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$1,099
2560Vaginal DeliveryNRNRNR
3720Blood Infection/Septicemia$13,480$7,279$4,044
4302Knee Replacement$37,009$19,985$11,103
5540Cesarean Delivery$33,914$18,314$10,174
6194Heart Failure$15,371$8,300$4,611
7301Hip Replacement$47,505$25,653$14,252
8751Psychoses$9,635$5,203$2,891
9139Pneumonia$11,455$6,186$3,437
10140Chronic Obstructive Pulmonary Disease$10,505$5,673$3,152
11753Bipolar Disorders$10,295$5,559$3,089
12775Alcohol Abuse/Dependence$10,050$5,427$3,015
13201Heart Abnormal Rhythm and Conduction Disorders$13,937$7,526$4,181
14383Cellulitis & other skin infections$10,703$5,780$3,211
15045Stroke and Precerebral Occlusion with Infarct$24,954$13,475$7,486
16133Respiratory failure$22,547$12,175$6,764
17463Kidney/Urinary Tract Infection$14,196$7,666$4,259
18221Major Bowel Procedures$45,357$24,493$13,607
19174Percutaneous coronary intervention w AMI$46,455$25,086$13,937
20750Schizophrenia$13,452$7,264$4,036
21754Depression$8,484$4,581$2,545
22420Diabetes$11,501$6,211$3,450
23282Disorders of Pancreas Except Malignancy$14,559$7,862$4,368
24247Intestinal Obstruction without Surgery$14,688$7,932$4,406
25254Other Digestive System Diagnoses$13,135$7,093$3,941
26812Poisoning of Medicinal Agents$9,359$5,054$2,808
27710Infectious & parasitic diseases including HIV w O.R. procedure$23,738$12,819$7,121
28773Opioid Abuse/Dependence$8,767$4,734$2,630
29308Hip & femur fracture repair$48,436$26,155$14,531
30304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$63,735$34,417$19,121
31190Circulatory Disorders with Heart Attack$20,732$11,195$6,220
32053Seizure$16,474$8,896$4,942
33137Respiratory Infections and Inflammations$19,243$10,391$5,773
34058Other Disorders of Nervous System$19,735$10,657$5,921
35175Percutaneous coronary intervention w/o AMI$49,080$26,503$14,724
36249Other gastroenteritis, nausea & vomiting$14,169$7,651$4,251
37460Renal Failure$22,373$12,081$6,712
38134Pulmonary Embolism$14,090$7,609$4,227
39263Laparoscopic Cholecystectomy$35,290$19,057$10,587
40244Diverticulitis & Diverticulosis$14,929$8,062$4,479
41469Acute Kidney Injury$23,432$12,653$7,030
42861Signs & Symptoms$18,473$9,975$5,542
43347Other Back/Neck Disorders, Fractures, Injuries$18,767$10,134$5,630
44315Shoulder, upper arm & forearm procedures except joint replacement$26,101$14,095$7,830
45253Other and Unspecified Gastrointestinal Hemorrhage$15,264$8,243$4,579
46241Peptic Ulcer/Gastritis$15,667$8,460$4,700
47313Other Knee/Lower Leg Surgery$44,579$24,073$13,374
48466Malfunction, reaction, complic of genitourinary device or procNRNRNR
49192Cardiac catheterization for other non-coronary conditions$24,884$13,437$7,465
50351Other Musculoskeletal System and Connective Tissue Diagnoses$18,124$9,787$5,437
51425Other Electrolyte Disorders$19,650$10,611$5,895
52248Major G.I. Bacterial Infections$13,152$7,102$3,946
53951Moderately Extensive Procedure Unrelated to Diagnosis$35,581$19,214$10,674
54663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$10,102$5,455$3,031
55862Other Factors Influencing Health Status$9,542$5,153$2,863
56024Extracranial Vascular Procedures$63,346$34,207$19,004
57021Craniotomy Except For Trauma$74,828$40,407$22,448
58113Epiglottitis, Ear Infection, URI and Laryngotracheitis$9,396$5,074$2,819
59321Upper Spinal Fusion$39,329$21,238$11,799
60566Other Antepartum Diagnoses$11,621$6,275$3,486
61197Peripheral and Other Vascular Disorders$14,846$8,017$4,454
62422Hypovolemia$11,765$6,353$3,530
63055Head trauma w coma >1 hr or hemorrhage$20,743$11,201$6,223
64173Other Vascular Procedures$71,214$38,456$21,364
65052Nontraumatic stupor & coma$10,644$5,748$3,193
66225Appendectomy$28,143$15,197$8,443
67141Asthma$11,943$6,449$3,583
68166Coronary bypass w/o AMI or complex PDX$119,583$64,575$35,875
69721Postoperative and Post-Traumatic Infections$12,714$6,866$3,814
70755Neuroses Other Than Depression$8,280$4,471$2,484
71191Cardiac catheterization for coronary artery disease$25,441$13,738$7,632
72220Major Stomach/Esophagus/Duodenum Procedures$37,327$20,157$11,198
73143Other respiratory diagnoses except signs, symptoms & minor diagnoses$12,099$6,533$3,630
74163Cardiac valve procedures w/o AMI or complex PDX$116,625$62,978$34,988
75950Extensive Procedure Unrelated to Principal Diagnosis$52,871$28,550$15,861
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$2,186$13,513$7,297$4,054
Colonoscopy and Biopsy 45380)$4,036$2,179$1,211$7,180$3,877$2,154
Lesion Removal Colonoscopy by Snare Technique 45385)$3,896$2,104$1,169$7,576$4,091$2,273
Upper GI Endoscopy with Biopsy 43239)$3,295$1,779$989$6,698$3,617$2,009
Diagnostic Colonoscopy 45378)$3,185$1,720$956$6,879$3,714$2,064
Injection into Lumbar or Sacral Area, Single Level 64483)$1,685$910$505$3,098$1,673$929
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$3,975$2,146$1,192$3,813$2,059$1,144
Drain/Inject Major Joint or Bursa 20610)$1,194$645$358$2,447$1,321$734
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$3,526$1,904$1,058NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$3,533$1,908$1,060NRNRNR
Carpal Tunnel Surgery 64721)$3,062$1,654$919$50,456$27,246$15,137
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$8,361$4,515$2,508$19,858$10,723$5,957
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$2,805$1,515$841$5,875$3,172$1,762
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)NRNRNRNRNRNR
Creation of Eardrum Opening 69436)$2,896$1,564$869$16,605$8,967$4,982
Left Heart Artery/Ventricle Angiography 93458)$16,561$8,943$4,968$23,235$12,547$6,971
Unlisted Dental Surgery Procedure 41899)$10,028$5,415$3,008$14,685$7,930$4,406
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$2,200$1,188$660$2,927$1,581$878
After Cataract Laser Surgery 66821)$891$481$267$1,165$629$349
Laparoscopic Cholecystectomy 47562)$13,745$7,422$4,123$16,409$8,861$4,923
ABD Paracentesis w/Imaging 49083)$2,376$1,283$713$7,045$3,804$2,113
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee 62323)$2,628$1,419$788NRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$3,309$1,787$993$7,958$4,297$2,387
Esophageal Endoscopy with Dilation 43249)$4,109$2,219$1,233$6,828$3,687$2,048
Arthroscopic Rotator Cuff Repair 29827)$22,361$12,075$6,708$17,381$9,385$5,214
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$687$371$206$1,517$819$455
Removal of Tonsils And Adenoids - < Age 12 42820)$8,013$4,327$2,404$8,204$4,430$2,461
Hysteroscopy with Biopsy 58558)$7,688$4,152$2,307$8,927$4,820$2,678
Cataract Surgery- Complex 66982)$9,769$5,275$2,931$18,480$9,979$5,544
Cystourethroscopy with Lithotripsy and Stent 52356)$10,494$5,667$3,148$35,855$19,362$10,756
Incision of Finger Tendon Sheath 26055)$2,811$1,518$843$4,104$2,216$1,231
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$11,133$6,012$3,340$11,044$5,964$3,313
Laparoscopic Hernia Repair - Initial 49650)$13,986$7,552$4,196$17,622$9,516$5,287
Unlisted Cystourethoscopy 52000)$1,146$619$344$11,059$5,972$3,318
Uppr GI Endoscopy with Guide Wire 43248)$5,986$3,232$1,796$6,219$3,358$1,866
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$2,831$13,592$7,340$4,078
Destruction of Premalignant Lesion 17000)$216$117$65$382$206$115
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$14,925$8,060$4,478$25,477$13,758$7,643
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$8,816$4,761$2,645$20,151$10,881$6,045
Destruction of Benign Lesions up to 14 Lesions 17110)$228$123$68$717$387$215
Cystourethroscopy with Stent 52332)$6,980$3,769$2,094$11,501$6,211$3,450
Biopsy breast w/stereotactic image; 1 lesion 19081)$5,444$2,939$1,633$11,408$6,160$3,422
Laparoscopy - Removal of Adnexal Structures 58661)$17,385$9,388$5,216$25,553$13,798$7,666
Mastectomy, Partial 19301)$9,393$5,072$2,818$22,371$12,080$6,711
Laparoscopic Appendectomy 44970)$21,622$11,676$6,486$19,322$10,434$5,797
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$8,009$4,325$2,403$15,659$8,456$4,698
Removal of Tonsils 42826)$9,295$5,019$2,788$18,168$9,811$5,450
Laparoscopy, Removal of Tubes & Ovaries 58571)$37,380$20,185$11,214$34,206$18,471$10,262
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$17,374$9,382$5,212$19,303$10,424$5,791
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$690$373$207$1,829$987$549
Low Back Disk Surgery 63030)$14,186$7,660$4,256$21,797$11,770$6,539
Repair of Nasal Septum 30520)$11,945$6,450$3,584$18,376$9,923$5,513
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)NRNRNRNRNRNR
Needle Biopsy of Liver 47000)$5,222$2,820$1,567$14,068$7,597$4,220
Debridement Skin/Tissue 11042)$6,543$3,533$1,963$10,043$5,423$3,013
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Coronary Artery Angio S&I 93454)$20,309$10,967$6,093$32,188$17,381$9,656
Wrist Endoscopy/Surgery 29848)$4,472$2,415$1,342$6,762$3,652$2,029
Aspirate Pleura with Imaging 32555)$2,415$1,304$725$4,317$2,331$1,295
Bone Marrow Biopsy 38221)$5,605$3,027$1,681$10,917$5,895$3,275
Diagnostic Laryngoscopy 31575)$503$272$151$980$529$294
Correction of Bunion 28296)$10,920$5,897$3,276$14,357$7,753$4,307
Hysteroscopy with Ablation 58563)$11,216$6,056$3,365$16,241$8,770$4,872
Remove Impacted Ear Wax 69210)$256$138$77$512$276$154
Shoulder Arthroscopy/Surgery 29824)NRNRNR$16,207$8,752$4,862
Removal of Adenoids 42830)$5,671$3,062$1,701$6,132$3,312$1,840
Right and Left Heart Artery/Ventricle Angiography 93460)$18,111$9,780$5,433$23,814$12,860$7,144
Injection of chemical agent into muscles near face/neck 64615)$3,627$1,959$1,088$13,595$7,341$4,079
Biopsy of lung or mediastinum, percutaneous w/needle 32405)$5,480$2,959$1,644$8,636$4,663$2,591
Removal of Central Venous Device w Port or Pump 36590)$5,353$2,890$1,606$8,544$4,614$2,563
Electro-Uroflowmetry - First 51741)$403$218$121$985$532$296
Apheresis Plasma 36514)NRNRNRNRNRNR
Repair of wrist joints 25447)$7,952$4,294$2,386$8,468$4,573$2,540
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.