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

Charges for 75 Most Common Hospitalizations in Wisconsin:  April 2015 - March 2016
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$4,792$2,588$1,150
2560Vaginal Delivery$10,199$5,507$2,448
3720Blood Infection/Septicemia$15,174$8,194$3,642
4302Knee Replacement$41,388$22,350$9,933
5540Cesarean Delivery$15,143$8,177$3,634
6194Heart Failure$18,639$10,065$4,473
7301Hip Replacement$41,527$22,425$9,966
8139Pneumonia$11,483$6,201$2,756
9751Psychoses$16,610$8,969$3,986
10753Bipolar Disorders$17,782$9,602$4,268
11140Chronic Obstructive Pulmonary Disease$15,270$8,246$3,665
12775Alcohol Abuse/Dependence$11,297$6,100$2,711
13201Heart Abnormal Rhythm and Conduction Disorders$13,007$7,024$3,122
14383Cellulitis and Other Bacterial Skin Infections$12,548$6,776$3,012
15460Renal Failure$23,418$12,646$5,620
16045Stroke and Precerebral Occlusion with Infarct$22,128$11,949$5,311
17133Pulmonary Edema/Respiratory FailureNRNRNR
18463Kidney/Urinary Tract Infection$12,447$6,721$2,987
19221Major Bowel Procedures$37,489$20,244$8,997
20174Angioplasty with Heart Attack$65,496$35,368$15,719
21754Depression$14,859$8,024$3,566
22247Intestinal Obstruction without Surgery$14,931$8,063$3,583
23750Schizophrenia$15,352$8,290$3,684
24420Diabetes$13,219$7,138$3,173
25282Disorders of Pancreas Except Malignancy$12,489$6,744$2,997
26254Other Digestive System Diagnoses$15,069$8,137$3,617
27812Poisoning of Medicinal Agents$8,645$4,668$2,075
28304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$52,466$28,332$12,592
29053Seizure$9,624$5,197$2,310
30137Respiratory Infections and Inflammations$17,389$9,390$4,173
31173Other Vascular Procedures$42,255$22,818$10,141
32249Gastroenteritis$12,288$6,636$2,949
33190Circulatory Disorders with Heart Attack$29,628$15,999$7,111
34134Pulmonary Embolism$12,556$6,780$3,013
35308Hip/Thigh Surgery with Trauma Diagnosis$39,881$21,536$9,571
36263Laparoscopic Cholecystectomy$26,125$14,108$6,270
37315Shoulder/Upper Arm, Forearm Surgery$28,020$15,131$6,725
38244Diverticulitis & Diverticulosis$13,726$7,412$3,294
39710Infectious & parasitic diseases including HIV w O.R. procedure$8,977$4,848$2,154
40773Opioid Abuse/Dependence$5,828$3,147$1,399
41860Rehabilitation$18,441$9,958$4,426
42175Angioplasty without Heart Attack$67,422$36,408$16,181
43861Signs & Symptoms$10,395$5,613$2,495
44425Other Electrolyte Disorders$10,024$5,413$2,406
45347Other Back/Neck Disorders, Fractures, Injuries$17,494$9,447$4,199
46241Peptic Ulcer/Gastritis$17,590$9,499$4,222
47253Other and Unspecified Gastrointestinal Hemorrhage$19,506$10,533$4,681
48313Other Knee/Lower Leg Surgery$33,876$18,293$8,130
49191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$32,595$17,601$7,823
50351Other Musculoskeletal System and Connective Tissue Diagnoses$37,984$20,511$9,116
51058Other Disorders of Nervous System$21,036$11,359$5,049
52248Major G.I. Bacterial Infections$15,957$8,617$3,830
53024Extracranial Vascular Procedures$29,951$16,174$7,188
54466Malfunction, reaction, complic of genitourinary device or proc$5,092$2,750$1,222
55663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$18,292$9,878$4,390
56141Asthma$9,921$5,357$2,381
57693ChemotherapyNRNRNR
58721Postoperative and Post-Traumatic Infections$15,996$8,638$3,839
59321Upper Spinal Fusion$38,807$20,956$9,314
60197Peripheral and Other Vascular Disorders$10,852$5,860$2,604
61021Craniotomy Except For Trauma$79,673$43,023$19,122
62225Appendectomy$21,619$11,674$5,189
63566Other Antepartum Diagnoses$7,065$3,815$1,696
64055Head trauma w coma >1 hr or hemorrhage$17,992$9,716$4,318
65755Neuroses Other Than Depression$18,682$10,088$4,484
66052Nontraumatic stupor & coma$7,356$3,972$1,765
67192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$29,314$15,830$7,035
68163Heart Valve Procedures without Cardiac Catheterization$145,933$78,804$35,024
69144Respiratory System Signs, Symptoms and Minor Diagnoses$12,603$6,806$3,025
70143Other respiratory diagnoses except signs, symptoms & minor diagnoses$13,809$7,457$3,314
71422Hypovolemia$9,166$4,950$2,200
72204Fainting and Collapse$12,310$6,647$2,954
73951Moderately Extensive Procedure Unrelated to Diagnosis$21,892$11,822$5,254
74639Neonate Birthwt >2499g with Other Significant Condition$9,200$4,968$2,208
75756Acute Adjust React Psychosocial Dysfunction$19,634$10,602$4,712

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 2015 - March 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)$5,046$2,725$1,211$6,035$3,259$1,448
Upper GI Endoscopy with Biopsy 43239)$4,854$2,621$1,165$7,870$4,250$1,889
Lesion Removal Colonoscopy by Snare Technique 45385)$5,309$2,867$1,274$5,225$2,822$1,254
Diagnostic Colonoscopy 45378)$3,639$1,965$873$3,138$1,694$753
Injection into Lumbar or Sacral Area, Single Level 64483)$1,821$983$437$1,622$876$389
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$5,021$2,712$1,205$2,282$1,232$548
Drain/Inject Major Joint or Bursa 20610)$429$232$103$5,826$3,146$1,398
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$3,057$1,651$734$3,397$1,834$815
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$2,909$1,571$698$3,559$1,922$854
Carpal Tunnel Surgery 64721)$7,917$4,275$1,900$7,343$3,965$1,762
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$11,900$6,426$2,856$23,518$12,700$5,644
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNR$11,788$6,366$2,829
Uppr GI Endoscopy- Diagnostic 43235)$3,467$1,872$832$6,395$3,453$1,535
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$4,914$2,654$1,179$6,760$3,650$1,622
Left Heart Artery/Ventricle Angiography 93458)$20,842$11,255$5,002$21,237$11,468$5,097
Creation of Eardrum Opening 69436)$4,985$2,692$1,196$5,274$2,848$1,266
Unlisted Dental Surgery Procedure 41899)$9,109$4,919$2,186$8,871$4,790$2,129
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$5,568$3,006$1,336$1,802$973$432
Laparoscopic Cholecystectomy 47562)$16,684$9,009$4,004$22,720$12,269$5,453
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
ABD Paracentesis w/Imaging 49083)$4,425$2,390$1,062$6,551$3,537$1,572
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Cataract Surgery- Complex 66982)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$8,124$4,387$1,950$9,509$5,135$2,282
Arthroscopic Rotator Cuff Repair 29827)$27,072$14,619$6,497$22,019$11,890$5,285
Hysteroscopy with Biopsy 58558)$13,378$7,224$3,211$16,174$8,734$3,882
Esophageal Endoscopy with Dilation 43249)$4,248$2,294$1,019$6,424$3,469$1,542
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)NRNRNR$12,988$7,013$3,117
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$12,605$6,807$3,025$14,295$7,720$3,431
Incision of Finger Tendon Sheath 26055)$7,281$3,932$1,748$8,210$4,433$1,970
Unlisted Cystourethoscopy 52000)$9,350$5,049$2,244$19,165$10,349$4,599
Cystourethroscopy with Lithotripsy and Stent 52356)$11,516$6,219$2,764$14,002$7,561$3,361
Laparoscopic Hernia Repair - Initial 49650)$14,222$7,680$3,413$14,475$7,817$3,474
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$12,026$6,494$2,886$18,012$9,726$4,323
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$22,053$11,908$5,293$23,570$12,728$5,657
Uppr GI Endoscopy with Guide Wire 43248)$4,044$2,184$971$7,713$4,165$1,851
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$10,828$5,847$2,599$23,073$12,459$5,537
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNR$9,472$5,115$2,273
Laparoscopic Appendectomy 44970)$16,393$8,852$3,934$21,281$11,492$5,107
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNR$11,126$6,008$2,670
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$343$185$82NRNRNR
Removal of Tonsils 42826)$10,123$5,466$2,429$10,421$5,628$2,501
Cystourethroscopy with Stent 52332)$9,237$4,988$2,217$11,407$6,160$2,738
Repair of Nasal Septum 30520)$11,742$6,341$2,818$16,009$8,645$3,842
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$22,296$12,040$5,351$25,241$13,630$6,058
Low Back Disk Surgery 63030)$20,162$10,888$4,839$24,783$13,383$5,948
Fragmenting of Kidney Stone 50590)$11,923$6,438$2,862$12,603$6,805$3,025
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$10,325$5,575$2,478$15,727$8,492$3,774
Laparoscopy - Removal of Adnexal Structures 58661)$15,637$8,444$3,753$18,779$10,141$4,507
Mastectomy, Partial 19301)$15,147$8,179$3,635$25,420$13,727$6,101
Needle Biopsy of Liver 47000)$9,623$5,196$2,310$11,464$6,191$2,751
Debridement Skin/Tissue 11042)$11,513$6,217$2,763$16,828$9,087$4,039
Laparoscopy, Removal of Tubes & Ovaries 58571)$22,523$12,163$5,406$31,929$17,241$7,663
Coronary Artery Angio S&I 93454)$18,857$10,183$4,526$31,635$17,083$7,592
Aspirate Pleura with Imaging 32555)$6,122$3,306$1,469$21,841$11,794$5,242
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Hysteroscopy with Ablation 58563)$14,497$7,828$3,479$17,125$9,247$4,110
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Debridement, Open Wound <= 20 Square Centimeters 97597)NRNRNRNRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Wrist Endoscopy/Surgery 29848)$7,812$4,218$1,875$12,048$6,506$2,891
Transluminal balloon angioplasty, percutaneous, venous 35476)$25,116$13,562$6,028$25,458$13,747$6,110
Shoulder Arthroscopy/Surgery 29824)$16,175$8,734$3,882$20,863$11,266$5,007
Right and Left Heart Artery/Ventricle Angiography 93460)$21,737$11,738$5,217$22,418$12,106$5,380
Bone Marrow Biopsy 38221)$4,430$2,392$1,063NRNRNR
Correction of Bunion 28296)$12,370$6,680$2,969$12,172$6,573$2,921
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Removal of Adenoids 42830)$8,465$4,571$2,032$7,934$4,284$1,904
Ablation therapy of first vein of extremity 36475)$15,996$8,638$3,839$18,654$10,073$4,477
Electronic analysis of implantable pump spine w/reprogram/refill 62369)NRNRNRNRNRNR
Biopsy of lung or mediastinum, percutaneous w/needle 32405)$6,961$3,759$1,671$8,317$4,491$1,996
Removal of Central Venous Device w Port or Pump 36590)$7,826$4,226$1,878$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.