CostGrade

All published prices at Wellmont Holston Valley Medical Center

100 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
Sepsis (severe)

MS-DRG 871 · Inpatient stay

262 $67,731 $14,915 +4%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

159 $9,217 $1,364 -9%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

156 $22,921 $2,765 -9%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

136 $89,460 $11,156 +43%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

114 $48,972 $10,539 +13%
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

109 $16,061 $2,285 -17%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

85 $45,080 $10,147 -3%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

82 $14,398 $2,639 -25%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

78 $16,830 $2,398 -5%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

70 $41,306 $4,957 +18%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

67 $180,714 $20,353 +36%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

63 $66,787 $9,169 +30%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

55 $57,737 $12,744 +5%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

52 $33,171 $8,117 -20%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

49 $49,439 $11,817 -7%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

49 $49,885 $12,797 -12%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

47 $86,895 $14,971 +4%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

45 $21,901 $6,327 -28%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

45 $26,052 $7,404 -21%
Respiratory Failure

MS-DRG 189 · Inpatient stay

43 $48,625 $10,060 about average
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

43 $224,677 $22,819 +80%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

42 $51,240 $12,165 -17%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

41 $44,740 $8,135 +14%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

40 $45,294 $9,398 +11%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

39 $48,932 $9,084 +3%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

38 $95,383 $15,458 +19%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

37 $16,557 $4,975 -34%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

36 $40,209 $9,978 -17%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

35 $400,743 $49,615 +67%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

35 $266,193 $28,181 +79%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

33 $37,974 $8,671 -30%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

33 $106,798 $15,543 +29%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

32 $367,855 $38,702 +94%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

31 $39,602 $8,385 -13%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

31 $95,210 $15,342 -6%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

31 $24,916 $6,662 -18%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

31 $52,821 $5,988 +32%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

31 $4,663 $1,371 -46%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

29 $85,121 $16,187 about average
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

29 $26,994 $3,275 +13%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

28 $88,310 $9,166 +31%
COPD (severe)

MS-DRG 190 · Inpatient stay

27 $39,025 $7,906 -7%
Sepsis

MS-DRG 870 · Inpatient stay

27 $218,951 $47,601 -18%
Extracranial Procedures without Complications/mcc

MS-DRG 039 · Inpatient stay

26 $59,236 $8,866 +11%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

26 $52,600 $13,965 -26%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

26 $32,660 $7,257 +10%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

26 $152,445 $33,926 -14%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

25 $118,788 $29,708 +27%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

25 $29,949 $7,328 -7%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

25 $66,696 $7,298 +76%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

24 $122,854 $22,068 +5%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

22 $33,490 $7,783 -18%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

22 $25,406 $6,784 -19%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

21 $32,964 $7,001 -20%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

21 $83,268 $22,192 -27%
Aortic and Heart Assist Procedures Except Pulsation Balloon without Major Complications

MS-DRG 269 · Inpatient stay

21 $380,339 $49,403 +130%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

21 $64,894 $16,379 -26%
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization

MS-DRG 220 · Inpatient stay

21 $276,771 $44,789 +19%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

20 $32,970 $7,803 -25%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

20 $45,343 $8,108 +17%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

20 $34,764 $7,111 about average
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

20 $47,518 $5,646 +23%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

19 $45,212 $4,098 +31%
Coronary Bypass without Cardiac Catheterization without Major Complications

MS-DRG 236 · Inpatient stay

18 $154,449 $33,767 -16%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

17 $41,832 $6,242 +32%
Fainting

MS-DRG 312 · Inpatient stay

17 $25,848 $7,157 -29%
Coagulation Disorders

MS-DRG 813 · Inpatient stay

17 $59,924 $11,274 -11%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

17 $39,122 $5,340 about average
Stroke (severe)

MS-DRG 064 · Inpatient stay

16 $51,578 $15,446 -32%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

16 $46,560 $10,834 -15%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

16 $14,014 $1,381 +25%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

15 $21,769 $2,452 +7%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

14 $56,151 $16,134 -28%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

14 $65,867 $8,325 +10%
Extracranial Procedures with Complications

MS-DRG 038 · Inpatient stay

13 $64,213 $11,931 -4%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

13 $29,744 $7,633 -20%
Coronary Bypass with Cardiac Catheterization or Open Ablation without Major Complications

MS-DRG 234 · Inpatient stay

13 $207,343 $44,400 -6%
Permanent Cardiac Pacemaker Implant without Complications/mcc

MS-DRG 244 · Inpatient stay

13 $87,780 $13,648 +15%
Chest Pain

MS-DRG 313 · Inpatient stay

13 $24,925 $6,425 -26%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

13 $28,206 $7,463 -8%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

13 $47,341 $10,518 -16%
Other Disorders of Nervous System with Complications

MS-DRG 092 · Inpatient stay

13 $23,144 $8,206 -49%
Disorders of Pancreas Except Malignancy with Complications

MS-DRG 439 · Inpatient stay

13 $29,781 $7,252 -17%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

13 $50,942 $2,810 +119%
Peripheral Vascular Disorders with Complications

MS-DRG 300 · Inpatient stay

12 $36,443 $8,848 -15%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

12 $141,624 $35,688 -21%
Organic Disturbances and Intellectual Disability

MS-DRG 884 · Inpatient stay

12 $36,871 $12,073 -26%
Coronary Bypass without Cardiac Catheterization with Major Complications

MS-DRG 235 · Inpatient stay

12 $177,066 $41,312 -26%
Revision of Hip or Knee Replacement without Complications/mcc

MS-DRG 468 · Inpatient stay

12 $218,124 $20,567 +101%
Seizures with Major Complications

MS-DRG 100 · Inpatient stay

11 $88,155 $14,514 +9%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

11 $116,765 $20,988 -19%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

11 $97,382 $17,434 -3%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

11 $39,423 $7,170 about average
Hip Replacement with Principal Diagnosis of Hip Fracture with Major Complications

MS-DRG 521 · Inpatient stay

11 $136,542 $20,160 +21%
Pulmonary Embolism without Major Complications

MS-DRG 176 · Inpatient stay

11 $32,713 $7,721 -7%
Skin Infection (severe)

MS-DRG 602 · Inpatient stay

11 $44,197 $11,661 -14%
Poisoning and Toxic Effects of Drugs with Major Complications

MS-DRG 917 · Inpatient stay

11 $76,073 $12,831 +12%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

11 $28,732 $6,601 -22%
Combined Anterior and Posterior Spinal Fusion without Complications/mcc

MS-DRG 455 · Inpatient stay

11 $321,033 $45,075 +81%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

11 $152,347 $15,035 +60%

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.