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

Charges for 75 Most Common Hospitalizations in Wisconsin:  October 2015 - September 2016
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$3,002$2,372$1,441
2560Vaginal Delivery$8,022$6,337$3,851
3720Blood Infection/SepticemiaNRNRNR
4302Knee Replacement$26,564$20,986$12,751
5540Cesarean Delivery$16,416$12,969$7,880
6194Heart Failure$5,926$4,682$2,844
7301Hip ReplacementNRNRNR
8139Pneumonia$3,635$2,872$1,745
9751PsychosesNRNRNR
10753Bipolar DisordersNRNRNR
11775Alcohol Abuse/DependenceNRNRNR
12201Heart Abnormal Rhythm and Conduction Disorders$8,080$6,383$3,878
13140Chronic Obstructive Pulmonary Disease$3,847$3,039$1,847
14383Cellulitis and Other Bacterial Skin InfectionsNRNRNR
15045Stroke and Precerebral Occlusion with Infarct$10,921$8,628$5,242
16460Renal FailureNRNRNR
17133Pulmonary Edema/Respiratory FailureNRNRNR
18463Kidney/Urinary Tract Infection$5,063$4,000$2,430
19221Major Bowel ProceduresNRNRNR
20754DepressionNRNRNR
21174Angioplasty with Heart AttackNRNRNR
22750SchizophreniaNRNRNR
23420DiabetesNRNRNR
24247Intestinal Obstruction without Surgery$5,968$4,715$2,865
25282Disorders of Pancreas Except Malignancy$8,294$6,552$3,981
26812Poisoning of Medicinal AgentsNRNRNR
27254Other Digestive System DiagnosesNRNRNR
28710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
29304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
30190Circulatory Disorders with Heart AttackNRNRNR
31773Opioid Abuse/DependenceNRNRNR
32173Other Vascular ProceduresNRNRNR
33137Respiratory Infections and InflammationsNRNRNR
34053SeizureNRNRNR
35058Other Disorders of Nervous SystemNRNRNR
36308Hip/Thigh Surgery with Trauma DiagnosisNRNRNR
37263Laparoscopic Cholecystectomy$16,340$12,909$7,843
38134Pulmonary EmbolismNRNRNR
39315Shoulder/Upper Arm, Forearm SurgeryNRNRNR
40175Angioplasty without Heart AttackNRNRNR
41249Gastroenteritis$3,366$2,659$1,616
42244Diverticulitis & Diverticulosis$6,382$5,042$3,063
43861Signs & Symptoms$12,670$10,009$6,082
44347Other Back/Neck Disorders, Fractures, InjuriesNRNRNR
45253Other and Unspecified Gastrointestinal Hemorrhage$15,286$12,076$7,337
46313Other Knee/Lower Leg SurgeryNRNRNR
47862Other Factors Influencing Health StatusNRNRNR
48191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart DiseaseNRNRNR
49351Other Musculoskeletal System and Connective Tissue DiagnosesNRNRNR
50241Peptic Ulcer/GastritisNRNRNR
51425Other Electrolyte Disorders$6,133$4,845$2,944
52248Major G.I. Bacterial Infections$10,567$8,348$5,072
53663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$11,520$9,101$5,530
54466Malfunction, reaction, complic of genitourinary device or procNRNRNR
55024Extracranial Vascular ProceduresNRNRNR
56950Extensive Procedure Unrelated to Principal DiagnosisNRNRNR
57951Moderately Extensive Procedure Unrelated to DiagnosisNRNRNR
58693ChemotherapyNRNRNR
59021Craniotomy Except For TraumaNRNRNR
60566Other Antepartum DiagnosesNRNRNR
61197Peripheral and Other Vascular DisordersNRNRNR
62220Major Stomach/Esophagus/Duodenum ProceduresNRNRNR
63422HypovolemiaNRNRNR
64225AppendectomyNRNRNR
65052Nontraumatic stupor & comaNRNRNR
66321Upper Spinal FusionNRNRNR
67141Asthma$2,951$2,331$1,416
68755Neuroses Other Than DepressionNRNRNR
69192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart DiseaseNRNRNR
70055Head trauma w coma >1 hr or hemorrhage$4,268$3,372$2,049
71721Postoperative and Post-Traumatic InfectionsNRNRNR
72163Heart Valve Procedures without Cardiac CatheterizationNRNRNR
73204Fainting and CollapseNRNRNR
74639Neonate Birthwt >2499g with Other Significant Condition$3,793$2,996$1,821
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:  October 2015 - September 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)$4,196$3,315$2,014NRNRNR
Colonoscopy and Biopsy 45380)$3,449$2,725$1,656$7,204$5,691$3,458
Lesion Removal Colonoscopy by Snare Technique 45385)$3,445$2,722$1,654$4,090$3,231$1,963
Upper GI Endoscopy with Biopsy 43239)$3,986$3,149$1,913$5,703$4,505$2,737
Diagnostic Colonoscopy 45378)$2,728$2,155$1,309$5,831$4,606$2,799
Injection into Lumbar or Sacral Area, Single Level 64483)$2,717$2,147$1,304$2,720$2,149$1,306
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$2,687$2,122$1,290$2,672$2,111$1,282
Drain/Inject Major Joint or Bursa 20610)$2,685$2,121$1,289$2,661$2,102$1,277
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$2,728$2,155$1,309NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$2,733$2,159$1,312$9,944$7,856$4,773
Carpal Tunnel Surgery 64721)$4,223$3,336$2,027$5,238$4,138$2,514
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$7,246$5,725$3,478$10,641$8,406$5,107
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$2,713$2,143$1,302$6,422$5,073$3,082
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$3,474$2,744$1,667$6,642$5,247$3,188
Creation of Eardrum Opening 69436)$2,649$2,092$1,271$3,990$3,152$1,915
Left Heart Artery/Ventricle Angiography 93458)NRNRNRNRNRNR
Unlisted Dental Surgery Procedure 41899)$5,828$4,604$2,798$5,699$4,502$2,736
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$2,713$2,143$1,302$2,660$2,102$1,277
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Laparoscopic Cholecystectomy 47562)$12,201$9,639$5,857NRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$1,630$1,287$782NRNRNR
ABD Paracentesis w/Imaging 49083)$2,334$1,843$1,120NRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$5,669$4,479$2,721$6,611$5,223$3,173
Cataract Surgery- Complex 66982)$4,751$3,753$2,281$5,333$4,213$2,560
Esophageal Endoscopy with Dilation 43249)$3,663$2,894$1,758$4,033$3,186$1,936
Arthroscopic Rotator Cuff Repair 29827)$13,888$10,972$6,666$13,333$10,533$6,400
Hysteroscopy with Biopsy 58558)$7,322$5,785$3,515$11,541$9,117$5,539
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$6,687$5,282$3,210NRNRNR
Cystourethroscopy with Lithotripsy and Stent 52356)NRNRNRNRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$7,559$5,972$3,628$7,484$5,912$3,592
Incision of Finger Tendon Sheath 26055)$3,695$2,919$1,774$4,027$3,182$1,933
Laparoscopic Hernia Repair - Initial 49650)NRNRNRNRNRNR
Unlisted Cystourethoscopy 52000)$1,023$808$491NRNRNR
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$10,857$8,577$5,211$10,189$8,049$4,891
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$4,937$3,900$2,370$12,628$9,977$6,062
Uppr GI Endoscopy with Guide Wire 43248)NRNRNRNRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$7,480$5,909$3,590NRNRNR
Laparoscopic Appendectomy 44970)$15,624$12,343$7,500NRNRNR
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Cystourethroscopy with Stent 52332)$4,868$3,846$2,337NRNRNR
Removal of Tonsils 42826)$6,101$4,820$2,929NRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$9,281$7,332$4,455$11,696$9,240$5,614
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNRNRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$5,975$4,721$2,868$12,679$10,016$6,086
Mastectomy, Partial 19301)$7,621$6,021$3,658$15,958$12,606$7,660
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNRNRNRNR
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Repair of Nasal Septum 30520)NRNRNR$7,978$6,303$3,829
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Laparoscopy, Removal of Tubes & Ovaries 58571)NRNRNRNRNRNR
Needle Biopsy of Liver 47000)NRNRNRNRNRNR
Aspirate Pleura with Imaging 32555)$6,270$4,953$3,010NRNRNR
Coronary Artery Angio S&I 93454)NRNRNRNRNRNR
Debridement Skin/Tissue 11042)$4,717$3,727$2,264$8,198$6,476$3,935
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Hysteroscopy with Ablation 58563)$7,847$6,199$3,766$9,269$7,322$4,449
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNRNRNRNR
Bone Marrow Biopsy 38221)$7,367$5,820$3,536NRNRNR
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Correction of Bunion 28296)$8,156$6,443$3,915NRNRNR
Remove Impacted Ear Wax 69210)$2,151$1,699$1,032NRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNR$11,712$9,253$5,622
Apheresis Plasma 36514)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)NRNRNRNRNRNR
Biopsy of lung or mediastinum, percutaneous w/needle 32405)NRNRNRNRNRNR
Removal of Adenoids 42830)NRNRNR$5,424$4,285$2,604
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Removal of Central Venous Device w Port or Pump 36590)$3,122$2,466$1,499$9,213$7,278$4,422
Ablation therapy of first vein of extremity 36475)$7,100$5,609$3,408$13,019$10,285$6,249
Injection of chemical agent into muscles near face/neck 64615)NRNRNRNRNRNR
Debridement, Open Wound <= 20 Square Centimeters 97597)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.