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

Charges for 75 Most Common Hospitalizations in Wisconsin:  April 2015 - March 2016
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$6,145$3,318$1,905
2560Vaginal DeliveryNRNRNR
3720Blood Infection/Septicemia$13,543$7,313$4,198
4302Knee Replacement$34,238$18,489$10,614
5540Cesarean DeliveryNRNRNR
6194Heart Failure$15,199$8,207$4,712
7301Hip Replacement$43,414$23,444$13,458
8139Pneumonia$9,384$5,067$2,909
9751Psychoses$8,938$4,827$2,771
10753Bipolar Disorders$10,721$5,789$3,324
11140Chronic Obstructive Pulmonary Disease$11,836$6,391$3,669
12775Alcohol Abuse/Dependence$9,185$4,960$2,847
13201Heart Abnormal Rhythm and Conduction Disorders$14,775$7,979$4,580
14383Cellulitis and Other Bacterial Skin Infections$10,620$5,735$3,292
15460Renal Failure$14,689$7,932$4,554
16045Stroke and Precerebral Occlusion with Infarct$26,613$14,371$8,250
17133Pulmonary Edema/Respiratory Failure$14,044$7,584$4,354
18463Kidney/Urinary Tract Infection$11,835$6,391$3,669
19221Major Bowel Procedures$39,148$21,140$12,136
20174Angioplasty with Heart Attack$47,886$25,858$14,845
21754Depression$8,436$4,555$2,615
22247Intestinal Obstruction without Surgery$13,785$7,444$4,273
23750Schizophrenia$11,058$5,971$3,428
24420Diabetes$11,101$5,995$3,441
25282Disorders of Pancreas Except Malignancy$13,025$7,034$4,038
26254Other Digestive System Diagnoses$12,166$6,570$3,771
27812Poisoning of Medicinal Agents$9,140$4,936$2,833
28304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$62,737$33,878$19,448
29053Seizure$13,716$7,407$4,252
30137Respiratory Infections and Inflammations$13,775$7,439$4,270
31173Other Vascular Procedures$66,797$36,070$20,707
32249Gastroenteritis$10,480$5,659$3,249
33190Circulatory Disorders with Heart Attack$24,609$13,289$7,629
34134Pulmonary Embolism$15,220$8,219$4,718
35308Hip/Thigh Surgery with Trauma Diagnosis$43,986$23,752$13,636
36263Laparoscopic Cholecystectomy$33,481$18,080$10,379
37315Shoulder/Upper Arm, Forearm Surgery$34,738$18,759$10,769
38244Diverticulitis & Diverticulosis$15,958$8,617$4,947
39710Infectious & parasitic diseases including HIV w O.R. procedure$41,950$22,653$13,005
40773Opioid Abuse/Dependence$11,416$6,165$3,539
41860Rehabilitation$26,194$14,145$8,120
42175Angioplasty without Heart Attack$53,248$28,754$16,507
43861Signs & Symptoms$15,437$8,336$4,785
44425Other Electrolyte Disorders$11,807$6,376$3,660
45347Other Back/Neck Disorders, Fractures, Injuries$21,332$11,519$6,613
46241Peptic Ulcer/Gastritis$13,761$7,431$4,266
47253Other and Unspecified Gastrointestinal Hemorrhage$11,041$5,962$3,423
48313Other Knee/Lower Leg Surgery$43,054$23,249$13,347
49191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$27,148$14,660$8,416
50351Other Musculoskeletal System and Connective Tissue Diagnoses$13,811$7,458$4,281
51058Other Disorders of Nervous System$21,630$11,680$6,705
52248Major G.I. Bacterial Infections$13,941$7,528$4,322
53024Extracranial Vascular Procedures$57,700$31,158$17,887
54466Malfunction, reaction, complic of genitourinary device or proc$9,480$5,119$2,939
55663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$15,374$8,302$4,766
56141Asthma$11,644$6,288$3,610
57693Chemotherapy$26,150$14,121$8,107
58721Postoperative and Post-Traumatic Infections$15,670$8,462$4,858
59321Upper Spinal Fusion$38,016$20,529$11,785
60197Peripheral and Other Vascular Disorders$17,604$9,506$5,457
61021Craniotomy Except For Trauma$71,805$38,775$22,260
62225Appendectomy$27,102$14,635$8,402
63566Other Antepartum Diagnoses$11,515$6,218$3,570
64055Head trauma w coma >1 hr or hemorrhage$23,597$12,742$7,315
65755Neuroses Other Than Depression$6,397$3,454$1,983
66052Nontraumatic stupor & coma$17,116$9,243$5,306
67192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$22,901$12,367$7,099
68163Heart Valve Procedures without Cardiac Catheterization$106,246$57,373$32,936
69144Respiratory System Signs, Symptoms and Minor Diagnoses$12,687$6,851$3,933
70143Other respiratory diagnoses except signs, symptoms & minor diagnoses$10,681$5,768$3,311
71422Hypovolemia$9,295$5,019$2,881
72204Fainting and Collapse$19,784$10,683$6,133
73951Moderately Extensive Procedure Unrelated to Diagnosis$28,738$15,519$8,909
74639Neonate Birthwt >2499g with Other Significant Condition$46,023$24,852$14,267
75756Acute Adjust React Psychosocial Dysfunction$11,430$6,172$3,543
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:  April 2015 - March 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)$6,725$3,632$2,085$13,439$7,257$4,166
Colonoscopy and Biopsy 45380)$3,891$2,101$1,206$6,962$3,760$2,158
Upper GI Endoscopy with Biopsy 43239)$3,063$1,654$949$6,414$3,463$1,988
Lesion Removal Colonoscopy by Snare Technique 45385)$3,762$2,031$1,166$6,804$3,674$2,109
Diagnostic Colonoscopy 45378)$3,022$1,632$937$7,567$4,086$2,346
Injection into Lumbar or Sacral Area, Single Level 64483)$1,591$859$493$2,940$1,588$911
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$2,027$1,094$628$3,788$2,046$1,174
Drain/Inject Major Joint or Bursa 20610)$1,074$580$333$1,918$1,036$595
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$3,344$1,806$1,037NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$3,338$1,803$1,035NRNRNR
Carpal Tunnel Surgery 64721)$3,142$1,697$974$16,717$9,027$5,182
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$7,771$4,196$2,409$20,060$10,832$6,219
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$2,660$1,436$825$5,543$2,993$1,718
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)NRNRNR$6,949$3,752$2,154
Left Heart Artery/Ventricle Angiography 93458)$15,920$8,597$4,935$23,187$12,521$7,188
Creation of Eardrum Opening 69436)$2,681$1,448$831$15,437$8,336$4,785
Unlisted Dental Surgery Procedure 41899)$9,103$4,916$2,822$12,466$6,732$3,864
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$3,748$2,024$1,162$2,820$1,523$874
Laparoscopic Cholecystectomy 47562)$13,158$7,106$4,079$14,396$7,774$4,463
After Cataract Laser Surgery 66821)$858$463$266$1,059$572$328
ABD Paracentesis w/Imaging 49083)$2,377$1,283$737$6,234$3,366$1,933
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$2,989$1,614$927$8,529$4,605$2,644
Cataract Surgery- Complex 66982)$9,341$5,044$2,896$15,458$8,347$4,792
Removal of Tonsils And Adenoids - < Age 12 42820)$7,170$3,872$2,223$7,906$4,269$2,451
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$17,188$9,281$5,328
Hysteroscopy with Biopsy 58558)$7,159$3,866$2,219$10,180$5,497$3,156
Esophageal Endoscopy with Dilation 43249)$3,909$2,111$1,212$7,228$3,903$2,241
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$684$370$212$1,530$826$474
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$10,923$5,898$3,386$11,255$6,078$3,489
Incision of Finger Tendon Sheath 26055)$2,764$1,492$857$4,066$2,196$1,261
Unlisted Cystourethoscopy 52000)$1,016$549$315$8,635$4,663$2,677
Cystourethroscopy with Lithotripsy and Stent 52356)$10,499$5,669$3,255$21,354$11,531$6,620
Laparoscopic Hernia Repair - Initial 49650)$12,408$6,700$3,846$15,934$8,604$4,939
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$8,478$4,578$2,628$12,040$6,501$3,732
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$14,433$7,794$4,474$10,308$5,566$3,195
Uppr GI Endoscopy with Guide Wire 43248)$4,296$2,320$1,332$7,228$3,903$2,241
Destruction of Premalignant Lesion 17000)$216$117$67$372$201$115
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$8,404$4,538$2,605$20,314$10,969$6,297
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$20,582$11,114$6,380$18,751$10,125$5,813
Destruction of Benign Lesions up to 14 Lesions 17110)$222$120$69$435$235$135
Biopsy breast w/stereotactic image; 1 lesion 19081)$4,237$2,288$1,314$8,987$4,853$2,786
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$664$359$206$1,600$864$496
Removal of Tonsils 42826)$8,574$4,630$2,658$19,243$10,391$5,965
Cystourethroscopy with Stent 52332)$6,500$3,510$2,015$10,928$5,901$3,388
Repair of Nasal Septum 30520)$10,251$5,535$3,178$15,631$8,441$4,846
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$18,313$9,889$5,677$19,488$10,523$6,041
Low Back Disk Surgery 63030)$12,829$6,928$3,977$16,906$9,129$5,241
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$7,564$4,084$2,345$14,981$8,090$4,644
Laparoscopy - Removal of Adnexal Structures 58661)$17,259$9,320$5,350$17,746$9,583$5,501
Mastectomy, Partial 19301)$8,232$4,445$2,552$18,442$9,959$5,717
Needle Biopsy of Liver 47000)$3,718$2,008$1,153$5,849$3,159$1,813
Debridement Skin/Tissue 11042)$1,636$884$507$10,235$5,527$3,173
Laparoscopy, Removal of Tubes & Ovaries 58571)$29,859$16,124$9,256$34,846$18,817$10,802
Coronary Artery Angio S&I 93454)NRNRNR$33,077$17,862$10,254
Aspirate Pleura with Imaging 32555)$2,328$1,257$722$4,282$2,312$1,327
Remove Impacted Ear Wax 69210)$256$138$79$421$227$131
Hysteroscopy with Ablation 58563)NRNRNRNRNRNR
Diagnostic Laryngoscopy 31575)$503$272$156$1,562$843$484
Debridement, Open Wound <= 20 Square Centimeters 97597)$5,235$2,827$1,623$7,068$3,817$2,191
Apheresis Plasma 36514)NRNRNRNRNRNR
Wrist Endoscopy/Surgery 29848)$4,538$2,451$1,407$7,096$3,832$2,200
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNR$20,505$11,073$6,357
Shoulder Arthroscopy/Surgery 29824)$11,438$6,176$3,546$13,198$7,127$4,092
Right and Left Heart Artery/Ventricle Angiography 93460)$17,337$9,362$5,374$24,826$13,406$7,696
Bone Marrow Biopsy 38221)$5,961$3,219$1,848$8,618$4,654$2,672
Correction of Bunion 28296)$8,156$4,404$2,528$15,766$8,513$4,887
Electro-Uroflowmetry - First 51741)$423$228$131$968$523$300
Removal of Adenoids 42830)$4,732$2,555$1,467$5,311$2,868$1,647
Ablation therapy of first vein of extremity 36475)NRNRNRNRNRNR
Electronic analysis of implantable pump spine w/reprogram/refill 62369)$4,164$2,249$1,291$11,179$6,037$3,465
Biopsy of lung or mediastinum, percutaneous w/needle 32405)$4,939$2,667$1,531$10,392$5,612$3,221
Removal of Central Venous Device w Port or Pump 36590)$5,209$2,813$1,615$11,909$6,431$3,692
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.