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 2014 - December 2014
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,175$1,414$696
2560Vaginal Delivery$5,503$3,577$1,761
3720Blood Infection/Septicemia$11,949$7,767$3,824
4302Knee Replacement$27,936$18,158$8,940
5540Cesarean Delivery$13,995$9,097$4,478
6194Heart Failure$11,950$7,768$3,824
7139Pneumonia$7,446$4,840$2,383
8301Hip Replacement$29,608$19,245$9,475
9751PsychosesNRNRNR
10753Bipolar DisordersNRNRNR
11140Chronic Obstructive Pulmonary Disease$7,496$4,872$2,399
12201Heart Abnormal Rhythm and Conduction Disorders$9,681$6,293$3,098
13775Alcohol Abuse/DependenceNRNRNR
14383Cellulitis and Other Bacterial Skin Infections$9,610$6,247$3,075
15460Renal FailureNRNRNR
16045Stroke and Precerebral Occlusion with Infarct$18,230$11,850$5,834
17463Kidney/Urinary Tract Infection$6,990$4,544$2,237
18860Rehabilitation$10,463$6,801$3,348
19221Major Bowel Procedures$46,024$29,916$14,728
20133Pulmonary Edema/Respiratory Failure$28,628$18,608$9,161
21750SchizophreniaNRNRNR
22174Angioplasty with Heart Attack$27,938$18,160$8,940
23254Other Digestive System Diagnoses$17,099$11,114$5,472
24247Intestinal Obstruction without Surgery$13,343$8,673$4,270
25282Disorders of Pancreas Except Malignancy$14,445$9,389$4,622
26420Diabetes$3,186$2,071$1,020
27754DepressionNRNRNR
28249GastroenteritisNRNRNR
29304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$51,333$33,366$16,427
30053Seizure$19,129$12,434$6,121
31137Respiratory Infections and InflammationsNRNRNR
32812Poisoning of Medicinal Agents$8,184$5,320$2,619
33308Hip/Thigh Surgery with Trauma Diagnosis$25,683$16,694$8,219
34134Pulmonary Embolism$9,903$6,437$3,169
35175Angioplasty without Heart Attack$27,766$18,048$8,885
36190Circulatory Disorders with Heart Attack$13,839$8,995$4,428
37173Other Vascular Procedures$59,781$38,858$19,130
38263Laparoscopic Cholecystectomy$29,005$18,853$9,282
39347Other Back/Neck Disorders, Fractures, Injuries$12,030$7,820$3,850
40244Diverticulitis & Diverticulosis$10,492$6,820$3,357
41425Other Electrolyte Disorders$7,465$4,852$2,389
42861Signs & Symptoms$12,308$8,000$3,939
43241Peptic Ulcer/Gastritis$12,343$8,023$3,950
44315Shoulder/Upper Arm, Forearm SurgeryNRNRNR
45313Other Knee/Lower Leg Surgery$19,712$12,813$6,308
46253Other and Unspecified Gastrointestinal Hemorrhage$11,840$7,696$3,789
47141Asthma$7,843$5,098$2,510
48351Other Musculoskeletal System and Connective Tissue Diagnoses$1,159$753$371
49663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$6,841$4,447$2,189
50248Major G.I. Bacterial InfectionsNRNRNR
51773Opioid Abuse/DependenceNRNRNR
52191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$18,376$11,944$5,880
53710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
54024Extracranial Vascular Procedures$24,259$15,768$7,763
55693Chemotherapy$19,434$12,632$6,219
56466Malfunction, reaction, complic of genitourinary device or procNRNRNR
57321Upper Spinal Fusion$35,864$23,312$11,476
58225Appendectomy$23,976$15,584$7,672
59721Postoperative and Post-Traumatic Infections$19,273$12,527$6,167
60197Peripheral and Other Vascular Disorders$2,357$1,532$754
61144Respiratory System Signs, Symptoms and Minor Diagnoses$9,759$6,343$3,123
62192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$13,787$8,962$4,412
63021Craniotomy Except For Trauma$40,406$26,264$12,930
64566Other Antepartum Diagnoses$3,448$2,241$1,103
65204Fainting and Collapse$10,872$7,067$3,479
66163Heart Valve Procedures without Cardiac Catheterization$82,381$53,548$26,362
67143Other respiratory diagnoses except signs, symptoms & minor diagnoses$4,392$2,855$1,405
68052Nontraumatic stupor & coma$17,815$11,580$5,701
69113Epiglottitis, Ear Infection, URI and Laryngotracheitis$7,229$4,699$2,313
70310Back/Neck Procedures Except Dorsal and Lumbar Fusion$20,894$13,581$6,686
71660Major hematologic/immunologic diag exc sickle cell crisis & coagul$12,872$8,367$4,119
72198Chest Pain with Angina Pectoris or Coronary AtherosclerosisNRNRNR
73755Neuroses Other Than DepressionNRNRNR
74055Head trauma w coma >1 hr or hemorrhage$17,406$11,314$5,570
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:  January 2014 - December 2014
 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)$3,096$2,012$991$4,813$3,128$1,540
Upper GI Endoscopy with Biopsy 43239)$2,647$1,721$847$4,999$3,249$1,600
Diagnostic Colonoscopy 45378)$2,417$1,571$773$4,473$2,908$1,431
Lesion Removal Colonoscopy by Snare Technique 45385)$3,170$2,060$1,014$4,798$3,119$1,535
Injection into Lumbar or Sacral Area, Single Level 64483)$1,879$1,222$601$2,330$1,515$746
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$1,018$662$326$1,789$1,163$572
Drain/Inject Major Joint or Bursa 20610)$1,235$803$395$4,331$2,815$1,386
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$2,386$1,551$763NRNRNR
Carpal Tunnel Surgery 64721)$4,434$2,882$1,419$5,657$3,677$1,810
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$8,403$5,462$2,689$13,243$8,608$4,238
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$2,386$1,551$763NRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$2,074$1,348$664$4,361$2,834$1,395
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$3,199$2,079$1,024$4,005$2,603$1,282
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)$4,244$2,758$1,358$5,424$3,525$1,736
Left Heart Artery/Ventricle Angiography 93458)$9,911$6,442$3,172$21,607$14,045$6,914
Creation of Eardrum Opening 69436)$2,679$1,741$857$2,639$1,716$845
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$1,465$953$469$2,130$1,385$682
Laparoscopic Cholecystectomy 47562)$11,948$7,766$3,823$14,439$9,386$4,621
Unlisted Dental Surgery Procedure 41899)$4,227$2,748$1,353NRNRNR
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$5,249$3,412$1,680$6,504$4,228$2,081
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$9,309$6,051$2,979$12,348$8,026$3,951
Cataract Surgery- Complex 66982)NRNRNRNRNRNR
Arthroscopic Rotator Cuff Repair 29827)$18,145$11,794$5,806$18,460$11,999$5,907
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$4,095$2,662$1,311$5,383$3,499$1,722
Hysteroscopy with Biopsy 58558)$10,340$6,721$3,309$12,028$7,818$3,849
ABD Paracentesis w/Imaging 49083)$2,328$1,513$745$4,098$2,664$1,311
Unlisted Cystourethoscopy 52000)$5,288$3,437$1,692$20,790$13,514$6,653
Esophageal Endoscopy with Dilation 43249)$2,579$1,676$825$4,757$3,092$1,522
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$12,823$8,335$4,103$16,942$11,013$5,422
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$8,172$5,312$2,615NRNRNR
Incision of Finger Tendon Sheath 26055)$4,047$2,630$1,295$5,526$3,592$1,768
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$3,082$2,003$986$6,313$4,104$2,020
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$8,582$5,579$2,746$18,209$11,836$5,827
Cystourethroscopy with Lithotripsy and Stent 52356)$13,328$8,663$4,265$18,849$12,252$6,032
Uppr GI Endoscopy with Guide Wire 43248)$2,336$1,518$747$4,531$2,945$1,450
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Destruction of Benign Lesions up to 14 Lesions 17110)$5,827$3,787$1,865$4,488$2,917$1,436
Laparoscopic Hernia Repair - Initial 49650)$13,732$8,926$4,394$14,085$9,155$4,507
Biopsy breast w/stereotactic image; 1 lesion 19081)$5,576$3,625$1,784$7,067$4,594$2,262
Laparoscopic Appendectomy 44970)$14,274$9,278$4,568$15,454$10,045$4,945
Cystourethroscopy with Stent 52332)$6,752$4,389$2,161$21,729$14,124$6,953
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)$4,277$2,780$1,368$5,697$3,703$1,823
Fragmenting of Kidney Stone 50590)NRNRNR$22,439$14,585$7,180
Repair of Nasal Septum 30520)$6,303$4,097$2,017$10,097$6,563$3,231
Low Back Disk Surgery 63030)$13,933$9,057$4,459$17,419$11,322$5,574
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$8,083$5,254$2,586$13,410$8,716$4,291
Removal of Tonsils 42826)$5,744$3,733$1,838NRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$15,589$10,133$4,988$18,157$11,802$5,810
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNRNRNRNR
Coronary Artery Angio S&I 93454)$9,268$6,024$2,966$12,882$8,373$4,122
Mastectomy, Partial 19301)$8,939$5,810$2,860$20,230$13,149$6,474
Hysteroscopy with Ablation 58563)$10,223$6,645$3,271$13,299$8,645$4,256
Apheresis Plasma 36514)NRNRNRNRNRNR
Remove Impacted Ear Wax 69210)$3,679$2,392$1,177NRNRNR
Needle Biopsy of Liver 47000)$6,789$4,413$2,172$9,116$5,925$2,917
Colonoscopy with Lesion Removal 45383)$3,001$1,951$960$4,714$3,064$1,508
Bone Marrow Biopsy 38221)$6,543$4,253$2,094$7,877$5,120$2,521
Laparoscopy - Removal of Adnexal Structures 58661)$13,188$8,572$4,220$19,354$12,580$6,193
Correction of Bunion 28296)$10,868$7,064$3,478$13,831$8,990$4,426
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Laparoscopy, Removal of Tubes & Ovaries 58571)$19,586$12,731$6,267$24,507$15,929$7,842
Debridement Skin/Tissue 11042)$9,286$6,036$2,971$4,994$3,246$1,598
Mohs Micrographic Tissue Removal 17311)NRNRNRNRNRNR
Aspirate Pleura with Imaging 32555)$2,785$1,810$891$1,537$999$492
Right and Left Heart Artery/Ventricle Angiography 93460)$11,269$7,325$3,606$24,149$15,697$7,728
Wrist Endoscopy/Surgery 29848)$6,039$3,925$1,932NRNRNR
Removal of Breast Lesion 19120)$6,879$4,472$2,201$9,070$5,895$2,902
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Insertion of Central Venous Catheter >= 5 years 36569)$1,970$1,281$630$2,713$1,763$868
Removal of Central Venous Device w Port or Pump 36590)$4,030$2,620$1,290$4,238$2,755$1,356
Shoulder Arthroscopy/Surgery 29824)$12,064$7,842$3,861$14,864$9,661$4,756
Electronic analysis of implantable pump spine w/reprogram/refill 62369)$2,044$1,328$654NRNRNR
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNR$20,904$13,587$6,689
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.