,866 $8,795 -50%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

29 $51,396 $10,392 -9%
Laparoscopic Cholecystectomy without C.d.e. with Complications

MS-DRG 418 · Inpatient stay

28 $57,845 $12,185 -30%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

27 $38,830 $6,580 -11%
Sepsis

MS-DRG 870 · Inpatient stay

27 $234,556 $54,454 -13%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

26 $39,932 $9,407 -17%
Permanent Cardiac Pacemaker Implant with Major Complications

MS-DRG 242 · Inpatient stay

26 $114,234 $23,064 -18%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

26 $87,316 $16,782 -7%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

26 $44,430 $10,344 -13%

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.