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

Charges for 75 Most Common Hospitalizations in Wisconsin:  July 2013 - June 2014
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,864$2,205$1,346
2560Vaginal Delivery$7,187$5,534$3,378
3720Blood Infection/SepticemiaNRNRNR
4302Knee Replacement$21,554$16,597$10,130
5540Cesarean Delivery$14,080$10,842$6,618
6194Heart Failure$6,981$5,375$3,281
7139Pneumonia$6,765$5,209$3,180
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
13383Cellulitis and Other Bacterial Skin Infections$4,234$3,260$1,990
14775Alcohol Abuse/Dependence$1,984$1,528$932
15460Renal FailureNRNRNR
16045Stroke and Precerebral Occlusion with Infarct$3,137$2,415$1,474
17463Kidney/Urinary Tract Infection$6,095$4,693$2,865
18860RehabilitationNRNRNR
19221Major Bowel Procedures$30,549$23,523$14,358
20133Pulmonary Edema/Respiratory FailureNRNRNR
21750SchizophreniaNRNRNR
22174Angioplasty with Heart AttackNRNRNR
23254Other Digestive System DiagnosesNRNRNR
24247Intestinal Obstruction without Surgery$4,836$3,724$2,273
25420DiabetesNRNRNR
26282Disorders of Pancreas Except Malignancy$7,541$5,807$3,544
27754DepressionNRNRNR
28249GastroenteritisNRNRNR
29304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
30812Poisoning of Medicinal AgentsNRNRNR
31175Angioplasty without Heart AttackNRNRNR
32053SeizureNRNRNR
33137Respiratory Infections and InflammationsNRNRNR
34308Hip/Thigh Surgery with Trauma DiagnosisNRNRNR
35263Laparoscopic Cholecystectomy$16,140$12,428$7,586
36134Pulmonary Embolism$3,562$2,743$1,674
37173Other Vascular ProceduresNRNRNR
38190Circulatory Disorders with Heart AttackNRNRNR
39347Other Back/Neck Disorders, Fractures, InjuriesNRNRNR
40244Diverticulitis & Diverticulosis$3,441$2,650$1,617
41425Other Electrolyte Disorders$1,918$1,477$901
42315Shoulder/Upper Arm, Forearm SurgeryNRNRNR
43241Peptic Ulcer/Gastritis$10,818$8,330$5,084
44861Signs & SymptomsNRNRNR
45313Other Knee/Lower Leg SurgeryNRNRNR
46253Other and Unspecified Gastrointestinal Hemorrhage$10,839$8,346$5,094
47351Other Musculoskeletal System and Connective Tissue DiagnosesNRNRNR
48663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$8,428$6,490$3,961
49225AppendectomyNRNRNR
50248Major G.I. Bacterial InfectionsNRNRNR
51191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart DiseaseNRNRNR
52141Asthma$3,017$2,323$1,418
53024Extracranial Vascular ProceduresNRNRNR
54192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart DiseaseNRNRNR
55721Postoperative and Post-Traumatic InfectionsNRNRNR
56321Upper Spinal FusionNRNRNR
57197Peripheral and Other Vascular DisordersNRNRNR
58773Opioid Abuse/DependenceNRNRNR
59693ChemotherapyNRNRNR
60710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
61204Fainting and CollapseNRNRNR
62466Malfunction, reaction, complic of genitourinary device or procNRNRNR
63566Other Antepartum DiagnosesNRNRNR
64021Craniotomy Except For TraumaNRNRNR
65198Chest Pain with Angina Pectoris or Coronary AtherosclerosisNRNRNR
66144Respiratory System Signs, Symptoms and Minor Diagnoses$6,422$4,945$3,018
67310Back/Neck Procedures Except Dorsal and Lumbar FusionNRNRNR
68163Heart Valve Procedures without Cardiac CatheterizationNRNRNR
69143Other respiratory diagnoses except signs, symptoms & minor diagnoses$5,840$4,497$2,745
70052Nontraumatic stupor & comaNRNRNR
71513Uterine Procedures without Tumor$14,412$11,097$6,774
72422HypovolemiaNRNRNR
73755Neuroses Other Than DepressionNRNRNR
74055Head trauma w coma >1 hr or hemorrhageNRNRNR
75165Coronary Bypass with Cardiac CatheterizationNRNRNR

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 2013 - June 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)$3,364$2,591$1,581NRNRNR
Colonoscopy and Biopsy 45380)$3,252$2,504$1,528$6,600$5,082$3,102
Upper GI Endoscopy with Biopsy 43239)$3,553$2,736$1,670$5,195$4,000$2,442
Diagnostic Colonoscopy 45378)$2,603$2,004$1,223$5,413$4,168$2,544
Lesion Removal Colonoscopy by Snare Technique 45385)$3,270$2,518$1,537$4,092$3,150$1,923
Injection into Lumbar or Sacral Area, Single Level 64483)$2,530$1,948$1,189$2,548$1,962$1,197
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$2,513$1,935$1,181$2,513$1,935$1,181
Drain/Inject Major Joint or Bursa 20610)$2,537$1,954$1,193$4,859$3,742$2,284
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$2,581$1,987$1,213$4,800$3,696$2,256
Carpal Tunnel Surgery 64721)$3,043$2,343$1,430$3,881$2,989$1,824
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$5,885$4,531$2,766NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$2,603$2,004$1,223$4,999$3,849$2,349
Uppr GI Endoscopy- Diagnostic 43235)$2,723$2,096$1,280$4,504$3,468$2,117
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$3,248$2,501$1,527$4,074$3,137$1,915
Left Heart Artery/Ventricle Angiography 93458)NRNRNRNRNRNR
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Creation of Eardrum Opening 69436)$1,999$1,539$940$4,208$3,240$1,978
Unlisted Dental Surgery Procedure 41899)$5,088$3,917$2,391$6,237$4,803$2,931
Laparoscopic Cholecystectomy 47562)$7,839$6,036$3,684$10,542$8,117$4,955
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$2,474$1,905$1,163$2,536$1,953$1,192
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$4,594$3,538$2,159$4,559$3,510$2,143
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$5,651$4,351$2,656$5,781$4,451$2,717
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$13,663$10,521$6,422
Cataract Surgery- Complex 66982)$4,286$3,300$2,015$5,412$4,167$2,544
Hysteroscopy with Biopsy 58558)$6,285$4,839$2,954$9,630$7,415$4,526
Unlisted Cystourethoscopy 52000)$962$741$452NRNRNR
Esophageal Endoscopy with Dilation 43249)$3,644$2,806$1,713$3,885$2,991$1,826
ABD Paracentesis w/Imaging 49083)$978$753$460NRNRNR
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$10,164$7,826$4,777NRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$5,738$4,418$2,697NRNRNR
Incision of Finger Tendon Sheath 26055)$3,024$2,329$1,421$2,999$2,309$1,410
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$3,370$2,595$1,584$5,146$3,963$2,419
Uppr GI Endoscopy with Guide Wire 43248)NRNRNRNRNRNR
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Laparoscopic Hernia Repair - Initial 49650)NRNRNRNRNRNR
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)NRNRNRNRNRNR
Repair of Nasal Septum 30520)NRNRNR$5,486$4,224$2,579
Percutaneous Breast Biopsy with Device and Imaging 19103)$1,505$1,159$707NRNRNR
Cystourethroscopy with Stent 52332)$4,487$3,455$2,109NRNRNR
Laparoscopic Appendectomy 44970)$11,440$8,809$5,377NRNRNR
Removal of Tonsils 42826)$5,049$3,888$2,373$6,152$4,737$2,891
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$13,174$10,144$6,192$12,916$9,945$6,070
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$3,933$3,028$1,848$4,400$3,388$2,068
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Hysteroscopy with Ablation 58563)$6,530$5,028$3,069$9,241$7,115$4,343
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$471$363$221NRNRNR
Mastectomy, Partial 19301)NRNRNRNRNRNR
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNRNRNRNR
Coronary Artery Angio S&I 93454)NRNRNRNRNRNR
Colonoscopy with Lesion Removal 45383)$5,083$3,914$2,389NRNRNR
Correction of Bunion 28296)$5,530$4,258$2,599$6,454$4,970$3,033
Cystourethroscopy with Lithotripsy 52353)NRNRNRNRNRNR
Bone Marrow Biopsy 38221)NRNRNRNRNRNR
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Needle Biopsy of Liver 47000)NRNRNRNRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Mohs Micrographic Tissue Removal 17311)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$7,640$5,883$3,591$8,878$6,836$4,173
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)NRNRNRNRNRNR
Aspirate Pleura with Imaging 32555)$1,552$1,195$729NRNRNR
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Insertion of Central Venous Catheter >= 5 years 36569)$1,079$831$507NRNRNR
Removal of Breast Lesion 19120)$4,007$3,085$1,883NRNRNR
Laparoscopy, Removal of Tubes & Ovaries 58571)$17,220$13,260$8,094NRNRNR
Excision Breast Lesion with Preoperative Placement Radiological Marker 19125)$5,148$3,964$2,420$14,218$10,948$6,682
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area 58662)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNR$8,599$6,621$4,041
Debridement Skin/Tissue 11042)$2,846$2,191$1,337NRNRNR
Cystourethroscopy with Lithotripsy and Stent 52356)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.