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


  
Charges for 75 Most Common Types of Hospitalizations in Wisconsin: January 2013 - December 2013
(Uncomplicated Cases Only)
 
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.
    Estimated Insurance Payments *
RankAPR- DRG DescriptionMedian  
Charge
 
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,880$1,699$1,066
2560Vaginal DeliveryNRNRNR
3302Knee Replacement$33,561$19,801$12,418
4720Blood Infection/Septicemia$12,777$7,538$4,727
5540Cesarean DeliveryNRNRNR
6139Pneumonia$9,265$5,466$3,428
7194Heart Failure$11,790$6,956$4,362
8301Hip Replacement$38,894$22,947$14,391
9751Psychoses$8,016$4,729$2,966
10753Bipolar Disorders$7,145$4,216$2,644
11140Chronic Obstructive Pulmonary Disease$10,663$6,291$3,945
12201Heart Abnormal Rhythm and Conduction Disorders$11,856$6,995$4,387
13383Cellulitis and Other Bacterial Skin Infections$8,468$4,996$3,133
14775Alchohol Abuse/Dependence$9,025$5,325$3,339
15460Renal Failure$18,290$10,791$6,767
16463Kidney/Urinary Tract Infection$7,335$4,328$2,714
17045Stroke and Precerebral Occlusion with Infarct$19,478$11,492$7,207
18860Rehabilitation$28,232$16,657$10,446
19221Major Bowel Procedures$33,987$20,052$12,575
20174Angioplasty with Heart Attack$48,504$28,617$17,946
21750Schizophrenia$9,214$5,436$3,409
22133Pulmonary Edema/Respiratory Failure$3,738$2,205$1,383
23254Other Digestive System Diagnoses$11,158$6,583$4,128
24175Angioplasty without Heart Attack$43,236$25,509$15,997
25249Gastroenteritis$10,684$6,304$3,953
26247Intestinal Obstruction without Surgery$13,368$7,887$4,946
27420Diabetes$8,031$4,738$2,971
28754Depression$7,554$4,457$2,795
29812Poisoning of Medicinal Agents$8,448$4,984$3,126
30282Disorders of Pancreas Except Malignancy$10,536$6,216$3,898
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$57,334$33,827$21,214
32137Respiratory Infections and Inflammations$22,793$13,448$8,433
33053Seizure$8,090$4,773$2,993
34263Laparoscopic Cholecystectomy$25,042$14,775$9,266
35308Hip/Thigh Surgery with Trauma Diagnosis$35,923$21,195$13,292
36134Pulmonary Embolism$9,431$5,564$3,489
37173Other Vascular Procedures$48,776$28,778$18,047
38241Peptic Ulcer/Gastritis$11,979$7,068$4,432
39190Circulatory Disorders with Heart Attack$19,271$11,370$7,130
40425Other Electrolyte Disorders$8,143$4,804$3,013
41347Other Back/Neck Disorders, Fractures, Injuries$23,266$13,727$8,608
42313Other Knee/Lower Leg Surgery$31,651$18,674$11,711
43861Signs & Symptoms$8,461$4,992$3,131
44315Shoulder/Upper Arm, Forearm Surgery$23,460$13,841$8,680
45244Diverticulitis & Diverticulosis$10,784$6,363$3,990
46225Appendectomy$21,231$12,526$7,855
47253Other and Unspecified Gastrointestinal Hemorrhage$13,619$8,035$5,039
48192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$24,205$14,281$8,956
49663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$10,855$6,404$4,016
50141Asthma$9,216$5,437$3,410
51351Other Musculoskeletal System and Connective Tissue Diagnoses$14,567$8,595$5,390
52191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$24,351$14,367$9,010
53248Major G.I. Bacterial Infections$14,286$8,429$5,286
54024Extracranial Vascular Procedures$46,463$27,413$17,191
55198Chest Pain with Angina Pectoris or Coronary Atherosclerosis$10,725$6,328$3,968
56321Upper Spinal Fusion$31,152$18,380$11,526
57197Peripheral and Other Vascular Disorders$13,988$8,253$5,176
58204Fainting and Collapse$6,884$4,062$2,547
59513Uterine Procedures without Tumor$28,581$16,863$10,575
60773Opioid Abuse/Dependence$7,380$4,354$2,731
61721Postoperative and Post-Traumatic Infections$12,766$7,532$4,723
62144Respiratory System Signs, Symptoms and Minor Diagnoses$12,957$7,645$4,794
63693Chemotherapy$6,568$3,875$2,430
64310Back/Neck Procedures Except Dorsal and Lumbar Fusion$21,893$12,917$8,100
65566Other Antepartum Diagnoses$18,076$10,665$6,688
66113Epiglottitis, Ear Infection, URI and Laryngotracheitis$6,465$3,814$2,392
67422Hypovolemia$4,515$2,664$1,671
68710Infectious & parasitic diseases including HIV w O.R. procedure$24,473$14,439$9,055
69021Craniotomy Except For Trauma$63,754$37,615$23,589
70466Malfunctions, Reactions & Comp Of Gu Device, Graft Or Transplant$19,844$11,708$7,342
71143Pneumothorax & Pleural Effusion$12,297$7,255$4,550
72163Heart Valve Procedures without Cardiac Catheterization$97,147$57,317$35,944
73055Head trauma w coma >1 hr or hemorrhage$23,243$13,713$8,600
74755Neuroses Other Than Depression$3,915$2,310$1,449
75047Transient Ischemia$15,357$9,061$5,682

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: January 2013 - December 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)$6,534$3,855$2,417$13,058$7,704$4,832
Colonoscopy and Biopsy (45380)$3,568$2,105$1,320$3,318$1,958$1,228
Diagnostic Colonoscopy (45378)$2,647$1,562$980$2,485$1,466$920
Upper GI Endoscopy with Biopsy (43239)$3,924$2,315$1,452$2,622$1,547$970
Lesion Removal Colonoscopy by Snare Technique (45385)$4,186$2,470$1,549$4,803$2,834$1,777
Injection into Lumbar or Sacral Area, Single Level (64483)NRNRNR$1,402$827$519
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral (64493)$1,738$1,025$643$2,538$1,497$939
Drain/Inject Major Joint or Bursa (20610)$1,603$946$593$978$577$362
Colorectal Cancer Screening; Colonscopy, Not High Risk (G0121)$3,093$1,825$1,144$2,746$1,620$1,016
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy (29881)$6,320$3,729$2,338$10,146$5,986$3,754
Carpal Tunnel Surgery (64721)$3,477$2,051$1,286$3,991$2,355$1,477
Uppr GI Endoscopy- Diagnostic (43235)$3,553$2,096$1,314$1,985$1,171$735
Colorectal Cancer Screening ; Colonoscopy, High Risk (G0105)NRNRNR$2,696$1,591$998
Lesion Removal Colonoscopy by Hot Biopsy or Cautery (45384)$3,997$2,358$1,479$5,502$3,246$2,036
Left Heart Artery/Ventricle Angiography (93458)NRNRNR$24,366$14,376$9,015
Creation of Eardrum Opening (69436)$2,318$1,368$858$6,016$3,549$2,226
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral (64635)NRNRNRNRNRNR
Laparoscopic Cholecystectomy (47562)$11,965$7,060$4,427$12,460$7,352$4,610
Unlisted Dental Surgery Procedure (41899)$7,673$4,527$2,839$6,444$3,802$2,384
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor (64490)$2,778$1,639$1,028$1,908$1,125$706
After Cataract Laser Surgery (66821)$611$360$226$567$335$210
Percutaneous Breast Biopsy with Device and Imaging (19103)$3,575$2,109$1,323$4,040$2,383$1,495
Removal of Tonsils And Adenoids - < Age 12 (42820)$7,099$4,188$2,626$8,207$4,842$3,036
Repair Initial Ingunial Hernia, > = 5 years, Reducible (49505)$9,279$5,474$3,433$8,273$4,881$3,061
Unlisted Cystourethoscopy (52000)$4,366$2,576$1,615$746$440$276
Arthroscopic Rotator Cuff Repair (29827)$15,084$8,900$5,581$18,934$11,171$7,006
Cataract Surgery- Complex (66982)$8,208$4,843$3,037$13,962$8,237$5,166
Hysteroscopy with Biopsy (58558)$5,817$3,432$2,152$7,485$4,416$2,769
Esophageal Endoscopy with Dilation (43249)$4,251$2,508$1,573$3,100$1,829$1,147
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct (47563)NRNRNR$13,286$7,839$4,916
ABD Paracentesis w/Imaging (49083)$1,543$911$571$2,132$1,258$789
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy (29880)$7,285$4,298$2,695$17,494$10,322$6,473
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) (20680)$6,829$4,029$2,527$9,415$5,555$3,484
Incision of Finger Tendon Sheath (26055)$2,855$1,684$1,056$2,567$1,515$950
Cystourethroscopy with Lithotripsy (52353)NRNRNR$10,110$5,965$3,741
Uppr GI Endoscopy with Guide Wire (43248)NRNRNR$2,812$1,659$1,040
Destruction of Benign Lesions up to 14 Lesions (17110)$195$115$72$204$121$76
Laparoscopic Hernia Repair - Initial (49650)$12,841$7,576$4,751$13,965$8,239$5,167
Destruction of Premalignant Lesion (17000)$182$108$67$286$169$106
Percutaneous Breast Biopsy with Imaging (19102)$2,727$1,609$1,009$3,528$2,082$1,305
Cystourethroscopy with Stent (52332)$10,032$5,919$3,712$7,850$4,632$2,905
Repair of Nasal Septum (30520)$7,718$4,553$2,855$11,691$6,898$4,326
Removal of Tonsils (42826)$6,926$4,086$2,563$8,298$4,896$3,070
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair (29888)$16,612$9,801$6,146$18,280$10,785$6,764
Fragmenting of Kidney Stone (50590)NRNRNR$17,304$10,209$6,402
Repair Umbilical Hernia, > = 5 Yrs - Reducible  (49585)$7,660$4,520$2,834$13,400$7,906$4,958
Laparoscopic Appendectomy (44970)$16,274$9,602$6,021$22,711$13,399$8,403
Low Back Disk Surgery (63030)$8,057$4,754$2,981$12,315$7,266$4,556
Correction of Bunion (28296)$5,448$3,214$2,016$8,549$5,044$3,163
Hysteroscopy with Ablation (58563)$6,677$3,939$2,470NRNRNR
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles (20552)$569$336$211$569$336$211
Destruction by neurolytic agent w imaging, cervical or thoracic (64633)NRNRNRNRNRNR
Colonoscopy with Lesion Removal (45383)NRNRNR$3,520$2,077$1,302
Mastectomy, Partial (19301)$6,674$3,938$2,469$16,775$9,897$6,207
Biopsy Skin and Subcutaneous Tissue; 1 Lesion (11100)$801$472$296$935$552$346
Needle Biopsy of Liver (47000)$2,993$1,766$1,107$5,331$3,145$1,972
Bone Marrow Biopsy (38221)$2,801$1,653$1,036$9,226$5,443$3,414
Remove Impacted Ear Wax (69210)$248$146$92$247$146$91
Mohs Micrographic Tissue Removal (17311)NRNRNR$1,172$691$433
Coronary Artery Angio S&I (93454)NRNRNR$21,764$12,841$8,053
Laparoscopy - Removal of Adnexal Structures (58661)$13,702$8,084$5,070$17,173$10,132$6,354
Debridement, Open Wound <= 20 Square Centimeters (97597)$560$330$207NRNRNR
Right and Left Heart Artery/Ventricle Angiography (93460)NRNRNR$27,081$15,978$10,020
Destruction (therapeutic injection) of muscles; extremity /trunk (64614)$5,011$2,957$1,854$5,589$3,298$2,068
Diagnostic Laryngoscopy (31575)$430$254$159$421$248$156
Insertion of Central Venous Catheter >= 5 years (36569)$7,379$4,354$2,730$3,429$2,023$1,269
Removal of Breast Lesion (19120)$5,335$3,147$1,974$8,691$5,128$3,216
Excision Breast Lesion with Preoperative Placement Radiological Marker (19125)$5,124$3,023$1,896$8,423$4,969$3,116
Aspirate Pleura with Imaging (32555)$1,914$1,129$708$1,869$1,103$692
Electro-Uroflowmetry - First (51741)$437$258$162$905$534$335
Removal of Adenoids (42830)$4,609$2,719$1,705$5,216$3,077$1,930
Knee Arthroscopy/Surgery with Shaving of Cartilage (29877)$6,252$3,689$2,313$16,095$9,496$5,955
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area (58662)$25,097$14,807$9,286$16,197$9,556$5,993
Removal of Central Venous Device w Port or Pump (36590)$5,859$3,457$2,168$4,063$2,397$1,503
Wrist Endoscopy/Surgical (29848)$3,800$2,242$1,406$4,630$2,732$1,713

NR = No Cases Reported
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.

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