Aspirus Medford Hospital & Clinics, Inc
135 S Gibson Street
Medford, WI 54451

Charges for 75 Most Common Types of Hospitalizations in Wisconsin: January 2013 - December 2013
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRG DescriptionMedian  
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,821$2,229$1,382
2560Vaginal Delivery$6,979$5,513$3,420
3302Knee Replacement$22,040$17,412$10,800
4720Blood Infection/Septicemia$3,412$2,695$1,672
5540Cesarean Delivery$14,086$11,128$6,902
7194Heart Failure$6,981$5,515$3,421
8301Hip ReplacementNRNRNR
10753Bipolar DisordersNRNRNR
11140Chronic Obstructive Pulmonary Disease$6,808$5,378$3,336
12201Heart Abnormal Rhythm and Conduction Disorders$4,566$3,607$2,237
13383Cellulitis and Other Bacterial Skin Infections$4,134$3,266$2,026
14775Alchohol Abuse/DependenceNRNRNR
15460Renal FailureNRNRNR
16463Kidney/Urinary Tract Infection$7,838$6,192$3,841
17045Stroke and Precerebral Occlusion with InfarctNRNRNR
19221Major Bowel Procedures$15,124$11,948$7,411
20174Angioplasty with Heart AttackNRNRNR
22133Pulmonary Edema/Respiratory FailureNRNRNR
23254Other Digestive System DiagnosesNRNRNR
24175Angioplasty without Heart AttackNRNRNR
26247Intestinal Obstruction without Surgery$4,957$3,916$2,429
29812Poisoning of Medicinal AgentsNRNRNR
30282Disorders of Pancreas Except Malignancy$6,030$4,764$2,955
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
32137Respiratory Infections and InflammationsNRNRNR
34263Laparoscopic Cholecystectomy$16,140$12,751$7,909
35308Hip/Thigh Surgery with Trauma DiagnosisNRNRNR
36134Pulmonary Embolism$3,562$2,814$1,745
37173Other Vascular ProceduresNRNRNR
38241Peptic Ulcer/Gastritis$10,818$8,546$5,301
39190Circulatory Disorders with Heart AttackNRNRNR
40425Other Electrolyte Disorders$1,855$1,465$909
41347Other Back/Neck Disorders, Fractures, Injuries$10,700$8,453$5,243
42313Other Knee/Lower Leg SurgeryNRNRNR
43861Signs & SymptomsNRNRNR
44315Shoulder/Upper Arm, Forearm SurgeryNRNRNR
45244Diverticulitis & DiverticulosisNRNRNR
47253Other and Unspecified Gastrointestinal Hemorrhage$15,444$12,201$7,568
48192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart DiseaseNRNRNR
49663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$6,523$5,153$3,196
51351Other Musculoskeletal System and Connective Tissue DiagnosesNRNRNR
52191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart DiseaseNRNRNR
53248Major G.I. Bacterial InfectionsNRNRNR
54024Extracranial Vascular ProceduresNRNRNR
55198Chest Pain with Angina Pectoris or Coronary AtherosclerosisNRNRNR
56321Upper Spinal FusionNRNRNR
57197Peripheral and Other Vascular DisordersNRNRNR
58204Fainting and CollapseNRNRNR
59513Uterine Procedures without Tumor$14,878$11,754$7,290
60773Opioid Abuse/DependenceNRNRNR
61721Postoperative and Post-Traumatic InfectionsNRNRNR
62144Respiratory System Signs, Symptoms and Minor DiagnosesNRNRNR
64310Back/Neck Procedures Except Dorsal and Lumbar FusionNRNRNR
65566Other Antepartum DiagnosesNRNRNR
66113Epiglottitis, Ear Infection, URI and LaryngotracheitisNRNRNR
68710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
69021Craniotomy Except For TraumaNRNRNR
70466Malfunctions, Reactions & Comp Of Gu Device, Graft Or TransplantNRNRNR
71143Pneumothorax & Pleural Effusion$5,742$4,536$2,814
72163Heart Valve Procedures without Cardiac CatheterizationNRNRNR
73055Head trauma w coma >1 hr or hemorrhageNRNRNR
74755Neuroses Other Than DepressionNRNRNR
75047Transient IschemiaNRNRNR

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: January 2013 - December 2013
  With No Other Procedures With 1 or More Additional Procedures
Principal Procedure Median Charge Average Commercial Insurance Payment Average Medicare Insurance Payment* Median Charge Average Commercial Insurance Payment Average Medicare Insurance Payment*
Cataract Surgery with Intraocular Lens - Stage 1 (66984)$3,387$2,676$1,660NRNRNR
Colonoscopy and Biopsy (45380)$3,245$2,564$1,590$6,173$4,877$3,025
Diagnostic Colonoscopy (45378)$2,553$2,017$1,251$5,188$4,099$2,542
Upper GI Endoscopy with Biopsy (43239)$3,380$2,670$1,656$4,918$3,885$2,410
Lesion Removal Colonoscopy by Snare Technique (45385)$3,196$2,525$1,566$3,527$2,786$1,728
Injection into Lumbar or Sacral Area, Single Level (64483)$2,525$1,995$1,237$2,541$2,007$1,245
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral (64493)$2,506$1,980$1,228$2,513$1,985$1,231
Drain/Inject Major Joint or Bursa (20610)$2,526$1,995$1,238$4,859$3,839$2,381
Colorectal Cancer Screening; Colonscopy, Not High Risk (G0121)$2,562$2,024$1,255$5,113$4,039$2,505
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy (29881)$5,893$4,656$2,888$6,256$4,942$3,065
Carpal Tunnel Surgery (64721)$3,047$2,407$1,493$4,194$3,313$2,055
Uppr GI Endoscopy- Diagnostic (43235)$2,566$2,027$1,257$4,504$3,558$2,207
Colorectal Cancer Screening ; Colonoscopy, High Risk (G0105)$2,547$2,012$1,248$4,999$3,949$2,449
Lesion Removal Colonoscopy by Hot Biopsy or Cautery (45384)$3,196$2,525$1,566$3,908$3,087$1,915
Left Heart Artery/Ventricle Angiography (93458)NRNRNRNRNRNR
Creation of Eardrum Opening (69436)$2,024$1,599$992$3,708$2,929$1,817
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral (64635)NRNRNRNRNRNR
Laparoscopic Cholecystectomy (47562)$7,666$6,056$3,756$7,691$6,076$3,768
Unlisted Dental Surgery Procedure (41899)$4,656$3,678$2,281$6,499$5,134$3,185
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor (64490)NRNRNR$2,536$2,004$1,243
After Cataract Laser Surgery (66821)NRNRNRNRNRNR
Percutaneous Breast Biopsy with Device and Imaging (19103)$1,505$1,189$737NRNRNR
Removal of Tonsils And Adenoids - < Age 12 (42820)$4,376$3,457$2,144$4,579$3,617$2,243
Repair Initial Ingunial Hernia, > = 5 years, Reducible (49505)$5,669$4,478$2,778$5,574$4,404$2,731
Unlisted Cystourethoscopy (52000)$935$739$458NRNRNR
Arthroscopic Rotator Cuff Repair (29827)NRNRNR$13,663$10,794$6,695
Cataract Surgery- Complex (66982)$4,553$3,597$2,231NRNRNR
Hysteroscopy with Biopsy (58558)$4,914$3,882$2,408$6,851$5,412$3,357
Esophageal Endoscopy with Dilation (43249)$3,620$2,860$1,774$3,885$3,069$1,904
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct (47563)$8,837$6,981$4,330NRNRNR
ABD Paracentesis w/Imaging (49083)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy (29880)$5,715$4,515$2,800$5,748$4,541$2,816
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) (20680)$3,924$3,100$1,923$4,776$3,773$2,340
Incision of Finger Tendon Sheath (26055)$2,857$2,257$1,400$3,178$2,511$1,557
Cystourethroscopy with Lithotripsy (52353)NRNRNRNRNRNR
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
Percutaneous Breast Biopsy with Imaging (19102)NRNRNRNRNRNR
Cystourethroscopy with Stent (52332)$4,422$3,493$2,167NRNRNR
Repair of Nasal Septum (30520)NRNRNR$5,894$4,656$2,888
Removal of Tonsils (42826)$4,349$3,436$2,131$5,637$4,453$2,762
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair (29888)$13,505$10,669$6,618$11,209$8,855$5,493
Fragmenting of Kidney Stone (50590)NRNRNRNRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible  (49585)$4,071$3,216$1,995NRNRNR
Laparoscopic Appendectomy (44970)$11,254$8,891$5,514$8,779$6,936$4,302
Low Back Disk Surgery (63030)NRNRNRNRNRNR
Correction of Bunion (28296)$5,530$4,369$2,710$6,454$5,099$3,162
Hysteroscopy with Ablation (58563)$6,358$5,023$3,115NRNRNR
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles (20552)NRNRNRNRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic (64633)NRNRNRNRNRNR
Colonoscopy with Lesion Removal (45383)$5,083$4,015$2,490NRNRNR
Mastectomy, Partial (19301)NRNRNRNRNRNR
Biopsy Skin and Subcutaneous Tissue; 1 Lesion (11100)NRNRNRNRNRNR
Needle Biopsy of Liver (47000)NRNRNRNRNRNR
Bone Marrow Biopsy (38221)NRNRNRNRNRNR
Remove Impacted Ear Wax (69210)NRNRNRNRNRNR
Mohs Micrographic Tissue Removal (17311)NRNRNRNRNRNR
Coronary Artery Angio S&I (93454)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures (58661)$7,632$6,029$3,739$9,499$7,505$4,655
Debridement, Open Wound <= 20 Square Centimeters (97597)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography (93460)NRNRNRNRNRNR
Destruction (therapeutic injection) of muscles; extremity /trunk (64614)NRNRNRNRNRNR
Diagnostic Laryngoscopy (31575)NRNRNRNRNRNR
Insertion of Central Venous Catheter >= 5 years (36569)NRNRNRNRNRNR
Removal of Breast Lesion (19120)$4,809$3,799$2,356NRNRNR
Excision Breast Lesion with Preoperative Placement Radiological Marker (19125)$6,278$4,960$3,076$13,261$10,476$6,498
Aspirate Pleura with Imaging (32555)$2,699$2,132$1,323NRNRNR
Electro-Uroflowmetry - First (51741)NRNRNRNRNRNR
Removal of Adenoids (42830)NRNRNR$4,539$3,585$2,224
Knee Arthroscopy/Surgery with Shaving of Cartilage (29877)$6,186$4,887$3,031NRNRNR
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area (58662)$12,356$9,761$6,055NRNRNR
Removal of Central Venous Device w Port or Pump (36590)$2,298$1,816$1,126NRNRNR
Wrist Endoscopy/Surgical (29848)NRNRNRNRNRNR

NR = No Cases Reported
Information about quality and safety of care for Aspirus Medford Hospital & Clinics, Inc may be found at
* Estimated Insurance Payments based on average percent of billed charges collected.

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