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 2014 - December 2014
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,279$1,436$752
2560Vaginal Delivery$9,614$6,057$3,173
3720Blood Infection/Septicemia$13,458$8,479$4,441
4302Knee Replacement$53,056$33,425$17,508
5540Cesarean Delivery$17,632$11,108$5,819
6194Heart Failure$9,882$6,226$3,261
7139Pneumonia$8,900$5,607$2,937
8301Hip Replacement$61,610$38,814$20,331
9751Psychoses$16,714$10,530$5,516
10753Bipolar DisordersNRNRNR
11140Chronic Obstructive Pulmonary Disease$10,476$6,600$3,457
12201Heart Abnormal Rhythm and Conduction Disorders$10,431$6,572$3,442
13775Alcohol Abuse/Dependence$9,705$6,114$3,203
14383Cellulitis and Other Bacterial Skin Infections$11,262$7,095$3,716
15460Renal Failure$9,257$5,832$3,055
16045Stroke and Precerebral Occlusion with Infarct$18,664$11,758$6,159
17463Kidney/Urinary Tract Infection$12,806$8,068$4,226
18860Rehabilitation$21,508$13,550$7,098
19221Major Bowel Procedures$53,074$33,437$17,514
20133Pulmonary Edema/Respiratory FailureNRNRNR
21750SchizophreniaNRNRNR
22174Angioplasty with Heart Attack$54,024$34,035$17,828
23254Other Digestive System Diagnoses$15,415$9,711$5,087
24247Intestinal Obstruction without Surgery$12,694$7,997$4,189
25282Disorders of Pancreas Except Malignancy$18,298$11,528$6,038
26420Diabetes$9,888$6,229$3,263
27754Depression$4,425$2,788$1,460
28249Gastroenteritis$12,871$8,109$4,247
29304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$68,714$43,290$22,676
30053Seizure$16,378$10,318$5,405
31137Respiratory Infections and Inflammations$15,052$9,483$4,967
32812Poisoning of Medicinal Agents$7,355$4,634$2,427
33308Hip/Thigh Surgery with Trauma Diagnosis$52,842$33,290$17,438
34134Pulmonary Embolism$13,891$8,751$4,584
35175Angioplasty without Heart Attack$60,605$38,181$20,000
36190Circulatory Disorders with Heart Attack$21,962$13,836$7,247
37173Other Vascular Procedures$62,598$39,437$20,657
38263Laparoscopic Cholecystectomy$30,322$19,103$10,006
39347Other Back/Neck Disorders, Fractures, Injuries$14,510$9,141$4,788
40244Diverticulitis & Diverticulosis$11,860$7,472$3,914
41425Other Electrolyte Disorders$8,683$5,470$2,865
42861Signs & Symptoms$8,075$5,087$2,665
43241Peptic Ulcer/Gastritis$16,205$10,209$5,348
44315Shoulder/Upper Arm, Forearm Surgery$44,454$28,006$14,670
45313Other Knee/Lower Leg Surgery$46,693$29,417$15,409
46253Other and Unspecified Gastrointestinal Hemorrhage$10,388$6,544$3,428
47141Asthma$12,171$7,668$4,016
48351Other Musculoskeletal System and Connective Tissue Diagnoses$23,998$15,119$7,919
49663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$11,220$7,069$3,703
50248Major G.I. Bacterial Infections$14,898$9,386$4,916
51773Opioid Abuse/Dependence$8,125$5,119$2,681
52191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$20,186$12,717$6,661
53710Infectious & parasitic diseases including HIV w O.R. procedure$31,397$19,780$10,361
54024Extracranial Vascular Procedures$64,931$40,907$21,427
55693Chemotherapy$36,101$22,744$11,913
56466Malfunction, reaction, complic of genitourinary device or procNRNRNR
57321Upper Spinal Fusion$62,186$39,177$20,521
58225Appendectomy$27,034$17,031$8,921
59721Postoperative and Post-Traumatic Infections$15,656$9,863$5,166
60197Peripheral and Other Vascular Disorders$12,595$7,935$4,156
61144Respiratory System Signs, Symptoms and Minor Diagnoses$15,289$9,632$5,045
62192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$19,617$12,359$6,474
63021Craniotomy Except For Trauma$55,480$34,952$18,308
64566Other Antepartum Diagnoses$14,149$8,914$4,669
65204Fainting and Collapse$18,651$11,750$6,155
66163Heart Valve Procedures without Cardiac Catheterization$111,563$70,285$36,816
67143Other respiratory diagnoses except signs, symptoms & minor diagnoses$7,555$4,760$2,493
68052Nontraumatic stupor & coma$15,208$9,581$5,019
69113Epiglottitis, Ear Infection, URI and Laryngotracheitis$15,087$9,505$4,979
70310Back/Neck Procedures Except Dorsal and Lumbar Fusion$33,629$21,186$11,098
71660Major hematologic/immunologic diag exc sickle cell crisis & coagul$19,946$12,566$6,582
72198Chest Pain with Angina Pectoris or Coronary Atherosclerosis$12,660$7,976$4,178
73755Neuroses Other Than Depression$31,656$19,943$10,446
74055Head trauma w coma >1 hr or hemorrhage$16,274$10,253$5,370
75422Hypovolemia$18,549$11,686$6,121

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 2014 - December 2014
 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)$6,529$4,113$2,155$16,428$10,349$5,421
Colonoscopy and Biopsy 45380)$5,625$3,544$1,856$6,683$4,210$2,205
Upper GI Endoscopy with Biopsy 43239)$5,525$3,481$1,823$6,777$4,270$2,236
Diagnostic Colonoscopy 45378)$5,050$3,181$1,666$5,869$3,697$1,937
Lesion Removal Colonoscopy by Snare Technique 45385)$5,759$3,628$1,901$6,501$4,096$2,145
Injection into Lumbar or Sacral Area, Single Level 64483)$1,264$797$417$1,331$838$439
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$1,289$812$425$1,369$863$452
Drain/Inject Major Joint or Bursa 20610)$1,113$701$367$1,227$773$405
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$5,005$3,153$1,652$12,856$8,099$4,242
Carpal Tunnel Surgery 64721)$6,500$4,095$2,145$8,833$5,565$2,915
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$18,174$11,450$5,997$17,668$11,131$5,831
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$4,961$3,126$1,637NRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$5,017$3,161$1,656$6,044$3,808$1,995
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$5,731$3,611$1,891$6,247$3,935$2,061
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Left Heart Artery/Ventricle Angiography 93458)$10,933$6,888$3,608$19,068$12,013$6,292
Creation of Eardrum Opening 69436)$12,475$7,859$4,117$16,176$10,191$5,338
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$1,278$805$422$1,219$768$402
Laparoscopic Cholecystectomy 47562)$22,562$14,214$7,445$24,397$15,370$8,051
Unlisted Dental Surgery Procedure 41899)$13,049$8,221$4,306$15,842$9,981$5,228
After Cataract Laser Surgery 66821)$4,936$3,110$1,629NRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)NRNRNRNRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$15,155$9,548$5,001$15,384$9,692$5,077
Cataract Surgery- Complex 66982)$7,404$4,665$2,443$11,457$7,218$3,781
Arthroscopic Rotator Cuff Repair 29827)$25,805$16,257$8,516$29,809$18,780$9,837
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$5,809$3,660$1,917$11,784$7,424$3,889
Hysteroscopy with Biopsy 58558)$16,376$10,317$5,404$16,366$10,311$5,401
ABD Paracentesis w/Imaging 49083)$1,576$993$520$5,478$3,451$1,808
Unlisted Cystourethoscopy 52000)$1,937$1,220$639$6,002$3,781$1,981
Esophageal Endoscopy with Dilation 43249)$6,468$4,075$2,134$7,104$4,475$2,344
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$25,383$15,991$8,376$33,492$21,100$11,052
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$13,675$8,616$4,513$16,726$10,537$5,519
Incision of Finger Tendon Sheath 26055)$7,126$4,489$2,352$8,343$5,256$2,753
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$315$198$104$646$407$213
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$18,480$11,643$6,098$25,013$15,758$8,254
Cystourethroscopy with Lithotripsy and Stent 52356)$16,930$10,666$5,587$16,964$10,687$5,598
Uppr GI Endoscopy with Guide Wire 43248)$5,838$3,678$1,926$6,625$4,174$2,186
Destruction of Premalignant Lesion 17000)$223$140$74$311$196$102
Destruction of Benign Lesions up to 14 Lesions 17110)$205$129$67$419$264$138
Laparoscopic Hernia Repair - Initial 49650)$25,908$16,322$8,550$25,857$16,290$8,533
Biopsy breast w/stereotactic image; 1 lesion 19081)$7,310$4,605$2,412NRNRNR
Laparoscopic Appendectomy 44970)$25,300$15,939$8,349$26,735$16,843$8,823
Cystourethroscopy with Stent 52332)$7,861$4,953$2,594$13,694$8,627$4,519
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Repair of Nasal Septum 30520)$23,753$14,964$7,838$17,716$11,161$5,846
Low Back Disk Surgery 63030)$24,733$15,582$8,162$26,683$16,810$8,805
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$13,362$8,418$4,409$15,763$9,931$5,202
Removal of Tonsils 42826)$13,387$8,434$4,418$15,331$9,658$5,059
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$36,841$23,210$12,157$34,409$21,677$11,355
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$1,180$744$389$1,355$853$447
Coronary Artery Angio S&I 93454)$10,654$6,712$3,516$15,501$9,765$5,115
Mastectomy, Partial 19301)$12,657$7,974$4,177$23,364$14,719$7,710
Hysteroscopy with Ablation 58563)$16,100$10,143$5,313$24,687$15,553$8,147
Apheresis Plasma 36514)$4,904$3,090$1,618NRNRNR
Remove Impacted Ear Wax 69210)$155$97$51NRNRNR
Needle Biopsy of Liver 47000)$4,061$2,558$1,340$7,550$4,756$2,491
Colonoscopy with Lesion Removal 45383)$7,043$4,437$2,324$7,030$4,429$2,320
Bone Marrow Biopsy 38221)NRNRNR$8,135$5,125$2,684
Laparoscopy - Removal of Adnexal Structures 58661)$24,859$15,661$8,203$33,152$20,886$10,940
Correction of Bunion 28296)$11,748$7,401$3,877$19,136$12,056$6,315
Electro-Uroflowmetry - First 51741)NRNRNR$307$193$101
Laparoscopy, Removal of Tubes & Ovaries 58571)$44,067$27,762$14,542$52,192$32,881$17,223
Debridement Skin/Tissue 11042)$10,512$6,623$3,469$14,781$9,312$4,878
Mohs Micrographic Tissue Removal 17311)$1,346$848$444$1,849$1,165$610
Aspirate Pleura with Imaging 32555)$1,557$981$514NRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)$11,825$7,450$3,902$17,128$10,791$5,652
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Removal of Breast Lesion 19120)$11,451$7,214$3,779$17,816$11,224$5,879
Diagnostic Laryngoscopy 31575)$576$363$190$10,874$6,851$3,588
Insertion of Central Venous Catheter >= 5 years 36569)$4,116$2,593$1,358NRNRNR
Removal of Central Venous Device w Port or Pump 36590)$5,916$3,727$1,952$19,397$12,220$6,401
Shoulder Arthroscopy/Surgery 29824)NRNRNR$29,117$18,343$9,608
Electronic analysis of implantable pump spine w/reprogram/refill 62369)NRNRNRNRNRNR
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNR$19,475$12,270$6,427
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.