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$2,636$1,198
2560Vaginal Delivery$10,199$5,609$2,550
3720Blood Infection/Septicemia$15,174$8,346$3,794
4302Knee Replacement$41,388$22,763$10,347
5540Cesarean Delivery$15,143$8,329$3,786
6194Heart Failure$18,639$10,251$4,660
7301Hip Replacement$41,527$22,840$10,382
8139Pneumonia$11,483$6,316$2,871
9751Psychoses$16,610$9,136$4,153
10753Bipolar Disorders$17,782$9,780$4,446
11140Chronic Obstructive Pulmonary Disease$15,270$8,399$3,818
12775Alcohol Abuse/Dependence$11,297$6,213$2,824
13201Heart Abnormal Rhythm and Conduction Disorders$13,007$7,154$3,252
14383Cellulitis and Other Bacterial Skin Infections$12,548$6,901$3,137
15460Renal Failure$23,418$12,880$5,855
16045Stroke and Precerebral Occlusion with Infarct$22,128$12,170$5,532
17133Pulmonary Edema/Respiratory FailureNRNRNR
18463Kidney/Urinary Tract Infection$12,447$6,846$3,112
19221Major Bowel Procedures$37,489$20,619$9,372
20174Angioplasty with Heart Attack$65,496$36,023$16,374
21754Depression$14,859$8,172$3,715
22247Intestinal Obstruction without Surgery$14,931$8,212$3,733
23750Schizophrenia$15,352$8,444$3,838
24420Diabetes$13,219$7,270$3,305
25282Disorders of Pancreas Except Malignancy$12,489$6,869$3,122
26254Other Digestive System Diagnoses$15,069$8,288$3,767
27812Poisoning of Medicinal Agents$8,645$4,755$2,161
28304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$52,466$28,856$13,117
29053Seizure$9,624$5,293$2,406
30137Respiratory Infections and Inflammations$17,389$9,564$4,347
31173Other Vascular Procedures$42,255$23,240$10,564
32249Gastroenteritis$12,288$6,758$3,072
33190Circulatory Disorders with Heart Attack$29,628$16,295$7,407
34134Pulmonary Embolism$12,556$6,906$3,139
35308Hip/Thigh Surgery with Trauma Diagnosis$39,881$21,935$9,970
36263Laparoscopic Cholecystectomy$26,125$14,369$6,531
37315Shoulder/Upper Arm, Forearm Surgery$28,020$15,411$7,005
38244Diverticulitis & Diverticulosis$13,726$7,549$3,432
39710Infectious & parasitic diseases including HIV w O.R. procedure$8,977$4,937$2,244
40773Opioid Abuse/Dependence$5,828$3,205$1,457
41860Rehabilitation$18,441$10,143$4,610
42175Angioplasty without Heart Attack$67,422$37,082$16,856
43861Signs & Symptoms$10,395$5,717$2,599
44425Other Electrolyte Disorders$10,024$5,513$2,506
45347Other Back/Neck Disorders, Fractures, Injuries$17,494$9,622$4,374
46241Peptic Ulcer/Gastritis$17,590$9,675$4,398
47253Other and Unspecified Gastrointestinal Hemorrhage$19,506$10,728$4,877
48313Other Knee/Lower Leg Surgery$33,876$18,632$8,469
49191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$32,595$17,927$8,149
50351Other Musculoskeletal System and Connective Tissue Diagnoses$37,984$20,891$9,496
51058Other Disorders of Nervous System$21,036$11,570$5,259
52248Major G.I. Bacterial Infections$15,957$8,776$3,989
53024Extracranial Vascular Procedures$29,951$16,473$7,488
54466Malfunction, reaction, complic of genitourinary device or proc$5,092$2,801$1,273
55663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$18,292$10,061$4,573
56141Asthma$9,921$5,457$2,480
57693ChemotherapyNRNRNR
58721Postoperative and Post-Traumatic Infections$15,996$8,798$3,999
59321Upper Spinal Fusion$38,807$21,344$9,702
60197Peripheral and Other Vascular Disorders$10,852$5,969$2,713
61021Craniotomy Except For Trauma$79,673$43,820$19,918
62225Appendectomy$21,619$11,890$5,405
63566Other Antepartum Diagnoses$7,065$3,886$1,766
64055Head trauma w coma >1 hr or hemorrhage$17,992$9,896$4,498
65755Neuroses Other Than Depression$18,682$10,275$4,671
66052Nontraumatic stupor & coma$7,356$4,046$1,839
67192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$29,314$16,123$7,329
68163Heart Valve Procedures without Cardiac Catheterization$145,933$80,263$36,483
69144Respiratory System Signs, Symptoms and Minor Diagnoses$12,603$6,932$3,151
70143Other respiratory diagnoses except signs, symptoms & minor diagnoses$13,809$7,595$3,452
71422Hypovolemia$9,166$5,041$2,292
72204Fainting and Collapse$12,310$6,771$3,078
73951Moderately Extensive Procedure Unrelated to Diagnosis$21,892$12,041$5,473
74639Neonate Birthwt >2499g with Other Significant Condition$9,200$5,060$2,300
75756Acute Adjust React Psychosocial Dysfunction$19,634$10,799$4,909

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$2,775$1,262$6,035$3,319$1,509
Upper GI Endoscopy with Biopsy 43239)$4,854$2,670$1,214$7,870$4,328$1,967
Lesion Removal Colonoscopy by Snare Technique 45385)$5,309$2,920$1,327$5,225$2,874$1,306
Diagnostic Colonoscopy 45378)$3,639$2,002$910$3,138$1,726$784
Injection into Lumbar or Sacral Area, Single Level 64483)$1,821$1,001$455$1,622$892$406
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$5,021$2,762$1,255$2,282$1,255$571
Drain/Inject Major Joint or Bursa 20610)$429$236$107$5,826$3,205$1,457
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$3,057$1,681$764$3,397$1,868$849
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$2,909$1,600$727$3,559$1,957$890
Carpal Tunnel Surgery 64721)$7,917$4,354$1,979$7,343$4,039$1,836
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$11,900$6,545$2,975$23,518$12,935$5,880
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNR$11,788$6,483$2,947
Uppr GI Endoscopy- Diagnostic 43235)$3,467$1,907$867$6,395$3,517$1,599
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$4,914$2,703$1,229$6,760$3,718$1,690
Left Heart Artery/Ventricle Angiography 93458)$20,842$11,463$5,210$21,237$11,681$5,309
Creation of Eardrum Opening 69436)$4,985$2,742$1,246$5,274$2,901$1,319
Unlisted Dental Surgery Procedure 41899)$9,109$5,010$2,277$8,871$4,879$2,218
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$5,568$3,062$1,392$1,802$991$451
Laparoscopic Cholecystectomy 47562)$16,684$9,176$4,171$22,720$12,496$5,680
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
ABD Paracentesis w/Imaging 49083)$4,425$2,434$1,106$6,551$3,603$1,638
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Cataract Surgery- Complex 66982)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$8,124$4,468$2,031$9,509$5,230$2,377
Arthroscopic Rotator Cuff Repair 29827)$27,072$14,890$6,768$22,019$12,111$5,505
Hysteroscopy with Biopsy 58558)$13,378$7,358$3,344$16,174$8,896$4,044
Esophageal Endoscopy with Dilation 43249)$4,248$2,336$1,062$6,424$3,533$1,606
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)NRNRNR$12,988$7,143$3,247
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$12,605$6,933$3,151$14,295$7,862$3,574
Incision of Finger Tendon Sheath 26055)$7,281$4,005$1,820$8,210$4,515$2,052
Unlisted Cystourethoscopy 52000)$9,350$5,142$2,337$19,165$10,540$4,791
Cystourethroscopy with Lithotripsy and Stent 52356)$11,516$6,334$2,879$14,002$7,701$3,501
Laparoscopic Hernia Repair - Initial 49650)$14,222$7,822$3,556$14,475$7,961$3,619
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$12,026$6,614$3,006$18,012$9,906$4,503
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$22,053$12,129$5,513$23,570$12,963$5,892
Uppr GI Endoscopy with Guide Wire 43248)$4,044$2,224$1,011$7,713$4,242$1,928
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$10,828$5,955$2,707$23,073$12,690$5,768
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNR$9,472$5,210$2,368
Laparoscopic Appendectomy 44970)$16,393$9,016$4,098$21,281$11,705$5,320
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNR$11,126$6,119$2,782
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$343$188$86NRNRNR
Removal of Tonsils 42826)$10,123$5,567$2,531$10,421$5,732$2,605
Cystourethroscopy with Stent 52332)$9,237$5,080$2,309$11,407$6,274$2,852
Repair of Nasal Septum 30520)$11,742$6,458$2,935$16,009$8,805$4,002
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$22,296$12,263$5,574$25,241$13,882$6,310
Low Back Disk Surgery 63030)$20,162$11,089$5,041$24,783$13,631$6,196
Fragmenting of Kidney Stone 50590)$11,923$6,558$2,981$12,603$6,931$3,151
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$10,325$5,679$2,581$15,727$8,650$3,932
Laparoscopy - Removal of Adnexal Structures 58661)$15,637$8,600$3,909$18,779$10,329$4,695
Mastectomy, Partial 19301)$15,147$8,331$3,787$25,420$13,981$6,355
Needle Biopsy of Liver 47000)$9,623$5,293$2,406$11,464$6,305$2,866
Debridement Skin/Tissue 11042)$11,513$6,332$2,878$16,828$9,255$4,207
Laparoscopy, Removal of Tubes & Ovaries 58571)$22,523$12,388$5,631$31,929$17,561$7,982
Coronary Artery Angio S&I 93454)$18,857$10,372$4,714$31,635$17,399$7,909
Aspirate Pleura with Imaging 32555)$6,122$3,367$1,531$21,841$12,013$5,460
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Hysteroscopy with Ablation 58563)$14,497$7,973$3,624$17,125$9,419$4,281
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Debridement, Open Wound <= 20 Square Centimeters 97597)NRNRNRNRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Wrist Endoscopy/Surgery 29848)$7,812$4,297$1,953$12,048$6,626$3,012
Transluminal balloon angioplasty, percutaneous, venous 35476)$25,116$13,814$6,279$25,458$14,002$6,365
Shoulder Arthroscopy/Surgery 29824)$16,175$8,896$4,044$20,863$11,475$5,216
Right and Left Heart Artery/Ventricle Angiography 93460)$21,737$11,956$5,434$22,418$12,330$5,605
Bone Marrow Biopsy 38221)$4,430$2,437$1,108NRNRNR
Correction of Bunion 28296)$12,370$6,804$3,093$12,172$6,695$3,043
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Removal of Adenoids 42830)$8,465$4,656$2,116$7,934$4,364$1,983
Ablation therapy of first vein of extremity 36475)$15,996$8,798$3,999$18,654$10,260$4,664
Electronic analysis of implantable pump spine w/reprogram/refill 62369)NRNRNRNRNRNR
Biopsy of lung or mediastinum, percutaneous w/needle 32405)$6,961$3,829$1,740$8,317$4,574$2,079
Removal of Central Venous Device w Port or Pump 36590)$7,826$4,304$1,956$10,097$5,553$2,524
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.