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1 Page 1 of 6 Fort HealthCare 611 East Sherman Avenue Fort Atkinson, WI Print this report Rank Charges for 75 Most Common Types of Hospitalizations in Wisconsin: October September 2012 (Uncomplicated Cases Only) APR- DRG Description Median Charge Estimated Payments Private * Medicare Normal Newborn, Birthweight 2500g+ $2,836 $1,730 $ Vaginal Delivery $6,251 $3,813 $2, Knee Replacement $31,903 $19,461 $11, Cesarean Delivery $9,592 $5,851 $3, Blood Infection/Septicemia $7,812 $4,765 $2, Pneumonia $6,485 $3,956 $2, Heart Failure $8,960 $5,466 $3, Hip Replacement $37,295 $22,750 $13, Bipolar Disorders Psychoses Heart Abnormal Rhythm and Conduction Disorders $9,701 $5,918 $3, Chronic Obstructive Pulmonary Disease $9,790 $5,972 $3, Alchohol Abuse/Dependence $4,197 $2,560 $1, Cellulitis and Other Bacterial Skin Infections $8,629 $5,264 $3, Kidney/Urinary Tract Infection $8,751 $5,338 $3, Renal Failure Rehabilitation Stroke and Precerebral Occlusion with Infarct $24,638 $15,029 $8, Major Bowel Procedures $27,433 $16,734 $9, Angioplasty without Heart Attack Schizophrenia Gastroenteritis $7,375 $4,499 $2, Other Digestive System Diagnoses $10,030 $6,118 $3, Angioplasty with Heart Attack Intestinal Obstruction without Surgery $8,393 $5,120 $2, Depression Poisoning of Medicinal Agents $3,523 $2,149 $1, Pulmonary Edema/Respiratory Failure $3,460 $2,111 $1, Diabetes 0 0 0

2 Page 2 of Respiratory Infections and Inflammations $21,403 $13,056 $7, Disorders of Pancreas Except Malignancy $13,330 $8,131 $4, Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature Laparoscopic Cholecystectomy $17,773 $10,842 $6, Signs & Symptoms $5,361 $3,270 $1, Pulmonary Embolism $13,237 $8,075 $4, Seizure $15,163 $9,249 $5, Hip/Thigh Surgery with Trauma Diagnosis $24,637 $15,029 $8, Other Back/Neck Disorders, Fractures, Injuries $9,525 $5,810 $3, Appendectomy $25,309 $15,438 $8, Circulatory Disorders with Heart Attack Uterine Procedures without Tumor $12,676 $7,732 $4, Other Vascular Procedures Peptic Ulcer/Gastritis $11,411 $6,961 $3, Other Knee/Lower Leg Surgery $15,640 $9,540 $5, Diverticulitis & Diverticulosis $13,582 $8,285 $4, Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease Other Electrolyte Disorders $6,814 $4,157 $2, Shoulder/Upper Arm, Forearm Surgery $16,214 $9,891 $5, Chest Pain with Angina Pectoris or Coronary Atherosclerosis $5,994 $3,656 $2, Fainting and Collapse $24,642 $15,032 $8, Red Blood Cell Disorders Except Sickle Cell Anemia Crisis $9,873 $6,023 $3, Other Musculoskeletal System and Connective Tissue Diagnoses $7,761 $4,734 $2, Asthma $4,558 $2,780 $1, Major G.I. Bacterial Infections Peripheral and Other Vascular Disorders $3,651 $2,227 $1, Other and Unspecified Gastrointestinal Hemorrhage $12,534 $7,646 $4, Back/Neck Procedures Except Dorsal and Lumbar Fusion Upper Spinal Fusion Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease Extracranial Vascular Procedures Postoperative and Post-Traumatic Infections Opioid Abuse/Dependence Respiratory System Signs, Symptoms and Minor Diagnoses $9,227 $5,628 $3, Chemotherapy Hypovolemia $5,877 $3,585 $2,057

3 Page 3 of Other Antepartum Diagnoses Neuroses Other Than Depression Chest Pain $14,189 $8,655 $4, Transient Ischemia $12,353 $7,535 $4, Abdominal Pain $10,964 $6,688 $3, Pneumothorax & Pleural Effusion Craniotomy Except For Trauma Malfunctions, Reactions & Comp Of Gu Device, Graft Or Transplant Other Disorders of Nervous System $9,490 $5,789 $3, Infectious & parasitic diseases including HIV w O.R. procedure NR = No Cases Reported Fort HealthCare is proud of its mission to 'Improve the Health of the Community'. We strive to offer exceptional care at reasonable cost to patients and payors and believe that concerns over payment of a medical bill should never get in the way of a patient receiving excellent healthcare. Our goal is to work with each individual and offer financial aid options such as the Community Care Program and self pay discounts. For more information, please contact the Fort HealthCare Business Office at (866) 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.

4 Page 4 of 6 Charges for 75 Most Common Types of Outpatient Surgical Procedures in Wisconsin: October September 2012 With No Other Procedures With 1 or More Additional Procedures Principal Procedure Median Charge Commercial Payment Medicare Payment* Median Charge Commercial Payment Medicare Payment* Cataract Surgery with Intraocular Lens - Stage 1 (66984) $6,555 $3,998 $2,294 $7,646 $4,664 $2,676 Diagnostic Colonoscopy (45378) $3,058 $1,866 $1,070 $5,204 $3,175 $1,822 Colonoscopy and Biopsy (45380) $3,592 $2,191 $1,257 $5,706 $3,481 $1,997 Upper GI Endoscopy with Biopsy (43239) Lesion Removal Colonoscopy by Snare Technique (45385) Injection into Lumbar or Sacral Area, Single Level (64483) Drain/Inject Major Joint or Bursa (20610) Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral (64493) Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy (29881) Colorectal Cancer Screening; Colonscopy, Not High Risk (G0121) $3,121 $1,904 $1,092 $5,428 $3,311 $1,900 $4,214 $2,571 $1,475 $4,584 $2,796 $1,605 $13,907 $8,483 $4,867 $14,161 $8,638 $4,957 $3,052 $1,862 $1,068 NR NR NR Carpal Tunnel Surgery (64721) $5,326 $3,249 $1,864 $5,486 $3,346 $1,920 Colorectal Cancer Screening ; Colonoscopy, High Risk (G0105) Uppr GI Endoscopy- Diagnostic (43235) Lesion Removal Colonoscopy by Hot Biopsy or Cautery (45384) $3,069 $1,872 $1,074 NR NR NR $2,546 $1,553 $891 $4,650 $2,836 $1,627 $3,570 $2,178 $1,250 $4,598 $2,805 $1,609 Creation of Eardrum Opening (69436) $5,286 $3,225 $1,850 $5,671 $3,460 $1,985 Left Heart Artery/Ventricle Angiography (93458) Laparoscopic Cholecystectomy (47562) $12,671 $7,729 $4,435 $13,833 $8,438 $4,841 Removal of Tonsils And Adenoids - < Age 12 (42820) Unlisted Dental Surgery Procedure (41899) Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor (64490) Repair Initial Ingunial Hernia, > = 5 years, Reducible (49505) Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral (64635) $6,137 $3,744 $2,148 $6,674 $4,071 $2,336 NR NR NR $3,318 $2,024 $1,161 $10,091 $6,156 $3,532 $11,424 $6,968 $3,998 Unlisted Cystourethoscopy (52000) $4,108 $2,506 $1,438 $6,895 $4,206 $2,413 After Cataract Laser Surgery (66821) Percutaneous Breast Biopsy with Device and Imaging (19103) NR NR NR $5,030 $3,068 $1,760

5 Page 5 of 6 Hysteroscopy with Biopsy (58558) $7,811 $4,765 $2,734 $11,103 $6,773 $3,886 Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy (29880) $13,949 $8,509 $4,882 $13,859 $8,454 $4,851 Cataract Surgery- Complex (66982) $7,758 $4,732 $2,715 NR NR NR Arthroscopic Rotator Cuff Repair (29827) Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct (47563) Esophageal Endoscopy with Dilation (43249) Uppr GI Endoscopy with Guide Wire (43248) Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) (20680) Incision of Finger Tendon Sheath (26055) $24,744 $15,094 $8,661 $20,219 $12,334 $7,077 $13,601 $8,297 $4,760 $13,779 $8,405 $4,823 $4,217 $2,572 $1,476 $4,517 $2,756 $1,581 NR NR NR $4,464 $2,723 $1,563 $7,250 $4,423 $2,538 $7,485 $4,566 $2,620 $5,034 $3,071 $1,762 $5,429 $3,312 $1,900 Repair of Nasal Septum (30520) $6,317 $3,853 $2,211 $7,433 $4,534 $2,602 Cystourethroscopy with Lithotripsy (52353) $10,374 $6,328 $3,631 $12,991 $7,925 $4,547 Removal of Tonsils (42826) $6,369 $3,885 $2,229 $7,527 $4,591 $2,634 Hysteroscopy with Ablation (58563) $11,082 $6,760 $3,879 $15,646 $9,544 $5,476 Laparoscopic Hernia Repair - Initial (49650) Shoulder Arthroscopy/Surgery with Decompression (29826) Percutaneous Breast Biopsy with Imaging (19102) Repair Umbilical Hernia, > = 5 Yrs - Reducible (49585) Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair (29888) $15,920 $9,711 $5,572 $16,787 $10,240 $5,875 $10,588 $6,459 $3,706 $12,781 $7,796 $4,473 $20,295 $12,380 $7,103 $22,768 $13,888 $7,969 Correction of Bunion (28296) $7,148 $4,360 $2,502 $8,098 $4,940 $2,834 Colonoscopy with Lesion Removal (45383) $3,487 $2,127 $1,220 NR NR NR ABD Paracentesis w/imaging (49083) $1,681 $1,025 $588 NR NR NR Destruction of Premalignant Lesion (17000) Cystourethroscopy with Stent (52332) $5,425 $3,309 $1,899 $10,411 $6,351 $3,644 Low Back Disk Surgery (63030) Fragmenting of Kidney Stone (50590) $21,617 $13,187 $7,566 NR NR NR Laparoscopic Appendectomy (44970) $16,611 $10,133 $5,814 $19,631 $11,975 $6,871 Destruction of Benign Lesions up to 14 Lesions (17110) Injections; Single or Multiple Trigger Points, 1 or 2 Muscles (20552) Needle Biopsy of Liver (47000) $4,188 $2,555 $1,466 NR NR NR Mohs Micrographic Tissue Removal (17311) Mastectomy, Partial (19301) NR NR NR $10,222 $6,235 $3,578

6 Page 6 of 6 Removal of Adenoids (42830) $5,359 $3,269 $1,876 $5,708 $3,482 $1,998 Removal of Breast Lesion (19120) $5,580 $3,404 $1,953 $5,934 $3,620 $2,077 Excision Breast Lesion with Preoperative Placement Radiological Marker (19125) $8,604 $5,248 $3,011 $8,174 $4,986 $2,861 Bone Marrow Biopsy (38221) Laparoscopy - Removal of Adnexal Structures (58661) Insertion of Central Venous Catheter >= 5 years (36569) Laparoscopy- Excision of Lesions of Ovary or Pelvic Area (58662) $12,005 $7,323 $4,202 $14,331 $8,742 $5,016 $12,853 $7,840 $4,499 $16,224 $9,897 $5,678 Remove Impacted Ear Wax (69210) $5,017 $3,060 $1,756 NR NR NR Right and Left Heart Artery/Ventricle Angiography (93460) Biopsy Skin and Subcutaneous Tissue; 1 Lesion (11100) Destruction by neurolytic agent, cervical/thoracic nerve area, single lev (64633) Placement of Drug Eluting Stent, Single Vessel (G0290) Knee Arthroscopy/Surgery with Shaving of Cartilage (29877) NR NR NR $9,209 $5,618 $3,223 $13,267 $8,093 $4,643 NR NR NR Repair of Hammertoe (28285) $5,541 $3,380 $1,939 $8,668 $5,287 $3,034 Repair Rotator Cuff, Chronic (23412) NR NR NR $18,748 $11,436 $6,562 Repair Bladder Defect (57288) $12,074 $7,365 $4,226 $12,193 $7,438 $4,267 Removal of Central Venous Device w Port or Pump (36590) $4,253 $2,594 $1,489 NR NR NR Diagnostic Sigmoidoscopy (45330) $1,467 $895 $514 $3,388 $2,067 $1,186 Insertion of temp bladder catheter (51702) NR = No Cases Reported Information about quality and safety of care for Fort HealthCare may be found at * Estimated Payments based on average percent of billed charges collected. Copyright 2010, WHA Information Center, All rights reserved.