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

Charges for 75 Most Common Hospitalizations in Wisconsin:  January 2014 - December 2014
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$4,319$2,289$1,080
2560Vaginal Delivery$8,547$4,530$2,137
3720Blood Infection/Septicemia$19,077$10,111$4,769
4302Knee Replacement$37,486$19,868$9,372
5540Cesarean Delivery$15,566$8,250$3,892
6194Heart Failure$19,039$10,091$4,760
7139Pneumonia$11,861$6,286$2,965
8301Hip Replacement$39,196$20,774$9,799
9751Psychoses$12,189$6,460$3,047
10753Bipolar Disorders$13,710$7,266$3,428
11140Chronic Obstructive Pulmonary Disease$13,099$6,942$3,275
12201Heart Abnormal Rhythm and Conduction Disorders$13,626$7,222$3,407
13775Alcohol Abuse/Dependence$8,858$4,695$2,215
14383Cellulitis and Other Bacterial Skin Infections$11,569$6,132$2,892
15460Renal Failure$176,131$93,349$44,033
16045Stroke and Precerebral Occlusion with Infarct$21,883$11,598$5,471
17463Kidney/Urinary Tract Infection$12,850$6,811$3,213
18860Rehabilitation$24,435$12,951$6,109
19221Major Bowel Procedures$35,195$18,653$8,799
20133Pulmonary Edema/Respiratory FailureNRNRNR
21750Schizophrenia$15,939$8,448$3,985
22174Angioplasty with Heart Attack$72,896$38,635$18,224
23254Other Digestive System Diagnoses$12,737$6,751$3,184
24247Intestinal Obstruction without Surgery$12,224$6,479$3,056
25282Disorders of Pancreas Except Malignancy$14,399$7,631$3,600
26420Diabetes$11,960$6,339$2,990
27754Depression$16,082$8,523$4,021
28249Gastroenteritis$13,360$7,081$3,340
29304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$63,434$33,620$15,859
30053Seizure$12,272$6,504$3,068
31137Respiratory Infections and Inflammations$35,629$18,883$8,907
32812Poisoning of Medicinal Agents$9,627$5,102$2,407
33308Hip/Thigh Surgery with Trauma Diagnosis$28,252$14,974$7,063
34134Pulmonary Embolism$13,456$7,132$3,364
35175Angioplasty without Heart Attack$71,487$37,888$17,872
36190Circulatory Disorders with Heart Attack$29,131$15,439$7,283
37173Other Vascular Procedures$58,705$31,114$14,676
38263Laparoscopic Cholecystectomy$27,261$14,448$6,815
39347Other Back/Neck Disorders, Fractures, Injuries$13,552$7,183$3,388
40244Diverticulitis & Diverticulosis$13,058$6,921$3,265
41425Other Electrolyte Disorders$8,673$4,597$2,168
42861Signs & Symptoms$15,811$8,380$3,953
43241Peptic Ulcer/Gastritis$17,142$9,085$4,286
44315Shoulder/Upper Arm, Forearm Surgery$23,663$12,541$5,916
45313Other Knee/Lower Leg Surgery$28,405$15,055$7,101
46253Other and Unspecified Gastrointestinal Hemorrhage$15,035$7,969$3,759
47141Asthma$10,794$5,721$2,699
48351Other Musculoskeletal System and Connective Tissue Diagnoses$11,561$6,127$2,890
49663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$14,234$7,544$3,559
50248Major G.I. Bacterial Infections$14,852$7,872$3,713
51773Opioid Abuse/Dependence$9,560$5,067$2,390
52191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$36,184$19,178$9,046
53710Infectious & parasitic diseases including HIV w O.R. procedure$18,406$9,755$4,602
54024Extracranial Vascular Procedures$26,989$14,304$6,747
55693ChemotherapyNRNRNR
56466Malfunction, reaction, complic of genitourinary device or procNRNRNR
57321Upper Spinal Fusion$39,649$21,014$9,912
58225Appendectomy$22,400$11,872$5,600
59721Postoperative and Post-Traumatic Infections$14,289$7,573$3,572
60197Peripheral and Other Vascular Disorders$24,022$12,732$6,006
61144Respiratory System Signs, Symptoms and Minor Diagnoses$20,281$10,749$5,070
62192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$34,725$18,404$8,681
63021Craniotomy Except For Trauma$66,012$34,986$16,503
64566Other Antepartum Diagnoses$6,031$3,196$1,508
65204Fainting and Collapse$11,098$5,882$2,775
66163Heart Valve Procedures without Cardiac Catheterization$125,625$66,581$31,406
67143Other respiratory diagnoses except signs, symptoms & minor diagnoses$19,691$10,436$4,923
68052Nontraumatic stupor & coma$15,676$8,308$3,919
69113Epiglottitis, Ear Infection, URI and Laryngotracheitis$14,027$7,434$3,507
70310Back/Neck Procedures Except Dorsal and Lumbar Fusion$24,164$12,807$6,041
71660Major hematologic/immunologic diag exc sickle cell crisis & coagul$16,515$8,753$4,129
72198Chest Pain with Angina Pectoris or Coronary Atherosclerosis$15,044$7,973$3,761
73755Neuroses Other Than Depression$13,918$7,377$3,480
74055Head trauma w coma >1 hr or hemorrhage$15,579$8,257$3,895
75422Hypovolemia$12,760$6,763$3,190

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:  January 2014 - December 2014
 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)$15,335$8,127$3,834NRNRNR
Colonoscopy and Biopsy 45380)$4,913$2,604$1,228$6,663$3,531$1,666
Upper GI Endoscopy with Biopsy 43239)$4,774$2,530$1,194$7,543$3,998$1,886
Diagnostic Colonoscopy 45378)$3,362$1,782$841$6,408$3,396$1,602
Lesion Removal Colonoscopy by Snare Technique 45385)$5,174$2,742$1,294$6,584$3,490$1,646
Injection into Lumbar or Sacral Area, Single Level 64483)$1,721$912$430$3,648$1,933$912
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$8,228$4,361$2,057$12,336$6,538$3,084
Drain/Inject Major Joint or Bursa 20610)$2,374$1,258$594$4,708$2,495$1,177
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$3,361$1,781$840NRNRNR
Carpal Tunnel Surgery 64721)$7,692$4,077$1,923$10,214$5,413$2,553
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$9,794$5,191$2,449$9,974$5,286$2,493
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$3,375$1,789$844NRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$3,420$1,813$855$5,535$2,933$1,384
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$4,758$2,522$1,189$6,050$3,207$1,513
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNR$11,951$6,334$2,988
Left Heart Artery/Ventricle Angiography 93458)$19,426$10,296$4,857$28,270$14,983$7,068
Creation of Eardrum Opening 69436)$3,784$2,006$946$3,826$2,028$957
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$4,349$2,305$1,087$6,555$3,474$1,639
Laparoscopic Cholecystectomy 47562)$16,729$8,866$4,182$20,727$10,985$5,182
Unlisted Dental Surgery Procedure 41899)$7,862$4,167$1,966$11,132$5,900$2,783
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$7,847$4,159$1,962$9,195$4,874$2,299
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$11,582$6,138$2,895$14,083$7,464$3,521
Cataract Surgery- Complex 66982)NRNRNRNRNRNR
Arthroscopic Rotator Cuff Repair 29827)$23,182$12,287$5,796$21,922$11,618$5,480
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Hysteroscopy with Biopsy 58558)$12,243$6,489$3,061$14,091$7,468$3,523
ABD Paracentesis w/Imaging 49083)$5,518$2,925$1,380$16,662$8,831$4,166
Unlisted Cystourethoscopy 52000)$5,584$2,960$1,396$16,431$8,709$4,108
Esophageal Endoscopy with Dilation 43249)$4,204$2,228$1,051$5,959$3,158$1,490
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$16,480$8,734$4,120$22,256$11,795$5,564
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$11,207$5,940$2,802$15,703$8,322$3,926
Incision of Finger Tendon Sheath 26055)$7,098$3,762$1,775$7,901$4,188$1,975
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)NRNRNR$7,455$3,951$1,864
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$9,917$5,256$2,479$10,210$5,411$2,552
Cystourethroscopy with Lithotripsy and Stent 52356)$10,626$5,632$2,657$12,297$6,517$3,074
Uppr GI Endoscopy with Guide Wire 43248)$3,800$2,014$950$4,952$2,624$1,238
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Laparoscopic Hernia Repair - Initial 49650)$13,482$7,146$3,371$15,849$8,400$3,962
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$15,738$8,341$3,934$19,744$10,464$4,936
Cystourethroscopy with Stent 52332)$8,625$4,571$2,156$10,417$5,521$2,604
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNR$10,286$5,452$2,572
Fragmenting of Kidney Stone 50590)$10,014$5,308$2,504$12,080$6,403$3,020
Repair of Nasal Septum 30520)$10,656$5,648$2,664$18,393$9,748$4,598
Low Back Disk Surgery 63030)$16,672$8,836$4,168$18,099$9,592$4,525
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$9,006$4,773$2,252$17,410$9,228$4,353
Removal of Tonsils 42826)$10,673$5,656$2,668$11,720$6,212$2,930
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$20,585$10,910$5,146$22,982$12,181$5,746
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNR$7,892$4,183$1,973
Coronary Artery Angio S&I 93454)$17,241$9,138$4,310$26,707$14,155$6,677
Mastectomy, Partial 19301)$14,928$7,912$3,732$22,254$11,795$5,563
Hysteroscopy with Ablation 58563)$12,510$6,630$3,127$15,437$8,182$3,859
Apheresis Plasma 36514)NRNRNRNRNRNR
Remove Impacted Ear Wax 69210)NRNRNR$3,748$1,987$937
Needle Biopsy of Liver 47000)$8,440$4,473$2,110$10,088$5,347$2,522
Colonoscopy with Lesion Removal 45383)$4,716$2,499$1,179$3,682$1,951$920
Bone Marrow Biopsy 38221)$8,202$4,347$2,050$7,663$4,061$1,916
Laparoscopy - Removal of Adnexal Structures 58661)$15,507$8,219$3,877$19,554$10,364$4,889
Correction of Bunion 28296)$10,681$5,661$2,670$21,029$11,145$5,257
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Laparoscopy, Removal of Tubes & Ovaries 58571)$22,624$11,991$5,656$25,939$13,748$6,485
Debridement Skin/Tissue 11042)$9,116$4,831$2,279$9,211$4,882$2,303
Mohs Micrographic Tissue Removal 17311)NRNRNRNRNRNR
Aspirate Pleura with Imaging 32555)$2,524$1,338$631$6,806$3,607$1,702
Right and Left Heart Artery/Ventricle Angiography 93460)$19,324$10,242$4,831$22,318$11,828$5,579
Wrist Endoscopy/Surgery 29848)$6,475$3,432$1,619$8,103$4,295$2,026
Removal of Breast Lesion 19120)$10,745$5,695$2,686$13,183$6,987$3,296
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Insertion of Central Venous Catheter >= 5 years 36569)$7,299$3,869$1,825$9,953$5,275$2,488
Removal of Central Venous Device w Port or Pump 36590)$8,386$4,444$2,096NRNRNR
Shoulder Arthroscopy/Surgery 29824)$16,731$8,868$4,183$20,128$10,668$5,032
Electronic analysis of implantable pump spine w/reprogram/refill 62369)NRNRNRNRNRNR
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNR$24,432$12,949$6,108
Information about quality and safety of care for Meriter-UnityPoint Health may be found at http://www.wicheckpoint.org
* Estimated Insurance Payments based on average percent of billed charges collected.