|
Inpatient Charges for
Healthcare Services
When comparing charges with
other hospitals or provider practices, it is
important to understand their charges may or may not
include both the hospital and the doctor or other
provider services. Average charges are estimates;
your out-of-pocket expense will depend on
your individual insurance coverage (such as
co-insurance or deductibles).
|
Bones, Muscles,
Orthopaedics |
|
Procedure |
Range |
Average Charge |
Uninsured
Discounted Rate* |
Uninsured Discount
with Prompt Pay** |
| Major Joint Replacement (i.e. Total Knee
and Hip Replacement) |
$
57,018 |
$
59,860 |
$
58,439 |
$
43,829 |
$
32,872 |
| Cervical Spinal Fusion w/o
CC*** |
$ 51,400 |
$ 57,465 |
$ 54,432 |
$ 40,824 |
$ 30,618 |
| Back and Neck Procedures |
$
21,320 |
$
30,276 |
$ 25,798 |
$ 19,348 |
$ 14,511 |
| Spinal Fusion |
$129,376 |
$148,561 |
$138,969 |
$ 104,226 |
$ 78,170 |
| Medical Back Problems |
$
20,363 |
$
24,887 |
$
22,625 |
$ 16,969 |
$ 12,727 |
|
Lower Extrem/Hum Exc HF
w/o
CC* (lower leg and upper arm surgeries, except hip and
upper leg)
|
$ 40,106 |
$ 49,018 |
$ 44,562 |
$ 33,421 |
$ 25,066 |
| Lower Extrem/Hum Exc HF w
CC* (lower leg
and upper arm surgeries, except hip and upper leg) |
$
58,793 |
$
71,857 |
$
63,325 |
$ 49,994 |
$ 36,745 |
| ***CC = complications or comorbidities |
|
Brain,
Nervous System |
|
Procedure |
Range |
Average Charge |
Uninsured
Discounted Rate* |
Uninsured Discount
with Prompt Pay** |
| Intercranial Hemorrhage or Cerebral
Infarction
(stroke) |
$
25,394 |
$
31,037 |
$ 28,215
|
$
21,162 |
$ 15,871 |
| Traumatic Stupor and Coma
(semi-conscious to unconscious due to injury) |
$
36,423 |
$
44,516 |
$
40,469 |
$
30,352 |
$
22,764 |
| |
|
Lungs, Respiratory System |
|
Procedure |
Range |
Average Charge |
Uninsured
Discounted Rate* |
Uninsured Discount
with Prompt Pay** |
| Chronic Obstructive Pulmonary Disease
(obstruction to air flow due to emphysema and chronic bronchitis) |
$
23,551 |
$
28,785 |
$
26,168 |
$
19,626 |
$
14,720 |
| Pneumonia (over age 17) |
$ 25,642 |
$
31,340 |
$ 28,491 |
$
21,369 |
$
16,026 |
| Pneumonia (under age 17) |
$
13,422 |
$ 16,406 |
$
14,914 |
$
11,185 |
$ 8,389 |
| Bronchitis and Asthma (under age 17) |
$ 15,209 |
$ 18,589 |
$ 16,899 |
$ 12,674 |
$ 9,506 |
| Respiratory Failure w Life Support |
$
69,492 |
$
84,933 |
$
77,212 |
$
57,909 |
$ 43,432 |
| |
|
Heart, Circulatory System |
|
Procedure |
Range |
Average Charge |
Uninsured
Discounted Rate* |
Uninsured Discount
with Prompt Pay** |
Circulatory Disorders Ex AMI w/ca & complex diag.
(cardiac problems, not a heart attack, with
catheterization) (i.e. Left Heart Cardiac
Catheterization) |
$ 41,932 |
$ 51,249 |
$ 46,591 |
$ 34,943 |
$ 26,207
|
Circulatory Disorders Ex AMI w/ca
w/o complex diag.
(cardiac problems, not a heart attack) |
$ 39,520
|
$
48,302
|
$
43,911
|
$
32,933
|
$ 24,700 |
Congestive Heart Failure
|
$
23,477
|
$ 28,693
|
$ 26,085
|
$ 19,564
|
$ 14,673
|
| Peripheral Vascular Disorders with
CC*** |
$
22,855
|
$ 26,604
|
$
24,730
|
$ 18,547
|
$ 13,910
|
| Cardiac Arrhythmia & Conduction
Disorders w
CC*** |
$ 18,089
|
$
23,217
|
$
20,653
|
$ 15,490 |
$
11,617
|
| Cardiac Arrhythmia & Conduction
Disorders w/o
CC*** |
$ 13,359 |
$ 16,328
|
$ 14,844
|
$
11,133
|
$ 8,350
|
| Chest Pain |
$ 16,194
|
$ 19,792
|
$ 17,993 |
$ 13,495
|
$
10,121
|
Per Card. Procedure w D-E St w. MCV
Diag.
(cardiac procedure with stent placement w/ blood count
issue) |
$
72,924
|
$
89,130
|
$
81,027
|
$
60,770
|
$
45,578 |
Per Card. Procedure w D-E St w/o MCV
Diag.
(cardiac procedure with stent placement w/o blood
count issue) |
$ 61,659 |
$
75,359
|
$
68,509 |
$
51,382
|
$ 38,536
|
| ***CC = complications or comorbidities |
|
Stomach,
Intestines, Digestive System |
|
Procedure |
Range |
Average Charge |
Uninsured
Discounted Rate* |
Uninsured Discount
with Prompt Pay** |
Major Small and Large Bowel Procedures w
CC***
(procedures such as colonoscopy or endoscopy) |
$117,998
|
$144,220
|
$131,109
|
$
98,332
|
$
73,749 |
Appendectomy w/o Complicated Diag w/o
CC***
(removal of appendix) |
$
22,837
|
$ 27,912
|
$
25,375 |
$ 19,031
|
$ 14,273 |
| GI Hemorrhage w
CC*** |
$
23,837
|
$ 29,134
|
$ 26,485 |
$ 19,864
|
$ 14,898 |
| abdominal pain, gastrointestinal
disorder (over age 17) w
CC*** |
$
21,609
|
$ 26,411
|
$
24,010
|
$ 18,008
|
$ 13,506 |
| abdominal pain, gastrointestinal
disorder (over age 17) w/o
CC*** |
$ 17,834
|
$
21,797
|
$ 19,816
|
$ 14,862
|
$
11,146 |
| abdominal pain, gastrointestinal
disorder (under age 17) |
$
9,438 |
$
11,537 |
$
10,488 |
$
7,866 |
$
5,899 |
| Other Dig. Sys Diag (over age 17) with CC 1 |
$ 25,708 |
$
31,421
|
$ 28,564
|
$
21,423 |
$ 16,067 |
| ***CC = complications or comorbidities |
|
Liver, Pancreas,
Gallbladder
|
|
Procedure |
Range |
Average Charge |
Uninsured
Discounted Rate* |
Uninsured Discount
with Prompt Pay** |
| Disorders of Pancreas Except Malignancy |
$ 25,175
|
$
33,214
|
$
30,195
|
$
22,646
|
$ 16,985 |
| Laparoscopic Cholec w/o C. w
CC***
(gallbladder removal) |
$
44,691
|
$
54,622
|
$
49,656 |
$ 37,242 |
$ 27,932 |
| Laparoscopic Cholec w/o C. w/o
CC*** 1
(gallbladder removal) |
$ 27,336 |
$
33,410
|
$
30,373
|
$
22,780
|
$ 17,085 |
| ***CC = complications or comorbidities |
|
Breast Cancer |
|
Procedure |
Range |
Average Charge |
Uninsured
Discounted Rate* |
Uninsured Discount
with Prompt Pay** |
| Malignant Breast Disorders w/o
CC***
(breast cancer) |
$ 18,398
|
$
22,487
|
$
20,443
|
$ 15,332 |
$
11,499 |
| ***CC = complications or comorbidities |
|
Thyroid, Adrenal
Glands, Endocrine System |
|
Procedure |
Range |
Average Charge |
Uninsured
Discounted Rate* |
Uninsured Discount
with Prompt Pay** |
| Diabetes (over age 35) |
$ 21,502 |
$ 26,279 |
$ 23,890 |
$ 17,918 |
$ 13,438 |
| |
|
Kidney, Urinary
System |
|
Procedure |
Range |
Average Charge |
Uninsured
Discounted Rate* |
Uninsured Discount
with Prompt Pay** |
| Kidney and Urinary Tract Infection w
CC***
(over age 17) |
$
20,954
|
$ 25,612
|
$
23,283
|
$ 17,462 |
$ 13,097 |
| ***CC = complications or comorbidities |
|
Male Reproductive System |
|
Procedure |
Range |
Average Charge |
Uninsured
Discounted Rate* |
Uninsured Discount
with Prompt Pay** |
| Major Male Pelvic Procedures w/o
CC***
(i.e. Radical Prostatectomy) |
$
24,598
|
$
30,064
|
$ 27,331 |
$
20,498 |
$ 15,374 |
| ***CC = complications or comorbidities |
|
Female Reproductive System |
|
Procedure |
Range |
Average Charge |
Uninsured
Discounted Rate* |
Uninsured Discount
with Prompt Pay** |
| Uterine & Adnexa Proc for Nonmalig w
CC*** |
$ 28,170
|
$
34,430
|
$
31,300
|
$
23,475 |
$ 17,606 |
| Uterine & Adnexa Proc for Nonmalig
w/o
CC*** |
$
23,012
|
$ 28,124
|
$ 25,568
|
$ 19,176
|
$ 14,382 |
| ***CC = complications or comorbidities |
|
Pregnancy, Childbirth |
|
Procedure |
Range |
Average Charge |
Uninsured
Discounted Rate* |
Uninsured Discount
with Prompt Pay** |
| Casarean Section (C-section) w
CC*** |
$
22,519
|
$ 27,522
|
$
25,021
|
$ 18,766
|
$ 14,074 |
| Casarean Section (C-section) w/o
CC*** |
$ 17,756
|
$
21,702
|
$ 19,729
|
$ 14,797
|
Click Here |
| Vaginal Delivery w
CC *** |
$ 13,714
|
$ 16,762
|
$ 15,238
|
$ 11,429
|
$
8,571 |
| Vaginal Delivery w/o
CC *** |
$
11,137
|
$ 13,611
|
$
12,374 |
$
9,280 |
Click Here |
| Vaginal Delivery w Sterilization and/or
D and C |
$ 18,945
|
$
23,154
|
$
21,050
|
$ 15,787
|
Click Here |
| Threatened Abortion (possible miscarriage) |
$
12,472
|
$ 15,244 |
$ 13,858
|
$ 10,394 |
$
7,795 |
Other Antepartum Diag w Med
Complications
(complications prior to delivery) |
$ 16,230
|
$ 19,837
|
$ 18,033
|
$ 13,525
|
$
10,144 |
| ***CC = complications or comorbidities |
|
Newborns |
|
Procedure |
Range |
Average Charge |
Uninsured
Discounted Rate* |
Uninsured Discount
with Prompt Pay** |
| Prematurity w/o
CC*** |
$
20,170
|
$
24,652
|
$
22,411
|
$ 16,808
|
$ 12,606 |
| Full Term Newborn w
CC*** |
$
25,382
|
$
31,022
|
$ 28,202
|
$
21,151 |
$ 15,863 |
| Newborn w Other Significant
Problems |
$
9,583 |
$ 11,713 |
$ 10,648 |
$
7,986 |
$ 5,989 |
| Normal Newborn |
$
4,070
|
$
4,499 |
$
4,284 |
$
3,213 |
Click Here |
| ***CC = complications or comorbidities |
|
Infectious Diseases |
|
Procedure |
Range |
Average Charge |
Uninsured
Discounted Rate* |
Uninsured Discount
with Prompt Pay** |
| Septicemia / Blood Poisoning (over age
17) |
$
33,076 |
$
40,426
|
$
36,751
|
$ 27,563
|
$ 20,672 |
| |
|
Injury, Poisoning and
Toxic Effects of Drugs |
|
Procedure |
Range |
Average Charge |
Uninsured
Discounted Rate* |
Uninsured Discount
with Prompt Pay** |
| Drug Overdose or Alcohol Poisoning (over
age 17) w
CC *** |
$
23,169 |
$ 28,317 |
$ 25,743 |
$ 19,307 |
$ 14,481 |
| ***CC = complications or comorbidities |
|
Factors Influencing Health Status |
|
Procedure |
Range |
Average Charge |
Uninsured
Discounted Rate* |
Uninsured Discount
with Prompt Pay** |
| Rehabilitation |
$ 27,341
|
$
33,418
|
$
30,379
|
$
22,784 |
$
17,088 |
| |
|
Multiple Significant Trauma |
|
Procedure |
Range |
Average Charge |
Uninsured
Discounted Rate* |
Uninsured Discount
with Prompt Pay** |
| Other OR Procedures for Multiple Significant
Trauma |
$131,726 |
$161,000 |
$146,363 |
$
109,772 |
$ 82,329 |
| Other Multiple Significant Trauma |
$
49,512 |
$
60,515 |
$
55,014 |
$
41,260 |
$
30,945 |
|
* LMHS has a new policy for
uninsured patients that do not qualify for Medicaid or Charity.
The uninsured discount is calculated at a 25% reduction of
billed charges.
** A prompt payment
discount of 25% can be applied for payments made prior to or at
the time of service for outpatient procedures, or for payments
made within an agreed upon time frame for inpatient and
non-scheduled services. This prompt pay discount can be given in
addition to the uninsured discount and will be calculated on the
uninsured balance.
The services you receive
from LMHS are based on your individual need and medical
condition as prescribed by your physician. Actual charges will
vary based on services delivered and medical condition.
Additional tests or services not listed in the estimate may be
ordered by your doctor, in order to treat, diagnose or care for
your individual needs.
|
