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

Charges for 75 Most Common Hospitalizations in Wisconsin:  July 2013 - June 2014
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$14,799$8,731$5,032
2560Vaginal DeliveryNRNRNR
3720Blood Infection/Septicemia$11,560$6,820$3,930
4302Knee Replacement$33,031$19,488$11,231
5540Cesarean DeliveryNRNRNR
6194Heart Failure$12,552$7,406$4,268
7139Pneumonia$8,086$4,771$2,749
8301Hip Replacement$40,762$24,050$13,859
9751Psychoses$8,520$5,027$2,897
10753Bipolar Disorders$8,499$5,014$2,890
11140Chronic Obstructive Pulmonary Disease$13,139$7,752$4,467
12201Heart Abnormal Rhythm and Conduction Disorders$12,884$7,602$4,381
13383Cellulitis and Other Bacterial Skin Infections$8,841$5,216$3,006
14775Alcohol Abuse/Dependence$8,408$4,961$2,859
15460Renal Failure$15,225$8,983$5,177
16045Stroke and Precerebral Occlusion with Infarct$21,443$12,651$7,291
17463Kidney/Urinary Tract Infection$6,448$3,804$2,192
18860Rehabilitation$23,710$13,989$8,061
19221Major Bowel Procedures$34,668$20,454$11,787
20133Pulmonary Edema/Respiratory Failure$3,738$2,205$1,271
21750Schizophrenia$11,110$6,555$3,777
22174Angioplasty with Heart Attack$48,569$28,656$16,513
23254Other Digestive System Diagnoses$11,389$6,720$3,872
24247Intestinal Obstruction without Surgery$12,418$7,327$4,222
25420Diabetes$9,519$5,616$3,236
26282Disorders of Pancreas Except Malignancy$10,563$6,232$3,591
27754Depression$7,513$4,433$2,554
28249Gastroenteritis$11,924$7,035$4,054
29304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$54,534$32,175$18,542
30812Poisoning of Medicinal Agents$10,569$6,236$3,593
31175Angioplasty without Heart Attack$44,987$26,542$15,296
32053Seizure$12,327$7,273$4,191
33137Respiratory Infections and Inflammations$16,563$9,772$5,631
34308Hip/Thigh Surgery with Trauma Diagnosis$35,923$21,195$12,214
35263Laparoscopic Cholecystectomy$24,814$14,640$8,437
36134Pulmonary Embolism$8,839$5,215$3,005
37173Other Vascular Procedures$55,719$32,874$18,944
38190Circulatory Disorders with Heart Attack$21,200$12,508$7,208
39347Other Back/Neck Disorders, Fractures, Injuries$21,176$12,494$7,200
40244Diverticulitis & Diverticulosis$10,826$6,387$3,681
41425Other Electrolyte Disorders$8,778$5,179$2,985
42315Shoulder/Upper Arm, Forearm Surgery$23,734$14,003$8,070
43241Peptic Ulcer/Gastritis$12,372$7,299$4,206
44861Signs & Symptoms$13,853$8,173$4,710
45313Other Knee/Lower Leg Surgery$37,257$21,982$12,667
46253Other and Unspecified Gastrointestinal Hemorrhage$17,473$10,309$5,941
47351Other Musculoskeletal System and Connective Tissue Diagnoses$18,392$10,851$6,253
48663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$11,756$6,936$3,997
49225Appendectomy$23,412$13,813$7,960
50248Major G.I. Bacterial Infections$13,323$7,861$4,530
51191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$28,443$16,781$9,671
52141Asthma$10,316$6,086$3,507
53024Extracranial Vascular Procedures$45,384$26,777$15,431
54192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$24,226$14,293$8,237
55721Postoperative and Post-Traumatic Infections$12,802$7,553$4,353
56321Upper Spinal Fusion$33,432$19,725$11,367
57197Peripheral and Other Vascular Disorders$15,303$9,029$5,203
58773Opioid Abuse/Dependence$7,380$4,354$2,509
59693Chemotherapy$19,160$11,304$6,514
60710Infectious & parasitic diseases including HIV w O.R. procedure$29,658$17,498$10,084
61204Fainting and Collapse$6,453$3,807$2,194
62466Malfunction, reaction, complic of genitourinary device or proc$19,844$11,708$6,747
63566Other Antepartum Diagnoses$13,239$7,811$4,501
64021Craniotomy Except For Trauma$63,754$37,615$21,676
65198Chest Pain with Angina Pectoris or Coronary Atherosclerosis$12,649$7,463$4,301
66144Respiratory System Signs, Symptoms and Minor Diagnoses$13,710$8,089$4,661
67310Back/Neck Procedures Except Dorsal and Lumbar Fusion$24,179$14,266$8,221
68163Heart Valve Procedures without Cardiac Catheterization$102,509$60,480$34,853
69143Other respiratory diagnoses except signs, symptoms & minor diagnoses$12,491$7,370$4,247
70052Nontraumatic stupor & coma$10,616$6,263$3,609
71513Uterine Procedures without Tumor$29,385$17,337$9,991
72422Hypovolemia$4,435$2,617$1,508
73755Neuroses Other Than Depression$5,739$3,386$1,951
74055Head trauma w coma >1 hr or hemorrhage$24,310$14,343$8,265
75165Coronary Bypass with Cardiac Catheterization$132,476$78,161$45,042
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 2013 - June 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)$7,017$4,140$2,386$11,660$6,879$3,964
Colonoscopy and Biopsy 45380)$3,651$2,154$1,241$3,340$1,971$1,136
Upper GI Endoscopy with Biopsy 43239)$4,128$2,435$1,403$2,682$1,582$912
Diagnostic Colonoscopy 45378)$2,579$1,522$877$2,490$1,469$846
Lesion Removal Colonoscopy by Snare Technique 45385)$4,478$2,642$1,523$5,326$3,142$1,811
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)NRNRNR$3,541$2,089$1,204
Drain/Inject Major Joint or Bursa 20610)$1,656$977$563$1,123$663$382
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)NRNRNR$2,743$1,618$932
Carpal Tunnel Surgery 64721)$3,690$2,177$1,254$3,778$2,229$1,284
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$6,700$3,953$2,278$15,652$9,235$5,322
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$2,616$1,543$889$2,710$1,599$921
Uppr GI Endoscopy- Diagnostic 43235)$3,864$2,280$1,314$2,112$1,246$718
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)NRNRNR$6,058$3,574$2,060
Left Heart Artery/Ventricle Angiography 93458)NRNRNR$23,463$13,843$7,978
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Creation of Eardrum Opening 69436)$2,285$1,348$777$6,011$3,546$2,044
Unlisted Dental Surgery Procedure 41899)$8,207$4,842$2,790$8,657$5,108$2,943
Laparoscopic Cholecystectomy 47562)$12,564$7,413$4,272$15,185$8,959$5,163
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$2,778$1,639$945$1,923$1,134$654
After Cataract Laser Surgery 66821)$4,879$2,879$1,659$633$373$215
Removal of Tonsils And Adenoids - < Age 12 42820)$7,194$4,244$2,446$7,839$4,625$2,665
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$10,303$6,079$3,503$8,367$4,936$2,845
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$18,934$11,171$6,438
Cataract Surgery- Complex 66982)$8,683$5,123$2,952$13,269$7,829$4,512
Hysteroscopy with Biopsy 58558)$6,120$3,611$2,081$8,570$5,056$2,914
Unlisted Cystourethoscopy 52000)$4,482$2,644$1,524$767$453$261
Esophageal Endoscopy with Dilation 43249)$4,251$2,508$1,445$3,189$1,882$1,084
ABD Paracentesis w/Imaging 49083)$2,523$1,489$858$2,238$1,321$761
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$11,259$6,643$3,828$12,767$7,532$4,341
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$7,762$4,580$2,639$17,476$10,311$5,942
Incision of Finger Tendon Sheath 26055)$3,166$1,868$1,077$3,429$2,023$1,166
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$7,998$4,719$2,719$10,754$6,345$3,656
Uppr GI Endoscopy with Guide Wire 43248)$6,589$3,888$2,240$3,084$1,820$1,049
Destruction of Benign Lesions up to 14 Lesions 17110)$195$115$66$216$127$73
Laparoscopic Hernia Repair - Initial 49650)$12,310$7,263$4,185$13,516$7,974$4,595
Destruction of Premalignant Lesion 17000)$178$105$60$286$169$97
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$984$581$335$970$573$330
Repair of Nasal Septum 30520)$10,032$5,919$3,411$12,744$7,519$4,333
Percutaneous Breast Biopsy with Device and Imaging 19103)$3,202$1,889$1,089$4,040$2,383$1,373
Cystourethroscopy with Stent 52332)$8,095$4,776$2,752$7,612$4,491$2,588
Laparoscopic Appendectomy 44970)$20,631$12,172$7,014$20,975$12,375$7,132
Removal of Tonsils 42826)$7,405$4,369$2,518$8,836$5,213$3,004
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$16,988$10,023$5,776$18,833$11,111$6,403
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$7,741$4,567$2,632$15,572$9,188$5,295
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Low Back Disk Surgery 63030)$11,712$6,910$3,982$12,509$7,380$4,253
Hysteroscopy with Ablation 58563)$8,978$5,297$3,053NRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$2,614$1,542$889$3,261$1,924$1,109
Mastectomy, Partial 19301)$7,597$4,482$2,583$16,630$9,812$5,654
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$638$376$217$603$356$205
Coronary Artery Angio S&I 93454)NRNRNR$22,792$13,447$7,749
Colonoscopy with Lesion Removal 45383)NRNRNR$3,460$2,042$1,176
Correction of Bunion 28296)$6,190$3,652$2,105$9,860$5,817$3,352
Cystourethroscopy with Lithotripsy 52353)$7,528$4,441$2,559$10,266$6,057$3,490
Bone Marrow Biopsy 38221)$5,916$3,490$2,011$9,452$5,577$3,214
Remove Impacted Ear Wax 69210)$247$146$84$247$146$84
Needle Biopsy of Liver 47000)$3,288$1,940$1,118$5,948$3,509$2,022
Apheresis Plasma 36514)NRNRNRNRNRNR
Mohs Micrographic Tissue Removal 17311)NRNRNR$1,175$693$400
Laparoscopy - Removal of Adnexal Structures 58661)$15,073$8,893$5,125$16,876$9,957$5,738
Electro-Uroflowmetry - First 51741)$437$258$149$933$551$317
Right and Left Heart Artery/Ventricle Angiography 93460)NRNRNR$24,487$14,447$8,326
Aspirate Pleura with Imaging 32555)$2,023$1,194$688$1,868$1,102$635
Diagnostic Laryngoscopy 31575)$430$254$146$430$254$146
Insertion of Central Venous Catheter >= 5 years 36569)$7,589$4,477$2,580$3,610$2,130$1,227
Removal of Breast Lesion 19120)$6,389$3,769$2,172$9,577$5,650$3,256
Laparoscopy, Removal of Tubes & Ovaries 58571)$51,560$30,421$17,530$49,624$29,278$16,872
Excision Breast Lesion with Preoperative Placement Radiological Marker 19125)$10,502$6,196$3,571$9,113$5,377$3,098
Wrist Endoscopy/Surgery 29848)$4,152$2,450$1,412$5,391$3,181$1,833
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area 58662)$26,718$15,764$9,084$14,690$8,667$4,995
Shoulder Arthroscopy/Surgery 29824)NRNRNR$12,800$7,552$4,352
Debridement Skin/Tissue 11042)$5,763$3,400$1,959$1,347$795$458
Cystourethroscopy with Lithotripsy and Stent 52356)$9,327$5,503$3,171$10,579$6,242$3,597
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.