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

Charges for 75 Most Common Hospitalizations in Wisconsin:  January 2015 - December 2015
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$3,000$2,370$1,500
2560Vaginal Delivery$8,027$6,341$4,014
3720Blood Infection/Septicemia$6,708$5,299$3,354
4302Knee Replacement$25,920$20,477$12,960
5540Cesarean Delivery$15,776$12,463$7,888
6194Heart Failure$4,853$3,834$2,427
7301Hip ReplacementNRNRNR
8139Pneumonia$4,215$3,330$2,108
9751PsychosesNRNRNR
10753Bipolar DisordersNRNRNR
11140Chronic Obstructive Pulmonary DiseaseNRNRNR
12201Heart Abnormal Rhythm and Conduction Disorders$6,409$5,063$3,205
13775Alcohol Abuse/DependenceNRNRNR
14460Renal FailureNRNRNR
15383Cellulitis and Other Bacterial Skin Infections$5,685$4,491$2,843
16045Stroke and Precerebral Occlusion with Infarct$11,974$9,459$5,987
17133Pulmonary Edema/Respiratory FailureNRNRNR
18221Major Bowel ProceduresNRNRNR
19463Kidney/Urinary Tract InfectionNRNRNR
20174Angioplasty with Heart AttackNRNRNR
21860RehabilitationNRNRNR
22247Intestinal Obstruction without Surgery$6,966$5,503$3,483
23750SchizophreniaNRNRNR
24282Disorders of Pancreas Except Malignancy$8,466$6,688$4,233
25420Diabetes$3,971$3,137$1,986
26754DepressionNRNRNR
27254Other Digestive System Diagnoses$5,787$4,572$2,894
28249Gastroenteritis$3,366$2,659$1,683
29812Poisoning of Medicinal AgentsNRNRNR
30304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
31137Respiratory Infections and InflammationsNRNRNR
32053SeizureNRNRNR
33173Other Vascular ProceduresNRNRNR
34134Pulmonary Embolism$7,217$5,701$3,609
35190Circulatory Disorders with Heart AttackNRNRNR
36308Hip/Thigh Surgery with Trauma DiagnosisNRNRNR
37263Laparoscopic Cholecystectomy$14,716$11,626$7,358
38244Diverticulitis & Diverticulosis$4,493$3,549$2,247
39315Shoulder/Upper Arm, Forearm SurgeryNRNRNR
40175Angioplasty without Heart AttackNRNRNR
41425Other Electrolyte Disorders$1,946$1,537$973
42861Signs & SymptomsNRNRNR
43241Peptic Ulcer/GastritisNRNRNR
44773Opioid Abuse/DependenceNRNRNR
45710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
46347Other Back/Neck Disorders, Fractures, InjuriesNRNRNR
47253Other and Unspecified Gastrointestinal HemorrhageNRNRNR
48313Other Knee/Lower Leg SurgeryNRNRNR
49351Other Musculoskeletal System and Connective Tissue DiagnosesNRNRNR
50248Major G.I. Bacterial Infections$6,532$5,160$3,266
51191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart DiseaseNRNRNR
52663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$8,452$6,677$4,226
53466Malfunction, reaction, complic of genitourinary device or procNRNRNR
54024Extracranial Vascular ProceduresNRNRNR
55693ChemotherapyNRNRNR
56141Asthma$4,684$3,700$2,342
57321Upper Spinal FusionNRNRNR
58721Postoperative and Post-Traumatic InfectionsNRNRNR
59197Peripheral and Other Vascular DisordersNRNRNR
60058Other Disorders of Nervous SystemNRNRNR
61021Craniotomy Except For TraumaNRNRNR
62225AppendectomyNRNRNR
63566Other Antepartum DiagnosesNRNRNR
64144Respiratory System Signs, Symptoms and Minor DiagnosesNRNRNR
65163Heart Valve Procedures without Cardiac CatheterizationNRNRNR
66055Head trauma w coma >1 hr or hemorrhage$4,268$3,372$2,134
67755Neuroses Other Than DepressionNRNRNR
68113Epiglottitis, Ear Infection, URI and LaryngotracheitisNRNRNR
69192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart DiseaseNRNRNR
70143Other respiratory diagnoses except signs, symptoms & minor diagnoses$5,957$4,706$2,979
71052Nontraumatic stupor & comaNRNRNR
72204Fainting and CollapseNRNRNR
73422HypovolemiaNRNRNR
74639Neonate Birthwt >2499g with Other Significant Condition$5,141$4,061$2,571
75310Back/Neck Procedures Except Dorsal and Lumbar FusionNRNRNR

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:  January 2015 - December 2015
 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)$3,722$2,940$1,861NRNRNR
Colonoscopy and Biopsy 45380)$3,412$2,695$1,706$6,745$5,328$3,372
Upper GI Endoscopy with Biopsy 43239)$3,784$2,989$1,892$5,672$4,481$2,836
Lesion Removal Colonoscopy by Snare Technique 45385)$3,380$2,670$1,690$4,101$3,240$2,051
Diagnostic Colonoscopy 45378)$2,706$2,138$1,353$5,838$4,612$2,919
Injection into Lumbar or Sacral Area, Single Level 64483)$2,672$2,111$1,336$2,672$2,111$1,336
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$2,672$2,111$1,336$2,631$2,078$1,315
Drain/Inject Major Joint or Bursa 20610)$2,658$2,100$1,329$2,661$2,102$1,330
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$2,706$2,138$1,353$4,996$3,947$2,498
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$2,684$2,120$1,342$9,944$7,856$4,972
Carpal Tunnel Surgery 64721)$3,958$3,127$1,979$5,748$4,541$2,874
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$6,475$5,115$3,237$7,601$6,004$3,800
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$4,086$3,228$2,043NRNRNR
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$3,421$2,703$1,710$5,722$4,520$2,861
Left Heart Artery/Ventricle Angiography 93458)NRNRNRNRNRNR
Creation of Eardrum Opening 69436)$2,309$1,824$1,154$5,154$4,072$2,577
Unlisted Dental Surgery Procedure 41899)$4,941$3,903$2,471$4,738$3,743$2,369
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$2,586$2,043$1,293$2,619$2,069$1,310
Laparoscopic Cholecystectomy 47562)$9,353$7,389$4,677$14,782$11,678$7,391
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$1,679$1,326$840NRNRNR
Cataract Surgery- Complex 66982)$4,233$3,344$2,116$5,333$4,213$2,667
ABD Paracentesis w/Imaging 49083)$1,591$1,257$796NRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$5,622$4,441$2,811$6,579$5,198$3,290
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$14,179$11,201$7,089
Hysteroscopy with Biopsy 58558)$7,030$5,554$3,515$8,536$6,743$4,268
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$6,943$5,485$3,472$7,398$5,844$3,699
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)NRNRNRNRNRNR
Esophageal Endoscopy with Dilation 43249)$3,598$2,842$1,799NRNRNR
Unlisted Cystourethoscopy 52000)$991$783$496NRNRNR
Incision of Finger Tendon Sheath 26055)$3,631$2,869$1,816$3,581$2,829$1,790
Cystourethroscopy with Lithotripsy and Stent 52356)NRNRNRNRNRNR
Laparoscopic Hernia Repair - Initial 49650)NRNRNRNRNRNR
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$4,443$3,510$2,221NRNRNR
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$10,437$8,245$5,219$10,189$8,049$5,095
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$7,224$5,707$3,612$6,624$5,233$3,312
Uppr GI Endoscopy with Guide Wire 43248)NRNRNRNRNRNR
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$14,154$11,181$7,077NRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNRNRNRNR
Cystourethroscopy with Stent 52332)$4,836$3,820$2,418NRNRNR
Removal of Tonsils 42826)$5,444$4,301$2,722NRNRNR
Repair of Nasal Septum 30520)$7,268$5,742$3,634$6,842$5,405$3,421
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$17,006$13,435$8,503NRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$5,450$4,306$2,725$6,880$5,435$3,440
Mastectomy, Partial 19301)$7,621$6,021$3,811$17,415$13,758$8,707
Laparoscopy - Removal of Adnexal Structures 58661)$9,371$7,403$4,686$11,149$8,808$5,575
Debridement Skin/Tissue 11042)$4,717$3,727$2,359$5,565$4,396$2,783
Needle Biopsy of Liver 47000)NRNRNRNRNRNR
Coronary Artery Angio S&I 93454)NRNRNRNRNRNR
Laparoscopy, Removal of Tubes & Ovaries 58571)NRNRNRNRNRNR
Remove Impacted Ear Wax 69210)$2,240$1,770$1,120NRNRNR
Aspirate Pleura with Imaging 32555)$1,236$976$618NRNRNR
Hysteroscopy with Ablation 58563)$7,878$6,223$3,939$10,047$7,937$5,023
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Debridement, Open Wound <= 20 Square Centimeters 97597)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)NRNRNRNRNRNR
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNRNRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNR$11,645$9,200$5,823
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Bone Marrow Biopsy 38221)NRNRNRNRNRNR
Correction of Bunion 28296)NRNRNR$9,574$7,563$4,787
Removal of Adenoids 42830)$5,079$4,013$2,540$4,677$3,695$2,339
Electronic analysis of implantable pump spine w/reprogram/refill 62369)NRNRNRNRNRNR
Ablation therapy of first vein of extremity 36475)$7,382$5,832$3,691$12,824$10,131$6,412
Repair of Hammertoe 28285)$6,092$4,812$3,046$6,771$5,349$3,385
Removal of Central Venous Device w Port or Pump 36590)$2,532$2,000$1,266$9,754$7,706$4,877
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.