CostGrade

All published prices at Suny/Stony Brook University Hospital

312 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
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

2,025 $44,619 $3,013 +130%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

979 $151,020 $27,648 +131%
Level 1 Intraocular Procedures

APC 5491 · Hospital outpatient visit

889 $16,036 $2,598 +36%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

614 $15,715 $2,251 +22%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

608 $16,211 $1,791 +61%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

534 $23,207 $3,626 -8%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

514 $107,742 $18,615 +148%
Level 2 Urology and Related Services

APC 5372 · Hospital outpatient visit

460 $5,350 $755 +71%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

452 $68,910 $23,872 -14%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

424 $23,108 $3,857 +12%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

376 $17,099 $2,096 +45%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

369 $29,504 $5,731 +7%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

351 $100,053 $18,074 +115%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

330 $74,649 $11,555 +151%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

290 $124,628 $22,877 +127%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

264 $16,221 $1,772 +44%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

256 $112,703 $26,063 -15%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

224 $105,687 $17,027 +159%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

224 $16,223 $2,126 +43%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

213 $64,092 $10,823 +99%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

211 $85,186 $14,060 +117%
Fainting

MS-DRG 312 · Inpatient stay

205 $71,245 $11,863 +95%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

200 $73,608 $12,163 +9%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

188 $35,240 $7,923 -12%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

185 $88,160 $13,473 +113%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

172 $63,074 $12,236 +107%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

172 $29,183 $3,159 +65%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

167 $162,985 $26,404 +96%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

162 $23,783 $3,503 +24%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

161 $24,438 $3,562 +20%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

160 $54,407 $10,218 +78%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

157 $46,932 $9,384 +24%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

155 $41,010 $6,258 +17%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

153 $154,278 $58,268 -19%
Level 3 Extraocular, Repair, and Plastic Eye Procedures

APC 5503 · Hospital outpatient visit

152 $19,772 $2,588 +37%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

149 $83,629 $12,972 +114%
Respiratory Failure

MS-DRG 189 · Inpatient stay

147 $95,103 $17,452 +96%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

135 $69,031 $12,266 +109%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

131 $19,316 $3,471 +6%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

128 $117,026 $15,669 +157%
Level 2 Intraocular Procedures

APC 5492 · Hospital outpatient visit

128 $28,080 $4,523 +36%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

123 $314,060 $69,420 +76%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

122 $18,836 $1,754 +120%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

122 $24,951 $5,796 -31%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

121 $24,927 $3,823 +7%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

118 $23,240 $3,119 +40%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

116 $120,738 $17,900 +152%
Organic Disturbances and Intellectual Disability

MS-DRG 884 · Inpatient stay

114 $177,918 $30,519 +256%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

112 $63,639 $10,885 +108%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

111 $72,715 $11,710 +129%
Stroke (severe)

MS-DRG 064 · Inpatient stay

107 $169,440 $28,873 +122%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

107 $59,384 $11,911 +15%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

102 $150,306 $24,996 +111%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

102 $150,220 $25,301 +184%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

101 $38,195 $7,467 +52%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

100 $45,384 $14,033 -27%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

99 $75,055 $11,864 +104%
COPD (severe)

MS-DRG 190 · Inpatient stay

98 $100,418 $16,792 +140%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

98 $124,780 $38,078 about average
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

98 $141,217 $23,234 +39%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

96 $120,301 $19,988 +148%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

96 $27,214 $4,148 +20%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

94 $137,128 $24,434 +141%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

92 $77,706 $13,179 +109%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

90 $75,668 $14,856 +39%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

86 $99,012 $17,674 +93%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

86 $29,832 $4,257 +25%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

85 $81,242 $13,878 +115%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

85 $44,800 $7,283 +13%
Level 3 Intraocular Procedures

APC 5493 · Hospital outpatient visit

81 $28,663 $5,780 +18%
Level 3 Upper GI Procedures

APC 5303 · Hospital outpatient visit

80 $29,256 $4,277 +34%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

79 $180,210 $31,755 +105%
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

79 $62,241 $10,244 +86%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

72 $91,778 $19,722 +94%
Chest Pain

MS-DRG 313 · Inpatient stay

72 $45,655 $9,518 +35%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

72 $191,435 $33,791 +145%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

71 $79,807 $13,521 +105%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

70 $157,169 $26,961 +83%
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major

MS-DRG 897 · Inpatient stay

70 $69,599 $12,295 +114%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

70 $97,302 $19,538 about average
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

70 $58,837 $11,369 about average
Craniotomy and Endovascular Intracranial Procedures with Major Complications

MS-DRG 025 · Inpatient stay

69 $304,584 $63,228 +58%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

69 $134,339 $22,758 +146%
Level 4 Neurostimulator and Related Procedures

APC 5464 · Hospital outpatient visit

69 $51,861 $23,707 -36%
Other Disorders of Nervous System with Complications

MS-DRG 092 · Inpatient stay

68 $75,748 $13,452 +68%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

66 $90,179 $13,249 +121%
Trauma to the Skin, Subcutaneous Tissue and Breast without Major Complications

MS-DRG 605 · Inpatient stay

66 $79,115 $12,373 +93%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

64 $230,222 $41,149 +103%
Major Joint or Limb Reattachment Procedures of Upper Extremities

MS-DRG 483 · Inpatient stay

63 $107,214 $30,403 +4%
Fractures of Hip and Pelvis without Major Complications

MS-DRG 536 · Inpatient stay

62 $82,575 $10,814 +152%
Level 2 Neurostimulator and Related Procedures

APC 5462 · Hospital outpatient visit

62 $27,916 $7,639 +7%
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal

MS-DRG 023 · Inpatient stay

61 $346,092 $87,221 +51%
Signs and Symptoms without Major Complications

MS-DRG 948 · Inpatient stay

61 $72,684 $10,943 +124%
Major Gastrointestinal Disorders and Peritoneal Infections with Complications

MS-DRG 372 · Inpatient stay

61 $100,011 $14,544 +152%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

61 $43,554 $6,303 +26%
Other Circulatory System Diagnoses with Complications

MS-DRG 315 · Inpatient stay

58 $81,802 $13,140 +97%
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

58 $35,333 $6,451 about average
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

56 $84,117 $11,008 +104%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

56 $72,696 $12,022 +95%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

56 $204,779 $36,628 +38%

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.