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

Charges for 75 Most Common Hospitalizations in Wisconsin:  July 2015 - June 2016
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$6,145$3,318$1,905
2560Vaginal DeliveryNRNRNR
3720Blood Infection/Septicemia$13,096$7,072$4,060
4302Knee Replacement$34,475$18,617$10,687
5540Cesarean DeliveryNRNRNR
6194Heart Failure$16,740$9,040$5,189
7301Hip Replacement$44,397$23,974$13,763
8139Pneumonia$9,912$5,352$3,073
9751Psychoses$8,872$4,791$2,750
10753Bipolar Disorders$9,620$5,195$2,982
11775Alcohol Abuse/Dependence$9,094$4,911$2,819
12140Chronic Obstructive Pulmonary Disease$11,764$6,353$3,647
13201Heart Abnormal Rhythm and Conduction Disorders$13,889$7,500$4,306
14383Cellulitis and Other Bacterial Skin Infections$10,096$5,452$3,130
15460Renal Failure$14,689$7,932$4,554
16045Stroke and Precerebral Occlusion with Infarct$26,250$14,175$8,138
17133Pulmonary Edema/Respiratory Failure$22,189$11,982$6,879
18463Kidney/Urinary Tract Infection$14,702$7,939$4,558
19221Major Bowel Procedures$40,121$21,665$12,438
20174Angioplasty with Heart Attack$46,909$25,331$14,542
21754Depression$8,118$4,384$2,517
22750Schizophrenia$11,656$6,294$3,613
23247Intestinal Obstruction without Surgery$14,256$7,698$4,419
24420Diabetes$11,129$6,010$3,450
25282Disorders of Pancreas Except Malignancy$13,149$7,100$4,076
26812Poisoning of Medicinal Agents$9,596$5,182$2,975
27254Other Digestive System Diagnoses$12,634$6,822$3,917
28304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$64,452$34,804$19,980
29053Seizure$16,666$9,000$5,166
30190Circulatory Disorders with Heart Attack$22,634$12,222$7,017
31137Respiratory Infections and Inflammations$19,828$10,707$6,147
32173Other Vascular Procedures$67,594$36,501$20,954
33710Infectious & parasitic diseases including HIV w O.R. procedure$30,041$16,222$9,313
34134Pulmonary Embolism$15,220$8,219$4,718
35308Hip/Thigh Surgery with Trauma Diagnosis$43,380$23,425$13,448
36263Laparoscopic Cholecystectomy$33,600$18,144$10,416
37773Opioid Abuse/Dependence$10,941$5,908$3,392
38249Gastroenteritis$11,299$6,101$3,503
39315Shoulder/Upper Arm, Forearm Surgery$23,685$12,790$7,342
40244Diverticulitis & Diverticulosis$15,888$8,580$4,925
41175Angioplasty without Heart Attack$53,248$28,754$16,507
42861Signs & Symptoms$15,929$8,602$4,938
43058Other Disorders of Nervous System$21,115$11,402$6,546
44347Other Back/Neck Disorders, Fractures, Injuries$20,032$10,817$6,210
45253Other and Unspecified Gastrointestinal Hemorrhage$10,417$5,625$3,229
46425Other Electrolyte Disorders$15,593$8,420$4,834
47351Other Musculoskeletal System and Connective Tissue Diagnoses$14,214$7,676$4,406
48241Peptic Ulcer/Gastritis$13,660$7,376$4,235
49313Other Knee/Lower Leg Surgery$44,336$23,941$13,744
50191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$26,937$14,546$8,350
51248Major G.I. Bacterial Infections$15,421$8,327$4,781
52663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$15,374$8,302$4,766
53024Extracranial Vascular Procedures$51,764$27,953$16,047
54466Malfunction, reaction, complic of genitourinary device or proc$9,480$5,119$2,939
55862Other Factors Influencing Health Status$8,382$4,526$2,598
56197Peripheral and Other Vascular Disorders$18,244$9,852$5,656
57693Chemotherapy$25,904$13,988$8,030
58021Craniotomy Except For Trauma$70,178$37,896$21,755
59141Asthma$13,392$7,232$4,152
60321Upper Spinal Fusion$37,663$20,338$11,676
61566Other Antepartum Diagnoses$11,515$6,218$3,570
62721Postoperative and Post-Traumatic Infections$15,767$8,514$4,888
63225Appendectomy$28,774$15,538$8,920
64052Nontraumatic stupor & coma$16,762$9,051$5,196
65422Hypovolemia$7,753$4,187$2,403
66755Neuroses Other Than Depression$5,200$2,808$1,612
67192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$23,034$12,438$7,141
68951Moderately Extensive Procedure Unrelated to Diagnosis$30,005$16,203$9,302
69055Head trauma w coma >1 hr or hemorrhage$24,913$13,453$7,723
70163Heart Valve Procedures without Cardiac Catheterization$112,920$60,977$35,005
71950Extensive Procedure Unrelated to Principal Diagnosis$41,902$22,627$12,990
72220Major Stomach/Esophagus/Duodenum Procedures$33,453$18,065$10,370
73144Respiratory System Signs, Symptoms and Minor Diagnoses$14,376$7,763$4,457
74204Fainting and Collapse$23,589$12,738$7,313
75756Acute Adjust React Psychosocial Dysfunction$10,885$5,878$3,374
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 2015 - June 2016
 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)$6,737$3,638$2,088$14,024$7,573$4,347
Colonoscopy and Biopsy 45380)$3,975$2,147$1,232$7,007$3,784$2,172
Lesion Removal Colonoscopy by Snare Technique 45385)$3,839$2,073$1,190$7,187$3,881$2,228
Upper GI Endoscopy with Biopsy 43239)$3,168$1,711$982$6,556$3,540$2,032
Diagnostic Colonoscopy 45378)$3,047$1,645$945$8,065$4,355$2,500
Injection into Lumbar or Sacral Area, Single Level 64483)$1,592$860$494$2,989$1,614$927
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$2,031$1,097$630$3,794$2,049$1,176
Drain/Inject Major Joint or Bursa 20610)$1,122$606$348$2,094$1,131$649
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$3,360$1,814$1,042NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$3,378$1,824$1,047NRNRNR
Carpal Tunnel Surgery 64721)$3,098$1,673$960$16,717$9,027$5,182
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$7,926$4,280$2,457$19,983$10,791$6,195
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$2,693$1,454$835$5,722$3,090$1,774
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)NRNRNR$6,949$3,752$2,154
Left Heart Artery/Ventricle Angiography 93458)$15,922$8,598$4,936$22,852$12,340$7,084
Creation of Eardrum Opening 69436)$2,800$1,512$868$16,255$8,778$5,039
Unlisted Dental Surgery Procedure 41899)$9,097$4,913$2,820$13,512$7,297$4,189
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$4,018$2,170$1,246$2,813$1,519$872
Laparoscopic Cholecystectomy 47562)$13,065$7,055$4,050$14,396$7,774$4,463
After Cataract Laser Surgery 66821)$858$463$266$1,169$631$362
ABD Paracentesis w/Imaging 49083)$2,385$1,288$739$6,234$3,366$1,933
Cataract Surgery- Complex 66982)$8,284$4,473$2,568$15,205$8,211$4,714
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$3,161$1,707$980$8,408$4,540$2,606
Removal of Tonsils And Adenoids - < Age 12 42820)$7,166$3,869$2,221$8,301$4,483$2,573
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$20,262$10,941$6,281
Esophageal Endoscopy with Dilation 43249)$4,060$2,193$1,259$7,261$3,921$2,251
Hysteroscopy with Biopsy 58558)$7,716$4,167$2,392$10,180$5,497$3,156
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$670$362$208$1,560$842$483
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$10,535$5,689$3,266$10,594$5,721$3,284
Cystourethroscopy with Lithotripsy and Stent 52356)$10,542$5,693$3,268$21,354$11,531$6,620
Incision of Finger Tendon Sheath 26055)$2,704$1,460$838$4,056$2,190$1,257
Unlisted Cystourethoscopy 52000)$1,016$549$315$8,090$4,369$2,508
Laparoscopic Hernia Repair - Initial 49650)$12,743$6,881$3,950$16,613$8,971$5,150
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$8,646$4,669$2,680$12,874$6,952$3,991
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$14,433$7,794$4,474$10,308$5,566$3,195
Uppr GI Endoscopy with Guide Wire 43248)$5,643$3,047$1,749$7,228$3,903$2,241
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$8,583$4,635$2,661$21,128$11,409$6,550
Destruction of Premalignant Lesion 17000)$233$126$72$374$202$116
Laparoscopic Appendectomy 44970)$19,868$10,729$6,159$20,253$10,936$6,278
Destruction of Benign Lesions up to 14 Lesions 17110)$222$120$69$472$255$146
Biopsy breast w/stereotactic image; 1 lesion 19081)$4,938$2,667$1,531$9,450$5,103$2,929
Removal of Tonsils 42826)$8,791$4,747$2,725$11,551$6,237$3,581
Cystourethroscopy with Stent 52332)$6,641$3,586$2,059$10,411$5,622$3,227
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$665$359$206$1,599$863$496
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$18,258$9,859$5,660$19,798$10,691$6,137
Laparoscopy - Removal of Adnexal Structures 58661)$17,402$9,397$5,395$26,891$14,521$8,336
Low Back Disk Surgery 63030)$13,096$7,072$4,060$16,906$9,129$5,241
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$7,524$4,063$2,333$15,830$8,548$4,907
Repair of Nasal Septum 30520)$10,739$5,799$3,329$16,150$8,721$5,007
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Mastectomy, Partial 19301)$8,383$4,527$2,599$19,587$10,577$6,072
Needle Biopsy of Liver 47000)$3,784$2,043$1,173$5,849$3,159$1,813
Laparoscopy, Removal of Tubes & Ovaries 58571)$28,079$15,163$8,705$34,846$18,817$10,802
Debridement Skin/Tissue 11042)$2,964$1,601$919$10,664$5,759$3,306
Coronary Artery Angio S&I 93454)NRNRNR$32,219$17,398$9,988
Aspirate Pleura with Imaging 32555)$2,364$1,277$733$4,284$2,313$1,328
Wrist Endoscopy/Surgery 29848)$4,484$2,421$1,390$6,739$3,639$2,089
Hysteroscopy with Ablation 58563)NRNRNRNRNRNR
Remove Impacted Ear Wax 69210)$256$138$79$428$231$133
Diagnostic Laryngoscopy 31575)$503$272$156$1,528$825$474
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNR$22,845$12,336$7,082
Apheresis Plasma 36514)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery 29824)$11,438$6,176$3,546$13,761$7,431$4,266
Correction of Bunion 28296)$8,101$4,375$2,511$18,254$9,857$5,659
Debridement, Open Wound <= 20 Square Centimeters 97597)$4,967$2,682$1,540NRNRNR
Bone Marrow Biopsy 38221)$4,892$2,642$1,517$9,710$5,243$3,010
Electro-Uroflowmetry - First 51741)$421$227$131$968$523$300
Right and Left Heart Artery/Ventricle Angiography 93460)$17,487$9,443$5,421$24,793$13,388$7,686
Removal of Adenoids 42830)$5,240$2,830$1,625$5,495$2,967$1,704
Biopsy of lung or mediastinum, percutaneous w/needle 32405)$4,973$2,686$1,542$8,891$4,801$2,756
Ablation therapy of first vein of extremity 36475)NRNRNRNRNRNR
Removal of Central Venous Device w Port or Pump 36590)$5,232$2,825$1,622$11,149$6,021$3,456
Repair of Hammertoe 28285)$8,508$4,594$2,637$13,867$7,488$4,299
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.