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
Cervical Spinal Fusion with Complications

MS-DRG 472 · Inpatient stay

40 $132,190 $36,027 +11%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

40 $58,304 $11,454 +13%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

39 $135,276 $54,710 -25%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

39 $67,581 $20,195 +20%
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major

MS-DRG 981 · Inpatient stay

39 $204,553 $59,966 +11%
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with Major Complications

MS-DRG 896 · Inpatient stay

39 $81,000 $26,434 +23%
Level 3 Intraocular Procedures

APC 5493 · Hospital outpatient visit

39 $31,267 $5,613 +29%
Level 2 Neurostimulator and Related Procedures

APC 5462 · Hospital outpatient visit

39 $22,139 $4,897 -16%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

38 $38,906 $11,029 +24%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

37 $36,344 $12,336 -11%
Organic Disturbances and Intellectual Disability

MS-DRG 884 · Inpatient stay

37 $124,673 $34,332 +150%
Respiratory System Diagnosis with Ventilator Support >96 Hours

MS-DRG 207 · Inpatient stay

37 $393,375 $90,093 +54%
Traumatic Stupor and Coma <1 Hour with Complications

MS-DRG 086 · Inpatient stay

36 $51,121 $16,187 -10%
Other Disorders of Nervous System with Complications

MS-DRG 092 · Inpatient stay

36 $49,619 $13,760 +10%
Endocrine Disorders with Complications

MS-DRG 644 · Inpatient stay

36 $33,798 $13,721 -12%
Other Vascular Procedures with Major Complications

MS-DRG 252 · Inpatient stay

35 $142,017 $42,406 about average
Other Major Cardiovascular Procedures with Major Complications

MS-DRG 270 · Inpatient stay

35 $250,310 $70,711 +12%
Disorders of Pancreas Except Malignancy with Complications

MS-DRG 439 · Inpatient stay

35 $37,168 $11,516 +3%
Coagulation Disorders

MS-DRG 813 · Inpatient stay

35 $76,942 $21,565 +15%
Level 6 Urology and Related Services

APC 5376 · Hospital outpatient visit

35 $40,469 $9,650 -9%
Other Factors Influencing Health Status

MS-DRG 951 · Inpatient stay

34 $24,831 $7,830 +13%
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Complications

MS-DRG 442 · Inpatient stay

34 $44,120 $12,881 +5%
Other Vascular Procedures with Complications

MS-DRG 253 · Inpatient stay

33 $111,914 $29,236 about average
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

33 $107,528 $35,221 -28%
Back Problems (severe)

MS-DRG 551 · Inpatient stay

32 $73,167 $20,493 +5%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

31 $32,188 $10,903 -22%
Hip Replacement with Principal Diagnosis of Hip Fracture with Major Complications

MS-DRG 521 · Inpatient stay

31 $102,783 $34,896 -9%
Traumatic Stupor and Coma <1 Hour with Major Complications

MS-DRG 085 · Inpatient stay

31 $90,569 $28,158 -7%
Cirrhosis and Alcoholic Hepatitis with Major Complications

MS-DRG 432 · Inpatient stay

31 $79,653 $26,094 about average
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

31 $31,617 $11,224 -14%
Bronchitis and Asthma with Complications/mcc

MS-DRG 202 · Inpatient stay

31 $40,277 $12,723 about average
COPD (with complications)

MS-DRG 191 · Inpatient stay

30 $35,930 $11,767 +8%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

30 $115,662 $30,860 +80%
Disorders of the Biliary Tract with Complications

MS-DRG 445 · Inpatient stay

30 $76,549 $15,882 +49%
Aortic and Heart Assist Procedures Except Pulsation Balloon without Major Complications

MS-DRG 269 · Inpatient stay

29 $234,547 $50,774 +42%
Level 5 Gynecologic Procedures

APC 5415 · Hospital outpatient visit

29 $28,682 $5,195 -4%
Level 4 ENT Procedures

APC 5164 · Hospital outpatient visit

29 $13,251 $3,458 -30%
Major Small and Large Bowel Procedures without Complications/mcc

MS-DRG 331 · Inpatient stay

28 $57,333 $22,367 -23%
Major Gastrointestinal Disorders and Peritoneal Infections with Complications

MS-DRG 372 · Inpatient stay

28 $35,805 $13,455 -10%
Peripheral Vascular Disorders with Complications

MS-DRG 300 · Inpatient stay

27 $39,456 $13,662 -8%
Traumatic Stupor and Coma >1 Hour with Major Complications

MS-DRG 082 · Inpatient stay

27 $114,934 $34,055 +19%
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization

MS-DRG 220 · Inpatient stay

27 $207,225 $64,020 -11%
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major

MS-DRG 441 · Inpatient stay

27 $121,852 $34,778 +60%
Degenerative Nervous System Disorders with Major Complications

MS-DRG 056 · Inpatient stay

26 $76,767 $30,099 -11%
Coronary Bypass with Cardiac Catheterization or Open Ablation without Major Complications

MS-DRG 234 · Inpatient stay

26 $193,204 $64,467 -12%
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

26 $27,256 $9,899 -19%
Signs and Symptoms without Major Complications

MS-DRG 948 · Inpatient stay

26 $36,450 $10,035 +12%
Digestive Malignancy with Major Complications

MS-DRG 374 · Inpatient stay

26 $103,258 $28,399 +20%
Endocrine Disorders with Major Complications

MS-DRG 643 · Inpatient stay

26 $74,911 $24,041 +14%
Level 4 Neurostimulator and Related Procedures

APC 5464 · Hospital outpatient visit

26 $105,241 $23,431 +30%
Seizures with Major Complications

MS-DRG 100 · Inpatient stay

25 $115,556 $30,695 +43%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

25 $90,244 $27,288 -4%
Postoperative and Post-traumatic Infections with Major Complications

MS-DRG 862 · Inpatient stay

25 $110,365 $33,833 +49%
Respiratory Neoplasms with Major Complications

MS-DRG 180 · Inpatient stay

25 $69,945 $23,205 -6%
Other Cerebrovascular Disorders with Complications

MS-DRG 071 · Inpatient stay

25 $47,947 $14,168 +8%
Traumatic Stupor and Coma >1 Hour with Complications

MS-DRG 083 · Inpatient stay

25 $49,483 $17,307 -17%
Chest Pain

MS-DRG 313 · Inpatient stay

24 $29,212 $9,573 -13%
Other Circulatory System Diagnoses with Complications

MS-DRG 315 · Inpatient stay

24 $52,022 $12,908 +26%
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications

MS-DRG 493 · Inpatient stay

24 $114,179 $30,585 +12%
Complications of Treatment with Major Complications

MS-DRG 919 · Inpatient stay

24 $55,543 $22,965 -26%
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Complications

MS-DRG 982 · Inpatient stay

24 $79,409 $29,427 -24%
Kidney and Ureter Procedures for Non-neoplasm with Major Complications

MS-DRG 659 · Inpatient stay

24 $110,217 $35,416 +12%
Disorders of Pancreas Except Malignancy with Major Complications

MS-DRG 438 · Inpatient stay

24 $93,649 $25,569 +35%
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal

MS-DRG 024 · Inpatient stay

23 $110,273 $42,343 -28%
Other Kidney and Urinary Tract Procedures with Major Complications

MS-DRG 673 · Inpatient stay

23 $179,681 $52,462 +17%
Kidney Transplant

MS-DRG 652 · Inpatient stay

23 $305,958 $42,513 +3%
Other Cardiothoracic Procedures without Major Complications

MS-DRG 229 · Inpatient stay

23 $113,904 $38,813 -25%
ECMO or Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except

MS-DRG 003 · Inpatient stay

22 $654,597 $242,090 -25%
Other Cerebrovascular Disorders with Major Complications

MS-DRG 070 · Inpatient stay

22 $103,346 $28,284 +56%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

22 $69,243 $24,483 -17%
Psychoses

MS-DRG 885 · Inpatient stay

22 $112,319 $30,388 +211%
Craniotomy and Endovascular Intracranial Procedures with Complications

MS-DRG 026 · Inpatient stay

22 $134,593 $35,083 about average
Nervous System Neoplasms with Major Complications

MS-DRG 054 · Inpatient stay

22 $62,282 $20,389 -6%
Peripheral Vascular Disorders with Major Complications

MS-DRG 299 · Inpatient stay

22 $71,628 $24,103 +6%
Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma

MS-DRG 956 · Inpatient stay

22 $140,993 $45,906 -21%
Extracranial Procedures with Complications

MS-DRG 038 · Inpatient stay

21 $64,029 $21,861 -5%
Coronary Bypass with Cardiac Catheterization or Open Ablation with Major Complications

MS-DRG 233 · Inpatient stay

21 $278,819 $89,901 -9%
Gastrointestinal Obstruction with Major Complications

MS-DRG 388 · Inpatient stay

21 $48,896 $18,547 -15%
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with

MS-DRG 617 · Inpatient stay

21 $90,465 $26,193 +23%
Chemotherapy without Acute Leukemia as Secondary Diagnosis with Complications

MS-DRG 847 · Inpatient stay

21 $51,067 $16,746 -5%
Complications of Treatment with Complications

MS-DRG 920 · Inpatient stay

21 $36,472 $13,246 -18%
Other Multiple Significant Trauma with Complications

MS-DRG 964 · Inpatient stay

21 $65,842 $19,042 -9%
Other Cardiothoracic Procedures with Major Complications

MS-DRG 228 · Inpatient stay

21 $179,461 $63,696 -21%
Poisoning and Toxic Effects of Drugs without Major Complications

MS-DRG 918 · Inpatient stay

21 $35,003 $11,725 about average
Extracranial Procedures without Complications/mcc

MS-DRG 039 · Inpatient stay

20 $63,169 $14,966 +19%
Spinal Fusion Except Cervical without Major Complications

MS-DRG 460 · Inpatient stay

20 $144,856 $44,374 about average
Craniotomy and Endovascular Intracranial Procedures without Complications/mcc

MS-DRG 027 · Inpatient stay

20 $131,281 $27,791 +8%
Malignancy of Hepatobiliary System or Pancreas with Major Complications

MS-DRG 435 · Inpatient stay

20 $89,621 $23,633 +10%
Major Gastrointestinal Disorders and Peritoneal Infections with Major Complications

MS-DRG 371 · Inpatient stay

20 $66,879 $23,554 about average
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with

MS-DRG 543 · Inpatient stay

20 $46,846 $13,938 +13%
Kidney and Ureter Procedures for Non-neoplasm with Complications

MS-DRG 660 · Inpatient stay

19 $52,375 $16,840 -6%
Heart Failure (with complications)

MS-DRG 292 · Inpatient stay

19 $45,638 $12,603 +38%
Disorders of the Biliary Tract with Major Complications

MS-DRG 444 · Inpatient stay

19 $91,819 $22,730 +28%
Other Musculoskeletal System and Connective Tissue Diagnoses with Complications

MS-DRG 565 · Inpatient stay

19 $42,508 $13,484 about average
Other Respiratory System Diagnoses with Major Complications

MS-DRG 205 · Inpatient stay

18 $54,959 $23,000 -28%
Coronary Bypass without Cardiac Catheterization without Major Complications

MS-DRG 236 · Inpatient stay

18 $132,377 $51,185 -28%
Atherosclerosis without Major Complications

MS-DRG 303 · Inpatient stay

18 $24,521 $10,847 -19%
Cranial and Peripheral Nerve Disorders without Major Complications

MS-DRG 074 · Inpatient stay

18 $33,947 $13,605 -29%
Pulmonary Embolism without Major Complications

MS-DRG 176 · Inpatient stay

18 $33,312 $12,234 -5%
Other Operating Room Procedures for Injuries with Major Complications

MS-DRG 907 · Inpatient stay

18 $140,921 $41,437 -18%

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.