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:  July 2016 - June 2017
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,972$1,724$802
2560Vaginal Delivery$12,356$7,166$3,336
3720Blood Infection/Septicemia$18,276$10,600$4,935
4302Knee Replacement$77,566$44,988$20,943
5194Heart Failure$12,539$7,273$3,386
6540Cesarean Delivery$18,934$10,982$5,112
7301Hip Replacement$65,938$38,244$17,803
8751Psychoses$11,533$6,689$3,114
9139Pneumonia$15,528$9,006$4,193
10140Chronic Obstructive Pulmonary Disease$11,218$6,506$3,029
11753Bipolar Disorders$7,327$4,250$1,978
12201Heart Abnormal Rhythm and Conduction Disorders$9,980$5,788$2,695
13775Alcohol Abuse/Dependence$13,232$7,675$3,573
14383Cellulitis & other skin infections$13,920$8,074$3,758
15045Stroke and Precerebral Occlusion with Infarct$20,579$11,936$5,556
16133Respiratory failure$15,475$8,976$4,178
17463Kidney/Urinary Tract Infection$14,977$8,687$4,044
18221Major Bowel Procedures$60,695$35,203$16,388
19174Percutaneous coronary intervention w AMI$62,928$36,498$16,991
20750Schizophrenia$9,031$5,238$2,438
21420Diabetes$12,953$7,513$3,497
22469Acute Kidney Injury$23,558$13,664$6,361
23754Depression$4,676$2,712$1,263
24282Disorders of Pancreas Except Malignancy$19,982$11,590$5,395
25247Intestinal Obstruction without Surgery$17,789$10,318$4,803
26254Other Digestive System Diagnoses$19,072$11,062$5,149
27812Poisoning of Medicinal Agents$10,172$5,900$2,746
28308Hip & femur fracture repair$63,539$36,853$17,156
29710Infectious & parasitic diseases including HIV w O.R. procedure$28,779$16,692$7,770
30773Opioid Abuse/Dependence$11,261$6,531$3,040
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$74,490$43,204$20,112
32190Circulatory Disorders with Heart Attack$30,992$17,975$8,368
33053Seizure$17,867$10,363$4,824
34175Percutaneous coronary intervention w/o AMI$62,502$36,251$16,876
35249Other gastroenteritis, nausea & vomiting$15,807$9,168$4,268
36058Other Disorders of Nervous System$18,438$10,694$4,978
37137Respiratory Infections and Inflammations$22,157$12,851$5,982
38134Pulmonary Embolism$18,460$10,707$4,984
39263Laparoscopic Cholecystectomy$36,079$20,926$9,741
40244Diverticulitis & Diverticulosis$20,302$11,775$5,482
41192Cardiac catheterization for other non-coronary conditions$24,067$13,959$6,498
42861Signs & Symptoms$10,718$6,216$2,894
43347Other Back/Neck Disorders, Fractures, Injuries$22,365$12,972$6,039
44253Other and Unspecified Gastrointestinal Hemorrhage$21,991$12,755$5,938
45241Peptic Ulcer/Gastritis$16,892$9,797$4,561
46466Malfunction, reaction, complic of genitourinary device or procNRNRNR
47313Other Knee/Lower Leg Surgery$59,592$34,563$16,090
48425Other Electrolyte DisordersNRNRNR
49315Shoulder, upper arm & forearm procedures except joint replacement$44,033$25,539$11,889
50248Major G.I. Bacterial Infections$14,063$8,157$3,797
51351Other Musculoskeletal System and Connective Tissue Diagnoses$18,603$10,790$5,023
52951Moderately Extensive Procedure Unrelated to Diagnosis$36,039$20,903$9,731
53024Extracranial Vascular Procedures$50,935$29,542$13,752
54113Epiglottitis, Ear Infection, URI and Laryngotracheitis$11,438$6,634$3,088
55021Craniotomy Except For Trauma$64,559$37,444$17,431
56663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$17,596$10,206$4,751
57862Other Factors Influencing Health Status$13,210$7,662$3,567
58321Upper Spinal Fusion$73,916$42,871$19,957
59566Other Antepartum Diagnoses$9,928$5,758$2,681
60055Head trauma w coma >1 hr or hemorrhage$16,991$9,855$4,588
61422Hypovolemia$13,750$7,975$3,713
62166Coronary bypass w/o AMI or complex PDXNRNRNR
63197Peripheral and Other Vascular Disorders$18,832$10,923$5,085
64181Lower Extremity Arterial Procedures$77,325$44,849$20,878
65052Nontraumatic stupor & coma$18,482$10,720$4,990
66141Asthma$13,426$7,787$3,625
67460Renal FailureNRNRNR
68755Neuroses Other Than Depression$19,015$11,029$5,134
69225Appendectomy$35,603$20,650$9,613
70721Postoperative and Post-Traumatic Infections$12,278$7,121$3,315
71143Other respiratory diagnoses except signs, symptoms & minor diagnoses$9,427$5,468$2,545
72144Respiratory System Signs, Symptoms and Minor Diagnoses$16,497$9,568$4,454
73163Cardiac valve procedures w/o AMI or complex PDX$158,517$91,940$42,800
74204Fainting and Collapse$5,977$3,467$1,614
75639Neonate Birthwt >2499g with Other Significant Condition$5,480$3,178$1,480

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:  July 2016 - June 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)$7,312$4,241$1,974$15,819$9,175$4,271
Colonoscopy and Biopsy 45380)$6,508$3,774$1,757$7,533$4,369$2,034
Lesion Removal Colonoscopy by Snare Technique 45385)$6,429$3,729$1,736$7,267$4,215$1,962
Upper GI Endoscopy with Biopsy 43239)$6,185$3,587$1,670$7,946$4,609$2,146
Diagnostic Colonoscopy 45378)$5,973$3,464$1,613$7,231$4,194$1,952
Injection into Lumbar or Sacral Area, Single Level 64483)$1,406$816$380$1,494$867$403
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$1,406$816$380$1,610$934$435
Drain/Inject Major Joint or Bursa 20610)$1,294$750$349$1,495$867$404
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$5,758$3,340$1,555$10,136$5,879$2,737
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$5,754$3,337$1,554$7,671$4,449$2,071
Carpal Tunnel Surgery 64721)$7,956$4,615$2,148$10,272$5,958$2,773
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee 62323)$1,422$825$384$1,554$901$420
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$21,612$12,535$5,835$53,503$31,032$14,446
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$5,600$3,248$1,512$7,202$4,177$1,944
Creation of Eardrum Opening 69436)$12,022$6,973$3,246$23,936$13,883$6,463
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$6,426$3,727$1,735$7,498$4,349$2,025
Left Heart Artery/Ventricle Angiography 93458)$11,389$6,606$3,075$18,798$10,903$5,075
Unlisted Dental Surgery Procedure 41899)$19,085$11,069$5,153$24,149$14,006$6,520
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$1,406$815$380$1,466$850$396
After Cataract Laser Surgery 66821)$1,209$701$326$2,041$1,183$551
Laparoscopic Cholecystectomy 47562)$25,770$14,947$6,958$25,486$14,782$6,881
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Esophageal Endoscopy with Dilation 43249)$8,458$4,906$2,284$9,058$5,254$2,446
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$2,062$1,196$557$2,062$1,196$557
Removal of Tonsils And Adenoids - < Age 12 42820)NRNRNRNRNRNR
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$36,070$20,920$9,739
Hysteroscopy with Biopsy 58558)$17,130$9,935$4,625$17,991$10,435$4,857
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)$1,463$848$395NRNRNR
Cataract Surgery- Complex 66982)$8,306$4,818$2,243$14,874$8,627$4,016
Cystourethroscopy with Lithotripsy and Stent 52356)$20,921$12,134$5,649$22,094$12,814$5,965
Incision of Finger Tendon Sheath 26055)$7,312$4,241$1,974$8,632$5,007$2,331
Laparoscopic Hernia Repair - Initial 49650)$27,803$16,126$7,507$31,582$18,318$8,527
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$18,142$10,522$4,898$19,709$11,431$5,321
Unlisted Cystourethoscopy 52000)$9,074$5,263$2,450$11,170$6,478$3,016
Uppr GI Endoscopy with Guide Wire 43248)$7,648$4,436$2,065$8,350$4,843$2,254
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$16,095$9,335$4,346$21,774$12,629$5,879
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$22,068$12,799$5,958NRNRNR
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$31,894$18,499$8,611$32,229$18,693$8,702
Destruction of Benign Lesions up to 14 Lesions 17110)$9,018$5,231$2,435NRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Cystourethroscopy with Stent 52332)$9,179$5,324$2,478$14,083$8,168$3,802
Laparoscopy - Removal of Adnexal Structures 58661)$25,227$14,631$6,811$30,523$17,704$8,241
Mastectomy, Partial 19301)$15,014$8,708$4,054$28,035$16,260$7,570
Debridement Skin/Tissue 11042)$15,808$9,169$4,268$18,485$10,721$4,991
Laparoscopic Appendectomy 44970)$25,415$14,741$6,862$32,828$19,040$8,864
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$17,729$10,283$4,787$14,746$8,553$3,982
Laparoscopy, Removal of Tubes & Ovaries 58571)$44,322$25,707$11,967$58,912$34,169$15,906
Removal of Tonsils 42826)$15,061$8,735$4,066$19,461$11,287$5,254
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNR$1,544$896$417
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNR$43,617$25,298$11,777
Low Back Disk Surgery 63030)$31,762$18,422$8,576$31,832$18,463$8,595
Repair of Nasal Septum 30520)$18,228$10,572$4,921$25,507$14,794$6,887
Fragmenting of Kidney Stone 50590)NRNRNR$40,604$23,551$10,963
Needle Biopsy of Liver 47000)$7,220$4,188$1,949$9,225$5,350$2,491
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Coronary Artery Angio S&I 93454)$11,372$6,596$3,070$22,552$13,080$6,089
Aspirate Pleura with Imaging 32555)$10,285$5,966$2,777NRNRNR
Bone Marrow Biopsy 38221)$20,545$11,916$5,547NRNRNR
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Hysteroscopy with Ablation 58563)$24,181$14,025$6,529$13,534$7,850$3,654
Injection of chemical agent into muscles near face/neck 64615)NRNRNRNRNRNR
Removal of Adenoids 42830)NRNRNRNRNRNR
Correction of Bunion 28296)$16,417$9,522$4,433$21,637$12,550$5,842
Biopsy of lung or mediastinum, percutaneous w/needle 32405)NRNRNRNRNRNR
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)$13,041$7,564$3,521$21,273$12,338$5,744
Shoulder Arthroscopy/Surgery 29824)NRNRNR$31,891$18,497$8,611
Exam of ear with microscope 92504)NRNRNRNRNRNR
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Removal of Central Venous Device w Port or Pump 36590)$8,057$4,673$2,175$16,876$9,788$4,556
Arthrocentesis, aspiration and/or Inj. major joint or bursa; w/US guidance 20611)NRNRNRNRNRNR
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.