Froedtert Memorial Lutheran Hospital, Inc
9200 W Wisconsin Ave, PO Box 26099
Milwaukee, WI 53226
414-805-3000

Charges for 75 Most Common Hospitalizations in Wisconsin:  October 2013 - September 2014
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,251$1,418$743
2560Vaginal Delivery$9,445$5,950$3,117
3720Blood Infection/Septicemia$12,770$8,045$4,214
4302Knee Replacement$52,464$33,052$17,313
5540Cesarean Delivery$17,633$11,109$5,819
6194Heart Failure$9,361$5,897$3,089
7139Pneumonia$7,940$5,002$2,620
8301Hip Replacement$59,842$37,700$19,748
9751Psychoses$23,242$14,642$7,670
10753Bipolar DisordersNRNRNR
11140Chronic Obstructive Pulmonary Disease$9,446$5,951$3,117
12201Heart Abnormal Rhythm and Conduction Disorders$10,365$6,530$3,420
13775Alcohol Abuse/Dependence$9,705$6,114$3,203
14383Cellulitis and Other Bacterial Skin Infections$9,534$6,006$3,146
15460Renal Failure$9,257$5,832$3,055
16045Stroke and Precerebral Occlusion with Infarct$18,103$11,405$5,974
17860Rehabilitation$19,089$12,026$6,299
18463Kidney/Urinary Tract Infection$11,587$7,300$3,824
19221Major Bowel Procedures$53,219$33,528$17,562
20133Pulmonary Edema/Respiratory FailureNRNRNR
21750SchizophreniaNRNRNR
22174Angioplasty with Heart Attack$51,577$32,494$17,020
23254Other Digestive System Diagnoses$13,651$8,600$4,505
24247Intestinal Obstruction without Surgery$11,624$7,323$3,836
25282Disorders of Pancreas Except Malignancy$14,863$9,364$4,905
26420Diabetes$8,249$5,197$2,722
27754Depression$4,425$2,788$1,460
28304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$67,852$42,747$22,391
29249Gastroenteritis$10,456$6,587$3,450
30137Respiratory Infections and Inflammations$15,052$9,483$4,967
31812Poisoning of Medicinal Agents$6,438$4,056$2,125
32053Seizure$18,016$11,350$5,945
33308Hip/Thigh Surgery with Trauma Diagnosis$46,882$29,536$15,471
34134Pulmonary Embolism$13,677$8,617$4,513
35175Angioplasty without Heart Attack$62,572$39,420$20,649
36263Laparoscopic Cholecystectomy$28,550$17,987$9,422
37190Circulatory Disorders with Heart Attack$18,590$11,712$6,135
38173Other Vascular Procedures$60,969$38,410$20,120
39347Other Back/Neck Disorders, Fractures, Injuries$13,499$8,504$4,455
40244Diverticulitis & Diverticulosis$14,197$8,944$4,685
41425Other Electrolyte Disorders$8,219$5,178$2,712
42315Shoulder/Upper Arm, Forearm Surgery$40,269$25,369$13,289
43241Peptic Ulcer/Gastritis$17,669$11,131$5,831
44313Other Knee/Lower Leg Surgery$46,207$29,110$15,248
45861Signs & Symptoms$9,443$5,949$3,116
46141Asthma$12,472$7,857$4,116
47253Other and Unspecified Gastrointestinal Hemorrhage$10,388$6,544$3,428
48351Other Musculoskeletal System and Connective Tissue Diagnoses$21,453$13,515$7,079
49663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$11,032$6,950$3,641
50248Major G.I. Bacterial Infections$8,709$5,487$2,874
51191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$19,181$12,084$6,330
52773Opioid Abuse/Dependence$8,125$5,119$2,681
53225Appendectomy$27,183$17,125$8,970
54710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
55024Extracranial Vascular Procedures$64,931$40,907$21,427
56721Postoperative and Post-Traumatic Infections$15,088$9,505$4,979
57321Upper Spinal Fusion$67,240$42,361$22,189
58197Peripheral and Other Vascular Disorders$13,667$8,610$4,510
59693Chemotherapy$36,807$23,188$12,146
60192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$19,613$12,356$6,472
61466Malfunction, reaction, complic of genitourinary device or procNRNRNR
62144Respiratory System Signs, Symptoms and Minor Diagnoses$18,411$11,599$6,076
63204Fainting and Collapse$18,085$11,394$5,968
64021Craniotomy Except For Trauma$54,890$34,581$18,114
65566Other Antepartum Diagnoses$14,796$9,321$4,883
66163Heart Valve Procedures without Cardiac Catheterization$129,342$81,485$42,683
67143Other respiratory diagnoses except signs, symptoms & minor diagnoses$9,027$5,687$2,979
68052Nontraumatic stupor & coma$18,139$11,428$5,986
69310Back/Neck Procedures Except Dorsal and Lumbar Fusion$31,447$19,812$10,378
70198Chest Pain with Angina Pectoris or Coronary Atherosclerosis$10,168$6,406$3,355
71755Neuroses Other Than DepressionNRNRNR
72422Hypovolemia$11,287$7,111$3,725
73165Coronary Bypass with Cardiac Catheterization$128,740$81,106$42,484
74660Major hematologic/immunologic diag exc sickle cell crisis & coagul$12,319$7,761$4,065
75055Head trauma w coma >1 hr or hemorrhage$15,257$9,612$5,035

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 2013 - September 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)$6,526$4,111$2,154$14,699$9,260$4,851
Colonoscopy and Biopsy 45380)$5,535$3,487$1,827$6,642$4,184$2,192
Upper GI Endoscopy with Biopsy 43239)$5,412$3,409$1,786$6,645$4,186$2,193
Diagnostic Colonoscopy 45378)$5,042$3,177$1,664$5,805$3,657$1,916
Lesion Removal Colonoscopy by Snare Technique 45385)$5,631$3,548$1,858$6,293$3,965$2,077
Injection into Lumbar or Sacral Area, Single Level 64483)$1,180$744$389$1,260$794$416
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$1,176$741$388$1,271$801$419
Drain/Inject Major Joint or Bursa 20610)$936$589$309$1,226$772$405
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$4,875$3,071$1,609$12,856$8,099$4,242
Carpal Tunnel Surgery 64721)$6,465$4,073$2,133$10,640$6,703$3,511
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$17,628$11,106$5,817$17,668$11,131$5,831
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$4,861$3,063$1,604$5,924$3,732$1,955
Uppr GI Endoscopy- Diagnostic 43235)$4,893$3,082$1,615$5,905$3,720$1,949
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$5,790$3,647$1,911$6,297$3,967$2,078
Left Heart Artery/Ventricle Angiography 93458)$10,216$6,436$3,371$17,504$11,028$5,776
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Creation of Eardrum Opening 69436)$18,765$11,822$6,193$10,059$6,337$3,319
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$1,105$696$365$1,067$672$352
Laparoscopic Cholecystectomy 47562)$21,222$13,370$7,003$24,231$15,266$7,996
Unlisted Dental Surgery Procedure 41899)$13,017$8,201$4,296$16,650$10,490$5,495
After Cataract Laser Surgery 66821)$978$616$323NRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)NRNRNRNRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$14,795$9,321$4,882$15,366$9,680$5,071
Arthroscopic Rotator Cuff Repair 29827)$26,836$16,907$8,856$29,492$18,580$9,732
Cataract Surgery- Complex 66982)$7,399$4,661$2,442$13,285$8,369$4,384
Hysteroscopy with Biopsy 58558)$16,026$10,096$5,289$16,366$10,311$5,401
ABD Paracentesis w/Imaging 49083)$2,361$1,487$779$2,551$1,607$842
Unlisted Cystourethoscopy 52000)$1,207$760$398$3,130$1,972$1,033
Esophageal Endoscopy with Dilation 43249)$6,243$3,933$2,060$6,743$4,248$2,225
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$27,204$17,138$8,977$28,625$18,034$9,446
Incision of Finger Tendon Sheath 26055)$7,094$4,469$2,341$8,675$5,465$2,863
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$18,313$11,537$6,043$25,013$15,758$8,254
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$5,809$3,660$1,917$11,784$7,424$3,889
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$13,395$8,439$4,420$16,327$10,286$5,388
Uppr GI Endoscopy with Guide Wire 43248)$5,876$3,702$1,939$6,625$4,174$2,186
Destruction of Benign Lesions up to 14 Lesions 17110)$205$129$67$436$275$144
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$315$198$104$579$365$191
Destruction of Premalignant Lesion 17000)$205$129$67$311$196$102
Laparoscopic Hernia Repair - Initial 49650)$25,181$15,864$8,310$26,380$16,619$8,705
Laparoscopic Appendectomy 44970)$25,911$16,324$8,551$26,915$16,956$8,882
Cystourethroscopy with Stent 52332)$7,471$4,707$2,466$14,437$9,095$4,764
Repair of Nasal Septum 30520)$19,166$12,074$6,325$18,870$11,888$6,227
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Low Back Disk Surgery 63030)$24,112$15,190$7,957$23,774$14,978$7,846
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$31,329$19,738$10,339$30,752$19,374$10,148
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$12,370$7,793$4,082$13,765$8,672$4,542
Removal of Tonsils 42826)$13,387$8,434$4,418$14,568$9,178$4,807
Cystourethroscopy with Lithotripsy and Stent 52356)$16,816$10,594$5,549$17,240$10,861$5,689
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$532$335$176$1,683$1,060$555
Mastectomy, Partial 19301)$12,448$7,842$4,108$22,429$14,130$7,401
Hysteroscopy with Ablation 58563)$19,636$12,371$6,480$26,343$16,596$8,693
Coronary Artery Angio S&I 93454)$10,310$6,495$3,402$14,209$8,952$4,689
Biopsy breast w/stereotactic image; 1 lesion 19081)$7,310$4,605$2,412NRNRNR
Colonoscopy with Lesion Removal 45383)$7,043$4,437$2,324$7,030$4,429$2,320
Correction of Bunion 28296)$11,748$7,401$3,877$15,815$9,963$5,219
Remove Impacted Ear Wax 69210)$155$97$51NRNRNR
Apheresis Plasma 36514)$4,001$2,521$1,320$15,047$9,480$4,966
Bone Marrow Biopsy 38221)$6,546$4,124$2,160$8,410$5,298$2,775
Needle Biopsy of Liver 47000)$4,126$2,599$1,361$6,862$4,323$2,264
Mohs Micrographic Tissue Removal 17311)$1,346$848$444$1,764$1,111$582
Electro-Uroflowmetry - First 51741)NRNRNR$307$193$101
Laparoscopy - Removal of Adnexal Structures 58661)$24,809$15,630$8,187$32,366$20,391$10,681
Right and Left Heart Artery/Ventricle Angiography 93460)$11,296$7,116$3,728$15,431$9,722$5,092
Laparoscopy, Removal of Tubes & Ovaries 58571)$45,042$28,376$14,864$51,582$32,497$17,022
Aspirate Pleura with Imaging 32555)$1,557$981$514NRNRNR
Removal of Breast Lesion 19120)$11,152$7,026$3,680$14,616$9,208$4,823
Debridement Skin/Tissue 11042)$9,656$6,083$3,186$15,937$10,041$5,259
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Diagnostic Laryngoscopy 31575)$578$364$191$1,068$673$353
Insertion of Central Venous Catheter >= 5 years 36569)$4,116$2,593$1,358NRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNR$29,864$18,814$9,855
Repair of Hammertoe 28285)$10,254$6,460$3,384$17,721$11,164$5,848
Excision Breast Lesion with Preoperative Placement Radiological Marker 19125)$15,321$9,652$5,056$13,635$8,590$4,499
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area 58662)$25,222$15,890$8,323$32,357$20,385$10,678
Information about quality and safety of care for Froedtert Memorial Lutheran Hospital, Inc may be found at http://www.wicheckpoint.org
* Estimated Insurance Payments based on average percent of billed charges collected.