Memorial Health Center - An Aspirus Partner
135 S Gibson Street
Medford, WI 54451

Charges for 75 Most Common Types of Hospitalizations in Wisconsin: October 2012 - September 2013
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRG DescriptionMedian  
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,838$2,242$1,391
2560Vaginal Delivery$7,129$5,632$3,493
3302Knee Replacement$21,663$17,114$10,615
4720Blood Infection/Septicemia$3,412$2,695$1,672
5540Cesarean Delivery$13,931$11,005$6,826
7194Heart Failure$6,981$5,515$3,421
8301Hip ReplacementNRNRNR
10140Chronic Obstructive Pulmonary Disease$6,981$5,515$3,421
11753Bipolar DisordersNRNRNR
12201Heart Abnormal Rhythm and Conduction DisordersNRNRNR
13383Cellulitis and Other Bacterial Skin Infections$3,792$2,996$1,858
14775Alchohol Abuse/DependenceNRNRNR
15460Renal FailureNRNRNR
16463Kidney/Urinary Tract Infection$7,838$6,192$3,841
17045Stroke and Precerebral Occlusion with InfarctNRNRNR
19221Major Bowel Procedures$20,853$16,474$10,218
20175Angioplasty without Heart AttackNRNRNR
21174Angioplasty with Heart AttackNRNRNR
23254Other Digestive System DiagnosesNRNRNR
24133Pulmonary Edema/Respiratory FailureNRNRNR
26247Intestinal Obstruction without Surgery$4,420$3,492$2,166
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$10,977$8,672$5,379
35134Pulmonary EmbolismNRNRNR
36308Hip/Thigh Surgery with Trauma DiagnosisNRNRNR
37173Other Vascular ProceduresNRNRNR
38241Peptic Ulcer/GastritisNRNRNR
39861Signs & Symptoms$4,326$3,418$2,120
40244Diverticulitis & Diverticulosis$8,151$6,439$3,994
41190Circulatory Disorders with Heart AttackNRNRNR
42425Other Electrolyte Disorders$1,855$1,465$909
43347Other Back/Neck Disorders, Fractures, Injuries$10,700$8,453$5,243
44313Other Knee/Lower Leg Surgery$11,070$8,745$5,424
45315Shoulder/Upper Arm, Forearm SurgeryNRNRNR
47192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart DiseaseNRNRNR
48663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$4,619$3,649$2,263
50351Other Musculoskeletal System and Connective Tissue DiagnosesNRNRNR
51253Other and Unspecified Gastrointestinal HemorrhageNRNRNR
52513Uterine Procedures without Tumor$14,700$11,613$7,203
53198Chest Pain with Angina Pectoris or Coronary AtherosclerosisNRNRNR
54191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart DiseaseNRNRNR
55204Fainting and CollapseNRNRNR
56248Major G.I. Bacterial InfectionsNRNRNR
57321Upper Spinal FusionNRNRNR
58024Extracranial Vascular ProceduresNRNRNR
59197Peripheral and Other Vascular Disorders$8,798$6,950$4,311
60144Respiratory System Signs, Symptoms and Minor Diagnoses$4,500$3,555$2,205
61773Opioid Abuse/DependenceNRNRNR
62721Postoperative and Post-Traumatic Infections$6,344$5,012$3,109
63310Back/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
71047Transient IschemiaNRNRNR
72143Pneumothorax & Pleural Effusion$7,168$5,663$3,512
73755Neuroses Other Than DepressionNRNRNR
74055Head trauma w coma >1 hr or hemorrhageNRNRNR
75163Heart Valve Procedures without Cardiac CatheterizationNRNRNR

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 2012 - September 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)$3,423$2,704$1,677NRNRNR
Colonoscopy and Biopsy (45380)$3,191$2,521$1,564$6,093$4,813$2,986
Diagnostic Colonoscopy (45378)$2,543$2,009$1,246$5,105$4,033$2,501
Upper GI Endoscopy with Biopsy (43239)$3,282$2,593$1,608$4,640$3,666$2,274
Lesion Removal Colonoscopy by Snare Technique (45385)$3,172$2,506$1,554$3,527$2,786$1,728
Injection into Lumbar or Sacral Area, Single Level (64483)$2,540$2,007$1,245$2,543$2,009$1,246
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral (64493)$2,501$1,976$1,225$2,484$1,962$1,217
Drain/Inject Major Joint or Bursa (20610)$2,526$1,995$1,238$3,795$2,998$1,860
Colorectal Cancer Screening; Colonscopy, Not High Risk (G0121)$2,546$2,011$1,248$5,197$4,106$2,547
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy (29881)$5,726$4,524$2,806$6,184$4,885$3,030
Carpal Tunnel Surgery (64721)$3,017$2,384$1,478$3,854$3,045$1,888
Uppr GI Endoscopy- Diagnostic (43235)$2,543$2,009$1,246$3,742$2,956$1,834
Colorectal Cancer Screening ; Colonoscopy, High Risk (G0105)$2,546$2,011$1,248$4,999$3,949$2,449
Lesion Removal Colonoscopy by Hot Biopsy or Cautery (45384)$3,173$2,507$1,555$3,874$3,060$1,898
Creation of Eardrum Opening (69436)$1,992$1,574$976$3,708$2,929$1,817
Left Heart Artery/Ventricle Angiography  (93458)NRNRNRNRNRNR
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral (64635)NRNRNRNRNRNR
Laparoscopic Cholecystectomy (47562)$7,602$6,006$3,725$7,691$6,076$3,768
Unlisted Dental Surgery Procedure (41899)$4,588$3,624$2,248$6,183$4,884$3,029
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor (64490)NRNRNR$2,449$1,935$1,200
After Cataract Laser Surgery (66821)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 (42820)$4,349$3,436$2,131$4,811$3,800$2,357
Repair Initial Ingunial Hernia, > = 5 years, Reducible (49505)$5,482$4,331$2,686$5,524$4,364$2,707
Percutaneous Breast Biopsy with Device and Imaging (19103)$1,505$1,189$737NRNRNR
Unlisted Cystourethoscopy (52000)$935$739$458NRNRNR
Cataract Surgery- Complex (66982)$4,289$3,389$2,102NRNRNR
Arthroscopic Rotator Cuff Repair (29827)NRNRNR$12,042$9,513$5,901
Hysteroscopy with Biopsy (58558)$4,802$3,794$2,353NRNRNR
Esophageal Endoscopy with Dilation (43249)$3,598$2,842$1,763NRNRNR
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct (47563)$9,271$7,324$4,543NRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy (29880)$5,384$4,254$2,638$5,748$4,541$2,816
ABD Paracentesis w/Imaging (49083)NRNRNRNRNRNR
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) (20680)$5,349$4,226$2,621$4,776$3,773$2,340
Incision of Finger Tendon Sheath (26055)$2,845$2,248$1,394$3,178$2,511$1,557
Uppr GI Endoscopy with Guide Wire (43248)NRNRNRNRNRNR
Cystourethroscopy with Lithotripsy (52353)NRNRNRNRNRNR
Destruction of Benign Lesions up to 14 Lesions (17110)NRNRNRNRNRNR
Laparoscopic Hernia Repair - Initial (49650)NRNRNRNRNRNR
Destruction of Premalignant Lesion (17000)NRNRNRNRNRNR
Repair of Nasal Septum (30520)NRNRNR$5,790$4,574$2,837
Cystourethroscopy with Stent (52332)$4,422$3,493$2,167NRNRNR
Removal of Tonsils (42826)$4,519$3,570$2,214$5,871$4,638$2,877
Percutaneous Breast Biopsy with Imaging (19102)NRNRNRNRNRNR
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)$4,001$3,161$1,961NRNRNR
Laparoscopic Appendectomy (44970)$11,254$8,891$5,514$8,779$6,936$4,302
Hysteroscopy with Ablation (58563)NRNRNRNRNRNR
Correction of Bunion (28296)$5,621$4,441$2,754NRNRNR
Low Back Disk Surgery (63030)NRNRNRNRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic (64633)NRNRNRNRNRNR
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles (20552)NRNRNRNRNRNR
Colonoscopy with Lesion Removal (45383)$5,083$4,015$2,490NRNRNR
Needle Biopsy of Liver (47000)NRNRNRNRNRNR
Mastectomy, Partial (19301)NRNRNRNRNRNR
Remove Impacted Ear Wax (69210)NRNRNRNRNRNR
Mohs Micrographic Tissue Removal (17311)NRNRNRNRNRNR
Bone Marrow Biopsy (38221)NRNRNRNRNRNR
Biopsy Skin and Subcutaneous Tissue; 1 Lesion (11100)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures (58661)$7,624$6,023$3,736$9,787$7,732$4,796
Insertion of Central Venous Catheter >= 5 years (36569)NRNRNRNRNRNR
Diagnostic Laryngoscopy (31575)NRNRNRNRNRNR
Coronary Artery Angio S&I (93454)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography (93460)NRNRNRNRNRNR
Excision Breast Lesion with Preoperative Placement Radiological Marker (19125)$5,815$4,594$2,849$13,694$10,818$6,710
Removal of Breast Lesion (19120)$5,293$4,181$2,593NRNRNR
Debridement, Open Wound <= 20 Square Centimeters (97597)NRNRNRNRNRNR
Destruction (therapeutic injection) of muscles; extremity /trunk (64614)NRNRNRNRNRNR
Electro-Uroflowmetry - First (51741)NRNRNRNRNRNR
Removal of Adenoids (42830)NRNRNR$4,709$3,720$2,308
Removal of Central Venous Device w Port or Pump (36590)$2,298$1,816$1,126NRNRNR
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area (58662)$10,938$8,641$5,360NRNRNR
Repair Rotator Cuff, Chronic (23412)$8,044$6,355$3,942$9,052$7,151$4,435
Knee Arthroscopy/Surgery with Shaving of Cartilage (29877)$5,460$4,313$2,675NRNRNR
Surgical Removal of Subcutaneous Tissue, <= 20 sq. cm. (11042)NRNRNRNRNRNR

NR = No Cases Reported
Information about quality and safety of care for Memorial Health Center - An Aspirus Partner may be found at
* Estimated Insurance Payments based on average percent of billed charges collected.

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