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:  January 2015 - December 2015
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+NRNRNR
2560Vaginal Delivery$1,985$913$536
3720Blood Infection/Septicemia$13,045$6,001$3,522
4302Knee Replacement$44,774$20,596$12,089
5540Cesarean DeliveryNRNRNR
6194Heart Failure$14,000$6,440$3,780
7301Hip Replacement$49,381$22,715$13,333
8139Pneumonia$13,242$6,091$3,575
9751Psychoses$9,574$4,404$2,585
10753Bipolar Disorders$11,042$5,079$2,981
11140Chronic Obstructive Pulmonary Disease$10,174$4,680$2,747
12201Heart Abnormal Rhythm and Conduction Disorders$12,435$5,720$3,357
13775Alcohol Abuse/Dependence$8,322$3,828$2,247
14460Renal FailureNRNRNR
15383Cellulitis and Other Bacterial Skin Infections$9,318$4,286$2,516
16045Stroke and Precerebral Occlusion with Infarct$17,979$8,270$4,854
17133Pulmonary Edema/Respiratory FailureNRNRNR
18221Major Bowel Procedures$36,271$16,685$9,793
19463Kidney/Urinary Tract Infection$12,175$5,601$3,287
20174Angioplasty with Heart Attack$55,209$25,396$14,906
21860RehabilitationNRNRNR
22247Intestinal Obstruction without Surgery$12,239$5,630$3,305
23750Schizophrenia$10,890$5,009$2,940
24282Disorders of Pancreas Except Malignancy$12,484$5,743$3,371
25420Diabetes$12,159$5,593$3,283
26754Depression$6,266$2,882$1,692
27254Other Digestive System Diagnoses$15,769$7,254$4,258
28249Gastroenteritis$16,046$7,381$4,332
29812Poisoning of Medicinal Agents$7,967$3,665$2,151
30304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$83,926$38,606$22,660
31137Respiratory Infections and Inflammations$20,936$9,631$5,653
32053Seizure$13,169$6,058$3,556
33173Other Vascular Procedures$55,912$25,720$15,096
34134Pulmonary Embolism$12,417$5,712$3,353
35190Circulatory Disorders with Heart Attack$19,280$8,869$5,206
36308Hip/Thigh Surgery with Trauma Diagnosis$37,967$17,465$10,251
37263Laparoscopic Cholecystectomy$28,294$13,015$7,639
38244Diverticulitis & Diverticulosis$11,806$5,431$3,188
39315Shoulder/Upper Arm, Forearm SurgeryNRNRNR
40175Angioplasty without Heart Attack$58,541$26,929$15,806
41425Other Electrolyte Disorders$11,457$5,270$3,093
42861Signs & Symptoms$12,789$5,883$3,453
43241Peptic Ulcer/Gastritis$18,157$8,352$4,902
44773Opioid Abuse/Dependence$11,341$5,217$3,062
45710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
46347Other Back/Neck Disorders, Fractures, Injuries$14,799$6,808$3,996
47253Other and Unspecified Gastrointestinal Hemorrhage$20,134$9,262$5,436
48313Other Knee/Lower Leg Surgery$36,221$16,662$9,780
49351Other Musculoskeletal System and Connective Tissue Diagnoses$12,779$5,878$3,450
50248Major G.I. Bacterial Infections$14,481$6,661$3,910
51191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$27,589$12,691$7,449
52663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$24,668$11,347$6,660
53466Malfunction, reaction, complic of genitourinary device or procNRNRNR
54024Extracranial Vascular Procedures$21,361$9,826$5,767
55693ChemotherapyNRNRNR
56141Asthma$16,906$7,777$4,565
57321Upper Spinal Fusion$51,254$23,577$13,839
58721Postoperative and Post-Traumatic Infections$10,991$5,056$2,968
59197Peripheral and Other Vascular Disorders$14,702$6,763$3,970
60058Other Disorders of Nervous System$17,821$8,198$4,812
61021Craniotomy Except For Trauma$54,633$25,131$14,751
62225Appendectomy$34,240$15,750$9,245
63566Other Antepartum DiagnosesNRNRNR
64144Respiratory System Signs, Symptoms and Minor Diagnoses$14,170$6,518$3,826
65163Heart Valve Procedures without Cardiac Catheterization$137,462$63,233$37,115
66055Head trauma w coma >1 hr or hemorrhage$12,150$5,589$3,281
67755Neuroses Other Than Depression$7,348$3,380$1,984
68113Epiglottitis, Ear Infection, URI and Laryngotracheitis$9,681$4,453$2,614
69192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$30,480$14,021$8,230
70143Other respiratory diagnoses except signs, symptoms & minor diagnosesNRNRNR
71052Nontraumatic stupor & coma$11,948$5,496$3,226
72204Fainting and Collapse$30,891$14,210$8,341
73422Hypovolemia$9,017$4,148$2,435
74639Neonate Birthwt >2499g with Other Significant ConditionNRNRNR
75310Back/Neck Procedures Except Dorsal and Lumbar Fusion$19,847$9,130$5,359

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:  January 2015 - December 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)$10,485$4,823$2,831$11,479$5,280$3,099
Colonoscopy and Biopsy 45380)$5,194$2,389$1,403$9,676$4,451$2,613
Upper GI Endoscopy with Biopsy 43239)$6,064$2,789$1,637$8,366$3,848$2,259
Lesion Removal Colonoscopy by Snare Technique 45385)$5,194$2,389$1,402$6,268$2,883$1,692
Diagnostic Colonoscopy 45378)$4,631$2,130$1,250$9,125$4,197$2,464
Injection into Lumbar or Sacral Area, Single Level 64483)$1,825$840$493$2,338$1,075$631
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$4,150$1,909$1,121$4,753$2,186$1,283
Drain/Inject Major Joint or Bursa 20610)$1,470$676$397$19,830$9,122$5,354
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$4,622$2,126$1,248$9,637$4,433$2,602
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$4,742$2,182$1,280$9,496$4,368$2,564
Carpal Tunnel Surgery 64721)$9,680$4,453$2,614NRNRNR
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$21,784$10,021$5,882$23,749$10,925$6,412
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)$4,018$1,848$1,085$5,827$2,681$1,573
Uppr GI Endoscopy- Diagnostic 43235)$5,506$2,533$1,487$6,782$3,120$1,831
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$4,998$2,299$1,349$6,474$2,978$1,748
Left Heart Artery/Ventricle Angiography 93458)$24,983$11,492$6,745NRNRNR
Creation of Eardrum Opening 69436)$7,767$3,573$2,097$8,148$3,748$2,200
Unlisted Dental Surgery Procedure 41899)NRNRNRNRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$3,138$1,443$847$3,660$1,683$988
Laparoscopic Cholecystectomy 47562)$23,761$10,930$6,415$34,690$15,957$9,366
After Cataract Laser Surgery 66821)$1,456$670$393$1,479$680$399
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$4,943$2,274$1,334$9,748$4,484$2,632
Cataract Surgery- Complex 66982)$11,443$5,264$3,090$10,578$4,866$2,856
ABD Paracentesis w/Imaging 49083)$2,403$1,105$649$10,086$4,640$2,723
Removal of Tonsils And Adenoids - < Age 12 42820)$13,201$6,073$3,564$12,333$5,673$3,330
Arthroscopic Rotator Cuff Repair 29827)$25,240$11,611$6,815$28,326$13,030$7,648
Hysteroscopy with Biopsy 58558)$10,505$4,832$2,836$12,479$5,740$3,369
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$13,184$6,064$3,560$15,395$7,081$4,157
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$867$399$234$9,800$4,508$2,646
Esophageal Endoscopy with Dilation 43249)$6,098$2,805$1,646$6,925$3,185$1,870
Unlisted Cystourethoscopy 52000)$9,446$4,345$2,550$8,204$3,774$2,215
Incision of Finger Tendon Sheath 26055)$4,092$1,882$1,105NRNRNR
Cystourethroscopy with Lithotripsy and Stent 52356)$31,637$14,553$8,542$33,225$15,283$8,971
Laparoscopic Hernia Repair - Initial 49650)$14,802$6,809$3,997$17,201$7,913$4,644
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$12,438$5,722$3,358$29,444$13,544$7,950
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$20,646$9,497$5,574$22,943$10,554$6,195
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$22,168$10,197$5,985$25,583$11,768$6,907
Uppr GI Endoscopy with Guide Wire 43248)$6,277$2,887$1,695$8,354$3,843$2,255
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)$3,982$1,832$1,075$4,037$1,857$1,090
Destruction of Benign Lesions up to 14 Lesions 17110)$11,483$5,282$3,100NRNRNR
Laparoscopic Appendectomy 44970)$27,947$12,856$7,546$28,138$12,943$7,597
Biopsy breast w/stereotactic image; 1 lesion 19081)$4,791$2,204$1,294$9,552$4,394$2,579
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$884$406$239NRNRNR
Cystourethroscopy with Stent 52332)$11,663$5,365$3,149$15,658$7,203$4,228
Removal of Tonsils 42826)$11,147$5,128$3,010$11,096$5,104$2,996
Repair of Nasal Septum 30520)$20,487$9,424$5,531$13,482$6,202$3,640
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Fragmenting of Kidney Stone 50590)$31,389$14,439$8,475$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)$13,085$6,019$3,533$16,715$7,689$4,513
Mastectomy, Partial 19301)$13,942$6,413$3,764$26,899$12,373$7,263
Laparoscopy - Removal of Adnexal Structures 58661)$27,218$12,520$7,349NRNRNR
Debridement Skin/Tissue 11042)$606$279$164$1,218$560$329
Needle Biopsy of Liver 47000)$5,691$2,618$1,537NRNRNR
Coronary Artery Angio S&I 93454)$38,365$17,648$10,359NRNRNR
Laparoscopy, Removal of Tubes & Ovaries 58571)$36,800$16,928$9,936$41,710$19,187$11,262
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Aspirate Pleura with Imaging 32555)$2,206$1,015$596NRNRNR
Hysteroscopy with Ablation 58563)$10,761$4,950$2,906NRNRNR
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Debridement, Open Wound <= 20 Square Centimeters 97597)$338$155$91$541$249$146
Right and Left Heart Artery/Ventricle Angiography 93460)$25,345$11,659$6,843NRNRNR
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNR$14,422$6,634$3,894
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNRNRNRNR
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Bone Marrow Biopsy 38221)$9,802$4,509$2,647$10,387$4,778$2,804
Correction of Bunion 28296)$13,726$6,314$3,706$41,911$19,279$11,316
Removal of Adenoids 42830)NRNRNR$10,816$4,975$2,920
Electronic analysis of implantable pump spine w/reprogram/refill 62369)NRNRNRNRNRNR
Ablation therapy of first vein of extremity 36475)NRNRNRNRNRNR
Repair of Hammertoe 28285)$13,584$6,249$3,668$30,396$13,982$8,207
Removal of Central Venous Device w Port or Pump 36590)$863$397$233NRNRNR
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.