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

        Charges for 75 Most Common Hospitalizations in Wisconsin:   October 2016 - September 2017   (Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$4,955$2,626$1,189
2560Vaginal Delivery$11,123$5,895$2,670
3720Blood Infection/Septicemia$15,049$7,976$3,612
4302Knee Replacement$45,279$23,998$10,867
5194Heart Failure$17,431$9,238$4,183
6540Cesarean Delivery$21,192$11,232$5,086
7301Hip Replacement$42,992$22,786$10,318
8751Psychoses$17,419$9,232$4,181
9140Chronic Obstructive Pulmonary Disease$14,579$7,727$3,499
10139Pneumonia$12,159$6,444$2,918
11753Bipolar Disorders$20,336$10,778$4,881
12775Alcohol Abuse/Dependence$12,815$6,792$3,076
13201Heart Abnormal Rhythm and Conduction Disorders$11,166$5,918$2,680
14133Respiratory failureNRNRNR
15383Cellulitis & other skin infections$12,460$6,604$2,990
16045Stroke and Precerebral Occlusion with Infarct$20,790$11,019$4,990
17469Acute Kidney Injury$13,101$6,944$3,144
18463Kidney/Urinary Tract Infection$20,094$10,650$4,823
19221Major Bowel Procedures$42,580$22,567$10,219
20174Percutaneous coronary intervention w AMI$62,512$33,131$15,003
21750Schizophrenia$21,486$11,388$5,157
22420Diabetes$11,487$6,088$2,757
23754Depression$14,561$7,717$3,495
24282Disorders of Pancreas Except Malignancy$13,670$7,245$3,281
25247Intestinal Obstruction without Surgery$16,097$8,531$3,863
26812Poisoning of Medicinal Agents$11,132$5,900$2,672
27254Other Digestive System Diagnoses$14,992$7,946$3,598
28308Hip & femur fracture repair$40,665$21,552$9,760
29710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
30190Circulatory Disorders with Heart Attack$31,322$16,601$7,517
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$77,669$41,165$18,641
32053Seizure$12,974$6,876$3,114
33773Opioid Abuse/Dependence$14,415$7,640$3,460
34175Percutaneous coronary intervention w/o AMI$57,741$30,603$13,858
35058Other Disorders of Nervous System$17,022$9,022$4,085
36249Other gastroenteritis, nausea & vomiting$15,277$8,097$3,666
37137Respiratory Infections and Inflammations$26,471$14,030$6,353
38134Pulmonary Embolism$15,210$8,061$3,650
39192Cardiac catheterization for other non-coronary conditions$33,143$17,566$7,954
40263Laparoscopic Cholecystectomy$29,763$15,774$7,143
41244Diverticulitis & Diverticulosis$13,824$7,327$3,318
42861Signs & Symptoms$16,568$8,781$3,976
43241Peptic Ulcer/Gastritis$18,193$9,642$4,366
44253Other and Unspecified Gastrointestinal Hemorrhage$18,268$9,682$4,384
45466Malfunction, reaction, complic of genitourinary device or proc$15,843$8,397$3,802
46347Other Back/Neck Disorders, Fractures, Injuries$14,050$7,447$3,372
47313Other Knee/Lower Leg Surgery$37,691$19,976$9,046
48425Other Electrolyte Disorders$13,780$7,303$3,307
49181Lower Extremity Arterial Procedures$56,529$29,960$13,567
50951Moderately Extensive Procedure Unrelated to Diagnosis$18,115$9,601$4,348
51248Major G.I. Bacterial Infections$14,961$7,929$3,591
52024Extracranial Vascular Procedures$29,799$15,793$7,152
53351Other Musculoskeletal System and Connective Tissue Diagnoses$11,232$5,953$2,696
54315Shoulder, upper arm & forearm procedures except joint replacement$36,501$19,346$8,760
55021Craniotomy Except For Trauma$90,411$47,918$21,699
56113Epiglottitis, Ear Infection, URI and Laryngotracheitis$14,197$7,524$3,407
57663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$21,451$11,369$5,148
58166Coronary bypass w/o AMI or complex PDX$141,397$74,940$33,935
59321Upper Spinal Fusion$51,205$27,139$12,289
60862Other Factors Influencing Health StatusNRNRNR
61055Head trauma w coma >1 hr or hemorrhage$28,649$15,184$6,876
62197Peripheral and Other Vascular Disorders$38,372$20,337$9,209
63566Other Antepartum Diagnoses$7,348$3,894$1,764
64422Hypovolemia$18,241$9,668$4,378
65052Nontraumatic stupor & coma$15,620$8,279$3,749
66141Asthma$18,843$9,987$4,522
67755Neuroses Other Than Depression$17,269$9,153$4,145
68721Postoperative and Post-Traumatic Infections$24,341$12,901$5,842
69225Appendectomy$25,948$13,752$6,228
70143Other respiratory diagnoses except signs, symptoms & minor diagnoses$16,979$8,999$4,075
71144Respiratory System Signs, Symptoms and Minor Diagnoses$16,176$8,573$3,882
72163Cardiac valve procedures w/o AMI or complex PDX$171,140$90,704$41,074
73204Fainting and Collapse$14,989$7,944$3,597
74199Hypertension$11,888$6,301$2,853
75696Other ChemotherapyNRNRNR

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 2016 - September 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)$4,867$2,580$1,168$6,209$3,291$1,490
Lesion Removal Colonoscopy by Snare Technique (45385)$5,146$2,727$1,235$6,163$3,266$1,479
Upper GI Endoscopy with Biopsy (43239)$5,229$2,772$1,255$8,847$4,689$2,123
Diagnostic Colonoscopy (45378)$3,315$1,757$796NRNRNR
Injection into Lumbar or Sacral Area, Single Level (64483)$1,757$931$422$4,612$2,445$1,107
Drain/Inject Major Joint or Bursa (20610)$2,597$1,376$623$11,485$6,087$2,756
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral (64493)$4,699$2,490$1,128$7,186$3,808$1,725
Colorectal Cancer Screening; Colonscopy, Not High Risk (G0121)$3,338$1,769$801$3,729$1,976$895
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee (62323)NRNRNRNRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk (G0105)$3,335$1,768$800NRNRNR
Carpal Tunnel Surgery (64721)$8,084$4,285$1,940$9,568$5,071$2,296
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral (64635)$10,111$5,359$2,427$8,363$4,432$2,007
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy (29881)$13,488$7,149$3,237$15,236$8,075$3,657
Uppr GI Endoscopy- Diagnostic (43235)$3,241$1,718$778$7,397$3,920$1,775
Creation of Eardrum Opening (69436)$6,541$3,467$1,570$8,348$4,425$2,004
Lesion Removal Colonoscopy by Hot Biopsy or Cautery (45384)$5,659$2,999$1,358$7,994$4,237$1,919
Left Heart Artery/Ventricle Angiography (93458)$16,826$8,918$4,038NRNRNR
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance (62321)NRNRNRNRNRNR
Unlisted Dental Surgery Procedure (41899)$10,317$5,468$2,476$13,265$7,030$3,184
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor (64490)$4,699$2,490$1,128NRNRNR
After Cataract Laser Surgery (66821)NRNRNRNRNRNR
ABD Paracentesis w/Imaging (49083)$3,722$1,972$893NRNRNR
Laparoscopic Cholecystectomy (47562)$18,615$9,866$4,468$24,566$13,020$5,896
Biopsy, Breast w/Ultrasound Image; 1 Lesion (19083)NRNRNRNRNRNR
Esophageal Endoscopy with Dilation (43249)$4,575$2,425$1,098$6,579$3,487$1,579
Biopsy Skin and Subcutaneous Tissue; 1 Lesion (11100)$10,627$5,632$2,551NRNRNR
Removal of Tonsils And Adenoids - < Age 12 (42820)$9,196$4,874$2,207$10,911$5,783$2,619
Arthroscopic Rotator Cuff Repair (29827)NRNRNR$26,105$13,836$6,265
Cataract Surgery- Complex (66982)NRNRNRNRNRNR
Hysteroscopy with Biopsy (58558)$15,735$8,340$3,776$18,633$9,875$4,472
Cystourethroscopy with Lithotripsy and Stent (52356)$15,371$8,147$3,689$15,403$8,164$3,697
Incision of Finger Tendon Sheath (26055)$7,867$4,170$1,888$7,974$4,226$1,914
Laparoscopic Hernia Repair - Initial (49650)$16,682$8,841$4,004$25,334$13,427$6,080
Destruction of Premalignant Lesion (17000)NRNRNRNRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible (49505)$15,957$8,457$3,830$17,575$9,315$4,218
Unlisted Cystourethoscopy (52000)$7,550$4,002$1,812$19,123$10,135$4,589
Uppr GI Endoscopy with Guide Wire (43248)$3,873$2,053$930NRNRNR
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) (20680)$11,231$5,952$2,695$16,827$8,918$4,039
Destruction by neurolytic agent w imaging, cervical or thoracic (64633)NRNRNR$7,481$3,965$1,795
Destruction of Benign Lesions up to 14 Lesions (17110)NRNRNR$13,850$7,340$3,324
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy (29880)$14,094$7,470$3,383$29,353$15,557$7,045
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct (47563)$25,887$13,720$6,213$26,866$14,239$6,448
Biopsy breast w/stereotactic image; 1 lesion (19081)NRNRNRNRNRNR
Cystourethroscopy with Stent (52332)$11,862$6,287$2,847$13,470$7,139$3,233
Laparoscopy - Removal of Adnexal Structures (58661)$14,982$7,941$3,596$19,366$10,264$4,648
Mastectomy, Partial (19301)$15,825$8,387$3,798$25,275$13,396$6,066
Debridement Skin/Tissue (11042)$10,599$5,617$2,544$12,421$6,583$2,981
Laparoscopic Appendectomy (44970)$19,545$10,359$4,691$24,549$13,011$5,892
Laparoscopy, Removal of Tubes & Ovaries (58571)$23,294$12,346$5,591$34,861$18,476$8,367
Repair Umbilical Hernia, > = 5 Yrs - Reducible (49585)$11,097$5,882$2,663$17,146$9,087$4,115
Removal of Tonsils (42826)$10,311$5,465$2,475$11,451$6,069$2,748
Low Back Disk Surgery (63030)$25,379$13,451$6,091$32,595$17,275$7,823
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles (20552)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair (29888)$18,738$9,931$4,497$27,705$14,684$6,649
Repair of Nasal Septum (30520)$13,386$7,095$3,213$15,261$8,088$3,663
Wrist Endoscopy/Surgery (29848)$9,283$4,920$2,228$9,195$4,873$2,207
Fragmenting of Kidney Stone (50590)$12,436$6,591$2,985$12,433$6,590$2,984
Coronary Artery Angio S&I (93454)$15,957$8,457$3,830NRNRNR
Aspirate Pleura with Imaging (32555)$6,413$3,399$1,539NRNRNR
Needle Biopsy of Liver (47000)$8,505$4,507$2,041NRNRNR
Injection of chemical agent into muscles near face/neck (64615)NRNRNRNRNRNR
Bone Marrow Biopsy (38221)$10,893$5,773$2,614NRNRNR
Diagnostic Laryngoscopy (31575)$8,374$4,438$2,010$47,345$25,093$11,363
Removal of Adenoids (42830)$8,659$4,589$2,078$8,923$4,729$2,142
Hysteroscopy with Ablation (58563)$15,940$8,448$3,826$21,257$11,266$5,102
Exam of ear with microscope (92504)NRNRNRNRNRNR
Electro-Uroflowmetry - First (51741)NRNRNRNRNRNR
Biopsy of lung or mediastinum, percutaneous w/needle (32405)$6,928$3,672$1,663$9,271$4,913$2,225
Remove Impacted Ear Wax (69210)$1,287$682$309$6,926$3,671$1,662
Right and Left Heart Artery/Ventricle Angiography (93460)NRNRNRNRNRNR
Arthrocentesis, aspiration and/or Inj. major joint or bursa; w/US guidance (20611)$1,640$869$394$5,931$3,143$1,423
Correction of Bunion (28296)$15,205$8,059$3,649$19,874$10,533$4,770
Shoulder Arthroscopy/Surgery (29824)NRNRNR$23,484$12,447$5,636
Angioplasty - peripheral segment of the dialysis circuit (36902)$19,979$10,589$4,795NRNRNR
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.