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

Charges for 75 Most Common Hospitalizations in Wisconsin:  January 2015 - December 2015
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,231$1,428$625
2560Vaginal Delivery$5,661$3,623$1,585
3720Blood Infection/Septicemia$10,682$6,836$2,991
4302Knee Replacement$29,414$18,825$8,236
5540Cesarean Delivery$13,937$8,920$3,902
6194Heart Failure$9,612$6,152$2,691
7301Hip Replacement$30,356$19,428$8,500
8139Pneumonia$7,797$4,990$2,183
9751PsychosesNRNRNR
10753Bipolar DisordersNRNRNR
11140Chronic Obstructive Pulmonary Disease$13,369$8,556$3,743
12201Heart Abnormal Rhythm and Conduction Disorders$6,843$4,380$1,916
13775Alcohol Abuse/Dependence$7,461$4,775$2,089
14460Renal Failure$20,084$12,854$5,624
15383Cellulitis and Other Bacterial Skin Infections$8,743$5,596$2,448
16045Stroke and Precerebral Occlusion with Infarct$18,168$11,628$5,087
17133Pulmonary Edema/Respiratory FailureNRNRNR
18221Major Bowel Procedures$48,772$31,214$13,656
19463Kidney/Urinary Tract Infection$10,113$6,472$2,832
20174Angioplasty with Heart Attack$29,783$19,061$8,339
21860Rehabilitation$16,495$10,557$4,619
22247Intestinal Obstruction without Surgery$13,901$8,897$3,892
23750SchizophreniaNRNRNR
24282Disorders of Pancreas Except Malignancy$18,921$12,109$5,298
25420Diabetes$16,359$10,470$4,581
26754DepressionNRNRNR
27254Other Digestive System Diagnoses$17,383$11,125$4,867
28249Gastroenteritis$7,840$5,018$2,195
29812Poisoning of Medicinal Agents$15,234$9,750$4,266
30304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$51,537$32,984$14,430
31137Respiratory Infections and InflammationsNRNRNR
32053Seizure$8,082$5,172$2,263
33173Other Vascular Procedures$67,590$43,258$18,925
34134Pulmonary Embolism$10,554$6,755$2,955
35190Circulatory Disorders with Heart Attack$17,793$11,388$4,982
36308Hip/Thigh Surgery with Trauma Diagnosis$28,809$18,438$8,067
37263Laparoscopic Cholecystectomy$24,517$15,691$6,865
38244Diverticulitis & Diverticulosis$13,731$8,788$3,845
39315Shoulder/Upper Arm, Forearm Surgery$15,869$10,156$4,443
40175Angioplasty without Heart Attack$29,700$19,008$8,316
41425Other Electrolyte Disorders$7,662$4,904$2,145
42861Signs & Symptoms$5,859$3,750$1,641
43241Peptic Ulcer/Gastritis$11,124$7,119$3,115
44773Opioid Abuse/DependenceNRNRNR
45710Infectious & parasitic diseases including HIV w O.R. procedure$61,400$39,296$17,192
46347Other Back/Neck Disorders, Fractures, Injuries$18,366$11,754$5,142
47253Other and Unspecified Gastrointestinal Hemorrhage$12,348$7,903$3,457
48313Other Knee/Lower Leg Surgery$24,025$15,376$6,727
49351Other Musculoskeletal System and Connective Tissue Diagnoses$2,235$1,430$626
50248Major G.I. Bacterial Infections$11,655$7,459$3,263
51191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$26,314$16,841$7,368
52663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$8,012$5,128$2,243
53466Malfunction, reaction, complic of genitourinary device or procNRNRNR
54024Extracranial Vascular Procedures$26,802$17,153$7,505
55693Chemotherapy$29,167$18,667$8,167
56141Asthma$9,573$6,127$2,680
57321Upper Spinal Fusion$27,400$17,536$7,672
58721Postoperative and Post-Traumatic Infections$11,974$7,663$3,353
59197Peripheral and Other Vascular Disorders$9,059$5,798$2,537
60058Other Disorders of Nervous System$26,167$16,747$7,327
61021Craniotomy Except For Trauma$44,150$28,256$12,362
62225Appendectomy$32,134$20,566$8,998
63566Other Antepartum Diagnoses$1,898$1,215$531
64144Respiratory System Signs, Symptoms and Minor Diagnoses$9,468$6,060$2,651
65163Heart Valve Procedures without Cardiac Catheterization$79,873$51,119$22,364
66055Head trauma w coma >1 hr or hemorrhage$5,352$3,425$1,499
67755Neuroses Other Than DepressionNRNRNR
68113Epiglottitis, Ear Infection, URI and Laryngotracheitis$7,166$4,586$2,006
69192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$17,369$11,116$4,863
70143Other respiratory diagnoses except signs, symptoms & minor diagnoses$5,265$3,370$1,474
71052Nontraumatic stupor & coma$16,180$10,355$4,530
72204Fainting and Collapse$6,005$3,843$1,681
73422HypovolemiaNRNRNR
74639Neonate Birthwt >2499g with Other Significant Condition$3,630$2,323$1,016
75310Back/Neck Procedures Except Dorsal and Lumbar Fusion$22,914$14,665$6,416

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:  January 2015 - December 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)$3,176$2,033$889$5,601$3,584$1,568
Upper GI Endoscopy with Biopsy 43239)$2,710$1,734$759$5,259$3,366$1,473
Lesion Removal Colonoscopy by Snare Technique 45385)$3,354$2,147$939$4,260$2,726$1,193
Diagnostic Colonoscopy 45378)$2,483$1,589$695$4,828$3,090$1,352
Injection into Lumbar or Sacral Area, Single Level 64483)$1,961$1,255$549$2,396$1,533$671
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$1,721$1,102$482$1,992$1,275$558
Drain/Inject Major Joint or Bursa 20610)$372$238$104$11,337$7,255$3,174
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$2,456$1,572$688NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$2,440$1,562$683NRNRNR
Carpal Tunnel Surgery 64721)$4,405$2,819$1,233$6,388$4,088$1,789
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$8,933$5,717$2,501$9,819$6,284$2,749
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)$4,240$2,714$1,187$5,413$3,464$1,516
Uppr GI Endoscopy- Diagnostic 43235)$2,100$1,344$588$4,387$2,808$1,228
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$3,261$2,087$913$5,469$3,500$1,531
Left Heart Artery/Ventricle Angiography 93458)$10,134$6,486$2,838$22,929$14,675$6,420
Creation of Eardrum Opening 69436)$2,650$1,696$742$4,791$3,066$1,342
Unlisted Dental Surgery Procedure 41899)$6,948$4,447$1,945$9,988$6,392$2,797
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$1,962$1,256$549$2,250$1,440$630
Laparoscopic Cholecystectomy 47562)$11,702$7,489$3,277$15,417$9,867$4,317
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$8,554$5,474$2,395$11,477$7,345$3,214
Cataract Surgery- Complex 66982)$6,596$4,222$1,847NRNRNR
ABD Paracentesis w/Imaging 49083)$3,672$2,350$1,028$4,718$3,019$1,321
Removal of Tonsils And Adenoids - < Age 12 42820)$5,462$3,496$1,529$6,245$3,997$1,749
Arthroscopic Rotator Cuff Repair 29827)$13,285$8,503$3,720$18,545$11,869$5,193
Hysteroscopy with Biopsy 58558)$9,647$6,174$2,701$11,485$7,351$3,216
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$9,298$5,951$2,603$13,515$8,650$3,784
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$1,418$908$397NRNRNR
Esophageal Endoscopy with Dilation 43249)$2,589$1,657$725$4,806$3,076$1,346
Unlisted Cystourethoscopy 52000)$6,995$4,477$1,959$14,064$9,001$3,938
Incision of Finger Tendon Sheath 26055)$4,256$2,724$1,192$4,107$2,628$1,150
Cystourethroscopy with Lithotripsy and Stent 52356)$9,506$6,084$2,662$12,538$8,024$3,511
Laparoscopic Hernia Repair - Initial 49650)$13,914$8,905$3,896$14,723$9,423$4,122
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$8,946$5,725$2,505$11,752$7,521$3,291
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$13,560$8,678$3,797$17,554$11,235$4,915
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$9,140$5,850$2,559$8,690$5,561$2,433
Uppr GI Endoscopy with Guide Wire 43248)$2,376$1,521$665$2,912$1,864$815
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNR$5,778$3,698$1,618
Destruction of Benign Lesions up to 14 Lesions 17110)$5,538$3,544$1,551NRNRNR
Laparoscopic Appendectomy 44970)$13,295$8,509$3,722$16,313$10,441$4,568
Biopsy breast w/stereotactic image; 1 lesion 19081)$9,402$6,017$2,632$12,826$8,209$3,591
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$1,474$944$413NRNRNR
Cystourethroscopy with Stent 52332)$6,899$4,415$1,932$22,075$14,128$6,181
Removal of Tonsils 42826)$5,838$3,736$1,635$7,137$4,568$1,998
Repair of Nasal Septum 30520)$6,010$3,847$1,683$6,720$4,301$1,881
Low Back Disk Surgery 63030)$15,830$10,131$4,433$15,709$10,054$4,399
Fragmenting of Kidney Stone 50590)NRNRNR$22,911$14,663$6,415
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$17,310$11,079$4,847$18,201$11,648$5,096
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$7,757$4,965$2,172$10,439$6,681$2,923
Mastectomy, Partial 19301)$8,608$5,509$2,410$18,190$11,642$5,093
Laparoscopy - Removal of Adnexal Structures 58661)$12,169$7,788$3,407$16,903$10,818$4,733
Debridement Skin/Tissue 11042)$7,871$5,037$2,204$11,581$7,412$3,243
Needle Biopsy of Liver 47000)$11,372$7,278$3,184$13,924$8,911$3,899
Coronary Artery Angio S&I 93454)$9,330$5,971$2,612$17,282$11,060$4,839
Laparoscopy, Removal of Tubes & Ovaries 58571)$19,182$12,276$5,371$24,130$15,443$6,756
Remove Impacted Ear Wax 69210)$2,876$1,840$805NRNRNR
Aspirate Pleura with Imaging 32555)$4,413$2,824$1,236$3,656$2,340$1,024
Hysteroscopy with Ablation 58563)$10,159$6,502$2,844$13,447$8,606$3,765
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Debridement, Open Wound <= 20 Square Centimeters 97597)$9,864$6,313$2,762$4,374$2,800$1,225
Right and Left Heart Artery/Ventricle Angiography 93460)$11,816$7,562$3,309$17,091$10,938$4,785
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNR$21,011$13,447$5,883
Wrist Endoscopy/Surgery 29848)$7,404$4,739$2,073NRNRNR
Shoulder Arthroscopy/Surgery 29824)$11,982$7,669$3,355$14,331$9,172$4,013
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Bone Marrow Biopsy 38221)NRNRNRNRNRNR
Correction of Bunion 28296)$10,773$6,895$3,016$14,917$9,547$4,177
Removal of Adenoids 42830)$4,035$2,582$1,130$4,602$2,945$1,289
Electronic analysis of implantable pump spine w/reprogram/refill 62369)$1,202$769$337NRNRNR
Ablation therapy of first vein of extremity 36475)$9,971$6,381$2,792$11,854$7,586$3,319
Repair of Hammertoe 28285)$7,131$4,564$1,997$13,176$8,433$3,689
Removal of Central Venous Device w Port or Pump 36590)$3,723$2,382$1,042NRNRNR
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.