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 2017 - December 2017   (Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$3,071$1,781$829
2560Vaginal Delivery$12,655$7,340$3,417
3720Blood Infection/Septicemia$20,511$11,896$5,538
4302Knee Replacement$77,320$44,846$20,876
5194Heart Failure$15,490$8,984$4,182
6540Cesarean Delivery$20,010$11,606$5,403
7751Psychoses$12,179$7,064$3,288
8301Hip Replacement$75,874$44,007$20,486
9140Chronic Obstructive Pulmonary Disease$12,122$7,031$3,273
10139Pneumonia$11,960$6,937$3,229
11753Bipolar Disorders$7,327$4,250$1,978
12775Alcohol Abuse/Dependence$13,232$7,675$3,573
13201Heart Abnormal Rhythm and Conduction Disorders$11,005$6,383$2,971
14133Respiratory failureNRNRNR
15469Acute Kidney Injury$27,945$16,208$7,545
16045Stroke and Precerebral Occlusion with Infarct$22,059$12,794$5,956
17383Cellulitis & other skin infections$14,233$8,255$3,843
18463Kidney/Urinary Tract Infection$12,134$7,038$3,276
19174Percutaneous coronary intervention w AMI$68,274$39,599$18,434
20420Diabetes$14,664$8,505$3,959
21750Schizophrenia$9,031$5,238$2,438
22754Depression$4,676$2,712$1,263
23282Disorders of Pancreas Except Malignancy$22,991$13,335$6,208
24247Intestinal Obstruction without Surgery$17,789$10,318$4,803
25221Major Bowel Procedures$59,933$34,761$16,182
26308Hip & femur fracture repair$65,738$38,128$17,749
27254Other Digestive System Diagnoses$19,332$11,213$5,220
28053Seizure$17,209$9,981$4,646
29190Circulatory Disorders with Heart Attack$30,673$17,790$8,282
30175Percutaneous coronary intervention w/o AMI$64,407$37,356$17,390
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$79,767$46,265$21,537
32773Opioid Abuse/Dependence$11,600$6,728$3,132
33812Poisoning of Medicinal Agents$12,530$7,267$3,383
34710Infectious & parasitic diseases including HIV w O.R. procedure$28,488$16,523$7,692
35137Respiratory Infections and Inflammations$11,512$6,677$3,108
36058Other Disorders of Nervous System$23,588$13,681$6,369
37192Cardiac catheterization for other non-coronary conditions$25,904$15,024$6,994
38134Pulmonary Embolism$16,643$9,653$4,494
39249Other gastroenteritis, nausea & vomiting$22,261$12,911$6,010
40263Laparoscopic Cholecystectomy$36,953$21,433$9,977
41244Diverticulitis & Diverticulosis$19,438$11,274$5,248
42241Peptic Ulcer/Gastritis$17,373$10,076$4,691
43466Malfunction, reaction, complic of genitourinary device or proc$7,801$4,525$2,106
44861Signs & Symptoms$13,699$7,945$3,699
45253Other and Unspecified Gastrointestinal Hemorrhage$28,957$16,795$7,818
46347Other Back/Neck Disorders, Fractures, Injuries$19,677$11,413$5,313
47313Other Knee/Lower Leg Surgery$62,249$36,104$16,807
48181Lower Extremity Arterial Procedures$63,934$37,082$17,262
49113Epiglottitis, Ear Infection, URI and Laryngotracheitis$7,577$4,395$2,046
50024Extracranial Vascular Procedures$73,612$42,695$19,875
51248Major G.I. Bacterial Infections$15,613$9,056$4,216
52351Other Musculoskeletal System and Connective Tissue Diagnoses$14,132$8,197$3,816
53425Other Electrolyte Disorders$18,641$10,812$5,033
54021Craniotomy Except For Trauma$72,706$42,169$19,631
55951Moderately Extensive Procedure Unrelated to Diagnosis$34,905$20,245$9,424
56315Shoulder, upper arm & forearm procedures except joint replacement$43,908$25,467$11,855
57663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$19,204$11,138$5,185
58166Coronary bypass w/o AMI or complex PDX$96,213$55,804$25,978
59862Other Factors Influencing Health Status$9,150$5,307$2,471
60321Upper Spinal Fusion$74,720$43,338$20,174
61055Head trauma w coma >1 hr or hemorrhage$18,592$10,783$5,020
62566Other Antepartum Diagnoses$9,913$5,750$2,677
63052Nontraumatic stupor & coma$21,277$12,341$5,745
64197Peripheral and Other Vascular Disorders$22,914$13,290$6,187
65141Asthma$13,426$7,787$3,625
66755Neuroses Other Than Depression$13,371$7,755$3,610
67721Postoperative and Post-Traumatic Infections$13,340$7,737$3,602
68422Hypovolemia$13,820$8,016$3,731
69143Other respiratory diagnoses except signs, symptoms & minor diagnoses$12,302$7,135$3,322
70199Hypertension$13,860$8,039$3,742
71696Other Chemotherapy$43,838$25,426$11,836
72163Cardiac valve procedures w/o AMI or complex PDX$158,517$91,940$42,800
73204Fainting and Collapse$16,238$9,418$4,384
74660Major hematologic/immunologic diag exc sickle cell crisis & coagul$16,530$9,587$4,463
75171Pacemaker Implant without Heart Attack, Heart Failure or Shock$49,924$28,956$13,479

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 2017 - December 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)$7,746$4,493$2,091$16,635$9,649$4,492
Colonoscopy and Biopsy 45380)$6,894$3,998$1,861$8,119$4,709$2,192
Lesion Removal Colonoscopy by Snare Technique 45385)$6,833$3,963$1,845$7,578$4,395$2,046
Upper GI Endoscopy with Biopsy 43239)$6,552$3,800$1,769$8,223$4,770$2,220
Diagnostic Colonoscopy 45378)$6,352$3,684$1,715$7,802$4,525$2,107
Injection into Lumbar or Sacral Area, Single Level 64483)$1,422$825$384$1,494$866$403
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee 62323)$1,467$851$396$1,525$884$412
Drain/Inject Major Joint or Bursa 20610)$763$443$206$1,502$871$406
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$1,467$851$396$1,616$937$436
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$6,088$3,531$1,644$8,266$4,794$2,232
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$6,092$3,533$1,645$12,424$7,206$3,355
Carpal Tunnel Surgery 64721)$8,277$4,800$2,235$11,960$6,937$3,229
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$21,287$12,346$5,747$35,683$20,696$9,634
Uppr GI Endoscopy- Diagnostic 43235)$5,911$3,429$1,596$7,256$4,208$1,959
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)$1,463$848$395NRNRNR
Creation of Eardrum Opening 69436)$12,829$7,441$3,464$18,457$10,705$4,983
Left Heart Artery/Ventricle Angiography 93458)$12,020$6,971$3,245$19,989$11,593$5,397
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$6,725$3,900$1,816$7,275$4,220$1,964
Unlisted Dental Surgery Procedure 41899)$20,933$12,141$5,652$24,655$14,300$6,657
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$1,468$851$396$1,518$880$410
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
After Cataract Laser Surgery 66821)$1,224$710$330NRNRNR
Laparoscopic Cholecystectomy 47562)$26,441$15,336$7,139$29,420$17,063$7,943
Esophageal Endoscopy with Dilation 43249)$8,976$5,206$2,423$9,421$5,464$2,544
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$2,221$1,288$600$3,658$2,122$988
Removal of Tonsils And Adenoids - < Age 12 42820)NRNRNRNRNRNR
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$38,191$22,151$10,311
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Hysteroscopy with Biopsy 58558)$16,669$9,668$4,501$19,043$11,045$5,141
Cataract Surgery- Complex 66982)$8,672$5,030$2,342$16,086$9,330$4,343
Cystourethroscopy with Lithotripsy and Stent 52356)$21,659$12,562$5,848$22,784$13,215$6,152
Laparoscopic Hernia Repair - Initial 49650)$28,104$16,300$7,588$31,915$18,511$8,617
Incision of Finger Tendon Sheath 26055)$7,886$4,574$2,129$8,217$4,766$2,219
Unlisted Cystourethoscopy 52000)$9,082$5,268$2,452$14,878$8,629$4,017
Uppr GI Endoscopy with Guide Wire 43248)$7,907$4,586$2,135$8,775$5,090$2,369
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$18,410$10,678$4,971$22,247$12,903$6,007
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$18,360$10,649$4,957$23,998$13,919$6,479
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNR$5,917$3,432$1,598
Cystourethroscopy with Stent 52332)$9,934$5,762$2,682$15,222$8,829$4,110
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$29,060$16,855$7,846$36,801$21,344$9,936
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$22,069$12,800$5,959$45,884$26,612$12,389
Laparoscopy - Removal of Adnexal Structures 58661)$26,642$15,453$7,193$30,261$17,551$8,170
Mastectomy, Partial 19301)$16,881$9,791$4,558$29,912$17,349$8,076
Laparoscopy, Removal of Tubes & Ovaries 58571)$41,122$23,851$11,103$62,306$36,137$16,823
Debridement Skin/Tissue 11042)$15,808$9,169$4,268$20,373$11,816$5,501
Laparoscopic Appendectomy 44970)$24,335$14,115$6,571$34,340$19,917$9,272
Removal of Tonsils 42826)$15,290$8,868$4,128$24,839$14,407$6,707
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$17,030$9,878$4,598$18,118$10,509$4,892
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNR$1,544$896$417
Low Back Disk Surgery 63030)$34,437$19,973$9,298$30,348$17,602$8,194
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNR$37,301$21,635$10,071
Repair of Nasal Septum 30520)$19,878$11,529$5,367$25,507$14,794$6,887
Wrist Endoscopy/Surgery 29848)$27,747$16,093$7,492NRNRNR
Coronary Artery Angio S&I 93454)$12,144$7,044$3,279$24,533$14,229$6,624
Angioplasty - peripheral segment of the dialysis circuit 36902)NRNRNRNRNRNR
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Injection of chemical agent into muscles near face/neck 64615)NRNRNRNRNRNR
Aspirate Pleura with Imaging 32555)$13,248$7,684$3,577NRNRNR
Needle Biopsy of Liver 47000)$7,408$4,296$2,000$8,564$4,967$2,312
Exam of ear with microscope 92504)NRNRNRNRNRNR
Bone Marrow Biopsy 38221)NRNRNRNRNRNR
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Removal of Adenoids 42830)NRNRNRNRNRNR
Diagnostic Laryngoscopy 31575)NRNRNR$38,184$22,147$10,310
Arthrocentesis, aspiration and/or Inj. major joint or bursa; w/US guidance 20611)NRNRNRNRNRNR
Hysteroscopy with Ablation 58563)$20,069$11,640$5,419NRNRNR
Biopsy of lung or mediastinum, percutaneous w/needle 32405)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)$13,519$7,841$3,650$21,362$12,390$5,768
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNR$33,238$19,278$8,974
Mohs Micrographic Tissue Removal 17311)$2,221$1,288$600$4,942$2,866$1,334
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.