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:  January 2015 - December 2015
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,700$1,674$810
2560Vaginal Delivery$11,309$7,012$3,393
3720Blood Infection/Septicemia$14,323$8,880$4,297
4302Knee Replacement$45,603$28,274$13,681
5540Cesarean Delivery$17,572$10,895$5,272
6194Heart Failure$12,845$7,964$3,854
7301Hip Replacement$62,022$38,454$18,607
8139Pneumonia$15,273$9,469$4,582
9751PsychosesNRNRNR
10753Bipolar Disorders$12,346$7,655$3,704
11140Chronic Obstructive Pulmonary Disease$8,884$5,508$2,665
12201Heart Abnormal Rhythm and Conduction Disorders$8,607$5,336$2,582
13775Alcohol Abuse/Dependence$8,726$5,410$2,618
14460Renal Failure$7,476$4,635$2,243
15383Cellulitis and Other Bacterial Skin Infections$11,458$7,104$3,437
16045Stroke and Precerebral Occlusion with Infarct$19,632$12,172$5,890
17133Pulmonary Edema/Respiratory FailureNRNRNR
18221Major Bowel Procedures$53,565$33,210$16,070
19463Kidney/Urinary Tract Infection$15,698$9,733$4,709
20174Angioplasty with Heart Attack$59,611$36,959$17,883
21860Rehabilitation$16,258$10,080$4,877
22247Intestinal Obstruction without Surgery$16,361$10,144$4,908
23750SchizophreniaNRNRNR
24282Disorders of Pancreas Except Malignancy$16,784$10,406$5,035
25420Diabetes$12,271$7,608$3,681
26754Depression$11,799$7,315$3,540
27254Other Digestive System Diagnoses$15,392$9,543$4,618
28249Gastroenteritis$14,250$8,835$4,275
29812Poisoning of Medicinal Agents$14,030$8,699$4,209
30304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$71,389$44,261$21,417
31137Respiratory Infections and InflammationsNRNRNR
32053Seizure$14,995$9,297$4,499
33173Other Vascular Procedures$76,256$47,279$22,877
34134Pulmonary Embolism$12,386$7,679$3,716
35190Circulatory Disorders with Heart Attack$23,528$14,587$7,058
36308Hip/Thigh Surgery with Trauma Diagnosis$54,553$33,823$16,366
37263Laparoscopic Cholecystectomy$32,807$20,340$9,842
38244Diverticulitis & Diverticulosis$14,924$9,253$4,477
39315Shoulder/Upper Arm, Forearm Surgery$38,589$23,925$11,577
40175Angioplasty without Heart Attack$61,423$38,082$18,427
41425Other Electrolyte Disorders$11,251$6,976$3,375
42861Signs & Symptoms$17,390$10,782$5,217
43241Peptic Ulcer/Gastritis$15,651$9,704$4,695
44773Opioid Abuse/Dependence$22,367$13,868$6,710
45710Infectious & parasitic diseases including HIV w O.R. procedure$62,297$38,624$18,689
46347Other Back/Neck Disorders, Fractures, Injuries$14,101$8,743$4,230
47253Other and Unspecified Gastrointestinal Hemorrhage$24,098$14,941$7,229
48313Other Knee/Lower Leg Surgery$42,974$26,644$12,892
49351Other Musculoskeletal System and Connective Tissue Diagnoses$9,676$5,999$2,903
50248Major G.I. Bacterial Infections$10,204$6,326$3,061
51191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$19,786$12,267$5,936
52663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$13,865$8,596$4,160
53466Malfunction, reaction, complic of genitourinary device or procNRNRNR
54024Extracranial Vascular Procedures$72,842$45,162$21,853
55693Chemotherapy$31,920$19,790$9,576
56141Asthma$11,687$7,246$3,506
57321Upper Spinal Fusion$71,889$44,571$21,567
58721Postoperative and Post-Traumatic Infections$17,131$10,621$5,139
59197Peripheral and Other Vascular Disorders$9,537$5,913$2,861
60058Other Disorders of Nervous System$16,315$10,115$4,895
61021Craniotomy Except For Trauma$57,509$35,656$17,253
62225Appendectomy$30,477$18,896$9,143
63566Other Antepartum Diagnoses$7,658$4,748$2,297
64144Respiratory System Signs, Symptoms and Minor Diagnoses$16,238$10,068$4,871
65163Heart Valve Procedures without Cardiac CatheterizationNRNRNR
66055Head trauma w coma >1 hr or hemorrhage$15,053$9,333$4,516
67755Neuroses Other Than Depression$10,807$6,700$3,242
68113Epiglottitis, Ear Infection, URI and Laryngotracheitis$14,645$9,080$4,394
69192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$17,500$10,850$5,250
70143Other respiratory diagnoses except signs, symptoms & minor diagnoses$13,864$8,596$4,159
71052Nontraumatic stupor & coma$17,003$10,542$5,101
72204Fainting and Collapse$11,020$6,832$3,306
73422Hypovolemia$23,101$14,323$6,930
74639Neonate Birthwt >2499g with Other Significant Condition$4,059$2,517$1,218
75310Back/Neck Procedures Except Dorsal and Lumbar Fusion$34,084$21,132$10,225

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:  January 2015 - December 2015
 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)$6,698$4,153$2,009$17,257$10,699$5,177
Colonoscopy and Biopsy 45380)$5,884$3,648$1,765$7,000$4,340$2,100
Upper GI Endoscopy with Biopsy 43239)$5,844$3,623$1,753$7,185$4,455$2,155
Lesion Removal Colonoscopy by Snare Technique 45385)$6,127$3,799$1,838$6,930$4,297$2,079
Diagnostic Colonoscopy 45378)$5,393$3,344$1,618$6,645$4,120$1,994
Injection into Lumbar or Sacral Area, Single Level 64483)$1,312$813$394$1,345$834$403
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$1,398$866$419$1,404$870$421
Drain/Inject Major Joint or Bursa 20610)$1,294$803$388NRNRNR
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$5,322$3,299$1,596$8,142$5,048$2,443
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$5,419$3,360$1,626$8,760$5,431$2,628
Carpal Tunnel Surgery 64721)$7,057$4,375$2,117$12,017$7,450$3,605
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$19,985$12,391$5,995$39,132$24,262$11,740
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$5,293$3,281$1,588$6,461$4,006$1,938
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$5,927$3,675$1,778$6,693$4,150$2,008
Left Heart Artery/Ventricle Angiography 93458)$12,298$7,625$3,689$19,311$11,973$5,793
Creation of Eardrum Opening 69436)$11,666$7,233$3,500$29,677$18,400$8,903
Unlisted Dental Surgery Procedure 41899)$16,200$10,044$4,860$18,909$11,723$5,673
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$1,371$850$411$1,371$850$411
Laparoscopic Cholecystectomy 47562)$23,359$14,482$7,008$26,326$16,322$7,898
After Cataract Laser Surgery 66821)$1,188$736$356$1,312$813$394
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Cataract Surgery- Complex 66982)$7,622$4,725$2,287$17,092$10,597$5,128
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)NRNRNRNRNRNR
Arthroscopic Rotator Cuff Repair 29827)$25,805$15,999$7,742$34,312$21,274$10,294
Hysteroscopy with Biopsy 58558)$16,243$10,071$4,873$19,087$11,834$5,726
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$15,796$9,794$4,739$18,839$11,680$5,652
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$4,212$2,612$1,264$4,637$2,875$1,391
Esophageal Endoscopy with Dilation 43249)$6,598$4,091$1,979$7,316$4,536$2,195
Unlisted Cystourethoscopy 52000)$7,012$4,347$2,104$11,054$6,853$3,316
Incision of Finger Tendon Sheath 26055)$7,108$4,407$2,132$7,567$4,692$2,270
Cystourethroscopy with Lithotripsy and Stent 52356)$18,172$11,267$5,452$18,639$11,556$5,592
Laparoscopic Hernia Repair - Initial 49650)$26,240$16,269$7,872$27,864$17,276$8,359
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$13,763$8,533$4,129$18,695$11,591$5,609
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$26,583$16,481$7,975$25,937$16,081$7,781
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$20,648$12,801$6,194NRNRNR
Uppr GI Endoscopy with Guide Wire 43248)$5,962$3,696$1,788$6,441$3,994$1,932
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$24,167$14,984$7,250$28,469$17,651$8,541
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$1,287$798$386$1,340$831$402
Cystourethroscopy with Stent 52332)$8,113$5,030$2,434$12,002$7,441$3,600
Removal of Tonsils 42826)$14,395$8,925$4,319$16,166$10,023$4,850
Repair of Nasal Septum 30520)$16,244$10,071$4,873$19,512$12,098$5,854
Low Back Disk Surgery 63030)$27,142$16,828$8,143$26,098$16,181$7,829
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNR$43,744$27,121$13,123
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$13,552$8,402$4,066$18,711$11,601$5,613
Mastectomy, Partial 19301)$12,039$7,464$3,612$24,978$15,486$7,493
Laparoscopy - Removal of Adnexal Structures 58661)$24,144$14,969$7,243$31,715$19,663$9,515
Debridement Skin/Tissue 11042)$12,095$7,499$3,629$17,973$11,143$5,392
Needle Biopsy of Liver 47000)$5,072$3,144$1,521NRNRNR
Coronary Artery Angio S&I 93454)$11,771$7,298$3,531$20,878$12,944$6,263
Laparoscopy, Removal of Tubes & Ovaries 58571)$44,270$27,447$13,281$51,820$32,128$15,546
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Aspirate Pleura with Imaging 32555)NRNRNRNRNRNR
Hysteroscopy with Ablation 58563)$18,715$11,604$5,615$20,492$12,705$6,148
Diagnostic Laryngoscopy 31575)$8,621$5,345$2,586NRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Debridement, Open Wound <= 20 Square Centimeters 97597)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)$13,362$8,284$4,008$20,150$12,493$6,045
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNRNRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNR$30,691$19,028$9,207
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Bone Marrow Biopsy 38221)NRNRNRNRNRNR
Correction of Bunion 28296)$12,805$7,939$3,842$16,708$10,359$5,013
Removal of Adenoids 42830)NRNRNRNRNRNR
Electronic analysis of implantable pump spine w/reprogram/refill 62369)NRNRNRNRNRNR
Ablation therapy of first vein of extremity 36475)NRNRNRNRNRNR
Repair of Hammertoe 28285)$10,407$6,452$3,122$16,831$10,435$5,049
Removal of Central Venous Device w Port or Pump 36590)NRNRNR$11,826$7,332$3,548
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.