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


  
Charges for 75 Most Common Types of Hospitalizations in Wisconsin: October 2012 - September 2013
(Uncomplicated Cases Only)
 
    Estimated Insurance Payments *
RankAPR- DRG DescriptionMedian  
Charge
 
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$5,497$3,023$1,429
2560Vaginal Delivery$7,477$4,112$1,944
3302Knee Replacement$41,703$22,937$10,843
4720Blood Infection/Septicemia$15,676$8,622$4,076
5540Cesarean Delivery$15,638$8,601$4,066
6139Pneumonia$11,754$6,465$3,056
7194Heart Failure$17,856$9,821$4,643
8301Hip Replacement$44,295$24,362$11,517
9751Psychoses$13,435$7,389$3,493
10140Chronic Obstructive Pulmonary Disease$12,552$6,904$3,264
11753Bipolar Disorders$15,212$8,367$3,955
12201Heart Abnormal Rhythm and Conduction Disorders$12,062$6,634$3,136
13383Cellulitis and Other Bacterial Skin Infections$10,007$5,504$2,602
14775Alchohol Abuse/Dependence$11,439$6,291$2,974
15460Renal Failure$11,026$6,064$2,867
16463Kidney/Urinary Tract Infection$8,629$4,746$2,244
17045Stroke and Precerebral Occlusion with Infarct$17,788$9,783$4,625
18860Rehabilitation$14,948$8,221$3,886
19221Major Bowel Procedures$35,370$19,454$9,196
20175Angioplasty without Heart Attack$67,599$37,179$17,576
21174Angioplasty with Heart Attack$68,704$37,787$17,863
22750Schizophrenia$13,288$7,308$3,455
23254Other Digestive System Diagnoses$11,759$6,467$3,057
24133Pulmonary Edema/Respiratory Failure$8,973$4,935$2,333
25249Gastroenteritis$12,367$6,802$3,215
26247Intestinal Obstruction without Surgery$13,594$7,477$3,534
27420Diabetes$12,742$7,008$3,313
28754Depression$17,377$9,557$4,518
29812Poisoning of Medicinal Agents$8,372$4,605$2,177
30282Disorders of Pancreas Except Malignancy$14,499$7,974$3,770
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$68,722$37,797$17,868
32137Respiratory Infections and Inflammations$16,785$9,232$4,364
33053Seizure$12,243$6,734$3,183
34263Laparoscopic Cholecystectomy$24,560$13,508$6,386
35134Pulmonary Embolism$12,745$7,010$3,314
36308Hip/Thigh Surgery with Trauma Diagnosis$30,203$16,612$7,853
37173Other Vascular Procedures$50,369$27,703$13,096
38241Peptic Ulcer/Gastritis$15,348$8,441$3,990
39861Signs & Symptoms$10,792$5,936$2,806
40244Diverticulitis & Diverticulosis$14,898$8,194$3,873
41190Circulatory Disorders with Heart Attack$32,842$18,063$8,539
42425Other Electrolyte Disorders$9,167$5,042$2,383
43347Other Back/Neck Disorders, Fractures, Injuries$14,125$7,769$3,673
44313Other Knee/Lower Leg Surgery$25,498$14,024$6,629
45315Shoulder/Upper Arm, Forearm Surgery$24,341$13,388$6,329
46225Appendectomy$22,556$12,406$5,865
47192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$33,477$18,412$8,704
48663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$12,775$7,026$3,322
49141Asthma$7,649$4,207$1,989
50351Other Musculoskeletal System and Connective Tissue Diagnoses$13,527$7,440$3,517
51253Other and Unspecified Gastrointestinal Hemorrhage$9,097$5,003$2,365
52513Uterine Procedures without Tumor$24,304$13,367$6,319
53198Chest Pain with Angina Pectoris or Coronary Atherosclerosis$13,375$7,356$3,478
54191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$32,908$18,099$8,556
55204Fainting and Collapse$10,139$5,576$2,636
56248Major G.I. Bacterial Infections$15,619$8,590$4,061
57321Upper Spinal Fusion$36,989$20,344$9,617
58024Extracranial Vascular Procedures$27,458$15,102$7,139
59197Peripheral and Other Vascular Disorders$11,788$6,483$3,065
60144Respiratory System Signs, Symptoms and Minor Diagnoses$8,998$4,949$2,339
61773Opioid Abuse/Dependence$9,989$5,494$2,597
62721Postoperative and Post-Traumatic Infections$13,943$7,669$3,625
63310Back/Neck Procedures Except Dorsal and Lumbar Fusion$24,952$13,724$6,488
64693Chemotherapy$19,124$10,518$4,972
65566Other Antepartum Diagnoses$6,407$3,524$1,666
66113Epiglottitis, Ear Infection, URI and Laryngotracheitis$11,038$6,071$2,870
67422Hypovolemia$8,286$4,557$2,154
68710Infectious & parasitic diseases including HIV w O.R. procedure$25,582$14,070$6,651
69021Craniotomy Except For TraumaNRNRNR
70466Malfunctions, Reactions & Comp Of Gu Device, Graft Or Transplant$18,105$9,958$4,707
71047Transient Ischemia$11,940$6,567$3,104
72143Pneumothorax & Pleural Effusion$12,517$6,884$3,254
73755Neuroses Other Than Depression$12,602$6,931$3,277
74055Head trauma w coma >1 hr or hemorrhage$11,121$6,117$2,891
75163Heart Valve Procedures without Cardiac Catheterization$144,760$79,618$37,638

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 2012 - September 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)NRNRNRNRNRNR
Colonoscopy and Biopsy (45380)$4,776$2,627$1,242$7,302$4,016$1,898
Diagnostic Colonoscopy (45378)$3,357$1,847$873$6,350$3,493$1,651
Upper GI Endoscopy with Biopsy (43239)$4,859$2,672$1,263$7,314$4,022$1,902
Lesion Removal Colonoscopy by Snare Technique (45385)$5,043$2,774$1,311$6,439$3,542$1,674
Injection into Lumbar or Sacral Area, Single Level (64483)$1,695$932$441$3,493$1,921$908
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral (64493)$8,205$4,513$2,133$12,336$6,785$3,207
Drain/Inject Major Joint or Bursa (20610)$2,315$1,273$602$4,964$2,730$1,291
Colorectal Cancer Screening; Colonscopy, Not High Risk (G0121)$3,353$1,844$872NRNRNR
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy (29881)$10,060$5,533$2,616$10,543$5,799$2,741
Carpal Tunnel Surgery (64721)$7,757$4,266$2,017$12,179$6,698$3,166
Uppr GI Endoscopy- Diagnostic (43235)$3,300$1,815$858$5,436$2,990$1,413
Colorectal Cancer Screening ; Colonoscopy, High Risk (G0105)$3,353$1,844$872NRNRNR
Lesion Removal Colonoscopy by Hot Biopsy or Cautery (45384)$4,656$2,561$1,211$5,998$3,299$1,560
Creation of Eardrum Opening (69436)$2,881$1,585$749$3,339$1,836$868
Left Heart Artery/Ventricle Angiography  (93458)$19,718$10,845$5,127$26,216$14,419$6,816
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)$16,722$9,197$4,348$19,124$10,518$4,972
Unlisted Dental Surgery Procedure (41899)$7,504$4,127$1,951$10,944$6,019$2,845
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor (64490)$4,296$2,363$1,117$7,454$4,099$1,938
After Cataract Laser Surgery (66821)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 (42820)$7,674$4,220$1,995$8,966$4,931$2,331
Repair Initial Ingunial Hernia, > = 5 years, Reducible (49505)$9,770$5,373$2,540$11,121$6,117$2,891
Percutaneous Breast Biopsy with Device and Imaging (19103)NRNRNRNRNRNR
Unlisted Cystourethoscopy (52000)$12,633$6,948$3,285$7,432$4,087$1,932
Cataract Surgery- Complex (66982)NRNRNRNRNRNR
Arthroscopic Rotator Cuff Repair (29827)$16,543$9,098$4,301$18,777$10,327$4,882
Hysteroscopy with Biopsy (58558)$11,674$6,421$3,035$12,506$6,878$3,252
Esophageal Endoscopy with Dilation (43249)$4,085$2,246$1,062$5,535$3,045$1,439
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct (47563)$18,528$10,191$4,817$19,741$10,857$5,133
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy (29880)$10,360$5,698$2,693$10,638$5,851$2,766
ABD Paracentesis w/Imaging (49083)$4,984$2,741$1,296$8,202$4,511$2,133
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) (20680)$10,423$5,732$2,710$9,727$5,350$2,529
Incision of Finger Tendon Sheath (26055)$6,210$3,415$1,615$6,966$3,831$1,811
Uppr GI Endoscopy with Guide Wire (43248)$3,546$1,950$922$5,185$2,852$1,348
Cystourethroscopy with Lithotripsy (52353)$10,047$5,526$2,612$11,198$6,159$2,911
Destruction of Benign Lesions up to 14 Lesions (17110)$9,151$5,033$2,379NRNRNR
Laparoscopic Hernia Repair - Initial (49650)$13,262$7,294$3,448$14,166$7,791$3,683
Destruction of Premalignant Lesion (17000)NRNRNRNRNRNR
Repair of Nasal Septum (30520)$10,097$5,553$2,625$15,417$8,479$4,008
Cystourethroscopy with Stent (52332)$10,113$5,562$2,629$9,640$5,302$2,506
Removal of Tonsils (42826)$8,958$4,927$2,329$13,275$7,301$3,451
Percutaneous Breast Biopsy with Imaging (19102)NRNRNR$9,613$5,287$2,499
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair (29888)$20,556$11,306$5,345$22,406$12,323$5,826
Fragmenting of Kidney Stone (50590)NRNRNR$31,026$17,064$8,067
Repair Umbilical Hernia, > = 5 Yrs - Reducible  (49585)$8,307$4,569$2,160$12,415$6,828$3,228
Laparoscopic Appendectomy (44970)$17,212$9,467$4,475$19,679$10,824$5,117
Hysteroscopy with Ablation (58563)$12,728$7,000$3,309$14,565$8,011$3,787
Correction of Bunion (28296)$10,737$5,905$2,792$10,238$5,631$2,662
Low Back Disk Surgery (63030)$14,756$8,116$3,837$16,263$8,945$4,228
Destruction by neurolytic agent w imaging, cervical or thoracic (64633)NRNRNR$10,129$5,571$2,634
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles (20552)NRNRNRNRNRNR
Colonoscopy with Lesion Removal (45383)$4,647$2,556$1,208$5,128$2,820$1,333
Needle Biopsy of Liver (47000)$8,565$4,711$2,227$8,942$4,918$2,325
Mastectomy, Partial (19301)$11,817$6,500$3,073$18,649$10,257$4,849
Remove Impacted Ear Wax (69210)NRNRNRNRNRNR
Mohs Micrographic Tissue Removal (17311)NRNRNRNRNRNR
Bone Marrow Biopsy (38221)$8,060$4,433$2,096NRNRNR
Biopsy Skin and Subcutaneous Tissue; 1 Lesion (11100)$6,734$3,703$1,751$8,333$4,583$2,167
Laparoscopy - Removal of Adnexal Structures (58661)$17,790$9,784$4,625$20,339$11,187$5,288
Insertion of Central Venous Catheter >= 5 years (36569)$5,482$3,015$1,425$15,333$8,433$3,986
Diagnostic Laryngoscopy (31575)$8,235$4,529$2,141NRNRNR
Coronary Artery Angio S&I (93454)$19,773$10,875$5,141$29,842$16,413$7,759
Right and Left Heart Artery/Ventricle Angiography (93460)$22,480$12,364$5,845$23,395$12,867$6,083
Excision Breast Lesion with Preoperative Placement Radiological Marker (19125)$9,934$5,464$2,583$10,145$5,579$2,638
Removal of Breast Lesion (19120)$9,410$5,176$2,447$11,032$6,067$2,868
Debridement, Open Wound <= 20 Square Centimeters (97597)NRNRNRNRNRNR
Destruction (therapeutic injection) of muscles; extremity /trunk (64614)$5,205$2,863$1,353NRNRNR
Electro-Uroflowmetry - First (51741)NRNRNRNRNRNR
Removal of Adenoids (42830)$6,929$3,811$1,802$8,643$4,754$2,247
Removal of Central Venous Device w Port or Pump (36590)$7,096$3,903$1,845$12,694$6,981$3,300
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area (58662)$16,907$9,299$4,396$19,522$10,737$5,076
Repair Rotator Cuff, Chronic (23412)$19,341$10,638$5,029$24,138$13,276$6,276
Knee Arthroscopy/Surgery with Shaving of Cartilage (29877)$8,840$4,862$2,298NRNRNR
Surgical Removal of Subcutaneous Tissue, <= 20 sq. cm. (11042)$9,498$5,224$2,469$9,331$5,132$2,426

NR = No Cases Reported
Information about quality and safety of care for Meriter Hospital may be found at http://www.wicheckpoint.org
* Estimated Insurance Payments based on average percent of billed charges collected.

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