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

Charges for 75 Most Common Hospitalizations in Wisconsin:  April 2013 - March 2014
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,880$1,699$979
2560Vaginal DeliveryNRNRNR
3302Knee Replacement$33,300$19,647$11,322
4720Blood Infection/Septicemia$12,320$7,269$4,189
5540Cesarean DeliveryNRNRNR
6139Pneumonia$8,554$5,047$2,908
7194Heart Failure$11,790$6,956$4,009
8301Hip Replacement$40,270$23,759$13,692
9751Psychoses$8,197$4,836$2,787
10753Bipolar Disorders$7,477$4,411$2,542
11140Chronic Obstructive Pulmonary Disease$11,554$6,817$3,928
12201Heart Abnormal Rhythm and Conduction Disorders$12,795$7,549$4,350
13383Cellulitis and Other Bacterial Skin Infections$8,495$5,012$2,888
14775Alchohol Abuse/Dependence$8,461$4,992$2,877
15460Renal Failure$18,290$10,791$6,219
16045Stroke and Precerebral Occlusion with Infarct$19,095$11,266$6,492
17463Kidney/Urinary Tract Infection$6,873$4,055$2,337
18860Rehabilitation$28,232$16,657$9,599
19221Major Bowel Procedures$34,223$20,192$11,636
20750Schizophrenia$10,687$6,305$3,634
21133Pulmonary Edema/Respiratory Failure$3,738$2,205$1,271
22174Angioplasty with Heart Attack$48,562$28,652$16,511
23254Other Digestive System Diagnoses$11,495$6,782$3,908
24247Intestinal Obstruction without Surgery$13,257$7,822$4,507
25175Angioplasty without Heart Attack$43,222$25,501$14,695
26420Diabetes$9,439$5,569$3,209
27282Disorders of Pancreas Except Malignancy$10,721$6,325$3,645
28249Gastroenteritis$11,832$6,981$4,023
29754Depression$7,241$4,272$2,462
30812Poisoning of Medicinal Agents$9,465$5,584$3,218
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$57,334$33,827$19,494
32137Respiratory Infections and Inflammations$17,489$10,319$5,946
33053Seizure$12,143$7,164$4,129
34308Hip/Thigh Surgery with Trauma Diagnosis$35,923$21,195$12,214
35263Laparoscopic Cholecystectomy$24,814$14,640$8,437
36134Pulmonary Embolism$9,627$5,680$3,273
37173Other Vascular Procedures$54,064$31,898$18,382
38190Circulatory Disorders with Heart Attack$20,602$12,155$7,005
39425Other Electrolyte Disorders$8,005$4,723$2,722
40347Other Back/Neck Disorders, Fractures, Injuries$21,586$12,736$7,339
41315Shoulder/Upper Arm, Forearm Surgery$22,597$13,332$7,683
42241Peptic Ulcer/Gastritis$11,979$7,068$4,073
43244Diverticulitis & Diverticulosis$10,826$6,387$3,681
44861Signs & Symptoms$12,426$7,331$4,225
45313Other Knee/Lower Leg Surgery$36,347$21,445$12,358
46253Other and Unspecified Gastrointestinal Hemorrhage$15,562$9,182$5,291
47225Appendectomy$21,472$12,668$7,300
48663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$10,855$6,404$3,691
49351Other Musculoskeletal System and Connective Tissue Diagnoses$18,185$10,729$6,183
50248Major G.I. Bacterial Infections$14,020$8,272$4,767
51192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$24,205$14,281$8,230
52141Asthma$9,808$5,787$3,335
53191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$28,443$16,781$9,671
54024Extracranial Vascular Procedures$43,542$25,690$14,804
55773Opioid Abuse/Dependence$7,380$4,354$2,509
56321Upper Spinal Fusion$32,740$19,317$11,132
57197Peripheral and Other Vascular Disorders$14,441$8,520$4,910
58721Postoperative and Post-Traumatic Infections$12,439$7,339$4,229
59204Fainting and Collapse$10,075$5,944$3,426
60198Chest Pain with Angina Pectoris or Coronary Atherosclerosis$12,559$7,410$4,270
61693Chemotherapy$20,982$12,379$7,134
62710Infectious & parasitic diseases including HIV w O.R. procedure$24,956$14,724$8,485
63144Respiratory System Signs, Symptoms and Minor Diagnoses$14,140$8,343$4,808
64466Malfunctions, Reactions & Comp Of Gu Device, Graft Or Transplant$19,844$11,708$6,747
65310Back/Neck Procedures Except Dorsal and Lumbar Fusion$22,816$13,461$7,757
66566Other Antepartum Diagnoses$15,080$8,897$5,127
67513Uterine Procedures without Tumor$29,980$17,688$10,193
68021Craniotomy Except For Trauma$63,754$37,615$21,676
69163Heart Valve Procedures without Cardiac Catheterization$97,396$57,464$33,115
70143Pneumothorax & Pleural Effusion$12,491$7,370$4,247
71422Hypovolemia$4,469$2,637$1,519
72755Neuroses Other Than Depression$5,384$3,177$1,831
73052Nontraumatic stupor & coma$10,616$6,263$3,609
74055Head trauma w coma >1 hr or hemorrhage$25,130$14,827$8,544
75047Transient Ischemia$16,380$9,664$5,569
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 2013 - March 2014
 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)$6,747$3,981$2,294$12,535$7,396$4,262
Colonoscopy and Biopsy 45380)$3,719$2,194$1,264$3,311$1,954$1,126
Upper GI Endoscopy with Biopsy 43239)$4,099$2,418$1,394$2,634$1,554$896
Diagnostic Colonoscopy 45378)$2,586$1,526$879$2,486$1,467$845
Lesion Removal Colonoscopy by Snare Technique 45385)$5,080$2,997$1,727$4,940$2,915$1,680
Injection into Lumbar or Sacral Area, Single Level 64483)NRNRNR$1,425$841$484
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$1,738$1,025$591$2,802$1,653$953
Drain/Inject Major Joint or Bursa 20610)$1,681$992$572$1,008$595$343
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)NRNRNR$2,745$1,620$933
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$6,533$3,855$2,221$14,242$8,403$4,842
Carpal Tunnel Surgery 64721)$3,585$2,115$1,219$3,722$2,196$1,266
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)NRNRNR$2,696$1,591$917
Uppr GI Endoscopy- Diagnostic 43235)$3,681$2,172$1,251$2,002$1,181$681
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)NRNRNR$6,058$3,574$2,060
Left Heart Artery/Ventricle Angiography 93458)NRNRNR$23,995$14,157$8,158
Creation of Eardrum Opening 69436)$2,281$1,346$775$6,360$3,752$2,162
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Unlisted Dental Surgery Procedure 41899)$7,582$4,474$2,578$7,773$4,586$2,643
Laparoscopic Cholecystectomy 47562)$12,323$7,271$4,190$12,394$7,312$4,214
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$2,778$1,639$945$2,190$1,292$744
After Cataract Laser Surgery 66821)$639$377$217$633$373$215
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$9,721$5,735$3,305$8,317$4,907$2,828
Removal of Tonsils And Adenoids - < Age 12 42820)$7,161$4,225$2,435$7,548$4,453$2,566
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$18,934$11,171$6,438
Cataract Surgery- Complex 66982)$8,107$4,783$2,757$14,048$8,288$4,776
Unlisted Cystourethoscopy 52000)$4,336$2,559$1,474$767$453$261
Hysteroscopy with Biopsy 58558)$5,888$3,474$2,002$6,389$3,770$2,172
Percutaneous Breast Biopsy with Device and Imaging 19103)$3,202$1,889$1,089$4,049$2,389$1,377
Esophageal Endoscopy with Dilation 43249)$4,251$2,508$1,445$3,166$1,868$1,076
ABD Paracentesis w/Imaging 49083)$2,663$1,571$905$2,150$1,269$731
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$11,599$6,843$3,944$13,286$7,839$4,517
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$7,543$4,450$2,565$17,494$10,322$5,948
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$7,741$4,567$2,632$10,110$5,965$3,437
Incision of Finger Tendon Sheath 26055)$2,915$1,720$991$3,196$1,886$1,087
Uppr GI Endoscopy with Guide Wire 43248)$6,853$4,043$2,330$3,079$1,817$1,047
Destruction of Benign Lesions up to 14 Lesions 17110)$195$115$66$216$127$73
Laparoscopic Hernia Repair - Initial 49650)$12,780$7,540$4,345$13,733$8,103$4,669
Destruction of Premalignant Lesion 17000)$178$105$60$286$169$97
Cystourethroscopy with Lithotripsy 52353)$7,449$4,395$2,532$10,116$5,969$3,439
Repair of Nasal Septum 30520)$9,036$5,331$3,072$12,278$7,244$4,175
Cystourethroscopy with Stent 52332)$6,935$4,091$2,358$7,704$4,545$2,619
Removal of Tonsils 42826)$7,311$4,314$2,486$10,732$6,332$3,649
Laparoscopic Appendectomy 44970)$19,375$11,431$6,587$22,443$13,241$7,631
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$16,070$9,481$5,464$18,336$10,818$6,234
Fragmenting of Kidney Stone 50590)NRNRNR$23,452$13,837$7,974
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$7,761$4,579$2,639$12,496$7,372$4,249
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$984$581$335$970$572$330
Low Back Disk Surgery 63030)$11,870$7,003$4,036$12,238$7,220$4,161
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Hysteroscopy with Ablation 58563)$8,978$5,297$3,053NRNRNR
Correction of Bunion 28296)$5,509$3,250$1,873$7,238$4,271$2,461
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$601$355$204$569$336$193
Mastectomy, Partial 19301)$6,674$3,938$2,269$16,828$9,928$5,721
Colonoscopy with Lesion Removal 45383)NRNRNR$3,704$2,185$1,259
Percutaneous Breast Biopsy with Imaging 19102)$2,727$1,609$927$3,760$2,218$1,278
Coronary Artery Angio S&I 93454)NRNRNR$22,589$13,328$7,680
Bone Marrow Biopsy 38221)$3,223$1,902$1,096$9,203$5,430$3,129
Needle Biopsy of Liver 47000)$3,034$1,790$1,032$5,116$3,018$1,739
Remove Impacted Ear Wax 69210)$251$148$85$247$146$84
Mohs Micrographic Tissue Removal 17311)NRNRNR$1,173$692$399
Laparoscopy - Removal of Adnexal Structures 58661)$13,508$7,970$4,593$16,997$10,029$5,779
Right and Left Heart Artery/Ventricle Angiography 93460)NRNRNR$27,081$15,978$9,208
Insertion of Central Venous Catheter >= 5 years 36569)$7,379$4,354$2,509$3,535$2,086$1,202
Diagnostic Laryngoscopy 31575)$430$254$146$430$254$146
Removal of Breast Lesion 19120)$6,063$3,577$2,061$8,691$5,128$2,955
Aspirate Pleura with Imaging 32555)$1,877$1,108$638$1,917$1,131$652
Electro-Uroflowmetry - First 51741)$437$258$149$927$547$315
Excision Breast Lesion with Preoperative Placement Radiological Marker 19125)$10,502$6,196$3,571$8,749$5,162$2,974
Debridement, Open Wound <= 20 Square Centimeters 97597)$560$330$190NRNRNR
Removal of Central Venous Device w Port or Pump 36590)$6,212$3,665$2,112$4,282$2,526$1,456
Apheresis Plasma 36514)NRNRNRNRNRNR
Wrist Endoscopy/Surgery 29848)$4,065$2,398$1,382$4,372$2,580$1,487
Debridement Skin/Tissue 11042)$5,743$3,389$1,953$2,560$1,511$871
Knee Arthroscopy/Surgery with Shaving of Cartilage 29877)$6,472$3,818$2,200$12,661$7,470$4,305
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area 58662)$26,674$15,738$9,069$17,703$10,445$6,019
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.