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

Charges for 75 Most Common Hospitalizations in Wisconsin:  April 2016 - March 2017
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$3,003$2,372$1,441
2560Vaginal Delivery$7,840$6,194$3,763
3720Blood Infection/Septicemia$8,773$6,931$4,211
4302Knee Replacement$25,594$20,219$12,285
5540Cesarean Delivery$16,859$13,319$8,092
6194Heart FailureNRNRNR
7301Hip ReplacementNRNRNR
8751PsychosesNRNRNR
9139Pneumonia$5,740$4,535$2,755
10140Chronic Obstructive Pulmonary Disease$11,903$9,403$5,713
11753Bipolar DisordersNRNRNR
12775Alcohol Abuse/DependenceNRNRNR
13201Heart Abnormal Rhythm and Conduction Disorders$6,858$5,418$3,292
14383Cellulitis & other skin infectionsNRNRNR
15045Stroke and Precerebral Occlusion with Infarct$23,855$18,845$11,450
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
20750SchizophreniaNRNRNR
21754DepressionNRNRNR
22420DiabetesNRNRNR
23282Disorders of Pancreas Except Malignancy$9,741$7,695$4,676
24247Intestinal Obstruction without Surgery$3,642$2,877$1,748
25254Other Digestive System Diagnoses$9,608$7,590$4,612
26812Poisoning of Medicinal Agents$3,727$2,944$1,789
27710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
28773Opioid Abuse/DependenceNRNRNR
29308Hip & femur fracture repairNRNRNR
30304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
31190Circulatory Disorders with Heart AttackNRNRNR
32053SeizureNRNRNR
33137Respiratory Infections and InflammationsNRNRNR
34058Other Disorders of Nervous SystemNRNRNR
35175Percutaneous coronary intervention w/o AMINRNRNR
36249Other gastroenteritis, nausea & vomitingNRNRNR
37460Renal FailureNRNRNR
38134Pulmonary EmbolismNRNRNR
39263Laparoscopic Cholecystectomy$21,104$16,672$10,130
40244Diverticulitis & Diverticulosis$6,382$5,042$3,063
41469Acute Kidney InjuryNRNRNR
42861Signs & SymptomsNRNRNR
43347Other Back/Neck Disorders, Fractures, InjuriesNRNRNR
44315Shoulder, upper arm & forearm procedures except joint replacementNRNRNR
45253Other and Unspecified Gastrointestinal Hemorrhage$12,107$9,565$5,811
46241Peptic Ulcer/GastritisNRNRNR
47313Other Knee/Lower Leg SurgeryNRNRNR
48466Malfunction, reaction, complic of genitourinary device or procNRNRNR
49192Cardiac catheterization for other non-coronary conditionsNRNRNR
50351Other Musculoskeletal System and Connective Tissue Diagnoses$17,886$14,130$8,585
51425Other Electrolyte Disorders$7,381$5,831$3,543
52248Major G.I. Bacterial InfectionsNRNRNR
53951Moderately Extensive Procedure Unrelated to DiagnosisNRNRNR
54663Red Blood Cell Disorders Except Sickle Cell Anemia CrisisNRNRNR
55862Other Factors Influencing Health StatusNRNRNR
56024Extracranial Vascular ProceduresNRNRNR
57021Craniotomy Except For TraumaNRNRNR
58113Epiglottitis, Ear Infection, URI and LaryngotracheitisNRNRNR
59321Upper Spinal FusionNRNRNR
60566Other Antepartum DiagnosesNRNRNR
61197Peripheral and Other Vascular DisordersNRNRNR
62422HypovolemiaNRNRNR
63055Head trauma w coma >1 hr or hemorrhageNRNRNR
64173Other Vascular ProceduresNRNRNR
65052Nontraumatic stupor & comaNRNRNR
66225AppendectomyNRNRNR
67141AsthmaNRNRNR
68166Coronary bypass w/o AMI or complex PDXNRNRNR
69721Postoperative and Post-Traumatic InfectionsNRNRNR
70755Neuroses Other Than DepressionNRNRNR
71191Cardiac catheterization for coronary artery diseaseNRNRNR
72220Major Stomach/Esophagus/Duodenum ProceduresNRNRNR
73143Other respiratory diagnoses except signs, symptoms & minor diagnoses$8,459$6,683$4,060
74163Cardiac valve procedures w/o AMI or complex PDXNRNRNR
75950Extensive Procedure Unrelated to Principal DiagnosisNRNRNR

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 2016 - March 2017
 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)$4,523$3,573$2,171NRNRNR
Colonoscopy and Biopsy 45380)$3,516$2,778$1,688$6,899$5,450$3,312
Lesion Removal Colonoscopy by Snare Technique 45385)$3,548$2,803$1,703$4,511$3,564$2,165
Upper GI Endoscopy with Biopsy 43239)$3,918$3,095$1,880$6,082$4,804$2,919
Diagnostic Colonoscopy 45378)$2,784$2,199$1,336$5,892$4,655$2,828
Injection into Lumbar or Sacral Area, Single Level 64483)$2,765$2,184$1,327$2,777$2,194$1,333
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$2,741$2,165$1,315$2,736$2,161$1,313
Drain/Inject Major Joint or Bursa 20610)$2,736$2,162$1,313$2,829$2,235$1,358
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$2,784$2,199$1,336NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$2,784$2,199$1,336NRNRNR
Carpal Tunnel Surgery 64721)$4,550$3,594$2,184$4,861$3,840$2,333
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$8,109$6,406$3,892$9,114$7,200$4,375
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$3,015$2,382$1,447$6,740$5,325$3,235
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$3,548$2,803$1,703$6,423$5,074$3,083
Creation of Eardrum Opening 69436)$2,866$2,264$1,376$2,924$2,310$1,404
Left Heart Artery/Ventricle Angiography 93458)NRNRNRNRNRNR
Unlisted Dental Surgery Procedure 41899)$4,509$3,562$2,164$6,339$5,008$3,043
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$2,759$2,179$1,324$2,667$2,107$1,280
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Laparoscopic Cholecystectomy 47562)$11,743$9,277$5,636NRNRNR
ABD Paracentesis w/Imaging 49083)$2,243$1,772$1,076NRNRNR
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee 62323)$3,047$2,407$1,463NRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$1,411$1,115$677NRNRNR
Esophageal Endoscopy with Dilation 43249)$3,846$3,038$1,846$4,545$3,591$2,182
Arthroscopic Rotator Cuff Repair 29827)$13,888$10,972$6,666$15,352$12,128$7,369
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$6,687$5,282$3,210NRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$5,960$4,708$2,861$6,468$5,110$3,105
Hysteroscopy with Biopsy 58558)$7,281$5,752$3,495$10,272$8,115$4,931
Cataract Surgery- Complex 66982)$5,410$4,274$2,597NRNRNR
Cystourethroscopy with Lithotripsy and Stent 52356)NRNRNRNRNRNR
Incision of Finger Tendon Sheath 26055)$4,414$3,487$2,119$4,690$3,705$2,251
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$8,640$6,826$4,147$9,200$7,268$4,416
Laparoscopic Hernia Repair - Initial 49650)NRNRNRNRNRNR
Unlisted Cystourethoscopy 52000)$1,060$837$509NRNRNR
Uppr GI Endoscopy with Guide Wire 43248)NRNRNRNRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$5,273$4,165$2,531$8,661$6,842$4,157
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$11,941$9,434$5,732NRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$7,719$6,098$3,705NRNRNR
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Cystourethroscopy with Stent 52332)$5,188$4,099$2,490NRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$9,669$7,638$4,641$10,806$8,537$5,187
Mastectomy, Partial 19301)NRNRNR$17,077$13,491$8,197
Laparoscopic Appendectomy 44970)$15,662$12,373$7,518NRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$5,986$4,729$2,873$11,755$9,286$5,642
Removal of Tonsils 42826)$6,202$4,900$2,977$3,177$2,510$1,525
Laparoscopy, Removal of Tubes & Ovaries 58571)NRNRNRNRNRNR
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
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Repair of Nasal Septum 30520)NRNRNR$8,736$6,902$4,193
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)$2,781$2,197$1,335NRNRNR
Needle Biopsy of Liver 47000)NRNRNRNRNRNR
Debridement Skin/Tissue 11042)NRNRNR$9,256$7,313$4,443
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Coronary Artery Angio S&I 93454)NRNRNRNRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Aspirate Pleura with Imaging 32555)$1,193$942$573NRNRNR
Bone Marrow Biopsy 38221)$7,367$5,820$3,536NRNRNR
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Correction of Bunion 28296)$11,713$9,253$5,622$12,080$9,543$5,798
Hysteroscopy with Ablation 58563)$8,356$6,601$4,011$9,536$7,534$4,577
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNRNRNRNR
Removal of Adenoids 42830)NRNRNR$5,947$4,698$2,855
Right and Left Heart Artery/Ventricle Angiography 93460)NRNRNRNRNRNR
Injection of chemical agent into muscles near face/neck 64615)NRNRNRNRNRNR
Biopsy of lung or mediastinum, percutaneous w/needle 32405)NRNRNRNRNRNR
Removal of Central Venous Device w Port or Pump 36590)$3,629$2,867$1,742$9,213$7,278$4,422
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Repair of wrist joints 25447)NRNRNR$6,953$5,493$3,337
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.