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

Charges for 75 Most Common Hospitalizations in Wisconsin:  January 2016 - December 2016
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$3,852$2,080$1,194
2560Vaginal DeliveryNRNRNR
3720Blood Infection/Septicemia$13,765$7,433$4,267
4302Knee Replacement$36,077$19,482$11,184
5540Cesarean Delivery$33,914$18,314$10,513
6194Heart Failure$16,140$8,716$5,003
7301Hip Replacement$46,873$25,311$14,531
8751Psychoses$9,136$4,933$2,832
9139Pneumonia$11,002$5,941$3,411
10753Bipolar Disorders$9,366$5,058$2,903
11775Alcohol Abuse/Dependence$9,782$5,282$3,032
12140Chronic Obstructive Pulmonary Disease$10,505$5,673$3,257
13201Heart Abnormal Rhythm and Conduction Disorders$13,140$7,096$4,073
14045Stroke and Precerebral Occlusion with Infarct$26,537$14,330$8,226
15383Cellulitis & other skin infections$10,386$5,608$3,220
16133Respiratory failure$22,547$12,175$6,990
17463Kidney/Urinary Tract Infection$14,196$7,666$4,401
18221Major Bowel Procedures$43,016$23,229$13,335
19174Percutaneous coronary intervention w AMI$47,397$25,594$14,693
20754Depression$7,840$4,234$2,430
21460Renal Failure$16,132$8,711$5,001
22750Schizophrenia$13,314$7,190$4,127
23420Diabetes$10,751$5,806$3,333
24282Disorders of Pancreas Except Malignancy$15,113$8,161$4,685
25247Intestinal Obstruction without Surgery$14,678$7,926$4,550
26812Poisoning of Medicinal Agents$9,359$5,054$2,901
27254Other Digestive System Diagnoses$12,824$6,925$3,975
28710Infectious & parasitic diseases including HIV w O.R. procedure$23,648$12,770$7,331
29304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$63,747$34,423$19,762
30190Circulatory Disorders with Heart Attack$20,797$11,230$6,447
31773Opioid Abuse/Dependence$8,767$4,734$2,718
32053Seizure$16,571$8,948$5,137
33137Respiratory Infections and Inflammations$19,243$10,391$5,965
34058Other Disorders of Nervous System$20,216$10,917$6,267
35308Hip & femur fracture repair$48,136$25,993$14,922
36175Percutaneous coronary intervention w/o AMI$48,165$26,009$14,931
37263Laparoscopic Cholecystectomy$36,531$19,727$11,325
38134Pulmonary Embolism$14,065$7,595$4,360
39249Other gastroenteritis, nausea & vomiting$14,169$7,651$4,392
40244Diverticulitis & Diverticulosis$14,297$7,720$4,432
41315Shoulder, upper arm & forearm procedures except joint replacement$26,101$14,095$8,091
42861Signs & Symptoms$19,619$10,594$6,082
43347Other Back/Neck Disorders, Fractures, Injuries$17,664$9,539$5,476
44173Other Vascular Procedures$75,973$41,025$23,552
45253Other and Unspecified Gastrointestinal Hemorrhage$12,541$6,772$3,888
46313Other Knee/Lower Leg Surgery$45,420$24,527$14,080
47351Other Musculoskeletal System and Connective Tissue Diagnoses$14,979$8,089$4,643
48241Peptic Ulcer/Gastritis$14,600$7,884$4,526
49425Other Electrolyte Disorders$18,594$10,041$5,764
50466Malfunction, reaction, complic of genitourinary device or procNRNRNR
51862Other Factors Influencing Health Status$9,542$5,153$2,958
52248Major G.I. Bacterial Infections$14,000$7,560$4,340
53663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$14,364$7,757$4,453
54024Extracranial Vascular Procedures$66,557$35,941$20,633
55192Cardiac catheterization for other non-coronary conditions$25,086$13,546$7,777
56191Cardiac catheterization for coronary artery disease$26,262$14,181$8,141
57951Moderately Extensive Procedure Unrelated to Diagnosis$34,467$18,612$10,685
58021Craniotomy Except For Trauma$71,639$38,685$22,208
59566Other Antepartum Diagnoses$11,057$5,971$3,428
60197Peripheral and Other Vascular Disorders$18,510$9,995$5,738
61321Upper Spinal Fusion$42,237$22,808$13,093
62422Hypovolemia$10,922$5,898$3,386
63052Nontraumatic stupor & coma$15,750$8,505$4,883
64225Appendectomy$28,774$15,538$8,920
65950Extensive Procedure Unrelated to Principal Diagnosis$53,795$29,049$16,676
66220Major Stomach/Esophagus/Duodenum Procedures$38,566$20,826$11,955
67055Head trauma w coma >1 hr or hemorrhage$27,244$14,712$8,446
68141Asthma$11,766$6,354$3,647
69721Postoperative and Post-Traumatic Infections$15,767$8,514$4,888
70755Neuroses Other Than Depression$8,016$4,329$2,485
71163Cardiac valve procedures w/o AMI or complex PDX$114,953$62,075$35,635
72143Other respiratory diagnoses except signs, symptoms & minor diagnoses$11,250$6,075$3,488
73166Coronary bypass w/o AMI or complex PDX$115,936$62,605$35,940
74204Fainting and Collapse$21,665$11,699$6,716
75144Respiratory System Signs, Symptoms and Minor Diagnoses$13,378$7,224$4,147
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:  January 2016 - December 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)$7,231$3,905$2,242$13,718$7,408$4,253
Colonoscopy and Biopsy 45380)$4,012$2,166$1,244$7,138$3,855$2,213
Lesion Removal Colonoscopy by Snare Technique 45385)$3,884$2,097$1,204$7,496$4,048$2,324
Upper GI Endoscopy with Biopsy 43239)$3,284$1,774$1,018$6,645$3,588$2,060
Diagnostic Colonoscopy 45378)$3,164$1,708$981$6,816$3,681$2,113
Injection into Lumbar or Sacral Area, Single Level 64483)$1,685$910$522$3,062$1,653$949
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$3,861$2,085$1,197$3,896$2,104$1,208
Drain/Inject Major Joint or Bursa 20610)$1,163$628$360$2,328$1,257$722
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$3,491$1,885$1,082NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$3,492$1,885$1,082NRNRNR
Carpal Tunnel Surgery 64721)$3,033$1,638$940$3,923$2,118$1,216
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$8,286$4,474$2,569$20,119$10,864$6,237
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$2,802$1,513$869$5,702$3,079$1,768
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)NRNRNR$6,949$3,752$2,154
Creation of Eardrum Opening 69436)$2,917$1,575$904$16,346$8,827$5,067
Left Heart Artery/Ventricle Angiography 93458)$16,302$8,803$5,054$23,115$12,482$7,166
Unlisted Dental Surgery Procedure 41899)$9,694$5,235$3,005$15,721$8,489$4,873
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$4,090$2,209$1,268$2,927$1,581$907
After Cataract Laser Surgery 66821)$859$464$266$1,173$633$363
Laparoscopic Cholecystectomy 47562)$13,321$7,193$4,129$13,950$7,533$4,324
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$3,326$1,796$1,031$7,801$4,212$2,418
ABD Paracentesis w/Imaging 49083)$2,378$1,284$737$7,045$3,804$2,184
Removal of Tonsils And Adenoids - < Age 12 42820)$7,702$4,159$2,388$8,040$4,342$2,492
Esophageal Endoscopy with Dilation 43249)$4,107$2,218$1,273$7,343$3,965$2,276
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$18,704$10,100$5,798
Cataract Surgery- Complex 66982)$9,619$5,194$2,982$17,173$9,273$5,324
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$687$371$213$1,523$823$472
Hysteroscopy with Biopsy 58558)$8,272$4,467$2,564$10,180$5,497$3,156
Cystourethroscopy with Lithotripsy and Stent 52356)$10,254$5,537$3,179$35,855$19,362$11,115
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$11,560$6,243$3,584$9,059$4,892$2,808
Incision of Finger Tendon Sheath 26055)$2,763$1,492$856$3,994$2,157$1,238
Laparoscopic Hernia Repair - Initial 49650)$13,430$7,252$4,163$17,260$9,321$5,351
Unlisted Cystourethoscopy 52000)$1,041$562$323$12,364$6,677$3,833
Uppr GI Endoscopy with Guide Wire 43248)$5,944$3,210$1,843$6,511$3,516$2,018
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$9,169$4,951$2,842$13,129$7,089$4,070
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$14,258$7,700$4,420$25,477$13,758$7,898
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Destruction of Premalignant Lesion 17000)$216$117$67$379$204$117
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$8,599$4,643$2,666$21,065$11,375$6,530
Destruction of Benign Lesions up to 14 Lesions 17110)$228$123$71$626$338$194
Laparoscopic Appendectomy 44970)$21,858$11,804$6,776$19,322$10,434$5,990
Cystourethroscopy with Stent 52332)$6,881$3,716$2,133$10,416$5,625$3,229
Biopsy breast w/stereotactic image; 1 lesion 19081)$5,444$2,939$1,687$11,131$6,011$3,451
Laparoscopy - Removal of Adnexal Structures 58661)$17,377$9,383$5,387$31,514$17,017$9,769
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$7,929$4,282$2,458$15,385$8,308$4,769
Mastectomy, Partial 19301)$9,535$5,149$2,956$21,399$11,555$6,634
Removal of Tonsils 42826)$9,212$4,974$2,856$18,168$9,811$5,632
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$17,918$9,676$5,555$19,497$10,528$6,044
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$665$359$206$1,701$919$527
Laparoscopy, Removal of Tubes & Ovaries 58571)$36,067$19,476$11,181NRNRNR
Low Back Disk Surgery 63030)$13,914$7,514$4,313$20,205$10,911$6,264
Repair of Nasal Septum 30520)$10,785$5,824$3,343$18,376$9,923$5,697
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Needle Biopsy of Liver 47000)$5,030$2,716$1,559$6,633$3,582$2,056
Aspirate Pleura with Imaging 32555)$2,300$1,242$713$4,469$2,413$1,386
Coronary Artery Angio S&I 93454)$20,309$10,967$6,296$32,491$17,545$10,072
Debridement Skin/Tissue 11042)$5,810$3,138$1,801$10,043$5,423$3,113
Wrist Endoscopy/Surgery 29848)$4,317$2,331$1,338$6,762$3,652$2,096
Bone Marrow Biopsy 38221)$6,530$3,526$2,024$11,338$6,122$3,515
Correction of Bunion 28296)$11,576$6,251$3,589$18,254$9,857$5,659
Hysteroscopy with Ablation 58563)$12,348$6,668$3,828$16,241$8,770$5,035
Diagnostic Laryngoscopy 31575)$503$272$156$1,241$670$385
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNR$24,783$13,383$7,683
Remove Impacted Ear Wax 69210)$256$138$79$428$231$133
Shoulder Arthroscopy/Surgery 29824)NRNRNR$15,391$8,311$4,771
Right and Left Heart Artery/Ventricle Angiography 93460)$17,862$9,645$5,537$24,557$13,261$7,613
Biopsy of lung or mediastinum, percutaneous w/needle 32405)$5,392$2,912$1,671$8,636$4,663$2,677
Removal of Adenoids 42830)$5,409$2,921$1,677$5,872$3,171$1,820
Removal of Central Venous Device w Port or Pump 36590)$5,320$2,873$1,649$10,245$5,532$3,176
Apheresis Plasma 36514)NRNRNRNRNRNR
Electro-Uroflowmetry - First 51741)$421$227$131$985$532$305
Injection of chemical agent into muscles near face/neck 64615)$3,627$1,959$1,125$13,358$7,213$4,141
Repair of wrist joints 25447)$8,274$4,468$2,565$8,507$4,594$2,637
Ablation therapy of first vein of extremity 36475)NRNRNRNRNRNR
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.