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: January 2013 - December 2013
(Uncomplicated Cases Only)
 
    Estimated Insurance Payments *
RankAPR- DRG DescriptionMedian  
Charge
 
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,050$1,353$677
2560Vaginal Delivery$8,873$5,856$2,928
3302Knee Replacement$51,608$34,061$17,031
4720Blood Infection/Septicemia$10,824$7,144$3,572
5540Cesarean Delivery$16,183$10,681$5,340
6139Pneumonia$8,323$5,493$2,747
7194Heart Failure$10,274$6,781$3,390
8301Hip Replacement$56,556$37,327$18,663
9751Psychoses$23,904$15,777$7,888
10753Bipolar DisordersNRNRNR
11140Chronic Obstructive Pulmonary Disease$8,750$5,775$2,888
12201Heart Abnormal Rhythm and Conduction Disorders$8,735$5,765$2,883
13383Cellulitis and Other Bacterial Skin Infections$8,598$5,675$2,837
14775Alchohol Abuse/Dependence$12,958$8,552$4,276
15460Renal Failure$12,142$8,014$4,007
16463Kidney/Urinary Tract Infection$11,588$7,648$3,824
17045Stroke and Precerebral Occlusion with Infarct$15,447$10,195$5,098
18860Rehabilitation$19,719$13,015$6,507
19221Major Bowel Procedures$44,193$29,167$14,584
20174Angioplasty with Heart Attack$47,710$31,489$15,744
21750SchizophreniaNRNRNR
22133Pulmonary Edema/Respiratory FailureNRNRNR
23254Other Digestive System Diagnoses$11,711$7,729$3,865
24175Angioplasty without Heart Attack$57,569$37,996$18,998
25249Gastroenteritis$9,043$5,968$2,984
26247Intestinal Obstruction without Surgery$11,189$7,385$3,692
27420Diabetes$6,386$4,215$2,107
28754DepressionNRNRNR
29812Poisoning of Medicinal Agents$8,738$5,767$2,884
30282Disorders of Pancreas Except Malignancy$9,981$6,587$3,294
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$63,059$41,619$20,809
32137Respiratory Infections and Inflammations$16,058$10,598$5,299
33053Seizure$14,185$9,362$4,681
34263Laparoscopic Cholecystectomy$29,084$19,195$9,598
35308Hip/Thigh Surgery with Trauma Diagnosis$44,943$29,662$14,831
36134Pulmonary Embolism$13,915$9,184$4,592
37173Other Vascular Procedures$51,805$34,191$17,096
38241Peptic Ulcer/Gastritis$9,919$6,547$3,273
39190Circulatory Disorders with Heart Attack$19,158$12,644$6,322
40425Other Electrolyte Disorders$7,379$4,870$2,435
41347Other Back/Neck Disorders, Fractures, Injuries$13,298$8,777$4,388
42313Other Knee/Lower Leg Surgery$44,191$29,166$14,583
43861Signs & Symptoms$11,630$7,676$3,838
44315Shoulder/Upper Arm, Forearm Surgery$35,358$23,336$11,668
45244Diverticulitis & Diverticulosis$13,717$9,053$4,527
46225Appendectomy$25,795$17,025$8,512
47253Other and Unspecified Gastrointestinal Hemorrhage$15,093$9,961$4,981
48192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$18,009$11,886$5,943
49663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$9,447$6,235$3,118
50141Asthma$8,253$5,447$2,723
51351Other Musculoskeletal System and Connective Tissue Diagnoses$11,044$7,289$3,645
52191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$23,008$15,185$7,593
53248Major G.I. Bacterial Infections$5,241$3,459$1,730
54024Extracranial Vascular Procedures$60,810$40,135$20,067
55198Chest Pain with Angina Pectoris or Coronary Atherosclerosis$8,806$5,812$2,906
56321Upper Spinal Fusion$60,911$40,201$20,101
57197Peripheral and Other Vascular Disorders$11,189$7,385$3,692
58204Fainting and Collapse$8,545$5,640$2,820
59513Uterine Procedures without Tumor$31,800$20,988$10,494
60773Opioid Abuse/Dependence$7,289$4,811$2,405
61721Postoperative and Post-Traumatic Infections$9,492$6,265$3,132
62144Respiratory System Signs, Symptoms and Minor Diagnoses$9,161$6,046$3,023
63693Chemotherapy$25,861$17,068$8,534
64310Back/Neck Procedures Except Dorsal and Lumbar Fusion$28,072$18,528$9,264
65566Other Antepartum Diagnoses$6,870$4,534$2,267
66113Epiglottitis, Ear Infection, URI and Laryngotracheitis$7,665$5,059$2,529
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$54,525$35,987$17,993
70466Malfunctions, Reactions & Comp Of Gu Device, Graft Or Transplant$3,803$2,510$1,255
71143Pneumothorax & Pleural Effusion$8,637$5,700$2,850
72163Heart Valve Procedures without Cardiac Catheterization$123,152$81,280$40,640
73055Head trauma w coma >1 hr or hemorrhage$14,020$9,253$4,627
74755Neuroses Other Than Depression$8,830$5,828$2,914
75047Transient Ischemia$14,283$9,427$4,713

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: January 2013 - December 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)$6,314$4,167$2,083$13,483$8,899$4,449
Colonoscopy and Biopsy (45380)$5,142$3,394$1,697$6,118$4,038$2,019
Diagnostic Colonoscopy (45378)$4,275$2,822$1,411$5,501$3,631$1,815
Upper GI Endoscopy with Biopsy (43239)$4,975$3,283$1,642$6,118$4,038$2,019
Lesion Removal Colonoscopy by Snare Technique (45385)$5,023$3,315$1,657$5,863$3,870$1,935
Injection into Lumbar or Sacral Area, Single Level (64483)$742$490$245$873$576$288
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral (64493)$859$567$283$950$627$313
Drain/Inject Major Joint or Bursa (20610)$852$562$281$1,328$876$438
Colorectal Cancer Screening; Colonscopy, Not High Risk (G0121)$4,710$3,109$1,554$5,636$3,720$1,860
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy (29881)$16,507$10,895$5,447NRNRNR
Carpal Tunnel Surgery (64721)$6,231$4,112$2,056$12,575$8,299$4,150
Uppr GI Endoscopy- Diagnostic (43235)$4,451$2,937$1,469$5,441$3,591$1,795
Colorectal Cancer Screening ; Colonoscopy, High Risk (G0105)$4,781$3,155$1,578$5,924$3,910$1,955
Lesion Removal Colonoscopy by Hot Biopsy or Cautery (45384)$5,270$3,478$1,739$5,913$3,903$1,951
Left Heart Artery/Ventricle Angiography (93458)$9,760$6,442$3,221$14,875$9,817$4,909
Creation of Eardrum Opening (69436)$11,190$7,385$3,693NRNRNR
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral (64635)NRNRNRNRNRNR
Laparoscopic Cholecystectomy (47562)$20,776$13,712$6,856$22,942$15,142$7,571
Unlisted Dental Surgery Procedure (41899)$12,522$8,264$4,132$15,335$10,121$5,061
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor (64490)$728$481$240$702$463$232
After Cataract Laser Surgery (66821)$978$645$323$1,197$790$395
Percutaneous Breast Biopsy with Device and Imaging (19103)NRNRNR$5,338$3,523$1,762
Removal of Tonsils And Adenoids - < Age 12 (42820)NRNRNRNRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible (49505)$13,742$9,070$4,535$14,662$9,677$4,839
Unlisted Cystourethoscopy (52000)$1,214$801$401$2,737$1,806$903
Arthroscopic Rotator Cuff Repair (29827)NRNRNR$26,489$17,482$8,741
Cataract Surgery- Complex (66982)$7,093$4,681$2,341$16,775$11,071$5,536
Hysteroscopy with Biopsy (58558)$14,786$9,759$4,879$17,038$11,245$5,623
Esophageal Endoscopy with Dilation (43249)$5,901$3,895$1,947$6,184$4,081$2,041
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct (47563)$20,226$13,349$6,675$24,363$16,080$8,040
ABD Paracentesis w/Imaging (49083)$1,659$1,095$548$2,540$1,676$838
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy (29880)$16,505$10,893$5,447$20,108$13,271$6,636
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) (20680)$12,007$7,924$3,962$14,705$9,705$4,853
Incision of Finger Tendon Sheath (26055)$6,324$4,174$2,087$7,906$5,218$2,609
Cystourethroscopy with Lithotripsy (52353)$15,696$10,360$5,180$16,002$10,561$5,280
Uppr GI Endoscopy with Guide Wire (43248)$5,403$3,566$1,783$5,767$3,806$1,903
Destruction of Benign Lesions up to 14 Lesions (17110)$205$135$67$362$239$119
Laparoscopic Hernia Repair - Initial (49650)$23,327$15,396$7,698$25,562$16,871$8,436
Destruction of Premalignant Lesion (17000)$219$145$72$360$237$119
Percutaneous Breast Biopsy with Imaging (19102)$2,120$1,399$700$3,191$2,106$1,053
Cystourethroscopy with Stent (52332)$7,003$4,622$2,311$12,706$8,386$4,193
Repair of Nasal Septum (30520)$15,941$10,521$5,261$17,479$11,536$5,768
Removal of Tonsils (42826)$10,903$7,196$3,598$15,100$9,966$4,983
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair (29888)$28,128$18,565$9,282$29,548$19,502$9,751
Fragmenting of Kidney Stone (50590)NRNRNRNRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible  (49585)$12,299$8,118$4,059$16,141$10,653$5,326
Laparoscopic Appendectomy (44970)$25,128$16,584$8,292$26,939$17,780$8,890
Low Back Disk Surgery (63030)$18,275$12,062$6,031$22,111$14,593$7,297
Correction of Bunion (28296)NRNRNR$14,180$9,359$4,679
Hysteroscopy with Ablation (58563)$15,996$10,558$5,279$21,294$14,054$7,027
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles (20552)$532$351$176$1,872$1,236$618
Destruction by neurolytic agent w imaging, cervical or thoracic (64633)NRNRNRNRNRNR
Colonoscopy with Lesion Removal (45383)$6,583$4,345$2,172$8,892$5,869$2,934
Mastectomy, Partial (19301)$9,856$6,505$3,252$20,599$13,596$6,798
Biopsy Skin and Subcutaneous Tissue; 1 Lesion (11100)$311$205$103$585$386$193
Needle Biopsy of Liver (47000)$3,461$2,284$1,142$3,070$2,026$1,013
Bone Marrow Biopsy (38221)$7,204$4,755$2,377$8,306$5,482$2,741
Remove Impacted Ear Wax (69210)$151$99$50NRNRNR
Mohs Micrographic Tissue Removal (17311)$1,171$773$386$1,533$1,011$506
Coronary Artery Angio S&I (93454)$9,452$6,238$3,119$16,728$11,041$5,520
Laparoscopy - Removal of Adnexal Structures (58661)$22,564$14,892$7,446$28,794$19,004$9,502
Debridement, Open Wound <= 20 Square Centimeters (97597)$117$77$39NRNRNR
Right and Left Heart Artery/Ventricle Angiography (93460)$10,968$7,239$3,620$14,410$9,511$4,755
Destruction (therapeutic injection) of muscles; extremity /trunk (64614)$6,770$4,468$2,234$9,517$6,281$3,141
Diagnostic Laryngoscopy (31575)$463$305$153$1,280$844$422
Insertion of Central Venous Catheter >= 5 years (36569)$3,124$2,062$1,031$4,118$2,718$1,359
Removal of Breast Lesion (19120)$9,321$6,152$3,076$14,288$9,430$4,715
Excision Breast Lesion with Preoperative Placement Radiological Marker (19125)NRNRNR$11,913$7,862$3,931
Aspirate Pleura with Imaging (32555)$1,575$1,039$520$7,066$4,664$2,332
Electro-Uroflowmetry - First (51741)$224$148$74$307$202$101
Removal of Adenoids (42830)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Shaving of Cartilage (29877)$16,460$10,864$5,432$23,846$15,739$7,869
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area (58662)$24,352$16,072$8,036$27,357$18,056$9,028
Removal of Central Venous Device w Port or Pump (36590)$1,828$1,206$603$16,353$10,793$5,397
Wrist Endoscopy/Surgical (29848)NRNRNRNRNRNR

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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