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

Charges for 75 Most Common Hospitalizations in Wisconsin:  October 2013 - September 2014
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+NRNRNR
2560Vaginal DeliveryNRNRNR
3720Blood Infection/Septicemia$14,959$6,732$4,189
4302Knee Replacement$43,460$19,557$12,169
5540Cesarean DeliveryNRNRNR
6194Heart Failure$10,999$4,950$3,080
7139Pneumonia$14,481$6,516$4,055
8301Hip Replacement$47,612$21,425$13,331
9751Psychoses$8,150$3,668$2,282
10753Bipolar Disorders$8,998$4,049$2,519
11140Chronic Obstructive Pulmonary Disease$12,997$5,849$3,639
12201Heart Abnormal Rhythm and Conduction Disorders$12,784$5,753$3,580
13775Alcohol Abuse/Dependence$8,864$3,989$2,482
14383Cellulitis and Other Bacterial Skin Infections$9,644$4,340$2,700
15460Renal FailureNRNRNR
16045Stroke and Precerebral Occlusion with Infarct$18,007$8,103$5,042
17860RehabilitationNRNRNR
18463Kidney/Urinary Tract Infection$11,070$4,982$3,100
19221Major Bowel Procedures$32,355$14,560$9,059
20133Pulmonary Edema/Respiratory FailureNRNRNR
21750Schizophrenia$10,327$4,647$2,892
22174Angioplasty with Heart Attack$52,002$23,401$14,561
23254Other Digestive System Diagnoses$13,816$6,217$3,868
24247Intestinal Obstruction without Surgery$11,167$5,025$3,127
25282Disorders of Pancreas Except Malignancy$9,478$4,265$2,654
26420Diabetes$12,389$5,575$3,469
27754Depression$5,745$2,585$1,609
28304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$46,512$20,930$13,023
29249Gastroenteritis$10,551$4,748$2,954
30137Respiratory Infections and InflammationsNRNRNR
31812Poisoning of Medicinal Agents$9,287$4,179$2,600
32053Seizure$18,399$8,280$5,152
33308Hip/Thigh Surgery with Trauma Diagnosis$33,831$15,224$9,473
34134Pulmonary Embolism$16,903$7,606$4,733
35175Angioplasty without Heart Attack$55,151$24,818$15,442
36263Laparoscopic Cholecystectomy$30,612$13,775$8,571
37190Circulatory Disorders with Heart Attack$26,835$12,076$7,514
38173Other Vascular Procedures$38,551$17,348$10,794
39347Other Back/Neck Disorders, Fractures, Injuries$12,593$5,667$3,526
40244Diverticulitis & Diverticulosis$12,230$5,504$3,424
41425Other Electrolyte Disorders$12,965$5,834$3,630
42315Shoulder/Upper Arm, Forearm Surgery$31,322$14,095$8,770
43241Peptic Ulcer/Gastritis$18,546$8,346$5,193
44313Other Knee/Lower Leg Surgery$32,633$14,685$9,137
45861Signs & Symptoms$13,439$6,048$3,763
46141Asthma$10,489$4,720$2,937
47253Other and Unspecified Gastrointestinal Hemorrhage$18,127$8,157$5,076
48351Other Musculoskeletal System and Connective Tissue Diagnoses$14,639$6,588$4,099
49663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$14,250$6,413$3,990
50248Major G.I. Bacterial Infections$13,713$6,171$3,840
51191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$28,285$12,728$7,920
52773Opioid Abuse/Dependence$6,393$2,877$1,790
53225Appendectomy$27,850$12,533$7,798
54710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
55024Extracranial Vascular Procedures$22,533$10,140$6,309
56721Postoperative and Post-Traumatic Infections$12,132$5,459$3,397
57321Upper Spinal Fusion$38,760$17,442$10,853
58197Peripheral and Other Vascular Disorders$12,806$5,763$3,586
59693ChemotherapyNRNRNR
60192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$27,813$12,516$7,788
61466Malfunction, reaction, complic of genitourinary device or procNRNRNR
62144Respiratory System Signs, Symptoms and Minor Diagnoses$12,205$5,492$3,417
63204Fainting and Collapse$17,612$7,925$4,931
64021Craniotomy Except For TraumaNRNRNR
65566Other Antepartum Diagnoses$7,925$3,566$2,219
66163Heart Valve Procedures without Cardiac Catheterization$134,036$60,316$37,530
67143Other respiratory diagnoses except signs, symptoms & minor diagnoses$10,128$4,558$2,836
68052Nontraumatic stupor & coma$11,809$5,314$3,307
69310Back/Neck Procedures Except Dorsal and Lumbar Fusion$21,177$9,530$5,930
70198Chest Pain with Angina Pectoris or Coronary Atherosclerosis$14,107$6,348$3,950
71755Neuroses Other Than Depression$5,145$2,315$1,441
72422Hypovolemia$8,651$3,893$2,422
73165Coronary Bypass with Cardiac CatheterizationNRNRNR
74660Major hematologic/immunologic diag exc sickle cell crisis & coagul$14,781$6,651$4,139
75055Head trauma w coma >1 hr or hemorrhage$12,398$5,579$3,471

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:  October 2013 - September 2014
 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)$10,340$4,653$2,895$10,201$4,590$2,856
Colonoscopy and Biopsy 45380)$4,983$2,242$1,395$5,571$2,507$1,560
Upper GI Endoscopy with Biopsy 43239)$5,861$2,637$1,641$6,287$2,829$1,760
Diagnostic Colonoscopy 45378)$3,899$1,754$1,092$4,836$2,176$1,354
Lesion Removal Colonoscopy by Snare Technique 45385)$5,588$2,515$1,565$5,532$2,490$1,549
Injection into Lumbar or Sacral Area, Single Level 64483)$1,445$650$405$2,680$1,206$750
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$3,600$1,620$1,008$5,812$2,615$1,627
Drain/Inject Major Joint or Bursa 20610)$1,444$650$404$2,724$1,226$763
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$3,877$1,745$1,086$4,814$2,167$1,348
Carpal Tunnel Surgery 64721)$9,033$4,065$2,529$13,551$6,098$3,794
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$21,086$9,488$5,904$21,565$9,704$6,038
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$3,899$1,755$1,092$4,765$2,144$1,334
Uppr GI Endoscopy- Diagnostic 43235)$5,645$2,540$1,581$5,743$2,585$1,608
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$4,919$2,214$1,377$5,201$2,341$1,456
Left Heart Artery/Ventricle Angiography 93458)$23,622$10,630$6,614NRNRNR
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)$3,563$1,603$998$5,196$2,338$1,455
Creation of Eardrum Opening 69436)$7,559$3,402$2,117$7,603$3,421$2,129
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$2,750$1,237$770$4,028$1,812$1,128
Laparoscopic Cholecystectomy 47562)$20,146$9,066$5,641$55,379$24,921$15,506
Unlisted Dental Surgery Procedure 41899)$8,504$3,827$2,381NRNRNR
After Cataract Laser Surgery 66821)$1,424$641$399NRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$10,764$4,844$3,014$16,048$7,222$4,494
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$14,562$6,553$4,077$16,459$7,407$4,609
Arthroscopic Rotator Cuff Repair 29827)$29,043$13,069$8,132$28,772$12,948$8,056
Cataract Surgery- Complex 66982)$11,226$5,052$3,143$10,969$4,936$3,071
Hysteroscopy with Biopsy 58558)$10,176$4,579$2,849$10,088$4,540$2,825
ABD Paracentesis w/Imaging 49083)$2,399$1,079$672$5,281$2,376$1,479
Unlisted Cystourethoscopy 52000)$9,334$4,200$2,613$7,827$3,522$2,192
Esophageal Endoscopy with Dilation 43249)$6,366$2,864$1,782$6,531$2,939$1,829
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$22,423$10,091$6,279$24,711$11,120$6,919
Incision of Finger Tendon Sheath 26055)$3,683$1,657$1,031NRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$21,226$9,552$5,943$22,128$9,958$6,196
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$4,993$2,247$1,398$12,301$5,535$3,444
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$10,950$4,928$3,066$24,484$11,018$6,855
Uppr GI Endoscopy with Guide Wire 43248)$6,752$3,039$1,891$6,534$2,940$1,829
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)NRNRNRNRNRNR
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Laparoscopic Hernia Repair - Initial 49650)$14,825$6,671$4,151$16,454$7,404$4,607
Laparoscopic Appendectomy 44970)$28,045$12,620$7,852$28,223$12,700$7,902
Cystourethroscopy with Stent 52332)$12,590$5,666$3,525$14,645$6,590$4,101
Repair of Nasal Septum 30520)$25,909$11,659$7,255$12,860$5,787$3,601
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)$3,947$1,776$1,105$5,094$2,292$1,426
Fragmenting of Kidney Stone 50590)$30,459$13,707$8,529$31,579$14,211$8,842
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNR$28,791$12,956$8,061
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$12,818$5,768$3,589$13,889$6,250$3,889
Removal of Tonsils 42826)$11,622$5,230$3,254$15,403$6,931$4,313
Cystourethroscopy with Lithotripsy and Stent 52356)$30,735$13,831$8,606$31,643$14,239$8,860
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$850$382$238NRNRNR
Mastectomy, Partial 19301)$16,086$7,239$4,504$24,121$10,854$6,754
Hysteroscopy with Ablation 58563)$11,602$5,221$3,249$26,388$11,875$7,389
Coronary Artery Angio S&I 93454)$30,443$13,699$8,524NRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)$4,756$2,140$1,332$9,181$4,131$2,571
Colonoscopy with Lesion Removal 45383)$5,153$2,319$1,443$5,514$2,481$1,544
Correction of Bunion 28296)$13,162$5,923$3,685$18,688$8,410$5,233
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Bone Marrow Biopsy 38221)$11,451$5,153$3,206$9,560$4,302$2,677
Needle Biopsy of Liver 47000)$5,627$2,532$1,576NRNRNR
Mohs Micrographic Tissue Removal 17311)$9,734$4,380$2,726$8,820$3,969$2,470
Electro-Uroflowmetry - First 51741)NRNRNR$7,857$3,536$2,200
Laparoscopy - Removal of Adnexal Structures 58661)$27,978$12,590$7,834$32,456$14,605$9,088
Right and Left Heart Artery/Ventricle Angiography 93460)$24,816$11,167$6,949NRNRNR
Laparoscopy, Removal of Tubes & Ovaries 58571)$40,173$18,078$11,248$52,185$23,483$14,612
Aspirate Pleura with Imaging 32555)$2,341$1,053$655NRNRNR
Removal of Breast Lesion 19120)$10,353$4,659$2,899$25,806$11,613$7,226
Debridement Skin/Tissue 11042)$588$265$165$1,693$762$474
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Insertion of Central Venous Catheter >= 5 years 36569)$3,200$1,440$896$6,410$2,884$1,795
Shoulder Arthroscopy/Surgery 29824)NRNRNR$22,806$10,263$6,386
Repair of Hammertoe 28285)$15,109$6,799$4,230$18,239$8,207$5,107
Excision Breast Lesion with Preoperative Placement Radiological Marker 19125)$14,583$6,562$4,083$14,427$6,492$4,039
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area 58662)$24,235$10,906$6,786NRNRNR
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.