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


  
Charges for 75 Most Common Types of Hospitalizations in Wisconsin: January 2013 - December 2013
(Uncomplicated Cases Only)
 
    Estimated Insurance Payments *
RankAPR- DRG DescriptionMedian  
Charge
 
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,114$1,438$740
2560Vaginal Delivery$5,586$3,798$1,955
3302Knee Replacement$26,927$18,310$9,424
4720Blood Infection/SepticemiaNRNRNR
5540Cesarean Delivery$13,449$9,145$4,707
6139Pneumonia$5,130$3,488$1,796
7194Heart Failure$9,838$6,690$3,443
8301Hip Replacement$28,894$19,648$10,113
9751PsychosesNRNRNR
10753Bipolar DisordersNRNRNR
11140Chronic Obstructive Pulmonary Disease$10,490$7,133$3,672
12201Heart Abnormal Rhythm and Conduction Disorders$7,930$5,392$2,776
13383Cellulitis and Other Bacterial Skin Infections$12,408$8,437$4,343
14775Alchohol Abuse/Dependence$7,500$5,100$2,625
15460Renal FailureNRNRNR
16463Kidney/Urinary Tract Infection$9,116$6,199$3,191
17045Stroke and Precerebral Occlusion with Infarct$21,108$14,353$7,388
18860Rehabilitation$17,267$11,742$6,043
19221Major Bowel Procedures$43,202$29,377$15,121
20174Angioplasty with Heart Attack$28,392$19,307$9,937
21750SchizophreniaNRNRNR
22133Pulmonary Edema/Respiratory Failure$22,370$15,212$7,830
23254Other Digestive System Diagnoses$10,364$7,048$3,627
24175Angioplasty without Heart Attack$33,628$22,867$11,770
25249Gastroenteritis$8,151$5,543$2,853
26247Intestinal Obstruction without Surgery$13,334$9,067$4,667
27420Diabetes$6,193$4,211$2,168
28754DepressionNRNRNR
29812Poisoning of Medicinal Agents$7,899$5,371$2,765
30282Disorders of Pancreas Except Malignancy$13,421$9,126$4,697
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$51,283$34,872$17,949
32137Respiratory Infections and Inflammations$19,161$13,029$6,706
33053Seizure$9,821$6,678$3,437
34263Laparoscopic Cholecystectomy$25,043$17,029$8,765
35308Hip/Thigh Surgery with Trauma Diagnosis$26,340$17,911$9,219
36134Pulmonary Embolism$9,057$6,159$3,170
37173Other Vascular Procedures$60,790$41,337$21,277
38241Peptic Ulcer/Gastritis$14,190$9,649$4,967
39190Circulatory Disorders with Heart Attack$15,155$10,305$5,304
40425Other Electrolyte Disorders$6,978$4,745$2,442
41347Other Back/Neck Disorders, Fractures, Injuries$7,271$4,944$2,545
42313Other Knee/Lower Leg Surgery$18,853$12,820$6,599
43861Signs & Symptoms$9,675$6,579$3,386
44315Shoulder/Upper Arm, Forearm Surgery$11,776$8,008$4,122
45244Diverticulitis & Diverticulosis$11,300$7,684$3,955
46225Appendectomy$27,039$18,387$9,464
47253Other and Unspecified Gastrointestinal Hemorrhage$12,272$8,345$4,295
48192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$12,224$8,312$4,278
49663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$9,895$6,729$3,463
50141Asthma$8,596$5,845$3,009
51351Other Musculoskeletal System and Connective Tissue Diagnoses$3,491$2,374$1,222
52191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$15,322$10,419$5,363
53248Major G.I. Bacterial Infections$2,750$1,870$963
54024Extracranial Vascular Procedures$23,484$15,969$8,219
55198Chest Pain with Angina Pectoris or Coronary Atherosclerosis$6,650$4,522$2,328
56321Upper Spinal Fusion$30,476$20,724$10,667
57197Peripheral and Other Vascular Disorders$8,639$5,875$3,024
58204Fainting and CollapseNRNRNR
59513Uterine Procedures without Tumor$25,873$17,594$9,056
60773Opioid Abuse/DependenceNRNRNR
61721Postoperative and Post-Traumatic Infections$10,749$7,309$3,762
62144Respiratory System Signs, Symptoms and Minor Diagnoses$14,177$9,640$4,962
63693ChemotherapyNRNRNR
64310Back/Neck Procedures Except Dorsal and Lumbar Fusion$21,198$14,415$7,419
65566Other Antepartum Diagnoses$1,138$774$398
66113Epiglottitis, Ear Infection, URI and Laryngotracheitis$6,505$4,423$2,277
67422Hypovolemia$12,481$8,487$4,368
68710Infectious & parasitic diseases including HIV w O.R. procedure$27,771$18,884$9,720
69021Craniotomy Except For Trauma$64,713$44,005$22,650
70466Malfunctions, Reactions & Comp Of Gu Device, Graft Or TransplantNRNRNR
71143Pneumothorax & Pleural Effusion$3,159$2,148$1,106
72163Heart Valve Procedures without Cardiac Catheterization$78,432$53,334$27,451
73055Head trauma w coma >1 hr or hemorrhage$11,259$7,656$3,941
74755Neuroses Other Than DepressionNRNRNR
75047Transient IschemiaNRNRNR

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 2013 - December 2013
  With No Other Procedures With 1 or More Additional Procedures
Principal Procedure Median Charge Average Commercial Insurance Payment Average Medicare Insurance Payment* Median Charge Average Commercial Insurance Payment Average Medicare Insurance Payment*
Cataract Surgery with Intraocular Lens - Stage 1 (66984)$5,030$3,421$1,761NRNRNR
Colonoscopy and Biopsy (45380)$3,018$2,052$1,056$4,645$3,158$1,626
Diagnostic Colonoscopy (45378)$2,351$1,599$823$4,162$2,830$1,457
Upper GI Endoscopy with Biopsy (43239)$2,578$1,753$902$4,589$3,121$1,606
Lesion Removal Colonoscopy by Snare Technique (45385)$3,072$2,089$1,075$3,542$2,408$1,240
Injection into Lumbar or Sacral Area, Single Level (64483)$1,786$1,214$625$1,309$890$458
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral (64493)$929$632$325$1,383$941$484
Drain/Inject Major Joint or Bursa (20610)$1,218$829$426$1,264$859$442
Colorectal Cancer Screening; Colonscopy, Not High Risk (G0121)$2,314$1,574$810NRNRNR
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy (29881)$7,939$5,398$2,779$9,115$6,198$3,190
Carpal Tunnel Surgery (64721)$4,158$2,828$1,455$5,754$3,912$2,014
Uppr GI Endoscopy- Diagnostic (43235)$2,077$1,412$727$3,996$2,717$1,399
Colorectal Cancer Screening ; Colonoscopy, High Risk (G0105)$2,314$1,574$810NRNRNR
Lesion Removal Colonoscopy by Hot Biopsy or Cautery (45384)$2,923$1,988$1,023$4,664$3,171$1,632
Left Heart Artery/Ventricle Angiography (93458)$9,925$6,749$3,474$12,073$8,210$4,226
Creation of Eardrum Opening (69436)$2,473$1,681$865$4,152$2,824$1,453
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral (64635)$3,977$2,705$1,392$4,959$3,372$1,736
Laparoscopic Cholecystectomy (47562)$11,200$7,616$3,920$14,793$10,059$5,177
Unlisted Dental Surgery Procedure (41899)$6,382$4,339$2,234$7,134$4,851$2,497
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor (64490)$1,065$724$373$2,259$1,536$791
After Cataract Laser Surgery (66821)NRNRNRNRNRNR
Percutaneous Breast Biopsy with Device and Imaging (19103)$4,526$3,078$1,584$5,710$3,883$1,998
Removal of Tonsils And Adenoids - < Age 12 (42820)$5,011$3,408$1,754$5,548$3,773$1,942
Repair Initial Ingunial Hernia, > = 5 years, Reducible (49505)$7,872$5,353$2,755$10,115$6,879$3,540
Unlisted Cystourethoscopy (52000)$4,738$3,222$1,658$16,793$11,419$5,877
Arthroscopic Rotator Cuff Repair (29827)$16,210$11,022$5,673$17,486$11,891$6,120
Cataract Surgery- Complex (66982)NRNRNRNRNRNR
Hysteroscopy with Biopsy (58558)$9,928$6,751$3,475$14,670$9,975$5,134
Esophageal Endoscopy with Dilation (43249)$2,484$1,689$870$3,149$2,141$1,102
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct (47563)$11,680$7,942$4,088$16,827$11,442$5,889
ABD Paracentesis w/Imaging (49083)$2,219$1,509$777$4,746$3,227$1,661
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy (29880)$7,865$5,348$2,753$10,505$7,143$3,677
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) (20680)$8,495$5,776$2,973$10,091$6,862$3,532
Incision of Finger Tendon Sheath (26055)$4,342$2,952$1,520$4,672$3,177$1,635
Cystourethroscopy with Lithotripsy (52353)$16,278$11,069$5,697$18,411$12,520$6,444
Uppr GI Endoscopy with Guide Wire (43248)$2,299$1,564$805$2,846$1,935$996
Destruction of Benign Lesions up to 14 Lesions (17110)$4,897$3,330$1,714NRNRNR
Laparoscopic Hernia Repair - Initial (49650)$12,601$8,569$4,410$13,114$8,917$4,590
Destruction of Premalignant Lesion (17000)NRNRNRNRNRNR
Percutaneous Breast Biopsy with Imaging (19102)$3,671$2,496$1,285$5,258$3,575$1,840
Cystourethroscopy with Stent (52332)$7,092$4,822$2,482$16,724$11,373$5,854
Repair of Nasal Septum (30520)$5,459$3,712$1,911$6,849$4,657$2,397
Removal of Tonsils (42826)$5,650$3,842$1,978$7,883$5,361$2,759
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair (29888)$16,702$11,357$5,846$15,257$10,375$5,340
Fragmenting of Kidney Stone (50590)$15,631$10,629$5,471$17,284$11,753$6,050
Repair Umbilical Hernia, > = 5 Yrs - Reducible  (49585)$6,836$4,648$2,393$9,475$6,443$3,316
Laparoscopic Appendectomy (44970)$13,515$9,190$4,730$15,539$10,567$5,439
Low Back Disk Surgery (63030)$13,881$9,439$4,858$16,216$11,027$5,675
Correction of Bunion (28296)$9,883$6,721$3,459$13,921$9,466$4,872
Hysteroscopy with Ablation (58563)$9,592$6,523$3,357$13,924$9,469$4,874
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles (20552)$308$209$108NRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic (64633)$3,923$2,668$1,373$5,351$3,639$1,873
Colonoscopy with Lesion Removal (45383)$2,923$1,988$1,023$4,453$3,028$1,559
Mastectomy, Partial (19301)$8,399$5,711$2,940$14,913$10,141$5,219
Biopsy Skin and Subcutaneous Tissue; 1 Lesion (11100)$1,019$693$357$1,385$942$485
Needle Biopsy of Liver (47000)$6,263$4,259$2,192$13,145$8,938$4,601
Bone Marrow Biopsy (38221)$12,793$8,699$4,477$11,821$8,038$4,137
Remove Impacted Ear Wax (69210)$3,785$2,574$1,325NRNRNR
Mohs Micrographic Tissue Removal (17311)NRNRNRNRNRNR
Coronary Artery Angio S&I (93454)$9,592$6,523$3,357$9,983$6,788$3,494
Laparoscopy - Removal of Adnexal Structures (58661)$13,677$9,300$4,787$17,926$12,190$6,274
Debridement, Open Wound <= 20 Square Centimeters (97597)$279$190$98$1,188$808$416
Right and Left Heart Artery/Ventricle Angiography (93460)$11,260$7,656$3,941$11,532$7,842$4,036
Destruction (therapeutic injection) of muscles; extremity /trunk (64614)$8,044$5,470$2,815$8,507$5,784$2,977
Diagnostic Laryngoscopy (31575)NRNRNRNRNRNR
Insertion of Central Venous Catheter >= 5 years (36569)$2,012$1,368$704NRNRNR
Removal of Breast Lesion (19120)$6,135$4,172$2,147$10,901$7,413$3,815
Excision Breast Lesion with Preoperative Placement Radiological Marker (19125)NRNRNR$7,995$5,437$2,798
Aspirate Pleura with Imaging (32555)$2,331$1,585$816$3,673$2,497$1,285
Electro-Uroflowmetry - First (51741)NRNRNRNRNRNR
Removal of Adenoids (42830)$4,571$3,109$1,600$4,409$2,998$1,543
Knee Arthroscopy/Surgery with Shaving of Cartilage (29877)$7,919$5,385$2,772$9,583$6,517$3,354
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area (58662)$13,973$9,502$4,891$13,351$9,079$4,673
Removal of Central Venous Device w Port or Pump (36590)$4,694$3,192$1,643$3,985$2,710$1,395
Wrist Endoscopy/Surgical (29848)NRNRNR$3,790$2,577$1,327

NR = No Cases Reported
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.

Copyright © 2010, WHA Information Center, All rights reserved.