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

Charges for 75 Most Common Hospitalizations in Wisconsin:  April 2016 - March 2017
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$4,881$2,685$1,220
2560Vaginal Delivery$10,763$5,920$2,691
3720Blood Infection/Septicemia$14,689$8,079$3,672
4302Knee Replacement$45,622$25,092$11,406
5540Cesarean Delivery$20,207$11,114$5,052
6194Heart Failure$17,431$9,587$4,358
7301Hip Replacement$43,430$23,887$10,858
8751Psychoses$18,160$9,988$4,540
9139Pneumonia$13,533$7,443$3,383
10140Chronic Obstructive Pulmonary Disease$13,883$7,636$3,471
11753Bipolar Disorders$18,683$10,276$4,671
12775Alcohol Abuse/Dependence$11,616$6,389$2,904
13201Heart Abnormal Rhythm and Conduction Disorders$12,195$6,707$3,049
14383Cellulitis & other skin infections$12,382$6,810$3,096
15045Stroke and Precerebral Occlusion with Infarct$19,903$10,947$4,976
16133Respiratory failureNRNRNR
17463Kidney/Urinary Tract Infection$21,225$11,674$5,306
18221Major Bowel Procedures$45,813$25,197$11,453
19174Percutaneous coronary intervention w AMI$61,110$33,611$15,278
20750Schizophrenia$19,817$10,899$4,954
21754Depression$14,689$8,079$3,672
22420Diabetes$11,185$6,152$2,796
23282Disorders of Pancreas Except Malignancy$15,753$8,664$3,938
24247Intestinal Obstruction without Surgery$15,596$8,578$3,899
25254Other Digestive System Diagnoses$13,641$7,503$3,410
26812Poisoning of Medicinal Agents$10,187$5,603$2,547
27710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
28773Opioid Abuse/Dependence$14,341$7,888$3,585
29308Hip & femur fracture repair$37,869$20,828$9,467
30304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$72,131$39,672$18,033
31190Circulatory Disorders with Heart Attack$25,707$14,139$6,427
32053Seizure$11,917$6,554$2,979
33137Respiratory Infections and Inflammations$23,349$12,842$5,837
34058Other Disorders of Nervous System$13,956$7,676$3,489
35175Percutaneous coronary intervention w/o AMI$64,398$35,419$16,100
36249Other gastroenteritis, nausea & vomiting$14,785$8,132$3,696
37460Renal FailureNRNRNR
38134Pulmonary Embolism$14,389$7,914$3,597
39263Laparoscopic Cholecystectomy$28,012$15,407$7,003
40244Diverticulitis & Diverticulosis$14,278$7,853$3,570
41469Acute Kidney Injury$13,938$7,666$3,485
42861Signs & Symptoms$8,483$4,666$2,121
43347Other Back/Neck Disorders, Fractures, Injuries$13,880$7,634$3,470
44315Shoulder, upper arm & forearm procedures except joint replacement$42,541$23,398$10,635
45253Other and Unspecified Gastrointestinal Hemorrhage$18,232$10,028$4,558
46241Peptic Ulcer/Gastritis$17,552$9,654$4,388
47313Other Knee/Lower Leg Surgery$38,846$21,365$9,712
48466Malfunction, reaction, complic of genitourinary device or procNRNRNR
49192Cardiac catheterization for other non-coronary conditions$29,115$16,013$7,279
50351Other Musculoskeletal System and Connective Tissue Diagnoses$14,480$7,964$3,620
51425Other Electrolyte Disorders$13,568$7,462$3,392
52248Major G.I. Bacterial Infections$13,902$7,646$3,476
53951Moderately Extensive Procedure Unrelated to Diagnosis$21,499$11,824$5,375
54663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$17,097$9,403$4,274
55862Other Factors Influencing Health StatusNRNRNR
56024Extracranial Vascular Procedures$31,289$17,209$7,822
57021Craniotomy Except For Trauma$36,971$20,334$9,243
58113Epiglottitis, Ear Infection, URI and Laryngotracheitis$12,823$7,053$3,206
59321Upper Spinal Fusion$69,784$38,381$17,446
60566Other Antepartum Diagnoses$5,906$3,248$1,477
61197Peripheral and Other Vascular Disorders$25,197$13,858$6,299
62422Hypovolemia$6,224$3,423$1,556
63055Head trauma w coma >1 hr or hemorrhage$16,674$9,171$4,169
64173Other Vascular Procedures$46,188$25,403$11,547
65052Nontraumatic stupor & coma$17,387$9,563$4,347
66225Appendectomy$26,315$14,473$6,579
67141Asthma$15,392$8,466$3,848
68166Coronary bypass w/o AMI or complex PDX$106,433$58,538$26,608
69721Postoperative and Post-Traumatic Infections$19,930$10,962$4,983
70755Neuroses Other Than Depression$16,812$9,247$4,203
71191Cardiac catheterization for coronary artery disease$33,635$18,499$8,409
72220Major Stomach/Esophagus/Duodenum Procedures$18,629$10,246$4,657
73143Other respiratory diagnoses except signs, symptoms & minor diagnoses$16,072$8,840$4,018
74163Cardiac valve procedures w/o AMI or complex PDX$183,760$101,068$45,940
75950Extensive Procedure Unrelated to Principal Diagnosis$60,427$33,235$15,107

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:  April 2016 - March 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)$4,539$2,496$1,135$5,852$3,219$1,463
Lesion Removal Colonoscopy by Snare Technique 45385)$4,876$2,682$1,219$5,490$3,019$1,372
Upper GI Endoscopy with Biopsy 43239)$4,835$2,659$1,209$8,489$4,669$2,122
Diagnostic Colonoscopy 45378)$2,938$1,616$734NRNRNR
Injection into Lumbar or Sacral Area, Single Level 64483)$1,683$925$421$4,000$2,200$1,000
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$4,699$2,584$1,175NRNRNR
Drain/Inject Major Joint or Bursa 20610)$2,482$1,365$620$7,911$4,351$1,978
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$2,903$1,597$726$3,729$2,051$932
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$2,904$1,597$726$3,007$1,654$752
Carpal Tunnel Surgery 64721)$8,197$4,508$2,049$8,674$4,771$2,169
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$13,482$7,415$3,370$14,469$7,958$3,617
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)$10,975$6,036$2,744$7,754$4,265$1,939
Uppr GI Endoscopy- Diagnostic 43235)$2,840$1,562$710$6,885$3,787$1,721
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$5,478$3,013$1,369$5,874$3,231$1,468
Creation of Eardrum Opening 69436)$6,227$3,425$1,557$8,180$4,499$2,045
Left Heart Artery/Ventricle Angiography 93458)$18,884$10,386$4,721NRNRNR
Unlisted Dental Surgery Procedure 41899)$10,078$5,543$2,520$12,605$6,933$3,151
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$4,699$2,584$1,175NRNRNR
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Laparoscopic Cholecystectomy 47562)$18,594$10,227$4,648$24,395$13,417$6,099
ABD Paracentesis w/Imaging 49083)$4,176$2,297$1,044NRNRNR
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee 62323)NRNRNRNRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Esophageal Endoscopy with Dilation 43249)$4,446$2,445$1,112$6,861$3,773$1,715
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$25,582$14,070$6,396
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$8,775$4,826$2,194$11,123$6,118$2,781
Hysteroscopy with Biopsy 58558)$15,483$8,516$3,871$19,253$10,589$4,813
Cataract Surgery- Complex 66982)NRNRNRNRNRNR
Cystourethroscopy with Lithotripsy and Stent 52356)$15,215$8,368$3,804$15,057$8,281$3,764
Incision of Finger Tendon Sheath 26055)$7,845$4,315$1,961$8,614$4,738$2,154
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$15,829$8,706$3,957$13,827$7,605$3,457
Laparoscopic Hernia Repair - Initial 49650)$16,235$8,929$4,059$22,967$12,632$5,742
Unlisted Cystourethoscopy 52000)$7,550$4,153$1,888$17,601$9,681$4,400
Uppr GI Endoscopy with Guide Wire 43248)$3,685$2,027$921NRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)$8,320$4,576$2,080$7,482$4,115$1,870
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$11,231$6,177$2,808$17,009$9,355$4,252
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$24,393$13,416$6,098$27,816$15,299$6,954
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$13,994$7,697$3,499$21,240$11,682$5,310
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNR$13,542$7,448$3,386
Cystourethroscopy with Stent 52332)$12,556$6,906$3,139$13,928$7,660$3,482
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$14,947$8,221$3,737$20,744$11,409$5,186
Mastectomy, Partial 19301)$15,629$8,596$3,907$24,638$13,551$6,159
Laparoscopic Appendectomy 44970)$18,884$10,386$4,721$24,156$13,286$6,039
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$10,622$5,842$2,655$17,134$9,424$4,283
Removal of Tonsils 42826)$10,207$5,614$2,552$11,645$6,404$2,911
Laparoscopy, Removal of Tubes & Ovaries 58571)$23,274$12,801$5,819$34,537$18,995$8,634
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNR$27,465$15,106$6,866
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNRNRNRNR
Low Back Disk Surgery 63030)$21,206$11,663$5,301$25,861$14,224$6,465
Repair of Nasal Septum 30520)$13,386$7,362$3,347$16,764$9,220$4,191
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)NRNRNRNRNRNR
Needle Biopsy of Liver 47000)$8,556$4,706$2,139NRNRNR
Debridement Skin/Tissue 11042)$10,115$5,563$2,529$11,893$6,541$2,973
Fragmenting of Kidney Stone 50590)$12,057$6,631$3,014$12,433$6,838$3,108
Coronary Artery Angio S&I 93454)$16,010$8,806$4,003NRNRNR
Wrist Endoscopy/Surgery 29848)$9,188$5,053$2,297$9,195$5,057$2,299
Aspirate Pleura with Imaging 32555)$6,193$3,406$1,548NRNRNR
Bone Marrow Biopsy 38221)$11,038$6,071$2,759NRNRNR
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Correction of Bunion 28296)$14,586$8,022$3,647$21,282$11,705$5,321
Hysteroscopy with Ablation 58563)$15,844$8,714$3,961$22,000$12,100$5,500
Remove Impacted Ear Wax 69210)$1,287$708$322NRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNR$21,762$11,969$5,441
Removal of Adenoids 42830)$8,944$4,919$2,236$8,585$4,722$2,146
Right and Left Heart Artery/Ventricle Angiography 93460)$21,776$11,977$5,444NRNRNR
Injection of chemical agent into muscles near face/neck 64615)NRNRNRNRNRNR
Biopsy of lung or mediastinum, percutaneous w/needle 32405)$6,283$3,456$1,571NRNRNR
Removal of Central Venous Device w Port or Pump 36590)$8,144$4,479$2,036NRNRNR
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Repair of wrist joints 25447)NRNRNR$12,773$7,025$3,193
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.