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 2016 - September 2017   (Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,740$1,781$712
2560Vaginal Delivery$7,968$5,179$2,072
3720Blood Infection/Septicemia$7,259$4,718$1,887
4302Knee Replacement$31,733$20,626$8,251
5194Heart Failure$11,699$7,604$3,042
6540Cesarean Delivery$11,896$7,732$3,093
7301Hip Replacement$33,072$21,497$8,599
8751PsychosesNRNRNR
9140Chronic Obstructive Pulmonary Disease$11,096$7,212$2,885
10139Pneumonia$10,129$6,584$2,634
11753Bipolar DisordersNRNRNR
12775Alcohol Abuse/Dependence$7,721$5,019$2,007
13201Heart Abnormal Rhythm and Conduction Disorders$7,161$4,655$1,862
14133Respiratory failureNRNRNR
15383Cellulitis & other skin infections$5,383$3,499$1,400
16045Stroke and Precerebral Occlusion with Infarct$13,015$8,460$3,384
17469Acute Kidney InjuryNRNRNR
18463Kidney/Urinary Tract Infection$6,537$4,249$1,700
19221Major Bowel Procedures$37,713$24,513$9,805
20174Percutaneous coronary intervention w AMI$43,199$28,079$11,232
21750SchizophreniaNRNRNR
22420Diabetes$8,670$5,636$2,254
23754DepressionNRNRNR
24282Disorders of Pancreas Except Malignancy$7,488$4,867$1,947
25247Intestinal Obstruction without Surgery$8,553$5,559$2,224
26812Poisoning of Medicinal Agents$6,477$4,210$1,684
27254Other Digestive System Diagnoses$8,553$5,559$2,224
28308Hip & femur fracture repair$31,125$20,231$8,093
29710Infectious & parasitic diseases including HIV w O.R. procedure$22,317$14,506$5,802
30190Circulatory Disorders with Heart Attack$15,729$10,224$4,090
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$70,537$45,849$18,340
32053Seizure$8,554$5,560$2,224
33773Opioid Abuse/DependenceNRNRNR
34175Percutaneous coronary intervention w/o AMI$67,471$43,856$17,542
35058Other Disorders of Nervous System$21,243$13,808$5,523
36249Other gastroenteritis, nausea & vomiting$13,531$8,795$3,518
37137Respiratory Infections and InflammationsNRNRNR
38134Pulmonary Embolism$9,645$6,269$2,508
39192Cardiac catheterization for other non-coronary conditions$15,717$10,216$4,086
40263Laparoscopic Cholecystectomy$19,592$12,735$5,094
41244Diverticulitis & Diverticulosis$7,574$4,923$1,969
42861Signs & Symptoms$10,290$6,689$2,675
43241Peptic Ulcer/Gastritis$10,879$7,071$2,829
44253Other and Unspecified Gastrointestinal Hemorrhage$12,054$7,835$3,134
45466Malfunction, reaction, complic of genitourinary device or proc$10,445$6,789$2,716
46347Other Back/Neck Disorders, Fractures, Injuries$4,725$3,071$1,229
47313Other Knee/Lower Leg Surgery$25,068$16,294$6,518
48425Other Electrolyte Disorders$12,264$7,972$3,189
49181Lower Extremity Arterial Procedures$42,210$27,437$10,975
50951Moderately Extensive Procedure Unrelated to Diagnosis$29,768$19,349$7,740
51248Major G.I. Bacterial Infections$13,074$8,498$3,399
52024Extracranial Vascular Procedures$22,280$14,482$5,793
53351Other Musculoskeletal System and Connective Tissue DiagnosesNRNRNR
54315Shoulder, upper arm & forearm procedures except joint replacementNRNRNR
55021Craniotomy Except For Trauma$37,937$24,659$9,864
56113Epiglottitis, Ear Infection, URI and Laryngotracheitis$4,387$2,852$1,141
57663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$20,369$13,240$5,296
58166Coronary bypass w/o AMI or complex PDX$75,654$49,175$19,670
59321Upper Spinal Fusion$53,229$34,599$13,840
60862Other Factors Influencing Health Status$14,997$9,748$3,899
61055Head trauma w coma >1 hr or hemorrhage$8,794$5,716$2,286
62197Peripheral and Other Vascular DisordersNRNRNR
63566Other Antepartum Diagnoses$15,115$9,825$3,930
64422Hypovolemia$4,885$3,175$1,270
65052Nontraumatic stupor & coma$14,391$9,354$3,742
66141Asthma$8,882$5,773$2,309
67755Neuroses Other Than DepressionNRNRNR
68721Postoperative and Post-Traumatic Infections$7,563$4,916$1,966
69225AppendectomyNRNRNR
70143Other respiratory diagnoses except signs, symptoms & minor diagnoses$10,305$6,698$2,679
71144Respiratory System Signs, Symptoms and Minor Diagnoses$8,173$5,312$2,125
72163Cardiac valve procedures w/o AMI or complex PDX$70,586$45,881$18,352
73204Fainting and CollapseNRNRNR
74199HypertensionNRNRNR
75696Other Chemotherapy$40,817$26,531$10,612

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 2016 - September 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)$2,677$1,740$696$5,568$3,619$1,448
Lesion Removal Colonoscopy by Snare Technique (45385)$2,681$1,743$697$5,725$3,721$1,488
Upper GI Endoscopy with Biopsy (43239)$2,687$1,747$699$5,330$3,464$1,386
Diagnostic Colonoscopy (45378)$2,529$1,644$657$6,058$3,937$1,575
Injection into Lumbar or Sacral Area, Single Level (64483)$1,828$1,188$475$3,474$2,258$903
Drain/Inject Major Joint or Bursa (20610)$887$576$230NRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral (64493)$4,509$2,931$1,172$6,749$4,387$1,755
Colorectal Cancer Screening; Colonscopy, Not High Risk (G0121)$2,528$1,643$657NRNRNR
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee (62323)$1,607$1,044$418NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk (G0105)$2,528$1,643$657$5,050$3,282$1,313
Carpal Tunnel Surgery (64721)$4,440$2,886$1,154NRNRNR
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral (64635)$4,991$3,244$1,298$7,868$5,114$2,046
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy (29881)$8,372$5,442$2,177$29,651$19,273$7,709
Uppr GI Endoscopy- Diagnostic (43235)$2,547$1,655$662$5,063$3,291$1,316
Creation of Eardrum Opening (69436)$9,202$5,981$2,392$13,645$8,869$3,548
Lesion Removal Colonoscopy by Hot Biopsy or Cautery (45384)$2,915$1,895$758NRNRNR
Left Heart Artery/Ventricle Angiography (93458)$10,758$6,993$2,797$14,014$9,109$3,644
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance (62321)NRNRNRNRNRNR
Unlisted Dental Surgery Procedure (41899)$4,993$3,246$1,298NRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor (64490)$3,224$2,096$838$6,833$4,441$1,777
After Cataract Laser Surgery (66821)NRNRNRNRNRNR
ABD Paracentesis w/Imaging (49083)$1,576$1,024$410$4,375$2,844$1,138
Laparoscopic Cholecystectomy (47562)$13,518$8,787$3,515$17,577$11,425$4,570
Biopsy, Breast w/Ultrasound Image; 1 Lesion (19083)$5,311$3,452$1,381$13,793$8,965$3,586
Esophageal Endoscopy with Dilation (43249)$3,952$2,569$1,028$6,499$4,224$1,690
Biopsy Skin and Subcutaneous Tissue; 1 Lesion (11100)$1,479$961$385$3,251$2,113$845
Removal of Tonsils And Adenoids - < Age 12 (42820)$3,363$2,186$874$11,850$7,703$3,081
Arthroscopic Rotator Cuff Repair (29827)$17,724$11,521$4,608$34,380$22,347$8,939
Cataract Surgery- Complex (66982)NRNRNRNRNRNR
Hysteroscopy with Biopsy (58558)$8,613$5,598$2,239$13,270$8,626$3,450
Cystourethroscopy with Lithotripsy and Stent (52356)$13,055$8,486$3,394$22,131$14,385$5,754
Incision of Finger Tendon Sheath (26055)$4,390$2,854$1,142$8,245$5,359$2,144
Laparoscopic Hernia Repair - Initial (49650)$15,022$9,764$3,906$24,757$16,092$6,437
Destruction of Premalignant Lesion (17000)NRNRNRNRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible (49505)$8,985$5,840$2,336$15,787$10,261$4,105
Unlisted Cystourethoscopy (52000)$2,644$1,718$687$8,980$5,837$2,335
Uppr GI Endoscopy with Guide Wire (43248)$2,507$1,629$652$5,033$3,271$1,309
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) (20680)$5,439$3,535$1,414$8,611$5,597$2,239
Destruction by neurolytic agent w imaging, cervical or thoracic (64633)$5,374$3,493$1,397$8,201$5,331$2,132
Destruction of Benign Lesions up to 14 Lesions (17110)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy (29880)$8,346$5,425$2,170$34,842$22,648$9,059
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct (47563)$14,130$9,185$3,674$18,852$12,254$4,901
Biopsy breast w/stereotactic image; 1 lesion (19081)$5,756$3,741$1,496$13,748$8,936$3,574
Cystourethroscopy with Stent (52332)$7,845$5,099$2,040$17,327$11,262$4,505
Laparoscopy - Removal of Adnexal Structures (58661)$13,801$8,970$3,588$22,832$14,841$5,936
Mastectomy, Partial (19301)$8,814$5,729$2,292$19,353$12,580$5,032
Debridement Skin/Tissue (11042)$3,043$1,978$791$17,873$11,618$4,647
Laparoscopic Appendectomy (44970)$16,730$10,874$4,350$18,566$12,068$4,827
Laparoscopy, Removal of Tubes & Ovaries (58571)$23,446$15,240$6,096$33,000$21,450$8,580
Repair Umbilical Hernia, > = 5 Yrs - Reducible (49585)$9,334$6,067$2,427$29,373$19,093$7,637
Removal of Tonsils (42826)$3,708$2,410$964$8,448$5,491$2,197
Low Back Disk Surgery (63030)$16,697$10,853$4,341$28,722$18,669$7,468
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles (20552)$621$404$162$2,347$1,525$610
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair (29888)$22,678$14,741$5,896$30,365$19,737$7,895
Repair of Nasal Septum (30520)$5,820$3,783$1,513$44,996$29,247$11,699
Wrist Endoscopy/Surgery (29848)NRNRNRNRNRNR
Fragmenting of Kidney Stone (50590)NRNRNR$18,303$11,897$4,759
Coronary Artery Angio S&I (93454)$11,097$7,213$2,885$14,793$9,615$3,846
Aspirate Pleura with Imaging (32555)$1,979$1,286$515$4,389$2,853$1,141
Needle Biopsy of Liver (47000)$5,025$3,266$1,307$9,122$5,929$2,372
Injection of chemical agent into muscles near face/neck (64615)NRNRNRNRNRNR
Bone Marrow Biopsy (38221)NRNRNR$17,267$11,224$4,490
Diagnostic Laryngoscopy (31575)$2,994$1,946$778NRNRNR
Removal of Adenoids (42830)$5,158$3,352$1,341$13,666$8,883$3,553
Hysteroscopy with Ablation (58563)$13,674$8,888$3,555$25,819$16,782$6,713
Exam of ear with microscope (92504)NRNRNR$9,330$6,065$2,426
Electro-Uroflowmetry - First (51741)NRNRNRNRNRNR
Biopsy of lung or mediastinum, percutaneous w/needle (32405)$6,247$4,060$1,624$7,792$5,065$2,026
Remove Impacted Ear Wax (69210)$1,060$689$276NRNRNR
Right and Left Heart Artery/Ventricle Angiography (93460)$11,103$7,217$2,887$36,853$23,954$9,582
Arthrocentesis, aspiration and/or Inj. major joint or bursa; w/US guidance (20611)$593$385$154$1,475$959$383
Correction of Bunion (28296)$8,641$5,617$2,247$19,106$12,419$4,968
Shoulder Arthroscopy/Surgery (29824)NRNRNR$16,652$10,824$4,330
Angioplasty - peripheral segment of the dialysis circuit (36902)NRNRNRNRNRNR
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.