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 2016 - June 2017   (Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,745$1,784$714
2560Vaginal Delivery$7,958$5,173$2,069
3720Blood Infection/Septicemia$4,878$3,171$1,268
4302Knee Replacement$31,815$20,680$8,272
5194Heart Failure$11,699$7,604$3,042
6540Cesarean Delivery$12,013$7,808$3,123
7301Hip Replacement$33,258$21,618$8,647
8751PsychosesNRNRNR
9139Pneumonia$10,129$6,584$2,634
10140Chronic Obstructive Pulmonary Disease$12,397$8,058$3,223
11753Bipolar DisordersNRNRNR
12201Heart Abnormal Rhythm and Conduction Disorders$7,920$5,148$2,059
13775Alcohol Abuse/Dependence$8,586$5,581$2,232
14383Cellulitis & other skin infections$5,840$3,796$1,518
15045Stroke and Precerebral Occlusion with Infarct$14,153$9,199$3,680
16133Respiratory failureNRNRNR
17463Kidney/Urinary Tract Infection$10,085$6,555$2,622
18221Major Bowel Procedures$37,309$24,251$9,700
19174Percutaneous coronary intervention w AMI$43,419$28,222$11,289
20750SchizophreniaNRNRNR
21420Diabetes$7,634$4,962$1,985
22469Acute Kidney InjuryNRNRNR
23754DepressionNRNRNR
24282Disorders of Pancreas Except Malignancy$7,089$4,608$1,843
25247Intestinal Obstruction without Surgery$8,553$5,559$2,224
26254Other Digestive System Diagnoses$7,779$5,056$2,023
27812Poisoning of Medicinal Agents$6,477$4,210$1,684
28308Hip & femur fracture repair$29,710$19,312$7,725
29710Infectious & parasitic diseases including HIV w O.R. procedure$22,317$14,506$5,802
30773Opioid Abuse/DependenceNRNRNR
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$69,312$45,053$18,021
32190Circulatory Disorders with Heart Attack$15,653$10,174$4,070
33053Seizure$8,554$5,560$2,224
34175Percutaneous coronary intervention w/o AMI$69,857$45,407$18,163
35249Other gastroenteritis, nausea & vomiting$6,002$3,901$1,561
36058Other Disorders of Nervous System$17,515$11,385$4,554
37137Respiratory Infections and InflammationsNRNRNR
38134Pulmonary Embolism$10,840$7,046$2,818
39263Laparoscopic Cholecystectomy$19,277$12,530$5,012
40244Diverticulitis & Diverticulosis$7,650$4,973$1,989
41192Cardiac catheterization for other non-coronary conditions$15,501$10,076$4,030
42861Signs & Symptoms$8,373$5,442$2,177
43347Other Back/Neck Disorders, Fractures, Injuries$4,710$3,062$1,225
44253Other and Unspecified Gastrointestinal Hemorrhage$12,054$7,835$3,134
45241Peptic Ulcer/Gastritis$10,879$7,071$2,829
46466Malfunction, reaction, complic of genitourinary device or proc$10,445$6,789$2,716
47313Other Knee/Lower Leg Surgery$20,070$13,046$5,218
48425Other Electrolyte DisordersNRNRNR
49315Shoulder, upper arm & forearm procedures except joint replacementNRNRNR
50248Major G.I. Bacterial Infections$13,074$8,498$3,399
51351Other Musculoskeletal System and Connective Tissue Diagnoses$3,451$2,243$897
52951Moderately Extensive Procedure Unrelated to Diagnosis$27,447$17,841$7,136
53024Extracranial Vascular Procedures$22,270$14,476$5,790
54113Epiglottitis, Ear Infection, URI and Laryngotracheitis$4,379$2,846$1,139
55021Craniotomy Except For Trauma$36,715$23,865$9,546
56663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$22,571$14,671$5,868
57862Other Factors Influencing Health Status$13,694$8,901$3,560
58321Upper Spinal Fusion$53,229$34,599$13,840
59566Other Antepartum Diagnoses$8,699$5,654$2,262
60055Head trauma w coma >1 hr or hemorrhage$11,956$7,771$3,109
61422Hypovolemia$4,885$3,175$1,270
62166Coronary bypass w/o AMI or complex PDX$75,567$49,119$19,647
63197Peripheral and Other Vascular Disorders$6,302$4,096$1,639
64181Lower Extremity Arterial Procedures$42,210$27,437$10,975
65052Nontraumatic stupor & coma$12,302$7,996$3,199
66141Asthma$9,655$6,276$2,510
67460Renal FailureNRNRNR
68755Neuroses Other Than DepressionNRNRNR
69225Appendectomy$25,143$16,343$6,537
70721Postoperative and Post-Traumatic Infections$9,158$5,953$2,381
71143Other respiratory diagnoses except signs, symptoms & minor diagnoses$11,136$7,238$2,895
72144Respiratory System Signs, Symptoms and Minor Diagnoses$8,173$5,312$2,125
73163Cardiac valve procedures w/o AMI or complex PDX$74,887$48,677$19,471
74204Fainting and CollapseNRNRNR
75639Neonate Birthwt >2499g with Other Significant Condition$3,912$2,543$1,017

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 2016 - June 2017

 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)$2,679$1,741$697$5,614$3,649$1,460
Lesion Removal Colonoscopy by Snare Technique (45385)$2,910$1,892$757$5,917$3,846$1,538
Upper GI Endoscopy with Biopsy (43239)$2,699$1,755$702$5,417$3,521$1,408
Diagnostic Colonoscopy (45378)$2,530$1,644$658$6,474$4,208$1,683
Injection into Lumbar or Sacral Area, Single Level (64483)$2,306$1,499$599$3,343$2,173$869
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral (64493)$4,453$2,894$1,158$6,246$4,060$1,624
Drain/Inject Major Joint or Bursa (20610)$882$573$229NRNRNR
Colorectal Cancer Screening; Colonscopy, Not High Risk (G0121)$2,529$1,644$658NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk (G0105)$2,529$1,644$658NRNRNR
Carpal Tunnel Surgery (64721)$4,392$2,855$1,142NRNRNR
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee (62323)$1,607$1,044$418NRNRNR
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy (29881)$8,350$5,428$2,171$29,414$19,119$7,648
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral (64635)$4,995$3,247$1,299$7,647$4,970$1,988
Uppr GI Endoscopy- Diagnostic (43235)$2,549$1,657$663$5,156$3,352$1,341
Creation of Eardrum Opening (69436)$9,201$5,980$2,392$13,676$8,889$3,556
Lesion Removal Colonoscopy by Hot Biopsy or Cautery (45384)$2,915$1,895$758$7,996$5,198$2,079
Left Heart Artery/Ventricle Angiography (93458)$10,778$7,005$2,802$14,008$9,105$3,642
Unlisted Dental Surgery Procedure (41899)$2,469$1,605$642NRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor (64490)$4,246$2,760$1,104$6,015$3,910$1,564
After Cataract Laser Surgery (66821)NRNRNRNRNRNR
Laparoscopic Cholecystectomy (47562)$13,474$8,758$3,503$18,547$12,056$4,822
ABD Paracentesis w/Imaging (49083)$1,755$1,140$456$4,173$2,712$1,085
Biopsy, Breast w/Ultrasound Image; 1 Lesion (19083)$4,856$3,156$1,262$14,405$9,363$3,745
Esophageal Endoscopy with Dilation (43249)$3,952$2,569$1,028$6,572$4,272$1,709
Biopsy Skin and Subcutaneous Tissue; 1 Lesion (11100)$800$520$208$3,251$2,113$845
Removal of Tonsils And Adenoids - < Age 12 (42820)$3,425$2,226$891$11,852$7,704$3,082
Arthroscopic Rotator Cuff Repair (29827)$16,369$10,640$4,256$38,099$24,764$9,906
Hysteroscopy with Biopsy (58558)$8,585$5,580$2,232$14,342$9,322$3,729
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance (62321)NRNRNRNRNRNR
Cataract Surgery- Complex (66982)NRNRNRNRNRNR
Cystourethroscopy with Lithotripsy and Stent (52356)$12,368$8,039$3,216$21,420$13,923$5,569
Incision of Finger Tendon Sheath (26055)$4,276$2,779$1,112$7,992$5,195$2,078
Laparoscopic Hernia Repair - Initial (49650)$15,022$9,764$3,906$24,757$16,092$6,437
Repair Initial Ingunial Hernia, > = 5 years, Reducible (49505)$8,809$5,726$2,290$15,631$10,160$4,064
Unlisted Cystourethoscopy (52000)$2,644$1,718$687$9,529$6,194$2,478
Uppr GI Endoscopy with Guide Wire (43248)$2,546$1,655$662$5,114$3,324$1,330
Destruction by neurolytic agent w imaging, cervical or thoracic (64633)$5,207$3,385$1,354$9,011$5,857$2,343
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) (20680)$5,439$3,535$1,414$22,022$14,315$5,726
Destruction of Premalignant Lesion (17000)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy (29880)$8,306$5,399$2,159$30,901$20,086$8,034
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct (47563)$13,841$8,997$3,599$22,175$14,414$5,765
Destruction of Benign Lesions up to 14 Lesions (17110)NRNRNRNRNRNR
Biopsy breast w/stereotactic image; 1 lesion (19081)$5,616$3,650$1,460$13,566$8,818$3,527
Cystourethroscopy with Stent (52332)$7,945$5,165$2,066$17,048$11,081$4,432
Laparoscopy - Removal of Adnexal Structures (58661)$13,733$8,927$3,571$23,295$15,142$6,057
Mastectomy, Partial (19301)$8,938$5,809$2,324$19,358$12,583$5,033
Debridement Skin/Tissue (11042)$3,043$1,978$791$4,338$2,820$1,128
Laparoscopic Appendectomy (44970)$16,807$10,924$4,370$19,131$12,435$4,974
Repair Umbilical Hernia, > = 5 Yrs - Reducible (49585)$9,296$6,043$2,417$22,149$14,397$5,759
Laparoscopy, Removal of Tubes & Ovaries (58571)$23,313$15,153$6,061$33,775$21,954$8,781
Removal of Tonsils (42826)$3,759$2,443$977$8,448$5,491$2,197
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles (20552)$630$410$164$2,347$1,525$610
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair (29888)$22,678$14,741$5,896$29,413$19,118$7,647
Low Back Disk Surgery (63030)$16,622$10,804$4,322$23,905$15,538$6,215
Repair of Nasal Septum (30520)$5,851$3,803$1,521$45,568$29,619$11,848
Fragmenting of Kidney Stone (50590)NRNRNR$18,303$11,897$4,759
Needle Biopsy of Liver (47000)$5,203$3,382$1,353$9,174$5,963$2,385
Wrist Endoscopy/Surgery (29848)NRNRNRNRNRNR
Coronary Artery Angio S&I (93454)$11,067$7,193$2,877$14,787$9,611$3,845
Aspirate Pleura with Imaging (32555)$2,744$1,784$713$4,617$3,001$1,200
Bone Marrow Biopsy (38221)NRNRNR$17,267$11,224$4,490
Diagnostic Laryngoscopy (31575)$2,994$1,946$778NRNRNR
Hysteroscopy with Ablation (58563)$13,608$8,845$3,538$27,078$17,600$7,040
Injection of chemical agent into muscles near face/neck (64615)NRNRNRNRNRNR
Removal of Adenoids (42830)$5,148$3,346$1,339$13,667$8,883$3,553
Correction of Bunion (28296)$8,582$5,579$2,231NRNRNR
Biopsy of lung or mediastinum, percutaneous w/needle (32405)$5,978$3,885$1,554$10,811$7,027$2,811
Remove Impacted Ear Wax (69210)$1,060$689$276NRNRNR
Right and Left Heart Artery/Ventricle Angiography (93460)$11,243$7,308$2,923$36,853$23,954$9,582
Shoulder Arthroscopy/Surgery (29824)$8,820$5,733$2,293$13,847$9,001$3,600
Exam of ear with microscope (92504)NRNRNRNRNRNR
Electro-Uroflowmetry - First (51741)NRNRNRNRNRNR
Removal of Central Venous Device w Port or Pump (36590)$2,929$1,904$762$2,956$1,921$769
Arthrocentesis, aspiration and/or Inj. major joint or bursa; w/US guidance (20611)$593$385$154$1,487$967$387
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.