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Charges for 75 Most Common Types of Hospitalizations in Wisconsin: January 2012 - December 2012
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(Uncomplicated Cases Only)
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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 * | | Rank | APR- DRG  | Description | Median Charge  | Private Insurance | Medicare | | 1 | 640 | Normal Newborn, Birthweight 2500g+ | $2,143 | $1,307 | $793 | | 2 | 560 | Vaginal Delivery | 0 | 0 | 0 | | 3 | 302 | Knee Replacement | $32,791 | $20,003 | $12,133 | | 4 | 540 | Cesarean Delivery | 0 | 0 | 0 | | 5 | 720 | Blood Infection/Septicemia | $8,507 | $5,189 | $3,148 | | 6 | 139 | Pneumonia | $9,491 | $5,790 | $3,512 | | 7 | 194 | Heart Failure | $8,657 | $5,281 | $3,203 | | 8 | 301 | Hip Replacement | $36,922 | $22,522 | $13,661 | | 9 | 751 | Psychoses | $7,218 | $4,403 | $2,671 | | 10 | 753 | Bipolar Disorders | $9,179 | $5,599 | $3,396 | | 11 | 201 | Heart Abnormal Rhythm and Conduction Disorders | $12,120 | $7,393 | $4,484 | | 12 | 140 | Chronic Obstructive Pulmonary Disease | $9,525 | $5,810 | $3,524 | | 13 | 775 | Alchohol Abuse/Dependence | $10,134 | $6,182 | $3,750 | | 14 | 383 | Cellulitis and Other Bacterial Skin Infections | $6,716 | $4,097 | $2,485 | | 15 | 463 | Kidney/Urinary Tract Infection | $7,892 | $4,814 | $2,920 | | 16 | 460 | Renal Failure | $9,701 | $5,918 | $3,589 | | 17 | 860 | Rehabilitation | $25,090 | $15,305 | $9,283 | | 18 | 045 | Stroke and Precerebral Occlusion with Infarct | $16,752 | $10,219 | $6,198 | | 19 | 221 | Major Bowel Procedures | $33,363 | $20,351 | $12,344 | | 20 | 175 | Angioplasty without Heart Attack | $43,619 | $26,608 | $16,139 | | 21 | 750 | Schizophrenia | $10,728 | $6,544 | $3,969 | | 22 | 254 | Other Digestive System Diagnoses | $8,745 | $5,334 | $3,236 | | 23 | 174 | Angioplasty with Heart Attack | $48,511 | $29,592 | $17,949 | | 24 | 249 | Gastroenteritis | $9,426 | $5,750 | $3,488 | | 25 | 247 | Intestinal Obstruction without Surgery | $10,706 | $6,531 | $3,961 | | 26 | 754 | Depression | $6,566 | $4,005 | $2,429 | | 27 | 812 | Poisoning of Medicinal Agents | $7,685 | $4,688 | $2,843 | | 28 | 133 | Pulmonary Edema/Respiratory Failure | 0 | 0 | 0 | | 29 | 304 | Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature | $49,173 | $29,996 | $18,194 | | 30 | 420 | Diabetes | $6,855 | $4,182 | $2,536 | | 31 | 282 | Disorders of Pancreas Except Malignancy | $9,900 | $6,039 | $3,663 | | 32 | 137 | Respiratory Infections and Inflammations | $7,525 | $4,590 | $2,784 | | 33 | 263 | Laparoscopic Cholecystectomy | $22,114 | $13,490 | $8,182 | | 34 | 053 | Seizure | $10,654 | $6,499 | $3,942 | | 35 | 134 | Pulmonary Embolism | $9,802 | $5,979 | $3,627 | | 36 | 861 | Signs & Symptoms | $8,470 | $5,167 | $3,134 | | 37 | 308 | Hip/Thigh Surgery with Trauma Diagnosis | $34,621 | $21,119 | $12,810 | | 38 | 347 | Other Back/Neck Disorders, Fractures, Injuries | $21,830 | $13,316 | $8,077 | | 39 | 190 | Circulatory Disorders with Heart Attack | $20,972 | $12,793 | $7,760 | | 40 | 173 | Other Vascular Procedures | $54,970 | $33,532 | $20,339 | | 41 | 225 | Appendectomy | $20,198 | $12,321 | $7,473 | | 42 | 244 | Diverticulitis & Diverticulosis | $11,150 | $6,802 | $4,126 | | 43 | 241 | Peptic Ulcer/Gastritis | $8,539 | $5,209 | $3,159 | | 44 | 313 | Other Knee/Lower Leg Surgery | $30,709 | $18,732 | $11,362 | | 45 | 192 | Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease | $21,459 | $13,090 | $7,940 | | 46 | 425 | Other Electrolyte Disorders | $8,191 | $4,997 | $3,031 | | 47 | 513 | Uterine Procedures without Tumor | $26,387 | $16,096 | $9,763 | | 48 | 315 | Shoulder/Upper Arm, Forearm Surgery | $23,650 | $14,427 | $8,751 | | 49 | 198 | Chest Pain with Angina Pectoris or Coronary Atherosclerosis | $6,880 | $4,197 | $2,546 | | 50 | 204 | Fainting and Collapse | $11,905 | $7,262 | $4,405 | | 51 | 351 | Other Musculoskeletal System and Connective Tissue Diagnoses | $12,886 | $7,860 | $4,768 | | 52 | 141 | Asthma | $9,486 | $5,786 | $3,510 | | 53 | 663 | Red Blood Cell Disorders Except Sickle Cell Anemia Crisis | $6,694 | $4,083 | $2,477 | | 54 | 248 | Major G.I. Bacterial Infections | $9,016 | $5,500 | $3,336 | | 55 | 197 | Peripheral and Other Vascular Disorders | $9,424 | $5,749 | $3,487 | | 56 | 253 | Other and Unspecified Gastrointestinal Hemorrhage | $8,734 | $5,328 | $3,232 | | 57 | 191 | Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease | $23,069 | $14,072 | $8,536 | | 58 | 310 | Back/Neck Procedures Except Dorsal and Lumbar Fusion | $22,396 | $13,662 | $8,287 | | 59 | 321 | Upper Spinal Fusion | $28,575 | $17,431 | $10,573 | | 60 | 024 | Extracranial Vascular Procedures | $46,243 | $28,208 | $17,110 | | 61 | 721 | Postoperative and Post-Traumatic Infections | $7,996 | $4,878 | $2,959 | | 62 | 144 | Respiratory System Signs, Symptoms and Minor Diagnoses | $10,032 | $6,120 | $3,712 | | 63 | 773 | Opioid Abuse/Dependence | $1,565 | $955 | $579 | | 64 | 693 | Chemotherapy | $14,144 | $8,628 | $5,233 | | 65 | 566 | Other Antepartum Diagnoses | $10,101 | $6,162 | $3,737 | | 66 | 422 | Hypovolemia | $8,484 | $5,175 | $3,139 | | 67 | 203 | Chest Pain | $8,323 | $5,077 | $3,080 | | 68 | 755 | Neuroses Other Than Depression | $4,027 | $2,456 | $1,490 | | 69 | 047 | Transient Ischemia | $14,873 | $9,073 | $5,503 | | 70 | 251 | Abdominal Pain | $9,405 | $5,737 | $3,480 | | 71 | 466 | Malfunctions, Reactions & Comp Of Gu Device, Graft Or Transplant | $16,553 | $10,097 | $6,125 | | 72 | 021 | Craniotomy Except For Trauma | $53,428 | $32,591 | $19,768 | | 73 | 710 | Infectious & parasitic diseases including HIV w O.R. procedure | $30,891 | $18,844 | $11,430 | | 74 | 143 | Pneumothorax & Pleural Effusion | $12,104 | $7,383 | $4,478 | | 75 | 058 | Other Disorders of Nervous System | $13,392 | $8,169 | $4,955 |
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.
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| Charges for 75 Most Common Types of Outpatient Surgical Procedures in Wisconsin: January 2012 - December 2012 |
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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* |
| $6,183 | $3,772 | $2,288 | $11,036 | $6,732 | $4,083 | | $2,457 | $1,499 | $909 | $3,982 | $2,429 | $1,473 | | $3,138 | $1,914 | $1,161 | $5,303 | $3,235 | $1,962 | | $2,532 | $1,544 | $937 | $5,039 | $3,074 | $1,864 | | $3,162 | $1,929 | $1,170 | $5,366 | $3,273 | $1,985 | | $1,326 | $809 | $490 | $2,422 | $1,478 | $896 | | $836 | $510 | $309 | $1,182 | $721 | $437 | | $1,880 | $1,147 | $696 | $2,560 | $1,562 | $947 | | $6,280 | $3,831 | $2,324 | $8,216 | $5,012 | $3,040 | | $2,734 | $1,668 | $1,012 | NR | NR | NR | | $3,133 | $1,911 | $1,159 | $4,013 | $2,448 | $1,485 | | $2,592 | $1,581 | $959 | NR | NR | NR | | $1,818 | $1,109 | $672 | $3,922 | $2,392 | $1,451 | | $3,649 | $2,226 | $1,350 | $4,379 | $2,671 | $1,620 | | $2,319 | $1,415 | $858 | $4,825 | $2,943 | $1,785 | | NR | NR | NR | $21,498 | $13,114 | $7,954 | | NR | NR | NR | NR | NR | NR | | $10,560 | $6,442 | $3,907 | $12,477 | $7,611 | $4,616 | | $6,653 | $4,059 | $2,462 | $7,706 | $4,700 | $2,851 | | $7,424 | $4,529 | $2,747 | $8,602 | $5,247 | $3,183 | | $1,942 | $1,185 | $719 | $2,507 | $1,529 | $927 | | $8,561 | $5,222 | $3,167 | $9,669 | $5,898 | $3,578 | | $620 | $378 | $229 | $1,341 | $818 | $496 | | $535 | $326 | $198 | $797 | $486 | $295 | | NR | NR | NR | $3,285 | $2,004 | $1,215 | | $8,060 | $4,917 | $2,982 | $13,920 | $8,491 | $5,150 | | $17,267 | $10,533 | $6,389 | $15,857 | $9,673 | $5,867 | | $6,663 | $4,064 | $2,465 | $7,337 | $4,476 | $2,715 | | $5,880 | $3,587 | $2,175 | $7,557 | $4,610 | $2,796 | | $11,716 | $7,147 | $4,335 | $11,148 | $6,800 | $4,125 | | $2,771 | $1,690 | $1,025 | $4,556 | $2,779 | $1,686 | | $2,369 | $1,445 | $877 | $3,681 | $2,245 | $1,362 | | $2,256 | $1,376 | $835 | $4,109 | $2,506 | $1,520 | | $7,062 | $4,308 | $2,613 | $14,241 | $8,687 | $5,269 | | $2,651 | $1,617 | $981 | $3,933 | $2,399 | $1,455 | | $7,019 | $4,282 | $2,597 | $8,313 | $5,071 | $3,076 | | $8,021 | $4,893 | $2,968 | $10,261 | $6,259 | $3,796 | | $163 | $99 | $60 | $298 | $182 | $110 | | $11,112 | $6,778 | $4,111 | $12,704 | $7,750 | $4,701 | | $7,177 | $4,378 | $2,655 | $12,207 | $7,446 | $4,517 | | $195 | $119 | $72 | $419 | $255 | $155 | | $8,122 | $4,955 | $3,005 | $28,795 | $17,565 | $10,654 | | $16,453 | $10,036 | $6,088 | $18,786 | $11,460 | $6,951 | | $5,400 | $3,294 | $1,998 | $7,041 | $4,295 | $2,605 | | $3,128 | $1,908 | $1,157 | $4,991 | $3,044 | $1,846 | | $5,115 | $3,120 | $1,892 | $8,947 | $5,458 | $3,310 | | $7,376 | $4,500 | $2,729 | $10,098 | $6,160 | $3,736 | | NR | NR | NR | NR | NR | NR | | $3,538 | $2,158 | $1,309 | $4,800 | $2,928 | $1,776 | | $10,813 | $6,596 | $4,001 | $10,315 | $6,292 | $3,817 | | $510 | $311 | $189 | $1,079 | $658 | $399 | | $14,875 | $9,074 | $5,504 | $16,453 | $10,036 | $6,087 | | NR | NR | NR | NR | NR | NR | | $2,738 | $1,670 | $1,013 | $5,627 | $3,432 | $2,082 | | $228 | $139 | $84 | $993 | $606 | $368 | | $6,304 | $3,846 | $2,333 | $13,808 | $8,423 | $5,109 | | $4,343 | $2,649 | $1,607 | $6,562 | $4,003 | $2,428 | | $4,172 | $2,545 | $1,543 | $4,682 | $2,856 | $1,732 | | $5,571 | $3,399 | $2,061 | $17,596 | $10,734 | $6,511 | | NR | NR | NR | $7,545 | $4,603 | $2,792 | | NR | NR | NR | $12,824 | $7,823 | $4,745 | | $233 | $142 | $86 | $367 | $224 | $136 | | $631 | $385 | $234 | $1,099 | $671 | $407 | | $15,247 | $9,301 | $5,641 | $16,878 | $10,296 | $6,245 | | $3,865 | $2,358 | $1,430 | $3,412 | $2,081 | $1,262 | | NR | NR | NR | $23,377 | $14,260 | $8,649 | | $26,652 | $16,257 | $9,861 | $13,068 | $7,971 | $4,835 | | NR | NR | NR | $42,004 | $25,622 | $15,541 | | $421 | $257 | $156 | $1,393 | $850 | $515 | | $6,329 | $3,861 | $2,342 | $7,251 | $4,423 | $2,683 | | NR | NR | NR | $15,959 | $9,735 | $5,905 | | $4,665 | $2,846 | $1,726 | $5,722 | $3,491 | $2,117 | | $3,850 | $2,349 | $1,425 | $3,430 | $2,092 | $1,269 | | NR | NR | NR | NR | NR | NR | | $1,129 | $689 | $418 | $2,733 | $1,667 | $1,011 |
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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