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

        Charges for 75 Most Common Hospitalizations in Wisconsin:   July 2016 - June 2017   (Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$3,020$2,356$1,359
2560Vaginal Delivery$7,739$6,036$3,483
3720Blood Infection/Septicemia$8,773$6,843$3,948
4302Knee Replacement$28,453$22,193$12,804
5194Heart FailureNRNRNR
6540Cesarean Delivery$17,316$13,506$7,792
7301Hip ReplacementNRNRNR
8751PsychosesNRNRNR
9139Pneumonia$5,740$4,477$2,583
10140Chronic Obstructive Pulmonary Disease$12,088$9,429$5,440
11753Bipolar DisordersNRNRNR
12201Heart Abnormal Rhythm and Conduction Disorders$6,858$5,349$3,086
13775Alcohol Abuse/DependenceNRNRNR
14383Cellulitis & other skin infectionsNRNRNR
15045Stroke and Precerebral Occlusion with Infarct$21,819$17,019$9,819
16133Respiratory failureNRNRNR
17463Kidney/Urinary Tract Infection$2,590$2,020$1,166
18221Major Bowel Procedures$48,094$37,513$21,642
19174Percutaneous coronary intervention w AMINRNRNR
20750SchizophreniaNRNRNR
21420DiabetesNRNRNR
22469Acute Kidney InjuryNRNRNR
23754DepressionNRNRNR
24282Disorders of Pancreas Except Malignancy$9,571$7,465$4,307
25247Intestinal Obstruction without Surgery$3,642$2,841$1,639
26254Other Digestive System Diagnoses$9,608$7,494$4,324
27812Poisoning of Medicinal Agents$3,727$2,907$1,677
28308Hip & femur fracture repairNRNRNR
29710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
30773Opioid Abuse/DependenceNRNRNR
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
32190Circulatory Disorders with Heart AttackNRNRNR
33053SeizureNRNRNR
34175Percutaneous coronary intervention w/o AMINRNRNR
35249Other gastroenteritis, nausea & vomitingNRNRNR
36058Other Disorders of Nervous SystemNRNRNR
37137Respiratory Infections and InflammationsNRNRNR
38134Pulmonary EmbolismNRNRNR
39263Laparoscopic Cholecystectomy$21,104$16,461$9,497
40244Diverticulitis & Diverticulosis$9,880$7,706$4,446
41192Cardiac catheterization for other non-coronary conditionsNRNRNR
42861Signs & SymptomsNRNRNR
43347Other Back/Neck Disorders, Fractures, InjuriesNRNRNR
44253Other and Unspecified Gastrointestinal Hemorrhage$9,851$7,684$4,433
45241Peptic Ulcer/GastritisNRNRNR
46466Malfunction, reaction, complic of genitourinary device or procNRNRNR
47313Other Knee/Lower Leg SurgeryNRNRNR
48425Other Electrolyte Disorders$6,195$4,832$2,788
49315Shoulder, upper arm & forearm procedures except joint replacementNRNRNR
50248Major G.I. Bacterial Infections$2,586$2,017$1,164
51351Other Musculoskeletal System and Connective Tissue Diagnoses$17,886$13,951$8,049
52951Moderately Extensive Procedure Unrelated to DiagnosisNRNRNR
53024Extracranial Vascular ProceduresNRNRNR
54113Epiglottitis, Ear Infection, URI and LaryngotracheitisNRNRNR
55021Craniotomy Except For TraumaNRNRNR
56663Red Blood Cell Disorders Except Sickle Cell Anemia CrisisNRNRNR
57862Other Factors Influencing Health StatusNRNRNR
58321Upper Spinal FusionNRNRNR
59566Other Antepartum DiagnosesNRNRNR
60055Head trauma w coma >1 hr or hemorrhageNRNRNR
61422HypovolemiaNRNRNR
62166Coronary bypass w/o AMI or complex PDXNRNRNR
63197Peripheral and Other Vascular DisordersNRNRNR
64181Lower Extremity Arterial ProceduresNRNRNR
65052Nontraumatic stupor & comaNRNRNR
66141AsthmaNRNRNR
67460Renal FailureNRNRNR
68755Neuroses Other Than DepressionNRNRNR
69225AppendectomyNRNRNR
70721Postoperative and Post-Traumatic InfectionsNRNRNR
71143Other respiratory diagnoses except signs, symptoms & minor diagnoses$8,604$6,711$3,872
72144Respiratory System Signs, Symptoms and Minor Diagnoses$4,370$3,409$1,967
73163Cardiac valve procedures w/o AMI or complex PDXNRNRNR
74204Fainting and CollapseNRNRNR
75639Neonate Birthwt >2499g with Other Significant Condition$5,048$3,937$2,272

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 2016 - June 2017

 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)$4,738$3,696$2,132NRNRNR
Colonoscopy and Biopsy (45380)$3,546$2,765$1,595$7,002$5,462$3,151
Lesion Removal Colonoscopy by Snare Technique (45385)$3,598$2,806$1,619$4,511$3,519$2,030
Upper GI Endoscopy with Biopsy (43239)$3,898$3,040$1,754$6,046$4,716$2,721
Diagnostic Colonoscopy (45378)$2,811$2,193$1,265$6,091$4,751$2,741
Injection into Lumbar or Sacral Area, Single Level (64483)$2,804$2,187$1,262$2,882$2,248$1,297
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral (64493)$2,802$2,186$1,261$2,764$2,156$1,244
Drain/Inject Major Joint or Bursa (20610)$2,739$2,136$1,232$2,894$2,257$1,302
Colorectal Cancer Screening; Colonscopy, Not High Risk (G0121)$2,840$2,215$1,278NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk (G0105)$2,811$2,193$1,265NRNRNR
Carpal Tunnel Surgery (64721)$4,653$3,629$2,094$4,888$3,812$2,199
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee (62323)$3,080$2,402$1,386NRNRNR
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy (29881)$8,116$6,330$3,652$8,693$6,781$3,912
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral (64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic (43235)$2,966$2,313$1,335NRNRNR
Creation of Eardrum Opening (69436)$2,844$2,218$1,280$2,924$2,281$1,316
Lesion Removal Colonoscopy by Hot Biopsy or Cautery (45384)$3,548$2,767$1,597$4,820$3,760$2,169
Left Heart Artery/Ventricle Angiography (93458)NRNRNRNRNRNR
Unlisted Dental Surgery Procedure (41899)$6,296$4,911$2,833$6,555$5,113$2,950
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor (64490)$2,759$2,152$1,241$2,835$2,211$1,276
After Cataract Laser Surgery (66821)NRNRNRNRNRNR
Laparoscopic Cholecystectomy (47562)$11,496$8,967$5,173NRNRNR
ABD Paracentesis w/Imaging (49083)$1,958$1,527$881NRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion (19083)$1,361$1,062$612NRNRNR
Esophageal Endoscopy with Dilation (43249)$3,923$3,060$1,765$4,680$3,650$2,106
Biopsy Skin and Subcutaneous Tissue; 1 Lesion (11100)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 (42820)$5,998$4,678$2,699$6,636$5,176$2,986
Arthroscopic Rotator Cuff Repair (29827)NRNRNR$15,413$12,022$6,936
Hysteroscopy with Biopsy (58558)$7,370$5,748$3,316$10,272$8,012$4,622
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance (62321)$2,854$2,226$1,284NRNRNR
Cataract Surgery- Complex (66982)$5,421$4,229$2,440NRNRNR
Cystourethroscopy with Lithotripsy and Stent (52356)NRNRNRNRNRNR
Incision of Finger Tendon Sheath (26055)$4,693$3,660$2,112$5,007$3,905$2,253
Laparoscopic Hernia Repair - Initial (49650)NRNRNRNRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible (49505)$8,801$6,864$3,960$9,361$7,301$4,212
Unlisted Cystourethoscopy (52000)$1,086$847$489NRNRNR
Uppr GI Endoscopy with Guide Wire (43248)NRNRNRNRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic (64633)NRNRNRNRNRNR
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) (20680)$5,401$4,213$2,430$9,089$7,089$4,090
Destruction of Premalignant Lesion (17000)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy (29880)$7,949$6,200$3,577NRNRNR
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct (47563)$11,997$9,357$5,399NRNRNR
Destruction of Benign Lesions up to 14 Lesions (17110)NRNRNRNRNRNR
Biopsy breast w/stereotactic image; 1 lesion (19081)NRNRNRNRNRNR
Cystourethroscopy with Stent (52332)$5,314$4,145$2,391NRNRNR
Laparoscopy - Removal of Adnexal Structures (58661)$9,891$7,715$4,451$10,321$8,051$4,645
Mastectomy, Partial (19301)NRNRNRNRNRNR
Debridement Skin/Tissue (11042)$5,061$3,948$2,278$8,269$6,450$3,721
Laparoscopic Appendectomy (44970)$15,666$12,219$7,050NRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible (49585)$6,203$4,839$2,792$11,755$9,169$5,290
Laparoscopy, Removal of Tubes & Ovaries (58571)NRNRNRNRNRNR
Removal of Tonsils (42826)$6,395$4,988$2,878$3,177$2,478$1,430
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles (20552)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair (29888)$16,954$13,224$7,629NRNRNR
Low Back Disk Surgery (63030)NRNRNRNRNRNR
Repair of Nasal Septum (30520)NRNRNR$9,019$7,035$4,059
Fragmenting of Kidney Stone (50590)NRNRNRNRNRNR
Needle Biopsy of Liver (47000)NRNRNRNRNRNR
Wrist Endoscopy/Surgery (29848)NRNRNRNRNRNR
Coronary Artery Angio S&I (93454)NRNRNRNRNRNR
Aspirate Pleura with Imaging (32555)$1,532$1,195$689NRNRNR
Bone Marrow Biopsy (38221)NRNRNRNRNRNR
Diagnostic Laryngoscopy (31575)NRNRNRNRNRNR
Hysteroscopy with Ablation (58563)$8,486$6,619$3,819$9,804$7,647$4,412
Injection of chemical agent into muscles near face/neck (64615)NRNRNRNRNRNR
Removal of Adenoids (42830)NRNRNR$5,996$4,677$2,698
Correction of Bunion (28296)$11,713$9,136$5,271$12,080$9,422$5,436
Biopsy of lung or mediastinum, percutaneous w/needle (32405)NRNRNRNRNRNR
Remove Impacted Ear Wax (69210)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography (93460)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery (29824)NRNRNRNRNRNR
Exam of ear with microscope (92504)NRNRNRNRNRNR
Electro-Uroflowmetry - First (51741)NRNRNRNRNRNR
Removal of Central Venous Device w Port or Pump (36590)$3,629$2,830$1,633$9,213$7,186$4,146
Arthrocentesis, aspiration and/or Inj. major joint or bursa; w/US guidance (20611)$2,961$2,310$1,333NRNRNR
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.