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

Charges for 75 Most Common Hospitalizations in Wisconsin:  October 2015 - September 2016
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$3,424$1,849$1,061
2560Vaginal DeliveryNRNRNR
3720Blood Infection/Septicemia$13,878$7,494$4,302
4302Knee Replacement$35,445$19,140$10,988
5540Cesarean DeliveryNRNRNR
6194Heart Failure$16,740$9,040$5,189
7301Hip Replacement$45,340$24,484$14,055
8139Pneumonia$10,622$5,736$3,293
9751Psychoses$9,036$4,879$2,801
10753Bipolar Disorders$8,612$4,650$2,670
11775Alcohol Abuse/Dependence$9,094$4,911$2,819
12201Heart Abnormal Rhythm and Conduction Disorders$14,574$7,870$4,518
13140Chronic Obstructive Pulmonary Disease$11,849$6,398$3,673
14383Cellulitis and Other Bacterial Skin Infections$10,437$5,636$3,235
15045Stroke and Precerebral Occlusion with Infarct$25,612$13,830$7,940
16460Renal Failure$16,132$8,711$5,001
17133Pulmonary Edema/Respiratory Failure$22,906$12,369$7,101
18463Kidney/Urinary Tract Infection$14,480$7,819$4,489
19221Major Bowel Procedures$39,952$21,574$12,385
20754Depression$8,262$4,461$2,561
21174Angioplasty with Heart Attack$46,909$25,331$14,542
22750Schizophrenia$13,106$7,077$4,063
23420Diabetes$10,963$5,920$3,399
24247Intestinal Obstruction without Surgery$14,675$7,925$4,549
25282Disorders of Pancreas Except Malignancy$13,081$7,064$4,055
26812Poisoning of Medicinal Agents$9,058$4,891$2,808
27254Other Digestive System Diagnoses$12,218$6,598$3,788
28710Infectious & parasitic diseases including HIV w O.R. procedure$25,378$13,704$7,867
29304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$63,646$34,369$19,730
30190Circulatory Disorders with Heart Attack$20,861$11,265$6,467
31773Opioid Abuse/Dependence$8,767$4,734$2,718
32173Other Vascular Procedures$71,214$38,456$22,076
33137Respiratory Infections and Inflammations$28,289$15,276$8,770
34053Seizure$18,664$10,079$5,786
35058Other Disorders of Nervous System$20,216$10,917$6,267
36308Hip/Thigh Surgery with Trauma Diagnosis$48,476$26,177$15,028
37263Laparoscopic Cholecystectomy$35,101$18,955$10,881
38134Pulmonary Embolism$15,220$8,219$4,718
39315Shoulder/Upper Arm, Forearm Surgery$26,101$14,095$8,091
40175Angioplasty without Heart Attack$52,966$28,602$16,419
41249Gastroenteritis$11,430$6,172$3,543
42244Diverticulitis & Diverticulosis$15,355$8,292$4,760
43861Signs & Symptoms$17,968$9,703$5,570
44347Other Back/Neck Disorders, Fractures, Injuries$18,659$10,076$5,784
45253Other and Unspecified Gastrointestinal Hemorrhage$9,979$5,389$3,093
46313Other Knee/Lower Leg Surgery$44,249$23,894$13,717
47862Other Factors Influencing Health Status$11,796$6,370$3,657
48191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$26,937$14,546$8,350
49351Other Musculoskeletal System and Connective Tissue Diagnoses$13,995$7,557$4,338
50241Peptic Ulcer/Gastritis$14,294$7,719$4,431
51425Other Electrolyte Disorders$15,863$8,566$4,918
52248Major G.I. Bacterial Infections$15,661$8,457$4,855
53663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$15,428$8,331$4,783
54466Malfunction, reaction, complic of genitourinary device or proc$9,480$5,119$2,939
55024Extracranial Vascular Procedures$54,743$29,561$16,970
56950Extensive Procedure Unrelated to Principal Diagnosis$52,871$28,550$16,390
57951Moderately Extensive Procedure Unrelated to Diagnosis$30,005$16,203$9,302
58693Chemotherapy$25,684$13,869$7,962
59021Craniotomy Except For Trauma$70,072$37,839$21,722
60566Other Antepartum Diagnoses$11,328$6,117$3,512
61197Peripheral and Other Vascular Disorders$17,468$9,433$5,415
62220Major Stomach/Esophagus/Duodenum Procedures$36,715$19,826$11,382
63422Hypovolemia$9,046$4,885$2,804
64225Appendectomy$29,074$15,700$9,013
65052Nontraumatic stupor & coma$15,744$8,502$4,881
66321Upper Spinal Fusion$39,384$21,267$12,209
67141Asthma$13,150$7,101$4,077
68755Neuroses Other Than Depression$5,189$2,802$1,609
69192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$25,086$13,546$7,777
70055Head trauma w coma >1 hr or hemorrhage$25,619$13,834$7,942
71721Postoperative and Post-Traumatic Infections$15,687$8,471$4,863
72163Heart Valve Procedures without Cardiac Catheterization$117,176$63,275$36,325
73204Fainting and Collapse$19,784$10,683$6,133
74639Neonate Birthwt >2499g with Other Significant Condition$50,560$27,302$15,674
75756Acute Adjust React Psychosocial Dysfunction$11,091$5,989$3,438
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:  October 2015 - September 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)$6,956$3,756$2,156$13,923$7,519$4,316
Colonoscopy and Biopsy 45380)$3,988$2,153$1,236$7,049$3,807$2,185
Lesion Removal Colonoscopy by Snare Technique 45385)$3,858$2,083$1,196$7,315$3,950$2,268
Upper GI Endoscopy with Biopsy 43239)$3,251$1,755$1,008$6,631$3,581$2,056
Diagnostic Colonoscopy 45378)$3,104$1,676$962$7,926$4,280$2,457
Injection into Lumbar or Sacral Area, Single Level 64483)$1,629$880$505$3,046$1,645$944
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$3,801$2,053$1,178$3,898$2,105$1,208
Drain/Inject Major Joint or Bursa 20610)$1,124$607$349$2,308$1,246$716
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$3,412$1,842$1,058NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$3,441$1,858$1,067NRNRNR
Carpal Tunnel Surgery 64721)$3,029$1,636$939$16,717$9,027$5,182
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$8,074$4,360$2,503$20,150$10,881$6,247
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$2,764$1,492$857$5,671$3,063$1,758
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)NRNRNR$6,949$3,752$2,154
Creation of Eardrum Opening 69436)$2,823$1,525$875$16,342$8,824$5,066
Left Heart Artery/Ventricle Angiography 93458)$15,970$8,624$4,951$22,587$12,197$7,002
Unlisted Dental Surgery Procedure 41899)$9,469$5,113$2,935$15,203$8,210$4,713
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$4,083$2,205$1,266$2,863$1,546$888
After Cataract Laser Surgery 66821)$858$463$266$1,142$616$354
Laparoscopic Cholecystectomy 47562)$13,282$7,172$4,117$13,887$7,499$4,305
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$3,292$1,778$1,021$7,981$4,309$2,474
ABD Paracentesis w/Imaging 49083)$2,395$1,293$742$6,533$3,528$2,025
Removal of Tonsils And Adenoids - < Age 12 42820)$7,403$3,998$2,295$7,908$4,270$2,452
Cataract Surgery- Complex 66982)$8,838$4,772$2,740$16,027$8,655$4,968
Esophageal Endoscopy with Dilation 43249)$4,100$2,214$1,271$7,318$3,952$2,269
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$19,506$10,533$6,047
Hysteroscopy with Biopsy 58558)$7,751$4,186$2,403$10,180$5,497$3,156
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$687$371$213$1,549$836$480
Cystourethroscopy with Lithotripsy and Stent 52356)$10,231$5,525$3,172NRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$11,574$6,250$3,588$10,594$5,721$3,284
Incision of Finger Tendon Sheath 26055)$2,798$1,511$867$4,047$2,185$1,254
Laparoscopic Hernia Repair - Initial 49650)$12,990$7,014$4,027$17,040$9,202$5,282
Unlisted Cystourethoscopy 52000)$1,016$549$315$10,284$5,554$3,188
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$14,043$7,583$4,353$25,477$13,758$7,898
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$8,975$4,847$2,782$12,883$6,957$3,994
Uppr GI Endoscopy with Guide Wire 43248)$5,944$3,210$1,843$7,188$3,881$2,228
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Destruction of Premalignant Lesion 17000)$233$126$72$374$202$116
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$8,578$4,632$2,659$21,128$11,409$6,550
Laparoscopic Appendectomy 44970)$20,814$11,239$6,452$19,322$10,434$5,990
Destruction of Benign Lesions up to 14 Lesions 17110)$228$123$71$437$236$135
Biopsy breast w/stereotactic image; 1 lesion 19081)$5,438$2,936$1,686$10,043$5,423$3,113
Cystourethroscopy with Stent 52332)$6,576$3,551$2,039$10,332$5,579$3,203
Removal of Tonsils 42826)$9,346$5,047$2,897$18,168$9,811$5,632
Laparoscopy - Removal of Adnexal Structures 58661)$17,227$9,302$5,340$28,230$15,244$8,751
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$665$359$206$1,701$918$527
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$7,358$3,973$2,281$15,390$8,311$4,771
Mastectomy, Partial 19301)$9,123$4,926$2,828$20,570$11,108$6,377
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$17,918$9,676$5,555$20,143$10,877$6,244
Low Back Disk Surgery 63030)$13,661$7,377$4,235$19,758$10,669$6,125
Repair of Nasal Septum 30520)$10,368$5,599$3,214$17,455$9,426$5,411
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Laparoscopy, Removal of Tubes & Ovaries 58571)$31,972$17,265$9,911NRNRNR
Needle Biopsy of Liver 47000)$4,337$2,342$1,345$12,124$6,547$3,759
Aspirate Pleura with Imaging 32555)$2,426$1,310$752$4,353$2,350$1,349
Coronary Artery Angio S&I 93454)$20,309$10,967$6,296$32,213$17,395$9,986
Debridement Skin/Tissue 11042)$4,204$2,270$1,303$10,517$5,679$3,260
Wrist Endoscopy/Surgery 29848)$4,408$2,380$1,367$6,739$3,639$2,089
Hysteroscopy with Ablation 58563)$11,292$6,098$3,501NRNRNR
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNR$23,814$12,860$7,382
Bone Marrow Biopsy 38221)$5,461$2,949$1,693$10,917$5,895$3,384
Diagnostic Laryngoscopy 31575)$503$272$156$1,528$825$474
Correction of Bunion 28296)$8,849$4,778$2,743$18,254$9,857$5,659
Remove Impacted Ear Wax 69210)$256$138$79$428$231$133
Shoulder Arthroscopy/Surgery 29824)$11,438$6,176$3,546$14,085$7,606$4,366
Apheresis Plasma 36514)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)$17,615$9,512$5,461$23,815$12,860$7,383
Biopsy of lung or mediastinum, percutaneous w/needle 32405)$5,139$2,775$1,593$8,458$4,567$2,622
Removal of Adenoids 42830)$5,440$2,938$1,686$5,663$3,058$1,756
Electro-Uroflowmetry - First 51741)$424$229$131$985$532$305
Removal of Central Venous Device w Port or Pump 36590)$5,298$2,861$1,642$9,394$5,073$2,912
Ablation therapy of first vein of extremity 36475)NRNRNRNRNRNR
Injection of chemical agent into muscles near face/neck 64615)$3,627$1,959$1,125$13,380$7,225$4,148
Debridement, Open Wound <= 20 Square Centimeters 97597)$4,266$2,304$1,323$816$441$253
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.