Aspirus Medford Hospital & Clinics, Inc
135 S Gibson Street
Medford, WI 54451
715-748-8100

Charges for 75 Most Common Hospitalizations in Wisconsin:  July 2015 - June 2016
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$3,006$2,375$1,443
2560Vaginal Delivery$8,035$6,348$3,857
3720Blood Infection/Septicemia$6,708$5,299$3,220
4302Knee Replacement$26,564$20,986$12,751
5540Cesarean Delivery$16,460$13,003$7,901
6194Heart Failure$5,104$4,032$2,450
7301Hip ReplacementNRNRNR
8139Pneumonia$2,928$2,313$1,405
9751PsychosesNRNRNR
10753Bipolar DisordersNRNRNR
11775Alcohol Abuse/DependenceNRNRNR
12140Chronic Obstructive Pulmonary Disease$3,847$3,039$1,847
13201Heart Abnormal Rhythm and Conduction Disorders$8,390$6,628$4,027
14383Cellulitis and Other Bacterial Skin Infections$9,861$7,790$4,733
15460Renal FailureNRNRNR
16045Stroke and Precerebral Occlusion with Infarct$9,910$7,829$4,757
17133Pulmonary Edema/Respiratory FailureNRNRNR
18463Kidney/Urinary Tract Infection$5,063$4,000$2,430
19221Major Bowel ProceduresNRNRNR
20174Angioplasty with Heart AttackNRNRNR
21754DepressionNRNRNR
22750SchizophreniaNRNRNR
23247Intestinal Obstruction without Surgery$5,238$4,138$2,514
24420Diabetes$3,971$3,137$1,906
25282Disorders of Pancreas Except Malignancy$4,951$3,911$2,376
26812Poisoning of Medicinal AgentsNRNRNR
27254Other Digestive System Diagnoses$5,787$4,572$2,778
28304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
29053SeizureNRNRNR
30190Circulatory Disorders with Heart AttackNRNRNR
31137Respiratory Infections and InflammationsNRNRNR
32173Other Vascular ProceduresNRNRNR
33710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
34134Pulmonary Embolism$8,794$6,947$4,221
35308Hip/Thigh Surgery with Trauma DiagnosisNRNRNR
36263Laparoscopic Cholecystectomy$16,340$12,909$7,843
37773Opioid Abuse/DependenceNRNRNR
38249Gastroenteritis$3,366$2,659$1,616
39315Shoulder/Upper Arm, Forearm SurgeryNRNRNR
40244Diverticulitis & Diverticulosis$6,741$5,325$3,236
41175Angioplasty without Heart AttackNRNRNR
42861Signs & Symptoms$12,670$10,009$6,082
43058Other Disorders of Nervous SystemNRNRNR
44347Other Back/Neck Disorders, Fractures, InjuriesNRNRNR
45253Other and Unspecified Gastrointestinal Hemorrhage$15,286$12,076$7,337
46425Other Electrolyte Disorders$2,136$1,687$1,025
47351Other Musculoskeletal System and Connective Tissue DiagnosesNRNRNR
48241Peptic Ulcer/GastritisNRNRNR
49313Other Knee/Lower Leg SurgeryNRNRNR
50191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart DiseaseNRNRNR
51248Major G.I. Bacterial Infections$8,549$6,754$4,104
52663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$9,986$7,889$4,793
53024Extracranial Vascular ProceduresNRNRNR
54466Malfunction, reaction, complic of genitourinary device or procNRNRNR
55862Other Factors Influencing Health StatusNRNRNR
56197Peripheral and Other Vascular DisordersNRNRNR
57693ChemotherapyNRNRNR
58021Craniotomy Except For TraumaNRNRNR
59141Asthma$4,535$3,583$2,177
60321Upper Spinal FusionNRNRNR
61566Other Antepartum DiagnosesNRNRNR
62721Postoperative and Post-Traumatic InfectionsNRNRNR
63225AppendectomyNRNRNR
64052Nontraumatic stupor & comaNRNRNR
65422HypovolemiaNRNRNR
66755Neuroses Other Than DepressionNRNRNR
67192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart DiseaseNRNRNR
68951Moderately Extensive Procedure Unrelated to DiagnosisNRNRNR
69055Head trauma w coma >1 hr or hemorrhage$4,268$3,372$2,049
70163Heart Valve Procedures without Cardiac CatheterizationNRNRNR
71950Extensive Procedure Unrelated to Principal DiagnosisNRNRNR
72220Major Stomach/Esophagus/Duodenum ProceduresNRNRNR
73144Respiratory System Signs, Symptoms and Minor Diagnoses$4,904$3,874$2,354
74204Fainting and CollapseNRNRNR
75756Acute Adjust React Psychosocial DysfunctionNRNRNR

NR = No Cases Reported

This report was produced in part by using computer software created, owned and licensed by the 3M Company. All copyrights in and to the 3M™ APR DRG Software, and to the 3M™ APR DRG Classification System(s) (including the selection, coordination and arrangement of all codes) are owned by 3M. All rights reserved.
Charges for 75 Most Common Types of Outpatient Surgical Procedures in Wisconsin:  July 2015 - June 2016
 With No Other ProceduresWith 1 or More Additional Procedures
Principal ProcedureMedian ChargeAverage Commercial Insurance PaymentAverage Medicare Insurance Payment*Median ChargeAverage Commercial Insurance PaymentAverage Medicare Insurance Payment*
Cataract Surgery with Intraocular Lens - Stage 1 66984)$3,820$3,018$1,834NRNRNR
Colonoscopy and Biopsy 45380)$3,412$2,695$1,638$6,928$5,473$3,325
Lesion Removal Colonoscopy by Snare Technique 45385)$3,407$2,691$1,635$4,053$3,202$1,945
Upper GI Endoscopy with Biopsy 43239)$3,906$3,085$1,875$5,773$4,561$2,771
Diagnostic Colonoscopy 45378)$2,728$2,155$1,309$5,882$4,647$2,823
Injection into Lumbar or Sacral Area, Single Level 64483)$2,687$2,123$1,290$2,709$2,140$1,300
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$2,677$2,115$1,285$2,662$2,103$1,278
Drain/Inject Major Joint or Bursa 20610)$2,665$2,105$1,279$2,659$2,101$1,277
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$2,728$2,155$1,309NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$2,706$2,138$1,299$9,944$7,856$4,773
Carpal Tunnel Surgery 64721)$4,130$3,262$1,982$4,859$3,839$2,332
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$7,096$5,605$3,406$8,041$6,352$3,860
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$3,015$2,382$1,447$6,422$5,073$3,082
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$3,435$2,714$1,649$6,495$5,131$3,118
Left Heart Artery/Ventricle Angiography 93458)NRNRNRNRNRNR
Creation of Eardrum Opening 69436)$2,451$1,936$1,176$5,158$4,074$2,476
Unlisted Dental Surgery Procedure 41899)$4,789$3,783$2,299$5,407$4,272$2,595
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$2,713$2,143$1,302$2,660$2,102$1,277
Laparoscopic Cholecystectomy 47562)$9,498$7,504$4,559$14,782$11,678$7,095
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
ABD Paracentesis w/Imaging 49083)$1,532$1,210$735NRNRNR
Cataract Surgery- Complex 66982)$4,751$3,753$2,280$5,333$4,213$2,560
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$1,233$974$592NRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$5,533$4,371$2,656$6,454$5,098$3,098
Arthroscopic Rotator Cuff Repair 29827)$13,888$10,972$6,666$14,375$11,356$6,900
Esophageal Endoscopy with Dilation 43249)$3,355$2,650$1,610$4,033$3,186$1,936
Hysteroscopy with Biopsy 58558)$7,516$5,937$3,608$8,536$6,743$4,097
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$6,687$5,282$3,210NRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$7,545$5,961$3,622$7,422$5,863$3,562
Cystourethroscopy with Lithotripsy and Stent 52356)NRNRNRNRNRNR
Incision of Finger Tendon Sheath 26055)$3,695$2,919$1,774$4,027$3,182$1,933
Unlisted Cystourethoscopy 52000)$1,000$790$480NRNRNR
Laparoscopic Hernia Repair - Initial 49650)NRNRNRNRNRNR
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$5,823$4,600$2,795$12,628$9,977$6,062
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$10,827$8,553$5,197$10,189$8,049$4,891
Uppr GI Endoscopy with Guide Wire 43248)NRNRNRNRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$7,416$5,859$3,560NRNRNR
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$14,341$11,329$6,884NRNRNR
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Removal of Tonsils 42826)$5,444$4,301$2,613NRNRNR
Cystourethroscopy with Stent 52332)$4,836$3,820$2,321NRNRNR
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$17,006$13,435$8,163NRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$9,225$7,287$4,428$11,696$9,240$5,614
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$5,965$4,712$2,863NRNRNR
Repair of Nasal Septum 30520)NRNRNR$7,978$6,303$3,829
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Mastectomy, Partial 19301)$7,621$6,021$3,658$17,077$13,491$8,197
Needle Biopsy of Liver 47000)NRNRNRNRNRNR
Laparoscopy, Removal of Tubes & Ovaries 58571)NRNRNRNRNRNR
Debridement Skin/Tissue 11042)$4,717$3,727$2,264$6,881$5,436$3,303
Coronary Artery Angio S&I 93454)NRNRNRNRNRNR
Aspirate Pleura with Imaging 32555)$6,270$4,953$3,010NRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Hysteroscopy with Ablation 58563)$7,832$6,188$3,760$9,969$7,876$4,785
Remove Impacted Ear Wax 69210)$2,196$1,734$1,054NRNRNR
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNRNRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNR$11,578$9,146$5,557
Correction of Bunion 28296)$8,156$6,443$3,915$9,574$7,563$4,596
Debridement, Open Wound <= 20 Square Centimeters 97597)NRNRNRNRNRNR
Bone Marrow Biopsy 38221)$7,367$5,820$3,536NRNRNR
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)NRNRNRNRNRNR
Removal of Adenoids 42830)$5,079$4,013$2,438$5,424$4,285$2,604
Biopsy of lung or mediastinum, percutaneous w/needle 32405)NRNRNRNRNRNR
Ablation therapy of first vein of extremity 36475)$7,100$5,609$3,408$14,318$11,311$6,873
Removal of Central Venous Device w Port or Pump 36590)$2,589$2,045$1,243NRNRNR
Repair of Hammertoe 28285)$4,791$3,785$2,300$8,906$7,035$4,275
Information about quality and safety of care for Aspirus Medford Hospital & Clinics, Inc may be found at http://www.wicheckpoint.org
* Estimated Insurance Payments based on average percent of billed charges collected.