Froedtert Memorial Lutheran Hospital, Inc
9200 W Wisconsin Ave, PO Box 26099
Milwaukee, WI 53226
414-805-3000


  
Charges for 75 Most Common Types of Hospitalizations in Wisconsin: October 2012 - September 2013
(Uncomplicated Cases Only)
 
    Estimated Insurance Payments *
RankAPR- DRG DescriptionMedian  
Charge
 
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,087$1,377$689
2560Vaginal Delivery$8,802$5,809$2,905
3302Knee Replacement$50,242$33,160$16,580
4720Blood Infection/Septicemia$10,396$6,861$3,431
5540Cesarean Delivery$15,757$10,400$5,200
6139Pneumonia$8,207$5,417$2,708
7194Heart Failure$10,274$6,781$3,390
8301Hip Replacement$54,965$36,277$18,138
9751PsychosesNRNRNR
10140Chronic Obstructive Pulmonary Disease$9,481$6,257$3,129
11753Bipolar DisordersNRNRNR
12201Heart Abnormal Rhythm and Conduction Disorders$8,580$5,663$2,831
13383Cellulitis and Other Bacterial Skin Infections$8,681$5,729$2,865
14775Alchohol Abuse/Dependence$13,409$8,850$4,425
15460Renal Failure$4,772$3,150$1,575
16463Kidney/Urinary Tract Infection$11,588$7,648$3,824
17045Stroke and Precerebral Occlusion with Infarct$15,384$10,153$5,077
18860Rehabilitation$19,472$12,852$6,426
19221Major Bowel Procedures$43,580$28,763$14,381
20175Angioplasty without Heart Attack$57,569$37,996$18,998
21174Angioplasty with Heart Attack$47,992$31,675$15,837
22750SchizophreniaNRNRNR
23254Other Digestive System Diagnoses$11,190$7,385$3,693
24133Pulmonary Edema/Respiratory FailureNRNRNR
25249Gastroenteritis$9,097$6,004$3,002
26247Intestinal Obstruction without Surgery$10,954$7,230$3,615
27420Diabetes$8,199$5,411$2,706
28754DepressionNRNRNR
29812Poisoning of Medicinal Agents$9,225$6,089$3,044
30282Disorders of Pancreas Except Malignancy$11,595$7,653$3,826
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$61,917$40,865$20,433
32137Respiratory Infections and Inflammations$12,940$8,540$4,270
33053Seizure$13,480$8,897$4,448
34263Laparoscopic Cholecystectomy$27,655$18,252$9,126
35134Pulmonary Embolism$12,732$8,403$4,202
36308Hip/Thigh Surgery with Trauma Diagnosis$43,804$28,911$14,455
37173Other Vascular Procedures$48,106$31,750$15,875
38241Peptic Ulcer/Gastritis$9,506$6,274$3,137
39861Signs & Symptoms$10,520$6,943$3,472
40244Diverticulitis & Diverticulosis$10,053$6,635$3,317
41190Circulatory Disorders with Heart Attack$20,535$13,553$6,777
42425Other Electrolyte Disorders$9,153$6,041$3,020
43347Other Back/Neck Disorders, Fractures, Injuries$13,298$8,777$4,388
44313Other Knee/Lower Leg Surgery$41,710$27,529$13,764
45315Shoulder/Upper Arm, Forearm Surgery$37,138$24,511$12,256
46225Appendectomy$25,774$17,011$8,505
47192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$19,807$13,073$6,536
48663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$9,879$6,520$3,260
49141Asthma$7,902$5,215$2,608
50351Other Musculoskeletal System and Connective Tissue Diagnoses$10,970$7,240$3,620
51253Other and Unspecified Gastrointestinal Hemorrhage$14,593$9,631$4,816
52513Uterine Procedures without Tumor$32,984$21,769$10,885
53198Chest Pain with Angina Pectoris or Coronary Atherosclerosis$9,372$6,186$3,093
54191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$22,405$14,787$7,394
55204Fainting and Collapse$8,761$5,782$2,891
56248Major G.I. Bacterial Infections$9,651$6,370$3,185
57321Upper Spinal Fusion$56,593$37,351$18,676
58024Extracranial Vascular Procedures$57,822$38,163$19,081
59197Peripheral and Other Vascular Disorders$10,832$7,149$3,575
60144Respiratory System Signs, Symptoms and Minor Diagnoses$8,916$5,885$2,942
61773Opioid Abuse/Dependence$7,289$4,811$2,405
62721Postoperative and Post-Traumatic Infections$11,087$7,317$3,659
63310Back/Neck Procedures Except Dorsal and Lumbar Fusion$26,637$17,580$8,790
64693Chemotherapy$21,391$14,118$7,059
65566Other Antepartum Diagnoses$7,131$4,706$2,353
66113Epiglottitis, Ear Infection, URI and Laryngotracheitis$6,114$4,035$2,018
67422Hypovolemia$6,845$4,518$2,259
68710Infectious & parasitic diseases including HIV w O.R. procedure$36,062$23,801$11,900
69021Craniotomy Except For Trauma$54,081$35,693$17,847
70466Malfunctions, Reactions & Comp Of Gu Device, Graft Or Transplant$3,803$2,510$1,255
71047Transient Ischemia$13,858$9,146$4,573
72143Pneumothorax & Pleural Effusion$8,804$5,811$2,905
73755Neuroses Other Than Depression$8,830$5,828$2,914
74055Head trauma w coma >1 hr or hemorrhage$14,078$9,291$4,646
75163Heart Valve Procedures without Cardiac Catheterization$107,144$70,715$35,358

NR = No Cases Reported
For billing and insurance concerns related to Froedtert Hospital, please call 800-803-8155.

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 2012 - September 2013
  With No Other Procedures With 1 or More Additional Procedures
Principal Procedure Median Charge Average Commercial Insurance Payment Average Medicare Insurance Payment* Median Charge Average Commercial Insurance Payment Average Medicare Insurance Payment*
Cataract Surgery with Intraocular Lens - Stage 1 (66984)$6,058$3,999$1,999$14,178$9,357$4,679
Colonoscopy and Biopsy (45380)$5,008$3,305$1,653$5,797$3,826$1,913
Diagnostic Colonoscopy (45378)$4,177$2,757$1,378$5,346$3,529$1,764
Upper GI Endoscopy with Biopsy (43239)$4,777$3,153$1,576$5,907$3,899$1,949
Lesion Removal Colonoscopy by Snare Technique (45385)$4,844$3,197$1,599$5,751$3,796$1,898
Injection into Lumbar or Sacral Area, Single Level (64483)$759$501$250$998$659$329
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral (64493)$930$614$307$947$625$313
Drain/Inject Major Joint or Bursa (20610)$852$562$281$1,328$876$438
Colorectal Cancer Screening; Colonscopy, Not High Risk (G0121)$4,584$3,025$1,513$5,636$3,720$1,860
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy (29881)$15,765$10,405$5,203NRNRNR
Carpal Tunnel Surgery (64721)$5,943$3,922$1,961$12,364$8,160$4,080
Uppr GI Endoscopy- Diagnostic (43235)$4,231$2,792$1,396$5,204$3,435$1,717
Colorectal Cancer Screening ; Colonoscopy, High Risk (G0105)$4,649$3,068$1,534NRNRNR
Lesion Removal Colonoscopy by Hot Biopsy or Cautery (45384)$4,992$3,295$1,648$5,573$3,678$1,839
Creation of Eardrum Opening (69436)$11,190$7,385$3,693NRNRNR
Left Heart Artery/Ventricle Angiography  (93458)$9,635$6,359$3,180$14,559$9,609$4,805
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral (64635)NRNRNRNRNRNR
Laparoscopic Cholecystectomy (47562)$20,430$13,484$6,742$22,326$14,735$7,367
Unlisted Dental Surgery Procedure (41899)$12,005$7,923$3,962$15,613$10,305$5,152
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor (64490)$934$616$308$703$464$232
After Cataract Laser Surgery (66821)$978$645$323$1,135$749$375
Removal of Tonsils And Adenoids - < Age 12 (42820)NRNRNRNRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible (49505)$13,236$8,736$4,368$15,539$10,256$5,128
Percutaneous Breast Biopsy with Device and Imaging (19103)NRNRNR$5,166$3,410$1,705
Unlisted Cystourethoscopy (52000)$1,228$810$405$2,894$1,910$955
Cataract Surgery- Complex (66982)$6,847$4,519$2,259$16,765$11,065$5,532
Arthroscopic Rotator Cuff Repair (29827)NRNRNR$26,360$17,397$8,699
Hysteroscopy with Biopsy (58558)$14,063$9,282$4,641$16,337$10,783$5,391
Esophageal Endoscopy with Dilation (43249)$5,539$3,655$1,828$6,030$3,980$1,990
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct (47563)$20,226$13,349$6,675$23,630$15,595$7,798
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy (29880)$16,479$10,876$5,438$20,108$13,271$6,636
ABD Paracentesis w/Imaging (49083)$1,338$883$442$4,421$2,918$1,459
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) (20680)$11,586$7,647$3,823$13,713$9,051$4,525
Incision of Finger Tendon Sheath (26055)$6,697$4,420$2,210$7,685$5,072$2,536
Uppr GI Endoscopy with Guide Wire (43248)$5,008$3,306$1,653$5,529$3,649$1,825
Cystourethroscopy with Lithotripsy (52353)$13,960$9,214$4,607$15,849$10,460$5,230
Destruction of Benign Lesions up to 14 Lesions (17110)$219$145$72$381$251$126
Laparoscopic Hernia Repair - Initial (49650)$22,568$14,895$7,447$23,124$15,262$7,631
Destruction of Premalignant Lesion (17000)$219$145$72$361$238$119
Repair of Nasal Septum (30520)$12,919$8,527$4,263$16,009$10,566$5,283
Cystourethroscopy with Stent (52332)$7,035$4,643$2,321$12,532$8,271$4,135
Removal of Tonsils (42826)$10,903$7,196$3,598$16,482$10,878$5,439
Percutaneous Breast Biopsy with Imaging (19102)$2,180$1,439$719$3,167$2,090$1,045
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair (29888)$26,948$17,786$8,893$28,517$18,821$9,411
Fragmenting of Kidney Stone (50590)NRNRNRNRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible  (49585)$12,053$7,955$3,977$16,773$11,070$5,535
Laparoscopic Appendectomy (44970)$23,669$15,621$7,811$25,900$17,094$8,547
Hysteroscopy with Ablation (58563)$15,021$9,914$4,957$21,294$14,054$7,027
Correction of Bunion (28296)NRNRNR$13,455$8,880$4,440
Low Back Disk Surgery (63030)$23,203$15,314$7,657$21,884$14,443$7,222
Destruction by neurolytic agent w imaging, cervical or thoracic (64633)NRNRNRNRNRNR
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles (20552)$695$458$229$1,458$962$481
Colonoscopy with Lesion Removal (45383)$6,583$4,345$2,172$9,921$6,548$3,274
Needle Biopsy of Liver (47000)$3,030$2,000$1,000$2,970$1,960$980
Mastectomy, Partial (19301)$8,953$5,909$2,955$20,158$13,305$6,652
Remove Impacted Ear Wax (69210)$137$90$45NRNRNR
Mohs Micrographic Tissue Removal (17311)$1,171$773$386$1,533$1,011$506
Bone Marrow Biopsy (38221)$10,589$6,989$3,494$8,677$5,727$2,863
Biopsy Skin and Subcutaneous Tissue; 1 Lesion (11100)$333$220$110$610$402$201
Laparoscopy - Removal of Adnexal Structures (58661)$23,037$15,205$7,602$28,484$18,799$9,400
Insertion of Central Venous Catheter >= 5 years (36569)$3,143$2,074$1,037$4,615$3,046$1,523
Diagnostic Laryngoscopy (31575)$461$304$152$1,280$844$422
Coronary Artery Angio S&I (93454)$9,434$6,226$3,113$16,260$10,732$5,366
Right and Left Heart Artery/Ventricle Angiography (93460)$10,809$7,134$3,567$13,582$8,964$4,482
Excision Breast Lesion with Preoperative Placement Radiological Marker (19125)NRNRNR$11,737$7,746$3,873
Removal of Breast Lesion (19120)$9,235$6,095$3,047$14,092$9,300$4,650
Debridement, Open Wound <= 20 Square Centimeters (97597)$115$76$38NRNRNR
Destruction (therapeutic injection) of muscles; extremity /trunk (64614)$6,770$4,468$2,234$9,845$6,497$3,249
Electro-Uroflowmetry - First (51741)$236$156$78$321$212$106
Removal of Adenoids (42830)NRNRNRNRNRNR
Removal of Central Venous Device w Port or Pump (36590)$1,827$1,206$603$9,117$6,017$3,009
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area (58662)$22,913$15,122$7,561$26,535$17,513$8,757
Repair Rotator Cuff, Chronic (23412)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Shaving of Cartilage (29877)$16,046$10,590$5,295$27,240$17,978$8,989
Surgical Removal of Subcutaneous Tissue, <= 20 sq. cm. (11042)$10,558$6,968$3,484$9,775$6,451$3,226

NR = No Cases Reported
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.

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