CostGrade

All published prices at Umass Memorial Medical Center/University Campus

267 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

1,350 $29,549 $2,908 +52%
Level 2 Urology and Related Services

APC 5372 · Hospital outpatient visit

1,017 $2,288 $729 -27%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

762 $80,122 $26,281 +23%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

619 $10,641 $1,711 +6%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

519 $14,589 $2,025 +24%
Level 1 Intraocular Procedures

APC 5491 · Hospital outpatient visit

480 $13,242 $2,470 +13%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

474 $8,255 $2,150 -36%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

379 $53,316 $17,494 +23%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

260 $18,348 $3,019 +4%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

251 $20,362 $3,395 +7%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

250 $31,558 $6,073 -10%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

247 $39,119 $3,495 +55%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

221 $44,045 $17,211 -5%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

221 $6,018 $2,074 -47%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

218 $19,661 $3,703 -5%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

210 $61,160 $21,505 +11%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

205 $34,178 $5,482 -5%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

187 $62,738 $13,796 about average
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

174 $159,991 $25,162 +21%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

173 $26,824 $5,541 about average
Respiratory Failure

MS-DRG 189 · Inpatient stay

139 $55,370 $16,714 +14%
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

139 $48,548 $7,266 +26%
COPD (severe)

MS-DRG 190 · Inpatient stay

134 $41,045 $15,125 about average
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

134 $33,709 $11,054 +5%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

129 $41,753 $6,125 +21%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

128 $94,575 $37,291 -24%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

125 $92,351 $11,542 +36%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

121 $61,121 $21,090 +8%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

121 $192,626 $64,212 +8%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

120 $48,025 $13,507 +16%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

120 $33,465 $12,075 about average
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

120 $6,527 $1,811 -43%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

117 $43,282 $13,926 +10%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

109 $33,967 $10,876 +14%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

109 $54,747 $10,384 -8%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

109 $19,195 $2,979 +16%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

108 $93,037 $25,711 +12%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

108 $54,290 $18,082 +12%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

106 $71,000 $22,450 +34%
Level 2 Intraocular Procedures

APC 5492 · Hospital outpatient visit

105 $23,726 $4,346 +15%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

103 $57,608 $16,876 +41%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

96 $80,309 $22,250 +31%
Level 3 Upper GI Procedures

APC 5303 · Hospital outpatient visit

96 $32,496 $4,057 +49%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

95 $17,597 $4,059 -26%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

93 $37,597 $7,617 -6%
Fainting

MS-DRG 312 · Inpatient stay

90 $36,844 $11,497 about average
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

90 $29,693 $6,926 -25%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

90 $16,792 $3,298 -8%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

85 $11,738 $1,678 +5%
Sepsis

MS-DRG 870 · Inpatient stay

84 $236,603 $78,951 -12%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

84 $25,358 $3,946 +12%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

81 $137,969 $24,710 +36%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

80 $30,746 $10,021 about average
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

80 $38,799 $12,766 about average
Complex GI Procedures

APC 5331 · Hospital outpatient visit

77 $49,323 $5,806 +64%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

76 $192,080 $41,224 +34%
Stroke (severe)

MS-DRG 064 · Inpatient stay

75 $105,531 $28,467 +38%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

74 $40,604 $12,249 +33%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

73 $89,894 $23,151 +12%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

71 $7,952 $1,701 -7%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

70 $43,106 $12,667 -5%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

70 $85,194 $23,652 +20%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

69 $33,485 $10,992 +10%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

68 $76,757 $29,857 -24%
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major

MS-DRG 897 · Inpatient stay

68 $42,088 $11,620 +29%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

67 $38,310 $9,120 about average
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

65 $169,724 $57,590 -10%
Major Chest Trauma with Complications

MS-DRG 184 · Inpatient stay

65 $45,602 $14,158 -7%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

61 $44,080 $13,175 +17%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

59 $61,781 $17,809 +20%
Major Chest Trauma with Major Complications

MS-DRG 183 · Inpatient stay

59 $76,552 $20,891 +9%
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

59 $29,606 $6,289 -14%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

57 $32,804 $11,073 +3%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

56 $57,346 $12,346 +31%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

56 $99,418 $19,966 +20%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

55 $111,234 $30,193 +26%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

54 $71,867 $18,368 +52%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

54 $15,468 $3,425 -24%
Level 3 ENT Procedures

APC 5163 · Hospital outpatient visit

54 $5,141 $1,638 -20%
Major Chest Procedures with Complications

MS-DRG 164 · Inpatient stay

52 $123,597 $32,085 +14%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

52 $107,041 $18,097 +12%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

52 $20,367 $3,716 -12%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

51 $62,161 $19,133 +30%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

51 $104,813 $29,552 +34%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

51 $92,229 $25,678 +8%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

49 $36,624 $11,873 about average
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

48 $44,980 $17,861 -18%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

48 $51,120 $14,915 +38%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

48 $40,542 $12,802 +4%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

47 $40,467 $12,179 +17%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

46 $82,807 $15,350 +52%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

46 $123,730 $36,761 +5%
Level 4 Pacemaker and Similar Procedures

APC 5224 · Hospital outpatient visit

45 $81,923 $20,446 -14%
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal

MS-DRG 023 · Inpatient stay

44 $205,150 $69,389 -11%
Level 5 Neurostimulator and Related Procedures

APC 5465 · Hospital outpatient visit

44 $111,271 $32,527 about average
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

43 $117,852 $34,375 +4%
Craniotomy and Endovascular Intracranial Procedures with Major Complications

MS-DRG 025 · Inpatient stay

42 $173,869 $57,745 -10%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

42 $58,039 $18,172 +3%
Poisoning and Toxic Effects of Drugs with Major Complications

MS-DRG 917 · Inpatient stay

41 $89,358 $26,860 +32%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

40 $193,266 $72,608 -20%

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.