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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) $ 59,868 $ 62,853 $ 61,361 $ 46,021 $ 34,516
Cervical Spinal Fusion w/o CC*** $ 53,970 $ 60,338 $ 57,154 $ 42,866 $ 32,149
Back and Neck Procedures  $ 22,386 $ 31,790 $ 27,088 $ 20,316 $ 15,237
Spinal Fusion    $135,845 $155,989 $145,917 $ 109,438 $ 82,078
Medical Back Problems    $ 21,381 $ 26,132 $ 23,756 $ 17,817 $ 13,363

Lower Extrem/Hum Exc HF  w/o CC* (lower leg and upper arm surgeries, except hip and upper leg)

$ 42,111 $ 51,469 $ 46,790  $ 35,092 $ 26,319
Lower Extrem/Hum Exc HF w CC* (lower leg and upper arm surgeries, except hip and upper leg)   $ 61,733 $ 75,450 $ 68,591 $ 51,443 $ 38,583
***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) $ 26,663 $ 32,589 $ 29,626 $ 22,220 $ 16,665
Traumatic Stupor and Coma  (semi-conscious to unconscious due to injury) $ 38,244 $ 46,742 $ 42,493 $ 31,870 $ 23,902
 

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) $ 24,729 $ 30,225 $ 24,477 $ 20,608 $ 15,456
Pneumonia (over age 17) $ 26,924 $ 32,907 $ 29,916 $ 22,437 $ 16,828
Pneumonia (under age 17) $ 14,093 $ 17,226 $ 15,659 $ 11,744 $ 8,808
Bronchitis and Asthma (under age 17) $ 15,970 $ 19,518 $ 17,744 $ 13,308 $ 9,981
Respiratory Failure w Life Support $ 72,966 $ 89,179 $ 81,073 $ 60,805 $ 45,603
 

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)
$ 46,125 $ 56,374 $ 51,250 $ 38,437 $ 28,828
Circulatory Disorders Ex AMI w/ca w/o complex diag.                  
(cardiac problems, not a heart attack)
$ 41,496 $ 50,717 $ 46,107 $ 34,580 $ 25,935
Congestive Heart Failure
 
$ 24,651 $ 30,128 $ 27,389 $ 20,542 $ 15,407
Peripheral Vascular Disorders with CC*** $ 23,998 $ 27,934 $ 25,966 $ 19,475 $ 14,606
Cardiac Arrhythmia & Conduction Disorders w CC*** $ 18,994 $ 24,378 $ 21,686 $ 16,264 $ 12,198
Cardiac Arrhythmia & Conduction Disorders w/o CC*** $ 14,027 $ 17,145 $ 15,586 $ 11,690 $ 8,767
Chest Pain $ 17,004 $ 20,782 $ 18,893 $ 14,169 $ 10,627
Per Card. Procedure w D-E St w. MCV Diag.                                     
(cardiac procedure with stent placement w/ blood count issue)
$ 76,570 $ 93,586 $ 85,078 $ 63,809 $ 47,857
Per Card. Procedure w D-E St w/o MCV Diag.                              
(cardiac procedure with stent placement w/o blood count issue)
$ 67,742 $ 79,127 $ 71,934 $ 53,951 $ 40,463
***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)
$123,898 $151,431 $137,665 $ 103,249 $ 77,436
Appendectomy w/o Complicated Diag w/o CC***       
(removal of appendix)
$ 23,979 $ 29,308 $ 26,643 $ 19,983 $ 14,897
GI Hemorrhage w CC*** $ 25,028 $ 30,591 $ 27,810 $ 20,857 $ 15,643
abdominal pain, gastrointestinal disorder (over age 17) w CC*** $ 22,690 $ 27,732 $ 25,211 $ 18,908 $ 14,181
abdominal pain, gastrointestinal disorder (over age 17) w/o CC*** $ 18,725 $ 22,887 $ 20,806 $ 15,605 $ 11,704
abdominal pain, gastrointestinal disorder (under age 17)  $ 9,910 $ 12,114 $ 11,012 $ 8,259 $ 6,194
Other Dig. Sys Diag (over age 17) with CC 1 $ 26,993 $ 32,992 $ 29,992 $ 22,494 $ 16,871
***CC = complications or comorbidities

 Liver, Pancreas, Gallbladder

Procedure

Range

Average Charge Uninsured Discounted Rate* Uninsured Discount with Prompt Pay**
Disorders of Pancreas Except Malignancy $ 28,534 $ 34,875 $ 31,705 $ 23,778 $ 17,834
Laparoscopic Cholec w/o C. w CC***  (gallbladder removal) $ 46,925 $ 57,353 $ 52,139 $ 39,104 $ 29,328
Laparoscopic Cholec w/o C. w/o CC*** 1  (gallbladder removal) $ 28,703 $ 35,080 $ 31,892 $ 23,919 $ 17,939
***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) $ 19,318 $ 23,611 $ 21465 $ 16,098 $ 12,074
***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) $ 22,577 $ 27,593 $ 25,085 $ 18,814 $ 14,110
 
 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) $ 22,002 $ 26,893 $ 24,447 $ 18,335 $ 13,752
***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) $ 25,828 $ 31,567 $ 28,697 $ 21,523 $ 16,142
***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***  $ 29,578 $ 36,152 $ 32,865 $ 24,649 $ 18,487
Uterine & Adnexa Proc for Nonmalig w/o CC*** $ 24,162 $ 29,531 $ 26,846 $ 20,135 $ 15,101
***CC = complications or comorbidities
Pregnancy, Childbirth 

Procedure

Range

Average Charge Uninsured Discounted Rate* Uninsured Discount with Prompt Pay**
Casarean Section (C-section) w CC*** $ 23,645 $ 28,899 $ 26,272 $ 19,704 $ 14,778
Casarean Section (C-section) w/o CC*** $ 18,644 $ 22,787 $ 20,716 $ 15,537 Click Here
Vaginal Delivery w CC *** $ 14,400 $ 17,600 $ 16,000 $ 12,000 $ 9,000
Vaginal Delivery w/o CC  *** $ 11,693 $ 14,292 $ 12,993 $ 9,744 Click Here
Vaginal Delivery w Sterilization and/or D and C $ 19,892 $ 24,312 $ 22,102 $ 16,577 Click Here
Threatened Abortion   (possible miscarriage) $ 13,096 $ 16,006 $ 14,551 $ 10,913 $ 8,185
Other Antepartum Diag w Med Complications  
(complications prior to delivery)
$ 17,041 $ 20,829 $ 18,935 $ 14,201 $ 10,651
***CC = complications or comorbidities
Newborns

Procedure

Range

Average Charge Uninsured Discounted Rate* Uninsured Discount with Prompt Pay**
Prematurity w/o CC*** $ 21,179 $ 25,885 $ 23,532 $ 17,649 $ 13,237
Full Term Newborn w CC*** $ 26,651 $ 32,573 $ 29,612 $ 22,209 $ 16,657
Newborn w Other Significant Problems  $ 10,062 $ 12,298 $ 11,180 $ 8,385 $ 6,289
Normal Newborn $ 4,273 $ 4,724 $ 4,498 $ 3,374 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)                         $ 34,730 $ 42,447 $ 38,589 $ 28,941 $ 21,706
 
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 *** $ 24,328 $ 29,733 $ 27,030 $ 20,273 $ 15,205
***CC = complications or comorbidities
Factors Influencing Health Status

Procedure

Range

Average Charge Uninsured Discounted Rate* Uninsured Discount with Prompt Pay**
Rehabilitation $ 28,708 $ 35,088 $ 31,898  $ 23,923 $ 17,943
 
Multiple Significant Trauma

Procedure

Range

Average Charge Uninsured Discounted Rate* Uninsured Discount with Prompt Pay**
Other OR Procedures for Multiple Significant Trauma                 $138,313 $169,050 $153,681 $ 115,261 $ 86,446
Other Multiple Significant Trauma     $ 51,988 $ 63,541 $ 57,765 $ 43,323 $ 32,493

* 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.

 

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