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

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+NRNRNR
2560Vaginal DeliveryNRNRNR
3720Blood Infection/Septicemia$13,152$5,392$4,077
4302Knee Replacement$51,799$21,238$16,058
5540Cesarean DeliveryNRNRNR
6194Heart Failure$14,796$6,066$4,587
7301Hip Replacement$55,437$22,729$17,185
8751Psychoses$10,340$4,239$3,205
9139Pneumonia$8,920$3,657$2,765
10140Chronic Obstructive Pulmonary Disease$30,451$12,485$9,440
11753Bipolar Disorders$13,885$5,693$4,304
12775Alcohol Abuse/Dependence$10,004$4,102$3,101
13201Heart Abnormal Rhythm and Conduction Disorders$13,170$5,400$4,083
14383Cellulitis & other skin infections$8,091$3,317$2,508
15045Stroke and Precerebral Occlusion with Infarct$20,461$8,389$6,343
16133Respiratory failureNRNRNR
17463Kidney/Urinary Tract Infection$16,031$6,573$4,970
18221Major Bowel Procedures$35,625$14,606$11,044
19174Percutaneous coronary intervention w AMI$58,757$24,090$18,215
20750Schizophrenia$12,726$5,218$3,945
21754Depression$7,444$3,052$2,308
22420Diabetes$16,093$6,598$4,989
23282Disorders of Pancreas Except Malignancy$15,725$6,447$4,875
24247Intestinal Obstruction without Surgery$13,083$5,364$4,056
25254Other Digestive System Diagnoses$15,846$6,497$4,912
26812Poisoning of Medicinal Agents$10,166$4,168$3,151
27710Infectious & parasitic diseases including HIV w O.R. procedure$17,496$7,173$5,424
28773Opioid Abuse/Dependence$7,618$3,123$2,362
29308Hip & femur fracture repair$39,715$16,283$12,312
30304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
31190Circulatory Disorders with Heart Attack$22,412$9,189$6,948
32053Seizure$18,528$7,596$5,744
33137Respiratory Infections and Inflammations$6,916$2,836$2,144
34058Other Disorders of Nervous SystemNRNRNR
35175Percutaneous coronary intervention w/o AMI$73,933$30,313$22,919
36249Other gastroenteritis, nausea & vomitingNRNRNR
37460Renal FailureNRNRNR
38134Pulmonary Embolism$33,388$13,689$10,350
39263Laparoscopic Cholecystectomy$32,909$13,493$10,202
40244Diverticulitis & Diverticulosis$11,590$4,752$3,593
41469Acute Kidney InjuryNRNRNR
42861Signs & Symptoms$4,148$1,701$1,286
43347Other Back/Neck Disorders, Fractures, Injuries$17,190$7,048$5,329
44315Shoulder, upper arm & forearm procedures except joint replacement$49,288$20,208$15,279
45253Other and Unspecified Gastrointestinal Hemorrhage$19,282$7,906$5,977
46241Peptic Ulcer/Gastritis$20,633$8,460$6,396
47313Other Knee/Lower Leg Surgery$35,746$14,656$11,081
48466Malfunction, reaction, complic of genitourinary device or proc$3,913$1,604$1,213
49192Cardiac catheterization for other non-coronary conditions$31,632$12,969$9,806
50351Other Musculoskeletal System and Connective Tissue DiagnosesNRNRNR
51425Other Electrolyte Disorders$15,119$6,199$4,687
52248Major G.I. Bacterial Infections$19,385$7,948$6,009
53951Moderately Extensive Procedure Unrelated to DiagnosisNRNRNR
54663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$20,825$8,538$6,456
55862Other Factors Influencing Health StatusNRNRNR
56024Extracranial Vascular Procedures$23,612$9,681$7,320
57021Craniotomy Except For TraumaNRNRNR
58113Epiglottitis, Ear Infection, URI and LaryngotracheitisNRNRNR
59321Upper Spinal FusionNRNRNR
60566Other Antepartum DiagnosesNRNRNR
61197Peripheral and Other Vascular Disorders$44,181$18,114$13,696
62422HypovolemiaNRNRNR
63055Head trauma w coma >1 hr or hemorrhage$16,161$6,626$5,010
64173Other Vascular Procedures$73,421$30,103$22,761
65052Nontraumatic stupor & coma$22,154$9,083$6,868
66225Appendectomy$23,330$9,565$7,232
67141Asthma$11,470$4,703$3,556
68166Coronary bypass w/o AMI or complex PDX$119,214$48,878$36,956
69721Postoperative and Post-Traumatic Infections$7,381$3,026$2,288
70755Neuroses Other Than Depression$6,914$2,835$2,143
71191Cardiac catheterization for coronary artery disease$45,516$18,662$14,110
72220Major Stomach/Esophagus/Duodenum Procedures$47,901$19,639$14,849
73143Other respiratory diagnoses except signs, symptoms & minor diagnoses$46,743$19,165$14,490
74163Cardiac valve procedures w/o AMI or complex PDX$157,779$64,689$48,911
75950Extensive Procedure Unrelated to Principal Diagnosis$34,106$13,983$10,573

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)$10,291$4,219$3,190$12,648$5,186$3,921
Colonoscopy and Biopsy 45380)$5,618$2,303$1,742$6,931$2,842$2,149
Lesion Removal Colonoscopy by Snare Technique 45385)$5,594$2,294$1,734$8,373$3,433$2,595
Upper GI Endoscopy with Biopsy 43239)$6,620$2,714$2,052$8,825$3,618$2,736
Diagnostic Colonoscopy 45378)$5,077$2,082$1,574$9,865$4,045$3,058
Injection into Lumbar or Sacral Area, Single Level 64483)$1,996$818$619$2,866$1,175$889
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$4,354$1,785$1,350$5,063$2,076$1,569
Drain/Inject Major Joint or Bursa 20610)$1,584$649$491NRNRNR
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$5,077$2,082$1,574$10,584$4,339$3,281
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$5,077$2,082$1,574$9,345$3,831$2,897
Carpal Tunnel Surgery 64721)$11,851$4,859$3,674$11,785$4,832$3,653
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$22,390$9,180$6,941$22,479$9,216$6,968
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)$4,290$1,759$1,330$6,028$2,472$1,869
Uppr GI Endoscopy- Diagnostic 43235)$5,741$2,354$1,780$9,451$3,875$2,930
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$5,580$2,288$1,730$5,496$2,253$1,704
Creation of Eardrum Opening 69436)$9,040$3,706$2,802$16,573$6,795$5,138
Left Heart Artery/Ventricle Angiography 93458)$25,972$10,648$8,051NRNRNR
Unlisted Dental Surgery Procedure 41899)NRNRNRNRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$3,388$1,389$1,050$4,930$2,021$1,528
After Cataract Laser Surgery 66821)$1,758$721$545NRNRNR
Laparoscopic Cholecystectomy 47562)$20,217$8,289$6,267NRNRNR
ABD Paracentesis w/Imaging 49083)$2,518$1,032$781NRNRNR
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee 62323)$2,318$951$719NRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$4,980$2,042$1,544$11,834$4,852$3,669
Esophageal Endoscopy with Dilation 43249)$7,279$2,985$2,257$7,428$3,046$2,303
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$36,363$14,909$11,273
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$899$368$279NRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$14,342$5,880$4,446$17,486$7,169$5,421
Hysteroscopy with Biopsy 58558)$11,233$4,605$3,482$27,914$11,445$8,653
Cataract Surgery- Complex 66982)$10,955$4,491$3,396$14,847$6,087$4,603
Cystourethroscopy with Lithotripsy and Stent 52356)$33,698$13,816$10,446$32,443$13,301$10,057
Incision of Finger Tendon Sheath 26055)$8,497$3,484$2,634NRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$15,458$6,338$4,792$21,813$8,943$6,762
Laparoscopic Hernia Repair - Initial 49650)$16,826$6,899$5,216$21,261$8,717$6,591
Unlisted Cystourethoscopy 52000)$9,212$3,777$2,856$8,629$3,538$2,675
Uppr GI Endoscopy with Guide Wire 43248)$6,546$2,684$2,029$8,687$3,562$2,693
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)$4,189$1,718$1,299$6,541$2,682$2,028
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$13,707$5,620$4,249$27,302$11,194$8,464
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$21,506$8,818$6,667$24,208$9,925$7,505
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$22,468$9,212$6,965NRNRNR
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Cystourethroscopy with Stent 52332)$12,630$5,178$3,915$25,332$10,386$7,853
Biopsy breast w/stereotactic image; 1 lesion 19081)$5,483$2,248$1,700$11,192$4,589$3,470
Laparoscopy - Removal of Adnexal Structures 58661)$26,072$10,690$8,082$30,246$12,401$9,376
Mastectomy, Partial 19301)$13,859$5,682$4,296$25,761$10,562$7,986
Laparoscopic Appendectomy 44970)$29,860$12,243$9,257$30,078$12,332$9,324
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$14,023$5,749$4,347$20,164$8,267$6,251
Removal of Tonsils 42826)$12,680$5,199$3,931NRNRNR
Laparoscopy, Removal of Tubes & Ovaries 58571)$36,253$14,864$11,239$40,809$16,732$12,651
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNRNRNRNR
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$918$376$285NRNRNR
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Repair of Nasal Septum 30520)$10,954$4,491$3,396$12,529$5,137$3,884
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)$2,349$963$728NRNRNR
Needle Biopsy of Liver 47000)$7,869$3,226$2,439NRNRNR
Debridement Skin/Tissue 11042)$650$267$202$1,001$410$310
Fragmenting of Kidney Stone 50590)$32,379$13,275$10,037$34,333$14,077$10,643
Coronary Artery Angio S&I 93454)$43,900$17,999$13,609NRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Aspirate Pleura with Imaging 32555)$2,217$909$687$4,473$1,834$1,387
Bone Marrow Biopsy 38221)$12,757$5,231$3,955$12,629$5,178$3,915
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Correction of Bunion 28296)$19,906$8,161$6,171$28,135$11,535$8,722
Hysteroscopy with Ablation 58563)$13,909$5,703$4,312NRNRNR
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNR$25,274$10,362$7,835
Removal of Adenoids 42830)$10,983$4,503$3,405$13,545$5,553$4,199
Right and Left Heart Artery/Ventricle Angiography 93460)$28,038$11,495$8,692NRNRNR
Injection of chemical agent into muscles near face/neck 64615)NRNRNRNRNRNR
Biopsy of lung or mediastinum, percutaneous w/needle 32405)$9,632$3,949$2,986NRNRNR
Removal of Central Venous Device w Port or Pump 36590)$1,269$520$393NRNRNR
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Repair of wrist joints 25447)NRNRNRNRNRNR
Information about quality and safety of care for Columbia St. Mary's Hospital Ozaukee may be found at http://www.wicheckpoint.org
* Estimated Insurance Payments based on average percent of billed charges collected.