CostGrade

All published prices at White River Medical Center

89 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.

A
Procedure Patients Charged Actually paid vs national
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

896 $8,725 $2,452 -55%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

261 $31,145 $14,361 -52%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

233 $12,099 $2,918 -52%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

186 $5,473 $1,737 -52%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

155 $48,444 $9,823 -28%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

108 $5,812 $1,456 -42%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

102 $44,097 $11,673 -29%
Psychoses

MS-DRG 885 · Inpatient stay

87 $15,059 $10,740 -58%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

83 $24,517 $5,133 -30%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

79 $82,019 $15,630 -14%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

75 $21,362 $6,463 -46%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

73 $20,539 $9,500 -53%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

73 $14,162 $6,322 -52%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

69 $15,594 $8,472 -62%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

68 $8,920 $2,846 -53%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

68 $8,089 $1,665 -31%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

67 $15,288 $3,125 -26%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

62 $10,420 $2,917 -49%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

58 $15,448 $4,612 -44%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

55 $7,505 $1,765 -42%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

53 $66,621 $13,651 -35%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

52 $13,179 $6,254 -59%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

46 $15,375 $5,938 -50%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

45 $16,040 $6,911 -51%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

44 $8,898 $2,567 -50%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

43 $23,307 $10,947 -56%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

42 $20,009 $8,003 -49%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

40 $17,243 $6,480 -46%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

39 $21,738 $9,890 -53%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

37 $30,057 $11,702 -51%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

36 $27,431 $12,081 -50%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

35 $90,065 $23,690 -37%
Signs and Symptoms without Major Complications

MS-DRG 948 · Inpatient stay

33 $12,765 $5,951 -61%
COPD (severe)

MS-DRG 190 · Inpatient stay

32 $21,177 $8,393 -49%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

32 $33,565 $7,485 -11%
Fainting

MS-DRG 312 · Inpatient stay

31 $16,653 $6,968 -55%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

31 $18,894 $4,964 -48%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

30 $12,179 $6,241 -60%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

30 $6,223 $1,428 -45%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

29 $22,014 $7,717 -47%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

29 $74,817 $34,604 -58%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

29 $12,396 $3,299 -45%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

29 $92,111 $21,401 -31%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

29 $40,289 $9,640 -22%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

28 $21,384 $7,182 -51%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

27 $36,888 $15,044 -56%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

27 $145,453 $29,632 about average
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

25 $10,419 $2,824 -43%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

23 $15,570 $7,565 -66%
Respiratory Failure

MS-DRG 189 · Inpatient stay

23 $29,247 $9,659 -40%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

23 $23,112 $9,076 -58%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

22 $20,269 $9,951 -58%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

22 $5,597 $1,447 -35%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

21 $42,135 $15,308 -51%
COPD (with complications)

MS-DRG 191 · Inpatient stay

21 $20,200 $6,328 -39%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

20 $20,097 $7,553 -46%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

20 $41,389 $16,800 -50%
Gastrointestinal Obstruction without Complications/mcc

MS-DRG 390 · Inpatient stay

19 $9,086 $4,554 -62%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

19 $22,243 $3,125 -4%
Level 2 Neurostimulator and Related Procedures

APC 5462 · Hospital outpatient visit

19 $22,228 $6,178 -15%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

18 $13,075 $6,562 -57%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

18 $24,729 $5,164 -29%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

17 $67,807 $18,405 -33%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

17 $40,089 $13,466 -44%
Level 4 Pacemaker and Similar Procedures

APC 5224 · Hospital outpatient visit

17 $73,190 $17,564 -23%
Bronchitis and Asthma with Complications/mcc

MS-DRG 202 · Inpatient stay

16 $17,930 $7,545 -54%
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

16 $7,786 $1,412 -32%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

15 $16,663 $7,229 -56%
Level 6 Urology and Related Services

APC 5376 · Hospital outpatient visit

15 $28,660 $8,321 -36%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

14 $67,581 $15,904 -28%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

14 $12,719 $7,083 -63%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

13 $28,710 $9,351 -39%
Kidney and Ureter Procedures for Non-neoplasm with Complications

MS-DRG 660 · Inpatient stay

13 $36,303 $10,414 -35%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

13 $12,996 $3,443 -46%
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

12 $18,455 $6,118 -45%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

12 $78,735 $33,396 -56%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

12 $12,530 $6,234 -60%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

12 $19,313 $9,897 -62%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

12 $30,662 $12,583 -46%
Other Major Cardiovascular Procedures with Major Complications

MS-DRG 270 · Inpatient stay

12 $140,172 $40,875 -38%
Stroke (severe)

MS-DRG 064 · Inpatient stay

11 $22,648 $14,162 -70%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

11 $34,164 $13,840 -39%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

11 $20,121 $7,533 -46%
Infection Needing Surgery (with complications)

MS-DRG 854 · Inpatient stay

11 $43,731 $14,562 -47%
Laparoscopic Cholecystectomy without C.d.e. with Complications

MS-DRG 418 · Inpatient stay

11 $38,725 $12,620 -53%
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major

MS-DRG 897 · Inpatient stay

11 $9,483 $6,991 -71%
Disorders of Pancreas Except Malignancy with Complications

MS-DRG 439 · Inpatient stay

11 $12,519 $6,766 -65%
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications

MS-DRG 493 · Inpatient stay

11 $41,681 $17,672 -59%
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with

MS-DRG 543 · Inpatient stay

11 $16,166 $8,231 -61%

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.