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

Charges for 75 Most Common Hospitalizations in Wisconsin:  July 2013 - June 2014
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$5,006$2,653$1,252
2560Vaginal Delivery$7,363$3,902$1,841
3720Blood Infection/Septicemia$22,316$11,827$5,579
4302Knee Replacement$38,621$20,469$9,655
5540Cesarean Delivery$15,929$8,442$3,982
6194Heart Failure$20,701$10,972$5,175
7139Pneumonia$11,139$5,904$2,785
8301Hip Replacement$41,195$21,833$10,299
9751Psychoses$11,992$6,356$2,998
10753Bipolar Disorders$13,926$7,381$3,482
11140Chronic Obstructive Pulmonary Disease$11,603$6,150$2,901
12201Heart Abnormal Rhythm and Conduction Disorders$12,366$6,554$3,092
13383Cellulitis and Other Bacterial Skin Infections$10,600$5,618$2,650
14775Alcohol Abuse/Dependence$9,636$5,107$2,409
15460Renal Failure$35,271$18,694$8,818
16045Stroke and Precerebral Occlusion with Infarct$18,399$9,751$4,600
17463Kidney/Urinary Tract Infection$11,874$6,293$2,969
18860Rehabilitation$28,535$15,124$7,134
19221Major Bowel Procedures$36,255$19,215$9,064
20133Pulmonary Edema/Respiratory Failure$12,678$6,719$3,170
21750Schizophrenia$13,474$7,141$3,369
22174Angioplasty with Heart Attack$72,782$38,574$18,196
23254Other Digestive System Diagnoses$14,142$7,495$3,536
24247Intestinal Obstruction without Surgery$12,389$6,566$3,097
25420Diabetes$12,948$6,862$3,237
26282Disorders of Pancreas Except Malignancy$13,053$6,918$3,263
27754Depression$17,213$9,123$4,303
28249Gastroenteritis$13,874$7,353$3,469
29304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$76,284$40,431$19,071
30812Poisoning of Medicinal Agents$9,403$4,984$2,351
31175Angioplasty without Heart Attack$68,923$36,529$17,231
32053Seizure$12,457$6,602$3,114
33137Respiratory Infections and Inflammations$14,780$7,833$3,695
34308Hip/Thigh Surgery with Trauma Diagnosis$29,605$15,691$7,401
35263Laparoscopic Cholecystectomy$24,800$13,144$6,200
36134Pulmonary Embolism$14,284$7,571$3,571
37173Other Vascular Procedures$50,705$26,874$12,676
38190Circulatory Disorders with Heart Attack$30,924$16,390$7,731
39347Other Back/Neck Disorders, Fractures, Injuries$13,662$7,241$3,416
40244Diverticulitis & Diverticulosis$12,937$6,857$3,234
41425Other Electrolyte Disorders$5,725$3,034$1,431
42315Shoulder/Upper Arm, Forearm Surgery$23,663$12,541$5,916
43241Peptic Ulcer/Gastritis$17,669$9,365$4,417
44861Signs & Symptoms$11,436$6,061$2,859
45313Other Knee/Lower Leg Surgery$26,863$14,237$6,716
46253Other and Unspecified Gastrointestinal Hemorrhage$17,433$9,239$4,358
47351Other Musculoskeletal System and Connective Tissue Diagnoses$12,544$6,648$3,136
48663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$21,553$11,423$5,388
49225Appendectomy$23,225$12,309$5,806
50248Major G.I. Bacterial Infections$16,001$8,481$4,000
51191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$38,267$20,282$9,567
52141Asthma$10,533$5,582$2,633
53024Extracranial Vascular Procedures$27,101$14,364$6,775
54192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$31,666$16,783$7,917
55721Postoperative and Post-Traumatic Infections$10,795$5,721$2,699
56321Upper Spinal Fusion$37,181$19,706$9,295
57197Peripheral and Other Vascular Disorders$16,030$8,496$4,008
58773Opioid Abuse/Dependence$8,316$4,407$2,079
59693ChemotherapyNRNRNR
60710Infectious & parasitic diseases including HIV w O.R. procedure$32,293$17,115$8,073
61204Fainting and Collapse$10,324$5,472$2,581
62466Malfunction, reaction, complic of genitourinary device or proc$18,105$9,596$4,526
63566Other Antepartum Diagnoses$5,235$2,775$1,309
64021Craniotomy Except For Trauma$65,170$34,540$16,293
65198Chest Pain with Angina Pectoris or Coronary Atherosclerosis$15,081$7,993$3,770
66144Respiratory System Signs, Symptoms and Minor Diagnoses$19,455$10,311$4,864
67310Back/Neck Procedures Except Dorsal and Lumbar Fusion$25,228$13,371$6,307
68163Heart Valve Procedures without Cardiac Catheterization$122,068$64,696$30,517
69143Other respiratory diagnoses except signs, symptoms & minor diagnoses$12,040$6,381$3,010
70052Nontraumatic stupor & coma$10,083$5,344$2,521
71513Uterine Procedures without Tumor$24,047$12,745$6,012
72422Hypovolemia$9,242$4,898$2,311
73755Neuroses Other Than Depression$16,304$8,641$4,076
74055Head trauma w coma >1 hr or hemorrhage$15,579$8,257$3,895
75165Coronary Bypass with Cardiac Catheterization$157,127$83,277$39,282

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 2013 - June 2014
 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)$8,014$4,247$2,003NRNRNR
Colonoscopy and Biopsy 45380)$4,805$2,547$1,201$7,103$3,765$1,776
Upper GI Endoscopy with Biopsy 43239)$5,020$2,661$1,255$7,726$4,095$1,932
Diagnostic Colonoscopy 45378)$3,357$1,779$839$6,399$3,391$1,600
Lesion Removal Colonoscopy by Snare Technique 45385)$5,144$2,726$1,286$6,476$3,432$1,619
Injection into Lumbar or Sacral Area, Single Level 64483)$1,719$911$430$3,593$1,904$898
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$8,203$4,347$2,051$11,476$6,082$2,869
Drain/Inject Major Joint or Bursa 20610)$2,335$1,237$584$4,496$2,383$1,124
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$3,346$1,774$837NRNRNR
Carpal Tunnel Surgery 64721)$7,529$3,991$1,882$11,245$5,960$2,811
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$9,127$4,837$2,282$9,804$5,196$2,451
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$3,349$1,775$837NRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$3,406$1,805$851$5,952$3,155$1,488
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$4,631$2,455$1,158$6,229$3,301$1,557
Left Heart Artery/Ventricle Angiography 93458)$19,404$10,284$4,851$26,741$14,173$6,685
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNR$11,457$6,072$2,864
Creation of Eardrum Opening 69436)$3,421$1,813$855$4,116$2,181$1,029
Unlisted Dental Surgery Procedure 41899)$7,774$4,120$1,943$10,843$5,747$2,711
Laparoscopic Cholecystectomy 47562)$17,215$9,124$4,304$21,825$11,567$5,456
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$4,263$2,259$1,066$8,914$4,724$2,228
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$7,925$4,200$1,981$9,036$4,789$2,259
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$10,585$5,610$2,646$13,196$6,994$3,299
Arthroscopic Rotator Cuff Repair 29827)$25,479$13,504$6,370$18,233$9,663$4,558
Cataract Surgery- Complex 66982)NRNRNRNRNRNR
Hysteroscopy with Biopsy 58558)$11,918$6,317$2,980$12,798$6,783$3,200
Unlisted Cystourethoscopy 52000)$5,986$3,173$1,497$10,541$5,587$2,635
Esophageal Endoscopy with Dilation 43249)$4,276$2,266$1,069$5,751$3,048$1,438
ABD Paracentesis w/Imaging 49083)$5,607$2,972$1,402$11,427$6,057$2,857
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$16,302$8,640$4,075$20,798$11,023$5,199
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$9,780$5,183$2,445$9,899$5,247$2,475
Incision of Finger Tendon Sheath 26055)$6,681$3,541$1,670$6,950$3,683$1,737
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$11,207$5,940$2,802$14,074$7,459$3,518
Uppr GI Endoscopy with Guide Wire 43248)$3,686$1,954$921$4,553$2,413$1,138
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Laparoscopic Hernia Repair - Initial 49650)$13,824$7,327$3,456$16,112$8,539$4,028
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)NRNRNR$7,455$3,951$1,864
Repair of Nasal Septum 30520)$12,069$6,396$3,017$16,311$8,645$4,078
Percutaneous Breast Biopsy with Device and Imaging 19103)NRNRNRNRNRNR
Cystourethroscopy with Stent 52332)$8,496$4,503$2,124$9,977$5,288$2,494
Laparoscopic Appendectomy 44970)$16,566$8,780$4,142$21,061$11,162$5,265
Removal of Tonsils 42826)$9,115$4,831$2,279$11,720$6,212$2,930
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$19,909$10,552$4,977$23,136$12,262$5,784
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$9,011$4,776$2,253$20,323$10,771$5,081
Fragmenting of Kidney Stone 50590)$10,014$5,308$2,504$12,080$6,403$3,020
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNR$8,888$4,710$2,222
Low Back Disk Surgery 63030)$17,574$9,314$4,393$17,272$9,154$4,318
Hysteroscopy with Ablation 58563)$12,344$6,542$3,086$14,583$7,729$3,646
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Mastectomy, Partial 19301)$12,276$6,506$3,069$20,938$11,097$5,235
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNRNRNRNR
Coronary Artery Angio S&I 93454)$19,119$10,133$4,780$27,912$14,793$6,978
Colonoscopy with Lesion Removal 45383)$4,716$2,499$1,179$6,985$3,702$1,746
Correction of Bunion 28296)$9,999$5,299$2,500$16,162$8,566$4,040
Cystourethroscopy with Lithotripsy 52353)$10,974$5,816$2,744$10,747$5,696$2,687
Bone Marrow Biopsy 38221)$7,770$4,118$1,943NRNRNR
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Needle Biopsy of Liver 47000)$8,573$4,544$2,143$8,942$4,739$2,235
Apheresis Plasma 36514)NRNRNRNRNRNR
Mohs Micrographic Tissue Removal 17311)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$17,350$9,196$4,338$21,663$11,481$5,416
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)$19,324$10,242$4,831$22,095$11,710$5,524
Aspirate Pleura with Imaging 32555)$2,524$1,338$631$6,560$3,477$1,640
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Insertion of Central Venous Catheter >= 5 years 36569)$7,405$3,925$1,851$9,601$5,089$2,400
Removal of Breast Lesion 19120)$9,687$5,134$2,422NRNRNR
Laparoscopy, Removal of Tubes & Ovaries 58571)$23,399$12,402$5,850$26,397$13,990$6,599
Excision Breast Lesion with Preoperative Placement Radiological Marker 19125)$10,199$5,406$2,550$9,236$4,895$2,309
Wrist Endoscopy/Surgery 29848)$6,553$3,473$1,638$8,546$4,529$2,136
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area 58662)$17,992$9,536$4,498$19,190$10,171$4,798
Shoulder Arthroscopy/Surgery 29824)$13,007$6,893$3,252$15,428$8,177$3,857
Debridement Skin/Tissue 11042)$8,129$4,308$2,032NRNRNR
Cystourethroscopy with Lithotripsy and Stent 52356)$11,302$5,990$2,825$12,299$6,519$3,075
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.