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

Charges for 75 Most Common Hospitalizations in Wisconsin:  April 2014 - March 2015
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$4,346$2,347$1,043
2560Vaginal Delivery$9,368$5,059$2,248
3720Blood Infection/Septicemia$18,860$10,184$4,526
4302Knee Replacement$36,921$19,937$8,861
5540Cesarean Delivery$14,889$8,040$3,573
6194Heart Failure$18,722$10,110$4,493
7139Pneumonia$11,861$6,405$2,847
8301Hip Replacement$38,882$20,996$9,332
9751Psychoses$12,166$6,570$2,920
10753Bipolar Disorders$13,642$7,367$3,274
11140Chronic Obstructive Pulmonary Disease$12,701$6,859$3,048
12201Heart Abnormal Rhythm and Conduction Disorders$13,897$7,504$3,335
13775Alcohol Abuse/Dependence$9,076$4,901$2,178
14383Cellulitis and Other Bacterial Skin Infections$10,768$5,815$2,584
15460Renal Failure$12,025$6,494$2,886
16045Stroke and Precerebral Occlusion with Infarct$21,883$11,817$5,252
17463Kidney/Urinary Tract Infection$17,833$9,630$4,280
18860Rehabilitation$22,381$12,086$5,371
19221Major Bowel Procedures$35,195$19,005$8,447
20133Pulmonary Edema/Respiratory FailureNRNRNR
21750Schizophrenia$13,589$7,338$3,261
22174Angioplasty with Heart Attack$68,538$37,011$16,449
23254Other Digestive System Diagnoses$12,524$6,763$3,006
24247Intestinal Obstruction without Surgery$13,187$7,121$3,165
25282Disorders of Pancreas Except Malignancy$11,765$6,353$2,824
26420Diabetes$11,642$6,287$2,794
27249Gastroenteritis$13,806$7,455$3,313
28754Depression$15,577$8,412$3,738
29053Seizure$13,585$7,336$3,260
30304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$59,016$31,869$14,164
31812Poisoning of Medicinal Agents$10,573$5,709$2,538
32137Respiratory Infections and Inflammations$35,629$19,240$8,551
33134Pulmonary Embolism$13,351$7,210$3,204
34190Circulatory Disorders with Heart Attack$27,827$15,027$6,678
35308Hip/Thigh Surgery with Trauma Diagnosis$30,738$16,599$7,377
36173Other Vascular Procedures$56,614$30,572$13,587
37175Angioplasty without Heart Attack$65,958$35,617$15,830
38263Laparoscopic Cholecystectomy$28,003$15,122$6,721
39425Other Electrolyte Disorders$8,673$4,683$2,082
40244Diverticulitis & Diverticulosis$14,004$7,562$3,361
41347Other Back/Neck Disorders, Fractures, Injuries$14,300$7,722$3,432
42861Signs & Symptoms$14,983$8,091$3,596
43241Peptic Ulcer/Gastritis$16,814$9,080$4,035
44315Shoulder/Upper Arm, Forearm Surgery$23,663$12,778$5,679
45253Other and Unspecified Gastrointestinal Hemorrhage$18,242$9,851$4,378
46313Other Knee/Lower Leg Surgery$31,730$17,134$7,615
47141Asthma$10,794$5,829$2,591
48351Other Musculoskeletal System and Connective Tissue Diagnoses$12,956$6,996$3,109
49663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$13,482$7,280$3,236
50773Opioid Abuse/Dependence$9,560$5,162$2,294
51248Major G.I. Bacterial Infections$18,450$9,963$4,428
52710Infectious & parasitic diseases including HIV w O.R. procedure$18,406$9,939$4,417
53191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$37,403$20,198$8,977
54693ChemotherapyNRNRNR
55466Malfunction, reaction, complic of genitourinary device or procNRNRNR
56113Epiglottitis, Ear Infection, URI and Laryngotracheitis$10,468$5,653$2,512
57024Extracranial Vascular Procedures$27,059$14,612$6,494
58321Upper Spinal Fusion$39,649$21,410$9,516
59721Postoperative and Post-Traumatic Infections$23,016$12,429$5,524
60144Respiratory System Signs, Symptoms and Minor Diagnoses$20,281$10,952$4,867
61225Appendectomy$21,584$11,655$5,180
62197Peripheral and Other Vascular Disorders$18,034$9,738$4,328
63021Craniotomy Except For Trauma$66,012$35,646$15,843
64192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$32,515$17,558$7,804
65566Other Antepartum Diagnoses$4,892$2,642$1,174
66163Heart Valve Procedures without Cardiac Catheterization$128,753$69,527$30,901
67204Fainting and Collapse$10,414$5,624$2,499
68143Other respiratory diagnoses except signs, symptoms & minor diagnoses$18,913$10,213$4,539
69052Nontraumatic stupor & coma$16,928$9,141$4,063
70055Head trauma w coma >1 hr or hemorrhage$15,162$8,187$3,639
71755Neuroses Other Than Depression$13,737$7,418$3,297
72310Back/Neck Procedures Except Dorsal and Lumbar Fusion$25,959$14,018$6,230
73660Major hematologic/immunologic diag exc sickle cell crisis & coagul$13,230$7,144$3,175
74198Chest Pain with Angina Pectoris or Coronary Atherosclerosis$16,262$8,781$3,903
75422Hypovolemia$7,328$3,957$1,759

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 2014 - March 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)$5,062$2,733$1,215$6,653$3,592$1,597
Upper GI Endoscopy with Biopsy 43239)$4,800$2,592$1,152$7,668$4,141$1,840
Lesion Removal Colonoscopy by Snare Technique 45385)$5,364$2,897$1,287$6,584$3,556$1,580
Diagnostic Colonoscopy 45378)$3,375$1,823$810$6,329$3,418$1,519
Injection into Lumbar or Sacral Area, Single Level 64483)$1,775$959$426$3,675$1,985$882
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$8,228$4,443$1,975$13,155$7,104$3,157
Drain/Inject Major Joint or Bursa 20610)$2,437$1,316$585$5,175$2,794$1,242
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$3,438$1,857$825NRNRNR
Carpal Tunnel Surgery 64721)$7,723$4,171$1,854$10,294$5,559$2,471
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$9,780$5,281$2,347$10,731$5,795$2,575
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$3,414$1,844$819NRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$3,478$1,878$835$5,765$3,113$1,384
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$4,836$2,612$1,161$6,073$3,280$1,458
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNR$12,220$6,599$2,933
Left Heart Artery/Ventricle Angiography 93458)$19,503$10,531$4,681$33,258$17,959$7,982
Creation of Eardrum Opening 69436)$3,779$2,041$907$3,741$2,020$898
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$4,363$2,356$1,047$6,555$3,540$1,573
Laparoscopic Cholecystectomy 47562)$16,349$8,828$3,924$19,282$10,412$4,628
Unlisted Dental Surgery Procedure 41899)$7,960$4,298$1,910$12,028$6,495$2,887
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$7,926$4,280$1,902$9,591$5,179$2,302
Cataract Surgery- Complex 66982)NRNRNRNRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$11,184$6,039$2,684$14,083$7,605$3,380
Arthroscopic Rotator Cuff Repair 29827)$21,536$11,629$5,169$21,584$11,655$5,180
Hysteroscopy with Biopsy 58558)$12,450$6,723$2,988$14,048$7,586$3,372
ABD Paracentesis w/Imaging 49083)$5,607$3,028$1,346$7,762$4,192$1,863
Unlisted Cystourethoscopy 52000)$5,584$3,016$1,340$28,534$15,408$6,848
Esophageal Endoscopy with Dilation 43249)$4,236$2,288$1,017$6,043$3,263$1,450
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)NRNRNR$13,643$7,367$3,274
Incision of Finger Tendon Sheath 26055)$7,269$3,925$1,744$7,905$4,269$1,897
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$11,242$6,071$2,698$17,570$9,488$4,217
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$16,489$8,904$3,957NRNRNR
Cystourethroscopy with Lithotripsy and Stent 52356)$10,710$5,783$2,570$12,357$6,673$2,966
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$9,862$5,325$2,367$11,078$5,982$2,659
Laparoscopic Hernia Repair - Initial 49650)$13,355$7,212$3,205$15,719$8,488$3,773
Uppr GI Endoscopy with Guide Wire 43248)$3,841$2,074$922$11,915$6,434$2,859
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$15,144$8,178$3,635$19,244$10,392$4,619
Cystourethroscopy with Stent 52332)$8,597$4,642$2,063$11,187$6,041$2,685
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNR$10,286$5,555$2,469
Low Back Disk Surgery 63030)$17,088$9,227$4,101$24,112$13,020$5,787
Repair of Nasal Septum 30520)$10,469$5,653$2,513$19,231$10,385$4,615
Fragmenting of Kidney Stone 50590)$10,014$5,408$2,403$12,080$6,523$2,899
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNR$10,475$5,656$2,514
Removal of Tonsils 42826)$10,800$5,832$2,592$11,344$6,126$2,723
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$9,130$4,930$2,191$14,750$7,965$3,540
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$22,828$12,327$5,479$22,766$12,294$5,464
Mastectomy, Partial 19301)$15,590$8,419$3,742$23,370$12,620$5,609
Coronary Artery Angio S&I 93454)$17,335$9,361$4,160$37,492$20,246$8,998
Hysteroscopy with Ablation 58563)$12,393$6,692$2,974$16,289$8,796$3,909
Remove Impacted Ear Wax 69210)NRNRNR$9,109$4,919$2,186
Apheresis Plasma 36514)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$14,679$7,927$3,523$19,414$10,484$4,659
Needle Biopsy of Liver 47000)$8,257$4,459$1,982$10,088$5,448$2,421
Debridement Skin/Tissue 11042)$10,526$5,684$2,526$11,897$6,424$2,855
Laparoscopy, Removal of Tubes & Ovaries 58571)$24,371$13,160$5,849$25,268$13,645$6,064
Bone Marrow Biopsy 38221)$6,756$3,648$1,621$5,686$3,071$1,365
Correction of Bunion 28296)$11,486$6,203$2,757$21,029$11,356$5,047
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Aspirate Pleura with Imaging 32555)$3,373$1,821$810$8,137$4,394$1,953
Right and Left Heart Artery/Ventricle Angiography 93460)$21,080$11,383$5,059$22,865$12,347$5,488
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Mohs Micrographic Tissue Removal 17311)NRNRNRNRNRNR
Wrist Endoscopy/Surgery 29848)$5,703$3,080$1,369$9,100$4,914$2,184
Shoulder Arthroscopy/Surgery 29824)$17,218$9,298$4,132$19,964$10,781$4,791
Removal of Breast Lesion 19120)$10,745$5,802$2,579$16,461$8,889$3,951
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNR$25,059$13,532$6,014
Electronic analysis of implantable pump spine w/reprogram/refill 62369)NRNRNRNRNRNR
Removal of Central Venous Device w Port or Pump 36590)$8,386$4,528$2,013NRNRNR
Colonoscopy with Lesion Removal 45383)NRNRNR$3,682$1,988$884
Repair of Hammertoe 28285)NRNRNR$15,666$8,459$3,760
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.