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 2014 - September 2015
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,642$1,638$793
2560Vaginal Delivery$10,725$6,650$3,218
3720Blood Infection/Septicemia$13,018$8,071$3,905
4302Knee Replacement$48,883$30,307$14,665
5540Cesarean Delivery$17,358$10,762$5,207
6194Heart Failure$12,195$7,561$3,659
7139Pneumonia$15,173$9,407$4,552
8301Hip Replacement$60,437$37,471$18,131
9751PsychosesNRNRNR
10753Bipolar DisordersNRNRNR
11140Chronic Obstructive Pulmonary Disease$9,908$6,143$2,972
12201Heart Abnormal Rhythm and Conduction Disorders$9,439$5,852$2,832
13775Alcohol Abuse/Dependence$8,726$5,410$2,618
14460Renal Failure$6,853$4,249$2,056
15383Cellulitis and Other Bacterial Skin Infections$11,393$7,064$3,418
16045Stroke and Precerebral Occlusion with Infarct$19,632$12,172$5,890
17860Rehabilitation$23,019$14,272$6,906
18221Major Bowel Procedures$52,527$32,567$15,758
19463Kidney/Urinary Tract Infection$15,404$9,550$4,621
20133Pulmonary Edema/Respiratory FailureNRNRNR
21174Angioplasty with Heart Attack$56,930$35,297$17,079
22247Intestinal Obstruction without Surgery$17,541$10,875$5,262
23750SchizophreniaNRNRNR
24282Disorders of Pancreas Except Malignancy$17,302$10,727$5,191
25254Other Digestive System Diagnoses$15,984$9,910$4,795
26420Diabetes$12,655$7,846$3,797
27249Gastroenteritis$14,105$8,745$4,232
28754Depression$11,799$7,315$3,540
29812Poisoning of Medicinal Agents$14,481$8,978$4,344
30137Respiratory Infections and InflammationsNRNRNR
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$69,686$43,205$20,906
32053Seizure$14,995$9,297$4,499
33134Pulmonary Embolism$12,824$7,951$3,847
34173Other Vascular Procedures$72,179$44,751$21,654
35308Hip/Thigh Surgery with Trauma Diagnosis$57,783$35,825$17,335
36190Circulatory Disorders with Heart Attack$24,021$14,893$7,206
37263Laparoscopic Cholecystectomy$32,658$20,248$9,797
38244Diverticulitis & Diverticulosis$13,531$8,389$4,059
39425Other Electrolyte Disorders$10,953$6,791$3,286
40175Angioplasty without Heart Attack$53,140$32,947$15,942
41241Peptic Ulcer/Gastritis$12,838$7,960$3,851
42861Signs & Symptoms$12,467$7,730$3,740
43315Shoulder/Upper Arm, Forearm Surgery$49,699$30,813$14,910
44253Other and Unspecified Gastrointestinal Hemorrhage$26,994$16,736$8,098
45347Other Back/Neck Disorders, Fractures, Injuries$13,682$8,483$4,105
46313Other Knee/Lower Leg Surgery$43,360$26,883$13,008
47773Opioid Abuse/DependenceNRNRNR
48351Other Musculoskeletal System and Connective Tissue Diagnoses$9,306$5,770$2,792
49248Major G.I. Bacterial Infections$14,701$9,115$4,410
50710Infectious & parasitic diseases including HIV w O.R. procedure$31,397$19,466$9,419
51663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$17,103$10,604$5,131
52191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$20,500$12,710$6,150
53466Malfunction, reaction, complic of genitourinary device or procNRNRNR
54024Extracranial Vascular Procedures$67,352$41,758$20,206
55113Epiglottitis, Ear Infection, URI and Laryngotracheitis$14,724$9,129$4,417
56693Chemotherapy$32,515$20,159$9,755
57141Asthma$13,956$8,653$4,187
58321Upper Spinal Fusion$62,186$38,555$18,656
59721Postoperative and Post-Traumatic Infections$17,131$10,621$5,139
60197Peripheral and Other Vascular Disorders$9,537$5,913$2,861
61021Craniotomy Except For Trauma$57,316$35,536$17,195
62225Appendectomy$29,739$18,438$8,922
63144Respiratory System Signs, Symptoms and Minor Diagnoses$15,289$9,479$4,587
64566Other Antepartum Diagnoses$9,314$5,775$2,794
65163Heart Valve Procedures without Cardiac Catheterization$107,065$66,380$32,120
66143Other respiratory diagnoses except signs, symptoms & minor diagnoses$13,864$8,596$4,159
67192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$18,227$11,301$5,468
68055Head trauma w coma >1 hr or hemorrhage$17,044$10,567$5,113
69052Nontraumatic stupor & coma$15,872$9,841$4,762
70755Neuroses Other Than Depression$23,951$14,850$7,185
71204Fainting and Collapse$11,338$7,030$3,401
72310Back/Neck Procedures Except Dorsal and Lumbar Fusion$35,022$21,714$10,507
73660Major hematologic/immunologic diag exc sickle cell crisis & coagul$13,979$8,667$4,194
74284Disorders of gallbladder & biliary tract$24,755$15,348$7,427
75422Hypovolemia$28,589$17,725$8,577

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 2014 - September 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)$6,620$4,104$1,986$17,184$10,654$5,155
Colonoscopy and Biopsy 45380)$5,822$3,610$1,747$6,927$4,295$2,078
Upper GI Endoscopy with Biopsy 43239)$5,753$3,567$1,726$6,976$4,325$2,093
Lesion Removal Colonoscopy by Snare Technique 45385)$5,956$3,693$1,787$6,790$4,210$2,037
Diagnostic Colonoscopy 45378)$5,298$3,285$1,589$6,416$3,978$1,925
Injection into Lumbar or Sacral Area, Single Level 64483)$1,312$813$394$1,343$833$403
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$1,369$849$411$1,400$868$420
Drain/Inject Major Joint or Bursa 20610)$1,287$798$386NRNRNR
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$5,267$3,265$1,580$9,875$6,122$2,962
Carpal Tunnel Surgery 64721)$7,042$4,366$2,112$11,487$7,122$3,446
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$5,299$3,285$1,590$8,760$5,431$2,628
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$20,092$12,457$6,028$22,687$14,066$6,806
Uppr GI Endoscopy- Diagnostic 43235)$5,253$3,257$1,576$6,430$3,987$1,929
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$5,767$3,576$1,730$6,680$4,142$2,004
Left Heart Artery/Ventricle Angiography 93458)$11,886$7,369$3,566$18,667$11,574$5,600
Creation of Eardrum Opening 69436)$10,546$6,539$3,164$22,294$13,822$6,688
Unlisted Dental Surgery Procedure 41899)$14,640$9,077$4,392$17,631$10,931$5,289
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$1,342$832$402$1,371$850$411
Laparoscopic Cholecystectomy 47562)$23,265$14,424$6,980$27,099$16,801$8,130
After Cataract Laser Surgery 66821)$1,188$736$356$1,312$813$394
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Cataract Surgery- Complex 66982)$7,541$4,675$2,262$13,083$8,112$3,925
Removal of Tonsils And Adenoids - < Age 12 42820)NRNRNRNRNRNR
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
Arthroscopic Rotator Cuff Repair 29827)$25,290$15,680$7,587$32,229$19,982$9,669
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$16,101$9,983$4,830$15,395$9,545$4,618
Hysteroscopy with Biopsy 58558)$16,282$10,095$4,885$20,899$12,957$6,270
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$2,288$1,419$686$4,637$2,875$1,391
Esophageal Endoscopy with Dilation 43249)$6,588$4,084$1,976$7,285$4,517$2,186
Unlisted Cystourethoscopy 52000)$7,058$4,376$2,117$9,766$6,055$2,930
Incision of Finger Tendon Sheath 26055)$7,091$4,396$2,127$7,528$4,667$2,258
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$13,774$8,540$4,132$18,221$11,297$5,466
Cystourethroscopy with Lithotripsy and Stent 52356)$17,799$11,036$5,340$17,699$10,974$5,310
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$25,761$15,972$7,728$26,107$16,186$7,832
Laparoscopic Hernia Repair - Initial 49650)$26,407$16,372$7,922$27,021$16,753$8,106
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$19,803$12,278$5,941$29,993$18,596$8,998
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Uppr GI Endoscopy with Guide Wire 43248)$5,918$3,669$1,775$7,008$4,345$2,102
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$24,304$15,069$7,291$28,282$17,535$8,485
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Cystourethroscopy with Stent 52332)$8,157$5,057$2,447$12,731$7,893$3,819
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$1,262$782$378$1,316$816$395
Removal of Tonsils 42826)$14,513$8,998$4,354$16,166$10,023$4,850
Repair of Nasal Septum 30520)$17,760$11,011$5,328$19,393$12,024$5,818
Low Back Disk Surgery 63030)$26,070$16,164$7,821$25,557$15,846$7,667
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$39,151$24,273$11,745$47,065$29,181$14,120
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$13,637$8,455$4,091$18,711$11,601$5,613
Mastectomy, Partial 19301)$11,989$7,433$3,597$24,678$15,301$7,404
Coronary Artery Angio S&I 93454)$11,217$6,955$3,365$20,878$12,944$6,263
Laparoscopy - Removal of Adnexal Structures 58661)$24,134$14,963$7,240$31,407$19,472$9,422
Debridement Skin/Tissue 11042)$11,934$7,399$3,580$14,988$9,293$4,496
Needle Biopsy of Liver 47000)NRNRNR$7,666$4,753$2,300
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Hysteroscopy with Ablation 58563)$16,436$10,190$4,931$21,636$13,415$6,491
Laparoscopy, Removal of Tubes & Ovaries 58571)$44,602$27,653$13,381$52,451$32,520$15,735
Apheresis Plasma 36514)NRNRNRNRNRNR
Aspirate Pleura with Imaging 32555)NRNRNRNRNRNR
Diagnostic Laryngoscopy 31575)$8,621$5,345$2,586$10,874$6,742$3,262
Right and Left Heart Artery/Ventricle Angiography 93460)$12,701$7,874$3,810$20,012$12,407$6,004
Debridement, Open Wound <= 20 Square Centimeters 97597)NRNRNRNRNRNR
Correction of Bunion 28296)$12,805$7,939$3,842$17,969$11,141$5,391
Bone Marrow Biopsy 38221)NRNRNRNRNRNR
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNR$26,067$16,161$7,820
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Removal of Adenoids 42830)NRNRNRNRNRNR
Electronic analysis of implantable pump spine w/reprogram/refill 62369)NRNRNRNRNRNR
Removal of Central Venous Device w Port or Pump 36590)NRNRNR$15,705$9,737$4,712
Insertion of Central Venous Catheter >= 5 years 36569)NRNRNRNRNRNR
Removal of Breast Lesion 19120)$12,247$7,593$3,674$20,517$12,720$6,155
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.