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 2016 - March 2017
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,906$1,685$785
2560Vaginal Delivery$12,408$7,197$3,350
3720Blood Infection/Septicemia$17,537$10,171$4,735
4302Knee Replacement$77,320$44,846$20,876
5540Cesarean Delivery$18,779$10,892$5,070
6194Heart Failure$12,539$7,273$3,386
7301Hip Replacement$70,372$40,816$19,000
8751Psychoses$6,868$3,983$1,854
9139Pneumonia$18,333$10,633$4,950
10140Chronic Obstructive Pulmonary Disease$11,548$6,698$3,118
11753Bipolar Disorders$6,276$3,640$1,695
12775Alcohol Abuse/Dependence$9,220$5,348$2,489
13201Heart Abnormal Rhythm and Conduction Disorders$10,666$6,186$2,880
14383Cellulitis & other skin infections$12,394$7,189$3,346
15045Stroke and Precerebral Occlusion with Infarct$20,959$12,156$5,659
16133Respiratory failure$15,475$8,976$4,178
17463Kidney/Urinary Tract Infection$11,999$6,959$3,240
18221Major Bowel Procedures$59,908$34,747$16,175
19174Percutaneous coronary intervention w AMI$63,009$36,545$17,012
20750Schizophrenia$9,031$5,238$2,438
21754Depression$10,600$6,148$2,862
22420Diabetes$11,713$6,794$3,163
23282Disorders of Pancreas Except Malignancy$18,730$10,863$5,057
24247Intestinal Obstruction without Surgery$18,213$10,564$4,918
25254Other Digestive System Diagnoses$18,089$10,492$4,884
26812Poisoning of Medicinal Agents$10,918$6,332$2,948
27710Infectious & parasitic diseases including HIV w O.R. procedure$28,488$16,523$7,692
28773Opioid Abuse/Dependence$11,261$6,531$3,040
29308Hip & femur fracture repair$65,566$38,028$17,703
30304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$73,383$42,562$19,813
31190Circulatory Disorders with Heart Attack$23,365$13,552$6,309
32053Seizure$18,138$10,520$4,897
33137Respiratory Infections and Inflammations$17,922$10,395$4,839
34058Other Disorders of Nervous System$18,054$10,471$4,875
35175Percutaneous coronary intervention w/o AMI$62,502$36,251$16,876
36249Other gastroenteritis, nausea & vomiting$15,807$9,168$4,268
37460Renal Failure$6,229$3,613$1,682
38134Pulmonary Embolism$18,559$10,764$5,011
39263Laparoscopic Cholecystectomy$34,750$20,155$9,383
40244Diverticulitis & Diverticulosis$18,172$10,540$4,906
41469Acute Kidney Injury$23,558$13,664$6,361
42861Signs & Symptoms$18,870$10,945$5,095
43347Other Back/Neck Disorders, Fractures, Injuries$21,851$12,674$5,900
44315Shoulder, upper arm & forearm procedures except joint replacement$43,119$25,009$11,642
45253Other and Unspecified Gastrointestinal Hemorrhage$21,991$12,755$5,938
46241Peptic Ulcer/Gastritis$16,245$9,422$4,386
47313Other Knee/Lower Leg Surgery$53,517$31,040$14,450
48466Malfunction, reaction, complic of genitourinary device or procNRNRNR
49192Cardiac catheterization for other non-coronary conditions$24,075$13,964$6,500
50351Other Musculoskeletal System and Connective Tissue Diagnoses$16,124$9,352$4,353
51425Other Electrolyte Disorders$16,104$9,340$4,348
52248Major G.I. Bacterial Infections$12,738$7,388$3,439
53951Moderately Extensive Procedure Unrelated to Diagnosis$39,811$23,090$10,749
54663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$13,390$7,766$3,615
55862Other Factors Influencing Health Status$18,310$10,620$4,944
56024Extracranial Vascular Procedures$62,489$36,244$16,872
57021Craniotomy Except For Trauma$62,490$36,244$16,872
58113Epiglottitis, Ear Infection, URI and Laryngotracheitis$15,541$9,014$4,196
59321Upper Spinal Fusion$73,938$42,884$19,963
60566Other Antepartum Diagnoses$10,935$6,342$2,952
61197Peripheral and Other Vascular Disorders$18,832$10,923$5,085
62422Hypovolemia$13,750$7,975$3,713
63055Head trauma w coma >1 hr or hemorrhage$19,033$11,039$5,139
64173Other Vascular Procedures$56,607$32,832$15,284
65052Nontraumatic stupor & coma$21,577$12,515$5,826
66225Appendectomy$34,329$19,911$9,269
67141Asthma$14,294$8,291$3,859
68166Coronary bypass w/o AMI or complex PDXNRNRNR
69721Postoperative and Post-Traumatic Infections$17,263$10,013$4,661
70755Neuroses Other Than Depression$19,015$11,029$5,134
71191Cardiac catheterization for coronary artery disease$20,358$11,808$5,497
72220Major Stomach/Esophagus/Duodenum Procedures$56,175$32,582$15,167
73143Other respiratory diagnoses except signs, symptoms & minor diagnoses$9,271$5,377$2,503
74163Cardiac valve procedures w/o AMI or complex PDXNRNRNR
75950Extensive Procedure Unrelated to Principal Diagnosis$50,463$29,269$13,625

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 2016 - March 2017
 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)$7,147$4,145$1,930$15,483$8,980$4,180
Colonoscopy and Biopsy 45380)$6,310$3,660$1,704$7,409$4,297$2,000
Lesion Removal Colonoscopy by Snare Technique 45385)$6,251$3,625$1,688$7,173$4,160$1,937
Upper GI Endoscopy with Biopsy 43239)$6,084$3,529$1,643$7,821$4,536$2,112
Diagnostic Colonoscopy 45378)$5,774$3,349$1,559$7,035$4,080$1,899
Injection into Lumbar or Sacral Area, Single Level 64483)$1,384$802$374$1,443$837$389
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$1,406$816$380$1,583$918$427
Drain/Inject Major Joint or Bursa 20610)$1,294$750$349$1,377$799$372
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$5,678$3,293$1,533$13,182$7,646$3,559
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$5,643$3,273$1,524NRNRNR
Carpal Tunnel Surgery 64721)$7,804$4,526$2,107$9,524$5,524$2,571
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$21,287$12,346$5,747$48,662$28,224$13,139
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$5,509$3,195$1,487$7,150$4,147$1,930
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$6,349$3,682$1,714$7,498$4,349$2,025
Creation of Eardrum Opening 69436)$14,812$8,591$3,999$29,415$17,061$7,942
Left Heart Artery/Ventricle Angiography 93458)$11,344$6,580$3,063$19,298$11,193$5,210
Unlisted Dental Surgery Procedure 41899)$19,905$11,545$5,374$22,264$12,913$6,011
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$1,407$816$380$1,447$839$391
After Cataract Laser Surgery 66821)$1,209$701$326$2,041$1,183$551
Laparoscopic Cholecystectomy 47562)$25,630$14,866$6,920$25,386$14,724$6,854
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee 62323)$1,286$746$347$1,525$884$412
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Esophageal Endoscopy with Dilation 43249)$8,302$4,815$2,241$8,850$5,133$2,389
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$36,001$20,880$9,720
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$2,062$1,196$557$2,062$1,196$557
Removal of Tonsils And Adenoids - < Age 12 42820)NRNRNRNRNRNR
Hysteroscopy with Biopsy 58558)$16,365$9,492$4,419$17,462$10,128$4,715
Cataract Surgery- Complex 66982)$8,076$4,684$2,181$14,626$8,483$3,949
Cystourethroscopy with Lithotripsy and Stent 52356)$20,281$11,763$5,476$21,746$12,612$5,871
Incision of Finger Tendon Sheath 26055)$7,282$4,223$1,966$8,758$5,080$2,365
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$17,776$10,310$4,800$19,742$11,450$5,330
Laparoscopic Hernia Repair - Initial 49650)$27,936$16,203$7,543$30,595$17,745$8,261
Unlisted Cystourethoscopy 52000)$8,524$4,944$2,302$10,989$6,373$2,967
Uppr GI Endoscopy with Guide Wire 43248)$7,502$4,351$2,026$8,045$4,666$2,172
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$15,547$9,017$4,198$21,774$12,629$5,879
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$30,781$17,853$8,311$31,588$18,321$8,529
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$22,178$12,863$5,988NRNRNR
Destruction of Benign Lesions up to 14 Lesions 17110)$9,018$5,231$2,435NRNRNR
Cystourethroscopy with Stent 52332)$8,916$5,171$2,407$14,083$8,168$3,802
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$25,037$14,522$6,760$29,021$16,832$7,836
Mastectomy, Partial 19301)$12,397$7,190$3,347$27,390$15,886$7,395
Laparoscopic Appendectomy 44970)$25,713$14,914$6,943$32,851$19,054$8,870
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$17,222$9,989$4,650$14,746$8,553$3,982
Removal of Tonsils 42826)$14,744$8,551$3,981$18,646$10,815$5,034
Laparoscopy, Removal of Tubes & Ovaries 58571)$44,558$25,844$12,031$56,879$32,990$15,357
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNR$45,382$26,322$12,253
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNR$1,433$831$387
Low Back Disk Surgery 63030)$31,492$18,265$8,503$32,479$18,838$8,769
Repair of Nasal Septum 30520)$19,642$11,393$5,303$22,744$13,192$6,141
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)$1,463$848$395NRNRNR
Needle Biopsy of Liver 47000)$7,220$4,188$1,949$9,225$5,350$2,491
Debridement Skin/Tissue 11042)$15,865$9,202$4,284$15,508$8,995$4,187
Fragmenting of Kidney Stone 50590)NRNRNR$40,604$23,551$10,963
Coronary Artery Angio S&I 93454)$11,246$6,523$3,036$20,822$12,077$5,622
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Aspirate Pleura with Imaging 32555)$10,189$5,910$2,751$13,940$8,085$3,764
Bone Marrow Biopsy 38221)$20,545$11,916$5,547NRNRNR
Diagnostic Laryngoscopy 31575)$8,209$4,761$2,217NRNRNR
Correction of Bunion 28296)$17,243$10,001$4,656$21,261$12,331$5,740
Hysteroscopy with Ablation 58563)$24,181$14,025$6,529$13,534$7,850$3,654
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNR$29,874$17,327$8,066
Removal of Adenoids 42830)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)$12,881$7,471$3,478$21,342$12,379$5,762
Injection of chemical agent into muscles near face/neck 64615)NRNRNRNRNRNR
Biopsy of lung or mediastinum, percutaneous w/needle 32405)NRNRNRNRNRNR
Removal of Central Venous Device w Port or Pump 36590)NRNRNR$16,876$9,788$4,556
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Repair of wrist joints 25447)$21,037$12,201$5,680$22,275$12,919$6,014
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.