Meriter-UnityPoint Health
202 South Park Street
Madison, WI 53715
608-417-6000

Charges for 75 Most Common Hospitalizations in Wisconsin:  April 2013 - March 2014
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$5,259$2,787$1,315
2560Vaginal Delivery$7,433$3,939$1,858
3302Knee Replacement$39,272$20,814$9,818
4720Blood Infection/Septicemia$17,311$9,175$4,328
5540Cesarean Delivery$15,620$8,279$3,905
6139Pneumonia$10,857$5,754$2,714
7194Heart Failure$18,209$9,651$4,552
8301Hip Replacement$43,554$23,084$10,889
9751Psychoses$13,107$6,947$3,277
10753Bipolar Disorders$14,405$7,635$3,601
11140Chronic Obstructive Pulmonary Disease$12,939$6,858$3,235
12201Heart Abnormal Rhythm and Conduction Disorders$11,787$6,247$2,947
13383Cellulitis and Other Bacterial Skin Infections$10,174$5,392$2,544
14775Alchohol Abuse/Dependence$10,488$5,559$2,622
15460Renal Failure$35,271$18,694$8,818
16045Stroke and Precerebral Occlusion with Infarct$18,248$9,671$4,562
17463Kidney/Urinary Tract Infection$10,719$5,681$2,680
18860Rehabilitation$26,860$14,236$6,715
19221Major Bowel Procedures$36,669$19,435$9,167
20750Schizophrenia$10,528$5,580$2,632
21133Pulmonary Edema/Respiratory Failure$12,678$6,719$3,170
22174Angioplasty with Heart Attack$72,016$38,168$18,004
23254Other Digestive System Diagnoses$11,538$6,115$2,885
24247Intestinal Obstruction without Surgery$12,309$6,524$3,077
25175Angioplasty without Heart Attack$68,123$36,105$17,031
26420Diabetes$12,503$6,627$3,126
27282Disorders of Pancreas Except Malignancy$14,295$7,576$3,574
28249Gastroenteritis$12,914$6,844$3,229
29754Depression$17,331$9,185$4,333
30812Poisoning of Medicinal Agents$8,892$4,713$2,223
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$76,284$40,431$19,071
32137Respiratory Infections and Inflammations$22,566$11,960$5,642
33053Seizure$12,457$6,602$3,114
34308Hip/Thigh Surgery with Trauma Diagnosis$28,252$14,974$7,063
35263Laparoscopic Cholecystectomy$23,755$12,590$5,939
36134Pulmonary Embolism$14,149$7,499$3,537
37173Other Vascular Procedures$46,640$24,719$11,660
38190Circulatory Disorders with Heart Attack$31,861$16,886$7,965
39425Other Electrolyte Disorders$8,796$4,662$2,199
40347Other Back/Neck Disorders, Fractures, Injuries$15,161$8,035$3,790
41315Shoulder/Upper Arm, Forearm Surgery$26,044$13,803$6,511
42241Peptic Ulcer/Gastritis$15,413$8,169$3,853
43244Diverticulitis & Diverticulosis$13,673$7,247$3,418
44861Signs & Symptoms$10,846$5,748$2,712
45313Other Knee/Lower Leg Surgery$27,504$14,577$6,876
46253Other and Unspecified Gastrointestinal Hemorrhage$13,866$7,349$3,467
47225Appendectomy$22,684$12,023$5,671
48663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$20,321$10,770$5,080
49351Other Musculoskeletal System and Connective Tissue Diagnoses$14,716$7,799$3,679
50248Major G.I. Bacterial Infections$14,539$7,706$3,635
51192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$31,880$16,896$7,970
52141Asthma$7,313$3,876$1,828
53191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$32,122$17,025$8,031
54024Extracranial Vascular Procedures$25,430$13,478$6,358
55773Opioid Abuse/Dependence$6,993$3,706$1,748
56321Upper Spinal Fusion$34,485$18,277$8,621
57197Peripheral and Other Vascular Disorders$13,629$7,223$3,407
58721Postoperative and Post-Traumatic Infections$10,795$5,721$2,699
59204Fainting and Collapse$10,606$5,621$2,652
60198Chest Pain with Angina Pectoris or Coronary Atherosclerosis$12,977$6,878$3,244
61693Chemotherapy$13,871$7,352$3,468
62710Infectious & parasitic diseases including HIV w O.R. procedure$32,293$17,115$8,073
63144Respiratory System Signs, Symptoms and Minor Diagnoses$15,869$8,411$3,967
64466Malfunctions, Reactions & Comp Of Gu Device, Graft Or Transplant$18,105$9,596$4,526
65310Back/Neck Procedures Except Dorsal and Lumbar Fusion$25,389$13,456$6,347
66566Other Antepartum Diagnoses$5,967$3,163$1,492
67513Uterine Procedures without Tumor$24,500$12,985$6,125
68021Craniotomy Except For Trauma$86,751$45,978$21,688
69163Heart Valve Procedures without Cardiac Catheterization$129,584$68,680$32,396
70143Pneumothorax & Pleural Effusion$11,738$6,221$2,935
71422Hypovolemia$9,242$4,898$2,311
72755Neuroses Other Than Depression$10,314$5,466$2,579
73052Nontraumatic stupor & coma$14,790$7,839$3,698
74055Head trauma w coma >1 hr or hemorrhage$17,837$9,454$4,459
75047Transient Ischemia$11,156$5,913$2,789

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 2013 - March 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)$8,014$4,247$2,003NRNRNR
Colonoscopy and Biopsy 45380)$4,805$2,547$1,201$7,335$3,888$1,834
Upper GI Endoscopy with Biopsy 43239)$5,030$2,666$1,258$7,589$4,022$1,897
Diagnostic Colonoscopy 45378)$3,357$1,779$839$6,385$3,384$1,596
Lesion Removal Colonoscopy by Snare Technique 45385)$5,100$2,703$1,275$6,496$3,443$1,624
Injection into Lumbar or Sacral Area, Single Level 64483)$1,710$906$428$3,593$1,904$898
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$8,205$4,349$2,051$12,356$6,549$3,089
Drain/Inject Major Joint or Bursa 20610)$2,328$1,234$582$4,372$2,317$1,093
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$3,346$1,774$837NRNRNR
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$9,468$5,018$2,367$9,821$5,205$2,455
Carpal Tunnel Surgery 64721)$7,521$3,986$1,880$11,704$6,203$2,926
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$3,347$1,774$837NRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$3,344$1,772$836$5,952$3,155$1,488
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$4,633$2,455$1,158$6,099$3,233$1,525
Left Heart Artery/Ventricle Angiography 93458)$19,627$10,402$4,907$26,195$13,883$6,549
Creation of Eardrum Opening 69436)$3,276$1,736$819$3,618$1,918$904
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNR$11,307$5,993$2,827
Unlisted Dental Surgery Procedure 41899)$7,710$4,086$1,928$10,759$5,702$2,690
Laparoscopic Cholecystectomy 47562)$17,341$9,191$4,335$21,952$11,634$5,488
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$4,296$2,277$1,074$8,914$4,724$2,228
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$9,800$5,194$2,450$11,541$6,117$2,885
Removal of Tonsils And Adenoids - < Age 12 42820)$7,822$4,146$1,956$8,877$4,705$2,219
Arthroscopic Rotator Cuff Repair 29827)$15,020$7,961$3,755$18,322$9,711$4,581
Cataract Surgery- Complex 66982)NRNRNRNRNRNR
Unlisted Cystourethoscopy 52000)$4,665$2,472$1,166$8,241$4,368$2,060
Hysteroscopy with Biopsy 58558)$11,720$6,212$2,930$12,655$6,707$3,164
Percutaneous Breast Biopsy with Device and Imaging 19103)NRNRNRNRNRNR
Esophageal Endoscopy with Dilation 43249)$4,338$2,299$1,084$5,710$3,027$1,428
ABD Paracentesis w/Imaging 49083)$4,619$2,448$1,155$10,778$5,712$2,694
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$16,259$8,617$4,065$20,424$10,825$5,106
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$9,861$5,226$2,465$10,015$5,308$2,504
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$11,173$5,922$2,793$10,783$5,715$2,696
Incision of Finger Tendon Sheath 26055)$6,383$3,383$1,596$6,958$3,688$1,739
Uppr GI Endoscopy with Guide Wire 43248)$3,678$1,950$920$4,654$2,466$1,163
Destruction of Benign Lesions up to 14 Lesions 17110)$9,151$4,850$2,288NRNRNR
Laparoscopic Hernia Repair - Initial 49650)$13,717$7,270$3,429$14,468$7,668$3,617
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Cystourethroscopy with Lithotripsy 52353)NRNRNR$10,631$5,634$2,658
Repair of Nasal Septum 30520)$12,069$6,396$3,017$16,406$8,695$4,101
Cystourethroscopy with Stent 52332)$8,019$4,250$2,005$9,840$5,215$2,460
Removal of Tonsils 42826)$8,822$4,676$2,205$12,662$6,711$3,166
Laparoscopic Appendectomy 44970)$17,083$9,054$4,271$20,621$10,929$5,155
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$19,540$10,356$4,885$23,110$12,248$5,777
Fragmenting of Kidney Stone 50590)NRNRNR$31,026$16,444$7,757
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$8,946$4,741$2,236$16,574$8,784$4,143
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$6,734$3,569$1,683NRNRNR
Low Back Disk Surgery 63030)$13,467$7,138$3,367$16,862$8,937$4,215
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNR$10,224$5,419$2,556
Hysteroscopy with Ablation 58563)$12,615$6,686$3,154$14,161$7,506$3,540
Correction of Bunion 28296)$9,999$5,299$2,500$16,479$8,734$4,120
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNRNRNRNR
Mastectomy, Partial 19301)$11,504$6,097$2,876$20,213$10,713$5,053
Colonoscopy with Lesion Removal 45383)$4,682$2,481$1,170$5,128$2,718$1,282
Percutaneous Breast Biopsy with Imaging 19102)NRNRNR$9,613$5,095$2,403
Coronary Artery Angio S&I 93454)$19,432$10,299$4,858$27,988$14,834$6,997
Bone Marrow Biopsy 38221)$7,892$4,183$1,973NRNRNR
Needle Biopsy of Liver 47000)$8,487$4,498$2,122$8,942$4,739$2,235
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Mohs Micrographic Tissue Removal 17311)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$17,971$9,525$4,493$21,455$11,371$5,364
Right and Left Heart Artery/Ventricle Angiography 93460)$20,192$10,702$5,048$23,173$12,282$5,793
Insertion of Central Venous Catheter >= 5 years 36569)$7,511$3,981$1,878$12,411$6,578$3,103
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Removal of Breast Lesion 19120)$9,530$5,051$2,382$11,900$6,307$2,975
Aspirate Pleura with Imaging 32555)$2,524$1,338$631$6,314$3,346$1,579
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Excision Breast Lesion with Preoperative Placement Radiological Marker 19125)$9,934$5,265$2,484$9,236$4,895$2,309
Debridement, Open Wound <= 20 Square Centimeters 97597)$11,792$6,250$2,948NRNRNR
Removal of Central Venous Device w Port or Pump 36590)$8,113$4,300$2,028$8,254$4,375$2,064
Apheresis Plasma 36514)NRNRNRNRNRNR
Wrist Endoscopy/Surgery 29848)$5,911$3,133$1,478$8,103$4,295$2,026
Debridement Skin/Tissue 11042)$6,183$3,277$1,546NRNRNR
Knee Arthroscopy/Surgery with Shaving of Cartilage 29877)$8,840$4,685$2,210NRNRNR
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area 58662)$17,277$9,157$4,319$19,469$10,318$4,867
Information about quality and safety of care for Meriter-UnityPoint Health may be found at http://www.wicheckpoint.org
* Estimated Insurance Payments based on average percent of billed charges collected.