CostGrade

All published prices at Wellmont Bristol Regional Medical Center

96 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
Sepsis (severe)

MS-DRG 871 · Inpatient stay

267 $59,757 $14,370 -8%
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

214 $14,369 $2,290 -26%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

141 $41,476 $9,700 -4%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

134 $76,864 $11,005 +23%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

127 $19,535 $2,788 -23%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

125 $8,880 $1,368 -12%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

94 $42,677 $4,957 +22%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

78 $26,361 $6,464 -11%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

78 $22,056 $2,738 +15%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

75 $13,160 $2,366 -26%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

69 $40,044 $10,148 -14%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

60 $49,694 $12,460 -10%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

57 $50,730 $12,063 -17%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

56 $47,256 $6,060 +19%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

53 $34,675 $8,082 -24%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

52 $158,959 $15,977 +91%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

49 $31,814 $7,625 -23%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

48 $22,804 $6,088 -26%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

47 $29,181 $7,361 -11%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

46 $23,329 $6,436 -24%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

45 $33,644 $8,611 -14%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

45 $36,315 $4,736 +5%
Stroke (severe)

MS-DRG 064 · Inpatient stay

44 $66,876 $14,137 -12%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

43 $80,008 $9,082 +18%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

39 $89,880 $15,478 +8%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

38 $135,186 $14,640 +42%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

37 $44,749 $12,440 -15%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

35 $29,211 $6,375 -9%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

34 $48,458 $8,626 -11%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

34 $53,366 $13,323 -25%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

33 $37,572 $2,829 +62%
Respiratory Failure

MS-DRG 189 · Inpatient stay

32 $33,058 $10,235 -32%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

32 $30,168 $8,700 -26%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

31 $93,807 $13,501 -8%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

30 $26,026 $6,676 -18%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

30 $30,048 $7,694 -31%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

30 $53,840 $9,711 +11%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

29 $25,207 $6,285 -39%
Chest Pain

MS-DRG 313 · Inpatient stay

29 $21,040 $5,770 -38%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

28 $34,821 $9,377 -26%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

28 $131,068 $35,886 -26%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

28 $26,922 $4,445 about average
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

28 $47,486 $5,880 +23%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

26 $24,110 $6,626 -23%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

26 $28,769 $7,601 -17%
COPD (severe)

MS-DRG 190 · Inpatient stay

24 $34,252 $9,347 -18%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

23 $87,008 $20,581 -23%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

23 $20,536 $4,662 -18%
Fainting

MS-DRG 312 · Inpatient stay

22 $32,859 $6,919 -10%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

22 $31,479 $7,533 -19%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

22 $8,810 $1,376 about average
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

21 $90,599 $15,559 +6%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

21 $51,354 $11,619 -10%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

21 $43,195 $5,399 +9%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

21 $23,176 $3,217 about average
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

20 $41,358 $11,357 -27%
Signs and Symptoms without Major Complications

MS-DRG 948 · Inpatient stay

20 $31,906 $6,290 about average
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

19 $81,897 $14,697 about average
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

19 $70,017 $9,169 +36%
Heart Attack (uncomplicated)

MS-DRG 282 · Inpatient stay

18 $31,728 $5,703 -17%
Traumatic Stupor and Coma >1 Hour with Complications

MS-DRG 083 · Inpatient stay

17 $45,716 $10,383 -24%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

16 $29,756 $6,812 about average
Kidney and Ureter Procedures for Non-neoplasm with Complications

MS-DRG 660 · Inpatient stay

16 $46,488 $11,148 -16%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

16 $23,270 $7,557 -38%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

16 $26,811 $7,157 -28%
COPD (with complications)

MS-DRG 191 · Inpatient stay

16 $30,527 $6,906 -8%
Cirrhosis and Alcoholic Hepatitis with Major Complications

MS-DRG 432 · Inpatient stay

16 $50,601 $14,154 -37%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

16 $19,583 $2,781 -4%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

15 $26,650 $7,330 -35%
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major

MS-DRG 981 · Inpatient stay

15 $216,721 $37,312 +18%
Other Disorders of Nervous System with Complications

MS-DRG 092 · Inpatient stay

15 $32,006 $8,341 -29%
Laparoscopic Cholecystectomy without C.d.e. with Complications

MS-DRG 418 · Inpatient stay

15 $88,972 $12,890 +8%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

14 $44,767 $11,311 -18%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

14 $140,463 $30,438 -22%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

14 $51,875 $18,272 -37%
Sepsis

MS-DRG 870 · Inpatient stay

14 $204,987 $40,561 -24%
Organic Disturbances and Intellectual Disability

MS-DRG 884 · Inpatient stay

14 $33,772 $11,365 -32%
Pulmonary Embolism without Major Complications

MS-DRG 176 · Inpatient stay

14 $27,786 $6,497 -21%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

14 $25,538 $3,275 +7%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

13 $140,006 $23,701 about average
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

13 $23,295 $7,814 -40%
Atherosclerosis without Major Complications

MS-DRG 303 · Inpatient stay

13 $21,999 $5,369 -27%
Other Cerebrovascular Disorders with Complications

MS-DRG 071 · Inpatient stay

13 $29,189 $9,025 -34%
Kidney and Ureter Procedures for Non-neoplasm without Complications/mcc

MS-DRG 661 · Inpatient stay

13 $33,483 $8,606 -29%
Coagulation Disorders

MS-DRG 813 · Inpatient stay

13 $32,886 $10,920 -51%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

12 $83,846 $14,810 -5%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

12 $99,758 $17,536 about average
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

12 $122,063 $19,951 +4%
Disorders of Pancreas Except Malignancy with Complications

MS-DRG 439 · Inpatient stay

12 $22,951 $6,930 -36%
Disorders of the Biliary Tract with Major Complications

MS-DRG 444 · Inpatient stay

12 $52,801 $12,428 -26%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

11 $26,701 $10,038 -44%
Seizures with Major Complications

MS-DRG 100 · Inpatient stay

11 $65,281 $14,731 -19%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

11 $43,581 $10,848 -15%
Major Small and Large Bowel Procedures without Complications/mcc

MS-DRG 331 · Inpatient stay

11 $86,445 $13,989 +16%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

11 $27,665 $6,344 -25%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

11 $45,671 $4,721 +26%

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.