CostGrade

All published prices at The Miriam Hospital

127 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.

A
Procedure Patients Charged Actually paid vs national
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

603 $15,264 $2,748 -21%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

252 $53,991 $18,060 -17%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

234 $33,787 $12,299 -22%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

193 $12,888 $5,229 -53%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

184 $6,764 $2,033 -48%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

180 $25,469 $13,335 -59%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

161 $31,533 $17,627 -61%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

157 $12,774 $3,260 -49%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

153 $9,513 $3,538 -54%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

144 $8,034 $1,912 -32%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

122 $13,649 $5,789 -61%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

120 $49,807 $10,852 -26%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

97 $44,945 $15,328 -18%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

87 $43,936 $15,470 -28%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

81 $21,087 $7,839 -31%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

81 $7,716 $1,625 -23%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

77 $45,604 $18,661 -45%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

75 $29,747 $12,211 -36%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

75 $32,224 $9,546 -22%
COPD (severe)

MS-DRG 190 · Inpatient stay

66 $30,968 $11,556 -26%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

66 $22,908 $7,836 -29%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

64 $10,166 $3,511 -56%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

63 $63,359 $20,342 -38%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

63 $12,660 $3,235 -34%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

62 $45,490 $16,064 -20%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

62 $81,085 $15,777 -15%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

54 $32,582 $12,162 -31%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

54 $45,225 $24,084 -55%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

52 $31,365 $10,825 -39%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

49 $103,144 $31,957 -28%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

46 $24,865 $7,834 -17%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

45 $29,457 $9,690 -33%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

44 $25,172 $8,781 -17%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

43 $34,403 $12,089 -28%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

43 $21,688 $8,460 -32%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

43 $32,461 $12,432 -33%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

43 $29,373 $11,016 -28%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

42 $24,508 $8,984 -26%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

40 $21,286 $7,747 -30%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

38 $32,524 $12,924 -40%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

38 $6,567 $2,812 -60%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

37 $30,704 $9,646 -17%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

37 $22,706 $10,411 -40%
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

36 $13,765 $5,943 -60%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

35 $31,095 $13,647 -39%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

35 $34,631 $12,466 -12%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

35 $15,184 $7,260 -62%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

35 $5,439 $1,588 -37%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

34 $29,359 $9,538 -36%
Respiratory Failure

MS-DRG 189 · Inpatient stay

33 $29,442 $12,861 -39%
Major Small and Large Bowel Procedures without Complications/mcc

MS-DRG 331 · Inpatient stay

33 $36,307 $18,302 -51%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

32 $65,027 $20,081 -26%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

32 $27,598 $10,097 -29%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

32 $133,602 $41,990 -25%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

32 $7,601 $3,182 -63%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

30 $42,011 $16,254 -41%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

29 $53,685 $21,403 -36%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

29 $30,934 $9,046 -11%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

29 $31,091 $13,716 -41%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

29 $8,338 $1,631 -26%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

28 $49,061 $20,776 -43%
Revision of Hip or Knee Replacement without Complications/mcc

MS-DRG 468 · Inpatient stay

28 $47,157 $23,961 -57%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

27 $68,576 $23,411 -27%
Combined Anterior and Posterior Spinal Fusion with Complications

MS-DRG 454 · Inpatient stay

27 $143,711 $58,320 -35%
Combined Anterior and Posterior Spinal Fusion without Complications/mcc

MS-DRG 455 · Inpatient stay

27 $90,830 $47,330 -49%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

25 $26,773 $9,385 -14%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

25 $27,586 $9,284 -29%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

24 $38,860 $12,687 -29%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

24 $100,280 $33,284 -33%
Heart Attack (uncomplicated)

MS-DRG 282 · Inpatient stay

22 $23,891 $8,297 -38%
Fainting

MS-DRG 312 · Inpatient stay

22 $26,939 $8,957 -26%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

22 $81,942 $39,649 -54%
Organic Disturbances and Intellectual Disability

MS-DRG 884 · Inpatient stay

22 $29,002 $13,717 -42%
Pulmonary Embolism without Major Complications

MS-DRG 176 · Inpatient stay

22 $20,295 $9,589 -42%
Heart Failure (with complications)

MS-DRG 292 · Inpatient stay

22 $27,135 $8,549 -18%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

22 $9,469 $2,490 -46%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

22 $10,649 $3,868 -55%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

22 $26,798 $5,801 -23%
Stroke (severe)

MS-DRG 064 · Inpatient stay

21 $39,478 $16,584 -48%
Carotid Artery Stent Procedures without Complications/mcc

MS-DRG 036 · Inpatient stay

20 $52,004 $16,854 -26%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

19 $51,330 $19,732 -34%
Kidney and Ureter Procedures for Non-neoplasm without Complications/mcc

MS-DRG 661 · Inpatient stay

19 $25,911 $11,132 -45%
Gastrointestinal Obstruction without Complications/mcc

MS-DRG 390 · Inpatient stay

19 $21,401 $6,038 -11%
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with

MS-DRG 543 · Inpatient stay

19 $28,934 $9,997 -30%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

18 $30,658 $9,011 -18%
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major

MS-DRG 897 · Inpatient stay

18 $22,985 $8,099 -29%
Skin Infection (severe)

MS-DRG 602 · Inpatient stay

18 $34,791 $13,048 -32%
Peripheral Vascular Disorders with Complications

MS-DRG 300 · Inpatient stay

17 $25,639 $10,433 -40%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

17 $42,480 $17,086 -34%
Revision of Hip or Knee Replacement with Complications

MS-DRG 467 · Inpatient stay

17 $71,204 $31,332 -45%
Major Joint or Limb Reattachment Procedures of Upper Extremities

MS-DRG 483 · Inpatient stay

17 $58,075 $23,282 -43%
Bronchitis and Asthma with Complications/mcc

MS-DRG 202 · Inpatient stay

17 $31,119 $9,589 -21%
Coagulation Disorders

MS-DRG 813 · Inpatient stay

17 $34,209 $16,485 -49%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

17 $26,568 $10,437 -56%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

16 $45,253 $16,152 -20%
Signs and Symptoms without Major Complications

MS-DRG 948 · Inpatient stay

16 $34,018 $9,290 +5%
Spinal Fusion Except Cervical without Major Complications

MS-DRG 460 · Inpatient stay

16 $79,973 $39,897 -45%
Endocrine Disorders with Major Complications

MS-DRG 643 · Inpatient stay

16 $54,690 $16,160 -17%
Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive

MS-DRG 457 · Inpatient stay

16 $139,162 $55,379 -51%
Level 2 Urology and Related Services

APC 5372 · Hospital outpatient visit

16 $3,882 $693 +24%

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.