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:  July 2015 - June 2016
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+NRNRNR
2560Vaginal Delivery$1,985$814$615
3720Blood Infection/Septicemia$15,223$6,241$4,719
4302Knee Replacement$47,659$19,540$14,774
5540Cesarean DeliveryNRNRNR
6194Heart Failure$15,157$6,214$4,699
7301Hip Replacement$48,369$19,831$14,994
8139Pneumonia$11,734$4,811$3,638
9751Psychoses$9,705$3,979$3,009
10753Bipolar Disorders$11,062$4,535$3,429
11775Alcohol Abuse/Dependence$7,463$3,060$2,314
12140Chronic Obstructive Pulmonary Disease$34,416$14,111$10,669
13201Heart Abnormal Rhythm and Conduction Disorders$14,840$6,084$4,600
14383Cellulitis and Other Bacterial Skin Infections$8,827$3,619$2,736
15460Renal FailureNRNRNR
16045Stroke and Precerebral Occlusion with Infarct$18,865$7,735$5,848
17133Pulmonary Edema/Respiratory FailureNRNRNR
18463Kidney/Urinary Tract Infection$12,637$5,181$3,917
19221Major Bowel Procedures$35,838$14,694$11,110
20174Angioplasty with Heart Attack$55,852$22,899$17,314
21754Depression$5,921$2,428$1,836
22750Schizophrenia$11,718$4,804$3,633
23247Intestinal Obstruction without Surgery$12,239$5,018$3,794
24420Diabetes$14,999$6,150$4,650
25282Disorders of Pancreas Except Malignancy$15,696$6,435$4,866
26812Poisoning of Medicinal Agents$7,626$3,127$2,364
27254Other Digestive System Diagnoses$15,882$6,512$4,923
28304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
29053Seizure$15,051$6,171$4,666
30190Circulatory Disorders with Heart Attack$13,093$5,368$4,059
31137Respiratory Infections and InflammationsNRNRNR
32173Other Vascular Procedures$61,258$25,116$18,990
33710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
34134Pulmonary Embolism$12,695$5,205$3,935
35308Hip/Thigh Surgery with Trauma Diagnosis$36,176$14,832$11,215
36263Laparoscopic Cholecystectomy$26,056$10,683$8,077
37773Opioid Abuse/Dependence$10,887$4,464$3,375
38249GastroenteritisNRNRNR
39315Shoulder/Upper Arm, Forearm Surgery$37,113$15,216$11,505
40244Diverticulitis & Diverticulosis$11,214$4,598$3,476
41175Angioplasty without Heart Attack$55,960$22,944$17,348
42861Signs & Symptoms$4,148$1,701$1,286
43058Other Disorders of Nervous System$15,649$6,416$4,851
44347Other Back/Neck Disorders, Fractures, Injuries$15,004$6,152$4,651
45253Other and Unspecified Gastrointestinal Hemorrhage$19,356$7,936$6,000
46425Other Electrolyte Disorders$5,270$2,161$1,634
47351Other Musculoskeletal System and Connective Tissue Diagnoses$18,005$7,382$5,582
48241Peptic Ulcer/Gastritis$18,384$7,537$5,699
49313Other Knee/Lower Leg Surgery$35,535$14,569$11,016
50191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$45,383$18,607$14,069
51248Major G.I. Bacterial Infections$19,385$7,948$6,009
52663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$17,806$7,300$5,520
53024Extracranial Vascular Procedures$21,493$8,812$6,663
54466Malfunction, reaction, complic of genitourinary device or procNRNRNR
55862Other Factors Influencing Health StatusNRNRNR
56197Peripheral and Other Vascular Disorders$17,617$7,223$5,461
57693ChemotherapyNRNRNR
58021Craniotomy Except For TraumaNRNRNR
59141Asthma$16,906$6,931$5,241
60321Upper Spinal FusionNRNRNR
61566Other Antepartum DiagnosesNRNRNR
62721Postoperative and Post-Traumatic Infections$12,570$5,154$3,897
63225Appendectomy$30,612$12,551$9,490
64052Nontraumatic stupor & coma$10,971$4,498$3,401
65422Hypovolemia$10,935$4,483$3,390
66755Neuroses Other Than Depression$7,229$2,964$2,241
67192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$33,425$13,704$10,362
68951Moderately Extensive Procedure Unrelated to Diagnosis$31,330$12,845$9,712
69055Head trauma w coma >1 hr or hemorrhage$13,599$5,576$4,216
70163Heart Valve Procedures without Cardiac Catheterization$139,041$57,007$43,103
71950Extensive Procedure Unrelated to Principal DiagnosisNRNRNR
72220Major Stomach/Esophagus/Duodenum Procedures$30,052$12,321$9,316
73144Respiratory System Signs, Symptoms and Minor Diagnoses$14,170$5,810$4,393
74204Fainting and Collapse$9,043$3,708$2,803
75756Acute Adjust React Psychosocial Dysfunction$7,676$3,147$2,380

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 2015 - June 2016
 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)$10,495$4,303$3,253$12,164$4,987$3,771
Colonoscopy and Biopsy 45380)$5,260$2,156$1,630$8,165$3,347$2,531
Lesion Removal Colonoscopy by Snare Technique 45385)$5,250$2,152$1,627$6,765$2,774$2,097
Upper GI Endoscopy with Biopsy 43239)$6,241$2,559$1,935$8,280$3,395$2,567
Diagnostic Colonoscopy 45378)$4,830$1,980$1,497$9,324$3,823$2,890
Injection into Lumbar or Sacral Area, Single Level 64483)$1,888$774$585$2,508$1,028$777
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$4,210$1,726$1,305$4,606$1,889$1,428
Drain/Inject Major Joint or Bursa 20610)$1,550$635$480$34,917$14,316$10,824
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$4,818$1,976$1,494$9,751$3,998$3,023
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$4,830$1,980$1,497$9,196$3,771$2,851
Carpal Tunnel Surgery 64721)$11,078$4,542$3,434NRNRNR
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$22,199$9,102$6,882$23,749$9,737$7,362
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)$4,336$1,778$1,344$5,651$2,317$1,752
Uppr GI Endoscopy- Diagnostic 43235)$5,685$2,331$1,762$9,434$3,868$2,925
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$5,202$2,133$1,613$5,516$2,261$1,710
Left Heart Artery/Ventricle Angiography 93458)$25,009$10,254$7,753NRNRNR
Creation of Eardrum Opening 69436)$8,143$3,339$2,524$8,586$3,520$2,662
Unlisted Dental Surgery Procedure 41899)$10,230$4,194$3,171NRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$3,373$1,383$1,046$5,491$2,251$1,702
Laparoscopic Cholecystectomy 47562)$23,846$9,777$7,392$29,489$12,091$9,142
After Cataract Laser Surgery 66821)$1,487$610$461$1,479$606$458
ABD Paracentesis w/Imaging 49083)$2,403$985$745$10,974$4,499$3,402
Cataract Surgery- Complex 66982)$11,537$4,730$3,577$10,578$4,337$3,279
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$4,894$2,006$1,517$11,810$4,842$3,661
Removal of Tonsils And Adenoids - < Age 12 42820)$12,892$5,286$3,996$14,171$5,810$4,393
Arthroscopic Rotator Cuff Repair 29827)$25,240$10,348$7,824$28,326$11,614$8,781
Esophageal Endoscopy with Dilation 43249)$6,613$2,711$2,050$7,028$2,882$2,179
Hysteroscopy with Biopsy 58558)$11,080$4,543$3,435$33,366$13,680$10,344
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$2,723$1,117$844$6,962$2,854$2,158
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$14,530$5,957$4,504$18,558$7,609$5,753
Cystourethroscopy with Lithotripsy and Stent 52356)$33,378$13,685$10,347$33,225$13,622$10,300
Incision of Finger Tendon Sheath 26055)$4,092$1,678$1,268NRNRNR
Unlisted Cystourethoscopy 52000)$9,441$3,871$2,927$8,537$3,500$2,646
Laparoscopic Hernia Repair - Initial 49650)$15,549$6,375$4,820$19,310$7,917$5,986
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$12,371$5,072$3,835$24,747$10,146$7,672
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$22,077$9,052$6,844$22,799$9,348$7,068
Uppr GI Endoscopy with Guide Wire 43248)$6,399$2,624$1,984$6,680$2,739$2,071
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)$3,854$1,580$1,195NRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$22,192$9,099$6,880NRNRNR
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$29,494$12,092$9,143$32,181$13,194$9,976
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)$4,994$2,047$1,548$9,940$4,075$3,081
Removal of Tonsils 42826)$11,252$4,613$3,488$11,096$4,549$3,440
Cystourethroscopy with Stent 52332)$11,663$4,782$3,615$14,653$6,008$4,543
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$918$376$285NRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$28,057$11,504$8,698NRNRNR
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$13,696$5,616$4,246$16,665$6,833$5,166
Repair of Nasal Septum 30520)$15,218$6,239$4,717$14,517$5,952$4,500
Fragmenting of Kidney Stone 50590)$31,371$12,862$9,725$32,429$13,296$10,053
Mastectomy, Partial 19301)$13,113$5,376$4,065$27,132$11,124$8,411
Needle Biopsy of Liver 47000)$5,800$2,378$1,798NRNRNR
Laparoscopy, Removal of Tubes & Ovaries 58571)$36,758$15,071$11,395$40,860$16,752$12,667
Debridement Skin/Tissue 11042)$610$250$189$1,059$434$328
Coronary Artery Angio S&I 93454)$30,195$12,380$9,360NRNRNR
Aspirate Pleura with Imaging 32555)$2,117$868$656NRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Hysteroscopy with Ablation 58563)$14,053$5,762$4,357NRNRNR
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNR$14,422$5,913$4,471
Apheresis Plasma 36514)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNRNRNRNR
Correction of Bunion 28296)$13,726$5,628$4,255$69,822$28,627$21,645
Debridement, Open Wound <= 20 Square Centimeters 97597)$338$139$105$541$222$168
Bone Marrow Biopsy 38221)$10,866$4,455$3,368$11,214$4,598$3,476
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)$26,885$11,023$8,334NRNRNR
Removal of Adenoids 42830)NRNRNR$10,279$4,214$3,186
Biopsy of lung or mediastinum, percutaneous w/needle 32405)$9,348$3,833$2,898$7,085$2,905$2,196
Ablation therapy of first vein of extremity 36475)NRNRNRNRNRNR
Removal of Central Venous Device w Port or Pump 36590)$1,206$494$374NRNRNR
Repair of Hammertoe 28285)$11,566$4,742$3,585$32,461$13,309$10,063
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.