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$1,442
2560Vaginal Delivery$8,127$6,420$3,901
3720Blood Infection/Septicemia$6,708$5,299$3,220
4302Knee Replacement$26,934$21,278$12,928
5540Cesarean Delivery$16,172$12,776$7,763
6194Heart Failure$4,853$3,834$2,329
7301Hip ReplacementNRNRNR
8139Pneumonia$3,635$2,872$1,745
9751PsychosesNRNRNR
10753Bipolar DisordersNRNRNR
11140Chronic Obstructive Pulmonary Disease$3,847$3,039$1,847
12775Alcohol Abuse/DependenceNRNRNR
13201Heart Abnormal Rhythm and Conduction Disorders$7,555$5,968$3,626
14383Cellulitis and Other Bacterial Skin Infections$9,861$7,790$4,733
15460Renal FailureNRNRNR
16045Stroke and Precerebral Occlusion with Infarct$10,921$8,628$5,242
17133Pulmonary Edema/Respiratory FailureNRNRNR
18463Kidney/Urinary Tract InfectionNRNRNR
19221Major Bowel ProceduresNRNRNR
20174Angioplasty with Heart AttackNRNRNR
21754DepressionNRNRNR
22247Intestinal Obstruction without Surgery$5,603$4,426$2,689
23750SchizophreniaNRNRNR
24420Diabetes$3,971$3,137$1,906
25282Disorders of Pancreas Except Malignancy$4,230$3,342$2,030
26254Other Digestive System Diagnoses$5,787$4,572$2,778
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$1,616
33190Circulatory Disorders with Heart AttackNRNRNR
34134Pulmonary Embolism$7,217$5,701$3,464
35308Hip/Thigh Surgery with Trauma DiagnosisNRNRNR
36263Laparoscopic Cholecystectomy$15,721$12,420$7,546
37315Shoulder/Upper Arm, Forearm SurgeryNRNRNR
38244Diverticulitis & Diverticulosis$7,099$5,608$3,408
39710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
40773Opioid Abuse/DependenceNRNRNR
41860RehabilitationNRNRNR
42175Angioplasty without Heart AttackNRNRNR
43861Signs & Symptoms$12,670$10,009$6,082
44425Other Electrolyte Disorders$1,946$1,537$934
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$4,104
53024Extracranial Vascular ProceduresNRNRNR
54466Malfunction, reaction, complic of genitourinary device or procNRNRNR
55663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$9,986$7,889$4,793
56141Asthma$4,535$3,583$2,177
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$2,049
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$2,859
71422HypovolemiaNRNRNR
72204Fainting and CollapseNRNRNR
73951Moderately Extensive Procedure Unrelated to DiagnosisNRNRNR
74639Neonate Birthwt >2499g with Other Significant Condition$3,273$2,586$1,571
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$1,815NRNRNR
Colonoscopy and Biopsy 45380)$3,423$2,704$1,643$7,052$5,571$3,385
Upper GI Endoscopy with Biopsy 43239)$3,843$3,036$1,845$5,677$4,485$2,725
Lesion Removal Colonoscopy by Snare Technique 45385)$3,380$2,670$1,622$4,034$3,187$1,936
Diagnostic Colonoscopy 45378)$2,728$2,155$1,309$5,838$4,612$2,802
Injection into Lumbar or Sacral Area, Single Level 64483)$2,687$2,123$1,290$2,686$2,122$1,289
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$2,672$2,111$1,282$2,659$2,101$1,276
Drain/Inject Major Joint or Bursa 20610)$2,668$2,108$1,281$2,661$2,102$1,277
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$2,717$2,146$1,304$4,996$3,947$2,398
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$2,706$2,138$1,299$9,944$7,856$4,773
Carpal Tunnel Surgery 64721)$4,047$3,197$1,942$5,238$4,138$2,514
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$6,940$5,483$3,331$7,821$6,178$3,754
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$3,361$2,656$1,613$6,103$4,821$2,929
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$3,428$2,708$1,645$6,495$5,131$3,118
Left Heart Artery/Ventricle Angiography 93458)NRNRNRNRNRNR
Creation of Eardrum Opening 69436)$2,375$1,876$1,140$5,052$3,991$2,425
Unlisted Dental Surgery Procedure 41899)$4,757$3,758$2,283$5,480$4,329$2,630
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$2,598$2,053$1,247$2,652$2,095$1,273
Laparoscopic Cholecystectomy 47562)$9,353$7,389$4,490$14,782$11,678$7,095
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
ABD Paracentesis w/Imaging 49083)$1,361$1,075$653NRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$2,026$1,601$972NRNRNR
Cataract Surgery- Complex 66982)$4,529$3,578$2,174$5,333$4,213$2,560
Removal of Tonsils And Adenoids - < Age 12 42820)$5,487$4,335$2,634$6,454$5,098$3,098
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$14,336$11,326$6,881
Hysteroscopy with Biopsy 58558)$7,625$6,024$3,660$8,536$6,743$4,097
Esophageal Endoscopy with Dilation 43249)$3,428$2,708$1,645$4,033$3,186$1,936
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)NRNRNRNRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$7,413$5,856$3,558$7,398$5,844$3,551
Incision of Finger Tendon Sheath 26055)$3,691$2,916$1,772$3,630$2,868$1,742
Unlisted Cystourethoscopy 52000)$991$783$476NRNRNR
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$2,018$12,628$9,977$6,062
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$10,797$8,530$5,183$10,189$8,049$4,891
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$3,604$6,624$5,233$3,179
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$13,878$10,964$6,662NRNRNR
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$2,749NRNRNR
Cystourethroscopy with Stent 52332)$4,868$3,846$2,337NRNRNR
Repair of Nasal Septum 30520)$7,268$5,742$3,489$7,978$6,303$3,829
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$17,006$13,435$8,163NRNRNR
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$6,231$4,922$2,991$6,482$5,121$3,111
Laparoscopy - Removal of Adnexal Structures 58661)$9,041$7,142$4,340$11,469$9,060$5,505
Mastectomy, Partial 19301)$7,621$6,021$3,658$16,686$13,182$8,009
Needle Biopsy of Liver 47000)NRNRNRNRNRNR
Debridement Skin/Tissue 11042)$4,717$3,727$2,264$5,565$4,396$2,671
Laparoscopy, Removal of Tubes & Ovaries 58571)NRNRNRNRNRNR
Coronary Artery Angio S&I 93454)NRNRNRNRNRNR
Aspirate Pleura with Imaging 32555)$6,270$4,953$3,010NRNRNR
Remove Impacted Ear Wax 69210)$2,240$1,770$1,075NRNRNR
Hysteroscopy with Ablation 58563)$7,971$6,297$3,826$10,047$7,937$4,822
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$5,557
Right and Left Heart Artery/Ventricle Angiography 93460)NRNRNRNRNRNR
Bone Marrow Biopsy 38221)NRNRNRNRNRNR
Correction of Bunion 28296)$8,156$6,443$3,915$9,574$7,563$4,596
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Removal of Adenoids 42830)$5,174$4,088$2,484NRNRNR
Ablation therapy of first vein of extremity 36475)$7,100$5,609$3,408$12,824$10,131$6,155
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$1,230NRNRNR
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.