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

Charges for 75 Most Common Hospitalizations in Wisconsin:  April 2013 - March 2014
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,141$1,392$685
2560Vaginal Delivery$5,672$3,687$1,815
3302Knee Replacement$27,225$17,696$8,712
4720Blood Infection/Septicemia$7,604$4,943$2,433
5540Cesarean Delivery$13,682$8,893$4,378
6139Pneumonia$5,115$3,325$1,637
7194Heart Failure$8,570$5,571$2,742
8301Hip Replacement$29,181$18,968$9,338
9751PsychosesNRNRNR
10753Bipolar DisordersNRNRNR
11140Chronic Obstructive Pulmonary Disease$10,490$6,819$3,357
12201Heart Abnormal Rhythm and Conduction Disorders$8,366$5,438$2,677
13383Cellulitis and Other Bacterial Skin Infections$12,408$8,065$3,971
14775Alchohol Abuse/Dependence$7,500$4,875$2,400
15460Renal FailureNRNRNR
16045Stroke and Precerebral Occlusion with Infarct$23,487$15,267$7,516
17463Kidney/Urinary Tract Infection$9,116$5,925$2,917
18860Rehabilitation$16,031$10,420$5,130
19221Major Bowel Procedures$46,944$30,514$15,022
20750SchizophreniaNRNRNR
21133Pulmonary Edema/Respiratory Failure$22,370$14,541$7,158
22174Angioplasty with Heart Attack$27,091$17,609$8,669
23254Other Digestive System Diagnoses$13,457$8,747$4,306
24247Intestinal Obstruction without Surgery$14,091$9,159$4,509
25175Angioplasty without Heart Attack$35,260$22,919$11,283
26420Diabetes$4,477$2,910$1,433
27282Disorders of Pancreas Except Malignancy$13,421$8,724$4,295
28249Gastroenteritis$6,512$4,233$2,084
29754DepressionNRNRNR
30812Poisoning of Medicinal Agents$8,144$5,294$2,606
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$51,409$33,416$16,451
32137Respiratory Infections and Inflammations$19,161$12,455$6,132
33053Seizure$11,313$7,353$3,620
34308Hip/Thigh Surgery with Trauma Diagnosis$26,304$17,098$8,417
35263Laparoscopic Cholecystectomy$26,705$17,358$8,546
36134Pulmonary Embolism$9,850$6,403$3,152
37173Other Vascular Procedures$60,012$39,008$19,204
38190Circulatory Disorders with Heart Attack$15,039$9,775$4,812
39425Other Electrolyte Disorders$6,978$4,536$2,233
40347Other Back/Neck Disorders, Fractures, Injuries$7,921$5,149$2,535
41315Shoulder/Upper Arm, Forearm Surgery$11,776$7,654$3,768
42241Peptic Ulcer/Gastritis$12,418$8,072$3,974
43244Diverticulitis & Diverticulosis$13,697$8,903$4,383
44861Signs & Symptoms$13,439$8,735$4,300
45313Other Knee/Lower Leg Surgery$20,937$13,609$6,700
46253Other and Unspecified Gastrointestinal Hemorrhage$12,923$8,400$4,135
47225Appendectomy$20,981$13,638$6,714
48663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$10,681$6,943$3,418
49351Other Musculoskeletal System and Connective Tissue Diagnoses$1,329$864$425
50248Major G.I. Bacterial Infections$2,750$1,788$880
51192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$13,742$8,932$4,397
52141Asthma$6,711$4,362$2,148
53191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$15,105$9,818$4,834
54024Extracranial Vascular Procedures$24,856$16,156$7,954
55773Opioid Abuse/DependenceNRNRNR
56321Upper Spinal Fusion$36,493$23,720$11,678
57197Peripheral and Other Vascular Disorders$4,969$3,230$1,590
58721Postoperative and Post-Traumatic Infections$10,749$6,987$3,440
59204Fainting and Collapse$11,328$7,363$3,625
60198Chest Pain with Angina Pectoris or Coronary Atherosclerosis$6,650$4,323$2,128
61693ChemotherapyNRNRNR
62710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
63144Respiratory System Signs, Symptoms and Minor Diagnoses$14,755$9,591$4,722
64466Malfunctions, Reactions & Comp Of Gu Device, Graft Or TransplantNRNRNR
65310Back/Neck Procedures Except Dorsal and Lumbar Fusion$21,198$13,779$6,783
66566Other Antepartum Diagnoses$1,230$800$394
67513Uterine Procedures without Tumor$25,873$16,817$8,279
68021Craniotomy Except For Trauma$40,406$26,264$12,930
69163Heart Valve Procedures without Cardiac Catheterization$81,200$52,780$25,984
70143Pneumothorax & Pleural Effusion$3,190$2,074$1,021
71422Hypovolemia$16,945$11,014$5,422
72755Neuroses Other Than DepressionNRNRNR
73052Nontraumatic stupor & coma$13,883$9,024$4,443
74055Head trauma w coma >1 hr or hemorrhage$10,005$6,503$3,202
75047Transient Ischemia$21,592$14,035$6,909

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:  April 2013 - March 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)$4,891$3,179$1,565NRNRNR
Colonoscopy and Biopsy 45380)$3,034$1,972$971$4,456$2,896$1,426
Upper GI Endoscopy with Biopsy 43239)$2,615$1,700$837$4,722$3,069$1,511
Diagnostic Colonoscopy 45378)$2,382$1,549$762$4,243$2,758$1,358
Lesion Removal Colonoscopy by Snare Technique 45385)$3,117$2,026$998$3,542$2,302$1,133
Injection into Lumbar or Sacral Area, Single Level 64483)$1,823$1,185$583$1,792$1,165$573
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$961$625$308$1,412$918$452
Drain/Inject Major Joint or Bursa 20610)$1,218$792$390$1,296$842$415
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$2,343$1,523$750NRNRNR
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$7,959$5,173$2,547$10,562$6,865$3,380
Carpal Tunnel Surgery 64721)$4,187$2,722$1,340$5,146$3,345$1,647
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$2,354$1,530$753NRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$2,084$1,355$667$4,059$2,638$1,299
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$2,930$1,904$938$4,605$2,993$1,474
Left Heart Artery/Ventricle Angiography 93458)$9,925$6,451$3,176$12,963$8,426$4,148
Creation of Eardrum Opening 69436)$2,532$1,646$810$2,781$1,808$890
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)$4,021$2,614$1,287$5,065$3,292$1,621
Unlisted Dental Surgery Procedure 41899)$6,382$4,148$2,042NRNRNR
Laparoscopic Cholecystectomy 47562)$11,740$7,631$3,757$15,112$9,823$4,836
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$1,094$711$350$2,073$1,347$663
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$8,294$5,391$2,654$10,593$6,885$3,390
Removal of Tonsils And Adenoids - < Age 12 42820)$5,164$3,357$1,653$5,681$3,693$1,818
Arthroscopic Rotator Cuff Repair 29827)$18,145$11,794$5,806$17,978$11,685$5,753
Cataract Surgery- Complex 66982)NRNRNRNRNRNR
Unlisted Cystourethoscopy 52000)$4,724$3,071$1,512$16,793$10,915$5,374
Hysteroscopy with Biopsy 58558)$10,841$7,047$3,469$14,929$9,704$4,777
Percutaneous Breast Biopsy with Device and Imaging 19103)$4,526$2,942$1,448$5,732$3,726$1,834
Esophageal Endoscopy with Dilation 43249)$2,514$1,634$805$4,401$2,860$1,408
ABD Paracentesis w/Imaging 49083)$2,278$1,481$729$4,746$3,085$1,519
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$12,035$7,823$3,851$16,942$11,013$5,422
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$7,865$5,112$2,517$12,568$8,170$4,022
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
Incision of Finger Tendon Sheath 26055)$4,342$2,822$1,389$4,913$3,194$1,572
Uppr GI Endoscopy with Guide Wire 43248)$2,309$1,501$739$3,987$2,592$1,276
Destruction of Benign Lesions up to 14 Lesions 17110)$5,827$3,787$1,865NRNRNR
Laparoscopic Hernia Repair - Initial 49650)$12,852$8,354$4,113$13,549$8,807$4,336
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Cystourethroscopy with Lithotripsy 52353)$17,152$11,149$5,489$18,400$11,960$5,888
Repair of Nasal Septum 30520)$5,698$3,704$1,823$6,849$4,452$2,192
Cystourethroscopy with Stent 52332)$6,183$4,019$1,978$17,564$11,417$5,621
Removal of Tonsils 42826)$5,650$3,673$1,808$7,883$5,124$2,523
Laparoscopic Appendectomy 44970)$13,887$9,027$4,444$15,960$10,374$5,107
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$16,701$10,855$5,344$16,339$10,620$5,228
Fragmenting of Kidney Stone 50590)$15,754$10,240$5,041$17,302$11,246$5,537
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$7,174$4,663$2,296$9,475$6,159$3,032
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$939$610$300$1,385$900$443
Low Back Disk Surgery 63030)$13,967$9,079$4,470$16,057$10,437$5,138
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNR$5,041$3,277$1,613
Hysteroscopy with Ablation 58563)$9,672$6,287$3,095$13,215$8,590$4,229
Correction of Bunion 28296)$9,999$6,499$3,200$12,574$8,173$4,024
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$302$196$97NRNRNR
Mastectomy, Partial 19301)$8,399$5,459$2,688$15,130$9,835$4,842
Colonoscopy with Lesion Removal 45383)$2,950$1,918$944$4,385$2,850$1,403
Percutaneous Breast Biopsy with Imaging 19102)$3,847$2,500$1,231$5,267$3,424$1,685
Coronary Artery Angio S&I 93454)$9,914$6,444$3,173$10,938$7,109$3,500
Bone Marrow Biopsy 38221)$12,793$8,315$4,094$14,913$9,694$4,772
Needle Biopsy of Liver 47000)$6,791$4,414$2,173$8,250$5,363$2,640
Remove Impacted Ear Wax 69210)$3,405$2,213$1,090NRNRNR
Mohs Micrographic Tissue Removal 17311)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$14,380$9,347$4,602$18,278$11,881$5,849
Right and Left Heart Artery/Ventricle Angiography 93460)$11,055$7,186$3,538$11,532$7,496$3,690
Insertion of Central Venous Catheter >= 5 years 36569)$2,000$1,300$640NRNRNR
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Removal of Breast Lesion 19120)$6,397$4,158$2,047$10,312$6,703$3,300
Aspirate Pleura with Imaging 32555)$2,331$1,515$746$2,557$1,662$818
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Excision Breast Lesion with Preoperative Placement Radiological Marker 19125)$8,979$5,836$2,873NRNRNR
Debridement, Open Wound <= 20 Square Centimeters 97597)$279$181$89$1,607$1,045$514
Removal of Central Venous Device w Port or Pump 36590)$4,780$3,107$1,530$4,010$2,607$1,283
Apheresis Plasma 36514)NRNRNRNRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Debridement Skin/Tissue 11042)$654$425$209$1,425$926$456
Knee Arthroscopy/Surgery with Shaving of Cartilage 29877)$7,956$5,171$2,546$8,923$5,800$2,855
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area 58662)$13,325$8,662$4,264$14,954$9,720$4,785
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.