All published prices at T J Samson Community Hospital
54 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 |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
283 | $9,982 | $2,497 | -49% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
157 | $2,793 | $623 | -11% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
129 | $6,861 | $1,469 | -32% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
122 | $21,213 | $9,705 | -51% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
117 | $8,583 | $2,902 | -66% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
95 | $31,387 | $15,056 | -52% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
77 | $20,775 | $10,002 | -55% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
67 | $7,414 | $1,832 | -43% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
57 | $7,244 | $1,771 | -36% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
48 | $22,161 | $11,465 | -64% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
48 | $14,639 | $3,198 | -29% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
45 | $25,510 | $12,189 | -54% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
44 | $45,948 | $11,682 | -26% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
44 | $20,844 | $5,197 | -41% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
43 | $33,834 | $9,886 | -50% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
40 | $7,316 | $1,708 | -38% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
39 | $10,252 | $2,924 | -46% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
35 | $26,576 | $6,264 | -33% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
34 | $14,544 | $2,760 | -29% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
29 | $23,349 | $8,475 | -44% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
27 | $21,932 | $9,282 | -55% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
26 | $44,495 | $17,004 | -48% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
24 | $25,257 | $7,535 | -39% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
24 | $35,609 | $9,788 | -31% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
23 | $21,013 | $8,908 | -48% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
23 | $17,157 | $6,241 | -42% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
23 | $19,032 | $5,243 | -45% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
22 | $11,982 | $2,418 | -32% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
21 | $18,402 | $4,746 | -33% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
20 | $45,998 | $13,558 | -55% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
19 | $17,951 | $7,063 | -46% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
18 | $39,133 | $16,598 | -53% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
18 | $28,180 | $11,447 | -47% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
18 | $14,768 | $3,174 | -36% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
17 | $18,860 | $9,230 | -60% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
17 | $12,893 | $6,044 | -58% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
17 | $20,301 | $6,917 | -45% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
17 | $15,576 | $3,435 | -31% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
16 | $21,345 | $8,128 | -53% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
16 | $11,447 | $6,053 | -63% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major
MS-DRG 287 · Inpatient stay |
15 | $20,253 | $8,137 | -63% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
15 | $11,714 | $6,803 | -62% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
14 | $18,231 | $6,975 | -58% |
|
Heart Attack (uncomplicated)
MS-DRG 282 · Inpatient stay |
14 | $13,691 | $5,583 | -64% |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
14 | $18,760 | $6,278 | -51% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
13 | $27,591 | $10,097 | -43% |
|
Level 2 Neurostimulator and Related Procedures
APC 5462 · Hospital outpatient visit |
13 | $7,970 | $4,343 | -70% |
|
Hip or Thigh Bone Surgery (severe)
MS-DRG 480 · Inpatient stay |
12 | $43,700 | $21,764 | -63% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
12 | $16,746 | $7,809 | -57% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
12 | $51,541 | $15,772 | -38% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
12 | $7,027 | $1,469 | -18% |
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay |
11 | $51,800 | $21,335 | -54% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
11 | $27,128 | $15,804 | -69% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
11 | $33,302 | $5,982 | -16% |
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.