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$1,669$808
2560Vaginal Delivery$11,448$7,098$3,434
3720Blood Infection/Septicemia$15,666$9,713$4,700
4302Knee Replacement$47,225$29,280$14,168
5540Cesarean Delivery$17,901$11,099$5,370
6194Heart Failure$14,737$9,137$4,421
7301Hip Replacement$62,561$38,788$18,768
8139Pneumonia$14,420$8,940$4,326
9751PsychosesNRNRNR
10753Bipolar Disorders$12,346$7,655$3,704
11140Chronic Obstructive Pulmonary Disease$10,178$6,310$3,053
12775Alcohol Abuse/Dependence$9,058$5,616$2,717
13201Heart Abnormal Rhythm and Conduction Disorders$9,477$5,876$2,843
14383Cellulitis and Other Bacterial Skin Infections$11,808$7,321$3,542
15460Renal Failure$11,405$7,071$3,422
16045Stroke and Precerebral Occlusion with Infarct$20,516$12,720$6,155
17133Pulmonary Edema/Respiratory FailureNRNRNR
18463Kidney/Urinary Tract Infection$16,576$10,277$4,973
19221Major Bowel Procedures$53,727$33,311$16,118
20174Angioplasty with Heart Attack$59,793$37,072$17,938
21754Depression$14,290$8,860$4,287
22247Intestinal Obstruction without Surgery$16,670$10,335$5,001
23750SchizophreniaNRNRNR
24420Diabetes$11,702$7,255$3,511
25282Disorders of Pancreas Except Malignancy$16,230$10,063$4,869
26254Other Digestive System Diagnoses$15,145$9,390$4,544
27812Poisoning of Medicinal Agents$13,704$8,496$4,111
28304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$69,930$43,357$20,979
29053Seizure$16,871$10,460$5,061
30137Respiratory Infections and Inflammations$9,511$5,897$2,853
31173Other Vascular Procedures$76,741$47,579$23,022
32249Gastroenteritis$14,970$9,281$4,491
33190Circulatory Disorders with Heart Attack$23,810$14,762$7,143
34134Pulmonary Embolism$11,944$7,405$3,583
35308Hip/Thigh Surgery with Trauma Diagnosis$50,434$31,269$15,130
36263Laparoscopic Cholecystectomy$32,706$20,278$9,812
37315Shoulder/Upper Arm, Forearm Surgery$37,720$23,386$11,316
38244Diverticulitis & Diverticulosis$15,442$9,574$4,633
39710Infectious & parasitic diseases including HIV w O.R. procedure$50,006$31,004$15,002
40773Opioid Abuse/Dependence$22,367$13,868$6,710
41860Rehabilitation$9,951$6,170$2,985
42175Angioplasty without Heart Attack$66,192$41,039$19,858
43861Signs & Symptoms$16,824$10,431$5,047
44425Other Electrolyte Disorders$11,354$7,039$3,406
45347Other Back/Neck Disorders, Fractures, Injuries$14,330$8,885$4,299
46241Peptic Ulcer/Gastritis$14,047$8,709$4,214
47253Other and Unspecified Gastrointestinal Hemorrhage$21,201$13,145$6,360
48313Other Knee/Lower Leg Surgery$45,354$28,119$13,606
49191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$19,399$12,027$5,820
50351Other Musculoskeletal System and Connective Tissue Diagnoses$13,944$8,645$4,183
51058Other Disorders of Nervous System$17,907$11,102$5,372
52248Major G.I. Bacterial Infections$11,776$7,301$3,533
53024Extracranial Vascular Procedures$69,878$43,324$20,963
54466Malfunction, reaction, complic of genitourinary device or procNRNRNR
55663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$13,605$8,435$4,082
56141Asthma$12,302$7,627$3,691
57693Chemotherapy$31,920$19,790$9,576
58721Postoperative and Post-Traumatic Infections$18,628$11,549$5,588
59321Upper Spinal Fusion$71,889$44,571$21,567
60197Peripheral and Other Vascular Disorders$9,647$5,981$2,894
61021Craniotomy Except For Trauma$58,322$36,160$17,497
62225Appendectomy$30,477$18,896$9,143
63566Other Antepartum Diagnoses$7,815$4,845$2,345
64055Head trauma w coma >1 hr or hemorrhage$13,756$8,529$4,127
65755Neuroses Other Than Depression$10,807$6,700$3,242
66052Nontraumatic stupor & coma$16,454$10,201$4,936
67192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$18,264$11,324$5,479
68163Heart Valve Procedures without Cardiac Catheterization$182,421$113,101$54,726
69144Respiratory System Signs, Symptoms and Minor Diagnoses$13,475$8,355$4,043
70143Other respiratory diagnoses except signs, symptoms & minor diagnoses$13,864$8,596$4,159
71422Hypovolemia$23,101$14,323$6,930
72204Fainting and Collapse$11,985$7,431$3,596
73951Moderately Extensive Procedure Unrelated to Diagnosis$45,235$28,046$13,571
74639Neonate Birthwt >2499g with Other Significant Condition$4,171$2,586$1,251
75756Acute Adjust React Psychosocial Dysfunction$8,347$5,175$2,504

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$4,171$2,018$17,111$10,609$5,133
Colonoscopy and Biopsy 45380)$5,974$3,704$1,792$7,142$4,428$2,143
Upper GI Endoscopy with Biopsy 43239)$5,890$3,652$1,767$7,396$4,586$2,219
Lesion Removal Colonoscopy by Snare Technique 45385)$6,204$3,846$1,861$6,960$4,315$2,088
Diagnostic Colonoscopy 45378)$5,478$3,397$1,643$6,639$4,116$1,992
Injection into Lumbar or Sacral Area, Single Level 64483)$1,312$813$394$1,348$836$404
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$1,398$866$419$1,423$882$427
Drain/Inject Major Joint or Bursa 20610)$1,161$720$348NRNRNR
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$5,450$3,379$1,635$10,174$6,308$3,052
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$5,461$3,386$1,638NRNRNR
Carpal Tunnel Surgery 64721)$7,341$4,552$2,202$10,999$6,820$3,300
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$19,985$12,391$5,995$40,686$25,225$12,206
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$5,318$3,297$1,595$6,488$4,022$1,946
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$5,959$3,694$1,788$6,760$4,191$2,028
Left Heart Artery/Ventricle Angiography 93458)$12,170$7,546$3,651$19,455$12,062$5,836
Creation of Eardrum Opening 69436)$11,666$7,233$3,500$25,105$15,565$7,531
Unlisted Dental Surgery Procedure 41899)$16,883$10,468$5,065$19,891$12,332$5,967
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$1,313$814$394$1,371$850$411
Laparoscopic Cholecystectomy 47562)$23,584$14,622$7,075$26,267$16,286$7,880
After Cataract Laser Surgery 66821)$1,188$736$356$1,312$813$394
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Cataract Surgery- Complex 66982)$7,567$4,692$2,270$16,176$10,029$4,853
Removal of Tonsils And Adenoids - < Age 12 42820)NRNRNRNRNRNR
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$36,425$22,584$10,928
Hysteroscopy with Biopsy 58558)$16,400$10,168$4,920$19,188$11,897$5,756
Esophageal Endoscopy with Dilation 43249)$6,718$4,165$2,015$7,501$4,651$2,250
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$4,212$2,612$1,264$1,808$1,121$542
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$16,009$9,926$4,803$18,019$11,172$5,406
Incision of Finger Tendon Sheath 26055)$7,111$4,409$2,133$8,633$5,352$2,590
Unlisted Cystourethoscopy 52000)$7,066$4,381$2,120$12,341$7,652$3,702
Cystourethroscopy with Lithotripsy and Stent 52356)$18,030$11,179$5,409$18,250$11,315$5,475
Laparoscopic Hernia Repair - Initial 49650)$26,233$16,264$7,870$28,260$17,521$8,478
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$14,455$8,962$4,337$17,601$10,912$5,280
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$26,700$16,554$8,010$26,107$16,186$7,832
Uppr GI Endoscopy with Guide Wire 43248)$6,129$3,800$1,839$6,691$4,149$2,007
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$23,257$14,419$6,977NRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$24,167$14,984$7,250$29,231$18,123$8,769
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$838$405$1,340$831$402
Removal of Tonsils 42826)$14,750$9,145$4,425$18,008$11,165$5,403
Cystourethroscopy with Stent 52332)$8,157$5,057$2,447$10,597$6,570$3,179
Repair of Nasal Septum 30520)$17,233$10,685$5,170$19,424$12,043$5,827
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNR$43,744$27,121$13,123
Low Back Disk Surgery 63030)$27,573$17,095$8,272$26,098$16,181$7,829
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$15,135$9,384$4,541$19,035$11,801$5,710
Laparoscopy - Removal of Adnexal Structures 58661)$24,390$15,121$7,317$30,944$19,185$9,283
Mastectomy, Partial 19301)$13,255$8,218$3,976$25,435$15,770$7,630
Needle Biopsy of Liver 47000)$5,072$3,144$1,521NRNRNR
Debridement Skin/Tissue 11042)$12,256$7,599$3,677$18,162$11,261$5,449
Laparoscopy, Removal of Tubes & Ovaries 58571)$46,626$28,908$13,988$52,080$32,290$15,624
Coronary Artery Angio S&I 93454)$11,946$7,406$3,584$19,715$12,223$5,914
Aspirate Pleura with Imaging 32555)NRNRNRNRNRNR
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Hysteroscopy with Ablation 58563)$18,799$11,655$5,640$23,796$14,753$7,139
Diagnostic Laryngoscopy 31575)$6,897$4,276$2,069NRNRNR
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$18,841$9,117
Right and Left Heart Artery/Ventricle Angiography 93460)$13,813$8,564$4,144$20,353$12,619$6,106
Bone Marrow Biopsy 38221)NRNRNRNRNRNR
Correction of Bunion 28296)$12,805$7,939$3,842$16,997$10,538$5,099
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$8,486$4,106
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.