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

Charges for 75 Most Common Hospitalizations in Wisconsin:  January 2015 - December 2015
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$4,768$2,575$1,144
2560Vaginal Delivery$10,100$5,454$2,424
3720Blood Infection/Septicemia$17,391$9,391$4,174
4302Knee Replacement$39,003$21,062$9,361
5540Cesarean Delivery$14,155$7,644$3,397
6194Heart Failure$17,852$9,640$4,284
7301Hip Replacement$39,702$21,439$9,528
8139Pneumonia$11,140$6,016$2,674
9751Psychoses$15,675$8,465$3,762
10753Bipolar Disorders$16,298$8,801$3,912
11140Chronic Obstructive Pulmonary Disease$15,270$8,246$3,665
12201Heart Abnormal Rhythm and Conduction Disorders$12,885$6,958$3,092
13775Alcohol Abuse/Dependence$11,260$6,080$2,702
14460Renal Failure$12,025$6,494$2,886
15383Cellulitis and Other Bacterial Skin Infections$12,067$6,516$2,896
16045Stroke and Precerebral Occlusion with Infarct$23,359$12,614$5,606
17133Pulmonary Edema/Respiratory FailureNRNRNR
18221Major Bowel Procedures$37,776$20,399$9,066
19463Kidney/Urinary Tract Infection$16,193$8,744$3,886
20174Angioplasty with Heart Attack$65,787$35,525$15,789
21860Rehabilitation$18,314$9,890$4,395
22247Intestinal Obstruction without Surgery$15,344$8,286$3,683
23750Schizophrenia$14,146$7,639$3,395
24282Disorders of Pancreas Except Malignancy$12,463$6,730$2,991
25420Diabetes$13,774$7,438$3,306
26754Depression$13,511$7,296$3,243
27254Other Digestive System Diagnoses$13,923$7,518$3,342
28249Gastroenteritis$12,190$6,583$2,926
29812Poisoning of Medicinal Agents$8,678$4,686$2,083
30304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$55,251$29,836$13,260
31137Respiratory Infections and Inflammations$20,117$10,863$4,828
32053Seizure$9,877$5,334$2,370
33173Other Vascular Procedures$49,059$26,492$11,774
34134Pulmonary Embolism$12,556$6,780$3,013
35190Circulatory Disorders with Heart Attack$29,629$16,000$7,111
36308Hip/Thigh Surgery with Trauma Diagnosis$36,865$19,907$8,848
37263Laparoscopic Cholecystectomy$22,350$12,069$5,364
38244Diverticulitis & Diverticulosis$13,598$7,343$3,264
39315Shoulder/Upper Arm, Forearm Surgery$28,020$15,131$6,725
40175Angioplasty without Heart Attack$73,042$39,443$17,530
41425Other Electrolyte Disorders$9,250$4,995$2,220
42861Signs & Symptoms$10,311$5,568$2,475
43241Peptic Ulcer/Gastritis$17,590$9,499$4,222
44773Opioid Abuse/Dependence$5,828$3,147$1,399
45710Infectious & parasitic diseases including HIV w O.R. procedure$8,977$4,848$2,154
46347Other Back/Neck Disorders, Fractures, Injuries$17,879$9,655$4,291
47253Other and Unspecified Gastrointestinal Hemorrhage$28,834$15,570$6,920
48313Other Knee/Lower Leg Surgery$33,771$18,236$8,105
49351Other Musculoskeletal System and Connective Tissue Diagnoses$37,604$20,306$9,025
50248Major G.I. Bacterial Infections$13,734$7,416$3,296
51191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$33,670$18,182$8,081
52663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$16,598$8,963$3,984
53466Malfunction, reaction, complic of genitourinary device or procNRNRNR
54024Extracranial Vascular Procedures$27,018$14,590$6,484
55693ChemotherapyNRNRNR
56141Asthma$9,921$5,357$2,381
57321Upper Spinal Fusion$38,807$20,956$9,314
58721Postoperative and Post-Traumatic Infections$17,342$9,365$4,162
59197Peripheral and Other Vascular Disorders$10,852$5,860$2,604
60058Other Disorders of Nervous System$17,741$9,580$4,258
61021Craniotomy Except For Trauma$79,673$43,023$19,122
62225Appendectomy$22,173$11,973$5,322
63566Other Antepartum Diagnoses$6,062$3,273$1,455
64144Respiratory System Signs, Symptoms and Minor Diagnoses$14,115$7,622$3,388
65163Heart Valve Procedures without Cardiac Catheterization$142,487$76,943$34,197
66055Head trauma w coma >1 hr or hemorrhage$15,680$8,467$3,763
67755Neuroses Other Than Depression$13,737$7,418$3,297
68113Epiglottitis, Ear Infection, URI and Laryngotracheitis$7,861$4,245$1,887
69192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$29,310$15,827$7,034
70143Other respiratory diagnoses except signs, symptoms & minor diagnoses$16,037$8,660$3,849
71052Nontraumatic stupor & coma$16,423$8,868$3,942
72204Fainting and Collapse$11,269$6,085$2,705
73422Hypovolemia$9,166$4,950$2,200
74639Neonate Birthwt >2499g with Other Significant Condition$9,200$4,968$2,208
75310Back/Neck Procedures Except Dorsal and Lumbar Fusion$25,903$13,988$6,217

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 2015 - December 2015
 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)NRNRNRNRNRNR
Colonoscopy and Biopsy 45380)$5,088$2,748$1,221$6,356$3,432$1,525
Upper GI Endoscopy with Biopsy 43239)$4,970$2,684$1,193$7,682$4,148$1,844
Lesion Removal Colonoscopy by Snare Technique 45385)$5,485$2,962$1,316$5,000$2,700$1,200
Diagnostic Colonoscopy 45378)$3,646$1,969$875$3,117$1,683$748
Injection into Lumbar or Sacral Area, Single Level 64483)$1,831$989$439$2,423$1,308$581
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$7,413$4,003$1,779$6,140$3,316$1,474
Drain/Inject Major Joint or Bursa 20610)$429$232$103$5,153$2,782$1,237
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$3,565$1,925$856$3,397$1,834$815
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$3,605$1,947$865$3,559$1,922$854
Carpal Tunnel Surgery 64721)$7,610$4,109$1,826$7,343$3,965$1,762
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$11,168$6,031$2,680$22,356$12,072$5,366
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNR$11,869$6,409$2,849
Uppr GI Endoscopy- Diagnostic 43235)$3,599$1,944$864$6,026$3,254$1,446
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$4,928$2,661$1,183$6,754$3,647$1,621
Left Heart Artery/Ventricle Angiography 93458)$20,381$11,006$4,892$26,846$14,497$6,443
Creation of Eardrum Opening 69436)$3,799$2,051$912$3,697$1,996$887
Unlisted Dental Surgery Procedure 41899)$8,503$4,592$2,041$8,879$4,795$2,131
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$5,028$2,715$1,207$1,802$973$432
Laparoscopic Cholecystectomy 47562)$16,700$9,018$4,008$21,443$11,579$5,146
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Cataract Surgery- Complex 66982)NRNRNRNRNRNR
ABD Paracentesis w/Imaging 49083)$5,087$2,747$1,221$6,720$3,629$1,613
Removal of Tonsils And Adenoids - < Age 12 42820)$7,877$4,254$1,890$9,345$5,046$2,243
Arthroscopic Rotator Cuff Repair 29827)$26,854$14,501$6,445$27,049$14,607$6,492
Hysteroscopy with Biopsy 58558)$12,888$6,960$3,093$15,775$8,518$3,786
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$12,539$6,771$3,009$13,637$7,364$3,273
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)NRNRNR$13,822$7,464$3,317
Esophageal Endoscopy with Dilation 43249)$4,227$2,283$1,015$5,597$3,022$1,343
Unlisted Cystourethoscopy 52000)$9,023$4,872$2,166$20,697$11,176$4,967
Incision of Finger Tendon Sheath 26055)$7,398$3,995$1,776$8,549$4,617$2,052
Cystourethroscopy with Lithotripsy and Stent 52356)$11,065$5,975$2,656$13,909$7,511$3,338
Laparoscopic Hernia Repair - Initial 49650)$14,100$7,614$3,384$15,040$8,122$3,610
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$11,801$6,372$2,832$22,894$12,363$5,494
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$19,561$10,563$4,695$23,570$12,728$5,657
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$10,828$5,847$2,599$17,954$9,695$4,309
Uppr GI Endoscopy with Guide Wire 43248)$4,055$2,190$973$7,713$4,165$1,851
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNR$9,729$5,254$2,335
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNR$11,126$6,008$2,670
Laparoscopic Appendectomy 44970)$16,477$8,898$3,954$20,632$11,141$4,952
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$343$185$82$13,057$7,051$3,134
Cystourethroscopy with Stent 52332)$8,934$4,824$2,144$11,738$6,338$2,817
Removal of Tonsils 42826)$10,674$5,764$2,562$11,669$6,301$2,801
Repair of Nasal Septum 30520)$11,742$6,341$2,818$17,765$9,593$4,264
Low Back Disk Surgery 63030)$18,766$10,133$4,504$25,431$13,733$6,103
Fragmenting of Kidney Stone 50590)$11,301$6,103$2,712$12,603$6,805$3,025
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$22,348$12,068$5,363$25,241$13,630$6,058
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$9,978$5,388$2,395$14,750$7,965$3,540
Mastectomy, Partial 19301)$15,710$8,483$3,770$24,431$13,192$5,863
Laparoscopy - Removal of Adnexal Structures 58661)$15,135$8,173$3,632$17,659$9,536$4,238
Debridement Skin/Tissue 11042)$11,391$6,151$2,734$14,569$7,867$3,496
Needle Biopsy of Liver 47000)$9,498$5,129$2,280$11,464$6,191$2,751
Coronary Artery Angio S&I 93454)$18,533$10,008$4,448$31,635$17,083$7,592
Laparoscopy, Removal of Tubes & Ovaries 58571)$23,008$12,424$5,522$24,083$13,005$5,780
Remove Impacted Ear Wax 69210)NRNRNR$14,469$7,813$3,473
Aspirate Pleura with Imaging 32555)$4,979$2,688$1,195$21,841$11,794$5,242
Hysteroscopy with Ablation 58563)$13,721$7,409$3,293$17,448$9,422$4,187
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Debridement, Open Wound <= 20 Square Centimeters 97597)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)$21,466$11,592$5,152$26,032$14,057$6,248
Transluminal balloon angioplasty, percutaneous, venous 35476)$24,794$13,389$5,951$25,596$13,822$6,143
Wrist Endoscopy/Surgery 29848)$5,576$3,011$1,338$9,739$5,259$2,337
Shoulder Arthroscopy/Surgery 29824)$17,824$9,625$4,278$20,137$10,874$4,833
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Bone Marrow Biopsy 38221)$4,430$2,392$1,063$3,710$2,003$890
Correction of Bunion 28296)$11,706$6,321$2,810$12,172$6,573$2,921
Removal of Adenoids 42830)$8,238$4,449$1,977$7,475$4,036$1,794
Electronic analysis of implantable pump spine w/reprogram/refill 62369)NRNRNRNRNRNR
Ablation therapy of first vein of extremity 36475)$16,096$8,692$3,863$17,519$9,460$4,205
Repair of Hammertoe 28285)$8,686$4,690$2,085$22,096$11,932$5,303
Removal of Central Venous Device w Port or Pump 36590)$8,230$4,444$1,975$10,097$5,452$2,423
Information about quality and safety of care for UnityPoint Health - Meriter may be found at http://www.wicheckpoint.org
* Estimated Insurance Payments based on average percent of billed charges collected.