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

Charges for 75 Most Common Hospitalizations in Wisconsin:  October 2013 - September 2014
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$4,495$2,382$1,124
2560Vaginal Delivery$7,875$4,174$1,969
3720Blood Infection/Septicemia$21,152$11,211$5,288
4302Knee Replacement$37,773$20,020$9,443
5540Cesarean Delivery$15,787$8,367$3,947
6194Heart Failure$20,701$10,972$5,175
7139Pneumonia$11,139$5,904$2,785
8301Hip Replacement$40,715$21,579$10,179
9751Psychoses$11,657$6,178$2,914
10753Bipolar Disorders$13,501$7,156$3,375
11140Chronic Obstructive Pulmonary Disease$12,701$6,732$3,175
12201Heart Abnormal Rhythm and Conduction Disorders$13,249$7,022$3,312
13775Alcohol Abuse/Dependence$9,088$4,817$2,272
14383Cellulitis and Other Bacterial Skin Infections$11,553$6,123$2,888
15460Renal Failure$105,701$56,022$26,425
16045Stroke and Precerebral Occlusion with Infarct$21,784$11,546$5,446
17860Rehabilitation$26,860$14,236$6,715
18463Kidney/Urinary Tract Infection$13,524$7,168$3,381
19221Major Bowel Procedures$35,725$18,934$8,931
20133Pulmonary Edema/Respiratory FailureNRNRNR
21750Schizophrenia$12,918$6,847$3,230
22174Angioplasty with Heart Attack$74,708$39,595$18,677
23254Other Digestive System Diagnoses$12,926$6,851$3,232
24247Intestinal Obstruction without Surgery$12,226$6,480$3,057
25282Disorders of Pancreas Except Malignancy$14,285$7,571$3,571
26420Diabetes$12,377$6,560$3,094
27754Depression$17,022$9,022$4,256
28304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$66,124$35,046$16,531
29249Gastroenteritis$12,914$6,844$3,229
30137Respiratory Infections and Inflammations$14,780$7,833$3,695
31812Poisoning of Medicinal Agents$10,675$5,658$2,669
32053Seizure$12,386$6,565$3,097
33308Hip/Thigh Surgery with Trauma Diagnosis$28,252$14,974$7,063
34134Pulmonary Embolism$13,870$7,351$3,468
35175Angioplasty without Heart Attack$66,759$35,382$16,690
36263Laparoscopic Cholecystectomy$24,982$13,240$6,246
37190Circulatory Disorders with Heart Attack$30,538$16,185$7,635
38173Other Vascular Procedures$57,540$30,496$14,385
39347Other Back/Neck Disorders, Fractures, Injuries$13,928$7,382$3,482
40244Diverticulitis & Diverticulosis$13,058$6,921$3,265
41425Other Electrolyte Disorders$8,013$4,247$2,003
42315Shoulder/Upper Arm, Forearm Surgery$24,854$13,173$6,214
43241Peptic Ulcer/Gastritis$17,669$9,365$4,417
44313Other Knee/Lower Leg Surgery$28,124$14,906$7,031
45861Signs & Symptoms$13,801$7,315$3,450
46141Asthma$9,410$4,987$2,353
47253Other and Unspecified Gastrointestinal Hemorrhage$18,242$9,668$4,561
48351Other Musculoskeletal System and Connective Tissue Diagnoses$8,482$4,495$2,121
49663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$14,632$7,755$3,658
50248Major G.I. Bacterial Infections$14,852$7,872$3,713
51191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$36,176$19,173$9,044
52773Opioid Abuse/Dependence$9,560$5,067$2,390
53225Appendectomy$22,556$11,955$5,639
54710Infectious & parasitic diseases including HIV w O.R. procedure$32,293$17,115$8,073
55024Extracranial Vascular Procedures$27,101$14,364$6,775
56721Postoperative and Post-Traumatic Infections$11,530$6,111$2,883
57321Upper Spinal Fusion$37,694$19,978$9,424
58197Peripheral and Other Vascular Disorders$16,030$8,496$4,008
59693ChemotherapyNRNRNR
60192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$32,142$17,035$8,036
61466Malfunction, reaction, complic of genitourinary device or procNRNRNR
62144Respiratory System Signs, Symptoms and Minor Diagnoses$15,789$8,368$3,947
63204Fainting and Collapse$11,378$6,030$2,845
64021Craniotomy Except For Trauma$67,237$35,636$16,809
65566Other Antepartum Diagnoses$4,912$2,603$1,228
66163Heart Valve Procedures without Cardiac Catheterization$117,335$62,188$29,334
67143Other respiratory diagnoses except signs, symptoms & minor diagnoses$18,913$10,024$4,728
68052Nontraumatic stupor & coma$11,843$6,277$2,961
69310Back/Neck Procedures Except Dorsal and Lumbar Fusion$25,451$13,489$6,363
70198Chest Pain with Angina Pectoris or Coronary Atherosclerosis$15,044$7,973$3,761
71755Neuroses Other Than Depression$13,603$7,210$3,401
72422Hypovolemia$18,192$9,642$4,548
73165Coronary Bypass with Cardiac Catheterization$156,798$83,103$39,200
74660Major hematologic/immunologic diag exc sickle cell crisis & coagul$16,515$8,753$4,129
75055Head trauma w coma >1 hr or hemorrhage$17,521$9,286$4,380

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 2013 - September 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)$4,821$2,555$1,205$6,790$3,599$1,697
Upper GI Endoscopy with Biopsy 43239)$4,874$2,583$1,219$7,701$4,082$1,925
Diagnostic Colonoscopy 45378)$3,358$1,780$840$6,397$3,390$1,599
Lesion Removal Colonoscopy by Snare Technique 45385)$5,202$2,757$1,301$6,542$3,468$1,636
Injection into Lumbar or Sacral Area, Single Level 64483)$1,719$911$430$3,620$1,919$905
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$8,101$4,294$2,025$11,479$6,084$2,870
Drain/Inject Major Joint or Bursa 20610)$2,353$1,247$588$4,487$2,378$1,122
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$3,357$1,779$839NRNRNR
Carpal Tunnel Surgery 64721)$7,677$4,069$1,919$10,133$5,371$2,533
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$9,603$5,089$2,401$9,638$5,108$2,409
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$3,356$1,779$839NRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$3,412$1,809$853$5,769$3,057$1,442
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$4,653$2,466$1,163$6,096$3,231$1,524
Left Heart Artery/Ventricle Angiography 93458)$19,503$10,336$4,876$28,270$14,983$7,068
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNR$11,720$6,212$2,930
Creation of Eardrum Opening 69436)$3,697$1,959$924$4,116$2,181$1,029
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$4,308$2,283$1,077$9,768$5,177$2,442
Laparoscopic Cholecystectomy 47562)$16,916$8,965$4,229$21,458$11,373$5,364
Unlisted Dental Surgery Procedure 41899)$7,871$4,172$1,968$11,132$5,900$2,783
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$7,847$4,159$1,962$8,964$4,751$2,241
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$11,058$5,861$2,764$13,564$7,189$3,391
Arthroscopic Rotator Cuff Repair 29827)$25,479$13,504$6,370$19,338$10,249$4,834
Cataract Surgery- Complex 66982)NRNRNRNRNRNR
Hysteroscopy with Biopsy 58558)$12,098$6,412$3,024$13,843$7,337$3,461
ABD Paracentesis w/Imaging 49083)$5,216$2,764$1,304$7,762$4,114$1,941
Unlisted Cystourethoscopy 52000)$4,272$2,264$1,068$15,445$8,186$3,861
Esophageal Endoscopy with Dilation 43249)$4,247$2,251$1,062$5,797$3,072$1,449
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$16,480$8,734$4,120$21,002$11,131$5,250
Incision of Finger Tendon Sheath 26055)$6,781$3,594$1,695$7,575$4,015$1,894
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$9,884$5,238$2,471$10,055$5,329$2,514
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$11,207$5,940$2,802$17,543$9,298$4,386
Uppr GI Endoscopy with Guide Wire 43248)$3,841$2,036$960$4,553$2,413$1,138
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)NRNRNR$7,455$3,951$1,864
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Laparoscopic Hernia Repair - Initial 49650)$13,940$7,388$3,485$15,989$8,474$3,997
Laparoscopic Appendectomy 44970)$16,441$8,714$4,110$20,577$10,906$5,144
Cystourethroscopy with Stent 52332)$8,632$4,575$2,158$10,389$5,506$2,597
Repair of Nasal Septum 30520)$11,362$6,022$2,841$19,087$10,116$4,772
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNR$10,224$5,419$2,556
Fragmenting of Kidney Stone 50590)$10,014$5,308$2,504$12,080$6,403$3,020
Low Back Disk Surgery 63030)$16,880$8,946$4,220$18,687$9,904$4,672
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$20,190$10,701$5,047$23,163$12,276$5,791
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$9,130$4,839$2,282$21,369$11,326$5,342
Removal of Tonsils 42826)$9,817$5,203$2,454$11,310$5,994$2,828
Cystourethroscopy with Lithotripsy and Stent 52356)$10,938$5,797$2,735$12,201$6,467$3,050
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNRNRNRNR
Mastectomy, Partial 19301)$12,460$6,604$3,115$21,218$11,246$5,305
Hysteroscopy with Ablation 58563)$12,535$6,643$3,134$14,686$7,783$3,671
Coronary Artery Angio S&I 93454)$18,375$9,739$4,594$27,333$14,487$6,833
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Colonoscopy with Lesion Removal 45383)$4,716$2,499$1,179$3,682$1,951$920
Correction of Bunion 28296)$9,999$5,299$2,500$21,390$11,337$5,348
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Bone Marrow Biopsy 38221)$7,986$4,233$1,997NRNRNR
Needle Biopsy of Liver 47000)$8,456$4,482$2,114NRNRNR
Mohs Micrographic Tissue Removal 17311)NRNRNRNRNRNR
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$16,456$8,722$4,114$19,675$10,428$4,919
Right and Left Heart Artery/Ventricle Angiography 93460)$19,324$10,242$4,831$21,031$11,146$5,258
Laparoscopy, Removal of Tubes & Ovaries 58571)$23,543$12,478$5,886$26,442$14,014$6,610
Aspirate Pleura with Imaging 32555)$2,524$1,338$631$6,806$3,607$1,702
Removal of Breast Lesion 19120)$10,043$5,323$2,511NRNRNR
Debridement Skin/Tissue 11042)$8,622$4,570$2,156$9,211$4,882$2,303
Wrist Endoscopy/Surgery 29848)$6,089$3,227$1,522$8,546$4,529$2,136
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Insertion of Central Venous Catheter >= 5 years 36569)$7,405$3,925$1,851$9,953$5,275$2,488
Shoulder Arthroscopy/Surgery 29824)$14,057$7,450$3,514$16,135$8,552$4,034
Repair of Hammertoe 28285)NRNRNR$13,017$6,899$3,254
Excision Breast Lesion with Preoperative Placement Radiological Marker 19125)$12,642$6,700$3,160$9,236$4,895$2,309
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area 58662)$17,754$9,410$4,439$18,393$9,748$4,598
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.