UW Hospital and Clinics
600 Highland Avenue
Madison, WI 53792
608-263-6400

Charges for 75 Most Common Hospitalizations in Wisconsin:  October 2013 - September 2014
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$6,110$3,605$2,077
2560Vaginal DeliveryNRNRNR
3720Blood Infection/Septicemia$11,504$6,787$3,911
4302Knee Replacement$32,835$19,373$11,164
5540Cesarean DeliveryNRNRNR
6194Heart Failure$12,539$7,398$4,263
7139Pneumonia$9,108$5,374$3,097
8301Hip Replacement$40,770$24,054$13,862
9751Psychoses$9,293$5,483$3,160
10753Bipolar Disorders$8,983$5,300$3,054
11140Chronic Obstructive Pulmonary Disease$13,139$7,752$4,467
12201Heart Abnormal Rhythm and Conduction Disorders$13,765$8,121$4,680
13775Alcohol Abuse/Dependence$8,991$5,305$3,057
14383Cellulitis and Other Bacterial Skin Infections$9,949$5,870$3,383
15460Renal Failure$15,225$8,983$5,177
16045Stroke and Precerebral Occlusion with Infarct$21,560$12,720$7,330
17860Rehabilitation$26,583$15,684$9,038
18463Kidney/Urinary Tract Infection$8,863$5,229$3,013
19221Major Bowel Procedures$37,588$22,177$12,780
20133Pulmonary Edema/Respiratory FailureNRNRNR
21750Schizophrenia$16,777$9,898$5,704
22174Angioplasty with Heart Attack$50,025$29,515$17,009
23254Other Digestive System Diagnoses$11,476$6,771$3,902
24247Intestinal Obstruction without Surgery$13,257$7,822$4,507
25282Disorders of Pancreas Except Malignancy$10,381$6,125$3,530
26420Diabetes$9,525$5,620$3,239
27754Depression$7,867$4,642$2,675
28304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$55,478$32,732$18,863
29249Gastroenteritis$11,464$6,764$3,898
30137Respiratory Infections and Inflammations$16,563$9,772$5,631
31812Poisoning of Medicinal Agents$11,916$7,030$4,051
32053Seizure$13,879$8,189$4,719
33308Hip/Thigh Surgery with Trauma Diagnosis$35,999$21,239$12,240
34134Pulmonary Embolism$9,528$5,622$3,240
35175Angioplasty without Heart Attack$50,030$29,518$17,010
36263Laparoscopic Cholecystectomy$24,940$14,715$8,480
37190Circulatory Disorders with Heart Attack$21,774$12,847$7,403
38173Other Vascular Procedures$57,851$34,132$19,669
39347Other Back/Neck Disorders, Fractures, Injuries$20,118$11,870$6,840
40244Diverticulitis & Diverticulosis$10,805$6,375$3,674
41425Other Electrolyte Disorders$9,412$5,553$3,200
42315Shoulder/Upper Arm, Forearm Surgery$23,460$13,841$7,976
43241Peptic Ulcer/Gastritis$13,493$7,961$4,588
44313Other Knee/Lower Leg Surgery$37,998$22,419$12,919
45861Signs & Symptoms$11,767$6,943$4,001
46141Asthma$12,000$7,080$4,080
47253Other and Unspecified Gastrointestinal Hemorrhage$17,473$10,309$5,941
48351Other Musculoskeletal System and Connective Tissue Diagnoses$14,034$8,280$4,772
49663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$11,804$6,964$4,013
50248Major G.I. Bacterial Infections$14,223$8,392$4,836
51191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$25,481$15,034$8,664
52773Opioid Abuse/DependenceNRNRNR
53225Appendectomy$23,877$14,087$8,118
54710Infectious & parasitic diseases including HIV w O.R. procedure$29,658$17,498$10,084
55024Extracranial Vascular Procedures$47,057$27,764$15,999
56721Postoperative and Post-Traumatic Infections$12,516$7,384$4,255
57321Upper Spinal Fusion$35,376$20,872$12,028
58197Peripheral and Other Vascular Disorders$13,988$8,253$4,756
59693Chemotherapy$16,999$10,029$5,780
60192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$21,190$12,502$7,205
61466Malfunction, reaction, complic of genitourinary device or proc$13,620$8,036$4,631
62144Respiratory System Signs, Symptoms and Minor Diagnoses$7,729$4,560$2,628
63204Fainting and Collapse$10,316$6,086$3,507
64021Craniotomy Except For Trauma$65,228$38,485$22,178
65566Other Antepartum Diagnoses$13,239$7,811$4,501
66163Heart Valve Procedures without Cardiac Catheterization$102,671$60,576$34,908
67143Other respiratory diagnoses except signs, symptoms & minor diagnoses$11,964$7,059$4,068
68052Nontraumatic stupor & coma$13,529$7,982$4,600
69310Back/Neck Procedures Except Dorsal and Lumbar Fusion$24,475$14,440$8,322
70198Chest Pain with Angina Pectoris or Coronary Atherosclerosis$12,348$7,285$4,198
71755Neuroses Other Than Depression$5,739$3,386$1,951
72422Hypovolemia$7,119$4,200$2,420
73165Coronary Bypass with Cardiac Catheterization$125,095$73,806$42,532
74660Major hematologic/immunologic diag exc sickle cell crisis & coagul$12,925$7,626$4,395
75055Head trauma w coma >1 hr or hemorrhage$22,740$13,417$7,732
1. These data represent the median charges and payments for the least complicated cases. Individual variations may lead to charges that are greater than the amounts displayed here. Severely ill patients, or patients with additional medical conditions will require greater levels of medical care, and therefore will incur higher charges than reported here.
2. In most cases, Medicare payments are less than UW Hospital's cost of providing the care.
3. The charge information is for hospital services only. It does not include your doctor's fees.
4. It is important to understand that due to variations in individual physician practice patterns as well as individual patient differences, and the potential for unforeseen complications, this information should not be considered a price quote, but only an estimate. We encourage you to call our PriceLine staff at 608-263-1507 for more customized information regarding your specific case, and any other financial counseling we can provide. These staff can also provide you with estimates of physician fees for services at UW Hospital.
5. For comparative information on the quality of care at UW Hospital and Clinics, please see the Wisconsin Collaborative for Healthcare Quality's website at www.wchq.org.

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 2013 - September 2014
 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)$7,096$4,187$2,413$11,765$6,941$4,000
Colonoscopy and Biopsy 45380)$3,728$2,200$1,268$3,376$1,992$1,148
Upper GI Endoscopy with Biopsy 43239)$3,037$1,792$1,033$2,942$1,736$1,000
Diagnostic Colonoscopy 45378)$2,845$1,679$967$2,485$1,466$845
Lesion Removal Colonoscopy by Snare Technique 45385)$3,657$2,158$1,243$5,393$3,182$1,834
Injection into Lumbar or Sacral Area, Single Level 64483)$1,488$878$506$1,425$841$484
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$2,061$1,216$701$3,733$2,202$1,269
Drain/Inject Major Joint or Bursa 20610)$1,162$686$395$1,135$670$386
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$3,129$1,846$1,064$2,735$1,614$930
Carpal Tunnel Surgery 64721)$3,738$2,205$1,271$4,036$2,381$1,372
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$6,854$4,044$2,330$17,283$10,197$5,876
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$3,140$1,853$1,068$2,710$1,599$921
Uppr GI Endoscopy- Diagnostic 43235)$2,301$1,357$782$2,267$1,337$771
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)NRNRNR$6,727$3,969$2,287
Left Heart Artery/Ventricle Angiography 93458)$15,933$9,400$5,417$22,965$13,549$7,808
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Creation of Eardrum Opening 69436)$2,301$1,358$782$5,646$3,331$1,920
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$1,954$1,153$664$2,260$1,333$768
Laparoscopic Cholecystectomy 47562)$13,062$7,707$4,441$14,765$8,711$5,020
Unlisted Dental Surgery Procedure 41899)$8,416$4,965$2,861$6,977$4,116$2,372
After Cataract Laser Surgery 66821)$737$435$251$633$373$215
Removal of Tonsils And Adenoids - < Age 12 42820)$7,163$4,226$2,436$7,383$4,356$2,510
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$10,690$6,307$3,635$9,759$5,758$3,318
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$18,448$10,884$6,272
Cataract Surgery- Complex 66982)$8,503$5,017$2,891$13,682$8,073$4,652
Hysteroscopy with Biopsy 58558)$5,948$3,510$2,022$8,273$4,881$2,813
ABD Paracentesis w/Imaging 49083)$2,272$1,340$772$2,260$1,333$768
Unlisted Cystourethoscopy 52000)$885$522$301$767$453$261
Esophageal Endoscopy with Dilation 43249)$3,493$2,061$1,188$3,340$1,970$1,135
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$11,429$6,743$3,886$15,200$8,968$5,168
Incision of Finger Tendon Sheath 26055)$3,191$1,882$1,085$4,035$2,381$1,372
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$7,749$4,572$2,635$17,709$10,448$6,021
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$3,373$1,990$1,147$3,508$2,070$1,193
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$8,196$4,836$2,787$11,859$6,997$4,032
Uppr GI Endoscopy with Guide Wire 43248)$5,690$3,357$1,934$3,109$1,834$1,057
Destruction of Benign Lesions up to 14 Lesions 17110)$214$126$73$216$127$73
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$685$404$233$1,037$612$352
Destruction of Premalignant Lesion 17000)$216$127$73$304$180$103
Laparoscopic Hernia Repair - Initial 49650)$12,451$7,346$4,233$13,621$8,036$4,631
Laparoscopic Appendectomy 44970)$21,149$12,478$7,191$20,972$12,373$7,130
Cystourethroscopy with Stent 52332)$7,270$4,290$2,472$8,299$4,896$2,822
Repair of Nasal Septum 30520)$10,793$6,368$3,670$13,243$7,814$4,503
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Low Back Disk Surgery 63030)$11,902$7,022$4,047$13,122$7,742$4,461
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$16,733$9,872$5,689$18,369$10,838$6,245
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$7,592$4,479$2,581$16,176$9,544$5,500
Removal of Tonsils 42826)$7,471$4,408$2,540$9,213$5,436$3,133
Cystourethroscopy with Lithotripsy and Stent 52356)$9,971$5,883$3,390$10,579$6,242$3,597
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$588$347$200$603$356$205
Mastectomy, Partial 19301)$7,703$4,545$2,619$17,325$10,222$5,891
Hysteroscopy with Ablation 58563)$8,702$5,134$2,959NRNRNR
Coronary Artery Angio S&I 93454)NRNRNR$26,930$15,889$9,156
Biopsy breast w/stereotactic image; 1 lesion 19081)$3,884$2,292$1,321$4,149$2,448$1,411
Colonoscopy with Lesion Removal 45383)$3,710$2,189$1,261$3,362$1,984$1,143
Correction of Bunion 28296)$6,247$3,686$2,124$9,860$5,817$3,352
Remove Impacted Ear Wax 69210)$256$151$87$247$146$84
Apheresis Plasma 36514)NRNRNRNRNRNR
Bone Marrow Biopsy 38221)$8,114$4,787$2,759$9,063$5,347$3,081
Needle Biopsy of Liver 47000)$3,308$1,952$1,125$5,979$3,528$2,033
Mohs Micrographic Tissue Removal 17311)$523$309$178$1,173$692$399
Electro-Uroflowmetry - First 51741)$546$322$186$933$551$317
Laparoscopy - Removal of Adnexal Structures 58661)$15,073$8,893$5,125$15,860$9,357$5,392
Right and Left Heart Artery/Ventricle Angiography 93460)$17,228$10,165$5,858$24,498$14,454$8,329
Laparoscopy, Removal of Tubes & Ovaries 58571)$51,060$30,125$17,360$49,624$29,278$16,872
Aspirate Pleura with Imaging 32555)$2,023$1,194$688$1,855$1,094$631
Removal of Breast Lesion 19120)$7,036$4,151$2,392$8,726$5,148$2,967
Debridement Skin/Tissue 11042)$5,448$3,214$1,852$1,696$1,001$577
Wrist Endoscopy/Surgery 29848)$4,214$2,486$1,433$5,488$3,238$1,866
Diagnostic Laryngoscopy 31575)$446$263$152$430$254$146
Insertion of Central Venous Catheter >= 5 years 36569)$3,528$2,081$1,199$3,614$2,132$1,229
Shoulder Arthroscopy/Surgery 29824)NRNRNR$13,613$8,032$4,629
Repair of Hammertoe 28285)$4,263$2,515$1,450$7,907$4,665$2,689
Excision Breast Lesion with Preoperative Placement Radiological Marker 19125)$11,080$6,537$3,767$9,186$5,420$3,123
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area 58662)$26,718$15,764$9,084$35,535$20,966$12,082
Information about quality and safety of care for UW Hospital and Clinics may be found at http://www.wicheckpoint.org
* Estimated Insurance Payments based on average percent of billed charges collected.