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


  
Charges for 75 Most Common Types of Hospitalizations in Wisconsin: October 2012 - September 2013
(Uncomplicated Cases Only)
 
    Estimated Insurance Payments *
RankAPR- DRG DescriptionMedian  
Charge
 
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,077$1,412$727
2560Vaginal Delivery$5,563$3,783$1,947
3302Knee Replacement$26,537$18,045$9,288
4720Blood Infection/SepticemiaNRNRNR
5540Cesarean Delivery$13,119$8,921$4,592
6139Pneumonia$5,525$3,757$1,934
7194Heart Failure$8,644$5,878$3,025
8301Hip Replacement$28,259$19,216$9,891
9751PsychosesNRNRNR
10140Chronic Obstructive Pulmonary Disease$10,490$7,133$3,672
11753Bipolar DisordersNRNRNR
12201Heart Abnormal Rhythm and Conduction Disorders$7,930$5,392$2,776
13383Cellulitis and Other Bacterial Skin Infections$12,408$8,437$4,343
14775Alchohol Abuse/Dependence$5,177$3,520$1,812
15460Renal Failure$5,610$3,815$1,964
16463Kidney/Urinary Tract Infection$9,653$6,564$3,379
17045Stroke and Precerebral Occlusion with Infarct$19,858$13,503$6,950
18860Rehabilitation$17,423$11,848$6,098
19221Major Bowel Procedures$42,686$29,026$14,940
20175Angioplasty without Heart Attack$27,729$18,856$9,705
21174Angioplasty with Heart Attack$28,392$19,307$9,937
22750SchizophreniaNRNRNR
23254Other Digestive System Diagnoses$9,370$6,372$3,280
24133Pulmonary Edema/Respiratory Failure$22,370$15,212$7,830
25249Gastroenteritis$8,195$5,573$2,868
26247Intestinal Obstruction without Surgery$13,031$8,861$4,561
27420Diabetes$8,332$5,666$2,916
28754DepressionNRNRNR
29812Poisoning of Medicinal Agents$7,391$5,026$2,587
30282Disorders of Pancreas Except Malignancy$13,580$9,234$4,753
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$52,757$35,875$18,465
32137Respiratory Infections and Inflammations$13,203$8,978$4,621
33053Seizure$9,354$6,361$3,274
34263Laparoscopic Cholecystectomy$25,814$17,554$9,035
35134Pulmonary Embolism$11,635$7,912$4,072
36308Hip/Thigh Surgery with Trauma Diagnosis$23,852$16,219$8,348
37173Other Vascular Procedures$62,147$42,260$21,751
38241Peptic Ulcer/Gastritis$12,632$8,590$4,421
39861Signs & Symptoms$5,912$4,020$2,069
40244Diverticulitis & Diverticulosis$12,502$8,501$4,376
41190Circulatory Disorders with Heart Attack$15,097$10,266$5,284
42425Other Electrolyte Disorders$6,978$4,745$2,442
43347Other Back/Neck Disorders, Fractures, Injuries$7,921$5,386$2,772
44313Other Knee/Lower Leg Surgery$19,634$13,351$6,872
45315Shoulder/Upper Arm, Forearm Surgery$11,776$8,008$4,122
46225Appendectomy$27,039$18,387$9,464
47192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$13,742$9,345$4,810
48663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$9,479$6,446$3,318
49141Asthma$9,089$6,181$3,181
50351Other Musculoskeletal System and Connective Tissue Diagnoses$948$645$332
51253Other and Unspecified Gastrointestinal Hemorrhage$14,292$9,719$5,002
52513Uterine Procedures without Tumor$24,542$16,689$8,590
53198Chest Pain with Angina Pectoris or Coronary Atherosclerosis$12,435$8,456$4,352
54191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$14,998$10,199$5,249
55204Fainting and CollapseNRNRNR
56248Major G.I. Bacterial Infections$13,553$9,216$4,744
57321Upper Spinal Fusion$32,588$22,160$11,406
58024Extracranial Vascular Procedures$23,402$15,913$8,191
59197Peripheral and Other Vascular Disorders$9,697$6,594$3,394
60144Respiratory System Signs, Symptoms and Minor Diagnoses$14,177$9,640$4,962
61773Opioid Abuse/DependenceNRNRNR
62721Postoperative and Post-Traumatic Infections$13,977$9,504$4,892
63310Back/Neck Procedures Except Dorsal and Lumbar Fusion$20,629$14,028$7,220
64693ChemotherapyNRNRNR
65566Other Antepartum Diagnoses$3,805$2,587$1,332
66113Epiglottitis, Ear Infection, URI and Laryngotracheitis$4,521$3,074$1,582
67422Hypovolemia$8,017$5,452$2,806
68710Infectious & parasitic diseases including HIV w O.R. procedure$27,771$18,884$9,720
69021Craniotomy Except For Trauma$64,713$44,005$22,650
70466Malfunctions, Reactions & Comp Of Gu Device, Graft Or TransplantNRNRNR
71047Transient Ischemia$12,491$8,494$4,372
72143Pneumothorax & Pleural Effusion$5,389$3,665$1,886
73755Neuroses Other Than DepressionNRNRNR
74055Head trauma w coma >1 hr or hemorrhage$11,259$7,656$3,941
75163Heart Valve Procedures without Cardiac Catheterization$76,617$52,100$26,816

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 2012 - September 2013
  With No Other Procedures With 1 or More Additional Procedures
Principal Procedure Median Charge Average Commercial Insurance Payment Average Medicare Insurance Payment* Median Charge Average Commercial Insurance Payment Average Medicare Insurance Payment*
Cataract Surgery with Intraocular Lens - Stage 1 (66984)$5,042$3,429$1,765$5,650$3,842$1,977
Colonoscopy and Biopsy (45380)$2,966$2,017$1,038$4,627$3,146$1,619
Diagnostic Colonoscopy (45378)$2,314$1,574$810$4,118$2,800$1,441
Upper GI Endoscopy with Biopsy (43239)$2,569$1,747$899$4,539$3,086$1,588
Lesion Removal Colonoscopy by Snare Technique (45385)$3,029$2,060$1,060$3,755$2,554$1,314
Injection into Lumbar or Sacral Area, Single Level (64483)$1,293$879$452$1,285$874$450
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral (64493)$929$632$325$1,355$921$474
Drain/Inject Major Joint or Bursa (20610)$1,220$829$427$1,205$819$422
Colorectal Cancer Screening; Colonscopy, Not High Risk (G0121)$2,314$1,574$810NRNRNR
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy (29881)$7,874$5,354$2,756$7,906$5,376$2,767
Carpal Tunnel Surgery (64721)$4,124$2,805$1,444$4,167$2,833$1,458
Uppr GI Endoscopy- Diagnostic (43235)$2,064$1,404$723$3,958$2,692$1,385
Colorectal Cancer Screening ; Colonoscopy, High Risk (G0105)$2,314$1,574$810NRNRNR
Lesion Removal Colonoscopy by Hot Biopsy or Cautery (45384)$2,903$1,974$1,016$4,664$3,171$1,632
Creation of Eardrum Opening (69436)$2,487$1,691$871$4,362$2,966$1,527
Left Heart Artery/Ventricle Angiography  (93458)$9,634$6,551$3,372$11,988$8,152$4,196
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral (64635)$3,959$2,692$1,386$4,922$3,347$1,723
Laparoscopic Cholecystectomy (47562)$10,738$7,302$3,758$13,434$9,135$4,702
Unlisted Dental Surgery Procedure (41899)$5,664$3,852$1,983$7,134$4,851$2,497
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor (64490)$1,029$700$360$1,926$1,310$674
After Cataract Laser Surgery (66821)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 (42820)$4,888$3,324$1,711$5,245$3,566$1,836
Repair Initial Ingunial Hernia, > = 5 years, Reducible (49505)$7,635$5,192$2,672$9,785$6,653$3,425
Percutaneous Breast Biopsy with Device and Imaging (19103)$4,476$3,044$1,567$5,282$3,592$1,849
Unlisted Cystourethoscopy (52000)$5,500$3,740$1,925$18,374$12,494$6,431
Cataract Surgery- Complex (66982)NRNRNRNRNRNR
Arthroscopic Rotator Cuff Repair (29827)$16,210$11,022$5,673$17,251$11,731$6,038
Hysteroscopy with Biopsy (58558)$9,203$6,258$3,221$10,661$7,249$3,731
Esophageal Endoscopy with Dilation (43249)$2,482$1,688$869$3,166$2,153$1,108
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct (47563)$11,439$7,779$4,004$16,698$11,354$5,844
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy (29880)$7,875$5,355$2,756$8,894$6,048$3,113
ABD Paracentesis w/Imaging (49083)$2,236$1,520$783$4,702$3,197$1,646
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) (20680)$8,010$5,446$2,803$9,649$6,562$3,377
Incision of Finger Tendon Sheath (26055)$4,299$2,923$1,505$4,672$3,177$1,635
Uppr GI Endoscopy with Guide Wire (43248)$2,285$1,554$800$2,766$1,881$968
Cystourethroscopy with Lithotripsy (52353)$16,278$11,069$5,697$18,860$12,825$6,601
Destruction of Benign Lesions up to 14 Lesions (17110)$4,897$3,330$1,714NRNRNR
Laparoscopic Hernia Repair - Initial (49650)$12,132$8,250$4,246$12,682$8,624$4,439
Destruction of Premalignant Lesion (17000)NRNRNRNRNRNR
Repair of Nasal Septum (30520)$5,342$3,633$1,870$7,044$4,790$2,465
Cystourethroscopy with Stent (52332)$7,116$4,839$2,490$16,550$11,254$5,792
Removal of Tonsils (42826)$5,528$3,759$1,935$6,309$4,290$2,208
Percutaneous Breast Biopsy with Imaging (19102)$3,560$2,421$1,246$5,258$3,575$1,840
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair (29888)$16,703$11,358$5,846$15,195$10,333$5,318
Fragmenting of Kidney Stone (50590)$15,286$10,395$5,350$16,872$11,473$5,905
Repair Umbilical Hernia, > = 5 Yrs - Reducible  (49585)$6,412$4,360$2,244$8,055$5,477$2,819
Laparoscopic Appendectomy (44970)$13,737$9,341$4,808$15,539$10,567$5,439
Hysteroscopy with Ablation (58563)$9,344$6,354$3,270$14,069$9,567$4,924
Correction of Bunion (28296)$10,256$6,974$3,590$13,921$9,466$4,872
Low Back Disk Surgery (63030)$13,506$9,184$4,727$15,698$10,675$5,494
Destruction by neurolytic agent w imaging, cervical or thoracic (64633)$3,470$2,359$1,214$4,684$3,185$1,639
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles (20552)$308$209$108NRNRNR
Colonoscopy with Lesion Removal (45383)$2,903$1,974$1,016$4,383$2,980$1,534
Needle Biopsy of Liver (47000)$6,149$4,181$2,152$13,145$8,938$4,601
Mastectomy, Partial (19301)$9,825$6,681$3,439$15,108$10,273$5,288
Remove Impacted Ear Wax (69210)$3,926$2,670$1,374NRNRNR
Mohs Micrographic Tissue Removal (17311)NRNRNRNRNRNR
Bone Marrow Biopsy (38221)$12,793$8,699$4,477$11,821$8,038$4,137
Biopsy Skin and Subcutaneous Tissue; 1 Lesion (11100)$1,167$794$408$1,385$942$485
Laparoscopy - Removal of Adnexal Structures (58661)$13,371$9,092$4,680$17,141$11,656$5,999
Insertion of Central Venous Catheter >= 5 years (36569)$2,008$1,366$703NRNRNR
Diagnostic Laryngoscopy (31575)NRNRNRNRNRNR
Coronary Artery Angio S&I (93454)$9,592$6,523$3,357$9,598$6,527$3,359
Right and Left Heart Artery/Ventricle Angiography (93460)$11,260$7,656$3,941$11,532$7,842$4,036
Excision Breast Lesion with Preoperative Placement Radiological Marker (19125)$9,492$6,455$3,322$7,995$5,437$2,798
Removal of Breast Lesion (19120)$6,397$4,350$2,239$11,490$7,813$4,021
Debridement, Open Wound <= 20 Square Centimeters (97597)$279$190$98$1,275$867$446
Destruction (therapeutic injection) of muscles; extremity /trunk (64614)$5,788$3,936$2,026$8,120$5,521$2,842
Electro-Uroflowmetry - First (51741)NRNRNRNRNRNR
Removal of Adenoids (42830)$3,812$2,592$1,334$4,450$3,026$1,557
Removal of Central Venous Device w Port or Pump (36590)$4,452$3,027$1,558$3,018$2,052$1,056
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area (58662)$14,176$9,640$4,962$14,843$10,093$5,195
Repair Rotator Cuff, Chronic (23412)$13,996$9,517$4,899$15,557$10,578$5,445
Knee Arthroscopy/Surgery with Shaving of Cartilage (29877)$7,837$5,329$2,743$9,583$6,517$3,354
Surgical Removal of Subcutaneous Tissue, <= 20 sq. cm. (11042)$654$445$229$1,082$736$379

NR = No Cases Reported
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.

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