CostGrade

All published prices at University Hospital S U N Y Health Science Center

178 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.

D
Procedure Patients Charged Actually paid vs national
Pneumothorax with Complications

MS-DRG 200 · Inpatient stay

20 $96,802 $12,605 +103%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

20 $17,730 $1,802 +56%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

19 $164,138 $27,147 +87%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

19 $177,188 $32,567 +23%
Traumatic Stupor and Coma >1 Hour with Major Complications

MS-DRG 082 · Inpatient stay

19 $136,875 $26,889 +41%
Traumatic Stupor and Coma <1 Hour with Major Complications

MS-DRG 085 · Inpatient stay

19 $146,106 $26,930 +50%
Major Gastrointestinal Disorders and Peritoneal Infections with Complications

MS-DRG 372 · Inpatient stay

19 $67,945 $15,023 +71%
Other Vascular Procedures with Major Complications

MS-DRG 252 · Inpatient stay

18 $224,928 $37,524 +55%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

18 $80,330 $13,524 +47%
Peripheral Vascular Disorders with Complications

MS-DRG 300 · Inpatient stay

18 $85,529 $12,540 +99%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

18 $122,521 $22,623 +91%
Other Cerebrovascular Disorders with Complications

MS-DRG 071 · Inpatient stay

18 $78,812 $13,030 +78%
Skin Infection (severe)

MS-DRG 602 · Inpatient stay

18 $89,647 $17,144 +75%
Level 2 Intraocular Procedures

APC 5492 · Hospital outpatient visit

18 $26,209 $4,311 +27%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

17 $210,483 $34,035 +86%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

17 $85,185 $18,881 +80%
Signs and Symptoms without Major Complications

MS-DRG 948 · Inpatient stay

17 $56,908 $8,947 +75%
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major

MS-DRG 981 · Inpatient stay

17 $438,082 $74,920 +139%
Other Vascular Procedures with Complications

MS-DRG 253 · Inpatient stay

17 $181,319 $33,993 +62%
Pulmonary Embolism without Major Complications

MS-DRG 176 · Inpatient stay

17 $60,596 $9,496 +73%
Digestive Malignancy with Complications

MS-DRG 375 · Inpatient stay

17 $164,881 $20,902 +209%
Disorders of the Biliary Tract with Complications

MS-DRG 445 · Inpatient stay

17 $97,517 $12,926 +90%
Complications of Treatment with Major Complications

MS-DRG 919 · Inpatient stay

17 $146,629 $29,396 +96%
Level 5 Gynecologic Procedures

APC 5415 · Hospital outpatient visit

17 $48,048 $5,026 +60%
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

17 $40,847 $7,257 +6%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

16 $108,739 $24,337 +16%
Hypertension with Major Complications

MS-DRG 304 · Inpatient stay

16 $156,308 $21,795 +214%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

16 $105,245 $18,729 +105%
Other Circulatory System Diagnoses with Complications

MS-DRG 315 · Inpatient stay

16 $77,404 $11,206 +87%
Craniotomy and Endovascular Intracranial Procedures without Complications/mcc

MS-DRG 027 · Inpatient stay

16 $129,096 $28,640 +6%
Poisoning and Toxic Effects of Drugs with Major Complications

MS-DRG 917 · Inpatient stay

16 $110,918 $17,362 +63%
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with

MS-DRG 543 · Inpatient stay

16 $105,363 $13,150 +154%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

16 $111,625 $34,772 -25%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

15 $49,126 $9,843 +19%
Traumatic Stupor and Coma <1 Hour with Complications

MS-DRG 086 · Inpatient stay

15 $71,524 $14,934 +26%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

15 $57,122 $10,704 +30%
Spinal Fusion Except Cervical without Major Complications

MS-DRG 460 · Inpatient stay

15 $160,171 $40,133 +11%
Digestive Malignancy with Major Complications

MS-DRG 374 · Inpatient stay

15 $209,386 $27,957 +143%
Combined Anterior and Posterior Spinal Fusion with Complications

MS-DRG 454 · Inpatient stay

15 $230,663 $64,752 +4%
Back Problems (severe)

MS-DRG 551 · Inpatient stay

15 $129,055 $19,314 +86%
Complications of Treatment with Complications

MS-DRG 920 · Inpatient stay

15 $69,337 $12,057 +57%
Pneumothorax with Major Complications

MS-DRG 199 · Inpatient stay

15 $154,412 $20,976 +94%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

14 $88,357 $18,158 +57%
Major Chest Procedures with Complications

MS-DRG 164 · Inpatient stay

14 $156,589 $28,254 +44%
Major Chest Procedures without Complications/mcc

MS-DRG 165 · Inpatient stay

14 $120,347 $20,593 +45%
Disorders of Pancreas Except Malignancy with Complications

MS-DRG 439 · Inpatient stay

14 $87,497 $16,786 +144%
Trauma to the Skin, Subcutaneous Tissue and Breast without Major Complications

MS-DRG 605 · Inpatient stay

14 $60,146 $10,623 +47%
Level 4 Neurostimulator and Related Procedures

APC 5464 · Hospital outpatient visit

14 $88,441 $23,132 +10%
ECMO or Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except

MS-DRG 003 · Inpatient stay

13 $1,564,109 $242,632 +78%
Hip Replacement with Principal Diagnosis of Hip Fracture with Major Complications

MS-DRG 521 · Inpatient stay

13 $239,020 $37,678 +112%
Traumatic Stupor and Coma >1 Hour with Complications

MS-DRG 083 · Inpatient stay

13 $128,343 $16,465 +114%
Other Musculoskeletal System and Connective Tissue Operating Room Procedures with

MS-DRG 516 · Inpatient stay

13 $89,069 $22,406 about average
Postoperative or Post-traumatic Infections with Operating Room Procedures with

MS-DRG 857 · Inpatient stay

13 $141,972 $26,867 +47%
Tendonitis, Myositis and Bursitis without Major Complications

MS-DRG 558 · Inpatient stay

13 $69,259 $9,949 +102%
Kidney and Ureter Procedures for Neoplasm without Complications/mcc

MS-DRG 658 · Inpatient stay

13 $80,528 $17,270 +5%
Coronary Bypass with Cardiac Catheterization or Open Ablation with Major Complications

MS-DRG 233 · Inpatient stay

12 $434,280 $85,193 +41%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

12 $41,637 $10,191 +12%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

12 $134,032 $26,382 +62%
Heart Failure (with complications)

MS-DRG 292 · Inpatient stay

12 $80,030 $10,775 +142%
Peripheral Vascular Disorders with Major Complications

MS-DRG 299 · Inpatient stay

12 $74,136 $17,079 +10%
Stomach, Esophageal and Duodenal Procedures with Complications

MS-DRG 327 · Inpatient stay

12 $160,493 $28,208 +39%
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with

MS-DRG 617 · Inpatient stay

12 $145,600 $21,421 +97%
Postoperative and Post-traumatic Infections without Major Complications

MS-DRG 863 · Inpatient stay

12 $39,471 $12,591 +3%
Other Cardiothoracic Procedures with Major Complications

MS-DRG 228 · Inpatient stay

12 $235,790 $56,215 +4%
Other Disorders of the Eye without Major Complications

MS-DRG 125 · Inpatient stay

12 $60,741 $9,624 +42%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

12 $106,798 $18,548 +12%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

12 $23,249 $3,315 +28%
Permanent Cardiac Pacemaker Implant with Major Complications

MS-DRG 242 · Inpatient stay

11 $158,286 $33,360 +14%
Other Kidney and Urinary Tract Procedures with Major Complications

MS-DRG 673 · Inpatient stay

11 $212,315 $46,543 +38%
Major Small and Large Bowel Procedures without Complications/mcc

MS-DRG 331 · Inpatient stay

11 $98,733 $18,545 +33%
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major

MS-DRG 897 · Inpatient stay

11 $88,083 $13,920 +171%
Respiratory System Diagnosis with Ventilator Support >96 Hours

MS-DRG 207 · Inpatient stay

11 $587,412 $111,073 +129%
Major Chest Trauma with Complications

MS-DRG 184 · Inpatient stay

11 $73,348 $12,287 +50%
Revision of Hip or Knee Replacement with Major Complications

MS-DRG 466 · Inpatient stay

11 $270,729 $56,344 +25%
Endocrine Disorders with Major Complications

MS-DRG 643 · Inpatient stay

11 $142,882 $20,960 +117%
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur without

MS-DRG 494 · Inpatient stay

11 $95,626 $21,653 +8%
Urinary Stones without Major Complications

MS-DRG 694 · Inpatient stay

11 $59,717 $8,995 +56%
Level 4 Pacemaker and Similar Procedures

APC 5224 · Hospital outpatient visit

11 $60,874 $20,608 -36%

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.