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$3,503$2,028
2560Vaginal DeliveryNRNRNR
3720Blood Infection/Septicemia$13,543$7,720$4,469
4302Knee Replacement$34,238$19,516$11,299
5540Cesarean DeliveryNRNRNR
6194Heart Failure$15,199$8,663$5,016
7301Hip Replacement$43,414$24,746$14,327
8139Pneumonia$9,384$5,349$3,097
9751Psychoses$8,938$5,095$2,950
10753Bipolar Disorders$10,721$6,111$3,538
11140Chronic Obstructive Pulmonary Disease$11,836$6,747$3,906
12775Alcohol Abuse/Dependence$9,185$5,235$3,031
13201Heart Abnormal Rhythm and Conduction Disorders$14,775$8,422$4,876
14383Cellulitis and Other Bacterial Skin Infections$10,620$6,053$3,505
15460Renal Failure$14,689$8,373$4,847
16045Stroke and Precerebral Occlusion with Infarct$26,613$15,169$8,782
17133Pulmonary Edema/Respiratory Failure$14,044$8,005$4,635
18463Kidney/Urinary Tract Infection$11,835$6,746$3,906
19221Major Bowel Procedures$39,148$22,314$12,919
20174Angioplasty with Heart Attack$47,886$27,295$15,802
21754Depression$8,436$4,809$2,784
22247Intestinal Obstruction without Surgery$13,785$7,857$4,549
23750Schizophrenia$11,058$6,303$3,649
24420Diabetes$11,101$6,328$3,663
25282Disorders of Pancreas Except Malignancy$13,025$7,424$4,298
26254Other Digestive System Diagnoses$12,166$6,935$4,015
27812Poisoning of Medicinal Agents$9,140$5,210$3,016
28304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$62,737$35,760$20,703
29053Seizure$13,716$7,818$4,526
30137Respiratory Infections and Inflammations$13,775$7,852$4,546
31173Other Vascular Procedures$66,797$38,074$22,043
32249Gastroenteritis$10,480$5,974$3,458
33190Circulatory Disorders with Heart Attack$24,609$14,027$8,121
34134Pulmonary Embolism$15,220$8,675$5,023
35308Hip/Thigh Surgery with Trauma Diagnosis$43,986$25,072$14,515
36263Laparoscopic Cholecystectomy$33,481$19,084$11,049
37315Shoulder/Upper Arm, Forearm Surgery$34,738$19,801$11,464
38244Diverticulitis & Diverticulosis$15,958$9,096$5,266
39710Infectious & parasitic diseases including HIV w O.R. procedure$41,950$23,912$13,844
40773Opioid Abuse/Dependence$11,416$6,507$3,767
41860Rehabilitation$26,194$14,931$8,644
42175Angioplasty without Heart Attack$53,248$30,351$17,572
43861Signs & Symptoms$15,437$8,799$5,094
44425Other Electrolyte Disorders$11,807$6,730$3,896
45347Other Back/Neck Disorders, Fractures, Injuries$21,332$12,159$7,040
46241Peptic Ulcer/Gastritis$13,761$7,844$4,541
47253Other and Unspecified Gastrointestinal Hemorrhage$11,041$6,293$3,644
48313Other Knee/Lower Leg Surgery$43,054$24,541$14,208
49191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$27,148$15,474$8,959
50351Other Musculoskeletal System and Connective Tissue Diagnoses$13,811$7,872$4,558
51058Other Disorders of Nervous System$21,630$12,329$7,138
52248Major G.I. Bacterial Infections$13,941$7,946$4,601
53024Extracranial Vascular Procedures$57,700$32,889$19,041
54466Malfunction, reaction, complic of genitourinary device or proc$9,480$5,404$3,128
55663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$15,374$8,763$5,073
56141Asthma$11,644$6,637$3,843
57693Chemotherapy$26,150$14,906$8,630
58721Postoperative and Post-Traumatic Infections$15,670$8,932$5,171
59321Upper Spinal Fusion$38,016$21,669$12,545
60197Peripheral and Other Vascular Disorders$17,604$10,034$5,809
61021Craniotomy Except For Trauma$71,805$40,929$23,696
62225Appendectomy$27,102$15,448$8,944
63566Other Antepartum Diagnoses$11,515$6,564$3,800
64055Head trauma w coma >1 hr or hemorrhage$23,597$13,450$7,787
65755Neuroses Other Than Depression$6,397$3,646$2,111
66052Nontraumatic stupor & coma$17,116$9,756$5,648
67192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$22,901$13,054$7,557
68163Heart Valve Procedures without Cardiac Catheterization$106,246$60,560$35,061
69144Respiratory System Signs, Symptoms and Minor Diagnoses$12,687$7,232$4,187
70143Other respiratory diagnoses except signs, symptoms & minor diagnoses$10,681$6,088$3,525
71422Hypovolemia$9,295$5,298$3,067
72204Fainting and Collapse$19,784$11,277$6,529
73951Moderately Extensive Procedure Unrelated to Diagnosis$28,738$16,381$9,484
74639Neonate Birthwt >2499g with Other Significant Condition$46,023$26,233$15,188
75756Acute Adjust React Psychosocial Dysfunction$11,430$6,515$3,772
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$3,833$2,219$13,439$7,660$4,435
Colonoscopy and Biopsy 45380)$3,891$2,218$1,284$6,962$3,968$2,298
Upper GI Endoscopy with Biopsy 43239)$3,063$1,746$1,011$6,414$3,656$2,117
Lesion Removal Colonoscopy by Snare Technique 45385)$3,762$2,144$1,241$6,804$3,878$2,245
Diagnostic Colonoscopy 45378)$3,022$1,722$997$7,567$4,313$2,497
Injection into Lumbar or Sacral Area, Single Level 64483)$1,591$907$525$2,940$1,676$970
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$2,027$1,155$669$3,788$2,159$1,250
Drain/Inject Major Joint or Bursa 20610)$1,074$612$354$1,918$1,093$633
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$3,344$1,906$1,104NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$3,338$1,903$1,102NRNRNR
Carpal Tunnel Surgery 64721)$3,142$1,791$1,037$16,717$9,529$5,517
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$7,771$4,429$2,564$20,060$11,434$6,620
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$2,660$1,516$878$5,543$3,160$1,829
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)NRNRNR$6,949$3,961$2,293
Left Heart Artery/Ventricle Angiography 93458)$15,920$9,074$5,254$23,187$13,217$7,652
Creation of Eardrum Opening 69436)$2,681$1,528$885$15,437$8,799$5,094
Unlisted Dental Surgery Procedure 41899)$9,103$5,189$3,004$12,466$7,106$4,114
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$3,748$2,136$1,237$2,820$1,608$931
Laparoscopic Cholecystectomy 47562)$13,158$7,500$4,342$14,396$8,206$4,751
After Cataract Laser Surgery 66821)$858$489$283$1,059$603$349
ABD Paracentesis w/Imaging 49083)$2,377$1,355$784$6,234$3,553$2,057
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$2,989$1,704$986$8,529$4,861$2,814
Cataract Surgery- Complex 66982)$9,341$5,324$3,082$15,458$8,811$5,101
Removal of Tonsils And Adenoids - < Age 12 42820)$7,170$4,087$2,366$7,906$4,507$2,609
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$17,188$9,797$5,672
Hysteroscopy with Biopsy 58558)$7,159$4,081$2,363$10,180$5,802$3,359
Esophageal Endoscopy with Dilation 43249)$3,909$2,228$1,290$7,228$4,120$2,385
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$684$390$226$1,530$872$505
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$10,923$6,226$3,604$11,255$6,416$3,714
Incision of Finger Tendon Sheath 26055)$2,764$1,575$912$4,066$2,318$1,342
Unlisted Cystourethoscopy 52000)$1,016$579$335$8,635$4,922$2,849
Cystourethroscopy with Lithotripsy and Stent 52356)$10,499$5,984$3,465$21,354$12,172$7,047
Laparoscopic Hernia Repair - Initial 49650)$12,408$7,073$4,095$15,934$9,082$5,258
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$8,478$4,832$2,798$12,040$6,863$3,973
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$14,433$8,227$4,763$10,308$5,876$3,402
Uppr GI Endoscopy with Guide Wire 43248)$4,296$2,449$1,418$7,228$4,120$2,385
Destruction of Premalignant Lesion 17000)$216$123$71$372$212$123
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$8,404$4,790$2,773$20,314$11,579$6,704
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$20,582$11,732$6,792$18,751$10,688$6,188
Destruction of Benign Lesions up to 14 Lesions 17110)$222$127$73$435$248$144
Biopsy breast w/stereotactic image; 1 lesion 19081)$4,237$2,415$1,398$8,987$5,122$2,966
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$664$378$219$1,600$912$528
Removal of Tonsils 42826)$8,574$4,887$2,829$19,243$10,968$6,350
Cystourethroscopy with Stent 52332)$6,500$3,705$2,145$10,928$6,229$3,606
Repair of Nasal Septum 30520)$10,251$5,843$3,383$15,631$8,909$5,158
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$18,313$10,438$6,043$19,488$11,108$6,431
Low Back Disk Surgery 63030)$12,829$7,313$4,234$16,906$9,636$5,579
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$7,564$4,311$2,496$14,981$8,539$4,944
Laparoscopy - Removal of Adnexal Structures 58661)$17,259$9,838$5,696$17,746$10,115$5,856
Mastectomy, Partial 19301)$8,232$4,692$2,717$18,442$10,512$6,086
Needle Biopsy of Liver 47000)$3,718$2,119$1,227$5,849$3,334$1,930
Debridement Skin/Tissue 11042)$1,636$933$540$10,235$5,834$3,378
Laparoscopy, Removal of Tubes & Ovaries 58571)$29,859$17,019$9,853$34,846$19,862$11,499
Coronary Artery Angio S&I 93454)NRNRNR$33,077$18,854$10,915
Aspirate Pleura with Imaging 32555)$2,328$1,327$768$4,282$2,440$1,413
Remove Impacted Ear Wax 69210)$256$146$84$421$240$139
Hysteroscopy with Ablation 58563)NRNRNRNRNRNR
Diagnostic Laryngoscopy 31575)$503$287$166$1,562$890$515
Debridement, Open Wound <= 20 Square Centimeters 97597)$5,235$2,984$1,727$7,068$4,029$2,332
Apheresis Plasma 36514)NRNRNRNRNRNR
Wrist Endoscopy/Surgery 29848)$4,538$2,587$1,498$7,096$4,045$2,342
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNR$20,505$11,688$6,767
Shoulder Arthroscopy/Surgery 29824)$11,438$6,520$3,774$13,198$7,523$4,355
Right and Left Heart Artery/Ventricle Angiography 93460)$17,337$9,882$5,721$24,826$14,151$8,193
Bone Marrow Biopsy 38221)$5,961$3,398$1,967$8,618$4,912$2,844
Correction of Bunion 28296)$8,156$4,649$2,692$15,766$8,986$5,203
Electro-Uroflowmetry - First 51741)$423$241$139$968$552$320
Removal of Adenoids 42830)$4,732$2,697$1,562$5,311$3,028$1,753
Ablation therapy of first vein of extremity 36475)NRNRNRNRNRNR
Electronic analysis of implantable pump spine w/reprogram/refill 62369)$4,164$2,374$1,374$11,179$6,372$3,689
Biopsy of lung or mediastinum, percutaneous w/needle 32405)$4,939$2,815$1,630$10,392$5,923$3,429
Removal of Central Venous Device w Port or Pump 36590)$5,209$2,969$1,719$11,909$6,788$3,930
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.