CostGrade

All published prices at Wakemed, Raleigh Campus

193 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

1,205 $22,418 $2,449 +15%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

385 $57,444 $16,935 -12%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

308 $23,488 $2,904 -7%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

286 $34,619 $11,522 -20%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

204 $165,825 $20,942 +25%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

154 $25,701 $8,139 -14%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

141 $69,572 $11,546 +11%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

119 $42,405 $14,283 -23%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

119 $40,349 $11,728 -13%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

117 $12,014 $1,809 -7%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

113 $36,177 $5,085 +3%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

109 $47,448 $6,394 +19%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

109 $79,481 $9,851 +17%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

106 $37,813 $10,756 -7%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

106 $24,589 $3,091 +19%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

104 $46,461 $9,855 about average
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

102 $177,114 $25,988 +42%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

100 $27,611 $8,336 -13%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

100 $38,415 $10,449 about average
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

99 $30,661 $8,165 -5%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

98 $28,791 $7,908 -6%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

94 $41,299 $9,430 about average
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

93 $25,817 $8,688 -15%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

88 $13,668 $1,434 +22%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

85 $259,413 $37,779 +37%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

84 $30,825 $4,659 +12%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

80 $98,782 $17,559 +19%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

80 $40,261 $12,143 -17%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

77 $43,176 $14,120 -24%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

76 $23,119 $2,775 +21%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

75 $100,795 $15,794 about average
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

70 $45,652 $11,197 -4%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

70 $72,436 $9,607 +41%
COPD (severe)

MS-DRG 190 · Inpatient stay

69 $40,686 $10,713 about average
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

69 $114,162 $15,756 +20%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

66 $54,814 $9,147 -8%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

63 $116,309 $16,525 +40%
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

63 $31,788 $6,162 -17%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

61 $29,747 $8,997 -10%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

59 $185,144 $42,659 +4%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

58 $84,541 $17,970 about average
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

55 $45,594 $11,409 -16%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

54 $33,036 $8,896 -11%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

53 $72,382 $17,648 -18%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

52 $31,891 $9,415 -14%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

52 $11,142 $1,395 +11%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

52 $45,517 $7,188 +20%
Respiratory Failure

MS-DRG 189 · Inpatient stay

51 $56,544 $11,419 +17%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

51 $23,710 $3,372 +4%
Stroke (severe)

MS-DRG 064 · Inpatient stay

49 $78,364 $17,643 about average
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

49 $15,344 $1,713 +31%
Fainting

MS-DRG 312 · Inpatient stay

43 $37,957 $8,690 +4%
Coronary Bypass without Cardiac Catheterization without Major Complications

MS-DRG 236 · Inpatient stay

42 $155,444 $34,586 -15%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

41 $18,110 $2,558 about average
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

41 $29,306 $2,914 +44%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

39 $31,218 $7,705 about average
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

39 $16,113 $1,739 +42%
Coronary Bypass with Cardiac Catheterization or Open Ablation without Major Complications

MS-DRG 234 · Inpatient stay

38 $197,116 $42,550 -10%
COPD (with complications)

MS-DRG 191 · Inpatient stay

38 $32,236 $7,870 -3%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

38 $210,552 $29,532 +42%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

36 $55,138 $12,985 about average
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

36 $23,313 $3,115 about average
Craniotomy and Endovascular Intracranial Procedures with Major Complications

MS-DRG 025 · Inpatient stay

35 $208,465 $38,944 +8%
Combined Anterior and Posterior Spinal Fusion with Complications

MS-DRG 454 · Inpatient stay

35 $307,277 $54,985 +38%
Poisoning and Toxic Effects of Drugs with Major Complications

MS-DRG 917 · Inpatient stay

35 $57,287 $13,780 -16%
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization

MS-DRG 220 · Inpatient stay

34 $278,228 $49,407 +19%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

33 $50,295 $5,146 +45%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

32 $134,382 $23,746 -6%
Carotid Artery Stent Procedures without Complications/mcc

MS-DRG 036 · Inpatient stay

32 $97,133 $15,242 +38%
Pulmonary Embolism without Major Complications

MS-DRG 176 · Inpatient stay

32 $31,810 $8,247 -9%
Traumatic Stupor and Coma <1 Hour with Complications

MS-DRG 086 · Inpatient stay

31 $70,113 $12,376 +24%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

31 $47,728 $9,564 +22%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

31 $31,103 $8,996 -10%
Stroke (uncomplicated)

MS-DRG 066 · Inpatient stay

30 $37,422 $7,055 +4%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

30 $73,942 $16,518 +4%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

30 $30,764 $8,368 about average
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

30 $37,542 $11,722 -27%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

30 $27,110 $9,519 -28%
Hip or Thigh Bone Surgery (uncomplicated)

MS-DRG 482 · Inpatient stay

30 $74,181 $13,706 +8%
Traumatic Stupor and Coma >1 Hour with Complications

MS-DRG 083 · Inpatient stay

30 $74,192 $12,593 +24%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

29 $126,619 $20,169 +35%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

29 $45,405 $13,813 -26%
Kidney and Ureter Procedures for Non-neoplasm with Complications

MS-DRG 660 · Inpatient stay

29 $51,668 $12,651 -7%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

28 $45,831 $13,108 -13%
Spinal Fusion Except Cervical without Major Complications

MS-DRG 460 · Inpatient stay

28 $185,416 $28,938 +28%
Kidney and Ureter Procedures for Non-neoplasm without Complications/mcc

MS-DRG 661 · Inpatient stay

27 $46,072 $10,237 about average
Gastrointestinal Obstruction without Complications/mcc

MS-DRG 390 · Inpatient stay

26 $24,738 $6,373 +3%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

26 $46,767 $4,948 +29%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

26 $21,399 $2,815 +18%
Other Vascular Procedures with Major Complications

MS-DRG 252 · Inpatient stay

25 $107,477 $26,100 -26%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

25 $22,891 $6,294 -9%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

25 $121,523 $21,182 +21%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

25 $52,888 $13,220 -6%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

25 $5,677 $1,409 -34%
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major

MS-DRG 981 · Inpatient stay

24 $193,051 $40,355 +5%
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization

MS-DRG 219 · Inpatient stay

24 $240,395 $63,521 -28%
Pneumonia (uncomplicated)

MS-DRG 195 · Inpatient stay

24 $20,966 $6,526 -21%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

23 $79,278 $17,985 about average
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

23 $127,391 $24,490 +8%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

23 $79,545 $17,005 -4%

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.