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

Charges for 75 Most Common Hospitalizations in Wisconsin:  July 2014 - June 2015
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$4,401$2,377$1,056
2560Vaginal Delivery$10,101$5,455$2,424
3720Blood Infection/Septicemia$18,860$10,184$4,526
4302Knee Replacement$36,794$19,869$8,831
5540Cesarean Delivery$14,215$7,676$3,412
6194Heart Failure$16,604$8,966$3,985
7139Pneumonia$11,765$6,353$2,824
8301Hip Replacement$38,624$20,857$9,270
9751Psychoses$12,830$6,928$3,079
10753Bipolar Disorders$15,875$8,573$3,810
11140Chronic Obstructive Pulmonary Disease$13,228$7,143$3,175
12201Heart Abnormal Rhythm and Conduction Disorders$12,407$6,700$2,978
13775Alcohol Abuse/Dependence$8,932$4,823$2,144
14460Renal Failure$12,025$6,494$2,886
15383Cellulitis and Other Bacterial Skin Infections$10,687$5,771$2,565
16045Stroke and Precerebral Occlusion with Infarct$21,883$11,817$5,252
17463Kidney/Urinary Tract Infection$18,679$10,087$4,483
18860Rehabilitation$19,553$10,559$4,693
19221Major Bowel Procedures$34,882$18,836$8,372
20133Pulmonary Edema/Respiratory FailureNRNRNR
21174Angioplasty with Heart Attack$68,527$37,005$16,446
22750Schizophrenia$13,404$7,238$3,217
23247Intestinal Obstruction without Surgery$14,667$7,920$3,520
24254Other Digestive System Diagnoses$13,596$7,342$3,263
25282Disorders of Pancreas Except Malignancy$12,470$6,734$2,993
26420Diabetes$11,960$6,458$2,870
27249Gastroenteritis$12,504$6,752$3,001
28754Depression$14,661$7,917$3,519
29812Poisoning of Medicinal Agents$9,971$5,384$2,393
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$9,680$5,227$2,323
33134Pulmonary Embolism$12,588$6,798$3,021
34173Other Vascular Procedures$56,390$30,451$13,534
35308Hip/Thigh Surgery with Trauma Diagnosis$27,025$14,594$6,486
36190Circulatory Disorders with Heart Attack$26,567$14,346$6,376
37263Laparoscopic Cholecystectomy$22,506$12,153$5,401
38175Angioplasty without Heart Attack$65,771$35,516$15,785
39244Diverticulitis & Diverticulosis$13,801$7,453$3,312
40425Other Electrolyte Disorders$10,301$5,563$2,472
41241Peptic Ulcer/Gastritis$14,295$7,719$3,431
42861Signs & Symptoms$14,983$8,091$3,596
43347Other Back/Neck Disorders, Fractures, Injuries$14,938$8,067$3,585
44315Shoulder/Upper Arm, Forearm Surgery$23,143$12,497$5,554
45253Other and Unspecified Gastrointestinal Hemorrhage$22,310$12,047$5,354
46313Other Knee/Lower Leg Surgery$31,730$17,134$7,615
47141Asthma$8,512$4,596$2,043
48351Other Musculoskeletal System and Connective Tissue Diagnoses$12,956$6,996$3,109
49773Opioid Abuse/Dependence$8,688$4,692$2,085
50663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$13,482$7,280$3,236
51248Major G.I. Bacterial Infections$23,041$12,442$5,530
52710Infectious & parasitic diseases including HIV w O.R. procedure$13,691$7,393$3,286
53191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$34,140$18,436$8,194
54466Malfunction, reaction, complic of genitourinary device or procNRNRNR
55693ChemotherapyNRNRNR
56113Epiglottitis, Ear Infection, URI and Laryngotracheitis$9,171$4,952$2,201
57024Extracranial Vascular Procedures$26,382$14,246$6,332
58721Postoperative and Post-Traumatic Infections$22,925$12,380$5,502
59144Respiratory System Signs, Symptoms and Minor Diagnoses$19,365$10,457$4,648
60321Upper Spinal Fusion$40,060$21,632$9,614
61225Appendectomy$21,056$11,370$5,053
62197Peripheral and Other Vascular Disorders$13,497$7,288$3,239
63021Craniotomy Except For Trauma$67,237$36,308$16,137
64143Other respiratory diagnoses except signs, symptoms & minor diagnoses$18,312$9,888$4,395
65566Other Antepartum Diagnoses$4,984$2,691$1,196
66163Heart Valve Procedures without Cardiac Catheterization$131,882$71,216$31,652
67192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$31,541$17,032$7,570
68204Fainting and Collapse$11,184$6,039$2,684
69052Nontraumatic stupor & coma$18,684$10,089$4,484
70055Head trauma w coma >1 hr or hemorrhage$17,107$9,238$4,106
71755Neuroses Other Than Depression$13,732$7,415$3,296
72310Back/Neck Procedures Except Dorsal and Lumbar Fusion$23,754$12,827$5,701
73660Major hematologic/immunologic diag exc sickle cell crisis & coagul$13,230$7,144$3,175
74422Hypovolemia$9,166$4,950$2,200
75639Neonate Birthwt >2499g with Other Significant Condition$7,696$4,156$1,847

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 2014 - June 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)$5,119$2,765$1,229$6,652$3,592$1,596
Upper GI Endoscopy with Biopsy 43239)$4,904$2,648$1,177$7,607$4,108$1,826
Lesion Removal Colonoscopy by Snare Technique 45385)$5,458$2,947$1,310$6,643$3,587$1,594
Diagnostic Colonoscopy 45378)$3,537$1,910$849$6,530$3,526$1,567
Injection into Lumbar or Sacral Area, Single Level 64483)$1,831$989$439$3,675$1,985$882
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$8,228$4,443$1,975$12,726$6,872$3,054
Drain/Inject Major Joint or Bursa 20610)$2,414$1,304$579$4,479$2,419$1,075
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$3,622$1,956$869NRNRNR
Carpal Tunnel Surgery 64721)$7,723$4,171$1,854$8,909$4,811$2,138
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$3,622$1,956$869NRNRNR
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$9,780$5,281$2,347$20,965$11,321$5,032
Uppr GI Endoscopy- Diagnostic 43235)$3,561$1,923$855$5,974$3,226$1,434
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNR$11,962$6,459$2,871
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$4,921$2,657$1,181$6,050$3,267$1,452
Left Heart Artery/Ventricle Angiography 93458)$20,205$10,911$4,849$31,415$16,964$7,540
Creation of Eardrum Opening 69436)$3,722$2,010$893$3,641$1,966$874
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$4,410$2,381$1,058$6,555$3,540$1,573
Unlisted Dental Surgery Procedure 41899)$8,133$4,392$1,952$13,180$7,117$3,163
Laparoscopic Cholecystectomy 47562)$16,007$8,644$3,842$18,640$10,065$4,473
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)$7,778$4,200$1,867$9,449$5,103$2,268
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$11,289$6,096$2,709$14,083$7,605$3,380
Arthroscopic Rotator Cuff Repair 29827)$20,885$11,278$5,012$25,157$13,585$6,038
ABD Paracentesis w/Imaging 49083)$5,452$2,944$1,308$7,222$3,900$1,733
Hysteroscopy with Biopsy 58558)$12,473$6,735$2,993$15,083$8,145$3,620
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)NRNRNR$13,822$7,464$3,317
Esophageal Endoscopy with Dilation 43249)$4,207$2,272$1,010$6,250$3,375$1,500
Unlisted Cystourethoscopy 52000)$7,282$3,932$1,748$20,795$11,229$4,991
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$11,757$6,349$2,822$19,768$10,675$4,744
Incision of Finger Tendon Sheath 26055)$7,419$4,006$1,780$8,046$4,345$1,931
Cystourethroscopy with Lithotripsy and Stent 52356)$10,575$5,710$2,538$12,324$6,655$2,958
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$18,497$9,989$4,439NRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$9,928$5,361$2,383$14,066$7,596$3,376
Laparoscopic Hernia Repair - Initial 49650)$13,436$7,255$3,225$15,332$8,279$3,680
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Uppr GI Endoscopy with Guide Wire 43248)$4,044$2,184$971NRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$15,071$8,138$3,617$18,685$10,090$4,485
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Cystourethroscopy with Stent 52332)$8,689$4,692$2,085$10,591$5,719$2,542
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNR$10,325$5,576$2,478
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNR$10,475$5,656$2,514
Low Back Disk Surgery 63030)$17,469$9,433$4,193$29,685$16,030$7,124
Fragmenting of Kidney Stone 50590)$12,984$7,011$3,116NRNRNR
Removal of Tonsils 42826)$10,689$5,772$2,565$11,350$6,129$2,724
Repair of Nasal Septum 30520)$10,656$5,754$2,557$17,822$9,624$4,277
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$22,828$12,327$5,479$23,730$12,814$5,695
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$9,487$5,123$2,277$13,679$7,387$3,283
Mastectomy, Partial 19301)$15,710$8,483$3,770$24,457$13,207$5,870
Coronary Artery Angio S&I 93454)$17,720$9,569$4,253$43,428$23,451$10,423
Laparoscopy - Removal of Adnexal Structures 58661)$14,518$7,840$3,484$18,660$10,076$4,478
Remove Impacted Ear Wax 69210)NRNRNR$9,109$4,919$2,186
Hysteroscopy with Ablation 58563)$12,476$6,737$2,994$16,932$9,144$4,064
Apheresis Plasma 36514)NRNRNRNRNRNR
Needle Biopsy of Liver 47000)$8,526$4,604$2,046$10,088$5,448$2,421
Debridement Skin/Tissue 11042)$10,664$5,759$2,559$14,569$7,867$3,496
Laparoscopy, Removal of Tubes & Ovaries 58571)$24,371$13,160$5,849$22,387$12,089$5,373
Aspirate Pleura with Imaging 32555)$4,369$2,359$1,048NRNRNR
Correction of Bunion 28296)$11,552$6,238$2,772$21,029$11,356$5,047
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)$21,466$11,592$5,152$26,256$14,178$6,301
Bone Marrow Biopsy 38221)$4,920$2,657$1,181$5,686$3,071$1,365
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Transluminal balloon angioplasty, percutaneous, venous 35476)$21,699$11,717$5,208$25,596$13,822$6,143
Shoulder Arthroscopy/Surgery 29824)$16,175$8,734$3,882$19,893$10,742$4,774
Wrist Endoscopy/Surgery 29848)$5,336$2,881$1,281$9,100$4,914$2,184
Debridement, Open Wound <= 20 Square Centimeters 97597)$753$407$181NRNRNR
Removal of Adenoids 42830)$7,115$3,842$1,708$7,323$3,955$1,758
Removal of Central Venous Device w Port or Pump 36590)$8,368$4,519$2,008NRNRNR
Electronic analysis of implantable pump spine w/reprogram/refill 62369)NRNRNRNRNRNR
Removal of Breast Lesion 19120)$10,835$5,851$2,600$16,461$8,889$3,951
Mohs Micrographic Tissue Removal 17311)NRNRNRNRNRNR
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.