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 2015 - June 2016
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,318$1,507$626
2560Vaginal Delivery$5,931$3,855$1,601
3720Blood Infection/Septicemia$16,503$10,727$4,456
4302Knee Replacement$30,153$19,599$8,141
5540Cesarean Delivery$13,500$8,775$3,645
6194Heart Failure$9,482$6,163$2,560
7301Hip Replacement$31,290$20,339$8,448
8139Pneumonia$7,797$5,068$2,105
9751PsychosesNRNRNR
10753Bipolar DisordersNRNRNR
11775Alcohol Abuse/Dependence$5,423$3,525$1,464
12140Chronic Obstructive Pulmonary Disease$8,253$5,364$2,228
13201Heart Abnormal Rhythm and Conduction Disorders$6,269$4,075$1,693
14383Cellulitis and Other Bacterial Skin Infections$7,801$5,071$2,106
15460Renal Failure$20,084$13,055$5,423
16045Stroke and Precerebral Occlusion with Infarct$18,307$11,900$4,943
17133Pulmonary Edema/Respiratory FailureNRNRNR
18463Kidney/Urinary Tract Infection$5,853$3,804$1,580
19221Major Bowel Procedures$48,432$31,481$13,077
20174Angioplasty with Heart Attack$30,460$19,799$8,224
21754DepressionNRNRNR
22750SchizophreniaNRNRNR
23247Intestinal Obstruction without Surgery$10,431$6,780$2,816
24420Diabetes$16,359$10,633$4,417
25282Disorders of Pancreas Except Malignancy$14,363$9,336$3,878
26812Poisoning of Medicinal Agents$9,679$6,291$2,613
27254Other Digestive System Diagnoses$20,304$13,198$5,482
28304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$60,022$39,014$16,206
29053Seizure$7,412$4,818$2,001
30190Circulatory Disorders with Heart Attack$14,394$9,356$3,886
31137Respiratory Infections and Inflammations$6,318$4,107$1,706
32173Other Vascular Procedures$67,612$43,948$18,255
33710Infectious & parasitic diseases including HIV w O.R. procedure$32,646$21,220$8,814
34134Pulmonary Embolism$9,295$6,042$2,510
35308Hip/Thigh Surgery with Trauma Diagnosis$27,958$18,173$7,549
36263Laparoscopic Cholecystectomy$22,744$14,784$6,141
37773Opioid Abuse/DependenceNRNRNR
38249Gastroenteritis$7,708$5,010$2,081
39315Shoulder/Upper Arm, Forearm Surgery$15,869$10,315$4,285
40244Diverticulitis & Diverticulosis$13,490$8,769$3,642
41175Angioplasty without Heart Attack$34,902$22,686$9,424
42861Signs & Symptoms$14,795$9,617$3,995
43058Other Disorders of Nervous System$18,806$12,224$5,078
44347Other Back/Neck Disorders, Fractures, Injuries$19,030$12,370$5,138
45253Other and Unspecified Gastrointestinal Hemorrhage$11,251$7,313$3,038
46425Other Electrolyte Disorders$6,986$4,541$1,886
47351Other Musculoskeletal System and Connective Tissue Diagnoses$12,772$8,302$3,448
48241Peptic Ulcer/Gastritis$12,847$8,351$3,469
49313Other Knee/Lower Leg Surgery$24,674$16,038$6,662
50191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$15,542$10,102$4,196
51248Major G.I. Bacterial Infections$15,740$10,231$4,250
52663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$14,321$9,309$3,867
53024Extracranial Vascular Procedures$26,190$17,024$7,071
54466Malfunction, reaction, complic of genitourinary device or procNRNRNR
55862Other Factors Influencing Health Status$18,570$12,071$5,014
56197Peripheral and Other Vascular DisordersNRNRNR
57693Chemotherapy$29,071$18,896$7,849
58021Craniotomy Except For Trauma$34,961$22,725$9,439
59141Asthma$8,694$5,651$2,347
60321Upper Spinal Fusion$33,566$21,818$9,063
61566Other Antepartum Diagnoses$3,208$2,085$866
62721Postoperative and Post-Traumatic Infections$8,250$5,363$2,228
63225Appendectomy$26,970$17,531$7,282
64052Nontraumatic stupor & coma$10,225$6,646$2,761
65422HypovolemiaNRNRNR
66755Neuroses Other Than DepressionNRNRNR
67192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$17,862$11,610$4,823
68951Moderately Extensive Procedure Unrelated to Diagnosis$20,247$13,161$5,467
69055Head trauma w coma >1 hr or hemorrhage$5,352$3,479$1,445
70163Heart Valve Procedures without Cardiac Catheterization$81,854$53,205$22,101
71950Extensive Procedure Unrelated to Principal Diagnosis$39,912$25,943$10,776
72220Major Stomach/Esophagus/Duodenum Procedures$34,852$22,654$9,410
73144Respiratory System Signs, Symptoms and Minor DiagnosesNRNRNR
74204Fainting and Collapse$7,230$4,700$1,952
75756Acute Adjust React Psychosocial Dysfunction$11,349$7,377$3,064

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 2015 - June 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)$3,208$2,085$866$5,734$3,727$1,548
Lesion Removal Colonoscopy by Snare Technique 45385)$3,332$2,166$900$4,715$3,065$1,273
Upper GI Endoscopy with Biopsy 43239)$2,786$1,811$752$5,364$3,486$1,448
Diagnostic Colonoscopy 45378)$2,519$1,637$680$4,820$3,133$1,301
Injection into Lumbar or Sacral Area, Single Level 64483)$1,992$1,295$538$2,457$1,597$663
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$2,096$1,363$566$2,397$1,558$647
Drain/Inject Major Joint or Bursa 20610)$504$328$136$11,758$7,643$3,175
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$2,487$1,617$672NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$2,519$1,637$680NRNRNR
Carpal Tunnel Surgery 64721)$4,526$2,942$1,222$6,369$4,140$1,720
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$8,747$5,685$2,362$20,737$13,479$5,599
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)$4,196$2,727$1,133$5,987$3,892$1,617
Uppr GI Endoscopy- Diagnostic 43235)$2,151$1,398$581$4,552$2,959$1,229
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$3,176$2,065$858$5,560$3,614$1,501
Left Heart Artery/Ventricle Angiography 93458)$10,342$6,722$2,792$21,698$14,104$5,859
Creation of Eardrum Opening 69436)$2,782$1,808$751$5,038$3,275$1,360
Unlisted Dental Surgery Procedure 41899)$3,826$2,487$1,033$9,988$6,492$2,697
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$2,298$1,494$621$3,061$1,990$827
Laparoscopic Cholecystectomy 47562)$12,085$7,855$3,263$15,414$10,019$4,162
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
ABD Paracentesis w/Imaging 49083)$4,191$2,724$1,131$5,238$3,405$1,414
Cataract Surgery- Complex 66982)$6,596$4,288$1,781NRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$9,250$6,013$2,498$12,630$8,209$3,410
Removal of Tonsils And Adenoids - < Age 12 42820)$5,442$3,537$1,469$6,490$4,218$1,752
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$18,747$12,185$5,062
Esophageal Endoscopy with Dilation 43249)$2,647$1,721$715$4,866$3,163$1,314
Hysteroscopy with Biopsy 58558)$10,112$6,573$2,730$12,617$8,201$3,407
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$1,949$1,267$526$7,372$4,792$1,991
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$9,499$6,174$2,565$14,147$9,196$3,820
Cystourethroscopy with Lithotripsy and Stent 52356)$10,132$6,586$2,736$20,596$13,387$5,561
Incision of Finger Tendon Sheath 26055)$3,941$2,562$1,064$5,213$3,388$1,407
Unlisted Cystourethoscopy 52000)$5,706$3,709$1,541$16,443$10,688$4,440
Laparoscopic Hernia Repair - Initial 49650)$14,119$9,177$3,812$15,084$9,805$4,073
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$8,811$5,727$2,379NRNRNR
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$13,514$8,784$3,649$18,236$11,854$4,924
Uppr GI Endoscopy with Guide Wire 43248)$2,434$1,582$657$2,948$1,916$796
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNR$6,490$4,219$1,752
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$8,944$5,814$2,415$20,369$13,240$5,500
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$14,197$9,228$3,833$17,241$11,206$4,655
Destruction of Benign Lesions up to 14 Lesions 17110)$6,367$4,138$1,719NRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)$9,402$6,111$2,538$12,197$7,928$3,293
Removal of Tonsils 42826)$5,603$3,642$1,513$7,528$4,893$2,032
Cystourethroscopy with Stent 52332)$7,977$5,185$2,154$19,470$12,655$5,257
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$1,474$958$398$1,468$954$396
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$17,549$11,407$4,738$17,930$11,654$4,841
Laparoscopy - Removal of Adnexal Structures 58661)$12,316$8,006$3,325$16,077$10,450$4,341
Low Back Disk Surgery 63030)$16,148$10,496$4,360$16,485$10,715$4,451
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$8,174$5,313$2,207$11,665$7,582$3,150
Repair of Nasal Septum 30520)$5,672$3,687$1,531$7,375$4,794$1,991
Fragmenting of Kidney Stone 50590)$10,816$7,030$2,920$23,252$15,114$6,278
Mastectomy, Partial 19301)$8,654$5,625$2,336$17,405$11,313$4,699
Needle Biopsy of Liver 47000)$11,346$7,375$3,063$18,300$11,895$4,941
Laparoscopy, Removal of Tubes & Ovaries 58571)$19,244$12,508$5,196$24,469$15,905$6,607
Debridement Skin/Tissue 11042)$6,949$4,517$1,876$11,581$7,528$3,127
Coronary Artery Angio S&I 93454)$9,998$6,499$2,699$15,441$10,037$4,169
Aspirate Pleura with Imaging 32555)$4,347$2,825$1,174$8,790$5,714$2,373
Wrist Endoscopy/Surgery 29848)$6,781$4,408$1,831NRNRNR
Hysteroscopy with Ablation 58563)$10,558$6,863$2,851$15,309$9,951$4,134
Remove Impacted Ear Wax 69210)$2,876$1,869$776$2,750$1,788$743
Diagnostic Laryngoscopy 31575)NRNRNR$11,277$7,330$3,045
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNR$22,175$14,414$5,987
Apheresis Plasma 36514)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery 29824)$13,450$8,743$3,632$13,965$9,078$3,771
Correction of Bunion 28296)$9,883$6,424$2,668$15,331$9,965$4,139
Debridement, Open Wound <= 20 Square Centimeters 97597)$9,864$6,412$2,663$2,750$1,787$742
Bone Marrow Biopsy 38221)NRNRNRNRNRNR
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)$12,305$7,998$3,322$15,301$9,946$4,131
Removal of Adenoids 42830)$4,627$3,007$1,249$5,174$3,363$1,397
Biopsy of lung or mediastinum, percutaneous w/needle 32405)$7,188$4,672$1,941NRNRNR
Ablation therapy of first vein of extremity 36475)$9,971$6,481$2,692$13,199$8,579$3,564
Removal of Central Venous Device w Port or Pump 36590)$4,107$2,670$1,109$10,821$7,034$2,922
Repair of Hammertoe 28285)$6,818$4,432$1,841$11,971$7,781$3,232
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.