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

Charges for 75 Most Common Hospitalizations in Wisconsin:  January 2015 - December 2015
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$5,597$3,190$1,847
2560Vaginal DeliveryNRNRNR
3720Blood Infection/Septicemia$14,167$8,075$4,675
4302Knee Replacement$33,979$19,368$11,213
5540Cesarean DeliveryNRNRNR
6194Heart Failure$16,624$9,476$5,486
7301Hip Replacement$42,327$24,126$13,968
8139Pneumonia$8,825$5,030$2,912
9751Psychoses$9,605$5,475$3,170
10753Bipolar Disorders$11,005$6,273$3,632
11140Chronic Obstructive Pulmonary Disease$13,354$7,612$4,407
12201Heart Abnormal Rhythm and Conduction Disorders$13,889$7,917$4,583
13775Alcohol Abuse/Dependence$9,830$5,603$3,244
14460Renal Failure$18,556$10,577$6,123
15383Cellulitis and Other Bacterial Skin Infections$11,158$6,360$3,682
16045Stroke and Precerebral Occlusion with Infarct$24,779$14,124$8,177
17133Pulmonary Edema/Respiratory Failure$14,044$8,005$4,635
18221Major Bowel Procedures$38,734$22,078$12,782
19463Kidney/Urinary Tract Infection$10,947$6,240$3,613
20174Angioplasty with Heart Attack$47,987$27,353$15,836
21860Rehabilitation$26,925$15,347$8,885
22247Intestinal Obstruction without Surgery$14,090$8,031$4,650
23750Schizophrenia$8,888$5,066$2,933
24282Disorders of Pancreas Except Malignancy$11,926$6,798$3,936
25420Diabetes$10,094$5,754$3,331
26754Depression$8,670$4,942$2,861
27254Other Digestive System Diagnoses$12,054$6,871$3,978
28249Gastroenteritis$8,954$5,104$2,955
29812Poisoning of Medicinal Agents$8,923$5,086$2,945
30304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$57,476$32,761$18,967
31137Respiratory Infections and Inflammations$15,450$8,807$5,099
32053Seizure$13,288$7,574$4,385
33173Other Vascular Procedures$64,758$36,912$21,370
34134Pulmonary Embolism$15,365$8,758$5,070
35190Circulatory Disorders with Heart Attack$24,609$14,027$8,121
36308Hip/Thigh Surgery with Trauma Diagnosis$43,827$24,981$14,463
37263Laparoscopic Cholecystectomy$32,036$18,261$10,572
38244Diverticulitis & Diverticulosis$12,669$7,221$4,181
39315Shoulder/Upper Arm, Forearm Surgery$32,065$18,277$10,581
40175Angioplasty without Heart Attack$53,629$30,569$17,698
41425Other Electrolyte Disorders$13,397$7,636$4,421
42861Signs & Symptoms$14,355$8,182$4,737
43241Peptic Ulcer/Gastritis$12,806$7,299$4,226
44773Opioid Abuse/Dependence$13,114$7,475$4,328
45710Infectious & parasitic diseases including HIV w O.R. procedure$42,357$24,143$13,978
46347Other Back/Neck Disorders, Fractures, Injuries$21,245$12,110$7,011
47253Other and Unspecified Gastrointestinal Hemorrhage$12,315$7,020$4,064
48313Other Knee/Lower Leg Surgery$39,128$22,303$12,912
49351Other Musculoskeletal System and Connective Tissue Diagnoses$13,516$7,704$4,460
50248Major G.I. Bacterial Infections$14,302$8,152$4,720
51191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$28,893$16,469$9,535
52663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$14,425$8,222$4,760
53466Malfunction, reaction, complic of genitourinary device or proc$9,480$5,404$3,128
54024Extracranial Vascular Procedures$55,188$31,457$18,212
55693Chemotherapy$27,268$15,543$8,998
56141Asthma$10,616$6,051$3,503
57321Upper Spinal Fusion$35,395$20,175$11,680
58721Postoperative and Post-Traumatic Infections$14,605$8,325$4,820
59197Peripheral and Other Vascular Disorders$17,604$10,034$5,809
60058Other Disorders of Nervous System$21,454$12,229$7,080
61021Craniotomy Except For Trauma$72,181$41,143$23,820
62225Appendectomy$25,754$14,680$8,499
63566Other Antepartum Diagnoses$11,328$6,457$3,738
64144Respiratory System Signs, Symptoms and Minor Diagnoses$11,926$6,798$3,936
65163Heart Valve Procedures without Cardiac Catheterization$106,246$60,560$35,061
66055Head trauma w coma >1 hr or hemorrhage$19,802$11,287$6,535
67755Neuroses Other Than Depression$6,887$3,926$2,273
68113Epiglottitis, Ear Infection, URI and Laryngotracheitis$9,163$5,223$3,024
69192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$24,957$14,225$8,236
70143Other respiratory diagnoses except signs, symptoms & minor diagnoses$11,358$6,474$3,748
71052Nontraumatic stupor & coma$16,788$9,569$5,540
72204Fainting and Collapse$20,047$11,427$6,616
73422Hypovolemia$7,627$4,347$2,517
74639Neonate Birthwt >2499g with Other Significant Condition$15,697$8,947$5,180
75310Back/Neck Procedures Except Dorsal and Lumbar Fusion$26,711$15,225$8,815
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:  January 2015 - December 2015
 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)$6,668$3,801$2,200$13,273$7,566$4,380
Colonoscopy and Biopsy 45380)$3,836$2,187$1,266$6,896$3,931$2,276
Upper GI Endoscopy with Biopsy 43239)$2,999$1,709$990$6,315$3,600$2,084
Lesion Removal Colonoscopy by Snare Technique 45385)$3,700$2,109$1,221$6,786$3,868$2,239
Diagnostic Colonoscopy 45378)$2,989$1,703$986$7,567$4,313$2,497
Injection into Lumbar or Sacral Area, Single Level 64483)$1,500$855$495$2,889$1,647$953
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$2,031$1,158$670$3,907$2,227$1,289
Drain/Inject Major Joint or Bursa 20610)$1,015$579$335$1,876$1,069$619
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$3,302$1,882$1,090NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$3,302$1,882$1,090NRNRNR
Carpal Tunnel Surgery 64721)$3,139$1,789$1,036$29,512$16,822$9,739
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$7,578$4,320$2,501$19,223$10,957$6,344
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$2,592$1,478$855$5,437$3,099$1,794
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)NRNRNRNRNRNR
Left Heart Artery/Ventricle Angiography 93458)$15,896$9,061$5,246$23,349$13,309$7,705
Creation of Eardrum Opening 69436)$2,584$1,473$853$14,830$8,453$4,894
Unlisted Dental Surgery Procedure 41899)$8,763$4,995$2,892$12,775$7,282$4,216
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$1,954$1,114$645$2,820$1,608$931
Laparoscopic Cholecystectomy 47562)$13,232$7,542$4,367$14,177$8,081$4,679
After Cataract Laser Surgery 66821)$770$439$254$1,045$596$345
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$2,769$1,579$914$8,235$4,694$2,718
Cataract Surgery- Complex 66982)$9,341$5,324$3,082$14,614$8,330$4,823
ABD Paracentesis w/Imaging 49083)$2,353$1,341$777$5,981$3,409$1,974
Removal of Tonsils And Adenoids - < Age 12 42820)$7,187$4,097$2,372$7,904$4,505$2,608
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$16,243$9,258$5,360
Hysteroscopy with Biopsy 58558)$6,328$3,607$2,088NRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$10,846$6,182$3,579$10,594$6,038$3,496
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$782$446$258$1,562$890$515
Esophageal Endoscopy with Dilation 43249)$3,800$2,166$1,254$6,937$3,954$2,289
Unlisted Cystourethoscopy 52000)$958$546$316$7,501$4,276$2,475
Incision of Finger Tendon Sheath 26055)$2,764$1,575$912$4,404$2,510$1,453
Cystourethroscopy with Lithotripsy and Stent 52356)$10,677$6,086$3,523$21,354$12,172$7,047
Laparoscopic Hernia Repair - Initial 49650)$12,449$7,096$4,108$15,199$8,663$5,016
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$8,425$4,802$2,780$14,085$8,028$4,648
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$15,495$8,832$5,113$10,308$5,876$3,402
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$8,338$4,752$2,751$20,205$11,517$6,668
Uppr GI Endoscopy with Guide Wire 43248)$4,296$2,449$1,418$7,407$4,222$2,444
Destruction of Premalignant Lesion 17000)$216$123$71$352$200$116
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Destruction of Benign Lesions up to 14 Lesions 17110)$222$127$73$406$231$134
Laparoscopic Appendectomy 44970)$21,256$12,116$7,014NRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)$4,237$2,415$1,398$8,325$4,745$2,747
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$663$378$219$1,554$886$513
Cystourethroscopy with Stent 52332)$6,381$3,637$2,106$10,184$5,805$3,361
Removal of Tonsils 42826)$8,679$4,947$2,864$19,243$10,968$6,350
Repair of Nasal Septum 30520)$10,484$5,976$3,460$15,217$8,674$5,022
Low Back Disk Surgery 63030)$12,961$7,387$4,277$20,415$11,636$6,737
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$18,615$10,611$6,143$19,337$11,022$6,381
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$7,524$4,289$2,483$15,459$8,811$5,101
Mastectomy, Partial 19301)$7,003$3,992$2,311$18,473$10,530$6,096
Laparoscopy - Removal of Adnexal Structures 58661)$16,540$9,428$5,458$16,123$9,190$5,321
Debridement Skin/Tissue 11042)$1,201$685$396$8,518$4,855$2,811
Needle Biopsy of Liver 47000)$3,670$2,092$1,211$7,104$4,049$2,344
Coronary Artery Angio S&I 93454)$17,884$10,194$5,902$33,271$18,965$10,979
Laparoscopy, Removal of Tubes & Ovaries 58571)$31,706$18,072$10,463$34,846$19,862$11,499
Remove Impacted Ear Wax 69210)$256$146$84$425$242$140
Aspirate Pleura with Imaging 32555)$2,415$1,377$797$4,058$2,313$1,339
Hysteroscopy with Ablation 58563)$8,126$4,632$2,682NRNRNR
Diagnostic Laryngoscopy 31575)$469$267$155$1,482$845$489
Apheresis Plasma 36514)NRNRNRNRNRNR
Debridement, Open Wound <= 20 Square Centimeters 97597)$5,235$2,984$1,727$3,000$1,710$990
Right and Left Heart Artery/Ventricle Angiography 93460)$17,279$9,849$5,702$24,887$14,186$8,213
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNR$20,149$11,485$6,649
Wrist Endoscopy/Surgery 29848)$4,735$2,699$1,563$7,096$4,045$2,342
Shoulder Arthroscopy/Surgery 29824)$11,438$6,520$3,774$13,514$7,703$4,459
Electro-Uroflowmetry - First 51741)$421$240$139$951$542$314
Bone Marrow Biopsy 38221)$4,682$2,669$1,545$8,884$5,064$2,932
Correction of Bunion 28296)$7,825$4,460$2,582NRNRNR
Removal of Adenoids 42830)$5,016$2,859$1,655$5,276$3,007$1,741
Electronic analysis of implantable pump spine w/reprogram/refill 62369)$4,164$2,374$1,374$10,402$5,929$3,433
Ablation therapy of first vein of extremity 36475)NRNRNRNRNRNR
Repair of Hammertoe 28285)$5,899$3,362$1,947$11,213$6,392$3,700
Removal of Central Venous Device w Port or Pump 36590)$5,113$2,914$1,687$11,589$6,606$3,824
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.