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:  July 2013 - June 2014
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+NRNRNR
2560Vaginal DeliveryNRNRNR
3720Blood Infection/Septicemia$14,702$6,616$4,117
4302Knee Replacement$43,269$19,471$12,115
5540Cesarean DeliveryNRNRNR
6194Heart Failure$12,033$5,415$3,369
7139Pneumonia$11,373$5,118$3,184
8301Hip Replacement$48,395$21,778$13,551
9751Psychoses$7,918$3,563$2,217
10753Bipolar Disorders$10,247$4,611$2,869
11140Chronic Obstructive Pulmonary Disease$15,324$6,896$4,291
12201Heart Abnormal Rhythm and Conduction Disorders$10,346$4,656$2,897
13383Cellulitis and Other Bacterial Skin Infections$9,179$4,131$2,570
14775Alcohol Abuse/Dependence$8,526$3,837$2,387
15460Renal FailureNRNRNR
16045Stroke and Precerebral Occlusion with Infarct$17,440$7,848$4,883
17463Kidney/Urinary Tract Infection$11,259$5,067$3,153
18860RehabilitationNRNRNR
19221Major Bowel Procedures$33,922$15,265$9,498
20133Pulmonary Edema/Respiratory FailureNRNRNR
21750Schizophrenia$9,813$4,416$2,748
22174Angioplasty with Heart Attack$54,107$24,348$15,150
23254Other Digestive System Diagnoses$10,359$4,662$2,901
24247Intestinal Obstruction without Surgery$10,641$4,788$2,979
25420Diabetes$13,537$6,092$3,790
26282Disorders of Pancreas Except Malignancy$11,582$5,212$3,243
27754Depression$5,624$2,531$1,575
28249Gastroenteritis$10,982$4,942$3,075
29304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$56,580$25,461$15,842
30812Poisoning of Medicinal Agents$9,527$4,287$2,668
31175Angioplasty without Heart Attack$53,327$23,997$14,932
32053Seizure$13,214$5,946$3,700
33137Respiratory Infections and Inflammations$18,254$8,214$5,111
34308Hip/Thigh Surgery with Trauma Diagnosis$32,994$14,847$9,238
35263Laparoscopic Cholecystectomy$33,718$15,173$9,441
36134Pulmonary Embolism$22,544$10,145$6,312
37173Other Vascular Procedures$38,551$17,348$10,794
38190Circulatory Disorders with Heart Attack$27,808$12,514$7,786
39347Other Back/Neck Disorders, Fractures, Injuries$14,180$6,381$3,970
40244Diverticulitis & Diverticulosis$11,589$5,215$3,245
41425Other Electrolyte Disorders$11,286$5,079$3,160
42315Shoulder/Upper Arm, Forearm Surgery$31,322$14,095$8,770
43241Peptic Ulcer/Gastritis$15,587$7,014$4,364
44861Signs & Symptoms$14,747$6,636$4,129
45313Other Knee/Lower Leg Surgery$34,832$15,674$9,753
46253Other and Unspecified Gastrointestinal Hemorrhage$14,967$6,735$4,191
47351Other Musculoskeletal System and Connective Tissue Diagnoses$14,289$6,430$4,001
48663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$18,899$8,505$5,292
49225AppendectomyNRNRNR
50248Major G.I. Bacterial Infections$10,916$4,912$3,056
51191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart DiseaseNRNRNR
52141Asthma$10,717$4,823$3,001
53024Extracranial Vascular Procedures$20,907$9,408$5,854
54192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$27,813$12,516$7,788
55721Postoperative and Post-Traumatic Infections$9,747$4,386$2,729
56321Upper Spinal Fusion$38,225$17,201$10,703
57197Peripheral and Other Vascular Disorders$11,906$5,358$3,334
58773Opioid Abuse/Dependence$5,875$2,644$1,645
59693ChemotherapyNRNRNR
60710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
61204Fainting and Collapse$15,432$6,944$4,321
62466Malfunction, reaction, complic of genitourinary device or procNRNRNR
63566Other Antepartum Diagnoses$7,925$3,566$2,219
64021Craniotomy Except For Trauma$180,290$81,131$50,481
65198Chest Pain with Angina Pectoris or Coronary Atherosclerosis$13,652$6,143$3,823
66144Respiratory System Signs, Symptoms and Minor Diagnoses$12,008$5,404$3,362
67310Back/Neck Procedures Except Dorsal and Lumbar Fusion$22,530$10,139$6,308
68163Heart Valve Procedures without Cardiac Catheterization$136,871$61,592$38,324
69143Other respiratory diagnoses except signs, symptoms & minor diagnoses$10,627$4,782$2,976
70052Nontraumatic stupor & coma$23,551$10,598$6,594
71513Uterine Procedures without Tumor$19,624$8,831$5,495
72422Hypovolemia$9,519$4,284$2,665
73755Neuroses Other Than Depression$5,219$2,349$1,461
74055Head trauma w coma >1 hr or hemorrhage$12,330$5,549$3,452
75165Coronary Bypass with Cardiac CatheterizationNRNRNR

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 2013 - June 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)$10,272$4,623$2,876$10,240$4,608$2,867
Colonoscopy and Biopsy 45380)$4,988$2,245$1,397$5,800$2,610$1,624
Upper GI Endoscopy with Biopsy 43239)$5,856$2,635$1,640$6,368$2,866$1,783
Diagnostic Colonoscopy 45378)$3,877$1,745$1,086$4,850$2,183$1,358
Lesion Removal Colonoscopy by Snare Technique 45385)$5,588$2,515$1,565$5,838$2,627$1,635
Injection into Lumbar or Sacral Area, Single Level 64483)$1,445$650$405$2,371$1,067$664
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$3,473$1,563$972$5,786$2,604$1,620
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)$9,056$4,075$2,536$13,551$6,098$3,794
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$20,905$9,407$5,853$21,469$9,661$6,011
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$3,877$1,745$1,086$4,801$2,160$1,344
Uppr GI Endoscopy- Diagnostic 43235)$5,383$2,423$1,507$5,886$2,649$1,648
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$4,915$2,212$1,376$5,297$2,383$1,483
Left Heart Artery/Ventricle Angiography 93458)$23,509$10,579$6,583NRNRNR
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)$3,036$1,366$850$5,191$2,336$1,453
Creation of Eardrum Opening 69436)$7,561$3,402$2,117$12,370$5,566$3,464
Unlisted Dental Surgery Procedure 41899)$8,504$3,827$2,381NRNRNR
Laparoscopic Cholecystectomy 47562)$21,067$9,480$5,899$29,728$13,377$8,324
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$3,473$1,563$972$4,028$1,812$1,128
After Cataract Laser Surgery 66821)$1,424$641$399NRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$10,437$4,696$2,922$16,048$7,222$4,494
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$14,661$6,597$4,105$16,166$7,275$4,527
Arthroscopic Rotator Cuff Repair 29827)$29,043$13,069$8,132$31,016$13,957$8,684
Cataract Surgery- Complex 66982)$11,226$5,052$3,143$10,712$4,820$2,999
Hysteroscopy with Biopsy 58558)$10,259$4,617$2,873$10,587$4,764$2,964
Unlisted Cystourethoscopy 52000)$9,354$4,209$2,619$7,827$3,522$2,192
Esophageal Endoscopy with Dilation 43249)$6,264$2,819$1,754$6,633$2,985$1,857
ABD Paracentesis w/Imaging 49083)$2,502$1,126$701$5,281$2,376$1,479
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$21,543$9,695$6,032$24,291$10,931$6,802
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$21,009$9,454$5,882$22,269$10,021$6,235
Incision of Finger Tendon Sheath 26055)$3,683$1,657$1,031NRNRNR
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$11,359$5,111$3,180$24,484$11,018$6,855
Uppr GI Endoscopy with Guide Wire 43248)$6,752$3,039$1,891$7,046$3,171$1,973
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Laparoscopic Hernia Repair - Initial 49650)$15,601$7,020$4,368$16,459$7,406$4,608
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)NRNRNRNRNRNR
Repair of Nasal Septum 30520)$25,909$11,659$7,255$12,584$5,663$3,523
Percutaneous Breast Biopsy with Device and Imaging 19103)NRNRNR$6,243$2,809$1,748
Cystourethroscopy with Stent 52332)$12,472$5,612$3,492$16,703$7,516$4,677
Laparoscopic Appendectomy 44970)$28,031$12,614$7,849$27,163$12,223$7,606
Removal of Tonsils 42826)$11,622$5,230$3,254$15,403$6,931$4,313
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$27,305$12,287$7,645$28,791$12,956$8,061
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$12,821$5,770$3,590$13,722$6,175$3,842
Fragmenting of Kidney Stone 50590)$30,459$13,707$8,529$32,166$14,474$9,006
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)$3,947$1,776$1,105$5,457$2,456$1,528
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Hysteroscopy with Ablation 58563)$11,448$5,152$3,205$10,089$4,540$2,825
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$4,993$2,247$1,398$12,301$5,535$3,444
Mastectomy, Partial 19301)$16,086$7,239$4,504$24,462$11,008$6,849
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$797$359$223NRNRNR
Coronary Artery Angio S&I 93454)$38,780$17,451$10,858NRNRNR
Colonoscopy with Lesion Removal 45383)$5,253$2,364$1,471$5,624$2,531$1,575
Correction of Bunion 28296)$13,508$6,079$3,782$20,186$9,084$5,652
Cystourethroscopy with Lithotripsy 52353)$29,304$13,187$8,205$30,461$13,708$8,529
Bone Marrow Biopsy 38221)$10,352$4,658$2,899$9,513$4,281$2,664
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Needle Biopsy of Liver 47000)$5,785$2,603$1,620NRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Mohs Micrographic Tissue Removal 17311)$9,734$4,380$2,726NRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$25,740$11,583$7,207$34,313$15,441$9,608
Electro-Uroflowmetry - First 51741)NRNRNR$7,880$3,546$2,207
Right and Left Heart Artery/Ventricle Angiography 93460)$28,043$12,619$7,852NRNRNR
Aspirate Pleura with Imaging 32555)$2,508$1,129$702NRNRNR
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Insertion of Central Venous Catheter >= 5 years 36569)$3,547$1,596$993$6,410$2,884$1,795
Removal of Breast Lesion 19120)$10,226$4,602$2,863$25,806$11,613$7,226
Laparoscopy, Removal of Tubes & Ovaries 58571)$40,795$18,358$11,423$34,475$15,514$9,653
Excision Breast Lesion with Preoperative Placement Radiological Marker 19125)$14,583$6,562$4,083$14,456$6,505$4,048
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area 58662)$24,905$11,207$6,974NRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNR$22,806$10,263$6,386
Debridement Skin/Tissue 11042)$586$264$164$1,611$725$451
Cystourethroscopy with Lithotripsy and Stent 52356)$30,735$13,831$8,606NRNRNR
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.