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

Charges for 75 Most Common Hospitalizations in Wisconsin:  October 2014 - September 2015
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,951$2,331$1,476
2560Vaginal Delivery$7,515$5,937$3,758
3720Blood Infection/Septicemia$6,708$5,299$3,354
4302Knee Replacement$24,489$19,346$12,245
5540Cesarean Delivery$15,715$12,415$7,858
6194Heart Failure$5,104$4,032$2,552
7139Pneumonia$4,222$3,335$2,111
8301Hip ReplacementNRNRNR
9751PsychosesNRNRNR
10753Bipolar DisordersNRNRNR
11140Chronic Obstructive Pulmonary DiseaseNRNRNR
12201Heart Abnormal Rhythm and Conduction Disorders$6,409$5,063$3,205
13775Alcohol Abuse/DependenceNRNRNR
14460Renal FailureNRNRNR
15383Cellulitis and Other Bacterial Skin Infections$5,685$4,491$2,843
16045Stroke and Precerebral Occlusion with Infarct$11,974$9,459$5,987
17860RehabilitationNRNRNR
18221Major Bowel Procedures$20,244$15,993$10,122
19463Kidney/Urinary Tract InfectionNRNRNR
20133Pulmonary Edema/Respiratory FailureNRNRNR
21174Angioplasty with Heart AttackNRNRNR
22247Intestinal Obstruction without Surgery$7,788$6,153$3,894
23750SchizophreniaNRNRNR
24282Disorders of Pancreas Except Malignancy$5,481$4,330$2,741
25254Other Digestive System Diagnoses$5,787$4,572$2,894
26420Diabetes$3,971$3,137$1,986
27249GastroenteritisNRNRNR
28754DepressionNRNRNR
29812Poisoning of Medicinal AgentsNRNRNR
30137Respiratory Infections and InflammationsNRNRNR
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
32053SeizureNRNRNR
33134Pulmonary Embolism$8,794$6,947$4,397
34173Other Vascular ProceduresNRNRNR
35308Hip/Thigh Surgery with Trauma DiagnosisNRNRNR
36190Circulatory Disorders with Heart AttackNRNRNR
37263Laparoscopic Cholecystectomy$14,025$11,080$7,013
38244Diverticulitis & Diverticulosis$4,493$3,549$2,247
39425Other Electrolyte Disorders$2,136$1,687$1,068
40175Angioplasty without Heart AttackNRNRNR
41241Peptic Ulcer/GastritisNRNRNR
42861Signs & SymptomsNRNRNR
43315Shoulder/Upper Arm, Forearm SurgeryNRNRNR
44253Other and Unspecified Gastrointestinal HemorrhageNRNRNR
45347Other Back/Neck Disorders, Fractures, InjuriesNRNRNR
46313Other Knee/Lower Leg Surgery$10,249$8,097$5,125
47773Opioid Abuse/DependenceNRNRNR
48351Other Musculoskeletal System and Connective Tissue DiagnosesNRNRNR
49248Major G.I. Bacterial Infections$9,676$7,644$4,838
50710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
51663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$8,452$6,677$4,226
52191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart DiseaseNRNRNR
53466Malfunction, reaction, complic of genitourinary device or procNRNRNR
54024Extracranial Vascular ProceduresNRNRNR
55113Epiglottitis, Ear Infection, URI and LaryngotracheitisNRNRNR
56693ChemotherapyNRNRNR
57141Asthma$5,413$4,276$2,707
58321Upper Spinal FusionNRNRNR
59721Postoperative and Post-Traumatic InfectionsNRNRNR
60197Peripheral and Other Vascular DisordersNRNRNR
61021Craniotomy Except For TraumaNRNRNR
62225Appendectomy$21,391$16,899$10,696
63144Respiratory System Signs, Symptoms and Minor DiagnosesNRNRNR
64566Other Antepartum DiagnosesNRNRNR
65163Heart Valve Procedures without Cardiac CatheterizationNRNRNR
66143Other respiratory diagnoses except signs, symptoms & minor diagnosesNRNRNR
67192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart DiseaseNRNRNR
68055Head trauma w coma >1 hr or hemorrhageNRNRNR
69052Nontraumatic stupor & comaNRNRNR
70755Neuroses Other Than DepressionNRNRNR
71204Fainting and CollapseNRNRNR
72310Back/Neck Procedures Except Dorsal and Lumbar FusionNRNRNR
73660Major hematologic/immunologic diag exc sickle cell crisis & coagul$3,595$2,840$1,798
74284Disorders of gallbladder & biliary tractNRNRNR
75422HypovolemiaNRNRNR

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:  October 2014 - September 2015
 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)$3,688$2,913$1,844NRNRNR
Colonoscopy and Biopsy 45380)$3,293$2,601$1,647$6,621$5,231$3,311
Upper GI Endoscopy with Biopsy 43239)$3,727$2,944$1,864$5,672$4,481$2,836
Lesion Removal Colonoscopy by Snare Technique 45385)$3,301$2,607$1,650$4,295$3,393$2,148
Diagnostic Colonoscopy 45378)$2,657$2,099$1,329$5,450$4,305$2,725
Injection into Lumbar or Sacral Area, Single Level 64483)$2,658$2,100$1,329$2,658$2,100$1,329
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$2,599$2,053$1,299$2,598$2,053$1,299
Drain/Inject Major Joint or Bursa 20610)$2,644$2,089$1,322NRNRNR
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$2,652$2,095$1,326$4,996$3,947$2,498
Carpal Tunnel Surgery 64721)$3,731$2,947$1,865$6,287$4,967$3,143
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$2,654$2,097$1,327NRNRNR
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$6,391$5,049$3,196$8,041$6,352$4,020
Uppr GI Endoscopy- Diagnostic 43235)$4,225$3,338$2,112NRNRNR
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$3,380$2,670$1,690$5,722$4,520$2,861
Left Heart Artery/Ventricle Angiography 93458)NRNRNRNRNRNR
Creation of Eardrum Opening 69436)$2,283$1,804$1,142$5,141$4,061$2,571
Unlisted Dental Surgery Procedure 41899)$4,941$3,903$2,471$5,492$4,339$2,746
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$2,586$2,043$1,293$2,605$2,058$1,302
Laparoscopic Cholecystectomy 47562)$8,837$6,981$4,418$13,686$10,812$6,843
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$1,156$913$578NRNRNR
Cataract Surgery- Complex 66982)$4,792$3,786$2,396NRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$5,622$4,441$2,811$6,328$4,999$3,164
ABD Paracentesis w/Imaging 49083)$1,851$1,462$926NRNRNR
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$13,972$11,038$6,986
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$6,901$5,452$3,451NRNRNR
Hysteroscopy with Biopsy 58558)$6,074$4,798$3,037$8,536$6,743$4,268
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)NRNRNRNRNRNR
Esophageal Endoscopy with Dilation 43249)$3,598$2,842$1,799NRNRNR
Unlisted Cystourethoscopy 52000)$991$783$496NRNRNR
Incision of Finger Tendon Sheath 26055)$3,498$2,763$1,749$3,605$2,848$1,803
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$4,272$3,375$2,136NRNRNR
Cystourethroscopy with Lithotripsy and Stent 52356)NRNRNRNRNRNR
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$9,495$7,501$4,748NRNRNR
Laparoscopic Hernia Repair - Initial 49650)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$7,138$5,639$3,569$6,624$5,233$3,312
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Uppr GI Endoscopy with Guide Wire 43248)NRNRNRNRNRNR
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$13,990$11,052$6,995NRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Cystourethroscopy with Stent 52332)$4,929$3,894$2,465NRNRNR
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNRNRNRNR
Removal of Tonsils 42826)$5,374$4,245$2,687NRNRNR
Repair of Nasal Septum 30520)$7,268$5,742$3,634$6,799$5,371$3,399
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$17,006$13,435$8,503NRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$5,302$4,189$2,651$6,482$5,121$3,241
Mastectomy, Partial 19301)NRNRNR$19,589$15,476$9,795
Coronary Artery Angio S&I 93454)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$8,264$6,528$4,132$10,011$7,908$5,005
Debridement Skin/Tissue 11042)NRNRNR$5,565$4,396$2,783
Needle Biopsy of Liver 47000)NRNRNRNRNRNR
Remove Impacted Ear Wax 69210)$2,272$1,794$1,136NRNRNR
Hysteroscopy with Ablation 58563)$7,878$6,223$3,939$10,047$7,937$5,023
Laparoscopy, Removal of Tubes & Ovaries 58571)NRNRNRNRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Aspirate Pleura with Imaging 32555)$1,472$1,163$736NRNRNR
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)NRNRNRNRNRNR
Debridement, Open Wound <= 20 Square Centimeters 97597)NRNRNRNRNRNR
Correction of Bunion 28296)$6,816$5,385$3,408$8,660$6,841$4,330
Bone Marrow Biopsy 38221)NRNRNRNRNRNR
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNR$11,578$9,146$5,789
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Removal of Adenoids 42830)$4,882$3,857$2,441$4,539$3,585$2,269
Electronic analysis of implantable pump spine w/reprogram/refill 62369)NRNRNRNRNRNR
Removal of Central Venous Device w Port or Pump 36590)$2,532$2,000$1,266$9,754$7,706$4,877
Insertion of Central Venous Catheter >= 5 years 36569)NRNRNRNRNRNR
Removal of Breast Lesion 19120)$4,636$3,662$2,318NRNRNR
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.