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

Charges for 75 Most Common Hospitalizations in Wisconsin:  January 2016 - December 2016
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,675$1,739$722
2560Vaginal Delivery$7,340$4,771$1,982
3720Blood Infection/Septicemia$8,570$5,571$2,314
4302Knee Replacement$31,310$20,352$8,454
5540Cesarean Delivery$12,560$8,164$3,391
6194Heart Failure$9,426$6,127$2,545
7301Hip Replacement$32,818$21,332$8,861
8751PsychosesNRNRNR
9139Pneumonia$7,844$5,099$2,118
10753Bipolar DisordersNRNRNR
11775Alcohol Abuse/Dependence$5,084$3,305$1,373
12140Chronic Obstructive Pulmonary Disease$8,253$5,364$2,228
13201Heart Abnormal Rhythm and Conduction Disorders$5,907$3,840$1,595
14045Stroke and Precerebral Occlusion with Infarct$20,627$13,408$5,569
15383Cellulitis & other skin infections$6,851$4,453$1,850
16133Respiratory failureNRNRNR
17463Kidney/Urinary Tract Infection$6,092$3,960$1,645
18221Major Bowel Procedures$40,952$26,619$11,057
19174Percutaneous coronary intervention w AMI$41,258$26,818$11,140
20754DepressionNRNRNR
21460Renal FailureNRNRNR
22750SchizophreniaNRNRNR
23420Diabetes$4,110$2,672$1,110
24282Disorders of Pancreas Except Malignancy$7,158$4,653$1,933
25247Intestinal Obstruction without Surgery$9,692$6,300$2,617
26812Poisoning of Medicinal Agents$7,378$4,796$1,992
27254Other Digestive System Diagnoses$7,331$4,765$1,979
28710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
29304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$67,162$43,655$18,134
30190Circulatory Disorders with Heart Attack$14,544$9,454$3,927
31773Opioid Abuse/DependenceNRNRNR
32053Seizure$6,764$4,397$1,826
33137Respiratory Infections and Inflammations$6,318$4,107$1,706
34058Other Disorders of Nervous System$14,409$9,366$3,890
35308Hip & femur fracture repair$29,710$19,312$8,022
36175Percutaneous coronary intervention w/o AMI$63,181$41,068$17,059
37263Laparoscopic Cholecystectomy$18,962$12,325$5,120
38134Pulmonary Embolism$12,365$8,037$3,339
39249Other gastroenteritis, nausea & vomiting$5,706$3,709$1,541
40244Diverticulitis & Diverticulosis$7,969$5,180$2,152
41315Shoulder, upper arm & forearm procedures except joint replacementNRNRNR
42861Signs & Symptoms$14,980$9,737$4,045
43347Other Back/Neck Disorders, Fractures, Injuries$12,237$7,954$3,304
44173Other Vascular Procedures$67,862$44,110$18,323
45253Other and Unspecified Gastrointestinal Hemorrhage$17,396$11,307$4,697
46313Other Knee/Lower Leg Surgery$25,068$16,294$6,768
47351Other Musculoskeletal System and Connective Tissue Diagnoses$11,300$7,345$3,051
48241Peptic Ulcer/Gastritis$11,465$7,452$3,096
49425Other Electrolyte DisordersNRNRNR
50466Malfunction, reaction, complic of genitourinary device or proc$10,445$6,789$2,820
51862Other Factors Influencing Health Status$15,388$10,002$4,155
52248Major G.I. Bacterial Infections$7,100$4,615$1,917
53663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$20,285$13,185$5,477
54024Extracranial Vascular Procedures$23,718$15,417$6,404
55192Cardiac catheterization for other non-coronary conditions$18,336$11,918$4,951
56191Cardiac catheterization for coronary artery disease$15,651$10,173$4,226
57951Moderately Extensive Procedure Unrelated to Diagnosis$27,447$17,841$7,411
58021Craniotomy Except For Trauma$34,399$22,359$9,288
59566Other Antepartum Diagnoses$2,283$1,484$616
60197Peripheral and Other Vascular Disorders$6,302$4,096$1,702
61321Upper Spinal Fusion$51,994$33,796$14,038
62422Hypovolemia$3,742$2,432$1,010
63052Nontraumatic stupor & coma$12,302$7,996$3,322
64225Appendectomy$26,963$17,526$7,280
65950Extensive Procedure Unrelated to Principal Diagnosis$30,624$19,906$8,268
66220Major Stomach/Esophagus/Duodenum Procedures$34,090$22,159$9,204
67055Head trauma w coma >1 hr or hemorrhageNRNRNR
68141Asthma$8,748$5,686$2,362
69721Postoperative and Post-Traumatic Infections$8,857$5,757$2,391
70755Neuroses Other Than DepressionNRNRNR
71163Cardiac valve procedures w/o AMI or complex PDX$79,246$51,510$21,396
72143Other respiratory diagnoses except signs, symptoms & minor diagnoses$10,305$6,698$2,782
73166Coronary bypass w/o AMI or complex PDX$91,589$59,533$24,729
74204Fainting and Collapse$8,605$5,593$2,323
75144Respiratory System Signs, Symptoms and Minor DiagnosesNRNRNR

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 2016 - December 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)$2,992$1,945$808$5,721$3,718$1,545
Lesion Removal Colonoscopy by Snare Technique 45385)$3,167$2,059$855$5,633$3,662$1,521
Upper GI Endoscopy with Biopsy 43239)$2,822$1,834$762$5,482$3,563$1,480
Diagnostic Colonoscopy 45378)$2,581$1,678$697$4,997$3,248$1,349
Injection into Lumbar or Sacral Area, Single Level 64483)$2,277$1,480$615$3,338$2,169$901
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$4,210$2,737$1,137$4,490$2,919$1,212
Drain/Inject Major Joint or Bursa 20610)$630$409$170NRNRNR
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$2,547$1,656$688NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$2,655$1,725$717NRNRNR
Carpal Tunnel Surgery 64721)$4,314$2,804$1,165$12,855$8,355$3,471
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$8,401$5,460$2,268$28,549$18,557$7,708
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)$4,991$3,244$1,348$7,401$4,810$1,998
Uppr GI Endoscopy- Diagnostic 43235)$2,590$1,684$699$5,203$3,382$1,405
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$3,114$2,024$841$5,438$3,535$1,468
Creation of Eardrum Opening 69436)$5,201$3,381$1,404$5,235$3,403$1,413
Left Heart Artery/Ventricle Angiography 93458)$10,835$7,043$2,925$15,098$9,813$4,076
Unlisted Dental Surgery Procedure 41899)$2,171$1,411$586NRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$4,210$2,737$1,137$4,492$2,920$1,213
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Laparoscopic Cholecystectomy 47562)$13,030$8,470$3,518$16,797$10,918$4,535
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$5,780$3,757$1,561$13,064$8,492$3,527
ABD Paracentesis w/Imaging 49083)$2,138$1,390$577$4,080$2,652$1,102
Removal of Tonsils And Adenoids - < Age 12 42820)$3,694$2,401$997$7,679$4,991$2,073
Esophageal Endoscopy with Dilation 43249)$3,859$2,509$1,042$6,543$4,253$1,767
Arthroscopic Rotator Cuff Repair 29827)$16,369$10,640$4,420$18,738$12,180$5,059
Cataract Surgery- Complex 66982)NRNRNRNRNRNR
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$1,143$743$309$7,372$4,792$1,991
Hysteroscopy with Biopsy 58558)$9,373$6,092$2,531$12,748$8,286$3,442
Cystourethroscopy with Lithotripsy and Stent 52356)$12,384$8,050$3,344$20,756$13,492$5,604
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$8,815$5,730$2,380$15,444$10,039$4,170
Incision of Finger Tendon Sheath 26055)$4,324$2,811$1,168$7,619$4,952$2,057
Laparoscopic Hernia Repair - Initial 49650)$14,438$9,385$3,898$17,639$11,465$4,762
Unlisted Cystourethoscopy 52000)$2,971$1,931$802$13,881$9,022$3,748
Uppr GI Endoscopy with Guide Wire 43248)$2,553$1,660$689$5,024$3,266$1,356
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$5,760$3,744$1,555$22,022$14,315$5,946
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$13,785$8,960$3,722$21,175$13,763$5,717
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)$5,207$3,385$1,406$8,941$5,811$2,414
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$8,363$5,436$2,258$28,642$18,617$7,733
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$15,248$9,911$4,117$18,255$11,865$4,929
Cystourethroscopy with Stent 52332)$8,104$5,268$2,188$16,761$10,895$4,526
Biopsy breast w/stereotactic image; 1 lesion 19081)$6,758$4,393$1,825$13,155$8,551$3,552
Laparoscopy - Removal of Adnexal Structures 58661)$13,457$8,747$3,633$23,302$15,146$6,291
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$8,827$5,738$2,383$21,106$13,719$5,699
Mastectomy, Partial 19301)$9,033$5,871$2,439$15,168$9,859$4,095
Removal of Tonsils 42826)$3,943$2,563$1,065$8,272$5,377$2,233
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$22,597$14,688$6,101$24,385$15,850$6,584
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$633$411$171$1,468$954$396
Laparoscopy, Removal of Tubes & Ovaries 58571)$22,023$14,315$5,946$28,287$18,386$7,637
Low Back Disk Surgery 63030)$16,333$10,616$4,410$21,896$14,232$5,912
Repair of Nasal Septum 30520)$5,851$3,803$1,580$26,347$17,126$7,114
Fragmenting of Kidney Stone 50590)$10,816$7,030$2,920$23,340$15,171$6,302
Needle Biopsy of Liver 47000)$7,088$4,607$1,914$14,226$9,247$3,841
Aspirate Pleura with Imaging 32555)$3,560$2,314$961$6,704$4,357$1,810
Coronary Artery Angio S&I 93454)$10,794$7,016$2,914$15,822$10,284$4,272
Debridement Skin/Tissue 11042)$4,748$3,086$1,282$4,338$2,820$1,171
Wrist Endoscopy/Surgery 29848)$6,696$4,353$1,808NRNRNR
Bone Marrow Biopsy 38221)NRNRNRNRNRNR
Correction of Bunion 28296)$8,699$5,655$2,349$15,890$10,329$4,290
Hysteroscopy with Ablation 58563)$13,166$8,558$3,555$23,476$15,259$6,339
Diagnostic Laryngoscopy 31575)NRNRNR$11,277$7,330$3,045
Transluminal balloon angioplasty, percutaneous, venous 35476)$11,604$7,543$3,133$22,175$14,414$5,987
Remove Impacted Ear Wax 69210)NRNRNR$2,750$1,788$743
Shoulder Arthroscopy/Surgery 29824)$11,310$7,352$3,054$13,447$8,741$3,631
Right and Left Heart Artery/Ventricle Angiography 93460)$12,231$7,950$3,302$15,301$9,946$4,131
Biopsy of lung or mediastinum, percutaneous w/needle 32405)$6,793$4,416$1,834$11,946$7,765$3,225
Removal of Adenoids 42830)$4,643$3,018$1,254$9,138$5,940$2,467
Removal of Central Venous Device w Port or Pump 36590)$3,114$2,024$841$6,888$4,478$1,860
Apheresis Plasma 36514)NRNRNRNRNRNR
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Injection of chemical agent into muscles near face/neck 64615)NRNRNRNRNRNR
Repair of wrist joints 25447)$8,241$5,357$2,225$12,967$8,429$3,501
Ablation therapy of first vein of extremity 36475)$9,813$6,379$2,650$16,953$11,019$4,577
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.