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 2015 - September 2016
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,723$1,607$762
2560Vaginal Delivery$11,874$7,006$3,325
3720Blood Infection/Septicemia$18,537$10,937$5,190
4302Knee Replacement$60,649$35,783$16,982
5540Cesarean Delivery$18,043$10,645$5,052
6194Heart Failure$12,164$7,177$3,406
7301Hip Replacement$70,165$41,397$19,646
8139Pneumonia$18,838$11,114$5,275
9751Psychoses$6,868$4,052$1,923
10753Bipolar Disorders$8,727$5,149$2,444
11775Alcohol Abuse/Dependence$8,553$5,046$2,395
12201Heart Abnormal Rhythm and Conduction Disorders$10,824$6,386$3,031
13140Chronic Obstructive Pulmonary Disease$11,548$6,813$3,233
14383Cellulitis and Other Bacterial Skin Infections$11,620$6,856$3,254
15045Stroke and Precerebral Occlusion with Infarct$20,811$12,278$5,827
16460Renal Failure$12,418$7,327$3,477
17133Pulmonary Edema/Respiratory Failure$15,475$9,130$4,333
18463Kidney/Urinary Tract Infection$13,790$8,136$3,861
19221Major Bowel Procedures$56,894$33,567$15,930
20754Depression$16,523$9,749$4,626
21174Angioplasty with Heart Attack$61,691$36,398$17,273
22750SchizophreniaNRNRNR
23420Diabetes$11,745$6,930$3,289
24247Intestinal Obstruction without Surgery$16,670$9,835$4,668
25282Disorders of Pancreas Except Malignancy$17,769$10,484$4,975
26812Poisoning of Medicinal Agents$10,248$6,046$2,869
27254Other Digestive System Diagnoses$15,125$8,924$4,235
28710Infectious & parasitic diseases including HIV w O.R. procedure$37,715$22,252$10,560
29304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$71,332$42,086$19,973
30190Circulatory Disorders with Heart Attack$23,479$13,853$6,574
31773Opioid Abuse/Dependence$22,367$13,197$6,263
32173Other Vascular Procedures$63,834$37,662$17,874
33137Respiratory Infections and Inflammations$11,599$6,843$3,248
34053Seizure$17,447$10,294$4,885
35058Other Disorders of Nervous System$18,200$10,738$5,096
36308Hip/Thigh Surgery with Trauma Diagnosis$50,882$30,020$14,247
37263Laparoscopic Cholecystectomy$32,874$19,396$9,205
38134Pulmonary Embolism$14,371$8,479$4,024
39315Shoulder/Upper Arm, Forearm Surgery$35,652$21,035$9,983
40175Angioplasty without Heart Attack$70,063$41,337$19,618
41249Gastroenteritis$22,714$13,401$6,360
42244Diverticulitis & Diverticulosis$16,721$9,865$4,682
43861Signs & Symptoms$13,478$7,952$3,774
44347Other Back/Neck Disorders, Fractures, Injuries$17,678$10,430$4,950
45253Other and Unspecified Gastrointestinal Hemorrhage$21,201$12,509$5,936
46313Other Knee/Lower Leg Surgery$49,239$29,051$13,787
47862Other Factors Influencing Health Status$23,340$13,771$6,535
48191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$20,358$12,011$5,700
49351Other Musculoskeletal System and Connective Tissue Diagnoses$15,199$8,967$4,256
50241Peptic Ulcer/Gastritis$17,640$10,408$4,939
51425Other Electrolyte Disorders$16,104$9,501$4,509
52248Major G.I. Bacterial Infections$13,309$7,852$3,727
53663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$13,383$7,896$3,747
54466Malfunction, reaction, complic of genitourinary device or procNRNRNR
55024Extracranial Vascular Procedures$85,030$50,168$23,808
56950Extensive Procedure Unrelated to Principal Diagnosis$54,238$32,000$15,187
57951Moderately Extensive Procedure Unrelated to Diagnosis$44,961$26,527$12,589
58693Chemotherapy$28,020$16,532$7,846
59021Craniotomy Except For Trauma$63,667$37,564$17,827
60566Other Antepartum Diagnoses$9,190$5,422$2,573
61197Peripheral and Other Vascular Disorders$14,552$8,586$4,075
62220Major Stomach/Esophagus/Duodenum Procedures$53,043$31,295$14,852
63422Hypovolemia$14,292$8,432$4,002
64225Appendectomy$32,453$19,147$9,087
65052Nontraumatic stupor & coma$20,548$12,123$5,753
66321Upper Spinal Fusion$74,651$44,044$20,902
67141Asthma$12,318$7,268$3,449
68755Neuroses Other Than Depression$5,368$3,167$1,503
69192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$18,621$10,986$5,214
70055Head trauma w coma >1 hr or hemorrhage$15,053$8,881$4,215
71721Postoperative and Post-Traumatic Infections$18,417$10,866$5,157
72163Heart Valve Procedures without Cardiac Catheterization$182,421$107,628$51,078
73204Fainting and Collapse$5,977$3,526$1,674
74639Neonate Birthwt >2499g with Other Significant Condition$4,008$2,365$1,122
75756Acute Adjust React Psychosocial Dysfunction$11,073$6,533$3,100

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 2015 - September 2016
 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)$6,856$4,045$1,920$15,685$9,254$4,392
Colonoscopy and Biopsy 45380)$6,093$3,595$1,706$7,257$4,282$2,032
Lesion Removal Colonoscopy by Snare Technique 45385)$6,233$3,678$1,745$7,024$4,144$1,967
Upper GI Endoscopy with Biopsy 43239)$5,971$3,523$1,672$7,533$4,444$2,109
Diagnostic Colonoscopy 45378)$5,584$3,295$1,564$6,790$4,006$1,901
Injection into Lumbar or Sacral Area, Single Level 64483)$1,313$774$368$1,404$828$393
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$1,398$825$391$1,495$882$419
Drain/Inject Major Joint or Bursa 20610)$1,233$727$345$1,377$812$386
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$5,523$3,259$1,546$6,410$3,782$1,795
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$5,512$3,252$1,543NRNRNR
Carpal Tunnel Surgery 64721)$7,701$4,544$2,156$9,566$5,644$2,678
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$20,220$11,930$5,662$42,240$24,921$11,827
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$5,369$3,168$1,503$6,754$3,985$1,891
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$6,301$3,718$1,764$7,179$4,236$2,010
Creation of Eardrum Opening 69436)$16,795$9,909$4,703$27,260$16,083$7,633
Left Heart Artery/Ventricle Angiography 93458)$11,521$6,798$3,226$21,426$12,641$5,999
Unlisted Dental Surgery Procedure 41899)$18,068$10,660$5,059$21,590$12,738$6,045
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$1,407$830$394$1,406$830$394
After Cataract Laser Surgery 66821)$1,188$701$333$1,632$963$457
Laparoscopic Cholecystectomy 47562)$24,240$14,301$6,787$26,187$15,451$7,332
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)NRNRNRNRNRNR
Cataract Surgery- Complex 66982)$7,823$4,615$2,190$15,642$9,229$4,380
Esophageal Endoscopy with Dilation 43249)$7,389$4,360$2,069$7,996$4,718$2,239
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$35,952$21,212$10,067
Hysteroscopy with Biopsy 58558)$16,411$9,682$4,595$17,462$10,302$4,889
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$6,136$3,620$1,718$6,007$3,544$1,682
Cystourethroscopy with Lithotripsy and Stent 52356)$19,318$11,397$5,409$18,434$10,876$5,161
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$16,010$9,446$4,483$19,624$11,578$5,495
Incision of Finger Tendon Sheath 26055)$7,312$4,314$2,047$10,118$5,970$2,833
Laparoscopic Hernia Repair - Initial 49650)$27,236$16,069$7,626$27,168$16,029$7,607
Unlisted Cystourethoscopy 52000)$8,179$4,826$2,290$11,232$6,627$3,145
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$28,413$16,764$7,956$28,913$17,059$8,096
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$14,977$8,836$4,194$18,862$11,129$5,281
Uppr GI Endoscopy with Guide Wire 43248)$6,486$3,827$1,816$7,421$4,378$2,078
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$23,223$13,702$6,503NRNRNR
Laparoscopic Appendectomy 44970)$25,492$15,040$7,138$30,894$18,227$8,650
Destruction of Benign Lesions up to 14 Lesions 17110)$9,018$5,321$2,525NRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Cystourethroscopy with Stent 52332)$8,460$4,992$2,369$9,651$5,694$2,702
Removal of Tonsils 42826)$14,075$8,305$3,941$17,229$10,165$4,824
Laparoscopy - Removal of Adnexal Structures 58661)$24,442$14,421$6,844$28,666$16,913$8,026
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$4,862$2,868$1,361$1,361$803$381
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$14,904$8,794$4,173$12,260$7,233$3,433
Mastectomy, Partial 19301)$13,255$7,820$3,711$25,486$15,037$7,136
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNR$44,769$26,414$12,535
Low Back Disk Surgery 63030)$29,692$17,518$8,314$29,861$17,618$8,361
Repair of Nasal Septum 30520)$20,519$12,106$5,745$20,511$12,101$5,743
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Laparoscopy, Removal of Tubes & Ovaries 58571)$46,274$27,302$12,957$52,316$30,866$14,648
Needle Biopsy of Liver 47000)$7,037$4,152$1,970$10,159$5,994$2,845
Aspirate Pleura with Imaging 32555)$14,031$8,278$3,929$13,940$8,225$3,903
Coronary Artery Angio S&I 93454)$11,628$6,861$3,256$20,142$11,884$5,640
Debridement Skin/Tissue 11042)$8,813$5,200$2,468$18,162$10,716$5,085
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Hysteroscopy with Ablation 58563)$19,933$11,760$5,581$14,454$8,528$4,047
Transluminal balloon angioplasty, percutaneous, venous 35476)$17,538$10,348$4,911NRNRNR
Bone Marrow Biopsy 38221)NRNRNRNRNRNR
Diagnostic Laryngoscopy 31575)$8,209$4,843$2,299NRNRNR
Correction of Bunion 28296)$19,209$11,333$5,378$20,738$12,235$5,807
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNR$30,389$17,929$8,509
Apheresis Plasma 36514)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)$13,451$7,936$3,766$20,465$12,074$5,730
Biopsy of lung or mediastinum, percutaneous w/needle 32405)NRNRNRNRNRNR
Removal of Adenoids 42830)NRNRNRNRNRNR
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Removal of Central Venous Device w Port or Pump 36590)NRNRNR$15,549$9,174$4,354
Ablation therapy of first vein of extremity 36475)NRNRNRNRNRNR
Injection of chemical agent into muscles near face/neck 64615)NRNRNRNRNRNR
Debridement, Open Wound <= 20 Square Centimeters 97597)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.