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

Charges for 75 Most Common Hospitalizations in Wisconsin:  April 2015 - March 2016
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$3,005$2,374$1,503
2560Vaginal Delivery$8,127$6,420$4,064
3720Blood Infection/Septicemia$6,708$5,299$3,354
4302Knee Replacement$26,934$21,278$13,467
5540Cesarean Delivery$16,172$12,776$8,086
6194Heart Failure$4,853$3,834$2,427
7301Hip ReplacementNRNRNR
8139Pneumonia$3,635$2,872$1,818
9751PsychosesNRNRNR
10753Bipolar DisordersNRNRNR
11140Chronic Obstructive Pulmonary Disease$3,847$3,039$1,924
12775Alcohol Abuse/DependenceNRNRNR
13201Heart Abnormal Rhythm and Conduction Disorders$7,555$5,968$3,778
14383Cellulitis and Other Bacterial Skin Infections$9,861$7,790$4,931
15460Renal FailureNRNRNR
16045Stroke and Precerebral Occlusion with Infarct$10,921$8,628$5,461
17133Pulmonary Edema/Respiratory FailureNRNRNR
18463Kidney/Urinary Tract InfectionNRNRNR
19221Major Bowel ProceduresNRNRNR
20174Angioplasty with Heart AttackNRNRNR
21754DepressionNRNRNR
22247Intestinal Obstruction without Surgery$5,603$4,426$2,802
23750SchizophreniaNRNRNR
24420Diabetes$3,971$3,137$1,986
25282Disorders of Pancreas Except Malignancy$4,230$3,342$2,115
26254Other Digestive System Diagnoses$5,787$4,572$2,894
27812Poisoning of Medicinal AgentsNRNRNR
28304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
29053SeizureNRNRNR
30137Respiratory Infections and InflammationsNRNRNR
31173Other Vascular ProceduresNRNRNR
32249Gastroenteritis$3,366$2,659$1,683
33190Circulatory Disorders with Heart AttackNRNRNR
34134Pulmonary Embolism$7,217$5,701$3,609
35308Hip/Thigh Surgery with Trauma DiagnosisNRNRNR
36263Laparoscopic Cholecystectomy$15,721$12,420$7,861
37315Shoulder/Upper Arm, Forearm SurgeryNRNRNR
38244Diverticulitis & Diverticulosis$7,099$5,608$3,550
39710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
40773Opioid Abuse/DependenceNRNRNR
41860RehabilitationNRNRNR
42175Angioplasty without Heart AttackNRNRNR
43861Signs & Symptoms$12,670$10,009$6,335
44425Other Electrolyte Disorders$1,946$1,537$973
45347Other Back/Neck Disorders, Fractures, InjuriesNRNRNR
46241Peptic Ulcer/GastritisNRNRNR
47253Other and Unspecified Gastrointestinal HemorrhageNRNRNR
48313Other Knee/Lower Leg SurgeryNRNRNR
49191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart DiseaseNRNRNR
50351Other Musculoskeletal System and Connective Tissue DiagnosesNRNRNR
51058Other Disorders of Nervous SystemNRNRNR
52248Major G.I. Bacterial Infections$8,549$6,754$4,275
53024Extracranial Vascular ProceduresNRNRNR
54466Malfunction, reaction, complic of genitourinary device or procNRNRNR
55663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$9,986$7,889$4,993
56141Asthma$4,535$3,583$2,268
57693ChemotherapyNRNRNR
58721Postoperative and Post-Traumatic InfectionsNRNRNR
59321Upper Spinal FusionNRNRNR
60197Peripheral and Other Vascular DisordersNRNRNR
61021Craniotomy Except For TraumaNRNRNR
62225AppendectomyNRNRNR
63566Other Antepartum DiagnosesNRNRNR
64055Head trauma w coma >1 hr or hemorrhage$4,268$3,372$2,134
65755Neuroses Other Than DepressionNRNRNR
66052Nontraumatic stupor & comaNRNRNR
67192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart DiseaseNRNRNR
68163Heart Valve Procedures without Cardiac CatheterizationNRNRNR
69144Respiratory System Signs, Symptoms and Minor DiagnosesNRNRNR
70143Other respiratory diagnoses except signs, symptoms & minor diagnoses$5,957$4,706$2,979
71422HypovolemiaNRNRNR
72204Fainting and CollapseNRNRNR
73951Moderately Extensive Procedure Unrelated to DiagnosisNRNRNR
74639Neonate Birthwt >2499g with Other Significant Condition$3,273$2,586$1,637
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:  April 2015 - March 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)$3,781$2,987$1,891NRNRNR
Colonoscopy and Biopsy 45380)$3,423$2,704$1,712$7,052$5,571$3,526
Upper GI Endoscopy with Biopsy 43239)$3,843$3,036$1,922$5,677$4,485$2,839
Lesion Removal Colonoscopy by Snare Technique 45385)$3,380$2,670$1,690$4,034$3,187$2,017
Diagnostic Colonoscopy 45378)$2,728$2,155$1,364$5,838$4,612$2,919
Injection into Lumbar or Sacral Area, Single Level 64483)$2,687$2,123$1,343$2,686$2,122$1,343
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$2,672$2,111$1,336$2,659$2,101$1,330
Drain/Inject Major Joint or Bursa 20610)$2,668$2,108$1,334$2,661$2,102$1,330
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$2,717$2,146$1,359$4,996$3,947$2,498
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$2,706$2,138$1,353$9,944$7,856$4,972
Carpal Tunnel Surgery 64721)$4,047$3,197$2,023$5,238$4,138$2,619
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$6,940$5,483$3,470$7,821$6,178$3,910
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$3,361$2,656$1,681$6,103$4,821$3,052
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$3,428$2,708$1,714$6,495$5,131$3,248
Left Heart Artery/Ventricle Angiography 93458)NRNRNRNRNRNR
Creation of Eardrum Opening 69436)$2,375$1,876$1,187$5,052$3,991$2,526
Unlisted Dental Surgery Procedure 41899)$4,757$3,758$2,378$5,480$4,329$2,740
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$2,598$2,053$1,299$2,652$2,095$1,326
Laparoscopic Cholecystectomy 47562)$9,353$7,389$4,677$14,782$11,678$7,391
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
ABD Paracentesis w/Imaging 49083)$1,361$1,075$680NRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$2,026$1,601$1,013NRNRNR
Cataract Surgery- Complex 66982)$4,529$3,578$2,264$5,333$4,213$2,667
Removal of Tonsils And Adenoids - < Age 12 42820)$5,487$4,335$2,744$6,454$5,098$3,227
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$14,336$11,326$7,168
Hysteroscopy with Biopsy 58558)$7,625$6,024$3,813$8,536$6,743$4,268
Esophageal Endoscopy with Dilation 43249)$3,428$2,708$1,714$4,033$3,186$2,017
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)NRNRNRNRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$7,413$5,856$3,707$7,398$5,844$3,699
Incision of Finger Tendon Sheath 26055)$3,691$2,916$1,846$3,630$2,868$1,815
Unlisted Cystourethoscopy 52000)$991$783$496NRNRNR
Cystourethroscopy with Lithotripsy and Stent 52356)NRNRNRNRNRNR
Laparoscopic Hernia Repair - Initial 49650)NRNRNRNRNRNR
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$4,205$3,322$2,102$12,628$9,977$6,314
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$10,797$8,530$5,399$10,189$8,049$5,095
Uppr GI Endoscopy with Guide Wire 43248)NRNRNRNRNRNR
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$7,509$5,932$3,754$6,624$5,233$3,312
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$13,878$10,964$6,939NRNRNR
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNRNRNRNR
Removal of Tonsils 42826)$5,728$4,525$2,864NRNRNR
Cystourethroscopy with Stent 52332)$4,868$3,846$2,434NRNRNR
Repair of Nasal Septum 30520)$7,268$5,742$3,634$7,978$6,303$3,989
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$17,006$13,435$8,503NRNRNR
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$6,231$4,922$3,115$6,482$5,121$3,241
Laparoscopy - Removal of Adnexal Structures 58661)$9,041$7,142$4,521$11,469$9,060$5,734
Mastectomy, Partial 19301)$7,621$6,021$3,811$16,686$13,182$8,343
Needle Biopsy of Liver 47000)NRNRNRNRNRNR
Debridement Skin/Tissue 11042)$4,717$3,727$2,359$5,565$4,396$2,783
Laparoscopy, Removal of Tubes & Ovaries 58571)NRNRNRNRNRNR
Coronary Artery Angio S&I 93454)NRNRNRNRNRNR
Aspirate Pleura with Imaging 32555)$6,270$4,953$3,135NRNRNR
Remove Impacted Ear Wax 69210)$2,240$1,770$1,120NRNRNR
Hysteroscopy with Ablation 58563)$7,971$6,297$3,986$10,047$7,937$5,023
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Debridement, Open Wound <= 20 Square Centimeters 97597)NRNRNRNRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNR$11,578$9,146$5,789
Right and Left Heart Artery/Ventricle Angiography 93460)NRNRNRNRNRNR
Bone Marrow Biopsy 38221)NRNRNRNRNRNR
Correction of Bunion 28296)$8,156$6,443$4,078$9,574$7,563$4,787
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Removal of Adenoids 42830)$5,174$4,088$2,587NRNRNR
Ablation therapy of first vein of extremity 36475)$7,100$5,609$3,550$12,824$10,131$6,412
Electronic analysis of implantable pump spine w/reprogram/refill 62369)NRNRNRNRNRNR
Biopsy of lung or mediastinum, percutaneous w/needle 32405)NRNRNRNRNRNR
Removal of Central Venous Device w Port or Pump 36590)$2,562$2,024$1,281NRNRNR
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.