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


  
Charges for 75 Most Common Types of Hospitalizations in Wisconsin: January 2013 - December 2013
(Uncomplicated Cases Only)
 
    Estimated Insurance Payments *
RankAPR- DRG DescriptionMedian  
Charge
 
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$5,595$3,077$1,455
2560Vaginal Delivery$7,370$4,054$1,916
3302Knee Replacement$40,361$22,199$10,494
4720Blood Infection/Septicemia$16,321$8,977$4,243
5540Cesarean Delivery$15,749$8,662$4,095
6139Pneumonia$9,847$5,416$2,560
7194Heart Failure$17,856$9,821$4,643
8301Hip Replacement$44,168$24,292$11,484
9751Psychoses$13,332$7,333$3,466
10753Bipolar Disorders$15,212$8,367$3,955
11140Chronic Obstructive Pulmonary Disease$12,939$7,116$3,364
12201Heart Abnormal Rhythm and Conduction Disorders$11,787$6,483$3,065
13383Cellulitis and Other Bacterial Skin Infections$10,004$5,502$2,601
14775Alchohol Abuse/Dependence$11,026$6,064$2,867
15460Renal Failure$23,149$12,732$6,019
16463Kidney/Urinary Tract Infection$8,479$4,663$2,205
17045Stroke and Precerebral Occlusion with Infarct$18,324$10,078$4,764
18860Rehabilitation$19,738$10,856$5,132
19221Major Bowel Procedures$35,370$19,454$9,196
20174Angioplasty with Heart Attack$70,719$38,895$18,387
21750Schizophrenia$11,451$6,298$2,977
22133Pulmonary Edema/Respiratory Failure$12,678$6,973$3,296
23254Other Digestive System Diagnoses$13,737$7,555$3,572
24175Angioplasty without Heart Attack$67,848$37,316$17,640
25249Gastroenteritis$13,094$7,202$3,404
26247Intestinal Obstruction without Surgery$12,797$7,038$3,327
27420Diabetes$13,384$7,361$3,480
28754Depression$17,774$9,776$4,621
29812Poisoning of Medicinal Agents$8,799$4,839$2,288
30282Disorders of Pancreas Except Malignancy$14,702$8,086$3,823
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$70,609$38,835$18,358
32137Respiratory Infections and Inflammations$22,566$12,411$5,867
33053Seizure$12,386$6,812$3,220
34263Laparoscopic Cholecystectomy$24,507$13,479$6,372
35308Hip/Thigh Surgery with Trauma Diagnosis$29,896$16,443$7,773
36134Pulmonary Embolism$12,359$6,797$3,213
37173Other Vascular Procedures$46,304$25,467$12,039
38241Peptic Ulcer/Gastritis$17,730$9,752$4,610
39190Circulatory Disorders with Heart Attack$32,842$18,063$8,539
40425Other Electrolyte Disorders$9,104$5,007$2,367
41347Other Back/Neck Disorders, Fractures, Injuries$14,678$8,073$3,816
42313Other Knee/Lower Leg Surgery$26,350$14,493$6,851
43861Signs & Symptoms$10,255$5,640$2,666
44315Shoulder/Upper Arm, Forearm Surgery$26,044$14,324$6,771
45244Diverticulitis & Diverticulosis$14,900$8,195$3,874
46225Appendectomy$22,284$12,256$5,794
47253Other and Unspecified Gastrointestinal Hemorrhage$10,950$6,023$2,847
48192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$32,614$17,938$8,480
49663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$15,582$8,570$4,051
50141Asthma$7,313$4,022$1,901
51351Other Musculoskeletal System and Connective Tissue Diagnoses$12,794$7,037$3,326
52191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$32,908$18,099$8,556
53248Major G.I. Bacterial Infections$16,689$9,179$4,339
54024Extracranial Vascular Procedures$27,926$15,359$7,261
55198Chest Pain with Angina Pectoris or Coronary Atherosclerosis$13,154$7,235$3,420
56321Upper Spinal Fusion$36,667$20,167$9,533
57197Peripheral and Other Vascular Disorders$11,214$6,168$2,916
58204Fainting and Collapse$10,197$5,608$2,651
59513Uterine Procedures without Tumor$24,470$13,459$6,362
60773Opioid Abuse/Dependence$10,453$5,749$2,718
61721Postoperative and Post-Traumatic Infections$8,240$4,532$2,142
62144Respiratory System Signs, Symptoms and Minor Diagnoses$8,998$4,949$2,339
63693Chemotherapy$18,668$10,267$4,854
64310Back/Neck Procedures Except Dorsal and Lumbar Fusion$25,394$13,967$6,602
65566Other Antepartum Diagnoses$5,830$3,207$1,516
66113Epiglottitis, Ear Infection, URI and Laryngotracheitis$11,399$6,269$2,964
67422Hypovolemia$8,286$4,557$2,154
68710Infectious & parasitic diseases including HIV w O.R. procedure$32,293$17,761$8,396
69021Craniotomy Except For Trauma$86,751$47,713$22,555
70466Malfunctions, Reactions & Comp Of Gu Device, Graft Or Transplant$18,105$9,958$4,707
71143Pneumothorax & Pleural Effusion$11,738$6,456$3,052
72163Heart Valve Procedures without Cardiac Catheterization$140,368$77,202$36,496
73055Head trauma w coma >1 hr or hemorrhage$12,091$6,650$3,144
74755Neuroses Other Than Depression$12,602$6,931$3,277
75047Transient Ischemia$11,260$6,193$2,928

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 2013 - December 2013
  With No Other Procedures With 1 or More Additional Procedures
Principal Procedure Median Charge Average Commercial Insurance Payment Average Medicare Insurance Payment* Median Charge Average Commercial Insurance Payment Average Medicare Insurance Payment*
Cataract Surgery with Intraocular Lens - Stage 1 (66984)$7,905$4,348$2,055NRNRNR
Colonoscopy and Biopsy (45380)$4,805$2,643$1,249$7,345$4,040$1,910
Diagnostic Colonoscopy (45378)$3,377$1,857$878$6,353$3,494$1,652
Upper GI Endoscopy with Biopsy (43239)$5,010$2,756$1,303$7,626$4,194$1,983
Lesion Removal Colonoscopy by Snare Technique (45385)$5,117$2,814$1,330$6,541$3,598$1,701
Injection into Lumbar or Sacral Area, Single Level (64483)$1,695$932$441$3,593$1,976$934
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral (64493)$8,203$4,512$2,133$13,195$7,257$3,431
Drain/Inject Major Joint or Bursa (20610)$2,322$1,277$604$4,479$2,463$1,164
Colorectal Cancer Screening; Colonscopy, Not High Risk (G0121)$3,357$1,847$873NRNRNR
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy (29881)$9,904$5,447$2,575$10,252$5,638$2,665
Carpal Tunnel Surgery (64721)$7,540$4,147$1,960$11,652$6,408$3,029
Uppr GI Endoscopy- Diagnostic (43235)$3,360$1,848$874$5,769$3,173$1,500
Colorectal Cancer Screening ; Colonoscopy, High Risk (G0105)$3,353$1,844$872NRNRNR
Lesion Removal Colonoscopy by Hot Biopsy or Cautery (45384)$4,650$2,558$1,209$6,269$3,448$1,630
Left Heart Artery/Ventricle Angiography (93458)$19,982$10,990$5,195$25,621$14,092$6,661
Creation of Eardrum Opening (69436)$2,928$1,610$761$3,347$1,841$870
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral (64635)$10,792$5,935$2,806$10,173$5,595$2,645
Laparoscopic Cholecystectomy (47562)$17,467$9,607$4,542$21,522$11,837$5,596
Unlisted Dental Surgery Procedure (41899)$7,656$4,211$1,991$10,927$6,010$2,841
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor (64490)$4,296$2,363$1,117$8,914$4,903$2,318
After Cataract Laser Surgery (66821)NRNRNRNRNRNR
Percutaneous Breast Biopsy with Device and Imaging (19103)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 (42820)$7,844$4,314$2,039$8,877$4,883$2,308
Repair Initial Ingunial Hernia, > = 5 years, Reducible (49505)$9,770$5,373$2,540$11,376$6,257$2,958
Unlisted Cystourethoscopy (52000)$4,665$2,566$1,213$7,432$4,087$1,932
Arthroscopic Rotator Cuff Repair (29827)$15,020$8,261$3,905$18,693$10,281$4,860
Cataract Surgery- Complex (66982)NRNRNRNRNRNR
Hysteroscopy with Biopsy (58558)$11,676$6,422$3,036$12,506$6,878$3,252
Esophageal Endoscopy with Dilation (43249)$4,278$2,353$1,112$5,680$3,124$1,477
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct (47563)$16,259$8,943$4,227$19,896$10,943$5,173
ABD Paracentesis w/Imaging (49083)$4,932$2,712$1,282$8,202$4,511$2,133
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy (29880)$10,017$5,509$2,604$10,461$5,754$2,720
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) (20680)$10,687$5,878$2,779$9,836$5,410$2,557
Incision of Finger Tendon Sheath (26055)$6,328$3,480$1,645$6,966$3,831$1,811
Cystourethroscopy with Lithotripsy (52353)$8,587$4,723$2,233$10,851$5,968$2,821
Uppr GI Endoscopy with Guide Wire (43248)$3,678$2,023$956$4,732$2,602$1,230
Destruction of Benign Lesions up to 14 Lesions (17110)$9,151$5,033$2,379NRNRNR
Laparoscopic Hernia Repair - Initial (49650)$13,527$7,440$3,517$14,052$7,728$3,653
Destruction of Premalignant Lesion (17000)NRNRNRNRNRNR
Percutaneous Breast Biopsy with Imaging (19102)NRNRNR$9,613$5,287$2,499
Cystourethroscopy with Stent (52332)$7,845$4,315$2,040$9,725$5,349$2,528
Repair of Nasal Septum (30520)$10,544$5,799$2,741$16,217$8,919$4,216
Removal of Tonsils (42826)$8,994$4,947$2,338$12,649$6,957$3,289
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair (29888)$20,732$11,402$5,390$22,450$12,348$5,837
Fragmenting of Kidney Stone (50590)NRNRNR$31,026$17,064$8,067
Repair Umbilical Hernia, > = 5 Yrs - Reducible  (49585)$8,640$4,752$2,246$13,870$7,629$3,606
Laparoscopic Appendectomy (44970)$15,912$8,752$4,137$19,683$10,826$5,118
Low Back Disk Surgery (63030)$13,467$7,407$3,502$16,721$9,196$4,347
Correction of Bunion (28296)$9,999$5,499$2,600$10,238$5,631$2,662
Hysteroscopy with Ablation (58563)$12,456$6,851$3,239$14,346$7,890$3,730
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles (20552)NRNRNRNRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic (64633)NRNRNR$10,091$5,550$2,624
Colonoscopy with Lesion Removal (45383)$4,291$2,360$1,116$5,128$2,820$1,333
Mastectomy, Partial (19301)$11,815$6,498$3,072$18,785$10,332$4,884
Biopsy Skin and Subcutaneous Tissue; 1 Lesion (11100)$6,734$3,703$1,751$8,333$4,583$2,167
Needle Biopsy of Liver (47000)$8,464$4,655$2,201$8,942$4,918$2,325
Bone Marrow Biopsy (38221)$8,014$4,407$2,084NRNRNR
Remove Impacted Ear Wax (69210)NRNRNRNRNRNR
Mohs Micrographic Tissue Removal (17311)NRNRNRNRNRNR
Coronary Artery Angio S&I (93454)$20,077$11,043$5,220$30,487$16,768$7,927
Laparoscopy - Removal of Adnexal Structures (58661)$17,265$9,495$4,489$21,018$11,560$5,465
Debridement, Open Wound <= 20 Square Centimeters (97597)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography (93460)$21,176$11,647$5,506$23,395$12,867$6,083
Destruction (therapeutic injection) of muscles; extremity /trunk (64614)$5,205$2,863$1,353NRNRNR
Diagnostic Laryngoscopy (31575)NRNRNRNRNRNR
Insertion of Central Venous Catheter >= 5 years (36569)$6,844$3,764$1,779$15,333$8,433$3,986
Removal of Breast Lesion (19120)$9,608$5,284$2,498$10,163$5,590$2,642
Excision Breast Lesion with Preoperative Placement Radiological Marker (19125)$10,010$5,506$2,603$9,776$5,377$2,542
Aspirate Pleura with Imaging (32555)NRNRNR$8,510$4,681$2,213
Electro-Uroflowmetry - First (51741)NRNRNRNRNRNR
Removal of Adenoids (42830)$7,431$4,087$1,932$7,239$3,981$1,882
Knee Arthroscopy/Surgery with Shaving of Cartilage (29877)$9,303$5,116$2,419NRNRNR
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area (58662)$18,146$9,980$4,718$20,162$11,089$5,242
Removal of Central Venous Device w Port or Pump (36590)$7,960$4,378$2,070$11,113$6,112$2,889
Wrist Endoscopy/Surgical (29848)$5,830$3,207$1,516$7,614$4,188$1,980

NR = No Cases Reported
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.

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