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

Charges for 75 Most Common Hospitalizations in Wisconsin:  January 2016 - December 2016
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$4,864$2,675$1,216
2560Vaginal Delivery$10,655$5,860$2,664
3720Blood Infection/Septicemia$15,313$8,422$3,828
4302Knee Replacement$45,203$24,862$11,301
5540Cesarean Delivery$19,493$10,721$4,873
6194Heart Failure$19,676$10,822$4,919
7301Hip Replacement$43,622$23,992$10,906
8751Psychoses$18,474$10,161$4,619
9139Pneumonia$12,902$7,096$3,226
10753Bipolar Disorders$18,871$10,379$4,718
11775Alcohol Abuse/Dependence$12,065$6,636$3,016
12140Chronic Obstructive Pulmonary Disease$11,042$6,073$2,761
13201Heart Abnormal Rhythm and Conduction Disorders$12,676$6,972$3,169
14045Stroke and Precerebral Occlusion with Infarct$13,990$7,695$3,498
15383Cellulitis & other skin infections$12,091$6,650$3,023
16133Respiratory failureNRNRNR
17463Kidney/Urinary Tract Infection$21,240$11,682$5,310
18221Major Bowel Procedures$46,000$25,300$11,500
19174Percutaneous coronary intervention w AMI$61,777$33,977$15,444
20754Depression$15,271$8,399$3,818
21460Renal FailureNRNRNR
22750Schizophrenia$19,576$10,767$4,894
23420Diabetes$11,647$6,406$2,912
24282Disorders of Pancreas Except Malignancy$12,370$6,804$3,093
25247Intestinal Obstruction without Surgery$15,596$8,578$3,899
26812Poisoning of Medicinal Agents$9,933$5,463$2,483
27254Other Digestive System Diagnoses$14,704$8,087$3,676
28710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
29304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$66,806$36,743$16,702
30190Circulatory Disorders with Heart Attack$25,707$14,139$6,427
31773Opioid Abuse/Dependence$14,341$7,888$3,585
32053Seizure$12,546$6,900$3,137
33137Respiratory Infections and Inflammations$20,228$11,125$5,057
34058Other Disorders of Nervous System$13,956$7,676$3,489
35308Hip & femur fracture repair$38,962$21,429$9,741
36175Percutaneous coronary intervention w/o AMI$63,021$34,662$15,755
37263Laparoscopic Cholecystectomy$28,078$15,443$7,020
38134Pulmonary Embolism$13,610$7,486$3,403
39249Other gastroenteritis, nausea & vomiting$15,320$8,426$3,830
40244Diverticulitis & Diverticulosis$14,983$8,241$3,746
41315Shoulder, upper arm & forearm procedures except joint replacement$42,541$23,398$10,635
42861Signs & SymptomsNRNRNR
43347Other Back/Neck Disorders, Fractures, Injuries$13,880$7,634$3,470
44173Other Vascular Procedures$49,012$26,957$12,253
45253Other and Unspecified Gastrointestinal Hemorrhage$13,489$7,419$3,372
46313Other Knee/Lower Leg Surgery$38,835$21,359$9,709
47351Other Musculoskeletal System and Connective Tissue Diagnoses$11,001$6,051$2,750
48241Peptic Ulcer/Gastritis$20,530$11,292$5,133
49425Other Electrolyte Disorders$13,310$7,321$3,328
50466Malfunction, reaction, complic of genitourinary device or proc$5,092$2,801$1,273
51862Other Factors Influencing Health StatusNRNRNR
52248Major G.I. Bacterial Infections$14,929$8,211$3,732
53663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$14,799$8,139$3,700
54024Extracranial Vascular Procedures$31,289$17,209$7,822
55192Cardiac catheterization for other non-coronary conditions$29,115$16,013$7,279
56191Cardiac catheterization for coronary artery disease$29,325$16,129$7,331
57951Moderately Extensive Procedure Unrelated to Diagnosis$23,058$12,682$5,765
58021Craniotomy Except For Trauma$36,971$20,334$9,243
59566Other Antepartum Diagnoses$6,164$3,390$1,541
60197Peripheral and Other Vascular Disorders$25,197$13,858$6,299
61321Upper Spinal Fusion$66,276$36,452$16,569
62422Hypovolemia$8,841$4,863$2,210
63052Nontraumatic stupor & coma$13,114$7,213$3,279
64225Appendectomy$24,645$13,555$6,161
65950Extensive Procedure Unrelated to Principal Diagnosis$58,470$32,159$14,618
66220Major Stomach/Esophagus/Duodenum Procedures$18,629$10,246$4,657
67055Head trauma w coma >1 hr or hemorrhage$18,214$10,018$4,554
68141Asthma$14,022$7,712$3,506
69721Postoperative and Post-Traumatic Infections$15,861$8,724$3,965
70755Neuroses Other Than Depression$17,030$9,367$4,258
71163Cardiac valve procedures w/o AMI or complex PDX$166,569$91,613$41,642
72143Other respiratory diagnoses except signs, symptoms & minor diagnoses$13,248$7,286$3,312
73166Coronary bypass w/o AMI or complex PDX$105,103$57,807$26,276
74204Fainting and Collapse$12,512$6,882$3,128
75144Respiratory System Signs, Symptoms and Minor Diagnoses$19,520$10,736$4,880

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 2016 - December 2016
 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)$4,463$2,454$1,116$5,749$3,162$1,437
Lesion Removal Colonoscopy by Snare Technique 45385)$4,867$2,677$1,217$5,652$3,109$1,413
Upper GI Endoscopy with Biopsy 43239)$4,774$2,626$1,194$8,260$4,543$2,065
Diagnostic Colonoscopy 45378)$2,857$1,571$714$7,396$4,068$1,849
Injection into Lumbar or Sacral Area, Single Level 64483)$1,588$873$397$4,044$2,224$1,011
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$4,790$2,635$1,198NRNRNR
Drain/Inject Major Joint or Bursa 20610)$2,442$1,343$611$7,832$4,307$1,958
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$2,815$1,548$704NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$2,815$1,548$704$3,007$1,654$752
Carpal Tunnel Surgery 64721)$8,200$4,510$2,050NRNRNR
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$13,507$7,429$3,377$26,105$14,358$6,526
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)$11,147$6,131$2,787$7,754$4,265$1,939
Uppr GI Endoscopy- Diagnostic 43235)$2,757$1,516$689$6,612$3,637$1,653
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$5,071$2,789$1,268$6,716$3,694$1,679
Creation of Eardrum Opening 69436)$6,075$3,341$1,519$5,545$3,050$1,386
Left Heart Artery/Ventricle Angiography 93458)$19,470$10,709$4,868NRNRNR
Unlisted Dental Surgery Procedure 41899)$10,037$5,520$2,509$12,605$6,933$3,151
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$4,699$2,584$1,175NRNRNR
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Laparoscopic Cholecystectomy 47562)$17,828$9,805$4,457$24,123$13,268$6,031
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
ABD Paracentesis w/Imaging 49083)$4,073$2,240$1,018NRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$8,833$4,858$2,208$10,402$5,721$2,600
Esophageal Endoscopy with Dilation 43249)$4,404$2,422$1,101$7,033$3,868$1,758
Arthroscopic Rotator Cuff Repair 29827)NRNRNRNRNRNR
Cataract Surgery- Complex 66982)NRNRNRNRNRNR
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)NRNRNR$12,988$7,143$3,247
Hysteroscopy with Biopsy 58558)$15,350$8,442$3,837$18,373$10,105$4,593
Cystourethroscopy with Lithotripsy and Stent 52356)$14,901$8,196$3,725$14,962$8,229$3,741
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$12,920$7,106$3,230$15,114$8,313$3,778
Incision of Finger Tendon Sheath 26055)$7,660$4,213$1,915$8,599$4,729$2,150
Laparoscopic Hernia Repair - Initial 49650)$15,851$8,718$3,963$21,346$11,741$5,337
Unlisted Cystourethoscopy 52000)$7,580$4,169$1,895$17,601$9,681$4,400
Uppr GI Endoscopy with Guide Wire 43248)$3,539$1,946$885NRNRNR
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$12,352$6,794$3,088$17,009$9,355$4,252
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$24,393$13,416$6,098$26,124$14,368$6,531
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)$8,320$4,576$2,080$7,482$4,115$1,870
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$13,673$7,520$3,418$27,350$15,042$6,837
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNR$13,542$7,448$3,386
Laparoscopic Appendectomy 44970)$16,917$9,304$4,229$24,071$13,239$6,018
Cystourethroscopy with Stent 52332)$13,199$7,260$3,300$13,407$7,374$3,352
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$15,455$8,500$3,864$19,942$10,968$4,985
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$10,588$5,824$2,647$18,292$10,061$4,573
Mastectomy, Partial 19301)$15,629$8,596$3,907$25,870$14,228$6,467
Removal of Tonsils 42826)$9,986$5,492$2,496$11,645$6,404$2,911
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNR$26,617$14,639$6,654
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNRNRNRNR
Laparoscopy, Removal of Tubes & Ovaries 58571)$22,795$12,537$5,699$38,926$21,409$9,731
Low Back Disk Surgery 63030)$21,625$11,894$5,406$24,022$13,212$6,005
Repair of Nasal Septum 30520)NRNRNR$17,612$9,686$4,403
Fragmenting of Kidney Stone 50590)$12,118$6,665$3,029NRNRNR
Needle Biopsy of Liver 47000)$8,608$4,735$2,152NRNRNR
Aspirate Pleura with Imaging 32555)$6,362$3,499$1,590NRNRNR
Coronary Artery Angio S&I 93454)$15,513$8,532$3,878NRNRNR
Debridement Skin/Tissue 11042)$10,115$5,563$2,529$15,659$8,613$3,915
Wrist Endoscopy/Surgery 29848)$8,664$4,765$2,166$10,621$5,842$2,655
Bone Marrow Biopsy 38221)$11,038$6,071$2,759NRNRNR
Correction of Bunion 28296)$14,987$8,243$3,747$23,242$12,783$5,810
Hysteroscopy with Ablation 58563)$15,693$8,631$3,923$21,678$11,923$5,419
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Transluminal balloon angioplasty, percutaneous, venous 35476)$24,432$13,438$6,108NRNRNR
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNR$21,653$11,909$5,413
Right and Left Heart Artery/Ventricle Angiography 93460)$21,776$11,977$5,444NRNRNR
Biopsy of lung or mediastinum, percutaneous w/needle 32405)$6,322$3,477$1,581NRNRNR
Removal of Adenoids 42830)$9,431$5,187$2,358$8,259$4,542$2,065
Removal of Central Venous Device w Port or Pump 36590)$7,595$4,177$1,899NRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Injection of chemical agent into muscles near face/neck 64615)NRNRNRNRNRNR
Repair of wrist joints 25447)NRNRNR$12,595$6,927$3,149
Ablation therapy of first vein of extremity 36475)$17,632$9,697$4,408$19,402$10,671$4,850
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.