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 2016 - March 2017
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,906$1,715$814
2560Vaginal Delivery$12,408$7,321$3,474
3720Blood Infection/Septicemia$17,537$10,347$4,910
4302Knee Replacement$77,320$45,619$21,650
5540Cesarean Delivery$18,779$11,080$5,258
6194Heart Failure$12,539$7,398$3,511
7301Hip Replacement$70,372$41,519$19,704
8751Psychoses$6,868$4,052$1,923
9139Pneumonia$18,333$10,816$5,133
10140Chronic Obstructive Pulmonary Disease$11,548$6,813$3,233
11753Bipolar Disorders$6,276$3,703$1,757
12775Alcohol Abuse/Dependence$9,220$5,440$2,582
13201Heart Abnormal Rhythm and Conduction Disorders$10,666$6,293$2,986
14383Cellulitis & other skin infections$12,394$7,312$3,470
15045Stroke and Precerebral Occlusion with Infarct$20,959$12,366$5,869
16133Respiratory failure$15,475$9,130$4,333
17463Kidney/Urinary Tract Infection$11,999$7,079$3,360
18221Major Bowel Procedures$59,908$35,346$16,774
19174Percutaneous coronary intervention w AMI$63,009$37,175$17,643
20750Schizophrenia$9,031$5,328$2,529
21754Depression$10,600$6,254$2,968
22420Diabetes$11,713$6,911$3,280
23282Disorders of Pancreas Except Malignancy$18,730$11,051$5,244
24247Intestinal Obstruction without Surgery$18,213$10,746$5,100
25254Other Digestive System Diagnoses$18,089$10,673$5,065
26812Poisoning of Medicinal Agents$10,918$6,442$3,057
27710Infectious & parasitic diseases including HIV w O.R. procedure$28,488$16,808$7,977
28773Opioid Abuse/Dependence$11,261$6,644$3,153
29308Hip & femur fracture repair$65,566$38,684$18,358
30304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$73,383$43,296$20,547
31190Circulatory Disorders with Heart Attack$23,365$13,785$6,542
32053Seizure$18,138$10,701$5,079
33137Respiratory Infections and Inflammations$17,922$10,574$5,018
34058Other Disorders of Nervous System$18,054$10,652$5,055
35175Percutaneous coronary intervention w/o AMI$62,502$36,876$17,501
36249Other gastroenteritis, nausea & vomiting$15,807$9,326$4,426
37460Renal Failure$6,229$3,675$1,744
38134Pulmonary Embolism$18,559$10,950$5,197
39263Laparoscopic Cholecystectomy$34,750$20,503$9,730
40244Diverticulitis & Diverticulosis$18,172$10,721$5,088
41469Acute Kidney Injury$23,558$13,899$6,596
42861Signs & Symptoms$18,870$11,133$5,284
43347Other Back/Neck Disorders, Fractures, Injuries$21,851$12,892$6,118
44315Shoulder, upper arm & forearm procedures except joint replacement$43,119$25,440$12,073
45253Other and Unspecified Gastrointestinal Hemorrhage$21,991$12,975$6,157
46241Peptic Ulcer/Gastritis$16,245$9,585$4,549
47313Other Knee/Lower Leg Surgery$53,517$31,575$14,985
48466Malfunction, reaction, complic of genitourinary device or procNRNRNR
49192Cardiac catheterization for other non-coronary conditions$24,075$14,204$6,741
50351Other Musculoskeletal System and Connective Tissue Diagnoses$16,124$9,513$4,515
51425Other Electrolyte Disorders$16,104$9,501$4,509
52248Major G.I. Bacterial Infections$12,738$7,515$3,567
53951Moderately Extensive Procedure Unrelated to Diagnosis$39,811$23,488$11,147
54663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$13,390$7,900$3,749
55862Other Factors Influencing Health Status$18,310$10,803$5,127
56024Extracranial Vascular Procedures$62,489$36,869$17,497
57021Craniotomy Except For Trauma$62,490$36,869$17,497
58113Epiglottitis, Ear Infection, URI and Laryngotracheitis$15,541$9,169$4,351
59321Upper Spinal Fusion$73,938$43,623$20,703
60566Other Antepartum Diagnoses$10,935$6,452$3,062
61197Peripheral and Other Vascular Disorders$18,832$11,111$5,273
62422Hypovolemia$13,750$8,113$3,850
63055Head trauma w coma >1 hr or hemorrhage$19,033$11,229$5,329
64173Other Vascular Procedures$56,607$33,398$15,850
65052Nontraumatic stupor & coma$21,577$12,730$6,042
66225Appendectomy$34,329$20,254$9,612
67141Asthma$14,294$8,433$4,002
68166Coronary bypass w/o AMI or complex PDXNRNRNR
69721Postoperative and Post-Traumatic Infections$17,263$10,185$4,834
70755Neuroses Other Than Depression$19,015$11,219$5,324
71191Cardiac catheterization for coronary artery disease$20,358$12,011$5,700
72220Major Stomach/Esophagus/Duodenum Procedures$56,175$33,143$15,729
73143Other respiratory diagnoses except signs, symptoms & minor diagnoses$9,271$5,470$2,596
74163Cardiac valve procedures w/o AMI or complex PDXNRNRNR
75950Extensive Procedure Unrelated to Principal Diagnosis$50,463$29,773$14,130

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 2016 - March 2017
 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)$7,147$4,217$2,001$15,483$9,135$4,335
Colonoscopy and Biopsy 45380)$6,310$3,723$1,767$7,409$4,371$2,075
Lesion Removal Colonoscopy by Snare Technique 45385)$6,251$3,688$1,750$7,173$4,232$2,008
Upper GI Endoscopy with Biopsy 43239)$6,084$3,590$1,704$7,821$4,615$2,190
Diagnostic Colonoscopy 45378)$5,774$3,407$1,617$7,035$4,151$1,970
Injection into Lumbar or Sacral Area, Single Level 64483)$1,384$816$387$1,443$851$404
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$1,406$830$394$1,583$934$443
Drain/Inject Major Joint or Bursa 20610)$1,294$763$362$1,377$812$386
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$5,678$3,350$1,590$13,182$7,777$3,691
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$5,643$3,330$1,580NRNRNR
Carpal Tunnel Surgery 64721)$7,804$4,604$2,185$9,524$5,619$2,667
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$21,287$12,559$5,960$48,662$28,710$13,625
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$5,509$3,250$1,543$7,150$4,218$2,002
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$6,349$3,746$1,778$7,498$4,424$2,099
Creation of Eardrum Opening 69436)$14,812$8,739$4,147$29,415$17,355$8,236
Left Heart Artery/Ventricle Angiography 93458)$11,344$6,693$3,176$19,298$11,386$5,403
Unlisted Dental Surgery Procedure 41899)$19,905$11,744$5,573$22,264$13,136$6,234
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$1,407$830$394$1,447$854$405
After Cataract Laser Surgery 66821)$1,209$713$339$2,041$1,204$571
Laparoscopic Cholecystectomy 47562)$25,630$15,122$7,176$25,386$14,977$7,108
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee 62323)$1,286$759$360$1,525$900$427
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Esophageal Endoscopy with Dilation 43249)$8,302$4,898$2,324$8,850$5,221$2,478
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$36,001$21,240$10,080
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$2,062$1,216$577$2,062$1,216$577
Removal of Tonsils And Adenoids - < Age 12 42820)NRNRNRNRNRNR
Hysteroscopy with Biopsy 58558)$16,365$9,655$4,582$17,462$10,302$4,889
Cataract Surgery- Complex 66982)$8,076$4,765$2,261$14,626$8,629$4,095
Cystourethroscopy with Lithotripsy and Stent 52356)$20,281$11,966$5,679$21,746$12,830$6,089
Incision of Finger Tendon Sheath 26055)$7,282$4,296$2,039$8,758$5,167$2,452
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$17,776$10,488$4,977$19,742$11,648$5,528
Laparoscopic Hernia Repair - Initial 49650)$27,936$16,482$7,822$30,595$18,051$8,566
Unlisted Cystourethoscopy 52000)$8,524$5,029$2,387$10,989$6,483$3,077
Uppr GI Endoscopy with Guide Wire 43248)$7,502$4,426$2,101$8,045$4,747$2,253
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$15,547$9,172$4,353$21,774$12,846$6,097
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$30,781$18,160$8,619$31,588$18,637$8,845
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$22,178$13,085$6,210NRNRNR
Destruction of Benign Lesions up to 14 Lesions 17110)$9,018$5,321$2,525NRNRNR
Cystourethroscopy with Stent 52332)$8,916$5,261$2,497$14,083$8,309$3,943
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$25,037$14,772$7,010$29,021$17,122$8,126
Mastectomy, Partial 19301)$12,397$7,314$3,471$27,390$16,160$7,669
Laparoscopic Appendectomy 44970)$25,713$15,171$7,200$32,851$19,382$9,198
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$17,222$10,161$4,822$14,746$8,700$4,129
Removal of Tonsils 42826)$14,744$8,699$4,128$18,646$11,001$5,221
Laparoscopy, Removal of Tubes & Ovaries 58571)$44,558$26,289$12,476$56,879$33,559$15,926
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNR$45,382$26,776$12,707
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNR$1,433$845$401
Low Back Disk Surgery 63030)$31,492$18,580$8,818$32,479$19,163$9,094
Repair of Nasal Septum 30520)$19,642$11,589$5,500$22,744$13,419$6,368
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)$1,463$863$410NRNRNR
Needle Biopsy of Liver 47000)$7,220$4,260$2,022$9,225$5,443$2,583
Debridement Skin/Tissue 11042)$15,865$9,360$4,442$15,508$9,150$4,342
Fragmenting of Kidney Stone 50590)NRNRNR$40,604$23,957$11,369
Coronary Artery Angio S&I 93454)$11,246$6,635$3,149$20,822$12,285$5,830
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Aspirate Pleura with Imaging 32555)$10,189$6,012$2,853$13,940$8,225$3,903
Bone Marrow Biopsy 38221)$20,545$12,122$5,753NRNRNR
Diagnostic Laryngoscopy 31575)$8,209$4,843$2,299NRNRNR
Correction of Bunion 28296)$17,243$10,174$4,828$21,261$12,544$5,953
Hysteroscopy with Ablation 58563)$24,181$14,267$6,771$13,534$7,985$3,790
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNR$29,874$17,626$8,365
Removal of Adenoids 42830)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)$12,881$7,600$3,607$21,342$12,592$5,976
Injection of chemical agent into muscles near face/neck 64615)NRNRNRNRNRNR
Biopsy of lung or mediastinum, percutaneous w/needle 32405)NRNRNRNRNRNR
Removal of Central Venous Device w Port or Pump 36590)NRNRNR$16,876$9,957$4,725
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Repair of wrist joints 25447)$21,037$12,412$5,890$22,275$13,142$6,237
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.