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

        Charges for 75 Most Common Hospitalizations in Wisconsin:   July 2016 - June 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$14,316$7,731$4,295
4302Knee Replacement$38,986$21,052$11,696
5194Heart Failure$15,371$8,300$4,611
6540Cesarean Delivery$33,914$18,314$10,174
7301Hip Replacement$48,782$26,342$14,635
8751Psychoses$10,119$5,464$3,036
9139Pneumonia$11,659$6,296$3,498
10140Chronic Obstructive Pulmonary Disease$11,572$6,249$3,472
11753Bipolar Disorders$10,814$5,840$3,244
12201Heart Abnormal Rhythm and Conduction Disorders$13,819$7,462$4,146
13775Alcohol Abuse/Dependence$10,050$5,427$3,015
14383Cellulitis & other skin infections$10,333$5,580$3,100
15045Stroke and Precerebral Occlusion with Infarct$27,313$14,749$8,194
16133Respiratory failure$22,906$12,369$6,872
17463Kidney/Urinary Tract Infection$11,869$6,409$3,561
18221Major Bowel Procedures$47,019$25,390$14,106
19174Percutaneous coronary intervention w AMI$46,627$25,179$13,988
20750Schizophrenia$13,727$7,413$4,118
21420Diabetes$11,685$6,310$3,506
22469Acute Kidney Injury$23,432$12,653$7,030
23754Depression$8,902$4,807$2,671
24282Disorders of Pancreas Except Malignancy$14,824$8,005$4,447
25247Intestinal Obstruction without Surgery$14,786$7,984$4,436
26254Other Digestive System Diagnoses$13,728$7,413$4,118
27812Poisoning of Medicinal Agents$9,230$4,984$2,769
28308Hip & femur fracture repair$49,147$26,539$14,744
29710Infectious & parasitic diseases including HIV w O.R. procedure$23,738$12,819$7,121
30773Opioid Abuse/Dependence$13,097$7,072$3,929
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$63,747$34,423$19,124
32190Circulatory Disorders with Heart Attack$21,209$11,453$6,363
33053Seizure$16,640$8,986$4,992
34175Percutaneous coronary intervention w/o AMI$48,165$26,009$14,450
35249Other gastroenteritis, nausea & vomiting$13,997$7,558$4,199
36058Other Disorders of Nervous System$19,361$10,455$5,808
37137Respiratory Infections and Inflammations$23,522$12,702$7,057
38134Pulmonary Embolism$14,090$7,609$4,227
39263Laparoscopic Cholecystectomy$35,993$19,436$10,798
40244Diverticulitis & Diverticulosis$15,213$8,215$4,564
41192Cardiac catheterization for other non-coronary conditions$24,883$13,437$7,465
42861Signs & Symptoms$13,401$7,237$4,020
43347Other Back/Neck Disorders, Fractures, Injuries$18,993$10,256$5,698
44253Other and Unspecified Gastrointestinal Hemorrhage$14,821$8,003$4,446
45241Peptic Ulcer/Gastritis$15,091$8,149$4,527
46466Malfunction, reaction, complic of genitourinary device or procNRNRNR
47313Other Knee/Lower Leg Surgery$45,799$24,731$13,740
48425Other Electrolyte Disorders$18,680$10,087$5,604
49315Shoulder, upper arm & forearm procedures except joint replacement$30,365$16,397$9,110
50248Major G.I. Bacterial Infections$12,719$6,868$3,816
51351Other Musculoskeletal System and Connective Tissue Diagnoses$16,665$8,999$5,000
52951Moderately Extensive Procedure Unrelated to Diagnosis$40,309$21,767$12,093
53024Extracranial Vascular Procedures$78,673$42,483$23,602
54113Epiglottitis, Ear Infection, URI and Laryngotracheitis$9,396$5,074$2,819
55021Craniotomy Except For Trauma$76,933$41,544$23,080
56663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$11,428$6,171$3,428
57862Other Factors Influencing Health Status$19,243$10,391$5,773
58321Upper Spinal Fusion$40,274$21,748$12,082
59566Other Antepartum Diagnoses$11,621$6,275$3,486
60055Head trauma w coma >1 hr or hemorrhage$21,967$11,862$6,590
61422Hypovolemia$11,934$6,444$3,580
62166Coronary bypass w/o AMI or complex PDX$109,570$59,168$32,871
63197Peripheral and Other Vascular Disorders$17,438$9,417$5,231
64181Lower Extremity Arterial Procedures$51,244$27,672$15,373
65052Nontraumatic stupor & coma$10,644$5,748$3,193
66141Asthma$11,835$6,391$3,551
67460Renal Failure$16,132$8,711$4,840
68755Neuroses Other Than Depression$8,355$4,512$2,507
69225Appendectomy$28,001$15,121$8,400
70721Postoperative and Post-Traumatic Infections$14,275$7,709$4,283
71143Other respiratory diagnoses except signs, symptoms & minor diagnoses$13,714$7,406$4,114
72144Respiratory System Signs, Symptoms and Minor Diagnoses$14,068$7,597$4,220
73163Cardiac valve procedures w/o AMI or complex PDX$108,680$58,687$32,604
74204Fainting and Collapse$15,951$8,614$4,785
75639Neonate Birthwt >2499g with Other Significant Condition$36,094$19,491$10,828
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:  July 2016 - June 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)$7,445$4,020$2,233$13,288$7,176$3,987
Colonoscopy and Biopsy (45380)$4,063$2,194$1,219$7,202$3,889$2,161
Lesion Removal Colonoscopy by Snare Technique (45385)$3,903$2,107$1,171$7,753$4,187$2,326
Upper GI Endoscopy with Biopsy (43239)$3,307$1,786$992$6,686$3,610$2,006
Diagnostic Colonoscopy (45378)$3,207$1,732$962$6,816$3,681$2,045
Injection into Lumbar or Sacral Area, Single Level (64483)$1,685$910$506$3,129$1,690$939
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral (64493)$3,954$2,135$1,186$3,525$1,904$1,058
Drain/Inject Major Joint or Bursa (20610)$1,201$649$360$2,485$1,342$745
Colorectal Cancer Screening; Colonscopy, Not High Risk (G0121)$3,541$1,912$1,062NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk (G0105)$3,545$1,915$1,064NRNRNR
Carpal Tunnel Surgery (64721)$3,223$1,740$967$50,456$27,246$15,137
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee (62323)$2,628$1,419$788$2,470$1,334$741
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy (29881)$8,357$4,513$2,507$20,159$10,886$6,048
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral (64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic (43235)$2,800$1,512$840$5,955$3,216$1,787
Creation of Eardrum Opening (69436)$2,912$1,573$874$17,666$9,540$5,300
Lesion Removal Colonoscopy by Hot Biopsy or Cautery (45384)$4,706$2,541$1,412NRNRNR
Left Heart Artery/Ventricle Angiography (93458)$16,741$9,040$5,022$24,462$13,209$7,339
Unlisted Dental Surgery Procedure (41899)$10,394$5,613$3,118$12,918$6,976$3,875
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor (64490)$2,131$1,151$639$2,995$1,617$899
After Cataract Laser Surgery (66821)$894$483$268$1,160$626$348
Laparoscopic Cholecystectomy (47562)$14,160$7,646$4,248$17,037$9,200$5,111
ABD Paracentesis w/Imaging (49083)$2,291$1,237$687$7,258$3,919$2,177
Biopsy, Breast w/Ultrasound Image; 1 Lesion (19083)$3,309$1,787$993$7,971$4,304$2,391
Esophageal Endoscopy with Dilation (43249)$4,103$2,216$1,231$7,234$3,906$2,170
Biopsy Skin and Subcutaneous Tissue; 1 Lesion (11100)$687$371$206$1,485$802$446
Removal of Tonsils And Adenoids - < Age 12 (42820)$8,013$4,327$2,404$8,806$4,755$2,642
Arthroscopic Rotator Cuff Repair (29827)$22,361$12,075$6,708$17,751$9,585$5,325
Hysteroscopy with Biopsy (58558)$7,564$4,084$2,269$8,927$4,820$2,678
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance (62321)NRNRNRNRNRNR
Cataract Surgery- Complex (66982)$9,833$5,310$2,950$18,446$9,961$5,534
Cystourethroscopy with Lithotripsy and Stent (52356)$10,680$5,767$3,204$26,925$14,539$8,077
Incision of Finger Tendon Sheath (26055)$2,970$1,604$891$4,018$2,170$1,205
Laparoscopic Hernia Repair - Initial (49650)$14,199$7,667$4,260$17,671$9,542$5,301
Repair Initial Ingunial Hernia, > = 5 years, Reducible (49505)$13,677$7,385$4,103$10,391$5,611$3,117
Unlisted Cystourethoscopy (52000)$1,146$619$344$11,129$6,009$3,339
Uppr GI Endoscopy with Guide Wire (43248)$5,763$3,112$1,729$5,249$2,835$1,575
Destruction by neurolytic agent w imaging, cervical or thoracic (64633)NRNRNRNRNRNR
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) (20680)$9,649$5,211$2,895$14,371$7,760$4,311
Destruction of Premalignant Lesion (17000)$216$117$65$382$206$115
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy (29880)$8,643$4,667$2,593$18,976$10,247$5,693
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct (47563)$15,283$8,253$4,585$25,477$13,758$7,643
Destruction of Benign Lesions up to 14 Lesions (17110)$228$123$68$653$353$196
Biopsy breast w/stereotactic image; 1 lesion (19081)$5,444$2,939$1,633$11,382$6,147$3,415
Cystourethroscopy with Stent (52332)$6,790$3,667$2,037$11,788$6,365$3,536
Laparoscopy - Removal of Adnexal Structures (58661)$18,102$9,775$5,431$28,064$15,155$8,419
Mastectomy, Partial (19301)$9,535$5,149$2,861$23,120$12,485$6,936
Debridement Skin/Tissue (11042)$6,543$3,533$1,963$10,578$5,712$3,173
Laparoscopic Appendectomy (44970)$21,940$11,848$6,582$19,144$10,338$5,743
Repair Umbilical Hernia, > = 5 Yrs - Reducible (49585)$8,337$4,502$2,501$15,890$8,581$4,767
Laparoscopy, Removal of Tubes & Ovaries (58571)$36,067$19,476$10,820$34,206$18,471$10,262
Removal of Tonsils (42826)$9,210$4,973$2,763$18,168$9,811$5,450
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles (20552)$724$391$217$2,192$1,184$658
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair (29888)$17,504$9,452$5,251$19,218$10,378$5,765
Low Back Disk Surgery (63030)$14,346$7,747$4,304$21,253$11,477$6,376
Repair of Nasal Septum (30520)$10,585$5,716$3,176$18,351$9,909$5,505
Fragmenting of Kidney Stone (50590)NRNRNRNRNRNR
Needle Biopsy of Liver (47000)$5,551$2,997$1,665$10,281$5,552$3,084
Wrist Endoscopy/Surgery (29848)$4,529$2,446$1,359$10,222$5,520$3,067
Coronary Artery Angio S&I (93454)$20,309$10,967$6,093$32,167$17,370$9,650
Aspirate Pleura with Imaging (32555)$2,300$1,242$690$4,375$2,362$1,312
Bone Marrow Biopsy (38221)$5,605$3,027$1,681$10,463$5,650$3,139
Diagnostic Laryngoscopy (31575)$503$272$151$1,528$825$458
Hysteroscopy with Ablation (58563)$11,216$6,056$3,365$16,241$8,770$4,872
Injection of chemical agent into muscles near face/neck (64615)$3,627$1,959$1,088$9,702$5,239$2,911
Removal of Adenoids (42830)$5,798$3,131$1,739$6,261$3,381$1,878
Correction of Bunion (28296)$10,367$5,598$3,110$13,876$7,493$4,163
Biopsy of lung or mediastinum, percutaneous w/needle (32405)$5,581$3,014$1,674$9,979$5,389$2,994
Remove Impacted Ear Wax (69210)$290$157$87$518$280$155
Right and Left Heart Artery/Ventricle Angiography (93460)$18,521$10,001$5,556$23,874$12,892$7,162
Shoulder Arthroscopy/Surgery (29824)NRNRNR$17,407$9,400$5,222
Exam of ear with microscope (92504)$278$150$83$500$270$150
Electro-Uroflowmetry - First (51741)$403$218$121$985$532$296
Removal of Central Venous Device w Port or Pump (36590)$5,370$2,900$1,611$10,181$5,498$3,054
Arthrocentesis, aspiration and/or Inj. major joint or bursa; w/US guidance (20611)$1,975$1,066$592$3,942$2,129$1,183
Information about quality and safety of care for UW Hospital and Clinics Authority may be found at http://www.wicheckpoint.org
* Estimated Insurance Payments based on average percent of billed charges collected.