Memorial Health Center - An Aspirus Partner
135 S Gibson Street
Medford, WI 54451
715-748-8100


  
Charges for 75 Most Common Types of Hospitalizations in Wisconsin: January 2012 - December 2012
(Uncomplicated Cases Only)
 
    Estimated Insurance Payments *
RankAPR- DRG DescriptionMedian  
Charge
 
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,634$2,186$1,422
2560Vaginal Delivery$7,035$5,839$3,799
3302Knee Replacement$23,688$19,661$12,792
4540Cesarean Delivery$13,773$11,432$7,437
5720Blood Infection/Septicemia$2,533$2,102$1,368
6139Pneumonia$4,277$3,550$2,310
7194Heart Failure000
8301Hip Replacement000
9751Psychoses000
10753Bipolar Disorders000
11201Heart Abnormal Rhythm and Conduction Disorders$4,531$3,761$2,447
12140Chronic Obstructive Pulmonary Disease$4,962$4,118$2,679
13775Alchohol Abuse/Dependence000
14383Cellulitis and Other Bacterial Skin Infections$4,209$3,493$2,273
15463Kidney/Urinary Tract Infection$4,477$3,716$2,418
16460Renal Failure000
17860Rehabilitation000
18045Stroke and Precerebral Occlusion with Infarct000
19221Major Bowel Procedures$24,854$20,629$13,421
20175Angioplasty without Heart Attack000
21750Schizophrenia000
22254Other Digestive System Diagnoses$4,415$3,664$2,384
23174Angioplasty with Heart Attack000
24249Gastroenteritis000
25247Intestinal Obstruction without Surgery$7,227$5,998$3,903
26754Depression000
27812Poisoning of Medicinal Agents000
28133Pulmonary Edema/Respiratory Failure000
29304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature000
30420Diabetes$4,317$3,583$2,331
31282Disorders of Pancreas Except Malignancy$8,014$6,652$4,328
32137Respiratory Infections and Inflammations000
33263Laparoscopic Cholecystectomy$13,730$11,396$7,414
34053Seizure000
35134Pulmonary Embolism$9,836$8,164$5,311
36861Signs & Symptoms$5,281$4,383$2,852
37308Hip/Thigh Surgery with Trauma Diagnosis000
38347Other Back/Neck Disorders, Fractures, Injuries$4,187$3,475$2,261
39190Circulatory Disorders with Heart Attack000
40173Other Vascular Procedures000
41225Appendectomy000
42244Diverticulitis & Diverticulosis$7,626$6,330$4,118
43241Peptic Ulcer/Gastritis000
44313Other Knee/Lower Leg Surgery$11,070$9,188$5,978
45192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease000
46425Other Electrolyte Disorders000
47513Uterine Procedures without Tumor$14,017$11,634$7,569
48315Shoulder/Upper Arm, Forearm Surgery000
49198Chest Pain with Angina Pectoris or Coronary Atherosclerosis000
50204Fainting and Collapse000
51351Other Musculoskeletal System and Connective Tissue Diagnoses000
52141Asthma$7,652$6,351$4,132
53663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$2,853$2,368$1,541
54248Major G.I. Bacterial Infections000
55197Peripheral and Other Vascular Disorders$6,270$5,204$3,386
56253Other and Unspecified Gastrointestinal Hemorrhage000
57191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease000
58310Back/Neck Procedures Except Dorsal and Lumbar Fusion000
59321Upper Spinal Fusion000
60024Extracranial Vascular Procedures000
61721Postoperative and Post-Traumatic Infections$6,344$5,266$3,426
62144Respiratory System Signs, Symptoms and Minor Diagnoses$4,500$3,735$2,430
63773Opioid Abuse/Dependence000
64693Chemotherapy000
65566Other Antepartum Diagnoses000
66422Hypovolemia$8,226$6,828$4,442
67203Chest Pain000
68755Neuroses Other Than Depression000
69047Transient Ischemia000
70251Abdominal Pain$8,435$7,001$4,555
71466Malfunctions, Reactions & Comp Of Gu Device, Graft Or Transplant000
72021Craniotomy Except For Trauma000
73710Infectious & parasitic diseases including HIV w O.R. procedure000
74143Pneumothorax & Pleural Effusion$6,830$5,669$3,688
75058Other Disorders of Nervous System000

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 2012 - December 2012
  With No Other Procedures With 1 or More Additional Procedures
Principal Procedure Median Charge Average Commercial Insurance Payment Average Medicare Insurance Payment* Median Charge Average Commercial Insurance Payment Average Medicare Insurance Payment*
Cataract Surgery with Intraocular Lens - Stage 1 (66984)$3,531$2,931$1,907$8,191$6,798$4,423
Diagnostic Colonoscopy (45378)$2,479$2,057$1,338$4,856$4,030$2,622
Colonoscopy and Biopsy (45380)$3,191$2,649$1,723$5,565$4,619$3,005
Upper GI Endoscopy with Biopsy (43239)$3,265$2,710$1,763$4,147$3,442$2,239
Lesion Removal Colonoscopy by Snare Technique (45385)$3,141$2,607$1,696$4,166$3,458$2,250
Injection into Lumbar or Sacral Area, Single Level (64483)$2,445$2,029$1,320$2,501$2,075$1,350
Drain/Inject Major Joint or Bursa (20610)$2,381$1,976$1,286$2,566$2,130$1,386
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral (64493)NRNRNR$2,413$2,003$1,303
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy (29881)$5,439$4,515$2,937$5,462$4,534$2,950
Colorectal Cancer Screening; Colonscopy, Not High Risk (G0121)$2,489$2,066$1,344$5,572$4,624$3,009
Carpal Tunnel Surgery (64721)$2,873$2,384$1,551$3,920$3,254$2,117
Colorectal Cancer Screening ; Colonoscopy, High Risk (G0105)$2,483$2,061$1,341$4,746$3,939$2,563
Uppr GI Endoscopy- Diagnostic (43235)$2,489$2,066$1,344$3,742$3,106$2,021
Lesion Removal Colonoscopy by Hot Biopsy or Cautery (45384)$3,166$2,628$1,710$3,886$3,225$2,098
Creation of Eardrum Opening (69436)$1,812$1,504$978NRNRNR
Left Heart Artery/Ventricle Angiography  (93458)NRNRNRNRNRNR
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral (64635)NRNRNRNRNRNR
Laparoscopic Cholecystectomy (47562)$7,062$5,862$3,814$10,042$8,334$5,422
Removal of Tonsils And Adenoids - < Age 12 (42820)$4,208$3,493$2,272$3,954$3,282$2,135
Unlisted Dental Surgery Procedure (41899)$3,945$3,275$2,131$5,641$4,682$3,046
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor (64490)NRNRNR$2,413$2,003$1,303
Repair Initial Ingunial Hernia, > = 5 years, Reducible (49505)$5,181$4,300$2,798$6,270$5,204$3,386
Unlisted Cystourethoscopy (52000)$935$776$505NRNRNR
After Cataract Laser Surgery (66821)NRNRNRNRNRNR
Percutaneous Breast Biopsy with Device and Imaging (19103)$1,597$1,325$862NRNRNR
Cataract Surgery- Complex (66982)$4,031$3,345$2,177NRNRNR
Arthroscopic Rotator Cuff Repair (29827)NRNRNR$11,480$9,529$6,199
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy (29880)$5,293$4,393$2,858$4,461$3,702$2,409
Hysteroscopy with Biopsy (58558)$4,508$3,742$2,434$9,660$8,018$5,216
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct (47563)$8,753$7,265$4,726$8,465$7,026$4,571
Esophageal Endoscopy with Dilation (43249)NRNRNRNRNRNR
Uppr GI Endoscopy with Guide Wire (43248)NRNRNRNRNRNR
ABD Paracentesis w/Imaging (49083)$100$83$54NRNRNR
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) (20680)$3,805$3,158$2,055$11,811$9,803$6,378
Incision of Finger Tendon Sheath (26055)$2,833$2,351$1,530NRNRNR
Cystourethroscopy with Lithotripsy (52353)NRNRNRNRNRNR
Repair of Nasal Septum (30520)$4,567$3,790$2,466$5,528$4,589$2,985
Destruction of Premalignant Lesion (17000)NRNRNRNRNRNR
Laparoscopic Hernia Repair - Initial (49650)NRNRNRNRNRNR
Removal of Tonsils (42826)$4,519$3,751$2,440$5,275$4,378$2,849
Destruction of Benign Lesions up to 14 Lesions (17110)NRNRNRNRNRNR
Hysteroscopy with Ablation (58563)$6,111$5,072$3,300$8,448$7,012$4,562
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair (29888)$9,643$8,004$5,207$11,634$9,656$6,282
Correction of Bunion (28296)NRNRNRNRNRNR
Percutaneous Breast Biopsy with Imaging (19102)NRNRNRNRNRNR
Cystourethroscopy with Stent (52332)$4,480$3,719$2,419NRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible  (49585)$3,460$2,872$1,869$4,041$3,354$2,182
Fragmenting of Kidney Stone (50590)NRNRNRNRNRNR
Colonoscopy with Lesion Removal (45383)NRNRNRNRNRNR
Low Back Disk Surgery (63030)NRNRNRNRNRNR
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles (20552)NRNRNRNRNRNR
Laparoscopic Appendectomy (44970)$11,560$9,595$6,242NRNRNR
Destruction by neurolytic agent , cervical/thoracic nerve area, single lev (64633)NRNRNRNRNRNR
Needle Biopsy of Liver (47000)NRNRNRNRNRNR
Mohs Micrographic Tissue Removal (17311)NRNRNRNRNRNR
Mastectomy, Partial (19301)NRNRNR$11,813$9,805$6,379
Bone Marrow Biopsy (38221)NRNRNRNRNRNR
Removal of Adenoids (42830)$3,278$2,721$1,770$3,850$3,196$2,079
Removal of Breast Lesion (19120)$6,085$5,050$3,286$4,819$4,000$2,602
Excision Breast Lesion with Preoperative Placement Radiological Marker (19125)$5,469$4,539$2,953$19,092$15,847$10,310
Shoulder Arthroscopy/Surgery with Decompression (29826)NRNRNR$9,033$7,498$4,878
Remove Impacted Ear Wax (69210)NRNRNRNRNRNR
Biopsy Skin and Subcutaneous Tissue; 1 Lesion (11100)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures (58661)$7,265$6,030$3,923$9,442$7,837$5,099
Insertion of Central Venous Catheter >= 5 years (36569)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography (93460)NRNRNRNRNRNR
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area (58662)$8,682$7,206$4,688NRNRNR
Placement of Drug Eluting Stent, Single Vessel (G0290)NRNRNRNRNRNR
Diagnostic Laryngoscopy (31575)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Shaving of Cartilage (29877)$5,485$4,553$2,962$5,934$4,925$3,204
Repair Rotator Cuff, Chronic (23412)$8,044$6,677$4,344$8,461$7,023$4,569
Repair of Hammertoe (28285)$3,566$2,960$1,926NRNRNR
Removal of Central Venous Device w Port or Pump (36590)$1,876$1,557$1,013NRNRNR
Endovenous Treatment of Incompetent Vein, First Vein (36475)$6,003$4,982$3,242$8,071$6,699$4,358
Diagnostic Sigmoidoscopy (45330)$1,579$1,311$853NRNRNR

NR = No Cases Reported
Information about quality and safety of care for Memorial Health Center - An Aspirus Partner may be found at http://www.wicheckpoint.org
* Estimated Insurance Payments based on average percent of billed charges collected.

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