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

Charges for 75 Most Common Hospitalizations in Wisconsin:  January 2016 - December 2016
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,994$2,365$1,437
2560Vaginal Delivery$7,787$6,152$3,738
3720Blood Infection/Septicemia$8,773$6,931$4,211
4302Knee Replacement$26,776$21,153$12,852
5540Cesarean Delivery$16,684$13,180$8,008
6194Heart FailureNRNRNR
7301Hip ReplacementNRNRNR
8751PsychosesNRNRNR
9139Pneumonia$4,672$3,691$2,243
10753Bipolar DisordersNRNRNR
11775Alcohol Abuse/DependenceNRNRNR
12140Chronic Obstructive Pulmonary Disease$7,875$6,221$3,780
13201Heart Abnormal Rhythm and Conduction Disorders$8,080$6,383$3,878
14045Stroke and Precerebral Occlusion with Infarct$11,932$9,426$5,727
15383Cellulitis & other skin infectionsNRNRNR
16133Respiratory failureNRNRNR
17463Kidney/Urinary Tract Infection$3,826$3,023$1,836
18221Major Bowel Procedures$21,916$17,314$10,520
19174Percutaneous coronary intervention w AMINRNRNR
20754DepressionNRNRNR
21460Renal FailureNRNRNR
22750SchizophreniaNRNRNR
23420DiabetesNRNRNR
24282Disorders of Pancreas Except Malignancy$4,951$3,911$2,376
25247Intestinal Obstruction without Surgery$4,805$3,796$2,306
26812Poisoning of Medicinal Agents$3,727$2,944$1,789
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
32053SeizureNRNRNR
33137Respiratory Infections and InflammationsNRNRNR
34058Other Disorders of Nervous SystemNRNRNR
35308Hip & femur fracture repairNRNRNR
36175Percutaneous coronary intervention w/o AMINRNRNR
37263Laparoscopic Cholecystectomy$21,062$16,639$10,110
38134Pulmonary EmbolismNRNRNR
39249Other gastroenteritis, nausea & vomitingNRNRNR
40244Diverticulitis & Diverticulosis$12,239$9,669$5,875
41315Shoulder, upper arm & forearm procedures except joint replacementNRNRNR
42861Signs & Symptoms$12,670$10,009$6,082
43347Other Back/Neck Disorders, Fractures, InjuriesNRNRNR
44173Other Vascular ProceduresNRNRNR
45253Other and Unspecified Gastrointestinal Hemorrhage$12,107$9,565$5,811
46313Other Knee/Lower Leg SurgeryNRNRNR
47351Other Musculoskeletal System and Connective Tissue Diagnoses$17,886$14,130$8,585
48241Peptic Ulcer/GastritisNRNRNR
49425Other Electrolyte Disorders$7,381$5,831$3,543
50466Malfunction, reaction, complic of genitourinary device or procNRNRNR
51862Other Factors Influencing Health StatusNRNRNR
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
54024Extracranial Vascular ProceduresNRNRNR
55192Cardiac catheterization for other non-coronary conditionsNRNRNR
56191Cardiac catheterization for coronary artery diseaseNRNRNR
57951Moderately Extensive Procedure Unrelated to DiagnosisNRNRNR
58021Craniotomy Except For TraumaNRNRNR
59566Other Antepartum DiagnosesNRNRNR
60197Peripheral and Other Vascular DisordersNRNRNR
61321Upper Spinal FusionNRNRNR
62422HypovolemiaNRNRNR
63052Nontraumatic stupor & comaNRNRNR
64225AppendectomyNRNRNR
65950Extensive Procedure Unrelated to Principal DiagnosisNRNRNR
66220Major Stomach/Esophagus/Duodenum ProceduresNRNRNR
67055Head trauma w coma >1 hr or hemorrhageNRNRNR
68141AsthmaNRNRNR
69721Postoperative and Post-Traumatic InfectionsNRNRNR
70755Neuroses Other Than DepressionNRNRNR
71163Cardiac valve procedures w/o AMI or complex PDXNRNRNR
72143Other respiratory diagnoses except signs, symptoms & minor diagnoses$8,459$6,683$4,060
73166Coronary bypass w/o AMI or complex PDXNRNRNR
74204Fainting and CollapseNRNRNR
75144Respiratory System Signs, Symptoms and Minor Diagnoses$4,637$3,663$2,226

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 2016 - December 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)$4,394$3,471$2,109NRNRNR
Colonoscopy and Biopsy 45380)$3,516$2,778$1,688$6,974$5,509$3,348
Lesion Removal Colonoscopy by Snare Technique 45385)$3,534$2,792$1,696$4,233$3,344$2,032
Upper GI Endoscopy with Biopsy 43239)$4,021$3,177$1,930$6,082$4,804$2,919
Diagnostic Colonoscopy 45378)$2,754$2,176$1,322$5,814$4,593$2,791
Injection into Lumbar or Sacral Area, Single Level 64483)$2,765$2,184$1,327$2,750$2,172$1,320
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$2,697$2,130$1,294$2,710$2,141$1,301
Drain/Inject Major Joint or Bursa 20610)$2,736$2,162$1,313$2,750$2,172$1,320
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$2,742$2,166$1,316NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$2,779$2,195$1,334NRNRNR
Carpal Tunnel Surgery 64721)$4,433$3,502$2,128$4,834$3,819$2,320
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$7,604$6,007$3,650$15,520$12,260$7,449
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$3,015$2,382$1,447$6,422$5,073$3,082
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$3,474$2,745$1,668$6,534$5,161$3,136
Creation of Eardrum Opening 69436)$2,673$2,112$1,283$3,990$3,152$1,915
Left Heart Artery/Ventricle Angiography 93458)NRNRNRNRNRNR
Unlisted Dental Surgery Procedure 41899)$4,509$3,562$2,164$6,154$4,862$2,954
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$2,753$2,175$1,322$2,662$2,103$1,278
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Laparoscopic Cholecystectomy 47562)$11,743$9,277$5,636NRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$1,630$1,287$782NRNRNR
ABD Paracentesis w/Imaging 49083)$2,057$1,625$987NRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$5,875$4,641$2,820$6,611$5,223$3,173
Esophageal Endoscopy with Dilation 43249)$3,663$2,894$1,758$4,222$3,335$2,026
Arthroscopic Rotator Cuff Repair 29827)$13,888$10,972$6,666$14,901$11,772$7,152
Cataract Surgery- Complex 66982)$5,035$3,978$2,417NRNRNR
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$6,687$5,282$3,210NRNRNR
Hysteroscopy with Biopsy 58558)$7,281$5,752$3,495$10,272$8,115$4,931
Cystourethroscopy with Lithotripsy and Stent 52356)NRNRNRNRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$7,840$6,194$3,763$9,040$7,141$4,339
Incision of Finger Tendon Sheath 26055)$3,811$3,011$1,829$4,270$3,373$2,050
Laparoscopic Hernia Repair - Initial 49650)NRNRNRNRNRNR
Unlisted Cystourethoscopy 52000)$1,060$837$509NRNRNR
Uppr GI Endoscopy with Guide Wire 43248)NRNRNRNRNRNR
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$5,273$4,165$2,531$10,431$8,240$5,007
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$11,007$8,696$5,283NRNRNR
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)$7,416$5,859$3,560NRNRNR
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$15,666$12,376$7,520NRNRNR
Cystourethroscopy with Stent 52332)$5,135$4,057$2,465NRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$9,225$7,287$4,428$11,251$8,888$5,400
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$6,102$4,821$2,929$12,679$10,016$6,086
Mastectomy, Partial 19301)NRNRNR$16,517$13,049$7,928
Removal of Tonsils 42826)$6,250$4,938$3,000$3,177$2,510$1,525
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$16,954$13,394$8,138NRNRNR
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNRNRNRNR
Laparoscopy, Removal of Tubes & Ovaries 58571)NRNRNRNRNRNR
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Repair of Nasal Septum 30520)NRNRNR$8,216$6,491$3,944
Fragmenting of Kidney Stone 50590)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)NRNRNR$8,198$6,476$3,935
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Bone Marrow Biopsy 38221)$7,367$5,820$3,536NRNRNR
Correction of Bunion 28296)$9,935$7,848$4,769$12,080$9,543$5,798
Hysteroscopy with Ablation 58563)$7,983$6,307$3,832$9,536$7,534$4,577
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNRNRNRNR
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery 29824)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$5,873$4,639$2,819
Removal of Central Venous Device w Port or Pump 36590)$3,629$2,867$1,742$9,213$7,278$4,422
Apheresis Plasma 36514)NRNRNRNRNRNR
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Injection of chemical agent into muscles near face/neck 64615)NRNRNRNRNRNR
Repair of wrist joints 25447)NRNRNR$6,233$4,924$2,992
Ablation therapy of first vein of extremity 36475)$10,914$8,622$5,239$15,985$12,628$7,673
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.