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

Charges for 75 Most Common Hospitalizations in Wisconsin:  October 2015 - September 2016
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$4,870$2,679$1,218
2560Vaginal Delivery$10,465$5,756$2,616
3720Blood Infection/Septicemia$15,217$8,369$3,804
4302Knee Replacement$44,451$24,448$11,113
5540Cesarean Delivery$18,268$10,047$4,567
6194Heart Failure$19,676$10,822$4,919
7301Hip Replacement$43,146$23,730$10,787
8139Pneumonia$11,902$6,546$2,976
9751Psychoses$18,894$10,392$4,724
10753Bipolar Disorders$18,871$10,379$4,718
11775Alcohol Abuse/Dependence$11,651$6,408$2,913
12201Heart Abnormal Rhythm and Conduction Disorders$13,007$7,154$3,252
13140Chronic Obstructive Pulmonary Disease$11,577$6,367$2,894
14383Cellulitis and Other Bacterial Skin Infections$12,850$7,068$3,213
15045Stroke and Precerebral Occlusion with Infarct$18,053$9,929$4,513
16460Renal Failure$23,418$12,880$5,855
17133Pulmonary Edema/Respiratory FailureNRNRNR
18463Kidney/Urinary Tract Infection$13,206$7,263$3,302
19221Major Bowel Procedures$48,147$26,481$12,037
20754Depression$15,576$8,567$3,894
21174Angioplasty with Heart Attack$61,706$33,938$15,427
22750Schizophrenia$20,801$11,441$5,200
23420Diabetes$13,037$7,170$3,259
24247Intestinal Obstruction without Surgery$15,451$8,498$3,863
25282Disorders of Pancreas Except Malignancy$12,489$6,869$3,122
26812Poisoning of Medicinal Agents$9,101$5,006$2,275
27254Other Digestive System Diagnoses$15,069$8,288$3,767
28710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
29304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$68,109$37,460$17,027
30190Circulatory Disorders with Heart Attack$27,111$14,911$6,778
31773Opioid Abuse/Dependence$8,141$4,478$2,035
32173Other Vascular Procedures$41,899$23,044$10,475
33137Respiratory Infections and Inflammations$20,228$11,125$5,057
34053Seizure$12,679$6,973$3,170
35058Other Disorders of Nervous System$17,856$9,821$4,464
36308Hip/Thigh Surgery with Trauma Diagnosis$38,043$20,924$9,511
37263Laparoscopic Cholecystectomy$27,900$15,345$6,975
38134Pulmonary Embolism$13,344$7,339$3,336
39315Shoulder/Upper Arm, Forearm Surgery$42,541$23,398$10,635
40175Angioplasty without Heart Attack$62,269$34,248$15,567
41249Gastroenteritis$12,475$6,861$3,119
42244Diverticulitis & Diverticulosis$15,000$8,250$3,750
43861Signs & Symptoms$2,598$1,429$650
44347Other Back/Neck Disorders, Fractures, Injuries$16,362$8,999$4,091
45253Other and Unspecified Gastrointestinal Hemorrhage$13,268$7,297$3,317
46313Other Knee/Lower Leg Surgery$38,349$21,092$9,587
47862Other Factors Influencing Health Status$22,042$12,123$5,511
48191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$29,325$16,129$7,331
49351Other Musculoskeletal System and Connective Tissue Diagnoses$10,443$5,744$2,611
50241Peptic Ulcer/Gastritis$17,590$9,675$4,398
51425Other Electrolyte Disorders$10,798$5,939$2,700
52248Major G.I. Bacterial Infections$15,957$8,776$3,989
53663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$14,692$8,081$3,673
54466Malfunction, reaction, complic of genitourinary device or proc$5,092$2,801$1,273
55024Extracranial Vascular Procedures$32,121$17,667$8,030
56950Extensive Procedure Unrelated to Principal Diagnosis$14,725$8,099$3,681
57951Moderately Extensive Procedure Unrelated to Diagnosis$21,499$11,824$5,375
58693ChemotherapyNRNRNR
59021Craniotomy Except For Trauma$84,071$46,239$21,018
60566Other Antepartum Diagnoses$5,871$3,229$1,468
61197Peripheral and Other Vascular Disorders$21,500$11,825$5,375
62220Major Stomach/Esophagus/Duodenum Procedures$27,892$15,341$6,973
63422Hypovolemia$8,841$4,863$2,210
64225Appendectomy$25,231$13,877$6,308
65052Nontraumatic stupor & coma$13,114$7,213$3,279
66321Upper Spinal Fusion$66,276$36,452$16,569
67141Asthma$11,366$6,251$2,842
68755Neuroses Other Than Depression$18,375$10,106$4,594
69192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$28,524$15,688$7,131
70055Head trauma w coma >1 hr or hemorrhage$18,214$10,018$4,554
71721Postoperative and Post-Traumatic Infections$12,373$6,805$3,093
72163Heart Valve Procedures without Cardiac Catheterization$149,378$82,158$37,345
73204Fainting and Collapse$11,955$6,575$2,989
74639Neonate Birthwt >2499g with Other Significant Condition$10,208$5,614$2,552
75756Acute Adjust React Psychosocial Dysfunction$19,885$10,937$4,971

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 2015 - September 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)$4,451$2,448$1,113$5,747$3,161$1,437
Lesion Removal Colonoscopy by Snare Technique 45385)$4,867$2,677$1,217$5,243$2,883$1,311
Upper GI Endoscopy with Biopsy 43239)$4,771$2,624$1,193$8,130$4,471$2,032
Diagnostic Colonoscopy 45378)$2,815$1,548$704$6,883$3,786$1,721
Injection into Lumbar or Sacral Area, Single Level 64483)$1,654$910$413$4,773$2,625$1,193
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)$2,403$1,321$601$14,855$8,170$3,714
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$2,815$1,548$704$3,154$1,735$789
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$2,815$1,548$704$3,007$1,654$752
Carpal Tunnel Surgery 64721)$7,992$4,395$1,998NRNRNR
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$13,521$7,436$3,380$24,678$13,573$6,170
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)$11,529$6,341$2,882NRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$2,727$1,500$682$6,506$3,578$1,626
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$5,192$2,856$1,298$6,722$3,697$1,680
Creation of Eardrum Opening 69436)$5,987$3,293$1,497$5,545$3,050$1,386
Left Heart Artery/Ventricle Angiography 93458)$19,470$10,709$4,868NRNRNR
Unlisted Dental Surgery Procedure 41899)$9,797$5,389$2,449$10,616$5,839$2,654
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$5,888$3,239$1,472NRNRNR
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Laparoscopic Cholecystectomy 47562)$16,786$9,233$4,197$23,194$12,757$5,799
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
ABD Paracentesis w/Imaging 49083)$4,045$2,225$1,011NRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$8,940$4,917$2,235$10,402$5,721$2,600
Cataract Surgery- Complex 66982)NRNRNRNRNRNR
Esophageal Endoscopy with Dilation 43249)$4,368$2,403$1,092$7,033$3,868$1,758
Arthroscopic Rotator Cuff Repair 29827)NRNRNRNRNRNR
Hysteroscopy with Biopsy 58558)$15,156$8,336$3,789$17,837$9,810$4,459
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)NRNRNR$12,988$7,143$3,247
Cystourethroscopy with Lithotripsy and Stent 52356)$14,437$7,941$3,609$14,532$7,993$3,633
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$13,023$7,163$3,256$13,878$7,633$3,470
Incision of Finger Tendon Sheath 26055)$7,580$4,169$1,895$8,869$4,878$2,217
Laparoscopic Hernia Repair - Initial 49650)$15,667$8,617$3,917$18,043$9,924$4,511
Unlisted Cystourethoscopy 52000)$8,015$4,408$2,004$16,473$9,060$4,118
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$25,326$13,929$6,331$23,570$12,963$5,892
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$12,008$6,604$3,002$18,353$10,094$4,588
Uppr GI Endoscopy with Guide Wire 43248)$3,388$1,864$847$7,713$4,242$1,928
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)$8,320$4,576$2,080$7,482$4,115$1,871
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$13,373$7,355$3,343$26,399$14,520$6,600
Laparoscopic Appendectomy 44970)$17,196$9,458$4,299$24,138$13,276$6,035
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNR$12,334$6,784$3,084
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Cystourethroscopy with Stent 52332)$10,509$5,780$2,627$12,749$7,012$3,187
Removal of Tonsils 42826)$10,046$5,525$2,512$11,838$6,511$2,960
Laparoscopy - Removal of Adnexal Structures 58661)$15,501$8,526$3,875$20,280$11,154$5,070
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNRNRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$10,552$5,804$2,638$17,949$9,872$4,487
Mastectomy, Partial 19301)$15,629$8,596$3,907$24,713$13,592$6,178
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNR$26,617$14,639$6,654
Low Back Disk Surgery 63030)$20,978$11,538$5,245$24,783$13,631$6,196
Repair of Nasal Septum 30520)$11,742$6,458$2,935$21,111$11,611$5,278
Fragmenting of Kidney Stone 50590)$11,883$6,536$2,971$29,443$16,193$7,361
Laparoscopy, Removal of Tubes & Ovaries 58571)$22,628$12,445$5,657$36,791$20,235$9,198
Needle Biopsy of Liver 47000)$8,479$4,663$2,120NRNRNR
Aspirate Pleura with Imaging 32555)$6,361$3,499$1,590NRNRNR
Coronary Artery Angio S&I 93454)$16,020$8,811$4,005NRNRNR
Debridement Skin/Tissue 11042)$10,890$5,989$2,722$14,800$8,140$3,700
Wrist Endoscopy/Surgery 29848)$8,664$4,765$2,166$12,048$6,626$3,012
Hysteroscopy with Ablation 58563)$15,428$8,485$3,857$21,382$11,760$5,345
Transluminal balloon angioplasty, percutaneous, venous 35476)$24,700$13,585$6,175$7,798$4,289$1,949
Bone Marrow Biopsy 38221)NRNRNRNRNRNR
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Correction of Bunion 28296)$14,586$8,022$3,647$20,262$11,144$5,066
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNR$23,895$13,142$5,974
Apheresis Plasma 36514)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)$21,776$11,977$5,444NRNRNR
Biopsy of lung or mediastinum, percutaneous w/needle 32405)$6,260$3,443$1,565$8,317$4,574$2,079
Removal of Adenoids 42830)$8,612$4,737$2,153$8,159$4,488$2,040
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Removal of Central Venous Device w Port or Pump 36590)$8,176$4,497$2,044NRNRNR
Ablation therapy of first vein of extremity 36475)$16,196$8,908$4,049$19,488$10,718$4,872
Injection of chemical agent into muscles near face/neck 64615)NRNRNRNRNRNR
Debridement, Open Wound <= 20 Square Centimeters 97597)NRNRNRNRNRNR
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.