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 2015 - March 2016
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,257$1,467$609
2560Vaginal Delivery$5,588$3,632$1,509
3720Blood Infection/Septicemia$15,944$10,364$4,305
4302Knee Replacement$29,557$19,212$7,980
5540Cesarean Delivery$13,950$9,068$3,767
6194Heart Failure$9,612$6,248$2,595
7301Hip Replacement$30,329$19,714$8,189
8139Pneumonia$8,119$5,277$2,192
9751PsychosesNRNRNR
10753Bipolar DisordersNRNRNR
11140Chronic Obstructive Pulmonary Disease$11,284$7,335$3,047
12775Alcohol Abuse/Dependence$5,423$3,525$1,464
13201Heart Abnormal Rhythm and Conduction Disorders$5,659$3,678$1,528
14383Cellulitis and Other Bacterial Skin Infections$8,437$5,484$2,278
15460Renal Failure$20,084$13,055$5,423
16045Stroke and Precerebral Occlusion with Infarct$19,077$12,400$5,151
17133Pulmonary Edema/Respiratory FailureNRNRNR
18463Kidney/Urinary Tract Infection$9,840$6,396$2,657
19221Major Bowel Procedures$49,271$32,026$13,303
20174Angioplasty with Heart Attack$29,475$19,159$7,958
21754DepressionNRNRNR
22247Intestinal Obstruction without Surgery$13,841$8,997$3,737
23750SchizophreniaNRNRNR
24420Diabetes$23,521$15,289$6,351
25282Disorders of Pancreas Except Malignancy$17,360$11,284$4,687
26254Other Digestive System Diagnoses$17,383$11,299$4,693
27812Poisoning of Medicinal Agents$9,679$6,291$2,613
28304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$54,582$35,478$14,737
29053Seizure$7,412$4,818$2,001
30137Respiratory Infections and InflammationsNRNRNR
31173Other Vascular Procedures$67,072$43,597$18,109
32249Gastroenteritis$15,200$9,880$4,104
33190Circulatory Disorders with Heart Attack$16,168$10,509$4,365
34134Pulmonary Embolism$9,915$6,445$2,677
35308Hip/Thigh Surgery with Trauma Diagnosis$30,099$19,564$8,127
36263Laparoscopic Cholecystectomy$24,517$15,936$6,620
37315Shoulder/Upper Arm, Forearm Surgery$15,869$10,315$4,285
38244Diverticulitis & Diverticulosis$13,731$8,925$3,707
39710Infectious & parasitic diseases including HIV w O.R. procedure$61,400$39,910$16,578
40773Opioid Abuse/DependenceNRNRNR
41860Rehabilitation$16,275$10,579$4,394
42175Angioplasty without Heart Attack$29,700$19,305$8,019
43861Signs & Symptoms$16,493$10,720$4,453
44425Other Electrolyte Disorders$7,152$4,649$1,931
45347Other Back/Neck Disorders, Fractures, Injuries$16,788$10,912$4,533
46241Peptic Ulcer/Gastritis$12,537$8,149$3,385
47253Other and Unspecified Gastrointestinal Hemorrhage$10,154$6,600$2,742
48313Other Knee/Lower Leg Surgery$24,674$16,038$6,662
49191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$18,998$12,349$5,129
50351Other Musculoskeletal System and Connective Tissue Diagnoses$7,300$4,745$1,971
51058Other Disorders of Nervous System$19,527$12,693$5,272
52248Major G.I. Bacterial Infections$11,655$7,576$3,147
53024Extracranial Vascular Procedures$26,637$17,314$7,192
54466Malfunction, reaction, complic of genitourinary device or procNRNRNR
55663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$12,666$8,233$3,420
56141Asthma$9,446$6,140$2,550
57693Chemotherapy$29,167$18,959$7,875
58721Postoperative and Post-Traumatic Infections$11,974$7,783$3,233
59321Upper Spinal Fusion$28,762$18,695$7,766
60197Peripheral and Other Vascular DisordersNRNRNR
61021Craniotomy Except For Trauma$25,772$16,752$6,958
62225Appendectomy$28,783$18,709$7,771
63566Other Antepartum Diagnoses$3,208$2,085$866
64055Head trauma w coma >1 hr or hemorrhage$5,352$3,479$1,445
65755Neuroses Other Than DepressionNRNRNR
66052Nontraumatic stupor & coma$16,180$10,517$4,369
67192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$17,379$11,296$4,692
68163Heart Valve Procedures without Cardiac Catheterization$87,684$56,995$23,675
69144Respiratory System Signs, Symptoms and Minor Diagnoses$8,277$5,380$2,235
70143Other respiratory diagnoses except signs, symptoms & minor diagnoses$6,374$4,143$1,721
71422HypovolemiaNRNRNR
72204Fainting and Collapse$6,005$3,903$1,621
73951Moderately Extensive Procedure Unrelated to Diagnosis$36,005$23,403$9,721
74639Neonate Birthwt >2499g with Other Significant Condition$3,600$2,340$972
75756Acute Adjust React Psychosocial Dysfunction$8,208$5,335$2,216

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 2015 - March 2016
 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)$3,199$2,079$864$5,673$3,687$1,532
Upper GI Endoscopy with Biopsy 43239)$2,718$1,767$734$5,066$3,293$1,368
Lesion Removal Colonoscopy by Snare Technique 45385)$3,344$2,173$903$4,417$2,871$1,193
Diagnostic Colonoscopy 45378)$2,487$1,617$672$4,825$3,136$1,303
Injection into Lumbar or Sacral Area, Single Level 64483)$1,961$1,274$529$2,396$1,557$647
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$2,026$1,317$547$2,035$1,323$550
Drain/Inject Major Joint or Bursa 20610)$438$285$118$11,758$7,643$3,175
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$2,486$1,616$671NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$2,456$1,597$663NRNRNR
Carpal Tunnel Surgery 64721)$4,613$2,998$1,245$6,111$3,972$1,650
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$9,064$5,892$2,447$9,819$6,382$2,651
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)$4,122$2,679$1,113$5,526$3,592$1,492
Uppr GI Endoscopy- Diagnostic 43235)$2,106$1,369$569$4,444$2,888$1,200
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$3,232$2,101$873$5,359$3,483$1,447
Left Heart Artery/Ventricle Angiography 93458)$10,133$6,587$2,736$22,369$14,540$6,040
Creation of Eardrum Opening 69436)$2,668$1,734$720$5,013$3,259$1,354
Unlisted Dental Surgery Procedure 41899)$6,578$4,275$1,776$9,988$6,492$2,697
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$2,240$1,456$605$2,295$1,492$620
Laparoscopic Cholecystectomy 47562)$11,702$7,606$3,160$15,037$9,774$4,060
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
ABD Paracentesis w/Imaging 49083)$4,264$2,772$1,151$4,978$3,236$1,344
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$9,745$6,334$2,631$12,175$7,914$3,287
Cataract Surgery- Complex 66982)$6,596$4,288$1,781NRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$5,474$3,558$1,478$6,313$4,103$1,704
Arthroscopic Rotator Cuff Repair 29827)$13,285$8,635$3,587$18,755$12,191$5,064
Hysteroscopy with Biopsy 58558)$10,160$6,604$2,743$12,487$8,117$3,371
Esophageal Endoscopy with Dilation 43249)$2,619$1,702$707$4,806$3,124$1,298
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$1,949$1,267$526$7,825$5,086$2,113
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$9,551$6,208$2,579$13,856$9,006$3,741
Incision of Finger Tendon Sheath 26055)$4,448$2,891$1,201$4,880$3,172$1,318
Unlisted Cystourethoscopy 52000)$6,995$4,547$1,889$15,253$9,915$4,118
Cystourethroscopy with Lithotripsy and Stent 52356)$10,132$6,586$2,736$17,324$11,261$4,677
Laparoscopic Hernia Repair - Initial 49650)$13,718$8,917$3,704$14,643$9,518$3,954
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$8,811$5,727$2,379$11,752$7,639$3,173
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$13,892$9,030$3,751$17,399$11,309$4,698
Uppr GI Endoscopy with Guide Wire 43248)$2,404$1,563$649$2,912$1,893$786
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$9,350$6,077$2,524$8,690$5,648$2,346
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNR$5,778$3,756$1,560
Laparoscopic Appendectomy 44970)$13,948$9,066$3,766$16,516$10,736$4,459
Destruction of Benign Lesions up to 14 Lesions 17110)$6,367$4,138$1,719NRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)$9,663$6,281$2,609$14,982$9,738$4,045
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$1,474$958$398$1,468$954$396
Removal of Tonsils 42826)$5,790$3,763$1,563$7,294$4,741$1,969
Cystourethroscopy with Stent 52332)$7,084$4,605$1,913$22,270$14,476$6,013
Repair of Nasal Septum 30520)$6,101$3,966$1,647$6,902$4,486$1,864
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$16,844$10,949$4,548$17,682$11,493$4,774
Low Back Disk Surgery 63030)$15,963$10,376$4,310$15,246$9,910$4,116
Fragmenting of Kidney Stone 50590)NRNRNR$22,992$14,945$6,208
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$7,781$5,058$2,101$10,459$6,798$2,824
Laparoscopy - Removal of Adnexal Structures 58661)$11,850$7,702$3,199$15,068$9,794$4,068
Mastectomy, Partial 19301)$8,654$5,625$2,336$17,475$11,358$4,718
Needle Biopsy of Liver 47000)$11,401$7,411$3,078$16,112$10,473$4,350
Debridement Skin/Tissue 11042)$7,761$5,045$2,095$11,581$7,528$3,127
Laparoscopy, Removal of Tubes & Ovaries 58571)$19,117$12,426$5,161$24,130$15,684$6,515
Coronary Artery Angio S&I 93454)$9,330$6,064$2,519$16,247$10,561$4,387
Aspirate Pleura with Imaging 32555)$3,965$2,577$1,071$5,976$3,885$1,614
Remove Impacted Ear Wax 69210)$2,876$1,869$776$2,893$1,880$781
Hysteroscopy with Ablation 58563)$10,214$6,639$2,758$13,989$9,093$3,777
Diagnostic Laryngoscopy 31575)NRNRNR$11,277$7,330$3,045
Debridement, Open Wound <= 20 Square Centimeters 97597)$7,782$5,058$2,101$2,277$1,480$615
Apheresis Plasma 36514)NRNRNRNRNRNR
Wrist Endoscopy/Surgery 29848)$7,404$4,813$1,999NRNRNR
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNR$22,690$14,748$6,126
Shoulder Arthroscopy/Surgery 29824)$13,450$8,743$3,632$13,965$9,078$3,771
Right and Left Heart Artery/Ventricle Angiography 93460)$12,061$7,839$3,256$14,915$9,695$4,027
Bone Marrow Biopsy 38221)NRNRNRNRNRNR
Correction of Bunion 28296)$10,117$6,576$2,732$15,319$9,957$4,136
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Removal of Adenoids 42830)$4,087$2,656$1,103$4,584$2,980$1,238
Ablation therapy of first vein of extremity 36475)$9,971$6,481$2,692$11,725$7,621$3,166
Electronic analysis of implantable pump spine w/reprogram/refill 62369)$1,138$740$307NRNRNR
Biopsy of lung or mediastinum, percutaneous w/needle 32405)$7,318$4,757$1,976$10,666$6,933$2,880
Removal of Central Venous Device w Port or Pump 36590)$4,022$2,614$1,086$10,821$7,034$2,922
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.