CostGrade

All published prices at Sutter Medical Center, Sacramento

182 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
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

551 $32,772 $3,806 +69%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

488 $104,594 $24,560 +60%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

396 $38,235 $4,498 +51%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

279 $205,428 $33,160 +55%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

245 $70,642 $15,511 +63%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

225 $13,330 $2,648 +13%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

175 $11,007 $2,271 +9%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

167 $185,390 $57,209 about average
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

165 $83,263 $18,187 +33%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

131 $73,611 $14,098 +23%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

129 $46,867 $6,933 +30%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

127 $72,359 $15,377 +7%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

124 $31,529 $7,200 +15%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

123 $48,111 $12,632 +23%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

114 $44,444 $9,866 +11%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

99 $89,387 $20,043 +46%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

97 $47,429 $7,950 +35%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

96 $28,646 $4,390 +50%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

91 $227,307 $57,723 +28%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

80 $95,063 $25,724 +14%
Respiratory Failure

MS-DRG 189 · Inpatient stay

78 $69,159 $15,311 +43%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

77 $80,329 $14,383 +76%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

77 $69,012 $14,774 +34%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

74 $51,369 $10,015 +59%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

74 $25,321 $4,830 +23%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

73 $22,642 $4,485 +11%
Stroke (severe)

MS-DRG 064 · Inpatient stay

70 $138,885 $26,341 +82%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

67 $30,520 $9,128 -23%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

66 $83,191 $16,713 +79%
Coronary Bypass without Cardiac Catheterization without Major Complications

MS-DRG 236 · Inpatient stay

66 $225,938 $56,150 +23%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

65 $67,319 $15,918 +39%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

65 $23,382 $5,208 about average
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

64 $93,769 $20,399 +70%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

58 $175,150 $39,085 +41%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

57 $79,390 $20,592 +12%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

57 $53,040 $12,042 +61%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

55 $124,965 $26,147 +23%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

55 $47,064 $9,771 +58%
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

54 $41,992 $8,201 +22%
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization

MS-DRG 219 · Inpatient stay

53 $399,608 $95,190 +19%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

52 $45,588 $11,232 +49%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

52 $106,114 $27,192 +33%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

52 $49,547 $8,005 +43%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

51 $123,948 $27,052 +41%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

51 $41,884 $10,260 +37%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

51 $18,481 $3,931 +11%
Other Vascular Procedures with Complications

MS-DRG 253 · Inpatient stay

49 $110,288 $29,840 about average
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

48 $248,223 $70,138 +3%
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization

MS-DRG 220 · Inpatient stay

48 $291,300 $72,334 +25%
Level 7 Radiation Therapy

APC 5627 · Hospital outpatient visit

48 $78,531 $10,894 +33%
Level 6 Gynecologic Procedures

APC 5416 · Hospital outpatient visit

47 $43,282 $10,382 +6%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

46 $102,273 $24,491 +7%
Fainting

MS-DRG 312 · Inpatient stay

45 $52,101 $10,750 +42%
Combined Anterior and Posterior Spinal Fusion with Complications

MS-DRG 454 · Inpatient stay

45 $292,578 $82,772 +32%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

44 $63,235 $16,376 +53%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

44 $75,476 $19,150 +33%
Level 3 Upper GI Procedures

APC 5303 · Hospital outpatient visit

44 $24,492 $5,364 +12%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

43 $11,782 $2,168 +5%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

42 $174,695 $44,058 +18%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

40 $178,984 $35,493 +25%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

39 $111,249 $24,739 +11%
Complex GI Procedures

APC 5331 · Hospital outpatient visit

39 $32,072 $7,819 +7%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

38 $55,217 $11,509 +26%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

38 $94,164 $17,760 +78%
Other Major Cardiovascular Procedures with Complications

MS-DRG 271 · Inpatient stay

38 $136,129 $42,538 -10%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

38 $10,445 $1,405 +22%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

37 $52,765 $10,438 +73%
Other Vascular Procedures with Major Complications

MS-DRG 252 · Inpatient stay

36 $170,367 $41,420 +17%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

36 $61,775 $14,295 +52%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

36 $21,813 $3,980 +23%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

34 $90,538 $26,224 +9%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

32 $91,988 $25,755 +94%
Aortic and Heart Assist Procedures Except Pulsation Balloon without Major Complications

MS-DRG 269 · Inpatient stay

31 $184,687 $51,667 +12%
Chemotherapy without Acute Leukemia as Secondary Diagnosis with Complications

MS-DRG 847 · Inpatient stay

31 $62,486 $15,785 +17%
Level 5 Gynecologic Procedures

APC 5415 · Hospital outpatient visit

31 $32,034 $6,966 +7%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

30 $55,374 $9,975 +77%
Major Small and Large Bowel Procedures without Complications/mcc

MS-DRG 331 · Inpatient stay

30 $95,361 $20,625 +28%
Coronary Bypass without Cardiac Catheterization with Major Complications

MS-DRG 235 · Inpatient stay

30 $314,727 $76,609 +31%
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal

MS-DRG 023 · Inpatient stay

29 $293,287 $75,430 +28%
Extracranial Procedures without Complications/mcc

MS-DRG 039 · Inpatient stay

29 $72,005 $13,374 +35%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

29 $113,328 $22,701 +101%
Heart Attack (uncomplicated)

MS-DRG 282 · Inpatient stay

28 $56,675 $9,518 +47%
Chest Pain

MS-DRG 313 · Inpatient stay

28 $50,390 $9,309 +49%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

28 $49,970 $12,041 +44%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

28 $100,016 $24,432 +21%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

28 $16,671 $2,853 +29%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

27 $45,133 $7,516 +79%
Level 5 Neurostimulator and Related Procedures

APC 5465 · Hospital outpatient visit

27 $115,639 $41,800 about average
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

26 $80,834 $14,526 +48%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

26 $258,116 $55,641 +44%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

26 $53,175 $12,763 +43%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

26 $52,137 $10,992 +38%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

26 $11,579 $2,621 about average
Extracranial Procedures with Complications

MS-DRG 038 · Inpatient stay

25 $76,465 $20,868 +14%
COPD (severe)

MS-DRG 190 · Inpatient stay

25 $65,123 $13,631 +56%
Coronary Bypass with Cardiac Catheterization or Open Ablation without Major Complications

MS-DRG 234 · Inpatient stay

25 $266,351 $65,044 +21%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

25 $113,101 $25,495 +21%
Heart Transplant or Implant of Heart Assist System with Major Complications

MS-DRG 001 · Inpatient stay

25 $1,391,178 $443,700 about average
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

25 $36,946 $4,910 +63%
Permanent Cardiac Pacemaker Implant with Major Complications

MS-DRG 242 · Inpatient stay

24 $187,060 $43,098 +35%

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.