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Charges for 75 Most Common Types of Hospitalizations in Wisconsin: October 2011 - September 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+ | $4,883 | $2,832 | $1,367 | | 2 | 560 | Vaginal Delivery | $7,102 | $4,119 | $1,989 | | 3 | 302 | Knee Replacement | $42,040 | $24,383 | $11,771 | | 4 | 540 | Cesarean Delivery | $15,559 | $9,024 | $4,357 | | 5 | 720 | Blood Infection/Septicemia | $15,750 | $9,135 | $4,410 | | 6 | 139 | Pneumonia | $10,227 | $5,932 | $2,864 | | 7 | 194 | Heart Failure | $18,581 | $10,777 | $5,203 | | 8 | 301 | Hip Replacement | $46,096 | $26,736 | $12,907 | | 9 | 753 | Bipolar Disorders | $9,529 | $5,527 | $2,668 | | 10 | 751 | Psychoses | $12,640 | $7,331 | $3,539 | | 11 | 201 | Heart Abnormal Rhythm and Conduction Disorders | $11,091 | $6,433 | $3,105 | | 12 | 140 | Chronic Obstructive Pulmonary Disease | $11,086 | $6,430 | $3,104 | | 13 | 775 | Alchohol Abuse/Dependence | $7,547 | $4,377 | $2,113 | | 14 | 383 | Cellulitis and Other Bacterial Skin Infections | $9,476 | $5,496 | $2,653 | | 15 | 463 | Kidney/Urinary Tract Infection | $11,326 | $6,569 | $3,171 | | 16 | 460 | Renal Failure | $19,090 | $11,072 | $5,345 | | 17 | 860 | Rehabilitation | $17,940 | $10,405 | $5,023 | | 18 | 045 | Stroke and Precerebral Occlusion with Infarct | $19,701 | $11,427 | $5,516 | | 19 | 221 | Major Bowel Procedures | $33,229 | $19,273 | $9,304 | | 20 | 175 | Angioplasty without Heart Attack | $54,876 | $31,828 | $15,365 | | 21 | 750 | Schizophrenia | $11,766 | $6,824 | $3,294 | | 22 | 249 | Gastroenteritis | $12,885 | $7,473 | $3,608 | | 23 | 254 | Other Digestive System Diagnoses | $10,541 | $6,114 | $2,951 | | 24 | 174 | Angioplasty with Heart Attack | $62,477 | $36,237 | $17,494 | | 25 | 247 | Intestinal Obstruction without Surgery | $11,492 | $6,665 | $3,218 | | 26 | 754 | Depression | $9,921 | $5,754 | $2,778 | | 27 | 812 | Poisoning of Medicinal Agents | $7,754 | $4,497 | $2,171 | | 28 | 133 | Pulmonary Edema/Respiratory Failure | 0 | 0 | 0 | | 29 | 420 | Diabetes | $13,568 | $7,869 | $3,799 | | 30 | 137 | Respiratory Infections and Inflammations | $20,226 | $11,731 | $5,663 | | 31 | 282 | Disorders of Pancreas Except Malignancy | $9,589 | $5,562 | $2,685 | | 32 | 304 | Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature | $55,651 | $32,278 | $15,582 | | 33 | 263 | Laparoscopic Cholecystectomy | $25,577 | $14,835 | $7,162 | | 34 | 861 | Signs & Symptoms | $10,288 | $5,967 | $2,881 | | 35 | 134 | Pulmonary Embolism | $11,825 | $6,859 | $3,311 | | 36 | 053 | Seizure | $8,793 | $5,100 | $2,462 | | 37 | 308 | Hip/Thigh Surgery with Trauma Diagnosis | $26,516 | $15,379 | $7,424 | | 38 | 347 | Other Back/Neck Disorders, Fractures, Injuries | $13,327 | $7,730 | $3,732 | | 39 | 225 | Appendectomy | $22,476 | $13,036 | $6,293 | | 40 | 190 | Circulatory Disorders with Heart Attack | $33,199 | $19,255 | $9,296 | | 41 | 513 | Uterine Procedures without Tumor | $23,434 | $13,592 | $6,562 | | 42 | 173 | Other Vascular Procedures | $71,722 | $41,599 | $20,082 | | 43 | 241 | Peptic Ulcer/Gastritis | $13,498 | $7,829 | $3,779 | | 44 | 313 | Other Knee/Lower Leg Surgery | $25,383 | $14,722 | $7,107 | | 45 | 244 | Diverticulitis & Diverticulosis | $12,583 | $7,298 | $3,523 | | 46 | 192 | Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease | $29,558 | $17,144 | $8,276 | | 47 | 425 | Other Electrolyte Disorders | $8,540 | $4,953 | $2,391 | | 48 | 315 | Shoulder/Upper Arm, Forearm Surgery | $20,446 | $11,859 | $5,725 | | 49 | 198 | Chest Pain with Angina Pectoris or Coronary Atherosclerosis | $13,933 | $8,081 | $3,901 | | 50 | 204 | Fainting and Collapse | $13,281 | $7,703 | $3,719 | | 51 | 663 | Red Blood Cell Disorders Except Sickle Cell Anemia Crisis | $12,003 | $6,962 | $3,361 | | 52 | 351 | Other Musculoskeletal System and Connective Tissue Diagnoses | $10,008 | $5,805 | $2,802 | | 53 | 141 | Asthma | $6,053 | $3,511 | $1,695 | | 54 | 248 | Major G.I. Bacterial Infections | $8,962 | $5,198 | $2,509 | | 55 | 197 | Peripheral and Other Vascular Disorders | $12,251 | $7,106 | $3,430 | | 56 | 253 | Other and Unspecified Gastrointestinal Hemorrhage | $8,308 | $4,819 | $2,326 | | 57 | 310 | Back/Neck Procedures Except Dorsal and Lumbar Fusion | $22,037 | $12,781 | $6,170 | | 58 | 321 | Upper Spinal Fusion | $33,158 | $19,232 | $9,284 | | 59 | 191 | Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease | $29,527 | $17,126 | $8,268 | | 60 | 024 | Extracranial Vascular Procedures | $31,694 | $18,383 | $8,874 | | 61 | 721 | Postoperative and Post-Traumatic Infections | $9,128 | $5,294 | $2,556 | | 62 | 773 | Opioid Abuse/Dependence | $5,791 | $3,359 | $1,621 | | 63 | 144 | Respiratory System Signs, Symptoms and Minor Diagnoses | $12,476 | $7,236 | $3,493 | | 64 | 693 | Chemotherapy | $12,142 | $7,042 | $3,400 | | 65 | 422 | Hypovolemia | $6,798 | $3,943 | $1,903 | | 66 | 566 | Other Antepartum Diagnoses | $5,054 | $2,931 | $1,415 | | 67 | 755 | Neuroses Other Than Depression | $10,466 | $6,070 | $2,930 | | 68 | 203 | Chest Pain | $14,710 | $8,532 | $4,119 | | 69 | 047 | Transient Ischemia | $11,442 | $6,636 | $3,204 | | 70 | 251 | Abdominal Pain | $13,214 | $7,664 | $3,700 | | 71 | 143 | Pneumothorax & Pleural Effusion | $12,174 | $7,061 | $3,409 | | 72 | 021 | Craniotomy Except For Trauma | $54,035 | $31,340 | $15,130 | | 73 | 466 | Malfunctions, Reactions & Comp Of Gu Device, Graft Or Transplant | 0 | 0 | 0 | | 74 | 058 | Other Disorders of Nervous System | $12,887 | $7,474 | $3,608 | | 75 | 710 | Infectious & parasitic diseases including HIV w O.R. procedure | $21,264 | $12,333 | $5,954 |
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: October 2011 - September 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* |
| NR | NR | NR | NR | NR | NR | | $3,246 | $1,883 | $909 | $6,034 | $3,500 | $1,690 | | $4,596 | $2,666 | $1,287 | $6,505 | $3,773 | $1,821 | | $4,281 | $2,483 | $1,199 | $6,904 | $4,004 | $1,933 | | $4,765 | $2,764 | $1,334 | $6,055 | $3,512 | $1,695 | | $1,558 | $904 | $436 | $4,741 | $2,750 | $1,327 | | $2,249 | $1,304 | $630 | $7,517 | $4,360 | $2,105 | | $7,512 | $4,357 | $2,103 | $8,920 | $5,174 | $2,498 | | $10,217 | $5,926 | $2,861 | $11,549 | $6,699 | $3,234 | | $3,242 | $1,880 | $908 | NR | NR | NR | | $7,197 | $4,174 | $2,015 | $8,188 | $4,749 | $2,293 | | $3,242 | $1,880 | $908 | NR | NR | NR | | $3,177 | $1,843 | $890 | $5,381 | $3,121 | $1,507 | | $4,396 | $2,550 | $1,231 | $5,235 | $3,036 | $1,466 | | $4,172 | $2,420 | $1,168 | $5,636 | $3,269 | $1,578 | | $19,144 | $11,104 | $5,360 | $25,116 | $14,567 | $7,032 | | $15,523 | $9,003 | $4,346 | $17,767 | $10,305 | $4,975 | | $7,037 | $4,081 | $1,970 | $7,870 | $4,564 | $2,204 | | $7,162 | $4,154 | $2,005 | $10,295 | $5,971 | $2,882 | | $5,238 | $3,038 | $1,467 | $7,341 | $4,258 | $2,056 | | $10,114 | $5,866 | $2,832 | $13,441 | $7,796 | $3,763 | | $5,491 | $3,185 | $1,538 | $9,552 | $5,540 | $2,675 | | $7,731 | $4,484 | $2,165 | $11,897 | $6,900 | $3,331 | | NR | NR | NR | NR | NR | NR | | NR | NR | NR | NR | NR | NR | | $11,557 | $6,703 | $3,236 | $12,470 | $7,233 | $3,492 | | $10,806 | $6,267 | $3,026 | $11,725 | $6,800 | $3,283 | | NR | NR | NR | NR | NR | NR | | $22,010 | $12,766 | $6,163 | $20,388 | $11,825 | $5,709 | | $17,224 | $9,990 | $4,823 | $18,900 | $10,962 | $5,292 | | $3,817 | $2,214 | $1,069 | $5,207 | $3,020 | $1,458 | | $3,464 | $2,009 | $970 | $4,583 | $2,658 | $1,283 | | $9,372 | $5,436 | $2,624 | $14,181 | $8,225 | $3,971 | | $6,303 | $3,656 | $1,765 | $6,635 | $3,848 | $1,858 | | NR | NR | NR | $9,536 | $5,531 | $2,670 | | $10,588 | $6,141 | $2,965 | $12,265 | $7,114 | $3,434 | | $8,914 | $5,170 | $2,496 | $12,814 | $7,432 | $3,588 | | $11,678 | $6,773 | $3,270 | $13,340 | $7,737 | $3,735 | | $13,228 | $7,672 | $3,704 | $14,060 | $8,155 | $3,937 | | $12,674 | $7,351 | $3,549 | $15,842 | $9,188 | $4,436 | | NR | NR | NR | NR | NR | NR | | $8,662 | $5,024 | $2,425 | $10,060 | $5,835 | $2,817 | | $20,978 | $12,167 | $5,874 | $20,903 | $12,124 | $5,853 | | $10,105 | $5,861 | $2,830 | $13,106 | $7,601 | $3,670 | | $5,838 | $3,386 | $1,635 | $5,200 | $3,016 | $1,456 | | $5,559 | $3,224 | $1,557 | $7,255 | $4,208 | $2,031 | | NR | NR | NR | NR | NR | NR | | $10,725 | $6,221 | $3,003 | $11,844 | $6,870 | $3,316 | | $13,627 | $7,904 | $3,815 | $16,056 | $9,313 | $4,496 | | $15,641 | $9,072 | $4,380 | NR | NR | NR | | $17,773 | $10,309 | $4,977 | $20,376 | $11,818 | $5,705 | | $7,844 | $4,550 | $2,196 | NR | NR | NR | | $1,835 | $1,064 | $514 | NR | NR | NR | | $8,059 | $4,674 | $2,257 | NR | NR | NR | | NR | NR | NR | NR | NR | NR | | $12,312 | $7,141 | $3,447 | $19,542 | $11,334 | $5,472 | | $6,148 | $3,566 | $1,721 | NR | NR | NR | | $8,882 | $5,152 | $2,487 | $13,470 | $7,812 | $3,771 | | $12,017 | $6,970 | $3,365 | $12,437 | $7,213 | $3,482 | | $8,221 | $4,768 | $2,302 | NR | NR | NR | | $16,862 | $9,780 | $4,721 | $19,402 | $11,253 | $5,433 | | $6,314 | $3,662 | $1,768 | NR | NR | NR | | $16,561 | $9,605 | $4,637 | $18,464 | $10,709 | $5,170 | | NR | NR | NR | NR | NR | NR | | $21,791 | $12,639 | $6,102 | $25,602 | $14,849 | $7,168 | | NR | NR | NR | NR | NR | NR | | $5,868 | $3,403 | $1,643 | $8,757 | $5,079 | $2,452 | | $38,853 | $22,535 | $10,879 | NR | NR | NR | | $10,613 | $6,155 | $2,972 | $9,212 | $5,343 | $2,579 | | $7,982 | $4,630 | $2,235 | $8,296 | $4,811 | $2,323 | | $14,667 | $8,507 | $4,107 | $26,183 | $15,186 | $7,331 | | $11,488 | $6,663 | $3,217 | $12,831 | $7,442 | $3,593 | | $8,476 | $4,916 | $2,373 | $11,055 | $6,412 | $3,095 | | $2,398 | $1,391 | $671 | NR | NR | NR | | NR | NR | NR | NR | NR | NR |
NR = No Cases Reported |
Information about quality and safety of care for Meriter Hospital may be found at http://www.wicheckpoint.org
* Estimated Insurance Payments based on average percent of billed charges collected.
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