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

Charges for 75 Most Common Hospitalizations in Wisconsin:  October 2015 - September 2016
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,368$1,539$639
2560Vaginal Delivery$6,433$4,181$1,737
3720Blood Infection/Septicemia$10,682$6,943$2,884
4302Knee Replacement$30,602$19,891$8,263
5540Cesarean Delivery$12,840$8,346$3,467
6194Heart Failure$8,959$5,823$2,419
7301Hip Replacement$32,145$20,894$8,679
8139Pneumonia$7,844$5,099$2,118
9751PsychosesNRNRNR
10753Bipolar DisordersNRNRNR
11775Alcohol Abuse/Dependence$5,084$3,305$1,373
12201Heart Abnormal Rhythm and Conduction Disorders$5,964$3,877$1,610
13140Chronic Obstructive Pulmonary Disease$8,253$5,364$2,228
14383Cellulitis and Other Bacterial Skin Infections$6,851$4,453$1,850
15045Stroke and Precerebral Occlusion with Infarct$20,627$13,408$5,569
16460Renal FailureNRNRNR
17133Pulmonary Edema/Respiratory FailureNRNRNR
18463Kidney/Urinary Tract Infection$6,092$3,960$1,645
19221Major Bowel Procedures$45,884$29,825$12,389
20754DepressionNRNRNR
21174Angioplasty with Heart Attack$39,049$25,382$10,543
22750SchizophreniaNRNRNR
23420Diabetes$16,359$10,633$4,417
24247Intestinal Obstruction without Surgery$9,900$6,435$2,673
25282Disorders of Pancreas Except Malignancy$7,158$4,653$1,933
26812Poisoning of Medicinal Agents$8,528$5,543$2,303
27254Other Digestive System Diagnoses$17,383$11,299$4,693
28710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
29304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$66,238$43,055$17,884
30190Circulatory Disorders with Heart Attack$15,669$10,185$4,231
31773Opioid Abuse/DependenceNRNRNR
32173Other Vascular Procedures$69,187$44,972$18,680
33137Respiratory Infections and Inflammations$6,318$4,107$1,706
34053Seizure$7,412$4,818$2,001
35058Other Disorders of Nervous System$14,558$9,463$3,931
36308Hip/Thigh Surgery with Trauma Diagnosis$29,710$19,312$8,022
37263Laparoscopic CholecystectomyNRNRNR
38134Pulmonary Embolism$9,295$6,042$2,510
39315Shoulder/Upper Arm, Forearm SurgeryNRNRNR
40175Angioplasty without Heart Attack$47,083$30,604$12,712
41249Gastroenteritis$7,576$4,924$2,046
42244Diverticulitis & Diverticulosis$11,042$7,177$2,981
43861Signs & Symptoms$15,167$9,859$4,095
44347Other Back/Neck Disorders, Fractures, Injuries$19,030$12,370$5,138
45253Other and Unspecified Gastrointestinal Hemorrhage$12,348$8,026$3,334
46313Other Knee/Lower Leg Surgery$24,674$16,038$6,662
47862Other Factors Influencing Health Status$14,982$9,738$4,045
48191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$16,070$10,446$4,339
49351Other Musculoskeletal System and Connective Tissue Diagnoses$11,300$7,345$3,051
50241Peptic Ulcer/Gastritis$13,643$8,868$3,684
51425Other Electrolyte DisordersNRNRNR
52248Major G.I. Bacterial Infections$7,100$4,615$1,917
53663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$14,388$9,352$3,885
54466Malfunction, reaction, complic of genitourinary device or procNRNRNR
55024Extracranial Vascular Procedures$25,668$16,684$6,930
56950Extensive Procedure Unrelated to Principal Diagnosis$33,989$22,093$9,177
57951Moderately Extensive Procedure Unrelated to Diagnosis$20,247$13,161$5,467
58693Chemotherapy$29,071$18,896$7,849
59021Craniotomy Except For Trauma$34,399$22,359$9,288
60566Other Antepartum Diagnoses$2,283$1,484$616
61197Peripheral and Other Vascular Disorders$6,302$4,096$1,702
62220Major Stomach/Esophagus/Duodenum Procedures$33,955$22,071$9,168
63422HypovolemiaNRNRNR
64225Appendectomy$26,963$17,526$7,280
65052Nontraumatic stupor & coma$10,219$6,642$2,759
66321Upper Spinal Fusion$42,204$27,433$11,395
67141Asthma$8,748$5,686$2,362
68755Neuroses Other Than DepressionNRNRNR
69192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$17,862$11,610$4,823
70055Head trauma w coma >1 hr or hemorrhageNRNRNR
71721Postoperative and Post-Traumatic Infections$8,250$5,363$2,228
72163Heart Valve Procedures without Cardiac Catheterization$83,102$54,016$22,438
73204Fainting and Collapse$6,692$4,350$1,807
74639Neonate Birthwt >2499g with Other Significant Condition$3,630$2,360$980
75756Acute Adjust React Psychosocial Dysfunction$11,349$7,377$3,064

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 2015 - September 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)$3,176$2,065$858$5,751$3,738$1,553
Lesion Removal Colonoscopy by Snare Technique 45385)$3,310$2,151$894$5,315$3,455$1,435
Upper GI Endoscopy with Biopsy 43239)$2,871$1,866$775$5,561$3,615$1,502
Diagnostic Colonoscopy 45378)$2,612$1,698$705$4,937$3,209$1,333
Injection into Lumbar or Sacral Area, Single Level 64483)$2,009$1,306$542$3,309$2,151$893
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$4,147$2,695$1,120$3,856$2,507$1,041
Drain/Inject Major Joint or Bursa 20610)$630$409$170$14,778$9,606$3,990
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$2,519$1,637$680NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$2,612$1,698$705NRNRNR
Carpal Tunnel Surgery 64721)$4,334$2,817$1,170$6,369$4,140$1,720
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$8,438$5,484$2,278$21,535$13,998$5,815
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)$4,825$3,136$1,303$6,880$4,472$1,858
Uppr GI Endoscopy- Diagnostic 43235)$2,407$1,564$650$5,282$3,434$1,426
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$3,176$2,065$858$5,600$3,640$1,512
Creation of Eardrum Opening 69436)$3,104$2,018$838$5,059$3,288$1,366
Left Heart Artery/Ventricle Angiography 93458)$10,684$6,945$2,885$21,595$14,037$5,831
Unlisted Dental Surgery Procedure 41899)$2,114$1,374$571$9,988$6,492$2,697
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$2,887$1,876$779$3,873$2,518$1,046
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Laparoscopic Cholecystectomy 47562)$12,681$8,243$3,424$15,420$10,023$4,163
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$8,356$5,431$2,256$12,611$8,197$3,405
ABD Paracentesis w/Imaging 49083)$3,130$2,035$845$4,940$3,211$1,334
Removal of Tonsils And Adenoids - < Age 12 42820)$5,103$3,317$1,378$7,053$4,585$1,904
Cataract Surgery- Complex 66982)NRNRNRNRNRNR
Esophageal Endoscopy with Dilation 43249)$2,811$1,827$759$5,311$3,452$1,434
Arthroscopic Rotator Cuff Repair 29827)$16,369$10,640$4,420$18,714$12,164$5,053
Hysteroscopy with Biopsy 58558)$9,626$6,257$2,599$12,017$7,811$3,244
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$1,233$801$333$7,372$4,792$1,991
Cystourethroscopy with Lithotripsy and Stent 52356)$11,925$7,751$3,220$20,596$13,387$5,561
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$9,162$5,955$2,474$13,653$8,874$3,686
Incision of Finger Tendon Sheath 26055)$3,802$2,472$1,027$7,429$4,829$2,006
Laparoscopic Hernia Repair - Initial 49650)$14,157$9,202$3,823$15,651$10,173$4,226
Unlisted Cystourethoscopy 52000)$3,010$1,956$813$14,064$9,141$3,797
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$13,646$8,870$3,684$18,276$11,879$4,935
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$5,749$3,737$1,552NRNRNR
Uppr GI Endoscopy with Guide Wire 43248)$2,533$1,646$684$4,685$3,045$1,265
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)$5,207$3,385$1,406$7,319$4,757$1,976
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$8,575$5,574$2,315$28,642$18,617$7,733
Laparoscopic Appendectomy 44970)$14,771$9,601$3,988$17,824$11,585$4,812
Destruction of Benign Lesions up to 14 Lesions 17110)$7,196$4,677$1,943NRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)$9,398$6,109$2,538$13,447$8,740$3,631
Cystourethroscopy with Stent 52332)$8,109$5,271$2,190$16,530$10,744$4,463
Removal of Tonsils 42826)$4,771$3,101$1,288$7,762$5,045$2,096
Laparoscopy - Removal of Adnexal Structures 58661)$13,079$8,501$3,531$19,004$12,352$5,131
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$1,474$958$398$1,468$954$396
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$8,547$5,556$2,308$14,802$9,622$3,997
Mastectomy, Partial 19301)$9,033$5,871$2,439$16,794$10,916$4,534
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$19,443$12,638$5,250$21,132$13,735$5,706
Low Back Disk Surgery 63030)$16,195$10,526$4,373$20,811$13,527$5,619
Repair of Nasal Septum 30520)$5,766$3,748$1,557$7,939$5,160$2,143
Fragmenting of Kidney Stone 50590)$10,816$7,030$2,920$23,678$15,390$6,393
Laparoscopy, Removal of Tubes & Ovaries 58571)$20,053$13,034$5,414$24,370$15,840$6,580
Needle Biopsy of Liver 47000)$10,876$7,069$2,937$13,737$8,929$3,709
Aspirate Pleura with Imaging 32555)$4,112$2,673$1,110$6,704$4,357$1,810
Coronary Artery Angio S&I 93454)$10,712$6,963$2,892$17,549$11,407$4,738
Debridement Skin/Tissue 11042)$6,415$4,169$1,732$9,699$6,304$2,619
Wrist Endoscopy/Surgery 29848)$6,696$4,353$1,808NRNRNR
Hysteroscopy with Ablation 58563)$11,623$7,555$3,138$16,025$10,416$4,327
Transluminal balloon angioplasty, percutaneous, venous 35476)$11,604$7,543$3,133$22,158$14,403$5,983
Bone Marrow Biopsy 38221)NRNRNRNRNRNR
Diagnostic Laryngoscopy 31575)NRNRNR$11,277$7,330$3,045
Correction of Bunion 28296)$9,550$6,208$2,579$15,319$9,957$4,136
Remove Impacted Ear Wax 69210)NRNRNR$2,750$1,788$743
Shoulder Arthroscopy/Surgery 29824)$13,100$8,515$3,537$13,973$9,083$3,773
Apheresis Plasma 36514)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)$12,268$7,974$3,312$15,301$9,946$4,131
Biopsy of lung or mediastinum, percutaneous w/needle 32405)$7,085$4,605$1,913$13,081$8,503$3,532
Removal of Adenoids 42830)$4,546$2,955$1,227$5,973$3,882$1,613
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Removal of Central Venous Device w Port or Pump 36590)$3,535$2,298$954$10,821$7,034$2,922
Ablation therapy of first vein of extremity 36475)$9,971$6,481$2,692$14,008$9,105$3,782
Injection of chemical agent into muscles near face/neck 64615)$2,816$1,830$760NRNRNR
Debridement, Open Wound <= 20 Square Centimeters 97597)$1,652$1,074$446$2,750$1,787$742
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.