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

Charges for 75 Most Common Hospitalizations in Wisconsin:  October 2014 - September 2015
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$5,597$3,190$1,847
2560Vaginal DeliveryNRNRNR
3720Blood Infection/Septicemia$14,287$8,144$4,715
4302Knee Replacement$33,739$19,231$11,134
5540Cesarean DeliveryNRNRNR
6194Heart Failure$14,408$8,213$4,755
7139Pneumonia$9,068$5,169$2,992
8301Hip Replacement$42,272$24,095$13,950
9751Psychoses$10,075$5,743$3,325
10753Bipolar Disorders$11,053$6,300$3,647
11140Chronic Obstructive Pulmonary Disease$16,060$9,154$5,300
12201Heart Abnormal Rhythm and Conduction Disorders$14,275$8,137$4,711
13775Alcohol Abuse/Dependence$9,846$5,612$3,249
14460Renal Failure$18,556$10,577$6,123
15383Cellulitis and Other Bacterial Skin Infections$12,081$6,886$3,987
16045Stroke and Precerebral Occlusion with Infarct$24,271$13,834$8,009
17860Rehabilitation$27,268$15,543$8,998
18221Major Bowel Procedures$41,186$23,476$13,591
19463Kidney/Urinary Tract Infection$10,154$5,788$3,351
20133Pulmonary Edema/Respiratory Failure$14,972$8,534$4,941
21174Angioplasty with Heart Attack$48,172$27,458$15,897
22247Intestinal Obstruction without Surgery$13,476$7,681$4,447
23750Schizophrenia$8,724$4,973$2,879
24282Disorders of Pancreas Except Malignancy$11,967$6,821$3,949
25254Other Digestive System Diagnoses$12,110$6,903$3,996
26420Diabetes$9,491$5,410$3,132
27249Gastroenteritis$9,540$5,438$3,148
28754Depression$8,534$4,864$2,816
29812Poisoning of Medicinal Agents$8,362$4,766$2,759
30137Respiratory Infections and Inflammations$14,440$8,231$4,765
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$58,230$33,191$19,216
32053Seizure$12,221$6,966$4,033
33134Pulmonary Embolism$14,127$8,052$4,662
34173Other Vascular Procedures$63,880$36,412$21,080
35308Hip/Thigh Surgery with Trauma Diagnosis$37,604$21,434$12,409
36190Circulatory Disorders with Heart Attack$25,394$14,475$8,380
37263Laparoscopic Cholecystectomy$31,269$17,823$10,319
38244Diverticulitis & Diverticulosis$10,246$5,840$3,381
39425Other Electrolyte Disorders$13,397$7,636$4,421
40175Angioplasty without Heart Attack$55,393$31,574$18,280
41241Peptic Ulcer/Gastritis$12,255$6,985$4,044
42861Signs & Symptoms$13,912$7,930$4,591
43315Shoulder/Upper Arm, Forearm Surgery$27,032$15,408$8,921
44253Other and Unspecified Gastrointestinal Hemorrhage$16,065$9,157$5,301
45347Other Back/Neck Disorders, Fractures, Injuries$23,672$13,493$7,812
46313Other Knee/Lower Leg Surgery$38,671$22,042$12,761
47773Opioid Abuse/Dependence$9,717$5,539$3,207
48351Other Musculoskeletal System and Connective Tissue Diagnoses$14,655$8,353$4,836
49248Major G.I. Bacterial Infections$13,611$7,758$4,492
50710Infectious & parasitic diseases including HIV w O.R. procedure$42,357$24,143$13,978
51663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$12,354$7,042$4,077
52191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$27,509$15,680$9,078
53466Malfunction, reaction, complic of genitourinary device or procNRNRNR
54024Extracranial Vascular Procedures$57,023$32,503$18,818
55113Epiglottitis, Ear Infection, URI and Laryngotracheitis$10,384$5,919$3,427
56693Chemotherapy$22,673$12,924$7,482
57141Asthma$9,845$5,612$3,249
58321Upper Spinal Fusion$35,848$20,433$11,830
59721Postoperative and Post-Traumatic Infections$13,217$7,534$4,362
60197Peripheral and Other Vascular Disorders$13,481$7,684$4,449
61021Craniotomy Except For Trauma$74,852$42,666$24,701
62225Appendectomy$24,639$14,044$8,131
63144Respiratory System Signs, Symptoms and Minor Diagnoses$9,622$5,485$3,175
64566Other Antepartum Diagnoses$16,330$9,308$5,389
65163Heart Valve Procedures without Cardiac Catheterization$105,698$60,248$34,880
66143Other respiratory diagnoses except signs, symptoms & minor diagnoses$9,456$5,390$3,120
67192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$23,846$13,592$7,869
68055Head trauma w coma >1 hr or hemorrhage$17,234$9,823$5,687
69052Nontraumatic stupor & coma$16,813$9,583$5,548
70755Neuroses Other Than Depression$7,082$4,037$2,337
71204Fainting and Collapse$15,702$8,950$5,182
72310Back/Neck Procedures Except Dorsal and Lumbar Fusion$25,825$14,720$8,522
73660Major hematologic/immunologic diag exc sickle cell crisis & coagul$8,495$4,842$2,803
74284Disorders of gallbladder & biliary tract$16,869$9,615$5,567
75422Hypovolemia$8,461$4,823$2,792
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 2014 - September 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)$6,759$3,853$2,231$14,384$8,199$4,747
Colonoscopy and Biopsy 45380)$3,790$2,160$1,251$6,775$3,862$2,236
Upper GI Endoscopy with Biopsy 43239)$2,906$1,657$959$6,153$3,507$2,031
Lesion Removal Colonoscopy by Snare Technique 45385)$3,644$2,077$1,202$6,804$3,878$2,245
Diagnostic Colonoscopy 45378)$2,921$1,665$964$5,890$3,357$1,944
Injection into Lumbar or Sacral Area, Single Level 64483)$1,488$848$491$2,856$1,628$942
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$2,894$1,650$955$3,907$2,227$1,289
Drain/Inject Major Joint or Bursa 20610)$1,018$580$336$1,853$1,056$612
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$3,201$1,825$1,056NRNRNR
Carpal Tunnel Surgery 64721)$3,142$1,791$1,037NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$3,207$1,828$1,058NRNRNR
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$7,561$4,310$2,495$18,823$10,729$6,212
Uppr GI Endoscopy- Diagnostic 43235)$2,517$1,434$830$5,369$3,060$1,772
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)NRNRNRNRNRNR
Left Heart Artery/Ventricle Angiography 93458)$15,907$9,067$5,249$23,511$13,401$7,759
Creation of Eardrum Opening 69436)$2,523$1,438$833$11,741$6,692$3,875
Unlisted Dental Surgery Procedure 41899)$8,639$4,924$2,851$12,775$7,282$4,216
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$1,954$1,114$645$3,792$2,161$1,251
Laparoscopic Cholecystectomy 47562)$12,539$7,147$4,138$14,396$8,206$4,751
After Cataract Laser Surgery 66821)$737$420$243$1,029$587$340
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$2,951$1,682$974$7,985$4,551$2,635
Cataract Surgery- Complex 66982)$9,090$5,181$3,000$14,634$8,341$4,829
Removal of Tonsils And Adenoids - < Age 12 42820)$7,152$4,077$2,360$7,985$4,551$2,635
ABD Paracentesis w/Imaging 49083)$2,240$1,277$739$5,274$3,006$1,740
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$16,243$9,258$5,360
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$9,916$5,652$3,272$9,492$5,410$3,132
Hysteroscopy with Biopsy 58558)$6,345$3,617$2,094$16,119$9,188$5,319
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$799$456$264$1,490$850$492
Esophageal Endoscopy with Dilation 43249)$3,626$2,067$1,197$6,669$3,801$2,201
Unlisted Cystourethoscopy 52000)$885$504$292$9,145$5,213$3,018
Incision of Finger Tendon Sheath 26055)$2,720$1,551$898$4,404$2,510$1,453
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$8,374$4,773$2,763$13,812$7,873$4,558
Cystourethroscopy with Lithotripsy and Stent 52356)$10,838$6,177$3,576$21,354$12,172$7,047
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$15,527$8,850$5,124$10,308$5,876$3,402
Laparoscopic Hernia Repair - Initial 49650)$11,988$6,833$3,956$14,824$8,450$4,892
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$8,379$4,776$2,765$18,896$10,770$6,236
Destruction of Premalignant Lesion 17000)$216$123$71$350$200$116
Uppr GI Endoscopy with Guide Wire 43248)$4,292$2,446$1,416$7,166$4,085$2,365
Destruction of Benign Lesions up to 14 Lesions 17110)$222$127$73$406$231$134
Biopsy breast w/stereotactic image; 1 lesion 19081)$3,925$2,237$1,295$8,834$5,036$2,915
Laparoscopic Appendectomy 44970)$22,384$12,759$7,387NRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Cystourethroscopy with Stent 52332)$6,019$3,431$1,986$10,915$6,221$3,602
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$629$359$208$1,462$833$482
Removal of Tonsils 42826)$8,251$4,703$2,723$19,243$10,968$6,350
Repair of Nasal Septum 30520)$10,645$6,068$3,513$14,804$8,438$4,885
Low Back Disk Surgery 63030)$12,961$7,388$4,277$21,071$12,011$6,954
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$19,170$10,927$6,326$18,806$10,719$6,206
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$7,595$4,329$2,506$15,459$8,811$5,101
Mastectomy, Partial 19301)$7,274$4,146$2,400$18,494$10,542$6,103
Coronary Artery Angio S&I 93454)$17,884$10,194$5,902$34,403$19,610$11,353
Laparoscopy - Removal of Adnexal Structures 58661)$16,100$9,177$5,313$16,123$9,190$5,321
Debridement Skin/Tissue 11042)$2,454$1,399$810$7,794$4,442$2,572
Needle Biopsy of Liver 47000)$3,578$2,040$1,181$6,421$3,660$2,119
Remove Impacted Ear Wax 69210)$256$146$84$405$231$134
Hysteroscopy with Ablation 58563)$7,351$4,190$2,426NRNRNR
Laparoscopy, Removal of Tubes & Ovaries 58571)$31,706$18,072$10,463$34,846$19,862$11,499
Apheresis Plasma 36514)NRNRNRNRNRNR
Aspirate Pleura with Imaging 32555)$2,351$1,340$776$3,888$2,216$1,283
Diagnostic Laryngoscopy 31575)$446$254$147$1,471$839$486
Right and Left Heart Artery/Ventricle Angiography 93460)$17,279$9,849$5,702$25,475$14,521$8,407
Debridement, Open Wound <= 20 Square Centimeters 97597)$6,066$3,458$2,002$3,858$2,199$1,273
Correction of Bunion 28296)$7,439$4,240$2,455NRNRNR
Bone Marrow Biopsy 38221)$4,682$2,669$1,545$8,618$4,912$2,844
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNR$20,276$11,557$6,691
Shoulder Arthroscopy/Surgery 29824)NRNRNR$13,584$7,743$4,483
Electro-Uroflowmetry - First 51741)$413$235$136$902$514$298
Wrist Endoscopy/Surgery 29848)$4,675$2,665$1,543$10,247$5,841$3,381
Removal of Adenoids 42830)$4,827$2,751$1,593$5,255$2,995$1,734
Electronic analysis of implantable pump spine w/reprogram/refill 62369)$4,164$2,374$1,374$9,341$5,324$3,082
Removal of Central Venous Device w Port or Pump 36590)$5,030$2,867$1,660$12,131$6,914$4,003
Insertion of Central Venous Catheter >= 5 years 36569)$3,661$2,087$1,208$5,954$3,394$1,965
Removal of Breast Lesion 19120)$7,296$4,159$2,408$11,227$6,400$3,705
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.