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 2016 - March 2017
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,738$1,780$739
2560Vaginal Delivery$7,926$5,152$2,140
3720Blood Infection/Septicemia$4,878$3,171$1,317
4302Knee Replacement$31,706$20,609$8,561
5540Cesarean Delivery$12,222$7,944$3,300
6194Heart Failure$11,699$7,604$3,159
7301Hip Replacement$33,274$21,628$8,984
8751PsychosesNRNRNR
9139Pneumonia$7,921$5,149$2,139
10140Chronic Obstructive Pulmonary Disease$10,325$6,711$2,788
11753Bipolar DisordersNRNRNR
12775Alcohol Abuse/Dependence$6,656$4,326$1,797
13201Heart Abnormal Rhythm and Conduction Disorders$7,224$4,696$1,950
14383Cellulitis & other skin infections$6,608$4,295$1,784
15045Stroke and Precerebral Occlusion with Infarct$15,716$10,215$4,243
16133Respiratory failureNRNRNR
17463Kidney/Urinary Tract Infection$6,092$3,960$1,645
18221Major Bowel Procedures$40,214$26,139$10,858
19174Percutaneous coronary intervention w AMI$43,344$28,174$11,703
20750SchizophreniaNRNRNR
21754DepressionNRNRNR
22420Diabetes$8,522$5,539$2,301
23282Disorders of Pancreas Except Malignancy$6,986$4,541$1,886
24247Intestinal Obstruction without Surgery$8,734$5,677$2,358
25254Other Digestive System Diagnoses$8,553$5,559$2,309
26812Poisoning of Medicinal Agents$6,088$3,957$1,644
27710Infectious & parasitic diseases including HIV w O.R. procedure$22,317$14,506$6,026
28773Opioid Abuse/DependenceNRNRNR
29308Hip & femur fracture repair$29,178$18,966$7,878
30304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$68,835$44,743$18,585
31190Circulatory Disorders with Heart Attack$15,381$9,998$4,153
32053Seizure$8,162$5,305$2,204
33137Respiratory Infections and Inflammations$6,318$4,107$1,706
34058Other Disorders of Nervous System$15,711$10,212$4,242
35175Percutaneous coronary intervention w/o AMI$63,181$41,068$17,059
36249Other gastroenteritis, nausea & vomiting$6,262$4,070$1,691
37460Renal FailureNRNRNR
38134Pulmonary Embolism$10,736$6,978$2,899
39263Laparoscopic Cholecystectomy$18,962$12,325$5,120
40244Diverticulitis & Diverticulosis$7,698$5,004$2,078
41469Acute Kidney InjuryNRNRNR
42861Signs & Symptoms$12,822$8,334$3,462
43347Other Back/Neck Disorders, Fractures, Injuries$9,315$6,055$2,515
44315Shoulder, upper arm & forearm procedures except joint replacementNRNRNR
45253Other and Unspecified Gastrointestinal Hemorrhage$18,595$12,087$5,021
46241Peptic Ulcer/Gastritis$11,465$7,452$3,096
47313Other Knee/Lower Leg Surgery$24,679$16,041$6,663
48466Malfunction, reaction, complic of genitourinary device or proc$10,445$6,789$2,820
49192Cardiac catheterization for other non-coronary conditions$17,260$11,219$4,660
50351Other Musculoskeletal System and Connective Tissue Diagnoses$3,451$2,243$932
51425Other Electrolyte DisordersNRNRNR
52248Major G.I. Bacterial Infections$10,087$6,557$2,723
53951Moderately Extensive Procedure Unrelated to Diagnosis$15,968$10,379$4,311
54663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$24,460$15,899$6,604
55862Other Factors Influencing Health Status$14,970$9,731$4,042
56024Extracranial Vascular Procedures$22,602$14,691$6,103
57021Craniotomy Except For Trauma$40,033$26,021$10,809
58113Epiglottitis, Ear Infection, URI and Laryngotracheitis$4,370$2,841$1,180
59321Upper Spinal Fusion$51,062$33,190$13,787
60566Other Antepartum Diagnoses$2,283$1,484$616
61197Peripheral and Other Vascular Disorders$6,302$4,096$1,702
62422Hypovolemia$3,742$2,432$1,010
63055Head trauma w coma >1 hr or hemorrhage$11,956$7,771$3,228
64173Other Vascular Procedures$67,862$44,110$18,323
65052Nontraumatic stupor & coma$12,302$7,996$3,322
66225Appendectomy$25,143$16,343$6,789
67141Asthma$8,654$5,625$2,337
68166Coronary bypass w/o AMI or complex PDX$83,535$54,298$22,554
69721Postoperative and Post-Traumatic Infections$8,857$5,757$2,391
70755Neuroses Other Than DepressionNRNRNR
71191Cardiac catheterization for coronary artery disease$15,542$10,102$4,196
72220Major Stomach/Esophagus/Duodenum Procedures$35,395$23,007$9,557
73143Other respiratory diagnoses except signs, symptoms & minor diagnoses$10,305$6,698$2,782
74163Cardiac valve procedures w/o AMI or complex PDX$74,887$48,677$20,219
75950Extensive Procedure Unrelated to Principal Diagnosis$29,345$19,074$7,923

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 2016 - March 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)$2,896$1,883$782$5,679$3,691$1,533
Lesion Removal Colonoscopy by Snare Technique 45385)$2,959$1,923$799$5,901$3,836$1,593
Upper GI Endoscopy with Biopsy 43239)$2,802$1,821$756$5,478$3,561$1,479
Diagnostic Colonoscopy 45378)$2,535$1,648$684$5,390$3,504$1,455
Injection into Lumbar or Sacral Area, Single Level 64483)$2,306$1,499$623$3,338$2,169$901
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$4,213$2,738$1,137$6,172$4,012$1,666
Drain/Inject Major Joint or Bursa 20610)$818$532$221NRNRNR
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$2,536$1,648$685NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$2,647$1,721$715NRNRNR
Carpal Tunnel Surgery 64721)$4,306$2,799$1,163$19,340$12,571$5,222
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$8,349$5,427$2,254$29,224$18,995$7,890
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)$4,977$3,235$1,344$7,484$4,865$2,021
Uppr GI Endoscopy- Diagnostic 43235)$2,610$1,697$705$5,187$3,372$1,400
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$3,083$2,004$833$5,762$3,745$1,556
Creation of Eardrum Opening 69436)$9,199$5,980$2,484$5,348$3,476$1,444
Left Heart Artery/Ventricle Angiography 93458)$10,863$7,061$2,933$13,917$9,046$3,758
Unlisted Dental Surgery Procedure 41899)$2,114$1,374$571NRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$4,210$2,737$1,137$5,088$3,307$1,374
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Laparoscopic Cholecystectomy 47562)$13,271$8,626$3,583$17,718$11,517$4,784
ABD Paracentesis w/Imaging 49083)$1,759$1,143$475$4,465$2,902$1,205
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee 62323)NRNRNRNRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$5,106$3,319$1,379$13,177$8,565$3,558
Esophageal Endoscopy with Dilation 43249)$3,930$2,554$1,061$6,589$4,283$1,779
Arthroscopic Rotator Cuff Repair 29827)$16,369$10,640$4,420$18,689$12,148$5,046
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$988$642$267$6,595$4,287$1,781
Removal of Tonsils And Adenoids - < Age 12 42820)$3,583$2,329$968$11,259$7,318$3,040
Hysteroscopy with Biopsy 58558)$8,613$5,598$2,325$16,930$11,005$4,571
Cataract Surgery- Complex 66982)NRNRNRNRNRNR
Cystourethroscopy with Lithotripsy and Stent 52356)$12,095$7,862$3,266$21,354$13,880$5,766
Incision of Finger Tendon Sheath 26055)$4,260$2,769$1,150$7,881$5,122$2,128
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$8,797$5,718$2,375$15,444$10,039$4,170
Laparoscopic Hernia Repair - Initial 49650)$14,727$9,572$3,976$23,886$15,526$6,449
Unlisted Cystourethoscopy 52000)$2,968$1,929$801$10,639$6,916$2,873
Uppr GI Endoscopy with Guide Wire 43248)$2,552$1,659$689$5,218$3,392$1,409
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)$5,315$3,455$1,435$7,957$5,172$2,148
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$5,439$3,535$1,468$22,022$14,315$5,946
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$13,785$8,960$3,722$25,498$16,574$6,884
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$8,330$5,415$2,249$28,642$18,617$7,733
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Cystourethroscopy with Stent 52332)$8,073$5,248$2,180$16,737$10,879$4,519
Biopsy breast w/stereotactic image; 1 lesion 19081)$5,756$3,741$1,554$13,456$8,746$3,633
Laparoscopy - Removal of Adnexal Structures 58661)$13,567$8,818$3,663$23,883$15,524$6,448
Mastectomy, Partial 19301)$9,049$5,882$2,443$15,168$9,859$4,095
Laparoscopic Appendectomy 44970)$15,830$10,289$4,274$18,849$12,252$5,089
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$9,156$5,952$2,472$21,374$13,893$5,771
Removal of Tonsils 42826)$3,779$2,456$1,020$8,200$5,330$2,214
Laparoscopy, Removal of Tubes & Ovaries 58571)$22,871$14,866$6,175$28,287$18,386$7,637
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$23,576$15,324$6,365$26,556$17,261$7,170
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$633$411$171NRNRNR
Low Back Disk Surgery 63030)$16,503$10,727$4,456$26,846$17,450$7,248
Repair of Nasal Septum 30520)$5,842$3,797$1,577$38,857$25,257$10,491
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)NRNRNRNRNRNR
Needle Biopsy of Liver 47000)$5,621$3,653$1,518$12,590$8,183$3,399
Debridement Skin/Tissue 11042)$3,161$2,054$853$4,338$2,820$1,171
Fragmenting of Kidney Stone 50590)$10,816$7,030$2,920$22,836$14,843$6,166
Coronary Artery Angio S&I 93454)$11,018$7,161$2,975$14,971$9,731$4,042
Wrist Endoscopy/Surgery 29848)$6,696$4,353$1,808NRNRNR
Aspirate Pleura with Imaging 32555)$3,325$2,161$898$6,704$4,357$1,810
Bone Marrow Biopsy 38221)NRNRNRNRNRNR
Diagnostic Laryngoscopy 31575)$5,326$3,462$1,438NRNRNR
Correction of Bunion 28296)$8,641$5,617$2,333$12,929$8,404$3,491
Hysteroscopy with Ablation 58563)$13,441$8,736$3,629$24,174$15,713$6,527
Remove Impacted Ear Wax 69210)$1,060$689$286$2,608$1,695$704
Shoulder Arthroscopy/Surgery 29824)$8,820$5,733$2,381$13,651$8,873$3,686
Removal of Adenoids 42830)$4,891$3,179$1,321$13,277$8,630$3,585
Right and Left Heart Artery/Ventricle Angiography 93460)$11,333$7,366$3,060$14,593$9,485$3,940
Injection of chemical agent into muscles near face/neck 64615)NRNRNRNRNRNR
Biopsy of lung or mediastinum, percutaneous w/needle 32405)$6,247$4,060$1,687$10,811$7,027$2,919
Removal of Central Venous Device w Port or Pump 36590)$2,933$1,907$792$2,956$1,921$798
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Repair of wrist joints 25447)$8,547$5,555$2,308$13,846$9,000$3,738
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.