All published prices at Upper Valley Medical Center
63 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 |
333 | $21,148 | $2,294 | +9% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
243 | $9,159 | $1,600 | -22% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
146 | $12,072 | $1,993 | about average |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
139 | $14,148 | $1,363 | +40% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
127 | $65,253 | $14,616 | about average |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
114 | $42,533 | $8,559 | about average |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
64 | $21,625 | $4,315 | -21% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
58 | $48,225 | $9,040 | +4% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
52 | $49,979 | $4,934 | +42% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
50 | $19,301 | $2,726 | about average |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
42 | $27,844 | $6,350 | -16% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
42 | $32,877 | $2,744 | +30% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
41 | $8,546 | $1,372 | -24% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
39 | $20,366 | $2,920 | about average |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
37 | $47,532 | $5,987 | +19% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
36 | $47,173 | $10,817 | -14% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
36 | $23,646 | $5,774 | -21% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
34 | $15,385 | $2,769 | -25% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
34 | $12,260 | $2,400 | -26% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
32 | $48,287 | $9,330 | about average |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
32 | $10,911 | $1,610 | -4% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
31 | $46,738 | $10,859 | -12% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
30 | $44,031 | $7,244 | +7% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
30 | $23,461 | $2,366 | +33% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
27 | $34,679 | $5,722 | +9% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
27 | $54,392 | $10,946 | -11% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
26 | $39,508 | $9,507 | -17% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
26 | $25,475 | $6,100 | -21% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
26 | $31,180 | $5,566 | about average |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
26 | $35,228 | $7,817 | -14% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
26 | $25,594 | $4,548 | -26% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
25 | $30,031 | $5,618 | about average |
|
Psychoses
MS-DRG 885 · Inpatient stay |
25 | $27,189 | $10,081 | -25% |
|
Fainting
MS-DRG 312 · Inpatient stay |
23 | $25,908 | $6,181 | -29% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
21 | $19,400 | $3,203 | -15% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
20 | $40,308 | $9,764 | -17% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
19 | $30,899 | $10,398 | -38% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
18 | $84,296 | $13,985 | about average |
|
Irregular Heartbeat (uncomplicated)
MS-DRG 310 · Inpatient stay |
17 | $21,528 | $5,168 | -14% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
17 | $25,967 | $6,768 | -17% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
17 | $46,206 | $9,647 | -18% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
17 | $74,940 | $11,242 | +20% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
16 | $50,267 | $12,202 | -34% |
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
16 | $36,611 | $7,112 | -6% |
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
15 | $24,753 | $6,260 | -39% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
14 | $39,515 | $8,923 | -13% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
14 | $46,027 | $6,337 | +5% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
14 | $38,758 | $10,203 | -32% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
13 | $51,092 | $9,671 | -6% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
13 | $105,167 | $18,633 | +3% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
13 | $55,098 | $11,723 | -23% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
13 | $26,394 | $6,679 | -13% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
13 | $32,951 | $6,491 | -5% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
13 | $35,392 | $7,243 | -10% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
13 | $38,329 | $5,577 | about average |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
13 | $12,658 | $3,477 | -39% |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
13 | $31,307 | $5,853 | -19% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
12 | $27,769 | $7,002 | -26% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
12 | $78,605 | $15,905 | -5% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
11 | $43,565 | $9,901 | -23% |
|
Other Disorders of Nervous System with Complications
MS-DRG 092 · Inpatient stay |
11 | $42,622 | $8,184 | -5% |
|
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with
MS-DRG 543 · Inpatient stay |
11 | $34,476 | $6,485 | -17% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
11 | $19,455 | $1,742 | +51% |
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.