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 2013 - June 2014
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,139$1,348$706
2560Vaginal Delivery$9,206$5,800$3,038
3720Blood Infection/Septicemia$12,770$8,045$4,214
4302Knee Replacement$52,507$33,079$17,327
5540Cesarean Delivery$17,397$10,960$5,741
6194Heart Failure$9,704$6,114$3,202
7139Pneumonia$7,834$4,935$2,585
8301Hip Replacement$58,654$36,952$19,356
9751Psychoses$23,573$14,851$7,779
10753Bipolar DisordersNRNRNR
11140Chronic Obstructive Pulmonary Disease$8,547$5,385$2,821
12201Heart Abnormal Rhythm and Conduction Disorders$8,318$5,240$2,745
13383Cellulitis and Other Bacterial Skin Infections$9,534$6,006$3,146
14775Alcohol Abuse/Dependence$10,876$6,852$3,589
15460Renal Failure$15,774$9,938$5,205
16045Stroke and Precerebral Occlusion with Infarct$17,551$11,057$5,792
17463Kidney/Urinary Tract Infection$12,191$7,680$4,023
18860Rehabilitation$18,592$11,713$6,135
19221Major Bowel Procedures$49,719$31,323$16,407
20133Pulmonary Edema/Respiratory FailureNRNRNR
21750SchizophreniaNRNRNR
22174Angioplasty with Heart Attack$48,493$30,551$16,003
23254Other Digestive System Diagnoses$12,711$8,008$4,195
24247Intestinal Obstruction without Surgery$10,596$6,675$3,497
25420Diabetes$7,375$4,646$2,434
26282Disorders of Pancreas Except Malignancy$13,334$8,400$4,400
27754Depression$4,425$2,788$1,460
28249Gastroenteritis$9,906$6,241$3,269
29304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$66,516$41,905$21,950
30812Poisoning of Medicinal Agents$7,715$4,860$2,546
31175Angioplasty without Heart Attack$55,411$34,909$18,286
32053Seizure$16,162$10,182$5,333
33137Respiratory Infections and Inflammations$15,052$9,483$4,967
34308Hip/Thigh Surgery with Trauma Diagnosis$46,068$29,023$15,202
35263Laparoscopic Cholecystectomy$28,032$17,660$9,251
36134Pulmonary Embolism$13,426$8,458$4,431
37173Other Vascular Procedures$53,402$33,643$17,623
38190Circulatory Disorders with Heart Attack$18,479$11,642$6,098
39347Other Back/Neck Disorders, Fractures, Injuries$13,408$8,447$4,425
40244Diverticulitis & Diverticulosis$11,494$7,241$3,793
41425Other Electrolyte Disorders$8,158$5,140$2,692
42315Shoulder/Upper Arm, Forearm Surgery$36,256$22,841$11,964
43241Peptic Ulcer/Gastritis$10,407$6,556$3,434
44861Signs & Symptoms$8,594$5,414$2,836
45313Other Knee/Lower Leg Surgery$46,863$29,524$15,465
46253Other and Unspecified Gastrointestinal Hemorrhage$14,093$8,879$4,651
47351Other Musculoskeletal System and Connective Tissue Diagnoses$17,510$11,031$5,778
48663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$9,782$6,163$3,228
49225Appendectomy$26,910$16,953$8,880
50248Major G.I. Bacterial Infections$8,361$5,267$2,759
51191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$19,459$12,259$6,421
52141Asthma$9,628$6,066$3,177
53024Extracranial Vascular Procedures$64,267$40,488$21,208
54192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$20,146$12,692$6,648
55721Postoperative and Post-Traumatic Infections$10,999$6,929$3,630
56321Upper Spinal Fusion$67,240$42,361$22,189
57197Peripheral and Other Vascular Disorders$11,418$7,193$3,768
58773Opioid Abuse/Dependence$8,125$5,119$2,681
59693Chemotherapy$32,139$20,248$10,606
60710Infectious & parasitic diseases including HIV w O.R. procedure$65,409$41,208$21,585
61204Fainting and Collapse$8,320$5,242$2,746
62466Malfunction, reaction, complic of genitourinary device or proc$3,803$2,396$1,255
63566Other Antepartum Diagnoses$14,796$9,321$4,883
64021Craniotomy Except For Trauma$54,726$34,477$18,060
65198Chest Pain with Angina Pectoris or Coronary Atherosclerosis$9,756$6,146$3,219
66144Respiratory System Signs, Symptoms and Minor Diagnoses$9,295$5,856$3,067
67310Back/Neck Procedures Except Dorsal and Lumbar Fusion$32,133$20,244$10,604
68163Heart Valve Procedures without Cardiac Catheterization$124,102$78,184$40,954
69143Other respiratory diagnoses except signs, symptoms & minor diagnoses$7,980$5,027$2,633
70052Nontraumatic stupor & coma$18,921$11,920$6,244
71513Uterine Procedures without Tumor$31,886$20,088$10,522
72422Hypovolemia$9,066$5,712$2,992
73755Neuroses Other Than Depression$8,830$5,563$2,914
74055Head trauma w coma >1 hr or hemorrhage$16,274$10,253$5,370
75165Coronary Bypass with Cardiac Catheterization$128,740$81,106$42,484

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 2013 - June 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)$6,502$4,096$2,146$13,158$8,289$4,342
Colonoscopy and Biopsy 45380)$5,466$3,444$1,804$6,536$4,118$2,157
Upper GI Endoscopy with Biopsy 43239)$5,304$3,342$1,750$6,484$4,085$2,140
Diagnostic Colonoscopy 45378)$4,949$3,118$1,633$5,696$3,589$1,880
Lesion Removal Colonoscopy by Snare Technique 45385)$5,456$3,437$1,800$6,145$3,871$2,028
Injection into Lumbar or Sacral Area, Single Level 64483)$833$525$275$1,147$723$379
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$962$606$317$1,175$740$388
Drain/Inject Major Joint or Bursa 20610)$944$595$312$1,224$771$404
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$4,825$3,040$1,592$12,856$8,099$4,242
Carpal Tunnel Surgery 64721)$6,600$4,158$2,178$9,246$5,825$3,051
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$17,718$11,162$5,847$17,668$11,131$5,831
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$4,808$3,029$1,587$5,924$3,732$1,955
Uppr GI Endoscopy- Diagnostic 43235)$4,769$3,004$1,574$5,863$3,694$1,935
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$5,705$3,594$1,883$6,268$3,949$2,069
Left Heart Artery/Ventricle Angiography 93458)$9,932$6,257$3,278$15,736$9,914$5,193
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Creation of Eardrum Opening 69436)$14,978$9,436$4,943NRNRNR
Unlisted Dental Surgery Procedure 41899)$13,042$8,216$4,304$14,815$9,334$4,889
Laparoscopic Cholecystectomy 47562)$21,213$13,364$7,000$23,742$14,958$7,835
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$767$483$253$890$561$294
After Cataract Laser Surgery 66821)$978$616$323$8,655$5,453$2,856
Removal of Tonsils And Adenoids - < Age 12 42820)NRNRNRNRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$14,770$9,305$4,874$14,893$9,382$4,915
Arthroscopic Rotator Cuff Repair 29827)$26,836$16,907$8,856$29,103$18,335$9,604
Cataract Surgery- Complex 66982)$7,315$4,609$2,414$12,788$8,056$4,220
Hysteroscopy with Biopsy 58558)$15,904$10,020$5,248$16,822$10,598$5,551
Unlisted Cystourethoscopy 52000)$1,186$747$391$2,190$1,380$723
Esophageal Endoscopy with Dilation 43249)$6,125$3,859$2,021$6,615$4,168$2,183
ABD Paracentesis w/Imaging 49083)$1,688$1,064$557$2,551$1,607$842
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$29,024$18,285$9,578$25,708$16,196$8,484
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$18,103$11,405$5,974$25,013$15,758$8,254
Incision of Finger Tendon Sheath 26055)$7,110$4,479$2,346$8,853$5,577$2,921
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$13,793$8,689$4,552$15,685$9,881$5,176
Uppr GI Endoscopy with Guide Wire 43248)$5,822$3,668$1,921$6,162$3,882$2,033
Destruction of Benign Lesions up to 14 Lesions 17110)$205$129$67$400$252$132
Laparoscopic Hernia Repair - Initial 49650)$25,181$15,864$8,310$26,419$16,644$8,718
Destruction of Premalignant Lesion 17000)$205$129$67$329$207$109
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$297$187$98$579$365$191
Repair of Nasal Septum 30520)$19,166$12,074$6,325$18,383$11,581$6,066
Percutaneous Breast Biopsy with Device and Imaging 19103)NRNRNR$5,434$3,423$1,793
Cystourethroscopy with Stent 52332)$7,212$4,544$2,380$13,554$8,539$4,473
Laparoscopic Appendectomy 44970)$27,579$17,375$9,101$28,430$17,911$9,382
Removal of Tonsils 42826)$12,445$7,840$4,107$14,568$9,178$4,807
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$28,309$17,834$9,342$28,883$18,196$9,531
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$13,167$8,295$4,345$14,953$9,420$4,934
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Low Back Disk Surgery 63030)$22,612$14,246$7,462$23,460$14,780$7,742
Hysteroscopy with Ablation 58563)$18,275$11,513$6,031$26,343$16,596$8,693
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$5,809$3,660$1,917$11,784$7,424$3,889
Mastectomy, Partial 19301)$12,187$7,678$4,022$22,076$13,908$7,285
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$586$369$193$1,602$1,009$529
Coronary Artery Angio S&I 93454)$9,882$6,226$3,261$14,209$8,952$4,689
Colonoscopy with Lesion Removal 45383)$6,813$4,292$2,248$7,961$5,016$2,627
Correction of Bunion 28296)$11,748$7,401$3,877$14,844$9,352$4,899
Cystourethroscopy with Lithotripsy 52353)$13,739$8,655$4,534$17,141$10,799$5,657
Bone Marrow Biopsy 38221)$6,546$4,124$2,160$8,077$5,088$2,665
Remove Impacted Ear Wax 69210)$145$92$48NRNRNR
Needle Biopsy of Liver 47000)$3,974$2,503$1,311NRNRNR
Apheresis Plasma 36514)$4,001$2,521$1,320$6,909$4,353$2,280
Mohs Micrographic Tissue Removal 17311)$1,346$848$444$1,764$1,111$582
Laparoscopy - Removal of Adnexal Structures 58661)$24,160$15,220$7,973$30,056$18,935$9,918
Electro-Uroflowmetry - First 51741)$151$95$50$307$193$101
Right and Left Heart Artery/Ventricle Angiography 93460)$11,088$6,985$3,659$14,151$8,915$4,670
Aspirate Pleura with Imaging 32555)$1,476$930$487$7,066$4,452$2,332
Diagnostic Laryngoscopy 31575)$520$328$172$1,340$844$442
Insertion of Central Venous Catheter >= 5 years 36569)$3,919$2,469$1,293$4,615$2,908$1,523
Removal of Breast Lesion 19120)$10,167$6,405$3,355$14,092$8,878$4,650
Laparoscopy, Removal of Tubes & Ovaries 58571)$47,549$29,956$15,691$47,558$29,962$15,694
Excision Breast Lesion with Preoperative Placement Radiological Marker 19125)$15,082$9,501$4,977$13,662$8,607$4,508
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area 58662)$24,564$15,476$8,106$29,033$18,291$9,581
Shoulder Arthroscopy/Surgery 29824)NRNRNR$24,367$15,351$8,041
Debridement Skin/Tissue 11042)$8,620$5,431$2,845$14,534$9,156$4,796
Cystourethroscopy with Lithotripsy and Stent 52356)$16,673$10,504$5,502$18,327$11,546$6,048
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.