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Charges for 75 Most Common Types of Hospitalizations in Wisconsin: January 2012 - December 2012
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(Uncomplicated Cases Only)
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| | | | | Estimated Insurance Payments * | | Rank | APR- DRG  | Description | Median Charge  | Private Insurance | Medicare | | 1 | 640 | Normal Newborn, Birthweight 2500g+ | $2,634 | $2,186 | $1,422 | | 2 | 560 | Vaginal Delivery | $7,035 | $5,839 | $3,799 | | 3 | 302 | Knee Replacement | $23,688 | $19,661 | $12,792 | | 4 | 540 | Cesarean Delivery | $13,773 | $11,432 | $7,437 | | 5 | 720 | Blood Infection/Septicemia | $2,533 | $2,102 | $1,368 | | 6 | 139 | Pneumonia | $4,277 | $3,550 | $2,310 | | 7 | 194 | Heart Failure | 0 | 0 | 0 | | 8 | 301 | Hip Replacement | 0 | 0 | 0 | | 9 | 751 | Psychoses | 0 | 0 | 0 | | 10 | 753 | Bipolar Disorders | 0 | 0 | 0 | | 11 | 201 | Heart Abnormal Rhythm and Conduction Disorders | $4,531 | $3,761 | $2,447 | | 12 | 140 | Chronic Obstructive Pulmonary Disease | $4,962 | $4,118 | $2,679 | | 13 | 775 | Alchohol Abuse/Dependence | 0 | 0 | 0 | | 14 | 383 | Cellulitis and Other Bacterial Skin Infections | $4,209 | $3,493 | $2,273 | | 15 | 463 | Kidney/Urinary Tract Infection | $4,477 | $3,716 | $2,418 | | 16 | 460 | Renal Failure | 0 | 0 | 0 | | 17 | 860 | Rehabilitation | 0 | 0 | 0 | | 18 | 045 | Stroke and Precerebral Occlusion with Infarct | 0 | 0 | 0 | | 19 | 221 | Major Bowel Procedures | $24,854 | $20,629 | $13,421 | | 20 | 175 | Angioplasty without Heart Attack | 0 | 0 | 0 | | 21 | 750 | Schizophrenia | 0 | 0 | 0 | | 22 | 254 | Other Digestive System Diagnoses | $4,415 | $3,664 | $2,384 | | 23 | 174 | Angioplasty with Heart Attack | 0 | 0 | 0 | | 24 | 249 | Gastroenteritis | 0 | 0 | 0 | | 25 | 247 | Intestinal Obstruction without Surgery | $7,227 | $5,998 | $3,903 | | 26 | 754 | Depression | 0 | 0 | 0 | | 27 | 812 | Poisoning of Medicinal Agents | 0 | 0 | 0 | | 28 | 133 | Pulmonary Edema/Respiratory Failure | 0 | 0 | 0 | | 29 | 304 | Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature | 0 | 0 | 0 | | 30 | 420 | Diabetes | $4,317 | $3,583 | $2,331 | | 31 | 282 | Disorders of Pancreas Except Malignancy | $8,014 | $6,652 | $4,328 | | 32 | 137 | Respiratory Infections and Inflammations | 0 | 0 | 0 | | 33 | 263 | Laparoscopic Cholecystectomy | $13,730 | $11,396 | $7,414 | | 34 | 053 | Seizure | 0 | 0 | 0 | | 35 | 134 | Pulmonary Embolism | $9,836 | $8,164 | $5,311 | | 36 | 861 | Signs & Symptoms | $5,281 | $4,383 | $2,852 | | 37 | 308 | Hip/Thigh Surgery with Trauma Diagnosis | 0 | 0 | 0 | | 38 | 347 | Other Back/Neck Disorders, Fractures, Injuries | $4,187 | $3,475 | $2,261 | | 39 | 190 | Circulatory Disorders with Heart Attack | 0 | 0 | 0 | | 40 | 173 | Other Vascular Procedures | 0 | 0 | 0 | | 41 | 225 | Appendectomy | 0 | 0 | 0 | | 42 | 244 | Diverticulitis & Diverticulosis | $7,626 | $6,330 | $4,118 | | 43 | 241 | Peptic Ulcer/Gastritis | 0 | 0 | 0 | | 44 | 313 | Other Knee/Lower Leg Surgery | $11,070 | $9,188 | $5,978 | | 45 | 192 | Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease | 0 | 0 | 0 | | 46 | 425 | Other Electrolyte Disorders | 0 | 0 | 0 | | 47 | 513 | Uterine Procedures without Tumor | $14,017 | $11,634 | $7,569 | | 48 | 315 | Shoulder/Upper Arm, Forearm Surgery | 0 | 0 | 0 | | 49 | 198 | Chest Pain with Angina Pectoris or Coronary Atherosclerosis | 0 | 0 | 0 | | 50 | 204 | Fainting and Collapse | 0 | 0 | 0 | | 51 | 351 | Other Musculoskeletal System and Connective Tissue Diagnoses | 0 | 0 | 0 | | 52 | 141 | Asthma | $7,652 | $6,351 | $4,132 | | 53 | 663 | Red Blood Cell Disorders Except Sickle Cell Anemia Crisis | $2,853 | $2,368 | $1,541 | | 54 | 248 | Major G.I. Bacterial Infections | 0 | 0 | 0 | | 55 | 197 | Peripheral and Other Vascular Disorders | $6,270 | $5,204 | $3,386 | | 56 | 253 | Other and Unspecified Gastrointestinal Hemorrhage | 0 | 0 | 0 | | 57 | 191 | Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease | 0 | 0 | 0 | | 58 | 310 | Back/Neck Procedures Except Dorsal and Lumbar Fusion | 0 | 0 | 0 | | 59 | 321 | Upper Spinal Fusion | 0 | 0 | 0 | | 60 | 024 | Extracranial Vascular Procedures | 0 | 0 | 0 | | 61 | 721 | Postoperative and Post-Traumatic Infections | $6,344 | $5,266 | $3,426 | | 62 | 144 | Respiratory System Signs, Symptoms and Minor Diagnoses | $4,500 | $3,735 | $2,430 | | 63 | 773 | Opioid Abuse/Dependence | 0 | 0 | 0 | | 64 | 693 | Chemotherapy | 0 | 0 | 0 | | 65 | 566 | Other Antepartum Diagnoses | 0 | 0 | 0 | | 66 | 422 | Hypovolemia | $8,226 | $6,828 | $4,442 | | 67 | 203 | Chest Pain | 0 | 0 | 0 | | 68 | 755 | Neuroses Other Than Depression | 0 | 0 | 0 | | 69 | 047 | Transient Ischemia | 0 | 0 | 0 | | 70 | 251 | Abdominal Pain | $8,435 | $7,001 | $4,555 | | 71 | 466 | Malfunctions, Reactions & Comp Of Gu Device, Graft Or Transplant | 0 | 0 | 0 | | 72 | 021 | Craniotomy Except For Trauma | 0 | 0 | 0 | | 73 | 710 | Infectious & parasitic diseases including HIV w O.R. procedure | 0 | 0 | 0 | | 74 | 143 | Pneumothorax & Pleural Effusion | $6,830 | $5,669 | $3,688 | | 75 | 058 | Other Disorders of Nervous System | 0 | 0 | 0 |
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.
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| Charges for 75 Most Common Types of Outpatient Surgical Procedures in Wisconsin: January 2012 - December 2012 |
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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* |
| $3,531 | $2,931 | $1,907 | $8,191 | $6,798 | $4,423 | | $2,479 | $2,057 | $1,338 | $4,856 | $4,030 | $2,622 | | $3,191 | $2,649 | $1,723 | $5,565 | $4,619 | $3,005 | | $3,265 | $2,710 | $1,763 | $4,147 | $3,442 | $2,239 | | $3,141 | $2,607 | $1,696 | $4,166 | $3,458 | $2,250 | | $2,445 | $2,029 | $1,320 | $2,501 | $2,075 | $1,350 | | $2,381 | $1,976 | $1,286 | $2,566 | $2,130 | $1,386 | | NR | NR | NR | $2,413 | $2,003 | $1,303 | | $5,439 | $4,515 | $2,937 | $5,462 | $4,534 | $2,950 | | $2,489 | $2,066 | $1,344 | $5,572 | $4,624 | $3,009 | | $2,873 | $2,384 | $1,551 | $3,920 | $3,254 | $2,117 | | $2,483 | $2,061 | $1,341 | $4,746 | $3,939 | $2,563 | | $2,489 | $2,066 | $1,344 | $3,742 | $3,106 | $2,021 | | $3,166 | $2,628 | $1,710 | $3,886 | $3,225 | $2,098 | | $1,812 | $1,504 | $978 | NR | NR | NR | | NR | NR | NR | NR | NR | NR | | NR | NR | NR | NR | NR | NR | | $7,062 | $5,862 | $3,814 | $10,042 | $8,334 | $5,422 | | $4,208 | $3,493 | $2,272 | $3,954 | $3,282 | $2,135 | | $3,945 | $3,275 | $2,131 | $5,641 | $4,682 | $3,046 | | NR | NR | NR | $2,413 | $2,003 | $1,303 | | $5,181 | $4,300 | $2,798 | $6,270 | $5,204 | $3,386 | | $935 | $776 | $505 | NR | NR | NR | | NR | NR | NR | NR | NR | NR | | $1,597 | $1,325 | $862 | NR | NR | NR | | $4,031 | $3,345 | $2,177 | NR | NR | NR | | NR | NR | NR | $11,480 | $9,529 | $6,199 | | $5,293 | $4,393 | $2,858 | $4,461 | $3,702 | $2,409 | | $4,508 | $3,742 | $2,434 | $9,660 | $8,018 | $5,216 | | $8,753 | $7,265 | $4,726 | $8,465 | $7,026 | $4,571 | | NR | NR | NR | NR | NR | NR | | NR | NR | NR | NR | NR | NR | | $100 | $83 | $54 | NR | NR | NR | | $3,805 | $3,158 | $2,055 | $11,811 | $9,803 | $6,378 | | $2,833 | $2,351 | $1,530 | NR | NR | NR | | NR | NR | NR | NR | NR | NR | | $4,567 | $3,790 | $2,466 | $5,528 | $4,589 | $2,985 | | NR | NR | NR | NR | NR | NR | | NR | NR | NR | NR | NR | NR | | $4,519 | $3,751 | $2,440 | $5,275 | $4,378 | $2,849 | | NR | NR | NR | NR | NR | NR | | $6,111 | $5,072 | $3,300 | $8,448 | $7,012 | $4,562 | | $9,643 | $8,004 | $5,207 | $11,634 | $9,656 | $6,282 | | NR | NR | NR | NR | NR | NR | | NR | NR | NR | NR | NR | NR | | $4,480 | $3,719 | $2,419 | NR | NR | NR | | $3,460 | $2,872 | $1,869 | $4,041 | $3,354 | $2,182 | | NR | NR | NR | NR | NR | NR | | NR | NR | NR | NR | NR | NR | | NR | NR | NR | NR | NR | NR | | NR | NR | NR | NR | NR | NR | | $11,560 | $9,595 | $6,242 | NR | NR | NR | | NR | NR | NR | NR | NR | NR | | NR | NR | NR | NR | NR | NR | | NR | NR | NR | NR | NR | NR | | NR | NR | NR | $11,813 | $9,805 | $6,379 | | NR | NR | NR | NR | NR | NR | | $3,278 | $2,721 | $1,770 | $3,850 | $3,196 | $2,079 | | $6,085 | $5,050 | $3,286 | $4,819 | $4,000 | $2,602 | | $5,469 | $4,539 | $2,953 | $19,092 | $15,847 | $10,310 | | NR | NR | NR | $9,033 | $7,498 | $4,878 | | NR | NR | NR | NR | NR | NR | | NR | NR | NR | NR | NR | NR | | $7,265 | $6,030 | $3,923 | $9,442 | $7,837 | $5,099 | | NR | NR | NR | NR | NR | NR | | NR | NR | NR | NR | NR | NR | | $8,682 | $7,206 | $4,688 | NR | NR | NR | | NR | NR | NR | NR | NR | NR | | NR | NR | NR | NR | NR | NR | | $5,485 | $4,553 | $2,962 | $5,934 | $4,925 | $3,204 | | $8,044 | $6,677 | $4,344 | $8,461 | $7,023 | $4,569 | | $3,566 | $2,960 | $1,926 | NR | NR | NR | | $1,876 | $1,557 | $1,013 | NR | NR | NR | | $6,003 | $4,982 | $3,242 | $8,071 | $6,699 | $4,358 | | $1,579 | $1,311 | $853 | NR | NR | NR |
NR = No Cases Reported |
Information about quality and safety of care for Memorial Health Center - An Aspirus Partner may be found at http://www.wicheckpoint.org
* Estimated Insurance Payments based on average percent of billed charges collected.
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