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:   October 2016 - September 2017   (Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+NRNRNR
2560Vaginal DeliveryNRNRNR
3720Blood Infection/Septicemia$15,028$6,161$4,809
4302Knee Replacement$52,585$21,560$16,827
5194Heart Failure$11,915$4,885$3,813
6540Cesarean DeliveryNRNRNR
7301Hip Replacement$59,814$24,524$19,140
8751Psychoses$10,312$4,228$3,300
9140Chronic Obstructive Pulmonary Disease$26,487$10,860$8,476
10139Pneumonia$11,319$4,641$3,622
11753Bipolar Disorders$12,184$4,995$3,899
12775Alcohol Abuse/Dependence$10,539$4,321$3,372
13201Heart Abnormal Rhythm and Conduction Disorders$9,852$4,039$3,153
14133Respiratory failureNRNRNR
15383Cellulitis & other skin infections$10,254$4,204$3,281
16045Stroke and Precerebral Occlusion with Infarct$22,035$9,034$7,051
17469Acute Kidney InjuryNRNRNR
18463Kidney/Urinary Tract Infection$19,425$7,964$6,216
19221Major Bowel Procedures$45,234$18,546$14,475
20174Percutaneous coronary intervention w AMI$59,046$24,209$18,895
21750Schizophrenia$14,529$5,957$4,649
22420Diabetes$19,136$7,846$6,124
23754Depression$6,379$2,615$2,041
24282Disorders of Pancreas Except Malignancy$17,022$6,979$5,447
25247Intestinal Obstruction without Surgery$12,144$4,979$3,886
26812Poisoning of Medicinal Agents$9,344$3,831$2,990
27254Other Digestive System Diagnoses$24,231$9,935$7,754
28308Hip & femur fracture repair$44,289$18,158$14,172
29710Infectious & parasitic diseases including HIV w O.R. procedure$21,660$8,881$6,931
30190Circulatory Disorders with Heart Attack$34,861$14,293$11,156
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$63,325$25,963$20,264
32053Seizure$18,894$7,747$6,046
33773Opioid Abuse/Dependence$10,688$4,382$3,420
34175Percutaneous coronary intervention w/o AMI$77,875$31,929$24,920
35058Other Disorders of Nervous System$23,569$9,663$7,542
36249Other gastroenteritis, nausea & vomiting$16,228$6,653$5,193
37137Respiratory Infections and Inflammations$15,296$6,271$4,895
38134Pulmonary Embolism$26,823$10,997$8,583
39192Cardiac catheterization for other non-coronary conditions$43,955$18,022$14,066
40263Laparoscopic Cholecystectomy$32,003$13,121$10,241
41244Diverticulitis & Diverticulosis$15,212$6,237$4,868
42861Signs & Symptoms$5,824$2,388$1,864
43241Peptic Ulcer/Gastritis$23,368$9,581$7,478
44253Other and Unspecified Gastrointestinal HemorrhageNRNRNR
45466Malfunction, reaction, complic of genitourinary device or proc$3,913$1,604$1,252
46347Other Back/Neck Disorders, Fractures, Injuries$12,892$5,286$4,125
47313Other Knee/Lower Leg Surgery$38,283$15,696$12,251
48425Other Electrolyte Disorders$17,523$7,184$5,607
49181Lower Extremity Arterial Procedures$50,261$20,607$16,084
50951Moderately Extensive Procedure Unrelated to DiagnosisNRNRNR
51248Major G.I. Bacterial Infections$17,129$7,023$5,481
52024Extracranial Vascular Procedures$22,522$9,234$7,207
53351Other Musculoskeletal System and Connective Tissue Diagnoses$25,980$10,652$8,314
54315Shoulder, upper arm & forearm procedures except joint replacement$41,504$17,017$13,281
55021Craniotomy Except For TraumaNRNRNR
56113Epiglottitis, Ear Infection, URI and LaryngotracheitisNRNRNR
57663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$14,020$5,748$4,486
58166Coronary bypass w/o AMI or complex PDX$127,453$52,256$40,785
59321Upper Spinal Fusion$47,144$19,329$15,086
60862Other Factors Influencing Health StatusNRNRNR
61055Head trauma w coma >1 hr or hemorrhage$16,281$6,675$5,210
62197Peripheral and Other Vascular Disorders$44,181$18,114$14,138
63566Other Antepartum DiagnosesNRNRNR
64422HypovolemiaNRNRNR
65052Nontraumatic stupor & coma$13,618$5,583$4,358
66141Asthma$11,470$4,703$3,670
67755Neuroses Other Than Depression$6,942$2,846$2,221
68721Postoperative and Post-Traumatic Infections$10,842$4,445$3,469
69225Appendectomy$32,854$13,470$10,513
70143Other respiratory diagnoses except signs, symptoms & minor diagnoses$46,743$19,165$14,958
71144Respiratory System Signs, Symptoms and Minor Diagnoses$20,017$8,207$6,405
72163Cardiac valve procedures w/o AMI or complex PDX$160,807$65,931$51,458
73204Fainting and Collapse$12,155$4,984$3,890
74199Hypertension$13,399$5,494$4,288
75696Other ChemotherapyNRNRNR

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 2016 - September 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)$9,864$4,044$3,156$12,768$5,235$4,086
Colonoscopy and Biopsy (45380)$6,481$2,657$2,074$7,511$3,079$2,403
Lesion Removal Colonoscopy by Snare Technique (45385)$6,481$2,657$2,074$8,376$3,434$2,680
Upper GI Endoscopy with Biopsy (43239)$7,477$3,066$2,393$11,229$4,604$3,593
Diagnostic Colonoscopy (45378)$5,902$2,420$1,889$10,798$4,427$3,455
Injection into Lumbar or Sacral Area, Single Level (64483)$2,093$858$670$2,882$1,181$922
Drain/Inject Major Joint or Bursa (20610)$1,642$673$525NRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral (64493)$4,617$1,893$1,478$5,573$2,285$1,783
Colorectal Cancer Screening; Colonscopy, Not High Risk (G0121)$5,902$2,420$1,889$11,003$4,511$3,521
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee (62323)$2,132$874$682$4,166$1,708$1,333
Colorectal Cancer Screening ; Colonoscopy, High Risk (G0105)$5,902$2,420$1,889$9,467$3,881$3,029
Carpal Tunnel Surgery (64721)$11,747$4,816$3,759$11,785$4,832$3,771
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral (64635)$6,093$2,498$1,950$6,147$2,520$1,967
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy (29881)$22,774$9,337$7,288$22,479$9,216$7,193
Uppr GI Endoscopy- Diagnostic (43235)$6,878$2,820$2,201$9,047$3,709$2,895
Creation of Eardrum Opening (69436)$9,116$3,737$2,917NRNRNR
Lesion Removal Colonoscopy by Hot Biopsy or Cautery (45384)$5,594$2,294$1,790$7,727$3,168$2,473
Left Heart Artery/Ventricle Angiography (93458)$28,668$11,754$9,174NRNRNR
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance (62321)$2,172$891$695NRNRNR
Unlisted Dental Surgery Procedure (41899)NRNRNRNRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor (64490)$3,388$1,389$1,084$6,972$2,859$2,231
After Cataract Laser Surgery (66821)$2,009$824$643NRNRNR
ABD Paracentesis w/Imaging (49083)$3,044$1,248$974$19,357$7,936$6,194
Laparoscopic Cholecystectomy (47562)$21,432$8,787$6,858NRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion (19083)$5,131$2,104$1,642$13,209$5,416$4,227
Esophageal Endoscopy with Dilation (43249)$7,428$3,046$2,377$8,084$3,314$2,587
Biopsy Skin and Subcutaneous Tissue; 1 Lesion (11100)$880$361$282$11,118$4,558$3,558
Removal of Tonsils And Adenoids - < Age 12 (42820)$14,237$5,837$4,556$17,486$7,169$5,595
Arthroscopic Rotator Cuff Repair (29827)NRNRNR$36,363$14,909$11,636
Cataract Surgery- Complex (66982)$10,136$4,156$3,243$14,847$6,087$4,751
Hysteroscopy with Biopsy (58558)$11,371$4,662$3,639$11,971$4,908$3,831
Cystourethroscopy with Lithotripsy and Stent (52356)$34,287$14,058$10,972$42,106$17,264$13,474
Incision of Finger Tendon Sheath (26055)NRNRNRNRNRNR
Laparoscopic Hernia Repair - Initial (49650)$18,914$7,755$6,053$22,085$9,055$7,067
Destruction of Premalignant Lesion (17000)NRNRNRNRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible (49505)$15,570$6,384$4,982$19,946$8,178$6,383
Unlisted Cystourethoscopy (52000)$9,027$3,701$2,889$9,218$3,779$2,950
Uppr GI Endoscopy with Guide Wire (43248)$7,608$3,119$2,435$10,029$4,112$3,209
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) (20680)$11,634$4,770$3,723$37,515$15,381$12,005
Destruction by neurolytic agent w imaging, cervical or thoracic (64633)$4,213$1,727$1,348$6,541$2,682$2,093
Destruction of Benign Lesions up to 14 Lesions (17110)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy (29880)$23,485$9,629$7,515$24,233$9,935$7,754
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct (47563)$22,228$9,113$7,113$23,748$9,737$7,599
Biopsy breast w/stereotactic image; 1 lesion (19081)$5,509$2,259$1,763$13,434$5,508$4,299
Cystourethroscopy with Stent (52332)$13,278$5,444$4,249$23,762$9,742$7,604
Laparoscopy - Removal of Adnexal Structures (58661)$28,118$11,529$8,998$33,046$13,549$10,575
Mastectomy, Partial (19301)$14,908$6,112$4,771$24,868$10,196$7,958
Debridement Skin/Tissue (11042)$719$295$230$1,383$567$443
Laparoscopic Appendectomy (44970)$28,765$11,794$9,205$24,984$10,244$7,995
Laparoscopy, Removal of Tubes & Ovaries (58571)$39,590$16,232$12,669$43,239$17,728$13,837
Repair Umbilical Hernia, > = 5 Yrs - Reducible (49585)$14,066$5,767$4,501$19,353$7,935$6,193
Removal of Tonsils (42826)$12,965$5,316$4,149NRNRNR
Low Back Disk Surgery (63030)$32,035$13,134$10,251NRNRNR
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles (20552)$1,021$419$327NRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair (29888)NRNRNRNRNRNR
Repair of Nasal Septum (30520)$10,954$4,491$3,505$12,529$5,137$4,009
Wrist Endoscopy/Surgery (29848)NRNRNRNRNRNR
Fragmenting of Kidney Stone (50590)$33,168$13,599$10,614$35,664$14,622$11,413
Coronary Artery Angio S&I (93454)$45,056$18,473$14,418NRNRNR
Aspirate Pleura with Imaging (32555)$2,175$892$696$5,346$2,192$1,711
Needle Biopsy of Liver (47000)$9,525$3,905$3,048NRNRNR
Injection of chemical agent into muscles near face/neck (64615)NRNRNRNRNRNR
Bone Marrow Biopsy (38221)$13,496$5,533$4,319$14,168$5,809$4,534
Diagnostic Laryngoscopy (31575)NRNRNRNRNRNR
Removal of Adenoids (42830)NRNRNR$13,545$5,553$4,334
Hysteroscopy with Ablation (58563)$14,150$5,802$4,528$14,850$6,089$4,752
Exam of ear with microscope (92504)NRNRNRNRNRNR
Electro-Uroflowmetry - First (51741)NRNRNRNRNRNR
Biopsy of lung or mediastinum, percutaneous w/needle (32405)$10,125$4,151$3,240NRNRNR
Remove Impacted Ear Wax (69210)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography (93460)$28,994$11,888$9,278NRNRNR
Arthrocentesis, aspiration and/or Inj. major joint or bursa; w/US guidance (20611)$3,540$1,451$1,133$3,245$1,330$1,038
Correction of Bunion (28296)$20,713$8,493$6,628$31,157$12,774$9,970
Shoulder Arthroscopy/Surgery (29824)NRNRNRNRNRNR
Angioplasty - peripheral segment of the dialysis circuit (36902)$11,192$4,589$3,581$11,884$4,873$3,803
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.