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

Charges for 75 Most Common Hospitalizations in Wisconsin:  October 2014 - September 2015
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,231$1,428$625
2560Vaginal Delivery$5,556$3,556$1,556
3720Blood Infection/Septicemia$12,648$8,095$3,541
4302Knee Replacement$28,868$18,476$8,083
5540Cesarean Delivery$13,988$8,952$3,917
6194Heart Failure$9,989$6,393$2,797
7139Pneumonia$7,958$5,093$2,228
8301Hip Replacement$30,165$19,306$8,446
9751PsychosesNRNRNR
10753Bipolar DisordersNRNRNR
11140Chronic Obstructive Pulmonary Disease$11,868$7,596$3,323
12201Heart Abnormal Rhythm and Conduction Disorders$6,473$4,143$1,812
13775Alcohol Abuse/Dependence$7,461$4,775$2,089
14460Renal Failure$20,084$12,854$5,624
15383Cellulitis and Other Bacterial Skin Infections$10,030$6,419$2,808
16045Stroke and Precerebral Occlusion with Infarct$18,000$11,520$5,040
17860Rehabilitation$13,260$8,486$3,713
18221Major Bowel Procedures$46,308$29,637$12,966
19463Kidney/Urinary Tract Infection$10,820$6,925$3,030
20133Pulmonary Edema/Respiratory FailureNRNRNR
21174Angioplasty with Heart Attack$30,729$19,667$8,604
22247Intestinal Obstruction without Surgery$14,416$9,226$4,036
23750SchizophreniaNRNRNR
24282Disorders of Pancreas Except Malignancy$18,921$12,109$5,298
25254Other Digestive System Diagnoses$14,019$8,972$3,925
26420Diabetes$20,506$13,124$5,742
27249Gastroenteritis$13,027$8,337$3,648
28754DepressionNRNRNR
29812Poisoning of Medicinal Agents$15,234$9,750$4,266
30137Respiratory Infections and InflammationsNRNRNR
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$51,185$32,758$14,332
32053Seizure$9,860$6,310$2,761
33134Pulmonary Embolism$12,711$8,135$3,559
34173Other Vascular Procedures$63,245$40,477$17,709
35308Hip/Thigh Surgery with Trauma Diagnosis$28,127$18,001$7,876
36190Circulatory Disorders with Heart Attack$13,439$8,601$3,763
37263Laparoscopic Cholecystectomy$24,517$15,691$6,865
38244Diverticulitis & Diverticulosis$13,547$8,670$3,793
39425Other Electrolyte Disorders$7,634$4,886$2,138
40175Angioplasty without Heart Attack$26,805$17,155$7,505
41241Peptic Ulcer/Gastritis$11,124$7,119$3,115
42861Signs & Symptoms$5,494$3,516$1,538
43315Shoulder/Upper Arm, Forearm Surgery$15,869$10,156$4,443
44253Other and Unspecified Gastrointestinal Hemorrhage$10,827$6,929$3,032
45347Other Back/Neck Disorders, Fractures, Injuries$10,976$7,025$3,073
46313Other Knee/Lower Leg Surgery$23,433$14,997$6,561
47773Opioid Abuse/DependenceNRNRNR
48351Other Musculoskeletal System and Connective Tissue Diagnoses$1,278$818$358
49248Major G.I. Bacterial Infections$11,655$7,459$3,263
50710Infectious & parasitic diseases including HIV w O.R. procedure$61,400$39,296$17,192
51663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$8,344$5,340$2,336
52191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$23,199$14,847$6,496
53466Malfunction, reaction, complic of genitourinary device or procNRNRNR
54024Extracranial Vascular Procedures$25,621$16,397$7,174
55113Epiglottitis, Ear Infection, URI and Laryngotracheitis$7,166$4,586$2,006
56693ChemotherapyNRNRNR
57141Asthma$10,506$6,724$2,942
58321Upper Spinal Fusion$29,980$19,187$8,394
59721Postoperative and Post-Traumatic Infections$11,974$7,663$3,353
60197Peripheral and Other Vascular Disorders$9,059$5,798$2,537
61021Craniotomy Except For Trauma$44,150$28,256$12,362
62225Appendectomy$25,157$16,100$7,044
63144Respiratory System Signs, Symptoms and Minor Diagnoses$9,468$6,060$2,651
64566Other Antepartum Diagnoses$3,208$2,053$898
65163Heart Valve Procedures without Cardiac Catheterization$79,267$50,731$22,195
66143Other respiratory diagnoses except signs, symptoms & minor diagnoses$5,265$3,370$1,474
67192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$13,787$8,824$3,860
68055Head trauma w coma >1 hr or hemorrhage$5,352$3,425$1,499
69052Nontraumatic stupor & coma$16,399$10,495$4,592
70755Neuroses Other Than DepressionNRNRNR
71204Fainting and Collapse$8,823$5,647$2,470
72310Back/Neck Procedures Except Dorsal and Lumbar Fusion$27,086$17,335$7,584
73660Major hematologic/immunologic diag exc sickle cell crisis & coagul$13,224$8,463$3,703
74284Disorders of gallbladder & biliary tract$15,076$9,649$4,221
75422HypovolemiaNRNRNR

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:  October 2014 - September 2015
 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)$3,127$2,002$876$5,482$3,509$1,535
Upper GI Endoscopy with Biopsy 43239)$2,694$1,724$754$5,143$3,292$1,440
Lesion Removal Colonoscopy by Snare Technique 45385)$3,261$2,087$913$4,250$2,720$1,190
Diagnostic Colonoscopy 45378)$2,455$1,571$687$4,805$3,075$1,346
Injection into Lumbar or Sacral Area, Single Level 64483)$1,932$1,237$541$2,396$1,533$671
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$1,159$742$325$1,894$1,212$530
Drain/Inject Major Joint or Bursa 20610)$372$238$104$8,777$5,617$2,458
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$2,423$1,551$679NRNRNR
Carpal Tunnel Surgery 64721)$4,371$2,798$1,224$6,923$4,431$1,939
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$2,423$1,551$679NRNRNR
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$8,730$5,587$2,444$17,168$10,987$4,807
Uppr GI Endoscopy- Diagnostic 43235)$2,078$1,330$582$4,417$2,827$1,237
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)$4,244$2,716$1,188$5,407$3,461$1,514
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$3,266$2,090$914$3,892$2,491$1,090
Left Heart Artery/Ventricle Angiography 93458)$10,087$6,456$2,824$22,564$14,441$6,318
Creation of Eardrum Opening 69436)$2,694$1,724$754$4,745$3,037$1,329
Unlisted Dental Surgery Procedure 41899)$5,627$3,601$1,576$9,761$6,247$2,733
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$1,281$820$359$2,255$1,443$631
Laparoscopic Cholecystectomy 47562)$11,900$7,616$3,332$15,525$9,936$4,347
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$7,824$5,007$2,191$11,019$7,052$3,085
Cataract Surgery- Complex 66982)$6,596$4,222$1,847NRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$5,417$3,467$1,517$6,374$4,079$1,785
ABD Paracentesis w/Imaging 49083)$3,338$2,136$935$4,549$2,912$1,274
Arthroscopic Rotator Cuff Repair 29827)$13,285$8,503$3,720$18,600$11,904$5,208
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$9,360$5,991$2,621$13,347$8,542$3,737
Hysteroscopy with Biopsy 58558)$9,787$6,263$2,740$12,874$8,239$3,605
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$1,949$1,247$546$11,681$7,476$3,271
Esophageal Endoscopy with Dilation 43249)$2,588$1,656$725$4,807$3,076$1,346
Unlisted Cystourethoscopy 52000)$6,771$4,333$1,896$12,406$7,940$3,474
Incision of Finger Tendon Sheath 26055)$4,324$2,768$1,211$4,322$2,766$1,210
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$8,310$5,318$2,327$11,752$7,521$3,291
Cystourethroscopy with Lithotripsy and Stent 52356)$10,815$6,921$3,028$12,538$8,024$3,511
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$13,905$8,900$3,894$17,260$11,047$4,833
Laparoscopic Hernia Repair - Initial 49650)$14,107$9,028$3,950$15,460$9,894$4,329
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$9,013$5,768$2,524$14,034$8,982$3,929
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Uppr GI Endoscopy with Guide Wire 43248)$2,372$1,518$664$3,023$1,935$846
Destruction of Benign Lesions up to 14 Lesions 17110)$4,588$2,936$1,285$4,488$2,873$1,257
Biopsy breast w/stereotactic image; 1 lesion 19081)$9,178$5,874$2,570$11,327$7,249$3,172
Laparoscopic Appendectomy 44970)$13,295$8,509$3,722$15,918$10,188$4,457
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)$4,454$2,850$1,247$5,538$3,544$1,551
Cystourethroscopy with Stent 52332)$6,599$4,224$1,848$21,782$13,941$6,099
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNRNRNRNR
Removal of Tonsils 42826)$5,865$3,753$1,642$7,005$4,483$1,961
Repair of Nasal Septum 30520)$6,486$4,151$1,816$7,020$4,493$1,966
Low Back Disk Surgery 63030)$15,070$9,645$4,220$15,809$10,118$4,427
Fragmenting of Kidney Stone 50590)NRNRNR$22,779$14,579$6,378
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$16,672$10,670$4,668$22,089$14,137$6,185
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$7,736$4,951$2,166$13,410$8,582$3,755
Mastectomy, Partial 19301)$9,382$6,005$2,627$18,432$11,796$5,161
Coronary Artery Angio S&I 93454)$9,336$5,975$2,614$11,909$7,621$3,334
Laparoscopy - Removal of Adnexal Structures 58661)$12,106$7,748$3,390$16,758$10,725$4,692
Debridement Skin/Tissue 11042)$7,871$5,037$2,204$8,103$5,186$2,269
Needle Biopsy of Liver 47000)$11,004$7,042$3,081$13,299$8,511$3,724
Remove Impacted Ear Wax 69210)$3,722$2,382$1,042NRNRNR
Hysteroscopy with Ablation 58563)$9,927$6,353$2,779$13,322$8,526$3,730
Laparoscopy, Removal of Tubes & Ovaries 58571)$19,184$12,278$5,372$23,885$15,286$6,688
Apheresis Plasma 36514)NRNRNRNRNRNR
Aspirate Pleura with Imaging 32555)$3,941$2,522$1,103$3,633$2,325$1,017
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)$11,721$7,502$3,282$19,402$12,417$5,433
Debridement, Open Wound <= 20 Square Centimeters 97597)$9,864$6,313$2,762$6,472$4,142$1,812
Correction of Bunion 28296)$10,913$6,985$3,056$15,274$9,775$4,277
Bone Marrow Biopsy 38221)$21,222$13,582$5,942NRNRNR
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNR$21,682$13,876$6,071
Shoulder Arthroscopy/Surgery 29824)$11,804$7,554$3,305$14,313$9,161$4,008
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Wrist Endoscopy/Surgery 29848)$7,404$4,739$2,073NRNRNR
Removal of Adenoids 42830)$4,120$2,637$1,154$4,732$3,028$1,325
Electronic analysis of implantable pump spine w/reprogram/refill 62369)$1,604$1,027$449NRNRNR
Removal of Central Venous Device w Port or Pump 36590)$3,850$2,464$1,078NRNRNR
Insertion of Central Venous Catheter >= 5 years 36569)$2,272$1,454$636$2,860$1,830$801
Removal of Breast Lesion 19120)$7,040$4,505$1,971$10,166$6,506$2,847
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.