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

Charges for 75 Most Common Hospitalizations in Wisconsin:  July 2014 - June 2015
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$3,066$1,748$1,012
2560Vaginal DeliveryNRNRNR
3720Blood Infection/Septicemia$14,658$8,355$4,837
4302Knee Replacement$33,371$19,021$11,012
5540Cesarean DeliveryNRNRNR
6194Heart Failure$11,667$6,650$3,850
7139Pneumonia$9,152$5,217$3,020
8301Hip Replacement$41,764$23,805$13,782
9751Psychoses$10,561$6,020$3,485
10753Bipolar Disorders$10,828$6,172$3,573
11140Chronic Obstructive Pulmonary Disease$17,209$9,809$5,679
12201Heart Abnormal Rhythm and Conduction Disorders$15,051$8,579$4,967
13775Alcohol Abuse/Dependence$10,258$5,847$3,385
14460Renal Failure$21,162$12,062$6,983
15383Cellulitis and Other Bacterial Skin Infections$12,517$7,135$4,131
16045Stroke and Precerebral Occlusion with Infarct$23,211$13,230$7,660
17463Kidney/Urinary Tract Infection$10,739$6,121$3,544
18860Rehabilitation$28,045$15,986$9,255
19221Major Bowel Procedures$40,856$23,288$13,482
20133Pulmonary Edema/Respiratory Failure$15,900$9,063$5,247
21174Angioplasty with Heart Attack$48,547$27,672$16,021
22750Schizophrenia$9,150$5,216$3,020
23247Intestinal Obstruction without Surgery$14,283$8,141$4,713
24254Other Digestive System Diagnoses$11,107$6,331$3,665
25282Disorders of Pancreas Except Malignancy$11,220$6,395$3,703
26420Diabetes$9,584$5,463$3,163
27249Gastroenteritis$9,048$5,157$2,986
28754Depression$8,673$4,944$2,862
29812Poisoning of Medicinal Agents$8,115$4,626$2,678
30137Respiratory Infections and Inflammations$13,430$7,655$4,432
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$57,476$32,761$18,967
32053Seizure$12,949$7,381$4,273
33134Pulmonary Embolism$12,735$7,259$4,203
34173Other Vascular Procedures$64,859$36,970$21,403
35308Hip/Thigh Surgery with Trauma Diagnosis$38,724$22,073$12,779
36190Circulatory Disorders with Heart Attack$26,020$14,831$8,587
37263Laparoscopic Cholecystectomy$29,436$16,779$9,714
38175Angioplasty without Heart Attack$54,298$30,950$17,918
39244Diverticulitis & Diverticulosis$10,427$5,943$3,441
40425Other Electrolyte Disorders$9,570$5,455$3,158
41241Peptic Ulcer/Gastritis$13,721$7,821$4,528
42861Signs & Symptoms$13,635$7,772$4,500
43347Other Back/Neck Disorders, Fractures, Injuries$22,394$12,765$7,390
44315Shoulder/Upper Arm, Forearm Surgery$25,750$14,678$8,498
45253Other and Unspecified Gastrointestinal HemorrhageNRNRNR
46313Other Knee/Lower Leg Surgery$36,465$20,785$12,033
47141Asthma$10,996$6,268$3,629
48351Other Musculoskeletal System and Connective Tissue Diagnoses$13,719$7,820$4,527
49773Opioid Abuse/Dependence$8,595$4,899$2,836
50663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$11,084$6,318$3,658
51248Major G.I. Bacterial Infections$14,231$8,112$4,696
52710Infectious & parasitic diseases including HIV w O.R. procedure$34,880$19,882$11,510
53191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$26,676$15,205$8,803
54466Malfunction, reaction, complic of genitourinary device or proc$3,222$1,837$1,063
55693Chemotherapy$21,735$12,389$7,173
56113Epiglottitis, Ear Infection, URI and Laryngotracheitis$10,577$6,029$3,490
57024Extracranial Vascular Procedures$56,164$32,013$18,534
58721Postoperative and Post-Traumatic Infections$12,192$6,949$4,023
59144Respiratory System Signs, Symptoms and Minor Diagnoses$6,882$3,923$2,271
60321Upper Spinal Fusion$36,810$20,982$12,147
61225Appendectomy$23,826$13,581$7,863
62197Peripheral and Other Vascular Disorders$10,781$6,145$3,558
63021Craniotomy Except For Trauma$74,729$42,596$24,661
64143Other respiratory diagnoses except signs, symptoms & minor diagnoses$10,843$6,181$3,578
65566Other Antepartum Diagnoses$10,477$5,972$3,457
66163Heart Valve Procedures without Cardiac Catheterization$106,246$60,560$35,061
67192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$22,877$13,040$7,549
68204Fainting and Collapse$17,388$9,911$5,738
69052Nontraumatic stupor & coma$17,441$9,941$5,756
70055Head trauma w coma >1 hr or hemorrhage$18,795$10,713$6,202
71755Neuroses Other Than Depression$7,082$4,037$2,337
72310Back/Neck Procedures Except Dorsal and Lumbar Fusion$25,359$14,455$8,368
73660Major hematologic/immunologic diag exc sickle cell crisis & coagul$11,521$6,567$3,802
74422Hypovolemia$9,295$5,298$3,067
75639Neonate Birthwt >2499g with Other Significant Condition$29,137$16,608$9,615
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 2014 - June 2015
 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)$6,906$3,936$2,279$14,582$8,312$4,812
Colonoscopy and Biopsy 45380)$3,778$2,153$1,247$6,672$3,803$2,202
Upper GI Endoscopy with Biopsy 43239)$2,778$1,584$917$6,010$3,426$1,983
Lesion Removal Colonoscopy by Snare Technique 45385)$3,605$2,055$1,189$6,651$3,791$2,195
Diagnostic Colonoscopy 45378)$2,869$1,635$947$4,976$2,836$1,642
Injection into Lumbar or Sacral Area, Single Level 64483)$1,488$848$491$2,877$1,640$949
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$3,006$1,713$992$3,947$2,250$1,302
Drain/Inject Major Joint or Bursa 20610)$1,022$582$337$1,876$1,069$619
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$3,151$1,796$1,040NRNRNR
Carpal Tunnel Surgery 64721)$3,123$1,780$1,030NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$3,157$1,800$1,042NRNRNR
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$7,342$4,185$2,423$18,828$10,732$6,213
Uppr GI Endoscopy- Diagnostic 43235)$2,291$1,306$756$5,163$2,943$1,704
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)NRNRNR$7,397$4,216$2,441
Left Heart Artery/Ventricle Angiography 93458)$15,868$9,045$5,236$24,866$14,174$8,206
Creation of Eardrum Opening 69436)$2,452$1,398$809$7,694$4,386$2,539
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$1,954$1,114$645$3,730$2,126$1,231
Unlisted Dental Surgery Procedure 41899)$8,823$5,029$2,912$10,620$6,054$3,505
Laparoscopic Cholecystectomy 47562)$12,539$7,147$4,138$13,959$7,957$4,606
After Cataract Laser Surgery 66821)$737$420$243$953$543$314
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$3,059$1,744$1,009$7,941$4,526$2,621
Cataract Surgery- Complex 66982)$8,690$4,953$2,868$14,451$8,237$4,769
Removal of Tonsils And Adenoids - < Age 12 42820)$7,119$4,058$2,349$7,613$4,339$2,512
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$10,498$5,984$3,464$9,463$5,394$3,123
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$16,243$9,258$5,360
ABD Paracentesis w/Imaging 49083)$2,203$1,256$727$5,274$3,006$1,740
Hysteroscopy with Biopsy 58558)$6,141$3,500$2,026$16,119$9,188$5,319
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$798$455$263$1,469$837$485
Esophageal Endoscopy with Dilation 43249)$3,476$1,981$1,147$6,639$3,784$2,191
Unlisted Cystourethoscopy 52000)$885$504$292$8,569$4,884$2,828
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$8,425$4,802$2,780$14,732$8,397$4,862
Incision of Finger Tendon Sheath 26055)$2,783$1,586$918$4,480$2,554$1,479
Cystourethroscopy with Lithotripsy and Stent 52356)$10,684$6,090$3,526NRNRNR
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$14,733$8,398$4,862$15,200$8,664$5,016
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$8,121$4,629$2,680$20,093$11,453$6,631
Laparoscopic Hernia Repair - Initial 49650)$11,736$6,689$3,873$14,789$8,430$4,880
Destruction of Premalignant Lesion 17000)$216$123$71$338$193$111
Uppr GI Endoscopy with Guide Wire 43248)$3,812$2,173$1,258$6,925$3,947$2,285
Biopsy breast w/stereotactic image; 1 lesion 19081)$3,884$2,214$1,282$8,184$4,665$2,701
Laparoscopic Appendectomy 44970)$22,243$12,678$7,340NRNRNR
Destruction of Benign Lesions up to 14 Lesions 17110)$214$122$71$371$211$122
Cystourethroscopy with Stent 52332)$6,007$3,424$1,982$10,069$5,740$3,323
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$628$358$207$965$550$318
Low Back Disk Surgery 63030)$12,961$7,388$4,277$21,527$12,271$7,104
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Removal of Tonsils 42826)$7,949$4,531$2,623$26,935$15,353$8,889
Repair of Nasal Septum 30520)$9,846$5,612$3,249$15,506$8,839$5,117
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$18,986$10,822$6,265$18,986$10,822$6,265
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$7,844$4,471$2,588$15,381$8,767$5,076
Mastectomy, Partial 19301)$7,657$4,364$2,527$19,004$10,833$6,271
Coronary Artery Angio S&I 93454)$17,884$10,194$5,902$35,069$19,989$11,573
Laparoscopy - Removal of Adnexal Structures 58661)$16,004$9,122$5,281$16,123$9,190$5,321
Remove Impacted Ear Wax 69210)$256$146$84$278$158$92
Hysteroscopy with Ablation 58563)$7,351$4,190$2,426NRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Needle Biopsy of Liver 47000)$3,507$1,999$1,157$7,199$4,103$2,376
Debridement Skin/Tissue 11042)$1,201$685$396$7,041$4,013$2,323
Laparoscopy, Removal of Tubes & Ovaries 58571)$29,726$16,944$9,809NRNRNR
Aspirate Pleura with Imaging 32555)$2,367$1,349$781$3,770$2,149$1,244
Correction of Bunion 28296)$7,545$4,301$2,490NRNRNR
Diagnostic Laryngoscopy 31575)$446$254$147$1,542$879$509
Right and Left Heart Artery/Ventricle Angiography 93460)$17,165$9,784$5,665$25,294$14,418$8,347
Bone Marrow Biopsy 38221)$6,353$3,621$2,096$7,854$4,477$2,592
Electro-Uroflowmetry - First 51741)$421$240$139$945$539$312
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNR$19,833$11,305$6,545
Shoulder Arthroscopy/Surgery 29824)NRNRNR$13,690$7,803$4,518
Wrist Endoscopy/Surgery 29848)$4,562$2,601$1,506$7,328$4,177$2,418
Debridement, Open Wound <= 20 Square Centimeters 97597)$6,886$3,925$2,272$2,265$1,291$747
Removal of Adenoids 42830)$4,746$2,705$1,566$5,300$3,021$1,749
Removal of Central Venous Device w Port or Pump 36590)$4,900$2,793$1,617$11,860$6,760$3,914
Electronic analysis of implantable pump spine w/reprogram/refill 62369)$4,164$2,374$1,374$8,817$5,026$2,910
Removal of Breast Lesion 19120)$6,974$3,975$2,301$6,352$3,621$2,096
Mohs Micrographic Tissue Removal 17311)$523$298$173$1,021$582$337
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.