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 2013 - September 2014
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,159$1,403$691
2560Vaginal Delivery$5,593$3,635$1,790
3720Blood Infection/Septicemia$11,949$7,767$3,824
4302Knee Replacement$27,758$18,043$8,883
5540Cesarean Delivery$14,020$9,113$4,486
6194Heart Failure$9,965$6,477$3,189
7139Pneumonia$6,546$4,255$2,095
8301Hip Replacement$29,477$19,160$9,433
9751PsychosesNRNRNR
10753Bipolar DisordersNRNRNR
11140Chronic Obstructive Pulmonary Disease$8,538$5,550$2,732
12201Heart Abnormal Rhythm and Conduction Disorders$9,979$6,486$3,193
13775Alcohol Abuse/DependenceNRNRNR
14383Cellulitis and Other Bacterial Skin Infections$9,610$6,247$3,075
15460Renal FailureNRNRNR
16045Stroke and Precerebral Occlusion with Infarct$19,965$12,977$6,389
17860Rehabilitation$14,107$9,170$4,514
18463Kidney/Urinary Tract Infection$6,871$4,466$2,199
19221Major Bowel Procedures$47,216$30,690$15,109
20133Pulmonary Edema/Respiratory Failure$28,628$18,608$9,161
21750SchizophreniaNRNRNR
22174Angioplasty with Heart Attack$27,949$18,167$8,944
23254Other Digestive System Diagnoses$17,099$11,114$5,472
24247Intestinal Obstruction without Surgery$13,343$8,673$4,270
25282Disorders of Pancreas Except Malignancy$14,525$9,441$4,648
26420Diabetes$3,831$2,490$1,226
27754DepressionNRNRNR
28304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$51,634$33,562$16,523
29249Gastroenteritis$6,578$4,276$2,105
30137Respiratory Infections and InflammationsNRNRNR
31812Poisoning of Medicinal Agents$8,184$5,320$2,619
32053Seizure$10,079$6,551$3,225
33308Hip/Thigh Surgery with Trauma Diagnosis$26,165$17,007$8,373
34134Pulmonary Embolism$9,956$6,471$3,186
35175Angioplasty without Heart Attack$29,311$19,052$9,380
36263Laparoscopic Cholecystectomy$27,174$17,663$8,696
37190Circulatory Disorders with Heart Attack$14,241$9,257$4,557
38173Other Vascular Procedures$58,454$37,995$18,705
39347Other Back/Neck Disorders, Fractures, Injuries$12,030$7,820$3,850
40244Diverticulitis & Diverticulosis$10,403$6,762$3,329
41425Other Electrolyte Disorders$7,296$4,742$2,335
42315Shoulder/Upper Arm, Forearm Surgery$23,683$15,394$7,579
43241Peptic Ulcer/Gastritis$18,022$11,714$5,767
44313Other Knee/Lower Leg Surgery$20,916$13,595$6,693
45861Signs & Symptoms$10,951$7,118$3,504
46141Asthma$8,124$5,281$2,600
47253Other and Unspecified Gastrointestinal Hemorrhage$11,840$7,696$3,789
48351Other Musculoskeletal System and Connective Tissue Diagnoses$1,092$710$349
49663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$9,708$6,310$3,107
50248Major G.I. Bacterial InfectionsNRNRNR
51191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$16,085$10,455$5,147
52773Opioid Abuse/DependenceNRNRNR
53225Appendectomy$25,607$16,645$8,194
54710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
55024Extracranial Vascular Procedures$24,743$16,083$7,918
56721Postoperative and Post-Traumatic Infections$19,273$12,527$6,167
57321Upper Spinal Fusion$31,772$20,652$10,167
58197Peripheral and Other Vascular Disorders$2,357$1,532$754
59693Chemotherapy$19,434$12,632$6,219
60192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$13,949$9,067$4,464
61466Malfunction, reaction, complic of genitourinary device or procNRNRNR
62144Respiratory System Signs, Symptoms and Minor Diagnoses$9,759$6,343$3,123
63204Fainting and Collapse$11,328$7,363$3,625
64021Craniotomy Except For Trauma$40,406$26,264$12,930
65566Other Antepartum Diagnoses$1,517$986$485
66163Heart Valve Procedures without Cardiac Catheterization$90,540$58,851$28,973
67143Other respiratory diagnoses except signs, symptoms & minor diagnoses$4,006$2,604$1,282
68052Nontraumatic stupor & coma$16,004$10,403$5,121
69310Back/Neck Procedures Except Dorsal and Lumbar Fusion$20,894$13,581$6,686
70198Chest Pain with Angina Pectoris or Coronary AtherosclerosisNRNRNR
71755Neuroses Other Than DepressionNRNRNR
72422HypovolemiaNRNRNR
73165Coronary Bypass with Cardiac CatheterizationNRNRNR
74660Major hematologic/immunologic diag exc sickle cell crisis & coagul$12,872$8,367$4,119
75055Head trauma w coma >1 hr or hemorrhage$17,406$11,314$5,570

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 2013 - September 2014
 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)$5,029$3,269$1,609NRNRNR
Colonoscopy and Biopsy 45380)$3,065$1,992$981$4,797$3,118$1,535
Upper GI Endoscopy with Biopsy 43239)$2,631$1,710$842$4,905$3,188$1,570
Diagnostic Colonoscopy 45378)$2,386$1,551$763$4,433$2,881$1,418
Lesion Removal Colonoscopy by Snare Technique 45385)$3,170$2,060$1,014$3,906$2,539$1,250
Injection into Lumbar or Sacral Area, Single Level 64483)$1,879$1,222$601$2,300$1,495$736
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$990$643$317$1,809$1,176$579
Drain/Inject Major Joint or Bursa 20610)$1,235$803$395$4,331$2,815$1,386
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$2,386$1,551$763NRNRNR
Carpal Tunnel Surgery 64721)$4,198$2,729$1,343$5,320$3,458$1,702
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$8,249$5,362$2,640$14,209$9,236$4,547
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$2,382$1,549$762NRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$2,081$1,353$666$4,293$2,791$1,374
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$3,168$2,059$1,014$4,169$2,710$1,334
Left Heart Artery/Ventricle Angiography 93458)$9,864$6,412$3,157$20,176$13,114$6,456
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)$4,218$2,742$1,350$5,146$3,345$1,647
Creation of Eardrum Opening 69436)$2,624$1,705$840$2,643$1,718$846
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$1,622$1,054$519$2,129$1,384$681
Laparoscopic Cholecystectomy 47562)$11,944$7,763$3,822$14,695$9,552$4,703
Unlisted Dental Surgery Procedure 41899)$8,306$5,399$2,658NRNRNR
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$5,284$3,435$1,691$6,049$3,932$1,936
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$8,615$5,600$2,757$11,954$7,770$3,825
Arthroscopic Rotator Cuff Repair 29827)$18,145$11,794$5,806$18,383$11,949$5,883
Cataract Surgery- Complex 66982)NRNRNRNRNRNR
Hysteroscopy with Biopsy 58558)$10,794$7,016$3,454$12,127$7,882$3,881
ABD Paracentesis w/Imaging 49083)$2,325$1,511$744$4,110$2,671$1,315
Unlisted Cystourethoscopy 52000)$4,900$3,185$1,568$20,790$13,514$6,653
Esophageal Endoscopy with Dilation 43249)$2,550$1,658$816$4,557$2,962$1,458
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$12,627$8,207$4,041$17,208$11,185$5,507
Incision of Finger Tendon Sheath 26055)$4,047$2,630$1,295$7,818$5,081$2,502
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$8,283$5,384$2,650$16,784$10,910$5,371
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$4,095$2,662$1,311$5,315$3,455$1,701
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$8,630$5,610$2,762$11,570$7,520$3,702
Uppr GI Endoscopy with Guide Wire 43248)$2,330$1,515$746$4,292$2,790$1,374
Destruction of Benign Lesions up to 14 Lesions 17110)$5,827$3,787$1,865NRNRNR
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$858$558$275$3,749$2,437$1,200
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Laparoscopic Hernia Repair - Initial 49650)$13,273$8,627$4,247$13,749$8,937$4,400
Laparoscopic Appendectomy 44970)$13,920$9,048$4,454$15,451$10,043$4,944
Cystourethroscopy with Stent 52332)$6,305$4,098$2,018$21,650$14,072$6,928
Repair of Nasal Septum 30520)$5,903$3,837$1,889$7,393$4,805$2,366
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)$4,140$2,691$1,325$6,113$3,973$1,956
Fragmenting of Kidney Stone 50590)$16,278$10,580$5,209$20,474$13,308$6,552
Low Back Disk Surgery 63030)$13,988$9,092$4,476$18,985$12,340$6,075
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$15,666$10,183$5,013$16,938$11,010$5,420
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$7,735$5,028$2,475$11,017$7,161$3,526
Removal of Tonsils 42826)$5,734$3,727$1,835NRNRNR
Cystourethroscopy with Lithotripsy and Stent 52356)NRNRNR$18,849$12,252$6,032
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNRNRNRNR
Mastectomy, Partial 19301)$8,399$5,459$2,688$20,424$13,275$6,536
Hysteroscopy with Ablation 58563)$10,278$6,681$3,289$13,203$8,582$4,225
Coronary Artery Angio S&I 93454)$9,633$6,261$3,083$12,473$8,108$3,991
Biopsy breast w/stereotactic image; 1 lesion 19081)$5,576$3,625$1,784$6,856$4,457$2,194
Colonoscopy with Lesion Removal 45383)$2,982$1,938$954$4,548$2,956$1,455
Correction of Bunion 28296)$10,216$6,641$3,269$14,917$9,696$4,774
Remove Impacted Ear Wax 69210)$2,766$1,798$885NRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Bone Marrow Biopsy 38221)$6,110$3,972$1,955$7,877$5,120$2,521
Needle Biopsy of Liver 47000)$6,410$4,166$2,051$8,110$5,272$2,595
Mohs Micrographic Tissue Removal 17311)NRNRNRNRNRNR
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$14,380$9,347$4,602$19,244$12,509$6,158
Right and Left Heart Artery/Ventricle Angiography 93460)$11,076$7,199$3,544$14,365$9,337$4,597
Laparoscopy, Removal of Tubes & Ovaries 58571)$20,183$13,119$6,459$24,698$16,054$7,903
Aspirate Pleura with Imaging 32555)$2,785$1,810$891$1,782$1,158$570
Removal of Breast Lesion 19120)$6,865$4,462$2,197$7,778$5,056$2,489
Debridement Skin/Tissue 11042)$9,903$6,437$3,169$5,990$3,893$1,917
Wrist Endoscopy/Surgery 29848)$6,039$3,925$1,932NRNRNR
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Insertion of Central Venous Catheter >= 5 years 36569)$1,926$1,252$616$2,709$1,761$867
Shoulder Arthroscopy/Surgery 29824)$11,924$7,750$3,816$13,388$8,702$4,284
Repair of Hammertoe 28285)$7,068$4,594$2,262$11,608$7,545$3,715
Excision Breast Lesion with Preoperative Placement Radiological Marker 19125)$8,979$5,836$2,873$10,014$6,509$3,204
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area 58662)$12,838$8,345$4,108$15,042$9,777$4,813
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.