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 2016 - September 2017   (Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$3,049$1,768$823
2560Vaginal Delivery$12,536$7,271$3,385
3720Blood Infection/Septicemia$18,865$10,942$5,094
4302Knee Replacement$77,811$45,130$21,009
5194Heart Failure$14,014$8,128$3,784
6540Cesarean Delivery$19,534$11,330$5,274
7301Hip Replacement$67,561$39,185$18,241
8751Psychoses$12,179$7,064$3,288
9140Chronic Obstructive Pulmonary Disease$12,066$6,998$3,258
10139Pneumonia$12,347$7,161$3,334
11753Bipolar Disorders$8,379$4,860$2,262
12775Alcohol Abuse/Dependence$13,392$7,767$3,616
13201Heart Abnormal Rhythm and Conduction Disorders$9,980$5,788$2,695
14133Respiratory failureNRNRNR
15383Cellulitis & other skin infections$13,406$7,775$3,620
16045Stroke and Precerebral Occlusion with Infarct$21,803$12,646$5,887
17469Acute Kidney Injury$23,558$13,664$6,361
18463Kidney/Urinary Tract Infection$12,534$7,270$3,384
19221Major Bowel Procedures$57,432$33,311$15,507
20174Percutaneous coronary intervention w AMI$65,706$38,109$17,741
21750Schizophrenia$9,031$5,238$2,438
22420Diabetes$13,467$7,811$3,636
23754Depression$4,676$2,712$1,263
24282Disorders of Pancreas Except Malignancy$21,694$12,583$5,857
25247Intestinal Obstruction without Surgery$17,789$10,318$4,803
26812Poisoning of Medicinal Agents$12,174$7,061$3,287
27254Other Digestive System Diagnoses$18,799$10,903$5,076
28308Hip & femur fracture repair$65,072$37,742$17,569
29710Infectious & parasitic diseases including HIV w O.R. procedure$28,779$16,692$7,770
30190Circulatory Disorders with Heart Attack$30,433$17,651$8,217
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$77,260$44,811$20,860
32053Seizure$18,006$10,443$4,862
33773Opioid Abuse/Dependence$11,261$6,531$3,040
34175Percutaneous coronary intervention w/o AMI$59,638$34,590$16,102
35058Other Disorders of Nervous System$19,528$11,326$5,273
36249Other gastroenteritis, nausea & vomiting$14,351$8,324$3,875
37137Respiratory Infections and Inflammations$22,157$12,851$5,982
38134Pulmonary Embolism$18,657$10,821$5,037
39192Cardiac catheterization for other non-coronary conditions$24,622$14,281$6,648
40263Laparoscopic Cholecystectomy$35,960$20,857$9,709
41244Diverticulitis & Diverticulosis$20,302$11,775$5,482
42861Signs & Symptoms$15,710$9,112$4,242
43241Peptic Ulcer/Gastritis$17,288$10,027$4,668
44253Other and Unspecified Gastrointestinal Hemorrhage$28,957$16,795$7,818
45466Malfunction, reaction, complic of genitourinary device or proc$7,801$4,525$2,106
46347Other Back/Neck Disorders, Fractures, Injuries$22,365$12,972$6,039
47313Other Knee/Lower Leg Surgery$62,204$36,078$16,795
48425Other Electrolyte DisordersNRNRNR
49181Lower Extremity Arterial Procedures$71,362$41,390$19,268
50951Moderately Extensive Procedure Unrelated to Diagnosis$34,905$20,245$9,424
51248Major G.I. Bacterial Infections$13,153$7,629$3,551
52024Extracranial Vascular Procedures$56,351$32,684$15,215
53351Other Musculoskeletal System and Connective Tissue Diagnoses$18,603$10,790$5,023
54315Shoulder, upper arm & forearm procedures except joint replacement$44,109$25,583$11,909
55021Craniotomy Except For Trauma$69,590$40,362$18,789
56113Epiglottitis, Ear Infection, URI and Laryngotracheitis$7,577$4,395$2,046
57663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$19,204$11,138$5,185
58166Coronary bypass w/o AMI or complex PDXNRNRNR
59321Upper Spinal Fusion$77,488$44,943$20,922
60862Other Factors Influencing Health Status$13,139$7,621$3,548
61055Head trauma w coma >1 hr or hemorrhage$17,017$9,870$4,595
62197Peripheral and Other Vascular Disorders$22,914$13,290$6,187
63566Other Antepartum Diagnoses$10,181$5,905$2,749
64422Hypovolemia$13,530$7,847$3,653
65052Nontraumatic stupor & coma$15,386$8,924$4,154
66141Asthma$14,413$8,360$3,892
67755Neuroses Other Than Depression$11,567$6,709$3,123
68721Postoperative and Post-Traumatic Infections$11,564$6,707$3,122
69225Appendectomy$36,173$20,980$9,767
70143Other respiratory diagnoses except signs, symptoms & minor diagnoses$9,485$5,501$2,561
71144Respiratory System Signs, Symptoms and Minor Diagnoses$15,729$9,123$4,247
72163Cardiac valve procedures w/o AMI or complex PDX$158,517$91,940$42,800
73204Fainting and Collapse$9,221$5,348$2,490
74199Hypertension$14,204$8,238$3,835
75696Other Chemotherapy$31,317$18,164$8,456

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 2016 - September 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)$7,551$4,379$2,039$16,579$9,616$4,476
Colonoscopy and Biopsy (45380)$6,708$3,891$1,811$7,844$4,550$2,118
Lesion Removal Colonoscopy by Snare Technique (45385)$6,633$3,847$1,791$7,378$4,279$1,992
Upper GI Endoscopy with Biopsy (43239)$6,351$3,684$1,715$8,129$4,715$2,195
Diagnostic Colonoscopy (45378)$6,193$3,592$1,672$7,527$4,366$2,032
Injection into Lumbar or Sacral Area, Single Level (64483)$1,406$816$380$1,494$867$403
Drain/Inject Major Joint or Bursa (20610)$1,251$726$338$1,498$869$405
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral (64493)$1,422$825$384$1,614$936$436
Colorectal Cancer Screening; Colonscopy, Not High Risk (G0121)$5,920$3,434$1,598$10,136$5,879$2,737
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee (62323)$1,422$825$384$1,525$884$412
Colorectal Cancer Screening ; Colonoscopy, High Risk (G0105)$5,855$3,396$1,581$7,671$4,449$2,071
Carpal Tunnel Surgery (64721)$7,879$4,570$2,127$10,467$6,071$2,826
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)$5,719$3,317$1,544$7,220$4,188$1,949
Creation of Eardrum Opening (69436)$12,022$6,973$3,246$18,457$10,705$4,983
Lesion Removal Colonoscopy by Hot Biopsy or Cautery (45384)$6,410$3,718$1,731$7,439$4,315$2,008
Left Heart Artery/Ventricle Angiography (93458)$11,672$6,770$3,151$19,158$11,112$5,173
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance (62321)$1,463$848$395NRNRNR
Unlisted Dental Surgery Procedure (41899)$20,015$11,609$5,404$24,422$14,165$6,594
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor (64490)$1,406$815$380$1,471$853$397
After Cataract Laser Surgery (66821)$1,209$701$326NRNRNR
ABD Paracentesis w/Imaging (49083)NRNRNRNRNRNR
Laparoscopic Cholecystectomy (47562)$26,281$15,243$7,096$27,730$16,083$7,487
Biopsy, Breast w/Ultrasound Image; 1 Lesion (19083)NRNRNRNRNRNR
Esophageal Endoscopy with Dilation (43249)$8,809$5,109$2,379$9,254$5,367$2,499
Biopsy Skin and Subcutaneous Tissue; 1 Lesion (11100)$2,221$1,288$600$2,062$1,196$557
Removal of Tonsils And Adenoids - < Age 12 (42820)NRNRNRNRNRNR
Arthroscopic Rotator Cuff Repair (29827)NRNRNR$36,950$21,431$9,977
Cataract Surgery- Complex (66982)$8,471$4,913$2,287$18,740$10,869$5,060
Hysteroscopy with Biopsy (58558)$16,652$9,658$4,496$19,043$11,045$5,141
Cystourethroscopy with Lithotripsy and Stent (52356)$21,616$12,537$5,836$21,688$12,579$5,856
Incision of Finger Tendon Sheath (26055)$7,919$4,593$2,138$8,400$4,872$2,268
Laparoscopic Hernia Repair - Initial (49650)$27,984$16,231$7,556$31,880$18,490$8,607
Destruction of Premalignant Lesion (17000)NRNRNRNRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible (49505)$17,656$10,240$4,767$19,675$11,411$5,312
Unlisted Cystourethoscopy (52000)$9,101$5,279$2,457$11,102$6,439$2,997
Uppr GI Endoscopy with Guide Wire (43248)$7,686$4,458$2,075$8,461$4,907$2,284
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) (20680)$16,700$9,686$4,509$23,482$13,619$6,340
Destruction by neurolytic agent w imaging, cervical or thoracic (64633)NRNRNRNRNRNR
Destruction of Benign Lesions up to 14 Lesions (17110)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy (29880)$21,849$12,673$5,899$45,364$26,311$12,248
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct (47563)$31,894$18,499$8,611$35,662$20,684$9,629
Biopsy breast w/stereotactic image; 1 lesion (19081)NRNRNRNRNRNR
Cystourethroscopy with Stent (52332)$9,391$5,447$2,536$14,067$8,159$3,798
Laparoscopy - Removal of Adnexal Structures (58661)$25,978$15,067$7,014$31,640$18,351$8,543
Mastectomy, Partial (19301)$15,230$8,834$4,112$29,257$16,969$7,900
Debridement Skin/Tissue (11042)$14,937$8,663$4,033$19,310$11,200$5,214
Laparoscopic Appendectomy (44970)$25,488$14,783$6,882$33,157$19,231$8,952
Laparoscopy, Removal of Tubes & Ovaries (58571)$43,888$25,455$11,850$61,168$35,478$16,515
Repair Umbilical Hernia, > = 5 Yrs - Reducible (49585)$17,991$10,435$4,858$19,384$11,243$5,234
Removal of Tonsils (42826)$14,920$8,654$4,028$22,226$12,891$6,001
Low Back Disk Surgery (63030)$32,626$18,923$8,809$30,343$17,599$8,192
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles (20552)NRNRNR$1,544$896$417
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$27,871$16,165$7,525
Wrist Endoscopy/Surgery (29848)$27,747$16,093$7,492NRNRNR
Fragmenting of Kidney Stone (50590)NRNRNR$40,604$23,551$10,963
Coronary Artery Angio S&I (93454)$11,927$6,917$3,220$20,953$12,153$5,657
Aspirate Pleura with Imaging (32555)$12,802$7,425$3,457NRNRNR
Needle Biopsy of Liver (47000)$7,339$4,257$1,982$8,291$4,809$2,238
Injection of chemical agent into muscles near face/neck (64615)NRNRNRNRNRNR
Bone Marrow Biopsy (38221)$20,545$11,916$5,547NRNRNR
Diagnostic Laryngoscopy (31575)NRNRNR$38,184$22,147$10,310
Removal of Adenoids (42830)NRNRNRNRNRNR
Hysteroscopy with Ablation (58563)$22,485$13,041$6,071NRNRNR
Exam of ear with microscope (92504)NRNRNRNRNRNR
Electro-Uroflowmetry - First (51741)NRNRNRNRNRNR
Biopsy of lung or mediastinum, percutaneous w/needle (32405)NRNRNRNRNRNR
Remove Impacted Ear Wax (69210)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography (93460)$13,292$7,709$3,589$21,323$12,367$5,757
Arthrocentesis, aspiration and/or Inj. major joint or bursa; w/US guidance (20611)NRNRNRNRNRNR
Correction of Bunion (28296)$16,417$9,522$4,433$20,129$11,675$5,435
Shoulder Arthroscopy/Surgery (29824)NRNRNR$30,738$17,828$8,299
Angioplasty - peripheral segment of the dialysis circuit (36902)NRNRNRNRNRNR
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.