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

Charges for 75 Most Common Hospitalizations in Wisconsin:  October 2013 - September 2014
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,875$2,214$1,351
2560Vaginal Delivery$7,475$5,756$3,513
3720Blood Infection/Septicemia$2,776$2,138$1,305
4302Knee Replacement$21,597$16,630$10,151
5540Cesarean Delivery$13,921$10,719$6,543
6194Heart FailureNRNRNR
7139Pneumonia$6,892$5,307$3,239
8301Hip ReplacementNRNRNR
9751PsychosesNRNRNR
10753Bipolar DisordersNRNRNR
11140Chronic Obstructive Pulmonary Disease$6,663$5,131$3,132
12201Heart Abnormal Rhythm and Conduction Disorders$5,264$4,053$2,474
13775Alcohol Abuse/Dependence$1,984$1,528$932
14383Cellulitis and Other Bacterial Skin Infections$5,584$4,300$2,624
15460Renal FailureNRNRNR
16045Stroke and Precerebral Occlusion with Infarct$3,137$2,415$1,474
17860RehabilitationNRNRNR
18463Kidney/Urinary Tract Infection$9,003$6,932$4,231
19221Major Bowel Procedures$29,094$22,402$13,674
20133Pulmonary Edema/Respiratory FailureNRNRNR
21750SchizophreniaNRNRNR
22174Angioplasty with Heart AttackNRNRNR
23254Other Digestive System DiagnosesNRNRNR
24247Intestinal Obstruction without Surgery$4,836$3,724$2,273
25282Disorders of Pancreas Except Malignancy$7,355$5,663$3,457
26420DiabetesNRNRNR
27754DepressionNRNRNR
28304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
29249Gastroenteritis$2,333$1,796$1,097
30137Respiratory Infections and InflammationsNRNRNR
31812Poisoning of Medicinal AgentsNRNRNR
32053SeizureNRNRNR
33308Hip/Thigh Surgery with Trauma DiagnosisNRNRNR
34134Pulmonary Embolism$3,562$2,743$1,674
35175Angioplasty without Heart AttackNRNRNR
36263Laparoscopic Cholecystectomy$16,369$12,604$7,693
37190Circulatory Disorders with Heart AttackNRNRNR
38173Other Vascular ProceduresNRNRNR
39347Other Back/Neck Disorders, Fractures, InjuriesNRNRNR
40244Diverticulitis & Diverticulosis$3,964$3,052$1,863
41425Other Electrolyte Disorders$1,981$1,525$931
42315Shoulder/Upper Arm, Forearm SurgeryNRNRNR
43241Peptic Ulcer/Gastritis$10,818$8,330$5,084
44313Other Knee/Lower Leg SurgeryNRNRNR
45861Signs & SymptomsNRNRNR
46141Asthma$3,055$2,352$1,436
47253Other and Unspecified Gastrointestinal Hemorrhage$10,839$8,346$5,094
48351Other Musculoskeletal System and Connective Tissue DiagnosesNRNRNR
49663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$8,428$6,490$3,961
50248Major G.I. Bacterial InfectionsNRNRNR
51191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart DiseaseNRNRNR
52773Opioid Abuse/DependenceNRNRNR
53225AppendectomyNRNRNR
54710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
55024Extracranial Vascular ProceduresNRNRNR
56721Postoperative and Post-Traumatic InfectionsNRNRNR
57321Upper Spinal FusionNRNRNR
58197Peripheral and Other Vascular DisordersNRNRNR
59693ChemotherapyNRNRNR
60192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart DiseaseNRNRNR
61466Malfunction, reaction, complic of genitourinary device or procNRNRNR
62144Respiratory System Signs, Symptoms and Minor Diagnoses$6,422$4,945$3,018
63204Fainting and CollapseNRNRNR
64021Craniotomy Except For TraumaNRNRNR
65566Other Antepartum DiagnosesNRNRNR
66163Heart Valve Procedures without Cardiac CatheterizationNRNRNR
67143Other respiratory diagnoses except signs, symptoms & minor diagnoses$5,840$4,497$2,745
68052Nontraumatic stupor & comaNRNRNR
69310Back/Neck Procedures Except Dorsal and Lumbar FusionNRNRNR
70198Chest Pain with Angina Pectoris or Coronary AtherosclerosisNRNRNR
71755Neuroses Other Than DepressionNRNRNR
72422HypovolemiaNRNRNR
73165Coronary Bypass with Cardiac CatheterizationNRNRNR
74660Major hematologic/immunologic diag exc sickle cell crisis & coagulNRNRNR
75055Head trauma w coma >1 hr or hemorrhageNRNRNR

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:  October 2013 - September 2014
 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)$3,439$2,648$1,616NRNRNR
Colonoscopy and Biopsy 45380)$3,296$2,538$1,549$7,467$5,750$3,509
Upper GI Endoscopy with Biopsy 43239)$3,577$2,754$1,681$5,651$4,351$2,656
Diagnostic Colonoscopy 45378)$2,603$2,004$1,223$5,339$4,111$2,509
Lesion Removal Colonoscopy by Snare Technique 45385)$3,288$2,532$1,545$4,339$3,341$2,039
Injection into Lumbar or Sacral Area, Single Level 64483)$2,570$1,979$1,208$2,574$1,982$1,210
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$2,513$1,935$1,181$2,525$1,944$1,187
Drain/Inject Major Joint or Bursa 20610)$2,548$1,962$1,197NRNRNR
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$2,581$1,987$1,213$4,800$3,696$2,256
Carpal Tunnel Surgery 64721)$3,163$2,435$1,486$5,845$4,501$2,747
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$5,945$4,578$2,794NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$2,603$2,004$1,223NRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$2,916$2,245$1,370$4,504$3,468$2,117
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$3,313$2,551$1,557$4,218$3,248$1,982
Left Heart Artery/Ventricle Angiography 93458)NRNRNRNRNRNR
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Creation of Eardrum Opening 69436)$2,031$1,563$954$4,208$3,240$1,978
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$2,474$1,905$1,163$2,543$1,958$1,195
Laparoscopic Cholecystectomy 47562)$8,029$6,183$3,774$10,542$8,117$4,955
Unlisted Dental Surgery Procedure 41899)$5,447$4,194$2,560$6,556$5,048$3,081
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$4,692$3,613$2,205$4,866$3,747$2,287
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$6,064$4,669$2,850$7,113$5,477$3,343
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$13,663$10,521$6,422
Cataract Surgery- Complex 66982)$4,279$3,295$2,011$5,412$4,167$2,544
Hysteroscopy with Biopsy 58558)$6,285$4,839$2,954$9,630$7,415$4,526
ABD Paracentesis w/Imaging 49083)$757$583$356NRNRNR
Unlisted Cystourethoscopy 52000)$962$741$452NRNRNR
Esophageal Endoscopy with Dilation 43249)$3,644$2,806$1,713$4,251$3,273$1,998
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$9,415$7,249$4,425NRNRNR
Incision of Finger Tendon Sheath 26055)$3,087$2,377$1,451$3,366$2,592$1,582
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$5,779$4,450$2,716NRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$471$363$221NRNRNR
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$2,991$2,303$1,406NRNRNR
Uppr GI Endoscopy with Guide Wire 43248)NRNRNRNRNRNR
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)NRNRNRNRNRNR
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Laparoscopic Hernia Repair - Initial 49650)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$11,652$8,972$5,476NRNRNR
Cystourethroscopy with Stent 52332)$4,509$3,472$2,119NRNRNR
Repair of Nasal Septum 30520)$5,303$4,084$2,493$5,931$4,567$2,787
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$11,740$9,040$5,518$10,817$8,329$5,084
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$4,031$3,104$1,895$4,400$3,388$2,068
Removal of Tonsils 42826)$5,163$3,976$2,427$6,152$4,737$2,891
Cystourethroscopy with Lithotripsy and Stent 52356)NRNRNRNRNRNR
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNRNRNRNR
Mastectomy, Partial 19301)NRNRNRNRNRNR
Hysteroscopy with Ablation 58563)$6,530$5,028$3,069$9,241$7,115$4,343
Coronary Artery Angio S&I 93454)NRNRNRNRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Colonoscopy with Lesion Removal 45383)$3,675$2,830$1,727NRNRNR
Correction of Bunion 28296)$5,666$4,363$2,663$6,999$5,389$3,289
Remove Impacted Ear Wax 69210)$1,897$1,461$892NRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Bone Marrow Biopsy 38221)NRNRNRNRNRNR
Needle Biopsy of Liver 47000)NRNRNRNRNRNR
Mohs Micrographic Tissue Removal 17311)NRNRNRNRNRNR
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$7,268$5,596$3,416$8,988$6,921$4,224
Right and Left Heart Artery/Ventricle Angiography 93460)NRNRNRNRNRNR
Laparoscopy, Removal of Tubes & Ovaries 58571)$17,220$13,260$8,094NRNRNR
Aspirate Pleura with Imaging 32555)$1,663$1,280$781NRNRNR
Removal of Breast Lesion 19120)$4,191$3,227$1,970NRNRNR
Debridement Skin/Tissue 11042)$2,846$2,191$1,337NRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Insertion of Central Venous Catheter >= 5 years 36569)$1,079$831$507NRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNR$9,006$6,935$4,233
Repair of Hammertoe 28285)NRNRNR$9,008$6,936$4,234
Excision Breast Lesion with Preoperative Placement Radiological Marker 19125)$5,049$3,888$2,373$14,218$10,948$6,682
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area 58662)NRNRNRNRNRNR
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.