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


  
Charges for 75 Most Common Types of Hospitalizations in Wisconsin: January 2012 - December 2012
(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+$2,143$1,307$793
2560Vaginal Delivery000
3302Knee Replacement$32,791$20,003$12,133
4540Cesarean Delivery000
5720Blood Infection/Septicemia$8,507$5,189$3,148
6139Pneumonia$9,491$5,790$3,512
7194Heart Failure$8,657$5,281$3,203
8301Hip Replacement$36,922$22,522$13,661
9751Psychoses$7,218$4,403$2,671
10753Bipolar Disorders$9,179$5,599$3,396
11201Heart Abnormal Rhythm and Conduction Disorders$12,120$7,393$4,484
12140Chronic Obstructive Pulmonary Disease$9,525$5,810$3,524
13775Alchohol Abuse/Dependence$10,134$6,182$3,750
14383Cellulitis and Other Bacterial Skin Infections$6,716$4,097$2,485
15463Kidney/Urinary Tract Infection$7,892$4,814$2,920
16460Renal Failure$9,701$5,918$3,589
17860Rehabilitation$25,090$15,305$9,283
18045Stroke and Precerebral Occlusion with Infarct$16,752$10,219$6,198
19221Major Bowel Procedures$33,363$20,351$12,344
20175Angioplasty without Heart Attack$43,619$26,608$16,139
21750Schizophrenia$10,728$6,544$3,969
22254Other Digestive System Diagnoses$8,745$5,334$3,236
23174Angioplasty with Heart Attack$48,511$29,592$17,949
24249Gastroenteritis$9,426$5,750$3,488
25247Intestinal Obstruction without Surgery$10,706$6,531$3,961
26754Depression$6,566$4,005$2,429
27812Poisoning of Medicinal Agents$7,685$4,688$2,843
28133Pulmonary Edema/Respiratory Failure000
29304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$49,173$29,996$18,194
30420Diabetes$6,855$4,182$2,536
31282Disorders of Pancreas Except Malignancy$9,900$6,039$3,663
32137Respiratory Infections and Inflammations$7,525$4,590$2,784
33263Laparoscopic Cholecystectomy$22,114$13,490$8,182
34053Seizure$10,654$6,499$3,942
35134Pulmonary Embolism$9,802$5,979$3,627
36861Signs & Symptoms$8,470$5,167$3,134
37308Hip/Thigh Surgery with Trauma Diagnosis$34,621$21,119$12,810
38347Other Back/Neck Disorders, Fractures, Injuries$21,830$13,316$8,077
39190Circulatory Disorders with Heart Attack$20,972$12,793$7,760
40173Other Vascular Procedures$54,970$33,532$20,339
41225Appendectomy$20,198$12,321$7,473
42244Diverticulitis & Diverticulosis$11,150$6,802$4,126
43241Peptic Ulcer/Gastritis$8,539$5,209$3,159
44313Other Knee/Lower Leg Surgery$30,709$18,732$11,362
45192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$21,459$13,090$7,940
46425Other Electrolyte Disorders$8,191$4,997$3,031
47513Uterine Procedures without Tumor$26,387$16,096$9,763
48315Shoulder/Upper Arm, Forearm Surgery$23,650$14,427$8,751
49198Chest Pain with Angina Pectoris or Coronary Atherosclerosis$6,880$4,197$2,546
50204Fainting and Collapse$11,905$7,262$4,405
51351Other Musculoskeletal System and Connective Tissue Diagnoses$12,886$7,860$4,768
52141Asthma$9,486$5,786$3,510
53663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$6,694$4,083$2,477
54248Major G.I. Bacterial Infections$9,016$5,500$3,336
55197Peripheral and Other Vascular Disorders$9,424$5,749$3,487
56253Other and Unspecified Gastrointestinal Hemorrhage$8,734$5,328$3,232
57191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$23,069$14,072$8,536
58310Back/Neck Procedures Except Dorsal and Lumbar Fusion$22,396$13,662$8,287
59321Upper Spinal Fusion$28,575$17,431$10,573
60024Extracranial Vascular Procedures$46,243$28,208$17,110
61721Postoperative and Post-Traumatic Infections$7,996$4,878$2,959
62144Respiratory System Signs, Symptoms and Minor Diagnoses$10,032$6,120$3,712
63773Opioid Abuse/Dependence$1,565$955$579
64693Chemotherapy$14,144$8,628$5,233
65566Other Antepartum Diagnoses$10,101$6,162$3,737
66422Hypovolemia$8,484$5,175$3,139
67203Chest Pain$8,323$5,077$3,080
68755Neuroses Other Than Depression$4,027$2,456$1,490
69047Transient Ischemia$14,873$9,073$5,503
70251Abdominal Pain$9,405$5,737$3,480
71466Malfunctions, Reactions & Comp Of Gu Device, Graft Or Transplant$16,553$10,097$6,125
72021Craniotomy Except For Trauma$53,428$32,591$19,768
73710Infectious & parasitic diseases including HIV w O.R. procedure$30,891$18,844$11,430
74143Pneumothorax & Pleural Effusion$12,104$7,383$4,478
75058Other Disorders of Nervous System$13,392$8,169$4,955

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: January 2012 - December 2012
  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)$6,183$3,772$2,288$11,036$6,732$4,083
Diagnostic Colonoscopy (45378)$2,457$1,499$909$3,982$2,429$1,473
Colonoscopy and Biopsy (45380)$3,138$1,914$1,161$5,303$3,235$1,962
Upper GI Endoscopy with Biopsy (43239)$2,532$1,544$937$5,039$3,074$1,864
Lesion Removal Colonoscopy by Snare Technique (45385)$3,162$1,929$1,170$5,366$3,273$1,985
Injection into Lumbar or Sacral Area, Single Level (64483)$1,326$809$490$2,422$1,478$896
Drain/Inject Major Joint or Bursa (20610)$836$510$309$1,182$721$437
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral (64493)$1,880$1,147$696$2,560$1,562$947
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy (29881)$6,280$3,831$2,324$8,216$5,012$3,040
Colorectal Cancer Screening; Colonscopy, Not High Risk (G0121)$2,734$1,668$1,012NRNRNR
Carpal Tunnel Surgery (64721)$3,133$1,911$1,159$4,013$2,448$1,485
Colorectal Cancer Screening ; Colonoscopy, High Risk (G0105)$2,592$1,581$959NRNRNR
Uppr GI Endoscopy- Diagnostic (43235)$1,818$1,109$672$3,922$2,392$1,451
Lesion Removal Colonoscopy by Hot Biopsy or Cautery (45384)$3,649$2,226$1,350$4,379$2,671$1,620
Creation of Eardrum Opening (69436)$2,319$1,415$858$4,825$2,943$1,785
Left Heart Artery/Ventricle Angiography  (93458)NRNRNR$21,498$13,114$7,954
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral (64635)NRNRNRNRNRNR
Laparoscopic Cholecystectomy (47562)$10,560$6,442$3,907$12,477$7,611$4,616
Removal of Tonsils And Adenoids - < Age 12 (42820)$6,653$4,059$2,462$7,706$4,700$2,851
Unlisted Dental Surgery Procedure (41899)$7,424$4,529$2,747$8,602$5,247$3,183
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor (64490)$1,942$1,185$719$2,507$1,529$927
Repair Initial Ingunial Hernia, > = 5 years, Reducible (49505)$8,561$5,222$3,167$9,669$5,898$3,578
Unlisted Cystourethoscopy (52000)$620$378$229$1,341$818$496
After Cataract Laser Surgery (66821)$535$326$198$797$486$295
Percutaneous Breast Biopsy with Device and Imaging (19103)NRNRNR$3,285$2,004$1,215
Cataract Surgery- Complex (66982)$8,060$4,917$2,982$13,920$8,491$5,150
Arthroscopic Rotator Cuff Repair (29827)$17,267$10,533$6,389$15,857$9,673$5,867
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy (29880)$6,663$4,064$2,465$7,337$4,476$2,715
Hysteroscopy with Biopsy (58558)$5,880$3,587$2,175$7,557$4,610$2,796
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct (47563)$11,716$7,147$4,335$11,148$6,800$4,125
Esophageal Endoscopy with Dilation (43249)$2,771$1,690$1,025$4,556$2,779$1,686
Uppr GI Endoscopy with Guide Wire (43248)$2,369$1,445$877$3,681$2,245$1,362
ABD Paracentesis w/Imaging (49083)$2,256$1,376$835$4,109$2,506$1,520
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) (20680)$7,062$4,308$2,613$14,241$8,687$5,269
Incision of Finger Tendon Sheath (26055)$2,651$1,617$981$3,933$2,399$1,455
Cystourethroscopy with Lithotripsy (52353)$7,019$4,282$2,597$8,313$5,071$3,076
Repair of Nasal Septum (30520)$8,021$4,893$2,968$10,261$6,259$3,796
Destruction of Premalignant Lesion (17000)$163$99$60$298$182$110
Laparoscopic Hernia Repair - Initial (49650)$11,112$6,778$4,111$12,704$7,750$4,701
Removal of Tonsils (42826)$7,177$4,378$2,655$12,207$7,446$4,517
Destruction of Benign Lesions up to 14 Lesions (17110)$195$119$72$419$255$155
Hysteroscopy with Ablation (58563)$8,122$4,955$3,005$28,795$17,565$10,654
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair (29888)$16,453$10,036$6,088$18,786$11,460$6,951
Correction of Bunion (28296)$5,400$3,294$1,998$7,041$4,295$2,605
Percutaneous Breast Biopsy with Imaging (19102)$3,128$1,908$1,157$4,991$3,044$1,846
Cystourethroscopy with Stent (52332)$5,115$3,120$1,892$8,947$5,458$3,310
Repair Umbilical Hernia, > = 5 Yrs - Reducible  (49585)$7,376$4,500$2,729$10,098$6,160$3,736
Fragmenting of Kidney Stone (50590)NRNRNRNRNRNR
Colonoscopy with Lesion Removal (45383)$3,538$2,158$1,309$4,800$2,928$1,776
Low Back Disk Surgery (63030)$10,813$6,596$4,001$10,315$6,292$3,817
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles (20552)$510$311$189$1,079$658$399
Laparoscopic Appendectomy (44970)$14,875$9,074$5,504$16,453$10,036$6,087
Destruction by neurolytic agent , cervical/thoracic nerve area, single lev (64633)NRNRNRNRNRNR
Needle Biopsy of Liver (47000)$2,738$1,670$1,013$5,627$3,432$2,082
Mohs Micrographic Tissue Removal (17311)$228$139$84$993$606$368
Mastectomy, Partial (19301)$6,304$3,846$2,333$13,808$8,423$5,109
Bone Marrow Biopsy (38221)$4,343$2,649$1,607$6,562$4,003$2,428
Removal of Adenoids (42830)$4,172$2,545$1,543$4,682$2,856$1,732
Removal of Breast Lesion (19120)$5,571$3,399$2,061$17,596$10,734$6,511
Excision Breast Lesion with Preoperative Placement Radiological Marker (19125)NRNRNR$7,545$4,603$2,792
Shoulder Arthroscopy/Surgery with Decompression (29826)NRNRNR$12,824$7,823$4,745
Remove Impacted Ear Wax (69210)$233$142$86$367$224$136
Biopsy Skin and Subcutaneous Tissue; 1 Lesion (11100)$631$385$234$1,099$671$407
Laparoscopy - Removal of Adnexal Structures (58661)$15,247$9,301$5,641$16,878$10,296$6,245
Insertion of Central Venous Catheter >= 5 years (36569)$3,865$2,358$1,430$3,412$2,081$1,262
Right and Left Heart Artery/Ventricle Angiography (93460)NRNRNR$23,377$14,260$8,649
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area (58662)$26,652$16,257$9,861$13,068$7,971$4,835
Placement of Drug Eluting Stent, Single Vessel (G0290)NRNRNR$42,004$25,622$15,541
Diagnostic Laryngoscopy (31575)$421$257$156$1,393$850$515
Knee Arthroscopy/Surgery with Shaving of Cartilage (29877)$6,329$3,861$2,342$7,251$4,423$2,683
Repair Rotator Cuff, Chronic (23412)NRNRNR$15,959$9,735$5,905
Repair of Hammertoe (28285)$4,665$2,846$1,726$5,722$3,491$2,117
Removal of Central Venous Device w Port or Pump (36590)$3,850$2,349$1,425$3,430$2,092$1,269
Endovenous Treatment of Incompetent Vein, First Vein (36475)NRNRNRNRNRNR
Diagnostic Sigmoidoscopy (45330)$1,129$689$418$2,733$1,667$1,011

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.

Copyright © 2010, WHA Information Center, All rights reserved.