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 2014 - September 2015
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+NRNRNR
2560Vaginal DeliveryNRNRNR
3720Blood Infection/Septicemia$13,979$6,430$3,774
4302Knee Replacement$43,139$19,844$11,648
5540Cesarean DeliveryNRNRNR
6194Heart Failure$10,772$4,955$2,908
7139Pneumonia$12,116$5,573$3,271
8301Hip Replacement$47,984$22,073$12,956
9751Psychoses$9,124$4,197$2,463
10753Bipolar Disorders$11,416$5,251$3,082
11140Chronic Obstructive Pulmonary Disease$12,169$5,598$3,286
12201Heart Abnormal Rhythm and Conduction Disorders$12,161$5,594$3,283
13775Alcohol Abuse/Dependence$8,734$4,018$2,358
14460Renal FailureNRNRNR
15383Cellulitis and Other Bacterial Skin Infections$11,023$5,071$2,976
16045Stroke and Precerebral Occlusion with Infarct$16,102$7,407$4,348
17860RehabilitationNRNRNR
18221Major Bowel Procedures$38,204$17,574$10,315
19463Kidney/Urinary Tract Infection$14,111$6,491$3,810
20133Pulmonary Edema/Respiratory FailureNRNRNR
21174Angioplasty with Heart Attack$53,755$24,727$14,514
22247Intestinal Obstruction without Surgery$11,632$5,351$3,141
23750Schizophrenia$10,637$4,893$2,872
24282Disorders of Pancreas Except Malignancy$12,375$5,693$3,341
25254Other Digestive System Diagnoses$15,769$7,254$4,258
26420Diabetes$8,732$4,017$2,358
27249Gastroenteritis$10,949$5,037$2,956
28754Depression$6,418$2,952$1,733
29812Poisoning of Medicinal Agents$7,527$3,462$2,032
30137Respiratory Infections and Inflammations$20,936$9,631$5,653
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$83,926$38,606$22,660
32053Seizure$13,169$6,058$3,556
33134Pulmonary Embolism$12,139$5,584$3,278
34173Other Vascular Procedures$48,103$22,127$12,988
35308Hip/Thigh Surgery with Trauma Diagnosis$37,967$17,465$10,251
36190Circulatory Disorders with Heart Attack$19,280$8,869$5,206
37263Laparoscopic Cholecystectomy$28,294$13,015$7,639
38244Diverticulitis & Diverticulosis$11,806$5,431$3,188
39425Other Electrolyte Disorders$8,646$3,977$2,334
40175Angioplasty without Heart Attack$55,800$25,668$15,066
41241Peptic Ulcer/Gastritis$18,157$8,352$4,902
42861Signs & Symptoms$13,910$6,399$3,756
43315Shoulder/Upper Arm, Forearm SurgeryNRNRNR
44253Other and Unspecified Gastrointestinal Hemorrhage$20,134$9,262$5,436
45347Other Back/Neck Disorders, Fractures, Injuries$14,639$6,734$3,953
46313Other Knee/Lower Leg Surgery$35,304$16,240$9,532
47773Opioid Abuse/Dependence$9,189$4,227$2,481
48351Other Musculoskeletal System and Connective Tissue Diagnoses$5,728$2,635$1,547
49248Major G.I. Bacterial Infections$23,637$10,873$6,382
50710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
51663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$22,976$10,569$6,204
52191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$28,661$13,184$7,738
53466Malfunction, reaction, complic of genitourinary device or procNRNRNR
54024Extracranial Vascular Procedures$21,037$9,677$5,680
55113Epiglottitis, Ear Infection, URI and Laryngotracheitis$9,681$4,453$2,614
56693ChemotherapyNRNRNR
57141Asthma$16,906$7,777$4,565
58321Upper Spinal Fusion$41,463$19,073$11,195
59721Postoperative and Post-Traumatic Infections$10,991$5,056$2,968
60197Peripheral and Other Vascular Disorders$11,787$5,422$3,182
61021Craniotomy Except For Trauma$54,633$25,131$14,751
62225Appendectomy$36,347$16,720$9,814
63144Respiratory System Signs, Symptoms and Minor Diagnoses$12,917$5,942$3,488
64566Other Antepartum DiagnosesNRNRNR
65163Heart Valve Procedures without Cardiac Catheterization$138,603$63,757$37,423
66143Other respiratory diagnoses except signs, symptoms & minor diagnosesNRNRNR
67192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$29,723$13,673$8,025
68055Head trauma w coma >1 hr or hemorrhage$11,798$5,427$3,185
69052Nontraumatic stupor & coma$12,925$5,946$3,490
70755Neuroses Other Than Depression$7,193$3,309$1,942
71204Fainting and Collapse$16,065$7,390$4,338
72310Back/Neck Procedures Except Dorsal and Lumbar Fusion$19,847$9,130$5,359
73660Major hematologic/immunologic diag exc sickle cell crisis & coagul$22,167$10,197$5,985
74284Disorders of gallbladder & biliary tract$21,172$9,739$5,716
75422Hypovolemia$7,100$3,266$1,917

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 2014 - September 2015
 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)$10,335$4,754$2,790$11,577$5,325$3,126
Colonoscopy and Biopsy 45380)$5,200$2,392$1,404$9,610$4,421$2,595
Upper GI Endoscopy with Biopsy 43239)$6,059$2,787$1,636$8,749$4,025$2,362
Lesion Removal Colonoscopy by Snare Technique 45385)$5,194$2,389$1,402$6,125$2,818$1,654
Diagnostic Colonoscopy 45378)$4,765$2,192$1,287$9,142$4,206$2,468
Injection into Lumbar or Sacral Area, Single Level 64483)$1,825$840$493$2,277$1,048$615
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$3,788$1,743$1,023$4,454$2,049$1,203
Drain/Inject Major Joint or Bursa 20610)$1,470$676$397$4,744$2,182$1,281
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$4,804$2,210$1,297$9,637$4,433$2,602
Carpal Tunnel Surgery 64721)$9,227$4,245$2,491$17,232$7,927$4,653
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$4,726$2,174$1,276$9,496$4,368$2,564
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$21,582$9,928$5,827$23,158$10,653$6,253
Uppr GI Endoscopy- Diagnostic 43235)$5,669$2,608$1,531$6,915$3,181$1,867
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)$4,448$2,046$1,201$5,554$2,555$1,500
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$4,986$2,294$1,346$5,970$2,746$1,612
Left Heart Artery/Ventricle Angiography 93458)$25,053$11,525$6,764NRNRNR
Creation of Eardrum Opening 69436)$7,812$3,594$2,109NRNRNR
Unlisted Dental Surgery Procedure 41899)NRNRNRNRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$3,710$1,707$1,002$4,323$1,989$1,167
Laparoscopic Cholecystectomy 47562)$22,806$10,491$6,158$34,690$15,957$9,366
After Cataract Laser Surgery 66821)$1,456$670$393NRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$4,993$2,297$1,348$9,856$4,534$2,661
Cataract Surgery- Complex 66982)$11,345$5,219$3,063$12,007$5,523$3,242
Removal of Tonsils And Adenoids - < Age 12 42820)$13,201$6,073$3,564$14,216$6,539$3,838
ABD Paracentesis w/Imaging 49083)$2,403$1,105$649$8,543$3,930$2,307
Arthroscopic Rotator Cuff Repair 29827)$25,240$11,611$6,815$28,326$13,030$7,648
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$13,184$6,064$3,560$16,376$7,533$4,422
Hysteroscopy with Biopsy 58558)$10,439$4,802$2,818$12,177$5,601$3,288
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$867$399$234NRNRNR
Esophageal Endoscopy with Dilation 43249)$6,132$2,821$1,656$6,925$3,185$1,870
Unlisted Cystourethoscopy 52000)$9,436$4,341$2,548$8,097$3,725$2,186
Incision of Finger Tendon Sheath 26055)$4,916$2,261$1,327$8,978$4,130$2,424
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$12,506$5,753$3,377$22,902$10,535$6,184
Cystourethroscopy with Lithotripsy and Stent 52356)$31,513$14,496$8,509$33,174$15,260$8,957
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$21,224$9,763$5,730$23,724$10,913$6,406
Laparoscopic Hernia Repair - Initial 49650)$14,534$6,685$3,924$16,626$7,648$4,489
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$21,798$10,027$5,885$21,438$9,862$5,788
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Uppr GI Endoscopy with Guide Wire 43248)$6,238$2,870$1,684$8,112$3,732$2,190
Destruction of Benign Lesions up to 14 Lesions 17110)$11,483$5,282$3,100NRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)$4,791$2,204$1,294$9,707$4,465$2,621
Laparoscopic Appendectomy 44970)$27,178$12,502$7,338$28,770$13,234$7,768
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)$3,848$1,770$1,039$6,480$2,981$1,749
Cystourethroscopy with Stent 52332)$11,871$5,461$3,205$15,666$7,206$4,230
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$884$406$239NRNRNR
Removal of Tonsils 42826)$11,147$5,128$3,010NRNRNR
Repair of Nasal Septum 30520)$20,487$9,424$5,531$12,419$5,713$3,353
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Fragmenting of Kidney Stone 50590)$31,245$14,373$8,436$32,254$14,837$8,708
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$29,735$13,678$8,028NRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$12,834$5,904$3,465$16,813$7,734$4,540
Mastectomy, Partial 19301)$13,917$6,402$3,758$26,387$12,138$7,125
Coronary Artery Angio S&I 93454)$39,005$17,942$10,531NRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$27,313$12,564$7,375NRNRNR
Debridement Skin/Tissue 11042)$606$279$164$1,059$487$286
Needle Biopsy of Liver 47000)$5,484$2,523$1,481NRNRNR
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Hysteroscopy with Ablation 58563)$12,407$5,707$3,350NRNRNR
Laparoscopy, Removal of Tubes & Ovaries 58571)$37,749$17,364$10,192$42,937$19,751$11,593
Apheresis Plasma 36514)NRNRNRNRNRNR
Aspirate Pleura with Imaging 32555)$2,268$1,043$612NRNRNR
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)$25,345$11,659$6,843NRNRNR
Debridement, Open Wound <= 20 Square Centimeters 97597)$328$151$89$541$249$146
Correction of Bunion 28296)$13,685$6,295$3,695$14,495$6,668$3,914
Bone Marrow Biopsy 38221)$9,414$4,330$2,542$10,021$4,610$2,706
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNR$14,423$6,635$3,894
Shoulder Arthroscopy/Surgery 29824)NRNRNR$22,903$10,535$6,184
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Removal of Adenoids 42830)NRNRNR$11,353$5,222$3,065
Electronic analysis of implantable pump spine w/reprogram/refill 62369)NRNRNRNRNRNR
Removal of Central Venous Device w Port or Pump 36590)$863$397$233$2,415$1,111$652
Insertion of Central Venous Catheter >= 5 years 36569)$4,086$1,879$1,103NRNRNR
Removal of Breast Lesion 19120)$11,245$5,173$3,036$26,377$12,134$7,122
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.