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

Charges for 75 Most Common Hospitalizations in Wisconsin:  April 2016 - March 2017
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,738$1,780$712
2560Vaginal Delivery$7,926$5,152$2,061
3720Blood Infection/Septicemia$4,878$3,171$1,268
4302Knee Replacement$31,706$20,609$8,244
5540Cesarean Delivery$12,222$7,944$3,178
6194Heart Failure$11,699$7,604$3,042
7301Hip Replacement$33,274$21,628$8,651
8751PsychosesNRNRNR
9139Pneumonia$7,921$5,149$2,059
10140Chronic Obstructive Pulmonary Disease$10,325$6,711$2,685
11753Bipolar DisordersNRNRNR
12775Alcohol Abuse/Dependence$6,656$4,326$1,731
13201Heart Abnormal Rhythm and Conduction Disorders$7,224$4,696$1,878
14383Cellulitis & other skin infections$6,608$4,295$1,718
15045Stroke and Precerebral Occlusion with Infarct$15,716$10,215$4,086
16133Respiratory failureNRNRNR
17463Kidney/Urinary Tract Infection$6,092$3,960$1,584
18221Major Bowel Procedures$40,214$26,139$10,456
19174Percutaneous coronary intervention w AMI$43,344$28,174$11,269
20750SchizophreniaNRNRNR
21754DepressionNRNRNR
22420Diabetes$8,522$5,539$2,216
23282Disorders of Pancreas Except Malignancy$6,986$4,541$1,816
24247Intestinal Obstruction without Surgery$8,734$5,677$2,271
25254Other Digestive System Diagnoses$8,553$5,559$2,224
26812Poisoning of Medicinal Agents$6,088$3,957$1,583
27710Infectious & parasitic diseases including HIV w O.R. procedure$22,317$14,506$5,802
28773Opioid Abuse/DependenceNRNRNR
29308Hip & femur fracture repair$29,178$18,966$7,586
30304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$68,835$44,743$17,897
31190Circulatory Disorders with Heart Attack$15,381$9,998$3,999
32053Seizure$8,162$5,305$2,122
33137Respiratory Infections and Inflammations$6,318$4,107$1,643
34058Other Disorders of Nervous System$15,711$10,212$4,085
35175Percutaneous coronary intervention w/o AMI$63,181$41,068$16,427
36249Other gastroenteritis, nausea & vomiting$6,262$4,070$1,628
37460Renal FailureNRNRNR
38134Pulmonary Embolism$10,736$6,978$2,791
39263Laparoscopic Cholecystectomy$18,962$12,325$4,930
40244Diverticulitis & Diverticulosis$7,698$5,004$2,001
41469Acute Kidney InjuryNRNRNR
42861Signs & Symptoms$12,822$8,334$3,334
43347Other Back/Neck Disorders, Fractures, Injuries$9,315$6,055$2,422
44315Shoulder, upper arm & forearm procedures except joint replacementNRNRNR
45253Other and Unspecified Gastrointestinal Hemorrhage$18,595$12,087$4,835
46241Peptic Ulcer/Gastritis$11,465$7,452$2,981
47313Other Knee/Lower Leg Surgery$24,679$16,041$6,417
48466Malfunction, reaction, complic of genitourinary device or proc$10,445$6,789$2,716
49192Cardiac catheterization for other non-coronary conditions$17,260$11,219$4,488
50351Other Musculoskeletal System and Connective Tissue Diagnoses$3,451$2,243$897
51425Other Electrolyte DisordersNRNRNR
52248Major G.I. Bacterial Infections$10,087$6,557$2,623
53951Moderately Extensive Procedure Unrelated to Diagnosis$15,968$10,379$4,152
54663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$24,460$15,899$6,360
55862Other Factors Influencing Health Status$14,970$9,731$3,892
56024Extracranial Vascular Procedures$22,602$14,691$5,877
57021Craniotomy Except For Trauma$40,033$26,021$10,409
58113Epiglottitis, Ear Infection, URI and Laryngotracheitis$4,370$2,841$1,136
59321Upper Spinal Fusion$51,062$33,190$13,276
60566Other Antepartum Diagnoses$2,283$1,484$594
61197Peripheral and Other Vascular Disorders$6,302$4,096$1,639
62422Hypovolemia$3,742$2,432$973
63055Head trauma w coma >1 hr or hemorrhage$11,956$7,771$3,109
64173Other Vascular Procedures$67,862$44,110$17,644
65052Nontraumatic stupor & coma$12,302$7,996$3,199
66225Appendectomy$25,143$16,343$6,537
67141Asthma$8,654$5,625$2,250
68166Coronary bypass w/o AMI or complex PDX$83,535$54,298$21,719
69721Postoperative and Post-Traumatic Infections$8,857$5,757$2,303
70755Neuroses Other Than DepressionNRNRNR
71191Cardiac catheterization for coronary artery disease$15,542$10,102$4,041
72220Major Stomach/Esophagus/Duodenum Procedures$35,395$23,007$9,203
73143Other respiratory diagnoses except signs, symptoms & minor diagnoses$10,305$6,698$2,679
74163Cardiac valve procedures w/o AMI or complex PDX$74,887$48,677$19,471
75950Extensive Procedure Unrelated to Principal Diagnosis$29,345$19,074$7,630

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 2016 - March 2017
 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)NRNRNRNRNRNR
Colonoscopy and Biopsy 45380)$2,896$1,883$753$5,679$3,691$1,477
Lesion Removal Colonoscopy by Snare Technique 45385)$2,959$1,923$769$5,901$3,836$1,534
Upper GI Endoscopy with Biopsy 43239)$2,802$1,821$728$5,478$3,561$1,424
Diagnostic Colonoscopy 45378)$2,535$1,648$659$5,390$3,504$1,401
Injection into Lumbar or Sacral Area, Single Level 64483)$2,306$1,499$599$3,338$2,169$868
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$4,213$2,738$1,095$6,172$4,012$1,605
Drain/Inject Major Joint or Bursa 20610)$818$532$213NRNRNR
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$2,536$1,648$659NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$2,647$1,721$688NRNRNR
Carpal Tunnel Surgery 64721)$4,306$2,799$1,120$19,340$12,571$5,028
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$8,349$5,427$2,171$29,224$18,995$7,598
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)$4,977$3,235$1,294$7,484$4,865$1,946
Uppr GI Endoscopy- Diagnostic 43235)$2,610$1,697$679$5,187$3,372$1,349
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$3,083$2,004$802$5,762$3,745$1,498
Creation of Eardrum Opening 69436)$9,199$5,980$2,392$5,348$3,476$1,390
Left Heart Artery/Ventricle Angiography 93458)$10,863$7,061$2,824$13,917$9,046$3,618
Unlisted Dental Surgery Procedure 41899)$2,114$1,374$550NRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$4,210$2,737$1,095$5,088$3,307$1,323
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Laparoscopic Cholecystectomy 47562)$13,271$8,626$3,450$17,718$11,517$4,607
ABD Paracentesis w/Imaging 49083)$1,759$1,143$457$4,465$2,902$1,161
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee 62323)NRNRNRNRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$5,106$3,319$1,327$13,177$8,565$3,426
Esophageal Endoscopy with Dilation 43249)$3,930$2,554$1,022$6,589$4,283$1,713
Arthroscopic Rotator Cuff Repair 29827)$16,369$10,640$4,256$18,689$12,148$4,859
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$988$642$257$6,595$4,287$1,715
Removal of Tonsils And Adenoids - < Age 12 42820)$3,583$2,329$932$11,259$7,318$2,927
Hysteroscopy with Biopsy 58558)$8,613$5,598$2,239$16,930$11,005$4,402
Cataract Surgery- Complex 66982)NRNRNRNRNRNR
Cystourethroscopy with Lithotripsy and Stent 52356)$12,095$7,862$3,145$21,354$13,880$5,552
Incision of Finger Tendon Sheath 26055)$4,260$2,769$1,107$7,881$5,122$2,049
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$8,797$5,718$2,287$15,444$10,039$4,016
Laparoscopic Hernia Repair - Initial 49650)$14,727$9,572$3,829$23,886$15,526$6,210
Unlisted Cystourethoscopy 52000)$2,968$1,929$772$10,639$6,916$2,766
Uppr GI Endoscopy with Guide Wire 43248)$2,552$1,659$664$5,218$3,392$1,357
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)$5,315$3,455$1,382$7,957$5,172$2,069
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$5,439$3,535$1,414$22,022$14,315$5,726
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$13,785$8,960$3,584$25,498$16,574$6,629
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$8,330$5,415$2,166$28,642$18,617$7,447
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Cystourethroscopy with Stent 52332)$8,073$5,248$2,099$16,737$10,879$4,352
Biopsy breast w/stereotactic image; 1 lesion 19081)$5,756$3,741$1,497$13,456$8,746$3,499
Laparoscopy - Removal of Adnexal Structures 58661)$13,567$8,818$3,527$23,883$15,524$6,209
Mastectomy, Partial 19301)$9,049$5,882$2,353$15,168$9,859$3,944
Laparoscopic Appendectomy 44970)$15,830$10,289$4,116$18,849$12,252$4,901
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$9,156$5,952$2,381$21,374$13,893$5,557
Removal of Tonsils 42826)$3,779$2,456$982$8,200$5,330$2,132
Laparoscopy, Removal of Tubes & Ovaries 58571)$22,871$14,866$5,946$28,287$18,386$7,355
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$23,576$15,324$6,130$26,556$17,261$6,905
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$633$411$165NRNRNR
Low Back Disk Surgery 63030)$16,503$10,727$4,291$26,846$17,450$6,980
Repair of Nasal Septum 30520)$5,842$3,797$1,519$38,857$25,257$10,103
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)NRNRNRNRNRNR
Needle Biopsy of Liver 47000)$5,621$3,653$1,461$12,590$8,183$3,273
Debridement Skin/Tissue 11042)$3,161$2,054$822$4,338$2,820$1,128
Fragmenting of Kidney Stone 50590)$10,816$7,030$2,812$22,836$14,843$5,937
Coronary Artery Angio S&I 93454)$11,018$7,161$2,865$14,971$9,731$3,892
Wrist Endoscopy/Surgery 29848)$6,696$4,353$1,741NRNRNR
Aspirate Pleura with Imaging 32555)$3,325$2,161$864$6,704$4,357$1,743
Bone Marrow Biopsy 38221)NRNRNRNRNRNR
Diagnostic Laryngoscopy 31575)$5,326$3,462$1,385NRNRNR
Correction of Bunion 28296)$8,641$5,617$2,247$12,929$8,404$3,362
Hysteroscopy with Ablation 58563)$13,441$8,736$3,495$24,174$15,713$6,285
Remove Impacted Ear Wax 69210)$1,060$689$276$2,608$1,695$678
Shoulder Arthroscopy/Surgery 29824)$8,820$5,733$2,293$13,651$8,873$3,549
Removal of Adenoids 42830)$4,891$3,179$1,272$13,277$8,630$3,452
Right and Left Heart Artery/Ventricle Angiography 93460)$11,333$7,366$2,946$14,593$9,485$3,794
Injection of chemical agent into muscles near face/neck 64615)NRNRNRNRNRNR
Biopsy of lung or mediastinum, percutaneous w/needle 32405)$6,247$4,060$1,624$10,811$7,027$2,811
Removal of Central Venous Device w Port or Pump 36590)$2,933$1,907$763$2,956$1,921$769
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Repair of wrist joints 25447)$8,547$5,555$2,222$13,846$9,000$3,600
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.