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 2014 - March 2015
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,377$1,474$713
2560Vaginal Delivery$9,871$6,120$2,961
3720Blood Infection/Septicemia$14,304$8,868$4,291
4302Knee Replacement$52,770$32,717$15,831
5540Cesarean Delivery$17,370$10,769$5,211
6194Heart Failure$11,277$6,992$3,383
7139Pneumonia$11,206$6,948$3,362
8301Hip Replacement$61,835$38,338$18,551
9751Psychoses$10,186$6,315$3,056
10753Bipolar DisordersNRNRNR
11140Chronic Obstructive Pulmonary Disease$10,335$6,408$3,101
12201Heart Abnormal Rhythm and Conduction Disorders$10,668$6,614$3,200
13775Alcohol Abuse/Dependence$9,690$6,008$2,907
14383Cellulitis and Other Bacterial Skin Infections$9,582$5,941$2,875
15460Renal Failure$7,476$4,635$2,243
16045Stroke and Precerebral Occlusion with Infarct$18,985$11,771$5,696
17463Kidney/Urinary Tract Infection$14,292$8,861$4,288
18860Rehabilitation$22,561$13,988$6,768
19221Major Bowel Procedures$52,945$32,826$15,884
20133Pulmonary Edema/Respiratory FailureNRNRNR
21750SchizophreniaNRNRNR
22174Angioplasty with Heart Attack$55,226$34,240$16,568
23254Other Digestive System Diagnoses$15,935$9,880$4,781
24247Intestinal Obstruction without Surgery$15,205$9,427$4,562
25282Disorders of Pancreas Except Malignancy$18,020$11,172$5,406
26420Diabetes$13,519$8,382$4,056
27249Gastroenteritis$13,402$8,309$4,021
28754Depression$6,866$4,257$2,060
29053Seizure$16,341$10,131$4,902
30304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$69,216$42,914$20,765
31812Poisoning of Medicinal Agents$11,737$7,277$3,521
32137Respiratory Infections and Inflammations$18,446$11,437$5,534
33134Pulmonary Embolism$13,891$8,612$4,167
34190Circulatory Disorders with Heart Attack$23,623$14,646$7,087
35308Hip/Thigh Surgery with Trauma Diagnosis$55,270$34,267$16,581
36173Other Vascular Procedures$62,598$38,811$18,779
37175Angioplasty without Heart Attack$58,177$36,070$17,453
38263Laparoscopic Cholecystectomy$30,322$18,800$9,097
39425Other Electrolyte Disorders$9,681$6,002$2,904
40244Diverticulitis & Diverticulosis$12,722$7,888$3,817
41347Other Back/Neck Disorders, Fractures, Injuries$15,462$9,586$4,639
42861Signs & Symptoms$10,731$6,653$3,219
43241Peptic Ulcer/Gastritis$16,205$10,047$4,862
44315Shoulder/Upper Arm, Forearm Surgery$50,171$31,106$15,051
45253Other and Unspecified Gastrointestinal Hemorrhage$20,128$12,479$6,038
46313Other Knee/Lower Leg Surgery$45,723$28,348$13,717
47141Asthma$12,920$8,010$3,876
48351Other Musculoskeletal System and Connective Tissue Diagnoses$19,534$12,111$5,860
49663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$11,220$6,956$3,366
50773Opioid Abuse/Dependence$8,125$5,038$2,438
51248Major G.I. Bacterial Infections$15,095$9,359$4,529
52710Infectious & parasitic diseases including HIV w O.R. procedure$31,397$19,466$9,419
53191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$22,974$14,244$6,892
54693Chemotherapy$32,139$19,926$9,642
55466Malfunction, reaction, complic of genitourinary device or procNRNRNR
56113Epiglottitis, Ear Infection, URI and Laryngotracheitis$12,285$7,617$3,686
57024Extracranial Vascular Procedures$65,515$40,619$19,655
58321Upper Spinal Fusion$64,611$40,059$19,383
59721Postoperative and Post-Traumatic Infections$15,088$9,355$4,526
60144Respiratory System Signs, Symptoms and Minor Diagnoses$16,434$10,189$4,930
61225Appendectomy$26,761$16,592$8,028
62197Peripheral and Other Vascular Disorders$9,843$6,103$2,953
63021Craniotomy Except For Trauma$56,096$34,780$16,829
64192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$19,613$12,160$5,884
65566Other Antepartum Diagnoses$9,837$6,099$2,951
66163Heart Valve Procedures without Cardiac Catheterization$111,699$69,253$33,510
67204Fainting and Collapse$19,768$12,256$5,930
68143Other respiratory diagnoses except signs, symptoms & minor diagnoses$10,497$6,508$3,149
69052Nontraumatic stupor & coma$15,208$9,429$4,562
70055Head trauma w coma >1 hr or hemorrhage$16,274$10,090$4,882
71755Neuroses Other Than Depression$31,656$19,627$9,497
72310Back/Neck Procedures Except Dorsal and Lumbar Fusion$34,852$21,608$10,456
73660Major hematologic/immunologic diag exc sickle cell crisis & coagul$18,483$11,459$5,545
74198Chest Pain with Angina Pectoris or Coronary Atherosclerosis$12,660$7,849$3,798
75422Hypovolemia$18,549$11,500$5,565

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 2014 - March 2015
 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)$6,565$4,070$1,970$17,696$10,971$5,309
Colonoscopy and Biopsy 45380)$5,687$3,526$1,706$6,702$4,155$2,011
Upper GI Endoscopy with Biopsy 43239)$5,617$3,482$1,685$6,781$4,204$2,034
Lesion Removal Colonoscopy by Snare Technique 45385)$5,795$3,593$1,739$6,619$4,104$1,986
Diagnostic Colonoscopy 45378)$5,118$3,173$1,535$6,130$3,801$1,839
Injection into Lumbar or Sacral Area, Single Level 64483)$1,287$798$386$1,367$848$410
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$1,342$832$402$1,391$862$417
Drain/Inject Major Joint or Bursa 20610)$1,294$803$388$1,591$987$477
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$5,085$3,153$1,525$9,875$6,122$2,962
Carpal Tunnel Surgery 64721)$6,629$4,110$1,989$10,412$6,455$3,124
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$19,136$11,864$5,741$16,685$10,344$5,005
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$5,055$3,134$1,516$8,760$5,431$2,628
Uppr GI Endoscopy- Diagnostic 43235)$5,122$3,176$1,537$6,256$3,879$1,877
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$5,845$3,624$1,753$6,531$4,049$1,959
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Left Heart Artery/Ventricle Angiography 93458)$11,315$7,015$3,394$19,158$11,878$5,748
Creation of Eardrum Opening 69436)$12,373$7,671$3,712$16,176$10,029$4,853
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$1,303$808$391$1,233$765$370
Laparoscopic Cholecystectomy 47562)$22,562$13,988$6,769$26,692$16,549$8,007
Unlisted Dental Surgery Procedure 41899)$13,208$8,189$3,962$16,650$10,323$4,995
After Cataract Laser Surgery 66821)$1,188$736$356NRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)NRNRNRNRNRNR
Cataract Surgery- Complex 66982)$7,467$4,630$2,240$13,083$8,112$3,925
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNR$29,359$18,203$8,808
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$15,155$9,396$4,546$16,007$9,924$4,802
Arthroscopic Rotator Cuff Repair 29827)$25,805$15,999$7,742$30,328$18,803$9,098
Hysteroscopy with Biopsy 58558)$15,934$9,879$4,780$19,915$12,347$5,975
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
Unlisted Cystourethoscopy 52000)$8,485$5,261$2,546$10,200$6,324$3,060
Esophageal Endoscopy with Dilation 43249)$6,546$4,059$1,964$7,148$4,432$2,144
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$2,248$1,394$674$5,085$3,153$1,526
Incision of Finger Tendon Sheath 26055)$7,141$4,428$2,142$7,859$4,873$2,358
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$13,395$8,305$4,018$18,069$11,203$5,421
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$25,312$15,693$7,594$28,350$17,577$8,505
Cystourethroscopy with Lithotripsy and Stent 52356)$17,212$10,672$5,164$16,848$10,446$5,055
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$19,115$11,851$5,734$25,225$15,639$7,567
Laparoscopic Hernia Repair - Initial 49650)$26,407$16,372$7,922$25,419$15,760$7,626
Uppr GI Endoscopy with Guide Wire 43248)$5,828$3,613$1,748$6,571$4,074$1,971
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$24,040$14,905$7,212$26,915$16,687$8,074
Cystourethroscopy with Stent 52332)$8,017$4,971$2,405$13,352$8,278$4,006
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Low Back Disk Surgery 63030)$25,389$15,741$7,617$25,622$15,886$7,687
Repair of Nasal Septum 30520)$20,812$12,903$6,244$19,104$11,844$5,731
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$1,261$782$378$1,313$814$394
Removal of Tonsils 42826)$13,677$8,480$4,103$14,446$8,956$4,334
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$13,480$8,358$4,044$17,762$11,012$5,329
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$36,841$22,841$11,052$38,289$23,739$11,487
Mastectomy, Partial 19301)$12,229$7,582$3,669$23,519$14,582$7,056
Coronary Artery Angio S&I 93454)$10,856$6,731$3,257$16,681$10,342$5,004
Hysteroscopy with Ablation 58563)$16,100$9,982$4,830$23,282$14,435$6,985
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$24,102$14,943$7,231$32,584$20,202$9,775
Needle Biopsy of Liver 47000)NRNRNR$7,550$4,681$2,265
Debridement Skin/Tissue 11042)$11,275$6,990$3,382$15,071$9,344$4,521
Laparoscopy, Removal of Tubes & Ovaries 58571)$44,081$27,330$13,224$52,423$32,502$15,727
Bone Marrow Biopsy 38221)NRNRNRNRNRNR
Correction of Bunion 28296)$12,348$7,656$3,705$19,136$11,865$5,741
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Aspirate Pleura with Imaging 32555)$11,968$7,420$3,590NRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)$12,302$7,627$3,690$17,615$10,922$5,285
Diagnostic Laryngoscopy 31575)$10,344$6,413$3,103$10,874$6,742$3,262
Mohs Micrographic Tissue Removal 17311)$1,409$874$423$1,849$1,146$555
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNR$29,864$18,516$8,959
Removal of Breast Lesion 19120)$10,629$6,590$3,189$18,011$11,167$5,403
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNRNRNRNR
Electronic analysis of implantable pump spine w/reprogram/refill 62369)NRNRNRNRNRNR
Removal of Central Venous Device w Port or Pump 36590)$8,309$5,151$2,493$18,297$11,344$5,489
Colonoscopy with Lesion Removal 45383)$7,043$4,367$2,113NRNRNR
Repair of Hammertoe 28285)NRNRNR$14,812$9,183$4,444
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.