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

Charges for 75 Most Common Hospitalizations in Wisconsin:  April 2016 - March 2017
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$3,664$1,979$1,136
2560Vaginal DeliveryNRNRNR
3720Blood Infection/Septicemia$13,480$7,279$4,179
4302Knee Replacement$37,009$19,985$11,473
5540Cesarean Delivery$33,914$18,314$10,513
6194Heart Failure$15,371$8,300$4,765
7301Hip Replacement$47,505$25,653$14,727
8751Psychoses$9,635$5,203$2,987
9139Pneumonia$11,455$6,186$3,551
10140Chronic Obstructive Pulmonary Disease$10,505$5,673$3,257
11753Bipolar Disorders$10,295$5,559$3,191
12775Alcohol Abuse/Dependence$10,050$5,427$3,116
13201Heart Abnormal Rhythm and Conduction Disorders$13,937$7,526$4,320
14383Cellulitis & other skin infections$10,703$5,780$3,318
15045Stroke and Precerebral Occlusion with Infarct$24,954$13,475$7,736
16133Respiratory failure$22,547$12,175$6,990
17463Kidney/Urinary Tract Infection$14,196$7,666$4,401
18221Major Bowel Procedures$45,357$24,493$14,061
19174Percutaneous coronary intervention w AMI$46,455$25,086$14,401
20750Schizophrenia$13,452$7,264$4,170
21754Depression$8,484$4,581$2,630
22420Diabetes$11,501$6,211$3,565
23282Disorders of Pancreas Except Malignancy$14,559$7,862$4,513
24247Intestinal Obstruction without Surgery$14,688$7,932$4,553
25254Other Digestive System Diagnoses$13,135$7,093$4,072
26812Poisoning of Medicinal Agents$9,359$5,054$2,901
27710Infectious & parasitic diseases including HIV w O.R. procedure$23,738$12,819$7,359
28773Opioid Abuse/Dependence$8,767$4,734$2,718
29308Hip & femur fracture repair$48,436$26,155$15,015
30304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$63,735$34,417$19,758
31190Circulatory Disorders with Heart Attack$20,732$11,195$6,427
32053Seizure$16,474$8,896$5,107
33137Respiratory Infections and Inflammations$19,243$10,391$5,965
34058Other Disorders of Nervous System$19,735$10,657$6,118
35175Percutaneous coronary intervention w/o AMI$49,080$26,503$15,215
36249Other gastroenteritis, nausea & vomiting$14,169$7,651$4,392
37460Renal Failure$22,373$12,081$6,936
38134Pulmonary Embolism$14,090$7,609$4,368
39263Laparoscopic Cholecystectomy$35,290$19,057$10,940
40244Diverticulitis & Diverticulosis$14,929$8,062$4,628
41469Acute Kidney Injury$23,432$12,653$7,264
42861Signs & Symptoms$18,473$9,975$5,727
43347Other Back/Neck Disorders, Fractures, Injuries$18,767$10,134$5,818
44315Shoulder, upper arm & forearm procedures except joint replacement$26,101$14,095$8,091
45253Other and Unspecified Gastrointestinal Hemorrhage$15,264$8,243$4,732
46241Peptic Ulcer/Gastritis$15,667$8,460$4,857
47313Other Knee/Lower Leg Surgery$44,579$24,073$13,819
48466Malfunction, reaction, complic of genitourinary device or procNRNRNR
49192Cardiac catheterization for other non-coronary conditions$24,884$13,437$7,714
50351Other Musculoskeletal System and Connective Tissue Diagnoses$18,124$9,787$5,618
51425Other Electrolyte Disorders$19,650$10,611$6,092
52248Major G.I. Bacterial Infections$13,152$7,102$4,077
53951Moderately Extensive Procedure Unrelated to Diagnosis$35,581$19,214$11,030
54663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$10,102$5,455$3,132
55862Other Factors Influencing Health Status$9,542$5,153$2,958
56024Extracranial Vascular Procedures$63,346$34,207$19,637
57021Craniotomy Except For Trauma$74,828$40,407$23,197
58113Epiglottitis, Ear Infection, URI and Laryngotracheitis$9,396$5,074$2,913
59321Upper Spinal Fusion$39,329$21,238$12,192
60566Other Antepartum Diagnoses$11,621$6,275$3,603
61197Peripheral and Other Vascular Disorders$14,846$8,017$4,602
62422Hypovolemia$11,765$6,353$3,647
63055Head trauma w coma >1 hr or hemorrhage$20,743$11,201$6,430
64173Other Vascular Procedures$71,214$38,456$22,076
65052Nontraumatic stupor & coma$10,644$5,748$3,300
66225Appendectomy$28,143$15,197$8,724
67141Asthma$11,943$6,449$3,702
68166Coronary bypass w/o AMI or complex PDX$119,583$64,575$37,071
69721Postoperative and Post-Traumatic Infections$12,714$6,866$3,941
70755Neuroses Other Than Depression$8,280$4,471$2,567
71191Cardiac catheterization for coronary artery disease$25,441$13,738$7,887
72220Major Stomach/Esophagus/Duodenum Procedures$37,327$20,157$11,571
73143Other respiratory diagnoses except signs, symptoms & minor diagnoses$12,099$6,533$3,751
74163Cardiac valve procedures w/o AMI or complex PDX$116,625$62,978$36,154
75950Extensive Procedure Unrelated to Principal Diagnosis$52,871$28,550$16,390
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:  April 2016 - March 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)$7,288$3,935$2,259$13,513$7,297$4,189
Colonoscopy and Biopsy 45380)$4,036$2,179$1,251$7,180$3,877$2,226
Lesion Removal Colonoscopy by Snare Technique 45385)$3,896$2,104$1,208$7,576$4,091$2,348
Upper GI Endoscopy with Biopsy 43239)$3,295$1,779$1,022$6,698$3,617$2,076
Diagnostic Colonoscopy 45378)$3,185$1,720$987$6,879$3,714$2,132
Injection into Lumbar or Sacral Area, Single Level 64483)$1,685$910$522$3,098$1,673$960
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$3,975$2,146$1,232$3,813$2,059$1,182
Drain/Inject Major Joint or Bursa 20610)$1,194$645$370$2,447$1,321$759
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$3,526$1,904$1,093NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$3,533$1,908$1,095NRNRNR
Carpal Tunnel Surgery 64721)$3,062$1,654$949$50,456$27,246$15,641
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$8,361$4,515$2,592$19,858$10,723$6,156
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$2,805$1,515$870$5,875$3,172$1,821
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)NRNRNRNRNRNR
Creation of Eardrum Opening 69436)$2,896$1,564$898$16,605$8,967$5,148
Left Heart Artery/Ventricle Angiography 93458)$16,561$8,943$5,134$23,235$12,547$7,203
Unlisted Dental Surgery Procedure 41899)$10,028$5,415$3,109$14,685$7,930$4,552
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$2,200$1,188$682$2,927$1,581$907
After Cataract Laser Surgery 66821)$891$481$276$1,165$629$361
Laparoscopic Cholecystectomy 47562)$13,745$7,422$4,261$16,409$8,861$5,087
ABD Paracentesis w/Imaging 49083)$2,376$1,283$737$7,045$3,804$2,184
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee 62323)$2,628$1,419$815NRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$3,309$1,787$1,026$7,958$4,297$2,467
Esophageal Endoscopy with Dilation 43249)$4,109$2,219$1,274$6,828$3,687$2,117
Arthroscopic Rotator Cuff Repair 29827)$22,361$12,075$6,932$17,381$9,385$5,388
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$687$371$213$1,517$819$470
Removal of Tonsils And Adenoids - < Age 12 42820)$8,013$4,327$2,484$8,204$4,430$2,543
Hysteroscopy with Biopsy 58558)$7,688$4,152$2,383$8,927$4,820$2,767
Cataract Surgery- Complex 66982)$9,769$5,275$3,028$18,480$9,979$5,729
Cystourethroscopy with Lithotripsy and Stent 52356)$10,494$5,667$3,253$35,855$19,362$11,115
Incision of Finger Tendon Sheath 26055)$2,811$1,518$871$4,104$2,216$1,272
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$11,133$6,012$3,451$11,044$5,964$3,424
Laparoscopic Hernia Repair - Initial 49650)$13,986$7,552$4,336$17,622$9,516$5,463
Unlisted Cystourethoscopy 52000)$1,146$619$355$11,059$5,972$3,428
Uppr GI Endoscopy with Guide Wire 43248)$5,986$3,232$1,856$6,219$3,358$1,928
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$9,438$5,097$2,926$13,592$7,340$4,213
Destruction of Premalignant Lesion 17000)$216$117$67$382$206$118
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$14,925$8,060$4,627$25,477$13,758$7,898
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$8,816$4,761$2,733$20,151$10,881$6,247
Destruction of Benign Lesions up to 14 Lesions 17110)$228$123$71$717$387$222
Cystourethroscopy with Stent 52332)$6,980$3,769$2,164$11,501$6,211$3,565
Biopsy breast w/stereotactic image; 1 lesion 19081)$5,444$2,939$1,687$11,408$6,160$3,536
Laparoscopy - Removal of Adnexal Structures 58661)$17,385$9,388$5,389$25,553$13,798$7,921
Mastectomy, Partial 19301)$9,393$5,072$2,912$22,371$12,080$6,935
Laparoscopic Appendectomy 44970)$21,622$11,676$6,703$19,322$10,434$5,990
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$8,009$4,325$2,483$15,659$8,456$4,854
Removal of Tonsils 42826)$9,295$5,019$2,881$18,168$9,811$5,632
Laparoscopy, Removal of Tubes & Ovaries 58571)$37,380$20,185$11,588$34,206$18,471$10,604
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$17,374$9,382$5,386$19,303$10,424$5,984
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$690$373$214$1,829$987$567
Low Back Disk Surgery 63030)$14,186$7,660$4,398$21,797$11,770$6,757
Repair of Nasal Septum 30520)$11,945$6,450$3,703$18,376$9,923$5,697
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)NRNRNRNRNRNR
Needle Biopsy of Liver 47000)$5,222$2,820$1,619$14,068$7,597$4,361
Debridement Skin/Tissue 11042)$6,543$3,533$2,028$10,043$5,423$3,113
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Coronary Artery Angio S&I 93454)$20,309$10,967$6,296$32,188$17,381$9,978
Wrist Endoscopy/Surgery 29848)$4,472$2,415$1,386$6,762$3,652$2,096
Aspirate Pleura with Imaging 32555)$2,415$1,304$749$4,317$2,331$1,338
Bone Marrow Biopsy 38221)$5,605$3,027$1,737$10,917$5,895$3,384
Diagnostic Laryngoscopy 31575)$503$272$156$980$529$304
Correction of Bunion 28296)$10,920$5,897$3,385$14,357$7,753$4,451
Hysteroscopy with Ablation 58563)$11,216$6,056$3,477$16,241$8,770$5,035
Remove Impacted Ear Wax 69210)$256$138$79$512$276$159
Shoulder Arthroscopy/Surgery 29824)NRNRNR$16,207$8,752$5,024
Removal of Adenoids 42830)$5,671$3,062$1,758$6,132$3,312$1,901
Right and Left Heart Artery/Ventricle Angiography 93460)$18,111$9,780$5,614$23,814$12,860$7,382
Injection of chemical agent into muscles near face/neck 64615)$3,627$1,959$1,125$13,595$7,341$4,214
Biopsy of lung or mediastinum, percutaneous w/needle 32405)$5,480$2,959$1,699$8,636$4,663$2,677
Removal of Central Venous Device w Port or Pump 36590)$5,353$2,890$1,659$8,544$4,614$2,649
Electro-Uroflowmetry - First 51741)$403$218$125$985$532$305
Apheresis Plasma 36514)NRNRNRNRNRNR
Repair of wrist joints 25447)$7,952$4,294$2,465$8,468$4,573$2,625
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.