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

Charges for 75 Most Common Hospitalizations in Wisconsin:  January 2014 - December 2014
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$4,588$2,707$1,560
2560Vaginal DeliveryNRNRNR
3720Blood Infection/Septicemia$11,504$6,787$3,911
4302Knee Replacement$32,973$19,454$11,211
5540Cesarean DeliveryNRNRNR
6194Heart Failure$10,692$6,308$3,635
7139Pneumonia$8,898$5,250$3,025
8301Hip Replacement$41,092$24,244$13,971
9751Psychoses$9,974$5,885$3,391
10753Bipolar Disorders$9,701$5,724$3,298
11140Chronic Obstructive Pulmonary Disease$13,139$7,752$4,467
12201Heart Abnormal Rhythm and Conduction Disorders$14,895$8,788$5,064
13775Alcohol Abuse/Dependence$9,010$5,316$3,063
14383Cellulitis and Other Bacterial Skin Infections$10,294$6,073$3,500
15460Renal Failure$20,113$11,867$6,838
16045Stroke and Precerebral Occlusion with Infarct$23,256$13,721$7,907
17463Kidney/Urinary Tract Infection$10,154$5,991$3,452
18860Rehabilitation$27,012$15,937$9,184
19221Major Bowel Procedures$40,418$23,847$13,742
20133Pulmonary Edema/Respiratory Failure$20,815$12,281$7,077
21750Schizophrenia$17,424$10,280$5,924
22174Angioplasty with Heart Attack$48,033$28,339$16,331
23254Other Digestive System Diagnoses$11,208$6,613$3,811
24247Intestinal Obstruction without Surgery$14,283$8,427$4,856
25282Disorders of Pancreas Except Malignancy$10,357$6,111$3,521
26420Diabetes$9,826$5,797$3,341
27754Depression$7,828$4,619$2,662
28249Gastroenteritis$11,832$6,981$4,023
29304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$56,694$33,449$19,276
30053Seizure$13,282$7,836$4,516
31137Respiratory Infections and Inflammations$16,563$9,772$5,631
32812Poisoning of Medicinal Agents$9,899$5,840$3,366
33308Hip/Thigh Surgery with Trauma Diagnosis$36,773$21,696$12,503
34134Pulmonary Embolism$10,983$6,480$3,734
35175Angioplasty without Heart Attack$53,842$31,767$18,306
36190Circulatory Disorders with Heart Attack$21,769$12,844$7,401
37173Other Vascular Procedures$57,025$33,645$19,389
38263Laparoscopic Cholecystectomy$26,249$15,487$8,925
39347Other Back/Neck Disorders, Fractures, Injuries$21,445$12,653$7,291
40244Diverticulitis & Diverticulosis$10,831$6,390$3,683
41425Other Electrolyte Disorders$9,543$5,630$3,245
42861Signs & Symptoms$11,706$6,907$3,980
43241Peptic Ulcer/Gastritis$11,452$6,757$3,894
44315Shoulder/Upper Arm, Forearm Surgery$22,363$13,194$7,603
45313Other Knee/Lower Leg Surgery$37,145$21,916$12,629
46253Other and Unspecified Gastrointestinal Hemorrhage$17,473$10,309$5,941
47141Asthma$11,178$6,595$3,801
48351Other Musculoskeletal System and Connective Tissue Diagnoses$15,199$8,967$5,168
49663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$10,698$6,312$3,637
50248Major G.I. Bacterial Infections$14,160$8,354$4,814
51773Opioid Abuse/Dependence$7,473$4,409$2,541
52191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$27,227$16,064$9,257
53710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
54024Extracranial Vascular Procedures$46,309$27,322$15,745
55693Chemotherapy$20,982$12,379$7,134
56466Malfunction, reaction, complic of genitourinary device or proc$7,397$4,364$2,515
57321Upper Spinal Fusion$36,516$21,544$12,415
58225Appendectomy$24,170$14,260$8,218
59721Postoperative and Post-Traumatic Infections$12,516$7,384$4,255
60197Peripheral and Other Vascular Disorders$11,809$6,967$4,015
61144Respiratory System Signs, Symptoms and Minor Diagnoses$6,956$4,104$2,365
62192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$21,190$12,502$7,205
63021Craniotomy Except For Trauma$68,657$40,508$23,343
64566Other Antepartum Diagnoses$8,936$5,272$3,038
65204Fainting and Collapse$14,260$8,413$4,848
66163Heart Valve Procedures without Cardiac Catheterization$102,671$60,576$34,908
67143Other respiratory diagnoses except signs, symptoms & minor diagnoses$11,650$6,874$3,961
68052Nontraumatic stupor & coma$14,484$8,546$4,925
69113Epiglottitis, Ear Infection, URI and Laryngotracheitis$10,063$5,937$3,421
70310Back/Neck Procedures Except Dorsal and Lumbar Fusion$24,366$14,376$8,284
71660Major hematologic/immunologic diag exc sickle cell crisis & coagul$9,388$5,539$3,192
72198Chest Pain with Angina Pectoris or Coronary Atherosclerosis$11,451$6,756$3,893
73755Neuroses Other Than Depression$5,028$2,967$1,710
74055Head trauma w coma >1 hr or hemorrhage$22,157$13,073$7,533
75422Hypovolemia$7,968$4,701$2,709
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:  January 2014 - December 2014
 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)$6,995$4,127$2,378$12,407$7,320$4,218
Colonoscopy and Biopsy 45380)$3,769$2,223$1,281$3,454$2,038$1,174
Upper GI Endoscopy with Biopsy 43239)$2,877$1,697$978$4,672$2,756$1,588
Diagnostic Colonoscopy 45378)$2,864$1,690$974$2,480$1,463$843
Lesion Removal Colonoscopy by Snare Technique 45385)$3,637$2,146$1,237$5,412$3,193$1,840
Injection into Lumbar or Sacral Area, Single Level 64483)$1,488$878$506$1,425$841$484
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$2,079$1,227$707$3,741$2,207$1,272
Drain/Inject Major Joint or Bursa 20610)$1,157$683$393$1,136$670$386
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$3,136$1,850$1,066$2,724$1,607$926
Carpal Tunnel Surgery 64721)$3,475$2,050$1,181$3,833$2,261$1,303
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$7,100$4,189$2,414$18,359$10,832$6,242
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$3,177$1,875$1,080$2,727$1,609$927
Uppr GI Endoscopy- Diagnostic 43235)$2,288$1,350$778$2,928$1,728$996
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)NRNRNR$7,397$4,364$2,515
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Left Heart Artery/Ventricle Angiography 93458)$15,972$9,423$5,430$21,448$12,655$7,292
Creation of Eardrum Opening 69436)$2,335$1,377$794$5,611$3,311$1,908
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$1,938$1,143$659$1,919$1,132$652
Laparoscopic Cholecystectomy 47562)$12,952$7,642$4,404$15,337$9,049$5,215
Unlisted Dental Surgery Procedure 41899)$8,607$5,078$2,926$9,519$5,616$3,236
After Cataract Laser Surgery 66821)$737$435$251$633$373$215
Removal of Tonsils And Adenoids - < Age 12 42820)$6,988$4,123$2,376$7,383$4,356$2,510
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$10,585$6,245$3,599$9,791$5,777$3,329
Cataract Surgery- Complex 66982)$8,443$4,981$2,871$14,401$8,497$4,896
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$16,789$9,906$5,708
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$3,373$1,990$1,147$3,929$2,318$1,336
Hysteroscopy with Biopsy 58558)$6,120$3,611$2,081$9,586$5,656$3,259
ABD Paracentesis w/Imaging 49083)$2,227$1,314$757$2,229$1,315$758
Unlisted Cystourethoscopy 52000)$885$522$301$767$453$261
Esophageal Endoscopy with Dilation 43249)$3,492$2,060$1,187$3,345$1,974$1,137
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$11,993$7,076$4,078$13,983$8,250$4,754
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$8,539$5,038$2,903$12,248$7,226$4,164
Incision of Finger Tendon Sheath 26055)$3,001$1,770$1,020$4,384$2,587$1,491
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$778$459$265$1,101$650$374
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$7,813$4,610$2,656$17,653$10,415$6,002
Cystourethroscopy with Lithotripsy and Stent 52356)$10,021$5,912$3,407$10,579$6,242$3,597
Uppr GI Endoscopy with Guide Wire 43248)$5,038$2,973$1,713$3,057$1,804$1,039
Destruction of Premalignant Lesion 17000)$216$127$73$316$186$107
Destruction of Benign Lesions up to 14 Lesions 17110)$214$126$73$216$127$73
Laparoscopic Hernia Repair - Initial 49650)$12,310$7,263$4,185$13,408$7,911$4,559
Biopsy breast w/stereotactic image; 1 lesion 19081)$3,884$2,292$1,321$4,264$2,516$1,450
Laparoscopic Appendectomy 44970)$21,924$12,935$7,454$20,972$12,373$7,130
Cystourethroscopy with Stent 52332)$7,053$4,161$2,398$8,615$5,083$2,929
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Repair of Nasal Septum 30520)$10,159$5,994$3,454$13,107$7,733$4,456
Low Back Disk Surgery 63030)$12,259$7,233$4,168$15,384$9,077$5,231
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$7,860$4,637$2,672$16,190$9,552$5,505
Removal of Tonsils 42826)$7,825$4,617$2,661$12,179$7,186$4,141
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$17,040$10,053$5,793$18,534$10,935$6,301
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$609$359$207$569$336$193
Coronary Artery Angio S&I 93454)NRNRNR$34,036$20,081$11,572
Mastectomy, Partial 19301)$7,657$4,518$2,603$18,284$10,787$6,216
Hysteroscopy with Ablation 58563)$8,292$4,892$2,819NRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Remove Impacted Ear Wax 69210)$256$151$87$247$146$84
Needle Biopsy of Liver 47000)$3,334$1,967$1,134$6,421$3,788$2,183
Colonoscopy with Lesion Removal 45383)$3,710$2,189$1,261$6,567$3,875$2,233
Bone Marrow Biopsy 38221)$7,620$4,496$2,591$8,602$5,075$2,925
Laparoscopy - Removal of Adnexal Structures 58661)$15,172$8,952$5,159$16,511$9,741$5,614
Correction of Bunion 28296)$6,853$4,043$2,330NRNRNR
Electro-Uroflowmetry - First 51741)$517$305$176$933$551$317
Laparoscopy, Removal of Tubes & Ovaries 58571)$38,558$22,749$13,110$56,056$33,073$19,059
Debridement Skin/Tissue 11042)$5,571$3,287$1,894$5,017$2,960$1,706
Mohs Micrographic Tissue Removal 17311)$523$309$178$1,175$693$400
Aspirate Pleura with Imaging 32555)$2,179$1,286$741$2,301$1,358$782
Right and Left Heart Artery/Ventricle Angiography 93460)$17,129$10,106$5,824$24,493$14,451$8,328
Wrist Endoscopy/Surgery 29848)$4,299$2,537$1,462$5,488$3,238$1,866
Removal of Breast Lesion 19120)$7,154$4,221$2,432$8,400$4,956$2,856
Diagnostic Laryngoscopy 31575)$446$263$152$430$254$146
Insertion of Central Venous Catheter >= 5 years 36569)$3,564$2,103$1,212$3,677$2,169$1,250
Removal of Central Venous Device w Port or Pump 36590)$4,961$2,927$1,687$4,416$2,605$1,501
Shoulder Arthroscopy/Surgery 29824)NRNRNR$13,660$8,060$4,645
Electronic analysis of implantable pump spine w/reprogram/refill 62369)$4,164$2,457$1,416$4,161$2,455$1,415
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNR$30,187$17,811$10,264
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.