Bellin Hospital
744 S Webster Ave, PO Box 23400
Green Bay, WI 54305
920-433-3500

Charges for 75 Most Common Hospitalizations in Wisconsin:  July 2013 - June 2014
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,152$1,399$689
2560Vaginal Delivery$5,612$3,648$1,796
3720Blood Infection/Septicemia$10,737$6,979$3,436
4302Knee Replacement$27,513$17,883$8,804
5540Cesarean Delivery$14,303$9,297$4,577
6194Heart Failure$9,271$6,026$2,967
7139Pneumonia$5,200$3,380$1,664
8301Hip Replacement$29,289$19,038$9,372
9751PsychosesNRNRNR
10753Bipolar DisordersNRNRNR
11140Chronic Obstructive Pulmonary Disease$9,663$6,281$3,092
12201Heart Abnormal Rhythm and Conduction Disorders$7,975$5,184$2,552
13383Cellulitis and Other Bacterial Skin Infections$11,695$7,602$3,742
14775Alcohol Abuse/Dependence$7,500$4,875$2,400
15460Renal FailureNRNRNR
16045Stroke and Precerebral Occlusion with Infarct$20,552$13,359$6,577
17463Kidney/Urinary Tract Infection$6,752$4,389$2,161
18860Rehabilitation$16,425$10,676$5,256
19221Major Bowel Procedures$47,163$30,656$15,092
20133Pulmonary Edema/Respiratory Failure$28,628$18,608$9,161
21750SchizophreniaNRNRNR
22174Angioplasty with Heart Attack$27,190$17,674$8,701
23254Other Digestive System Diagnoses$17,085$11,105$5,467
24247Intestinal Obstruction without Surgery$13,193$8,575$4,222
25420Diabetes$4,068$2,644$1,302
26282Disorders of Pancreas Except Malignancy$14,525$9,441$4,648
27754DepressionNRNRNR
28249Gastroenteritis$8,151$5,298$2,608
29304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$51,343$33,373$16,430
30812Poisoning of Medicinal Agents$7,849$5,102$2,512
31175Angioplasty without Heart Attack$30,527$19,843$9,769
32053Seizure$10,079$6,551$3,225
33137Respiratory Infections and InflammationsNRNRNR
34308Hip/Thigh Surgery with Trauma Diagnosis$26,092$16,960$8,349
35263Laparoscopic Cholecystectomy$29,005$18,853$9,282
36134Pulmonary Embolism$8,810$5,727$2,819
37173Other Vascular Procedures$56,067$36,444$17,941
38190Circulatory Disorders with Heart Attack$14,266$9,273$4,565
39347Other Back/Neck Disorders, Fractures, Injuries$7,921$5,149$2,535
40244Diverticulitis & Diverticulosis$10,492$6,820$3,357
41425Other Electrolyte Disorders$7,138$4,640$2,284
42315Shoulder/Upper Arm, Forearm Surgery$24,603$15,992$7,873
43241Peptic Ulcer/Gastritis$15,220$9,893$4,870
44861Signs & Symptoms$13,439$8,735$4,300
45313Other Knee/Lower Leg Surgery$22,120$14,378$7,078
46253Other and Unspecified Gastrointestinal Hemorrhage$10,984$7,140$3,515
47351Other Musculoskeletal System and Connective Tissue Diagnoses$1,138$740$364
48663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$14,409$9,366$4,611
49225Appendectomy$20,981$13,638$6,714
50248Major G.I. Bacterial InfectionsNRNRNR
51191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$15,437$10,034$4,940
52141Asthma$8,637$5,614$2,764
53024Extracranial Vascular Procedures$25,171$16,361$8,055
54192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$14,298$9,294$4,575
55721Postoperative and Post-Traumatic Infections$19,273$12,527$6,167
56321Upper Spinal Fusion$32,161$20,905$10,292
57197Peripheral and Other Vascular Disorders$2,357$1,532$754
58773Opioid Abuse/DependenceNRNRNR
59693Chemotherapy$17,999$11,699$5,760
60710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
61204Fainting and Collapse$11,328$7,363$3,625
62466Malfunction, reaction, complic of genitourinary device or procNRNRNR
63566Other Antepartum Diagnoses$1,245$809$398
64021Craniotomy Except For Trauma$35,470$23,056$11,350
65198Chest Pain with Angina Pectoris or Coronary Atherosclerosis$6,650$4,323$2,128
66144Respiratory System Signs, Symptoms and Minor Diagnoses$15,333$9,966$4,907
67310Back/Neck Procedures Except Dorsal and Lumbar Fusion$20,998$13,649$6,719
68163Heart Valve Procedures without Cardiac Catheterization$80,228$52,148$25,673
69143Other respiratory diagnoses except signs, symptoms & minor diagnoses$4,006$2,604$1,282
70052Nontraumatic stupor & coma$13,490$8,769$4,317
71513Uterine Procedures without Tumor$27,751$18,038$8,880
72422HypovolemiaNRNRNR
73755Neuroses Other Than DepressionNRNRNR
74055Head trauma w coma >1 hr or hemorrhage$10,005$6,503$3,202
75165Coronary Bypass with Cardiac Catheterization$83,341$54,172$26,669

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:  July 2013 - June 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)$5,029$3,269$1,609NRNRNR
Colonoscopy and Biopsy 45380)$3,065$1,992$981$4,555$2,961$1,457
Upper GI Endoscopy with Biopsy 43239)$2,633$1,711$842$4,904$3,188$1,569
Diagnostic Colonoscopy 45378)$2,383$1,549$762$4,364$2,836$1,396
Lesion Removal Colonoscopy by Snare Technique 45385)$3,172$2,062$1,015$3,528$2,293$1,129
Injection into Lumbar or Sacral Area, Single Level 64483)$1,879$1,222$601$2,300$1,495$736
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$983$639$315$1,440$936$461
Drain/Inject Major Joint or Bursa 20610)$1,212$788$388$2,808$1,825$899
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$2,378$1,546$761NRNRNR
Carpal Tunnel Surgery 64721)$4,232$2,751$1,354$4,767$3,098$1,525
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$8,023$5,215$2,567$13,048$8,481$4,175
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$2,354$1,530$753NRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$2,084$1,355$667$4,287$2,786$1,372
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$2,976$1,935$952$4,605$2,993$1,474
Left Heart Artery/Ventricle Angiography 93458)$9,897$6,433$3,167$16,571$10,771$5,303
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)$4,210$2,737$1,347$5,122$3,329$1,639
Creation of Eardrum Opening 69436)$2,567$1,668$821$2,633$1,711$842
Unlisted Dental Surgery Procedure 41899)$8,306$5,399$2,658NRNRNR
Laparoscopic Cholecystectomy 47562)$12,156$7,902$3,890$14,851$9,653$4,752
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$1,554$1,010$497$2,131$1,385$682
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$5,250$3,413$1,680$5,946$3,865$1,903
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$8,607$5,594$2,754$11,286$7,336$3,612
Arthroscopic Rotator Cuff Repair 29827)$18,145$11,794$5,806$17,917$11,646$5,734
Cataract Surgery- Complex 66982)NRNRNRNRNRNR
Hysteroscopy with Biopsy 58558)$11,117$7,226$3,557$11,650$7,572$3,728
Unlisted Cystourethoscopy 52000)$4,724$3,071$1,512$16,793$10,915$5,374
Esophageal Endoscopy with Dilation 43249)$2,546$1,655$815$4,547$2,956$1,455
ABD Paracentesis w/Imaging 49083)$2,278$1,481$729$4,692$3,050$1,502
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$12,429$8,079$3,977$17,218$11,192$5,510
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$8,024$5,216$2,568$16,212$10,538$5,188
Incision of Finger Tendon Sheath 26055)$4,083$2,654$1,306$5,154$3,350$1,649
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$8,883$5,774$2,842$11,570$7,520$3,702
Uppr GI Endoscopy with Guide Wire 43248)$2,318$1,506$742$4,152$2,699$1,329
Destruction of Benign Lesions up to 14 Lesions 17110)$5,362$3,485$1,716NRNRNR
Laparoscopic Hernia Repair - Initial 49650)$13,433$8,731$4,298$13,801$8,970$4,416
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$939$610$300$1,385$900$443
Repair of Nasal Septum 30520)$5,903$3,837$1,889$7,310$4,751$2,339
Percutaneous Breast Biopsy with Device and Imaging 19103)$4,526$2,942$1,448$5,997$3,898$1,919
Cystourethroscopy with Stent 52332)$6,361$4,135$2,036$21,175$13,764$6,776
Laparoscopic Appendectomy 44970)$13,789$8,963$4,413$15,487$10,067$4,956
Removal of Tonsils 42826)$5,759$3,744$1,843$7,409$4,816$2,371
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$15,672$10,187$5,015$16,893$10,980$5,406
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$7,643$4,968$2,446$10,631$6,910$3,402
Fragmenting of Kidney Stone 50590)$16,014$10,409$5,124$18,073$11,747$5,783
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)$4,102$2,666$1,313$5,741$3,732$1,837
Low Back Disk Surgery 63030)$13,913$9,043$4,452$17,142$11,143$5,486
Hysteroscopy with Ablation 58563)$10,049$6,532$3,216$13,299$8,645$4,256
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$4,067$2,644$1,301$5,315$3,455$1,701
Mastectomy, Partial 19301)$8,613$5,598$2,756$18,039$11,725$5,772
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNRNRNRNR
Coronary Artery Angio S&I 93454)$9,932$6,456$3,178$10,938$7,109$3,500
Colonoscopy with Lesion Removal 45383)$2,954$1,920$945$4,584$2,979$1,467
Correction of Bunion 28296)$10,157$6,602$3,250$15,122$9,829$4,839
Cystourethroscopy with Lithotripsy 52353)$17,152$11,149$5,489$18,400$11,960$5,888
Bone Marrow Biopsy 38221)$14,506$9,429$4,642$11,821$7,684$3,783
Remove Impacted Ear Wax 69210)$2,766$1,798$885NRNRNR
Needle Biopsy of Liver 47000)$6,519$4,237$2,086$8,415$5,470$2,693
Apheresis Plasma 36514)NRNRNRNRNRNR
Mohs Micrographic Tissue Removal 17311)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$14,321$9,309$4,583$18,736$12,178$5,996
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)$11,076$7,199$3,544$11,482$7,463$3,674
Aspirate Pleura with Imaging 32555)$2,497$1,623$799$1,782$1,158$570
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Insertion of Central Venous Catheter >= 5 years 36569)$2,013$1,308$644NRNRNR
Removal of Breast Lesion 19120)$6,641$4,317$2,125$7,241$4,707$2,317
Laparoscopy, Removal of Tubes & Ovaries 58571)$20,444$13,288$6,542$25,586$16,631$8,188
Excision Breast Lesion with Preoperative Placement Radiological Marker 19125)$8,979$5,836$2,873$21,512$13,983$6,884
Wrist Endoscopy/Surgery 29848)$6,029$3,919$1,929NRNRNR
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area 58662)$13,282$8,633$4,250$14,620$9,503$4,678
Shoulder Arthroscopy/Surgery 29824)$12,461$8,100$3,988$12,893$8,380$4,126
Debridement Skin/Tissue 11042)$10,520$6,838$3,367$6,026$3,917$1,928
Cystourethroscopy with Lithotripsy and Stent 52356)NRNRNR$8,539$5,551$2,733
Information about quality and safety of care for Bellin Hospital may be found at http://www.wicheckpoint.org
* Estimated Insurance Payments based on average percent of billed charges collected.