CostGrade

All published prices at William W Backus Hospital

76 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.

B
Procedure Patients Charged Actually paid vs national
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

606 $12,528 $3,030 -36%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

246 $69,539 $18,459 +7%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

191 $52,054 $11,808 +20%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

159 $8,521 $1,778 -15%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

131 $18,453 $5,680 -33%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

121 $15,326 $3,838 -26%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

108 $12,389 $2,247 -4%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

103 $52,947 $12,710 +14%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

89 $62,499 $15,235 +14%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

81 $22,722 $6,310 -35%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

78 $11,683 $2,082 about average
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

75 $10,136 $3,483 -47%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

66 $43,041 $16,918 -46%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

64 $38,055 $14,451 -39%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

62 $10,070 $2,577 -43%
Respiratory Failure

MS-DRG 189 · Inpatient stay

56 $52,445 $12,825 +8%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

54 $51,081 $14,118 -4%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

53 $32,191 $8,719 about average
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

52 $20,786 $3,641 -18%
Psychoses

MS-DRG 885 · Inpatient stay

50 $57,378 $12,981 +59%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

43 $30,260 $7,752 -6%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

41 $28,242 $7,220 -8%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

41 $28,834 $7,515 -28%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

40 $14,605 $3,783 -37%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

39 $36,961 $8,927 -11%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

38 $12,897 $3,001 -22%
COPD (severe)

MS-DRG 190 · Inpatient stay

36 $48,955 $12,621 +17%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

35 $12,724 $3,447 -38%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

34 $67,939 $16,231 -4%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

34 $101,965 $37,806 -43%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

34 $30,950 $7,104 -22%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

33 $28,540 $7,394 -4%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

33 $40,098 $10,470 about average
Stroke (with complications)

MS-DRG 065 · Inpatient stay

32 $39,043 $9,175 -14%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

32 $30,001 $11,896 -42%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

31 $31,351 $8,488 about average
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

30 $33,346 $9,212 +5%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

27 $27,025 $7,123 -12%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

26 $47,449 $11,646 about average
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

25 $37,811 $10,157 -7%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

25 $7,687 $1,730 -10%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

24 $63,496 $19,293 -24%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

23 $42,829 $11,538 -12%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

23 $38,237 $11,469 -36%
Stroke (severe)

MS-DRG 064 · Inpatient stay

22 $52,201 $19,195 -32%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

22 $53,890 $14,416 -5%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

21 $17,775 $4,019 -22%
Fainting

MS-DRG 312 · Inpatient stay

20 $33,781 $7,962 -8%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

20 $31,041 $8,282 -10%
Sepsis

MS-DRG 870 · Inpatient stay

20 $217,189 $70,655 -19%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

20 $19,567 $4,252 -18%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

19 $52,560 $17,192 -4%
Coagulation Disorders

MS-DRG 813 · Inpatient stay

19 $72,858 $16,052 +9%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

18 $127,736 $43,533 -29%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

18 $24,293 $9,471 -36%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

17 $21,955 $6,000 -13%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

17 $77,530 $23,030 -23%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

17 $60,159 $20,737 -28%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

16 $45,694 $13,379 -26%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

16 $85,262 $24,840 -27%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

16 $115,756 $20,789 +105%
Hip Replacement with Principal Diagnosis of Hip Fracture with Major Complications

MS-DRG 521 · Inpatient stay

16 $81,536 $27,381 -28%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

15 $114,411 $28,478 about average
Hypertension without Major Complications

MS-DRG 305 · Inpatient stay

15 $29,235 $7,023 -13%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

15 $64,488 $19,185 -25%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

14 $35,499 $12,934 -31%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

14 $33,417 $12,695 -41%
Other Cerebrovascular Disorders with Complications

MS-DRG 071 · Inpatient stay

14 $44,390 $13,561 about average
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

13 $40,078 $8,694 about average
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

13 $11,098 $3,488 -39%
Major Small and Large Bowel Procedures without Complications/mcc

MS-DRG 331 · Inpatient stay

12 $49,337 $17,386 -34%
Kidney and Ureter Procedures for Non-neoplasm with Major Complications

MS-DRG 659 · Inpatient stay

12 $65,981 $22,168 -33%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

12 $9,665 $1,793 -14%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

11 $30,378 $10,000 -18%
COPD (with complications)

MS-DRG 191 · Inpatient stay

11 $34,964 $7,892 +5%
Complex GI Procedures

APC 5331 · Hospital outpatient visit

11 $39,339 $5,897 +31%

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.