CostGrade

All published prices at Summa Health System

154 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

315 $117,878 $16,766 +81%
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

222 $28,425 $2,180 +46%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

210 $77,573 $11,617 +79%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

205 $10,392 $1,342 +3%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

155 $58,431 $10,631 -6%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

138 $27,743 $4,853 -21%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

136 $35,655 $2,719 +41%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

118 $24,949 $4,286 -9%
Level 2 Urology and Related Services

APC 5372 · Hospital outpatient visit

118 $4,022 $572 +28%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

107 $18,670 $2,880 -10%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

89 $11,464 $1,368 about average
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

88 $87,850 $14,018 +60%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

88 $23,473 $2,712 +23%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

85 $10,449 $1,619 -11%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

84 $87,032 $13,402 +79%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

84 $42,865 $8,756 -28%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

74 $49,781 $7,300 +63%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

70 $19,277 $2,390 +9%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

70 $188,623 $18,693 +42%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

63 $37,635 $7,576 +17%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

62 $218,406 $41,940 +23%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

61 $47,589 $8,019 +60%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

61 $64,457 $9,516 +64%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

57 $16,086 $2,586 -11%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

54 $70,504 $9,246 +55%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

53 $43,852 $8,191 +33%
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

52 $75,005 $5,646 +95%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

50 $102,566 $15,799 +81%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

50 $85,813 $9,201 +27%
Fainting

MS-DRG 312 · Inpatient stay

49 $53,195 $8,138 +45%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

49 $39,827 $8,386 +31%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

48 $7,469 $1,340 -13%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

47 $87,982 $16,889 +6%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

47 $40,104 $5,576 about average
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

46 $44,369 $7,031 +45%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

46 $154,278 $15,847 +52%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

44 $56,776 $9,136 +37%
Stroke (severe)

MS-DRG 064 · Inpatient stay

43 $151,742 $19,127 +99%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

43 $52,167 $8,289 +51%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

42 $56,752 $8,993 +53%
Respiratory Failure

MS-DRG 189 · Inpatient stay

42 $105,170 $11,429 +117%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

42 $93,662 $13,444 +77%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

42 $21,014 $2,650 +3%
COPD (severe)

MS-DRG 190 · Inpatient stay

41 $65,846 $10,227 +57%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

40 $51,924 $4,573 +50%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

38 $40,116 $8,047 +28%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

38 $20,719 $3,175 -13%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

38 $67,024 $9,082 +30%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

38 $14,380 $1,733 +11%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

37 $58,302 $8,456 +43%
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major

MS-DRG 897 · Inpatient stay

37 $37,115 $8,459 +14%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

36 $68,645 $12,668 +68%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

36 $118,389 $14,249 +43%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

35 $49,432 $11,994 +3%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

35 $89,281 $17,617 +4%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

34 $339,462 $42,715 +79%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

34 $204,417 $23,257 +42%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

32 $86,933 $11,768 +87%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

32 $46,604 $7,811 +47%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

32 $39,069 $8,914 about average
COPD (with complications)

MS-DRG 191 · Inpatient stay

32 $46,426 $8,312 +39%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

31 $115,539 $13,553 +144%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

31 $57,495 $8,875 +55%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

31 $40,856 $5,264 +3%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

29 $74,125 $11,415 +44%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

28 $17,501 $1,643 +54%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

27 $179,109 $41,763 about average
Other Disorders of Nervous System with Complications

MS-DRG 092 · Inpatient stay

27 $50,721 $9,328 +13%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

27 $34,809 $4,538 -4%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

26 $90,039 $18,123 +47%
Signs and Symptoms without Major Complications

MS-DRG 948 · Inpatient stay

26 $38,806 $7,212 +20%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

25 $96,499 $12,312 +71%
Spinal Fusion Except Cervical without Major Complications

MS-DRG 460 · Inpatient stay

25 $135,022 $35,657 -7%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

24 $87,786 $12,700 +61%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

24 $111,620 $15,891 +57%
Combined Anterior and Posterior Spinal Fusion with Complications

MS-DRG 454 · Inpatient stay

24 $200,736 $59,332 -10%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

24 $27,888 $3,187 +23%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

24 $55,517 $6,989 +47%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

24 $17,019 $2,389 about average
Level 5 Gynecologic Procedures

APC 5415 · Hospital outpatient visit

24 $24,460 $4,232 -19%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

23 $91,861 $21,675 -9%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

23 $50,174 $8,609 +29%
Cervical Spinal Fusion with Complications

MS-DRG 472 · Inpatient stay

23 $92,396 $28,660 -23%
O.r. Procedures for Obesity without Complications/mcc

MS-DRG 621 · Inpatient stay

23 $47,816 $13,065 -27%
Level 1 Intraocular Procedures

APC 5491 · Hospital outpatient visit

23 $16,426 $1,708 +40%
Dysequilibrium

MS-DRG 149 · Inpatient stay

22 $47,242 $6,897 +20%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

22 $270,192 $27,913 +82%
Traumatic Stupor and Coma <1 Hour with Complications

MS-DRG 086 · Inpatient stay

21 $55,961 $10,838 about average
Major Small and Large Bowel Procedures without Complications/mcc

MS-DRG 331 · Inpatient stay

21 $54,735 $14,294 -26%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

21 $35,837 $8,091 about average
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with

MS-DRG 543 · Inpatient stay

21 $43,402 $9,474 +5%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

21 $22,349 $2,832 -4%
Level 6 Urology and Related Services

APC 5376 · Hospital outpatient visit

21 $66,852 $7,542 +50%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

20 $195,546 $22,421 +72%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

20 $141,850 $19,187 +61%
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

20 $59,576 $7,419 +78%
Chest Pain

MS-DRG 313 · Inpatient stay

20 $40,497 $6,634 +20%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

20 $75,172 $11,998 +34%
Organic Disturbances and Intellectual Disability

MS-DRG 884 · Inpatient stay

20 $68,788 $15,022 +38%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

20 $66,005 $14,416 about average

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.