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

        Charges for 75 Most Common Hospitalizations in Wisconsin:   July 2016 - June 2017   (Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$4,912$2,603$1,179
2560Vaginal Delivery$10,920$5,788$2,621
3720Blood Infection/Septicemia$15,366$8,144$3,688
4302Knee Replacement$45,601$24,169$10,944
5194Heart Failure$20,755$11,000$4,981
6540Cesarean Delivery$20,824$11,037$4,998
7301Hip Replacement$43,068$22,826$10,336
8751Psychoses$17,484$9,267$4,196
9139Pneumonia$12,159$6,444$2,918
10140Chronic Obstructive Pulmonary Disease$14,579$7,727$3,499
11753Bipolar Disorders$18,428$9,767$4,423
12201Heart Abnormal Rhythm and Conduction Disorders$11,211$5,942$2,691
13775Alcohol Abuse/Dependence$13,582$7,198$3,260
14383Cellulitis & other skin infections$12,382$6,562$2,972
15045Stroke and Precerebral Occlusion with Infarct$20,830$11,040$4,999
16133Respiratory failureNRNRNR
17463Kidney/Urinary Tract Infection$21,240$11,257$5,098
18221Major Bowel Procedures$45,813$24,281$10,995
19174Percutaneous coronary intervention w AMI$61,595$32,645$14,783
20750Schizophrenia$20,292$10,755$4,870
21420Diabetes$11,790$6,249$2,830
22469Acute Kidney Injury$13,101$6,944$3,144
23754Depression$14,581$7,728$3,499
24282Disorders of Pancreas Except Malignancy$13,889$7,361$3,333
25247Intestinal Obstruction without Surgery$15,730$8,337$3,775
26254Other Digestive System Diagnoses$12,502$6,626$3,000
27812Poisoning of Medicinal Agents$10,648$5,643$2,556
28308Hip & femur fracture repair$37,869$20,071$9,089
29710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
30773Opioid Abuse/Dependence$14,415$7,640$3,460
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$72,853$38,612$17,485
32190Circulatory Disorders with Heart Attack$33,250$17,623$7,980
33053Seizure$10,063$5,333$2,415
34175Percutaneous coronary intervention w/o AMI$73,412$38,908$17,619
35249Other gastroenteritis, nausea & vomiting$15,277$8,097$3,666
36058Other Disorders of Nervous System$17,159$9,094$4,118
37137Respiratory Infections and Inflammations$26,471$14,030$6,353
38134Pulmonary Embolism$14,389$7,626$3,453
39263Laparoscopic Cholecystectomy$29,055$15,399$6,973
40244Diverticulitis & Diverticulosis$13,328$7,064$3,199
41192Cardiac catheterization for other non-coronary conditions$27,091$14,358$6,502
42861Signs & Symptoms$12,062$6,393$2,895
43347Other Back/Neck Disorders, Fractures, Injuries$14,050$7,447$3,372
44253Other and Unspecified Gastrointestinal Hemorrhage$25,744$13,644$6,179
45241Peptic Ulcer/Gastritis$20,718$10,981$4,972
46466Malfunction, reaction, complic of genitourinary device or proc$18,678$9,899$4,483
47313Other Knee/Lower Leg Surgery$37,706$19,984$9,049
48425Other Electrolyte Disorders$13,780$7,303$3,307
49315Shoulder, upper arm & forearm procedures except joint replacement$43,954$23,296$10,549
50248Major G.I. Bacterial Infections$13,802$7,315$3,312
51351Other Musculoskeletal System and Connective Tissue Diagnoses$14,603$7,740$3,505
52951Moderately Extensive Procedure Unrelated to Diagnosis$18,115$9,601$4,348
53024Extracranial Vascular Procedures$31,035$16,449$7,448
54113Epiglottitis, Ear Infection, URI and Laryngotracheitis$12,823$6,796$3,078
55021Craniotomy Except For Trauma$36,971$19,595$8,873
56663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$18,988$10,064$4,557
57862Other Factors Influencing Health StatusNRNRNR
58321Upper Spinal Fusion$62,768$33,267$15,064
59566Other Antepartum Diagnoses$7,027$3,724$1,686
60055Head trauma w coma >1 hr or hemorrhage$16,516$8,753$3,964
61422Hypovolemia$3,608$1,912$866
62166Coronary bypass w/o AMI or complex PDX$106,433$56,409$25,544
63197Peripheral and Other Vascular Disorders$28,894$15,314$6,935
64181Lower Extremity Arterial Procedures$56,529$29,960$13,567
65052Nontraumatic stupor & coma$15,620$8,279$3,749
66141Asthma$17,118$9,073$4,108
67460Renal FailureNRNRNR
68755Neuroses Other Than Depression$17,269$9,153$4,145
69225Appendectomy$26,391$13,987$6,334
70721Postoperative and Post-Traumatic Infections$21,377$11,330$5,130
71143Other respiratory diagnoses except signs, symptoms & minor diagnoses$16,923$8,969$4,062
72144Respiratory System Signs, Symptoms and Minor Diagnoses$18,395$9,749$4,415
73163Cardiac valve procedures w/o AMI or complex PDX$183,760$97,393$44,102
74204Fainting and Collapse$19,962$10,580$4,791
75639Neonate Birthwt >2499g with Other Significant Condition$11,210$5,941$2,690

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:  July 2016 - June 2017

 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)$4,797$2,542$1,151$6,025$3,193$1,446
Lesion Removal Colonoscopy by Snare Technique (45385)$5,070$2,687$1,217$6,122$3,244$1,469
Upper GI Endoscopy with Biopsy (43239)$4,951$2,624$1,188$8,693$4,608$2,086
Diagnostic Colonoscopy (45378)$2,990$1,585$718NRNRNR
Injection into Lumbar or Sacral Area, Single Level (64483)$1,683$892$404$4,096$2,171$983
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral (64493)$4,745$2,515$1,139$7,186$3,808$1,725
Drain/Inject Major Joint or Bursa (20610)$2,597$1,376$623$7,911$4,193$1,899
Colorectal Cancer Screening; Colonscopy, Not High Risk (G0121)$2,961$1,569$711$3,729$1,976$895
Colorectal Cancer Screening ; Colonoscopy, High Risk (G0105)$2,973$1,575$713$3,007$1,594$722
Carpal Tunnel Surgery (64721)$8,197$4,344$1,967$8,674$4,597$2,082
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee (62323)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy (29881)$13,519$7,165$3,245$14,469$7,669$3,473
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral (64635)$11,130$5,899$2,671$8,363$4,432$2,007
Uppr GI Endoscopy- Diagnostic (43235)$3,206$1,699$769$7,202$3,817$1,728
Creation of Eardrum Opening (69436)$6,409$3,397$1,538$8,180$4,335$1,963
Lesion Removal Colonoscopy by Hot Biopsy or Cautery (45384)$5,647$2,993$1,355$5,904$3,129$1,417
Left Heart Artery/Ventricle Angiography (93458)$18,441$9,774$4,426NRNRNR
Unlisted Dental Surgery Procedure (41899)$10,160$5,385$2,438$13,227$7,011$3,175
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor (64490)$4,699$2,490$1,128NRNRNR
After Cataract Laser Surgery (66821)NRNRNRNRNRNR
Laparoscopic Cholecystectomy (47562)$18,630$9,874$4,471$24,324$12,892$5,838
ABD Paracentesis w/Imaging (49083)$4,368$2,315$1,048NRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion (19083)NRNRNRNRNRNR
Esophageal Endoscopy with Dilation (43249)$4,571$2,423$1,097$5,957$3,157$1,430
Biopsy Skin and Subcutaneous Tissue; 1 Lesion (11100)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 (42820)$8,989$4,764$2,157$10,911$5,783$2,619
Arthroscopic Rotator Cuff Repair (29827)NRNRNR$26,105$13,836$6,265
Hysteroscopy with Biopsy (58558)$15,728$8,336$3,775$19,143$10,146$4,594
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance (62321)NRNRNRNRNRNR
Cataract Surgery- Complex (66982)NRNRNRNRNRNR
Cystourethroscopy with Lithotripsy and Stent (52356)$15,241$8,078$3,658$15,341$8,131$3,682
Incision of Finger Tendon Sheath (26055)$7,831$4,150$1,879$8,599$4,557$2,064
Laparoscopic Hernia Repair - Initial (49650)$16,469$8,729$3,953$24,255$12,855$5,821
Repair Initial Ingunial Hernia, > = 5 years, Reducible (49505)$15,893$8,423$3,814$13,827$7,328$3,318
Unlisted Cystourethoscopy (52000)$7,411$3,928$1,779$19,123$10,135$4,589
Uppr GI Endoscopy with Guide Wire (43248)$3,696$1,959$887NRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic (64633)$7,421$3,933$1,781$7,482$3,965$1,796
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) (20680)$11,523$6,107$2,765$14,805$7,847$3,553
Destruction of Premalignant Lesion (17000)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy (29880)$14,059$7,451$3,374$21,425$11,355$5,142
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct (47563)$25,633$13,586$6,152$26,866$14,239$6,448
Destruction of Benign Lesions up to 14 Lesions (17110)NRNRNR$13,696$7,259$3,287
Biopsy breast w/stereotactic image; 1 lesion (19081)NRNRNRNRNRNR
Cystourethroscopy with Stent (52332)$11,862$6,287$2,847$13,694$7,258$3,287
Laparoscopy - Removal of Adnexal Structures (58661)$15,058$7,981$3,614$20,024$10,613$4,806
Mastectomy, Partial (19301)$19,650$10,414$4,716$25,073$13,289$6,018
Debridement Skin/Tissue (11042)$12,469$6,609$2,993$11,893$6,303$2,854
Laparoscopic Appendectomy (44970)$19,379$10,271$4,651$24,636$13,057$5,913
Repair Umbilical Hernia, > = 5 Yrs - Reducible (49585)$10,719$5,681$2,573$17,157$9,093$4,118
Laparoscopy, Removal of Tubes & Ovaries (58571)$23,040$12,211$5,530$34,861$18,476$8,367
Removal of Tonsils (42826)$10,194$5,403$2,447$11,645$6,172$2,795
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles (20552)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair (29888)NRNRNR$27,585$14,620$6,620
Low Back Disk Surgery (63030)$21,783$11,545$5,228$29,790$15,789$7,150
Repair of Nasal Septum (30520)$13,386$7,095$3,213$15,261$8,088$3,663
Fragmenting of Kidney Stone (50590)$12,420$6,583$2,981$12,433$6,590$2,984
Needle Biopsy of Liver (47000)$8,600$4,558$2,064NRNRNR
Wrist Endoscopy/Surgery (29848)$9,188$4,870$2,205$9,195$4,873$2,207
Coronary Artery Angio S&I (93454)$15,734$8,339$3,776NRNRNR
Aspirate Pleura with Imaging (32555)$6,086$3,226$1,461NRNRNR
Bone Marrow Biopsy (38221)$11,034$5,848$2,648NRNRNR
Diagnostic Laryngoscopy (31575)$8,722$4,623$2,093$47,345$25,093$11,363
Hysteroscopy with Ablation (58563)$16,346$8,664$3,923$22,440$11,893$5,386
Injection of chemical agent into muscles near face/neck (64615)NRNRNRNRNRNR
Removal of Adenoids (42830)NRNRNR$8,491$4,500$2,038
Correction of Bunion (28296)$13,849$7,340$3,324$20,231$10,723$4,855
Biopsy of lung or mediastinum, percutaneous w/needle (32405)$6,534$3,463$1,568NRNRNR
Remove Impacted Ear Wax (69210)$1,287$682$309$6,926$3,671$1,662
Right and Left Heart Artery/Ventricle Angiography (93460)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery (29824)NRNRNR$23,484$12,447$5,636
Exam of ear with microscope (92504)NRNRNRNRNRNR
Electro-Uroflowmetry - First (51741)NRNRNRNRNRNR
Removal of Central Venous Device w Port or Pump (36590)$7,875$4,174$1,890NRNRNR
Arthrocentesis, aspiration and/or Inj. major joint or bursa; w/US guidance (20611)$1,640$869$394$6,674$3,537$1,602
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.