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

Charges for 75 Most Common Hospitalizations in Wisconsin:  April 2014 - March 2015
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,192$1,403$614
2560Vaginal Delivery$5,477$3,505$1,534
3720Blood Infection/Septicemia$13,869$8,876$3,883
4302Knee Replacement$28,094$17,980$7,866
5540Cesarean Delivery$13,742$8,795$3,848
6194Heart Failure$12,981$8,308$3,635
7139Pneumonia$9,687$6,200$2,712
8301Hip Replacement$29,962$19,176$8,389
9751PsychosesNRNRNR
10753Bipolar DisordersNRNRNR
11140Chronic Obstructive Pulmonary Disease$9,682$6,196$2,711
12201Heart Abnormal Rhythm and Conduction Disorders$7,466$4,778$2,090
13775Alcohol Abuse/Dependence$9,161$5,863$2,565
14383Cellulitis and Other Bacterial Skin Infections$10,902$6,977$3,053
15460Renal FailureNRNRNR
16045Stroke and Precerebral Occlusion with Infarct$18,020$11,533$5,046
17463Kidney/Urinary Tract Infection$12,418$7,948$3,477
18860Rehabilitation$11,453$7,330$3,207
19221Major Bowel Procedures$46,593$29,820$13,046
20133Pulmonary Edema/Respiratory Failure$28,628$18,322$8,016
21750SchizophreniaNRNRNR
22174Angioplasty with Heart Attack$30,372$19,438$8,504
23254Other Digestive System Diagnoses$14,191$9,082$3,973
24247Intestinal Obstruction without Surgery$12,745$8,157$3,569
25282Disorders of Pancreas Except Malignancy$16,995$10,877$4,759
26420Diabetes$6,757$4,324$1,892
27249Gastroenteritis$3,493$2,236$978
28754DepressionNRNRNR
29053Seizure$15,550$9,952$4,354
30304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$51,042$32,667$14,292
31812Poisoning of Medicinal Agents$8,184$5,238$2,292
32137Respiratory Infections and InflammationsNRNRNR
33134Pulmonary Embolism$12,999$8,319$3,640
34190Circulatory Disorders with Heart Attack$15,073$9,647$4,220
35308Hip/Thigh Surgery with Trauma Diagnosis$26,539$16,985$7,431
36173Other Vascular Procedures$63,245$40,477$17,709
37175Angioplasty without Heart Attack$28,096$17,981$7,867
38263Laparoscopic Cholecystectomy$31,432$20,116$8,801
39425Other Electrolyte Disorders$7,864$5,033$2,202
40244Diverticulitis & Diverticulosis$10,492$6,715$2,938
41347Other Back/Neck Disorders, Fractures, Injuries$12,030$7,699$3,368
42861Signs & Symptoms$5,859$3,750$1,641
43241Peptic Ulcer/Gastritis$11,785$7,542$3,300
44315Shoulder/Upper Arm, Forearm SurgeryNRNRNR
45253Other and Unspecified Gastrointestinal Hemorrhage$12,431$7,956$3,481
46313Other Knee/Lower Leg Surgery$19,712$12,616$5,519
47141Asthma$7,663$4,904$2,146
48351Other Musculoskeletal System and Connective Tissue Diagnoses$1,179$755$330
49663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$7,122$4,558$1,994
50773Opioid Abuse/DependenceNRNRNR
51248Major G.I. Bacterial Infections$9,278$5,938$2,598
52710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
53191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$18,361$11,751$5,141
54693Chemotherapy$19,434$12,438$5,442
55466Malfunction, reaction, complic of genitourinary device or procNRNRNR
56113Epiglottitis, Ear Infection, URI and Laryngotracheitis$7,229$4,627$2,024
57024Extracranial Vascular Procedures$24,953$15,970$6,987
58321Upper Spinal Fusion$28,841$18,458$8,075
59721Postoperative and Post-Traumatic Infections$19,273$12,335$5,396
60144Respiratory System Signs, Symptoms and Minor Diagnoses$14,224$9,103$3,983
61225Appendectomy$25,196$16,125$7,055
62197Peripheral and Other Vascular Disorders$9,059$5,798$2,537
63021Craniotomy Except For Trauma$59,287$37,944$16,600
64192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$13,694$8,764$3,834
65566Other Antepartum Diagnoses$1,517$971$425
66163Heart Valve Procedures without Cardiac Catheterization$75,234$48,150$21,066
67204Fainting and Collapse$10,415$6,666$2,916
68143Other respiratory diagnoses except signs, symptoms & minor diagnoses$4,570$2,925$1,280
69052Nontraumatic stupor & coma$17,815$11,402$4,988
70055Head trauma w coma >1 hr or hemorrhage$17,406$11,140$4,874
71755Neuroses Other Than DepressionNRNRNR
72310Back/Neck Procedures Except Dorsal and Lumbar Fusion$23,017$14,731$6,445
73660Major hematologic/immunologic diag exc sickle cell crisis & coagul$12,872$8,238$3,604
74198Chest Pain with Angina Pectoris or Coronary AtherosclerosisNRNRNR
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:  April 2014 - March 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)$3,125$2,000$875$5,203$3,330$1,457
Upper GI Endoscopy with Biopsy 43239)$2,669$1,708$747$5,015$3,210$1,404
Lesion Removal Colonoscopy by Snare Technique 45385)$3,210$2,055$899$4,274$2,736$1,197
Diagnostic Colonoscopy 45378)$2,423$1,551$679$4,584$2,934$1,284
Injection into Lumbar or Sacral Area, Single Level 64483)$1,932$1,237$541$2,367$1,515$663
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$1,018$651$285$1,567$1,003$439
Drain/Inject Major Joint or Bursa 20610)$1,455$931$407$10,327$6,609$2,892
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$2,392$1,531$670NRNRNR
Carpal Tunnel Surgery 64721)$4,382$2,804$1,227$6,425$4,112$1,799
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$8,488$5,433$2,377$17,168$10,987$4,807
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$2,392$1,531$670NRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$2,074$1,328$581$4,389$2,809$1,229
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$3,229$2,067$904$4,012$2,568$1,123
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)$4,246$2,718$1,189$5,424$3,471$1,519
Left Heart Artery/Ventricle Angiography 93458)$9,931$6,356$2,781$22,524$14,416$6,307
Creation of Eardrum Opening 69436)$2,705$1,731$757$2,760$1,766$773
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$1,266$810$355$2,147$1,374$601
Laparoscopic Cholecystectomy 47562)$11,917$7,627$3,337$15,126$9,680$4,235
Unlisted Dental Surgery Procedure 41899)$4,363$2,793$1,222$9,761$6,247$2,733
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$5,282$3,380$1,479$6,309$4,038$1,767
Cataract Surgery- Complex 66982)NRNRNRNRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$4,474$2,863$1,253$6,450$4,128$1,806
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$9,257$5,924$2,592$12,556$8,036$3,516
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$18,460$11,814$5,169
Hysteroscopy with Biopsy 58558)$9,707$6,212$2,718$11,862$7,592$3,321
ABD Paracentesis w/Imaging 49083)$2,368$1,516$663$4,032$2,581$1,129
Unlisted Cystourethoscopy 52000)$5,288$3,384$1,481$20,932$13,396$5,861
Esophageal Endoscopy with Dilation 43249)$2,579$1,650$722$4,805$3,075$1,345
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$3,082$1,972$863$8,997$5,758$2,519
Incision of Finger Tendon Sheath 26055)$4,047$2,590$1,133$4,771$3,053$1,336
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$8,241$5,274$2,307NRNRNR
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$12,824$8,207$3,591$17,145$10,973$4,801
Cystourethroscopy with Lithotripsy and Stent 52356)$10,871$6,957$3,044$20,848$13,343$5,837
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$8,616$5,514$2,412$18,209$11,654$5,099
Laparoscopic Hernia Repair - Initial 49650)$13,881$8,884$3,887$14,397$9,214$4,031
Uppr GI Endoscopy with Guide Wire 43248)$2,339$1,497$655$4,295$2,749$1,202
Destruction of Benign Lesions up to 14 Lesions 17110)$3,637$2,328$1,018$4,488$2,873$1,257
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)$5,576$3,569$1,561$9,410$6,023$2,635
Laparoscopic Appendectomy 44970)$13,977$8,946$3,914$15,932$10,196$4,461
Cystourethroscopy with Stent 52332)$6,963$4,456$1,950$21,895$14,013$6,131
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)$4,277$2,737$1,197$5,562$3,560$1,557
Low Back Disk Surgery 63030)$14,077$9,009$3,941$17,695$11,325$4,955
Repair of Nasal Septum 30520)$6,317$4,043$1,769$7,697$4,926$2,155
Fragmenting of Kidney Stone 50590)NRNRNR$22,897$14,654$6,411
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNRNRNRNR
Removal of Tonsils 42826)$5,841$3,738$1,636NRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$8,022$5,134$2,246$15,141$9,690$4,239
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$15,924$10,191$4,459$17,986$11,511$5,036
Mastectomy, Partial 19301)$8,895$5,693$2,491$20,130$12,883$5,636
Coronary Artery Angio S&I 93454)$8,811$5,639$2,467$13,684$8,758$3,831
Hysteroscopy with Ablation 58563)$10,168$6,507$2,847$13,287$8,504$3,720
Remove Impacted Ear Wax 69210)$3,679$2,355$1,030NRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$12,386$7,927$3,468$19,737$12,632$5,526
Needle Biopsy of Liver 47000)$7,210$4,615$2,019$12,568$8,044$3,519
Debridement Skin/Tissue 11042)$9,286$5,943$2,600$4,994$3,196$1,398
Laparoscopy, Removal of Tubes & Ovaries 58571)$19,133$12,245$5,357$23,885$15,286$6,688
Bone Marrow Biopsy 38221)$6,543$4,188$1,832$7,078$4,530$1,982
Correction of Bunion 28296)$10,882$6,965$3,047$14,917$9,547$4,177
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Aspirate Pleura with Imaging 32555)$3,674$2,351$1,029$3,610$2,310$1,011
Right and Left Heart Artery/Ventricle Angiography 93460)$11,501$7,361$3,220$24,601$15,744$6,888
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Mohs Micrographic Tissue Removal 17311)NRNRNRNRNRNR
Wrist Endoscopy/Surgery 29848)$6,039$3,865$1,691NRNRNR
Shoulder Arthroscopy/Surgery 29824)$11,386$7,287$3,188$14,864$9,513$4,162
Removal of Breast Lesion 19120)$6,934$4,438$1,942$10,166$6,506$2,847
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNR$21,156$13,540$5,924
Electronic analysis of implantable pump spine w/reprogram/refill 62369)$1,918$1,227$537NRNRNR
Removal of Central Venous Device w Port or Pump 36590)$3,929$2,514$1,100$10,084$6,454$2,824
Colonoscopy with Lesion Removal 45383)$3,032$1,941$849$5,016$3,210$1,404
Repair of Hammertoe 28285)$8,328$5,330$2,332$10,558$6,757$2,956
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.