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


  
Charges for 75 Most Common Types of Hospitalizations in Wisconsin: October 2011 - September 2012
(Uncomplicated Cases Only)
 
    Estimated Insurance Payments *
RankAPR- DRG DescriptionMedian  
Charge
 
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$4,883$2,832$1,367
2560Vaginal Delivery$7,102$4,119$1,989
3302Knee Replacement$42,040$24,383$11,771
4540Cesarean Delivery$15,559$9,024$4,357
5720Blood Infection/Septicemia$15,750$9,135$4,410
6139Pneumonia$10,227$5,932$2,864
7194Heart Failure$18,581$10,777$5,203
8301Hip Replacement$46,096$26,736$12,907
9753Bipolar Disorders$9,529$5,527$2,668
10751Psychoses$12,640$7,331$3,539
11201Heart Abnormal Rhythm and Conduction Disorders$11,091$6,433$3,105
12140Chronic Obstructive Pulmonary Disease$11,086$6,430$3,104
13775Alchohol Abuse/Dependence$7,547$4,377$2,113
14383Cellulitis and Other Bacterial Skin Infections$9,476$5,496$2,653
15463Kidney/Urinary Tract Infection$11,326$6,569$3,171
16460Renal Failure$19,090$11,072$5,345
17860Rehabilitation$17,940$10,405$5,023
18045Stroke and Precerebral Occlusion with Infarct$19,701$11,427$5,516
19221Major Bowel Procedures$33,229$19,273$9,304
20175Angioplasty without Heart Attack$54,876$31,828$15,365
21750Schizophrenia$11,766$6,824$3,294
22249Gastroenteritis$12,885$7,473$3,608
23254Other Digestive System Diagnoses$10,541$6,114$2,951
24174Angioplasty with Heart Attack$62,477$36,237$17,494
25247Intestinal Obstruction without Surgery$11,492$6,665$3,218
26754Depression$9,921$5,754$2,778
27812Poisoning of Medicinal Agents$7,754$4,497$2,171
28133Pulmonary Edema/Respiratory Failure000
29420Diabetes$13,568$7,869$3,799
30137Respiratory Infections and Inflammations$20,226$11,731$5,663
31282Disorders of Pancreas Except Malignancy$9,589$5,562$2,685
32304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$55,651$32,278$15,582
33263Laparoscopic Cholecystectomy$25,577$14,835$7,162
34861Signs & Symptoms$10,288$5,967$2,881
35134Pulmonary Embolism$11,825$6,859$3,311
36053Seizure$8,793$5,100$2,462
37308Hip/Thigh Surgery with Trauma Diagnosis$26,516$15,379$7,424
38347Other Back/Neck Disorders, Fractures, Injuries$13,327$7,730$3,732
39225Appendectomy$22,476$13,036$6,293
40190Circulatory Disorders with Heart Attack$33,199$19,255$9,296
41513Uterine Procedures without Tumor$23,434$13,592$6,562
42173Other Vascular Procedures$71,722$41,599$20,082
43241Peptic Ulcer/Gastritis$13,498$7,829$3,779
44313Other Knee/Lower Leg Surgery$25,383$14,722$7,107
45244Diverticulitis & Diverticulosis$12,583$7,298$3,523
46192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$29,558$17,144$8,276
47425Other Electrolyte Disorders$8,540$4,953$2,391
48315Shoulder/Upper Arm, Forearm Surgery$20,446$11,859$5,725
49198Chest Pain with Angina Pectoris or Coronary Atherosclerosis$13,933$8,081$3,901
50204Fainting and Collapse$13,281$7,703$3,719
51663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$12,003$6,962$3,361
52351Other Musculoskeletal System and Connective Tissue Diagnoses$10,008$5,805$2,802
53141Asthma$6,053$3,511$1,695
54248Major G.I. Bacterial Infections$8,962$5,198$2,509
55197Peripheral and Other Vascular Disorders$12,251$7,106$3,430
56253Other and Unspecified Gastrointestinal Hemorrhage$8,308$4,819$2,326
57310Back/Neck Procedures Except Dorsal and Lumbar Fusion$22,037$12,781$6,170
58321Upper Spinal Fusion$33,158$19,232$9,284
59191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$29,527$17,126$8,268
60024Extracranial Vascular Procedures$31,694$18,383$8,874
61721Postoperative and Post-Traumatic Infections$9,128$5,294$2,556
62773Opioid Abuse/Dependence$5,791$3,359$1,621
63144Respiratory System Signs, Symptoms and Minor Diagnoses$12,476$7,236$3,493
64693Chemotherapy$12,142$7,042$3,400
65422Hypovolemia$6,798$3,943$1,903
66566Other Antepartum Diagnoses$5,054$2,931$1,415
67755Neuroses Other Than Depression$10,466$6,070$2,930
68203Chest Pain$14,710$8,532$4,119
69047Transient Ischemia$11,442$6,636$3,204
70251Abdominal Pain$13,214$7,664$3,700
71143Pneumothorax & Pleural Effusion$12,174$7,061$3,409
72021Craniotomy Except For Trauma$54,035$31,340$15,130
73466Malfunctions, Reactions & Comp Of Gu Device, Graft Or Transplant000
74058Other Disorders of Nervous System$12,887$7,474$3,608
75710Infectious & parasitic diseases including HIV w O.R. procedure$21,264$12,333$5,954

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: October 2011 - September 2012
  With No Other Procedures With 1 or More Additional Procedures
Principal Procedure Median Charge Average Commercial Insurance Payment Average Medicare Insurance Payment* Median Charge Average Commercial Insurance Payment Average Medicare Insurance Payment*
Cataract Surgery with Intraocular Lens - Stage 1 (66984)NRNRNRNRNRNR
Diagnostic Colonoscopy (45378)$3,246$1,883$909$6,034$3,500$1,690
Colonoscopy and Biopsy (45380)$4,596$2,666$1,287$6,505$3,773$1,821
Upper GI Endoscopy with Biopsy (43239)$4,281$2,483$1,199$6,904$4,004$1,933
Lesion Removal Colonoscopy by Snare Technique (45385)$4,765$2,764$1,334$6,055$3,512$1,695
Injection into Lumbar or Sacral Area, Single Level (64483)$1,558$904$436$4,741$2,750$1,327
Drain/Inject Major Joint or Bursa (20610)$2,249$1,304$630$7,517$4,360$2,105
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral (64493)$7,512$4,357$2,103$8,920$5,174$2,498
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy (29881)$10,217$5,926$2,861$11,549$6,699$3,234
Colorectal Cancer Screening; Colonscopy, Not High Risk (G0121)$3,242$1,880$908NRNRNR
Carpal Tunnel Surgery (64721)$7,197$4,174$2,015$8,188$4,749$2,293
Colorectal Cancer Screening ; Colonoscopy, High Risk (G0105)$3,242$1,880$908NRNRNR
Uppr GI Endoscopy- Diagnostic (43235)$3,177$1,843$890$5,381$3,121$1,507
Lesion Removal Colonoscopy by Hot Biopsy or Cautery (45384)$4,396$2,550$1,231$5,235$3,036$1,466
Creation of Eardrum Opening (69436)$4,172$2,420$1,168$5,636$3,269$1,578
Left Heart Artery/Ventricle Angiography  (93458)$19,144$11,104$5,360$25,116$14,567$7,032
Laparoscopic Cholecystectomy (47562)$15,523$9,003$4,346$17,767$10,305$4,975
Removal of Tonsils And Adenoids - < Age 12 (42820)$7,037$4,081$1,970$7,870$4,564$2,204
Unlisted Dental Surgery Procedure (41899)$7,162$4,154$2,005$10,295$5,971$2,882
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor (64490)$5,238$3,038$1,467$7,341$4,258$2,056
Repair Initial Ingunial Hernia, > = 5 years, Reducible (49505)$10,114$5,866$2,832$13,441$7,796$3,763
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral (64635)$5,491$3,185$1,538$9,552$5,540$2,675
Unlisted Cystourethoscopy (52000)$7,731$4,484$2,165$11,897$6,900$3,331
After Cataract Laser Surgery (66821)NRNRNRNRNRNR
Percutaneous Breast Biopsy with Device and Imaging (19103)NRNRNRNRNRNR
Hysteroscopy with Biopsy (58558)$11,557$6,703$3,236$12,470$7,233$3,492
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy (29880)$10,806$6,267$3,026$11,725$6,800$3,283
Cataract Surgery- Complex (66982)NRNRNRNRNRNR
Arthroscopic Rotator Cuff Repair (29827)$22,010$12,766$6,163$20,388$11,825$5,709
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct (47563)$17,224$9,990$4,823$18,900$10,962$5,292
Esophageal Endoscopy with Dilation (43249)$3,817$2,214$1,069$5,207$3,020$1,458
Uppr GI Endoscopy with Guide Wire (43248)$3,464$2,009$970$4,583$2,658$1,283
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) (20680)$9,372$5,436$2,624$14,181$8,225$3,971
Incision of Finger Tendon Sheath (26055)$6,303$3,656$1,765$6,635$3,848$1,858
Repair of Nasal Septum (30520)NRNRNR$9,536$5,531$2,670
Cystourethroscopy with Lithotripsy (52353)$10,588$6,141$2,965$12,265$7,114$3,434
Removal of Tonsils (42826)$8,914$5,170$2,496$12,814$7,432$3,588
Hysteroscopy with Ablation (58563)$11,678$6,773$3,270$13,340$7,737$3,735
Laparoscopic Hernia Repair - Initial (49650)$13,228$7,672$3,704$14,060$8,155$3,937
Shoulder Arthroscopy/Surgery with Decompression (29826)$12,674$7,351$3,549$15,842$9,188$4,436
Percutaneous Breast Biopsy with Imaging (19102)NRNRNRNRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible  (49585)$8,662$5,024$2,425$10,060$5,835$2,817
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair (29888)$20,978$12,167$5,874$20,903$12,124$5,853
Correction of Bunion (28296)$10,105$5,861$2,830$13,106$7,601$3,670
Colonoscopy with Lesion Removal (45383)$5,838$3,386$1,635$5,200$3,016$1,456
ABD Paracentesis w/Imaging (49083)$5,559$3,224$1,557$7,255$4,208$2,031
Destruction of Premalignant Lesion (17000)NRNRNRNRNRNR
Cystourethroscopy with Stent (52332)$10,725$6,221$3,003$11,844$6,870$3,316
Low Back Disk Surgery (63030)$13,627$7,904$3,815$16,056$9,313$4,496
Fragmenting of Kidney Stone (50590)$15,641$9,072$4,380NRNRNR
Laparoscopic Appendectomy (44970)$17,773$10,309$4,977$20,376$11,818$5,705
Destruction of Benign Lesions up to 14 Lesions (17110)$7,844$4,550$2,196NRNRNR
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles (20552)$1,835$1,064$514NRNRNR
Needle Biopsy of Liver (47000)$8,059$4,674$2,257NRNRNR
Mohs Micrographic Tissue Removal (17311)NRNRNRNRNRNR
Mastectomy, Partial (19301)$12,312$7,141$3,447$19,542$11,334$5,472
Removal of Adenoids (42830)$6,148$3,566$1,721NRNRNR
Removal of Breast Lesion (19120)$8,882$5,152$2,487$13,470$7,812$3,771
Excision Breast Lesion with Preoperative Placement Radiological Marker (19125)$12,017$6,970$3,365$12,437$7,213$3,482
Bone Marrow Biopsy (38221)$8,221$4,768$2,302NRNRNR
Laparoscopy - Removal of Adnexal Structures (58661)$16,862$9,780$4,721$19,402$11,253$5,433
Insertion of Central Venous Catheter >= 5 years (36569)$6,314$3,662$1,768NRNRNR
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area (58662)$16,561$9,605$4,637$18,464$10,709$5,170
Remove Impacted Ear Wax (69210)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography (93460)$21,791$12,639$6,102$25,602$14,849$7,168
Biopsy Skin and Subcutaneous Tissue; 1 Lesion (11100)NRNRNRNRNRNR
Destruction by neurolytic agent , cervical/thoracic nerve area, single lev (64633)$5,868$3,403$1,643$8,757$5,079$2,452
Placement of Drug Eluting Stent, Single Vessel (G0290)$38,853$22,535$10,879NRNRNR
Knee Arthroscopy/Surgery with Shaving of Cartilage (29877)$10,613$6,155$2,972$9,212$5,343$2,579
Repair of Hammertoe (28285)$7,982$4,630$2,235$8,296$4,811$2,323
Repair Rotator Cuff, Chronic (23412)$14,667$8,507$4,107$26,183$15,186$7,331
Repair Bladder Defect (57288)$11,488$6,663$3,217$12,831$7,442$3,593
Removal of Central Venous Device w Port or Pump (36590)$8,476$4,916$2,373$11,055$6,412$3,095
Diagnostic Sigmoidoscopy (45330)$2,398$1,391$671NRNRNR
Insertion of temp bladder catheter  (51702)NRNRNRNRNRNR

NR = No Cases Reported
Information about quality and safety of care for Meriter Hospital may be found at http://www.wicheckpoint.org
* Estimated Insurance Payments based on average percent of billed charges collected.

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