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:  January 2016 - December 2016
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,799$1,651$784
2560Vaginal Delivery$12,191$7,193$3,413
3720Blood Infection/Septicemia$18,276$10,783$5,117
4302Knee Replacement$67,869$40,043$19,003
5540Cesarean Delivery$18,448$10,884$5,165
6194Heart Failure$10,522$6,208$2,946
7301Hip Replacement$71,984$42,471$20,156
8751Psychoses$6,868$4,052$1,923
9139Pneumonia$19,518$11,516$5,465
10753Bipolar Disorders$5,108$3,014$1,430
11775Alcohol Abuse/Dependence$7,716$4,552$2,160
12140Chronic Obstructive Pulmonary Disease$11,548$6,813$3,233
13201Heart Abnormal Rhythm and Conduction Disorders$10,743$6,338$3,008
14045Stroke and Precerebral Occlusion with Infarct$20,689$12,207$5,793
15383Cellulitis & other skin infections$11,303$6,669$3,165
16133Respiratory failure$15,475$9,130$4,333
17463Kidney/Urinary Tract Infection$14,977$8,836$4,194
18221Major Bowel Procedures$56,883$33,561$15,927
19174Percutaneous coronary intervention w AMI$62,403$36,818$17,473
20754Depression$16,523$9,749$4,626
21460Renal Failure$9,323$5,501$2,610
22750SchizophreniaNRNRNR
23420Diabetes$10,405$6,139$2,913
24282Disorders of Pancreas Except Malignancy$17,916$10,570$5,016
25247Intestinal Obstruction without Surgery$16,638$9,816$4,659
26812Poisoning of Medicinal Agents$10,248$6,046$2,869
27254Other Digestive System Diagnoses$16,059$9,475$4,497
28710Infectious & parasitic diseases including HIV w O.R. procedure$37,715$22,252$10,560
29304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$71,585$42,235$20,044
30190Circulatory Disorders with Heart Attack$24,118$14,230$6,753
31773Opioid Abuse/Dependence$6,806$4,016$1,906
32053Seizure$18,138$10,701$5,079
33137Respiratory Infections and Inflammations$13,688$8,076$3,833
34058Other Disorders of Nervous System$17,906$10,565$5,014
35308Hip & femur fracture repair$61,119$36,060$17,113
36175Percutaneous coronary intervention w/o AMI$64,496$38,053$18,059
37263Laparoscopic Cholecystectomy$34,490$20,349$9,657
38134Pulmonary Embolism$18,460$10,891$5,169
39249Other gastroenteritis, nausea & vomiting$22,078$13,026$6,182
40244Diverticulitis & Diverticulosis$19,066$11,249$5,338
41315Shoulder, upper arm & forearm procedures except joint replacement$43,119$25,440$12,073
42861Signs & Symptoms$16,174$9,543$4,529
43347Other Back/Neck Disorders, Fractures, Injuries$20,699$12,212$5,796
44173Other Vascular Procedures$62,155$36,671$17,403
45253Other and Unspecified Gastrointestinal Hemorrhage$21,660$12,779$6,065
46313Other Knee/Lower Leg Surgery$54,286$32,029$15,200
47351Other Musculoskeletal System and Connective Tissue Diagnoses$15,034$8,870$4,210
48241Peptic Ulcer/Gastritis$15,427$9,102$4,320
49425Other Electrolyte Disorders$14,611$8,620$4,091
50466Malfunction, reaction, complic of genitourinary device or procNRNRNR
51862Other Factors Influencing Health Status$21,725$12,818$6,083
52248Major G.I. Bacterial Infections$12,997$7,668$3,639
53663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$13,390$7,900$3,749
54024Extracranial Vascular Procedures$54,475$32,140$15,253
55192Cardiac catheterization for other non-coronary conditions$26,396$15,574$7,391
56191Cardiac catheterization for coronary artery disease$20,358$12,011$5,700
57951Moderately Extensive Procedure Unrelated to Diagnosis$38,954$22,983$10,907
58021Craniotomy Except For Trauma$62,490$36,869$17,497
59566Other Antepartum Diagnoses$10,346$6,104$2,897
60197Peripheral and Other Vascular Disorders$11,689$6,897$3,273
61321Upper Spinal Fusion$74,458$43,930$20,848
62422Hypovolemia$13,495$7,962$3,779
63052Nontraumatic stupor & coma$24,643$14,539$6,900
64225Appendectomy$33,013$19,478$9,244
65950Extensive Procedure Unrelated to Principal Diagnosis$48,997$28,908$13,719
66220Major Stomach/Esophagus/Duodenum Procedures$54,317$32,047$15,209
67055Head trauma w coma >1 hr or hemorrhage$20,067$11,840$5,619
68141Asthma$15,775$9,307$4,417
69721Postoperative and Post-Traumatic Infections$18,417$10,866$5,157
70755Neuroses Other Than DepressionNRNRNR
71163Cardiac valve procedures w/o AMI or complex PDX$182,421$107,628$51,078
72143Other respiratory diagnoses except signs, symptoms & minor diagnoses$8,991$5,305$2,517
73166Coronary bypass w/o AMI or complex PDXNRNRNR
74204Fainting and Collapse$5,977$3,526$1,674
75144Respiratory System Signs, Symptoms and Minor Diagnoses$17,053$10,061$4,775

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:  January 2016 - December 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)$6,959$4,106$1,949$15,771$9,305$4,416
Colonoscopy and Biopsy 45380)$6,216$3,667$1,740$7,380$4,354$2,066
Lesion Removal Colonoscopy by Snare Technique 45385)$6,234$3,678$1,746$7,138$4,211$1,999
Upper GI Endoscopy with Biopsy 43239)$6,021$3,553$1,686$7,672$4,526$2,148
Diagnostic Colonoscopy 45378)$5,645$3,331$1,581$6,854$4,044$1,919
Injection into Lumbar or Sacral Area, Single Level 64483)$1,349$796$378$1,414$834$396
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$1,398$825$391$1,539$908$431
Drain/Inject Major Joint or Bursa 20610)$1,250$737$350$1,436$847$402
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$5,598$3,303$1,568$13,182$7,777$3,691
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$5,572$3,287$1,560NRNRNR
Carpal Tunnel Surgery 64721)$7,809$4,607$2,187$9,669$5,705$2,707
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$21,010$12,396$5,883$48,662$28,710$13,625
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$5,451$3,216$1,526$7,130$4,207$1,996
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$6,276$3,703$1,757$7,552$4,455$2,114
Creation of Eardrum Opening 69436)$17,206$10,151$4,818$25,105$14,812$7,029
Left Heart Artery/Ventricle Angiography 93458)$11,264$6,646$3,154$19,483$11,495$5,455
Unlisted Dental Surgery Procedure 41899)$18,507$10,919$5,182$20,963$12,368$5,870
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$1,407$830$394$1,400$826$392
After Cataract Laser Surgery 66821)$1,188$701$333$1,779$1,050$498
Laparoscopic Cholecystectomy 47562)$24,645$14,541$6,901$25,644$15,130$7,180
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)NRNRNRNRNRNR
Esophageal Endoscopy with Dilation 43249)$7,984$4,711$2,236$8,638$5,096$2,419
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$36,559$21,570$10,236
Cataract Surgery- Complex 66982)$7,885$4,652$2,208$15,102$8,910$4,229
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$2,062$1,216$577$2,728$1,609$764
Hysteroscopy with Biopsy 58558)$16,738$9,876$4,687$17,462$10,302$4,889
Cystourethroscopy with Lithotripsy and Stent 52356)$19,700$11,623$5,516$21,042$12,415$5,892
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$16,580$9,782$4,642$19,624$11,578$5,495
Incision of Finger Tendon Sheath 26055)$7,282$4,296$2,039$9,011$5,317$2,523
Laparoscopic Hernia Repair - Initial 49650)$27,480$16,213$7,694$28,292$16,692$7,922
Unlisted Cystourethoscopy 52000)$8,179$4,826$2,290$10,989$6,483$3,077
Uppr GI Endoscopy with Guide Wire 43248)$7,184$4,238$2,011$7,876$4,647$2,205
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$15,316$9,036$4,288$19,360$11,422$5,421
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$30,055$17,732$8,415$30,546$18,022$8,553
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$23,223$13,702$6,503NRNRNR
Destruction of Benign Lesions up to 14 Lesions 17110)$9,018$5,321$2,525NRNRNR
Laparoscopic Appendectomy 44970)$25,713$15,171$7,200$30,890$18,225$8,649
Cystourethroscopy with Stent 52332)$8,604$5,076$2,409$14,067$8,300$3,939
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$24,957$14,725$6,988$29,380$17,334$8,226
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$16,672$9,836$4,668$12,260$7,233$3,433
Mastectomy, Partial 19301)$12,587$7,426$3,524$26,069$15,381$7,299
Removal of Tonsils 42826)$14,346$8,464$4,017$18,646$11,001$5,221
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNR$46,799$27,612$13,104
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNR$1,433$845$401
Laparoscopy, Removal of Tubes & Ovaries 58571)$46,240$27,282$12,947$53,907$31,805$15,094
Low Back Disk Surgery 63030)$30,278$17,864$8,478$31,832$18,781$8,913
Repair of Nasal Septum 30520)$20,519$12,106$5,745$21,808$12,867$6,106
Fragmenting of Kidney Stone 50590)NRNRNR$40,604$23,957$11,369
Needle Biopsy of Liver 47000)$7,224$4,262$2,023$10,159$5,994$2,845
Aspirate Pleura with Imaging 32555)$9,922$5,854$2,778$13,940$8,225$3,903
Coronary Artery Angio S&I 93454)$11,192$6,603$3,134$19,955$11,773$5,587
Debridement Skin/Tissue 11042)$15,505$9,148$4,341$18,326$10,812$5,131
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Bone Marrow Biopsy 38221)$20,545$12,122$5,753NRNRNR
Correction of Bunion 28296)$18,445$10,882$5,164$21,261$12,544$5,953
Hysteroscopy with Ablation 58563)$19,458$11,480$5,448$13,534$7,985$3,790
Diagnostic Laryngoscopy 31575)$8,209$4,843$2,299NRNRNR
Transluminal balloon angioplasty, percutaneous, venous 35476)$17,538$10,348$4,911NRNRNR
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNR$29,891$17,636$8,370
Right and Left Heart Artery/Ventricle Angiography 93460)$12,853$7,583$3,599$21,323$12,581$5,970
Biopsy of lung or mediastinum, percutaneous w/needle 32405)NRNRNRNRNRNR
Removal of Adenoids 42830)NRNRNRNRNRNR
Removal of Central Venous Device w Port or Pump 36590)NRNRNR$18,752$11,063$5,250
Apheresis Plasma 36514)NRNRNRNRNRNR
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Injection of chemical agent into muscles near face/neck 64615)NRNRNRNRNRNR
Repair of wrist joints 25447)$18,568$10,955$5,199$20,665$12,192$5,786
Ablation therapy of first vein of extremity 36475)NRNRNR$19,816$11,691$5,548
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.