Charges for 75 Most Common Types of Hospitalizations in Wisconsin: October 2011 - September 2012
(Uncomplicated Cases Only)

Estimated Insurance Payments * Rank APR- DRG  Description Median   Charge  Private Insurance Medicare 1 640 Normal Newborn, Birthweight 2500g+ $2,096 $1,383 $755 2 560 Vaginal Delivery $7,094 $4,682 $2,554 3 302 Knee Replacement $39,081 $25,793 $14,069 4 540 Cesarean Delivery $12,765 $8,425 $4,595 5 720 Blood Infection/Septicemia $10,417 $6,875 $3,750 6 139 Pneumonia $9,196 $6,069 $3,311 7 194 Heart Failure $8,976 $5,924 $3,231 8 301 Hip Replacement $43,205 $28,515 $15,554 9 753 Bipolar Disorders $10,515 $6,940 $3,785 10 751 Psychoses 0 0 0 11 201 Heart Abnormal Rhythm and Conduction Disorders $8,374 $5,527 $3,015 12 140 Chronic Obstructive Pulmonary Disease $9,541 $6,297 $3,435 13 775 Alchohol Abuse/Dependence $10,160 $6,706 $3,658 14 383 Cellulitis and Other Bacterial Skin Infections $7,269 $4,798 $2,617 15 463 Kidney/Urinary Tract Infection $9,177 $6,057 $3,304 16 460 Renal Failure $7,898 $5,213 $2,843 17 860 Rehabilitation $14,416 $9,515 $5,190 18 045 Stroke and Precerebral Occlusion with Infarct $15,394 $10,160 $5,542 19 221 Major Bowel Procedures $38,271 $25,259 $13,778 20 175 Angioplasty without Heart Attack $45,457 $30,002 $16,365 21 750 Schizophrenia $14,119 $9,319 $5,083 22 249 Gastroenteritis $10,513 $6,939 $3,785 23 254 Other Digestive System Diagnoses $10,501 $6,931 $3,780 24 174 Angioplasty with Heart Attack $47,433 $31,306 $17,076 25 247 Intestinal Obstruction without Surgery $11,264 $7,434 $4,055 26 754 Depression $5,322 $3,513 $1,916 27 812 Poisoning of Medicinal Agents $10,279 $6,784 $3,700 28 133 Pulmonary Edema/Respiratory Failure $7,646 $5,046 $2,753 29 420 Diabetes $11,016 $7,271 $3,966 30 137 Respiratory Infections and Inflammations $7,581 $5,003 $2,729 31 282 Disorders of Pancreas Except Malignancy $10,570 $6,976 $3,805 32 304 Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature $55,421 $36,578 $19,952 33 263 Laparoscopic Cholecystectomy $26,185 $17,282 $9,427 34 861 Signs & Symptoms $6,465 $4,267 $2,327 35 134 Pulmonary Embolism $10,802 $7,129 $3,889 36 053 Seizure $11,326 $7,475 $4,077 37 308 Hip/Thigh Surgery with Trauma Diagnosis $44,318 $29,250 $15,954 38 347 Other Back/Neck Disorders, Fractures, Injuries $11,382 $7,512 $4,098 39 225 Appendectomy $25,161 $16,606 $9,058 40 190 Circulatory Disorders with Heart Attack $16,813 $11,097 $6,053 41 513 Uterine Procedures without Tumor $27,093 $17,881 $9,753 42 173 Other Vascular Procedures $46,370 $30,604 $16,693 43 241 Peptic Ulcer/Gastritis $10,856 $7,165 $3,908 44 313 Other Knee/Lower Leg Surgery $32,579 $21,502 $11,728 45 244 Diverticulitis & Diverticulosis $10,994 $7,256 $3,958 46 192 Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease $15,928 $10,512 $5,734 47 425 Other Electrolyte Disorders $8,052 $5,314 $2,899 48 315 Shoulder/Upper Arm, Forearm Surgery $30,413 $20,073 $10,949 49 198 Chest Pain with Angina Pectoris or Coronary Atherosclerosis $9,974 $6,583 $3,591 50 204 Fainting and Collapse $8,411 $5,551 $3,028 51 663 Red Blood Cell Disorders Except Sickle Cell Anemia Crisis $9,520 $6,283 $3,427 52 351 Other Musculoskeletal System and Connective Tissue Diagnoses $11,843 $7,816 $4,263 53 141 Asthma $9,580 $6,323 $3,449 54 248 Major G.I. Bacterial Infections $13,054 $8,616 $4,699 55 197 Peripheral and Other Vascular Disorders $5,900 $3,894 $2,124 56 253 Other and Unspecified Gastrointestinal Hemorrhage $14,012 $9,248 $5,044 57 310 Back/Neck Procedures Except Dorsal and Lumbar Fusion $24,324 $16,054 $8,757 58 321 Upper Spinal Fusion $42,517 $28,061 $15,306 59 191 Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease $18,853 $12,443 $6,787 60 024 Extracranial Vascular Procedures $56,537 $37,314 $20,353 61 721 Postoperative and Post-Traumatic Infections $12,604 $8,319 $4,537 62 773 Opioid Abuse/Dependence 0 0 0 63 144 Respiratory System Signs, Symptoms and Minor Diagnoses $8,887 $5,865 $3,199 64 693 Chemotherapy $27,428 $18,102 $9,874 65 422 Hypovolemia $5,668 $3,741 $2,040 66 566 Other Antepartum Diagnoses $10,205 $6,735 $3,674 67 755 Neuroses Other Than Depression $10,113 $6,675 $3,641 68 203 Chest Pain $10,118 $6,678 $3,642 69 047 Transient Ischemia $14,634 $9,658 $5,268 70 251 Abdominal Pain $8,145 $5,376 $2,932 71 143 Pneumothorax & Pleural Effusion $9,461 $6,244 $3,406 72 021 Craniotomy Except For Trauma $46,205 $30,495 $16,634 73 466 Malfunctions, Reactions & Comp Of Gu Device, Graft Or Transplant 0 0 0 74 058 Other Disorders of Nervous System $12,771 $8,429 $4,598 75 710 Infectious & parasitic diseases including HIV w O.R. procedure 0 0 0 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.

Information about quality and safety of care for Froedtert Memorial Lutheran Hospital may be found at http://www.wicheckpoint.org