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


  
Charges for 75 Most Common Types of Hospitalizations in Wisconsin: October 2012 - September 2013
(Uncomplicated Cases Only)
 
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 *
RankAPR- DRG DescriptionMedian  
Charge
 
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,880$1,699$1,066
2560Vaginal DeliveryNRNRNR
3302Knee Replacement$33,922$20,014$12,551
4720Blood Infection/Septicemia$11,725$6,918$4,338
5540Cesarean DeliveryNRNRNR
6139Pneumonia$9,265$5,466$3,428
7194Heart Failure$10,164$5,997$3,761
8301Hip Replacement$38,478$22,702$14,237
9751Psychoses$8,140$4,803$3,012
10140Chronic Obstructive Pulmonary Disease$9,360$5,522$3,463
11753Bipolar Disorders$7,436$4,387$2,751
12201Heart Abnormal Rhythm and Conduction Disorders$10,527$6,211$3,895
13383Cellulitis and Other Bacterial Skin Infections$7,894$4,657$2,921
14775Alchohol Abuse/Dependence$8,587$5,066$3,177
15460Renal Failure$19,497$11,503$7,214
16463Kidney/Urinary Tract Infection$9,580$5,652$3,545
17045Stroke and Precerebral Occlusion with Infarct$19,062$11,247$7,053
18860Rehabilitation$27,757$16,377$10,270
19221Major Bowel Procedures$33,657$19,858$12,453
20175Angioplasty without Heart Attack$42,463$25,053$15,711
21174Angioplasty with Heart Attack$46,307$27,321$17,134
22750Schizophrenia$8,752$5,164$3,238
23254Other Digestive System Diagnoses$9,194$5,424$3,402
24133Pulmonary Edema/Respiratory Failure$3,738$2,205$1,383
25249Gastroenteritis$9,741$5,747$3,604
26247Intestinal Obstruction without Surgery$12,856$7,585$4,757
27420Diabetes$7,593$4,480$2,809
28754Depression$7,003$4,132$2,591
29812Poisoning of Medicinal Agents$7,520$4,437$2,782
30282Disorders of Pancreas Except Malignancy$11,061$6,526$4,093
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$56,204$33,160$20,795
32137Respiratory Infections and Inflammations$17,489$10,319$6,471
33053Seizure$8,090$4,773$2,993
34263Laparoscopic Cholecystectomy$24,001$14,161$8,880
35134Pulmonary Embolism$9,978$5,887$3,692
36308Hip/Thigh Surgery with Trauma Diagnosis$37,803$22,304$13,987
37173Other Vascular Procedures$50,295$29,674$18,609
38241Peptic Ulcer/Gastritis$9,932$5,860$3,675
39861Signs & Symptoms$8,427$4,972$3,118
40244Diverticulitis & Diverticulosis$11,110$6,555$4,111
41190Circulatory Disorders with Heart Attack$18,628$10,991$6,892
42425Other Electrolyte Disorders$7,867$4,642$2,911
43347Other Back/Neck Disorders, Fractures, Injuries$22,465$13,254$8,312
44313Other Knee/Lower Leg Surgery$30,737$18,135$11,373
45315Shoulder/Upper Arm, Forearm Surgery$21,303$12,569$7,882
46225Appendectomy$20,753$12,244$7,679
47192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$23,642$13,949$8,748
48663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$7,424$4,380$2,747
49141Asthma$9,337$5,509$3,455
50351Other Musculoskeletal System and Connective Tissue Diagnoses$13,762$8,120$5,092
51253Other and Unspecified Gastrointestinal Hemorrhage$13,619$8,035$5,039
52513Uterine Procedures without Tumor$27,346$16,134$10,118
53198Chest Pain with Angina Pectoris or Coronary Atherosclerosis$8,786$5,184$3,251
54191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$24,558$14,489$9,086
55204Fainting and Collapse$11,813$6,970$4,371
56248Major G.I. Bacterial Infections$15,537$9,167$5,749
57321Upper Spinal Fusion$30,984$18,281$11,464
58024Extracranial Vascular Procedures$45,568$26,885$16,860
59197Peripheral and Other Vascular Disorders$11,820$6,974$4,373
60144Respiratory System Signs, Symptoms and Minor Diagnoses$12,205$7,201$4,516
61773Opioid Abuse/Dependence$7,380$4,354$2,731
62721Postoperative and Post-Traumatic Infections$9,544$5,631$3,531
63310Back/Neck Procedures Except Dorsal and Lumbar Fusion$21,491$12,680$7,952
64693Chemotherapy$6,568$3,875$2,430
65566Other Antepartum DiagnosesNRNRNR
66113Epiglottitis, Ear Infection, URI and Laryngotracheitis$5,547$3,273$2,052
67422Hypovolemia$4,547$2,683$1,682
68710Infectious & parasitic diseases including HIV w O.R. procedure$23,990$14,154$8,876
69021Craniotomy Except For Trauma$61,058$36,024$22,591
70466Malfunctions, Reactions & Comp Of Gu Device, Graft Or TransplantNRNRNR
71047Transient Ischemia$15,357$9,061$5,682
72143Pneumothorax & Pleural Effusion$11,612$6,851$4,296
73755Neuroses Other Than Depression$3,469$2,047$1,284
74055Head trauma w coma >1 hr or hemorrhage$23,805$14,045$8,808
75163Heart Valve Procedures without Cardiac Catheterization$95,767$56,503$35,434

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: October 2012 - September 2013
  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*
Cataract Surgery with Intraocular Lens - Stage 1 (66984)$6,303$3,719$2,332$12,404$7,318$4,589
Colonoscopy and Biopsy (45380)$3,213$1,895$1,189$3,340$1,971$1,236
Diagnostic Colonoscopy (45378)$2,496$1,473$924$2,482$1,465$918
Upper GI Endoscopy with Biopsy (43239)$2,989$1,764$1,106$2,672$1,577$989
Lesion Removal Colonoscopy by Snare Technique (45385)$3,302$1,948$1,222$4,907$2,895$1,816
Injection into Lumbar or Sacral Area, Single Level (64483)$1,349$796$499$1,393$822$516
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral (64493)$1,974$1,164$730$2,292$1,352$848
Drain/Inject Major Joint or Bursa (20610)$996$588$368$1,034$610$383
Colorectal Cancer Screening; Colonscopy, Not High Risk (G0121)$2,865$1,690$1,060$2,745$1,620$1,016
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy (29881)$6,195$3,655$2,292$8,578$5,061$3,174
Carpal Tunnel Surgery (64721)$3,318$1,958$1,228$3,833$2,262$1,418
Uppr GI Endoscopy- Diagnostic (43235)$1,927$1,137$713$1,963$1,158$726
Colorectal Cancer Screening ; Colonoscopy, High Risk (G0105)$2,858$1,686$1,057$2,713$1,600$1,004
Lesion Removal Colonoscopy by Hot Biopsy or Cautery (45384)$3,528$2,081$1,305$4,483$2,645$1,659
Creation of Eardrum Opening (69436)$2,379$1,404$880$5,981$3,529$2,213
Left Heart Artery/Ventricle Angiography  (93458)NRNRNR$23,546$13,892$8,712
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral (64635)NRNRNRNRNRNR
Laparoscopic Cholecystectomy (47562)$11,624$6,858$4,301$12,683$7,483$4,693
Unlisted Dental Surgery Procedure (41899)$7,562$4,461$2,798$8,477$5,001$3,136
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor (64490)$2,778$1,639$1,028$1,858$1,096$687
After Cataract Laser Surgery (66821)$567$335$210$567$335$210
Removal of Tonsils And Adenoids - < Age 12 (42820)$6,981$4,119$2,583$7,848$4,630$2,904
Repair Initial Ingunial Hernia, > = 5 years, Reducible (49505)$9,151$5,399$3,386$8,273$4,881$3,061
Percutaneous Breast Biopsy with Device and Imaging (19103)$3,740$2,207$1,384$4,058$2,394$1,501
Unlisted Cystourethoscopy (52000)$729$430$270$746$440$276
Cataract Surgery- Complex (66982)$7,663$4,521$2,835$14,265$8,416$5,278
Arthroscopic Rotator Cuff Repair (29827)$15,084$8,900$5,581$17,696$10,441$6,548
Hysteroscopy with Biopsy (58558)$5,866$3,461$2,170$7,485$4,416$2,769
Esophageal Endoscopy with Dilation (43249)$2,931$1,729$1,084$3,167$1,868$1,172
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct (47563)$17,330$10,225$6,412$12,662$7,470$4,685
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy (29880)$6,937$4,093$2,567$10,259$6,053$3,796
ABD Paracentesis w/Imaging (49083)$2,046$1,207$757$2,066$1,219$764
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) (20680)$7,016$4,139$2,596$9,406$5,550$3,480
Incision of Finger Tendon Sheath (26055)$2,764$1,631$1,023$2,253$1,330$834
Uppr GI Endoscopy with Guide Wire (43248)$2,413$1,423$893$2,631$1,553$974
Cystourethroscopy with Lithotripsy (52353)$9,164$5,407$3,391$9,921$5,853$3,671
Destruction of Benign Lesions up to 14 Lesions (17110)$204$121$76$204$121$76
Laparoscopic Hernia Repair - Initial (49650)$12,633$7,453$4,674$13,159$7,764$4,869
Destruction of Premalignant Lesion (17000)$175$103$65$292$172$108
Repair of Nasal Septum (30520)$7,582$4,474$2,806$10,847$6,400$4,013
Cystourethroscopy with Stent (52332)$5,212$3,075$1,929$8,155$4,812$3,017
Removal of Tonsils (42826)$7,073$4,173$2,617$8,379$4,943$3,100
Percutaneous Breast Biopsy with Imaging (19102)$3,872$2,284$1,432$3,650$2,153$1,350
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair (29888)$16,599$9,793$6,142$18,567$10,954$6,870
Fragmenting of Kidney Stone (50590)NRNRNR$17,304$10,209$6,402
Repair Umbilical Hernia, > = 5 Yrs - Reducible  (49585)$7,741$4,567$2,864$11,749$6,932$4,347
Laparoscopic Appendectomy (44970)$16,207$9,562$5,997$22,711$13,399$8,403
Hysteroscopy with Ablation (58563)$6,438$3,799$2,382NRNRNR
Correction of Bunion (28296)$5,249$3,097$1,942$7,210$4,254$2,668
Low Back Disk Surgery (63030)$12,251$7,228$4,533$12,015$7,089$4,446
Destruction by neurolytic agent w imaging, cervical or thoracic (64633)NRNRNRNRNRNR
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles (20552)$569$336$211$569$336$211
Colonoscopy with Lesion Removal (45383)$3,129$1,846$1,158$4,836$2,853$1,789
Needle Biopsy of Liver (47000)$2,855$1,684$1,056$6,446$3,803$2,385
Mastectomy, Partial (19301)$6,315$3,726$2,337$16,409$9,681$6,071
Remove Impacted Ear Wax (69210)$233$137$86$233$137$86
Mohs Micrographic Tissue Removal (17311)$258$152$96$1,171$691$433
Bone Marrow Biopsy (38221)$3,252$1,919$1,203$8,724$5,147$3,228
Biopsy Skin and Subcutaneous Tissue; 1 Lesion (11100)$679$401$251$939$554$348
Laparoscopy - Removal of Adnexal Structures (58661)$13,929$8,218$5,154$18,486$10,907$6,840
Insertion of Central Venous Catheter >= 5 years (36569)$6,587$3,886$2,437$3,431$2,024$1,269
Diagnostic Laryngoscopy (31575)$421$248$156$421$248$156
Coronary Artery Angio S&I (93454)NRNRNR$21,503$12,687$7,956
Right and Left Heart Artery/Ventricle Angiography (93460)NRNRNR$37,215$21,957$13,769
Excision Breast Lesion with Preoperative Placement Radiological Marker (19125)$5,124$3,023$1,896$8,572$5,057$3,172
Removal of Breast Lesion (19120)$5,402$3,187$1,999$8,691$5,128$3,216
Debridement, Open Wound <= 20 Square Centimeters (97597)$695$410$257$948$559$351
Destruction (therapeutic injection) of muscles; extremity /trunk (64614)$5,011$2,956$1,854$6,330$3,735$2,342
Electro-Uroflowmetry - First (51741)$537$317$199$905$534$335
Removal of Adenoids (42830)$4,607$2,718$1,705$5,459$3,221$2,020
Removal of Central Venous Device w Port or Pump (36590)$4,503$2,657$1,666$4,063$2,397$1,503
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area (58662)$32,771$19,335$12,125$16,197$9,556$5,993
Repair Rotator Cuff, Chronic (23412)$3,203$1,890$1,185$18,219$10,749$6,741
Knee Arthroscopy/Surgery with Shaving of Cartilage (29877)$6,192$3,653$2,291$9,165$5,408$3,391
Surgical Removal of Subcutaneous Tissue, <= 20 sq. cm. (11042)$3,989$2,353$1,476$734$433$272

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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