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 2015 - March 2016
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,692$1,588$754
2560Vaginal Delivery$11,448$6,754$3,205
3720Blood Infection/Septicemia$15,666$9,243$4,386
4302Knee Replacement$47,225$27,863$13,223
5540Cesarean Delivery$17,901$10,562$5,012
6194Heart Failure$14,737$8,695$4,126
7301Hip Replacement$62,561$36,911$17,517
8139Pneumonia$14,420$8,508$4,038
9751PsychosesNRNRNR
10753Bipolar Disorders$12,346$7,284$3,457
11140Chronic Obstructive Pulmonary Disease$10,178$6,005$2,850
12775Alcohol Abuse/Dependence$9,058$5,344$2,536
13201Heart Abnormal Rhythm and Conduction Disorders$9,477$5,591$2,654
14383Cellulitis and Other Bacterial Skin Infections$11,808$6,967$3,306
15460Renal Failure$11,405$6,729$3,193
16045Stroke and Precerebral Occlusion with Infarct$20,516$12,104$5,744
17133Pulmonary Edema/Respiratory FailureNRNRNR
18463Kidney/Urinary Tract Infection$16,576$9,780$4,641
19221Major Bowel Procedures$53,727$31,699$15,044
20174Angioplasty with Heart Attack$59,793$35,278$16,742
21754Depression$14,290$8,431$4,001
22247Intestinal Obstruction without Surgery$16,670$9,835$4,668
23750SchizophreniaNRNRNR
24420Diabetes$11,702$6,904$3,277
25282Disorders of Pancreas Except Malignancy$16,230$9,576$4,544
26254Other Digestive System Diagnoses$15,145$8,936$4,241
27812Poisoning of Medicinal Agents$13,704$8,085$3,837
28304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$69,930$41,259$19,580
29053Seizure$16,871$9,954$4,724
30137Respiratory Infections and Inflammations$9,511$5,611$2,663
31173Other Vascular Procedures$76,741$45,277$21,487
32249Gastroenteritis$14,970$8,832$4,192
33190Circulatory Disorders with Heart Attack$23,810$14,048$6,667
34134Pulmonary Embolism$11,944$7,047$3,344
35308Hip/Thigh Surgery with Trauma Diagnosis$50,434$29,756$14,122
36263Laparoscopic Cholecystectomy$32,706$19,297$9,158
37315Shoulder/Upper Arm, Forearm Surgery$37,720$22,255$10,562
38244Diverticulitis & Diverticulosis$15,442$9,111$4,324
39710Infectious & parasitic diseases including HIV w O.R. procedure$50,006$29,504$14,002
40773Opioid Abuse/Dependence$22,367$13,197$6,263
41860Rehabilitation$9,951$5,871$2,786
42175Angioplasty without Heart Attack$66,192$39,053$18,534
43861Signs & Symptoms$16,824$9,926$4,711
44425Other Electrolyte Disorders$11,354$6,699$3,179
45347Other Back/Neck Disorders, Fractures, Injuries$14,330$8,455$4,012
46241Peptic Ulcer/Gastritis$14,047$8,288$3,933
47253Other and Unspecified Gastrointestinal Hemorrhage$21,201$12,509$5,936
48313Other Knee/Lower Leg Surgery$45,354$26,759$12,699
49191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$19,399$11,445$5,432
50351Other Musculoskeletal System and Connective Tissue Diagnoses$13,944$8,227$3,904
51058Other Disorders of Nervous System$17,907$10,565$5,014
52248Major G.I. Bacterial Infections$11,776$6,948$3,297
53024Extracranial Vascular Procedures$69,878$41,228$19,566
54466Malfunction, reaction, complic of genitourinary device or procNRNRNR
55663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$13,605$8,027$3,809
56141Asthma$12,302$7,258$3,445
57693Chemotherapy$31,920$18,833$8,938
58721Postoperative and Post-Traumatic Infections$18,628$10,991$5,216
59321Upper Spinal Fusion$71,889$42,415$20,129
60197Peripheral and Other Vascular Disorders$9,647$5,692$2,701
61021Craniotomy Except For Trauma$58,322$34,410$16,330
62225Appendectomy$30,477$17,981$8,534
63566Other Antepartum Diagnoses$7,815$4,611$2,188
64055Head trauma w coma >1 hr or hemorrhage$13,756$8,116$3,852
65755Neuroses Other Than Depression$10,807$6,376$3,026
66052Nontraumatic stupor & coma$16,454$9,708$4,607
67192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$18,264$10,776$5,114
68163Heart Valve Procedures without Cardiac Catheterization$182,421$107,628$51,078
69144Respiratory System Signs, Symptoms and Minor Diagnoses$13,475$7,950$3,773
70143Other respiratory diagnoses except signs, symptoms & minor diagnoses$13,864$8,180$3,882
71422Hypovolemia$23,101$13,630$6,468
72204Fainting and Collapse$11,985$7,071$3,356
73951Moderately Extensive Procedure Unrelated to Diagnosis$45,235$26,689$12,666
74639Neonate Birthwt >2499g with Other Significant Condition$4,171$2,461$1,168
75756Acute Adjust React Psychosocial Dysfunction$8,347$4,925$2,337

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 2015 - March 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)$6,728$3,969$1,884$17,111$10,096$4,791
Colonoscopy and Biopsy 45380)$5,974$3,524$1,673$7,142$4,214$2,000
Upper GI Endoscopy with Biopsy 43239)$5,890$3,475$1,649$7,396$4,364$2,071
Lesion Removal Colonoscopy by Snare Technique 45385)$6,204$3,660$1,737$6,960$4,106$1,949
Diagnostic Colonoscopy 45378)$5,478$3,232$1,534$6,639$3,917$1,859
Injection into Lumbar or Sacral Area, Single Level 64483)$1,312$774$367$1,348$795$377
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$1,398$825$391$1,423$839$398
Drain/Inject Major Joint or Bursa 20610)$1,161$685$325NRNRNR
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$5,450$3,216$1,526$10,174$6,003$2,849
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$5,461$3,222$1,529NRNRNR
Carpal Tunnel Surgery 64721)$7,341$4,331$2,056$10,999$6,490$3,080
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$19,985$11,791$5,596$40,686$24,005$11,392
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$5,318$3,137$1,489$6,488$3,828$1,817
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$5,959$3,516$1,668$6,760$3,988$1,893
Left Heart Artery/Ventricle Angiography 93458)$12,170$7,181$3,408$19,455$11,478$5,447
Creation of Eardrum Opening 69436)$11,666$6,883$3,266$25,105$14,812$7,029
Unlisted Dental Surgery Procedure 41899)$16,883$9,961$4,727$19,891$11,735$5,569
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$1,313$775$368$1,371$809$384
Laparoscopic Cholecystectomy 47562)$23,584$13,915$6,604$26,267$15,498$7,355
After Cataract Laser Surgery 66821)$1,188$701$333$1,312$774$367
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Cataract Surgery- Complex 66982)$7,567$4,465$2,119$16,176$9,544$4,529
Removal of Tonsils And Adenoids - < Age 12 42820)NRNRNRNRNRNR
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$36,425$21,491$10,199
Hysteroscopy with Biopsy 58558)$16,400$9,676$4,592$19,188$11,321$5,373
Esophageal Endoscopy with Dilation 43249)$6,718$3,963$1,881$7,501$4,426$2,100
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$4,212$2,485$1,179$1,808$1,067$506
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$16,009$9,445$4,483$18,019$10,631$5,045
Incision of Finger Tendon Sheath 26055)$7,111$4,196$1,991$8,633$5,093$2,417
Unlisted Cystourethoscopy 52000)$7,066$4,169$1,979$12,341$7,281$3,456
Cystourethroscopy with Lithotripsy and Stent 52356)$18,030$10,638$5,048$18,250$10,768$5,110
Laparoscopic Hernia Repair - Initial 49650)$26,233$15,477$7,345$28,260$16,673$7,913
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$14,455$8,529$4,047$17,601$10,384$4,928
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$26,700$15,753$7,476$26,107$15,403$7,310
Uppr GI Endoscopy with Guide Wire 43248)$6,129$3,616$1,716$6,691$3,948$1,874
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$23,257$13,722$6,512NRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$24,167$14,259$6,767$29,231$17,246$8,185
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$1,351$797$378$1,340$791$375
Removal of Tonsils 42826)$14,750$8,703$4,130$18,008$10,625$5,042
Cystourethroscopy with Stent 52332)$8,157$4,813$2,284$10,597$6,252$2,967
Repair of Nasal Septum 30520)$17,233$10,168$4,825$19,424$11,460$5,439
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNR$43,744$25,809$12,248
Low Back Disk Surgery 63030)$27,573$16,268$7,720$26,098$15,398$7,307
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$15,135$8,930$4,238$19,035$11,230$5,330
Laparoscopy - Removal of Adnexal Structures 58661)$24,390$14,390$6,829$30,944$18,257$8,664
Mastectomy, Partial 19301)$13,255$7,820$3,711$25,435$15,007$7,122
Needle Biopsy of Liver 47000)$5,072$2,992$1,420NRNRNR
Debridement Skin/Tissue 11042)$12,256$7,231$3,432$18,162$10,716$5,085
Laparoscopy, Removal of Tubes & Ovaries 58571)$46,626$27,509$13,055$52,080$30,727$14,582
Coronary Artery Angio S&I 93454)$11,946$7,048$3,345$19,715$11,632$5,520
Aspirate Pleura with Imaging 32555)NRNRNRNRNRNR
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Hysteroscopy with Ablation 58563)$18,799$11,091$5,264$23,796$14,040$6,663
Diagnostic Laryngoscopy 31575)$6,897$4,069$1,931NRNRNR
Debridement, Open Wound <= 20 Square Centimeters 97597)NRNRNRNRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNR$30,389$17,929$8,509
Right and Left Heart Artery/Ventricle Angiography 93460)$13,813$8,150$3,868$20,353$12,008$5,699
Bone Marrow Biopsy 38221)NRNRNRNRNRNR
Correction of Bunion 28296)$12,805$7,555$3,586$16,997$10,028$4,759
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Removal of Adenoids 42830)NRNRNRNRNRNR
Ablation therapy of first vein of extremity 36475)NRNRNRNRNRNR
Electronic analysis of implantable pump spine w/reprogram/refill 62369)NRNRNRNRNRNR
Biopsy of lung or mediastinum, percutaneous w/needle 32405)NRNRNRNRNRNR
Removal of Central Venous Device w Port or Pump 36590)NRNRNR$13,688$8,076$3,833
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.