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

Charges for 75 Most Common Hospitalizations in Wisconsin:  April 2014 - March 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$33,016$18,819$10,895
5540Cesarean DeliveryNRNRNR
6194Heart Failure$11,667$6,650$3,850
7139Pneumonia$9,068$5,169$2,992
8301Hip Replacement$40,969$23,352$13,520
9751Psychoses$10,399$5,927$3,432
10753Bipolar Disorders$9,872$5,627$3,258
11140Chronic Obstructive Pulmonary Disease$14,060$8,014$4,640
12201Heart Abnormal Rhythm and Conduction Disorders$14,918$8,503$4,923
13775Alcohol Abuse/Dependence$9,576$5,458$3,160
14383Cellulitis and Other Bacterial Skin Infections$10,578$6,029$3,491
15460Renal Failure$14,730$8,396$4,861
16045Stroke and Precerebral Occlusion with Infarct$22,010$12,546$7,263
17463Kidney/Urinary Tract Infection$10,166$5,795$3,355
18860Rehabilitation$27,693$15,785$9,139
19221Major Bowel Procedures$41,608$23,717$13,731
20133Pulmonary Edema/Respiratory Failure$20,815$11,865$6,869
21750Schizophrenia$11,119$6,338$3,669
22174Angioplasty with Heart Attack$49,135$28,007$16,215
23254Other Digestive System Diagnoses$10,199$5,813$3,366
24247Intestinal Obstruction without Surgery$15,670$8,932$5,171
25282Disorders of Pancreas Except Malignancy$10,292$5,866$3,396
26420Diabetes$9,014$5,138$2,975
27249Gastroenteritis$10,091$5,752$3,330
28754Depression$8,758$4,992$2,890
29053Seizure$12,844$7,321$4,239
30304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$57,227$32,619$18,885
31812Poisoning of Medicinal Agents$8,383$4,778$2,766
32137Respiratory Infections and Inflammations$16,681$9,508$5,505
33134Pulmonary Embolism$12,210$6,960$4,029
34190Circulatory Disorders with Heart Attack$21,769$12,408$7,184
35308Hip/Thigh Surgery with Trauma Diagnosis$37,025$21,104$12,218
36173Other Vascular Procedures$58,888$33,566$19,433
37175Angioplasty without Heart Attack$56,688$32,312$18,707
38263Laparoscopic Cholecystectomy$28,128$16,033$9,282
39425Other Electrolyte Disorders$9,673$5,514$3,192
40244Diverticulitis & Diverticulosis$10,759$6,133$3,550
41347Other Back/Neck Disorders, Fractures, Injuries$21,568$12,294$7,117
42861Signs & Symptoms$11,358$6,474$3,748
43241Peptic Ulcer/Gastritis$13,091$7,462$4,320
44315Shoulder/Upper Arm, Forearm Surgery$25,193$14,360$8,314
45253Other and Unspecified Gastrointestinal Hemorrhage$18,508$10,550$6,108
46313Other Knee/Lower Leg Surgery$37,645$21,458$12,423
47141Asthma$11,101$6,328$3,663
48351Other Musculoskeletal System and Connective Tissue Diagnoses$14,010$7,986$4,623
49663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$11,470$6,538$3,785
50773Opioid Abuse/Dependence$7,473$4,260$2,466
51248Major G.I. Bacterial Infections$18,028$10,276$5,949
52710Infectious & parasitic diseases including HIV w O.R. procedure$26,997$15,388$8,909
53191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$26,676$15,205$8,803
54693Chemotherapy$21,727$12,384$7,170
55466Malfunction, reaction, complic of genitourinary device or proc$7,397$4,216$2,441
56113Epiglottitis, Ear Infection, URI and Laryngotracheitis$10,175$5,800$3,358
57024Extracranial Vascular Procedures$52,685$30,030$17,386
58321Upper Spinal Fusion$35,755$20,380$11,799
59721Postoperative and Post-Traumatic Infections$11,849$6,754$3,910
60144Respiratory System Signs, Symptoms and Minor Diagnoses$7,052$4,020$2,327
61225Appendectomy$23,877$13,610$7,879
62197Peripheral and Other Vascular Disorders$10,969$6,252$3,620
63021Craniotomy Except For Trauma$72,060$41,074$23,780
64192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$22,877$13,040$7,549
65566Other Antepartum Diagnoses$8,475$4,831$2,797
66163Heart Valve Procedures without Cardiac Catheterization$109,724$62,543$36,209
67204Fainting and Collapse$14,260$8,128$4,706
68143Other respiratory diagnoses except signs, symptoms & minor diagnoses$11,473$6,540$3,786
69052Nontraumatic stupor & coma$12,574$7,167$4,149
70055Head trauma w coma >1 hr or hemorrhage$19,032$10,848$6,281
71755Neuroses Other Than Depression$6,606$3,765$2,180
72310Back/Neck Procedures Except Dorsal and Lumbar Fusion$24,308$13,856$8,022
73660Major hematologic/immunologic diag exc sickle cell crisis & coagul$10,805$6,159$3,566
74198Chest Pain with Angina Pectoris or Coronary Atherosclerosis$10,137$5,778$3,345
75422Hypovolemia$7,797$4,444$2,573
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 2014 - March 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)$6,986$3,982$2,305$13,050$7,438$4,306
Colonoscopy and Biopsy 45380)$3,776$2,152$1,246$5,749$3,277$1,897
Upper GI Endoscopy with Biopsy 43239)$2,827$1,612$933$5,458$3,111$1,801
Lesion Removal Colonoscopy by Snare Technique 45385)$3,626$2,067$1,197$5,374$3,063$1,773
Diagnostic Colonoscopy 45378)$2,869$1,635$947$2,457$1,400$811
Injection into Lumbar or Sacral Area, Single Level 64483)$1,488$848$491$1,425$812$470
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$3,907$2,227$1,289$3,884$2,214$1,282
Drain/Inject Major Joint or Bursa 20610)$1,098$626$362$1,243$709$410
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$3,150$1,796$1,040$2,695$1,536$889
Carpal Tunnel Surgery 64721)$3,344$1,906$1,103$5,295$3,018$1,747
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$7,112$4,054$2,347$18,359$10,464$6,058
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$3,168$1,806$1,045$2,699$1,538$891
Uppr GI Endoscopy- Diagnostic 43235)$2,292$1,306$756$4,366$2,488$1,441
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)NRNRNR$7,397$4,216$2,441
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Left Heart Artery/Ventricle Angiography 93458)$15,973$9,105$5,271$21,604$12,314$7,129
Creation of Eardrum Opening 69436)$2,460$1,402$812$5,378$3,065$1,775
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$1,954$1,114$645$1,919$1,094$633
Laparoscopic Cholecystectomy 47562)$12,544$7,150$4,139$15,472$8,819$5,106
Unlisted Dental Surgery Procedure 41899)$8,799$5,016$2,904$10,116$5,766$3,338
After Cataract Laser Surgery 66821)$737$420$243$633$361$209
Removal of Tonsils And Adenoids - < Age 12 42820)$7,003$3,992$2,311$8,153$4,647$2,690
Cataract Surgery- Complex 66982)$8,643$4,927$2,852$14,168$8,076$4,675
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$3,312$1,888$1,093$4,928$2,809$1,626
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$10,585$6,034$3,493$9,463$5,394$3,123
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$15,988$9,113$5,276
Hysteroscopy with Biopsy 58558)$6,069$3,459$2,003$10,278$5,858$3,392
ABD Paracentesis w/Imaging 49083)$2,185$1,245$721$2,308$1,316$762
Unlisted Cystourethoscopy 52000)$885$504$292$767$437$253
Esophageal Endoscopy with Dilation 43249)$3,492$1,990$1,152$3,445$1,964$1,137
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$781$445$258$1,265$721$417
Incision of Finger Tendon Sheath 26055)$2,948$1,681$973$4,384$2,499$1,447
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$8,511$4,852$2,809$15,857$9,039$5,233
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$13,180$7,513$4,349$13,983$7,970$4,614
Cystourethroscopy with Lithotripsy and Stent 52356)$10,620$6,053$3,505$9,154$5,218$3,021
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$8,043$4,585$2,654$17,653$10,062$5,825
Laparoscopic Hernia Repair - Initial 49650)$12,412$7,075$4,096$14,119$8,048$4,659
Uppr GI Endoscopy with Guide Wire 43248)$4,745$2,705$1,566$3,057$1,743$1,009
Destruction of Benign Lesions up to 14 Lesions 17110)$214$122$71$216$123$71
Destruction of Premalignant Lesion 17000)$216$123$71$333$190$110
Biopsy breast w/stereotactic image; 1 lesion 19081)$3,884$2,214$1,282$6,155$3,508$2,031
Laparoscopic Appendectomy 44970)$22,243$12,678$7,340NRNRNR
Cystourethroscopy with Stent 52332)$7,184$4,095$2,371$9,456$5,390$3,120
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Low Back Disk Surgery 63030)$12,506$7,128$4,127$17,784$10,137$5,869
Repair of Nasal Septum 30520)$11,517$6,564$3,800$14,251$8,123$4,703
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$628$358$207$570$325$188
Removal of Tonsils 42826)$7,918$4,513$2,613$9,213$5,252$3,040
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$7,755$4,421$2,559$15,966$9,100$5,269
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$18,037$10,281$5,952$18,608$10,607$6,141
Mastectomy, Partial 19301)$7,657$4,364$2,527$19,226$10,959$6,344
Coronary Artery Angio S&I 93454)$17,884$10,194$5,902$34,906$19,897$11,519
Hysteroscopy with Ablation 58563)$7,351$4,190$2,426NRNRNR
Remove Impacted Ear Wax 69210)$256$146$84$247$141$82
Apheresis Plasma 36514)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$15,761$8,984$5,201$18,032$10,278$5,950
Needle Biopsy of Liver 47000)$3,445$1,963$1,137$7,689$4,383$2,537
Debridement Skin/Tissue 11042)$4,181$2,383$1,380$6,534$3,724$2,156
Laparoscopy, Removal of Tubes & Ovaries 58571)$28,221$16,086$9,313$56,056$31,952$18,498
Bone Marrow Biopsy 38221)$6,011$3,426$1,984$8,976$5,117$2,962
Correction of Bunion 28296)$7,365$4,198$2,431NRNRNR
Electro-Uroflowmetry - First 51741)$517$295$171$933$532$308
Aspirate Pleura with Imaging 32555)$2,357$1,343$778$2,558$1,458$844
Right and Left Heart Artery/Ventricle Angiography 93460)$17,165$9,784$5,665$24,887$14,186$8,213
Diagnostic Laryngoscopy 31575)$446$254$147$430$245$142
Mohs Micrographic Tissue Removal 17311)$523$298$173$1,173$668$387
Wrist Endoscopy/Surgery 29848)$4,570$2,605$1,508$5,488$3,128$1,811
Shoulder Arthroscopy/Surgery 29824)NRNRNR$13,917$7,932$4,592
Removal of Breast Lesion 19120)$6,954$3,964$2,295$7,076$4,033$2,335
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNR$20,046$11,426$6,615
Electronic analysis of implantable pump spine w/reprogram/refill 62369)$4,164$2,374$1,374$4,161$2,372$1,373
Removal of Central Venous Device w Port or Pump 36590)$4,891$2,788$1,614$4,329$2,468$1,429
Colonoscopy with Lesion Removal 45383)$3,710$2,115$1,224$6,567$3,743$2,167
Repair of Hammertoe 28285)$5,102$2,908$1,684$12,127$6,912$4,002
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.