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Charges for 75 Most Common Types of Hospitalizations in Wisconsin: October 2011 - September 2012
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(Uncomplicated Cases Only)
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| | | | | Estimated Insurance Payments * | | Rank | APR- DRG  | Description | Median Charge  | Private Insurance | Medicare | | 1 | 640 | Normal Newborn, Birthweight 2500g+ | $2,320 | $1,554 | $742 | | 2 | 560 | Vaginal Delivery | $8,713 | $5,838 | $2,788 | | 3 | 302 | Knee Replacement | $37,566 | $25,169 | $12,021 | | 4 | 540 | Cesarean Delivery | $14,995 | $10,047 | $4,798 | | 5 | 720 | Blood Infection/Septicemia | $8,427 | $5,646 | $2,697 | | 6 | 139 | Pneumonia | $11,404 | $7,641 | $3,649 | | 7 | 194 | Heart Failure | $7,447 | $4,989 | $2,383 | | 8 | 301 | Hip Replacement | $37,778 | $25,311 | $12,089 | | 9 | 753 | Bipolar Disorders | $6,259 | $4,194 | $2,003 | | 10 | 751 | Psychoses | $7,124 | $4,773 | $2,280 | | 11 | 201 | Heart Abnormal Rhythm and Conduction Disorders | $7,304 | $4,894 | $2,337 | | 12 | 140 | Chronic Obstructive Pulmonary Disease | $6,234 | $4,177 | $1,995 | | 13 | 775 | Alchohol Abuse/Dependence | $5,774 | $3,869 | $1,848 | | 14 | 383 | Cellulitis and Other Bacterial Skin Infections | $7,563 | $5,067 | $2,420 | | 15 | 463 | Kidney/Urinary Tract Infection | $14,475 | $9,698 | $4,632 | | 16 | 460 | Renal Failure | 0 | 0 | 0 | | 17 | 860 | Rehabilitation | $25,602 | $17,153 | $8,193 | | 18 | 045 | Stroke and Precerebral Occlusion with Infarct | $15,140 | $10,144 | $4,845 | | 19 | 221 | Major Bowel Procedures | $36,120 | $24,200 | $11,558 | | 20 | 175 | Angioplasty without Heart Attack | $43,918 | $29,425 | $14,054 | | 21 | 750 | Schizophrenia | $8,128 | $5,446 | $2,601 | | 22 | 249 | Gastroenteritis | $7,979 | $5,346 | $2,553 | | 23 | 254 | Other Digestive System Diagnoses | $10,383 | $6,957 | $3,323 | | 24 | 174 | Angioplasty with Heart Attack | $43,004 | $28,813 | $13,761 | | 25 | 247 | Intestinal Obstruction without Surgery | $10,709 | $7,175 | $3,427 | | 26 | 754 | Depression | $6,246 | $4,185 | $1,999 | | 27 | 812 | Poisoning of Medicinal Agents | $6,433 | $4,310 | $2,059 | | 28 | 133 | Pulmonary Edema/Respiratory Failure | 0 | 0 | 0 | | 29 | 420 | Diabetes | $6,143 | $4,116 | $1,966 | | 30 | 137 | Respiratory Infections and Inflammations | $9,754 | $6,535 | $3,121 | | 31 | 282 | Disorders of Pancreas Except Malignancy | $12,274 | $8,224 | $3,928 | | 32 | 304 | Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature | $49,534 | $33,188 | $15,851 | | 33 | 263 | Laparoscopic Cholecystectomy | $24,975 | $16,733 | $7,992 | | 34 | 861 | Signs & Symptoms | $4,214 | $2,823 | $1,348 | | 35 | 134 | Pulmonary Embolism | $11,712 | $7,847 | $3,748 | | 36 | 053 | Seizure | $8,267 | $5,539 | $2,645 | | 37 | 308 | Hip/Thigh Surgery with Trauma Diagnosis | $30,877 | $20,688 | $9,881 | | 38 | 347 | Other Back/Neck Disorders, Fractures, Injuries | $10,150 | $6,801 | $3,248 | | 39 | 225 | Appendectomy | $21,186 | $14,195 | $6,780 | | 40 | 190 | Circulatory Disorders with Heart Attack | $11,781 | $7,893 | $3,770 | | 41 | 513 | Uterine Procedures without Tumor | $27,820 | $18,639 | $8,902 | | 42 | 173 | Other Vascular Procedures | $35,943 | $24,082 | $11,502 | | 43 | 241 | Peptic Ulcer/Gastritis | $10,810 | $7,243 | $3,459 | | 44 | 313 | Other Knee/Lower Leg Surgery | $23,185 | $15,534 | $7,419 | | 45 | 244 | Diverticulitis & Diverticulosis | $10,239 | $6,860 | $3,276 | | 46 | 192 | Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease | $15,720 | $10,532 | $5,030 | | 47 | 425 | Other Electrolyte Disorders | $7,597 | $5,090 | $2,431 | | 48 | 315 | Shoulder/Upper Arm, Forearm Surgery | $25,518 | $17,097 | $8,166 | | 49 | 198 | Chest Pain with Angina Pectoris or Coronary Atherosclerosis | $8,082 | $5,415 | $2,586 | | 50 | 204 | Fainting and Collapse | $7,381 | $4,945 | $2,362 | | 51 | 663 | Red Blood Cell Disorders Except Sickle Cell Anemia Crisis | $10,506 | $7,039 | $3,362 | | 52 | 351 | Other Musculoskeletal System and Connective Tissue Diagnoses | $5,871 | $3,934 | $1,879 | | 53 | 141 | Asthma | $10,059 | $6,740 | $3,219 | | 54 | 248 | Major G.I. Bacterial Infections | $8,752 | $5,864 | $2,801 | | 55 | 197 | Peripheral and Other Vascular Disorders | $12,409 | $8,314 | $3,971 | | 56 | 253 | Other and Unspecified Gastrointestinal Hemorrhage | $6,786 | $4,547 | $2,172 | | 57 | 310 | Back/Neck Procedures Except Dorsal and Lumbar Fusion | $21,942 | $14,701 | $7,021 | | 58 | 321 | Upper Spinal Fusion | $33,517 | $22,456 | $10,725 | | 59 | 191 | Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease | $16,648 | $11,154 | $5,327 | | 60 | 024 | Extracranial Vascular Procedures | $26,622 | $17,837 | $8,519 | | 61 | 721 | Postoperative and Post-Traumatic Infections | $12,507 | $8,380 | $4,002 | | 62 | 773 | Opioid Abuse/Dependence | $5,858 | $3,925 | $1,875 | | 63 | 144 | Respiratory System Signs, Symptoms and Minor Diagnoses | $5,377 | $3,603 | $1,721 | | 64 | 693 | Chemotherapy | $24,351 | $16,315 | $7,792 | | 65 | 422 | Hypovolemia | $7,609 | $5,098 | $2,435 | | 66 | 566 | Other Antepartum Diagnoses | $5,898 | $3,952 | $1,887 | | 67 | 755 | Neuroses Other Than Depression | $5,846 | $3,917 | $1,871 | | 68 | 203 | Chest Pain | $6,566 | $4,399 | $2,101 | | 69 | 047 | Transient Ischemia | $14,669 | $9,828 | $4,694 | | 70 | 251 | Abdominal Pain | $9,354 | $6,267 | $2,993 | | 71 | 143 | Pneumothorax & Pleural Effusion | $14,277 | $9,566 | $4,569 | | 72 | 021 | Craniotomy Except For Trauma | $30,193 | $20,229 | $9,662 | | 73 | 466 | Malfunctions, Reactions & Comp Of Gu Device, Graft Or Transplant | 0 | 0 | 0 | | 74 | 058 | Other Disorders of Nervous System | $11,597 | $7,770 | $3,711 | | 75 | 710 | Infectious & parasitic diseases including HIV w O.R. procedure | 0 | 0 | 0 |
NR = No Cases Reported
For billing and insurance concerns related to Community Memorial Hospital, please call 262-257-3850
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.
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| Charges for 75 Most Common Types of Outpatient Surgical Procedures in Wisconsin: October 2011 - September 2012 |
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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* |
| $6,901 | $4,624 | $2,208 | $7,131 | $4,778 | $2,282 | | $3,083 | $2,066 | $987 | $3,614 | $2,421 | $1,156 | | $3,810 | $2,553 | $1,219 | $4,478 | $3,001 | $1,433 | | $3,870 | $2,593 | $1,238 | $4,799 | $3,215 | $1,536 | | $4,126 | $2,764 | $1,320 | $4,703 | $3,151 | $1,505 | | $1,818 | $1,218 | $582 | $3,408 | $2,283 | $1,090 | | $991 | $664 | $317 | $1,135 | $760 | $363 | | $2,557 | $1,713 | $818 | $1,619 | $1,085 | $518 | | $9,441 | $6,326 | $3,021 | $10,014 | $6,709 | $3,204 | | $3,067 | $2,055 | $981 | NR | NR | NR | | $5,308 | $3,556 | $1,698 | $5,675 | $3,802 | $1,816 | | $3,707 | $2,483 | $1,186 | $3,643 | $2,441 | $1,166 | | $3,456 | $2,315 | $1,106 | $4,289 | $2,873 | $1,372 | | $3,491 | $2,339 | $1,117 | $4,396 | $2,946 | $1,407 | | $4,864 | $3,259 | $1,556 | $5,640 | $3,778 | $1,805 | | $8,486 | $5,686 | $2,716 | $13,742 | $9,207 | $4,398 | | $14,061 | $9,421 | $4,499 | $13,965 | $9,357 | $4,469 | | NR | NR | NR | NR | NR | NR | | NR | NR | NR | NR | NR | NR | | $1,996 | $1,337 | $639 | NR | NR | NR | | $10,322 | $6,916 | $3,303 | $10,983 | $7,359 | $3,515 | | NR | NR | NR | NR | NR | NR | | $2,460 | $1,648 | $787 | $3,451 | $2,312 | $1,104 | | NR | NR | NR | NR | NR | NR | | $6,126 | $4,105 | $1,960 | $6,698 | $4,487 | $2,143 | | $9,317 | $6,242 | $2,981 | $9,699 | $6,499 | $3,104 | | $9,731 | $6,520 | $3,114 | $10,823 | $7,251 | $3,463 | | $7,649 | $5,125 | $2,448 | $8,317 | $5,572 | $2,661 | | $34,295 | $22,978 | $10,974 | $22,436 | $15,032 | $7,179 | | $14,726 | $9,866 | $4,712 | $16,517 | $11,066 | $5,285 | | $3,464 | $2,321 | $1,109 | $4,719 | $3,162 | $1,510 | | $3,546 | $2,376 | $1,135 | $4,198 | $2,813 | $1,343 | | $8,290 | $5,554 | $2,653 | $10,966 | $7,347 | $3,509 | | $2,825 | $1,893 | $904 | NR | NR | NR | | NR | NR | NR | $8,940 | $5,990 | $2,861 | | $12,111 | $8,114 | $3,875 | $13,384 | $8,968 | $4,283 | | $10,059 | $6,740 | $3,219 | $11,052 | $7,405 | $3,537 | | $10,836 | $7,260 | $3,468 | $10,386 | $6,959 | $3,324 | | $16,965 | $11,367 | $5,429 | $18,346 | $12,292 | $5,871 | | $11,873 | $7,955 | $3,800 | $14,971 | $10,031 | $4,791 | | NR | NR | NR | NR | NR | NR | | $9,912 | $6,641 | $3,172 | $9,890 | $6,627 | $3,165 | | $24,896 | $16,680 | $7,967 | $27,021 | $18,104 | $8,647 | | $11,400 | $7,638 | $3,648 | $17,376 | $11,642 | $5,560 | | $4,191 | $2,808 | $1,341 | $3,669 | $2,458 | $1,174 | | $2,716 | $1,820 | $869 | NR | NR | NR | | NR | NR | NR | NR | NR | NR | | $7,214 | $4,834 | $2,309 | $12,203 | $8,176 | $3,905 | | $16,803 | $11,258 | $5,377 | $17,027 | $11,408 | $5,449 | | NR | NR | NR | $26,180 | $17,541 | $8,378 | | $17,025 | $11,407 | $5,448 | $19,310 | $12,937 | $6,179 | | NR | NR | NR | NR | NR | NR | | NR | NR | NR | NR | NR | NR | | $3,158 | $2,116 | $1,011 | $2,944 | $1,973 | $942 | | NR | NR | NR | NR | NR | NR | | $9,516 | $6,376 | $3,045 | $17,415 | $11,668 | $5,573 | | NR | NR | NR | $6,764 | $4,532 | $2,164 | | $6,714 | $4,499 | $2,149 | $9,828 | $6,585 | $3,145 | | $17,033 | $11,412 | $5,451 | $10,338 | $6,926 | $3,308 | | $2,203 | $1,476 | $705 | $2,290 | $1,534 | $733 | | $17,638 | $11,818 | $5,644 | $18,896 | $12,660 | $6,047 | | $2,409 | $1,614 | $771 | $4,502 | $3,016 | $1,441 | | $14,584 | $9,771 | $4,667 | $17,511 | $11,732 | $5,603 | | NR | NR | NR | NR | NR | NR | | $9,089 | $6,090 | $2,908 | $11,485 | $7,695 | $3,675 | | NR | NR | NR | NR | NR | NR | | NR | NR | NR | NR | NR | NR | | $37,519 | $25,138 | $12,006 | $39,302 | $26,332 | $12,577 | | $9,730 | $6,519 | $3,114 | $10,217 | $6,845 | $3,269 | | $8,833 | $5,918 | $2,826 | $11,858 | $7,945 | $3,794 | | NR | NR | NR | $12,698 | $8,507 | $4,063 | | $11,321 | $7,585 | $3,623 | $12,300 | $8,241 | $3,936 | | $1,428 | $956 | $457 | $9,392 | $6,293 | $3,006 | | $2,716 | $1,820 | $869 | NR | NR | NR | | NR | NR | NR | NR | NR | NR |
NR = No Cases Reported |
Information about quality and safety of care for Community Memorial Hospital may be found at http://www.wicheckpoint.org
* Estimated Insurance Payments based on average percent of billed charges collected.
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