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

Charges for 75 Most Common Hospitalizations in Wisconsin:  July 2015 - June 2016
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$4,851$2,668$1,213
2560Vaginal Delivery$10,364$5,700$2,591
3720Blood Infection/Septicemia$15,166$8,341$3,792
4302Knee Replacement$43,367$23,852$10,842
5540Cesarean Delivery$16,745$9,210$4,186
6194Heart Failure$17,964$9,880$4,491
7301Hip Replacement$42,007$23,104$10,502
8139Pneumonia$11,294$6,212$2,824
9751Psychoses$18,077$9,942$4,519
10753Bipolar Disorders$19,543$10,749$4,886
11775Alcohol Abuse/Dependence$11,371$6,254$2,843
12140Chronic Obstructive Pulmonary Disease$13,547$7,451$3,387
13201Heart Abnormal Rhythm and Conduction Disorders$14,087$7,748$3,522
14383Cellulitis and Other Bacterial Skin Infections$12,959$7,127$3,240
15460Renal Failure$23,418$12,880$5,855
16045Stroke and Precerebral Occlusion with Infarct$20,090$11,050$5,023
17133Pulmonary Edema/Respiratory FailureNRNRNR
18463Kidney/Urinary Tract Infection$10,219$5,620$2,555
19221Major Bowel Procedures$43,158$23,737$10,790
20174Angioplasty with Heart Attack$62,884$34,586$15,721
21754Depression$15,172$8,345$3,793
22750Schizophrenia$17,697$9,733$4,424
23247Intestinal Obstruction without Surgery$14,931$8,212$3,733
24420Diabetes$12,851$7,068$3,213
25282Disorders of Pancreas Except Malignancy$12,656$6,961$3,164
26812Poisoning of Medicinal Agents$8,645$4,755$2,161
27254Other Digestive System Diagnoses$15,132$8,323$3,783
28304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$59,832$32,908$14,958
29053Seizure$12,786$7,032$3,197
30190Circulatory Disorders with Heart Attack$27,170$14,944$6,793
31137Respiratory Infections and Inflammations$20,228$11,125$5,057
32173Other Vascular Procedures$50,104$27,557$12,526
33710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
34134Pulmonary Embolism$13,078$7,193$3,270
35308Hip/Thigh Surgery with Trauma Diagnosis$39,881$21,935$9,970
36263Laparoscopic Cholecystectomy$28,078$15,443$7,020
37773Opioid Abuse/Dependence$5,828$3,205$1,457
38249Gastroenteritis$12,387$6,813$3,097
39315Shoulder/Upper Arm, Forearm Surgery$34,574$19,016$8,644
40244Diverticulitis & Diverticulosis$15,016$8,259$3,754
41175Angioplasty without Heart Attack$62,269$34,248$15,567
42861Signs & Symptoms$10,311$5,671$2,578
43058Other Disorders of Nervous System$15,388$8,463$3,847
44347Other Back/Neck Disorders, Fractures, Injuries$17,834$9,809$4,459
45253Other and Unspecified Gastrointestinal Hemorrhage$13,268$7,297$3,317
46425Other Electrolyte Disorders$10,024$5,513$2,506
47351Other Musculoskeletal System and Connective Tissue Diagnoses$35,181$19,350$8,795
48241Peptic Ulcer/Gastritis$17,723$9,748$4,431
49313Other Knee/Lower Leg Surgery$35,067$19,287$8,767
50191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$30,565$16,811$7,641
51248Major G.I. Bacterial Infections$15,957$8,776$3,989
52663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$18,292$10,061$4,573
53024Extracranial Vascular Procedures$32,077$17,642$8,019
54466Malfunction, reaction, complic of genitourinary device or proc$5,092$2,801$1,273
55862Other Factors Influencing Health Status$22,042$12,123$5,511
56197Peripheral and Other Vascular DisordersNRNRNR
57693ChemotherapyNRNRNR
58021Craniotomy Except For Trauma$84,071$46,239$21,018
59141Asthma$11,460$6,303$2,865
60321Upper Spinal Fusion$48,526$26,689$12,132
61566Other Antepartum Diagnoses$6,087$3,348$1,522
62721Postoperative and Post-Traumatic Infections$15,261$8,394$3,815
63225Appendectomy$24,645$13,555$6,161
64052Nontraumatic stupor & coma$7,356$4,046$1,839
65422Hypovolemia$7,893$4,341$1,973
66755Neuroses Other Than Depression$18,375$10,106$4,594
67192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$29,306$16,118$7,327
68951Moderately Extensive Procedure Unrelated to Diagnosis$21,499$11,824$5,375
69055Head trauma w coma >1 hr or hemorrhage$18,103$9,957$4,526
70163Heart Valve Procedures without Cardiac Catheterization$145,933$80,263$36,483
71950Extensive Procedure Unrelated to Principal Diagnosis$14,725$8,099$3,681
72220Major Stomach/Esophagus/Duodenum Procedures$27,892$15,341$6,973
73144Respiratory System Signs, Symptoms and Minor Diagnoses$15,035$8,269$3,759
74204Fainting and Collapse$11,661$6,414$2,915
75756Acute Adjust React Psychosocial Dysfunction$18,890$10,390$4,723

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 2015 - June 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)$4,799$2,640$1,200$5,661$3,114$1,415
Lesion Removal Colonoscopy by Snare Technique 45385)$5,095$2,803$1,274$5,000$2,750$1,250
Upper GI Endoscopy with Biopsy 43239)$4,773$2,625$1,193$7,979$4,389$1,995
Diagnostic Colonoscopy 45378)$3,175$1,746$794$3,138$1,726$784
Injection into Lumbar or Sacral Area, Single Level 64483)$1,715$943$429$1,622$892$406
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$4,790$2,635$1,198$2,282$1,255$571
Drain/Inject Major Joint or Bursa 20610)$429$236$107$7,832$4,307$1,958
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$2,815$1,548$704$3,397$1,868$849
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$2,815$1,548$704$3,559$1,957$890
Carpal Tunnel Surgery 64721)$7,992$4,395$1,998$7,343$4,039$1,836
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$13,032$7,167$3,258$23,860$13,123$5,965
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)$11,147$6,131$2,787$11,048$6,076$2,762
Uppr GI Endoscopy- Diagnostic 43235)$2,804$1,542$701$6,395$3,517$1,599
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$4,862$2,674$1,215$6,722$3,697$1,680
Left Heart Artery/Ventricle Angiography 93458)$18,884$10,386$4,721$20,568$11,312$5,142
Creation of Eardrum Opening 69436)$5,854$3,220$1,463$5,519$3,035$1,380
Unlisted Dental Surgery Procedure 41899)$9,607$5,284$2,402$8,871$4,879$2,218
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$7,033$3,868$1,758$1,802$991$451
Laparoscopic Cholecystectomy 47562)$16,689$9,179$4,172$22,684$12,476$5,671
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
ABD Paracentesis w/Imaging 49083)$4,121$2,266$1,030$6,040$3,322$1,510
Cataract Surgery- Complex 66982)NRNRNRNRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$8,531$4,692$2,133$9,825$5,404$2,456
Arthroscopic Rotator Cuff Repair 29827)$27,072$14,890$6,768NRNRNR
Esophageal Endoscopy with Dilation 43249)$4,312$2,372$1,078$6,960$3,828$1,740
Hysteroscopy with Biopsy 58558)$14,527$7,990$3,632$16,549$9,102$4,137
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)NRNRNR$12,988$7,143$3,247
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$13,127$7,220$3,282$14,295$7,862$3,574
Cystourethroscopy with Lithotripsy and Stent 52356)$13,679$7,523$3,420$14,100$7,755$3,525
Incision of Finger Tendon Sheath 26055)$7,186$3,952$1,796$9,162$5,039$2,291
Unlisted Cystourethoscopy 52000)$8,884$4,886$2,221$16,473$9,060$4,118
Laparoscopic Hernia Repair - Initial 49650)$15,421$8,482$3,855$17,134$9,424$4,284
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$11,801$6,490$2,950$18,353$10,094$4,588
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$23,123$12,717$5,781$23,570$12,963$5,892
Uppr GI Endoscopy with Guide Wire 43248)$3,096$1,703$774$7,713$4,242$1,928
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)$9,218$5,070$2,305$9,472$5,210$2,368
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$13,006$7,153$3,251$24,736$13,605$6,184
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$16,849$9,267$4,212$23,219$12,770$5,805
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
Removal of Tonsils 42826)$10,053$5,529$2,513$10,421$5,732$2,605
Cystourethroscopy with Stent 52332)$9,578$5,268$2,395$12,345$6,790$3,086
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$343$188$86NRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$22,296$12,263$5,574$26,617$14,639$6,654
Laparoscopy - Removal of Adnexal Structures 58661)$15,478$8,513$3,869$19,214$10,568$4,803
Low Back Disk Surgery 63030)$20,978$11,538$5,244$24,345$13,390$6,086
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$10,516$5,784$2,629$16,928$9,311$4,232
Repair of Nasal Septum 30520)$11,742$6,458$2,935$20,068$11,037$5,017
Fragmenting of Kidney Stone 50590)$11,674$6,421$2,919$12,603$6,931$3,151
Mastectomy, Partial 19301)$15,147$8,331$3,787$24,431$13,437$6,108
Needle Biopsy of Liver 47000)$8,452$4,649$2,113$11,464$6,305$2,866
Laparoscopy, Removal of Tubes & Ovaries 58571)$22,671$12,469$5,668$25,727$14,150$6,432
Debridement Skin/Tissue 11042)$10,890$5,989$2,722$13,495$7,422$3,374
Coronary Artery Angio S&I 93454)$18,148$9,982$4,537$30,537$16,795$7,634
Aspirate Pleura with Imaging 32555)$6,299$3,465$1,575$21,841$12,013$5,460
Wrist Endoscopy/Surgery 29848)$8,437$4,640$2,109$12,048$6,626$3,012
Hysteroscopy with Ablation 58563)$14,985$8,242$3,746$19,527$10,740$4,882
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Transluminal balloon angioplasty, percutaneous, venous 35476)$24,794$13,637$6,199$25,346$13,940$6,337
Apheresis Plasma 36514)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNR$22,532$12,393$5,633
Correction of Bunion 28296)$14,586$8,022$3,647$16,997$9,349$4,249
Debridement, Open Wound <= 20 Square Centimeters 97597)NRNRNRNRNRNR
Bone Marrow Biopsy 38221)$4,430$2,437$1,108NRNRNR
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)$19,005$10,453$4,751$22,418$12,330$5,605
Removal of Adenoids 42830)$8,465$4,656$2,116$8,605$4,733$2,151
Biopsy of lung or mediastinum, percutaneous w/needle 32405)$6,603$3,631$1,651$8,317$4,574$2,079
Ablation therapy of first vein of extremity 36475)$15,996$8,798$3,999$19,251$10,588$4,813
Removal of Central Venous Device w Port or Pump 36590)$8,029$4,416$2,007$10,097$5,553$2,524
Repair of Hammertoe 28285)$8,686$4,777$2,171$19,505$10,728$4,876
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.