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:  July 2015 - June 2016
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,681$1,582$751
2560Vaginal Delivery$11,645$6,871$3,261
3720Blood Infection/Septicemia$15,666$9,243$4,386
4302Knee Replacement$63,696$37,581$17,835
5540Cesarean Delivery$17,952$10,592$5,027
6194Heart Failure$13,562$8,002$3,797
7301Hip Replacement$63,717$37,593$17,841
8139Pneumonia$14,420$8,508$4,038
9751PsychosesNRNRNR
10753Bipolar Disorders$8,727$5,149$2,444
11775Alcohol Abuse/Dependence$9,390$5,540$2,629
12140Chronic Obstructive Pulmonary Disease$10,841$6,396$3,035
13201Heart Abnormal Rhythm and Conduction Disorders$10,824$6,386$3,031
14383Cellulitis and Other Bacterial Skin Infections$12,087$7,131$3,384
15460Renal Failure$9,324$5,501$2,611
16045Stroke and Precerebral Occlusion with Infarct$20,689$12,207$5,793
17133Pulmonary Edema/Respiratory FailureNRNRNR
18463Kidney/Urinary Tract Infection$14,374$8,481$4,025
19221Major Bowel Procedures$54,300$32,037$15,204
20174Angioplasty with Heart Attack$61,668$36,384$17,267
21754Depression$15,407$9,090$4,314
22750SchizophreniaNRNRNR
23247Intestinal Obstruction without Surgery$16,782$9,901$4,699
24420Diabetes$11,745$6,930$3,289
25282Disorders of Pancreas Except Malignancy$17,291$10,202$4,841
26812Poisoning of Medicinal Agents$11,571$6,827$3,240
27254Other Digestive System Diagnoses$14,398$8,495$4,031
28304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$69,386$40,938$19,428
29053Seizure$16,939$9,994$4,743
30190Circulatory Disorders with Heart Attack$22,579$13,322$6,322
31137Respiratory Infections and Inflammations$11,599$6,843$3,248
32173Other Vascular Procedures$71,944$42,447$20,144
33710Infectious & parasitic diseases including HIV w O.R. procedure$37,715$22,252$10,560
34134Pulmonary Embolism$13,074$7,714$3,661
35308Hip/Thigh Surgery with Trauma Diagnosis$50,882$30,020$14,247
36263Laparoscopic Cholecystectomy$32,709$19,298$9,159
37773Opioid Abuse/Dependence$22,367$13,197$6,263
38249Gastroenteritis$15,710$9,269$4,399
39315Shoulder/Upper Arm, Forearm Surgery$37,720$22,255$10,562
40244Diverticulitis & Diverticulosis$15,783$9,312$4,419
41175Angioplasty without Heart Attack$69,607$41,068$19,490
42861Signs & Symptoms$16,824$9,926$4,711
43058Other Disorders of Nervous System$17,017$10,040$4,765
44347Other Back/Neck Disorders, Fractures, Injuries$15,890$9,375$4,449
45253Other and Unspecified Gastrointestinal Hemorrhage$21,201$12,509$5,936
46425Other Electrolyte Disorders$13,034$7,690$3,650
47351Other Musculoskeletal System and Connective Tissue Diagnoses$12,728$7,510$3,564
48241Peptic Ulcer/Gastritis$15,257$9,002$4,272
49313Other Knee/Lower Leg Surgery$49,239$29,051$13,787
50191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$23,007$13,574$6,442
51248Major G.I. Bacterial Infections$12,997$7,668$3,639
52663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$13,390$7,900$3,749
53024Extracranial Vascular Procedures$77,193$45,544$21,614
54466Malfunction, reaction, complic of genitourinary device or procNRNRNR
55862Other Factors Influencing Health Status$23,731$14,001$6,645
56197Peripheral and Other Vascular Disorders$10,965$6,469$3,070
57693Chemotherapy$28,385$16,747$7,948
58021Craniotomy Except For Trauma$59,988$35,393$16,797
59141Asthma$13,611$8,030$3,811
60321Upper Spinal Fusion$71,889$42,415$20,129
61566Other Antepartum Diagnoses$9,356$5,520$2,620
62721Postoperative and Post-Traumatic Infections$18,176$10,724$5,089
63225Appendectomy$31,502$18,586$8,821
64052Nontraumatic stupor & coma$15,530$9,163$4,348
65422Hypovolemia$23,101$13,630$6,468
66755Neuroses Other Than Depression$5,368$3,167$1,503
67192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$18,105$10,682$5,069
68951Moderately Extensive Procedure Unrelated to Diagnosis$45,855$27,054$12,839
69055Head trauma w coma >1 hr or hemorrhage$15,053$8,881$4,215
70163Heart Valve Procedures without Cardiac Catheterization$182,421$107,628$51,078
71950Extensive Procedure Unrelated to Principal Diagnosis$51,618$30,455$14,453
72220Major Stomach/Esophagus/Duodenum Procedures$52,299$30,856$14,644
73144Respiratory System Signs, Symptoms and Minor Diagnoses$10,713$6,321$3,000
74204Fainting and Collapse$11,985$7,071$3,356
75756Acute Adjust React Psychosocial Dysfunction$12,619$7,445$3,533

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:  July 2015 - June 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)$6,783$4,002$1,899$16,017$9,450$4,485
Colonoscopy and Biopsy 45380)$6,036$3,561$1,690$7,257$4,282$2,032
Lesion Removal Colonoscopy by Snare Technique 45385)$6,235$3,679$1,746$6,964$4,108$1,950
Upper GI Endoscopy with Biopsy 43239)$5,939$3,504$1,663$7,503$4,427$2,101
Diagnostic Colonoscopy 45378)$5,511$3,251$1,543$6,673$3,937$1,869
Injection into Lumbar or Sacral Area, Single Level 64483)$1,312$774$367$1,350$797$378
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$1,398$825$391$1,453$858$407
Drain/Inject Major Joint or Bursa 20610)$1,132$668$317$1,377$812$386
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$5,518$3,256$1,545$10,174$6,003$2,849
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$5,480$3,233$1,534NRNRNR
Carpal Tunnel Surgery 64721)$7,399$4,366$2,072$9,908$5,846$2,774
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)$5,336$3,148$1,494$6,509$3,840$1,822
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$6,018$3,551$1,685$6,959$4,106$1,948
Left Heart Artery/Ventricle Angiography 93458)$12,171$7,181$3,408$21,426$12,641$5,999
Creation of Eardrum Opening 69436)$12,109$7,144$3,390$25,105$14,812$7,029
Unlisted Dental Surgery Procedure 41899)$17,702$10,444$4,957$21,044$12,416$5,892
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$1,358$801$380$1,375$811$385
Laparoscopic Cholecystectomy 47562)$24,127$14,235$6,756$26,226$15,474$7,343
After Cataract Laser Surgery 66821)$1,188$701$333$1,312$774$367
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
Cataract Surgery- Complex 66982)$7,710$4,549$2,159$15,864$9,360$4,442
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)NRNRNRNRNRNR
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$36,425$21,491$10,199
Esophageal Endoscopy with Dilation 43249)$6,830$4,030$1,912$7,637$4,506$2,138
Hysteroscopy with Biopsy 58558)$16,192$9,553$4,534$17,588$10,377$4,925
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$7,858$4,636$2,200$6,007$3,544$1,682
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$15,552$9,176$4,355$18,839$11,115$5,275
Cystourethroscopy with Lithotripsy and Stent 52356)$18,605$10,977$5,209$18,227$10,754$5,103
Incision of Finger Tendon Sheath 26055)$7,125$4,204$1,995$9,219$5,439$2,581
Unlisted Cystourethoscopy 52000)$8,061$4,756$2,257$11,665$6,882$3,266
Laparoscopic Hernia Repair - Initial 49650)$27,121$16,001$7,594$28,706$16,937$8,038
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$15,037$8,872$4,210$17,680$10,431$4,950
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$27,599$16,284$7,728$27,578$16,271$7,722
Uppr GI Endoscopy with Guide Wire 43248)$6,258$3,692$1,752$7,044$4,156$1,972
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$23,257$13,722$6,512NRNRNR
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$24,255$14,310$6,791$30,721$18,125$8,602
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Removal of Tonsils 42826)$14,301$8,438$4,004$18,008$10,625$5,042
Cystourethroscopy with Stent 52332)$8,225$4,853$2,303$11,301$6,667$3,164
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$4,862$2,868$1,361$1,361$803$381
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNR$46,175$27,243$12,929
Laparoscopy - Removal of Adnexal Structures 58661)$24,403$14,398$6,833$30,317$17,887$8,489
Low Back Disk Surgery 63030)$28,740$16,957$8,047$28,953$17,082$8,107
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$15,020$8,862$4,206$19,358$11,421$5,420
Repair of Nasal Septum 30520)$20,519$12,106$5,745$19,424$11,460$5,439
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Mastectomy, Partial 19301)$13,255$7,820$3,711$25,374$14,971$7,105
Needle Biopsy of Liver 47000)$5,072$2,992$1,420NRNRNR
Laparoscopy, Removal of Tubes & Ovaries 58571)$46,978$27,717$13,154$52,851$31,182$14,798
Debridement Skin/Tissue 11042)$12,037$7,102$3,370$17,707$10,447$4,958
Coronary Artery Angio S&I 93454)$11,935$7,041$3,342$20,485$12,086$5,736
Aspirate Pleura with Imaging 32555)NRNRNR$13,940$8,225$3,903
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Hysteroscopy with Ablation 58563)$18,749$11,062$5,250$23,796$14,040$6,663
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Diagnostic Laryngoscopy 31575)$8,209$4,843$2,299NRNRNR
Transluminal balloon angioplasty, percutaneous, venous 35476)$17,538$10,348$4,911NRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNR$30,087$17,751$8,424
Correction of Bunion 28296)$16,042$9,465$4,492$17,598$10,383$4,928
Debridement, Open Wound <= 20 Square Centimeters 97597)NRNRNRNRNRNR
Bone Marrow Biopsy 38221)NRNRNRNRNRNR
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)$13,955$8,234$3,908$20,439$12,059$5,723
Removal of Adenoids 42830)NRNRNRNRNRNR
Biopsy of lung or mediastinum, percutaneous w/needle 32405)NRNRNRNRNRNR
Ablation therapy of first vein of extremity 36475)NRNRNRNRNRNR
Removal of Central Venous Device w Port or Pump 36590)NRNRNR$15,627$9,220$4,376
Repair of Hammertoe 28285)NRNRNR$16,612$9,801$4,651
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.