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

Charges for 75 Most Common Hospitalizations in Wisconsin:  October 2014 - September 2015
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$4,518$2,440$1,084
2560Vaginal Delivery$10,000$5,400$2,400
3720Blood Infection/Septicemia$16,338$8,823$3,921
4302Knee Replacement$36,818$19,882$8,836
5540Cesarean Delivery$13,809$7,457$3,314
6194Heart Failure$17,048$9,206$4,092
7139Pneumonia$11,551$6,238$2,772
8301Hip Replacement$38,337$20,702$9,201
9751Psychoses$14,219$7,678$3,413
10753Bipolar Disorders$16,896$9,124$4,055
11140Chronic Obstructive Pulmonary Disease$15,270$8,246$3,665
12201Heart Abnormal Rhythm and Conduction Disorders$12,992$7,016$3,118
13775Alcohol Abuse/Dependence$9,682$5,228$2,324
14460Renal Failure$12,025$6,494$2,886
15383Cellulitis and Other Bacterial Skin Infections$10,461$5,649$2,511
16045Stroke and Precerebral Occlusion with Infarct$21,232$11,465$5,096
17860Rehabilitation$19,508$10,534$4,682
18221Major Bowel Procedures$34,721$18,749$8,333
19463Kidney/Urinary Tract Infection$18,679$10,087$4,483
20133Pulmonary Edema/Respiratory FailureNRNRNR
21174Angioplasty with Heart Attack$67,452$36,424$16,188
22247Intestinal Obstruction without Surgery$14,923$8,058$3,582
23750Schizophrenia$14,804$7,994$3,553
24282Disorders of Pancreas Except Malignancy$12,470$6,734$2,993
25254Other Digestive System Diagnoses$13,633$7,362$3,272
26420Diabetes$10,795$5,829$2,591
27249Gastroenteritis$14,021$7,571$3,365
28754Depression$13,956$7,536$3,349
29812Poisoning of Medicinal Agents$9,058$4,891$2,174
30137Respiratory Infections and Inflammations$20,117$10,863$4,828
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$54,032$29,177$12,968
32053Seizure$10,130$5,470$2,431
33134Pulmonary Embolism$11,047$5,965$2,651
34173Other Vascular Procedures$56,614$30,572$13,587
35308Hip/Thigh Surgery with Trauma Diagnosis$33,802$18,253$8,112
36190Circulatory Disorders with Heart Attack$26,654$14,393$6,397
37263Laparoscopic Cholecystectomy$22,506$12,153$5,401
38244Diverticulitis & Diverticulosis$13,598$7,343$3,264
39425Other Electrolyte Disorders$8,769$4,735$2,105
40175Angioplasty without Heart Attack$75,858$40,963$18,206
41241Peptic Ulcer/Gastritis$15,976$8,627$3,834
42861Signs & Symptoms$10,311$5,568$2,475
43315Shoulder/Upper Arm, Forearm Surgery$25,203$13,610$6,049
44253Other and Unspecified Gastrointestinal Hemorrhage$22,791$12,307$5,470
45347Other Back/Neck Disorders, Fractures, Injuries$19,523$10,542$4,686
46313Other Knee/Lower Leg Surgery$31,838$17,193$7,641
47773Opioid Abuse/Dependence$8,530$4,606$2,047
48351Other Musculoskeletal System and Connective Tissue Diagnoses$35,181$18,998$8,443
49248Major G.I. Bacterial Infections$17,725$9,572$4,254
50710Infectious & parasitic diseases including HIV w O.R. procedure$13,691$7,393$3,286
51663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$14,763$7,972$3,543
52191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$34,140$18,436$8,194
53466Malfunction, reaction, complic of genitourinary device or procNRNRNR
54024Extracranial Vascular Procedures$26,362$14,235$6,327
55113Epiglottitis, Ear Infection, URI and Laryngotracheitis$7,861$4,245$1,887
56693ChemotherapyNRNRNR
57141Asthma$10,794$5,829$2,591
58321Upper Spinal Fusion$38,342$20,705$9,202
59721Postoperative and Post-Traumatic Infections$22,645$12,228$5,435
60197Peripheral and Other Vascular Disorders$13,497$7,288$3,239
61021Craniotomy Except For Trauma$67,078$36,222$16,099
62225Appendectomy$21,575$11,651$5,178
63144Respiratory System Signs, Symptoms and Minor Diagnoses$17,611$9,510$4,227
64566Other Antepartum Diagnoses$6,790$3,667$1,630
65163Heart Valve Procedures without Cardiac Catheterization$140,878$76,074$33,811
66143Other respiratory diagnoses except signs, symptoms & minor diagnoses$16,156$8,724$3,877
67192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$29,845$16,116$7,163
68055Head trauma w coma >1 hr or hemorrhage$14,607$7,888$3,506
69052Nontraumatic stupor & coma$16,928$9,141$4,063
70755Neuroses Other Than Depression$14,718$7,948$3,532
71204Fainting and Collapse$11,269$6,085$2,705
72310Back/Neck Procedures Except Dorsal and Lumbar Fusion$24,465$13,211$5,872
73660Major hematologic/immunologic diag exc sickle cell crisis & coagul$10,767$5,814$2,584
74284Disorders of gallbladder & biliary tract$18,436$9,955$4,425
75422Hypovolemia$8,247$4,453$1,979

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 2014 - September 2015
 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)$5,183$2,799$1,244$6,498$3,509$1,560
Upper GI Endoscopy with Biopsy 43239)$5,004$2,702$1,201$7,607$4,108$1,826
Lesion Removal Colonoscopy by Snare Technique 45385)$5,550$2,997$1,332$5,000$2,700$1,200
Diagnostic Colonoscopy 45378)$3,629$1,960$871$3,089$1,668$741
Injection into Lumbar or Sacral Area, Single Level 64483)$1,831$989$439$3,090$1,669$742
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$8,292$4,478$1,990$8,788$4,746$2,109
Drain/Inject Major Joint or Bursa 20610)$429$232$103$4,479$2,419$1,075
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$3,629$1,960$871$3,448$1,862$827
Carpal Tunnel Surgery 64721)$7,653$4,132$1,837$7,343$3,965$1,762
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$3,629$1,960$871$3,559$1,922$854
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$10,253$5,536$2,461$21,177$11,435$5,082
Uppr GI Endoscopy- Diagnostic 43235)$3,668$1,981$880$5,981$3,229$1,435
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNR$11,987$6,473$2,877
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$4,914$2,654$1,179$6,416$3,464$1,540
Left Heart Artery/Ventricle Angiography 93458)$20,023$10,812$4,805$27,019$14,590$6,484
Creation of Eardrum Opening 69436)$3,706$2,001$889$3,541$1,912$850
Unlisted Dental Surgery Procedure 41899)$8,217$4,437$1,972$8,875$4,793$2,130
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$4,649$2,510$1,116$4,815$2,600$1,156
Laparoscopic Cholecystectomy 47562)$16,257$8,779$3,902$18,203$9,830$4,369
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Cataract Surgery- Complex 66982)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$7,734$4,176$1,856$9,345$5,046$2,243
ABD Paracentesis w/Imaging 49083)$5,799$3,131$1,392$6,925$3,740$1,662
Arthroscopic Rotator Cuff Repair 29827)$26,635$14,383$6,393$27,049$14,607$6,492
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$11,535$6,229$2,768$14,645$7,908$3,515
Hysteroscopy with Biopsy 58558)$12,505$6,753$3,001$15,380$8,305$3,691
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)NRNRNR$13,822$7,464$3,317
Esophageal Endoscopy with Dilation 43249)$4,265$2,303$1,024$6,365$3,437$1,527
Unlisted Cystourethoscopy 52000)$8,789$4,746$2,109$20,910$11,292$5,019
Incision of Finger Tendon Sheath 26055)$7,110$3,840$1,706$7,905$4,269$1,897
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$11,818$6,382$2,836$19,768$10,675$4,744
Cystourethroscopy with Lithotripsy and Stent 52356)$10,731$5,795$2,576$14,996$8,098$3,599
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$19,334$10,440$4,640NRNRNR
Laparoscopic Hernia Repair - Initial 49650)$13,609$7,349$3,266$15,246$8,233$3,659
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$10,209$5,513$2,450$18,814$10,160$4,515
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Uppr GI Endoscopy with Guide Wire 43248)$4,044$2,184$971NRNRNR
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$15,353$8,291$3,685$19,315$10,430$4,636
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNR$9,976$5,387$2,394
Cystourethroscopy with Stent 52332)$8,868$4,789$2,128$10,591$5,719$2,542
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$343$185$82$10,475$5,656$2,514
Removal of Tonsils 42826)$10,846$5,857$2,603$12,916$6,975$3,100
Repair of Nasal Septum 30520)NRNRNR$16,120$8,705$3,869
Low Back Disk Surgery 63030)$17,666$9,540$4,240$24,389$13,170$5,853
Fragmenting of Kidney Stone 50590)$12,984$7,011$3,116$11,891$6,421$2,854
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$22,828$12,327$5,479$23,818$12,862$5,716
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$9,435$5,095$2,264$14,215$7,676$3,412
Mastectomy, Partial 19301)$15,590$8,419$3,742$24,478$13,218$5,875
Coronary Artery Angio S&I 93454)$18,128$9,789$4,351$38,618$20,854$9,268
Laparoscopy - Removal of Adnexal Structures 58661)$14,518$7,840$3,484$16,428$8,871$3,943
Debridement Skin/Tissue 11042)$11,028$5,955$2,647$15,071$8,138$3,617
Needle Biopsy of Liver 47000)$8,526$4,604$2,046$10,776$5,819$2,586
Remove Impacted Ear Wax 69210)NRNRNR$9,109$4,919$2,186
Hysteroscopy with Ablation 58563)$12,447$6,721$2,987$15,219$8,219$3,653
Laparoscopy, Removal of Tubes & Ovaries 58571)$25,685$13,870$6,164$22,807$12,316$5,474
Apheresis Plasma 36514)NRNRNRNRNRNR
Aspirate Pleura with Imaging 32555)$4,979$2,688$1,195$21,841$11,794$5,242
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)$21,273$11,487$5,106$22,865$12,347$5,488
Debridement, Open Wound <= 20 Square Centimeters 97597)NRNRNRNRNRNR
Correction of Bunion 28296)$11,629$6,280$2,791$15,152$8,182$3,636
Bone Marrow Biopsy 38221)$4,481$2,420$1,075$5,686$3,071$1,365
Transluminal balloon angioplasty, percutaneous, venous 35476)$25,144$13,578$6,035$25,596$13,822$6,143
Shoulder Arthroscopy/Surgery 29824)$18,529$10,006$4,447$19,650$10,611$4,716
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Wrist Endoscopy/Surgery 29848)$5,429$2,932$1,303$7,673$4,144$1,842
Removal of Adenoids 42830)$7,115$3,842$1,708$7,366$3,978$1,768
Electronic analysis of implantable pump spine w/reprogram/refill 62369)NRNRNRNRNRNR
Removal of Central Venous Device w Port or Pump 36590)$8,230$4,444$1,975$10,097$5,452$2,423
Insertion of Central Venous Catheter >= 5 years 36569)$7,928$4,281$1,903NRNRNR
Removal of Breast Lesion 19120)$11,094$5,991$2,663$12,103$6,536$2,905
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.