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

Charges for 75 Most Common Hospitalizations in Wisconsin:  April 2016 - March 2017
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$4,881$2,587$1,171
2560Vaginal Delivery$10,763$5,704$2,583
3720Blood Infection/Septicemia$14,689$7,785$3,525
4302Knee Replacement$45,622$24,180$10,949
5540Cesarean Delivery$20,207$10,710$4,850
6194Heart Failure$17,431$9,238$4,183
7301Hip Replacement$43,430$23,018$10,423
8751Psychoses$18,160$9,625$4,358
9139Pneumonia$13,533$7,172$3,248
10140Chronic Obstructive Pulmonary Disease$13,883$7,358$3,332
11753Bipolar Disorders$18,683$9,902$4,484
12775Alcohol Abuse/Dependence$11,616$6,156$2,788
13201Heart Abnormal Rhythm and Conduction Disorders$12,195$6,463$2,927
14383Cellulitis & other skin infections$12,382$6,562$2,972
15045Stroke and Precerebral Occlusion with Infarct$19,903$10,549$4,777
16133Respiratory failureNRNRNR
17463Kidney/Urinary Tract Infection$21,225$11,249$5,094
18221Major Bowel Procedures$45,813$24,281$10,995
19174Percutaneous coronary intervention w AMI$61,110$32,388$14,666
20750Schizophrenia$19,817$10,503$4,756
21754Depression$14,689$7,785$3,525
22420Diabetes$11,185$5,928$2,684
23282Disorders of Pancreas Except Malignancy$15,753$8,349$3,781
24247Intestinal Obstruction without Surgery$15,596$8,266$3,743
25254Other Digestive System Diagnoses$13,641$7,230$3,274
26812Poisoning of Medicinal Agents$10,187$5,399$2,445
27710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
28773Opioid Abuse/Dependence$14,341$7,601$3,442
29308Hip & femur fracture repair$37,869$20,071$9,089
30304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$72,131$38,229$17,311
31190Circulatory Disorders with Heart Attack$25,707$13,625$6,170
32053Seizure$11,917$6,316$2,860
33137Respiratory Infections and Inflammations$23,349$12,375$5,604
34058Other Disorders of Nervous System$13,956$7,397$3,349
35175Percutaneous coronary intervention w/o AMI$64,398$34,131$15,456
36249Other gastroenteritis, nausea & vomiting$14,785$7,836$3,548
37460Renal FailureNRNRNR
38134Pulmonary Embolism$14,389$7,626$3,453
39263Laparoscopic Cholecystectomy$28,012$14,846$6,723
40244Diverticulitis & Diverticulosis$14,278$7,567$3,427
41469Acute Kidney Injury$13,938$7,387$3,345
42861Signs & Symptoms$8,483$4,496$2,036
43347Other Back/Neck Disorders, Fractures, Injuries$13,880$7,356$3,331
44315Shoulder, upper arm & forearm procedures except joint replacement$42,541$22,547$10,210
45253Other and Unspecified Gastrointestinal Hemorrhage$18,232$9,663$4,376
46241Peptic Ulcer/Gastritis$17,552$9,303$4,212
47313Other Knee/Lower Leg Surgery$38,846$20,588$9,323
48466Malfunction, reaction, complic of genitourinary device or procNRNRNR
49192Cardiac catheterization for other non-coronary conditions$29,115$15,431$6,988
50351Other Musculoskeletal System and Connective Tissue Diagnoses$14,480$7,674$3,475
51425Other Electrolyte Disorders$13,568$7,191$3,256
52248Major G.I. Bacterial Infections$13,902$7,368$3,336
53951Moderately Extensive Procedure Unrelated to Diagnosis$21,499$11,394$5,160
54663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$17,097$9,061$4,103
55862Other Factors Influencing Health StatusNRNRNR
56024Extracranial Vascular Procedures$31,289$16,583$7,509
57021Craniotomy Except For Trauma$36,971$19,595$8,873
58113Epiglottitis, Ear Infection, URI and Laryngotracheitis$12,823$6,796$3,078
59321Upper Spinal Fusion$69,784$36,986$16,748
60566Other Antepartum Diagnoses$5,906$3,130$1,417
61197Peripheral and Other Vascular Disorders$25,197$13,354$6,047
62422Hypovolemia$6,224$3,299$1,494
63055Head trauma w coma >1 hr or hemorrhage$16,674$8,837$4,002
64173Other Vascular Procedures$46,188$24,480$11,085
65052Nontraumatic stupor & coma$17,387$9,215$4,173
66225Appendectomy$26,315$13,947$6,316
67141Asthma$15,392$8,158$3,694
68166Coronary bypass w/o AMI or complex PDX$106,433$56,409$25,544
69721Postoperative and Post-Traumatic Infections$19,930$10,563$4,783
70755Neuroses Other Than Depression$16,812$8,910$4,035
71191Cardiac catheterization for coronary artery disease$33,635$17,827$8,072
72220Major Stomach/Esophagus/Duodenum Procedures$18,629$9,873$4,471
73143Other respiratory diagnoses except signs, symptoms & minor diagnoses$16,072$8,518$3,857
74163Cardiac valve procedures w/o AMI or complex PDX$183,760$97,393$44,102
75950Extensive Procedure Unrelated to Principal Diagnosis$60,427$32,026$14,502

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 2016 - March 2017
 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)$4,539$2,405$1,089$5,852$3,102$1,405
Lesion Removal Colonoscopy by Snare Technique 45385)$4,876$2,584$1,170$5,490$2,909$1,318
Upper GI Endoscopy with Biopsy 43239)$4,835$2,563$1,160$8,489$4,499$2,037
Diagnostic Colonoscopy 45378)$2,938$1,557$705NRNRNR
Injection into Lumbar or Sacral Area, Single Level 64483)$1,683$892$404$4,000$2,120$960
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$4,699$2,490$1,128NRNRNR
Drain/Inject Major Joint or Bursa 20610)$2,482$1,315$596$7,911$4,193$1,899
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$2,903$1,538$697$3,729$1,976$895
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$2,904$1,539$697$3,007$1,594$722
Carpal Tunnel Surgery 64721)$8,197$4,344$1,967$8,674$4,597$2,082
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$13,482$7,145$3,236$14,469$7,669$3,473
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)$10,975$5,817$2,634$7,754$4,110$1,861
Uppr GI Endoscopy- Diagnostic 43235)$2,840$1,505$681$6,885$3,649$1,652
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$5,478$2,903$1,315$5,874$3,113$1,410
Creation of Eardrum Opening 69436)$6,227$3,301$1,495$8,180$4,335$1,963
Left Heart Artery/Ventricle Angiography 93458)$18,884$10,008$4,532NRNRNR
Unlisted Dental Surgery Procedure 41899)$10,078$5,341$2,419$12,605$6,681$3,025
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$4,699$2,490$1,128NRNRNR
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Laparoscopic Cholecystectomy 47562)$18,594$9,855$4,463$24,395$12,930$5,855
ABD Paracentesis w/Imaging 49083)$4,176$2,214$1,002NRNRNR
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee 62323)NRNRNRNRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Esophageal Endoscopy with Dilation 43249)$4,446$2,356$1,067$6,861$3,636$1,647
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$25,582$13,559$6,140
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$8,775$4,651$2,106$11,123$5,895$2,670
Hysteroscopy with Biopsy 58558)$15,483$8,206$3,716$19,253$10,204$4,621
Cataract Surgery- Complex 66982)NRNRNRNRNRNR
Cystourethroscopy with Lithotripsy and Stent 52356)$15,215$8,064$3,651$15,057$7,980$3,614
Incision of Finger Tendon Sheath 26055)$7,845$4,158$1,883$8,614$4,566$2,067
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$15,829$8,389$3,799$13,827$7,328$3,318
Laparoscopic Hernia Repair - Initial 49650)$16,235$8,604$3,896$22,967$12,172$5,512
Unlisted Cystourethoscopy 52000)$7,550$4,002$1,812$17,601$9,329$4,224
Uppr GI Endoscopy with Guide Wire 43248)$3,685$1,953$885NRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)$8,320$4,409$1,997$7,482$3,965$1,796
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$11,231$5,952$2,695$17,009$9,015$4,082
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$24,393$12,928$5,854$27,816$14,742$6,676
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$13,994$7,417$3,359$21,240$11,257$5,098
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNR$13,542$7,177$3,250
Cystourethroscopy with Stent 52332)$12,556$6,655$3,013$13,928$7,382$3,343
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$14,947$7,922$3,587$20,744$10,994$4,979
Mastectomy, Partial 19301)$15,629$8,283$3,751$24,638$13,058$5,913
Laparoscopic Appendectomy 44970)$18,884$10,009$4,532$24,156$12,803$5,797
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$10,622$5,629$2,549$17,134$9,081$4,112
Removal of Tonsils 42826)$10,207$5,410$2,450$11,645$6,172$2,795
Laparoscopy, Removal of Tubes & Ovaries 58571)$23,274$12,335$5,586$34,537$18,304$8,289
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNR$27,465$14,556$6,592
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNRNRNRNR
Low Back Disk Surgery 63030)$21,206$11,239$5,089$25,861$13,706$6,207
Repair of Nasal Septum 30520)$13,386$7,095$3,213$16,764$8,885$4,023
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)NRNRNRNRNRNR
Needle Biopsy of Liver 47000)$8,556$4,535$2,054NRNRNR
Debridement Skin/Tissue 11042)$10,115$5,361$2,428$11,893$6,303$2,854
Fragmenting of Kidney Stone 50590)$12,057$6,390$2,894$12,433$6,590$2,984
Coronary Artery Angio S&I 93454)$16,010$8,486$3,842NRNRNR
Wrist Endoscopy/Surgery 29848)$9,188$4,870$2,205$9,195$4,873$2,207
Aspirate Pleura with Imaging 32555)$6,193$3,282$1,486NRNRNR
Bone Marrow Biopsy 38221)$11,038$5,850$2,649NRNRNR
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Correction of Bunion 28296)$14,586$7,731$3,501$21,282$11,280$5,108
Hysteroscopy with Ablation 58563)$15,844$8,397$3,802$22,000$11,660$5,280
Remove Impacted Ear Wax 69210)$1,287$682$309NRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNR$21,762$11,534$5,223
Removal of Adenoids 42830)$8,944$4,740$2,147$8,585$4,550$2,060
Right and Left Heart Artery/Ventricle Angiography 93460)$21,776$11,541$5,226NRNRNR
Injection of chemical agent into muscles near face/neck 64615)NRNRNRNRNRNR
Biopsy of lung or mediastinum, percutaneous w/needle 32405)$6,283$3,330$1,508NRNRNR
Removal of Central Venous Device w Port or Pump 36590)$8,144$4,316$1,954NRNRNR
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Repair of wrist joints 25447)NRNRNR$12,773$6,769$3,065
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.