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:  April 2013 - March 2014
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,073$1,306$684
2560Vaginal Delivery$9,061$5,708$2,990
3302Knee Replacement$52,278$32,935$17,252
4720Blood Infection/Septicemia$12,513$7,883$4,129
5540Cesarean Delivery$16,587$10,450$5,474
6139Pneumonia$10,759$6,778$3,550
7194Heart Failure$9,361$5,897$3,089
8301Hip Replacement$57,373$36,145$18,933
9751Psychoses$23,573$14,851$7,779
10753Bipolar DisordersNRNRNR
11140Chronic Obstructive Pulmonary Disease$8,750$5,513$2,888
12201Heart Abnormal Rhythm and Conduction Disorders$8,727$5,498$2,880
13383Cellulitis and Other Bacterial Skin Infections$9,398$5,921$3,101
14775Alchohol Abuse/Dependence$12,958$8,164$4,276
15460Renal Failure$19,428$12,240$6,411
16045Stroke and Precerebral Occlusion with Infarct$16,094$10,139$5,311
17463Kidney/Urinary Tract Infection$10,415$6,561$3,437
18860Rehabilitation$17,304$10,902$5,710
19221Major Bowel Procedures$47,184$29,726$15,571
20750SchizophreniaNRNRNR
21133Pulmonary Edema/Respiratory FailureNRNRNR
22174Angioplasty with Heart Attack$47,627$30,005$15,717
23254Other Digestive System Diagnoses$11,482$7,234$3,789
24247Intestinal Obstruction without Surgery$10,979$6,917$3,623
25175Angioplasty without Heart Attack$57,569$36,268$18,998
26420Diabetes$6,591$4,152$2,175
27282Disorders of Pancreas Except Malignancy$10,241$6,452$3,380
28249Gastroenteritis$9,228$5,814$3,045
29754DepressionNRNRNR
30812Poisoning of Medicinal Agents$8,037$5,063$2,652
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$65,310$41,145$21,552
32137Respiratory Infections and Inflammations$11,658$7,345$3,847
33053Seizure$15,537$9,788$5,127
34308Hip/Thigh Surgery with Trauma Diagnosis$46,232$29,126$15,257
35263Laparoscopic Cholecystectomy$28,194$17,762$9,304
36134Pulmonary Embolism$14,522$9,149$4,792
37173Other Vascular Procedures$52,353$32,982$17,276
38190Circulatory Disorders with Heart Attack$18,590$11,712$6,135
39425Other Electrolyte Disorders$7,635$4,810$2,520
40347Other Back/Neck Disorders, Fractures, Injuries$13,418$8,453$4,428
41315Shoulder/Upper Arm, Forearm Surgery$35,358$22,276$11,668
42241Peptic Ulcer/Gastritis$10,113$6,371$3,337
43244Diverticulitis & Diverticulosis$11,173$7,039$3,687
44861Signs & Symptoms$10,169$6,406$3,356
45313Other Knee/Lower Leg Surgery$45,075$28,397$14,875
46253Other and Unspecified Gastrointestinal Hemorrhage$14,093$8,879$4,651
47225Appendectomy$26,222$16,520$8,653
48663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$9,781$6,162$3,228
49351Other Musculoskeletal System and Connective Tissue Diagnoses$11,210$7,062$3,699
50248Major G.I. Bacterial Infections$8,014$5,049$2,645
51192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$18,488$11,647$6,101
52141Asthma$8,472$5,337$2,796
53191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$19,459$12,259$6,421
54024Extracranial Vascular Procedures$61,240$38,581$20,209
55773Opioid Abuse/Dependence$7,289$4,592$2,405
56321Upper Spinal Fusion$67,082$42,262$22,137
57197Peripheral and Other Vascular Disorders$13,667$8,610$4,510
58721Postoperative and Post-Traumatic Infections$9,588$6,040$3,164
59204Fainting and Collapse$9,631$6,068$3,178
60198Chest Pain with Angina Pectoris or Coronary Atherosclerosis$8,240$5,191$2,719
61693Chemotherapy$36,101$22,744$11,913
62710Infectious & parasitic diseases including HIV w O.R. procedure$65,409$41,208$21,585
63144Respiratory System Signs, Symptoms and Minor Diagnoses$10,553$6,648$3,482
64466Malfunctions, Reactions & Comp Of Gu Device, Graft Or Transplant$3,803$2,396$1,255
65310Back/Neck Procedures Except Dorsal and Lumbar Fusion$28,477$17,941$9,397
66566Other Antepartum Diagnoses$7,857$4,950$2,593
67513Uterine Procedures without Tumor$35,811$22,561$11,818
68021Craniotomy Except For Trauma$54,014$34,029$17,825
69163Heart Valve Procedures without Cardiac Catheterization$111,427$70,199$36,771
70143Pneumothorax & Pleural Effusion$8,832$5,564$2,915
71422Hypovolemia$6,529$4,113$2,155
72755Neuroses Other Than Depression$8,830$5,563$2,914
73052Nontraumatic stupor & coma$18,139$11,428$5,986
74055Head trauma w coma >1 hr or hemorrhage$14,895$9,384$4,915
75047Transient Ischemia$14,861$9,362$4,904

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)$6,401$4,032$2,112$13,014$8,199$4,295
Colonoscopy and Biopsy 45380)$5,320$3,352$1,756$6,298$3,968$2,078
Upper GI Endoscopy with Biopsy 43239)$5,146$3,242$1,698$6,356$4,004$2,098
Diagnostic Colonoscopy 45378)$4,638$2,922$1,531$5,634$3,550$1,859
Lesion Removal Colonoscopy by Snare Technique 45385)$5,215$3,285$1,721$5,991$3,774$1,977
Injection into Lumbar or Sacral Area, Single Level 64483)$762$480$251$851$536$281
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$859$541$283$980$617$323
Drain/Inject Major Joint or Bursa 20610)$886$558$292$1,227$773$405
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$4,763$3,001$1,572NRNRNR
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$17,267$10,878$5,698$22,899$14,426$7,557
Carpal Tunnel Surgery 64721)$6,467$4,074$2,134$12,708$8,006$4,194
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$4,781$3,012$1,578$5,924$3,732$1,955
Uppr GI Endoscopy- Diagnostic 43235)$4,618$2,909$1,524$5,760$3,629$1,901
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$5,424$3,417$1,790$6,093$3,839$2,011
Left Heart Artery/Ventricle Angiography 93458)$9,861$6,213$3,254$15,505$9,768$5,117
Creation of Eardrum Opening 69436)$14,978$9,436$4,943NRNRNR
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Unlisted Dental Surgery Procedure 41899)$12,891$8,121$4,254$15,335$9,661$5,061
Laparoscopic Cholecystectomy 47562)$20,986$13,221$6,926$22,876$14,412$7,549
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$807$508$266$712$449$235
After Cataract Laser Surgery 66821)$978$616$323$4,864$3,064$1,605
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$14,663$9,238$4,839$11,780$7,421$3,887
Removal of Tonsils And Adenoids - < Age 12 42820)NRNRNRNRNRNR
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$28,720$18,094$9,478
Cataract Surgery- Complex 66982)$7,242$4,562$2,390$15,025$9,466$4,958
Unlisted Cystourethoscopy 52000)$1,186$747$391$2,996$1,887$989
Hysteroscopy with Biopsy 58558)$15,259$9,613$5,035$16,930$10,666$5,587
Percutaneous Breast Biopsy with Device and Imaging 19103)NRNRNR$5,297$3,337$1,748
Esophageal Endoscopy with Dilation 43249)$6,051$3,812$1,997$6,615$4,168$2,183
ABD Paracentesis w/Imaging 49083)$1,732$1,091$572$2,551$1,607$842
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$29,024$18,285$9,578$25,220$15,889$8,323
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$17,508$11,030$5,778$22,454$14,146$7,410
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$13,014$8,199$4,295$15,375$9,686$5,074
Incision of Finger Tendon Sheath 26055)$6,697$4,219$2,210$8,513$5,363$2,809
Uppr GI Endoscopy with Guide Wire 43248)$5,816$3,664$1,919$6,074$3,826$2,004
Destruction of Benign Lesions up to 14 Lesions 17110)$205$129$67$400$252$132
Laparoscopic Hernia Repair - Initial 49650)$23,976$15,105$7,912$25,337$15,962$8,361
Destruction of Premalignant Lesion 17000)$212$133$70$348$219$115
Cystourethroscopy with Lithotripsy 52353)$15,696$9,889$5,180$16,625$10,473$5,486
Repair of Nasal Septum 30520)$16,868$10,627$5,566$17,716$11,161$5,846
Cystourethroscopy with Stent 52332)$7,137$4,496$2,355$12,754$8,035$4,209
Removal of Tonsils 42826)$11,156$7,028$3,681$15,178$9,562$5,009
Laparoscopic Appendectomy 44970)$27,579$17,375$9,101$28,430$17,911$9,382
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$28,309$17,834$9,342$29,321$18,472$9,676
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$12,298$7,748$4,058$14,953$9,420$4,934
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$311$196$103$582$366$192
Low Back Disk Surgery 63030)$21,998$13,859$7,259$22,739$14,326$7,504
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Hysteroscopy with Ablation 58563)$16,324$10,284$5,387NRNRNR
Correction of Bunion 28296)$11,148$7,023$3,679$15,204$9,578$5,017
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$640$403$211$1,970$1,241$650
Mastectomy, Partial 19301)$10,920$6,880$3,604$21,604$13,611$7,129
Colonoscopy with Lesion Removal 45383)$6,583$4,147$2,172$8,892$5,602$2,934
Percutaneous Breast Biopsy with Imaging 19102)$2,060$1,297$680$3,203$2,018$1,057
Coronary Artery Angio S&I 93454)$9,799$6,173$3,234$14,209$8,952$4,689
Bone Marrow Biopsy 38221)$7,204$4,538$2,377$8,000$5,040$2,640
Needle Biopsy of Liver 47000)$3,785$2,384$1,249$3,008$1,895$993
Remove Impacted Ear Wax 69210)$151$95$50NRNRNR
Mohs Micrographic Tissue Removal 17311)$1,346$848$444$1,764$1,111$582
Laparoscopy - Removal of Adnexal Structures 58661)$24,008$15,125$7,923$28,794$18,140$9,502
Right and Left Heart Artery/Ventricle Angiography 93460)$10,997$6,928$3,629$13,592$8,563$4,485
Insertion of Central Venous Catheter >= 5 years 36569)$3,551$2,237$1,172$4,615$2,908$1,523
Diagnostic Laryngoscopy 31575)$463$291$153$1,533$966$506
Removal of Breast Lesion 19120)$9,579$6,035$3,161$15,324$9,654$5,057
Aspirate Pleura with Imaging 32555)$1,476$930$487$7,066$4,452$2,332
Electro-Uroflowmetry - First 51741)$193$122$64$307$193$101
Excision Breast Lesion with Preoperative Placement Radiological Marker 19125)$12,800$8,064$4,224$12,317$7,760$4,065
Debridement, Open Wound <= 20 Square Centimeters 97597)$117$74$39NRNRNR
Removal of Central Venous Device w Port or Pump 36590)$1,647$1,037$543$16,692$10,516$5,508
Apheresis Plasma 36514)$4,001$2,521$1,320$6,909$4,353$2,280
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Debridement Skin/Tissue 11042)$9,656$6,083$3,186$12,282$7,737$4,053
Knee Arthroscopy/Surgery with Shaving of Cartilage 29877)$18,591$11,712$6,135$23,846$15,023$7,869
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area 58662)$24,335$15,331$8,031$28,195$17,763$9,304
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.