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 2015 - March 2016
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,257$1,444$632
2560Vaginal Delivery$5,588$3,576$1,565
3720Blood Infection/Septicemia$15,944$10,204$4,464
4302Knee Replacement$29,557$18,916$8,276
5540Cesarean Delivery$13,950$8,928$3,906
6194Heart Failure$9,612$6,152$2,691
7301Hip Replacement$30,329$19,411$8,492
8139Pneumonia$8,119$5,196$2,273
9751PsychosesNRNRNR
10753Bipolar DisordersNRNRNR
11140Chronic Obstructive Pulmonary Disease$11,284$7,222$3,160
12775Alcohol Abuse/Dependence$5,423$3,471$1,518
13201Heart Abnormal Rhythm and Conduction Disorders$5,659$3,622$1,585
14383Cellulitis and Other Bacterial Skin Infections$8,437$5,400$2,362
15460Renal Failure$20,084$12,854$5,624
16045Stroke and Precerebral Occlusion with Infarct$19,077$12,209$5,342
17133Pulmonary Edema/Respiratory FailureNRNRNR
18463Kidney/Urinary Tract Infection$9,840$6,298$2,755
19221Major Bowel Procedures$49,271$31,533$13,796
20174Angioplasty with Heart Attack$29,475$18,864$8,253
21754DepressionNRNRNR
22247Intestinal Obstruction without Surgery$13,841$8,858$3,875
23750SchizophreniaNRNRNR
24420Diabetes$23,521$15,053$6,586
25282Disorders of Pancreas Except Malignancy$17,360$11,110$4,861
26254Other Digestive System Diagnoses$17,383$11,125$4,867
27812Poisoning of Medicinal Agents$9,679$6,195$2,710
28304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$54,582$34,932$15,283
29053Seizure$7,412$4,744$2,075
30137Respiratory Infections and InflammationsNRNRNR
31173Other Vascular Procedures$67,072$42,926$18,780
32249Gastroenteritis$15,200$9,728$4,256
33190Circulatory Disorders with Heart Attack$16,168$10,348$4,527
34134Pulmonary Embolism$9,915$6,346$2,776
35308Hip/Thigh Surgery with Trauma Diagnosis$30,099$19,263$8,428
36263Laparoscopic Cholecystectomy$24,517$15,691$6,865
37315Shoulder/Upper Arm, Forearm Surgery$15,869$10,156$4,443
38244Diverticulitis & Diverticulosis$13,731$8,788$3,845
39710Infectious & parasitic diseases including HIV w O.R. procedure$61,400$39,296$17,192
40773Opioid Abuse/DependenceNRNRNR
41860Rehabilitation$16,275$10,416$4,557
42175Angioplasty without Heart Attack$29,700$19,008$8,316
43861Signs & Symptoms$16,493$10,556$4,618
44425Other Electrolyte Disorders$7,152$4,577$2,003
45347Other Back/Neck Disorders, Fractures, Injuries$16,788$10,744$4,701
46241Peptic Ulcer/Gastritis$12,537$8,024$3,510
47253Other and Unspecified Gastrointestinal Hemorrhage$10,154$6,499$2,843
48313Other Knee/Lower Leg Surgery$24,674$15,791$6,909
49191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$18,998$12,159$5,319
50351Other Musculoskeletal System and Connective Tissue Diagnoses$7,300$4,672$2,044
51058Other Disorders of Nervous System$19,527$12,497$5,468
52248Major G.I. Bacterial Infections$11,655$7,459$3,263
53024Extracranial Vascular Procedures$26,637$17,048$7,458
54466Malfunction, reaction, complic of genitourinary device or procNRNRNR
55663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$12,666$8,106$3,546
56141Asthma$9,446$6,045$2,645
57693Chemotherapy$29,167$18,667$8,167
58721Postoperative and Post-Traumatic Infections$11,974$7,663$3,353
59321Upper Spinal Fusion$28,762$18,408$8,053
60197Peripheral and Other Vascular DisordersNRNRNR
61021Craniotomy Except For Trauma$25,772$16,494$7,216
62225Appendectomy$28,783$18,421$8,059
63566Other Antepartum Diagnoses$3,208$2,053$898
64055Head trauma w coma >1 hr or hemorrhage$5,352$3,425$1,499
65755Neuroses Other Than DepressionNRNRNR
66052Nontraumatic stupor & coma$16,180$10,355$4,530
67192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$17,379$11,123$4,866
68163Heart Valve Procedures without Cardiac Catheterization$87,684$56,118$24,552
69144Respiratory System Signs, Symptoms and Minor Diagnoses$8,277$5,297$2,318
70143Other respiratory diagnoses except signs, symptoms & minor diagnoses$6,374$4,079$1,785
71422HypovolemiaNRNRNR
72204Fainting and Collapse$6,005$3,843$1,681
73951Moderately Extensive Procedure Unrelated to Diagnosis$36,005$23,043$10,081
74639Neonate Birthwt >2499g with Other Significant Condition$3,600$2,304$1,008
75756Acute Adjust React Psychosocial Dysfunction$8,208$5,253$2,298

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)NRNRNRNRNRNR
Colonoscopy and Biopsy 45380)$3,199$2,047$896$5,673$3,631$1,588
Upper GI Endoscopy with Biopsy 43239)$2,718$1,740$761$5,066$3,242$1,418
Lesion Removal Colonoscopy by Snare Technique 45385)$3,344$2,140$936$4,417$2,827$1,237
Diagnostic Colonoscopy 45378)$2,487$1,592$696$4,825$3,088$1,351
Injection into Lumbar or Sacral Area, Single Level 64483)$1,961$1,255$549$2,396$1,533$671
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$2,026$1,297$567$2,035$1,303$570
Drain/Inject Major Joint or Bursa 20610)$438$280$123$11,758$7,525$3,292
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$2,486$1,591$696NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$2,456$1,572$688NRNRNR
Carpal Tunnel Surgery 64721)$4,613$2,952$1,292$6,111$3,911$1,711
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$9,064$5,801$2,538$9,819$6,284$2,749
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)$4,122$2,638$1,154$5,526$3,537$1,547
Uppr GI Endoscopy- Diagnostic 43235)$2,106$1,348$590$4,444$2,844$1,244
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$3,232$2,068$905$5,359$3,430$1,500
Left Heart Artery/Ventricle Angiography 93458)$10,133$6,485$2,837$22,369$14,316$6,263
Creation of Eardrum Opening 69436)$2,668$1,707$747$5,013$3,208$1,404
Unlisted Dental Surgery Procedure 41899)$6,578$4,210$1,842$9,988$6,392$2,797
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$2,240$1,434$627$2,295$1,469$643
Laparoscopic Cholecystectomy 47562)$11,702$7,489$3,277$15,037$9,624$4,210
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
ABD Paracentesis w/Imaging 49083)$4,264$2,729$1,194$4,978$3,186$1,394
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$9,745$6,237$2,729$12,175$7,792$3,409
Cataract Surgery- Complex 66982)$6,596$4,222$1,847NRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$5,474$3,503$1,533$6,313$4,040$1,768
Arthroscopic Rotator Cuff Repair 29827)$13,285$8,503$3,720$18,755$12,003$5,251
Hysteroscopy with Biopsy 58558)$10,160$6,502$2,845$12,487$7,992$3,496
Esophageal Endoscopy with Dilation 43249)$2,619$1,676$733$4,806$3,076$1,346
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$1,949$1,247$546$7,825$5,008$2,191
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$9,551$6,113$2,674$13,856$8,868$3,880
Incision of Finger Tendon Sheath 26055)$4,448$2,846$1,245$4,880$3,123$1,366
Unlisted Cystourethoscopy 52000)$6,995$4,477$1,959$15,253$9,762$4,271
Cystourethroscopy with Lithotripsy and Stent 52356)$10,132$6,485$2,837$17,324$11,087$4,851
Laparoscopic Hernia Repair - Initial 49650)$13,718$8,779$3,841$14,643$9,371$4,100
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$8,811$5,639$2,467$11,752$7,521$3,291
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$13,892$8,891$3,890$17,399$11,135$4,872
Uppr GI Endoscopy with Guide Wire 43248)$2,404$1,539$673$2,912$1,864$815
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$9,350$5,984$2,618$8,690$5,561$2,433
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNR$5,778$3,698$1,618
Laparoscopic Appendectomy 44970)$13,948$8,927$3,906$16,516$10,570$4,625
Destruction of Benign Lesions up to 14 Lesions 17110)$6,367$4,075$1,783NRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)$9,663$6,185$2,706$14,982$9,588$4,195
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$1,474$944$413$1,468$940$411
Removal of Tonsils 42826)$5,790$3,706$1,621$7,294$4,668$2,042
Cystourethroscopy with Stent 52332)$7,084$4,534$1,984$22,270$14,253$6,236
Repair of Nasal Septum 30520)$6,101$3,905$1,708$6,902$4,417$1,933
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$16,844$10,780$4,716$17,682$11,316$4,951
Low Back Disk Surgery 63030)$15,963$10,216$4,470$15,246$9,757$4,269
Fragmenting of Kidney Stone 50590)NRNRNR$22,992$14,715$6,438
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$7,781$4,980$2,179$10,459$6,694$2,928
Laparoscopy - Removal of Adnexal Structures 58661)$11,850$7,584$3,318$15,068$9,643$4,219
Mastectomy, Partial 19301)$8,654$5,538$2,423$17,475$11,184$4,893
Needle Biopsy of Liver 47000)$11,401$7,297$3,192$16,112$10,312$4,511
Debridement Skin/Tissue 11042)$7,761$4,967$2,173$11,581$7,412$3,243
Laparoscopy, Removal of Tubes & Ovaries 58571)$19,117$12,235$5,353$24,130$15,443$6,756
Coronary Artery Angio S&I 93454)$9,330$5,971$2,612$16,247$10,398$4,549
Aspirate Pleura with Imaging 32555)$3,965$2,538$1,110$5,976$3,825$1,673
Remove Impacted Ear Wax 69210)$2,876$1,840$805$2,893$1,851$810
Hysteroscopy with Ablation 58563)$10,214$6,537$2,860$13,989$8,953$3,917
Diagnostic Laryngoscopy 31575)NRNRNR$11,277$7,217$3,158
Debridement, Open Wound <= 20 Square Centimeters 97597)$7,782$4,980$2,179$2,277$1,457$638
Apheresis Plasma 36514)NRNRNRNRNRNR
Wrist Endoscopy/Surgery 29848)$7,404$4,739$2,073NRNRNR
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNR$22,690$14,521$6,353
Shoulder Arthroscopy/Surgery 29824)$13,450$8,608$3,766$13,965$8,938$3,910
Right and Left Heart Artery/Ventricle Angiography 93460)$12,061$7,719$3,377$14,915$9,546$4,176
Bone Marrow Biopsy 38221)NRNRNRNRNRNR
Correction of Bunion 28296)$10,117$6,475$2,833$15,319$9,804$4,289
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Removal of Adenoids 42830)$4,087$2,615$1,144$4,584$2,934$1,284
Ablation therapy of first vein of extremity 36475)$9,971$6,381$2,792$11,725$7,504$3,283
Electronic analysis of implantable pump spine w/reprogram/refill 62369)$1,138$728$319NRNRNR
Biopsy of lung or mediastinum, percutaneous w/needle 32405)$7,318$4,684$2,049$10,666$6,826$2,987
Removal of Central Venous Device w Port or Pump 36590)$4,022$2,574$1,126$10,821$6,925$3,030
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.