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

        Charges for 75 Most Common Hospitalizations in Wisconsin:   October 2016 - September 2017   (Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$3,457$1,867$1,037
2560Vaginal DeliveryNRNRNR
3720Blood Infection/Septicemia$14,321$7,733$4,296
4302Knee Replacement$41,455$22,386$12,437
5194Heart Failure$15,210$8,213$4,563
6540Cesarean Delivery$33,914$18,314$10,174
7301Hip Replacement$49,139$26,535$14,742
8751Psychoses$10,459$5,648$3,138
9140Chronic Obstructive Pulmonary Disease$10,693$5,774$3,208
10139Pneumonia$8,544$4,614$2,563
11753Bipolar Disorders$10,862$5,865$3,259
12775Alcohol Abuse/Dependence$10,218$5,518$3,065
13201Heart Abnormal Rhythm and Conduction Disorders$16,939$9,147$5,082
14133Respiratory failureNRNRNR
15383Cellulitis & other skin infections$10,545$5,694$3,164
16045Stroke and Precerebral Occlusion with Infarct$27,569$14,887$8,271
17469Acute Kidney Injury$10,040$5,422$3,012
18463Kidney/Urinary Tract Infection$14,244$7,692$4,273
19221Major Bowel Procedures$48,414$26,144$14,524
20174Percutaneous coronary intervention w AMI$47,182$25,478$14,155
21750Schizophrenia$16,323$8,814$4,897
22420Diabetes$12,832$6,929$3,850
23754Depression$8,889$4,800$2,667
24282Disorders of Pancreas Except Malignancy$15,663$8,458$4,699
25247Intestinal Obstruction without Surgery$14,782$7,982$4,435
26812Poisoning of Medicinal Agents$10,098$5,453$3,029
27254Other Digestive System Diagnoses$14,277$7,710$4,283
28308Hip & femur fracture repair$47,756$25,788$14,327
29710Infectious & parasitic diseases including HIV w O.R. procedure$21,961$11,859$6,588
30190Circulatory Disorders with Heart Attack$23,088$12,468$6,926
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$66,476$35,897$19,943
32053Seizure$17,656$9,534$5,297
33773Opioid Abuse/Dependence$6,552$3,538$1,966
34175Percutaneous coronary intervention w/o AMI$48,165$26,009$14,450
35058Other Disorders of Nervous System$21,112$11,400$6,334
36249Other gastroenteritis, nausea & vomiting$16,521$8,921$4,956
37137Respiratory Infections and Inflammations$17,968$9,703$5,390
38134Pulmonary Embolism$18,375$9,923$5,513
39192Cardiac catheterization for other non-coronary conditions$24,883$13,437$7,465
40263Laparoscopic Cholecystectomy$35,932$19,403$10,780
41244Diverticulitis & Diverticulosis$16,214$8,756$4,864
42861Signs & Symptoms$13,324$7,195$3,997
43241Peptic Ulcer/Gastritis$14,818$8,002$4,445
44253Other and Unspecified Gastrointestinal Hemorrhage$14,379$7,765$4,314
45466Malfunction, reaction, complic of genitourinary device or procNRNRNR
46347Other Back/Neck Disorders, Fractures, Injuries$19,180$10,357$5,754
47313Other Knee/Lower Leg Surgery$45,413$24,523$13,624
48425Other Electrolyte Disorders$12,517$6,759$3,755
49181Lower Extremity Arterial Procedures$57,232$30,905$17,170
50951Moderately Extensive Procedure Unrelated to Diagnosis$37,822$20,424$11,347
51248Major G.I. Bacterial Infections$13,152$7,102$3,946
52024Extracranial Vascular Procedures$76,528$41,325$22,958
53351Other Musculoskeletal System and Connective Tissue Diagnoses$17,470$9,434$5,241
54315Shoulder, upper arm & forearm procedures except joint replacement$37,999$20,519$11,400
55021Craniotomy Except For Trauma$78,366$42,318$23,510
56113Epiglottitis, Ear Infection, URI and Laryngotracheitis$12,051$6,508$3,615
57663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$8,925$4,820$2,678
58166Coronary bypass w/o AMI or complex PDX$123,292$66,578$36,988
59321Upper Spinal Fusion$39,996$21,598$11,999
60862Other Factors Influencing Health Status$19,243$10,391$5,773
61055Head trauma w coma >1 hr or hemorrhage$23,805$12,855$7,142
62197Peripheral and Other Vascular Disorders$16,365$8,837$4,910
63566Other Antepartum Diagnoses$11,621$6,275$3,486
64422Hypovolemia$10,678$5,766$3,203
65052Nontraumatic stupor & coma$19,424$10,489$5,827
66141Asthma$13,944$7,530$4,183
67755Neuroses Other Than Depression$7,904$4,268$2,371
68721Postoperative and Post-Traumatic Infections$16,522$8,922$4,957
69225Appendectomy$28,039$15,141$8,412
70143Other respiratory diagnoses except signs, symptoms & minor diagnoses$12,099$6,533$3,630
71144Respiratory System Signs, Symptoms and Minor Diagnoses$14,068$7,597$4,220
72163Cardiac valve procedures w/o AMI or complex PDX$110,852$59,860$33,256
73204Fainting and Collapse$18,390$9,931$5,517
74199Hypertension$15,795$8,529$4,739
75696Other Chemotherapy$13,006$7,023$3,902
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 2016 - September 2017

 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)$7,396$3,994$2,219$14,502$7,831$4,351
Colonoscopy and Biopsy (45380)$4,120$2,225$1,236$7,277$3,930$2,183
Lesion Removal Colonoscopy by Snare Technique (45385)$3,959$2,138$1,188$7,907$4,270$2,372
Upper GI Endoscopy with Biopsy (43239)$3,297$1,780$989$6,755$3,648$2,026
Diagnostic Colonoscopy (45378)$3,221$1,739$966$6,941$3,748$2,082
Injection into Lumbar or Sacral Area, Single Level (64483)$1,703$919$511$3,066$1,656$920
Drain/Inject Major Joint or Bursa (20610)$1,242$671$373$2,657$1,435$797
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral (64493)$4,012$2,167$1,204$3,091$1,669$927
Colorectal Cancer Screening; Colonscopy, Not High Risk (G0121)$3,565$1,925$1,070NRNRNR
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee (62323)$2,631$1,421$789$13,031$7,037$3,909
Colorectal Cancer Screening ; Colonoscopy, High Risk (G0105)$3,551$1,918$1,065NRNRNR
Carpal Tunnel Surgery (64721)$3,281$1,772$984$50,456$27,246$15,137
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral (64635)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy (29881)$8,389$4,530$2,517$20,444$11,040$6,133
Uppr GI Endoscopy- Diagnostic (43235)$2,831$1,529$849$6,003$3,242$1,801
Creation of Eardrum Opening (69436)$2,899$1,565$870$16,909$9,131$5,073
Lesion Removal Colonoscopy by Hot Biopsy or Cautery (45384)$4,706$2,541$1,412NRNRNR
Left Heart Artery/Ventricle Angiography (93458)$16,721$9,029$5,016$34,493$18,626$10,348
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance (62321)NRNRNRNRNRNR
Unlisted Dental Surgery Procedure (41899)$10,641$5,746$3,192$12,762$6,891$3,828
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor (64490)$2,198$1,187$659$2,996$1,618$899
After Cataract Laser Surgery (66821)$894$483$268$1,190$643$357
ABD Paracentesis w/Imaging (49083)$2,288$1,235$686$7,468$4,033$2,240
Laparoscopic Cholecystectomy (47562)$14,626$7,898$4,388$17,037$9,200$5,111
Biopsy, Breast w/Ultrasound Image; 1 Lesion (19083)$3,278$1,770$983$7,971$4,304$2,391
Esophageal Endoscopy with Dilation (43249)$4,122$2,226$1,237$7,234$3,906$2,170
Biopsy Skin and Subcutaneous Tissue; 1 Lesion (11100)$687$371$206$1,464$790$439
Removal of Tonsils And Adenoids - < Age 12 (42820)$7,987$4,313$2,396$9,169$4,951$2,751
Arthroscopic Rotator Cuff Repair (29827)$22,361$12,075$6,708$17,751$9,585$5,325
Cataract Surgery- Complex (66982)$9,587$5,177$2,876$18,446$9,961$5,534
Hysteroscopy with Biopsy (58558)$7,788$4,206$2,336$8,927$4,820$2,678
Cystourethroscopy with Lithotripsy and Stent (52356)$11,344$6,126$3,403$17,995$9,717$5,398
Incision of Finger Tendon Sheath (26055)$2,939$1,587$882$3,998$2,159$1,199
Laparoscopic Hernia Repair - Initial (49650)$14,420$7,787$4,326$17,453$9,424$5,236
Destruction of Premalignant Lesion (17000)$220$119$66$382$206$115
Repair Initial Ingunial Hernia, > = 5 years, Reducible (49505)$14,301$7,723$4,290$11,397$6,155$3,419
Unlisted Cystourethoscopy (52000)$1,146$619$344$10,773$5,817$3,232
Uppr GI Endoscopy with Guide Wire (43248)$4,615$2,492$1,384$6,207$3,352$1,862
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) (20680)$10,092$5,450$3,028$14,603$7,886$4,381
Destruction by neurolytic agent w imaging, cervical or thoracic (64633)NRNRNRNRNRNR
Destruction of Benign Lesions up to 14 Lesions (17110)$233$126$70$745$402$223
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy (29880)$8,729$4,714$2,619$19,141$10,336$5,742
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct (47563)$15,926$8,600$4,778$41,001$22,140$12,300
Biopsy breast w/stereotactic image; 1 lesion (19081)$5,450$2,943$1,635$11,357$6,133$3,407
Cystourethroscopy with Stent (52332)$7,137$3,854$2,141$12,559$6,782$3,768
Laparoscopy - Removal of Adnexal Structures (58661)$18,430$9,952$5,529$28,822$15,564$8,647
Mastectomy, Partial (19301)$9,517$5,139$2,855$22,856$12,342$6,857
Debridement Skin/Tissue (11042)$6,552$3,538$1,966$12,129$6,550$3,639
Laparoscopic Appendectomy (44970)$20,639$11,145$6,192$18,966$10,241$5,690
Laparoscopy, Removal of Tubes & Ovaries (58571)$34,330$18,538$10,299$34,206$18,471$10,262
Repair Umbilical Hernia, > = 5 Yrs - Reducible (49585)$8,591$4,639$2,577$15,486$8,363$4,646
Removal of Tonsils (42826)$9,245$4,992$2,773NRNRNR
Low Back Disk Surgery (63030)$14,663$7,918$4,399$20,590$11,119$6,177
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles (20552)$684$369$205$1,790$966$537
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair (29888)$17,374$9,382$5,212$19,218$10,378$5,765
Repair of Nasal Septum (30520)$11,143$6,017$3,343$18,909$10,211$5,673
Wrist Endoscopy/Surgery (29848)$4,443$2,399$1,333$10,591$5,719$3,177
Fragmenting of Kidney Stone (50590)NRNRNRNRNRNR
Coronary Artery Angio S&I (93454)NRNRNR$32,491$17,545$9,747
Aspirate Pleura with Imaging (32555)$2,375$1,283$713$4,331$2,339$1,299
Needle Biopsy of Liver (47000)$5,540$2,992$1,662$7,981$4,310$2,394
Injection of chemical agent into muscles near face/neck (64615)$3,627$1,959$1,088$7,222$3,900$2,167
Bone Marrow Biopsy (38221)$6,218$3,358$1,865$11,148$6,020$3,345
Diagnostic Laryngoscopy (31575)$503$272$151$1,545$834$464
Removal of Adenoids (42830)$5,798$3,131$1,739$6,254$3,377$1,876
Hysteroscopy with Ablation (58563)$10,938$5,906$3,281$16,241$8,770$4,872
Exam of ear with microscope (92504)$278$150$83$500$270$150
Electro-Uroflowmetry - First (51741)$432$233$130$985$532$296
Biopsy of lung or mediastinum, percutaneous w/needle (32405)$5,676$3,065$1,703$11,938$6,447$3,581
Remove Impacted Ear Wax (69210)$290$157$87$426$230$128
Right and Left Heart Artery/Ventricle Angiography (93460)$18,635$10,063$5,590$23,933$12,924$7,180
Arthrocentesis, aspiration and/or Inj. major joint or bursa; w/US guidance (20611)$2,001$1,081$600$3,942$2,129$1,183
Correction of Bunion (28296)$10,596$5,722$3,179$14,357$7,753$4,307
Shoulder Arthroscopy/Surgery (29824)NRNRNR$16,760$9,051$5,028
Angioplasty - peripheral segment of the dialysis circuit (36902)$16,118$8,704$4,835$24,997$13,499$7,499
Information about quality and safety of care for UW Hospital and Clinics Authority may be found at http://www.wicheckpoint.org
* Estimated Insurance Payments based on average percent of billed charges collected.