CostGrade

All published prices at Wilkes-Barre General Hospital

101 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.

F
Procedure Patients Charged Actually paid vs national
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

424 $27,538 $2,895 +9%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

193 $21,564 $1,415 +114%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

175 $62,107 $9,328 +43%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

173 $20,436 $1,692 +74%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

167 $30,239 $1,819 +134%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

153 $40,976 $3,098 +98%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

152 $128,913 $11,673 +106%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

139 $93,629 $14,688 +44%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

123 $110,845 $9,568 +64%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

123 $49,548 $5,154 +41%
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

104 $21,489 $2,409 +11%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

80 $76,169 $9,903 +64%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

78 $30,857 $2,832 +51%
Respiratory Failure

MS-DRG 189 · Inpatient stay

76 $67,919 $9,206 +40%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

75 $67,565 $6,254 +69%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

72 $72,837 $11,827 +32%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

69 $38,916 $6,082 +31%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

66 $22,726 $1,683 +100%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

65 $51,331 $8,535 +26%
Fainting

MS-DRG 312 · Inpatient stay

62 $39,618 $6,523 +8%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

57 $73,850 $7,381 +79%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

57 $54,134 $4,557 +97%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

55 $125,215 $9,531 +143%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

54 $69,721 $11,019 +32%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

54 $44,467 $6,871 +35%
Level 3 Upper GI Procedures

APC 5303 · Hospital outpatient visit

47 $32,798 $3,421 +50%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

46 $29,413 $2,747 +62%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

45 $28,021 $2,422 +69%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

43 $39,745 $3,033 +71%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

39 $40,615 $5,934 +33%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

38 $46,430 $6,045 +44%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

38 $44,957 $6,680 +47%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

38 $51,935 $8,107 +32%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

36 $48,036 $7,400 +5%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

36 $61,857 $9,643 +31%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

36 $43,299 $7,057 +11%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

36 $31,835 $2,484 +80%
Stroke (severe)

MS-DRG 064 · Inpatient stay

35 $83,848 $13,410 +10%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

35 $315,341 $23,712 +153%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

35 $42,652 $5,958 +39%
COPD (severe)

MS-DRG 190 · Inpatient stay

34 $53,701 $7,852 +28%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

33 $159,455 $18,058 +59%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

33 $152,167 $13,699 +90%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

32 $43,065 $5,983 +4%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

32 $108,543 $14,331 +30%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

32 $38,609 $2,847 +102%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

32 $51,378 $5,105 +48%
Complex GI Procedures

APC 5331 · Hospital outpatient visit

32 $56,545 $4,074 +89%
Other Disorders of Nervous System with Complications

MS-DRG 092 · Inpatient stay

31 $41,976 $7,573 -7%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

30 $60,358 $5,824 +53%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

29 $57,064 $8,382 +5%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

28 $71,549 $9,447 +48%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

28 $108,101 $7,588 +186%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

27 $84,422 $11,527 +49%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

26 $539,336 $54,303 +185%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

26 $235,410 $21,160 +77%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

25 $29,716 $4,264 +18%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

25 $218,117 $36,026 +23%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

23 $155,538 $13,348 +53%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

22 $103,778 $13,856 +46%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

21 $17,840 $1,381 +59%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

20 $54,114 $5,605 +70%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

20 $140,910 $16,610 +70%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

19 $102,898 $15,862 +17%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

18 $152,719 $20,565 +35%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

18 $224,278 $25,138 +56%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

18 $131,111 $15,498 +53%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

17 $43,463 $7,763 +17%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

17 $53,702 $6,788 +55%
Laparoscopic Cholecystectomy without C.d.e. with Complications

MS-DRG 418 · Inpatient stay

17 $121,070 $12,413 +47%
Disorders of the Biliary Tract with Complications

MS-DRG 445 · Inpatient stay

17 $84,357 $8,056 +64%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

17 $46,897 $3,405 +97%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

17 $20,521 $1,430 +139%
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

17 $53,079 $5,231 +54%
Chest Pain

MS-DRG 313 · Inpatient stay

16 $46,963 $5,588 +39%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

16 $41,360 $6,771 +12%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

16 $210,878 $15,631 +121%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

16 $81,453 $9,189 +36%
Level 6 Urology and Related Services

APC 5376 · Hospital outpatient visit

16 $119,146 $8,227 +168%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

15 $75,615 $12,746 +23%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

15 $56,976 $7,383 +47%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

14 $55,514 $6,134 +77%
Other Digestive System Diagnoses with Major Complications

MS-DRG 393 · Inpatient stay

14 $76,615 $12,270 +19%
Bronchitis and Asthma with Complications/mcc

MS-DRG 202 · Inpatient stay

14 $39,812 $7,899 about average
Stroke (uncomplicated)

MS-DRG 066 · Inpatient stay

13 $47,494 $5,772 +33%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

13 $59,857 $7,733 +59%
Traumatic Stupor and Coma <1 Hour with Complications

MS-DRG 086 · Inpatient stay

12 $50,783 $9,657 -10%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

12 $79,313 $6,707 +81%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

12 $79,908 $14,505 about average
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

12 $53,772 $6,768 +45%
Trauma to the Skin, Subcutaneous Tissue and Breast without Major Complications

MS-DRG 605 · Inpatient stay

12 $45,852 $6,935 +12%
Dysequilibrium

MS-DRG 149 · Inpatient stay

12 $39,727 $5,594 about average
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

12 $397,715 $29,297 +168%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

11 $155,691 $16,444 +66%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

11 $257,327 $35,209 +43%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

11 $77,317 $10,366 +37%
Sepsis

MS-DRG 870 · Inpatient stay

11 $275,259 $46,772 about average
COPD (with complications)

MS-DRG 191 · Inpatient stay

11 $47,834 $5,828 +44%
Hip or Thigh Bone Surgery (uncomplicated)

MS-DRG 482 · Inpatient stay

11 $89,727 $12,083 +31%
Skin Infection (severe)

MS-DRG 602 · Inpatient stay

11 $58,445 $10,174 +14%

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.