Columbia St Mary's Inc - Ozaukee Campus
13111 N Port Washington Rd
Mequon, WI 53097
262-243-7300


  
Charges for 75 Most Common Types of Hospitalizations in Wisconsin: January 2013 - December 2013
(Uncomplicated Cases Only)
 
    Estimated Insurance Payments *
RankAPR- DRG DescriptionMedian  
Charge
 
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+NRNRNR
2560Vaginal DeliveryNRNRNR
3302Knee Replacement$42,977$19,769$12,893
4720Blood Infection/Septicemia$11,941$5,493$3,582
5540Cesarean DeliveryNRNRNR
6139Pneumonia$10,832$4,983$3,250
7194Heart Failure$11,566$5,320$3,470
8301Hip Replacement$48,699$22,402$14,610
9751Psychoses$7,929$3,647$2,379
10753Bipolar Disorders$10,814$4,974$3,244
11140Chronic Obstructive Pulmonary Disease$13,854$6,373$4,156
12201Heart Abnormal Rhythm and Conduction Disorders$8,914$4,100$2,674
13383Cellulitis and Other Bacterial Skin Infections$9,625$4,428$2,888
14775Alchohol Abuse/Dependence$8,035$3,696$2,411
15460Renal Failure$10,180$4,683$3,054
16463Kidney/Urinary Tract Infection$11,449$5,267$3,435
17045Stroke and Precerebral Occlusion with Infarct$16,386$7,538$4,916
18860RehabilitationNRNRNR
19221Major Bowel Procedures$34,249$15,755$10,275
20174Angioplasty with Heart Attack$55,914$25,720$16,774
21750Schizophrenia$9,907$4,557$2,972
22133Pulmonary Edema/Respiratory FailureNRNRNR
23254Other Digestive System Diagnoses$13,413$6,170$4,024
24175Angioplasty without Heart Attack$55,297$25,437$16,589
25249Gastroenteritis$9,874$4,542$2,962
26247Intestinal Obstruction without Surgery$11,249$5,175$3,375
27420Diabetes$12,716$5,849$3,815
28754Depression$5,755$2,647$1,727
29812Poisoning of Medicinal Agents$7,429$3,417$2,229
30282Disorders of Pancreas Except Malignancy$12,226$5,624$3,668
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$51,767$23,813$15,530
32137Respiratory Infections and Inflammations$18,254$8,397$5,476
33053Seizure$12,555$5,775$3,767
34263Laparoscopic Cholecystectomy$33,958$15,621$10,187
35308Hip/Thigh Surgery with Trauma Diagnosis$33,073$15,214$9,922
36134Pulmonary Embolism$16,506$7,593$4,952
37173Other Vascular Procedures$48,410$22,269$14,523
38241Peptic Ulcer/Gastritis$17,347$7,980$5,204
39190Circulatory Disorders with Heart Attack$22,821$10,498$6,846
40425Other Electrolyte Disorders$9,543$4,390$2,863
41347Other Back/Neck Disorders, Fractures, Injuries$17,307$7,961$5,192
42313Other Knee/Lower Leg Surgery$33,234$15,288$9,970
43861Signs & Symptoms$14,747$6,784$4,424
44315Shoulder/Upper Arm, Forearm SurgeryNRNRNR
45244Diverticulitis & Diverticulosis$11,418$5,252$3,425
46225Appendectomy$27,268$12,543$8,180
47253Other and Unspecified Gastrointestinal Hemorrhage$12,371$5,691$3,711
48192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$26,233$12,067$7,870
49663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$12,507$5,753$3,752
50141Asthma$15,913$7,320$4,774
51351Other Musculoskeletal System and Connective Tissue Diagnoses$15,190$6,987$4,557
52191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$26,473$12,178$7,942
53248Major G.I. Bacterial Infections$11,551$5,313$3,465
54024Extracranial Vascular Procedures$20,936$9,631$6,281
55198Chest Pain with Angina Pectoris or Coronary Atherosclerosis$14,448$6,646$4,334
56321Upper Spinal Fusion$45,022$20,710$13,507
57197Peripheral and Other Vascular Disorders$17,092$7,862$5,128
58204Fainting and Collapse$13,704$6,304$4,111
59513Uterine Procedures without Tumor$19,229$8,845$5,769
60773Opioid Abuse/Dependence$8,327$3,830$2,498
61721Postoperative and Post-Traumatic Infections$12,553$5,774$3,766
62144Respiratory System Signs, Symptoms and Minor Diagnoses$12,008$5,524$3,602
63693ChemotherapyNRNRNR
64310Back/Neck Procedures Except Dorsal and Lumbar Fusion$22,530$10,364$6,759
65566Other Antepartum DiagnosesNRNRNR
66113Epiglottitis, Ear Infection, URI and Laryngotracheitis$12,164$5,595$3,649
67422Hypovolemia$12,118$5,574$3,635
68710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
69021Craniotomy Except For Trauma$96,575$44,425$28,973
70466Malfunctions, Reactions & Comp Of Gu Device, Graft Or TransplantNRNRNR
71143Pneumothorax & Pleural Effusion$13,711$6,307$4,113
72163Heart Valve Procedures without Cardiac Catheterization$132,279$60,848$39,684
73055Head trauma w coma >1 hr or hemorrhage$13,375$6,153$4,013
74755Neuroses Other Than Depression$7,242$3,331$2,173
75047Transient Ischemia$13,616$6,263$4,085

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: January 2013 - December 2013
  With No Other Procedures With 1 or More Additional Procedures
Principal Procedure Median Charge Average Commercial Insurance Payment Average Medicare Insurance Payment* Median Charge Average Commercial Insurance Payment Average Medicare Insurance Payment*
Cataract Surgery with Intraocular Lens - Stage 1 (66984)$10,190$4,688$3,057$10,196$4,690$3,059
Colonoscopy and Biopsy (45380)$4,988$2,295$1,496$9,282$4,270$2,784
Diagnostic Colonoscopy (45378)$3,877$1,784$1,163$8,318$3,826$2,495
Upper GI Endoscopy with Biopsy (43239)$5,766$2,652$1,730$8,072$3,713$2,422
Lesion Removal Colonoscopy by Snare Technique (45385)$5,610$2,581$1,683$6,699$3,082$2,010
Injection into Lumbar or Sacral Area, Single Level (64483)$1,445$665$434$1,868$859$560
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral (64493)$3,456$1,590$1,037$5,768$2,653$1,730
Drain/Inject Major Joint or Bursa (20610)$1,444$664$433NRNRNR
Colorectal Cancer Screening; Colonscopy, Not High Risk (G0121)$3,877$1,783$1,163$3,908$1,798$1,172
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy (29881)$20,762$9,550$6,229$21,420$9,853$6,426
Carpal Tunnel Surgery (64721)$8,998$4,139$2,699$10,934$5,030$3,280
Uppr GI Endoscopy- Diagnostic (43235)$4,868$2,239$1,460$6,331$2,912$1,899
Colorectal Cancer Screening ; Colonoscopy, High Risk (G0105)$3,877$1,784$1,163$3,888$1,789$1,167
Lesion Removal Colonoscopy by Hot Biopsy or Cautery (45384)$4,915$2,261$1,475$8,329$3,831$2,499
Left Heart Artery/Ventricle Angiography (93458)$23,927$11,006$7,178$21,240$9,771$6,372
Creation of Eardrum Opening (69436)$7,575$3,485$2,273$13,375$6,152$4,012
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral (64635)$2,901$1,335$870$4,077$1,875$1,223
Laparoscopic Cholecystectomy (47562)$27,465$12,634$8,239$29,842$13,727$8,953
Unlisted Dental Surgery Procedure (41899)$9,244$4,252$2,773NRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor (64490)$3,437$1,581$1,031$4,597$2,115$1,379
After Cataract Laser Surgery (66821)$1,424$655$427NRNRNR
Percutaneous Breast Biopsy with Device and Imaging (19103)NRNRNR$6,262$2,880$1,879
Removal of Tonsils And Adenoids - < Age 12 (42820)$12,010$5,525$3,603$13,103$6,027$3,931
Repair Initial Ingunial Hernia, > = 5 years, Reducible (49505)$14,418$6,632$4,325$16,238$7,470$4,872
Unlisted Cystourethoscopy (52000)$8,610$3,960$2,583$7,869$3,620$2,361
Arthroscopic Rotator Cuff Repair (29827)$25,075$11,535$7,523$30,846$14,189$9,254
Cataract Surgery- Complex (66982)$11,203$5,153$3,361$11,325$5,209$3,397
Hysteroscopy with Biopsy (58558)$10,313$4,744$3,094$10,592$4,872$3,178
Esophageal Endoscopy with Dilation (43249)$6,239$2,870$1,872$6,594$3,033$1,978
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct (47563)$22,412$10,310$6,724$22,772$10,475$6,832
ABD Paracentesis w/Imaging (49083)$2,502$1,151$751$4,213$1,938$1,264
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy (29880)$20,803$9,569$6,241$21,999$10,120$6,600
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) (20680)$11,622$5,346$3,487$16,581$7,627$4,974
Incision of Finger Tendon Sheath (26055)$5,806$2,671$1,742NRNRNR
Cystourethroscopy with Lithotripsy (52353)$28,769$13,234$8,631$30,891$14,210$9,267
Uppr GI Endoscopy with Guide Wire (43248)$6,752$3,106$2,026$7,820$3,597$2,346
Destruction of Benign Lesions up to 14 Lesions (17110)NRNRNRNRNRNR
Laparoscopic Hernia Repair - Initial (49650)$15,434$7,100$4,630$17,240$7,931$5,172
Destruction of Premalignant Lesion (17000)NRNRNRNRNRNR
Percutaneous Breast Biopsy with Imaging (19102)$7,280$3,349$2,184$7,280$3,349$2,184
Cystourethroscopy with Stent (52332)$11,713$5,388$3,514$14,863$6,837$4,459
Repair of Nasal Septum (30520)$16,869$7,760$5,061$12,584$5,789$3,775
Removal of Tonsils (42826)$11,323$5,208$3,397$15,403$7,085$4,621
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair (29888)$27,305$12,560$8,191$29,155$13,411$8,746
Fragmenting of Kidney Stone (50590)$30,147$13,868$9,044$31,258$14,379$9,377
Repair Umbilical Hernia, > = 5 Yrs - Reducible  (49585)$13,008$5,984$3,902$12,042$5,539$3,613
Laparoscopic Appendectomy (44970)$26,897$12,373$8,069$26,831$12,342$8,049
Low Back Disk Surgery (63030)NRNRNRNRNRNR
Correction of Bunion (28296)$13,062$6,008$3,919$17,065$7,850$5,119
Hysteroscopy with Ablation (58563)$11,239$5,170$3,372$8,549$3,932$2,565
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles (20552)$797$367$239NRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic (64633)$2,903$1,335$871$6,215$2,859$1,864
Colonoscopy with Lesion Removal (45383)$5,327$2,451$1,598$6,249$2,875$1,875
Mastectomy, Partial (19301)$14,251$6,556$4,275$24,191$11,128$7,257
Biopsy Skin and Subcutaneous Tissue; 1 Lesion (11100)NRNRNRNRNRNR
Needle Biopsy of Liver (47000)$5,785$2,661$1,736$6,080$2,797$1,824
Bone Marrow Biopsy (38221)$8,317$3,826$2,495$9,223$4,242$2,767
Remove Impacted Ear Wax (69210)NRNRNRNRNRNR
Mohs Micrographic Tissue Removal (17311)$9,734$4,478$2,920NRNRNR
Coronary Artery Angio S&I (93454)$23,062$10,609$6,919NRNRNR
Laparoscopy - Removal of Adnexal Structures (58661)$25,925$11,926$7,778$24,323$11,189$7,297
Debridement, Open Wound <= 20 Square Centimeters (97597)$320$147$96$504$232$151
Right and Left Heart Artery/Ventricle Angiography (93460)$28,169$12,958$8,451NRNRNR
Destruction (therapeutic injection) of muscles; extremity /trunk (64614)$6,363$2,927$1,909NRNRNR
Diagnostic Laryngoscopy (31575)NRNRNRNRNRNR
Insertion of Central Venous Catheter >= 5 years (36569)$3,547$1,632$1,064$6,410$2,949$1,923
Removal of Breast Lesion (19120)$10,636$4,893$3,191$19,555$8,995$5,867
Excision Breast Lesion with Preoperative Placement Radiological Marker (19125)$14,757$6,788$4,427$13,961$6,422$4,188
Aspirate Pleura with Imaging (32555)$2,865$1,318$859$5,622$2,586$1,687
Electro-Uroflowmetry - First (51741)NRNRNR$8,007$3,683$2,402
Removal of Adenoids (42830)$10,259$4,719$3,078$9,951$4,577$2,985
Knee Arthroscopy/Surgery with Shaving of Cartilage (29877)$20,700$9,522$6,210NRNRNR
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area (58662)$25,429$11,697$7,629$29,146$13,407$8,744
Removal of Central Venous Device w Port or Pump (36590)$852$392$256$2,352$1,082$706
Wrist Endoscopy/Surgical (29848)NRNRNRNRNRNR

NR = No Cases Reported
Information about quality and safety of care for Columbia St Mary's Inc - Ozaukee Campus may be found at http://www.wicheckpoint.org
* Estimated Insurance Payments based on average percent of billed charges collected.

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